ABSTRACT
La caries de la infancia temprana, al igual que otras formas de caries, se caracteriza por ser multifactorial, infecciosa y de rápida evolución. Puede presentarse como lesiones cavitadas o no cavitadas, se diagnostica principalmente en menores de seis años en la superficies de los dientes anterosuperiores, debido a que son los primeros órganos dentales en erupcionar y tienen mayor contacto con el estímulo cariogénico. En casos severos pueden llegar a ocasionar la pérdida de órganos dentales, influyendo en la salud general del paciente y repercutiendo en su autoestima y desarrollo psicosocial. Para devolver las características y funciones perdidas en ausencia de algún órgano dental, se recurre a sustituirlo mediante aparatología, mayormente en forma de un mantenedor de espacio funcional. Las necesidades estéticas individuales de cada caso generan diversas alternativas para adaptarnos a la situación del paciente (AU))
Early childhood caries, like other forms of caries, is characterized by being multifactorial, infectious, and rapidly evolving. It can present as cavitated or uncavitated lesions, it is mainly diagnosed in children under six years of age on the surfaces of the anterior superior teeth, because they are the first dental organs to erupt and have greater contact with the cariogenic stimulus. In severe cases they can cause the loss of dental organs, influencing the general health of the patient and impacting on their self-esteem and psychosocial development. In order to restore the lost features and functions in the absence of any dental organ, it is resorted to by means of appliances, mostly in the form of a functional space maintainer. The individual aesthetic needs of each case generate various alternatives to adapt to the patient's situation (AU)
Subject(s)
Humans , Female , Child, Preschool , Space Maintenance, Orthodontic/methods , Zirconium , Crowns , Dental Caries/therapy , Tooth, Deciduous/injuries , MexicoABSTRACT
RESUMEN Se presentó el caso de un niño de 8 años que acudió al Servicio de Estomatología del Policlínico Universitario "Chiqui Gómez Lubián", de Santa Clara, provincia Villa Clara. En el mismo se observó avulsión del incisivo central superior derecho, fractura no complicada de la corona en incisivo central superior izquierdo y una marcada vestibuloversión. Se confeccionó un aparato placa Hawley de acuerdo a las características y necesidades del paciente, con el fin de lograr la recuperación estética, mantener la longitud del arco y corregir la vestibuloversión en el mismo. El aparato permitió obtener un resultado satisfactorio, que ha influido psicológicamente en el paciente al elevar su autoestima y salud bucal.
ABSTRACT A boy of 8 years old was seen in the dental service at the Policlínico Universitario "Chiqui Gómez Lubián", in Santa Clara, Villa Clara. Examination revealed avulsion in the right upper central incisor, uncomplicated crown fracture in left upper central incisor and an improper alignment of the teeth. Taking into account patients´ characteristics and requirements, it was fabricated a Hawley´s retainer in order to achieve a better aesthetic outcome, maintain the length of the dental arch and correct the improper alignment of the teeth. The appliance has achieved a satisfactory outcome, which has had a psychological influence on the patient by improving his self-esteem and oral health.
RESUMO Foi apresentado o caso de um menino de 8 anos que veio ao Serviço de Estomatologia do Policlínico Universitario "Chiqui Gómez Lubián", em Santa Clara, província de Villa Clara. Neste, observou-se avulsão do incisivo central superior direito, fratura não complicada da coroa em incisivo central superior esquerdo e vestibuloversão acentuada. Um dispositivo de placa de Hawley foi confeccionado de acordo com as características e necessidades do paciente, a fim de se obter recuperação estética, manter o comprimento do arco e corrigir a vestibuloversão nele. O dispositivo permitiu obter um resultado satisfatório, o que influenciou psicologicamente o paciente, elevando sua autoestima e saúde bucal.
Subject(s)
Humans , Male , Child , Tooth Avulsion/complications , Tooth Avulsion/etiology , Tooth Avulsion/psychology , Space Maintenance, Orthodontic/methodsABSTRACT
Los pacientes adultos normalmente prefieren tratamiento ortodóncico invisible. La ortodoncia puedemejorar la estética, alinear y nivelar los dientes mejorando la salud periodontal, y también la posiciónde los dientes para recibir tratamiento protésico con un mejor pronóstico.
Adult patients normally prefer invisible orthodontic treatment. Orthodontics can improvethe aesthetics, align and level the teeth improvingthe periodontal health and also position the teeth to receive the prosthetic treatmentwith a better prognosis.
Subject(s)
Female , Humans , Adult , Malocclusion, Angle Class I/therapy , Orthodontic Brackets , Orthodontics, Corrective/methods , Patient Care Planning , Radiography, Panoramic/methods , Tooth Movement Techniques , Space Maintenance, Orthodontic/methodsABSTRACT
Permanent teeth that remain impacted could lead to the early loss of primary teeth and cause space problems in dental arches. We present two cases of ectopic eruption of the permanent maxillary first molars treated with soft distal movements using a modified Nance palatal arch (NPAm). The wire was soldered to the band and positioned distally to serve as support for the elastic chain, which was attached to a bonded button on the occlusal surface. After a few months, the ectopic eruption was corrected, preserving the adjacent primary teeth and restoring the occlusion. An NPAm is a viable option for distalization and space recovery in the maxillary arch.
Subject(s)
Molar , Orthodontic Appliance Design , Orthodontic Appliances , Tooth Eruption, Ectopic/therapy , Tooth Movement Techniques/instrumentation , Tooth, Deciduous , Tooth, Impacted/therapy , Brazil , Cephalometry , Child , Dental Arch , Dental Occlusion , Humans , Male , Maxilla , Molar/diagnostic imaging , Orthodontics, Interceptive , Pediatric Dentistry , Photography , Radiography, Panoramic , Space Maintenance, Orthodontic/instrumentation , Space Maintenance, Orthodontic/methods , Tooth Eruption, Ectopic/diagnostic imaging , Tooth Movement Techniques/methods , Tooth, Deciduous/diagnostic imaging , Tooth, Impacted/diagnostic imagingSubject(s)
Anodontia/therapy , Bicuspid/abnormalities , Molar/surgery , Tooth, Deciduous/surgery , Child , Cuspid/physiology , Follow-Up Studies , Humans , Male , Patient Care Planning , Space Maintenance, Orthodontic/instrumentation , Space Maintenance, Orthodontic/methods , Tooth Eruption/physiology , Tooth Extraction , Tooth Movement Techniques/methodsSubject(s)
Humans , Orthodontics, Corrective/methods , Orthodontics, Corrective/instrumentation , Self Concept , Space Maintenance, Orthodontic/methods , Tooth Remineralization , Brazil , Alveolar Bone Loss/prevention & control , Dental Bonding , Cleft Palate/therapy , Orthodontic Brackets , Mandibular Advancement , Education, Dental , Esthetics, Dental , Orthodontic Anchorage Procedures/instrumentation , Overbite/therapy , Lip/physiopathology , Fluorosis, Dental/therapyABSTRACT
Dentoalveolar ankylosis is described as the direct union between root cementum/dentin and alveolar bone. Its etiology is unknown, and conflicting opinions have been presented to explain it. Late detection of ankylosed primary teeth may cause serious problems to the occlusion and generally demands a more complex treatment approach. The purpose of this report is to present an unusual case of severe infraocclusion of the primary maxillary right second molar associated with a posterior crossbite in a 6-year-old child. The initial treatment option was tooth extraction, but the tooth resumed eruption spontaneously. After correction of the posterior crossbite and a 1-year follow-up, the tooth remained in occlusion and the permanent successor was developing without problems. From this unusual outcome, it may be concluded that further investigation of this anomaly of eruption is needed.
Subject(s)
Tooth Ankylosis/therapy , Child , Female , Humans , Malocclusion/diagnostic imaging , Malocclusion/therapy , Malocclusion, Angle Class I/diagnostic imaging , Malocclusion, Angle Class I/therapy , Maxilla , Molar , Palatal Expansion Technique , Radiography, Panoramic , Space Maintenance, Orthodontic/methods , Tooth Ankylosis/diagnostic imaging , Tooth Eruption , Tooth Extraction , Tooth, DeciduousSubject(s)
Orthodontics, Corrective/methods , Alveolar Bone Loss/prevention & control , Brazil , Cleft Palate/therapy , Dental Bonding , Education, Dental , Esthetics, Dental , Fluorosis, Dental/therapy , Humans , Lip/physiopathology , Mandibular Advancement , Orthodontic Anchorage Procedures/instrumentation , Orthodontic Brackets , Orthodontics, Corrective/instrumentation , Overbite/therapy , Self Concept , Space Maintenance, Orthodontic/methods , Tooth RemineralizationABSTRACT
Restoration of severely decayed primary teeth is a clinical challenge in Pediatric Dentistry. Among the restorative treatment options, the use of prefabricated crowns and resin composite restorations, either by means of direct or indirect techniques is mentioned in the literature. The purpose of this article is to describe the rehabilitation of primary anterior teeth in a 5-year-old patient. Dental treatment consisted on an anterior space maintainer prosthesis made with natural primary teeth, plus human dental enamel veneer (facet) restorations. The advantages of this technique are better esthetics and the natural enamel has physiologic wear and offers superficial smoothness and cervical adaptation compatible with those of the surrounding teeth.
Subject(s)
Dental Enamel , Dental Prosthesis Design/methods , Dental Veneers , Incisor , Tooth, Deciduous , Child, Preschool , Dental Caries/therapy , Humans , Space Maintenance, Orthodontic/instrumentation , Space Maintenance, Orthodontic/methodsABSTRACT
Se realizó un estudio descriptivo transversal en 150 pacientes con edades comprendidas entre 6 y 9 años del servicio escolar Ángel Hernández Chirino del municipio Guanabacoa, en el curso escolar 2000-2001, con el objetivo de identificar las principales afectaciones de los segundos molares temporales y las acciones preventivas que se pueden llevar a cabo por el estomatólogo general integral (EGI). Se observó que el 40 por ciento de los casos tenía obturaciones realizadas, el 29,3 por ciento ya tenía realizadas extracciones, el 25,3 por ciento presentaba caries extensas, el 3,4 por ciento de oligodoncia y el 2,0 por ciento pérdidas por trauma. Resultó significativo que ya el 53,6 por ciento había sido atendido en atención secundaria por pérdida de espacio y al 46,4 por ciento se le aplicó un mantenedor de espacio por el EGI en atención primaria, predominando los realizados con la técnica de acrílico. Se concluye que el tratamiento realizado por el EGI en la atención primaria es fundamental, pues ante la pérdida de dientes temporales, debe aplicarse la técnica de mantenedores de espacio para evitar que ese paciente pase a la atención secundaria(AU)
A descriptive cross-sectional study was conducted in 150 patients aged 6-9 from "Angel Hernández Chirino" school service in the municipality of Guanabacoa, during the school course 2000-2001, aimed at identifying the main affectations of the second temporal molars and the peventive actions the general comprehensive stomatologist may take. It was observed that 40 percent of the patients of the cases had fillings, 29.3 percent had extractions, 25.3 percent presented extensive caries, 3.4 percent had oligodontia, and 2 percent losses due to trauma. It was significant that 53.5 percent had already received secondary attention due to loss of space. 46.4 percent were applied a space-maintainer by the general comprehensive stomatologist at the primary health care level. It was observed a predominance of those made by the acrylic technique. It was concluded that the treatment applied by the general comprehensive stomatologist at this level is fundamental, since this technique should be used when loss of temporal tooth occurs in order to avoid that this patient seeks care at the secondary level(AU)
Subject(s)
Humans , Male , Female , Child , Primary Health Care , School Dentistry/methods , Space Maintenance, Orthodontic/methods , Epidemiology, Descriptive , Cross-Sectional StudiesABSTRACT
En el presente trabajo se muestran distintos casos clínicos que se han resuelto mediante la utilización de prótesis removibles en niños con el agregado de recursos ortodóncicos, para corregir tempranamente anomalías oclusales. Se plantea la necesidad de que todo odontopediatra posea conocimientos que le permitan realizar no sólo prevención de caries o enfermedad periodontal, sino también detectar tempranamente maloclusiones (AU)
Subject(s)
Humans , Male , Female , Child , Child, Preschool , Orthodontic Appliances, Removable , Malocclusion/therapy , Dental Prosthesis , Dental Care for Children/methods , Space Maintenance, Orthodontic/methods , Maxillofacial Development , Diastema/therapy , Toothbrushing/methodsABSTRACT
A relação entre a aplicação do espaçador antes do enceramento do padrão e alívio interno das coroas totais metálicas após a fundição foi verificada através da análise da discrepância interna e marginal. Cento e vinte coroas totais metálicas foram confeccionadas com liga de paládio/prata, fundidas com gás-oxigênio ou resistência elétrica numa centrifuga. Após a fundição, as coroas foram assentadas sobre seus respectivos troquéis com diferentes términos cervicais (ombro reto, ombro biselado em 20º e chanfro reto em 45º) com carga estática de 90 N por 1 minuto. Após, o conjunto foi embutido em resina acrílica e seccionado longitudinalmente para verificar a discrepância marginal ocorrida nas interfaces lateral e oclusal com o micrômetro digital. Os dados foram submetidos a análise de variância e ao teste de Tukey em nível de significância de 5%. Os melhores ajustes marginais e internos foram obtidos com a fonte de calor gás-oxigênio. O término cervical em chanfro reto de 45º mostrou os melhores ajustes, tanto cervical como interno, e o melhor alívio interno e marginal foram obtidos em coroas jateadas com partículas de Al2 O3 com 50 µm.
Subject(s)
Dental Alloys , Dental Casting Technique , Crowns , Space Maintenance, Orthodontic/methodsSubject(s)
Humans , Male , Female , Child, Preschool , Child , Dentition, Mixed , Bicuspid , Cuspid , Dentition, Permanent , Diastema , Tooth Eruption/physiology , Functional Laterality , Space Maintenance, Orthodontic/methods , MolarSubject(s)
Humans , Male , Female , Child, Preschool , Child , Orthodontics , Extraoral Traction Appliances/classification , Extraoral Traction Appliances/standards , Orthodontic Appliances/classification , Orthodontic Appliances/standards , Diastema , Dental Clasps/classification , Dental Clasps/standards , Malocclusion/etiology , Malocclusion/therapy , Space Maintenance, Orthodontic/classification , Space Maintenance, Orthodontic/instrumentation , Space Maintenance, Orthodontic/methods , Occlusal SplintsABSTRACT
El objetivo del presente trabajo radica en enfatizar la importancia del perímetro del arco dentario y el plano oclusal cuando su mantenimiento se halla alterado por extracciones prematuras y/o caries proximales. En el caso descripto, se señala el procedimiento utilizado para obtener la nivelación del plano oclusal quebrado, que permita que las piezas dentarias permanentes erupcionen adecuadamente en el sentido vertical (AU)