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Amalgam restorations with a very visible mesiofacial aspect can be aesthetically modified. Clinical experience has proven the amalgam window preparation to be an economical, expedient, and effective treatment approach when patients request tooth-colored fillings in posterior maxillary teeth.
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The aim of this study was to investigate those factors which could influence adolescents in their dental attendance habits. Discussion groups were formed with school pupils in their final school year and with Youth Training Scheme trainees who had been working for six months or more. Fourteen discussions, involving 97 adolescents, were carried out and recorded on tape. Analysis of these tapes permitted comparison of the responses of the school leavers and the trainees which revealed some recurring themes. No major differences were found between the adolescents in their views on dental attendance before and after leaving school. Many respondents said that they had been able to decide for themselves about going to the dentist since they were 12, 13 or 14 years old, well before school leaving time. A low perception of need and a high level of confidence in self-care were widely reported and these tended to reduce the likelihood of attendance. The desire to maintain or produce a good dental appearance was frequently given as the main motive for attending the dentist.
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Restoration of primary maxillary incisors, severely destroyed by trauma or caries is a commonly faced problem in a Pediatric dental clinic. Most cases are observed in children with early childhood caries. In the past, the only option would have been to extract the affected teeth and replace them with prosthetic substitutes. However, the availability of natural crowns and roots would allow the use of biologic restorations to preserve the integrity of patient's natural dentition as presented in this case report.
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The clinician can successfully graft dental extraction sites to improve the aesthetics and function of the final restoration. When an extraction site receives a graft, ridge preservation is enhanced, pontic form can improve, dental implants can be placed in the correct position, and the prosthetic outcome will be enhanced.