Nederlands tijdschrift voor tandheelkunde
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Ned Tijdschr Tandheelkd · Dec 2000
Randomized Controlled Trial Clinical Trial[Comparison of treatment options for myogenous temporomandibular dysfunction].
A randomized clinical trial which included a follow-up of one year was applied to 118 myogenous TMD-patients. The therapies investigated were: physiotherapy of the masticatory system or splint therapy for patients without occlusal interferences, and occlusal adjustment therapy or the combination of splint and occlusal adjustment therapy for patients with pronounced occlusal interferences. Counseling, which yielded a reduction of 27% of the scored pain intensity, will most likely eliminate any further need for treatment of patients with a low level of myogenous TMD signs and symptoms. ⋯ One third of the patients selected had pronounced occlusal interferences. Using stringent criteria it might be possible to apply occlusal adjustment therapy without involvement of splint therapy yielding a similar therapy efficacy and with advantages of a shorter treatment duration and lower costs. All types of therapy diminished not only facial pain but also pain of neck and shoulder areas.
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Ned Tijdschr Tandheelkd · Nov 2000
Review[Multidisciplinary management of trauma patients. Role of the maxillofacial surgeon].
The approach of patients with multiple trauma is considered to be complicated. Many (non)medical disciplines are involved. ⋯ Special attention is given to the treatment of patients with maxillofacial injuries. The task of the oral and maxillofacial surgeon in particular when dealing with facial injuries is described.
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The Rendu-Osler-Weber disease is due to an autosomal dominant disease with multiple telangiectasia in skin and mucosa. Recurrent bleeding of the nose is due to telangiectasia of the nasal mucosa. ⋯ Treatment of bleedings in the oral mucosa is easily possible by means of coagulation. Patients with pulmonary arteriovenous malformations should receive prophylactic antibiotic treatment before extractions, removal of third molars and subgingival curettage.
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Ned Tijdschr Tandheelkd · Jun 1999
[Survival of single surface ART-restorations in Zimbabwe after 3 years].
A 3 year longitudinal study to assess the survival of single-surface ART restorations, was carried out among first year secondary school students in and around Harare, Zimbabwe, during the period 1993-1996 and 1994-1997. The treatments were provided by dentists and dental therapists. The evaluation was carried out by independent evaluators, one of which was an expert from the USA. ⋯ The study has demonstrated that ART with glass-ionomer restorative material provided quality restorative dental care to these student populations. ART has become one of the treatment modalities available to oral health workers in managing dental caries. There is a need for further research into the efficacy of the ART approach and into its application in various types of communities.