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1.
Niger J Clin Pract ; 23(6): 798-804, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32525114

RESUMEN

Aims: The aim of this study was to evaluation the treatment success of the short post technique (mushroom restoration) using a composite resin in severely decayed primary anterior teeth after 6, 12, and 18 months after treatment. Methods: Eighteen children aged 3-5 years with severely decayed primary maxillary anterior teeth (60 anterior maxillary primary teeth in total) were included. Patients were treated under general anesthesia (GA). After pulpectomy, a "mushroom shape" was formed in the root canals for the purpose of retention, and the root canals were filled with zinc oxide-eugenol (ZOE), and the teeth were restored with composite resin. The status of treatment was evaluated clinically and radiographically for periapical radiolucency, pathological root resorption, marginal fracture, and loss of restoration for each treated tooth. All findings were recorded. Results: As a result of the evaluation criteria, the success rates at 6, 12 and 18 months were 86%, 80%, and 71%, respectively. None of the teeth showed apical radiolucency or pathological root resorption at the end of the 18th month period. Conclusion: The short-post (mushroom restorations) technique is a clinically acceptable alternative method for restoration of severely decayed primary teeth. This study supports the feasibility of treatment with this technique for pediatric patients treated under GA.


Asunto(s)
Restauración Dental Permanente/métodos , Técnica de Perno Muñón , Pulpectomía/métodos , Materiales de Obturación del Conducto Radicular/uso terapéutico , Diente Primario/cirugía , Cemento de Óxido de Zinc-Eugenol/uso terapéutico , Anestesia General , Preescolar , Resinas Compuestas/química , Caries Dental/complicaciones , Preparación de la Cavidad Dental , Extravasación de Materiales Terapéuticos y Diagnósticos/complicaciones , Femenino , Humanos , Masculino , Maxilar , Pulpectomía/efectos adversos , Resorción Radicular , Traumatismos de los Dientes/complicaciones , Resultado del Tratamiento
2.
Rev. Asoc. Odontol. Argent ; 108(1): 19-24, ene.-abr. 2020. ilus
Artículo en Español | LILACS | ID: biblio-1096713

RESUMEN

Objetivo: Presentar la terapia regenerativa como una al- ternativa para la resolución de un caso de traumatismo denta- rio en un diente permanente incompletamente desarrollado. Caso clínico: Se realizó el tratamiento de un incisivo central superior con mortificación pulpar y periodontitis api- cal aguda subsecuente a trauma dental en un paciente de 8 años de edad. Se aplicó el protocolo de regeneración pulpar recomendado por la Asociación Americana de Endodoncia. Se estimuló la formación de un coágulo en el interior del con- ducto a partir de los tejidos periapicales, previa desinfección con la pasta triple antibiótica, y finalmente se colocó mineral trióxido agregado coronal a este. Se obtuvo así una matriz es- teril que permitió el crecimiento de nuevo tejido y se realiza- ron controles periódicos durante 4 años. Se constató silencio clínico. Radiográficamente, se observó la formación de tejido sobre las paredes del conducto y el cierre apical. Conclusión: La terapia regenerativa como alternativa de tratamiento, en este caso, permitió la disminución de la luz del conducto por el depósito de tejidos calcificados y el cierre del foramen apical, mejorando el pronóstico de la pieza dentaria (AU)


Aim: To present pulp regeneration therapy as an alter- native to resolve dental trauma in immature permanent teeth. Clinical case: We report a clinical case of an immature central superior incisor with pulp mortification and acute api- cal periodontitis subsequent to dental trauma, in an 8 year old patient. The pulp Regeneration protocol recommended by the American Endodontics Association was applied. We stimulated a clot formation inside the duct from periapical tissues and after disinfection with a mixture of three antibi- otics mineral trioxide aggregated was finally place coronal to the clot. Thus a sterile matrix was obtained that allowed new tissue's growth. Periodic check-up visits were carried out over a 4 years period. Clinical silence was observed. Tissue formation on duct walls and apical closure were radiograph- ically detected (AU) Conclusion: Regenerative therapy is an alternative for the treatment of immature permanent teeth, in ths clinical case it allowed the reduction of the width of the duct by the opposition of hard tissues and the closure of the apical fora- men improving the forecast of these teeth.


Asunto(s)
Regeneración , Dentición Permanente , Incisivo/lesiones , Periodontitis Periapical , Argentina , Materiales de Obturación del Conducto Radicular/uso terapéutico , Cicatrización de Heridas/fisiología , Traumatismos de los Dientes/complicaciones , Necrosis de la Pulpa Dental , Ápice del Diente/crecimiento & desarrollo , Servicio Odontológico Hospitalario
3.
Pak J Pharm Sci ; 33(1(Special)): 441-444, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32173641

RESUMEN

The objective of this study is to observe and analyze the efficacy of calcium hydroxide and chlorhexidine in pulp revascularization after trauma in young permanent teeth. A total of 120 patients who were treated in our hospital for pulp revascularization after trauma in young permanent teeth were enrolled as research objects in the study. The patients were treated with calcium hydroxide and chlorhexidine and the overall treatment efficiency was statistically observed. The improvement in various indicators before and after treatment was observed, including pain symptom score, gum swelling symptom score, tooth looseness score. The overall treatment efficiency was recorded. The results showed that there were 70 cases of significant effective treatment, 42 cases of effective treatment, and 8 cases of ineffective treatment, respectively, with overall treatment efficiency of 93.33%. Compared with the pain score, gum swelling score and teeth looseness score before treatment, these indicators showed a significant improvement after treatment, p<0.05. The application of calcium hydroxide and chlorhexidine during pulp revascularization after trauma in young permanent teeth can significantly improve the therapeutic effect and achieve higher therapeutic efficiency, demonstrating huge application value.


Asunto(s)
Hidróxido de Calcio/administración & dosificación , Clorhexidina/administración & dosificación , Necrosis de la Pulpa Dental/terapia , Pulpa Dental/irrigación sanguínea , Traumatismos de los Dientes/complicaciones , Niño , Femenino , Humanos , Masculino , Neovascularización Fisiológica
4.
Clin Oral Investig ; 24(3): 1101-1111, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31953685

RESUMEN

OBJECTIVE: Traumatic dental injuries often affect the dental hard tissues, periodontal tissues, and dental pulp. Root resorption (RR) is a significantly concerning phenomenon that could lead to loss of the traumatized tooth. The purpose of this systematic review was to analyze the incidences of different types of RR after concussion, subluxation, lateral luxation, intrusive luxation, and extrusive luxation. MATERIAL AND METHODS: Seven databases were electronically and manually searched for the identification of observational studies that evaluated the incidence of RR after luxation injuries. Following study selection, data extraction, and risk of bias assessment through MAStARI checklist, the GRADE quality of available evidence was assessed. RESULTS: In total, 14 studies were included in the present systematic review. Ten and four studies presented a moderate and low RoB, respectively, and the overall GRADE quality of evidence was "very low" for all outcomes. The highest incidence rates of RR were observed for teeth with intrusive luxation, followed by those with extrusive luxation, lateral luxation, subluxation, and concussion. In general, the most common type of RR documented for all injuries was inflammatory RR, followed by replacement RR, surface RR, and internal RR. CONCLUSIONS: Our findings suggest that RR most commonly occurs in association with intrusive luxation and by inflammatory RR. Awareness regarding the incidence of RR after injuries is useful for clinicians to minimize the risk and severity of its occurrence, because a late diagnosis of RR may limit treatment alternatives and result in tooth loss. CLINICAL RELEVANCE: Knowledge about the incidence of RR in teeth with concussion and different types of luxation injuries can ensure appropriate follow-up protocols and favorable outcomes.


Asunto(s)
Resorción Radicular , Traumatismos de los Dientes/complicaciones , Necrosis de la Pulpa Dental , Humanos , Incidencia , Estudios Observacionales como Asunto , Avulsión de Diente/complicaciones , Raíz del Diente
5.
J Endod ; 45(12S): S28-S38, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31623907

RESUMEN

Trauma or injury to the dentition and supporting tissues is associated with pain and discomfort, as expected, that may present immediately, shortly afterwards, or within a few days. Pain is an essential response to injury because it allows the organism to develop avoidance behavior to potential threats and helps the organism to avoid usage of the injured organ during the healing process. Not only does external trauma induce pain, but also essential invasive dental procedures such as extractions, dental implant insertions, root canal treatments, and oral surgeries are accompanied by similar post-surgical (post-traumatic) pain. The pain intensity after trauma varies and does not always correlate with the extent of injury. Trauma to the orofacial region or the teeth may also indirectly affect and induce pain in other orofacial structures such as the masticatory muscles, the temporomandibular joint, and even the cervical spine. In most cases, the pain will resolve as soon as healing of the affected tissue occurs or after dental and routine palliative treatment. In a limited number of cases, the pain persists beyond healing and evolves into a chronic pain state. Chronic pain in the orofacial region presents diagnostic and management challenges. Misdiagnosis or delayed diagnosis of the oral chronic pain condition may lead to unnecessary dental treatment. This article will discuss diagnosis and treatment for acute and chronic pain as well as potential mechanisms involved in the undesirable transition from acute to chronic pain.


Asunto(s)
Dolor Crónico , Traumatismos Faciales , Boca/lesiones , Procedimientos Quirúrgicos Orales , Traumatismos de los Dientes , Traumatismos Faciales/complicaciones , Dolor Facial , Humanos , Tratamiento del Conducto Radicular , Traumatismos de los Dientes/complicaciones
6.
Wiad Lek ; 72(9 cz 2): 1732-1735, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31622256

RESUMEN

OBJECTIVE: Introduction: Pathological abrasion of hard dental tissues is accompanied by both morphological and functional disorders of the dentofacial system. Among the functional changes, changes in the bioelectrical activity of the masticatory muscles are primarily considered. The aim was to study the functional state of the masticatory muscles in patients with pathological abrasion of hard dental tissues of varying degrees of severity compared with the norm. PATIENTS AND METHODS: Materials and methods: Electromyographic studies were conducted in 89 patients aged 18 to 59. 70 patients had pathological abrasion of hard dental tissues of various degrees and 17 patients had intact dentitions and physiological forms of occlusion. RESULTS: Results: The results of electromyographic studies showed an extension of the chewing period, a reduced chewing rhythm, a deterioration of chewing efficacy in case of the pathological abrasion of teeth, compared with the norm, which increased in dynamics. The correlation between excitatory and inhibitory processes, however, sharply deteriorated with an increase in the duration of activity due to the reduction of the relative bioelectric rest period. The magnitude of the biopotential amplitude decreased relative to the norm with a serious violation of the coordination of masticatory muscles in general. CONCLUSION: Conclusions: The results of electromyographic studies of the masticatory muscles make it possible to determine the degree of functional changes in the neuromuscular system of the dentofacial system of patients with pathological abrasion of hard tissues of varying severity, compared with the norm. This indicates a decrease in chewing efficacy and the progression of morphological disorders that increase in dynamics.


Asunto(s)
Masticación , Músculos Masticadores/fisiopatología , Traumatismos de los Dientes/complicaciones , Diente , Adolescente , Adulto , Oclusión Dental , Electromiografía , Humanos , Persona de Mediana Edad , Adulto Joven
7.
BMC Oral Health ; 19(1): 224, 2019 10 22.
Artículo en Inglés | MEDLINE | ID: mdl-31640671

RESUMEN

BACKGROUND: Traumatic dental injuries (TDIs) are highly prevalent during childhood and adolescence and have a significant effect on their oral health related quality of life (OHRQoL). Uncomplicated TDIs, dental trauma involving enamel, enamel and dentin and tooth discolorations, account for approximately two-thirds of all diagnosed TDIs in children and adolescents. Hence, it may be important to understand the impact of uncomplicated TDIs on OHRQoL, by synthesizing the available literature. METHODS: Medline, Embase, Web of Science and Scopus databases were systematically searched from January 1966 to April 2018. Studies that evaluated the effect of TDIs on the OHRQoL of children and adolescents using validated methods were selected for analysis. A narrative synthesis and a meta-analysis were performed. The studies were pooled according to age groups and OHRQoL questionnaire used. A random-effect model was applied to calculate the pooled odds ratios (OR) and their respective 95% confidence intervals. RESULTS: There were 712 identified studies. Of these, 26 articles were selected for the review and included in the narrative synthesis, 20 of these articles concluded that uncomplicated TDIs were not associated with a negative impact in OHRQoL. Seventeen were included in the meta-analysis. The estimates were pooled by age groups: children (OR: 1.01; 95%CI; 0.85-1.19; I2 = 51.9%) and adolescents (OR: 1.07; 95%CI; 0.91, 1.26; I2 = 50.2%).When pooling all estimates the OR was 0.96 (95% CI: 0.85-1.10; I2 = 61.4%). CONCLUSIONS: Uncomplicated TDIs do not have a negative impact on the OHRQoL of children and adolescents. Further prospective studies are needed to confirm the results of this review. The majority of the studies included were of cross-sectional design, which may have limited the ability to reach conclusions on the nature of this association. The PROSPERO systematic review registry is CRD42018110471.


Asunto(s)
Calidad de Vida , Traumatismos de los Dientes , Adolescente , Niño , Preescolar , Estudios Transversales , Humanos , Salud Bucal , Estudios Prospectivos , Encuestas y Cuestionarios , Traumatismos de los Dientes/complicaciones , Traumatismos de los Dientes/terapia
8.
J Forensic Leg Med ; 68: 101861, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31493722

RESUMEN

INTRODUCTION: The evaluation of medico-legal post-traumatic events has been increasing over the last decades. This study analysed the input of dental evaluation in orofacial damage assessment, highlighting the individual's biopsychosocial model, by a serial case study. It is aimed to analyse the physical as well as the psychological repercussions of traumatic events. It also aimed to relate the type of trauma impact with the individual's sequelae. MATERIAL AND METHOD: An observational and retrospective study was carried out of Portuguese medico-legal database. A serial case study was distinguished by the direction of the impact: frontal striking, lateral striking and clashing with a bidirectional (frontal-lateral). RESULTS AND DISCUSSION: 7 cases fulfilled the inclusion criteria, as a pilot study. They have in common the involvement of the 2 lower thirds of the face, including the temporomandibular joint. The consolidation of the maxillary bone fractures does not always correspond to restituto ad integrum. CONCLUSION: The impact direction may guide clinical examination in detecting permanent impairment, emphasizing temporomandibular joint disorders, as well as their association with psychosocial repercussions. The medical-dental examination is differentiating and relevant to the accomplishment of the general objective of damage assessment.


Asunto(s)
Traumatismos Faciales/complicaciones , Traumatismos de los Dientes/complicaciones , Adolescente , Niño , Cicatriz/etiología , Restauración Dental Permanente , Traumatismos Faciales/psicología , Traumatismos Faciales/terapia , Femenino , Humanos , Masculino , Maloclusión/etiología , Maxilar/lesiones , Persona de Mediana Edad , Proyectos Piloto , Estudios Retrospectivos , Trastornos de la Articulación Temporomandibular/etiología , Traumatismos de los Dientes/psicología , Traumatismos de los Dientes/terapia , Pérdida de Diente/etiología , Adulto Joven
10.
Niger J Clin Pract ; 22(6): 817-823, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31187768

RESUMEN

Aim: The aim of this study was to assess the impact of the presence of early childhood caries (ECC), traumatic dental injury (TDI), and malocclusion, as well as severe conditions, on the oral health-related quality of life (OHRQoL) of preschool children and families. Materials and Methods: A cross-sectional survey was conducted in children aged 1 to 6 years old, who attended to the Department of Paediatric Dentistry, Gazi University. The questionnaires were adapted to Turkish, and OHRQoL was measured using the Turkish version of Early Childhood Oral Health Impact Scale (T-ECOHIS). Children were classified into four main groups, two subgroups in each group based on their severity conditions-Group 1: ECC group; Group 2: TDI group; Group 3: Malocclusion group; Group 4: Control group. Parents answered the questions about sociodemographic conditions and T-ECOHIS. The Kolmogorov-Smirnov test was used for non-normal distribution and Kruskal-Wallis and Mann-Whitney tests were used to compare T-ECOHIS score regarding ECC, TDI, and malocclusion. Results: Both simple and severe conditions of TDI showed a negative impact on the family and child based on T-ECOHIS scores (P < 0.05). The severe condition of ECC and malocclusion showed significantly negative impact on family (P > 0.05) but not on child (P > 0.0.5). Conclusion: The presence of ECC, TDI, and malocclusion has a negative effect on OHRQoL of Turkish preschool children and specially their families. So, public health programs should be carried out about oral health for raising parents' and children's awareness and increasing OHRQoL.


Asunto(s)
Caries Dental/complicaciones , Maloclusión/complicaciones , Calidad de Vida , Traumatismos de los Dientes/complicaciones , Adulto , Niño , Preescolar , Estudios Transversales , Caries Dental/psicología , Familia , Femenino , Humanos , Lactante , Masculino , Maloclusión/psicología , Salud Bucal , Padres , Índice de Severidad de la Enfermedad , Encuestas y Cuestionarios , Traumatismos de los Dientes/psicología , Índices de Gravedad del Trauma
11.
Odontol. vital ; (30): 7-14, ene.-jun. 2019. graf
Artículo en Español | LILACS, SaludCR | ID: biblio-1091407

RESUMEN

Resumen Se presenta el caso clínico de una paciente femenina de 7 años de edad, la cual sufrió traumatismo dental en el central superior derecho permanente, al impactarse de manera directa en el pavimento al caer de una bicicleta. Se presenta necrosis pulpar como complicación postraumática a un mes de ocurrido el evento. El objetivo de este caso es mostrar que el diagnóstico adecuado y el conocimiento sobre un protocolo para el manejo del paciente con trauma dental son indispensables para el éxito del tratamiento y pronóstico del diente.


Abstract The clinical case of a 7-year-old female patient who suffered dental trauma in the permanent upper right central incisor presented by directly impacting the pavement after falling from a bicycle. Pulpar necrosis is presented as a postraumatic complication one month after the event. The objective of this case is to show that the adequate diagnosis and knowledge about the protocol for the management of the patient with dental trauma is essential for the success of the treatment and prognosis of the tooth.


Asunto(s)
Humanos , Femenino , Niño , Férulas (Fijadores) , Traumatismos de los Dientes/complicaciones , Necrosis de la Pulpa Dental/diagnóstico por imagen , Luxaciones Articulares , México
12.
Indian J Dent Res ; 30(1): 21-26, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30900651

RESUMEN

Context: Traumatic dental injuries (TDIs) leading to dental avulsion occur very frequently in society. Management of avulsion is critical for the dentist, as it requires appropriate knowledge. Aim: The study was conducted to evaluate the knowledge of the general dental practitioners (GDPs) regarding the emergency management of TDI leading to avulsion in children. Setting and Design: Questionnaire-based cross-sectional survey design was utilized to assess the knowledge. Subjects and Methods: Data for this cross-sectional survey were collected through questionnaires from July to September 2014. A total of 278 GDP were contacted and requested to fill a pretested questionnaire to assess the knowledge regarding tooth avulsion. The GDPs were grouped on the basis of their educational qualification and years of clinical experience. Statistical Analysis Used: Chi-square test was used for intra- and inter-group comparison. Results: A total of 224 (80.57%) GDPs consented to participate in the survey. Markedly low knowledge levels were noted in the sample irrespective of educational qualification and years of experience with respect to replantation of the avulsed primary tooth, holding the root instead of the crown, choice of appropriate storage medium for transportation of avulsed teeth, use of medications, and splinting type and time. Clinical experience and higher educational qualification of GDPs revealed statistical significant difference in the methods of management for TDI leading to avulsion. Conclusion: Higher professional education and added clinical experience were associated with better knowledge in the management of TDI leading to avulsion. The finding warrants the need for informative educational programs to update and boost the knowledge of practicing dentists regarding emergency management of avulsed teeth.


Asunto(s)
Competencia Clínica , Odontólogos , Conocimiento , Avulsión de Diente/etiología , Avulsión de Diente/terapia , Traumatismos de los Dientes/complicaciones , Traumatismos de los Dientes/terapia , Distribución de Chi-Cuadrado , Niño , Preescolar , Estudios Transversales , Odontólogos/psicología , Educación Continua en Odontología , Urgencias Médicas , Humanos , India , Encuestas y Cuestionarios
13.
Oral Maxillofac Surg ; 23(1): 63-69, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30739261

RESUMEN

PURPOSE: To assess different types of dental injuries associated with facial bone fractures. METHOD: One hundred dentate patients were selected randomly of all age and gender who had maxillofacial trauma only and having dental injury in association with facial bones fractures were included. They were thoroughly examined for injury/fracture to facial region as well as for dental injuries (teeth). Tooth injuries were noted according to Ellis classification. The data was collected, compiled, and put to statistical analysis. RESULTS: Dental injuries were more in females than males found to be statistically significant with (p < 0.05).Crown fracture of maxillary teeth was more as compared to mandibular except molars found to be statistically significant (p < 0.05). Root fracture was more in maxillary incisors followed by canine as compared to mandibular incisors and canines found to be insignificant. Avulsion, extrusion and luxation were more in maxilla as compared to mandible found to be significant. CONCLUSION: Different types of tooth injuries associated with facial bone fracture found more in females and maxillary teeth.


Asunto(s)
Huesos Faciales/lesiones , Fracturas Óseas/complicaciones , Traumatismos de los Dientes/complicaciones , Adolescente , Adulto , Factores de Edad , Anciano , Niño , Preescolar , Huesos Faciales/diagnóstico por imagen , Femenino , Fracturas Óseas/diagnóstico por imagen , Humanos , Lactante , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Radiografía Dental , Factores Sexuales , Tomografía Computarizada por Rayos X , Avulsión de Diente/complicaciones , Corona del Diente/lesiones , Traumatismos de los Dientes/diagnóstico por imagen , Raíz del Diente/lesiones , Adulto Joven
14.
Arch Oral Biol ; 99: 82-91, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30641295

RESUMEN

OBJECTIVE: External inflammatory root resorption (EIRR) is a common complication of traumatic dental injury (TDI) that can be detected radiologically. During EIRR, various proteins are released into gingival sulcus fluid (GCF). The aim of the study was to monitor the levels of selected proteins in GCF in children (8-16 years of age) in order to assess their utility in the early diagnosis of EIRR. DESIGN: Twenty five children who experienced TDI to permanent incisors with ended root development were enrolled. GCF was collected from injured and control teeth with paper strips within seven days after TDI and on three visits during six-month follow-up. Concentrations of IL-1α, IL-1ß, IL-6, IL-8, TNFα, RANKL and MMP-9 in GCF were measured using enzyme-linked immunosorbent assays. EIRR was confirmed by radiological imaging techniques. RESULTS: Of all analyzed proteins, only the levels of IL-1α, Il-1ß and TNFα in GCF from the injured teeth with resorption were higher than in GCF from control teeth on the visit during which the EIRR was diagnosed. In univariate logistic regression model, the concentration of IL-1α in GCF was found as the strongest risk factor for the occurrence of EIRR. CONCLUSIONS: The composition of GCF may be indicative of EIRR after TDI. The monitoring of selected biomarkers in GCF may help to detect EIRR at its early stage and might be useful in reducing radiological exposure in children after TDI. IL-1α can be considered as a potential marker of the EIRR in children after TDI to the permanent teeth.


Asunto(s)
Biomarcadores/metabolismo , Dentición Permanente , Líquido del Surco Gingival/química , Resorción Radicular/etiología , Resorción Radicular/metabolismo , Traumatismos de los Dientes/complicaciones , Adolescente , Niño , Citocinas/metabolismo , Ensayo de Inmunoadsorción Enzimática , Femenino , Humanos , Incisivo/lesiones , Incisivo/metabolismo , Inflamación , Interleucina-1alfa/metabolismo , Interleucina-1beta/metabolismo , Interleucina-6/metabolismo , Interleucina-8/metabolismo , Modelos Logísticos , Masculino , Metaloproteinasa 9 de la Matriz/metabolismo , Análisis Multivariante , Estudios Prospectivos , Ligando RANK/metabolismo , Factores de Riesgo , Resorción Radicular/diagnóstico , Pérdida de Diente/etiología , Factor de Necrosis Tumoral alfa/metabolismo
15.
Dent Traumatol ; 35(2): 95-100, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-30501002

RESUMEN

BACKGROUND/AIMS: Occlusal features may increase the risk of dental trauma. The aim of the present study was to evaluate the association between occlusal characteristics and the occurrence of dental trauma in preschool children. MATERIALS AND METHODS: A population-based case-control study was conducted with a representative sample of 200 children 3-5 years of age enrolled at private and public preschools in the city of Diamantina, Brazil. The case and control groups were matched for gender, age and type of preschool (public or private) at a ratio of 1:1 (100 cases and 100 controls). Independent variables of interest to the study (occlusal characteristics) and potential confounders (sociodemographic characteristics, sucking habits and lip coverage) were investigated. Intra-examiner and inter-examiner kappa values were higher than 0.80 for all oral conditions evaluated. The SPSS 22.0 program was used to analyse the data. Descriptive and univariate analyses as well as simple and multiple logistic regression analyses were performed. RESULTS: The occlusal feature most strongly associated with trauma was anterior open bite (OR = 3.80; 95% CI: 1.42-10.16). Maxillary anterior crowding (OR = 2.14, 95% CI: 1.00-4.63) and overjet (OR = 1.12, 95% CI: 0.58-2.17) were associated with the occurrence of trauma independently of the confounding variables (sociodemographic characteristics, sucking habits and lip coverage), but these variables lost their significance when adjusted for other types of malocclusion. Anterior open bite remained strongly associated with dental trauma, regardless of confounding variables and other types of malocclusion. CONCLUSION: Anterior open bite was the main variable associated with dental trauma in the preschool children analysed independently of the confounding variables and the presence of other malocclusions.


Asunto(s)
Maloclusión/complicaciones , Sobremordida , Traumatismos de los Dientes/complicaciones , Brasil , Estudios de Casos y Controles , Preescolar , Estudios Transversales , Femenino , Humanos , Masculino , Maloclusión/epidemiología , Prevalencia , Factores de Riesgo
16.
Acta Odontol Scand ; 77(1): 76-81, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30345854

RESUMEN

Objective: This controlled study investigated the occurrence of sequelae to permanent successors (SPS) following traumatic dental injury in primary teeth (TDIp). Additionally, this study evaluated whether TDIp is a risk factor for SPS, with a focus on an association between SPS and the child's age and type of trauma. Materials and methods: The trauma group (TG) consisted of permanent teeth, whose antecessors had suffered TDIp, in a population of children with complete eruption of permanent teeth. The control group (CG) consisted of permanent teeth from the same individuals, whose antecessors had not suffered TDIp. There were 214 cases of TDIp with their respective permanent teeth. In the CG 247 permanent teeth, whose antecessor had not suffered TDIp, were included. Data concerning such teeth and when TDIp occurred (in terms of the child's age) and types of SPS were collected. The chi-square test, regression logistic with generalized estimating equations (GEE) test, and risk analyses were applied to investigate the associations. Results: Overall, 29% of the permanent teeth in the TG presented SPS. This was compared to the development disturbances in the CG, which was 7%. The TG demonstrated the highest risk for SPS (OR, 5.388; p = .0001). The discolouration of enamel (37%) was the most common type of SPS found. SPS was more prone to occur in permanent teeth whose antecessors had been intruded (39%; p < .001). TDIp when the child was 1-year old was associated with SPS (p < .001). Moreover, children who had TDIp had a 4.1 times higher risk of presenting SPS. Conclusions: TDIp is a risk factor for the development of SPS. All types of TDIp caused SPS in this research. Additionally, the younger ages at the time of the injury and intrusions were related to SPS.


Asunto(s)
Hipoplasia del Esmalte Dental/etiología , Avulsión de Diente/complicaciones , Enfermedades Dentales/etiología , Diente Primario/lesiones , Niño , Esmalte Dental/patología , Hipoplasia del Esmalte Dental/patología , Dentición Permanente , Humanos , Lactante , Erupción Dental , Traumatismos de los Dientes/complicaciones
17.
São José dos Campos; s.n; 2019. 67 p. il., tab., graf..
Tesis en Portugués | LILACS, BBO - Odontología | ID: biblio-1016765

RESUMEN

Na prática clínica odontológica é comum observarmos dentes que apresentem lesões endodôntico-periodontais. Apesar das respostas inflamatórias nos dois tecidos poderem ocorrer de maneira isolada, o não-tratamento e a evolução dessas infecções pode levar a formação de lesão combinada, denominada lesão endo-perio. A falta de abordagem eficaz aumenta a possibilidade de possível perda do dente acometido pela lesão. O objetivo desse estudo foi a realização de 3 séries de casos clínicos em 44 dentes com lesão endoperio, utilizando o mesmo protocolo endodôntico e variandose a terapia periodontal proposta - G1 (n=15): debridamento periodontal (RAR), G2 (n=16): antibioticoterapia (RAR + AB) e G3 (n=13): acesso cirúrgico (AC), analisando os dados clínicos de Profundidade de Sondagem (PS), Nível de Inserção Clínico (NIC), Recessão Gengival (RG), mobilidade, Sangramento a Sondagem (SS) e Índice de Placa (IP) nos períodos baseline, 30 dias 3 e 6 meses; além da análise do comprimento linear das lesões em radiografias periapicais e do volume das lesões em tomografias de baseline e 6 meses. Os dados clínicos nos períodos analisados e as avaliações radiográficas e tomográficas prévias e de controle dos tratamentos foram submetidos a análise estatística (Shapiro-Wilk e ANOVA) e evidenciaram melhora nos 3 grupos, considerando os diferentes tratamentos propostos. O G2 apresentou maior diminuição do volume da lesão na análise volumétrica tomográfica bem como na análise radiográfica, de forma estatisticamente significante em relação ao G1 e G3. Os dados clínicos de PS, NIC, RG e mobilidade mostraram melhora nos 3 grupos, sendo G2 melhor que os demais e quanto a SS houve melhora em 3 e 6 meses para os 3 grupos; e IP sem diferença. A partir dessas 3 séries de casos, sugere-se que o protocolo combinado endodôntico até a medicação intracanal (MIC) e terapia periodontal seguida de troca da MIC para posterior obturação endodôntica, resultou em melhora no quadro clínico, radiográfico e tomográfico dos padrões avaliados nos 3 tipos de terapia periodontal realizada nos tempos propostos, sendo que a raspagem e antibioticoterapia (G2) mostrou os melhores resultados no tratamento de lesões endo-perio


In current dental practice it is common to observe teeth with endodontic-periodontal lesions. Although inflammatory responses in both tissues may occur in an isolated manner, non-treatment, and consequently, the evolution of these infections may lead to develop a combined lesion, referred as endo-perio lesion. The lack of an effective approach, besides of making the prognosis of the treatment uncertain, increases the possibility of a possible tooth loss affected by this lesion. The aim of this study was to perform 3 series of clinical cases in 44 teeth with endo-periodontal lesion, using the same endodontic protocol and varying the proposed periodontal therapy, G1 (n = 15): periodontal debridement, G2 (n = 16): antibiotic therapy and G3 (n = 13): surgical access; analysing Probe Depth (PD), clinical atachment level (CAL), gengival ressection (GR), mobility, bleeding on probing (BP), and plaque index at baseline, 30 days, 3 and 6 months, besides the analysis of the linear length of the lesions in periapical radiographic and volume of the lesions in baseline and 6-month CBCTs. clinical data in the analyzed periods and previous radiographic and tomographic evaluations and control of the treatments were submitted to statistical analysis (Shapiro-Wilk and ANOVA) and showed improvement in the 3 groups, considering the different treatments proposed. G2 presented a greater reduction in lesion volume in tomographic volume analysis as well as in radiographic analysis, statistically significant in relation to G1 and G3.The results of PD, CAL, GR and mobility showed improvement in the 3 groups, G2 being better than the others, and in BP there was improvement at 3 and 6 months for the 3 groups; and PI without difference. From these three series of cases, it is suggested that the combined endodontic protocol up to intracanal medication (MIC) and periodontal therapy followed by change of the intracanal medication for later endodontic obturation, resulted in an improvement in the clinical, radiographic and tomographic scores evaluated for the 3 types of periodontal therapy performed at the proposed times, and scalling and antibiotic therapy (G2) showed the best results in the treatment of endo-perio lesions(AU)


Asunto(s)
Humanos , Traumatismos de los Dientes/complicaciones , Raspado Dental/efectos adversos , Endodoncia/métodos
18.
Stomatologija ; 20(3): 102-108, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30531165

RESUMEN

OBJECTIVE: Canine impaction is a dental anomaly involving intraosseous displacement of the unerupted tooth. This situation is of significant importance causing orthodontic, surgical and interceptive problems. Trauma in the incisor area is a possible cause of the displacement of the tooth bud of the permanent canine resulting in the deviated eruption path. The aim of this article is to present two clinical cases with diagnosis of maxillary canine displacement and impaction in the incisor region after a traumatic injury during childhood, discussing treatment possibilities and outcomes achieved after orthodontic treatment. MATERIALS AND METHODS: In this article ectopic maxillary canines migration in the central incisor area after a traumatic injury to the anterior upper teeth are described. The path of eruption of the canine can cause severe central incisor root resorption. Treatment strategy established for the case reports described involves orthodontic space opening, extraction of the central incisor, uncovering the impacted canine and orthodontic traction of the tooth in place of central incisor. Modification of crown morphology and color were essential to obtain an aesthetic and function outcome. RESULTS: The patients finished treatment with normal and stable occlusion, an adequate width of attached gingiva and good aesthetic results. CONCLUSION: Authors suggest that might have been a possible connection between the trauma of primary dentition causing the displacement of the tooth bud of permanent canine and the deviated path of eruption. For the growing patients with a combination of dental trauma and ectopic eruption, maxillary canine to replace a central incisor was a viable option, offering excellent aesthetic results without recourse to prosthetic replacement.


Asunto(s)
Diente Canino , Incisivo/fisiopatología , Resorción Radicular/etiología , Traumatismos de los Dientes/complicaciones , Técnicas de Movimiento Dental , Diente Impactado/complicaciones , Niño , Femenino , Humanos , Incisivo/diagnóstico por imagen , Incisivo/lesiones , Masculino , Maxilar , Radiografía Panorámica , Resorción Radicular/diagnóstico por imagen , Diente Impactado/fisiopatología , Diente Impactado/terapia
19.
J Indian Soc Pedod Prev Dent ; 36(3): 250-256, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30246745

RESUMEN

Background: Dental pain is one of the most common symptoms of untreated oral problems and exerts a strong impact on the well-being of children. Aims: The aim of this study was to evaluate the associated factors with dental pain in children aged 1-3 years using the Brazilian version of the Dental Discomfort Questionnaire (DDQ-B). Methods: A cross-sectional study was conducted in the city of Diamantina, Brazil. A total of 318 randomly selected children were submitted to an oral clinical examination for the evaluation of tooth injuries and dental caries (International Caries Detection and Assessment System, [ICDAS]). The caregivers of the children were asked to answer the DDQ-B as well as a questionnaire addressing demographic and socioeconomic aspects of the family. Statistical analysis was performed and involved the description of frequencies as well as Poisson hierarchical regression analysis. Results: Dental pain was associated with a household income less than the Brazilian minimum monthly wage (Prevalence ratios [PRs] = 1.33, 95% confidence interval [CI]: 1.07-1.66, P = 0.011) and dental caries in dentin - ICDAS codes 5 and 6 (PR = 1.48, 95% CI: 1.13-1.94, P = 0.004). Conclusions: Greater frequencies of dental pain were found in 1-3-year-old children from families with a low monthly income and dental caries with visible dentin with or without pulp involvement.


Asunto(s)
Dimensión del Dolor/métodos , Encuestas y Cuestionarios , Odontalgia/epidemiología , Adulto , Brasil/epidemiología , Preescolar , Estudios Transversales , Caries Dental/complicaciones , Caries Dental/epidemiología , Escolaridad , Femenino , Humanos , Renta , Lactante , Masculino , Padres/psicología , Traumatismos de los Dientes/complicaciones , Traumatismos de los Dientes/epidemiología , Odontalgia/diagnóstico , Odontalgia/etiología
20.
Pediatr Clin North Am ; 65(5): 1007-1032, 2018 10.
Artículo en Inglés | MEDLINE | ID: mdl-30213346

RESUMEN

Oral health is integral to general health. The oral cavity may harbor manifestations of systemic disease and can be the harbinger of early onset. Primary care providers (PCPs) can therefore use the oral cavity to support working diagnoses. Conversely, systemic diseases and treatments can affect oral health and require interactions between PCPs and dental providers. Acute oral manifestations of systemic disease may involve teeth and/or gums. This article reviews oral and systemic disease connections for some diseases, identifies issues that benefit patients through medical-dental collaboration, and highlights some nondental oral injuries that might confront PCPs or emergency medical providers.


Asunto(s)
Enfermedad Crónica , Enfermedades de la Boca/complicaciones , Niño , Humanos , Factores de Riesgo , Traumatismos de los Dientes/complicaciones
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