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At least 1,513 records · Page 84Linked to original sources
PubMed1996

Case report: the use of a resin retained bridge with movable joint.

The use of resin retained bridge work is commonplace within dental practice. Factors that may affect long term success include the type of metal used and surface preparation, the resin, operator technique, the surface area of the tooth, differing movement of the abutment teeth and occlusal forces. A clinical case is reported in which a resin retained bridge with a movable joint was used to restore missing anterior teeth in a 15 year old girl with a developing occlusion.

Accidents, Traffic↗
PubMed1997

[A fragmented ribbon splint for the treatment of tooth dislocations].

A simple, reliable, and easy-to-make splint is proposed for immobilization of the dislocated upper and lower incisors. The splint does not prevent correct occlusion, is hygienic and atraumatic. The process of immobilization of the dislocated tooth is accelerated if half-products are available. The splint consists of processes for fixation and the part fixing the tooth, its vestibular part involves the palatal surface of the tooth and is finished with an occlusion pad. The splint is fixed with bronze-aluminium wire to 2-3 healthy teeth on both sides of the dislocated tooth.

Equipment Design↗
PubMed1997

[Incidence of injuries to deciduous teeth].

An analysis of 191 primary incisors damaged by acute mechanical trauma on 108 children, ranging in age from 2 to 6 years, has showed that most of the patients were between 2 and 3 years of age (67%) when the accidents occurred. According to this clinical study the most frequent type of injury was partial luxation (42.93%). In 53.7% of cases the accident involved two teeth. The upper central primary incisors were damaged most frequently (82%). The ratio of boys to girls was 3:2.

Age Factors↗
PubMedDate not supplied

The reinforced natural tooth pontic.

This article describes an esthetic alternative for the periodontally compromised dentition. It involves a technique for using a natural tooth pontic (bonded with resin composite and reinforced by an intracoronal orthodontic wire), for replacing an anterior tooth in a periodontally compromised, mobile dentition. Following extraction and root resection of the maxillary central incisor, recess grooves were placed into the pontic and the adjacent abutment teeth. Intracoronal round orthodontic wire (0.032) was embedded into these preparations and bonded with acid-composite, which increases the retention of the tooth pontic.

Adult↗
PubMed1998

Multidisciplinary implant dentistry for improved aesthetics and function.

Functional and aesthetic restorations that involve implant-supported prostheses rely on the efforts of a multidisciplinary team composed of surgeon, prosthodontist, and laboratory technician. The team must examine the anticipated restorative site to determine the suitability of existing hard and soft tissues for implant placement. When the site requires osseous or gingival augmentation, the team must select the appropriate means of restoration from the armamentarium. This article describes chronologically the various parameters that must be considered by each member of the team as the treatment proceeds.

Adult↗
PubMed1998

Spirituality through centering prayer in school nursing.

The experience of intuition in a school setting contributes to a positive outcome for a young girl who suffers a playground injury. Intuition and spirituality are linked. Through the development of one's spirituality, intuitive thoughts are experienced. Centering prayer is presented as a technique to develop an awareness of the spiritual dimension. Three variations of centering prayer are described to help individuals develop their spirituality. Developing an awareness of the spiritual dimension opens the way for intuitive thoughts to enhance clinical nursing competence and all other aspects of living.

Adaptation, Psychological↗
PubMed1976

[Damage of teeth by oral airways].

Oral Guedel airways do not necessarily protect the patient's teeth during inhalation anesthesia. This is contrary to the general opinion. Because of the anatomical structure of the human teeth and the dynamic forces on teeth occlusion during postanesthetic excitation the applied chewing-pressure is concentrated by a Guedel airway at a few front teeth only. Under this abnormally forceful, localized pressure especially capped teeth and teeth in gums with paradentosis may easily break. Therefore, the use of nasal airways should be preferred in these cases.

Anesthesia, Inhalation↗
PubMed1991

Diagnosis and management of sports-related injuries to the teeth.

All dental emergencies must be considered true emergencies until determined otherwise. Prompt diagnosis and treatment of sports-related traumatic injuries to the teeth and supporting structures are essential to successful long-term clinical outcome. Emergency and long-term treatment techniques for crown fractures, tooth fractures, displaced teeth, and avulsed teeth are described from an endodontic perspective.

Athletic Injuries↗
PubMed2000

Aspiration of an avulsed primary incisor. A case report.

A 7-year-old girl had injured her maxillary primary incisors in a playground. One of the already-mobile incisors had been avulsed. The child who had a cough and breathing difficulties during sleep was diagnosed as suffering from upper respiratory infection and was treated with antibiotics. A few days later because her body temperature was elevated a chest radiograph was taken. The radiograph revealed an aspirated tooth in her right bronchus with atelectasis of the lower lobe. The tooth was removed by bronchoscopy. Dentists should suspect any tooth that has been avulsed and not found as possibly aspirated.

Airway Obstruction↗
PubMed2000

Prognosis of replanted primary incisors after injuries.

Between 1979 and 1997, 58 avulsed primary teeth were treated at the Pedodontic Clinic of Niigata University Dental Hospital. Among these, we replanted six avulsed incisors of four patients and treated two teeth of two patients replanted at other dental clinics. Referring to the clinical records, oral photographs and radiographs, we examined the injury age, cause of injury, condition of tooth storage, length of time until replantation, and also the prognosis after replantation. Three teeth of two cases remained until eruption of their permanent successors, and one tooth of one case remained under observation without extraction. Although the other four teeth of three cases resulted in extraction, no secondary infection was detected due to replantation. The following reasons were suspected for the poor prognosis of the four teeth. One avulsed tooth was not fixed immediately after replantation. One replanted tooth might not have been compatible with the alveolar socket. In the other two teeth, the periodontal vital tissues might have been removed before replantation. It is generally suggested that replantation of primary teeth is not a good option. However, from the present results, it was considered that replantation can be an effectual method when the condition of the avulsed primary tooth is suitable.

Age Factors↗
PubMed2005

Immediate loading of two single tooth implants in the maxilla: preliminary results after one year.

This clinical report describes the traumatic avulsion of the left maxillary central and lateral incisors with minimal tissue trauma, followed by placement of provisional restorations of two root-form implants in a 14-year old female patient. Ten days following the avulsion, implant therapy was performed with Summers osteotomes and flapless technique using a root-form 3i osseotite NT. Angulated abutments and acrylic provisional crowns were placed. No occlusal contact was detected. An impression was made 30 days after implant insertion and ceramic restorations were placed 3 months later. No significant soft tissue contraction was observed during the provisional period. The patient exhibited no clinical or radiologic complications for 8 months after loading. In carefully selected under-aged patients implant therapy and immediate loading in the anterior maxilla for traumatic tooth avulsion may prove to be valuable to avoid soft tissue contraction, alveolar bone resorption, and positive esthetic/psychological response.

Accidents, Traffic↗
PubMed2002

Delayed removal of a fully intruded primary incisor through the nasal cavity: a case report.

Complete intrusion of a primary anterior tooth may initially be diagnosed as an avulsion injury. The importance of a correct first clinical and radiological examination of a young patient who has sustained trauma to the anterior primary teeth is stressed in this article. This issue is illustrated by a case presentation where a 3-year-old girl had a delayed treatment of 5 days after a primary incisor was fully impacted by a fall trauma into the nasal cavity. This was due to an incomprehensible clinical and radiological examination by the first examining dentist. The impacted tooth was later removed through the right nostril under general anesthesia. Two-year follow-up showed no adverse clinical or radiological problems even though eruption of the permanent successor had not taken place at that time.

Child, Preschool↗
PubMed2005

Results after replantation of avulsed permanent teeth. II. Periodontal healing and the role of physiologic storage and antiresorptive-regenerative therapy.

The status of the periodontal ligament (PDL) and of the pulp are decisive for the healing of avulsed and replanted teeth. A tooth rescue box was developed and distributed to offer optimal storage conditions for avulsed teeth. The therapy comprised extraoral endodontic treatment and applications of medicaments to enhance periodontal healing. In this long-term clinical study the healing results following avulsion and replantation were investigated. Twenty-eight permanent teeth in 24 patients were evaluated. The extraoral storage media and periods varied considerably. Soon after avulsion six teeth were stored in a cell culture medium (tooth rescue box Dentosafe) for 1-53 h; the PDL was defined as not compromised. Sixteen teeth were stored in a non-physiologic situation temporarily, the PDL was considered as compromised. Six teeth were stored in non-physiologic conditions for longer periods; the condition of the PDL was defined as hopeless. On 14 teeth antiresorptive-regenerative therapy (ART) with the local application of glucocorticoids and enamel matrix derivative and the systemic administration of doxycyclin was used. In all teeth extraoral endodontic treatment by retrograde insertion of posts was performed. The mean observation period was 31.2 months (+/-24.1; 5.1-100.2; median: 23.8). All six teeth rescued physiologically healed with a functional PDL (functional healing, FH) irrespective of the storage period. Of eight teeth with a compromised PDL on which ART was used, three teeth healed with a functional PDL. All other teeth showed replacement resorption, in three teeth additionally infection-related resorption was recorded. The predominant influence on the healing results was the immediate physiologic rescue of avulsed teeth (chi-square, P = 0.0001). The use of ART seemed to support FH (chi-square, P = 0.0547) in teeth with a compromised PDL. No other factors (maturity of roots, crown fractures, gender, age, antibiotics) were related to healing. In a linear regression analysis physiologic storage (P = 0.0013) and ART (P = 0.0421) were related to FH. For a good prognosis avulsed teeth should be stored immediately in a cell-compatible medium. Therefore the tooth rescue box should be distributed at places with higher risks of accidents, in families with children and in emergency facilities. The use of ART might have potential for enhancing the prognosis of teeth with a PDL that is compromised but not in a hopeless condition. Extraoral endodontic treatment reduces infection-related complications; this item was discussed in the first part of the publication.

Adolescent↗
PubMed2003

Common dental emergencies.

Dental caries, a bacterial disease of teeth characterized by destruction of enamel and dentine, is often the underlying cause of dental pain. When a carious lesion impinges on the dental pulp, pulpitis follows and, ultimately, necrosis of the pulp occurs. Untreated necrosis may lead to a localized abscess or a spreading infection into the surrounding soft tissue that results in cellulitis. Immediate treatment involves antibiotic therapy for cellulitis, perhaps with drainage of abscesses, while definitive treatment requires root canal therapy or extraction of the involved tooth. Pericoronitis is an inflammation of the soft tissue overlying a partially erupted tooth. Localized cases respond to irrigation. Secondary cellulitis can develop. Definitive treatment may require surgical extraction of the underlying tooth or excision of the gum flap. Avulsion of a permanent tooth secondary to trauma is a true dental emergency. The tooth should be reimplanted on the spot, and the patient should be seen immediately by a dentist for splinting and antibiotic prophylaxis. Most dental problems can be prevented with regular dental care and steps to minimize risks of oral trauma.

Abscess↗