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At least 955 records · Page 53Linked to original sources
PubMed1998

Restorative treatment need assessment by dentally and nondentally trained subjects.

A study was carried out which compared how two groups of people, one with clinical dental experience and one without, assessed restorative dental treatment need. Using a visual analogue scale, a group of final year dental students (n = 50) and nonclinical university students (n = 50) assessed the extent to which they considered common dental imperfections, viz. spacing of the upper anterior teeth and discolouration of upper anterior teeth, warranted restorative correction. The group of dental students judged the necessity for treatment of discolouration to be more urgent than correction of spacing. The nondental group did not differentiate between the degrees of need. Data were non-normal in distribution but the use of appropriate statistical tests showed the differences in mean assessments to be significant.

Adolescent↗
PubMed2000

In vivo measurement of colour changes in natural teeth.

It has been observed that teeth become lighter when they are dried. The present study was designed to quantify these changes and the time taken for tooth colour to return to normal. The colour of an upper central incisor in each of seven subjects was measured using a reflectance spectrophotometer before and after application of a rubber dam and, in another seven subjects before and after taking a polyvinylsiloxane impression. There were statistically significant changes in the L*, a* and b* values following rubber dam application and in the L* value following impression taking. The results demonstrate that teeth become brighter and less colour saturated after rubber dam application and brighter after impression taking. The original values were regained after 30 min.

Color↗
PubMed2001

The effects of polishing and bleaching on the colour of discoloured teeth in vivo.

Bleaching is an effective method for restoring the colour of discoloured vital teeth. Power bleaching, in particular, in which a bleaching solution containing 35% hydrogen peroxide is activated by a strong light source using a plasma arc, makes it possible to bleach teeth effectively in a short time. The purpose of this study was to determine how polishing or power bleaching the tooth surface affects tooth colour. The subjects selected were patients who had slightly discoloured teeth. The colour of precisely identified sites on six anterior teeth was measured before treatment, after polishing and after bleaching, to ascertain changes in colour. The measurements revealed that tooth colour changes slightly after polishing, but it shows a much greater change after bleaching, and that the post-bleaching change in tooth colour was caused both by elevation of lightness and reduction of yellowness. They also revealed that the colour difference between pre-treatment and post-bleaching does not depend on the type of tooth. These results suggested that power bleaching is an effective technique for improving slightly discoloured vital teeth, regardless of the type of tooth.

Adult↗
PubMed2001

Defects of dental appearance assessed by patient and dental student groups.

A study was carried out to establish the relative need for treatment of a range of defects of dental appearance and identify differences between individual and group assessments. Three groups (n = 42), two of patients (one referred for a defect of dental appearance and one not) and one of dental students, assessed urgency of need on a visual analogue scale (VAS), of four cases of dental defect presented as colour prints. All groups rated the need for treatment of the four cases in the same order. Data sets were non-normal with wide ranges. Patients without a defect of appearance usually assessed treatment need as significantly less urgent. Marked variation was discovered between individual assessments within otherwise similar groups. Based on group decisions, guidelines for treatment of defects of dental appearance could be established. However, so extreme are individual variations that very sympathetic application would be needed if dissatisfaction is not to result.

Adolescent↗
PubMedDate not supplied

[Kohlschütter syndrome--an example of a rare progressive neuroectodermal disease. Case report and review of the literature].

Kohlschütter's syndrome is a combination of amelogenesis imperfecta, progressive mental retardation and epileptic seizures. We report on a patient with typical signs of this syndrome. Beneath severe enamal defects of teeth, the patient has been suffering from progressive mental and motoric retardation from the age of six months. Although there is pathologic activity in EEG, seizures have not yet appeared. MRT shows distinct signs of cerebral atrophy. Apart from this patient 15 patients in 4 families have been reported up to now in literature. The article compares diagnostic results in this case with those reported in literature.

Amelogenesis Imperfecta↗
PubMed2003

Green teeth associated with cholestasis caused by sepsis: a case report and review of the literature.

Green stain is an uncommon condition associated with deposition of bilirubin in dental hard tissues. Prolonged hyperbilirubinemia has long been recognized as a frequent clinical manifestation of infection in the newborn, although the green staining of teeth caused by cholestasis associated with sepsis has not yet been reported. The purpose of this report is to present a case of green teeth of the primary dentition in a 3-year-old Brazilian girl. In addition, previously reported cases and their associated medical histories are analyzed.

Candidiasis↗
PubMed2001

Restorative treatment decisions on occlusal caries in Scandinavia.

In order to map variations in the operative treatment threshold for occlusal caries, a pre-coded questionnaire was sent to a random sample of 759 dentists in Norway, 923 in Sweden, and 173 in the Danish Public Dental Health Service inquiring about caries and treatment strategies. A further intention was to explore the type of operative treatment and filling material dentists in Scandinavia would use given an occlusal lesion in the lower 2nd molar in a 20-year-old. It is found that close to 70% of dentists in the 3 countries would put off carrying out operative treatment of occlusal caries until they registered a moderately sized cavity and/or any radiolucency in dentin. In Sweden, 26.7% of dentists and in Denmark 24.3% would postpone operative treatment until the lesion had a large cavity and/or until radiolucency could be observed in the middle third of the dentin; in Norway, only 11.5% of dentists indicated this. The majority of dentists in all 3 countries preferred to drill only the carious part of the fissure, though in Norway more dentists (30.9%) would tend to drill the whole fissure compared to their Swedish (23.4%) and Danish (9.5%) colleagues. The majority of Danish dentists (52.4%) suggested amalgam for restoring the occlusal surface, while 19.9% of Norwegian and 2.9% of Swedish dentists would use amalgam. Composite was the first material of choice for 71.5% of the Swedish dentists, the remaining 25.6% suggesting conventional glass ionomer cement, light-cured 'glass ionomer cement', or a combination of glass ionomer cement and composite. The corresponding values for the Norwegian dentists were 39.1% and 41.0%, respectively, and for the Danish dentists 29.2% and 18.4%. In Scandinavia, the leading strategy for occlusal caries seems to be to postpone operative treatment until a definite cavity or radiolucency in the outer third of dentin can be observed, and to carry out operative treatment only of the part of the fissure that is carious. Composite resin is the predominant material of choice in Sweden, while in Denmark the majority of dentists preferred amalgam. Composite, or composite in combination with glass ionomer cement material, was the choice of almost 80% of Norwegian dentists.

Adult↗
PubMed2005

Clinical performance of DIAGnodent in the detection of secondary carious lesions.

The diagnostic value of DIAGNOdent in detecting primary occlusal caries has been investigated in many studies, although its use in in vivo detection of secondary caries remains unclear. The aim of this study was to investigate the ability of DIAGNOdent in in vivo detection of secondary caries on teeth with amalgam restorations. The material comprised 51 posterior teeth restored with amalgam material. Bitewing radiographs were taken of all teeth, in accordance with the standard clinical protocol, and analysed by five observers with respect to secondary caries. The restoration margins of each tooth were carefully scanned with DIAGNOdent and the site of the highest reading and its value were registered in a digital picture. The color (stained/unstained) of the restoration margins was also documented. The restoration material was removed and all cavities were examined carefully by two observers together, both visually and by probe. The results showed that the sensitivity and specificity of DIAGNOdent and conventional radiography in detecting secondary caries were 0.60/0.81 and 0.56/0.92, respectively. For DIAGNOdent, 100% of the teeth in the false-positive fraction had stains. Regarding receiver operating characteristic analyses, the Az values were 0.78 and 0.69 for DIAGNOdent and radiography, respectively. We conclude that DIAGNOdent may be used only as an adjunct to conventional methods in detecting secondary caries on teeth with amalgam restorations.

Adult↗
PubMed1999

Caries assessment and restorative treatment thresholds reported by Swedish dentists.

The aim was to study any variability in approximal and occlusal caries diagnoses and restorative treatment decisions among Swedish dentists. The material consisted of a pre-coded questionnaire sent to a random sample of 923 dentists with 4 items concerning approximal and occlusal caries diagnosis and restorative treatment decisions. Responses were received from 651 (70.5%) dentists. In an adolescent with low caries activity and good oral hygiene, more than 90% of the dentists stated that they would not automatically restore a primary approximal caries lesion if its radiographic appearance did not show obvious progression in the outer 1/3 to 1/2 of the dentin. Moreover, 67% of the dentists would only consider immediate restorative treatment of an occlusal surface if obvious cavitation and/or radiographic signs of dentin caries could be observed. When diagnosing questionable occlusal caries, the dentists largely relied on the radiographic appearance. Concerning both approximal and occlusal caries, the threshold for restorative treatment differed between the metropolitan regions in Sweden, and younger more often than older dentists would postpone restorative treatment of approximal caries until the lesion had reached a relatively advanced stage of progression. The responses also showed that dentists in private practice would restore approximal caries at an earlier stage of progression than the dentists in the Public Dental Health Service.

Adolescent↗
PubMed1994

Influence of window size in small-window colour measurement, particularly of teeth.

Tooth colour is often measured with a small window for illumination and measurement. This causes edge loss of the light, resulting in systematic errors in colour coordinates. This paper gives a quantification of the edge losses, and explains their cause. We measured reflectance spectra for 27 Formalin fixated extracted incisors using a small-window reflectance spectrophotometer equipped with external diaphragms of 3, 4, and 5 mm diameter, and using a spectroradiometer. We calculated the colour coordinates L*a*b* from these spectra. Finally, 16 randomly chosen teeth were illuminated with a pencil beam (lambda = 543 nm, and lambda = 633 nm) while the emerging light was measured as a function of distance from the illuminated spot using a CCD detector. These data were used to calculate small-window edge losses, and thus to predict the small-window reflectance factors relative to spectroradiometrically determined reflectance, at both 543 nm and 633 nm. In all instruments the same spot on the tooth was illuminated and measured, and the teeth were always wet. Colour coordinates for the small-window colour measurements deviate significantly from those determined using the spectroradiometer. These deviations can be explained from the wavelength-dependant edge loss that arises in small-window colour measurement.

Color↗
PubMed1999

A comparison of three methods for the diagnosis of sound, stained, and carious dentine: conventional, mechanico-acoustic, and laser-acoustic methods.

OBJECTIVE: The authors examined two novel and objective methods for diagnosing stained, carious, and sound dentine, a mechanico-acoustic method and a laser-acoustic method, and compared these with the conventional but subjective method of visual and tactile assessment using a dental probe. SUMMARY BACKGROUND DATA: It is accepted clinical practice to leave stained but relatively firm dentine on the pulpal surface of dental cavities prepared for restoration. The problem for the clinician is in deciding which dentine is carious and which is stained but acceptable to be left in situ. There is no objective method for making this decision, it is usually made on the basis of visual examination and tactile assessment using a dental probe. METHODS: The authors used Fourier analysis of acoustic waves arising from mechanical (dental probe) or laser (Er:YAG laser) interaction with the tooth surface and compared the results with the subjective assessment of the same tissue surfaces as judged by a clinician using visual and tactile assessment with the same dental probe. RESULTS: The results showed that both the mechanico-acoustic and laser-acoustic methods were more accurate and more objective than the conventional visual/tactile method and that an analysis of both the integral and spectral signals produced by the Er:Yag Laser (lambda = 2.94 microns) allowed for a more accurate diagnosis than the other two methods examined. CONCLUSIONS: Both mechanico-acoustic and laser-acoustic methods of diagnosing sound, stained, and carious dentine were more accurate than the subjective visual/tactile method using a dental probe. The laser-acoustic method was the most accurate of all of the methods compared. An advantage of the laser-acoustic method is that it could be included into the actual process of cavity preparation when using an Er:YAG laser, providing an objective and more accurate assessment of the nature of the remaining dentin and may therefore be more economic of time, eliminating the necessity for constant cessation of drilling to assess the nature of the target tissue.

Acoustics↗
PubMed2005

Differentiation of developmental and post-orthodontic white lesions using image analysis.

The aim of this study was to investigate differences in shape and size characteristics between developmental opacities and post-orthodontic white enamel lesions using computerized image analysis. Material, in the form of 35 mm slides, was obtained from the archive of photographic patient records in the orthodontic clinic at the Charles Clifford Dental Hospital. Images of 30 teeth with developmental white lesions and 30 teeth with post-orthodontic white lesions were selected using strict inclusion and exclusion criteria. The slides were converted to a digital format, coded, placed in a random order and analysed blindly using a computerized image analysis system by one clinician. After a 2 week interval, the images were recorded, placed in a new random order and the measurements repeated. The outcome measures were: area and luminance proportionality, and the shape of the perimeter line (expressed as the mathematical factor, roundness). Reproducibility was assessed by a paired samples t-test for systematic error and the intra-class correlation coefficient (ICC) for random error. Differences between groups were tested using the Mann-Whitney U-test for non-parametric data. Reproducibility was substantial for all measurements except for developmental white lesion roundness, which was moderate. There was a statistically significant difference between developmental white opacities and post-orthodontic white lesions for measurements of luminance intensity, proportionality (P = 0.002) and roundness (P = 0.001). Developmental white opacities had a higher luminance (i.e. were whiter) and the boundaries were more circular in shape than the post-orthodontic lesions. Roundness is a useful measure when distinguishing developmental and post-orthodontic demineralization.

Dental Enamel↗
PubMed1996

Superficial copper staining of the teeth in a brass foundry worker.

A 21 year-old man developed green surface staining of the cervical margins of his teeth 10 months after starting work in a brass foundry. During this time he was exposed intermittently to brass fumes which contained approximately 75% copper and 2-5% lead. The staining of his teeth was attributed to the absence of respiratory protection in the knock-out process and was accompanied by a rising blood lead concentration. Staining of the teeth by copper was described early this century but seems to have been neglected in the recent literature and texts on occupational medicine. We suggest that in brass foundry workers it is a warning of failure to control fume or dust exposure with the attendant risk of lead toxicity.

Adult↗
PubMed2000

Unusual indelible enamel staining following fixed appliance treatment.

Two cases are described of indelible enamel staining following fixed appliance therapy. The acquired pigmentation occurred in patients with an identifiable enamel defect prior to treatment. The interaction of factors to cause the staining is discussed and it's prevention in future cases highlighted. Subsequent restoration of the affected teeth is shown.

Amelogenesis Imperfecta↗
PubMed1987

Postmortem red coloration of teeth. A retrospective investigation of 26 cases.

Postmortem red coloration of teeth (pink teeth) was found in 26 of 119 consecutive autopsy or forensic dental identification cases during 1973-1984. The present study confirms that red coloration of teeth may occur some time after death under conditions that promote putrefaction and adipocere formation. The red coloration is due to hemolysis after exudation of hemoglobin derivatives through the dentine tubules in cases in which blood has accumulated in the head, either due to congestion or by a postmortem head-down position, as after submersion in water.

Adult↗