S. Naran, Liliana Camison, B. Lam, Osama Basri, Lindsay A. Schuster, Brian S. Martin, J. Losee
Purpose: Our goal was to explore dental complications in the pediatric population following facial trauma and identify those at risk. Patients and Methods: We queried children with fractures of tooth-supporting regions presenting from 2000 to 2014. Data elements included demographics, treatment method, and dental outcome measures. Results: A total of 117 subjects were identified. The average age at injury was 10.41 years, and average follow-up was 2.9 years. Fractures were grouped as mandibular (62.39%), maxillary (22.22%), or combination (15.39%). Dentition at time of injury was classified as primary (17.95%), mixed (38.46%), or permanent (43.59%). Conservative management was employed in 41.88%, open reduction and internal fixation (ORIF) in 49.57%, and closed reduction and external fixation in 8.55%. The majority (67.52%) did not experience any dental trauma or sequela. Dental avulsion (10.26%), subluxation (10.26%), dysgenesis (5.13%), and development of a crossbite (5.13%), openbite (3.42%), and occlusal cant (0.85%) were observed. Avulsion was more likely in subjects requiring ORIF (P < 0.05). Development of an openbite, crossbite, or occlusal cant was more likely in subjects requiring ORIF or with combination fractures (P < 0.05). Conclusions: Fracture severity, treatment method, and dental age are all strong predictors for adverse dental complications. Treating specialists should be cognizant of the increase in risk of complication in these patients.
{"title":"Dental sequelae of pediatric maxillofacial trauma","authors":"S. Naran, Liliana Camison, B. Lam, Osama Basri, Lindsay A. Schuster, Brian S. Martin, J. Losee","doi":"10.4103/JPD.JPD_2_18","DOIUrl":"https://doi.org/10.4103/JPD.JPD_2_18","url":null,"abstract":"Purpose: Our goal was to explore dental complications in the pediatric population following facial trauma and identify those at risk. Patients and Methods: We queried children with fractures of tooth-supporting regions presenting from 2000 to 2014. Data elements included demographics, treatment method, and dental outcome measures. Results: A total of 117 subjects were identified. The average age at injury was 10.41 years, and average follow-up was 2.9 years. Fractures were grouped as mandibular (62.39%), maxillary (22.22%), or combination (15.39%). Dentition at time of injury was classified as primary (17.95%), mixed (38.46%), or permanent (43.59%). Conservative management was employed in 41.88%, open reduction and internal fixation (ORIF) in 49.57%, and closed reduction and external fixation in 8.55%. The majority (67.52%) did not experience any dental trauma or sequela. Dental avulsion (10.26%), subluxation (10.26%), dysgenesis (5.13%), and development of a crossbite (5.13%), openbite (3.42%), and occlusal cant (0.85%) were observed. Avulsion was more likely in subjects requiring ORIF (P < 0.05). Development of an openbite, crossbite, or occlusal cant was more likely in subjects requiring ORIF or with combination fractures (P < 0.05). Conclusions: Fracture severity, treatment method, and dental age are all strong predictors for adverse dental complications. Treating specialists should be cognizant of the increase in risk of complication in these patients.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"5 1","pages":"50 - 53"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86095051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bashaer S Abdulhadi, Medhat A Abdullah, S. Alaki, N. Alamoudi, M. Attar
This randomized clinical trial compared the clinical outcomes of two full-coronal restorations (stainless steel crowns [SSCs] and zirconia crowns Nu/ZR) in carious primary molars teeth. Children attending the King Abdulaziz University, Faculty of Dentistry clinics who need restorations will be screened for inclusion criteria till 120 teeth are recruited (60 teeth for SSC restorations and 60 for Nu/ZR restorations). Split mouth technique will be used to ensure equalizing variables for both groups. Randomization will be done using SPSS software version 20.0 (Armonk, NY; IBM Corp., USA). A simple descriptive statistic will be used for analysis using Wilcoxon Signed-Rank test. The level of significance will be set at (α = 0.05) and level of confidence at (95%). While looking at the improvements in gingival health relative to interventions, both Zirconia and SSC have significant changes through all time points. However, Zirconia performed better at the 3rd month with 80% compared to SSC with only 13.3% improvement with P < 0.001 and 0.005, respectively. At 6th month, all samples under group zirconia already improved whereas only 73.3% from SSC show improvement. The remaining samples happened to have positive changes at the 12th month. Regarding the plaque retention also the Zirconia Crowns shows improve performance than SSC. As both SSC and Zirconia crowns presented to be an excellent choice for posterior teeth restorations, however, we can conclude that Zirconia crowns performed better regarding gingival response to the material of restoration and plaque retention despite its high cost.
{"title":"Clinical evaluation between zirconia crowns and stainless steel crowns in primary molars teeth","authors":"Bashaer S Abdulhadi, Medhat A Abdullah, S. Alaki, N. Alamoudi, M. Attar","doi":"10.4103/JPD.JPD_21_17","DOIUrl":"https://doi.org/10.4103/JPD.JPD_21_17","url":null,"abstract":"This randomized clinical trial compared the clinical outcomes of two full-coronal restorations (stainless steel crowns [SSCs] and zirconia crowns Nu/ZR) in carious primary molars teeth. Children attending the King Abdulaziz University, Faculty of Dentistry clinics who need restorations will be screened for inclusion criteria till 120 teeth are recruited (60 teeth for SSC restorations and 60 for Nu/ZR restorations). Split mouth technique will be used to ensure equalizing variables for both groups. Randomization will be done using SPSS software version 20.0 (Armonk, NY; IBM Corp., USA). A simple descriptive statistic will be used for analysis using Wilcoxon Signed-Rank test. The level of significance will be set at (α = 0.05) and level of confidence at (95%). While looking at the improvements in gingival health relative to interventions, both Zirconia and SSC have significant changes through all time points. However, Zirconia performed better at the 3rd month with 80% compared to SSC with only 13.3% improvement with P < 0.001 and 0.005, respectively. At 6th month, all samples under group zirconia already improved whereas only 73.3% from SSC show improvement. The remaining samples happened to have positive changes at the 12th month. Regarding the plaque retention also the Zirconia Crowns shows improve performance than SSC. As both SSC and Zirconia crowns presented to be an excellent choice for posterior teeth restorations, however, we can conclude that Zirconia crowns performed better regarding gingival response to the material of restoration and plaque retention despite its high cost.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"23 1","pages":"21 - 27"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85792459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.4103/2321-6646.215984
{"title":"Erratum: Is computer aided design-computer aided manufacturing including to Pediatric Dentistry?","authors":"","doi":"10.4103/2321-6646.215984","DOIUrl":"https://doi.org/10.4103/2321-6646.215984","url":null,"abstract":"","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"192 1","pages":"28 - 28"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83729424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Mittal, Bhanu Pratap Singh, Amit Kumar Sharma, Kavita Mittal, A. Justa, Pulkit Vaid
The present in-vitro study was conducted in primary teeth in order to evaluate the erosive potential of eight commonly used pediatric liquid medications (PLMs) using scanning electron microscope. 8 most commonly used Pediatric Liquid Medicaments and 27 extracted teeth that were near to exfoliation were collected. The endogenous pH of all the Pediatric Liquid Medications was measured using a pH electrode meter. The 27 teeth were divided into two groups, the control group (n = 3) and the study group (n = 24). Three teeth in Control group were immersed in artificial saliva for three different time intervals 1 min, 10 mins. and 8 hours. In experimental group, 24 teeth were also maintained for 1 min., 10 min. and 8 hours in 8 different pediatric liquid medicaments with 3 teeth in each medicine for three different time intervals. For all the teeth of both groups ,the primary enamel surface changes were then observed under Scanning electron microscope. When viewed under Scanning Electron Microscope, all the PLM's showed an erosive effect on the Primary Enamel Surface. Crater formation was found with most of the medications followed by etched prism pattern and sporadic rod ends. Acidic pH was seen with most of the pediatric liquid medicaments used in this study which causes dental erosion. Dental erosion eventually predisposes to dental caries, so it is important to educate professionals and parents regarding use of Pediatric Liquid Medicaments in children.
{"title":"Surface changes of primary tooth enamel by commonly used pediatric liquid medicaments: A scanning electron microscope study","authors":"S. Mittal, Bhanu Pratap Singh, Amit Kumar Sharma, Kavita Mittal, A. Justa, Pulkit Vaid","doi":"10.4103/JPD.JPD_15_17","DOIUrl":"https://doi.org/10.4103/JPD.JPD_15_17","url":null,"abstract":"The present in-vitro study was conducted in primary teeth in order to evaluate the erosive potential of eight commonly used pediatric liquid medications (PLMs) using scanning electron microscope. 8 most commonly used Pediatric Liquid Medicaments and 27 extracted teeth that were near to exfoliation were collected. The endogenous pH of all the Pediatric Liquid Medications was measured using a pH electrode meter. The 27 teeth were divided into two groups, the control group (n = 3) and the study group (n = 24). Three teeth in Control group were immersed in artificial saliva for three different time intervals 1 min, 10 mins. and 8 hours. In experimental group, 24 teeth were also maintained for 1 min., 10 min. and 8 hours in 8 different pediatric liquid medicaments with 3 teeth in each medicine for three different time intervals. For all the teeth of both groups ,the primary enamel surface changes were then observed under Scanning electron microscope. When viewed under Scanning Electron Microscope, all the PLM's showed an erosive effect on the Primary Enamel Surface. Crater formation was found with most of the medications followed by etched prism pattern and sporadic rod ends. Acidic pH was seen with most of the pediatric liquid medicaments used in this study which causes dental erosion. Dental erosion eventually predisposes to dental caries, so it is important to educate professionals and parents regarding use of Pediatric Liquid Medicaments in children.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"5 1","pages":"14 - 20"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82465351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Braimah, Aremu Semiu Adeniyi, Abdurrazaq Taiwo, A. Ibikunle, M. Gbotolorun, S. Aregbesola, K. Abdulazeez, M. Bala
Noma is commonly seen in children with extreme poverty, severe malnutrition, and limited access to quality health care. To review the records of children with acute noma and associated risk factors at Noma Children Hospital, Sokoto, North-West Nigeria. A retrospective study of acute noma at NOMA Children Hospital, Sokoto between 1999 and 2011. Age, gender, associated risk factors, and number of deaths were retrieved and data analyzed using IBM SPSS Statistics for Windows Version 20 (Armonk, NY: IBM Corporation, NY, USA). Correlation and linear regression analyses were conducted to examine the relationship between risk factor and mortality. Results were presented as simple frequencies and descriptive statistics. Statistical significance was set at P < 0.05. A total of 159 cases had acute cancrum oris during the study. Mean age was 3.34 ± 2.2. There is female preponderance with a female to male ratio of 1.24:1. Measles as risk factor constitute the majority of the patients 75 (47.2%), followed by protein-energy-malnutrition 67 (42.1%). No risk factor in 11 (6.9%) cases. One hundred and twenty patients (75.5%) survived the disease while 29 (18.2%) died. Measles and malnutrition have been identified as the most common risk factors, and mortality rate of 24.5% reported. Efforts should be made by medical professionals to correct acute malnutrition.
坏疽性口炎常见于极度贫困、严重营养不良和获得优质卫生保健机会有限的儿童。审查尼日利亚西北部索科托诺玛儿童医院急性坏疽性口炎患儿的记录及相关危险因素。1999年至2011年索科托noma儿童医院急性坏疽性口炎的回顾性研究检索年龄、性别、相关危险因素和死亡人数，并使用IBM SPSS Statistics for Windows Version 20 (Armonk, NY: IBM Corporation, NY, USA)对数据进行分析。对危险因素与死亡率的关系进行相关分析和线性回归分析。结果以简单频率和描述性统计表示。差异有统计学意义，P < 0.05。研究期间共有159例急性口腔癌患者。平均年龄3.34±2.2岁。女性占多数，男女比例为1.24:1。麻疹是主要的危险因素，75例(47.2%)，其次是蛋白质能量营养不良67例(42.1%)。11例(6.9%)无危险因素。120例(75.5%)存活，29例(18.2%)死亡。麻疹和营养不良已被确定为最常见的危险因素，死亡率为24.5%。医疗专业人员应努力纠正急性营养不良。
{"title":"Risk factors and mortality rate of acute cancrum oris (noma) in Sokoto North-West Nigeria: A 13-year survey","authors":"R. Braimah, Aremu Semiu Adeniyi, Abdurrazaq Taiwo, A. Ibikunle, M. Gbotolorun, S. Aregbesola, K. Abdulazeez, M. Bala","doi":"10.4103/JPD.JPD_58_16","DOIUrl":"https://doi.org/10.4103/JPD.JPD_58_16","url":null,"abstract":"Noma is commonly seen in children with extreme poverty, severe malnutrition, and limited access to quality health care. To review the records of children with acute noma and associated risk factors at Noma Children Hospital, Sokoto, North-West Nigeria. A retrospective study of acute noma at NOMA Children Hospital, Sokoto between 1999 and 2011. Age, gender, associated risk factors, and number of deaths were retrieved and data analyzed using IBM SPSS Statistics for Windows Version 20 (Armonk, NY: IBM Corporation, NY, USA). Correlation and linear regression analyses were conducted to examine the relationship between risk factor and mortality. Results were presented as simple frequencies and descriptive statistics. Statistical significance was set at P < 0.05. A total of 159 cases had acute cancrum oris during the study. Mean age was 3.34 ± 2.2. There is female preponderance with a female to male ratio of 1.24:1. Measles as risk factor constitute the majority of the patients 75 (47.2%), followed by protein-energy-malnutrition 67 (42.1%). No risk factor in 11 (6.9%) cases. One hundred and twenty patients (75.5%) survived the disease while 29 (18.2%) died. Measles and malnutrition have been identified as the most common risk factors, and mortality rate of 24.5% reported. Efforts should be made by medical professionals to correct acute malnutrition.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"88 1","pages":"1 - 5"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78178802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To compare the clinical performance of glass ionomer (GI) versus resin composite. A total of 40 Class II restorations were placed in 12 patients aged 4—8-year-old. Patients had to have one or more pair of contralateral teeth indicated for Class II restorations. The two materials, GI (ChemFil™ Rock) and resin composite (Z350) were randomly placed in a split mouth design. The restorations were evaluated using foreign direct investment criteria after 3, 6, 9, and 12 months. Data were subjected to statistical analysis. The result did not reflect any significant differences at the first 6 months evaluation. However, change appeared at 9 and 12 months evaluation regarding; anatomic form, fracture of material and retention, marginal adaptation, wear, proximal anatomical form, contact point, proximal contour, radiographic examination, recurrence of caries and periodontal response. Resin composite Z350 showed better clinical performance than ChemFil™ Rock after 1-year follow-up.
{"title":"Clinical and radiographic evaluation of glass ionomer compared to resin composite in restoring primary molars: A 1-year prospective randomized study","authors":"Salma Hamie, S. Badr, H. Ragab","doi":"10.4103/JPD.JPD_11_17","DOIUrl":"https://doi.org/10.4103/JPD.JPD_11_17","url":null,"abstract":"To compare the clinical performance of glass ionomer (GI) versus resin composite. A total of 40 Class II restorations were placed in 12 patients aged 4—8-year-old. Patients had to have one or more pair of contralateral teeth indicated for Class II restorations. The two materials, GI (ChemFil™ Rock) and resin composite (Z350) were randomly placed in a split mouth design. The restorations were evaluated using foreign direct investment criteria after 3, 6, 9, and 12 months. Data were subjected to statistical analysis. The result did not reflect any significant differences at the first 6 months evaluation. However, change appeared at 9 and 12 months evaluation regarding; anatomic form, fracture of material and retention, marginal adaptation, wear, proximal anatomical form, contact point, proximal contour, radiographic examination, recurrence of caries and periodontal response. Resin composite Z350 showed better clinical performance than ChemFil™ Rock after 1-year follow-up.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"67 1","pages":"6 - 13"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88426074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-09-01DOI: 10.4103/2321-6646.194373
C. Puranik, Habtamu K Benecha, J. Preisser, A. Zandoná
Caries lesions that develop around restorations (CARS) are the main reason for restoration replacement. The aim of this study was to assess whether surfaces that developed CARS and progressed to cavitation have a different fluorescent profile than surfaces that have restorations and no associated lesions. Quantitative light-induced fluorescence (QLF) images of occlusal, buccal, or lingual surfaces of permanent molars from 569 consented children followed up for 48 months as part of a longitudinal study (Ferreira Zandoná et al, 2010, 2013) with an amalgam restoration and no associated caries lesion at baseline as determined by visual examination using the International Caries Detection and Assessment System (ICDAS) were selected. Surfaces (n = 22) that progressed to cavitation (ICDAS ≥5) at follow-up and randomly selected surfaces (n = 22) with no change at follow-up were analyzed for QLF parameters: area (A [mm2]), fluorescence loss (∇F [%]), and ∇Q [% × mm2]. Single, calibrated, and masked examiner (CPP) analyzed the images. Means and slopes between progressed and nonprogressed surfaces were compared using linear mixed effects models. ∇F, ∇Q, and ∇A increased significantly (P ≤ 0.0001) at a faster rate for surfaces that developed CARS and progressed to cavitation compared to restorations with no associated lesions. Surfaces with amalgam restorations that developed associated caries and progressed to cavitation have a different fluorescent profile than surfaces that have amalgam restorations and no associated lesions. Within the limitations of this study, QLF could assess the development of CARS in vivo. Analyses of amalgam restorations with associated lesions that do not progress to cavitation are warranted.
{"title":"Retrospective longitudinal observation of caries around restorations by quantitative light-induced fluorescence","authors":"C. Puranik, Habtamu K Benecha, J. Preisser, A. Zandoná","doi":"10.4103/2321-6646.194373","DOIUrl":"https://doi.org/10.4103/2321-6646.194373","url":null,"abstract":"Caries lesions that develop around restorations (CARS) are the main reason for restoration replacement. The aim of this study was to assess whether surfaces that developed CARS and progressed to cavitation have a different fluorescent profile than surfaces that have restorations and no associated lesions. Quantitative light-induced fluorescence (QLF) images of occlusal, buccal, or lingual surfaces of permanent molars from 569 consented children followed up for 48 months as part of a longitudinal study (Ferreira Zandoná et al, 2010, 2013) with an amalgam restoration and no associated caries lesion at baseline as determined by visual examination using the International Caries Detection and Assessment System (ICDAS) were selected. Surfaces (n = 22) that progressed to cavitation (ICDAS ≥5) at follow-up and randomly selected surfaces (n = 22) with no change at follow-up were analyzed for QLF parameters: area (A [mm2]), fluorescence loss (∇F [%]), and ∇Q [% × mm2]. Single, calibrated, and masked examiner (CPP) analyzed the images. Means and slopes between progressed and nonprogressed surfaces were compared using linear mixed effects models. ∇F, ∇Q, and ∇A increased significantly (P ≤ 0.0001) at a faster rate for surfaces that developed CARS and progressed to cavitation compared to restorations with no associated lesions. Surfaces with amalgam restorations that developed associated caries and progressed to cavitation have a different fluorescent profile than surfaces that have amalgam restorations and no associated lesions. Within the limitations of this study, QLF could assess the development of CARS in vivo. Analyses of amalgam restorations with associated lesions that do not progress to cavitation are warranted.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"20 1","pages":"66 - 71"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83697295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-09-01DOI: 10.4103/2321-6646.194376
B. Buldur, Ozgul Carti, H. I. Mutaf, Y. Unal
This case report presents multidisciplinary treatment approach in a 12-year-old male patient who suffered from a complicated crown fracture of the maxillary right central incisor that occurred due to a fall. The patient was evaluated from a multidisciplinary vantage point to provide function and esthetics. First, the fractured segment was removed from the tooth and gingivoplasty was performed. Fiber post was applied following root canal treatment and temporary restoration was performed. The axes of the teeth were corrected with short-term (4 months) fixed orthodontic treatment, and esthetic and appropriate tooth position was achieved on the zirconia-reinforced ceramic crown. A zirconia-reinforced ceramic crown was made using computer-aided design and manufacturing. A satisfactory esthetic appearance and function were achieved following the treatment. No problems were encountered in the tooth and periodontal area during the follow-up appointments. This case shows the significance of a multidisciplinary treatment approach in traumatized teeth.
{"title":"Multidisciplinary treatment approach to a complicated crown fracture: A case report","authors":"B. Buldur, Ozgul Carti, H. I. Mutaf, Y. Unal","doi":"10.4103/2321-6646.194376","DOIUrl":"https://doi.org/10.4103/2321-6646.194376","url":null,"abstract":"This case report presents multidisciplinary treatment approach in a 12-year-old male patient who suffered from a complicated crown fracture of the maxillary right central incisor that occurred due to a fall. The patient was evaluated from a multidisciplinary vantage point to provide function and esthetics. First, the fractured segment was removed from the tooth and gingivoplasty was performed. Fiber post was applied following root canal treatment and temporary restoration was performed. The axes of the teeth were corrected with short-term (4 months) fixed orthodontic treatment, and esthetic and appropriate tooth position was achieved on the zirconia-reinforced ceramic crown. A zirconia-reinforced ceramic crown was made using computer-aided design and manufacturing. A satisfactory esthetic appearance and function were achieved following the treatment. No problems were encountered in the tooth and periodontal area during the follow-up appointments. This case shows the significance of a multidisciplinary treatment approach in traumatized teeth.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"23 1","pages":"72 - 76"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84717458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-09-01DOI: 10.4103/2321-6646.194378
S. Ferreira, A. C. Simões e Silva, P. Pereira, R. Coletta, Hercílio Júnior
Renal tubular acidosis (RTA) is characterized by metabolic acidosis due to impaired renal acid excretion. Untreated RTA may lead to growth failure, osteoporosis, rickets, nephrolithiasis, and even renal failure. Oral manifestations in distal RTA (dRTA), the most common form of RTA, are very rarely reported. We hereby report the oral manifestations of five patients with dRTA. Oral alterations were observed in these five patients with dRTA, ranging from generalized yellowish discoloration to rough surfaces with loss of the enamel structure. Loss of contrast between enamel and dentin was observed in all patients while teeth with wide pulp chambers characterizing hypotaurodontism were detected in one patient. This study is the first report of dental alterations in Brazilian patients with dRTA. Enamel hypoplasia was the most common finding. We believe that abnormalities of the biomineralization process found in patients with dRTA might also affect calcium deposition in dental tissues.
{"title":"Dental findings in patients with renal tubular acidosis","authors":"S. Ferreira, A. C. Simões e Silva, P. Pereira, R. Coletta, Hercílio Júnior","doi":"10.4103/2321-6646.194378","DOIUrl":"https://doi.org/10.4103/2321-6646.194378","url":null,"abstract":"Renal tubular acidosis (RTA) is characterized by metabolic acidosis due to impaired renal acid excretion. Untreated RTA may lead to growth failure, osteoporosis, rickets, nephrolithiasis, and even renal failure. Oral manifestations in distal RTA (dRTA), the most common form of RTA, are very rarely reported. We hereby report the oral manifestations of five patients with dRTA. Oral alterations were observed in these five patients with dRTA, ranging from generalized yellowish discoloration to rough surfaces with loss of the enamel structure. Loss of contrast between enamel and dentin was observed in all patients while teeth with wide pulp chambers characterizing hypotaurodontism were detected in one patient. This study is the first report of dental alterations in Brazilian patients with dRTA. Enamel hypoplasia was the most common finding. We believe that abnormalities of the biomineralization process found in patients with dRTA might also affect calcium deposition in dental tissues.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"26 1","pages":"77 - 79"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82858900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-09-01DOI: 10.4103/2321-6646.194370
M. Zameer
The aim of the study is to evaluate the efficacy of radicular dentin removal, risk of perforation, and shape of the canal on using manual and rotary instruments in primary teeth. Sixty primary teeth selected were divided into three groups; all the teeth were then embedded into resin and sectioned for examination before and after instrumentation. H-files were used for manual technique, and 2% taper and 4% taper I-Race files were used for rotary. Dentin removal was calculated using stereomicroscope-assisted digital image viewing software. Manual instrumentation has removed overall more dentin compared with 2% and 4% taper rotary instrumentation. No statistical differences were found between 2% and 4% instrumentation with respect to the amount of dentin removed. In few specimens, root perforations were observed in areas coinciding with largest root resorption. In primary teeth without significant root resorption, the use of nickel-titanium-rotary files with 2% and 4% taper up to size 30 revealed to be safe and had prepared the root canals with greater conservation of tooth structure than manual instrumentation. However, 4% taper instrumentation had an additional advantage of providing more funnel-shaped canal desired for ideal compaction of obturating material.
{"title":"Evaluation of radicular dentin remaining and risk of perforation after manual and rotary instrumentations in root canals of primary teeth: An in vitro study","authors":"M. Zameer","doi":"10.4103/2321-6646.194370","DOIUrl":"https://doi.org/10.4103/2321-6646.194370","url":null,"abstract":"The aim of the study is to evaluate the efficacy of radicular dentin removal, risk of perforation, and shape of the canal on using manual and rotary instruments in primary teeth. Sixty primary teeth selected were divided into three groups; all the teeth were then embedded into resin and sectioned for examination before and after instrumentation. H-files were used for manual technique, and 2% taper and 4% taper I-Race files were used for rotary. Dentin removal was calculated using stereomicroscope-assisted digital image viewing software. Manual instrumentation has removed overall more dentin compared with 2% and 4% taper rotary instrumentation. No statistical differences were found between 2% and 4% instrumentation with respect to the amount of dentin removed. In few specimens, root perforations were observed in areas coinciding with largest root resorption. In primary teeth without significant root resorption, the use of nickel-titanium-rotary files with 2% and 4% taper up to size 30 revealed to be safe and had prepared the root canals with greater conservation of tooth structure than manual instrumentation. However, 4% taper instrumentation had an additional advantage of providing more funnel-shaped canal desired for ideal compaction of obturating material.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"41 1","pages":"57 - 65"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73200796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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