Oral Rehabilitation

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Oral Rehabilitation

Dr. Rafael Mejicano Díaz
Dr. Mauricio Gutiérrez Solé
Dr. Hector David Ovando
CENTRO DENTAL DE ESPECIALISTAS (SPECIALIST’S DENTAL CENTER)
MULTIMEDICA VISTA HERMOSA

Oral rehabilitation is something more than reconstruction of one, many, or all teeth in a patient. It is really building awareness in people about the importance of not having to reach this point, to avoid deteriorating their quality of life and that part of their self esteem that is affected when they feel ashamed even of smiling.  During the course of life there is a chance of losing one or more teeth. In these cases the objective of the specialists is to contribute to the patient´s recovery of the lost teeth, substituting them with artificial teeth to integrally restore the mouth. Oral rehabilitation specialists make use of resins (fillings), crowns, bridges, partial or total dentures retained with implants, so that patients recuperate the masticatory and aesthetic function of the oral cavity. These restorations may be done in ceramic, acrylic, and composite, reinforced with biocompatible metals, trying to imitate the natural appearance of the teeth. With a topic as sensitive as this one, Dr. Rafael Mejicano, specialist in oral prosthesis at Centro Dental comments that ideally this kind of rehabilitation should not need to be done, because it is completely preventable. Nevertheless, things do not work that way in real life. The profile of the patient that visits the other specialists at Centro Dental is a young adult, 40 to 45 years old, who even needs to be shown how to brush his teeth. These cases are so frequent that Mejicano says he treats 10 patients a month with similar problems: tooth decay, teeth wear, tooth loss, infection, pain and more. According to Mauricio Gutiérrez, prosthodontics specialist at Centro Dental, they also get many visits from adolescents that are very susceptible to decay or that need a complete reconstruction because they have crooked teeth, malposed teeth, an incorrect bite when they close their mouth. Gutiérrez agrees with Mejicano in that if the mouth is treated since the child is 2 and a half years old, the person might never need a rehabilitation, unless they have an accident. Nevertheless, there are cases in which at 14 years of age, adolescents have never visited a dentist. Their teeth are very damaged and need reconstructive surgery. When an adolescent loses a tooth, for example, the rest of the teeth move and the mouth loses its occlusal harmony and there begins deterioration, it is like that gear that deteriorated and was never fixed, explains Dr. David Ovando, specialist at Centro Dental. Prevention through a health program may cost a patient from 2 to 14 years of age around Q2 thousand a year or much less, and the adolescents get to the age of 15 years with a good set of teeth. On the other hand, explains Mejicano, patients may incur in expenses over Q30 thousand in a single visit and without obtaining the results offered by prevention. The most complicated thing about oral rehabilitation is that it results annoying, it must be done in some cases under sedation, which is always delicate and a damaged tooth cannot be recuperated, says Mejicano.