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PubMedDate not supplied

Oligodontia in the primary dentition with permanent successors: report of case.

A case of oligodontia in the primary dentition with corresponding permanent successors is described. A two-year-old Japanese boy was admitted to the pedodontic clinic with the chief complaint of congenitally missing primary teeth. The boy appeared to be normally developed and was in good physical health. There was no history of trauma, extraction, or exfoliation of primary teeth. Clinical examination showed that eight anterior teeth were missing. Also, a canine and three first molars were much smaller in size and were malformed. However, radiographic examination at age four years, ten months showed that all of the permanent tooth germs--including the corresponding successors of congenitally missing primary teeth--were evident.

Anodontia↗
PubMedDate not supplied

Atypical root resorption of maxillary primary central incisors due to digital sucking: a report of 82 cases.

To illustrate particular patterns of apical root resorption in primary maxillary central incisors of digital suckers, the radiographs of patients in a private pedodontic practice were evaluated. All cases in this study displayed one of four typical forms of apical root resorption. Radiographic findings appeared in children as young as twenty-five months of age.

Child, Preschool↗
PubMedDate not supplied

Management of the refractory young child with chloral hydrate: dosage selection.

Chloral hydrate is often selected for its wide range of safety, yet concerns are increasingly raised about its frequent failure to provide adequate levels of sedation while using the recommended hypnotic dosage. This paper discusses the implications of these weaknesses in a pedodontic context.

Anesthesia, Dental↗
PubMedDate not supplied

Management of the refractory young child with chloral hydrate: dosage selection.

Chloral hydrate is often selected for its wide range of safety, yet concerns are increasingly raised about its frequent failure to provide adequate levels of sedation while using the recommended hypnotic dosage. This paper discusses the implications of these weaknesses in a pedodontic context.

Anesthesia, Dental↗
PubMedDate not supplied

Acquired unilateral condylar hyperplasia and facial asymmetry: report of case.

A clinical report is presented of a 12-year-old female with right mandibular hyperplasia, facial asymmetry, bitemporal headaches and left temporomandibular joint pain. Past medical history was noncontributory with the exception of a bicycle accident at age eight, which resulted in minor facial trauma. The management and treatment of this case illustrates the importance of long-term follow-up by the pedodontist and the necessity of a team approach involving pedodontics, orthodontics and oral surgery.

Child↗
PubMed1975

Long-term prognosis of 66 permanent anterior teeth with root fracture.

A longitudinal clinical and radiographic follow-up study was made of all permanent teeth with root fractures referred to the Oslo University Department of Pedodontics between 1953 and 1972 (n = 66). The material included 51 patients aged 6-21 years. The mean observation period was 5.2 years, ranging from 1 to 19 years. The present report documents background data and the long-term results. Two teeth with exarticulation of the coronal fragments (3%) were immediately extracted. Repair of the fracture area occurred in 51 teeth (77%). Pulp necrosis was found in 13 teeth (20%), nine of which were successfully treated endodontically; only four teeth had to be extracted. Several factors were found to influence the prognosis, most notably the degree of dislocation of the coronal fragment. The localization of the fracture influenced repair only slightly. Despite somewhat increased mobility in some cases, the longevity of teeth with fractures even in the coronal third of the root was not significantly shortened. It is concluded that when optimally treated by repositioning, fixation and relief of occlusion, anterior teeth with root fracture have a favorable prognosis. Even when pulp necrosis occurs, the long-term prognosis is good.

Adolescent↗
PubMed1983

Effects of criteria and checklists on reliability in preclinical evaluation.

This study sought to expand and clarify research on intra- and interexaminer reliability in preclinical pedodontic grading. Six examiners graded 30 dentoform preparations using three different evaluation methods in a design that controlled the effects of order. The three methods were global (glance and grade), checklist with criteria (analytical), and checklist only. No method resulted in superior intra- or interexaminer reliability. The three evaluation methods can be easily adapted or replicated by other clinical disciplines, and the research design offers a model for similar studies in other preclinical and clinical dental settings.

Clinical Competence↗
PubMedDate not supplied

Judicious distribution of pedodontists to non-urban areas.

Current information on the number of pedodontists, supplemented with data on population trends, the use of dental services, evolving dental disease patterns and the expenditures for dental services , would seem to bear out the Task Force and Advanced Dental Education recommendation (particularly in the field of pedodontics) that, "the total number of first-year clinical dental specialty positions be decreased.

Adolescent↗
PubMed1980

An interdisciplinary teacher education program.

In 1975 the faculty of the University of Washington School of Dentistry, in conjunction with the College of Education and the affiliated Children's Orthopedic Hospital and Medical Center, developed a 36-month formal teacher education program in combination with joint specialty training in pedodontics and orthodontics. The program goal was to produce a professional dental educator/administrator who could function primarily in the teaching and practice of child and adolescent comprehensive care. After four years and three graduates, the faculty terminated this program. This paper outlines the rationale and structure of the original program and discusses the reasons for its termination.

Curriculum↗
PubMed1984

Management of dental behaviour problems. A 5-year follow-up.

The aim of the study was to evaluate the lasting results of treatment designed to increase cooperative behaviour in children with advanced anxiety or fear of the dental situation. The first 50 children referred in 1976 to the pedodontic clinic in Orebro, Sweden, on account of management problems, were chosen. Of these children 45 were able to participate in a follow-up study in 1982, comprising information from records and from questionnaires sent to the child/parent as well as to the referring dentist. In 1976 most of the children had not accepted dental treatment for several years and were in great need of dental care. Nevertheless, after systematic stepwise learning, based on the "tell-show-do" method, together with reinforcement, 36 children could be treated conventionally and another 5 after preoperative sedation. In 4 cases postponement was chosen. Of the total treatment time, 28 per cent was spent on managing behaviour problems. If all treatment, including injection, had been carried out with positive acceptance in 1976, as well as during the following 5 years, without the patient being fearful or having physical symptoms, the lasting result of managing behaviour problems was considered positive. These criteria were fulfilled in 78 per cent of the cases. Furthermore, the results indicate that the main reason for dental behaviour problems usually lies in the child's prior experience of the dental situation and that the present treatment model is effective in reducing dental fear and gives most children a lasting positive attitude to dental care and dental health.

Adolescent↗
PubMedDate not supplied

A balanced oral sedation technique.

The results of the preliminary clinical investigation for treating ambulatory patients in a nonhospital environment offer the following advantages of the regimen discussed: A high degree of predictability, with a wide margin of safety, when utilized properly. All of the patient's vital signs remained stable, although respiratory rate and depth were depressed for short periods of time. Adequate working time to perform all phases of pedodontic dentistry, with a minimum amount of postoperative nausea. A smooth onset of action and a good experience of young patients who were confronted with a stressful situation. Profound local anesthesia is mandatory, otherwise painful stimuli will awaken the patient and result in a stormy encounter. The personality and experience of the dental personnel contributed a great deal to the smoothness and success of the procedure.

Administration, Oral↗
PubMedDate not supplied

[A finely dispersed copper alloy for amalgams--a prospective filling material in pediatric dentistry. II. Clinical research].

The authors assess clinical efficacy and possibility of using finely dispersed copper alloy for CMTA amalgam in dentistry. They compare their results with the data of clinical trials of tableted cooper amalgam TMAC-01 which is commercially manufactured at present. CMTA cooper amalgam was found preferable to TMAC-01 amalgam at all stages of carious process compensation in children due to its better strength, increased color stability, and corrosion resistance. This material is recommended for pedodontics for filling carious cavities of the first, second, and fifth class in deciduous molars.

Child↗
PubMed1994

[Dental and dentoalveolar injuries: their etiology, incidence and distribution in a specialized university service].

From 1987 to 1992, 520 patients presenting with traumatic injuries were referred to the Department of Orthodontics and Pedodontics at the University of Geneva. The sample consisted of 949 injuries, involving 556 primary and 393 permanent teeth. They concerned mostly upper primary (56%) or permanent (35%) incisors, and were more frequent in boys (60.6%) than girls (39.4%). Various epidemiological observations concerning etiology, age distribution and seasonal variations are discussed. Given the limits assigned by data derived from a selected sample, they are compared with other studies dealing with traumatic injuries.

Adolescent↗
PubMedDate not supplied

[A technic for performing tooth-preserving operations in treating radicular cysts and chronic periodontitis of the permanent teeth in children and adolescents].

A high incidence of complications developing during and after removal of teeth with chronic periodontitis and radicular cysts has made the dentists resort to conservative surgical methods of treatment of such conditions. These methods are replantation, resection of radical apex, hemisection, radicular amputation, granulectomy, crown-radicular separation, crown-radicular amputation, hemireplantation, and inter-radicular granulectomy. The technique of such treatment is described in detail. Conservative surgical methods of treatment include the following stages: (1) conservative therapy; (2) surgical treatment; (3) orthodontic treatment; (4) dynamic follow-up till complete recovery of osseous tissue. The recommended modalities are not difficult but rather effective and may be performed at pedodontic clinics.

Adolescent↗
PubMed1993

Direct bonded space maintainers.

The aim of this study was to evaluate clinically a bonded space maintainer, which would reduce chair-side time and cost. Sixty appliances were fabricated from 0.7 mm stainless steel round wire and bonded using light-cured composite to the two teeth adjacent to the site of extraction of a posterior primary tooth. Twenty males and sixteen females (age range 5-9-years-old) were selected from the Pedodontic clinic of the State University of Rio de Janeiro. The sixty space maintainers were divided into two groups according to the site in which they were placed: a) absent first primary molar and b) absent second primary molar. Impressions and study models were obtained prior to and 6 months after bonding the appliances. During this period only 8.3% of failures were observed, most of them from occlusal or facial trauma. Student t-test did not show statistically significant alterations in the sizes of the maintained spaces during the trial period.

Child↗
PubMed1993

[A radiographic survey of root resorption in pulpless primary teeth].

The goal of this article is to survey the relation between root resorption types and sex, age, pulpless source, tooth position of pulpless primary central incisors. Healthy children with pulpless primary maxillary central incisors were systematically selected from the Kaohsiung Medical College Hospital Pedodontic Department. After a complete recording of age (3-6y/o), Sex (male, female), pulpless source (caries, trauma), and tooth position (#51, #61), the bisecting angle technique was used to take periapical X-ray film of pulpless primary maxillary central incisors. A total of 112 pulpless primary central incisors was collected and classified into 5 types: Type I--mild resorption Type II--end-cutting resorption Type III--semi-circumferential resorption Type IV--circumferential resorption Type V--irregular resorption 15 teeth (13.4%) were classified as type I, 27 teeth (24.1%) classified as type II, 35 teeth (31.2%) as type III, 30 teeth (26.8%) as type IV, and 5 teeth (4.5%) classified as type V. Chi-square analysis between root resorption types and sex, age, pulpless source, tooth position were performed, and two results were noted: (1) There are no relation between root resorption types and sex, age, tooth position. (2) There is a close relation between root resorption type and pulpless source. The pulpless teeth caused by caries tend to be resorbed as type III and type IV; on the other hand, the pulpless teeth caused by a traumatic source tend to behave like type I and type II.

Child↗
PubMed1995

[Laser physiotherapy of stomatological diseases].

Modern methods of laser prophylaxis and physiotherapy of numerous dental diseases in cariesology, endodontia, periodontology, surgery, orthodonty, pedodontics, implantology, etc., using new-generation laser technologies, are reviewed.

Contraindications↗