scholarly journals Radiological Evaluation of Stainless Steel Crowns Placed on Permanent Teeth in Patients Treated under General Anaesthesia

Author(s):  
Marie-Laure Munoz-Sanchez ◽  
Natacha Linas ◽  
Nicolas Decerle ◽  
Valérie Collado ◽  
Denise Faulks ◽  
...  

Evidence-based evaluations of dental treatment are needed to support the development of special care dentistry services. This retrospective study was designed to collect and analyse X-ray images of permanent teeth restored with stainless steel crowns (SSC) in patients treated under general anaesthesia. Between 2013 and 2019, 360 permanent molars were crowned with SSCs in 198 adult patients. One calibrated investigator used an original validated tool to evaluate four radiographic criteria for molars restored with SSCs: i) marginal adaptation; ii) interdental proximal contact; iii) the presence of glass ionomer cement overflow; and iv) the loss of alveolar bone. Overall, no defect or a minor defect was reported for the majority of SSCs for the criteria “Marginal adaptation” (62.5%, n = 320), “Proximal contact” (82.2%, n = 236) and “Cement overflow” (95.8%, n = 337). Alveolar bone resorption was reported in 8.3% of cases, n = 14, after a mean period of 8.9 ± 14.3 months. It was shown that the restoration of permanent teeth using SSCs placed under general anaesthesia presents a low risk of periodontal morbidity in the medium term when assessed radiographically.

2021 ◽  
Vol 14 (10) ◽  
pp. e243414
Author(s):  
Saumya Johri ◽  
Promila Verma ◽  
Rhythm Bains ◽  
Aseem Praksh Tikku

A 22-year-old woman reported with a cariously exposed mandibular molar. Pulpotomy was planned rather than routine root canal treatment, which was otherwise indicated. Amniotic membrane (AM) that has been extensively researched in different fields of medicine was used as the pulpotomy agent. After gaining coronal access to the root orifices, bleeding was arrested and activated AM was placed over the root stumps. Glass ionomer cement(GIC) was placed over the membrane and temporary restoration was done. One week later, permanent restoration with composite resin was done. The patient’s symptoms resolved, and the tooth started responding normally to vitality tests at subsequent follow-ups. The present case report is an attempt to use human AM as a natural pulpotomy agent for treating irreversible pulpitis in permanent teeth. Understanding of innumerable beneficial properties of the AM and its application in preserving vitality of permanent teeth is the main learning objective.


2005 ◽  
Vol 52 (1) ◽  
pp. 46-54
Author(s):  
Milica Popovic

The aim of this study was to evaluate clinical efficacy of tunnel restorations over 18-month observational period. Methods and material: Preparations were restored with glass-cermet-ionomer cement (Ketac-silver, DMG, Scandinavien AB). A total of 90 restorations were placed in 72 patients with age range 21-54 years old. Evaluation was carried out by clinical and radiographical means. Modified Cvar and Ryge criteria were used for evaluation j of marginal adaptation, marginal discoloration, surface structure, secondary caries and marginal ridge. Results: Fracture of marginal ridge was recorded in 4,7% of the restorations. No secondary aries or marginal discoloration were recorded. Conclusion: The results indicate that tunnel glass cermet ionomer cement restorations are useful in small proximal dentine lesions in permanent teeth. .


2021 ◽  
pp. 83-83
Author(s):  
Milena Milanovic ◽  
Milos Beloica ◽  
Olivera Jovicic ◽  
Zoran Mandinic ◽  
Bojan Janjic ◽  
...  

Introduction. Osteogenesis imperfecta is a rare heritable connective tissue disorder characterized by increased fragility of the bony tissue. The incidence of orofacial alterations associated with osteogenesis imperfecta is variable and includes dentinogenesis imperfecta, malocclusions, hypoplasia of the jaws, delayed dental development and structural abnormalities of the teeth. Case outline. A 22-year-old girl was referred to the Clinic for Pediatric and Preventive Dentistry for dental treatment. Enlarged head, triangular-shaped face, mandibular prognathism with excessive maxillary hypoplasia, lowered vertical occlusal dimension were present features. The intraoral findings included dentinogenesis imperfecta with Kennedy?s class IV in the upper jaw and class II in the lower jaw. Panoramic radiograph revealed abnormalities in crown and root shape, obliteration of the pulp chamber and severe deficiency of alveolar bone mass. Overall treatment involved five phases: I - Preventive and prophylactic treatment, II - Direct restauration of five teeth with glass ionomer cement, III - Extraction of severely damaged teeth, IV - Prosthodontic rehabilitation with removable partial dentures, V - Maintenance and follow-up phase. Conclusion. Low prevalence and wide variety of signs and symptoms make dental treatment of osteogenesis imperfecta overly complex and challenging. Nevertheless, it is essential to improve craniofacial and dental function along with facial aesthetic.


2019 ◽  
Vol 7 (1) ◽  
pp. 8
Author(s):  
Mohammad Hammo DDS ◽  
Mazen Doumani DDS. MSc. ◽  
Adnan Habib DDS. MSc. PhD

The main goal of vital pulp therapy is to preserve and maintain pulpal health in teeth that have been exposed to caries, trauma, and restorative procedures. This type of endodontic treatment is very important in young permanent teeth that have not reached their complete length and exhibit thin-walled roots and wide open apices. The developments in knowledge of pulpal physiology and immunology, beside to newly introduced dental materials, have changed the treatment approaches for teeth with involved pulps. This report describes a case of a young patient in whom maxillary right central incisor suffered crown fractures because of a traumatic accident. Pulpotomy with MTA were performed in order to achieve apexogenesis and the tooth was restored with a glass ionomer cement and composite resin. The patient was reviewed over 4years. 


1992 ◽  
Vol 19 (3) ◽  
pp. 215-220 ◽  
Author(s):  
D. T. Millett ◽  
P. H. Gordon

Various factors influencing the survival time of orthodontic bands cemented to first permanent molars with glass ionomer cement (KETAC-CEM, Espe) have been investigated. Data on 513 patients with 1424 first molar bands who completed orthodontic treatment between 1985 and 1989 inclusive were analysed. Performance of bands cemented to first permanent molars varied according to the operator, age of the patient and treatment mechanics, but not according to the sex of the patient or quadrant in which the band was fitted.


2010 ◽  
Vol 34 (4) ◽  
pp. 309-312 ◽  
Author(s):  
Priya Subramaniam ◽  
Sapna Kondae ◽  
Kamal Kishore Gupta

The present study evaluated and compared the retentive strength of three luting cements. A total of forty five freshly extracted human primary molars were used in this study. The teeth were prepared to receive stainless steel crowns. They were then randomly divided into three groups, of fifteen teeth each, so as to receive the three different luting cements: conventional glass ionomer, resin modified glass ionomer and adhesive resin. The teeth were then stored in artificial saliva for twenty four hours. The retentive strength of the crowns was determined by using a specially designed Instron Universal Testing Machine (Model 1011). The data was statistically analyzed using ANOVA to evaluate retentive strength for each cement and Tukey test for pair wise comparison. It was concluded that retentive strength of adhesive resin cement and resin modified glass ionomer cement was significantly higher than that of the conventional glass ionomer cement.


e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Dewi Y. Anang ◽  
Ni Wayan Mariati ◽  
Christy N. Mintjelungan

Abstract: Resin composite has been known since the sixtieth generation and generally it is known as the dentists’ cosmetic restorative material. Amalgam is the oldest restorative material and it is famous due to its mechanical strength, endurance, and less expensive. Glass ionomer cement is an isochromatic tooth dentifrice; its main component is liquid consisted of water and polyacid, and a kind of fluoroaluminosilicate glass powder. This study aimed to obtain the profile of patients using dental restorative composite at the RSGM Manado in 2014. This was a descriptive retrospective study. There were 400 dental samples from the medical record categorized according to gender, age, kinds of treatment, and occupation. The results showed that dental treatment with filling was most frequent among females (65%) compared to males (35%). Most of the subjects (70%) were 21-30 years old. Moreover, most of the subjects (62.5%) used amalgam as the restorative material.Keywords: restorative material, composite resin, amalgam, GICAbstrak: Resin komposit ialah tumpatan pada generasi ke 60-an, dan secara umum dikenal sebagai bahan tumpatan kosmetik dentis. Amalgam merupakan bahan restorasi tertua dan cukup terkenal di masyarakat luas oleh karena kekuatan, daya tahan, dan harganya yang relatif murah. Glass Ionomer Cement ialah bahan tambal sewarna gigi yang komponen utamanya terdiri dari likuid yang merupakan gabungan air dengan polyacid (Asam poliakrilat, maleat, itakonat, tartarat) dan bubuk berupa fluoroaluminosilicate glass. Penelitian ini bertujuan untuk mengetahui gambaran pasien yang menggunakan tumpatan gigi di RSGM Unsrat pada tahun 2014. Jenis penelitian ini deskriptif retrospektif. Jumlah data penelitian yang didapat yaitu 400 sampel data dental dari rekam medik dan dikategorikan sesuai jenis kelamin, usia, jenis perawatan dan pekerjaan. Hasil penelitian menunjukkan perawatan dengan bahan tumpatan lebih sering dilakukan oleh pasien berjenis kelamin perempuan (65%) dibandingkan laki-laki (35%). Distribusi subyek terbanyak pada usia 21-30 tahun (70%). Sebagian besar (62,5%) menggunakan bahan tumpatan amalgam.Kata kunci: tumpatan, resin komposit, amalgam, GIC


Author(s):  
Terumi Yamazaki ◽  
◽  
Ryo Kameoka ◽  
Yoshiki Shionoya ◽  
Yuki Matsuzaki ◽  
...  

We report the case study of a 17-year-old boy with cerebral-hemorrhage sequelae including intellectual disability, who presented with a severe, submerged first deciduous molar in his mandibular alveolar bone. It was believed that his condition was caused by biting on a tracheal tube during hospitalization after a fall that he experienced at the onset of a cerebral hemorrhage when he was 6 years old. His school dentist referred him to us, but he did not notice the submerged deciduous molar at that time. We found that the patient had 26 permanent teeth, with two congenitally missing lateral mandibular incisors, and there was some space with a small groove between his left first and second premolars. Panoramic radiography revealed the crown of his deciduous first molar lodged in the mandibular alveolar bone. Oral surgery to extract this tooth was performed under general anesthesia, with an additional aim of improving his oral hygiene. Additionally, a part of his extracted tooth was examined histopathologically, and was found to have no sign of ankylosis around its root. This case suggests that medical staff should pay attention to patients’ teeth in the hospital, especially because a tracheal tube has the potential to affect the teeth. This case also confirms the importance of dental treatment for people with special needs to improve their oral hygiene and quality of life.


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