scholarly journals Aesthetic-Functional Fixed Appliance as Treatment of Premature Loss of primary Anterior Teeth

2019 ◽  
Vol 21 (5) ◽  
pp. 454-458
Author(s):  
Priscila Vieira Da Silva ◽  
Juliana Severino Lupinetti Noberto ◽  
Ariane Barbosa Rodrigues Del Papa ◽  
Cíntia Aparecida Damo Simões ◽  
Sandrine Bittencourt Berger ◽  
...  
Keyword(s):  
Clinical Examination ◽  
Primary Teeth ◽  
Treatment Plan ◽  
Pediatric Dentistry ◽  
Posterior Teeth ◽  
Early Loss ◽  
Anterior Teeth ◽  
First Case ◽  
Space Maintainer ◽  
Fixed Space

Abstract The early loss of anterior primary teeth is frequent in the pediatric dentistry clinic and it is associated with extensive caries or dental trauma. The purpose of this study was to report two cases of aesthetic-functional rehabilitation due to early loss of anterior primary teeth, with the aid of fixed space maintainers of the tube-bar type. In the first case, a 4-year-old female child referred for dental treatment is reported. During clinical examination, several restorations in the posterior teeth and absent upper anterior teeth were observed. The treatment plan consisted of installing a tube-bar type upper fixed space maintainer, considering the ease of installation and adaptation for young children. The second case reports a 5-year-old male patient with the main complaint of dental caries. Clinical examination revealed extensive coronary destruction in the upper central incisors, as well as in the posterior teeth that presented carious lesions in several teeth. For the case planning, it was determined the need for  the posterior teeth restorations and the exodontia of the anterior dental remnants. After oral rehabilitation, an aesthetic-functional space maintainer of the tube-bar type was made and installed. In both cases, prosthetic rehabilitation was fundamental to maintain the space until the eruption of the permanent successors, avoiding future damages, as well as to restore the children's self-esteem and introversion  behavior. Keywords: Deciduous. Space maintenance. Mouth rehabilitation.  Resumo A perda precoce dos dentes decíduos anteriores é frequente na clínica odontopediátrica e está associada a processos de cáries extensas ou traumas dentários. O objetivo do presente estudo foi relatar dois casos clínicos de reabilitação estético-funcional após perda precoce de dentes decíduos anteriores, com auxílio de mantenedores de espaço fixo do tipo tubo-barra. O primeiro caso refere-se a uma criança do sexo feminino, quatro anos de idade, encaminhada para atendimento odontológico. Durante exame clínico, observou-se restaurações nos dentes posteriores e ausência dos dentes anteriores superiores. O plano de tratamento consistiu na instalação de um mantenedor de espaço fixo superior do tipo tubo-barra, levando em consideração a facilidade de instalação e adaptação para crianças com pouca idade. O segundo caso reporta um paciente de sexo masculino, cinco anos de idade, tendo como queixa principal a presença de cáries dentárias. Ao exame clínico, foi notado extensas destruições coronárias nos incisivos centrais superiores, assim como nos dentes posteriores. Para o planejamento do caso, determinou-se a necessidade de restaurações dos dentes posteriores e as exodontia dos remanescentes dentários anteriores. Após adequação do meio bucal foi confeccionado e instalado um mantenedor de espaço estético-funcional do tipo tubo-barra. Em ambos os casos, a reabilitação protética foi fundamental para a manutenção do espaço até a irrupção dos sucessores permanentes, evitando prejuízos futuros, devolvendo a autoestima e a mudança do comportamento de introversão das crianças.  Palavras-chave: Dente decíduo. Reabilitação bucal. Mantenedor de espaço em ortodontia.

Human enamel veneer restoration: an alternative technique to restore anterior primary teeth

2006 ◽  
Vol 30 (4) ◽  
pp. 277-279
Author(s):  
Luciana Butini Oliveira ◽  
Tereza Keiko Tamay ◽  
Marta Dutra Machado Oliveira ◽  
Célia Regina Martins Delgado Rodrigues ◽  
Marcia Turolla Wanderley
Keyword(s):  
Primary Teeth ◽  
Dental Treatment ◽  
Resin Composite ◽  
Treatment Options ◽  
Dental Enamel ◽  
Pediatric Dentistry ◽  
Restorative Treatment ◽  
Anterior Teeth ◽  
Human Enamel ◽  
Space Maintainer

Restoration of severely decayed primary teeth is a clinical challenge in Pediatric Dentistry. Among the restorative treatment options, the use of prefabricated crowns and resin composite restorations, either by means of direct or indirect techniques is mentioned in the literature. The purpose of this article is to describe the rehabilitation of primary anterior teeth in a 5-year-old patient. Dental treatment consisted on an anterior space maintainer prosthesis made with natural primary teeth, plus human dental enamel veneer (facet) restorations. The advantages of this technique are better esthetics and the natural enamel has physiologic wear and offers superficial smoothness and cervical adaptation compatible with those of the surrounding teeth.

Polyethylene fiber tape used as a post and core in decayed primary anterior teeth: a treatment option

2002 ◽  
Vol 26 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Clarissa Lopes Vieira ◽  
Cecília Cláudia Costa Ribeiro
Keyword(s):  
Treatment Option ◽  
Primary Teeth ◽  
Early Loss ◽  
Anterior Teeth ◽  
Polyethylene Fiber ◽  
Post And Core

The early loss of the anterior primary teeth can cause problems in phonation, development of the maxilla and is related to deleterious habits. This case presents the clinical sequence of rehabilitation of upper anterior primary teeth, where endodontic treatments were done. This was followed by the construction of root post using polyethylene ribbon fibers and the fabrication of crowns composed of resin.

scholarly journals Prevalence of Gropers Appliance in Pediatric Dentistry

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1348-1353
Author(s):  
Swetha Ilangovan ◽  
Vignesh Ravindran ◽  
Geo Mani
Keyword(s):  
Primary Teeth ◽  
Statistical Significance ◽  
Pediatric Dentistry ◽  
Dental Arch ◽  
Oral Habit ◽  
Fixed Partial Denture ◽  
Space Maintainer ◽  
Space Maintenance ◽  
The Common ◽  
University Setting

Space maintainers are used to minimise undesirable drifting of teeth in the dental arch. Using space maintenance after the loss of primary teeth restricts the creation of spaces. Space maintainers also prevent the development of malocclusion due to space. The primary teeth loss can lead to different dental malocclusions like midline shifts, space loss and also crowding of teeth. Gropers appliance is a space maintainer used for children who have lost their primary anterior due to accident or caries. Gropers appliance is a fixed partial denture used for aesthetic purposes. This is used to restore mastication and speech to prevent abnormal oral habit development and also for aesthetics. The aim of the study is to find the prevalence of Gropers appliance in Pediatric Dentistry. This was a retrospective study done under a University setting. All the patients' records were collected from June 2019 to March 2020 and were reviewed. The data included patients who required space maintainers. The data was tabulated and entered in excel and the data were analysed using SPSS package software. p<0.05 was considered to be the level of statistical significance in the study. The prevalence of Gropers appliance in Pediatric Dentistry was found to be 39.6%. There was a male prevalence of 55.6% in receiving a Gropers appliance. The common age who received it was 3 years old. Within the limitation of current study, the prevalence of Gropers appliance was 39. 6% with the common age of children being 3 yrs.

scholarly journals Dentists and Dental Intern’s Preferences of Root Canal Treatment with Restoration Versus Extraction then Implant-Supported Crown Treatment Plan

2019 ◽  
Vol 13 (1) ◽  
pp. 93-100
Author(s):  
Mohammad Alwadani ◽  
Mohammed H. Mashyakhy ◽  
Amr Jali ◽  
Arwa O. Hakami ◽  
Ahmed Areshi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Root Canal ◽  
Online Survey ◽  
Treatment Plan ◽  
Healing Process ◽  
Root Canal Treatment ◽  
Treatment Modalities ◽  
Periodic Review ◽  
Posterior Teeth ◽  
Anterior Teeth

Objectives: The intent of this study was to evaluate and compare the preferences and treatment choices between dentists and dental interns with regard to the following different treatment modalities: Root Canal Treatment (RCT) with restoration versus extraction with Implant-Supported Crown (ISC) or surgical treatment in relation to the given case scenarios. Methods: The questionnaire was presented as an online survey with a case scenario. The total number of the respondents were 165. The four clinical case scenarios included an anterior and posterior tooth having apical periodontitis, with and without previous RCT. The treatment options were as follows: RCT with restoration, extraction then implant, and surgical treatment. Results: A total of 165 dentists and dental interns were included in this study. A hundred and three 62.4% respondents were dentists, 60; 36.3% were males and 105; 63.7% were females. Most of the respondents graduated from the College of Dentistry, Jazan University (93.9%). The highest percentages and numbers for Anterior Teeth (AT) were selected in related to the RCT and restorations in the four scenarios among gender, dentists, and interns, with no considerable differences. A high percentage of RCT and restoration option was recorded for Posterior Teeth (PT) with no previous restoration and around 50% for the same treatment modality to posterior teeth with previous restorations. For Future Planning Postgraduate Studies (FPPS), it was obvious that most of the selected specialties agreed with the RCT and restorations choice. Conclusion: All dentists and interns in both genders preferred RCT with restorations over extraction, and then ISC in the AT with and without previous RCTs. In the PT with no previous RCT, the participants agreed that RCT with restorations is superior to other choices. Among the FPPS, the respondents demonstrated an absolute agreement to RCT and restorations as a treatment of choice for different scenarios. Clinical Significance: Dentists should preserve the natural teeth by RCT with restoration as the first treatment choice followed by other choices. The nonsurgical approach should always be adopted as a routine measure in PA lesions of endodontic origin. Conservative orthograde endodontic therapy demonstrates favorable outcomes with a regular periodic review and assessment of the healing process of PA lesions.

scholarly journals Restoration of Primary Anterior Teeth with Glass Fiber-Reinforced Post and Core: 3-Year Follow-Up Case Report

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Salah Afraa ◽  
Hashim Raghad ◽  
Khalid Ayam ◽  
Hamid Aeshah
Keyword(s):  
Glass Fiber ◽  
Primary Teeth ◽  
Pediatric Dentistry ◽  
Endodontic Treatment ◽  
Fiber Reinforced ◽  
Anterior Teeth ◽  
Glass Fiber Reinforced ◽  
Post And Core ◽  
Maxillary Incisors

Background. Esthetic appearance of primary anterior teeth is one of the major demands in the dental field. Destructed anterior primary teeth due to caries is considered a major issue due to the difficulty in regaining the esthetic crowns and attaching them until the normal exfoliation time. There have been many attempts and tools used to attach the composite crowns to the treated canals of primary anterior teeth. The study evaluates endodontic treatment for destructed primary maxillary incisors with a glass fiber-reinforced post as a retentive tool to hold the esthetic composite crowns until the normal exfoliation time of primary incisors. Case Presentation. A four-year-old child attending a dental clinic complained of pain of maxillary incisors. Dental examination showed irreversible pulpitis of four maxillary incisors indicated for root canal treatment and crown placement. Endodontic treatment was carried out, and a glass fiber-reinforced post was used to get successful retention for the composite crowns. Follow-up was carried out for 3 years. The 3 crowns were retained successfully until replaced by permanent incisors. One crown fell during the treatment course. Conclusion. Retention of primary teeth is one of the challenges in pediatric dentistry. Restoration of primary decayed incisors is important for child medical, physical, and psychological conditions. A glass fiber-reinforced post and core is a strong retentive tool for composite crown retention for primary incisors. This procedure opens the door for a strong tool to retain composite crowns for a long time. The glass fiber-reinforced post and core is a strong retentive tool for composite crown retention for primary incisors.

scholarly journals Aesthetic and functional rehabilitation of anterior teeth after trauma: a case report

2018 ◽  
Author(s):  
Kelly Guedes de Oliveira Scudine ◽  
Kelly Maria Silva Moreira ◽  
Micaela Cardoso ◽  
Stéphanie Marani Martins Araújo ◽  
Regina Maria Puppin-Rontani ◽  
...  
Keyword(s):  
Treatment Plan ◽  
Preventive Treatment ◽  
Pediatric Dentistry ◽  
Mixed Dentition ◽  
Functional Rehabilitation ◽  
Patient’S Satisfaction ◽  
Anterior Teeth ◽  
The Aesthetic ◽  
Dental Injuries

Traumatic dental injuries are common clinical problems during childhood, and may have complex etiologies causing physical and physiological impairment. The aim of this study was to report the management of a severe traumatic dental injury in an 8-year-old female patient, victim of a motorcycle accident, who was taken to a pediatric dentistry clinic three months after the accident. After clinical and radiografic examination, we observed the avulsion of the permanent maxillary central incisors and of the permanent left lateral incisor, with considerable lingual interposition, interfering in speech and swallowing. The patient showed low risk of caries and good behavior during the appointments. However, she demonstrated to be embarrassed to smile. Besides the preventive treatment concerning caries, the treatment plan included immediate care and subsequent monitoring of the psychosocial reestablishment. For this purpose, an acrylic partial denture was made in order to replace the missing anterior teeth, maintaining the characteristics of the mixed dentition and preserving the aesthetics and the function. Follow-up appointments were performed one, three and six months after the first visit, aiming to monitor the adaptation of the prosthesis, as well as the growth and development of the child’s dentition. Thus, the aesthetic and functional rehabilitation was achieved regarding the patient’s satisfaction, enabling immediate social reinsertion.

An esthetic point of view in very young children

2006 ◽  
Vol 30 (2) ◽  
pp. 99-103 ◽  
Author(s):  
Aditi Kapur ◽  
Chawla HS ◽  
Ashima Goyal ◽  
Krishan Gauba
Keyword(s):  
Young Children ◽  
Self Esteem ◽  
Point Of View ◽  
Psychological Problems ◽  
Anterior Teeth ◽  
Very Young Children ◽  
Space Maintainer ◽  
Fixed Space ◽  
Cervical Level

Extensive carious breakdown of primary anterior teeth to the cervical level and their loss in very young children invariably leads to lack of confidence and self-esteem and may cause psychological problems. The present paper deals with the management of three such cases by means of biological restorations, anterior fixed space maintainer and over-dentures.

scholarly journals Contemporary approach for space maintainers- A case report

2021 ◽  
Vol 6 (1) ◽  
pp. 1-3
Author(s):  
Savitha Sathyaprasad ◽  
◽  
SH Krishnamoorthy ◽  
Anjana ◽  
Vijayanath ◽  
...  
Keyword(s):  
Functional Space ◽  
Functional Results ◽  
Well Being ◽  
Pediatric Dentistry ◽  
Radiographic Examination ◽  
Main Concern ◽  
Mini Implants ◽  
Anterior Teeth ◽  
Space Maintainer ◽  
Congenitally Missing

Mini implants have seen an evolutionary change in the phase of implant placement. The most common use for mini implant is the stabilization of over denture and orthodontic treatments, now they are used in pediatric dentistry for congenitally missing teeth and tooth loss due to trauma. Mini implants as a prosthetic replacement gives a psychological advantage to the child as it provides a feeling of his own teeth. A thirteen year old boy came to the department of pedodontics, KVG dental college, Sullia, with a chief complaint of spacing in the lower front tooth region since 4 years. On radiographic examination absence of 41, 31 were found. On model analysis, space deficiency was found in relation to the lower anterior and he was diagnosed with angle’s class I malocclusion with proclined maxxilary anterior teeth and congenitally missing lower central incisors. The patient’s main concern was on esthetics. Hence the patient was planned for a fixed provisional functional space maintainer using mini implant followed by crown prosthesis. The approach comes up with positive aesthetic and functional results that may reflect on self-esteem and social well-being of children and adolescents.

scholarly journals Bruxismo Infantil: Uma Revisão de Literatura / Children's Bruxism: A Literature Review

2021 ◽  
Vol 15 (58) ◽  
pp. 1-10
Author(s):  
Adrielle Barbosa Neves ◽  
Carla De Oliveira Freire ◽  
Edite Novais Borges Pinchemel
Keyword(s):  
Literature Review ◽  
Clinical Characteristics ◽  
Signs And Symptoms ◽  
Pediatric Dentistry ◽  
Masticatory Muscles ◽  
Accurate Diagnosis ◽  
Posterior Teeth ◽  
Etiological Factors ◽  
Anterior Teeth ◽  
Common Sign

Resumo: O objetivo do presente estudo foi discutir aspectos do bruxismo infantil através de uma revisão de literatura, abordando os fatores etiológicos bem como sinais, sintomas e características clínicas desta condição. É de grande importância o domínio dos sinais e sintomas para um diagnóstico mais preciso pelos profissionais da odontopediatria.  O  tratamento é multidisciplinar para esta condição parafuncional. Os resultados demonstraram ser o bruxismo um hábito não funcional da função mastigatória, que se caracteriza , pelo  ato de apertar ou ranger os dentes, ocorrendo tanto durante o dia como no momento do sono. A etiologia é multifatorial e a literatura apresenta diversos, tais como fatores associados: dentário, fisiológico,  psicológico e neurológico. O sinal mais comum é um certo desgaste nas  faces incisais, principalmente dos dentes anteriores e, oclusais nos dentes posteriores. Também tende a ocasionar hipersensibilidade dentária, fratura  de cúspides e restaurações e hipertonicidade dos músculos  mastigatórios.  Concluiu-se que conhecer os fatores etiológicos e as  características clínicas do bruxismo na infância é importante para um diagnóstico o mais  rápido possível, permitindo um tratamento precoce que favoreça o bem-estar da criança. Palavras-chave: bruxismo; crianças; odontopediatria.  Abstract: The aim of this study was to discuss aspects of childhood bruxism through a literature review, addressing the etiological factors as well as signs, symptoms and clinical characteristics of this condition. It is very important to master the signs and symptoms for a more accurate diagnosis by pediatric dentistry professionals. Treatment is multidisciplinary for this parafunctional condition. The results showed that bruxism is a non-functional habit of the masticatory function, which is characterized by the act of squeezing or grinding the teeth, occurring both during the day and during sleep. The etiology is multifactorial and the literature presents several, such as associated factors: dental, physiological, psychological and neurological. The most common sign is some wear on the incisal surfaces, especially on the anterior teeth, and occlusal on the posterior teeth. It also tends to cause tooth hypersensitivity, fracture of the cusps and restorations, and hypertonicity of masticatory muscles. It was concluded that knowing the etiological factors and clinical characteristics of bruxism in childhood is important for a diagnosis as quickly as possible, allowing an early treatment that favors the child's well-being.Keywords: bruxism; kids; pediatric dentistry.

scholarly journals Unusual Extraction Treatment in Class II division 1 Using C-Orthodontic Mini-Implants

2007 ◽  
Vol 77 (1) ◽  
pp. 155-166 ◽  
Author(s):  
Kyu-Rhim Chung ◽  
Jae-Hee Cho ◽  
Seong-Hun Kim ◽  
Yoon-Ah Kook ◽  
Mauro Cozzani
Keyword(s):  
Treatment Plan ◽  
Class Ii ◽  
Orthodontic Appliances ◽  
Posterior Teeth ◽  
Anterior Crowding ◽  
Mini Implants ◽  
Anterior Teeth ◽  
Mandibular Molar ◽  
Division 1 ◽  
Class Ii Division 1

Abstract This paper describes the treatment of a female patient, aged 23 years and 5 months, with a Class II division 1 malocclusion, who showed severe anterior protrusion and lower anterior crowding. Specially-designed orthodontic mini-implants were placed bilaterally in the interdental space between both the upper and the lower posterior teeth. Both lower first molars showed severe apical lesions. Therefore, the treatment plan consisted of extraction of both upper first premolars and lower first molars, en masse retraction of the upper six anterior teeth, lower anterior alignment, and protraction of all the lower molars. C-implants® were used as substitutes for maxillary posterior anchorage teeth during anterior retraction and as hooks for mandibular molar protraction. The correct overbite and overjet were obtained by intruding and retracting the upper six anterior teeth into their proper positions. The dentition was detailed using conventional orthodontic appliances. The upper C-implants contributed to an improvement in facial balance, and the lower C-implants made it possible to protract the lower second and third molars with less effect on the axis of the lower anterior teeth. The active treatment period was 29 months and the patient's teeth continued to be stable 11 months after debonding.

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