Orthodontic care and dentition status in children

2018 ◽  
Vol 14 (1) ◽  
pp. 17-28
Author(s):  
Amelia Cioczek-Studzińska ◽  
Anna Sękowska ◽  
Maria Mielnik-Błaszczak ◽  
Andrzej Świrski ◽  
Izabela Dunin-Wilczyńska
Keyword(s):  
Clinical Examination ◽  
Primary Schools ◽  
Orthodontic Treatment ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Study Group ◽  
Survey Questionnaire ◽  
Health Promoting ◽  
Study Population ◽  
Removable Appliances

Parents’ knowledge of risk factors of caries and the need to visit a dentist for routine check-ups affect the children’s dentition status in the future. Lack of activities in this field often results in premature loss of deciduous teeth and it adversely affects a position of permanent teeth undergoing eruption. Aim. To compare the dentition status of children under the care of an orthodontist and of children who are not covered by orthodontic care, and to assess the effects of parents’ education on the dentition status of their children. Material and methods. The study included 232 children from primary schools in Lublin (110 boys and 122 girls). The age of subjects was between 6 years to 8 years and 11 months. The study included a survey questionnaire for parents and a clinical examination of children. The number of DMFT and dmft was calculated in each child based on a clinical examination. In the study population the incidence of caries (Fp) and mean numbers of dmft (for deciduous teeth) and DMFT (for permanent teeth) were calculated. Results. In the study group of children 12.93% were receiving orthodontic treatment with removable appliances, 10.78% were supervised by an orthodontist or were orthodontic treatment scheduled, and 75.86% of studied children had never been at an orthodontist’s office. One person (0.43%) did not provide answers to questions asked. Children receiving orthodontic care had significantly lesser carious defects in their deciduous teeth compared to children who were not receiving such care. Conclusions. 1) Providing orthodontic care to children had a beneficial effect on their dentition. 2) It is worth to pay more attention to prophylaxis of caries and to supervise the process of dentition replacement. 3) It is necessary to promote health-promoting education regarding caries and malocclusions among parents. (Cioczek-Studzińska A, Sękowska A, Mielnik-Błaszczak M, Świrski A, Dunin-Wilczyńska I. Orthodontic care and dentition status in children. Orthod Forum 2018; 14: 17-28)

Space Maintainer Treatment In Premature Loss Deciduous Tooth

2020 ◽  
Vol 5 (1) ◽  
pp. 1-12
Author(s):  
Rey Bintang Pamungkas ◽  
Jeffrey .
Keyword(s):  
Child Development ◽  
Clinical Examination ◽  
Growth And Development ◽  
Development Process ◽  
Deciduous Tooth ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Space Maintainer

Abstract. Introduction: The deciduous tooth period is an important period in child development. Premature loss of deciduous teeth is defined as the loss of deciduous teeth before they approach the eruption of permanent teeth. The prevalance of premature loss offered in several studies obtained was between 4.3% and 42.6%. Method: An 10 years-old-boy accompanied by her mother came to RSGMP Unjani, complaints of lower right nack teeth missing because they have to extracted since 3 mouth ago. Tooth have been extracted because of caries. Result: Result of clinical examination was found premature loss teeth 75, 74, and 85. The space in Moyers analysis was +0.2 mm in region 3 and +0.1 mm in region 4. Patient was treated with a fungsional removable-space-maintainer on teeth 75, 74, and 85. Conclusion: The results of premature loss is excess space in the arch, so to prevent further occlusion abnormalities in child’s growth and development process, we need a special appliance that is used to protect the space due to premature loss of deciduous teeth. Keywords: Premature loss, space maintainer, deciduous teeth

The Prophylactic Orthodontic Treatment with Removable Appliances in Children

2018 ◽  
Vol 69 (3) ◽  
pp. 693-696
Author(s):  
Cristian Romanec ◽  
Bogdan Dragomir ◽  
Cristina Bica
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Time ◽  
Treatment Plan ◽  
Permanent Teeth ◽  
Childhood And Adolescence ◽  
Tooth Cleaning ◽  
Short Period ◽  
Multiple Challenges ◽  
Removable Appliances ◽  
Orthodontic Devices

Childhood and adolescence include periods of growth in which the pediatrician meets multiple challenges in terms of cooperation, compliance with treatment, and the patient�s family, thus constituting the pedodontic triangle. The importance of long-term patient monitoring should not be neglected, especially for those in the stage of growth and development of temporary or permanent dentition, when a real cascade of bad events can be triggered. Mobile dental appliances with the indication to be worn both day and night, less during meals and when tooth cleaning is taking place. They are used for a relatively short period as part of a wider treatment plan. The efficiency of an orthodontic appliance is appreciated by the possibilities it offers to reach the desired result in a minimum treatment time, without affecting the biological integrity of the substrate on which it operates. Ortodontic mobilisable devices used to correct dento-maxillary abnormalities, requires plates with orthodontic force, retention and anchoring. If these are used as contention devices, is needed only retention. Study group regards the selection, examination and orthodontic treatment of 46 cases at the Orthodontic Clinic of the University of Medicine and Pharmacy T�rgu Mure� between 2014-2016.The study deals with the theoretical aspects regarding biomechanics and the principles of orthodontic treatment and at the same time represents a synthetic exposure characteristics of the orthodontic devices, considering the development of new techniques. Orthodontic treatment begins in childhood, around the age of 6 years old or when the child has 4-6 milk teeth, when we already can see problems in growing of jaw and permanent teeth.

Evaluation of the incidence of malocclusions among school-age children in Lublin

2017 ◽  
Vol 13 (3) ◽  
pp. 153-166
Author(s):  
Andrzej Świrski ◽  
Katarzyna Olszewska ◽  
Maria Mielnik-Błaszczak ◽  
Krzysztof Owczarek
Keyword(s):  
Primary Schools ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Class I ◽  
School Age Children ◽  
Study Group ◽  
School Age ◽  
School Students ◽  
Normal Occlusion ◽  
Lower Incisors

The evaluation of the incidence of malocclusions is the first step to assess the demand for orthodontic treatment in a given population, to plan prophylactic activities, to set priorities for early treatment, and to determine the efficacy and effectiveness of therapeutic activities to be introduced. <b>Aim.</b> To assess malocclusions in primary school students at the age of 10–12 years in Lublin. The epidemiological study was aimed to assess the presence of dental abnormalities, but without complete specialised orthodontic diagnostics. <b>Material and methods.</b> The study group included 242 children at the age of 10–12 years, namely 118 girls and 124 boys who were students at randomly selected primary schools in Lublin. A clinical examination of the masticatory organ was conducted in school dental offices. <b>Results.</b> Normal occlusion was observed in 15.3% of children in the study group. Malocclusions ranging from mild to severe were observed in 84.7% of subjects. Class I malocclusion was diagnosed in 57% of the study group, class II – in 24.3%, and class III – in 3.3%. In a group of 10–12-year-old children the most common orthodontic abnormality included increased overbite that was observed in 52.1% of subjects, followed by crowding of lower incisors diagnosed in 45.9% of subjects. <b>Conclusions.</b> Among 10-12-year-old students of Lublin schools malocclusions were observed in the significant majority of children. Class I and class II malocclusions were predominant therapeutic needs in a group of 10-12-year-old children according to studies conducted. With regard to class I malocclusions the most frequently diagnosed abnormalities requiring orthodontic treatment included: increased overbite, crowding of lower incisors and transverse abnormalities. <b>(Świrski A, Olszewska K, Mielnik-Błaszczak M, Owczarek K. evaluation of the incidence of malocclusions among school-age children in Lublin. Orthod Forum 2017; 13: 153-66)</b>

The Influence of Manufacturing and Material Quality on Space Maintainers Longevity

2015 ◽  
Vol 809-810 ◽  
pp. 1293-1298
Author(s):  
Ioana Mârţu ◽  
Ionuţ Luchian ◽  
Cătălina Dănilă ◽  
Cristian Mârțu ◽  
Eduard Bârcă ◽  
...  
Keyword(s):  
Success Rate ◽  
Failure Rate ◽  
Orthodontic Treatment ◽  
Therapeutic Options ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Main Role ◽  
Space Management ◽  
Different Types ◽  
Space Maintainer

Premature loss of temporary teeth, both the lateral and the frontal area can have unfavorable consequences on the development of permanent dentition, the support serving to maintain space for permanent teeth eruption in the dental arches. The aim of the study was assessment of different types of fixed and removable space maintainers in terms of their longevity in the dental arches that were applied as interceptive orthodontic treatment for edentulous space management transiently due to premature loss of deciduous teeth. The study followed the evolution of space maintainers properly applied to clinical cases that required these therapeutic options, and appreciated the success rate and the failure of these devices, important being the time at which the assessments were made. Findings failure rate of applied space maintainers was reported to the main causes that could lead to remove the devices: loss of space maintainers, especially those removable, fracturing both fixed and removable devices, loosening orthodontic rings and of course, taking into account the absence of some subjects at periodic reassessment meetings. The space maintainer was considered a success when it fulfill the main role for which it was applied - transitional management of edentulous space, and then being removed when the permanent succession tooth eruption occurred.

Orthodontic management in a female patient with an impacted incisor in the mandible – case report

2018 ◽  
Vol 14 (2) ◽  
pp. 58-65
Author(s):  
Agnieszka Świątkowska ◽  
Izabella Dunin-Wilczyńska ◽  
Wojciech Świątkowski
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Orthodontic Treatment ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Dental Arch ◽  
Severe Injuries ◽  
Impacted Tooth ◽  
Lower Incisor ◽  
The Face

Traumas to deciduous teeth, such as intrusion and complete avulsion, lead to the most severe injuries to tooth buds of permanent teeth. The most common post-traumatic complications of permanent teeth include: enamel hypoplasia or hypocalcification, crown or root dilaceration, partial or complete inhibition of root growth, and eruption disorders.<b> Aim</b>. The paper aimed to present orthodontic treatment in a female patient with an impacted permanent lower incisor with significantly impaired morphology due to a trauma to its deciduous predecessor. <b>Material</b>. Material included: patient’s orthodontic records, gypsum models, photographs and radiological records. <b>Results</b>. Orthodontic treatment was successful despite abnormal morphology of the impacted tooth 41. After 4-year follow-up the tooth remains in the arch. <b>Conclusions</b>. A tooth can be preserved in the socket when the crown-to-root ratio (CRR) is at least 1 : 1. In this case, CRR for the tooth 41 was 2 : 1, and therefore its extraction would be recommended. Despite this a decision was made to introduce an impacted tooth into the arch. Thanks to its presence in the dental arch it was possible to preserve appropriate bone quality for implantation of a prosthetic implant in the future. Prosthetic treatment (if necessary) may be performed after completion of vertical growth of the face that is observed in women after the age of 16 years. <b>Summary</b>. This case of a 15-year female patient shows that as a result of orthodontic and surgical intervention and despite significant root shortening the tooth may remain in the dental arch and play its functional and aesthetic role.<b> (Świątkowska A, Dunin-Wilczyńska I, Świątkowski W. Orthodontic management in a female patient with an impacted incisor in the mandible – case report. Orthod Forum 2018; 14: 150-7)</b>.

OPTIMIZATION OF SURGICAL-ORTHODONTIC TREATMENT TACTICS IN PATIENTS WITH IMPACTED TEETH

2019 ◽  
Vol 72 (5) ◽  
pp. 838-845
Author(s):  
Pavlo I. Tkachenko ◽  
Maryna I. Dmytrenko ◽  
Mykola O. Cholovskyi
Keyword(s):  
Orthodontic Treatment ◽  
Objective Assessment ◽  
Optimal Path ◽  
Reference Points ◽  
Permanent Teeth ◽  
Diagnostic Process ◽  
Specific Reference ◽  
Dental Arch ◽  
Impacted Tooth ◽  
Impacted Teeth

Introduction: Impacted teeth is complex anomaly of teeth eruption that requires a balanced approach not only in the differential diagnosis of its forms, but choice of rational methods of treatment. The aim: Optimization of the tactics of orthodontic-surgical treatment of patients with impacted teeth based on the development and implementation of computed tomographic indices (KT) and photometric indices (FM) of opening of surgical access (OSA) to crowns of impacted teeth Materials and methods: The results of treatment of 48 patients with delay of permanent teeth eruption have been analyzed. For an objective assessment of treatment results, a group of 24 (aged from 9 to 19 years old ) was formed. All 24 patients had typical clinical situation. Results: Orthodontic correction of patients envisaged, first of all, the elimination of obstacles in the way of teeth eruption, if necessary to provide space in dental arch and simultaneous treatment of associated bite malocclusions. Surgical exposure of impacted tooth crown was carried out and at the same time a triangular shaped guiding channel was formed, base of channel was at the impacted tooth and its angle finished into the dental arch. Precise dimensions and depth of the channel were preliminary planed on computed tomography slices with 3D reconstruction. Mean values of CT width (7,13±0,54mm), and length (6,42±0,78mm) of OSA and CT index (130,79±8,19%) of OSA to impacted teeth crowns were determined. Conclusion: To improve the quality of diagnosis and optimization of methodological approaches to treatment of patients with teeth impaction, we have proposed CT and FM OSA indices to the crowns of impacted teeth. The developed indices serve as specific reference points for optimization of diagnostic process, for reducing of probability of repeated surgical interventions and choosing the optimal path for instrumental orthodontic treatment of patients with impacted teeth

Stem Cells Derived from Human Exfoliated Deciduous teeth [shed] in Neuronal Disorders: A Review

2020 ◽  
Vol 16 ◽  
Author(s):  
Minu Anoop ◽  
Indrani Datta
Keyword(s):  
Stem Cells ◽  
Neurodegenerative Diseases ◽  
Dental Pulp ◽  
Therapeutic Potential ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Proliferative Potential ◽  
Pulp Tissue ◽  
Human Exfoliated Deciduous Teeth

: Most conventional treatments for neurodegenerative diseases fail due to their focus on neuroprotection rather than neurorestoration. Stem cell‐based therapies are becoming a potential treatment option for neurodegenerative diseases as they can home in, engraft, differentiate and produce factors for CNS recovery. Stem cells derived from human dental pulp tissue differ from other sources of mesenchymal stem cells due to their embryonic neural crest origin and neurotrophic property. These include both dental pulp stem cells [DPSCs] from dental pulp tissues of human permanent teeth and stem cells from human exfoliated deciduous teeth [SHED]. SHED offer many advantages over other types of MSCs such as good proliferative potential, minimal invasive procurement, neuronal differentiation and neurotrophic capacity, and negligible ethical concerns. The therapeutic potential of SHED is attributed to the paracrine action of extracellularly released secreted factors, specifically the secretome, of which exosomes is a key component. SHED and its conditioned media can be effective in neurodegeneration through multiple mechanisms, including cell replacement, paracrine effects, angiogenesis, synaptogenesis, immunomodulation, and apoptosis inhibition, and SHED exosomes offer an ideal refined bed-to-bench formulation in neurodegenerative disorders. However, in spite of these advantages, there are still some limitations of SHED exosome therapy, such as the effectiveness of long-term storage of SHED and their exosomes, the development of a robust GMP-grade manufacturing protocol, optimization of the route of administration, and evaluation of the efficacy and safety in humans. In this review, we have addressed the isolation, collection and properties of SHED along with its therapeutic potential on in vitro and in vivo neuronal disorder models as evident from the published literature.

scholarly journals Comparative evaluation of osteogenic differentiation potential of stem cells derived from dental pulp and exfoliated deciduous teeth cultured over granular hydroxyapatite based scaffold

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Manal Nabil Hagar ◽  
Farinawati Yazid ◽  
Nur Atmaliya Luchman ◽  
Shahrul Hisham Zainal Ariffin ◽  
Rohaya Megat Abdul Wahab
Keyword(s):  
Stem Cells ◽  
Osteogenic Differentiation ◽  
Dental Pulp ◽  
3D Culture ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Osteogenic Potential ◽  
Control Group ◽  
Rt Pcr ◽  
Differentiation Potential

Abstract Background Mesenchymal stem cells isolated from the dental pulp of primary and permanent teeth can be differentiated into different cell types including osteoblasts. This study was conducted to compare the morphology and osteogenic potential of stem cells from exfoliated deciduous teeth (SHED) and dental pulp stem cells (DPSC) in granular hydroxyapatite scaffold (gHA). Preosteoblast cells (MC3T3-E1) were used as a control group. Methodology The expression of stemness markers for DPSC and SHED was evaluated using reverse transcriptase-polymerase chain reaction (RT-PCR). Alkaline phosphatase assay was used to compare the osteoblastic differentiation of these cells (2D culture). Then, cells were seeded on the scaffold and incubated for 21 days. Morphology assessment using field emission scanning electron microscopy (FESEM) was done while osteogenic differentiation was detected using ALP assay (3D culture). Results The morphology of cells was mononucleated, fibroblast-like shaped cells with extended cytoplasmic projection. In RT-PCR study, DPSC and SHED expressed GAPDH, CD73, CD105, and CD146 while negatively expressed CD11b, CD34 and CD45. FESEM results showed that by day 21, dental stem cells have a round like morphology which is the morphology of osteoblast as compared to day 7. The osteogenic potential using ALP assay was significantly increased (p < 0.01) in SHED as compared to DPSC and MC3T3-E1 in 2D and 3D cultures. Conclusion gHA scaffold is an optimal scaffold as it induced osteogenesis in vitro. Besides, SHED had the highest osteogenic potential making them a preferred candidate for tissue engineering in comparison with DPSC.

scholarly journals Observational Study Regarding the Relationship between Nutritional Status, Dental Caries, Mutans Streptococci, and Lactobacillus Bacterial Colonies

2021 ◽  
Vol 18 (7) ◽  
pp. 3551
Author(s):  
Eugen Silviu Bud ◽  
Cristina Ioana Bica ◽  
Oana Elena Stoica ◽  
Alexandru Vlasa ◽  
Daniela Eșian ◽  
...  
Keyword(s):  
Dental Caries ◽  
Observational Study ◽  
Nutritional Status ◽  
Positive Association ◽  
Mutans Streptococci ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Dmft Index ◽  
The Relationship ◽  
Significant Health

The prevalence of dental caries and obesity is high as both raise significant health problems. The objective of this study was to evaluate the relationship between dental caries, the number of salivary colonies forming units of Mutans Streptococci (MS) and Lactobacillus (LB), and the nutritional status in a group of children from Transylvania. This observational study used a sample of 154 school children, aged 9 to 12 years. The prevalence of caries was measured using the decayed, missing, and filled teeth index for deciduous teeth (dmft index) and for permanent teeth (DMFT index). Height and weight were assessed for each subject, and their body mass index (BMI) percentile was calculated. Salivary levels of Mutans Streptococci (MS) and Lactobacillus (LB) were determined using the CRT Bacteria Test from Ivoclar Vivadent. In our study, we found a positive association between the BMI percentile, MS count, LB count, tooth brushing frequency, and the incidence of dental caries in children aged 9 to 12 years old. Future preventive programs should include nutrition control in order to prevent both the apparition of dental caries and obesity in children.

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