tetracycline and Facial-Pain

Dental ceramics present excellent ability to reproduce the natural teeth regarding esthetic and biomechanics. Recently, due to the advancement of ceramic technology, metal-free restorations were developed. However, the traditional metal-ceramic restorations still present the requirements of high strength, long survival in the oral environment and favorable aesthetics. In this context, it is essential to know the specificity of each ceramic system available in order to apply it properly to various clinical situations. This report describes an integrated rehabilitation using metal-ceramic restorations of a patient at 50 years of age, who presented edentulous spaces, and previous unsatisfactory composite and amalgam restorations, and indirect metallic restorations, leading to compromised quality of life in both functional and psychosocial aspects. The impact on quality of life was measured using a generic instrument, OHIP-14, validated for the World Health Organization, which covers both the biological and the psychosocial dimensions. This instrument was applied to the patient before and after treatment. The patient had an overall OHIP-14 score of 28 before the treatment and after treatment the score decreased to 0, showing that dental and oral health conditions are factors that do impact on the quality of life. Rehabilitation has provided functional and aesthetic restorations, harmony of the stomatognathic system and improvement of life quality.

Topics: Anti-Bacterial Agents; Attitude to Health; Dental Porcelain; Dental Restoration Failure; Denture Design; Facial Pain; Female; Follow-Up Studies; Gingivoplasty; Humans; Metal Ceramic Alloys; Middle Aged; Mouth Rehabilitation; Oral Health; Patient Care Planning; Patient Satisfaction; Quality of Life; Smiling; Surgical Flaps; Tetracycline; Tooth Discoloration; Vertical Dimension

Osteonecrosis of the jaws (ONJ) associated with bisphosphonate therapy is being reported with increasing frequency all over the world. Pain may be the presenting symptom commonly associated with intra-oral bone exposure. The aetiology of this therapeutic complication is still not well understood. Three cases are presented and the management of the condition is discussed.

Topics: Aged; Anti-Bacterial Agents; Anti-Infective Agents, Local; Bone Density Conservation Agents; Chlorhexidine; Diphosphonates; Facial Pain; Female; Humans; Imidazoles; Jaw Diseases; Male; Middle Aged; Osteonecrosis; Osteoporosis, Postmenopausal; Tetracycline; Zoledronic Acid

Topics: Administration, Oral; Aged; Analgesics, Opioid; Dexamethasone; Diphenhydramine; Drug Combinations; Facial Pain; Humans; Male; Methadone; Mouthwashes; Nystatin; Oral Ulcer; Tetracycline; Treatment Outcome