scholarly journals Clinical Management of Trauma to Primary Teeth and Delay in Eruption of Permanent Successor Tooth

2021 ◽  
Vol 23 (4) ◽  
pp. 264-267
Author(s):  
Simony e Andrade Passinato Gheller ◽  
Amanda Alves de Oliveira ◽  
Adriana Marques Fontes de Oliveira Soares ◽  
Fabiana Vitória Ananias Gonçalves ◽  
Andreza Maria Fábio Aranha
Keyword(s):  
Dental Trauma ◽  
Tooth Germ ◽  
Primary Dentition ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Early Loss ◽  
Tooth Avulsion ◽  
Stage Of Development ◽  
Pediatric Dentist ◽  
Tooth Deciduous

AbstractDental trauma is considered a complication in oral health, which has attracted the attention of researchers, as its prevalence has increased in recent years. Dental trauma in primary dentition can lead to early tooth loss and impairment of permanent successor teeth, depending on the stage of development of the tooth germ. The aim of the present study was to describe a clinical case of a 4-year-old child who was referred to a pediatric dentist after dental trauma and early loss of deciduous teeth. During the anamnesis, it was observed that the upper deciduous teeth (#51 and #61) were affected by successive traumas, resulting in the early loss of the affected teeth. Nance arch device with a tube-bar system was selected to restore function and aesthetics to the child, while the eruption of the successor permanent teeth was monitored. During the follow-up period, a delay in the eruption of #21 tooth was observed, and ulectomy of the region was indicated to allow the tooth eruption and the proper alignment of the central incisors, which occurred after 5 months of the surgical procedure. Through this report it was possible to conclude that the early diagnosis and the long-term periodic control of traumatic dental lesions in the primary dentition are of fundamental importance to prevent and minimize the damages that can occur to the permanent dentition. Keywords: Tooth Avulsion. Tooth, Deciduous. Dentition, Permanent. ResumoO traumatismo dentário é considerado uma complicação à saúde bucal que vem chamando a atenção de pesquisadores, pois sua prevalência tem aumentado nos últimos anos. O trauma dentário na dentição decídua pode ocasionar a perda precoce dos dentes, e comprometimento dos dentes sucessores permanentes, dependendo do estágio de desenvolvimento do germe dentário. O objetivo do presente estudo foi descrever um caso clínico de uma criança de 4 anos de idade que foi encaminhada ao odontopediatra após traumatismo dentário e perda precoce de dente decíduo. Durante a anamnese, foi observado que os dentes decíduos incisivos superiores (#51 e #61) foram afetados por sucessivos traumas, resultando na perda precoce dos dentes afetados. O dispositivo arco de Nance com sistema do tipo tubo-barra foi selecionado para devolver função e estética à criança, enquanto a irrupção dos dentes permanentes sucessores foi acompanhada. Durante consulta de controle, um atraso na erupção do dente #21 foi observado e a ulectomia da região foi indicada para permitir a irrupção do dente e o alinhamento adequado dos incisivos centrais, que ocorreu após 5 meses do procedimento cirúrgico. Por meio do presente relato foi possível concluir que o diagnóstico precoce e o controle periódico a longo prazo das lesões dentárias traumáticas na dentição decídua são de fundamental importância para prevenir e minimizar os prejuízos que podem ocorrer à dentição permanente. Palavras-chave: Avulsão Dentária. Dente Decíduo. Dentição Permanente.

scholarly journals Reimplantation of avulsed maxillary central incisors – case report of an 8-year follow-up

2015 ◽  
Vol 26 (1) ◽  
pp. 68-70
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Children And Adolescents ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Tooth Avulsion ◽  
Complete Rupture ◽  
Major Complications ◽  
Dental Injuries

Dental trauma is very common, especially in children and adolescents. Tooth avulsion (exarticulation), which is a result of complete rupture of periodontal ligaments is one of the most severe dental injuries. The treatment of choice in avulsion of permanent teeth is reimplantation. Survival of reimplanted teeth depends greatly on the time and conditions in which teeth were stored outside the oral cavity. This report presents a case of 18-year old male with avulsion of central maxillary incisors. The teeth were reimplanted 14 hours after injury. During 8-year follow up no major complications occurred and the teeth still maintain their function, although signs of mild replacement resorption are visible on the follow-up radiographs.

scholarly journals Dental trauma and itssequelae in deciduous and permanent teeth - Longitudinal study

2019 ◽  
Vol 41 (1) ◽  
pp. 34030
Author(s):  
Graziele Martioli ◽  
Helena Sandrini Venante ◽  
Gabriela Cristina Santin ◽  
Carlos Luiz Fernandes de Salles ◽  
Sandra Mara Maciel ◽  
...  
Keyword(s):  
Root Resorption ◽  
Tissue Injury ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Chi Square ◽  
Elapsed Time ◽  
Chi Square Test ◽  
Type Of Injury

Objective: This study evaluated the prevalence, clinical management and sequelae in deciduous teeth involved and permanent successors in 150 children (256 deciduous teeth. Of these, 63.3% were male, 24-35 months of age at the time of the trauma (37.9%) and the falls (78.1%) represented the major etiological factor. In relation to the type of injury, 24.6% was enamel fracture; 62.5% showed support tissue injury (lateral luxation, 22.3%). In the first and second assessments (T1 and T2), the average follow-up time was 14.5 and 26 months (256 and 131 teeth).We diagnosed clinical and radiographic sequels including discoloration of the crown (T1-15.6; T2-13.7%), inflammatory root resorption (T1-7.0; T2-8.4%); and in permanent successors, enamel hypoplasia (T1-1.2; T2-2.3%), eruption disturbances (T1-2.0; T2-1.5%).The chi-square test evidenced association, in T1, between injuries to the supporting tissues and clinical (p = 0.003) and radiographic (p = 0.004) sequelae in permanent successors; and between clinical sequelae and age at the time of trauma (p = 0.005). In T2, radiological sequelae in deciduous teeth with injuries to the tooth and supporting tissue (p = 0.035); as well as clinical sequelae with elapsed time of trauma in permanent teeth (p = 0.005). It is concluded that the follow-up of traumatized deciduous teeth is essential to prevent sequelae.

scholarly journals Enlightening Diagnosis and Differential Diagnosis of Dental Fluorosis—A Hidden Entity in a Crowd

2021 ◽  
Author(s):  
Deepika Patidar ◽  
Suma Sogi ◽  
Dinesh Chand Patidar ◽  
Atul Sharma ◽  
Mansi Jain ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Dental Fluorosis ◽  
Correct Diagnosis ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Developmental Defect ◽  
Early Management ◽  
Clinical Appearance ◽  
Stage Of Development ◽  
Diagnostic Difficulties

Abstract Aim To provide diagnosis as well as differential diagnosis of dental fluorosis. Background Dental fluorosis is a developmental defect of enamel, due to consecutive exposures of tooth during the formative stage of development to the higher concentration of fluoride, resulting in enamel with lesser mineral content and enhanced porosity. Several epidemiological indices have been utilized for diagnosis and assessment of dental fluorosis on the basis of clinical appearance. Fluorosis of the deciduous teeth occurs less commonly and is milder than that of permanent teeth. Highlights The diagnostic difficulties are usually associated between fluorotic and nonfluoride opacities. A complete history of the clinical condition, teeth affected with specific areas, pattern of lesion, color and its method of detection are the few important diagnostic criteria for differentiating dental fluorosis from nonfluoride discolorations of the teeth. Conclusion This review article has enlightened the diagnosis and differential diagnosis of dental fluorosis among various nonfluoride tooth discolorations. A correct diagnosis results in an appropriate and early management of dental fluorosis and plays an important role in oral epidemiology and public health.

scholarly journals TRAUMATİC DENTAL INJURİES EVALUATİON İN PRESCHOOL CHİLDREN

2019 ◽  
Vol 3 (8) ◽  
Author(s):  
Can Özükoç ◽  
Aykut Kanat
Keyword(s):  
Preschool Children ◽  
School Children ◽  
Dental Trauma ◽  
Pediatric Dentistry ◽  
Primary Dentition ◽  
Deciduous Teeth ◽  
Economic Level ◽  
Traumatic Dental Injuries ◽  
Clinical Records ◽  
Dental Injuries

Background: There are a lot of studies in the literature related to dental traumatic injuries. However, most of such studies were carried out on individuals with low socio-economic level and in public clinics or in university clinics giving dental health services. The purpose of this study is to determine the type of traumatic dental injuries occurring in pre-school children of families with high socio-economic level applying to private dental clinics and to measure the incidence of such injuries, to determine the reasons and to assess the count of treatments carried out. Methods: Clinical records of 68 patients in total between the ages of 0-5, 32 of whom were female and 36 of whom were male, having applied to a private dental clinic in Istanbul between February 01 2018 and January 31 2019 were examined; the data were obtained after retrospective assessment. Results: While it was discovered that dental trauma occurred more frequently in male children(52.94%). An increase in the count of traumas was observed between the ages of 1 and 3 and there is a statistically significant relationship between age and frequency of dental trauma (p<0.05). The most common cause of trauma was determined to be ''falling''(72.05%) both in females and males. While the type of dental trauma most frequently encountered was concussion(28.37%), the treatment most frequently conducted for deciduous teeth was determined to be ''examination and monitoring''(36.48%). Conclusions: In addition to the fact that similar findings were obtained in pre-school children in this study in a similar way to the ones in retrospective and prospective studies carried out in the past, it has been revealed that traumatic dental injuries must be assessed carefully during primary dentition and precautions must be taken before the occurrence of trauma, that when it occurs, it must be treated fast and accurately. Keywords: Dental Trauma, Pediatric Dentistry, Retrospective Study, Injury, Preschool Children, Primary Dentition

Stem Cells Derived from Human Exfoliated Deciduous teeth [shed] in Neuronal Disorders: A Review

2020 ◽  
Vol 16 ◽  
Author(s):  
Minu Anoop ◽  
Indrani Datta
Keyword(s):  
Stem Cells ◽  
Neurodegenerative Diseases ◽  
Dental Pulp ◽  
Therapeutic Potential ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Proliferative Potential ◽  
Pulp Tissue ◽  
Human Exfoliated Deciduous Teeth

: Most conventional treatments for neurodegenerative diseases fail due to their focus on neuroprotection rather than neurorestoration. Stem cell‐based therapies are becoming a potential treatment option for neurodegenerative diseases as they can home in, engraft, differentiate and produce factors for CNS recovery. Stem cells derived from human dental pulp tissue differ from other sources of mesenchymal stem cells due to their embryonic neural crest origin and neurotrophic property. These include both dental pulp stem cells [DPSCs] from dental pulp tissues of human permanent teeth and stem cells from human exfoliated deciduous teeth [SHED]. SHED offer many advantages over other types of MSCs such as good proliferative potential, minimal invasive procurement, neuronal differentiation and neurotrophic capacity, and negligible ethical concerns. The therapeutic potential of SHED is attributed to the paracrine action of extracellularly released secreted factors, specifically the secretome, of which exosomes is a key component. SHED and its conditioned media can be effective in neurodegeneration through multiple mechanisms, including cell replacement, paracrine effects, angiogenesis, synaptogenesis, immunomodulation, and apoptosis inhibition, and SHED exosomes offer an ideal refined bed-to-bench formulation in neurodegenerative disorders. However, in spite of these advantages, there are still some limitations of SHED exosome therapy, such as the effectiveness of long-term storage of SHED and their exosomes, the development of a robust GMP-grade manufacturing protocol, optimization of the route of administration, and evaluation of the efficacy and safety in humans. In this review, we have addressed the isolation, collection and properties of SHED along with its therapeutic potential on in vitro and in vivo neuronal disorder models as evident from the published literature.

scholarly journals Comparative evaluation of osteogenic differentiation potential of stem cells derived from dental pulp and exfoliated deciduous teeth cultured over granular hydroxyapatite based scaffold

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Manal Nabil Hagar ◽  
Farinawati Yazid ◽  
Nur Atmaliya Luchman ◽  
Shahrul Hisham Zainal Ariffin ◽  
Rohaya Megat Abdul Wahab
Keyword(s):  
Stem Cells ◽  
Osteogenic Differentiation ◽  
Dental Pulp ◽  
3D Culture ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Osteogenic Potential ◽  
Control Group ◽  
Rt Pcr ◽  
Differentiation Potential

Abstract Background Mesenchymal stem cells isolated from the dental pulp of primary and permanent teeth can be differentiated into different cell types including osteoblasts. This study was conducted to compare the morphology and osteogenic potential of stem cells from exfoliated deciduous teeth (SHED) and dental pulp stem cells (DPSC) in granular hydroxyapatite scaffold (gHA). Preosteoblast cells (MC3T3-E1) were used as a control group. Methodology The expression of stemness markers for DPSC and SHED was evaluated using reverse transcriptase-polymerase chain reaction (RT-PCR). Alkaline phosphatase assay was used to compare the osteoblastic differentiation of these cells (2D culture). Then, cells were seeded on the scaffold and incubated for 21 days. Morphology assessment using field emission scanning electron microscopy (FESEM) was done while osteogenic differentiation was detected using ALP assay (3D culture). Results The morphology of cells was mononucleated, fibroblast-like shaped cells with extended cytoplasmic projection. In RT-PCR study, DPSC and SHED expressed GAPDH, CD73, CD105, and CD146 while negatively expressed CD11b, CD34 and CD45. FESEM results showed that by day 21, dental stem cells have a round like morphology which is the morphology of osteoblast as compared to day 7. The osteogenic potential using ALP assay was significantly increased (p < 0.01) in SHED as compared to DPSC and MC3T3-E1 in 2D and 3D cultures. Conclusion gHA scaffold is an optimal scaffold as it induced osteogenesis in vitro. Besides, SHED had the highest osteogenic potential making them a preferred candidate for tissue engineering in comparison with DPSC.

scholarly journals An Evaluation on Deep Caries Removal Method and Management Performed by Undergraduate Dental Students: A Malaysia Experience

2020 ◽  
Author(s):  
Nurin Izyani Othman ◽  
Hanan Umaira Ismail ◽  
Norazlina Mohammad ◽  
Norzalina Ghazali ◽  
Muhammad Syafiq Alauddin
Keyword(s):  
Current Knowledge ◽  
Glass Ionomer Cement ◽  
Dental Students ◽  
Primary Dentition ◽  
Permanent Teeth ◽  
Management Approach ◽  
Removal Method ◽  
Significant Difference ◽  
Caries Removal ◽  
Partial Caries Removal

Abstract Objectives The aim of this study is to investigate the current knowledge and attitude of deep caries removal method among dental students in Malaysia. Materials and Methods A total of 303 students (n = 303) responded to the online questionnaire. The first part of questionnaire was to evaluate the demographic data of the respondents and focused on the technique and management approach used for deep caries lesion. The second part investigated the preferred treatment used for deep caries based on the designated clinical case, while the third part assessed the factors that affected the decision on deep caries management. Statistical Analysis Independent t-test was used to compare difference between the two groups. Results Seventy four percent of the students have the knowledge of the different methods of caries removal, while 25.8% were only familiar with complete caries removal. The preferred method for deep caries removal in permanent teeth was partial caries removal (53%). For primary dentition, 45.6% of the students prefer to perform pulpotomy as compared with other techniques. There was no significant difference in caries removal method for permanent teeth between undergraduate year of study (p > 0.05), which was partial caries removal at 52.7 and 53.5%, respectively. For primary dentition, the preferred caries removal method was pulpotomy for year 4 (39.8%) and year 5 (52%) students. The popular material to restore deep caries was resin composite (42%) followed by glass ionomer cement (23.3%). Conclusions This study showed that partial caries removal was the preferred method despite partial understanding on the identification of the clinical indicators of the technique.

scholarly journals Observational Study Regarding the Relationship between Nutritional Status, Dental Caries, Mutans Streptococci, and Lactobacillus Bacterial Colonies

2021 ◽  
Vol 18 (7) ◽  
pp. 3551
Author(s):  
Eugen Silviu Bud ◽  
Cristina Ioana Bica ◽  
Oana Elena Stoica ◽  
Alexandru Vlasa ◽  
Daniela Eșian ◽  
...  
Keyword(s):  
Dental Caries ◽  
Observational Study ◽  
Nutritional Status ◽  
Positive Association ◽  
Mutans Streptococci ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Dmft Index ◽  
The Relationship ◽  
Significant Health

The prevalence of dental caries and obesity is high as both raise significant health problems. The objective of this study was to evaluate the relationship between dental caries, the number of salivary colonies forming units of Mutans Streptococci (MS) and Lactobacillus (LB), and the nutritional status in a group of children from Transylvania. This observational study used a sample of 154 school children, aged 9 to 12 years. The prevalence of caries was measured using the decayed, missing, and filled teeth index for deciduous teeth (dmft index) and for permanent teeth (DMFT index). Height and weight were assessed for each subject, and their body mass index (BMI) percentile was calculated. Salivary levels of Mutans Streptococci (MS) and Lactobacillus (LB) were determined using the CRT Bacteria Test from Ivoclar Vivadent. In our study, we found a positive association between the BMI percentile, MS count, LB count, tooth brushing frequency, and the incidence of dental caries in children aged 9 to 12 years old. Future preventive programs should include nutrition control in order to prevent both the apparition of dental caries and obesity in children.

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