ABSTRACT
AIM: To report the successful and conservative management of a fractured immature permanent maxillary incisor tooth with talon cusp by fracture reattachment. SUMMARY: Coronal fractures of the maxillary anterior teeth are common dental injuries. Among these, the complicated fractures especially in immature teeth require an unambiguous treatment without any delay. When the tooth fragment is available and there is no (or minimal) violation of the biological width, reattachment is the preferable choice. It is a conservative procedure in which the original anatomic form, color, tooth contour, surface texture and aesthetics are preserved. The prognosis of this procedure depends on the patient's cooperation, good understanding about the treatment limitations and periodic follow up. This report emphasises the management of coronal fracture in immature teeth by reattachment.
Subject(s)
Incisor/abnormalities , Tooth Crown/abnormalities , Tooth Fractures/therapy , Acid Etching, Dental/methods , Bisphenol A-Glycidyl Methacrylate/chemistry , Calcium Hydroxide/therapeutic use , Child , Composite Resins/chemistry , Dental Bonding/methods , Dental Materials/chemistry , Follow-Up Studies , Humans , Incisor/injuries , Male , Patient Satisfaction , Polymerization , Pulpotomy/methods , Root Canal Filling Materials/therapeutic use , Tooth Crown/injuriesABSTRACT
Hemophilia is the most common inherited bleeding disorder. Hemophilic patients should be cosidered as special patients. There is no contraindication to general dental treatment for hemophiliacs, as they generally do not involve bleeding. But caution must be used with any surgical procedures that involve the local and general anesthesia. Such patients should always be managed in the setting of specialized units with appropriate clinical expertise and laboratory support. Recent advances in the management of hemophilia have enabled many hemophiliac patients to receive surgical dental procedures in an outpatient dental care on a routine basis. The purpose of this case report is to provide a few management strategies when providing full mouth rehabilitation under anesthesia and replacement therapies that are available. In addition, overviews of possible complication that may be encountered when providing such treatment are discussed here.
Subject(s)
Anesthesia, Dental , Anesthesia, General , Dental Care for Chronically Ill , Hemophilia A/complications , Abscess/therapy , Cellulose, Oxidized/therapeutic use , Child, Preschool , Coagulants/therapeutic use , Crowns , Dental Caries/therapy , Dental Fistula/therapy , Dental Pulp Capping , Dental Restoration, Permanent/methods , Factor VIII/therapeutic use , Hemostatics/therapeutic use , Humans , Male , Pulpectomy , Tooth ExtractionABSTRACT
Maxillary canine-lateral incisor transposition is a relatively rare anomaly, with both dental and facial esthetic implications. This is a case report of a maxillary canine-lateral incisor transposition that was successfully treated by surgical-orthodontic treatment followed by esthetic reshaping of the involved teeth.
Subject(s)
Cuspid/pathology , Incisor/pathology , Tooth Eruption, Ectopic/therapy , Tooth, Impacted/therapy , Child , Esthetics, Dental , Female , Humans , Surgical Flaps , Tooth Movement Techniques/instrumentation , Tooth Movement Techniques/methodsABSTRACT
One of the most frequent reasons for seeking dental care is discolored anterior teeth. Macroabrasion is a technique used for the removal of localized superficial white spots and other surface stains. This article has compiled three case reports with relevant clinical photographs of discolored teeth where the treatment regimen included macroabrasion alone as well as macro-abrasion in combination with anterior composite restorations.
Subject(s)
Air Abrasion, Dental/methods , Tooth Discoloration/therapy , Child , Composite Resins , Cuspid/pathology , Dental Enamel/pathology , Dental Restoration, Permanent/methods , Female , Fluorosis, Dental/pathology , Fluorosis, Dental/therapy , Follow-Up Studies , Humans , Incisor/pathology , MaleABSTRACT
Anxiety is a special variety of fear, experienced in anticipation of threatening stimuli. While some research workers have said that the response of a child improves with the number of visits, many have felt otherwise. The present study is yet another effort to find the patterns of anxiety in children during sequential dental visits. The main aim was to determine the physiological and behavioral variations during sequential dental visits and its impact on age and sex. The study was conducted at the outpatient Department of Pedodontics and preventive dentistry, Meenakshi Ammal Dental College and Hospital, Chennai to evaluate the physiological and behavioural measures of stress and anxiety in children. One hundred and fifteen children, between four and eleven years of age who reported for dental treatment were selected for the study.
Subject(s)
Child Behavior , Dental Anxiety/physiopathology , Dental Care , Age Factors , Blood Pressure/physiology , Child , Child, Preschool , Cooperative Behavior , Dental Anxiety/psychology , Dental Care/psychology , Dental Cavity Preparation , Dental Prophylaxis , Family Characteristics , Female , Heart Rate/physiology , Humans , Male , Oxygen/blood , Sex Factors , Social Class , Tooth ExtractionABSTRACT
BACKGROUND: Dental traumas are highly prevalent lesions in primary teeth, but crown-root fractures are seldom observed in primary molars. When trauma is sustained to the chin, the posterior primary teeth are at increased risk of trauma. The treatment of fractured teeth can be complicated, sometimes because of difficulties with the final restoration. CASE REPORT: A 4-year-old girl was referred to a Specialty Dental clinic by a general dental practitioner with complaints of pain in her left mandibular posterior teeth region while biting. History revealed that she had fallen ten days before while playing. Chin laceration was sutured in the trauma centre, but no dental treatment was carried out. She was subsequently discharged. Later, she had pain while biting for which she was referred to the clinic by her general dental practitioner. Extra-oral examination demonstrated a healing laceration on the chin. Radiographic examination showed the presence of an unusual complicated crown-root fracture of the left mandibular first primary molar. Pulpectomy was carried out and the fracture was stabilised with glass ionomer cement and a preformed metal crown was placed. FOLLOW-UP: Patient was reviewed after 3, 6 and 12 months both radiographically and clinically. Though radiographically it was found that the obturating material was resorbed completely at the 12 month visit, clinically the patient was asymptomatic until now (after 15 months). The patient is still under review. CONCLUSION: This case highlights the need for a systematic history and examination in all cases of dental trauma. It also demonstrates that conservative management is possible and not all primary teeth with crown-root fractures need to be extracted.
Subject(s)
Chin/injuries , Molar/injuries , Tooth Crown/injuries , Tooth Fractures/diagnosis , Tooth Root/injuries , Tooth, Deciduous/injuries , Child, Preschool , Crowns , Dental Cementum/injuries , Dental Enamel/injuries , Dentin/injuries , Female , Follow-Up Studies , Glass Ionomer Cements/therapeutic use , Humans , Pulpectomy/methodsABSTRACT
Dilaceration of teeth can occur as a result of trauma to its primary predecessors. Root dilaceration is more common than dilaceration of the crown. A rare case of crown dilaceration of maxillary permanent central incisor has been reported in this article.