ABSTRACT
Na odontopediatria, o ambiente odontológico gera medo e ansiedade, demonstrados de diversas formas pela criança, de modo que há necessidade de promover sua adaptação para que entenda o processo e se sinta parte dele. É importante, ainda, que se identifiquem situações em que o desconforto estético possa gerar constrangimento na convivência diária das crianças. Objetivo: relatar um caso clínico de resolução de comprometimento estético causado por defeito de desenvolvimento do esmalte (DDE) e utilização de técnicas de adaptação de comportamento. Relato de caso: uma paciente do sexo feminino, 3 anos de idade, nascida prematura, apresentava DDE no incisivo central superior esquerdo, que, ao sorrir, cobria com as mãos. O perfil da criança foi avaliado e, a partir das suas características, foram escolhidas as técnicas de dizer-mostrar-fazer, controle de voz, reforço positivo, distração e repetição, usando-as de forma associada para melhores resultados, considerando a necessidade da repetição das visitas ao consultório. Após cinco consultas, foi possível realizar a restauração com resina fotopolimerizável, restabelecendo a estética e o conforto para a criança. Considerações finais: para o atendimento odontológico de crianças, é de fundamental importância conhecer técnicas de manejo infantil e usá-las de acordo com as necessidades individuais, com a finalidade de tornar as crianças participativas no processo, diminuindo a ansiedade, o medo e as reações que podem dificultar ou impedir o atendimento. (AU)
In pediatric dentistry, the clinical environment generates fear and anxiety, which children show in a number of ways, causing the need to promote their adaptation so they understand the process and feel part of it. It is also important to identify situations in which the aesthetic discomfort may lead to embarrassment in the daily lives of the children. Objective: to report a clinical case of resolution of aesthetic impairment caused by the developmental defect of enamel (DDE) and the use of behavioral adaptation techniques. Case report: female patient, three years old, born premature, presented DDE in the upper left central incisor and, when smiling, covered it with her hands. The profile of the child was evaluated and, based on her characteristics, the techniques of tell-show-do, voice control, positive reinforcement, distraction, and repetition were chosen and used in association for better results, considering the need for repeat visits to the dental office. After five consultations, it was possible to perform the restoration with light-curing resin, restoring the aesthetics and comfort of the child. Final considerations: for the dental care of children, it is essential to know child management techniques and use them according to the individual needs, with the purpose of promoting the participation of the children in the process, decreasing their anxiety, fear, and reactions that may hinder or prevent the treatment. (AU)
Subject(s)
Humans , Female , Child, Preschool , Adaptation, Psychological , Child Behavior/psychology , Dental Care for Children/psychology , Dental Enamel Hypoplasia/therapy , Dental Anxiety/psychology , Dental Restoration, Permanent/psychology , Dentist-Patient RelationsABSTRACT
Abstract This study assessed the difference in the number of visits made to a dental care clinic and the time spent providing specific dental treatment for children with and without molar incisor hypomineralization (MIH). Children aged 8 to 16 years who presented at the Pediatric Dental Unit of the Obafemi Awolowo University Teaching Hospital Complex, in Ile-Ife, Nigeria, were eligible for the study. A comprehensive medical and dental history was taken, and each child was clinically examined, diagnosed, and treated according to a drawn-up plan. The time taken to establish a diagnosis and to provide specific treatments (scaling and polishing, restoration, pulpectomy, extraction, and placement of stainless steel crowns) and the number of visits made to complete the treatment plan were recorded for each child. Differences in the number of visits, time expended to make a diagnosis and to treat children with and without MIH were analyzed. The average time for diagnosis (p = 0.001) and the average time for placing amalgam restorations (p = 0.008) were significantly longer in children with MIH than in those without it. Children with MIH made more visits to the clinic (p < 0.001).There was no significant difference in the average time for scaling and polishing (p = 0.08), glass ionomer cement restorations (p = 0.99), composite restorations (p = 0.26), pulpectomy (p = 0.42), tooth extraction (p = 0.06), and placement of a stainless steel crown (p = 0.83) in children with and without MIH. In conclusion, children with MIH required more time for oral health care. Placing amalgam restorations took significantly longer than placing tooth bonding restorative materials in children with MIH than in those without it.
Subject(s)
Humans , Male , Female , Child , Adolescent , Dental Care for Children/statistics & numerical data , Dental Enamel Hypoplasia/therapy , Socioeconomic Factors , Time Factors , Severity of Illness Index , Dental Clinics , Dental Restoration, Permanent/statistics & numerical data , NigeriaABSTRACT
El síndrome nefrótico es la glomerulopatía que se presenta con mayor frecuencia a nivel mundial. La historia natural de la enfermedad, laevolución, la histología renal y la respuesta al tratamiento, va desde la remisión hasta el trasplante renal. Los pacientes con nefropatía presentan alteraciones estomatológicas propias de la enfermedad y secundariasal tratamiento. Los niños con enfermedad renal crónica presentan doscondiciones orales importantes: alta incidencia de anomalías dentarias(hipoplasia del esmalte, retraso de erupción, calcificaciones pulpares) ybaja actividad de caries. Objetivo: Describir la técnica de restauración dental a base de ionómero mediante un caso clínico de un paciente con nefropatía e hipoplasia del esmalte. Conclusión: El uso de ionómero devidrio como obturación semipermanente en pacientes con hipoplasia del esmalte es una eficaz alternativa de tratamiento cuando no se pueden explotar opciones como sistemas adhesivos, coronas de acero cromo o coronas para dientes permanentes.
Nephrotic syndrome is the glomerulopathy which occur mostfrequently in the world. The natural history of disease, evolution, renalhistology and response to treatment, ranging from referral to renaltransplantation. Patients with kidney disease have own stomatology alterations and secondary alterations related to treatment. Children with chronic renal failure have two oral conditions of interest: high incidence of dental anomalies (enamel hypoplasia, delayed eruption,pulp calcifications) and low caries activity. Objective: To describe the technique ionomer dental restoration by a clinical case of a patientwith nephropathy and enamel hypoplasia. Conclusion: The use of glass ionomer as semi-shutter in patients with enamel hypoplasia isan effective alternative of treatment when cannot be exploited options such as adhesive systems, steel crowns or crowns for permanent teeth.
Subject(s)
Male , Humans , Adolescent , Nephrotic Syndrome/diagnosis , Nephrotic Syndrome/pathology , Nephrotic Syndrome/therapy , Dental Enamel Hypoplasia/therapy , Dental Care for Chronically Ill , Glass Ionomer Cements/therapeutic use , Nephrotic Syndrome/epidemiology , Dental Restoration, Permanent/methodsABSTRACT
Introduction: Molar incisor hypomineralization (MIH) is a developmental condition resulting in defects in the enamel characterized by demarcated opacities mainly affecting first permanent molars and occasionally permanent incisors in 1 of every 6 children worldwide. Affected molars have greater susceptibility to post eruptive breakdown, extensive caries and, in severe cases, are difficult to restore. When the MIH-affected molar presents severe crown destruction, it is necessary to perform an intermediate restoration to preserve the remaining dental structure in order to maintain occlusion, proper hygiene and periodontal health. The case of an 11-year-old patient with severe MIH is reported. The patient had extensive crown destruction by caries in tooth 1.6 without clinical or radiographic signs of pulp pathology. After an initial preventive intervention, enamel without dentin support and carious dentin were removed from tooth 1.6. Subsequently, crown restoration was performed with resin-modified glass ionomer, followed by the cementation of an orthodontic band. After 18 months of follow-up, the patient reported no pain or discomfort. The restoration was preserved intact, maintaining occlusal functionality, pulp and gingival health. Conclusion: The interim treatment, cementing an orthodontic band over a tooth restored with glass ionomer seems to favor retention and compressive strength, keeping the MIH-affected molar asymptomatic for at least 18 months. Further studies evaluating this treatment option in similar clinical situations are recommended.
Subject(s)
Female , Humans , Child , Dental Enamel Hypoplasia/therapy , Glass Ionomer Cements , Molar , Tooth Demineralization/therapy , Dental Restoration, Permanent , Treatment OutcomeABSTRACT
Abstract The objective of this study was to evaluate the clinical survival of sealants applied in first permanent molars (FPMs) affected by molar-incisor hypomineralization (MIH), at 18 months of follow-up. Forty-one first permanent molars were selected from 21 children, 6–8 years of age. MIH was classified by one calibrated examiner (kappa = 0.80) according to EAPD criteria. The inclusion criteria were fully erupted FPMs with MIH or sound FPMs (without MIH) for which sealant treatment was indicated. The FPMs were assigned to two groups: CG (control group) and HG (MIH group). Both groups were treated with sealant (FluroShield). Clinical follow-up was performed from baseline to 18 months to assess anatomical form, marginal adaptation, retention and presence of caries, according to criteria set by the United States Public Health Service-Modified, and was conducted by a blinded examiner (kappa = 0.80). The actuarial method was used to evaluate the survival of the sealants. The survival rates for the groups were compared using Fisher’s exact test (α = 5%). The cumulative survival rates were 81% at 1 month, 68.8% at 6 months, 68.8% at 12 months, and 62.6% at 18 months for CG, and 88% at 1 month, 84% at 6 months, 76% at 12 months, and 72% at 18 months for HG. No significant difference was found between the groups. The sealants in molars affected by MIH presented a survival rate similar to the sealants in the control, suggesting that sealants may be an adequate approach for preventing carious lesions in MIH-affected molars.
Subject(s)
Humans , Male , Female , Child , Pit and Fissure Sealants/therapeutic use , Polyurethanes/therapeutic use , Sodium Fluoride/therapeutic use , Cariostatic Agents/therapeutic use , Fluorides, Topical/therapeutic use , Bisphenol A-Glycidyl Methacrylate/therapeutic use , Dental Restoration Failure , Dental Enamel Hypoplasia/therapy , Dental Restoration, Permanent/methods , Time Factors , Survival Analysis , Prospective Studies , Reproducibility of Results , Follow-Up Studies , Treatment Outcome , Risk Assessment , Dentition, Permanent , Dental Caries/prevention & control , Dental Enamel/drug effectsABSTRACT
El objetivo de este caso clínico es mostrar como con una técnica restauradora directa, adhesiva y conservadora podemos resolver losproblemas de estética y salud dental generados por una mala formación parcial de del tipo hipoplasia y/o hipomineralización. En el procedimiento se procede a la eliminación exclusiva de la estructura dental afectada y una restauración directa con sistema resinosos adhesivo - Fine Etch 37 de Spirent, Corea (acido fosforico al 35%) y One Coat Bond SL (adhesivo dental disuelto en agua al 5%)-, ambos de Coltene, Suiza. Posteriormente se restaura con una resina compuesta ûcomposite- (Brilliant NG, Coltene, Suiza) con técnica de agregado incremental y se polimeriza el material con una unidad de luz LED para estos fines (Valo, Ultradent, Utah, USA). Posteriormente se procede, con piedras diamantadas de granulometría degradante (Diatech, Rotatory Instruments, Suiza), a dar la anatomía, textura y detalles necesarios, para mas tarde con discos de terminación y pulido de resinas compuestas a base de granos deóxido de aluminio (Soft Lex, 3M, USA) se da terminación a la restauración. A continuación se hace el pulido final y se realiza el alto lustre de la restauración con pasta diamantada (Prisma Gloss, Dentsply, Brasil),mejorando así el comportamiento óptico de la luz al impactar el composite y a disminuir el riesgo de atrapamiento de placa bacteriana. El protocolo consiste en eliminar el tejido afectado (esmalte) con trastorno de formación, desinfectar la zona en cuestión, preparar físico-mecßnicamente la estructura dental para la adhesión (grabado del tejido), aplicar la cadena adhesiva correspondiente, volatilizar el solvente y esparcir el adhesivo con chorro de aire libre de contaminación y polimerizarlo, así como colocar el material restaurador por capas. Se dan detalles anatómicos y se pule al alto brillo...
The objetive of this clinical case is to show how a simple, direct and adhesive procedure can help us to solve the esthetics and health problems of a hipominiralizate and a hipoplasic estruture tooth. During the therapy we eliminate with diamond instruments just de damaged tissue, desinfecte the cavity, make a level at the marginalpart of the preparation, etch the tooth it with 35% fosforic acid gel (Fine Etch 37 de Spirent, Corea) and then apply an adhesive system solved in 5% of water (One Coat Bond SL), both from Coltene, Swiss. Later on we polimerizate the bonding agent, a place the restaurative composite material (Brilliant NG, Coltene, Swiss) using incrementaltecnique. After then, with non agresive diamond rotatory instruments (Diatech, Rotatory Instruments, Swiss) we work on anatomy, texture and final polish of the restauration. The final high luster is done with diamond polish microparticulated paste (Prisma Gloss, Dentsply, Brazil)...
Subject(s)
Humans , Male , Adolescent , Dental Caries/prevention & control , Dental Enamel Hypoplasia/therapy , Acid Etching, Dental , Glass Ionomer Cements/therapeutic use , Dentition, Permanent , Dental Restoration, Permanent/methodsABSTRACT
The purpose of this study was to evaluate the 12-month clinical performance of glass ionomer restorations in teeth with MIH. First permanent molars affected by MIH (48) were restored with glass ionomer cement (GIC) and evaluated at baseline, at 6 and at 12 months, by assessing tooth enamel breakdown, GIC breakdown and caries lesion associations. The data were analyzed using the chi-square test and actuarial survival analysis. The likelihood of a restored tooth remaining unchanged at the end of 12 months was 78%. No statistically significant difference was observed in the association between increased MIH severity and caries at baseline (p > 0.05) for a 6-month period, or between increased MIH severity and previous unsatisfactory treatment at baseline (p > 0.05) for both a 6- and 12-month period. A statistically significant difference was observed in the association between increased MIH severity and extension of the restoration, involving 2 or more surfaces (p < 0.05) at both periods, and between increased MIH severity and caries at baseline (p < 0.05) at a 12-month period. Because the likelihood of maintaining the tooth structures with GIC restorations is high, invasive treatment should be postponed until the child is sufficiently mature to cooperate with the treatment, mainly of teeth affected on just one face.
Subject(s)
Child , Female , Humans , Male , Dental Enamel Hypoplasia/therapy , Dental Restoration, Permanent/methods , Glass Ionomer Cements/therapeutic use , Dental Restoration Failure , Dental Caries/therapy , Prospective Studies , Reproducibility of Results , Severity of Illness Index , Time Factors , Treatment OutcomeABSTRACT
La hipoplasia del esmalte es una anomalía estructural originada por la formación incompleta o defectuosa de la matriz del esmalte dentario. Se manifiesta como defectos macroscópicos que varían desde línas tenues hasta cavidades de diferentes tamaños. Las propuestas terapéuticas son variadas y abarcan desde la remineralización de la lesión hasta la exodoncia de la pieza afectada. Frente a los reiterados fracasos de las restauraciones en molares hipoplásicos debido al pobre patrón de grabado que presentan, el objetivo de este trabajo es mostrar una alternativa para el tratamiento restaurador de estas piezas dentarias, mejorando la adhesión.
Subject(s)
Humans , Female , Child , Collagen , Dentin , Acid Etching, Dental/methods , Dental Enamel Hypoplasia/therapy , Molar/pathology , Phosphoric Acids/chemistry , Fluorides, Topical/therapeutic use , Oral Hygiene/education , Sodium Hypochlorite/chemistry , Patient Care Planning , Dental Enamel Proteins/physiology , Dental Bonding/methods , Dental Restoration, Permanent/methodsABSTRACT
O hipotireoidismo é uma desordem endócrina, de natureza sistêmica caracterizada pela disfunção na glândula tireóide. Os hormônios tireoidianos T3 e T4 são necessários para suprir funções orgânicas normais do organismo. Desta forma, distúrbios na secreção de T3 e T4 podem estar associados a alterações no sistema estomatognático. Dentre essas alterações encontram-se hipoplasia condilar, atresia maxilar ou mandibular, hipodesenvolvimento da mandíbula, prognatismo maxilar, hipoplasia de esmalte e dentina, taurodontia e retardo na erupção dentária e no desenvolvimento radicular. Desta forma é imprescindível que o cirurgião dentista tenha conhecimento sobre as manifestações locais ou sistêmicas associadas a esta desordem endócrina. O objetivo deste artigo é abordar as alterações sistêmicas e bucais em pacientes acometidos pelo hipotireoidismo, bem como os cuidados e condutas terapêutica que podem ser adotados durante o tratamento odontológico. A coleta de dados foi realizada através da seleção de artigos publicados a cerca das manifestações bucais em pacientes acometidos por hipotireoidismo nos principais bancos de dados, Bireme, Medline e Scielo. O hipotireoidismo é uma patologia sistêmica comum, que ocasionalmente apresenta manifestações bucais e necessitam de cuidados especiais durante tratamentos odontológicos. A interação medicamentosa frente à pacientes em tratamento do hipotireoidismo também deve ser considerada, uma vez que medicações comumente prescritas na odontologia podem promover reações adversas. Desta forma, é imprescindível que o cirurgião-dentista tenha conhecimento sobre os procedimentos adequados na terapêutica de pacientes com essa síndrome(AU)
El hipotiroidismo es un trastorno endocrino que se caracteriza por el carácter sistémico de la disfunción de la glándula tiroides. Las hormonas tiroideas T3 y T4 son necesarias para cumplir con las funciones normales del cuerpo físico. Por lo tanto, alteraciones en la secreción de T3 y T4 pueden estar asociadas con cambios en el sistema estomatognático. Entre estos cambios se presentan la hipoplasia condilar, la atresia mandibular o maxilar, la mandíbula subdesarrollada, la hipoplasia del esmalte y la dentina, el taurodontismo y el retraso de la dentición y del desarrollo radicular. Por lo tanto, es esencial que el dentista tenga el conocimiento de las manifestaciones locales o sistémicas asociadas con este trastorno endocrino. El objetivo de este trabajo es abordar los cambios sistémicos y bucales en los pacientes afectados por el hipotiroidismo, así como el mejor trato y cuidado que deben adoptarse durante el tratamiento dental. La recolección de datos se llevó a cabo a través de la selección de artículos publicados sobre las manifestaciones bucales en los pacientes afectados por hipotiroidismo en grandes bases de datos como Bireme, Scielo y Medline. El hipotiroidismo es una enfermedad sistémica común que ocasionalmente presenta manifestaciones bucales que deben ser de domino del odontólogo, ya que son pacientes que necesitan de cuidados especiales durante los tratamientos odontológicos. También debe ser considerada la interacción medicamentosa en estos pacientes, ya que medicamentos comúnmente prescritos en odontología pueden provocar reacciones adversas. Es imprescindible que el cirujano dentista tenga conocimientos sobre los procedimientos adecuados en el tratamiento de pacientes con hipotiroidismo(AU)
The hypothyroidism is an endocrine disorder characterized by the systemic character of the thyroid gland dysfunction. The T3 and T4 thyroid hormones are necessary to fulfill with the normal functions of the physical body. Thus, the alterations in the T3 and T4 secretion may be associated with changes in the stomatognathic system. Among the changes are included the condylar hypoplasia, the mandibular or maxillary atresia, the underdeveloped mandible, the hypoplasia of the enamel and the dentine, the taurodontism and the delay of dentition as well as the radicular development. Thus, it is essential that stomatologist know on the local or systemic manifestations associated with this endocrine disorder. The aim of present paper is to approach the systemic and oral changes in patients presenting with hypothyroidism, as well as the better management and care applied during the dental treatment. The data collection was thorough the selection of articles published on the oral manifestations in patients presenting with hypothyroidism in large databases like Bireme, Scielo and Medline. The hypothyroidism is a common system disease that occasionally have oral manifestations known by the stomatologists since they are patients needing special care during the stomatologic treatments. Also, must to be considered the drug interaction in these patients, since the drugs regularly prescribed in stomatology may to provoke adverse reactions. It is necessary that surgeon knows on the appropriate procedures in the treatment of hypothyroidism patients(AU)
Subject(s)
Humans , Stomatognathic System/physiology , Dental Enamel Hypoplasia/therapy , Hypothyroidism/physiopathology , Mouth Diseases/therapy , Thyroid Gland/abnormalities , Review Literature as Topic , Databases, BibliographicABSTRACT
Objetivo: Fazer um levantamento, frente aos odontopediatras e clínicos gerais, quanto ao conhecimento do diagnóstico e tratamento dos defeitos do esmalte em pacientes na cidade de João Pessoa, Paraíba. Métodos: Foram entrevistados 25 odontopediatras e 56 clínicos gerais inscritos no Conselho Regional de Odontologia de João Pessoa, onde foram apresentados dois casos clínicos para serem relatados o diagnóstico e o tratamento dos mesmos. Resultados: Ao se observar a relação entre os diagnósticos corretos nos referidos casos clínicos, verificou-se que apenas 4,9% dos entrevistados acertaram o diagnóstico da opacidade e 19,8% o da hipoplasia (p>0.05). Com relação ao tratamento indicado, em cada caso, pelos profissionais, observou-se que 4,07% acertaram o da opacidade e 87,7% o da hipoplasia (p>0.05). Conclusão: Os conceitos de diagnóstico e tratamento dos defeitos do esmalte necessitam ser atualizados entre os profissionais da odontologia que lidam com crianças, em virtude de representarem fatores de grande relevância na predisposição ao desenvolvimento da cárie precoce na infância.
Objective: The objective of this study was to determine the knowledge of pediatric dentists and general practitioners on the diagnosis and treatment of enamel defects in patients from the city of João Pessoa, state of Paraíba. Methods: A total of 25 pediatric dentists and 56 general dentists registered at the Regional Dental Council of João Pessoa were interviewed. Two clinical cases were presented to them for them to diagnose and suggest treatment. Results: The percentage of correct diagnoses for the clinical cases presented to the dentists was low: only 4.9% of the dentists correctly diagnosed opacity and 19.8% correctly diagnosed hypoplasia (p>0.05). As for treatment, only 4.07% of the interviewed dentists proposed a correct treatment for opacity and 87.7% proposed a correct treatment for hypoplasia (p>0.05). Conclusion: Dental care professionals that work with children need to update their knowledge on the diagnosis and treatment of enamel defects because these are very relevant factors that predispose the child early to caries lesions.
Subject(s)
Humans , Clinical Competence , Tooth Discoloration/diagnosis , Tooth Discoloration/therapy , Dental Enamel Hypoplasia/diagnosis , Dental Enamel Hypoplasia/therapy , DentistsABSTRACT
Existen diversos estudios sobre las alteraciones durante el proceso de formación de los dientes, como la hipoplasia. Esta puede ocurrir sólo durante la formación de esmalte; por consiguiente, si este tejido ha completado su calcificación, ningún defecto puede ser producido. La hipoplasia, cuando afecta de manera severa a los dientes anteriores compromete significativamente la estética del paciente; sin embargo, la restauración de estos defectos es importante no sólo debido a preocupaciones estéticas y funcionales, sino también debido al impacto psicológico. El presente artículo presenta un reporte de caso en el cual se describe la formación, probable etiología y las características clínicas de dientes anteriores afectados por la hipoplasia del esmalte. Se describe también los procedimientos del tratamiento de restauración, utilizando una técnica conservadora mediante el empleo de resinas compuestas.
There are several studies on teeth development process alterations, such as hypoplasia. This can happen only during enamel development; consequently, if this tissue has completed its calcification, no defect can be produced. Hypoplasia, when affects so severe the front teeth, compromise to significantly aesthetics patient. The restoration of these defects, however, is important not only because of aesthetic and functional concerns, but also because of the psychological impact. This article presents a case report which describes front teeth development, aetiology and clinical features affected by enamel hypoplasia. It also describes restoration treatment procedures, using a conservative technique through composite resin.
Subject(s)
Humans , Male , Child , Dentition, Permanent , Dental Enamel Hypoplasia/therapyABSTRACT
Em muitos casos no dia-a-dia do consultório o fator psicológico do paciente se torna um fator primário. o entendimento de alguns pontos relacionados às necessidades humanas é atualmente muito importante para o sucesso profissional, e pode auxiliar também na recuperação da auto-imagem do paciente. A técnica odontológica utilizada em alguns casos se transforma em um instrumento catalisador de mudanças para o paciente e para o profissional. No caso descrito neste artigo, a técnica de microabrasão do esmalte, associada à clareação dentária em um caso de hipoplasia severa do esmalte, foi um instrumento capaz de elevar consideravelmente a auto-estima da paciente.
Subject(s)
Humans , Female , Adolescent , Dental Enamel Hypoplasia/diagnosis , Enamel Microabrasion/methods , Tooth Bleaching , Esthetics, Dental , Dental Enamel Hypoplasia/therapy , Smiling/psychologyABSTRACT
A hipoplasia de esmalte é resultado da formação incompleta ou defeituosa da matriz orgânica do esmalte, associada a fatores genéticos ou ambientais. Quando localizada em dentes anteriores, a hipoplasia pode ter como conseqüências distúrbios psicológicos e comportamentais, em decorrência das alterações estéticas. Este estudo apresenta um caso clínico, no qual evidenciaram-se lesões de hipoplasia de esmalte nos incisivos superiores e inferiores permanentes de uma criança, discorrendo sobre a conduta adotada visando o restabelecimento da estética do sorriso da paciente.
Subject(s)
Humans , Female , Child , Esthetics, Dental , Dental Enamel Hypoplasia/therapy , Dental Restoration, Permanent/methodsABSTRACT
Com o aparecimento de novas resinas compostas restauradoras, que tem uma variada gama de cores disponíveis nesses sistemas, tem sido possível realizar restaurações cada vez mais estéticas e previsíveis. Um auxiliar importante em determinados casos, quando se necessita neutralização e homogeinização da superfície a ser restaurada, são os corantes resinosos. O presente artigo teve como objetivo apresentar passo-a-passo um caso clínico de uma técnica conservadora de remoção de mancha branca, por meio de corantes e de resina composta sem qualquer tipo de desgaste dentário.
Subject(s)
Coloring Agents , Composite Resins , Dental Enamel Hypoplasia/therapy , Cosmetic Techniques , Dental Caries/therapy , Tooth Bleaching/methods , Esthetics, DentalABSTRACT
A partir del advenimiento de las técnicas de blanqueamiento, dada la complejidad de las distintas pigmentaciones y orígenes, surgieron diversas modalidades de tratamiento. La microabrasión, técnica experimentada por Kane en 1916, surgió con la idea de tratar zonas puntuales de coloración en tejido adamantino, resistente a otros tipos de tratamiento para clareamiento dental. En el presente trabajo se demuestran los resultados de dichas técnicas aplicadas a seis casos clínicos
Subject(s)
Humans , Fluorosis, Dental/therapy , Enamel Microabrasion/methods , Dental Enamel , Hydrochloric Acid/chemistry , Tooth Bleaching/methods , Dental Enamel Hypoplasia/therapy , Tooth Discoloration/therapyABSTRACT
Os autores relatam o caso clínico de um indivíduo de 09 anos, gênero masculino, com dor provocada no elemento 45, que apresentava-se estruturalmente displásico. Ao exame radiográfico, uma formação radicular inadequada com hipótese de diagnóstico de DENTE DE TURNER. Para facilitar a reconstrução dentária, uma ulectomia à laser foi realizada e posteriormente, a reconstrução direta em resina composta fotopolimerizável, devolvendo a forma anatômica e melhoria das funções. O tratamento utilizado proporcionou a preservação da estrutura dentária além de diminuir a sensibilidade dentária, tempo operatório e melhorar a estética.
Subject(s)
Humans , Male , Child , Dental Enamel Hypoplasia/diagnosis , Dental Enamel Hypoplasia/therapyABSTRACT
A proposta desse artigo é demonstrar que é possível melhorar a aparência estética anterior, em dentes afetados por manchas hipoplásicas, através do clareamento dentário e da utilização de resinas compostas de uso direto.
Subject(s)
Humans , Female , Composite Resins , Tooth Bleaching/methods , Dental Enamel Hypoplasia/therapy , Dental Enamel , Dentin-Bonding Agents , Esthetics, Dental , Dental Restoration, Permanent/methodsABSTRACT
O objetivo deste trabalho foi realizar uma revisão bibliográfica sobre hipoplasia de esmalte e relatar o tratamento restaurador de uma paciente de dez anos de idade com este tipo de anomalia dentária. Os procedimentos restauradores seguiram os padrões atuais de promoção de saúde bucal, evitando-se o desgaste desnecessário de estrutura dental sadia e empregando-se material restaurador adesivo
Subject(s)
Humans , Female , Child , Dental Enamel Hypoplasia/therapy , Mouth Rehabilitation/methodsABSTRACT
Vários métodos com diferentes graus de efetividade têm sido propostos para remoçäo de alteraçöes de cor sobre a superfície do esmalte dentário. Dentre eles, a técnica de microabrasäo pode ser considerada um tratamento alternativo ou pelo menos um coadjuvante em um procedimento estético. Apresenta-se casos clínicos onde a técnica de microabrasäo é utilizada em casos de fluorose, hipoplasia e mancha branca de cárie inativa. Após diferentes tempos de acompanhamento clínico, pôde-se concluir que esta técnica apresenta resultados estéticos satisfatórios além de ser de fácil aplicaçäo