Dental anomalies of form and number in primary dentition in a Mexican population

2018 ◽  
Vol 14 (2) ◽  
Author(s):  
M.C. Ibarra

Abstract: To determine the frequency and distributionof dental anomalies of shape and numberin primary dentition. Methods: The study is retro-prolective, crosssectionaland descriptive. The sample was probabilistic,stratified for convenience by gender. Theclinical record of 1,568 patients was reviewed.These patients attended the Clinic of PediatricDentistry of FEBUAP during the period of 2012-2014, only 720 records of patients were includedin the study (321 girls and 399 boys) between theages of 1-10 years old, who provided complete,crisp radiographic studies with the presence ofdental anomalies of shape or number, the studywas divided into active and inactive patients.For inactive patients, photographs of x-rays withdental anomalies of shape and/or number weretaken. For cases with active patients, an interviewwith one of the parents was conducted andauthorization with informed consent was requested,also the child agreed to do a clinical examinationand take intraoral photographs. Results:A total of 63 children had anomalies (17girls and 46 boys). The total prevalence of dentalanomalies was 9%, of which 3.1% were (fusedand geminated teeth), 1.1% (agenesis) and 1.9%(supernumerary), 1.3% (supernumerary roots),0.27% (macrodontia), 0.11% (microdontia), andfinally 0.27% corresponded to (talon cusp). Conclusions: Although the prevalence of theseanomalies is not high, it is important to do a routineradiographic examination for early diagnosisand accordingly apply the correct preventivemeasures to establish the best treatment plan.

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Sachin B. Mangalekar ◽  
Tajammul Ahmed ◽  
M. Zakirulla ◽  
Halawar Sangmesh Shivappa ◽  
F. B. Bheemappa ◽  
...  

Mesiodens is a midline supernumerary tooth commonly seen in the maxillary arch, and incidence of molariform mesiodens in the maxillary midline is rare in permanent dentition and extremely uncommon in primary dentition. A midline supernumerary tooth in the primary dentition can cause ectopic or delayed eruption of permanent central incisors which will further alter occlusion and may compromise esthetics and formation of dentigerous cysts. This paper reports a rare case of the presence of a molariform mesiodens in the primary dentition. On clinical and radiographic examination, flaring of the primary central incisors was seen, with a molariform mesiodens consisting of multiple lobes or tubercles on the occlusal surface with the well-formed root. The treatment plan consisted of the extraction of the supernumerary tooth and regular observation of permanent central incisors for proper eruption and alignment.


Folia Medica ◽  
2018 ◽  
Vol 60 (2) ◽  
pp. 283-290
Author(s):  
Yordan Tarpomanov ◽  
Sevda Rimalovska ◽  
Ani Belcheva ◽  
Miroslava Yordanova ◽  
Svetla Yordanova ◽  
...  

Abstract Background: The incisors and molars play a major role in the formation and function of permanent dentition. Much research has been devoted to investigating the eruption of teeth and their root development. Aim: To study the root development of permanent incisors and mandibular molars in correlation with treatment plan and proper treatment protocols. Materials and methods: The Demirjian’s method was used to assess the root development of incisors and mandibular molars in children between 7 and 12 years old. Results: In 7-year-old children most of the lower first mandibular molars (76%) had complete root length, but open apices. Eighty-two percent of the roots of the first mandibular molars of the 8-year-old children and 54% of these molars of the 9-year-old children were with open apices. The first mandibular molars had incomplete roots in the 10-year-olds (6%) and even in the 11-year-old children (4%). We detected Stage E in 32% of the 10-year-olds and in 24% of the 11-year-old children. Even in 12-year-old children we found Stage E in 4% of them from their panoramic X-rays. We detected complete root development in all of the children at the age of 12. Conclusions: Dental practitioners have to wait until the age of 10, 11 and even 12 to extract the first molars, when the furcation is formed. Proper clinical examination and diagnostic radiographs should be done before the beginning of the treatment of molars and incisors at the age between 7 and 12.


2013 ◽  
Vol 18 (4) ◽  
pp. 1361-1367 ◽  
Author(s):  
R. R. Gomes ◽  
J. A. C. Fonseca ◽  
L. M. Paula ◽  
A. C. Acevedo ◽  
H. D. Mestrinho

2018 ◽  
Vol 54 (1) ◽  
pp. 11-21
Author(s):  
Jingjing Huang ◽  
Yang Shao ◽  
Huajian Ma ◽  
Weimin Yang ◽  
Huafang Li

Objective Few studies have addressed informed consent in Chinese psychiatric practice. We wished to explore psychiatrists’ attitudes toward informed consent in Shanghai after promulgation of the first national law for mental health care in China: the National Mental Health Law. Method A total of 398 psychiatrists were recruited from seven psychiatric hospitals in Shanghai. Their anthropometric data were collected. A confidential, self-report questionnaire addressing attitudes toward the informed consent process was completed by all participants. Results Most respondents would like to inform patients/guardians of the diagnosis (95.2%), treatment plan (93.5%), treatment goals and potential adverse effects of prescribed medications (94.7%), and alternative treatment plans (71.9%). In addition, 58.4% of psychiatrists thought that the informed consent process for physical restraint was difficult to follow. According to logistic regression, psychiatrists not trained to use the National Mental Health Law were more likely to have a negative attitude toward the informed consent process compared with those trained (adjusted odds ratio = 0.21; 95% confidence interval: 0.07–0.59; p = 0.003). Conclusions Psychiatrists trained to use the National Mental Health Law had more positive attitudes toward the informed consent process. Lack of such training could affect the attitudes of psychiatrists toward the informed consent process in China.


2014 ◽  
Vol 5 (2) ◽  
pp. 151 ◽  
Author(s):  
Seema Lochib ◽  
K.R. Indushekar ◽  
Bhavna Gupta Saraf ◽  
Neha Sheoran ◽  
Divesh Sardana

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Elif Tarım Ertaş ◽  
Meral Yırcalı Atıcı ◽  
Hakan Arslan ◽  
Bilal Yaşa ◽  
Hüseyin Ertaş

Gemination with talon cusps is an uncommon morphologic dental anomaly, characterized by the formation of clinically wide tooth that can cause significant aesthetic and clinical problems including esthetic impairment, pain, caries susceptibility, and tooth crowding. These morphological dental anomalies have specific treatment needs due to the abnormal morphology and need virtuous radiologic diagnosis. Multidisciplinary approach can supply success of the treatment plan that can provide esthetic and occlusal requirements. In this case report, the multidisciplinary approach for the treatment of geminated tooth with talon cusp is presented with the clinical and radiographic findings.


2014 ◽  
Vol 5 ◽  
pp. CMTIM.S12263
Author(s):  
Venu M. Nemani ◽  
Han Jo Kim

Injuries to the cervical spine can cause potentially devastating morbidity and even mortality. In this review we discuss the anatomy and biomechanics of the cervical spine. The evaluation and treatment of cervical spine injuries begins with the prompt immobilization of suspected injuries in the field. Once an assessment of the patient's neurological status is made, imaging studies are obtained, which can include X-rays, CT, and MRI. Careful scrutiny of the imaging studies for bony and/or ligamentous injury allows the physician to determine the mechanism of injury, which guides treatment. The ultimate treatment plan can consist of non-operative or operative management, and depends on patient specific factors (medical condition and neurological status), the mechanism of injury, and the resultant degree of instability. With prompt diagnosis and appropriate management, the morbidity of these injuries can be minimized.


2004 ◽  
Vol 27 (2) ◽  
pp. 133-136 ◽  
Author(s):  
Angela Scarparo Caldo-Teixeira ◽  
Regina Maria Puppin-Rontani

Hypodontia is characterized by partial or total congenital missing of one or more teeth, on one or both dentitions. Heredity is the main etiological factor and the principal clinical features are reduction on number, size and form of teeth, and late eruption. Removable partial prosthesis, fixed prosthesis, overdentures and adhesive prosthesis are alternative treatments, and the indication is type dependent. The aim of this study was to describe the clinical case of an eleven-year-old child with eight missing permanent teeth of idiopathic etiology.The patient had facial and skeletal symmetry, normal development and was not related to any syndrome. Clinical characteristics: permanent teeth with good periodontal conditions (16, 12, 11, 21, 22, 26, 36, 31, 42, 46), primary teeth (53, 63, 64, 73, 83); overbite and microdontia on teeth 12 and 22. The treatment plan was done initially by documenting of the case for teeth analysis (study casting models, periapicals and panoramic x-rays, and photographs), and followed by the exodontics of teeth 73 and 83.A removable appliance in autocured acrylic resin, using teeth in acrylic for maintenance of functional space and occlusion was planned and carried out.An anterior track for vertical dimension gain was used because of his accentuated overbite. The patient will be monitored until the end of the craniofacial growth, when it will be again evaluated and forwarded for the final oral rehabilitation. Hypodontia diagnosis and management should be performed as early as possible not to interfere with the craniofacial development of the child.


2017 ◽  
Vol 41 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Elena Bardellini ◽  
Francesca Amadori ◽  
Stefania Pasini ◽  
Alessandra Majorana

Objective: This retrospective study aims to evaluate the prevalence of dental anomalies in permanent teeth as a result of a trauma concerning the predecessor primary teeth. Study design: A total of 241 records of children (118 males and 123 females, mean age 3.62 ± 1.40) affected by trauma on primary teeth were analyzed. All patients were recalled to evaluate the status of the permanent successor teeth by clinical and radiographic investigations. Results: Out of 241 patients, 106 patients (for a total of 179 traumatized primary teeth) presented at the recall. Dental anomalies on successor permanent teeth were detected in 21 patients (19.8%), for a total of 26 teeth (14.5%) and 28 anomalies. Anomalies of the eruptive process were the most observed disturbances (60.7%), followed by enamel hypoplasia (25%) and white spots (14.3%). A higher percentage of anomalies on permanent teeth was observed when trauma occurred at an age less than 36 months (38.5% of cases). Intrusive and extrusive luxation were related with the most cases of clinical disturbances in the successor permanent teeth. Conclusions: The results of this study highlight the risk of dental anomalies after a trauma in primary dentition, especially in early-aged children and in case of intrusive luxation.


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