ABSTRACT
Traumatic lesions in primary teeth are frequent in pediatric patients and can cause problems both to the deciduous tooth and permanent successor. The impact strength on deciduous tooth can reach the growing permanent tooth, affecting its morphology, structure and position, or even hampering its proper development. This report describes an aesthetic-functional rehabilitation process in an 8 year 10 month old boy during a multidisciplinary treatment held at the Clinical Center of Dental Trauma in Primary Teeth of the Pediatric Dentistry of Dental College of University of São Paulo, Brazil. The patient presented bilateral posterior cross bite and the permanent left upper central incisor with ectopic eruption and enamel hypoplasy, preceded by avulsion of element 61, occurred when the patient was 1.6 years old. After diagnosis and treatment planning, a quick expansion of jaws was recommended with Hass-type rapid expander and orthodontic leveling with fixed braces. Due to the ectopic eruption, the gingival contour had been altered and hypertrophia was found, compromising aesthetics and avoiding local hygienic procedures. Gingivoplasty was carried out with high-intensity Diode Laser, followed by aesthetic restoration with compound resin. It was concluded that after deciduous teeth traumatism it is important that the patient undergoes clinic and radiographic assistance until the permanent teeth erupt so that an adequate multidisciplinary treatment can be offered to the patient.
Subject(s)
Tooth Avulsion/complications , Tooth, Deciduous/injuries , Child , Dental Enamel Hypoplasia/etiology , Dental Enamel Hypoplasia/therapy , Dental Restoration, Permanent , Gingival Hypertrophy/etiology , Gingival Hypertrophy/surgery , Gingivoplasty , Humans , Male , Malocclusion/etiology , Malocclusion/therapy , Palatal Expansion Technique , Patient Care Team , Tooth Eruption, Ectopic/etiology , Tooth Eruption, Ectopic/therapyABSTRACT
OBJECTIVE: This study evaluated microleakage of composite restorations submitted to marginal treatment with Nd:YAG laser and surface sealant. BACKGROUND DATA: Previous studies have demonstrated that Nd:YAG-lased enamel melted and became recrystallized with a morphologic appearance similar to lava, and has been used clinically in the sealing of enamel pits and fissures. METHODS: Class V cavities in enamel of human premolars were restored with composite resin (Z100, 3M) and randomly divided in six groups: G1, control; G2, surface sealant marginal treatment; G3 to G6, were treated with pulsed Nd:YAG laser (1.064 microm) marginal treatment, contact fiberoptic (300 microm), air cooling, for 30 seconds, powers of 1.2-2 W, repetition rates of 20-30 Hz, energies of 40-100 mJ. Teeth were impermeabilized, immersed in a rhodamine dye, sectioned, and evaluated under stereomicroscope microscopy with scores. RESULTS: There were significant differences between marginal treatments; there were no differences between groups 1, 2, and 4, and 3,5, and 6; lower values of microleakage were at groups 3, 5, and 6 (Kruskal-Wallis,p = 0.05). CONCLUSION: Nd:YAG laser showed improved marginal sealing and decreased microleakage of composite resins restorations.
Subject(s)
Acrylic Resins/radiation effects , Composite Resins/radiation effects , Dental Caries/radiotherapy , Dental Leakage/radiotherapy , Dental Restoration, Permanent , Polyurethanes/radiation effects , Dental Enamel/radiation effects , Humans , In Vitro TechniquesABSTRACT
OBJECTIVE: We evaluated the tensile bond strength of composite resin on enamel and dentine, treated with Nd:YAG laser before and after bonding procedures. BACKGROUND DATA: The use of laser radiation in dentistry is being developed day by day. One of the possible applications of dental lasers includes increasing the quality of self-etching bonding systems. METHODS: Forty-eight human teeth were used and separated into six groups: Group 1 (enamel control), Clearfil Liner Bond 2V (CLB 2V); group 2 (enamel), Nd:YAG + CLB 2V; group 3 (enamel), CLB 2V + Nd:YAG; group 4 (dentine control), CLB 2V; group 5 (dentine), Nd:YAG + CLB 2V; group 6 (dentine), CLB 2V + Nd:YAG. Tensile bond strength was performed. RESULTS: Enamel means (15,54) were lower than dentine means (20,38). Bond strength of laser before (15,73) was lower than laser after (20,65). Interaction results G1 x G3; G2 x G3; G4 x G1; G2 x G5 were statistically significant. CONCLUSIONS: Tensile bond strength of composites reached with self-etching adhesive systems were greater in dentine than in enamel. The best moment for application of Nd:YAG laser is after the use of adhesive system. Self-etching adhesive systems tested in this study can be used together with Nd:YAG laser without compromising to adhesion to dentine.
