Esthetic alternative for fluorosis blemishes with the usage of a dual bleaching system based on hydrogen peroxide at 35%

2005 ◽  
Vol 28 (2) ◽  
pp. 143-146 ◽  
Author(s):  
Sandra Kalil Bussadori ◽  
Marcos Augusto do Rego ◽  
Patrícia Eberson da Silva ◽  
Marcelo Mendes Pinto ◽  
Antonio Carlos Guedes Pinto

Esthetic dental procedures in pediatric dentistry represent sources of satisfaction and realization, as much for the patient as for the professional. Lack of dental esthetics may develop psychological problems in infant as well as in adolescent patients. Blemishes produced by fluorosis appear as a challenge to the pediatric dentist and alternatives for treatment are desired. The scope of this present paper is to relate a clinical case with esthetic solution for blemishes in teeth enamel due to fluorosis. A dual system of bleaching was used (photo/chemically activated) based on hydrogen peroxide at 35% (Hi-Lite-Shofu) in a male eight-year-old patient with white fluorosis blemishes on teeth 11 and 21.The bleaching system used was efficient in bleaching teeth with white blemishes due to fluorosis, thus masking the blemishes and providing a more uniform appearance.

2017 ◽  
Vol 65 (3) ◽  
pp. 276-281
Author(s):  
Carolina VASCONCELLOS ◽  
José Carlos Petorossi IMPARATO ◽  
Karla Mayra REZENDE

ABSTRACT Infant fear and anxiety are two feelings that cause stress in pediatric dental treatment. Many management techniques have been described in the literature, with the aim of controlling this anxiety and fear that are ultimately a big challenge for the dental surgeon. The aim of this study is to present a clinical case of a five-year-old child who would not cooperate with the dental treatment. To this end, an incentive chart was devised that is specific for treatment. The chart focuses on encouraging the child to comply with rules in the pediatric dentist office and, as the child completes his objectives, the chart is filled with happy faces and at the end of the appointment, depending on the outcome, the patient is rewarded with something. We concluded that the use of the incentive chart was particularly satisfactory in terms of the patient’s conduct and developing maturity over the course of his dental treatment and it may be an additional option to use as an adjunct in the approach to behavior in private or public dental clinics, and even in Universities.


2006 ◽  
Vol 30 (3) ◽  
pp. 179-182 ◽  
Author(s):  
Sandra Kalil Bussadori ◽  
Faynna Roth ◽  
Carolina Cardoso Guedes ◽  
Kristiane Porta Fernandes ◽  
Manoela Martins Domingues ◽  
...  

Trauma and pulpal infections in primary dentition are part of the routine of the pediatric dentist. Common consequences in these cases are alterations in dental color, compromising patient's esthetics and his interaction in social environment. Bleaching intends to preserve dental structure already weakened and to show immediate esthetic results. This clinical case shows a bleaching technique in devitalized primary teeth using bleaching agent with 35% hydrogen peroxide activated by photo polymerizer.This technique is simple and shows immediate satisfactory results.


Author(s):  
Hanan Raja Aljohani ◽  
Rinad Abdulmonam Albalawi ◽  
Fajr Adel Orri ◽  
Khalid Mubarak Alshammari ◽  
Narmeen Abdulmannan Shikdar ◽  
...  

Childhood dental anxiety usually results from painful and frightening dental traumas. Accordingly, children might want to avoid dental treatment if not adequate precautions were not taken during these settings. Thus, sedation is being widely used in different dental settings with favorable outcomes. In the present literature review, we have discussed sedation's different types and approaches in pediatric dentistry settings. We also reviewed the main medications that can be administered in these settings, together with the potential routes of administration, safety and contraindications. As a result, the pediatric dentist should identify patients suitable for sedation, choose the right type of sedation, prepare the media for successful procedures, and select the proper medication. Careful monitoring and adequate preparation are also critical to enhance the prognosis and manage the potential complications. Eventually, sedation might improve the compliance of pediatric patients and reduce the dilemma of fear from painful dental procedures. This has been associated with favorable outcomes for the dentist, as well. Therefore, further research is needed for additional validation and innovation in this field.


2019 ◽  
Vol 24 (4) ◽  
pp. 80-92
Author(s):  
Pedro Marcelo Tondelli

ABSTRACT This study discusses the role of orthodontic treatment as an adjunct to the control and treatment of periodontal disease conditions, and describes a clinical case of severe anterior mandibular crowding and periodontal disease followed up for nine years and three months after orthodontic treatment completion. Malocclusion impaired proper dental hygiene, which led to bone loss and development of a periodontal abscess between mandibular canines and lateral incisors. After scaling and root planing, orthodontic treatment was initiated with extraction of the four second premolars, to correct the deficiency detected in cephalometric and model analysis. Treatment objectives were met, and facial and dental esthetics was satisfactory. Adequate periodontal management, hygiene control and tooth movement ensured ideal occlusion and facilitated the control of biofilm.


2019 ◽  
Vol 43 (1) ◽  
pp. 27-33
Author(s):  
Traci Saito ◽  
Jae Hyun Park ◽  
Curt Bay

Purpose: The purpose of this study was to estimate the prevalence of white spot lesions (WSLs) in various practice settings and patient populations, and to gather information about the treatment timing and modalities used by pediatric dentists in the United States. Study design: A fourteen question, multiple choice, electronic survey was developed and distributed to 6,092 active American Academy of Pediatric Dentistry (AAPD) members. Results: A total of 625 active members responded, garnering a 9.7% response rate. Before treatment, there were significantly more WSLs reported in Corporate practice than Multi-Doctor Practice (P=0.002), and significantly more WSLs in Academics/Hospital-Based Practices than in Multi-Doctor Practices (P=0.002). For WSLs after treatment, there were significantly more WSLs in Academic/Hospital-Based practices than in single-practitioner settings (P=0.003). Approximately 38% of pediatric dentists preferred to treat WSLs before, during or after orthodontic treatment, while 23% treat only before and 20% treat only after treatment. The three most common treatment modalities for WSLs, were prescription fluoride toothpaste (5000 ppm), fluoride varnish, and fluoride rinse. Approximately 47% of respondents reported they were “very comfortable” treating WSLs and 31.0% felt “comfortable.” Conclusions: The prevalence of WSLs differed across types of practice. There is no agreement among pediatric dentist as to timing and treatment modalities for WSLs.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
H. Boufdil ◽  
M. Mtalsi ◽  
S. El Arabi ◽  
B. Bousfiha

Treatment of necrotic immature teeth has always been a real challenge for the clinician due to the open apex and weak root structure, which does not allow a conventional endodontic treatment. Several therapeutic options are possible to treat those teeth. Calcium hydroxide apexification is the oldest and most studied therapeutic option, but it has some disadvantages, including the long term of treatment, the possibility of reinfection, and the weakness of the wall. To solve these problems, several authors recommend the revascularization technique. This therapy allows the continuation of root edification with apical closure and thickening of the walls. The aim of our work is to compare the two therapeutic procedures, apexification with calcium hydroxide and revascularization, through a clinical case treated and followed up for 24 months at the pediatric dentistry department in Casablanca, Morocco.


2020 ◽  
Vol 8 (1) ◽  
pp. 11
Author(s):  
Doua H. Altoukhi ◽  
Azza A. El-Housseiny

The high frequency of caries in primary teeth and its inadequate treatment are major public health problems during childhood. Nowadays, the Hall technique is one of the methods used for biological sealing in carious lesions in primary molars. Thus, the bacteria will be sealed from oral environment and the caries will be inactive. The objective of this article was to provide an updated search on the Hall technique description, indication, contraindication, advantages, concerns, success and failure, cost-effectiveness, acceptability, and preference in pediatric dentistry, and to compare the Hall technique with traditional crown preparation and conventional treatment options for carious primary molars. A discussion of the recently published articles on the Hall technique reveals that the Hall technique is considered a promising restorative option with high acceptability and longevity; with low failure rate for managing carious primary molars compared to conventional treatment modalities used in primary care settings. Furthermore, the survival rate of stainless steel crowns (SSCs) is considered high, whether provided using Hall technique or traditional preparation by a pediatric dentist. Thus, the Hall technique can be an effective addition to the clinician’s range of treatment options for carious primary molars. However, it should be chosen in restricted cases.


Author(s):  
Gianmaria F. Ferrazzano ◽  
Aniello Ingenito ◽  
Tiziana Cantile

Coronavirus disease 2019 (COVID-19) has spread rapidly across the globe, becoming a major public health challenge not for China only, but also for countries around the world. Despite worldwide efforts to contain viral spread, the outbreak has not been stopped yet. Among healthcare personnel, dentists seem to be at elevated risk of exposure to COVID-19. This risk is even more serious in pediatric dentistry, since affected children, frequently, present an asymptomatic, mild or moderate clinical viral infection and, therefore, they may play a major role in community-based COVID-19 transmission. To date, despite no universal guidelines are available for dental procedures in pediatric dentistry during COVID-19 outbreak, routine dental practice should be postponed and only severe dental emergencies must be treated. In the case of a dental emergency, involving a pediatric patient, dentists should be aware of which recommended management protocol can be adopted during the practice to protect patient health, to safeguard their-self and to prevent viral transmission. The aim of this paper is to provide clinical recommendations, presenting a needed tool for dentists to allow a valid and safe how-to-do protocol. Pediatric dentists should keep a high level of awareness to help patients, minimize risk and prevent viral spread.


Author(s):  
Enhua Guo ◽  
Julia Katila ◽  
Jürgen Streeck

This study investigates a variety of ways in which dental clinicians and adult guardians touch child patients to get them to participate in dental procedures in China’s mainland. Children at the dentist’s office often experience pain and show fear, and dental care practitioners as well as adult guardians (in our case, parents and grandparents) perform tactile and haptic actions of comfort and control in response. Our analysis shows the dual roles that the children’s bodies play when touching and being touched in the dentist’s office: At times, they are agents or animators in control of their own movements; at other times, they are objects of manipulation by others. Moreover, sometimes their movements are collaboratively controlled by multiple participants, including the patient him/herself. During intercorporeal engagements in Chinese pediatric dentistry, as in many other contexts of interpersonal touch, the center of control and the source of animation of movements and actions are often distributed among multiple bodies. What is more, tactile and haptic actions in this context shift back and forth between direct forms, where the act of one body causes a change in the other, and actions that can be properly called semiotic or communicative in Grice’s (1968) sense, which aim to make the other person recognize the actor’s intent and act on it of his or her own volition.


2001 ◽  
Vol 25 (3) ◽  
pp. 215-219 ◽  
Author(s):  
A. Munshi ◽  
Amitha Hegde ◽  
R. Latha

This study was conducted to evaluate the use of Eutectic Mixture of Local Anesthetics (EMLA®) for various clinical procedures such as extraction of the mobile primary teeth, root stumps as well as pulpal therapy procedures in the primary teeth. Thirty children in need of routine dental procedures were selected and procedures were done under a single anesthesia of EMLA®. Pain perception and the effectiveness of anesthesia were evaluated with the Eland's color scale and Lickert's scale respectively. Results showed that use of EMLA® could to some extent eliminate the use of the needle in the procedures performed especially in pediatric dentistry.


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