Esthetic Concerns and Acceptability of Treatment Modalities in Primary Teeth: A Comparison between Children and Their Parents

Background and Aim. Esthetic concerns in primary teeth have been studied mainly from the point of view of parents. The aim of this study was to study compare the opinions of children aged 5–8 years to have an opinion regarding the changes in appearance of their teeth due to dental caries and the materials used to restore those teeth.Methodology. A total of 107 children and both of their parents (n=321), who were seeking dental treatment, were included in this study. A tool comprising a questionnaire and pictures of carious lesions and their treatment arranged in the form of a presentation was validated and tested on 20 children and their parents. The validated tool was then tested on all participants.Results.Children had acceptable validity statistics for the tool suggesting that they were able to make informed decisions regarding esthetic restorations. There was no difference between the responses of the children and their parents on most points. Zirconia crowns appeared to be the most acceptable full coverage restoration for primary anterior teeth among both children and their parents.Conclusion.Within the limitations of the study it can be concluded that children in their sixth year of life are capable of appreciating the esthetics of the restorations for their anterior teeth.

Download Full-text

In vitro Comparative Evaluation of Various Restorative Materials used for restoring Class III Cavities in Deciduous Anterior Teeth: A Clinical Study

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1975 ◽

2016 ◽

Vol 17 (12) ◽

pp. 1022-1026 ◽

Cited By ~ 1

Author(s):

Deepak Khandelwal ◽

Shweta Nihalani ◽

Harsh Priyank ◽

Ankita Verma ◽

Esha Chaudhary

Keyword(s):

Comparative Evaluation ◽

Primary Teeth ◽

Composite Resin ◽

Class Iii ◽

Anterior Teeth ◽

Carious Lesions ◽

Restorative Materials ◽

Materials Used

ABSTRACT Introduction Beauty standards in today's modernized world scenario are formed by well-aligned and well-designed bright white teeth. One of the major reasons behind patients reporting to dental clinics is pain. Caries in the anterior primary teeth forms one of the major concerns from a restorative point of view. Very few studies are quoted in literature which stresses on the follow-up of anterior restorations in primary teeth. Hence, we evaluated and compared the efficacy of composite resin and resin-modified glass ionomer cement (RGIC) for class III restorations in primary anterior teeth. Materials and methods The present study was conducted in the pediatric dental wing and included a total of 80 patients aged 3 to 5½ years who reported with the chief complaint of carious lesions in the primary anterior teeth. Patients having minimal of a pair of similar appearing small carious lesions on the same proximal surfaces of the deciduous maxillary incisors were included for the study. All the patients were randomly divided into two groups: One in which RGIC restoration was done and other in which composite restoration was done. Cavity preparation was done and filling of the cavity with the restorative materials was carried out. Assessment of the restorations was done at 4, 8, and 12 months time following criteria given by Ryge et al. All the results were analyzed by Statistical Package for the Social Sciences (SPSS) software. Mann–Whitney test and one-way analysis of variance (ANOVA) were used to evaluate the level of significance; p value less than 0.05 was considered as significant. Results For composite and RGIC restorations, the mean score for anatomic shape was 1.21 and 1.10 respectively. While comparing the clinical parameters, nonsignificant results were obtained between composite and RGIC restorative materials at 4-, 8-, and 12-month interval. On comparing the clinical parameters for individual restorative materials at different time intervals, statistically significant results were obtained only for anatomical shape and form. Conclusion Both RGIC and composite resin restorative materials showed acceptable clinical outcomes after 12 months of follow-up in deciduous anterior teeth. In restoring class III restorations in primary anterior teeth, both the restorative materials showed similar outcome. Clinical significance How to cite this article Priyank H, Verma A, Gupta K, Chaudhary E, Khandelwal D, Nihalani S. In vitro Comparative Evaluation of Various Restorative Materials used for restoring Class III Cavities in Deciduous Anterior Teeth: A Clinical Study. J Contemp Dent Pract 2016;17(12):1022-1026.

Download Full-text

Zirconia Crowns for Rehabilitation of Decayed Primary Incisors: An Esthetic Alternative

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.39.1.t6725r5566u4330g ◽

2014 ◽

Vol 39 (1) ◽

pp. 18-22 ◽

Cited By ~ 18

Author(s):

G Ashima ◽

K Bhatia Sarabjot ◽

K Gauba ◽

HC Mittal

Keyword(s):

Present Article ◽

Primary Teeth ◽

Treatment Alternative ◽

Promising Alternative ◽

Tooth Structure ◽

Anterior Teeth ◽

Very Young Children ◽

Zirconia Crowns ◽

Pediatric Dentists ◽

Good Retention

Esthetic management of extensively decayed primary maxillary anterior teeth requiring full coronal coverage restoration is usually challenging to the pediatric dentists especially in very young children. Many esthetic options have been tried over the years each having its own advantages, disadvantages and associated technical, functional or esthetic limitations. Zirconia crowns have provided a treatment alternative to address the esthetic concerns and ease of placement of extra-coronal restorations on primary anterior teeth. The present article presents a case where grossly decayed maxillary primary incisors were restored esthetically and functionally with readymade zirconia crowns (ZIRKIZ, HASS Corp; Korea). After endodontic treatment the decayed teeth were restored with zirconia crowns. Over a 30 months period, the crowns have demonstrated good retention and esthetic results. Dealing with esthetic needs in children with extensive loss of tooth structure, using Zirconia crowns would be practical and successful. The treatment described is simple and effective and represents a promising alternative for rehabilitation of decayed primary teeth.

Download Full-text

Evolution of Aesthetic Dentistry

Journal of Dental Research ◽

10.1177/0022034519875450 ◽

2019 ◽

Vol 98 (12) ◽

pp. 1294-1304 ◽

Cited By ~ 6

Author(s):

M.B. Blatz ◽

G. Chiche ◽

O. Bahat ◽

R. Roblee ◽

C. Coachman ◽

...

Keyword(s):

Dental Treatment ◽

Maxillofacial Surgery ◽

Dental Materials ◽

Specific Treatment ◽

Point Of View ◽

Treatment Modalities ◽

Oral And Maxillofacial Surgery ◽

The Past ◽

Science And Art ◽

Aesthetic Dentistry

One of the main goals of dental treatment is to mimic teeth and design smiles in a most natural and aesthetic manner, based on the individual and specific needs of the patient. Possibilities to reach that goal have significantly improved over the last decade through new and specific treatment modalities, steadily enhanced and more aesthetic dental materials, and novel techniques and technologies. This article gives an overview of the evolution of aesthetic dentistry over the past 100 y from a historical point of view and highlights advances in the development of dental research and clinical interventions that have contributed the science and art of aesthetic dentistry. Among the most noteworthy advancements over the past decade are the establishment of universal aesthetic rules and guidelines based on the assessment of natural aesthetic parameters, anatomy, and physiognomy; the development of tooth whitening and advanced restorative as well as prosthetic materials and techniques, supported by the pioneering discovery of dental adhesion; the significant progress in orthodontics and periodontal as well as oral and maxillofacial surgery; and, most recently, the implementation of digital technologies in the 3-dimensional planning and realization of truly natural, individual, and aesthetic smiles. In the future, artificial intelligence and machine learning will likely lead to automation of aesthetic evaluation, smile design, and treatment-planning processes.

Download Full-text

Post Endodontic Restoration of Severely Decayed Primary Dentition: A Challenge to Pediatric Dental Surgeon

World Journal of Dentistry ◽

10.5005/jp-journals-10015-1057 ◽

2011 ◽

Vol 2 (1) ◽

pp. 67-69

Author(s):

CH Srinivas N ◽

M Jayanthi

Keyword(s):

Stainless Steel ◽

Early Childhood ◽

Dental Caries ◽

Early Childhood Caries ◽

Primary Teeth ◽

Childhood Disease ◽

Anterior Teeth ◽

Masticatory Efficiency ◽

Special Challenge ◽

Chronic Childhood

ABSTRACT Dental caries is the single most common chronic childhood disease. In early childhood caries, there is early pulpal involvement and gross destruction of the maxillary anterior teeth. This leads to decreased masticatory efficiency, difficulty in speech, psychological problems due to compromised esthetics, development of abnormal tongue habits and subsequent malocclusion. The restoration of severely decayed primary incisors is often a procedure that presents a special challenge to dentists, particularly in an uncooperative child. This case presents the clinical sequence of rehabilitation of upper anterior primary teeth, where endodontic treatments were done chairside followed by the construction of root post using stainless steel and the fabrication of crowns composed of resin.

Download Full-text

FEAR ASSESSMENT WITH THE ‘DRAW A PERSON’ TEST OF THE DENTAL TREATMENT IN SPARING ENZYME-BASED EXCAVATION OF CARIES IN CHILDREN BETWEEN 4 AND 6 YEARS OF AGE

Journal of IMAB - Annual Proceeding (Scientific Papers) ◽

10.5272/jimab.2021274.4043 ◽

2021 ◽

Vol 27 (4) ◽

pp. 4043-4047

Author(s):

Zornitsa Lazarova ◽

◽

Hristina Tankova ◽

Maya Rashkova ◽

◽

...

Keyword(s):

Conventional Method ◽

Primary Teeth ◽

Dental Treatment ◽

Double Reduction ◽

Fear Level ◽

Dental Office ◽

Carious Lesions ◽

Before And After ◽

Fear Assessment ◽

At Home

Aim The aim of the study is to assess fear with the ‘Draw a Person’ test in sparing enzyme-based excavation with Brix 3000 and conventional excavation when treating carious lesions in primary teeth. Materials and Methods The study involves 72 children aged 4-6. The enzyme-based excavation was used at 42 of the children and for the remaining 30 – conventional excavation with a bur. Each child has to complete the ‘Draw a Person’ Test: at home, before and after dental treatment in the dental office. The height of each figure is measured in centimeters using a ruler. Results and Conclusions Immediately prior to the dental treatment, a double reduction in the size of the figure in both groups could be observed, as compared to the figure drawn at home, which refers to an increase in the fear level. After the end of the treatment, in both groups, an increase could be observed as to the height of the figure drawn, and there is the impression that the height of the figures, drawn by children, where the carious lesions were excavated with Brix 3000 are closer to the figures drawn at home, compared to children treated using the conventional method.

Download Full-text

Dental caries in wild primates: interproximal cavities on anterior teeth

10.1101/2021.06.30.450645 ◽

2021 ◽

Author(s):

Ian Towle ◽

Joel D Irish ◽

Kristin Sabbi ◽

Carolina Loch

Keyword(s):

Differential Diagnosis ◽

Dental Caries ◽

Food Processing ◽

Permanent Tooth ◽

Gorilla Gorilla ◽

Gorilla Gorilla Gorilla ◽

Anterior Teeth ◽

Carious Lesions ◽

Fossil Primates ◽

Processing Differences

Dental caries has been reported in a variety of primates, although is still considered rare in wild populations. In this study, 11 catarrhine primates were studied for the presence of caries. A differential diagnosis of lesions found in interproximal regions of anterior teeth was undertaken, since they had been previously described as both carious and non-carious in origin. Each permanent tooth was examined macroscopically, with severity and position of lesions recorded. Two specimens were micro-CT scanned to assess demineralization. The differential diagnosis confirmed the cariogenic nature of interproximal cavities on anterior teeth (ICAT's). Overall results show 3.3% of teeth are carious, with prevalence varying among species from 0% to over 7% of teeth affected. ICAT's occurred in Pan troglodytes (9.8%), Gorilla gorilla gorilla (2.6%), Cercopithecus denti (22.4%), Presbytis femoralis (19.5%) and Cercopithecus mitis (18.3%). They make up 87.9% of carious lesions on anterior teeth. These results likely reflect dietary and food processing differences among species, but also between the sexes (e.g., 9.3% of teeth of female chimpanzees were carious vs. 1.8% in males). Processing cariogenic fruits and seeds with the anterior dentition (e.g., wadging) likely contributes to ICAT formation. Further research is needed on living populations to ascertain behavioral/dietary influences on caries occurrence in primates. Given the constancy of ICAT's in frugivorous primates, their presence in archaeological and paleontological specimens may shed light on diet and food processing behaviors in fossil primates.

Download Full-text

Silver Diamine Fluoride – A “Silver-fluoride Bullet” for Dental Caries

RGUHS Journal of Dental Sciences ◽

10.26715/rjds.13_4_11 ◽

2021 ◽

Vol 13 (4) ◽

pp. 279-282

Author(s):

Pallavi Goel ◽

Vikram R ◽

Adarsha M S ◽

Sudhanva M E

Keyword(s):

Public Health ◽

Dental Caries ◽

Early Stage ◽

Age Groups ◽

Point Of View ◽

Permanent Teeth ◽

Silver Diamine Fluoride ◽

Health Measures ◽

Carious Lesions ◽

Silver Fluoride

Dental caries is one of the most prevalent diseases across the globe, affecting all age groups. Various public health measures like water fluoridation have been started to control the spread of caries, especially among children. But these intervention methods are inaccessible to people in some parts of the world. Thus, a product called Silver Diamine Fluoride was introduced, which can help arrest carious lesions at an early stage. It is a beneficial aid for caries arrest in both primary and permanent teeth. Also, can be used for arresting root caries. Thus, the objective of this review article is to discuss about silver diamine fluoride and its diverse uses from both clinician and public health point of view.

Download Full-text

Applicability of Zirconia-Prefabricated Crowns in Children with Primary Dentition

Revista de Chimie ◽

10.37358/rc.17.8.5796 ◽

2017 ◽

Vol 68 (8) ◽

pp. 1940-1943

Author(s):

Cristina Bica ◽

Paul Pescaru ◽

Ada Stefanescu ◽

Mihaela Oana Docan ◽

Krisztina Martha ◽

...

Keyword(s):

Primary Teeth ◽

Pediatric Dentistry ◽

Cross Sectional Study ◽

Restorative Material ◽

Sectional Study ◽

Cross Sectional ◽

Filling Materials ◽

Carious Lesions ◽

Current Alternative ◽

Zirconia Crowns

Zirconia dioxide represents the current alternative in restoring primary teeth, being the most promising restorative material through its properties that offer. Zirconia crowns main properties are its aesthetics, resistance to fracture and compression, biocompatibility, alternative for the patients that are allergic to Ni-Cr. This cross-sectional study pointed out the correlations between the rate of applicability of the Ni-Cr crowns and the ZrO2 crowns, as well as the range of applicability of the ZrO2 crowns on temporary teeth among practitioners. The method of choice in the case of extensive carious lesions treatment on the primary teeth was the restoration using filling materials. From the 33,2% of the dentists who decide to apply a pedodontics crown, 75% use the Ni-Cr crowns, and only 25% of them choose the ZrO2 crown (p[0.0001). The applicability of ZrO2 crowns in pediatric dentistry is quite reduced, despite their physiognomic advantages, their excessive cost can also be an impediment for the patient�s parents.

Download Full-text

How to Intervene in the Caries Process: Dentin Caries in Primary Teeth

Caries Research ◽

10.1159/000508899 ◽

2020 ◽

Vol 54 (4) ◽

pp. 306-323

Author(s):

Ruth M. Santamaría ◽

Mohamed Hassan Abudrya ◽

Gülsün Gül ◽

MHD Said Mourad ◽

Grace Felix Gomez ◽

...

Keyword(s):

Primary Teeth ◽

Randomized Clinical Trials ◽

Glass Ionomer Cement ◽

Cochrane Collaboration ◽

Cochrane Library ◽

Success Rates ◽

Carious Lesions ◽

Restorative Materials ◽

Caries Removal ◽

Materials Used

For an ORCA/EFCD consensus, this review systematically assessed available evidence regarding interventions performed and materials used to manage dentin carious lesions in primary teeth. A search for systematic reviews (SRs) and randomized clinical trials (RCTs) with a follow-up of at least 12 months after intervention was performed in PubMed, LILACS, BBO, and the Cochrane Library. The risk of bias tool from the Cochrane Collaboration and the PRISMA Statement were used for assessment of the included studies. From 101 screened articles, 2 SRs and 5 RCTs, which assessed the effectiveness of interventions in terms of pulp vitality and success of restoration, and 10 SRs and 1 RCT assessing the success of restorative materials were included. For treatments involving no carious tissue removal, the Hall technique showed lower treatment failure for approximal carious lesions compared to complete caries removal (CCR) and filling. For the treatment of deep carious lesions, techniques involving selective caries removal (SCR) showed a reduction in the incidence of pulp exposure. However, the benefit of SCR over CCR in terms of pulp symptoms or restoration success/failure was not confirmed. Regarding restorative materials, preformed metal crowns (PMCs) used to restore multisurface lesions showed the highest success rates compared to other restorative materials (amalgam, composite resin, glass ionomer cement, and compomer), and in the long term (12–48 months) these were also less likely to fail. There is limited evidence supporting the use of PMCs to restore carious lesions with single cavities. Among nonrestorative options, silver diammine fluoride was significantly more effective in arresting caries than other treatments for treating active carious lesions of different depths. Considerable heterogeneity and bias risk were observed in the included studies. Although heterogeneity observed among the studies was substantial, the trends were similar. In conclusion, less invasive caries approaches involving selective or no caries removal seem advantageous in comparison to CCR for patients presenting with vital, symptomless, carious dentin lesions in primary teeth. There is evidence in favor of PMCs for restoring multisurface carious lesions in primary molars.

Download Full-text

Long Term Evaluation of Anterior Primary Resin Crown in Pediatric Patient

DENTA ◽

10.30649/denta.v11i2.103 ◽

2019 ◽

Vol 11 (2) ◽

pp. 98

Author(s):

Annisa Listya Paramita

Keyword(s):

Primary Teeth ◽

Dental Treatment ◽

Resin Composite ◽

Feeding Habit ◽

Dental Restoration ◽

Bottle Feeding ◽

Permanent Teeth ◽

Night Time ◽

Good Communication ◽

Anterior Teeth

Background: Nursing bottle carries is a problematic condition in children. On one side, parents try to supply enough nutrition to their children, though on the other side this night-time bottle feeding habit might cause negative effect on the childrens dental health. Esthetic dental treatment on children have improved greatly over the past few years, as parents expect an almost-complete restoration of their child’s dental condition. The alternatives for pediatrics esthetic dental restoration may depend on the cooperativeness and habit of the child themselves, while also taking the child’s development into consideration. Aim: to report evaluation of aesthetic restoration on primary teeth. Case: A 4 year-old female child was presented by her parents, with damaged four anterior teeth, which made her uncomfortable especially on feeding due to the sharp edges. From history taking we found a night-time bottle-feeding habit, which usually occurred until patient was asleep. Case Management: restoration of the four primary incisive teeth was performed using a resin composite crown. Outcome of the treatment was evaluated until the primary teeth exfoliateand permanent teeth arise. Conclusion: cooperation between patient, parents, and dentist is important in the dental restorative treatment on paediatric patient. Moreover, a good communication with parents is encouraged, especially on follow-up schedule, treatment cost, success rate and possibility of treatment failure is also encouraged. Staged evaluation is needed due to the natural substitution of the primary teeth by permanent teeth, besides the development process of the jaws.Keywords: Nursing bottle caries, esthetic restoration, growthanddevelopmentCorrespondence: Annisa Listya Paramita, drg., Sp.KGA. Departemen Ilmu Kedokteran Gigi Anak. Fakultas Kedokteran Gigi Universitas Hang Tuah, Surabaya. Jl. Arif Rahman Hakim No. 150, Surabaya.

Download Full-text