scholarly journals Zirconia Inlay on Vital Teeth with Profunda Caries

2021 ◽  
Vol 11 (2) ◽  
pp. 72
Author(s):  
Sandra Kartika Sari ◽  
Kun Ismiyatin ◽  
Bagus Aji Wibowo ◽  
Rara Amorita Miranda
Keyword(s):  
Dental Caries ◽  
Dental Health ◽  
Treatment Plan ◽  
Glass Ionomer Cement ◽  
Base Material ◽  
Oral Disease ◽  
Posterior Teeth ◽  
Physical Strength ◽  
Tooth Structure ◽  
Perceived Illness

Background: Dental caries has historically been considered the most critical component of the global burden of oral disease. Health facilities and dental health education counselling have been conducted, but public knowledge about dental caries is still low. The increasing number of dental caries is currently influenced by one of the factors of community behaviour. Most people do not realize the importance of taking care of oral and dental health. The ignorance of the community results in a decrease in productivity due to the influence of the perceived illness. Advances in dentistry since the last decade has allowed the use of conservative dental care. Modern restorative dentistry offers many methods for restoring teeth, both direct and indirect. The need for restoration of posterior teeth is related to aesthetic purposes and functional, biocompatibility and biomechanical aspects of the remaining tooth structure. Some materials that are widely used as tooth-coloured indirect restorations in posterior teeth are zirconia. Zirconia has its characteristics, especially in terms of functionality, such as mechanical strength, physical strength and aesthetics. Purpose: This study aims to determine the management of indirect restoration treatment using zirconia inlay on upper premolar. Case(s): A 46-yearold male patient complained that the filling of his upper left tooth was often loose and uncomfortable when used for eating because the food was stuck in it. The patient wants his teeth treated. The history of treatment on the tooth in question has been patched two times, but it often comes off partially. Case Management: From the examination that has been carried out, a clinical diagnosis of reversible pulpitis was established. The treatment plan that will be carried out is indirect pulpcapping using MTA and resin-modified glass ionomer cement as the base material. The planned restoration treatment is a fixed inlay restoration made of monolithic zirconia. Conclusion: Recently, zirconia has also been developed staining with improved translucency so that it becomes more aesthetic. Zirconia has a higher level of material resistance than otherrestorative materials such as composites. This is what makes zirconia the choice, especially for use as a framework for all-ceramic and partially-fixed crowns dental prosthesis.

Amelogenesis Imperfecta from Diagnosis to Rehabilitation-A Case Report

2019 ◽  
Vol 7 (3) ◽  
pp. 01-06
Author(s):  
Rodrigo Andrade
Keyword(s):  
Color Change ◽  
Treatment Plan ◽  
Glass Ionomer Cement ◽  
Dental Enamel ◽  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Anterior Open Bite ◽  
Correct Treatment ◽  
Rehabilitative Treatment ◽  
Tooth Structure

During odontogenesis, enamel is normally synthesized as an extracellular matrix, a phenomenon known as amelogenesis. The failure of this process can lead to malformation of dental enamel, called Amelogenesis Imperfecta (AI). AI, by causing a qualitative and/or quantitative deficiency of dental enamel, presents characteristics such as hypersensitivity, unsatisfactory aesthetics, reduced vertical dimension, anterior open bite, plaque accumulation, and greater susceptibility to caries and gingivitis. Thus, our objective is to report a case of AI, describing the main characteristics of the disease, the diagnosis and the rehabilitative treatment plan, aiming to improve the patient's aesthetics and reestablishing the function of the stomatognathic system. Patient M.A.S.B., female, 5 years old, leucoderma, was admitted at the University of Patos de Minas Dental Clinic with a complaint of pain in the teeth. During the clinical interview, the person in charge reported that the child's teeth had the same defects as those of her mother and brother. During clinical examination it was observed: generalized loss of tooth structure, color change, rough surfaces and hypersensitivity. Treatment involved restorations with glass ionomer cement and composite resin, extraction of residual roots from the maxillary incisors, and confection of a functional and aesthetic space maintainer. Early diagnosis associated with the correct treatment plan is essential for a more conservative approach focused on preventing the effects of AI. In advanced cases, restoring function and aesthetics is paramount to improve the patient's quality of life.

The Oral Health of Children with Clefts of the Lip, Palate, or Both

2001 ◽  
Vol 38 (5) ◽  
pp. 525-528 ◽  
Author(s):  
J. R. Chapple ◽  
J. H. Nunn
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
National Survey ◽  
Primary Teeth ◽  
Dental Health ◽  
Oral Disease ◽  
Permanent Teeth ◽  
Developmental Defects ◽  
Aggressive Approach ◽  
Developmental Defects Of Enamel

Objective: The purpose of this study was to assess the prevalence of dental caries, developmental defects of enamel, and related factors in children with clefts. Design: This cross-sectional prevalence study used standard dental indices for assessment. Setting: Children underwent a dental examination under standard conditions of seating and lighting in the outpatient department of a dental hospital as part of an ongoing audit to monitor clinical outcomes. Participants: Ninety-one children aged 4, 8, and 12 years were included in the study. Outcome Measurements Dental caries were assessed by use of the decayed, missing, and filled index for primary teeth (dmft); Decayed, Missing, and Filled index for permanent teeth (DMFT) according to the criteria as used in the national survey of children's dental health in the United Kingdom (O'Brien, 1994). Developmental defects were assessed using the modified Developmental Defects of Enamel Index (Clarkson and O'Mullane, 1989). Dental erosion was assessed using the criteria derived for the national survey of children's dental health (O'Brien, 1994). Results: Caries prevalence increased with age; 63% of patients at 4 years and 34% at 12 years were caries free. The mean dmft for the 4-year-olds was 1.3 with a mean DMFT for the 12-year-olds of 1.8. All the 4-year-olds had evidence of erosion of enamel in the primary teeth (incisors and first molars) and 56% of the 12-year-olds had erosion of permanent teeth (incisors and first permanent molars). Developmental defects of enamel became more prevalent with age, with at least one opacity in 56% of 4-year-olds and 100% of 12-year-olds. Hypoplasia was not found in the primary dentition but affected permanent teeth in 38% of 8-year-olds and 23% of the 12-year-olds. Conclusion: This study has shown that dental disease is prevalent in these patients. These assessments not only provide a baseline on oral health parameters in young people with clefts but underline the need for a more aggressive approach to prevention of oral disease to optimize clinical outcome.

scholarly journals Nanosilver fluoride as a caries arresting agent: A narrative review

2021 ◽  
pp. 1-13
Author(s):  
Mohammed Zameer ◽  
◽  
Sameen Badiujjama Birajdar ◽  
Syed Nahid Basheer ◽  
Syed Wali Peeran ◽  
...  
Keyword(s):  
Dental Caries ◽  
Silver Ions ◽  
Oral Disease ◽  
Invasive Treatment ◽  
Silver Diamine Fluoride ◽  
Tooth Structure ◽  
Non Invasive ◽  
Lesion Level ◽  
Contemporary Management ◽  
Significant Attention

Dental caries is the most prevalent oral disease that continues to affect almost every country in the world. The contemporary management of dental caries focuses on non-restorative, non-invasive, and micro-invasive treatment approaches that arrest or reverse the caries process at a lesion level and reduce the loss of sound tooth structure. One of these approaches is the employment of caries arresting agents that possess antibacterial and remineralizing properties. Silver diamine fluoride (SDF) has drawn significant attention as an efficient caries arresting agent in children and adults. The major limitation with the use of SDF is the dark black staining of the carious tissue that compromises the esthetics. Silver ions are known for their antimicrobial effects, and silver nanoparticles (AgNPs) have the added advantage that it increases the surface area for exposure to the microbes. Literature reports that AgNPs have antimicrobial potential against predominant cariogenic flora. It has led to the development of nanosilver fluoride (NSF), a new colloid based on AgNPs, chitosan, and fluoride. It has shown to overcome the clinical limitations of SDF as it does not cause carious lesion staining. However, the current scientific literature lacks a comprehensive review of the benefits of using NSF for caries prevention and arrest. Thus, the purpose of this paper was to review the studies and clinical trials on NSF as a caries arresting agent, including antibacterial actions and modulation of the demineralization-remineralization balance.

scholarly journals 3D Dentobox (Dental Explosion Box 3D) as education media for children caries prevention

2017 ◽  
Vol 29 (2) ◽  
Author(s):  
Siti Rusdiana Puspa Dewi ◽  
Deratih Putri Utami AF ◽  
Indah Octantia ◽  
Nurul Ifadah
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Dental Health ◽  
Three Dimensional ◽  
Caries Prevention ◽  
Oral Disease ◽  
Control Group ◽  
Research Subjects ◽  
Control Group Design ◽  
Level Of Knowledge

Introduction: The most common dental and oral health problem in the world is dental caries. In Indonesia, as many as 89% of children under 12 years old suffered from dental and oral disease. Lack of dental knowledge and awareness can be overcome by conducting intensive dental and health education to the community. 3D Dentobox is a simple three-dimensional game designed to deliver dental and oral health messages, including dental hygiene, ways to overcome dental health problems and some dental games. 3D Dentobox is an educational media prevention of caries in children. Methods: The method used was Quasi experiment with the type of pretest and posttest control group design. The sample of this study was 30 children aged 9-12 years old. The research subjects filled out a questionnaire containing information on the level of knowledge, attitudes, and actions in caries prevention efforts followed by outreaching to the media and 3D props Dentobox and was given back the same questionnaire to be filled. Data were collected and evaluated using Guttman scale and was analyzed by paired T test. Results: The results showed that the average level of knowledge, changing attitudes, and actions before and after use 3D Dentobox increased significantly (p<0.05). Conclusion: 3D Dentobox can be used as a media of education to prevent dental caries in children.

Clinical efficacy of treatment of immature permanent teeth in children with different risk of caries

2020 ◽  
Vol 20 (1) ◽  
pp. 42-47
Author(s):  
T. N. Tserakhava ◽  
M. I. Klenovskaya ◽  
E. I. Melnikava ◽  
N. V. Shakavets ◽  
D. N. Naumovich ◽  
...  
Keyword(s):  
High Risk ◽  
Dental Caries ◽  
Clinical Efficacy ◽  
Treatment Plan ◽  
Glass Ionomer Cement ◽  
Color Stability ◽  
Permanent Teeth ◽  
Glass Ionomer ◽  
Immature Teeth ◽  
Ionomer Cement

Relevance. Nowadays the choice of restorative material and treatment plan for caries of immature permanent teeth in children remains of current interest. Purpose. To evaluate the clinical efficacy of modified glass-ionomer cement for restoration of permanent immature teeth in children with different risk of dental caries. Materials and methods. The results of the treatment of immature permanent teeth in children with different risk of caries are proposed in this article. 100 permanent immature teeth in children with a low, moderate and high risk of dental caries with acute and chronic process were treated using modified glass ionomer cement. Remineralizing therapy was carried out in children with acute caries for 2 weeks before restoration. The duration of remineralizing therapy in children with a high risk and chronic caries was 2 weeks, in the acute caries – 4 weeks. Remineralizing therapy included application of calcium and phosphate containing agents. Assessment of the fillings was conducted in 12 and 24 months in accordance with Ryge criteria which take into account the anatomical shape, marginal adaptation, marginal pigmentation, color stability, and surface roughness. Results. It has been found the high effectiveness of the proposed method of treatment after two years. 100% retention of restorations were revealed. 80-95% fillings were of satisfactory quality, 5-20% of fillings were of acceptable quality and do not require correction or re-treatment.Conclusions. The modified glass-ionomer cement restorations with previous remineralizing therapy provide the high clinical efficacy for the treatment of caries in permanent immature teeth in children with different risk caries in 85-90% of clinical cases. 

scholarly journals Dental health status of skeletal remains excavated from an abandoned well at Ajnala, India: a bioarchaeological study

2018 ◽  
Vol 81 (3) ◽  
pp. 307-324 ◽  
Author(s):  
Jagmahender Singh Sehrawat ◽  
Monika Singh
Keyword(s):  
Health Status ◽  
Dental Caries ◽  
Dental Health ◽  
Skeletal Remains ◽  
Pathological State ◽  
Adult Males ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Mandibular Teeth ◽  
Dental Health Status

Abstract Present study was conducted to assess dental health status of the mid-19th century skeletal remains excavated from an abandoned ancient well and to scrutinize the demographic affiliations of the remains. Thousands of bones, teeth and contextual items were excavated non-scientifically from an abandoned well situated underneath a religious structure at Ajnala (Amritsar, India). Four thousands four hundred and seventy five teeth of each type were examined for presence of dental pathologies of caries, wear and linear enamel hypoplasia (LEH). The frequency distribution of each pathological state was calculated for each tooth type using international dental standards available in the literature. The overall dental status was characteristic of young individuals having low prevalence of dental caries and enamel hypoplasiac lesions. Very few teeth had seriously exposed dentine and pulp cavity; indicating consumption of some cariogenic food items. The maxillary and posterior teeth were more affected with dental caries than the mandibular and anterior teeth. LEH defects were found more commonly distributed in the lower canines (44.9%) and upper incisors (34.8%) than their corresponding counterparts and statistically significant differences were noticed in LEH prevalence between anterior and, posterior dentition. The overall percentage of LEH has been found as 15.8%; with 15.4% maxillary and 16.2% mandibular teeth being affected with LEH. The paleodontogical examinations, contextual items and the preliminary molecular findings supported the written versions that victims of Ajnala skeletal remains had sound dental health status and probably belonged to adult males who were killed in 1857 as per written versions.

scholarly journals Internet of Dental Things (IoDT), Intraoral Wireless Sensors, and Teledentistry:  A Novel Model for Prevention of Dental Caries

2021 ◽  
Author(s):  
Smita Salagare ◽  
Ramjee Prasad
Keyword(s):  
Dental Caries ◽  
Digital Technology ◽  
Wireless Sensors ◽  
New Technology ◽  
Oral Disease ◽  
Tooth Structure ◽  
Prevention And Early Detection ◽  
Innovative Model ◽  
Major Factors ◽  
Novel Model

Abstract Dental caries is a complex, multifactorial, transmissible biofilm-initiated oral disease, which results in loss of tooth structure. Oral microbial flora, pH of biofilm, consumption of carbohydrates, and oral hygiene are few of those major factors, which cause dental caries. However, it is possible to monitor those cariogenic factors with the help of new technology, and that will result in the prevention and early detection of dental caries. Internet of Dental Things (IoDT) is an advanced cloud-based digital technology, which could be successfully used in this area. Our goal is to generate such a technology-based model. This paper proposes a novel innovative model, which is based on Internet of Dental Things, intraoral wireless sensors and tele dentistry, which will achieve prevention and detection of dental caries in its initial stages.

scholarly journals Dental Caries Experience among Industrial Workers in Parwanoo, Himachal Pradesh, India

2019 ◽  
Vol 3 (4) ◽  
pp. 150-153
Author(s):  
Kesari Singh ◽  
Abhinav Bhasker
Keyword(s):  
Dental Caries ◽  
Dental Health ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Himachal Pradesh ◽  
Oral Disease ◽  
Caries Experience ◽  
Major Public Health Problem ◽  
Industrial Workers ◽  
Cross Sectional

Background: Dental caries, the oral disease with multifactorial causes is a major public health problem leading go medically significant morbidity and impacting the general health of a population directly or indirectly. Dental caries is known to affect people from every population. Objective: To assess dental caries experience in permanent dentition among industrial workers in Parwanoo, Himachal Pradesh, India. Materials and Methods: This cross-sectional study was conducted among 1024 industrial workers of Parwanoo, Himachal Pradesh, in the age group of 16-55 years. Dental caries experience was assessed using WHO dentition status proforma (2013). Statistical analysis was done using SPSS 21.0. Results: Out of 1024 study subjects, 572 were males and 452 were females. Caries prevalence was found to be 47.46%. Mean decay-missing-filled teeth score of the population was 0.95 ± 0.45 and was found to be higher among females (1.06 ± 0.42) as compared to males (0.93 ± 0.38). Conclusion: The prevalence of dental caries in industrial workers is noteworthy. Essential requisites to bring this under control include awareness regarding good dental health, education on prevention of dental caries and implication of necessary measures for the provision of adequate dental care.

Pain management of Dental Caries (Krimi Danta) - A Case Report

2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Amit Kumar ◽  
Mahamad Yunus S. Nabooji
Keyword(s):  
Dental Caries ◽  
Orofacial Pain ◽  
Common Type ◽  
Tooth Decay ◽  
Cotton Swab ◽  
Argemone Mexicana ◽  
Liver Disorders ◽  
Tooth Structure ◽  
Tingling Sensation ◽  
Dental Emergency

Dental caries/Tooth decay is progressive destruction of tooth structure, leading to tooth ache. Tooth ache is the most common type of orofacial pain and when severe it is considered a dental emergency. Pain killers will be the first option to get rid of pain but use of these pain killers have many adverse effects and also its over prescription leads to kidney disorders, liver disorders etc. and in Ayurveda for the management of pain in Krimidanta it is mentioned that, Krimighna (anti-microbial), Vatagna (which relieves Vata) and Ushnaveerya Dravyas (drugs with hot potency) are to be used which can relieve the toothache and discolouration. Hence here an attempt was made to find out an alternate medicine which is effective, has no contraindications and with no side effects. Here the patient was treated with Dantapichu (soaked cotton swab) with Katuparni Ksheera (milk of Argemone Mexicana Linn.) as a local application. After the treatment, a significant response in various symptoms such as tooth pain, tingling sensation and swelling was observed.

scholarly journals Selective Caries Removal in Permanent Teeth (SCRiPT) for the treatment of deep carious lesions: a randomised controlled clinical trial in primary care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jan E. Clarkson ◽  
Craig R. Ramsay ◽  
David Ricketts ◽  
Avijit Banerjee ◽  
Chris Deery ◽  
...  
Keyword(s):  
Dental Health ◽  
Controlled Clinical Trial ◽  
Trial Registry ◽  
Posterior Teeth ◽  
Carious Lesions ◽  
Randomised Controlled Clinical Trial ◽  
Deep Carious Lesions ◽  
Caries Removal ◽  
Randomised Controlled ◽  
Selective Caries Removal

Abstract Background Dental caries is one of the most prevalent non-communicable disease globally and can have serious health sequelae impacting negatively on quality of life. In the UK most adults experience dental caries during their lifetime and the 2009 Adult Dental Health Survey reported that 85% of adults have at least one dental restoration. Conservative removal of tooth tissue for both primary and secondary caries reduces the risk of failure due to tooth-restoration, complex fracture as well as remaining tooth surfaces being less vulnerable to further caries. However, despite its prevalence there is no consensus on how much caries to remove prior to placing a restoration to achieve optimal outcomes. Evidence for selective compared to complete or near-complete caries removal suggests there may be benefits for selective removal in sustaining tooth vitality, therefore avoiding abscess formation and pain, so eliminating the need for more complex and costly treatment or eventual tooth loss. However, the evidence is of low scientific quality and mainly gleaned from studies in primary teeth. Method This is a pragmatic, multi-centre, two-arm patient randomised controlled clinical trial including an internal pilot set in primary dental care in Scotland and England. Dental health professionals will recruit 623 participants over 12-years of age with deep carious lesions in their permanent posterior teeth. Participants will have a single tooth randomised to either the selective caries removal or complete caries removal treatment arm. Baseline measures and outcome data (during the 3-year follow-up period) will be assessed through clinical examination, patient questionnaires and NHS databases. A mixed-method process evaluation will complement the clinical and economic outcome evaluation and examine implementation, mechanisms of impact and context. The primary outcome at three years is sustained tooth vitality. The primary economic outcome is net benefit modelled over a lifetime horizon. Clinical secondary outcomes include pulp exposure, progession of caries, restoration failure; as well as patient-centred and economic outcomes. Discussion SCRiPT will provide evidence for the most clinically effective and cost-beneficial approach to managing deep carious lesions in permanent posterior teeth in primary care. This will support general dental practitioners, patients and policy makers in decision making. Trial Registration Trial registry: ISRCTN. Trial registration number: ISRCTN76503940. Date of Registration: 30.10.2019. URL of trial registry record: https://www.isrctn.com/ISRCTN76503940?q=ISRCTN76503940%20&filters=&sort=&offset=1&totalResults=1&page=1&pageSize=10&searchType=basic-search.

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