Clinical decision-making for the patient with third molars.
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AIM: To present a method for correction of an extruded maxillary second molar. METHODS: A female patient, 16 years of age, presented with an impacted mandibular second molar and an extruded opposing maxillary second molar. After placement of appliances in the maxilla, an elastic was hooked between the distal end of the extended lingual arch and the lingual button of the maxillary second molar. RESULTS: After sufficient intrusion of the maxillary second molar was achieved, the conventional method for traction of an impacted mandibular second molar was used. Neither root resorption nor undesirable periodontal problems were observed. CONCLUSION: The approach used in the present case is simple and efficient for both traction and retention of a maxillary molar.
The aim of the study was to evaluate oral hygiene of the preschool children, their oral hygiene behavior and their parents' attitude towards children's oral health. In the present study 1656 preschool children were examined and 958 parents completed a questionnaire on oral hygiene, parental attitudes to children's oral health. The findings of the study showed that oral hygiene status was not satisfactory even in 43.2% of children (values of Simplified Oral Hygiene Index varied from 1.1 to 6.0). No statistically significant difference was found between boys and girls. According to the parents' answers to the questions about oral hygiene habits it was found that 41.0% of parents brush their teeth irregularly. Fourteen percent of parents brushed their children teeth, only 5.0% of parents started to brush children's teeth when the first tooth erupted, 21.2% took their child to a dentist systematically and 31.7% of children visited the dentist for the first time due dental pain. Nearly a half of parents (44.9%) referred that their children's teeth started to decay at the first year of their lives. However, even 12.0% of parents refused to include their children in preventive program on dental caries.
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The ever increasing number of injuries to deciduous teeth in children constitutes a serious problem in paedodontics. Among many factors that facilitate tooth injuries are malocclusions, and most specifically protrusions of upper incisors of Class II/1 according to Angle. This is a case report of a 6-year-old girl with irregularities of upper permanent incisors due to traumatic injuries to deciduous teeth. In view of the ongoing child development processes, medical check-ups following injuries to deciduous teeth should be undertaken once every two or three months. Since such injuries have an impact on the development of the masticatory organ, children should undergo medical inspection and observation immediately upon the completion of relevant post-trauma treatment.
The aim of the study was to examine stability and changes in Angle Class I malocclusion from deciduous to permanent dentition in 168 subjects. All the subjects had Class I malocclusion in deciduous dentition, and were examined by the same orthodontist on two occasions during deciduous and permanent dentition. None of the subjects had received orthodontic therapy in the meantime. The results showed considerable changes from primary to permanent dentition. Crowding in primary dentition was retained in permanent dentition in 45.2% cases. In 16.2% cases it changed into normocclusion and 38.6% subjects developed other types of malocclusion. Open bite was retained in permanent dentition in 17.8% cases and in 17.8% subjects transformed into normocclusion. 64.4% subjects developed other types of malocclusion. Cross bite was retained in permanent dentition in 21.4% cases and in 28.6% subjects changed to normocclusion. Other types of malocclusion in permanent dentition developed in 50% subjects. In 30.8% of cases finding of premature loss of deciduous teeth was accompanied by extraction of some permanent teeth. Normocclusion was retained in 19.2% cases while 50% of children developed some type of malocclusion. Crowding, which was retained in permanent dentition in 45.2% cases, showed the highest degree of stability. Children with this type of anomaly in primary dentition displayed the highest frequency of total malocclusions (83.3% subjects). Out of all anomalies in primary dentition, cross bite most frequently switched to normal occlusion in permanent dentition (in 28.6% cases).
A population of patients with vitamin D-resistant rickets whose present ages range from 4 to 22 years was examined to determine the prevalence of dental abscess associated with that condition. For those patients affected with abscesses in the primary dentition, four associated factors were examined: 1) the age at onset of the first abscess; 2) the tooth/teeth most commonly involved; 3) whether or not other teeth were involved over time; and 4) the order of occurrence of multiple abscesses. Six of 24 patients (25%) were affected with abscesses of the primary dentition; all had multiple abscesses. Males were more commonly involved than females. The sequence of involvement generally followed the pattern of tooth eruption; however, dental treatment in susceptible individuals shortened the time between eruption and abscess. Medication dose and measurement of radiographs were not reliable predictors of the occurrence of abscesses in this population; however, the results indicate that one abscess is a predictor of future abscesses for that patient.
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A valid age at death estimation is required in historical and also forensic anthropology. Tooth cementum annulation (TCA) is a method for age at death estimation of adult individuals. The method is based on light microscope images taken from tooth-root cross sections. The age is then estimated by manually counting the cementum incremental lines and adding this to the chronological age at the assumed point of tooth eruption. Manual line counting, however, is time consuming, potentially subjective and the number of individual counts is insufficient for statistical evaluations. Software developed for the automated evaluation of TCA images, that uses Fourier analysis and algorithms for image analysis and pattern recognition is presented here. It involves "line-by-line" scanning and the counting of gray scale peaks within a selected region-of-interest (ROI). Each scanning process of a particular ROI yields up to 400 counts that are subsequently statistically evaluated. This simple and time saving program seeks to substitute manual counting and supply consistent and reproducible results as well as reduce the demand of human error by eliminating unavoidable factors such as subjectivity and fatigue.
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In summary, the goals of infant oral health care are to: Break the cycle of early childhood caries; Disrupt the acquisition of harmful microflora; Manage the risk/benefit of habits; Establish a dental home for health or harm; Impart optimal fluoride protection; and Use anticipatory guidance to arm parents in the therapeutic alliance.
AIM: The aim of this study was to evaluate the dental development of patients with ss-thalassemia major and to compare it with unaffected children. METHODS AND MATERIALS: Panoramic radiographs of 44 thalassemic patients taken before the age of 16 years were examined. The subjects consisted of 29 males and 15 females ranging in age from 4.9 to 15.7 (mean = 10.8+/-2.9) years and 44 controls matched for age and sex. The seven left mandibular permanent teeth, second molar to central incisor, were rated on an eight stage scale using the methods described by Demirjian et al.10 The stage of each tooth was converted to the corresponding numeric value and then all values were added to obtain a dental maturity score which corresponded to a dental age. Dental and chronologic ages were compared using a paired t-test. The relationship between the chronologic age and the amount of delay was also determined. RESULTS: Thirty-nine patients had a delay in the development of their dentition. The mean developmental dental delay was found to be 1.01 years (p<0.05). The range in delay was from 0.1 to 2.9 years. There was no significant difference between the mean chronologic and dental age of the control group (p> 0.05). The amount of delay in dental development increases as the patient's age increased (p<0.05). Males were found to have a greater delay (mean 1.16 years) than females (mean delay 0.73 years), but this difference was not statistically significant. CONCLUSIONS: The delay in dental development in ss-thalassemia major varied according to the patient's age. This positive correlation parallels the general growth of thalassemic children.
OBJECTIVE: To observe the effects of exposure to extremely low frequency electromagnetic fields (ELF EMFs) on pregnant mice and development of offsprings. METHODS: Female mice were exposed to 50 Hz, 1.2 mT electromagnetic fields during the whole pregnant period (8 h/d). The body weight of dams, delivery and development of offsprings were observed and measured. RESULTS: The increase of body weight of exposed dams (29.0%) was significantly slower than that of the control group (47.8%) during late pregnancy period (P < 0.05). The producing rate of exposed group was 60% of that of control group. Miscarriage, fetal loss and externally malformed fetus appeared in exposed group. The average number of offsprings of each exposed mouse was significantly decreased (11 +/- 1.6 vs 7 +/- 2.0, P < 0.05) and 11 for control group. Regarding the development of offspring, the body weight of prenatally exposed offsprings was increased more slowly than that of the control in the first two weeks after birth (P < 0.05). Developmental manifestations including eye opening [(252 +/- 24) h] and tooth eruption [(336 +/- 19) h] presented later in exposed offspring [(226 +/- 12), (319 +/- 15) h, respectively] (P < 0.05). CONCLUSION: Exposure to ELF EMFs during pregnancy period can cause adverse effects on pregnancy of female mice and development of offsprings.
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