Successful Application of Atelocollagen for Treatment of Perforated Teeth

2011 ◽  
Vol 36 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Katsuhiko Masuda ◽  
Kazuhiko Nakano ◽  
Rena Okawa ◽  
Shuhei Naka ◽  
Michiyo Matsumoto ◽  
...  
Keyword(s):  
Primary Teeth ◽  
Clinical Problem ◽  
Treatment Method ◽  
Permanent Teeth ◽  
Treatment Modalities ◽  
Clinical Evaluations ◽  
Novel Method ◽  
Early Tooth Loss ◽  
Clinical Problems

Objective: Cervical or furcal root perforation is a serious clinical problem and one of its treatment modalities is perforation repair with composite resin. However, many cases still progress in inevitable extraction. When primary teeth are affected, early tooth loss can cause problems related to the eruption space for the permanent successors. The aim of the present study was to evaluate a novel clinical treatment method for perforated teeth. Study design: Atelocollagen was applied to perforated furcal and cervical areas of 13 primary teeth in 13 children aged 4-9 years and 8 permanent teeth in 8 adults aged 35-69 years after debridement with an electric knife. Thereafter, the final restorations were performed after confirming good tooth conditions. Clinical evaluations were performed at follow-up examinations at approximately 3-month intervals.Results: None of the treated primary teeth showed any clinical problems throughout the observation period, with eruption of the permanent successors noted in 7 cases. In the permanent teeth, no clinical problems were identified in any of the cases during follow-up periods of 10-60 months. Conclusion: This novel method may enable preservation of perforated primary teeth for a longer duration.

scholarly journals Case Report: Dilemma To Save Or Not To Save A Tooth

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Yee Woo Yap ◽  
Azillah Mohd Ali
Keyword(s):  
Case Report ◽  
Root Formation ◽  
Dentigerous Cyst ◽  
Permanent Teeth ◽  
Treatment Modalities ◽  
Successful Outcome ◽  
Odontogenic Cysts ◽  
Standard Assessment ◽  
Good Healing

Introduction: Dentigerous cyst is the most common odontogenic cysts that are associated with the crowns of permanent teeth. Treatment modalities normally include enucleation or marsupialization of the cyst. However, currently there are no standard assessment criteria to dictate which kind of treatment for certain cases. The purpose of this report is to describe the successful outcome of conservative surgical management of a large dentigerous cyst associated with an unerupted right maxillary permanent canine in an 8-year-old boy. The cyst was enucleated partially but leaving the cystic lining surrounding the unerupted canine in order to preserve the tooth. 3-year follow up revealed good healing with significant root formation and tooth eruption.

Facilitating Transfer and Maintenance of Fluency in Stuttering Therapy

1977 ◽  
Vol 42 (1) ◽  
pp. 65-76 ◽  
Author(s):  
Richmond Hanna ◽  
Neville Owen
Keyword(s):  
Clinical Work ◽  
Clinical Problem ◽  
Self Control ◽  
Self Monitoring ◽  
Control Techniques ◽  
Treatment Techniques ◽  
Time Concepts ◽  
Major Clinical Problem ◽  
Clinical Problems

The present state of stuttering therapy programs enables the clinician to render many stutterers virtually stutter-free in the clinic. A major clinical problem, however, is the transfer of fluency to nonclinical situations and its maintenance over time. Concepts and techniques extrapolated from the literature on behavior change are applied to assessment, treatment objectives, treatment techniques, and to a number of procedures designed to facilitate transfer and maintenance during therapy. When fluency has been established, self-control techniques based on speech practice, self-monitoring, and the deliberate use of self-administered and social contingencies are stressed. Guidelines for termination of therapy and follow-up are given. For many of these techniques, specific examples are offered from clinical work with stutterers. Other techniques are presented because of their potential relevance and their demonstrated effectiveness with a variety of clinical problems.

Generalized Aggressive Periodontitis in Preschoolers: Report of a case in a 3-1/2 Year Old

2008 ◽  
Vol 33 (2) ◽  
pp. 155-160 ◽  
Author(s):  
Camila Palma Portaro ◽  
Yndira Gonzalez Chópite ◽  
Abel Cahuana Cárdenas
Keyword(s):  
Primary Teeth ◽  
Systemic Disease ◽  
Aggressive Periodontitis ◽  
Permanent Teeth ◽  
Tooth Mobility ◽  
Hygiene Measures ◽  
Periodontal Destruction ◽  
Dental Radiographs ◽  
Systemic Antibiotics

Destructive forms of periodontal disease in children are uncommon. Severe periodontal destruction can be a manifestation of a systemic disease; however, in some patients, the underlying cause of increased susceptibility and early onset is still unknown. Objective: To describe an effective therapeutic approach to Generalized Aggressive Periodontitis (GAgP) in children, based on a 3-1/2 year-old male patient referred to the Hospital due to early loss of incisors, gingivitis,and tooth mobility in his primary dentition. Intraoral examination revealed severe gingival inflammation,dental abscesses, pathological tooth mobility, bleeding upon probing and attachment loss around several primary teeth. Dental radiographs revealed horizontal and vertical bone loss. Treatment consisted on the extraction of severely affected primary teeth, systemic antibiotics, deep scaling of remaining teeth and strict oral hygiene measures. Once the patient's periodontal condition was stabilized, function and esthetics were restored with "pedi-partials." After a follow-up period of nearly 4 years, the patient's periodontal status remains healthy, facilitating the eruption of permanent teeth. Conclusion: Prompt diagnosis and good treatment regimen may provide an effective therapeutic management of Generalized Aggressive Periodontitis.

scholarly journals Individualized Surgery Combined with Radiotherapy and Triamcinolone Acetonide Injection for the treatment of Auricular Keloids

2021 ◽  
Author(s):  
Qiang Sun ◽  
Er-te Yu ◽  
You Zhou ◽  
Shuang Tong ◽  
Kai-jian Zhou ◽  
...  
Keyword(s):  
Triamcinolone Acetonide ◽  
Postoperative Radiotherapy ◽  
Treatment Method ◽  
Effective Rate ◽  
Comprehensive Treatment ◽  
Recurrence Rates ◽  
Surgical Methods ◽  
Individualized Surgery ◽  
Clinical Problems

Abstract Background: Although multiple methods have been proposed to treat auricular keloids, low curative effects and high recurrence rates are currently major clinical problems. Thereinto, surgery combined with radiotherapy and triamcinolone acetonide injection is considered to be the proper choice for comprehensive treatment of auricular keloids.Objective: This study aimed to evaluate the therapeutic effect of individualized surgery combined with radiotherapy for the treatment of auricular keloids. Methods: From February 2014 to February 2017, a total of 67 patients with 113 auricular keloids were enrolled in this study. According to the specific conditions of the lesions, the local tissue and the patient's wishes, different surgical methods were selected for scar excision and repair of the defect. Within 24 hours after the keloid was excised, 5 Mev electron beam irradiation by the linear accelerator was used for radiotherapy with a total dose of 20 Gy at interval of 1 day for 10 consecutive times. Triamcinolone acetonide was injected immediately after 1, 2, and 3 months after surgery.Results: A total of 113 keloids were received treatment. The follow-up period was 24 months. Fourteen keloids (12.39%) showed subjective recurrence with a success rate of 87.61%. The VSS scores were as follows: 82 keloids (72.57%) scored less than 5 points (good result), 21 keloids (18.58%) scored 6 to 10 points (fair result), and only 10 keloids (8.85%) scored more than 10 points (bad result). The effective rate was 91.15%.Conclusions: Individualized surgery combined with early postoperative radiotherapy and triamcinolone acetonide injection is an ideal treatment method to ensure good auricular appearance, low incidences of complications and recurrence based on effective treatment of auricular keloids.

scholarly journals Clinical findings and long-term managements of patients with amelogenesis imperfecta

2014 ◽  
Vol 08 (04) ◽  
pp. 546-552 ◽  
Author(s):  
Mine Koruyucu ◽  
Merve Bayram ◽  
Elif Bahar Tuna ◽  
Koray Gencay ◽  
Figen Seymen
Keyword(s):  
Primary Teeth ◽  
Treatment Plan ◽  
Clinical Care ◽  
Young Patients ◽  
Case Series ◽  
Amelogenesis Imperfecta ◽  
Permanent Teeth ◽  
Radiographic Evaluation ◽  
Prevalence Index

ABSTRACTThe aim of this clinical case series is to present a diagnosis and different treatment methods of patients in different ages with amelogenesis imperfecta (AI) as well as further treatments during a 3-6 years follow-up period. A number of 31 patients (16 female, 15 male with a mean age of 10.77 ± 2.65 years) with AI have been examined for the study group between 2007 and 2010 years. A detailed anamnesis was recorded, followed by a clinical and radiological assessment of oral health. The types of AI classified for each patient according to clinical and radiographic evaluation. The main complaints of patients, presence of dental caries and dental anomalies were noted. Necessary treatments had been planned for the individual cases of AI. A number of 19 patients had hypoplastic (HP) form, and 10 patients showed hypomaturation (HM) form of AI, while one patient showed hypocalcified form of AI and one patient had HM-HP form with taurodontism. Main complaints were chiefly related to dissatisfactory esthetics and dental sensitivity. Caries prevalence index was 93.5%. Mean decayed, missing, filling permanent teeth (DMF) and DMF surface (DMFS) were found as 2.74 ± 1.71 and 6.23 ± 3.99; df (decayed, filling primary teeth) and dfs (decayed, filling primary teeth surface) were found as 3.12 ± 2.85 and 5.24 ± 4.97, respectively. All patients received individual clinical care, including preventive, restorative, and prosthetic treatments. Patients have scheduled for regular follow-up in every 3 months. Composite restorations were used as the most common treatment (25 patients, 80.6%). The treatment plan should be based on patient's age, type of defects and individual needs of the patients. Necessary treatment plan is essential, not only due to functional and aesthetic reasons, but also for the positive psychological impact on young patients.

scholarly journals Individualized surgery combined with radiotherapy and triamcinolone acetonide injection for the treatment of auricular keloids

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Qiang Sun ◽  
Er-te Yu ◽  
You Zhou ◽  
Shuang Tong ◽  
Kai-jian Zhou ◽  
...  
Keyword(s):  
Triamcinolone Acetonide ◽  
Postoperative Radiotherapy ◽  
Treatment Method ◽  
Effective Rate ◽  
Comprehensive Treatment ◽  
Recurrence Rates ◽  
Surgical Methods ◽  
Individualized Surgery ◽  
Clinical Problems

Abstract Background Although multiple methods have been proposed to treat auricular keloids, low curative effects and high recurrence rates are currently major clinical problems. Thereinto, surgery combined with radiotherapy and triamcinolone acetonide injection is considered to be the proper choice for comprehensive treatment of auricular keloids. This study aimed at evaluating the therapeutic effect of individualized surgery combined with radiotherapy for the treatment of auricular keloids. Methods From February 2014 to February 2017, 67 patients with 113 auricular keloids in total were enrolled in this study. According to specific conditions of lesions, the local tissue and patients’ individual wishes, different surgical methods were selected to analyze the scar excision and repairment of the defect. Within 24 h after the keloid was excised, 5 MeV electron beam irradiation by the linear accelerator was used by radiotherapy with a total dose of 20 Gy at interval of 1 day for 10 consecutive times. Triamcinolone acetonide was injected immediately after surgery, and per month afterward in the following three months. Results 113 keloids in total were received treatment. The follow-up period was 24 months. Fourteen keloids (12.39%) showed subjective recurrence with a success rate of 87.61%. Wilcoxon matched-pairs rank-sum test was used to compare the differences of the 24-month postoperative VSS scores and the preoperative VSS scores. The VSS scores were as follows: 82 keloids (72.57%) scored less than 5 points (good result), 21 keloids (18.58%) scored 6 to 10 points (fair result), and only 10 keloids (8.85%) scored more than 10 points (bad result). The effective rate was 91.15%. Conclusions Individualized surgery combined with early postoperative radiotherapy and triamcinolone acetonide injection is an ideal treatment method to ensure good auricular appearance, low incidences of complications and recurrence based on effective treatment of auricular keloids.

scholarly journals Late Developing Supernumeraries in a Case of Nonsyndromic Multiple Supernumerary Teeth

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Mine Bozkurt ◽  
Tugba Bezgin ◽  
Ayşegül Tüzüner Öncül ◽  
Rukiye Göçer ◽  
Şaziye Sarı
Keyword(s):  
Case Report ◽  
Primary Teeth ◽  
Treatment Plan ◽  
Chief Complaint ◽  
Permanent Teeth ◽  
Radiographic Examination ◽  
Supernumerary Teeth ◽  
Subsequent Formation ◽  
Delayed Eruption

Objective. This case report presents 3-year follow-up of a case of nonsyndromic multiple supernumerary teeth (NSMST) with 11 supernumerary teeth, 2 of which showed subsequent formation.Case Report. A 10-year-old girl was referred to the dental clinic with the chief complaint of delayed eruption. Radiographic examination showed 9 retained supernumerary teeth. The treatment plan consisted of extraction of the supernumerary teeth and associated primary teeth in order to allow the permanent teeth to erupt. After 2 years of follow-up, 2 additional supernumerary teeth were observed.Conclusion. Regular follow-up for late forming supernumeraries is crucial for NSMST cases.

scholarly journals Ankylosed Primary Molar in a Japanese Child with Hypophosphatasia

2020 ◽  
Vol 9 (1) ◽  
pp. 3
Author(s):  
Masakazu Hamada ◽  
Rena Okawa ◽  
Saaya Matayoshi ◽  
Yuko Ogaya ◽  
Ryota Nomura ◽  
...  
Keyword(s):  
Primary Teeth ◽  
Serum Alkaline Phosphatase ◽  
Genetic Disorder ◽  
Permanent Teeth ◽  
Histopathological Analysis ◽  
Primary Molar ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Space Maintenance

Hypophosphatasia (HPP) is a rare genetic disorder; affected patients may experience early exfoliation of primary teeth, especially anterior teeth. However, there have been few reports regarding longitudinal follow-up for primary teeth, especially posterior teeth, until their replacement with permanent teeth. Here, we describe a patient with HPP who underwent follow-up from 1 to 9 years of age. A 14-month-old boy was referred to our hospital with the chief complaint of early loss of primary anterior teeth. He was diagnosed with odonto-type HPP by his pediatrician, due to low serum alkaline phosphatase concentration and early exfoliation of primary teeth with bone hypomineralization. The patient experienced exfoliation of three additional primary anterior teeth by 4 years and 1 month of age. Partial dentures were applied for space maintenance; there were no problems regarding subsequent replacement with permanent teeth in the anterior region. However, the primary mandibular right first molar appeared to be submerged when the patient was 8 years and 3 months of age; the severity of submergence was greater when the patient was 9 years of age. The affected primary molar was considered to be ankylosed; it was extracted when the patient was 9 years and 4 months of age. Histopathological analysis of the tooth revealed disturbed cementum formation, which is a typical characteristic of teeth in patients with HPP. On the basis of these findings, we hypothesize that the disturbed cementum formation could lead to susceptibility to early exfoliation of anterior teeth, as well as occurrence of ankylosis involving posterior teeth.

scholarly journals Traumatic Dental Injuries, Treatment and Complications in Children and Adolescents: A Register-Based Study

2021 ◽  
Author(s):  
Austė Antipovienė ◽  
Julija Narbutaitė ◽  
Jorma I. Virtanen
Keyword(s):  
Dental Care ◽  
Tooth Extraction ◽  
Primary Teeth ◽  
Permanent Teeth ◽  
Test Analysis ◽  
Dental Injury ◽  
Child Patients ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

Abstract Objective Traumatic dental injury (TDI) is a common dental concern among children worldwide. We performed a retrospective patient register study among children under 18 years to investigate TDIs with respect to causes, treatment, and complications. Materials and Methods  We collected information on TDIs from the original patient records of 407 child patients visiting dental clinic of Lithuanian University of Health Sciences, Kaunas, Lithuania. We analyzed all child patients’ (n = 407) background, cause, type of TDI, treatment, complications, and time elapsed from injury to visit to the dentist. Statistical Analysis The χ 2-test, analysis of variance (ANOVA), and Kruskal–Wallis and Mann–Whitney tests served in the statistical analyses. Results A total of 579 TDI cases occurred during 2010 to 2016. Lateral luxation (19.8%) and intrusion (14.8%) occurred more often in the primary than the permanent dentition (p < 0.05). The most common cause of TDI was falling (56%). Avulsion occurred in approximately 10% of cases. Follow-up (44.5%) and tooth extraction (48.3%) were the most frequent treatments in the primary and splinting (25.3%) in the permanent teeth. Pulp necrosis was the most frequent complication in primary (92%) and permanent (54%) dentition. About 1% of the patients obtained dental care during the first hour after injury. Conclusion The most frequent TDIs included lateral luxation in primary teeth and enamel-dentine fractures in permanent teeth. We observed a delay in patients obtaining emergency dental care.

Implant-Prosthetic Rehabilitation of a Patient with Nonsyndromic Oligodontia: A Clinical Report

2012 ◽  
Vol 38 (S1) ◽  
pp. 497-503 ◽  
Author(s):  
Gulfem Ergun ◽  
Isil Cekic-Nagas
Keyword(s):  
Dental Treatment ◽  
Interdisciplinary Approach ◽  
Permanent Teeth ◽  
Clinical Report ◽  
Clinical Evaluations ◽  
Maxilla And Mandible ◽  
Mandibular Third Molars ◽  
Tooth Germs ◽  
And Function

Oligodontia is defined as the absence of 6 or more permanent teeth due to the hypodevelopment of tooth germs. This familial abnormality is attributable to various mutations or polymorphisms of genes and associated with malformative syndromes. This clinical report presents the multidisciplinary dental treatment planning for a 27-year-old woman who exhibited oligodontia. After radiographic and clinical evaluations, 7 retained primary teeth and 2 mandibular third molars were extracted. Three dental implants were placed into the maxillary alveolar process. After the osseointegration period, complete-arch fixed prostheses in both maxilla and mandible, supported by a combination of implants and teeth, were fabricated. Osseointegration of the implants, peri-implant mucosa health, and prosthesis function were assessed every 6 months. At the end of the 3-year clinical follow-up, the patient was satisfied with the esthetics, function, and phonation of her prosthesis. To attain the best esthetic and biological results, an interdisciplinary approach could be used to synergistically combine surgery and restorative dentistry for the restoration of maximal esthetics and function.

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