scholarly journals Deciduous molar hypomineralization (DMH) – a rare entity and its clinical management approach

RSBO ◽  
2017 ◽  
Vol 1 (2) ◽  
pp. 94
Author(s):  
Priyanka Avisa Avisa ◽  
Sreekanth Kumar Mallineni ◽  
Rekhalakshmi Kamatham ◽  
Sivakumar Nuvvula
Keyword(s):  
Management Approach ◽  
Primary Molar ◽  
Full Coverage ◽  
Molar Incisor Hypomineralization ◽  
Molar Teeth ◽  
Permanent Molars ◽  
Tooth Preparation ◽  
Deciduous Molar ◽  
Normal Thickness ◽  
Hall Technique

An idiopathic qualitative defect of enamel, affecting one or more of the permanent molars with/without permanent incisors is known as Molar Incisor Hypomineralization (MIH). Similar defect on primary second molars is termed asdeciduous molar hypomineralization (DMH). Case report and Conclusion: The prevalence rate of MIH and DMH worldwide is between 2.4%-40.2% and 4.9%-9.0% respectively. Clinically, these defects appear as white, yellow or brown spots, and surface is smooth with normal thickness of the enamel. Lack of quality in the enamel causes porosity that fractures easily under mastication, exposing the dentin, and further allows progression of caries. Hence, thiscondition should be diagnosed as early as possible for providing a preventive management against caries and avoid post eruptive breakdown. In addition, intervention with full coverage restoration is needful in the management of the affected teeth. Preformed metal crowns (PMCs) are recommended as the best full coverage restoration for managing primary molar teeth. The Hall Technique embraces changing concepts of managing, without local anesthesia, cariesremoval or tooth preparation. Management of teeth with DMH is challenging as it is quite difficult to achieve anesthesia and due to hypersensitivity, the co-operation of the child is questionable.

scholarly journals Deciduous molar hypomineralization (DMH) – a rare entity and its clinical management approach

RSBO ◽  
2017 ◽  
Vol 14 (2) ◽  
pp. 94-07
Author(s):  
Priyanka Avisa ◽  
Sreekanth Kumar Mallinen ◽  
Rekhalakshmi Kamatham ◽  
Sivakumar Nuvvula
Keyword(s):  
Management Approach ◽  
Primary Molar ◽  
Full Coverage ◽  
Molar Incisor Hypomineralization ◽  
Molar Teeth ◽  
Permanent Molars ◽  
Caries Removal ◽  
Tooth Preparation ◽  
Deciduous Molar ◽  
Normal Thickness

An idiopathic qualitative defect of enamel, affecting one or more of the permanent molars with/without permanent incisors is known as Molar Incisor Hypomineralization (MIH). Similar defect on primary second molars is termed as deciduous molar hypomineralization (DMH). Case report and Conclusion: The prevalence rate of MIH and DMH worldwide is between 2.4%-40.2% and 4.9%-9.0% respectively. Clinically, these defects appear as white, yellow or brown spots, and surface is smooth with normal thickness of the enamel. Lack of quality in the enamel causes porosity that fractures easily under mastication, exposing the dentin, and further allows progression of caries. Hence, this condition should be diagnosed as early as possible for providing a preventive management against caries and avoid post eruptive breakdown. In addition, intervention with full coverage restoration is needful in the management of the affected teeth. Preformed metal crowns (PMCs) are recommended as the best full coverage restoration for managing primary molar teeth. The Hall Technique embraces changing concepts of managing, without local anesthesia, caries removal or tooth preparation. Management of teeth with DMH is challenging as it is quite difficult to achieve anesthesia and due to hypersensitivity, the co-operation of the child is questionable.

Treatment options for deciduous molar hypomineralization: a report of three cases

Dental Update ◽  
2019 ◽  
Vol 46 (6) ◽  
pp. 546-553
Author(s):  
Yasmy Quintero ◽  
Manuel Restrepo ◽  
Jenny Angélica Saldarriaga ◽  
Alexandra Saldarriaga ◽  
Lourdes Santos-Pinto
Keyword(s):  
Differential Diagnosis ◽  
Early Diagnosis ◽  
Treatment Options ◽  
Clinical Implications ◽  
Therapeutic Approaches ◽  
Enamel Defect ◽  
Delayed Treatment ◽  
Molar Incisor Hypomineralization ◽  
Permanent Molars ◽  
Deciduous Molar

Deciduous molar hypomineralization (DMH) is an enamel defect of systemic and multifactorial origin that affects the second deciduous molar. Currently, its treatment is based on guidelines for Molar Incisor Hypomineralization (MIH), a disturbance that affects permanent molars and may or may not be associated with permanent incisors. To date, there are no guidelines for DMH. Therefore, three different therapeutic approaches are presented to treat DMH, emphasizing the relevance of early diagnosis, differential diagnosis and treatment options, and tailored to take into account each patient's and parents' specific needs, as well as the involved tooth, severity of DMH, patients' symptoms and behaviour. CPD/Clinical Relevance: To understand the clinical implications of DMH since the diagnosis and delayed treatment of this enamel alteration could have important complications in both the primary and permanent dentition.

scholarly journals Floss abrasion: a cautionary tale

2020 ◽  
Author(s):  
J. Cooper ◽  
D. Al-Jassim ◽  
S. Barry
Keyword(s):  
Clinical Findings ◽  
Primary Molar ◽  
Dental Floss ◽  
Preformed Metal Crowns ◽  
Dental Hospital ◽  
Molar Teeth ◽  
Orthodontic Separators ◽  
The Uk ◽  
The University ◽  
Hall Technique

Abstract Background The Hall technique for placement of preformed metal crowns is widely used in the UK for the management of decayed primary molar teeth. The creation of space is achieved by the placement of orthodontic separators adjacent to the tooth requiring restoration. Highlighting the first reported case of an abrasion caused by dental floss, this communication describes the clinical findings of an 8-year-old patient following placement of orthodontic separators. Case report An 8-year old boy attended the University Dental Hospital of Manchester for placement of orthodontic separators prior to restoration URE, ULE, LLE, and LRE with preformed metal crowns using the hall technique. The following week he presented with a 2cm abrasion to his right cheek, which had been caused by dental floss used in placement of the orthodontic separators. Follow up Conservative advice was given and the lesion had resolved completely at a 2-week review. Conclusion This case is a timely reminder of the importance of adequate lip retraction and soft tissue management during placement of orthodontic separators.

scholarly journals The Long-Term Effects of Mandibular Distraction Osteogenesis on Developing Deciduous Molar Teeth

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Paul Hong ◽  
Elise Graham ◽  
James Belyea ◽  
S. Mark Taylor ◽  
Donald B. Kearns ◽  
...  
Keyword(s):  
Distraction Osteogenesis ◽  
Upper Airway ◽  
Retrospective Chart Review ◽  
Long Term Effects ◽  
Primary Molar ◽  
Mandibular Distraction ◽  
Mandibular Distraction Osteogenesis ◽  
Molar Teeth ◽  
Deciduous Molar

Background. Many studies have demonstrated the effectiveness of mandibular distraction osteogenesis (MDO) in alleviating the micrognathia-associated upper airway obstruction but very few studies have focused on long-term dental outcomes. Objective. To report the effect of MDO on developing deciduous molars in the distraction area. Methods. A retrospective chart review was performed to identify patients with Pierre Robin sequence who underwent MDO with documented long-term dental assessments. Results. Ten children (mean age at surgery 69.8 days; 6 boys and 4 girls) were included for analysis. All patients underwent bilateral MDO with an inverted L-shaped osteotomy to avoid injuring tooth buds. The dental developmental stage was primary dentition in all children. Overall, 3 patients developed minor dental problems involving 4 molar teeth (2 root malformations and 2 shape anomalies) but they did not require any interventions. Conclusion. Significant primary molar developmental complications were not seen in our patients. The use of internal distractor device with an inverted L-shaped osteotomy seems to be a safe surgical approach in regards to dental outcomes.

Ferric sulfate as pulpotomy agent in primary teeth: twenty month clinical follow-up

2000 ◽  
Vol 24 (4) ◽  
pp. 269-272 ◽  
Author(s):  
Hamijeta Ibricevic ◽  
Qumasha Al-Jame
Keyword(s):  
Success Rate ◽  
Primary Teeth ◽  
Root Resorption ◽  
Clinical Success ◽  
Clinical Success Rate ◽  
Ferric Sulfate ◽  
Primary Molar ◽  
Molar Teeth ◽  
The Moment

Seventy primary molar teeth, carious exposed, symptom free, without any sign of root resorption in children aged from 3 to 6 years (main age 4.3yr) were treated with conventional pulpotomy procedures. Ferric sulfate 15.5% solution (applied for 15 second for 35 teeth) and formocresol solution (five minute procedure of Buckley's formula for next 35 teeth) have been used as pulpotomy agents. In both groups, pulp stumps were covered with zinc-oxide eugenol paste. Permanent restorations were stainless steel crowns. Clinical check up was every three-months and radiographic follow-up time was six and twenty months after treatment. Our results within this period revealed 100% clinical success rate in both groups. Radiographic success rate was in both groups 97.2%, while in 2.8% cases has shown internal root resorption. On the basis of these results, we can recommend ferric sulfate as a pulpotomy agent in primary teeth in substitution for formocresol at the moment.

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