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PubMed2002

[Developmental disorders of permanent teeth after injuries of their primary predecessors. A retrospective study].

The present study evaluated posttraumatic developmental disturbances of 74 permanent teeth in 30 children, who had been treated in our department between 1992-1996 following trauma to the deciduous dentition. The recall in early 2001 included a clinical and radiographic examination. 24 of the permanent teeth showed developmental disturbances following injuries to their primary predecessors. The most frequent malformations were enamel discoloration and enamel defects. Injuries to the primary teeth that caused the majority of developmental disturbances were intrusions and lateral luxations. These results clearly show that the odontogenesis of permanent teeth can be influenced by trauma to deciduous teeth. Therefore, follow-up examinations are highly recommended after injuries to the primary dentition.

Age Factors↗
PubMedDate not supplied

A developmental disorder of late adolescence.

This paper discusses one type of psychological disorder commonly seen in late adolescents who have appeared well adjusted throughout their earlier adolescent years. The disorder comes to light when a web of established roles and relationships can no longer provide a sense of identity and substitute for genuine self-esteem. The loss of this defensive niche reveals the existence of significant developmental lags or deficits in self structure, self-object differentiation, and ego functions. These disorders typically reflect a complex mingling of oedipal-neurotic conflicts, immense difficulty with separation, and developmental-structural arrests. In the initial treatment relationship, the developmental deficits are most prominent. When they are addressed, a revival and reworking of earlier adolescent separation concerns becomes possible, and some developmental momentum is restored. Overall, these disorders require a conceptualization that can give full weight to the salience of self structural problems within basically neurotic personality organization.

Acting Out↗