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PubMedDate not supplied

Root perforations.

Repairing root perforations in a timely manner is vital to successful treatment. Three case reports are presented in which successful root perforations were treated intracoronally using a fast-setting zinc oxide and eugenol cement.

Dental Instruments↗
PubMed2004

[Dental tours de force 6. Autotransplantation in case of agenesis or traumatic tooth loss].

Autotransplantation of a tooth is probably the most natural method to replace a missing or lost tooth. This treatment has been performed successfully already for more than twenty years. The prognosis of a transplanted tooth is determined by tooth type, stage of root formation at the time of transplantation, surgical technique used, and duration and way of splinting. Determining the optimal stage of root formation of the tooth is very important in planning the autotransplantation. If the transplantation is carried out successfully, the transplanted tooth behaves at its new location just like before: it erupts, the root formation is continuing, it shows physiological mobility and it can be displaced by orthodontic forces. Most cases of autotransplantation require teamwork between oral surgeon, orthodontist, and dentist.

Anodontia↗
PubMed2003

[Medico-legal certificates in dentistry-oral medicine].

Certificates are acts meant to note facts of medical order. They constitute the proof of the bodily damage in a file of repair request. Only a doctor in medicine can write such a paper. The disciplinary, penal and civilian responsibility is committed every time that the doctor agrees to write a medical certificate. The medical secret must be respected when writing such a medical certificate. The document must be handed the patient. The dentist can establish certificates of different nature when he is asked by his patients, since the noted facts are part of his expertise. The certificate must be written after exam of the patient. The description of the lesions must be precise and complete. Under pain of nothing, the medical certificate must include: the identity of the doctor, the patient's one, the date of writing and the signature of the editor. The ITT show on the medical certificate is of great importance because it determines jurisdictions related to voluntary and involuntary violence.

Confidentiality↗
PubMed2004

[Uses of MTA, a review. Part 2: Clinical applications].

Mineral trioxide aggregate (MTA) has been used in dentistry for the last five to eight years. Because of its high biocompatibility, its good sealing ability, and the fact that cemental tissues grow on this material, it has a relatively wide range of applications in endodontics. MTA may be used to cap exposed vital pulps, to seal open apices or perforations, or as a retro-filling material in apical surgery. These applications are presented in the current article, and discussed based on case reports.

Aluminum Compounds↗
PubMed2004

[Indications for use of MTA, a review. Part 1: Chemical, physical and biological properties of MTA].

Mineral trioxide aggregate is a recently introduced dental material. It may be used to seal perforations, make retrograde fillings in root-end resections, seal open apices, or cap vital pulps. In this review of the literature, physical, chemical, and biologic properties of MTA are discussed. Studies have suggested that MTA provides a better seal than formerly used materials such as IRM, amalgam, and Super-EBA. Further, MTA has low cytotoxicity and excellent biocompatibility. In vivo studies demonstrated a beneficial effect of MTA on pulpal and periodontal regeneration. Although controlled randomized clinical trials are still missing, MTA appears to be a suitable material to tightly seal dental hard tissues from the periodontium, or to cap the exposed pulp.

Aluminum Compounds↗
PubMed2004

The diagnostic accuracy and reproducibility of school dental screening using an index of treatment need.

OBJECTIVE: To test the use of an index in school screening programmes by assessing its accuracy in determining treatment need, and its reproducibility. BASIC RESEARCH DESIGN: Diagnostic accuracy was measured against a gold standard, inter-examiner and intra-examiner variation was measured by comparing the results of two examiners for the same subjects. Setting A large inner city primary school in Birmingham. PARTICIPANTS: 570 primary school children. OUTCOME MEASURES: Diagnostic accuracy was measured by sensitivity and specificity values. Reproducibility was measured by using kappa scores. RESULTS: The mean sensitivity for positive screening result was 81% and mean specificity for negative screening result was 97%. The kappa score for inter-examiner variation was 0.7 with agreement on decision to refer in 91% of cases. Intra-examiner variation was 11% for both examiners. CONCLUSION: The use of the index was shown to be both accurate and reproducible and is advocated for use in school dental screening programmes.

Child↗
PubMed2004

Age dependence of compliance with orthodontic treatment in children with large overjet. An interview study.

Large overjet has been associated with an increased risk of trauma of the permanent maxillary incisors, especially before 10 years of age. The prevalence of an overjet of more than 6 mm in 10-year-old Swedish children is about 15%. To prevent trauma by reducing the overjet, this treatment be set in early in life. However, compliance with orthodontic treatment is a significant and well known problem and may be associated with the age of the patient. This study concerns children treated with an open activator with built in headgear (HG activator). The aim of treatment was to reduce the trauma risk in these patients as early as possible, and an objective of the study was to gain better knowledge of young children's (6-13 years of age) motivation for and response to correction of large overjet. In-depth interviews focusing on motivation were held with 18 children. Interviews were transcribed verbatim and analysed according to Grounded Theory, a qualitative method. The results indicate the importance of parental involvement for younger children's compliance. Older children seem to have a higher degree of internal motivation for treatment and less need for parental support for compliance with treatment. If treatment compliance can not be ensured through parents' wholehearted involvement and control it seems to be better to delay treatment until the child is older.

Activator Appliances↗
PubMedDate not supplied

Parent satisfaction with emergency dental treatment at a children's hospital.

PURPOSE: This study evaluated parental satisfaction with emergency dental treatment. METHODS: One hundred twenty-two parents of children requiring emergency extraction of 1 or more primary teeth completed a survey designed to test the effect of provider, treatment, and demographic variables on parental satisfaction. RESULTS: Most parents (>80%) indicated satisfaction with the treatment provided. Parents were most satisfied with treatment during clinic hours, treatment provided by an attending pediatric dentist, and treatment provided by male dentists. Satisfaction was correlated with the clarity of the provider explanation. Explanations by male dentists were perceived most positively. Parents of children receiving molar extraction(s) were more satisfied than parents of children with incisor extraction(s). Satisfaction did not correlate with ethnicity of the parent or patient, parent education level, funding sources, or use of an immobilization device. Parents preferred sedation for behavior management of the emergency patient. CONCLUSIONS: To address the expectations and concerns of parents, dental professionals need to be attentive to the quality of dentist-parent communication and parental expectations during emergency services.

Adult↗
PubMedDate not supplied

Effect of mechanical trauma on the tooth germ of rat molar--a scanning electron microscope study.

OBJECTIVE: Clinical and histopathological evaluation of mechanical trauma on the development of maxillary first molar with Scanning Electron Microscope. DESIGN: Experimental study with four newborn Wistar rats. Trauma induced on 1st, 3rd, 7th and 10th postnatal days with dental K file. Right first molar region of the maxilla was the experimental side and the left side as control. Animals were sacrificed on the 42nd Postnatal day when the teeth came into functional occlusion. Teeth were evaluated clinically and SEM study of the crown was performed. RESULTS: Marked disfigurement of cusps, roughened defective, enamel, crown dilacerations and enamel hypoplasia were observed. Damage was less severe to the tooth subjected to trauma on the 10th postnatal day.

Age Factors↗
PubMed2001

Esthetic restoration of traumatized permanent teeth in children using composite vestibular veneers (preliminary communication).

UNLABELLED: All people are eager to have attractive dental looks. Esthetic corrections of defects caused by colour alteration are required more and more frequently by dental patients. Very often even the form of viable or devitalised teeth in children is wanted to be changed. The modern composite materials allow this to be done by vestibular veneers satisfying even the highest requirements in this respect. THE AIM of the study was to address the matter of the restoration of traumatised permanent children's teeth by composite veneers. MATERIALS AND METHODS: The study included 30 traumatized permanent anterior teeth in children which, after dealing with the trauma, were restored by means of composite veneers. The teeth were first prepared using a suitable method and the composite veneers were fabricated during the same visit. The patients were evaluated at one, three and six months. RESULTS: The colour, margin integrity, surface structure, and anatomic form were rated using the California Dental Association's criteria. CONCLUSIONS. Restoration of traumatized permanent teeth in children with vestibular veneers yields very good clinical results. The composite veneers is an alternative method in restoration of such teeth in children.

Adolescent↗
PubMed2004

Recognising and responding to partner abuse: challenging the key facts.

Inter-partner violence is a serious public health problem for a minority of the population. Frequently the problem is hidden and goes undetected. Recognising this violence within the primary healthcare setting and responding appropriately are laudable aims, with significant health gains. However it is important that in raising professional and public awareness of the issue, the case is not over-stated. Too often figures such as a NZ$141 million annual cost of family violence to health are quoted and presented as 'fact' without critical appraisal. Family violence is an emotional topic, and challenge to prevailing viewpoints may be misconstrued as a denial of the problem. These are important issues, and I invite academic debate.

Attitude to Health↗
PubMed2004

[Implant prosthesis rehabilitation after maxillofacial injuries--case report].

The dental and oral rehabilitation of patients with severe trauma that involves the oral cavity is demanding and challenging. Recently, advanced surgical techniques and innovations in oral implantology led to more sophisticated treatment modalities that may better fulfill the patients needs in special situations. Young people rather often suffer from accidents--at school and during leisure activities--in a period of their life that has a great impact on their physical, mental and personal development. Thus, the wish for a quick functional and esthetical rehabilitation contrasts with the complex clinical situation and the compromised oral conditions. All persons involved in the rehabilitation process--including the patient--must seek for the best solution that takes into account treatment time, invasivity of procedures and patients morbidity. Further, it is also observed that insurances very much stress the reduction of cost and the simplicity of treatment. This will also influence the treatment planning and the sequence of the procedures as shown by the following case.

Accidental Falls↗