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At least 1,333 records · Page 74Linked to original sources
PubMed1985

A survey of the reasons for dental extractions in France.

3516 French dentists, selected at random, were asked to record every tooth they extracted during January, 1984. They were also asked to give the reason for extraction in each case. These were assigned to eight groups: caries, periodontal diseases, eruption problems, prosthetics, trauma, orthodontics, occlusal problems, and other reasons. Data were received from 910 dentists (25.3%) relating to a total of 14,621 extractions. Overall, caries was the most frequent cause for extraction (49%), followed by periodontal diseases (32.4%) and orthodontics (8.4%). In the age group under 50, dental caries was the main reason for extraction. However, in the age group over 50, periodontal diseases became the principal reason for extraction. Orthodontic extractions were most prominent in the 6-12 and 13-20 age groups, with respective frequencies of 72.6% and 24.8% of all extractions. Eruption problems contributed most frequently in the 13-20 and 21-30 age groups, their respective percentages being 8.7% and 12.3%. Extractions resulting from trauma were most frequently noted in the under-6 age group (frequency of 8.8%). As far as the type of tooth was concerned, first and second molars taken together made up 29.6% of extractions. These were followed by pre-molars, anterior teeth, and third molars at levels of 25.8%, 29.9%, and 14.7%, respectively. The teeth most frequently extracted because of caries were the molars (40.9%); because of periodontal disease, the anteriors (49.1%); and, for prosthetic reasons, again the anteriors (57.5%). Extractions from the various regions of France showed important variations. Percentage frequencies for caries and periodontal extractions were inversely linked.

Adolescent↗
PubMed2000

Dental trauma associated with anaesthesia.

Damage to teeth is the most common complaint against anaesthetists. A dental history and oral examination are important before anaesthesia. Pre-existing dental pathology or the presence of prostheses makes damage more likely but sound teeth may be affected. The maxillary central incisors are most at risk. Certain diseases and drugs should alert anaesthetists to increased likelihood of dental pathology. The flange of the Macintosh blade appears responsible for much damage and alternative equipment or techniques of endotracheal intubation should be considered, particularly when risk factors are present. Manoeuvres to protect teeth must not impact adversely on airway management. Custom mouthguards can be useful. A management plan can help control losses if damage does occur. Patients should be warned about the possibility of dental trauma.

Anesthesia↗
PubMed2001

A standardized, uniform and universal dental chart for documenting state of dentition before anaesthesia.

It is vital to have adequate and precise documentation of the condition of a patient's dentition before commencing an anaesthetic. The incidence of dental damage during anaesthesia is not low. To the authors' knowledge, there is no standardized method used by anaesthetists to document the state of a patient's dentition. We propose the introduction of a standardized uniform dental chart to enable anaesthetists to accurately document the condition of their patients' teeth. This vital information can be easily obtained during the preanaesthetic assessment. With the increase in medical litigation and demands for adequate documentation, we believe this chart can become an invaluable part of every hospital's preanaesthetic assessment form. The dental chart is to be offered as a service to anaesthetists in the form of a copyright-free "Freeware" computer diskette or adhesive sticker and will be downloadable from the internet.

Adult↗
PubMed1987

Dental damage during anaesthesia and surgery.

A review of the Accident Compensation Corporation (ACC) files on dental damage following anaesthesia or surgery was undertaken along with a survey of New Zealand anaesthetists asking about their practice with respect to protection of teeth during anaesthesia. These results confirm that damage is relatively common and that the majority of damaged teeth (62%) were known to have been previously restored, or weakened through periodontal disease prior to the damage occurring. The anaesthetists surveyed thought that dental damage was even more common than shown from the ACC records, and yet the vast majority of them did not routinely use specific protective guards and 45% of them did not ever use protective guards of any type.

Adolescent↗
PubMed2001

Self-made tooth guard using Turbocast.

Tooth protection during suspension microlaryngeal surgery is a challenge when teeth are damaged or missing. We present an effective, disposable and cheap tooth guard for microlaryngeal surgical procedures using Turbocast. The tooth guard transits the laryngoscope's pressure directly to the hard palate leaving the teeth uninvolved and free of any pressure.

Disposable Equipment↗
PubMed1983

The incidence and management of osteoradionecrosis of the jaws following head and neck radiotherapy.

Only 22 cases of osteoradionecrosis (ORN) of the jaws so severe as to require resection have been reported in 2,853 cases of head and neck tumours receiving radiation in doses capable of causing ORN between 1.1.1970 and 31.12.1981. But for surgical interference, including dental extractions both pre- and post-therapy, the incidence would have been even lower. The management of the irradiated patient and of established necrosis is discussed.

Dental Care↗
PubMed2003

Splinting of traumatized teeth in children.

Different types of splints have been used to stabilize traumatized teeth in children. Some of these splints have compromised healing of the teeth and associated dental tissues. This article considers the ideal properties for a splint and describes a method of splinting traumatized teeth in children that meets most of the requirements of an ideal splint.

Child↗
PubMedDate not supplied

Treatment of aesthetic problems in paediatric dentistry.

Aesthetic problems in childhood and adolescence can have a significant effect on psychosocial development and interaction with peers. Abnormalities of shape, size, colour and structure of the whole or part of the anterior dentition of children can lead to such problems. This article outlines the most appropriate options for the clinical management of different aetiological categories of aesthetic problems, and develops a hierarchy of intervention that should be pursued in a logical order until a satisfactory cosmetic outcome is achieved. These techniques are readily available to most dental practitioners and there is no reason for a child to have to wait until late adolescence for treatment.

Child↗