Preserving the roots and restoring a young smile: a challenge to the pedodontist

Early childhood caries is one of the most common chronic diseases seen in preschool children. It mainly affects maxillary primary anterior teeth and if untreated leads to pulpal involvement and destruction of coronal tooth structure. This results in decreased masticatory efficiency, difficulty in speech, compromised esthetics, development of abnormal tongue habits, subsequent malocclusion and psychological problems. The successful restoration of primary anterior teeth with severe loss of coronal structure is a challenging task for the dentists. The purpose of this case report is to describe the treatment of severely mutilated primary anterior teeth with a simple and efficient technique using omega wire extension and fiber post.

Download Full-text

Post Endodontic Restoration of Severely Decayed Primary Dentition: A Challenge to Pediatric Dental Surgeon

World Journal of Dentistry ◽

10.5005/jp-journals-10015-1057 ◽

2011 ◽

Vol 2 (1) ◽

pp. 67-69

Author(s):

CH Srinivas N ◽

M Jayanthi

Keyword(s):

Stainless Steel ◽

Early Childhood ◽

Dental Caries ◽

Early Childhood Caries ◽

Primary Teeth ◽

Childhood Disease ◽

Anterior Teeth ◽

Masticatory Efficiency ◽

Special Challenge ◽

Chronic Childhood

ABSTRACT Dental caries is the single most common chronic childhood disease. In early childhood caries, there is early pulpal involvement and gross destruction of the maxillary anterior teeth. This leads to decreased masticatory efficiency, difficulty in speech, psychological problems due to compromised esthetics, development of abnormal tongue habits and subsequent malocclusion. The restoration of severely decayed primary incisors is often a procedure that presents a special challenge to dentists, particularly in an uncooperative child. This case presents the clinical sequence of rehabilitation of upper anterior primary teeth, where endodontic treatments were done chairside followed by the construction of root post using stainless steel and the fabrication of crowns composed of resin.

Download Full-text

COMPLETE ORAL REHABILITATION OF SEVERELY MUTILATED TEETH DONE UNDER GENERAL ANAESTHESIA - A CASE REPORT

CODS Journal of Dentistry ◽

10.5005/cods-3-2-5 ◽

2011 ◽

Vol 3 (2) ◽

pp. 5-6

Author(s):

I.E. Neena

Keyword(s):

Stainless Steel ◽

Early Childhood ◽

Case Report ◽

Early Childhood Caries ◽

Composite Resin ◽

Oral Rehabilitation ◽

Anterior Teeth ◽

Pediatric Dentist ◽

Custom Made ◽

Long Time

ABSTRACT The esthetic restoration of severely mutilated primary anterior teeth has for a long time been a challenge for the pediatric dentist, not only because of the available materials and techniques, but also because the children who require such restorations are usually among the youngest and least manageable group of patients. This case report describes the challenging task of treating a three-year-old early childhood caries patient with mutilated maxillary incisors with composite resin using a custom made post made with 0.7 mm wire and posteriors where endodontic treatment has been done and stainless steel crown has been placed.

Download Full-text

Restoring a Fractured Endodontically Treated Incisor Using Fiber Post: A Case Report

International Healthcare Research Journal ◽

10.26440/ihrj/0311.02321 ◽

2020 ◽

Vol 3 (11) ◽

pp. 355-357

Author(s):

Gayathri KM ◽

Prasad PK

Keyword(s):

Case Report ◽

Male Patient ◽

Dental Trauma ◽

Fiber Post ◽

Endodontically Treated Teeth ◽

Present Case Report ◽

Tooth Structure ◽

Anterior Teeth ◽

Fiber Posts ◽

Tooth Number

Coronal fractures of the anterior teeth arising after endodontic treatment are sequelae of dental trauma. Endodontically treated teeth presents a higher risk of biomechanical failure than vital teeth. Posts are needed for restoring teeth with insufficient coronal tooth structure to retain a core for definitive restoration. Fiber posts are more easily and safely removed "by hollowing them out from the inside”. This present case report depicts a 23 year old male patient with fracture of tooth number 21 which had undergone an RCT 8-10 months ago and was restored using fiber post.

Download Full-text

Prevalence of early childhood caries among preschool children - A retrospective study

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl3.3411 ◽

2020 ◽

Vol 11 (SPL3) ◽

pp. 1341-1347

Author(s):

Farhat Yaasmeen Sadique Basha ◽

Archana Santhanam ◽

Raj S S

Keyword(s):

Early Childhood ◽

Preschool Children ◽

Early Childhood Caries ◽

Cross Sectional Study ◽

Age Group ◽

Missing Teeth ◽

Chi Square ◽

Cross Sectional ◽

Anterior Teeth ◽

Childhood Caries

Dental caries is one of the most common diseases affecting young children mainly caused by the streptococcus mutans when they act on sugary deposits on the enamel. The bacteria produces an acidic environment after breaking down the sugars, resulting in the onset of caries. When this affects children at a very young age, it is known as early childhood caries and it is a serious threat in developing countries. When left untreated it can affect the quality of life of a child. This study aims to determine the prevalence of early childhood caries among preschool children. A retrospective cross sectional study with a sample size 478 preschool children with early childhood caries who were randomly selected from June 2019 to March 2020 from the patients records. Data collected were tabulated with parameters: age, gender, number of affected anterior teeth, Number of missing teeth and number of filled teeth. The results were analysed using Chi-square test in SPSS software. The analysed data is represented as graphs. The most affected age group was five years [31.7%]. Boys seem to be affected more than girls [53.7% > 46.3%]. Affected anteriors were highest in age group 5. Average number of teeth affected were four. The most number of missing teeth was seen in children aged 5 years and the average number of missing teeth was 2. The average number of filled teeth in children aged 3 to 6 years was 5. This necessitates the need to implement preventive and curative oral health programs for preschool children.

Download Full-text

Fractographical Analysis and Biomechanical Considerations of a Tooth Restored With Intracanal Fiber Post: Report of the Fracture and Importance of the Fiber Arrangements

Operative Dentistry ◽

10.2341/15-262-s ◽

2016 ◽

Vol 41 (5) ◽

pp. E149-E158 ◽

Cited By ~ 4

Author(s):

VF Wandscher ◽

CD Bergoli ◽

IF Limberger ◽

TP Cenci ◽

P Baldissara ◽

...

Keyword(s):

Finite Element Analysis ◽

Finite Element ◽

Glass Fiber ◽

Shear Stresses ◽

Fiber Post ◽

Element Analysis ◽

Parallel Fibers ◽

Tooth Structure ◽

Anterior Teeth ◽

Compressive Stresses

SUMMARY Objective: This article aims to present a fractographic analysis of an anterior tooth restored with a glass fiber post with parallel fiber arrangement, taking into account force vectors, finite element analysis, and scanning electron microscopy (SEM). Methods: A patient presented at the Faculty of Dentistry (Federal University of Santa Maria, Brazil) with an endodontically treated tooth (ETT), a lateral incisor that had a restorable fracture. The treatment was performed, and the fractured piece was analyzed using stereomicroscopy, SEM, and finite element analysis. Results: The absence of remaining coronal tooth structure might have been the main factor for the clinical failure. We observed different stresses actuating in an ETT restored with a fiber post as well as their relationship with the ultimate fracture. Tensile, compression, and shear stresses presented at different levels inside the restored tooth. Tensile and compressive stresses acted together and were at a maximum in the outer portions and a minimum in the inner portions. In contrast, shear stresses acted concomitantly with tensile and compressive stresses. Shear was higher in the inner portions (center of the post), and lower in the outer portions. This was confirmed by finite element analysis. The SEM analysis showed tensile and compression areas in the fiber post (exposed fibers=tensile areas=lingual surface; nonexposed fibers=compression areas=buccal surface) and shear areas inside the post (scallops and hackle lines). Stereomicroscopic analysis showed brown stains in the crown/root interface, indicating the presence of microleakage (tensile area=lingual surface). Conclusion: We concluded that glass fiber posts with parallel fibers (0°), when restoring anterior teeth, present a greater fracture potential by shear stress because parallel fibers are not mechanically resistant to support oblique occlusal loads. Factors such as the presence of remaining coronal tooth structure and occlusal stability assist in the biomechanical equilibrium of stresses that act upon anterior teeth.

Download Full-text

Dental Treatments under the General Anesthesia in a Child with Keratitis, Ichthyosis, and Deafness Syndrome

Case Reports in Dentistry ◽

10.1155/2013/618468 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6

Author(s):

Sera Sımsek Derelioglu ◽

Yücel Yılmaz ◽

Sultan Keles

Keyword(s):

Early Childhood ◽

Case Report ◽

General Anesthesia ◽

Early Childhood Caries ◽

Sensorineural Deafness ◽

Oral Symptoms ◽

Severe Early Childhood Caries ◽

Childhood Caries

KID syndrome is a rare genodermatosis characterized by keratitis, ichthyosis, and sensorineural deafness. Although the dermatological, ophthalmologic, and sensorineural defects are emphasized in the literature, oral and dental evaluations are so superficial. In this case report, dental and oral symptoms of a three year and five months old boy with KID syndrome, suffering severe Early Childhood Caries (s-ECC) and dental treatments done under General Anesthesia (GA) were reported.

Download Full-text