Operative treatment of dental caries in the young permanent dentition

2018 ◽  
Author(s):  
J.A. Smallridge ◽  
S. Albadri
Keyword(s):  
Dental Health ◽  
Disease Process ◽  
Permanent Dentition ◽  
Permanent Teeth ◽  
Caries Prevalence ◽  
Child Patient ◽  
Considerable Problem ◽  
Permanent Molars ◽  
Dental Health Survey ◽  
First Permanent Molars

Caries is a chronic disease. If it starts to affect the permanent teeth the child patient is drawn into a cycle requiring ongoing care for the rest of his/her life. Therefore when treating the young permanent dentition we have to adopt an approach that considers and addresses the whole disease process and not just treat the outcome of the disease. Caries is still a considerable problem in children and adolescents. The 2013 Child Dental Health Survey for England, Wales, and Northern Ireland found that, on average, nearly half (46%) of 15-year-olds and a third (34%) of 12-year-olds had obvious decay experience. Although the proportion of children with untreated dentinal caries has improved from 2003, it remained high at 21% and 19% for 15-year-olds and 12-year-olds, respectively. These children are at high risk of pain and discomfort relating to their teeth. The 2013 survey also looked at the impact on daily life. On average, a fifth of 12- and 15-year-old children reported experiencing difficulty eating, and about half reported that their life had been affected by problems with their teeth or mouth within the previous 3 months (Steele et al. 2015). Caries prevalence declined in the later decades of the twentieth century. As it dropped, a concentration of the disease occurred, with a small percentage of the population experiencing most of the disease. Caries prevalence is greatest in the occlusal surfaces of the first permanent molars and buccal grooves of the lower first molars, and the prevalence in these sites has dropped by the smallest proportion. The least susceptible sites are the approximal surfaces of the incisors, so caries seen in these permanent teeth indicates more extensive disease (Sheiham and Sabbah 2010). The first permanent teeth erupt in the mouth at approximately 6 years of age, but may appear as early as 4 years of age. The eruption of the anterior teeth usually causes great excitement, as it is associated with ‘the fluttering of tooth fairy wings’. However, the eruption of the first permanent molars goes largely unnoticed until there is a problem.

scholarly journals Results after two years of non-operative treatment of occlusal surface in children with high caries prevalence

2003 ◽  
Vol 14 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Marisa Maltz ◽  
Berenice Barbachan e Silva ◽  
Danusa Queiroz de Carvalho ◽  
Alexandre Volkweis
Keyword(s):  
Test Group ◽  
Basic Program ◽  
Control Group ◽  
Caries Prevalence ◽  
Occlusal Caries ◽  
Preventive Program ◽  
Permanent Molars ◽  
Recall System ◽  
Individual Disease ◽  
First Permanent Molars

The aim of this study was to describe the 2-year results of an individualized treatment program designed to control occlusal caries in erupting first permanent molars. The sample consisted of 145 five-to-six-year-old students divided into a control group (n=71) and a test group (n=74). All test children received a biannual basic preventive program and a recall system according to individual disease activity. The basic program consisted of 3 (March) and 2 (August) sessions of oral hygiene orientation and toothbrushing with fluoride gel. The analysis of the baseline and 1-2-year data showed a significant reduction in the number of active lesions in the test group. In the control group, there were initially 70 active lesions and after two years 68 surfaces remained with disease and 24 surfaces had been filled. The children in the test group had 80 surfaces with active lesions initially and after two years only 3 surfaces with disease remained. From the 15 cavitated lesions, only 5 surfaces needed to be filled. This program showed that care of erupting teeth on an individualized basis can control occlusal caries.

scholarly journals COMPARATIVE PECULIARITIES OF ORAL HYGIENE INDICES IN CHILDREN OF PRIMARY SCHOOL DEPENDING ON DENTAL HEALTH

2018 ◽  
pp. 27-30
Author(s):  
L.F. Kaskova ◽  
K.M. Popyk ◽  
L.P. Ulasevych
Keyword(s):  
Parental Involvement ◽  
Oral Cavity ◽  
Primary School ◽  
Oral Hygiene ◽  
Dental Health ◽  
Primary School Children ◽  
Personal Hygiene ◽  
Significant Difference ◽  
Permanent Molars ◽  
First Permanent Molars

A study of oral hygiene condition in primary school children based on Fedorov-Volodkina index has revealed that children do not clean their teeth properly enough and the average indicator of the studied group is unsatisfactory. The study based on children’s age indicates that the best oral hygiene condition is found in children aged 9 (satisfactory), whereas the worst – in children aged 8 (unsatisfactory). This, in our opinion, is due to the period of frontal teeth eruption and the discomfort associated with such process. Children clean the frontal area not properly. As children grow older, their personal hygiene skills improve as evidenced by the findings of comparing 6- and 9-year-olds’ indices (р<0.05). It was determined that each child’s index by Green-Vermillion and obtained results allows assessing the condition of oral cavity and cleaning skills. It has been identified significant differences in the oral hygiene condition in children who suffer from caries and in children with healthy teeth. Thus, before teeth brushing 6-year-old children without caries had unsatisfactory oral hygiene condition, children with caries –poor oral hygiene condition, 7-year old children – unsatisfactory one, 8-year-old children – unsatisfactory and poor, 9-year-old children – satisfactory and unsatisfactory respectively. The poorest oral hygiene condition was observed with 6-year-olds with caries. It has been assessed that dental tartar based on the studied indices. The study has revealed insufficient oral hygiene of the frontal and lateral jaw areas in children of primary school. This phenomenon creates cariogenic situation in the oral cavity. Having studied oral hygiene condition in children, it was offered by us to brush teeth with the toothbrush and toothpaste which they use at home. They brushed their teeth under the supervision, but without dentist’s management. Observed results were described in this paper. After brushing, oral hygiene condition has been studied again. When assessing Fedorov-Volodkina index, it was not observed any improvement of the index after teeth brushing in children without caries. In 6-, 7-, and 8-year-old children oral hygiene was unsatisfactory, whereas in 9-year-old children it was satisfactory. Oral hygiene improvement was observed in children who have caries. In 6-year-old children – from poor to unsatisfactory, in 7-, 8-, and 9-year-old children it remained at the same unsatisfactory level, but hygiene index indicators probably decreased (р<0.05). The findings indicate that children with caries do not pay attention to oral hygiene, whereas teeth brushing improve the studied index. Green-Vermillion index enables to determine oral hygiene condition in frontal and lateral jaw areas. After individual teeth brushing this hygiene index values slightly improve compared to original values, however, no significant difference in hygiene level was identified. Findings from studying various hygiene indices indicate that children with caries pay attention to brushing frontal jaw area and absolutely no attention to brushing lateral jaw areas with first permanent molars that have recently erupted, and they are not enough mineralized, and are prone to caries at this age. This encourages a study of teeth brushing skills of children of primary school using the suggested form of child oral hygiene skills followed by development of oral hygiene recommendations for the children of this age group with parental involvement.

Localization of first permanent molars in lateral cephalometric and panoramic radiographs from early mixed dentition to early permanent dentition

2001 ◽  
Vol 25 (4) ◽  
pp. 303-306 ◽  
Author(s):  
Hung-Huey Tsai
Keyword(s):  
Permanent Dentition ◽  
Mixed Dentition ◽  
Panoramic Radiographs ◽  
Permanent Molars ◽  
First Permanent Molars

Changes in position and mesiodistal angulations of maxillary and mandibular first permanent molars from early mixed dentition to early permanent dentition were measured on panoramic radiographs and compared with the values measured on lateral cephalometric radiographs. It was found that the maxillary and mandibular first permanent molars were uprighted gradually, drifted mesially and vertically, and that the changes in mesiodistal angulations were clearly on the panoramic radiographs in comparison with the cephalometric radiographs.

scholarly journals Dental anxiety and the status of first permanent molars in 11 and 15 years old children

2017 ◽  
Vol 64 (2) ◽  
pp. 74-80
Author(s):  
Milka Kapuran ◽  
Svetlana Janković ◽  
Bojana Davidović ◽  
Jelena Lečić
Keyword(s):  
Dental Health ◽  
Dental Anxiety ◽  
Patient Relationship ◽  
School Aged Children ◽  
Dental Procedures ◽  
Prophylactic Measures ◽  
Significant Difference ◽  
The Status ◽  
Permanent Molars ◽  
First Permanent Molars

Summary Introduction Fear of dental procedures is one of the main reasons for oral health neglect. The first permanent molars are functionally very important. Dental anxiety may compromise their health as well as the health of all other teeth. The aim of the study was to determine dental anxiety level and the status of first permanent molars in healthy school aged children. Methods This study included 105 students, 11 and 15 years of age, from two elementary schools in Foca (Bosnia and Herzegovina). Dental Anxiety Scale (DAS), questionnaire was used to determine the level of dental fear in patients. The status of first permanent molars was recorded using Klein-Palmer DMFT (decayed, missing, filling teeth) system. The number of healthy first permanent molars (with or without sealant) was registered as well. Results More than one third of respondents involved in this study (33.3%), suffered from severe dental anxiety (DAS = 13–20 points). Statistically significant difference in answers to questions was not observed between respondents of different age but higher level of the fear was registered in girls compared to boys (p < 0.05). Less than 50% of all examined first permanent molars were healthy and sealed fissures were recorded in 9.4% of them. The percentage of decayed molars was about 11%, 7% extracted and 35% filled. Conclusion Application of prophylactic measures is beneficial for dental health preservation. They are pain free and can be used to minimize fear by establishing dentist-patient relationship based on confidence.

Molar-incisor hypomineralisation (MIH) – aetiology, clinical picture, treatment

2019 ◽  
Vol 24 (1) ◽  
Author(s):  
Sylwia Kuderewska ◽  
Monika Stawiecka ◽  
Renata Milewska ◽  
Anna Kuźmiuk ◽  
Ewa Chorzewska
Keyword(s):  
Clinical Picture ◽  
Dental Enamel ◽  
Permanent Teeth ◽  
Molar Incisor Hypomineralisation ◽  
Pubmed Database ◽  
Tissue Reconstruction ◽  
Permanent Molars ◽  
Severity Of The Disease ◽  
Incisor Hypomineralisation ◽  
First Permanent Molars

Introdution. Molar-incisor hypomineralisation is a disorder of dental enamel of a systemic origin. It may affect one or all four first permanent molars, and often involves permanent incisors. Aim. The aim of this study was to present views on aetiology, clinical picture and treatment of molar-incisor hypomineralisation. Material and methods. PubMed database was reviewed for years 2003-2017, the search criteria were: “molar incisor”, “hypomineralisation”, “permanent teeth”. Results. The aetiology of MIH is multifactorial and not fully explained. Authors agree that the general health during the first 3-4 years of life has a major impact on this disorder. The clinical picture includes demarcated white, yellow or brown tissue spots, and increased porosity of the enamel. Enamel damage and defects can also occur. Therapeutic management depends on the severity of the disease and includes intensive prevention, hard tissue reconstruction, and extractions. Conclusions. Due to the increasing prevalence of this disorder, special attention should be paid to children whose health status is or was bad in the first 3-4 years of life. They are at a higher risk for this condition.

Resorption of maxillary first permanent molars by impacted maxillary second premolars: A case series

Dental Update ◽  
2020 ◽  
Vol 47 (11) ◽  
pp. 946-949
Author(s):  
Isabelle Heliotis ◽  
Manpreet Gakhal ◽  
Rosemary Whatling
Keyword(s):  
Dental Health ◽  
Case Series ◽  
Permanent Molar ◽  
Maxillary Molars ◽  
Patient Morbidity ◽  
Permanent Molars ◽  
Symptom Changes ◽  
Upper Molar ◽  
Symptoms And Signs ◽  
First Permanent Molars

Although rare, resorption of the first permanent molar caused by impaction of the second premolar does occur. Three paediatric patients with impacted upper second premolars, distinct symptoms and signs of resorption are described. One case with clear resorption of the upper molar on initial presentation was managed immediately with extraction of the first permanent molar. Eruption of the impacted premolars was monitored in the other two cases, but symptom changes and sectional cone beam computed tomography (CBCT) highlighted resorption of the first permanent molars. In both cases the resorbed first permanent molars required extraction. Frequent clinical and radiographic assessment is imperative in such cases, along with consideration for the use of CBCT. CPD/Clinical Relevance: Many dental health professionals are unaware that resorption of maxillary molars induced by impacted premolars is possible, thus, this phenomenon is not monitored, resulting in misdiagnosis and avoidable patient morbidity.

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