Minimally invasive rehabilitation of the worn dentition: a case report utilising adhesive additive techniques and digital technologies

ObjectiveTo assess whether an evaluation period is necessary for patient and clinical success when increasing the occlusal vertical dimension (OVD) for a full mouth rehabilitation.Materials and MethodsA systematic search was conducted in six databases: MEDLINE, Web of Science, Scopus, CENTRAL, VHL, and EMBASE. The eligibility criteria of this systematic review used the PICO framework to address the following research question: “In dentate adults requiring an increase in occlusal vertical dimension (OVD) (P), is an evaluation period of the new OVD (I) superior to no evaluation period (C) in terms of success (O)?” Study characteristics, survival, and success rates were extracted from each article. No language restrictions were applied. Study quality was appraised using Cochrane's Risk of Bias 2 tool and Newcastle–Ottawa Scale (NOS) according to the study design.ResultsThe electronic search yielded 1188 titles after duplicates were removed. One RCT and 103 non‐comparative articles were found relevant to the search question. Out of the 103 articles, 80 had an evaluation phase and 23 did not. The included RCT revealed that removable devices tended to cause chewing difficulties, unclear speech, and esthetic discomfort. Therefore, the use of a removable appliance to functionally or esthetically evaluate OVD was not indicated prior to the definitive treatment. Esthetics was the highest reported parameter preoperatively for the non‐comparative studies, at 85% with an evaluation and 86% without.ConclusionAt present, there is lack of evidence that an evaluation period improves clinical and patient‐reported outcomes when increasing OVD for full mouth rehabilitations. Thus, an increase in OVD can be successful with or without an evaluation phase.Clinical SignificanceThe evaluation phase helps the clinician manage patient expectations and assist with the treatment sequencing. This phase is most effective with fixed restoration, such as temporary crowns or adhesive restorations. However, there is limited evidence that this phase improves clinical or patient‐reported outcomes.

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Monitoring of Motor Nerve Function Rehabilitation in Patients with Upper Extremity Hemiplegia Based on Functional Magnetic Resonance Imaging

Zhang

Liu

Huang

et al. 2021

j med imaging hlth inform

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Through functional magnetic resonance imaging (fMRI) technology, it is planned to use complex brain network technology to track brain functional imaging tracking treatment of stroke hemiplegia with scalp acupuncture. Functional magnetic resonance imaging (fMRI) can continuously monitor the rehabilitation process of motor nerve function in patients with stroke and upper limb hemiplegia, and explore the mechanism of brain plasticity changes at different levels of neural function cortex, motor function neural circuit, and behavior level. First, the fMRI test uses a block design, and the subjects complete the movement of the thumb and index finger. After completing the dysfunction assessment, fMRI data collection was performed on the patient before the CIMT treatment using a magnetic resonance apparatus, and a second fMRI data collection was performed 2 weeks after the CIMT treatment; only one fMRI data collection was performed on the volunteers. The functional magnetic resonance data was processed using the AFNI software package, and the functional scores of subjects were calculated using SPSS software. Second, studying the remodeling of residual brain tissue and functional compensation pathways can help to further clarify the recovery mechanism of motor function after stroke hemiplegia. Finally, compulsory exercise therapy can effectively improve upper limb motor dysfunction in stroke patients. The forced use of upper extremities during treatment induces the reorganization and compensation of cerebral cortical functional areas. This change in brain functional areas is consistent with the increase of upper extremity movement and improvement of motor function, fMRI can provide neuronal reorganization after exercise therapy evidence with compensation.

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Minimally invasive rehabilitation of the worn dentition: a case report utilising adhesive additive techniques and digital technologies

Cited by 3 publications

References 45 publications

Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry

Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry

Importance of an Evaluation Phase When Increasing the Occlusal Vertical Dimension: A Systematic Review

Monitoring of Motor Nerve Function Rehabilitation in Patients with Upper Extremity Hemiplegia Based on Functional Magnetic Resonance Imaging

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