Molar Incisor Hypomineralization: Etiology, Clinical Aspects, and a Restorative Treatment Case Report

2020 ◽  
Vol 45 (4) ◽  
pp. 343-351
Author(s):  
D Sundfeld ◽  
LMS da Silva ◽  
OJ Kluppel ◽  
GC Santin ◽  
RCG de Oliveira ◽  
...  

Clinical Relevance Total-etch adhesive systems and resin composite are clinically viable dental materials for esthetic restorations in teeth presenting white/yellow/brown hypomineralization stains. SUMMARY Molar-incisor hypomineralization (MIH) is a condition that negatively affects enamel and dentin, especially the first molars and permanent incisors, causing esthetic and functional problems. The present clinical case report presents and discusses the etiology and clinical characteristics of MIH and describes a restorative protocol for MIH-affected teeth.

2016 ◽  
Vol 41 (4) ◽  
pp. 363-369 ◽  
Author(s):  
AFM Cardenas ◽  
FSF Siqueira ◽  
A Davila-Sanchez ◽  
GM Gomes ◽  
A Reis ◽  
...  

SUMMARY Knowledge about the stability of fiber posts cemented in widened canal spaces over time is scarce in the literature. Thus, the purpose of this case report was to evaluate the performance of a direct anatomical post in a widened canal space over the course of four years. The present clinical case describes the rehabilitation of a widened canal space using a direct anatomical post (a resin composite combined with a prefabricated glass fiber post) associated with an all-ceramic crown and other restorative procedures. This technique is easy to perform and may solve some of the problems associated with the cementation of a poorly adapted fiber post in a widened canal space.


2020 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Federica Gigli ◽  
Daniele Laszlo ◽  
Daniele Avenoso

The recent SARS-CoV-2 pandemic is a new challenge for clinicians worldwide. Although the clinical aspects are well described by different groups, there are still some areas of uncertainty about the interpretation of diagnostic methods. Herein, we describe the clinical case of a 45-year-old lady that contracted SARS-CoV-2 infection with a prolonged PCR positive nasopharyngeal swab but lack of COVID-19 defining events.


10.2341/07-99 ◽  
2008 ◽  
Vol 33 (2) ◽  
pp. 209-214 ◽  
Author(s):  
S. Deliperi

Clinical Relevance The proper utilization of fiber-reinforced resin composite restorations in endodontically-treated molars may preclude the use of more extensive restorative treatment, possibly delaying the need for expensive indirect restorations.


2017 ◽  
Vol 15 (2) ◽  
Author(s):  
Patricia Trejos ◽  
Vanessa Hernando ◽  
Claudia De León

Summary: Introduction: Dentinogenesis imperfecta (DI) is an inherited dental diaseasein which dental crowns are affected. DI originates by defects on the histo-differenciation stage ofodontogenesis, constituting a localized mesodermal dysplasia characterized by an expressedalteration of dentin proteins. There are three types of dentinogenesis imperfecta: Type I(associated with osteogenesis imperfecta OI), type II (no associated with OI), and type III(Brandywine’s). Objectives: To determine the type of dentinogenesis imprefecta, the family historyand clinical characteristics of a patient within extensive coronal destruction, to establish aprecise diagnosis and a treatment to recover masticatory function. Case Report: A 3-year-old malechild was referred to the clinic with dental hypersensitivity and pain during mastication. Hepresented generalized and extensive crown destructions and discoloration of erupted teeth,abscesses, attrition and loss of vertical dimension. Radiographs showed obliterated pulp chambers,marked cervical constriction and short roots. After clinical and radiographic analysis, familyhistory and consultation with a Geneticist, a relation with OI was not established. In contrast, adiagnosis of dentinogenesis imperfecta type II was confirmed. DE type II is an autosomyc dominanttrait, without gender predilection. Restorative treatment involved stainless steel crowns, requiredextractions, space maintainers and removable partial dentures placement. Conclusion: Early diagnosisand treatment of DI is recommended because the severe destruction of primary dentition that mayaffect child chewing and nutrition. Consultation wit a Geneticist in DI cases is reccomended todiscard any association with OI or other genetic syndromes. Key words: Dentinogenesis imperfecta.Odontogenesis imperfecta. Opalescent dentin. Hereditary opalescent dentin.


2021 ◽  
Vol 10 (40) ◽  
pp. 11-15
Author(s):  
Patrícia Ferronato Araújo ◽  
Jessica Tiemi Ribeiro Ishii ◽  
Antonio Setsuo Sakamoto Junior

Dental trauma injuries occur more frequently in upper anterior teeth, especially in enamel and dentin without pulp involvement. This article presents a clinical case report of a patient dissatisfied with the color of the tooth 21 restoration performed after suffering dental trauma. The format was adequate, so a previous molding of the palatal region was performed, and a condensing silicone guide was made. The use of the palatal guide facilitates the execution of the restoration and guides the layering of selected resins. Following the Natural Stratification concept, this case demonstrated a restorative treatment of direct restorations in composite resin, which can be considered an alternative for fractured anterior teeth, presenting clinical agility and excellent esthetic results.


2016 ◽  
Vol 64 (2) ◽  
pp. 186-192
Author(s):  
Manoelito Ferreira SILVA-JUNIOR ◽  
Rahyza Inácio Freire de ASSIS ◽  
Flávia Bittencourt PAZINATTO

ABSTRACT The aim this study is to present a clinical case of conservative aesthetic restorative treatment of teeth 11 and 21 in a patient diagnosed with molar incisor hypomineralization. An 18-year-old female patient came to the Outpatient Restorative Dentistry Clinic at the Federal University of Espírito Santo, complaining mainly of not feeling comfortable with a color change in her anterior teeth. Molar incisor hypomineralization was diagnosed in molars and incisors and the negative psychosocial implications for the aesthetics involved were noticed. Due to factors such as age, financial viability, technical facility and low degree of severity, we opted for maximum preservation of the healthy tooth structure, through minimal surgical intervention to remove the irregular enamel only and subsequently restore the teeth involved (11 and 21) with resin composite. For the patient, this conservative procedure restored function and aesthetics, and thereby improved her emotional and social behavior. Conservative restorations can provide real solutions, especially in cases of molar incisor hypomineralization in anterior teeth where the patient's psychological state should always be considered. An appropriate assessment of the dental substrate and a careful restorative technique are necessary for success in terms of aesthetics and function and can quickly promote the patient's well-being.


2021 ◽  
Vol 10 (2) ◽  
pp. 22510212085
Author(s):  
Leonardo Alan Delanora ◽  
Ana Maira Pereira Baggio ◽  
Nathália Januario de Araujo ◽  
Idelmo Rangel Garcia-Junior ◽  
Sabrina Ferreira

Cherubism is described as a rare and benign hereditary bone disease, characterized by a bilateral volumetric increase in the maxillary bones, with a greater predilection for males in childhood. Clinically, it presents as a volumetric enlargement of the mandible and, maxilla, which is generally painless, firm on palpation and varies in relation to size and extension. Its differential diagnosis is the Brown Tumor of Hyperparathyroidism and the Central Lesion of Giant Cells. The diagnosis is based on the assessment of clinical characteristics together with complementary exams. The objective of this study was to carry out a brief review of the literature and report a clinical case of this pathology in a 9-year-old child with a family history of cherubism, assessed through imaging, histopathological and karyotype exams, which continues to be assisted by the oral and maxilofacial surgery team of the Faculdade de Odontologia de Araçatuba - FOA Unesp since the treatment of the cherubism still does not have a definitive protocol.


RSBO ◽  
2019 ◽  
Vol 15 (2) ◽  
pp. 135
Author(s):  
Paula Porto Spada ◽  
Ana Luiza Girardi ◽  
Thayna Souza Silva ◽  
Guilherme Schuldt ◽  
Darlan Rigo Junior ◽  
...  

Introduction: Oral pigmentary lesions may have different clinical characteristics, ranging from physiological pigmentation, such as melanin spots, to something more serious, such as malignant melanoma. Due to the great variety of pigmented lesions, the treatments are varied and individualized. Objective: This clinical case reports a case of melanocytic removal through a surgical technique that associates rotary instruments and scalpel blade. Case report: A 45-year-old patient, melanoderma, sought care at the Positivo University, complaining about the dark spots visible on his gum, and the discomfort they caused him when smiling. After the clinical examination, the presence of melanocytic pigmentation was diagnosed and the proposed treatment was surgical removal of spots with a drill and scalpel blade. In the immediate postoperative period, the patient presented good healing and reported only mild burning in the first three days. After 60 days, the gingiva was healed, with no relapsing spots. Conclusion: The technique chosen was effective because it presented adequate healing and absence of relapse of the pigmentation in the postoperative follow-up


2016 ◽  
Vol 41 (S7) ◽  
pp. S58-S67 ◽  
Author(s):  
B Loomans ◽  
T Hilton

SUMMARY This article gives an overview of the state of the art of different restorative treatment procedures and techniques needed for placing extended posterior resin composite restorations. Clinical aspects related to the procedure are discussed and reviewed based on the current literature, such as the use of proper adhesive restorative materials, use of liners and bases, moisture control, reconstruction of proximal contacts, extended resin composite restorations, and techniques to address restoring teeth with deep subgingival margins.


2020 ◽  
Vol 45 (6) ◽  
pp. 569b-574
Author(s):  
GS Athayde ◽  
RC Jorge ◽  
GCA Americano ◽  
F Barja-Fidalgo ◽  
VM Soviero

Clinical Relevance A minimally invasive esthetic treatment can provide longevity and color stability. SUMMARY This clinical case report describes a minimally invasive approach to mask diffuse and demarcated opacities in permanent anterior teeth in an eight-year-old child who was upset with the appearance of her incisors. Clinical examination showed diffuse opacities in teeth 7, 8, 9, and 10, diagnosed as dental fluorosis associated with yellow demarcated opacity in tooth 9 related to molar-incisor hypomineralization. The treatment was based on conservative dentistry using the low-viscosity resin infiltration technique and resin composite restoration in an attempt to mask the lesions. The follow-up time was 24 months.


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