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[Fixation of teeth following trauma].
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When should children have their first dental visit?
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.
Comparison of mineral trioxide aggregate and calcium hydroxide as pulpotomy agents in young permanent teeth (apexogenesis).
PURPOSE: The purpose of this study was to compare mineral trioxide aggregate (MTA) with calcium hydroxide (Ca(OH)2) clinically and radiographically as a pulpotomy agent in immature permanent teeth (apexogenesis). METHODS: Fifteen children, each with at least 2 immature permanent teeth requiring pulpotomy (apexogenesis), were selected for this study. All selected teeth were evenly divided into 2 test groups. In group 1, the conventional Ca(OH)2pulpotomy (control) was performed, whereas in group 2, the MTA pulpotomy (experimental) was done. The children were recalled for clinical and radiographic evaluations after 3, 6, and 12 months. RESULTS: The follow-up evaluations revealed failure due to pain and swelling detected at 6 and 12 months postoperative evaluations in only 2 teeth treated with Ca(OH)2. The remaining 28 teeth appeared to be clinically and radiographically successful 12 months postoperatively. Calcific metamorphosis was a radiographic finding in 2 teeth treated with Ca(OH)2 and 4 teeth treated with MTA. CONCLUSIONS: Mineral trioxide aggregate showed clinical and radiographic success as a pulpotomy agent in immature permanent teeth (apexogenesis) and seems to be a suitable alternative to calcium hydroxide.
Facial development, continuous tooth eruption, and mesial drift as compromising factors for implant placement.
The replacement of teeth lost by children because of trauma can be an important indication for early implant therapy. Osseointegrated dental implants, like ankylosed teeth, alter position as growth-related changes occur within the jawbones (displacement, remodeling, mesial drift). Facial growth of the child and even of the adolescent, as well as the continuous eruption of the adjacent anterior teeth, create significant risk of a less favorable esthetic and/or functional outcome. For patients with a normal facial profile, the placement of an implant should be postponed until growth is complete. For patients with a short or long face type, further growth, especially the continuous eruption of adjacent teeth, creates a serious risk even after the age of 20 years, as illustrated by some recent clinical studies. This review aims to explain these phenomena and provides some recommendations for implant placement.
Care of the mouth and teeth. Part 3. infancy.
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[Dental and peridental pathology].
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Treating the emergency dental trauma patient.
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[Occupational dental diseases].
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[Biologico-periodontal considerations in restoration of teeth partially destroyed by caries or traumatism].
Since a great number of teeth could be rehabilitated and not extracted, in this paper we analyze the relation Perio-protesis by the point of the biology of marginal periodontal ligament, and the different options to establish this relations when are lost by decay or traumatism. We discuss the contraindications to avoid greater problems than benefits when intend to rehabilitate lost teeth.
[External inflammatory root resorption].
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[New methods and new technics in pedodontics: "conscious sedation"!].
The reasons why is it sometimes necessary to resort in paediatric dentistry to the use of conscious sedation with N2O/O2 are explained together with clinical indications and applications. The excellent results obtained with this technique lead to greater cooperation of the child, to a positive emotional contact with dental treatment and the possibility of performing the necessary therapies with greater precision.
[Barodontology and barotrauma in human dentition].
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Dental examinations prior to elective surgery under anesthesia.
It is important to involve the patient's general dentist in the preoperative management, since routine dental examinations are performed more frequently than surgery. If the dentist learns from the patient that he or she will be undergoing surgery, the dentist should stress the importance of stabilizing or removing any loose teeth or prostheses prior to surgery. In most medical centers today, patients undergoing elective surgery are seen by the anesthesiologist prior to their date of surgery for preadmission testing. A review of the patient's medical history is obtained and physical examination is performed. The anesthesiologist examines the patient for difficulty with opening the mouth, and for any loose crowns or dentures. If there are dental problems that should be corrected, the patient should be requested to visit his/her dentist prior to surgery. This will help prevent problems during the administration of general anesthesia. Reviewing the literature, it is difficult to obtain definite statistics on the incidence of dental complications secondary to general anesthesia. Most references agree that damage to the teeth and dental appliances is the most common complication of intubation. Damaged teeth result in the largest number of lawsuits filed against anesthesiologist. One review of anesthesia-related claims reports that 17 percent of the claims are due to damage to the teeth or dental prosthesis. Several authors had advocated the use of devices to help protect the dentition during the surgery. Most of these devices temporarily splint or protect the teeth from trauma during intubation and extubation.(ABSTRACT TRUNCATED AT 250 WORDS)
[The prevention of traumatic dentoalveolar lesions in pedodontics].
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[Diagram for management of dental trauma].
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Survey of pediatrician's attitudes towards pediatric dental health.
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The clinical significance and management of calcific pulp obliteration.
In this paper, the biological events that give rise to the radiographic appearance called calcific pulp obliteration will be described, as will the anatomical and histological changes that attend its presence. There will also be a review of the studies that explore the relative incidence of this pulp change subsequent to trauma, and the incidence of attending periapical disease that should indicate to the clinician that some form of treatment is required. Finally, the endodontic management of these teeth will be described with emphasis on the types of adjustments that can be made to minimize the chance for a procedural accident.