Children’s dental treatment requirements of first permanent molars with poor prognosis

2021 ◽  
Author(s):  
Aliye Tuğçe Gürcan ◽  
Merve Bayram
Keyword(s):  
Poor Prognosis ◽  
Dental Treatment ◽  
Permanent Molars ◽  
First Permanent Molars

Adherence to RCS recommendations for extraction of first permanent molars in a teaching hospital: To compensate or not to compensate?

2021 ◽  
pp. 146531252199183
Author(s):  
Jed Lee ◽  
Joanna Johnson ◽  
Dirk Bister ◽  
Mohsin Chaudhary ◽  
Golfam Khoshkhounejad
Keyword(s):  
Teaching Hospital ◽  
Poor Prognosis ◽  
Service Evaluation ◽  
Good Prognosis ◽  
Final Decision ◽  
National Guidelines ◽  
High Quality Research ◽  
Permanent Molars ◽  
First Permanent Molars

Objective: To observe whether paediatric dentists and orthodontists balance and compensate the extraction of first permanent molars (FPMs) in children aged 7–11 years. Design: Service evaluation. Setting: UK dental teaching hospital. Methods: Retrospective analysis of FPM extraction patterns in patients aged 7–11 years that attended for extraction of FPMs from 1 January 2019 to 31 January 2020 (13-month period). Results: A total of 194 patients were included and they collectively had 435 FPMs extracted. No balancing extractions to prevent dental centreline shifts and no lower FPM compensatory extractions were performed. Compensatory extraction of good prognosis upper FPMs were performed in 64% (94/146) of cases to avoid overeruption. Orthodontic input was sought for poor prognosis lower FPMs in 76% of cases compared to 51% for poor prognosis upper FPMs. Conclusion: Compensatory extraction of good prognosis upper FPMs to avoid overeruption appears to be a common practice at Guy’s and St Thomas’ Hospitals. There was also higher demand for orthodontic advice for cases presenting with poor prognosis lower FPMs compared to poor prognosis upper FPMs, which suggests that paediatric dentists may prefer for the final decision on upper FPM compensatory extractions to be made by an orthodontist, even with national guidelines available. More high-quality research on the topic is required to determine the necessity of this practice for achieving optimal long-term oral health in children.

Are the Royal College of Surgeons guidelines for poor-prognosis first permanent molars in children being followed?

2018 ◽  
Vol 9 (3) ◽  
pp. 88-91
Author(s):  
Amy Gallacher ◽  
Kyle Durman ◽  
Siobhan Barry ◽  
David Waring
Keyword(s):  
Royal College ◽  
Poor Prognosis ◽  
Current Practice ◽  
Permanent Molars ◽  
First Permanent Molars

An audit is undertaken at a Manchester hospital to compare current practice with the updated guidelines.

scholarly journals Behavioral management using sequenced treatment paradigm and audiovisual distraction during dental treatment in children with attention deficit/hyperactivity disorder

2018 ◽  
Vol 12 (02) ◽  
pp. 262-268
Author(s):  
Kausar Sadia Fakhruddin ◽  
Hisham ElBatawi ◽  
Hatem M. El-Damanhoury
Keyword(s):  
Pulse Rate ◽  
Dental Treatment ◽  
Assessment System ◽  
Caries Detection ◽  
Behavioral Management ◽  
Blood Oxygen Saturation ◽  
Hyperactivity Disorder ◽  
Dental Procedures ◽  
Permanent Molars ◽  
First Permanent Molars

ABSTRACT Objective: The present study aimed to assess behavioral management using sequenced treatment approach and audiovisual distraction (AVD) with/without video eyewear during dental procedure in children with attention defi cit/hyperactivity disorder (ADHD). Materials and Methods: This clinical trial included 31 children (n = 21 boys; n = 10 girls), aged between 6.5 and 8.1 years, distributed into Group A (n = 17, children not on ADHD medication) and Group B (n = 14, children taking medication for ADHD symptoms). The study involved four sessions, 1 week apart. Sessions I and II included behavioral management assessment and dental screening, respectively, while participants watched cartoon movie using an AV distracter with/without a video eyewear. During Sessions III and IV, dental prophylaxis and sealants were placed on first permanent molars, respectively, for both upper and lower jaws in both the groups. During the procedure, children were distracted with AV distracter with/without a video eyewear, and the mean changes in blood oxygen saturation (SaO2) and pulse rate were recorded every 5 min. Independent samples t-test was used, assessing for significant changes in pulse rate and SaO2 during each visit in both groups. Results: Almost 95% (n = 113) of the first permanent molars showed signs of pit and fissure demineralization of varying severities, classifi ed as the International Caries Detection and Assessment System-codes 1–3. During Session IV, there were significant differences (P ≤ 0.03 and P ≤ 0.05) in mean pulse rate in both groups of children, respectively, during fissure sealants or preventive resin restoration application on their permanent molars while being distracted using AVD with video eyewear. Conclusion: Our study recommends splitting of dental visits into multiple short sessions and video eyewear distraction for optimum behavioral management during dental procedures of children with ADHD.

Dental caries and their treatment in first permanent molars

ORL ro ◽  
2017 ◽  
Vol 4 (37) ◽  
pp. 46
Author(s):  
Irina-Maria Gheorghiu ◽  
Loredana Mitran ◽  
Alexandru A Iliescu ◽  
Sânziana Scărlătescu ◽  
Paula Perlea ◽  
...  
Keyword(s):  
Dental Caries ◽  
Permanent Molars ◽  
First Permanent Molars

Detection of early occlusal caries of the first permanent molar using different techniques (An in vivo study)

2019 ◽  
Vol 31 (1) ◽  
pp. 1-8
Author(s):  
Samah F. Al-Qazzaz ◽  
Abeer M. Hassan
Keyword(s):  
Sensitivity And Specificity ◽  
Visual Inspection ◽  
Caries Detection ◽  
Occlusal Caries ◽  
Clinical Sensitivity ◽  
Permanent Molar ◽  
Permanent Molars ◽  
Early Caries ◽  
First Permanent Molars ◽  
Better Than

Background: Molars and premolars are considered as the most vulnerable teeth of caries attack, which is related to the morphology of their occlusal surfaces along with the difficulty of plaque removal. different methods were used for early caries detection that provide sensitive, accurate preoperative diagnosis of caries depths to establish adequate preventive measures and avoid premature tooth treatment by restoration. The aim of the present study was to evaluate the clinical sensitivity and specificity rates of DIAGNOdent and visual inspection as opposed to the ICDAS for the detection of initial occlusal caries in noncavitated first permanent molars. Materials and Methods: This study examined 139 occlusal surface of the first permanent molar pooled from fifty patients aged 8-9 years by three methods. The selected criteria include one occlusal site per tooth (first permanent molars) with carious lesions range from 0 to 3 according to ICDASII (gold standard) visual criteria then the clinical sensitivity and specificity of visual inspection according to Ekstrand et al.in 1997 and DIAGNOdent were performed. . Results: the highest correlation was found between the ICDASII and DIAGNOdent. The sensitivity of the DIAGNOdent for the enamel caries detection (D1) was better than that of visual inspection. The sensitivity and the specificity for the DIAGNOdent at D3 threshold were better than the D1 threshold and the visual inspection method. Conclusion: DIAGNOden pen can be used as a tool for early caries detection in cases of difficult diagnosis that provide good additional sensitivity to the visual inspection.

ANALYSIS OF THE ORAL FLUID’S pH DEPENDING ON THE STATE OF FISSURES OF THE FIRST PERMANENT MOLARS IN CHILDREN

2018 ◽  
Vol 14 (65) ◽  
pp. 068
Author(s):  
V. V. Ivanchyshyn ◽  
P. A. Hasiuk ◽  
U. O. Stadnyk ◽  
A. B. Vorobets ◽  
N. V. Malko ◽  
...  
Keyword(s):  
The State ◽  
Permanent Molars ◽  
First Permanent Molars

A differentiated approach to the dental caries prevention in children with different levels of caries risk

2020 ◽  
Vol 20 (3) ◽  
pp. 211-215
Author(s):  
T. N. Tserakhava ◽  
N. V. Shakavets ◽  
E. I. Melnikava ◽  
M. I. Klenovskaya ◽  
D. N. Naumovich ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Calcium Phosphates ◽  
Clinical Effectiveness ◽  
Control Group ◽  
Caries Risk ◽  
Health Group ◽  
High Caries Risk ◽  
Permanent Molars ◽  
Different Levels ◽  
First Permanent Molars

Relevance. Prevention of caries of the first permanent molars is one of the most relevant problems in pediatricdentistry.Purpose – to develop an algorithm for prevention of first permanent molars caries in children with differentlevels of caries risk.Materials and methods. The article presents the results of the implementation of the algorithm for prevention of first permanent molars caries in children with different levels of caries risk. This algorithm includes a comprehensive assessment of the values of indices dmft, DMFT, OHI-S, and the patient's health group is also taken into account. The study involved 253 children aged 6-7 years divided into 4 groups: 3 groups of children depending on the health group and the control group. 3 subgroups were identified in each group – with a low, medium, and high caries risk. We developed preventive measures schemes were for children of each group including training in oral hygiene; controlled and home toothbrushing using fluoride-containing toothpastes; applications of varnishes containing fluoride, calcium, phosphates from 2 to 3 times a year; fissure sealing of the first permanent molars. We carried out these activities were for 24 months, and then evaluated theirs effectiveness. Children in the control group were trained in oral hygiene. The clinical effectiveness of medical prophylaxis was evaluated by changes in the above clinical indicators.Results. In group of children with medium caries risk the increase in caries was 0.09, and the reduction in caries was 89.65%. In children with a low and high caries risk no increase in caries was observed; the reduction in the intensity of caries was 100%. A significant decrease in OHI-S oral hygiene index values was noted in all groups (p < 0.05). We noted high preventive efficacy of fissures sealing in the first permanent molars. No occlusal surface caries developed in sealed fissures.Conclusions. The application of the proposed preventive schemes in patients demonstrates high efficacy of fluoride and calcium-containing varnishes and sealing the fissures of the first permanent molars. 

scholarly journals The British Orthodontic Society MOrth Cases Prize 2019

2021 ◽  
pp. 146531252098287
Author(s):  
Adam C Jowett
Keyword(s):  
Class Ii ◽  
Functional Appliance ◽  
First Case ◽  
Permanent Molars ◽  
Fixed Appliances ◽  
Unerupted Teeth ◽  
Removable Appliance ◽  
Division 2 ◽  
Lower Arch ◽  
First Permanent Molars

This paper describes the orthodontic treatment of two cases that were successful in winning the British Orthodontic Society (BOS) Membership in Orthodontics (MOrth) Cases Prize in 2019. The first case describes the management of a 12-year-old girl with a Class II division 2 malocclusion complicated by moderate upper and lower arch crowding, multiple unerupted teeth, restored lower first permanent molars, pseudo-transposition of the lower left lateral incisor and canine, and diminutive upper lateral incisors. Treatment involved a combination of an upper removable appliance followed by upper and lower preadjusted edgewise fixed appliances. Anteroposterior correction and overbite reduction was achieved with triangular Class II elastics with posterior occlusal disengagement. Both upper permanent canines were exposed and aligned, and the diminutive upper incisors built up with resin-based composite. Treatment was completed over a period of 23 months. The second case describes the management of a 13-year-old boy with a Class II division 2 malocclusion complicated by severe upper and lower arch crowding with unerupted UR5, UL4, LR3, rotated LR5, an increased overbite complete to tooth, buccally displaced upper canines and hypoplastic upper first premolars. Treatment involved a first phase of functional appliance therapy, followed by the extraction of UR4, UL4, LL5, LR4 and upper and lower preadjusted edgewise fixed appliances over a 28-month period.

scholarly journals Radiological Evaluation of Stainless Steel Crowns Placed on Permanent Teeth in Patients Treated under General Anaesthesia

2021 ◽  
Vol 18 (5) ◽  
pp. 2509
Author(s):  
Marie-Laure Munoz-Sanchez ◽  
Natacha Linas ◽  
Nicolas Decerle ◽  
Valérie Collado ◽  
Denise Faulks ◽  
...  
Keyword(s):  
Stainless Steel ◽  
General Anaesthesia ◽  
Alveolar Bone ◽  
Dental Treatment ◽  
Glass Ionomer Cement ◽  
Permanent Teeth ◽  
Marginal Adaptation ◽  
Permanent Molars ◽  
A Minor ◽  
Ionomer Cement

Evidence-based evaluations of dental treatment are needed to support the development of special care dentistry services. This retrospective study was designed to collect and analyse X-ray images of permanent teeth restored with stainless steel crowns (SSC) in patients treated under general anaesthesia. Between 2013 and 2019, 360 permanent molars were crowned with SSCs in 198 adult patients. One calibrated investigator used an original validated tool to evaluate four radiographic criteria for molars restored with SSCs: i) marginal adaptation; ii) interdental proximal contact; iii) the presence of glass ionomer cement overflow; and iv) the loss of alveolar bone. Overall, no defect or a minor defect was reported for the majority of SSCs for the criteria “Marginal adaptation” (62.5%, n = 320), “Proximal contact” (82.2%, n = 236) and “Cement overflow” (95.8%, n = 337). Alveolar bone resorption was reported in 8.3% of cases, n = 14, after a mean period of 8.9 ± 14.3 months. It was shown that the restoration of permanent teeth using SSCs placed under general anaesthesia presents a low risk of periodontal morbidity in the medium term when assessed radiographically.

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