Apexification of primary teeth: a treatment option

2002 ◽  
Vol 26 (4) ◽  
pp. 351-355
Author(s):  
Marta Lua Pimentel Winz Almeida ◽  
Licinia Maria Damasceno ◽  
Laura Guimaraes Primo ◽  
Maristela Barbosa Portela

This article reports a case of apexification in a child aged 20 months, with early childhood caries, using calcium hydroxide paste in two primary upper central incisors. This method is a feasible option for treating immature deciduous teeth showing pulpal necrosis.

Author(s):  
AM Castro ◽  
CGC Reis ◽  
JGF Costa ◽  
RM Alcântara ◽  
DCA Ferreira ◽  
...  

2019 ◽  
Vol 13 (1) ◽  
pp. 242-248
Author(s):  
Jenny E. C. Acuña ◽  
Karina M. S. Freitas ◽  
Rafael P. Henriques ◽  
Emerson F. Cruz ◽  
Maria C. R Binz Ordóñez ◽  
...  

Background: Early childhood caries is an aggressive pathology that can destroy the teeth in a short time, reaching the proximal surfaces, causing discomfort, pain and affecting the dental pulp, causing premature loss of deciduous teeth. Objective: The purpose of this research is to determine the prevalence of early childhood caries in children aged 1 to 5 years of the Metropolitan District of Quito. Materials and Methods: This is a cross-sectional study including a sample of 557 children attending child care centers in Quito, Ecuador, between May and July 2018. The sample was evaluated clinically registering the data in a simplified dental file containing the odontogram and the result of decayed, lost and sealed teeth, according to the dmft index, as well as data such as age and gender. Data were tabulated and analyzed statistically by independent t-test. Results: The prevalence of early childhood caries was found to be 59.61%. Children affected by early childhood caries presented a mean age of 2.83 years, the ones suffered the most from this pathology were those of 2 years (35.54%), followed by those of 3 years (34.94%) and 4 years (22.5%). Boys presented more early childhood caries (53.92%) in relation to the girls (46.08%). Conclusion: The early childhood caries presented a prevalence of 59.61% and a general dmft index of medium level of severity according to the classification of the World Health Organization, in children from 1 to 5 years of age in Quito, Ecuador.


2020 ◽  
Vol 8 (1) ◽  
pp. 33-41
Author(s):  
Zhafirah Muharani Nasution ◽  
Reni Nofika ◽  
Susi Susi

Dental caries is a disease of hard tissue of the tooth due to bacterial activities that cause loss mineral structure of the tooth. Dental caries that occur in deciduous teeth on children under 71 months is called Early Childhood Caries (ECC). Dental caries is still one of the most common dental and oral health problem experienced by children in the world. Some surveys in Cambodia and Indonesia show that a high prevalence and severity of ECC which was 90% in children aged 3-5 years. Oral hygiene habits were identified as one of the risk factors of caries. Some studies suggest that there is a strong relationship between the behavior of maintaining oral hygiene and the prevalence of dental caries. The purpose of this study is to determine the relationship between oral hygiene habits and early childhood caries on toddler in Padang. This study used cross sectional design. The samples of this study was 107 childrens aged 3-5 years in Padang. The location was selected through stratified random sampling technique and samples was selected through consecutive sampling techniques. Data was collected in Gunung Pangilun village and Piai Tanah Sirah village. Data was collected using a questionaires and intraoral examination. Data was analyzed by Chi-Square with p<0,05. The result of this study that there was a significant relationship between oral hygiene habits and ECC on toddler in Padang (p=0,008). The conclusion of this study was that oral hygiene habits is associated with early childhood caries on toddler in Padang.


New Medicine ◽  
2019 ◽  
Vol 23 (4) ◽  
Author(s):  
Angelika Kobylińska ◽  
Dorota Olczak-Kowalczyk

Introduction. Odontogenesis of deciduous teeth is dependent on the intrauterine environment and shaped, among other things, by prenatal maternal nutrition. Proper deve-lopment of deciduous dentition, formation and mineralisation of the enamel and dentin determines the susceptibility to cariogenic factors. The current knowledge of the effects of prenatal nutrition and supplementation on the risk of early childhood caries (ECC) is unclear. Aim. An evaluation of the relationship between maternal nutrition in pregnancy and the risk of early childhood caries (ECC). Material and methods. A systematic review of literature on the association between prenatal maternal nutrition and early childhood caries was performed based on both electronic and manual search through medical databases, i.e. PubMed, EMBASE and MEDLINE, which allowed to identify 6 studies meeting the inclusion criteria. The risk of bias was evaluated using the ROBINS-I questionnaire and a quality assessment of original papers was performed using the Newcastle-Ottawa Scale (NOS). Results. All analysed works were at a risk of bias associated with confounders affecting the intervention and interpretation of results. Four works were considered to be of good quality (NOS > 6) and two other of medium quality. Conclusions. An increased maternal intake of vitamin D, calcium, dairy products, yoghurts and cheeses in pregnancy is an important factor reducing the risk of dental caries in their children. The risk of ECC is increased in the case of vitamin D deficiency, low intake of calcium and a diet high in fatty acids and carbohydrates.


2020 ◽  
Author(s):  
Hui Zheng ◽  
Teng-Fei Xie ◽  
Shao-Kai Li ◽  
Xiao-Tong Qiao ◽  
Yan Feng ◽  
...  

Abstract Background: "Core microbes" play a key role in the development of caries and lead to microflora disorders. Our goal was to detect the core microbes associated with the microbial flora imbalance in early childhood caries (ECC). Methods: Fifteen caries-free children and fifteen high-caries (DMFT≥10) children aged 4-6 years old were recruited according to the diagnostic criteria of caries suggested by the WHO. The 16S rRNA genes from plaque samples loaded in saliva were amplified by PCR, and the PCR products were sequenced by the Illumina Miseq platform. The sequencing results were analyzed by professional software to determine the composition and structure of the saliva microorganisms.Results: There were statistically significant differences between the groups regarding the relative abundance of S. mutans (Wilcoxon rank-sum test, P<0.05). No significant difference was found between the groups regarding other species or functional genes. Conclusion: Neither unique microbes leading to early caries in deciduous teeth nor characteristics of a microbial community with a disordered structure were found. Some microorganisms related to dental caries in young children were found, but whether these microbes were truly related or were false positives requires further verification.


2021 ◽  
Vol 9 ◽  
Author(s):  
Thanya Sitthisettapong ◽  
Parinda Tasanarong ◽  
Prathip Phantumvanit

The aim of this report was to advocate early childhood caries (ECC) and share strategic management in Thailand, despite over two decades of free Universal Health Coverage including oral healthcare. The recent Thai national oral health survey in 2017 indicates the very high prevalence of ECC, with an average of three carious teeth affected in 53% of 3-year-old children. This is despite the efforts of the Ministry of Public Health that has launched several interventional programs ranging from an upstream policy that prohibits sugar additions in baby formula milk to downstream remediations such as advocating and encouraging toothbrushing with fluoride toothpastes. Nevertheless, ECC is strongly predicated by other key factors including the family and community commitment and participation, as embodied in the current World Health Organization guidelines. These encompass three different tiers of community-level prevention: primary, secondary, and tertiary. Accordingly, the following strategies for ECC management in Thailand should be based at primary care clusters (PCC) in sub-district health centers, with the assistance of inter-professional health teams. These include community education on the importance of deciduous teeth and effective toothbrushing with fluoride toothpaste (primary prevention), regular examination and detection of ECC lesions and early intervention (secondary prevention), insertion of non-invasive preventive restorations using cost-effective atraumatic restorative treatment (ART) or simplified and modified ART (SMART) (tertiary prevention), and, finally, effective follow-up and monitoring systems. It is anticipated that this triple tier approach to ECC management will improve not only the oral health but also the overall children's health.


2017 ◽  
Vol 5 (2) ◽  
pp. 10-16
Author(s):  
Annissa Achmadsyah Gewang ◽  
Deli Mona ◽  
Arymbi Pujiastuty

Early Childhood Caries (ECC) is a state of occurrence of decayed (cavities and non cavities), missing (due to caries), or filling on one or more deciduous teeth in children aged ≤ 71 months. Wayne (1999) divided the severity of ECC into three classifications based on clinical signs, causes, and age of the child namely type I (mild), type II (moderate), and type III (severe). The rate of caries incidence is increasing in children who consume milk using bottles. Clinical pattern to ECC caused by bottle feeding has a distinctive pattern, which is about four upper incisors, while four lower incisors usually remain healthy. This study aims to determine the correlation between the history and pattern of bottle feeding and the severity of ECC in children aged 3-5 years in Kuranji District, Padang City. This study is an analytical study with a cross sectional approach. The study sample consisted of 58 children aged 3-5 years with a history of bottle feeding for at least two years. Samples are selected through consecutive sampling technique. Data are collected using questionnaires and through examining respondents' oral cavity. Data collected are analyzed using Chi-Square Test. Statistical test result shown p < 0,15 for each pattern of bottle feeding duration in years, the time of bottle feeding, the addition of sweeteners, and preventive measures. P is valued as > 0,15 for bottle feeding method. There is a significant relationship between the history and the pattern of bottle feeding duration in years, the time of bottle feeding, the addition of sweeteners, and preventive measures with the severity of ECC in children aged 3-5 years in Kuranji District, Padang City.


2019 ◽  
Vol 12 (3) ◽  
pp. 1129-1134 ◽  
Author(s):  
Eko Sri Yuni Astuti ◽  
I Dewa Made Sukrama ◽  
Agung Nova Mahendra

Caries that affects children under the age of 6 is known as early childhood caries (ECC). According to the American Academy of Pediatric Dentistry (AAPD), ECC is defined as the presence of one or more teeth with caries (cavities or no cavities), missing teeth due to caries or the presence of restoration deciduous teeth in children under 71 months. If it occurred on the smooth surface of the tooth in children under 3 years of age, the disease is classified as severe early childhood caries (S-ECC). Streptococcus mutans plays important role in the etiology of caries of preschool children, which is a contagious pathological entity. The pathogen is an acidogenic and aciduric bacteria. The occurrence of caries is a complex process of interaction between host factors (teeth), microorganisms, substrates (carbohydrates) and the environment, including saliva. This mini review aims to summarize current findings on several markers of innate immune system related to ECC and S-ECC namely lysozyme, salivary lactoferrin, IL-8, CD36 of salivary neutrophils, and sCD14


2017 ◽  
Vol 51 (6) ◽  
pp. 590-595 ◽  
Author(s):  
Jakub Kastovsky ◽  
Petra Borilova Linhartova ◽  
Kristina Musilova ◽  
Lenka Zackova ◽  
Martina Kukletova ◽  
...  

The aim of this study was to analyze the association between BMP2 (rs1884302) and DLX3 (rs2278163) gene polymorphisms and dental caries in primary and permanent dentitions. A total of 914 subjects were genotyped by the TaqMan methods: 176 caries-free children (with Decayed/Missing/Filled Teeth, DMFT = 0), 542 patients with dental caries in permanent dentition (DMFT ≥1), 83 caries-free children with primary teeth (with decayed/missing/filled teeth, dmft = 0), and 113 children with early childhood caries (ECC, dmft ≥1). There were no significant differences in allele/genotype frequencies between patients with caries in permanent dentition/ECC and caries-free children or between patients with very low (DMFT = 0-2), low (DMFT = 3-5), moderate (DMFT = 6-8), or high (DMFT ≥9) caries experience. Variability in BMP2 and DLX3 was not associated with caries in the Czech population.


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