Clinical changes in the severity of dental fluorosis: a longitudinal evaluation

Abstract Background Dental fluorosis (DF) has been one of the most prevalent pediatric dental conditions associated with aesthetic concern and treatment needs. This study aimed to identify the longitudinal clinical change in the severity of DF in 8–12-year-old children and its association with gender, age, severity, and tooth type. Methods This observational study assessed the dental aspects of the 92 Colombian children in 2015 (mean age at beginning 9.71 years ± 1.23) and 2018 (mean age 13.69 years ± 1.41), from an area with high DF prevalence. DF was recorded in all permanent teeth by two calibrated examiners using the Thylstrup and Fejerskov Index (TFI). DF severity change (maximum-TFI-score) was analyzed with descriptive analysis at the tooth level. Associated factors were evaluated with the generalized linear model, binomial family, and logarithmic link function. Results TFI scores ranged between 1 (very mild) to 6 (severe), being score 2 (41.7%) the most prevalent. After three years, 29.6% of the teeth presented score reduction, 24.1%, increased and 46.3% did not change; the significant association was related to increasing of the basal TFI = 1 score (44.2%) (RR = 9.7; 95% CI 1.7–56.5; p = 0.01) and with canines, premolars and second-permanent-molars teeth group (RR = 3.3; 95% CI 1.9–5.6; p = 0.005). Conclusion The present study based on clinical features about DF confirms the dynamic post-eruptive nature of this condition. After three years of follow-up, a considerable proportion of the teeth changed to a higher score. Furthermore, the canines, premolars, and second-permanent-molars showed a higher incidence of an increase in severity of TFI score.

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Clinical outcomes after intentional replantation of permanent teeth: A systematic review

Bosnian Journal of Basic Medical Sciences ◽

10.17305/bjbms.2019.3937 ◽

2019 ◽

Cited By ~ 2

Author(s):

Lin Wang ◽

Hua Jiang ◽

Yang Bai ◽

Qiang Luo ◽

Hao Wu ◽

...

Keyword(s):

Systematic Review ◽

Survival Rate ◽

Success Rate ◽

English Language ◽

Survival Rates ◽

Permanent Teeth ◽

Filling Material ◽

Pocket Depth ◽

Tooth Type

This study aimed to systematically assess the outcomes of intentional replantation (IR) of teeth and to determine the survival rate, success rate, and prognostic factors related to the treatment. A search was conducted for all relevant English language articles published from January 2000 to October 2017. The search terms included "intentional replantation" and "teeth" according to the inclusion criteria. The Methodological Index for Non-randomized Studies (MINORS) was used to assess the methodological quality of included studies. Twelve studies were identified as relevant for the systematic review. In total, 896 patients with 905 teeth were examined for intentional teeth replantation. The success rate was greater than 90% in four studies (33.33%) and between 70% and 80% in five studies. At short-term follow-up (<6 months), the survival rate was approximately 90%. At longer-term follow-up (>36 months), the survival rates of teeth were slightly reduced in four studies, and tended to be stable after 48 months. In conclusion, the long-term success and survival rate of IR are likely dependent upon short extraoral time, reduced pocket depth, type of tooth, type of root-end filling material, and the prevention of atraumatic tooth root damage.

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Comparison of Partial and Complete Caries Excavation in Permanent Teeth: An 18 Months Follow-up

10.53350/pjmhs211551214 ◽

2021 ◽

Vol 15 (5) ◽

pp. 1214-1216

Author(s):

M. R. Ahmed ◽

S. Aaslam ◽

J. H. Bukhari

Keyword(s):

Permanent Teeth ◽

Success Rates ◽

Proximal Lesion ◽

Deep Carious Lesions ◽

Permanent Molars ◽

Pulp Exposure ◽

Caries Removal ◽

Male Patients ◽

Partial Caries Removal

Objective: To compare performance and survival of composite restorations in primary teeth using partial caries removal (PCR) versus complete caries removal (CCR). Methodology: In this trial, 70 permanent molars having deep caries lesions were selected and divided equally into CCR and PCR groups. The study duration was Jan-2018 to Jan-2020. In CCR group, complete dentin removal was done and confirmed by applying dentin detector dye for 10 seconds. In PCR group, visual & tactile criteria were followed for dentin removal. After dentin removal all cavities were filled using RMGIC cement resin. Follow-up was done at 06, 12 and 18 months. Results: Mean age in CCR group was 23.4+5.5 years and 25.6+4.9 years in PCR group. Male patients were 19 and 17 in CCR and PCR groups respectively (p= 0.59). Regarding lesion type, 25 patients in CCR were having occlusal and 5 having Occluso-proximal lesion. In PCR group, 27 teeth were diagnosed with occlusal lesion and 3 with occluso-proximal lesion (p=0.44). At 18 months’ follow-up, success rate was 100% in CCR group and 93.3% in PCR group (p=0.49). Pulp exposure occurred in 23.3% procedures in CCR group and none in PCR group. Conclusion: Partial caries removal has nearly similar success rates as that of complete caries removal and is associated with significantly less pulp exposure rate as compared to CCR. Keywords: Deep carious lesions, Partial caries removal, Complete caries removal, Randomized clinical trial

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Dental fluorosis associated with chronic ingestion of dentifrices – what health professionals should know

Revista Brasileira de Medicina de Família e Comunidade ◽

10.5712/rbmfc10(34)812 ◽

2015 ◽

Vol 10 (34) ◽

pp. 1-5

Author(s):

Rosa Virginia Dutra de Oliveira ◽

Fernanda Lourenção Brighenti

Keyword(s):

Oral Hygiene ◽

Health Professionals ◽

Dental Fluorosis ◽

Dental Enamel ◽

Permanent Teeth ◽

Water Fluoridation ◽

Permanent Molars ◽

Chronic Ingestion ◽

The City ◽

First Permanent Molars

This paper reports on two cases of dental fluorosis caused by inadvertent ingestion of fluoridated dentifrice. An eight-year-old child showed whitish spots and loss of dental enamel in first permanent molars and whitish spots without structure loss in permanent incisors and primary second molars, whereas a fourteen-year-old teenager showed whitish spots in all permanent teeth. In both cases, homologue teeth were affected similarly and mothers did not report on the use of fluoride supplements during pregnancy or children’s infancy. The water fluoridation of the city where they live is considered optimal. Both patients reported eating dentifrice frequently during tooth brushing and in other occasions. Mothers also stated that they did not receive instructions about oral hygiene or about the fact that chronic ingestion of dentifrice could contribute to the development of dental fluorosis. It is believed that the cooperative work between dentists and other health professionals is a way to prevent the occurrence of this condition.

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Biodentine Total Pulpotomy as an Effective Alternative to Conventional Endodontic Therapy for Young Permanent Teeth – A Study from Calicut, India

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/332 ◽

2021 ◽

Vol 10 (21) ◽

pp. 1593-1597

Author(s):

Amith Adyanthaya ◽

Prathyusha P ◽

Risana K ◽

Aparna Sivaraman ◽

Nazreen Ayub K ◽

...

Keyword(s):

Treatment Options ◽

Clinical Signs ◽

Effective Alternative ◽

Permanent Teeth ◽

Pulp Tissue ◽

Term Survival ◽

Pulp Therapy ◽

Vital Pulp Therapy ◽

Permanent Molars

BACKGROUND The vitality of dental pulp is essential for long-term survival of the tooth. Vital pulp therapy (VPT) intends to maintain healthy pulp tissue by eliminating bacteria from the dentin-pulp complex. There are many treatment options for vital pulp therapy in extensively decayed teeth. Pulp capping or pulpotomy procedures rely upon an accurate assessment of the pulp status, and careful management of the remaining pulp tissue. We wanted to evaluate as to whether biodentine total pulpotomy is an effective alternative to conventional endodontic therapy for young permanent teeth. METHODS Full coronal pulpotomy was performed in young permanent molars diagnosed with acute irreversible pulpitis with Biodentine as the pulpotomy medicament. Follow up evaluation was done clinically and radiographically at 3, 6 and 12 months. RESULTS During follow-up periods clinical signs/symptoms were absent including pulpal pain, swelling or presence of sinus and percussion pain. Continuous root development and healing of periapical radiolucency were noticed in the study which were indicative of maintenance of vitality of the pulp. CONCLUSIONS Within the limitations of this clinical study, it is concluded that total pulpotomy with Biodentine has a promising scope in regenerative approaches in the treatment of carious young permanent teeth. KEY WORDS Biodentine, Coronal Pulpotomy, Permanent Teeth, Total Pulpotomy

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Comparative Evaluation of Indirect Pulp Therapy in Young Permanent Teeth using Biodentine and Theracal: A Randomized Clinical Trial

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4625-45.3.3 ◽

2021 ◽

Vol 45 (3) ◽

pp. 158-164

Author(s):

Bushra Rahman ◽

Mousumi Goswami

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Permanent Teeth ◽

Healthy Children ◽

Chi Square ◽

Significance Level ◽

Pulp Therapy ◽

Chi Square Test ◽

Permanent Molars

Objective: In a tooth with deep dentinal caries; judicious removal of infected dentin and isolating affected dentin from oral fluids with suitable biocompatible material is called indirect pulp therapy (IPT). This randomized clinical trial was done to evaluate and compare the efficacy of Biodentine, Theracal LC and. Dycal as an indirect pulp capping agent in young permanent teeth. Study Design: IPT was performed in 60 young permanent molars with caries approaching pulp in 55 healthy children using Biodentine, Theracal and Dycal. A 2–3mm layer of GIC was placed over the intervening material followed by restoration of cavity with composite. Clinical and radiographic examinations were conducted at 3 weeks, 3 months, 6 months,12 months, 18 months and 24 months. The data was compared using chi-square test at a significance level of 0.05. Results: By end of 24 months ,54 teeth presented for follow up with overall success rate of 100% in Theracal, 94.44% in Biodentine, and 77.78% in Dycal. Overall success of Theracal was statistically significant in comparison to Biodentine and Dycal at 24 months follow up (p= 0.03) Conclusions: Radiographic and clinical outcomes of Theracal and Biodentine suggest their use as an alternative material for IPT in young permanent molars with higher success.

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Stepwise Excavation Allows Apexogenesis in Permanent Molars with Deep Carious Lesions and Incomplete Root Formation

Caries Research ◽

10.1159/000442392 ◽

2015 ◽

Vol 49 (6) ◽

pp. 637-639 ◽

Cited By ~ 2

Author(s):

Patrícia Hernandéz-Gatón ◽

César Ruiz Serrano ◽

Paulo Nelson Filho ◽

Esther Ruiz De Castañeda ◽

Marília P. Lucisano ◽

...

Keyword(s):

Root Formation ◽

Permanent Teeth ◽

Promising Technique ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Carious Lesions ◽

Deep Carious Lesions ◽

Stepwise Excavation ◽

Permanent Molars

This study evaluated the stepwise excavation technique in 138 permanent molars with deep carious lesions and incomplete root formation within a 24-month clinical and radiographic follow-up period. In 96.7% of the cases, success was observed (no pain, integrity of restoration margins, absence of radiographic alterations and apexogenesis). The cases of failure (3.3%) were due to the loss of the temporary restoration. In conclusion, the stepwise excavation is a promising technique for permanent teeth with deep carious lesions and incomplete root formation as a minimally invasive approach because it allows the preservation of pulp vitality and occurrence of apexogenesis.

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Coronal Pulpotomy Technique Analysis as an Alternative to Pulpectomy for Preserving the Tooth Vitality, in the Context of Tissue Regeneration: A Correlated Clinical Study across 4 Adult Permanent Molars

Case Reports in Dentistry ◽

10.1155/2015/916060 ◽

2015 ◽

Vol 2015 ◽

pp. 1-12 ◽

Cited By ~ 1

Author(s):

Raji Viola Solomon ◽

Umrana Faizuddin ◽

Parupalli Karunakar ◽

Grandhala Deepthi Sarvani ◽

Sevvana Sree Soumya

Keyword(s):

Clinical Study ◽

Permanent Teeth ◽

Treatment Modalities ◽

Platelet Concentrates ◽

Pulp Tissue ◽

Old Patients ◽

Clinical And Radiological Outcome ◽

Permanent Molars ◽

Irreversible Pulpitis

Aim. (1) The aim of the clinical study revolves around the accurate diagnosis, proper case selection, and the management of acute irreversible pulpitis in permanent molars with closed apices using conservative and economical treatment modalities like vital pulpotomies with regenerative approaches over conventional root canal procedures. (2) To evaluate the use of autologous substances such as platelet concentrates and calcium silicate based materials in promoting the healing and regeneration of the inflamed pulp.Summary. Vital pulpotomy was performed on 5 carious involved, permanent molars diagnosed with acute irreversible pulpitis in 17- to 22-year-old patients. Taking into consideration the patient’s age and the condition of the underlying pulp tissue, PRF pulpotomy was planned in view of preserving the vitality of the intact radicular pulps. Regenerative procedures with second generation blood matrices were chosen to encourage the recovery of the inflamed pulps. The systematic follow-up examinations performed at 3, 6, 9, 12, 18, 22, and 24 months revealed a successful clinical and radiological outcome. Within the limits of the present clinical study and correlating the success across the treated clinical cases, we safely conclude the potential scope of regenerative pulpotomy approaches in acute irreversible pulpitis in adult permanent teeth.

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Intermittent treatment interruption and its effect on multidrug resistant tuberculosis treatment outcome in Ethiopia

Scientific Reports ◽

10.1038/s41598-019-56553-1 ◽

2019 ◽

Vol 9 (1) ◽

Cited By ~ 7

Author(s):

Habteyes H. Tola ◽

Kourosh Holakouie-Naieni ◽

Mohammad A. Mansournia ◽

Mehdi Yaseri ◽

Ephrem Tesfaye ◽

...

Keyword(s):

Treatment Outcome ◽

Treatment Interruption ◽

Multidrug Resistant ◽

Considerable Proportion ◽

Adjusted Risk ◽

Successful Treatment Outcome ◽

Resistant Tuberculosis ◽

Unsuccessful Treatment ◽

Poor Treatment Outcome

AbstractTreatment interruption is one of the main risk factors of poor treatment outcome and occurrence of additional drug resistant tuberculosis. This study is a national retrospective cohort study with 10 years follow up period in MDR-TB patients in Ethiopia. We included 204 patients who had missed the treatment at least for one day over the course of the treatment (exposed group) and 203 patients who had never interrupted the treatment (unexposed group). We categorized treatment outcome into successful (cured or completed) and unsuccessful (lost to follow up, failed or died). We described treatment interruption by the length of time between interruptions, time to first interruption, total number of interruption episodes and percent of missed doses. We used Poisson regression model with robust standard error to determine the association between treatment interruption and outcome. 82% of the patients interrupted the treatment in the first six month of treatment period, and considerable proportion of patients demonstrated long intervals between two consecutive interruptions. Treatment interruption was significantly associated with unsuccessful treatment outcome (Adjusted Risk Ratio (ARR) = 1.9; 95% CI (1.4–2.6)). Early identification of patients at high risk of interruption is vital in improving successful treatment outcome.

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Screening at ports of entry for Ebola Virus Disease in England—a descriptive analysis of screening assessment data, 2014–2015

Journal of Public Health ◽

10.1093/pubmed/fdaa216 ◽

2020 ◽

Author(s):

Nicki L Boddington ◽

Sophia Steinberger ◽

Richard G Pebody

Keyword(s):

Public Health ◽

High Risk ◽

Secondary Care ◽

Ebola Virus ◽

Virus Disease ◽

Descriptive Analysis ◽

Health Assessment ◽

Ebola Virus Disease ◽

Screening Assessment

Abstract Background In response to the outbreak of Ebola Virus Disease (EVD) in West Africa in 2014 and evidence of spread to other countries, pre-entry screening was introduced by PHE at five major ports of entry in the England. Methods All passengers that entered the England via the five ports returning from Liberia, Guinea and Sierra Leonne were required to complete a Health Assessment Form and have their temperature taken. The numbers, characteristics and outcomes of these passengers were analysed. Results Between 14 October 2014 and 13 October 2015, a total of 12 648 passengers from affected countries had been screened. The majority of passengers were assessed as having no direct contact with EVD cases or high-risk events (12 069, 95.4%), although 535 (4.2%) passengers were assessed as requiring public health follow-up. In total, 39 passengers were referred directly to secondary care, although none were diagnosed with EVD. One high-risk passenger was later referred to secondary care and diagnosed with EVD. Conclusions Collection of these screening data enabled timely monitoring of the numbers and characteristics of passengers screened for EVD, facilitated resourcing decisions and acted as a mechanism to inform passengers of the necessary public health actions.

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The Role of Hydraulic Silicate Cements on Long-Term Properties and Biocompatibility of Partial Pulpotomy in Permanent Teeth

Materials ◽

10.3390/ma14020305 ◽

2021 ◽

Vol 14 (2) ◽

pp. 305

Author(s):

Chung-Min Kang ◽

Saemi Seong ◽

Je Seon Song ◽

Yooseok Shin

Keyword(s):

Regression Analysis ◽

Cox Regression ◽

Antimicrobial Properties ◽

Permanent Teeth ◽

Success Rates ◽

Pulp Tissue ◽

Cox Regression Analysis ◽

Clinical Variables

The use of hydraulic silicate cements (HSCs) for vital pulp therapy has been found to release calcium and hydroxyl ions promoting pulp tissue healing and mineralized tissue formation. The present study investigated whether HSCs such as mineral trioxide aggregate (MTA) affect their biological and antimicrobial properties when used as long-term pulp protection materials. The effect of variables on treatment outcomes of three HSCs (ProRoot MTA, OrthoMTA, and RetroMTA) was evaluated clinically and radiographically over a 48–78 month follow-up period. Survival analysis was performed using Kaplan–Meier survival curves. Fisher’s exact test and Cox regression analysis were used to determine hazard ratios of clinical variables. The overall success rate of MTA partial pulpotomy was 89.3%; Cumulative success rates of the three HSCs were not statistically different when analyzed by Cox proportional hazard regression analysis. None of the investigated clinical variables affected success rates significantly. These HSCs showed favorable biocompatibility and antimicrobial properties in partial pulpotomy of permanent teeth in long-term follow-up, with no statistical differences between clinical factors.

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