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Introduction. There are reports in literature which indicate the connection between impacted third molars and occurrence of symptoms of craniomandibular dysfunctions and headaches. Objectives. The aim of this study was evaluation of the outcome of patients who reported specific symptoms of craniomandibular dysfunction and had impacted mandibular third molars. Materials and method. The research material consisted of 10 women who reported to the Department of Craniomandibular Disfunctions of the Medical University in Lublin, Poland, with pain and acoustic symptoms in the Temporomandibular joint (TMJ) area. During preliminary therapy, the patients used a silicone occlusal device; ionotherapy was ordered and the patients were recommended to eliminate parafunctions. Results. Clicks before treatments were present in 6 patients, after treatment with silicone occlusal device and ionotherapy with Profenid gel in 5 patients, while two years after extraction of the impacted teeth the clicks were no longer present, and differences in the presence of clicks analyses by means of the Q-Cochran test were statistically significant between examinations 1m vs.3 (Q=10.33; p<0.01) and examinations 2 vs.3 (Q=8.40; p<0.05). Conclusions. The study showed that extraction of the mandibular third molars can cause regression of some symptoms of craniomandibular disorders.
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Hygiene plays an important role in patients who use removable dentures. The proper way of cleaning and storage also provides better health of oral cavity tissues as well as for the remaining teeth. The research involved 162 patients, 133 women and 29 men, aged 60–90, with different levels of education, the majority with secondary education. All patients were using removable dentures. 85.8% declared earlier use of dentures, and a half of the patients had used dentures for no more than 7.5 years. A considerable percentage (33.95%) used dentures for the whole day. Storing in a container with fluid was used by 25.93% of the respondents. Over 70% used toothpaste to clean their dentures and about 14% immersed them in special preparations, e.g. CoregaTabs, while over 8% used soap. Among patients who cleaned their dentures, the majority cleaned them once a week (75%) and the minority – twice a week (25%). The greatest percentage of patients cleaned their dentures with a toothbrush and toothpaste, which is not recommended due to occurring microabrasions. It is recommended that patients should be educated regarding prosthesis hygiene and regular follow-ups.
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