scholarly journals Enlightening Diagnosis and Differential Diagnosis of Dental Fluorosis—A Hidden Entity in a Crowd

2021 ◽  
Author(s):  
Deepika Patidar ◽  
Suma Sogi ◽  
Dinesh Chand Patidar ◽  
Atul Sharma ◽  
Mansi Jain ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Dental Fluorosis ◽  
Correct Diagnosis ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Developmental Defect ◽  
Early Management ◽  
Clinical Appearance ◽  
Stage Of Development ◽  
Diagnostic Difficulties

Abstract Aim To provide diagnosis as well as differential diagnosis of dental fluorosis. Background Dental fluorosis is a developmental defect of enamel, due to consecutive exposures of tooth during the formative stage of development to the higher concentration of fluoride, resulting in enamel with lesser mineral content and enhanced porosity. Several epidemiological indices have been utilized for diagnosis and assessment of dental fluorosis on the basis of clinical appearance. Fluorosis of the deciduous teeth occurs less commonly and is milder than that of permanent teeth. Highlights The diagnostic difficulties are usually associated between fluorotic and nonfluoride opacities. A complete history of the clinical condition, teeth affected with specific areas, pattern of lesion, color and its method of detection are the few important diagnostic criteria for differentiating dental fluorosis from nonfluoride discolorations of the teeth. Conclusion This review article has enlightened the diagnosis and differential diagnosis of dental fluorosis among various nonfluoride tooth discolorations. A correct diagnosis results in an appropriate and early management of dental fluorosis and plays an important role in oral epidemiology and public health.

scholarly journals Differential diagnosis of dental fluorosis made by undergraduate dental students

2015 ◽  
Vol 13 (4) ◽  
pp. 547-554
Author(s):  
Lilian Rigo ◽  
Leodinei Lodi ◽  
Raíssa Rigo Garbin
Keyword(s):  
Differential Diagnosis ◽  
Dental Fluorosis ◽  
Correct Diagnosis ◽  
Dental Students ◽  
Major Difficulty ◽  
Appropriate Treatment ◽  
Degrees Of Severity ◽  
Structured Questionnaire ◽  
Severity Degree ◽  
Surface Changes

ABSTRACT Objective To check knowledge of undergraduate dental students to make diagnosis of dental fluorosis with varying degrees of severity and choose its appropriate treatment. Methods Data were collected using a semi-structured questionnaire addressing knowledge of undergraduates based on ten images of mouths presenting enamel changes. Results Only three images were correctly diagnosed by most undergraduates; the major difficulty was in establishing dental fluorosis severity degree. Conclusion Despite much information about fluorosis conveyed during the Dentistry training, as defined in the course syllabus, a significant part of the students was not able to differentiate it from other lesions; they did not demonstrate expertise as to defining severity of fluorosis and indications for treatment, and could not make the correct diagnosis of enamel surface changes.

scholarly journals Clinical Management of Trauma to Primary Teeth and Delay in Eruption of Permanent Successor Tooth

2021 ◽  
Vol 23 (4) ◽  
pp. 264-267
Author(s):  
Simony e Andrade Passinato Gheller ◽  
Amanda Alves de Oliveira ◽  
Adriana Marques Fontes de Oliveira Soares ◽  
Fabiana Vitória Ananias Gonçalves ◽  
Andreza Maria Fábio Aranha
Keyword(s):  
Dental Trauma ◽  
Tooth Germ ◽  
Primary Dentition ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Early Loss ◽  
Tooth Avulsion ◽  
Stage Of Development ◽  
Pediatric Dentist ◽  
Tooth Deciduous

AbstractDental trauma is considered a complication in oral health, which has attracted the attention of researchers, as its prevalence has increased in recent years. Dental trauma in primary dentition can lead to early tooth loss and impairment of permanent successor teeth, depending on the stage of development of the tooth germ. The aim of the present study was to describe a clinical case of a 4-year-old child who was referred to a pediatric dentist after dental trauma and early loss of deciduous teeth. During the anamnesis, it was observed that the upper deciduous teeth (#51 and #61) were affected by successive traumas, resulting in the early loss of the affected teeth. Nance arch device with a tube-bar system was selected to restore function and aesthetics to the child, while the eruption of the successor permanent teeth was monitored. During the follow-up period, a delay in the eruption of #21 tooth was observed, and ulectomy of the region was indicated to allow the tooth eruption and the proper alignment of the central incisors, which occurred after 5 months of the surgical procedure. Through this report it was possible to conclude that the early diagnosis and the long-term periodic control of traumatic dental lesions in the primary dentition are of fundamental importance to prevent and minimize the damages that can occur to the permanent dentition. Keywords: Tooth Avulsion. Tooth, Deciduous. Dentition, Permanent. ResumoO traumatismo dentário é considerado uma complicação à saúde bucal que vem chamando a atenção de pesquisadores, pois sua prevalência tem aumentado nos últimos anos. O trauma dentário na dentição decídua pode ocasionar a perda precoce dos dentes, e comprometimento dos dentes sucessores permanentes, dependendo do estágio de desenvolvimento do germe dentário. O objetivo do presente estudo foi descrever um caso clínico de uma criança de 4 anos de idade que foi encaminhada ao odontopediatra após traumatismo dentário e perda precoce de dente decíduo. Durante a anamnese, foi observado que os dentes decíduos incisivos superiores (#51 e #61) foram afetados por sucessivos traumas, resultando na perda precoce dos dentes afetados. O dispositivo arco de Nance com sistema do tipo tubo-barra foi selecionado para devolver função e estética à criança, enquanto a irrupção dos dentes permanentes sucessores foi acompanhada. Durante consulta de controle, um atraso na erupção do dente #21 foi observado e a ulectomia da região foi indicada para permitir a irrupção do dente e o alinhamento adequado dos incisivos centrais, que ocorreu após 5 meses do procedimento cirúrgico. Por meio do presente relato foi possível concluir que o diagnóstico precoce e o controle periódico a longo prazo das lesões dentárias traumáticas na dentição decídua são de fundamental importância para prevenir e minimizar os prejuízos que podem ocorrer à dentição permanente. Palavras-chave: Avulsão Dentária. Dente Decíduo. Dentição Permanente.

Usefulness of CBCT for imaging of eruption disorders - case report

2018 ◽  
Vol 14 (3) ◽  
pp. 237-245
Author(s):  
Ewa Popławska ◽  
Barbara Tymczyna-Borowicz ◽  
Monika Smyl-Golianek ◽  
Katarzyna Wieczorek
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Cone Beam Ct ◽  
Correct Diagnosis ◽  
Genetic Defect ◽  
Tooth Eruption ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Medical University ◽  
Treatment Observation

Tooth eruption disorders are a significant problem in clinical practice of a dental surgeon. They are observed in three forms: retention/impaction, primary and secondary retention. A retained tooth is by definition fully formed and after its physiological eruption time it still remains in the bone. Primary retention is the result of a genetic defect in the eruption mechanism (a mutation in the PTHR1 gene) and it is diagnosed before tooth eruption, with characteristic retention of distal teeth in relation to the first tooth that is affected. Secondary retention of eruption is caused by ankylosis. <b>Case report.</b> The female patient, aged 15 years and 4 months, presented at the Outpatient Clinic of Maxillary Orthopaedics at the Dental Clinical Centre of the Medical University of Lublin. The radiological and intraoral examinations showed numerous tooth eruption disorders and hypodontia of the tooth 42. Treatment plan: A cone beam CT examination to determine the structure and location of retained teeth 13, 17 and the stage of reinclusion of the tooth 55. Scheduling a surgical procedure. Delaying orthodontic treatment – observation of eruption of teeth 13 and 17. Performing the radiological examination again, after 6 months, in order to assess the dimensions of the maxillary alveolar process near teeth 14 and 16. <b>Discussion.</b> Eruption disorders are often associated with other dental abnormalities, and therefore additional examinations are required. Due to its slow and asymptomatic course, reinclusion often remains unnoticed. Its recognition in the early stages of the patient's development allows to avoid the occurrence of dentoalveolar complications. <b>Conclusions.</b> CBCT in cases of eruption disorders of permanent teeth or reinclusion of deciduous teeth increases the likelihood of a correct diagnosis.

Fluoride and Enamel Defects

1989 ◽  
Vol 3 (2) ◽  
pp. 143-146 ◽  
Author(s):  
H.S. Horowitz
Keyword(s):  
Drinking Water ◽  
Differential Diagnosis ◽  
Dental Caries ◽  
Primary Teeth ◽  
Dental Fluorosis ◽  
Permanent Teeth ◽  
Enamel Defects ◽  
Traditional Belief ◽  
Maturation Stages ◽  
Dark Staining

The concentration of fluoride in drinking water is the major determinant of the prevalence and severity of dental fluorosis in a community. Fluorosis is more prevalent and discernible in permanent teeth than in primary teeth; the intensity can range from barely perceptible, whitish striations in enamel to confluent pitting and dark staining. The traditional belief is that fluorosis is produced only during the secretory stages of ameloblastic activity. Some recent reports suggest that the maturation stages of enamel development are as important as or even more important than the secretory stages as the time when fluorosis can be produced. The question of timing remains unresolved. Many questions also remain about general and individual physiologic variations in relation to susceptibility to dental fluorosis. Good criteria for differential diagnosis exist to distinguish dental fluorosis from non-fluoride enamel opacities. An increasing number of reports indicates that the prevalence of fluorosis may be increasing among children in fluoridated and non-fluoridated communities. Reasons for the increases may relate to misuse of dietary fluoride supplements, ingestion of fluoride toothpastes, or increasing amounts of fluoride in foods or the atmosphere. The intensity of the increased fluorosis is in the milder categories and is not generally unsightly. It should be recognized that a small amount of fluorosis may be an alternative to a greater prevalence of dental caries, a disease that may produce cosmetic problems and sequelae worse than those produced by fluorosis.

Can conversation analytic findings help with differential diagnosis in routine seizure clinic interactions?

2016 ◽  
Vol 12 (1) ◽  
pp. 13-24 ◽  
Author(s):  
Katie Ekberg ◽  
Markus Reuber
Keyword(s):  
Differential Diagnosis ◽  
Correct Diagnosis ◽  
Diagnostic Errors ◽  
Epileptic Seizures ◽  
Routine Clinical Setting ◽  
Choice Of Treatment ◽  
Transient Loss ◽  
Factual Content ◽  
Patient’S History ◽  
Linguistic Methods

There are many areas in medicine in which the diagnosis poses significant difficulties and depends essentially on the clinician’s ability to take and interpret the patient’s history. The differential diagnosis of transient loss of consciousness (TLOC) is one such example, in particular the distinction between epilepsy and ‘psychogenic’ non-epileptic seizures (NES) is often difficult. A correct diagnosis is crucial because it determines the choice of treatment. Diagnosis is typically reliant on patients’ (and witnesses’) descriptions; however, conventional methods of history-taking focusing on the factual content of these descriptions are associated with relatively high rates of diagnostic errors. The use of linguistic methods (particularly conversation analysis) in research settings has demonstrated that these approaches can provide hints likely to be useful in the differentiation of epileptic and non-epileptic seizures. This paper explores to what extent (and under which conditions) the findings of these previous studies could be transposed from a research into a routine clinical setting.

Stem Cells Derived from Human Exfoliated Deciduous teeth [shed] in Neuronal Disorders: A Review

2020 ◽  
Vol 16 ◽  
Author(s):  
Minu Anoop ◽  
Indrani Datta
Keyword(s):  
Stem Cells ◽  
Neurodegenerative Diseases ◽  
Dental Pulp ◽  
Therapeutic Potential ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Proliferative Potential ◽  
Pulp Tissue ◽  
Human Exfoliated Deciduous Teeth

: Most conventional treatments for neurodegenerative diseases fail due to their focus on neuroprotection rather than neurorestoration. Stem cell‐based therapies are becoming a potential treatment option for neurodegenerative diseases as they can home in, engraft, differentiate and produce factors for CNS recovery. Stem cells derived from human dental pulp tissue differ from other sources of mesenchymal stem cells due to their embryonic neural crest origin and neurotrophic property. These include both dental pulp stem cells [DPSCs] from dental pulp tissues of human permanent teeth and stem cells from human exfoliated deciduous teeth [SHED]. SHED offer many advantages over other types of MSCs such as good proliferative potential, minimal invasive procurement, neuronal differentiation and neurotrophic capacity, and negligible ethical concerns. The therapeutic potential of SHED is attributed to the paracrine action of extracellularly released secreted factors, specifically the secretome, of which exosomes is a key component. SHED and its conditioned media can be effective in neurodegeneration through multiple mechanisms, including cell replacement, paracrine effects, angiogenesis, synaptogenesis, immunomodulation, and apoptosis inhibition, and SHED exosomes offer an ideal refined bed-to-bench formulation in neurodegenerative disorders. However, in spite of these advantages, there are still some limitations of SHED exosome therapy, such as the effectiveness of long-term storage of SHED and their exosomes, the development of a robust GMP-grade manufacturing protocol, optimization of the route of administration, and evaluation of the efficacy and safety in humans. In this review, we have addressed the isolation, collection and properties of SHED along with its therapeutic potential on in vitro and in vivo neuronal disorder models as evident from the published literature.

scholarly journals Comparative evaluation of osteogenic differentiation potential of stem cells derived from dental pulp and exfoliated deciduous teeth cultured over granular hydroxyapatite based scaffold

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Manal Nabil Hagar ◽  
Farinawati Yazid ◽  
Nur Atmaliya Luchman ◽  
Shahrul Hisham Zainal Ariffin ◽  
Rohaya Megat Abdul Wahab
Keyword(s):  
Stem Cells ◽  
Osteogenic Differentiation ◽  
Dental Pulp ◽  
3D Culture ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Osteogenic Potential ◽  
Control Group ◽  
Rt Pcr ◽  
Differentiation Potential

Abstract Background Mesenchymal stem cells isolated from the dental pulp of primary and permanent teeth can be differentiated into different cell types including osteoblasts. This study was conducted to compare the morphology and osteogenic potential of stem cells from exfoliated deciduous teeth (SHED) and dental pulp stem cells (DPSC) in granular hydroxyapatite scaffold (gHA). Preosteoblast cells (MC3T3-E1) were used as a control group. Methodology The expression of stemness markers for DPSC and SHED was evaluated using reverse transcriptase-polymerase chain reaction (RT-PCR). Alkaline phosphatase assay was used to compare the osteoblastic differentiation of these cells (2D culture). Then, cells were seeded on the scaffold and incubated for 21 days. Morphology assessment using field emission scanning electron microscopy (FESEM) was done while osteogenic differentiation was detected using ALP assay (3D culture). Results The morphology of cells was mononucleated, fibroblast-like shaped cells with extended cytoplasmic projection. In RT-PCR study, DPSC and SHED expressed GAPDH, CD73, CD105, and CD146 while negatively expressed CD11b, CD34 and CD45. FESEM results showed that by day 21, dental stem cells have a round like morphology which is the morphology of osteoblast as compared to day 7. The osteogenic potential using ALP assay was significantly increased (p < 0.01) in SHED as compared to DPSC and MC3T3-E1 in 2D and 3D cultures. Conclusion gHA scaffold is an optimal scaffold as it induced osteogenesis in vitro. Besides, SHED had the highest osteogenic potential making them a preferred candidate for tissue engineering in comparison with DPSC.

scholarly journals Observational Study Regarding the Relationship between Nutritional Status, Dental Caries, Mutans Streptococci, and Lactobacillus Bacterial Colonies

2021 ◽  
Vol 18 (7) ◽  
pp. 3551
Author(s):  
Eugen Silviu Bud ◽  
Cristina Ioana Bica ◽  
Oana Elena Stoica ◽  
Alexandru Vlasa ◽  
Daniela Eșian ◽  
...  
Keyword(s):  
Dental Caries ◽  
Observational Study ◽  
Nutritional Status ◽  
Positive Association ◽  
Mutans Streptococci ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Dmft Index ◽  
The Relationship ◽  
Significant Health

The prevalence of dental caries and obesity is high as both raise significant health problems. The objective of this study was to evaluate the relationship between dental caries, the number of salivary colonies forming units of Mutans Streptococci (MS) and Lactobacillus (LB), and the nutritional status in a group of children from Transylvania. This observational study used a sample of 154 school children, aged 9 to 12 years. The prevalence of caries was measured using the decayed, missing, and filled teeth index for deciduous teeth (dmft index) and for permanent teeth (DMFT index). Height and weight were assessed for each subject, and their body mass index (BMI) percentile was calculated. Salivary levels of Mutans Streptococci (MS) and Lactobacillus (LB) were determined using the CRT Bacteria Test from Ivoclar Vivadent. In our study, we found a positive association between the BMI percentile, MS count, LB count, tooth brushing frequency, and the incidence of dental caries in children aged 9 to 12 years old. Future preventive programs should include nutrition control in order to prevent both the apparition of dental caries and obesity in children.

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