Rev. Rom de STOMATOLOGIE nr.1 - 2007.p65 - medica.ro
Rev. Rom de STOMATOLOGIE nr.1 - 2007.p65 - medica.ro
Rev. Rom de STOMATOLOGIE nr.1 - 2007.p65 - medica.ro
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14 REVISTA ROMÂNÅ DE <st<strong>ro</strong>ng>STOMATOLOGIE</st<strong>ro</strong>ng> – VOL. LIII, NR. 1, AN 2007<br />
Prin tehnica folositå, utilizând metilmetracrilat<br />
sau silicon, practic orice parte a corpului omenesc<br />
poate fi reconstruitå, fårå contraindica¡ii <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> sex<br />
sau vârstå, ob¡inându-se p<strong>ro</strong>teze (epiteze sau endop<strong>ro</strong>teze)<br />
u¿oare, bine tolerate, cu flexibilitate corespunzåtoare,<br />
colorate sintetic, cu o integrare perfectå<br />
în arhitectura regiunii respective fåcând-o<br />
greu observabilå datoritå acoperirii cu piele p<strong>ro</strong>teticå<br />
asemånåtoare celei naturale sau råmânând<br />
în corp toatå via¡a în cazul celor implantabile. P<strong>ro</strong>tezele<br />
se fixeazå printr-un bioa<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>ziv nonalergic<br />
sau prin implante <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> titaniu, minimagne¡i (p<strong>ro</strong>ce<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>ul<br />
<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> osteointegrare, metoda BranemarK).<br />
Rol estetic, func¡ional ¿i sociologic, cu implica¡ii<br />
psihologice mari pentru o altå calitate a vie¡ii.<br />
Cuvinte cheie: reconstruc¡ie p<strong>ro</strong>teticå, malforma¡ii<br />
congenitale, silicon implantabil, epiteze,<br />
endop<strong>ro</strong>teze, bioa<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>ziv, implante ¿i minimagne¡i<br />
<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> titaniu, osteointegrare-metoda BranemarK.<br />
MAXILLO-FACIAL PROSTHETIC<br />
REHABILITATION<br />
Elena Latcan Md, PhD<br />
P<strong>ro</strong>sthetic Cranio Facial and Body<br />
Rehabilitation, Medical Center „Prain“<br />
Ltd. – For a normal hearing, facial and body<br />
rehabilitation<br />
The author presents her experience over a<br />
period of eight years (1997-2006) regarding a<br />
cohort of 315 patients.<br />
In an extensive loss of tissues resulted f<strong>ro</strong>m<br />
congenital malfomations (maxilar and madibular<br />
malformations, mic<strong>ro</strong> ret<strong>ro</strong>gnatie, mic<strong>ro</strong> stoma),<br />
collagenosis (scle<strong>ro</strong><st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>rmie, <st<strong>ro</strong>ng>Rom</st<strong>ro</strong>ng>berg Sind<strong>ro</strong>me),<br />
traffic and work acci<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>nt, post surgical (cancer<br />
and facial nerve paralyze), when usual surgical<br />
p<strong>ro</strong>cedures fail to establish the normal look of the<br />
patient silicone epitheses and endop<strong>ro</strong>sthetic reconstruction<br />
(rehabilitation) intervenes.<br />
Using a specific technique and materials like:<br />
silicon elastomer, the resulted endop<strong>ro</strong>stheses replaces<br />
and creates the aesthetic and a normal anatomy<br />
of the specified region, tolerated very well,<br />
elastic and non-allergic and with a perfect acceptation<br />
f<strong>ro</strong>m the body all the life.<br />
Keywords: p<strong>ro</strong>sthetic rehabilitation, congenital<br />
malformation, elastomer and implantable silicon, epitheses,<br />
endop<strong>ro</strong>stheses, bio-adhesive, titanium implants,<br />
magnets, osteointegrated system BranemarK.<br />
ASPECTE CLINICE PRIVIND UTILIZAREA<br />
SISTEMELOR PE CULISE ÎN EDENTAºIA DE<br />
CLASA I KENNEDY ÎN TRATAMENTUL CU<br />
PROTEZE SCHELETATE<br />
ªef Lucr. Dr. Tudor Ionescu,<br />
ªef Lucr. Dr. Elena-Gabriela Despa<br />
Facultatea <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> Medicinå Dentarå<br />
„Titu Maiorescu“, Bucure¿ti<br />
Rezumat<br />
Utilizarea sistemelor <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> culise în e<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>nta¡ia <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng><br />
clasa I Kennedy, tratatå cu p<strong>ro</strong>teze scheletate, prezintå<br />
anumite particularitå¡i. În evaluarea <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>zavantajelor<br />
sistemelor <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> culisare practicianul trebuie<br />
så aibå în ve<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>re efectul nociv <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> „extensie distalå“<br />
pe care poate så-l aibå asupra din¡ilor restan¡i. Pentru<br />
a preveni apari¡ia acestui efect nociv ¿i a diminua<br />
uzura prematurå a culiselor este necesar ca p<strong>ro</strong>tezele<br />
så fie concepute ¿i realizate cu elemente care<br />
så asigure sprijin pa<strong>ro</strong>dontal, stabilizarea p<strong>ro</strong>tezei,<br />
dar mai ales efectul contra basculant.<br />
CLINICAL ASPECTS REGARDING<br />
ATTACHMENTS IN KENNEDY 1ST CLASS<br />
EDENTULOUS PATIENTS IN THE TREATMENT<br />
WITH SKELETAL PROSTHESIS<br />
Tudor Ionescu, MD, Assist. P<strong>ro</strong>f.<br />
Elena-Gabriela Despa, MD, Assist. P<strong>ro</strong>f.<br />
Faculty of Dental Medicine,<br />
„Titu Maiorescu“ University, Bucharest<br />
Abstract<br />
There are many peculiarities in using attachments<br />
for Kennedy 1 class e<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>ntulous patients.<br />
The major disadvantage is the cantilever effect.<br />
To prevent this is necessary to <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>sign the framework<br />
p<strong>ro</strong>sthesis with special body parts to assure<br />
reliance and stability.<br />
ROLUL STABILOMETRIEI ÎN DEPISTAREA<br />
UNOR PATOLOGII OCLUZALE<br />
ªef Lucr. Dr. Liana Stanciu,<br />
Facultatea <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> Medicinå Dentarå,<br />
Universitatea „Titu Maiorescu“, Bucure¿ti<br />
Dr. ªtefan Ti<strong>ro</strong>n<br />
Clinicå privatå „Dr. Ti<strong>ro</strong>n“<br />
Rezumat<br />
Postu<strong>ro</strong>logia este o ¿tiin¡å, care se ocupå <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng><br />
studiul diverselor sisteme, aparate ale corpului, ce<br />
intervin în reglarea posturii.<br />
Este o ¿tiin¡å pluridisciplinarå care angreneazå<br />
ca discipline: stomatologia, podologia (ortopedia),<br />
oftalmologia, ORL, neu<strong>ro</strong>logia, recuperarea neu<strong>ro</strong>muscularå<br />
etc.