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Journal articles on the topic 'Dental restoration permanent'
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1
Silva, Rafael Menezes, Letícia Pena Botelho, Adriana Maria Botelho, and Karine Taís Aguiar Tavano. "Biological restoration in permanent tooth: four-year follow-up." Brazilian Dental Science 21, no. 1 (March 28, 2018): 126. http://dx.doi.org/10.14295/bds.2018.v21i1.1454.
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<p>Biological restorations, involving a technique of uniting autogenous or homogenous dental fragment for use as the primary restorative material, are an alternative for morphological and functional re-establishment of teeth with extensive coronal destruction. Despite the wide range of restorative materials available in dentistry, no material has proved to be as efficient as the natural tooth structure. This article illustrates a therapeutic option for rehabilitating a devitalized mandibular tooth with a weakened coronal remainder by using the biological restoration technique. The authors present the sequence of planning and performing the technique, such as the characteristics of preparation of the tooth and fragment, impression taking, cutting and cementation of the fragment, and the four-year follow-up of the biological restoration, which shows the success of the technique with marginal adaptation and satisfactory esthetic appearance.</p><p> </p><p><strong>Keywords</strong></p><p>Adhesive; Devitalized tooth; Permanent dental restorations.</p>
2
Fornari, Bárbara Scarton, Caroline Solda, Lara Dotto, and Lilian Rigo. "Factors associated with decision-making of replacing the temporary coronal restoration after endodontic treatment." Brazilian Journal of Oral Sciences 21 (November 3, 2021): e225580. http://dx.doi.org/10.20396/bjos.v21i00.8665580.
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Aim: This study aimed to evaluate the decision-making by patients to replace temporary restorations with permanent restorations after endodontic treatment and to verify the associated factors and evaluate the quality/integrity of the temporary restorative material within one month. Methods: This is a cross-sectional study using non-probabilistic sampling which analyzed patients after one month of endodontic treatment. The self-administered questionnaire contained sociodemographic, treatment decision-making and endodontic treatment questions. The restoration present in the mouth was evaluated in the clinical oral examination. The Poisson Regression test was used to verify the prevalence ratio. Results: The prevalence failure to perform permanent restorations was 61.1% of patients, and 42.7% reported not having adhered. The reasons are lack of time and not knowing the importance of replacing the restoration with a definitive one. The glass ionomer temporary restorative frequency was higher among those who chose not to replace the temporary restoration with a permanent one (PR=5.19; 95%CI 2.10-12.33). In addition, there was an association between the quality of the restorative material and the type of material, and the best clinical quality of the restoration was statistically associated with glass ionomer and composite resin. Conclusions: The findings show the importance of guidance by the dental surgeon in helping patients decide to replace their temporary restoration.
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Yanishen, I., O. Sidorovа, O. Berezhna, L. Saliya, and V. Bugaiev. "Analysis of the terms of usage of non-removable restorations fixed by different glass ionomer cements." Journal of Education, Health and Sport 11, no. 12 (December 23, 2021): 307–19. http://dx.doi.org/10.12775/jehs.2021.11.12.024.
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Preservation and restoration of dental health of patients is achieved by early detection and treatment of diseases, finding ways of individual prevention, detection and elimination of risk factors for their development. The amount of materials significantly increased used to restore the integrity of teeth and dentition. Among them are dental materials for permanent fixation of indirect non-removable restorations. The material is used to fill the space between the inner surface of the artificial structure and the support element. This helps to mechanically fix the restoration in place to prevent its displacement during chewing. The correct choice of dental material for permanent fixation is an important decision and will determine the long-term success of permanent restorations. The aim of the study is to analyze the durability using non-removable structures of dentures mounted on different glass ionomer cements.
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Broadbent, JM, CM Murray, DR Schwass, M. Brosnan, PA Brunton, KS Lyons, and WM Thomson. "The Dental Amalgam Phasedown in New Zealand: A 20-year Trend." Operative Dentistry 45, no. 3 (May 1, 2020): 255–64. http://dx.doi.org/10.2341/19-024-c.
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SUMMARY Background and Objectives: Information on the choice of material and performance of restorations placed in a dental practice annually is limited. The Minamata Convention on Mercury is likely to affect the use of amalgam worldwide. The objective of this research was to investigate the use of restorative materials at the University of Otago Faculty of Dentistry in New Zealand from 1998 to 2017. Methods: Data from the Faculty of Dentistry's database from the years of interest were compiled. These data included information on the characteristics of restorations, including information on the material used and number of surfaces involved for each restoration. The tooth in which each restoration was placed was categorized by arch, tooth type, and deciduous or permanent dentition. Results: Records identified 227,514 permanent restorations placed from January 1998 to December 2017, of which 91.7% were direct restorations. Among direct restorations, composite resin was the most commonly used material, followed by amalgam, glass ionomer, and compomer. The use of amalgam for direct restorations decreased from 52.3% of direct restorations in 1998 to 7.1% in 2017. A corresponding increase was observed in the use of tooth-colored direct restorations, particularly composites. Among indirect restorations, porcelain fused to metal, gold, and stainless steel (in pediatric applications) were the materials most frequently used. Conclusions: Despite having no official policy on reducing the use of dental amalgam, the Faculty of Dentistry is following the global trend in reducing its use, with composite resin now well established as the predominant restorative material used. If the current rate of decline persists unchecked, the Faculty of Dentistry could transition to being amalgam free by 2020, although it seems likely that the characteristics and principles of use of the material (and its removal) will be taught for some time to come. This knowledge is important to planning curriculum changes needed to prepare graduates for clinical practice.
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Tserakhava, T. N., M. I. Klenovskaya, E. I. Melnikava, N. V. Shakavets, D. N. Naumovich, and N. D. Cherniauskaya. "Clinical efficacy of treatment of immature permanent teeth in children with different risk of caries." Стоматология детского возраста и профилактика 20, no. 1 (April 1, 2020): 42–47. http://dx.doi.org/10.33925/1683-3031-2020-20-1-42-47.
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Relevance. Nowadays the choice of restorative material and treatment plan for caries of immature permanent teeth in children remains of current interest. Purpose. To evaluate the clinical efficacy of modified glass-ionomer cement for restoration of permanent immature teeth in children with different risk of dental caries. Materials and methods. The results of the treatment of immature permanent teeth in children with different risk of caries are proposed in this article. 100 permanent immature teeth in children with a low, moderate and high risk of dental caries with acute and chronic process were treated using modified glass ionomer cement. Remineralizing therapy was carried out in children with acute caries for 2 weeks before restoration. The duration of remineralizing therapy in children with a high risk and chronic caries was 2 weeks, in the acute caries – 4 weeks. Remineralizing therapy included application of calcium and phosphate containing agents. Assessment of the fillings was conducted in 12 and 24 months in accordance with Ryge criteria which take into account the anatomical shape, marginal adaptation, marginal pigmentation, color stability, and surface roughness. Results. It has been found the high effectiveness of the proposed method of treatment after two years. 100% retention of restorations were revealed. 80-95% fillings were of satisfactory quality, 5-20% of fillings were of acceptable quality and do not require correction or re-treatment.Conclusions. The modified glass-ionomer cement restorations with previous remineralizing therapy provide the high clinical efficacy for the treatment of caries in permanent immature teeth in children with different risk caries in 85-90% of clinical cases.
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Arapostathis, Konstantinos, Arhakis Arhakis, and Sotiris Kalfas. "A modified technique on the reattachment of permanent tooth fragments following dental trauma. Case report." Journal of Clinical Pediatric Dentistry 30, no. 1 (September 1, 2006): 29–34. http://dx.doi.org/10.17796/jcpd.30.1.p2611020q2762681.
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Fractured anterior teeth can be restored by adhesive bonding of the fractured fragment to the remaining tooth structure. One of the major challenges for the practitioner treating traumatized anterior teeth with immediate fragment reattachment is disguising the fracture line, through the correct use of masking and restorative resins to make the restorations imperceptible to the eye as well as improve the retention of the restoration. This paper discusses a modified technique for reattaching a permanent tooth fragment following dental trauma. The initial procedure involved simple reattachment using light cured composite resin between the fragment and the remnant part of the tooth, without additional preparation. The surplus resin was spread across it in an attempt to optimize marginal seal and improve the aesthetics of the restoration. Finally, after taking into account the occlusion, the lingual surfaces of the teeth were veneered with microfilled composite to improve the retention of the reattached fragments.
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Riley, J. L., G. H. Gilbert, G. W. Ford, J. L. Fellows, B. Rindal, and V. V. Gordan. "Judgment of the Quality of Restorative Care as Predictors of Restoration Retreatment: Findings from the National Dental PBRN." JDR Clinical & Translational Research 2, no. 2 (October 27, 2016): 151–57. http://dx.doi.org/10.1177/2380084416675838.
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The primary aim of this study was to test the hypothesis that a patient’s subjective assessments of the dentist’s technical competence, quality of care, and anticipated restoration longevity during a restorative visit are predictive of restoration outcome. This prospective cohort study involved 3,326 patients who received treatment for a defective restoration in a permanent tooth, participated in a baseline patient satisfaction survey, and returned for follow-up. Of the 4,400 restorations that were examined by 150 dentists, 266 (6%) received additional treatment after baseline. Reporting satisfaction with the technical skill of the dentist or quality of the dental work at baseline was not associated with retreatment after baseline. However, patients’ views at baseline that the fee was reasonable (odds ratio [OR], 1.6) was associated with retreatment after baseline, whereas satisfaction at baseline with how long the filling would last (OR, 0.6) was associated with less retreatment. These findings suggest that retreatment occurs more often for patients who at baseline are satisfied with the cost or who at baseline have less confidence in the restoration. The authors found no associations between restoration retreatment and the patients’ baseline evaluations of the technical skills of their dentists or perceptions of quality care. Knowledge Transfer Statement: Dental patients’ ratings of their dentist’s skills were not related to a restoration needing retreatment. Patients focus on other aspects of the dental visit when making this judgment.
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Pribadi, Nirawati, Sylvia, Wulan Tri Maulinda, and Ciciliya. "Zirconia crown restoration on endodontically treated first premolar: A case report." Conservative Dentistry Journal 12, no. 2 (December 2, 2022): 73–76. http://dx.doi.org/10.20473/cdj.v12i2.2022.73-76.
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Background: Endodontic treatment failure is frequently caused by insufficient coronal sealing or crown restorations. In the longterm, this reduces the dental prognosis. A widely used restoration material that has outstanding mechanical properties is zirconia. Purpose:This report's aim is to describe the management of zirconia crown restorations on first premolars after endodontic treatment. Case: A 54-year-old male patient complained of a lump in the upper right gum area and had a restoration done, but it frequently came off. The patient needs immediate treatment with a longer-lasting restoration. Case Management: Endodontic treatment was completed in a single visit, and a zirconia crown was used as a permanent restoration Conclusion: Zirconia crown restorations on first premolars after endodontic treatment provide aesthetic and promising results.
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Al-Madi, Ebtissam M., Samar A. Al Saleh, Sundus M. Bukhary, and Maha M. Al-Ghofaily. "Endodontic and Restorative Treatment Patterns of Pulpally Involved Immature Permanent Posterior Teeth." International Journal of Dentistry 2018 (June 24, 2018): 1–5. http://dx.doi.org/10.1155/2018/2178535.
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Objective. The study aims at investigating the treatment patterns for young permanent posterior teeth with pulp involvement. Materials and Methods. A random sample of 1793 dental records of patients aged 6–18 years old who had received dental treatment was investigated. 663 permanent posterior treated teeth had pulp involvement. Demographic and treatment data were gathered from patients’ records. Results. Prevalence of young permanent teeth with pulp involvement was 36.9%. Treatments received significantly increased as patients’ age increased (P=0.001). The first mandibular molar had the most pulp involvement among all teeth (43.89%). Temporary restoration was the most received restoration (59%). The most common pulpal diagnosis, leading to treatment, was irreversible pulpitis (43.04%). Only 19.8% of treated teeth received completed root canal treatment. Conclusion. There is a high percentage of children and adolescents with immature permanent posterior teeth with pulp involvement. Similarly, a variety of treatment patterns is present, with a small percentage of completed root canal treatment. Clinical Relevance. The study has identified the need to provide guidelines to provide high-quality root canal treatments for young permanent posterior teeth that have pulpal involvement. Only 21.8% of root canal treatments were completed, while 24% of teeth were extracted, and 59% of patients received temporary restorative treatments. This suggests that there might be several factors that might prevent completion of the dental treatment, such as patient preference, insurance coverage, or dentist capability. These factors and guidelines for patient care should be investigated and resolved.
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Baakdah, Raniah, Alanoud Alhelali, Asrar Sindi, Ebtesam Aldegail, and Ranin Ba-Shikh. "Assessment of Pediatric First Permanent Molar Management under General Anesthesia at the King Abdulaziz Medical City, Jeddah, Saudi Arabia." European Journal of Dental and Oral Health 3, no. 1 (January 13, 2022): 5–10. http://dx.doi.org/10.24018/ejdent.2022.3.1.137.
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Background: The use of general anesthesia (GA) among children has seen an increase globally. Both tooth extraction and restoration treatments on children were done under GA, but there are consequences in using GA in children, which also include changes in the treatment plan. First permanent molar (FPM) treatment under GA is a very strategic treatment, but there is a notable lack of studies that assess in detail this type of treatment, especially its frequency of administration under GA. This study determines the treatment frequency and the type of FPM treatment in children under GA at the King Abdulaziz Medical City (KAMC) in Jeddah, Saudi Arabia.
Methods: Our study is a cross-sectional study that reviewed the cases of dental rehabilitation in children between the ages of 5 and 14 years old from 2015 to 2018. These children had erupted first permanent molars and were treated under GA.
Results: This study included 394 children, with 1330 FPMs treated under general anesthesia for (27%) preventive, (56%) restorative, and (17%) extraction treatments. The frequency of FPM treatments administered were color restoration (49%), fissure sealant application (37%), SSC (8.9%), and amalgam filling (4.5%). Low pulpal treatment was reported which was mostly involved indirect pulp capping. Most of the final restorations that were done covered only one surface, followed by the two-surface restorations, and then by SSC.
Conclusions: The pediatric dentists’ decision for FPMs treatment under general anesthesia at KAMC was following AAPD guideline and its frequency was mostly restorative followed by preventive, and the least treatment was extraction treatments. The type of FPMs treatment administered on children was significantly influenced by their ages, gender, and health conditions. The type of tooth restoration and pulp therapy treatments were significantly dependent on children’s age. KAMC pediatric dentist efforts should be directed to initiate more preventive programs and effective dental home care utilization at PHC centers.
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Tabassum, Syeda Tarana, Mozammal Hossain, M. A. Gafur, Hasan Ali, Md Joynal Abdin, and Md Ali Asgor Moral. "Wear of nanohybrid and microfilled composite resin in occlusal restoration of first permanent molar tooth." Bangabandhu Sheikh Mujib Medical University Journal 12, no. 3 (October 2, 2019): 133–37. http://dx.doi.org/10.3329/bsmmuj.v12i3.42393.
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This study compared the wear of nanohybrid and microfilled composite restorative material in occlusal restoration of first permanent molar tooth. In total, 60 first permanent molar teeth having carious lesion without any clinical and radiological indication of pulpal involvement, removal of carious dental hard tissues was performed using round carbide bur and a class I cavity was prepared, rinsed with water and then dried with gentle air. These cavities were filled with either nanohybrid or microfilled composite resin by simple random sampling by lottery method. All teeth were subjected to clinical qualitative and quantitative wear test at baseline, 3, 6 and 9 months observation period. The quantitative wear was analyzed by profile meter. The results showed that the wear depth of microfilled was significant than the nanofilled composite resin. It can be concluded that quantitative wear of microfilled had greater wear than that of nanohybrid composite restorations.
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Kouchaji, Chaza. "Management of Early Loss of first Permanent Molar in Adolescent." Clinical Medical Reviews and Reports 3, no. 5 (May 5, 2021): 01–03. http://dx.doi.org/10.31579/2690-8794/077.
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The first molar is the largest tooth in the oral cavity and bears the maximum occlusal load, and they influence the vertical distance of the maxilla and mandible, the occlusal height, and aesthetic proportions. Since they have the maximum root surface area, they are also considered the best source of anchorage for moving the teeth (Mostafa Rezaie el al 2018). The timing of first molar eruption makes these teeth vulnerable to dental caries. The loss of a permanent first molar in adolescent patient creates a need for early space maintenance and restorative of function. This paper describes a conservative, functional and cost-effective bridge as an interim restoration after the loss of permanent first molar in an early adolescent dentition (Rajashekhara el al 2012).
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Figurová, Mária, Valent Ledecký, and Svetoslav Štvrtina. "In vivo Evaluation of Marginal Microgaps of Sheep Incisors filled with Two Composite Materials." Acta Veterinaria Brno 78, no. 4 (2009): 649–55. http://dx.doi.org/10.2754/avb200978040649.
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The aim of the study was to evaluate the marginal microgaps of two light-induced polymerization composite materials: Filtek P60 (3M ESPE) and Opticor New (Spofa Dental) in ovine teeth in vivo. The restorative materials were placed to type A-cavity to buccal surfaces of permanent teeth (Triadan system 301, 302, 303, 401, 402, 403). The variables of composite materials were evaluated in 3 groups of animals, 2 animals in each, at different time intervals (1, 6 and 9 months after beginning of the experiment). In various time intervals, 12 teeth per group were extracted under general injection anaesthesia, 6 teeth from each animal). Altogether 36 teeth were extracted throughout the experiment. During the experiment we observed neither cracks nor marginal discoloration in both Filtek P60 and Opticor New restorations. Retention of all restorations was 100%. Significant (P = 0.029 ANOVA) differences were observed in the dentin with Filtek P60 packable restorations which exhibited smaller marginal microgaps (OPTICOR NEW and dentin 11.09 mm, FILTEK P60 and dentin 5.64 μm). The mean size of microgaps between dentin and the packable composite material Filtek P60 was significantly lower (P = 0.029 ANOVA) in comparison with the microhybrid Opticor New composite restorations. These materials are suitable as permanent restoration of dental cervical caries in sheep and other herbivores, such as those kept in zoological gardens and companion animals.
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Naishlos, Sarit, Liat Chaushu, Oded Ghelfan, Joseph Nissan, Benjamin Peretz, Tal Ratson, Gil Ben-Izhack, Moshe Davidovich, and Sigalit Blumer. "Primary Teeth Supported Fixed Prosthesis—A Predictable Treatment Alternative." Children 9, no. 6 (May 30, 2022): 804. http://dx.doi.org/10.3390/children9060804.
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Background: Individuals with tooth agenesis often present a significant clinical challenge for dental practitioners. This retrospective study evaluated clinical and radiological long-term functional and esthetic outcomes following restoration using primary teeth to support fixed all-ceramic prosthesis in patients with teeth agenesis. Methods: Patients with teeth agenesis and at least one year follow-up were included. Examinations included panoramic X-ray, clinical examination and family history records. Only primary teeth without permanent teeth underneath were chosen. All ceramic fixed restorations were used. All data were collected from patient files. Outcome parameters included: restoration parameters (restoration survival, restoration fractures, restoration detachment, restoration replacement, and secondary caries), plaque index, and gingival index. Results: The study included 58 porcelain restorations inserted in 25 individuals; mean age 12 ± 2.1 years (range 10–19 years); mean number of missing teeth 12.3 ± 9 (range 6–12). Mean follow-up 48 ± 6 months (range 12–60 months). All restorations survived up to last follow-up, rendering a survival rate of 100%. Restorations outcome—porcelain chipping (9%), detachment (2%), no restoration replacement nor secondary caries, mean gingival index—0.7 ± 0.5 and mean plaque index—0.9 ± 0.3. Conclusions: In tooth agenesis, restoration using primary teeth to support fixed all-ceramic prosthesis is a viable treatment alternative.
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White, B. A., T. F. Albertini, L. J. Brown, D. Larach-Robinson, M. Redford, and R. H. Selwitz. "Selected Restoration and Tooth Conditions: United States, 1988–1991." Journal of Dental Research 75, no. 2_suppl (February 1996): 661–71. http://dx.doi.org/10.1177/002203459607502s06.
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The DMF index provides one source of information on past and present dental caries experience; however, important limitations hinder its ability to characterize fully the impact of dental caries. The purpose of this paper is to describe a measure of selected restoration and tooth conditions that supplements information from the DMF index and to report on the application of this measure as part of the Third National Health and Nutrition Examination Survey, Phase 1, conducted between 1988 and 1991. Data from this survey were used to estimate the prevalence and severity of selected disaggregated physical and biological oral conditions among dentate adults aged 18 to 74 years. Trained, standardized, and calibrated dentist examiners assessed 28 permanent teeth or tooth spaces for each of 6,767 subjects. Teeth or tooth spaces were classified based on criteria for: defective intracoronal restorations, crowns, or bridges; gross loss of tooth structure associated with a restoration; pulpal involvement; or retained roots. Approximately 40.5%, or 61.6 million, dentate adults had at least one tooth or tooth space that met the criteria. Among all persons, an average of 0.9 teeth or tooth spaces met the criteria for at least one category. Adults with at least one scored tooth or tooth space had an average of 2.2 such teeth or tooth spaces. Data from this assessment supplement information available from the DMF index to provide a broader profile of the impact of dental caries on permanent teeth of US adults.
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Kaskova, L. F., N. V. Yanko, and O. O. Kulai. "EVALUATION OF PERFORMANCE OF COMPOSITE FILLING MATERIALS IN RESTORATION OF PERMANENT TEETH IN CHILDREN." Ukrainian Dental Almanac, no. 1 (March 23, 2021): 99–102. http://dx.doi.org/10.31718/2409-0255.1.2021.16.
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A paradigm shift in dental caries treatment in paediatric dentistry is viewed towards a wide using of composite resins. This prospective clinical trial are evaluated and compared during 18 months of clinical performance of a microhybrid composite with a nanoceramic resin composite placed in сlass I and II cavities in permanent teeth in children.
Thirty one children aged between 7 and 15 years were investigated during this study. About 40 restorations were performed, 50% for each material: a nanoceramic resin composite “Ceram. X Sphere TEC one” and a microhybrid resin composite “Charisma”. The restorations have been estimated by investigators immediately after complete polishing a filling. Clinical evaluation was performed 18 months after replacement by two other investigators using modified USPHS criteria. In addition to hand instruments, a magnifier was used for investigation of the restoration margins. Eighteen fillings with “Ceram. X Sphere TEC one” and 17 fillings with “Charisma” were available. The USPHS parameters were analyzed with the Chi-square test in18 months. The level of significance was p<0.05. Also Green-Vermillion index was used for oral hygiene estimation.
There are no failed restorations and secondary caries during the studied period. There were no statistically significant differences among the materials used (p>0.5) regarding the clinical performance. Green-Vermillion hygienic index was 1.48. Thirteen children (43.42%) showed satisfactory level of oral hygiene, 10 children (35.71%) demonstrated good level and 7 children (20.87%) – unsatisfactory level.
According to the marginal discoloration and surface roughness criteria, there were no significant differences among the restorative materials (p>0.5). Marginal discoloration was seen in children with unsatisfactory oral hygiene that corresponds to the data of recent study. Marginal adaptation rate was 94.95% for nanoceramic, and 82.35% for the microhybrid restorations. The marginal defects recorded had small detectable defects at the enamel margin of the restorations. According to the anatomic form criterion, there were no significant differences among the restorative materials (p>0.5).
Postoperative sensitivity of one nanoceramic and two microhybrid restorations was scored as Bravo at baseline examination, but it disappeared by the 18-months evaluation. For color match criterion, the slight differences were observed in microhybrid restoration in 18 months. This shade mismatch was clinically acceptable (Bravo), with no significant differences noted between the materials studied (p>0.5).
The nanoceramic and microhybrid composites have provided acceptable clinical performance over 18-months period. The research pertaining to bigger size of a studied sample and longer observation period is considered advisable to ensure the higher clinical success rate of nanoceramic than microhybrid composite in restoration of permanent teeth in children.
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Noueiri, Balsam, and Samia Aboujaoude. "Treatments Performed on First Permanent Molars in a Sample of Lebanese Children: A Five-Year Retrospective Analysis." Materia Socio Medica 34, no. 3 (2022): 211. http://dx.doi.org/10.5455/msm.2022.34.211-215.
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Background: Dental caries remains one of the most prevalent worldwide chronic diseases and an expensive burden to healthcare services despite significant preventative measures Objective: Dental caries is a multifactorial chronic disease that occurs in early childhood and persists until adulthood. The first permanent molars (FPMs) are the earliest permanent molars to erupt what makes them vulnerable to caries among children and adolescents. Objective: The aim of this study is to determine the prevalence of different types of treatments performed on FPMs in 7–10-year-old Lebanese patients. Methods: In this retrospective study, a convenience sample obtained from the dental electronic health record system of 753 patients, aged between 7 and 10 years old who attended the department of Pediatric Dentistry at the Faculty of Dental Medicine–Lebanese University, between 2015 and 2019 was assessed. Preventive procedures (fissure sealants and preventive resin restorations) as well as therapeutic ones (apexogenesis, composite restoration, extraction, pulp capping, radicular treatment, pulpotomy, stainless steel crown, surgery and emergency) were investigated. Data collected was statistically analyzed using SPSS version 25.0 (Armonk, NY: IBM Corp). Results: The 753 patients were divided into 364 girls (48.3%) and 389 boys (51.7%). These patients underwent a total of 2145 procedures. Procedures were equally divided between therapeutic procedures and preventive ones (51.6% versus 48.4%, respectively). The most commonly performed procedure was composite restoration (41.9%), followed by fissure sealant (34.5%) and preventive resin restorations (14%). Treatments corresponded to a similar sex distribution with slightly higher male patients (53.6%). No statistical association was found between sex and procedure type (p=0.7). Conclusion: In the present study, therapeutic treatments prevalence is relatively high. Thus, educating the parents and teachers on the importance of FPMs would reflect in increased preventive treatments at the expense of decreased therapeutic ones.
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Vieira-Andrade, RG, JR Ribondi, AM Botelho, AM Fernandes, and KTA Tavano. "Esthetic Recovery of Smile Using Composite Resin and “Biological Posts” and Crowns." Journal of Clinical Pediatric Dentistry 37, no. 2 (December 1, 2012): 153–56. http://dx.doi.org/10.17796/jcpd.37.2.j388p12047710230.
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The recovery of teeth that have been extensively destroyed by dental caries can be achieved through direct and indirect restorative procedures. This paper presents a case of the esthetic and functional recovery of permanent maxillary incisors with extensive dental caries in an adolescent patient through the use of a composite resin and “biological posts and crowns”. A case report was drafted to describe the direct restoration of central maxillary incisors using composite resin and endodontic treatment of the lateral maxillary incisors, the construction of dentinal posts, the adaptation and cementing of the posts to the root canals, preparation and molding of crown portions, model construction, the choice of extracted teeth and the making and cementing of “biological crowns”. The use of a composite resin and the cementing of “biological posts and crowns” reestablish dental esthetics and function. Biological restorations maintain all the characteristics of natural teeth and have a significant psychosocial impact on the patient's quality of life. However, it should be stressed that this technique was only indicated in the present case after the determination of a significant improvement in oral hygiene.
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Jo, Sangmi, Koeun Lee, Okhyung Nam, Hyo-seol Lee, Sungchul Choi, Kwangchul Kim, and Misun Kim. "Analysis of Composite Resin Treatment Pattern Changes After the Insurance Coverage." JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY 48, no. 2 (May 31, 2021): 151–59. http://dx.doi.org/10.5933/jkapd.2021.48.2.151.
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Since January 2019, insurance coverage for caries treatment of permanent teeth using composite resin in children aged 12 and under has started in South Korea. The purpose of this study was to compare the pattern of permanent molar composite resin restoration aged 12 and under before and after the insurance coverage from January 2009 to March 2020 in the Department of Pediatric Dentistry at Kyung Hee University Dental Hospital at Gangdong.<br/>Since the insurance coverage was started in 2019, the frequency of permanent molar composite resin restoration aged 12 and under has increased more than twice. There was a significant change in frequency of resin restoration by shape of cavity comparing before and after the insurance coverage, whereas there was no significant difference in changes by patient age, gender and position of tooth.<br/>As accessibility to the permanent tooth composite resin restoration is increased by the insurance coverage, which shows a fair survival rate, it is expected that it could be able to secure oral health in the early permanent dentition aged 12 and under.
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Tserakhava, T., E. Melnikova, and M. Klenovskaya. "The effectiveness of the composite material for restoration of permanent teeth in children." SUCHASNA STOMATOLOHIYA 110, no. 1-2 (2022): 7. http://dx.doi.org/10.33295/1992-576x-2022-1-2-7.
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The prevalence, intensity of dental caries and the need for treatment of permanent immature teeth remain high among the child population of the Republic of Belarus. The choice of restorative material and treatment regimen for caries of permanent teeth in children are relevant at the present. The aim of the study was to evaluate the clinical effectiveness of «Admira Fusion» composite material for the restoration of permanent teeth in children. Material and methods. 143 permanent teeth in 52 children and adolescents (average age 13.4 years) were treated using universal nanohybrid «Admira Fusion» composite. Restorations assessment was carried out in 12 and 24 months according to Ryge criteria. Results. In has found that caries experience of permanent teeth in children and adolescents participating in the study according to the DMFT index is 4.3±1.4, which corresponds to the moderate level of caries intensity. The level of oral hygiene according to the OHI-S index is 0.7±0.1, which is assessed as satisfactory hygiene. It has been analyzed that in children and adolescents 51.05 % caries affected teeth were the first permanent molars (73 teeth) and 27.27 % – the second permanent molars (39 teeth). In 11.89 % of clinical cases caries was detected in the first premolars (17 teeth) and in 9.79 % (14 teeth) – in the incisors of the upper jaw. The analysis of lesions localization on the surfaces of permanent teeth has indicated that in children and adolescents most often in 60.46 % treated teeth caries was detected on the occlusal surfaces (I class by Black). In 27.9 % of the restored teeth, combined lesions of the occlusal and proximal surfaces (Black, class II) were recorded: 11.53 % on the distal-occlusal surfaces and 16.27 % on the medial-occlusal surfaces. Isolated lesions of the medial (14.65 %) and vestibular (6.98 %) surfaces (Black, class V) were noted rarely. It has been found high effectiveness of the proposed treatment using universal nanohybrid material «Admira Fusion» for restoration in two years. 100 % retention of restorations were detected. There were no found complaints of toothache or loss of fillings in 100 % clinical cases. 100 % of the restorations were noted with good edge adaptation and anatomical shape. There were no signs of secondary caries in all clinical cases. Evaluation of the shade adaptation after 2 years has shown that 93.01±2.13 % composite restorations was impossible to recognize without a mirror, and 6.99±2.13 % (10) of the restorations had color deviations in contrast to the tooth tissues, but no more than a change in their shade or transparency which is within the normal color and transparency of the tooth. The color deviations were more often registered in the occlusal-proximal and the occlusal restoration (II Black class, 10.3±4.83 % and Black I class, 5.8±2.51 % accordingly). Color assessment of the filling’ edge after 2 years showed no change in the transition from the restoration to the tooth tissues during visual inspection with a mirror in 89.51±2.56 % of the nanohybrid restorations. Discoloration in the area of the filling-tooth junction not extending in depth was detected in 10.49±2.56 % (15) fillings. Most often, edge discoloration was observed in class II restorations by Black (11 teeth) and less often in class I restorations by Black (4 teeth). The evaluation of the surface quality of the fillings has shown, that 2 years after the treatment, 100 % of the restorations were with a shine and smooth surface, did not require correction or re-treatment, and also had no signs of irritation of the surrounding soft tissues. Conclusion. The use of «Admira Fusion» composite for the restoration of permanent teeth in children provides high clinical efficacy in 89–93 % of clinical cases. Thus, the «Admira Fusion» universal nanohybrid material is characterized by great working properties with good adaptation to the tooth hard tissues, retains its aesthetic characteristics in the oral cavity for 2 years. Convenience in work and technical ability to use any adhesive systems make it the material of choice in pediatric dentistry. Key words: children, caries, permanent teeth, restoration, composite, clinical efficacy.
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Ben Salem, Mouna, Farah Chouchene, Fatma Masmoudi, Ahlem Baaziz, Fethi Maatouk, and Hichem Ghedira. "Fusion or Gemination? Diagnosis and Management in Primary Teeth: A Report of Two Cases." Case Reports in Dentistry 2021 (June 1, 2021): 1–6. http://dx.doi.org/10.1155/2021/6661776.
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Primary double teeth (PDT), referring to either gemination or fusion, are one of the most important and frequent developmental dental anomalies that can affect children’s oral health. Many clinical complications are correlated with these anomalies, such as dental caries, malocclusions, periodontal problems, and dental anomalies in permanent dentition. The aim of this report was to describe, through two cases, a case of gemination and another of fusion, the clinical management, the consequent effects, and the possible repercussions of these two developmental abnormalities on permanent successors. The first case involved gemination of the primary maxillary left central incisor (#61) in a 6-year-old boy. The patient presented with dental caries in the geminated tooth and its contiguous primary left lateral incisor (#62). The radiological examination revealed a slight developmental delay in the permanent left lateral incisor (#22). The treatment plan involved performing a pulpotomy and restoring the dental crowns of the affected teeth. The second clinical case describes a 6-year-old girl with unilateral fusion between a primary mandibular lateral incisor (#72) and a supernumerary tooth (#72’). The treatment included restoration of the deep grooves of the fused teeth using flowable composite and coronal restoration of the contiguous left primary canine (#73). Clinical and radiological follow-ups were performed every 3 months to monitor the development of teeth. No clinical and radiological symptoms were noted during the follow-up visits. PDT may require a multidisciplinary treatment. They should be diagnosed early to avoid and treat any possible complications in both the primary teeth and their permanent successors.
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Basudan, Thuraya, Aymen Neyaz, Norah Alnasser, Afaf Alabdali, Walaa Alqahtan, Ghadah Asiri, Latifah Alshammari, et al. "Improvement of Quality of Life through Nanoparticles in Restorative Dentistry." Journal of Healthcare Sciences 02, no. 12 (2022): 560–67. http://dx.doi.org/10.52533/johs.2022.21209.
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Dental methods aimed at dental rehabilitation, regional anesthesia, orthodontic realigning, permanent hypersensitivity treatment, covalent bonding diamondized enamel, dental health preservation using mechanical dentifrobots, and the formation of artificial bone and teeth are among the possible uses of nanotools in dentistry. The evaluation and treatment of problems affecting the teeth and their surrounding tissues are the focus of restorative dentistry. For the restoration of tooth function and the repair and replacement of damaged tooth structures as well as better aesthetics, advanced procedures are required. In the past few years, resin-based dental restorative materials have made significant progress. Dental composite resin's mechanical performance, minimal polymerization contraction, strong wear resistance, and surface hardness can all be considerably improved by adding nanoparticles to the matrix. To date, nanocomposites for the repair of tooth structure have made one of the most significant contributions to restorative and cosmetic dentistry. Nanocomposites' characteristics aid in minimizing polymerization loss. Their microhardness is higher than that of already employed posterior resin-based composites, and the improved polishability properties in turn result in a smoother surface with better shade qualities. Nanocomposites have a number of benefits, including reduced weight, excellent thermal and electrical properties, antimicrobial activity, and the ability to remineralize dental defects. The other nanotools used in restorative dentistry are nanoadhesives, nanoionomers and nanoendodontic sealants. Nanoadhesives protect against failure of a restoration from bacterial invasion occurs due to spaces between restorative material and preparation margins. Nanoionomers chemically adhere to the surface of the tooth and offer advantages of enhanced bond strength, chemical stability, and insoluble nature. Nano endodontic sealers have the advantage of sealing better than conventional sealers and employing nanoparticles effectively acts as an antibacterial agent. Due to its potential uses and advantages, there is a growing demand for and interest in nano-based dental materials.
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Paramita, Annisa Listya. "Long Term Evaluation of Anterior Primary Resin Crown in Pediatric Patient." DENTA 11, no. 2 (April 29, 2019): 98. http://dx.doi.org/10.30649/denta.v11i2.103.
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<p><strong><em>Background: </em></strong><em>Nursing bottle carries is a problematic condition in children. On one side, parents try to supply enough nutrition to their children, though on the other side this night-time bottle feeding habit might cause negative effect on the childrens dental health. Esthetic dental treatment on children have improved greatly over the past few years, as parents expect an almost-complete restoration of their child’s dental condition. The alternatives for pediatrics esthetic dental restoration may depend on the cooperativeness and habit of the child themselves</em><em>, while also taking the child’s development into consideration. <strong>Aim:</strong> to report evaluation of aesthetic restoration on primary teeth. <strong>Case:</strong> A 4 year-old female child was presented by her parents, with damaged four anterior teeth, which made her uncomfortable especially on feeding due to the sharp edges. From history taking we found a night-time bottle-feeding habit, which usually occurred until patient was asleep. <strong>Case Management:</strong> restoration of the four primary incisive teeth was performed using a resin composite crown. Outcome of the treatment was evaluated until the primary teeth exfoliateand permanent teeth arise. <strong>Conclusion:</strong> cooperation between patient, parents, and dentist is important in the dental restorative treatment on paediatric patient. Moreover, a good communication with parents is encouraged, especially on follow-up schedule, treatment cost, success rate and possibility of treatment failure is also encouraged. Staged evaluation is needed due to the natural substitution of the primary teeth by permanent teeth, besides the development process of the jaws.</em></p><p><strong><em>Keywords:</em></strong><em> Nursing bottle caries, esthetic restoration</em>, <em>growthanddevelopment</em></p><p><strong><em>Correspondence</em></strong><strong>: </strong><em>Annisa Listya Paramita, drg., Sp.KGA. Departemen Ilmu Kedokteran Gigi Anak. Fakultas Kedokteran Gigi Universitas Hang Tuah, Surabaya. Jl. Arif Rahman Hakim No. 150, Surabaya. </em></p>
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Carvalho, Brenda Gonçalves de, Mariana Silva Thiel Ribeiro, Leonardo Rocha Brasil, and Maria José Santos de Alencar. "Marginal and internal fit of CAD/CAM fabricated all-ceramic restorations: a literature review." Revistas 74, no. 3 (September 25, 2017): 229. http://dx.doi.org/10.18363/rbo.v74n3.p.229.
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Objective: the aim of this article was to review the literature about the marginal and internal fit of CAD/CAM fabricated all-ceramic restorations. Material and Methods: a review of literature using Pubmed and Bireme database was executed and 37 articles in English and Portuguese were selected. The keywords were “Computer-Aided Design,” “Dental marginal adaptation,” “Dental restoration, permanent.” Results: the results proved that this system can generate restorations with clinically acceptable marginal fit (?100 µm). However, other parameters must be considered to achieve these results such as milling machine, bur diameter, software, design preparation, smooth preparation margins and incorporation of rounded line angles on the tooth preparation, learning curve of the operator and type of impression method. Conclusion: therefore, although some clinicians present concerns related to the internal fit of CAD/CAM system fabricated restorations, studies corroborate the success on the fit of these restorations, which justifies clinical use and indication of CAD/CAM system.
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Arslan, Hakan, Çağatay Barutcigil, Halit Aladağ, and Duygu Kürklü. "Management of Fractured Permanent Incisors: 1 Year Follow-up." Journal of Contemporary Dental Practice 12, no. 6 (2011): 501–5. http://dx.doi.org/10.5005/jp-journals-10024-1084.
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ABSTRACT This clinical report describes the treatment of a left maxillary permanent incisor that had a complicated crown-root fracture with multiple fragments and a right maxillary permanent incisor which had an uncomplicated crown fracture. The 17-year-old female patient was presented to Ataturk University's Dentistry Faculty with posttraumatic injuries. The treatment plan included fracture segment reattachment, composite laminate veneer of the left maxillary incisor and composite restoration of the right maxillary incisor. The restorations were successful after 1-year follow-up according to the modified USPHS criteria. Clinical Significance The treatment of anterior region's traumas in a single appointment would provide patient's expectation as well as preventive of remaining dental hard tissues. How to cite this article Arslan H, Barutcigil G, Alada™ H, Kürklü D. Management of Fractured Permanent Incisors: 1 year Follow-up. J Contemp Dent Pract 2011;12(6):501-505.
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Farges, Jean-Christophe, Brigitte Alliot-Licht, Emmanuelle Renard, Maxime Ducret, Alexis Gaudin, Anthony J. Smith, and Paul R. Cooper. "Dental Pulp Defence and Repair Mechanisms in Dental Caries." Mediators of Inflammation 2015 (2015): 1–16. http://dx.doi.org/10.1155/2015/230251.
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Dental caries is a chronic infectious disease resulting from the penetration of oral bacteria into the enamel and dentin. Microorganisms subsequently trigger inflammatory responses in the dental pulp. These events can lead to pulp healing if the infection is not too severe following the removal of diseased enamel and dentin tissues and clinical restoration of the tooth. However, chronic inflammation often persists in the pulp despite treatment, inducing permanent loss of normal tissue and reducing innate repair capacities. For complete tooth healing the formation of a reactionary/reparative dentin barrier to distance and protect the pulp from infectious agents and restorative materials is required. Clinical andin vitroexperimental data clearly indicate that dentin barrier formation only occurs when pulp inflammation and infection are minimised, thus enabling reestablishment of tissue homeostasis and health. Therefore, promoting the resolution of pulp inflammation may provide a valuable therapeutic opportunity to ensure the sustainability of dental treatments. This paper focusses on key cellular and molecular mechanisms involved in pulp responses to bacteria and in the pulpal transition between caries-induced inflammation and dentinogenic-based repair. We report, using selected examples, different strategies potentially used by odontoblasts and specialized immune cells to combat dentin-invading bacteriain vivo.
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Kuthy, RA, LG Branch, and JM Clive. "First permanent molar restoration differences between those with or without dental sealants." Journal of Dental Education 54, no. 11 (November 1990): 653–60. http://dx.doi.org/10.1002/j.0022-0337.1990.54.11.tb02478.x.
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Saber, Afnan, Azza El-Housseiny, and Najlaa Alamoudi. "Atraumatic Restorative Treatment and Interim Therapeutic Restoration: A Review of the Literature." Dentistry Journal 7, no. 1 (March 7, 2019): 28. http://dx.doi.org/10.3390/dj7010028.
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This review discusses the techniques and uses of atraumatic restorative treatment (ART) and interim therapeutic restoration (ITR) and states the differences between these two approaches. ART and ITR are similar approaches and are performed using the same material, but they differ in the purpose of their use. ART is used in cases when there are obstacles to reaching dental care units and has been proven to have high success rates in primary and permanent dentitions. ITR is used as a temporary restoration that will be replaced with a more definitive one. ITR is used in cases when the ideal dental treatment cannot be performed. Conventional glass polyalkenoate (ionomer) restorative cement (GIC) is the material of choice that has been used for ART and ITR. This is because of its fluoride release properties, including its ability to bond to enamel and dentine, its pulpal biocompatibility, and its ease of manipulation. High-viscosity glass ionomer performed better than low and medium-viscosity glass ionomer in ART. Combining GIC with conditioner, as well as the use of a chemo-mechanical approach, improved the success rate of ART. Both ATR and ITR are acceptable strategies, with success rates comparable to the traditional treatment methods.
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De Veras, Bruno Mendonça Lucena, Geórgia Pires dos Santos Menezes, Hugo Leonardo Mendes Barros, Marcelya Chrystian Moura Rocha, Aditonio De Carvalho Monteiro, Marlus Da Silva Pedrosa, José Guilherme Férrer Pompeu, Raimundo Rosendo Prado Júnior, and Cláudio Heliomar Vicente Da Silva. "Clinical performance of class I occlusal composite resin restorations: a multicenter double-blinded randomized clinical trial." Brazilian Dental Science 21, no. 3 (August 1, 2018): 288. http://dx.doi.org/10.14295/bds.2018.v21i3.1593.
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<p><strong>Objective: </strong>The objective of this study was to evaluate the 6-month clinical performance of class I occlusal composite resin restorations through a multicenter, randomized, double-blind, clinical trial. <strong>Material e Métodos: </strong>Two hundred and eighty class I occlusal restorations were performed in 70 patients (aged between 17 to 50 years). The restorations were divided into four groups: G1 (Filtek P60/3M ESPE); G2 (Rok/SDI); G3 (Filtek™ P90/3M ESPE); G4 (Evolux/Dentsply). Two pre-calibrated dental practitioners performed and evaluated the restorative procedures regarding to color match, marginal discoloration, recurrent caries, wear (anatomic form) and marginal integrity according to the USPHS criteria. <strong>Resultados: </strong>In 85.8% of the evaluated restorations was observed the ideal score (A) for color match; 91.4% for marginal discoloration; 100% for recurrent caries; 87.7% for wear (anatomic form) and 99.3% for marginal integrity.<strong> Conclusion: </strong>The composite resins used in this study presented satisfactory and similar clinical performance in a 6-month clinical evaluation.</p><p><strong>Keywords</strong></p><p>Dentistry; Composite resins; Permanent dental restoration; Molar; Bicuspid.</p>
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Bissinger, Ricarda, Daniel David Müller, Marcel Reymus, Yegane Khazaei, Reinhard Hickel, Katharina Bücher, and Jan Kühnisch. "Treatment outcomes after uncomplicated and complicated crown fractures in permanent teeth." Clinical Oral Investigations 25, no. 1 (July 23, 2020): 133–43. http://dx.doi.org/10.1007/s00784-020-03344-y.
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Abstract Objectives The objectives of this retrospective clinical study were to describe characteristics of crown fractures in permanent teeth and to investigate the survival of pulp vitality and restorations in uncomplicated and complicated crown fractures. Materials and methods This retrospective study collected information from patients suffering from dental trauma who were treated between January 2004 and June 2017. The study population consisted of 434 patients (253 males/181 females; mean age 20.7 years) with 489 uncomplicated and 127 complicated crown fractures. The Kaplan-Meier survival curves and Cox proportional hazard regression analyses were performed to explore the data statistically. Results The mean observation time was 522 days. Uncomplicated crown fractures without luxation showed a higher success rate of 82.3% (345/419) than complicated crown fractures without luxation (72.3%, 73/101). An additional luxation in uncomplicated crown fractures resulted in significantly reduced success rates in terms of survival of the pulp and restoration. Direct restorations survived significantly better independent of the fracture mode than did adhesively reattached crown fragments. No superiority of mineral trioxide aggregate or calcium hydroxide as pulp capping agent in complicated crown fractures was documented. Approximately 85.5% of all complications occurred within 2 years after the accident. Conclusion The treatment of crown fractures resulted mostly in successful outcomes and only a moderate number of complications were observed. Clinical relevance Primary dental management of crown fractures should follow recently published clinical guidelines, and close monitoring over at least 2 years seems to be justified.
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Soloshenko, J. I. "METHOD OF MOLAR SURFACE RESTORATION FOR TREATMENT OF PIT-AND-FISSURE CARIES IN CHILDREN." Ukrainian Dental Almanac, no. 2 (June 27, 2022): 55–58. http://dx.doi.org/10.31718/2409-0255.2.2022.10.
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Lesions of permanent teeth are diagnosed shortly after their eruption and the largest percentage of lesions is found in the first permanent molars, and in 100% of cases it is a pit-and-fissure caries. Considering this progress, the features in children caries may be unnoticed for definite period and be revelaed only during preventive checkups, when the defect is identified in the fissure or pit while the occlusal surface remains intact.
Occlusal surface restoration after preparation of the carious cavity requires the knowledge of anatomical features of molars, certain skills, experience in modeling cusps, slopes, fissures and pits and, of course, doctor’ attention. Lately, the restorative dentistry has used a method of the occlusal stamp restoration for restoration of occlusal surfaces.
The purpose of our study is to use the occlusal stamp restorative technique for restoration of occlusal surfaces of molars in children.
This technique was used in 10 children aged 8 from 12 years old, who visited the department of pediatric dentistry with the aim of prevention of dental diseases.
Examination of children revealed carious cavities in the first permanent maxilary (3) and mandibular (7) molars. In all cases the carious cavities were diagnosed in the pits or fissures of the occlusal surface. The carious cavities had narrow inlets and the enamel of the occlusal surface was preserved but discolorated. The mentioned restorative method was performed in all cases according to the following algorithm.
Appropriate topical and infiltrative anesthesia was provided for patients, teeth were isolated with the rubber-dam, the tooth surface was cleaned and the occlusal stamp was made with “Latelux Flow” flowable composite in the following way: a portion of liquid composite was applied on the dry occlusal surface of the tooth and spread with dental applicator (Latus, Ultrafine). Then, a small portion of flowable composite was added to the area of the the microapplicator`s head and the composite was photopolymerized.
The occlusal stamp was removed with a dental probe after polymerization, its quality was assessed and the carious cavity was prepared according to biological feasibility principles, which included standard steps. After preparation the total etching of enamel (30 sec) and dentin (15 sec) with orthophosphoric acid ("Conditioner 36", "Dentsply") was performed. After washing and drying, Prime & Bond Universal adhesive was inseted additionally to the carious cavity, dried, and polymerized. Liquid SDR composite (Dentsply) was added to the cavity as an adaptation layer, polymerized, and the rest of carious cavity was restored with nanohybrid composite CeramX SphereTEC one. (Dentsply).
The last layer of material which was placed in the cavity was formed with the occlusal stamp. Firstly, the material was adjusted with a modelling spatula then Teflon tape was applied on surface and the stamp was placed on it. After the using of light pressure, the stamp and Teflon tape were removed, exceeds of material were extracted with a modelling spatula, the composite was adjusted to the tooth tissues along the restoration margins with a microapplicator, and then all the composite was polymerized. Furtherly, the stage of checking of the occlusal contacts was performed. Usually, the restoration were made with the occlucal stamp technique demanded minial occlusal corrections. The final stage was the finishing and polishing of the restoration.
The stamp technique for restoration of occlusal surface allows minimize the time needed for modelling and adjustment of interocclusal contacts, which is very actual during the work with children and therefore can be recommended for general usage in clinical practice of pediatric dentistry.
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Mickenautsch, Steffen, and Veerasamy Yengopal. "Failure Rate of Direct High-Viscosity Glass-Ionomer Versus Hybrid Resin Composite Restorations in Posterior Permanent Teeth - a Systematic Review." Open Dentistry Journal 9, no. 1 (December 23, 2015): 438–48. http://dx.doi.org/10.2174/1874210601509010438.
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Purpose Traditionally, resin composite restorations are claimed by reviews of the dental literature as being superior to glass-ionomer fillings in terms of restoration failures in posterior permanent teeth. The aim of this systematic review is to answer the clinical question, whether conventional high-viscosity glass-ionomer restorations, in patients with single and/or multi-surface cavities in posterior permanent teeth, have indeed a higher failure rate than direct hybrid resin composite restorations. Methods Eight databases were searched until December 02, 2013. Trials were assessed for bias risks, in-between datasets heterogeneity and statistical sample size power. Effects sizes were computed and statistically compared. A total of 55 citations were identified through systematic literature search. From these, 46 were excluded. No trials related to high-viscosity glass-ionomers versus resin composite restorations for direct head-to-head comparison were found. Three trials related to high-viscosity glass-ionomers versus amalgam and three trials related to resin composite versus amalgam restorations could be included for adjusted indirect comparison, only. Results The available evidence suggests no difference in the failure rates between both types of restoration beyond the play of chance, is limited by lack of head-to-head comparisons and an insufficient number of trials, as well as by high bias and in-between-dataset heterogeneity risk. The current clinical evidence needs to be regarded as too poor in order to justify superiority claims regarding the failure rates of both restoration types. Sufficiently large-sized, parallel-group, randomised control trials with high internal validity are needed, in order to justify any clinically meaningful judgment to this topic.
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Bruno Costa, Matheus, Erika Terumi Tomisaki, Daiane Cristina Mendonça dos Santos, Marcio Grama Hoeppner, and Sueli De Almeida Cardoso. "Clinical Evaluation of Composite Resin Restorations in Posterior Teeth." Journal of Health Sciences 23, no. 1 (March 18, 2021): 39–43. http://dx.doi.org/10.17921/2447-8938.2021v23n1p39-43.
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AbstractFactors such as aesthetics and adhesion to dental substrates have consolidated composite resin as a restorative material for posterior teeth, however, the performance is unsatisfactory regarding the longevity of these restorations. The purpose of this retrospective cross-sectional observational study was to evaluate the reasons that resulted in failure of class I and II Black composite resin restorations, performed by undergraduate dental students at the State University of Londrina. The patients were selected from the research of the medical charts filed at the University Dental Clinic's Screening Department. The restorations were evaluated by two calibrated dentists. The data collected were tabulated and analyzed using descriptive statistics, function Cont IF. Of the 261 class I and II restorations evaluated, 150 (57.5%) were in need of replacement. The main causes of failure of class I and II restorations were secondary caries (46.7%), followed by fracture (19.3%) and loss of marginal adaptation (16.7%). Of all the restorations made by the 3rd grade students, 68.4% failed, 57.4% performed by the 4th grade students and 53.9% of the 5th grade students. Based on the results, it is concluded that the main reasons for restorations failure were secondary caries, fracture and loss of marginal adaptation according to the evaluation criteria. Restorations performed by students in the 3rd grade showed a higher percentage of failures compared to those performed by students in the 4th and 5th grades.
Keywords: Permanent Dental Restoration. Composite Resins. Dental Restoration Failure.
Resumo Fatores como estética e adesão aos substratos dentários têm consolidado a resina composta como material restaurador para dentes posteriores, entretanto, o desempenho mostra-se insatisfatório em relação a longevidade destas restaurações. O objetivo desse estudo observacional transversal retrospectivo foi avaliar as razões que resultaram em falhas das restaurações de resina composta de classe I e II de Black, realizadas por alunos de graduação em Odontologia da Universidade Estadual de Londrina. Os pacientes foram selecionados a partir da pesquisa dos prontuários arquivados no Setor de Triagem da Clínica Odontológica Universitária. As restaurações foram avaliadas por dois avaliadores, cirurgiões-dentistas, calibrados. Os dados coletados foram tabulados e analisados por meio de estatística descritiva, função Cont SE. Das 261 restaurações classes I e II avaliadas, 150 (57,5%) apresentavam-se com necessidade de substituição. As principais causas de falhas das restaurações classes I e II foram: cárie secundária (46,7%), seguido de fratura (19,3%) e perda de integridade marginal (16,7%). Dentre as restaurações realizadas por alunos da 3ª série e avaliadas, 68,4% falharam, da 4ª série 57,4% e da 5ª série 53,9%. Com base nos resultados, conclui-se que as principais razões de falha das restaurações foram cárie secundária, fratura e perda de integridade marginal, de acordo com os critérios de avaliação. As restaurações realizadas por alunos da 3ª série apresentaram maior percentual de falhas, comparadas as realizadas pelos alunos da 4ª e 5ª séries.
Palavras-chave: Restauração Dentária Permanente. Resinas Compostas. Falha de Restauração Dentária.
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Lee, Jimi, Nanyoung Lee, Sangho Lee, and Myeongkwan Jih. "Comparison of Partial Pulpotomy in Permanent Molars Using Different Pulp Capping Agents and Restoration Materials." JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY 47, no. 2 (May 31, 2020): 148–56. http://dx.doi.org/10.5933/jkapd.2020.47.2.148.
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The purpose of this study was to compare the success rates of two pulp capping materials, Biodentine<sup>TM</sup> and RetroMTA<sup>®</sup>, used for partial pulpotomy in permanent molars after carious exposures and to compare the final restorative outcome of using composite resin to that of using a stainless steel crown. We studied children who were diagnosed with dental caries of permanent molars and underwent partial pulpotomy. The patients were followed up for more than 1 year. Clinical and radiographic evaluation were used to evaluate the success of each treatment. Fisher's exact test was used to compare the outcomes of two groups. For pulp capping agents, the success rate of using RetroMTA<sup>®</sup> was lower than that of using Biodentine<sup>TM</sup>(<i>p</i> < 0.05). Final restoration with composite resin was less successful than restoration with an stainless steel crown(<i>p</i> < 0.05). In combination of pulp capping agents and final restoration material, RetroMTA<sup>®</sup>- composite resin shows the lowest success rate(<i>p</i> < 0.05).
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Mohammad, Norazlina, Faizah Abd Fatah, Norzalina Ghazali, Ahmad Zaim Muhamad, and Nurhidayah Hamir. "Endodontic root canal treatment performed by undergraduate dental students: Identification of technical standard and post-endodontic restorations." Malaysian Journal of Fundamental and Applied Sciences 15, no. 4 (August 25, 2019): 600–603. http://dx.doi.org/10.11113/mjfas.v15n4.1527.
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Root canal treatment (RCT) is a procedure to eliminate pulpal diseases with the aim to promote healing of the periradicular tissue. The RCT conducted must be of high technical standard and achieve a good quality endodontic work (GQEW) to ensure successful outcome and prolonged retention of the teeth in oral cavity. Previous studies reported poor outcome of RCT conducted by the undergraduate dental students. There is limited report documented on the quality of RCT performed by the dental students in Malaysia. The aim of this study was to identify the technical standards of the RCT and types of post-endodontic restoration placed by USIM undergraduate dental students. The radiographic obturation quality from 274 root filled teeth were evaluated against several indices. The data were analyzed using SPSS version 21. Post treatment radiographs indicated that 84.62% of the RCT have adequate density indicating good apical seal. Meanwhile, for obturation level, the root canal filling that ends 0-2mm (optimal), >2mm away (inadequate), and beyond apex (extrusion) were 84.59%, 5%, and 10.77%, respectively. Teeth with GQEW, having both adequate root filling length and complete obturation were found in 194 (74.6%) teeth. McNemar’s test revealed significant reduction in post-treatment periapical index (p<0.001) indicating good periapical healing. Permanent restoration was only placed in 48% of the teeth. In conclusion, the RCT conducted by USIM undergraduate dental students have a good technical standard. Placements of post-endodontic permanent restoration need to be emphasized in the curricular to ensure long-term success of the endodontically treated teeth.
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Loch, Carolina, Jithendra Ratnayake, Arthi Veerasamy, Peter Cathro, Robert Lee, and Paul A. Brunton. "Direct Restorations, Endodontics, and Bleaching: Materials and Techniques Used by General Dentists of New Zealand." International Journal of Dentistry 2019 (March 7, 2019): 1–7. http://dx.doi.org/10.1155/2019/6327171.
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Background. To investigate the selection and use of direct restorative materials, endodontic techniques adopted, and approaches to bleaching by general dentists in New Zealand. Methods. A questionnaire comprising 19 sections and 125 questions was distributed via mail to 351 general dentists in New Zealand who were selected, at random, from the Dental Council of New Zealand’s 2016 register. Results. A total of 204 questionnaires were returned, of which 188 were usable. Direct resin composite was the most commonly used material for occlusoproximal cavity restorations in premolars (93.7%) and permanent molars (85.2%). Resin-modified glass ionomer cements (34%) and resin composite materials (31.4%) were more commonly used in the restoration of deciduous molars. Home-based vital bleaching was provided by a significant number of dentists (86%), while only 18% provided practice-based bleaching. Cold lateral condensation was the most commonly used obturation technique (55.8%), and 83% of respondents reported using rubber dam for treatments. Conclusions. The findings from this study indicate that dentists in New Zealand are adapting to new materials and technologies to provide high quality care to their patients. Aesthetic treatments such as bleaching have become an integral part of general dental practice.
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Klitynska, Oksana, Natalia Hasiuk, Petro Hasiuk, Artur Vasko, Viacheslav Gurando, Tetiana Zorivchak, and Andriy Stishkovsky. "Statistical analysis of criteria for efficiency of filling of permanent teeth in children." Acta stomatologica Naissi 37, no. 84 (2021): 2232–40. http://dx.doi.org/10.5937/asn2184232k.
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Introduction: The effectiveness of caries treatment depends on many factors, such as the condition of dental tissues, the stage of root development, the period of dentition, the quality of preparation and isolation, the optimal choice of material for restoration. The problem of choosing the filling material is acute in each treatment of caries in children with mixed and permanent dentition. The aim: Todetermine and statistically substantiate parameters for choosing restorative material for permanent teeth in children with different stages of root development. Materials and methods: 248 children aged 7 to 11 (122 boys and 126 girls) and 246 children aged 12 to 17 (120 boys and 126 girls),students of Uzhhorod Secondary School №20 were examined. Restoration materials -"Polofil Supra" (VOCO, Germany) and "DyracteXtra" (Densply, USA). The following criteria were investigated: saliva pH, area of destruction of the occlusal surface of masticatory teeth, stage of root development, depth of the lesion and cavity topography, the acid resistance of the enamel. For the purpose of statistical justification of the selected parameters that pointed as significant in the choice of restorative materials, and for the analysis of the interrelations of the parameters studied, the Spearman correlation coefficient (r) was determined. The correlation coefficient was considered statistically significant when p <0.05. Results: For children aged 7-17 years to restore permanent teeth during the period of mixed and permanent dentition, the best materials in use were: "Polofil Supra" (VOCO, Germany) and "DyracteXtra" (Dentsply, USA). Conclusion: To restore permanent teeth in any stage of root development, it is rational to use a compomer material "DyracteXtra" (r = 0.80), and a composite material "Polofil Supra" -under the conditions of the formed root, at a pH level of more than 6.2, a high degree acid resistance of the enamel and the area of destruction of the occlusal surface less than 0.55 (r = 0.72).
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Souza, Juliana Feltrin de, Camila Maria Bullio Fragelli, Marco Aurélio Benini Paschoal, Edson Alves Campos, Leonardo Fernandes Cunha, Estela Maris Losso, and Rita de Cássia Loiola Cordeiro. "Noninvasive and Multidisciplinary Approach to the Functional and Esthetic Rehabilitation of Amelogenesis Imperfecta: A Pediatric Case Report." Case Reports in Dentistry 2014 (2014): 1–5. http://dx.doi.org/10.1155/2014/127175.
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Case Report. An 8-year-old girl with amelogenesis imperfecta (AI) reported unsatisfactory aesthetics, difficulty in mastication, and dental hypersensitivity. The intraoral examination observed mixed dentition, malocclusion in anteroposterior relationships, anterior open bite, and dental asymmetry. A hypoplastic form of AI was diagnosed in the permanent dentition. A multidisciplinary planning was performed and divided into preventive, orthopedic, and rehabilitation stages. Initially, preventive treatment was implemented, with fluoride varnish applications, in order to protect the fragile enamel and reduce the dental sensitivity. In the second stage, the patient received an interceptive orthopedic treatment to improve cross-relationship of the arches during six months. Finally, the rehabilitation treatment was executed to establish the vertical dimension. In the posterior teeth, indirect composite resin crowns were performed with minimally invasive dental preparation. Direct composite resin restorations were used to improve the appearance of anterior teeth.Follow-Up. The follow-up was carried out after 3, 6, 12, and 18 months. After 18 months of follow-up, The restoration of integrity, oral hygiene, and patient satisfaction were observed .Conclusion. Successful reduction of the dental hypersensitivity and improvement of the aesthetic and functional aspects as well as quality of life were observed.
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Sheikha, Md Abdul Hannan, Fahd A. A. Karim, Asma Sultana, Tazdik G. Chowdhury, AHM Zakir Hossain Shikder, and Md Shamsul Alam. "Replantation of an avulsed permanent anterior tooth." Update Dental College Journal 5, no. 1 (December 14, 2015): 30–34. http://dx.doi.org/10.3329/updcj.v5i1.25826.
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This case report describes a case of avulsed left maxillary central incisor tooth which was replanted in the dental office. The tooth was gently rinsed of any debris and placed in normal saline during the examination and preparation of the replantation socket. The tooth was replanted and functionally splinted. The following week the tooth was opened for pulp extirpation and placement of calcium hydroxide. Two weeks later, the root canal was filled with gutta-percha and zinc oxide eugenol sealer, and the access cavity was restored with a bonded composite restoration; the splint was removed. Two year clinical and radiological follow up of the case showed ankylosis and infraocclusion of the replanted toothUpdate Dent. Coll. j: 2015; 5 (1): 30-34
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H. A, Omokhua, Sede M. A, and Enabulele J. E. "Clinical evaluation of the functional performance of organically modified ceramics (ormocers), nanohybrid, and microhybrid composite in permanent posterior teeth restorations." Ghana Dental Journal 19 (June 21, 2022): 52–59. http://dx.doi.org/10.4314/gdj.v19i1.8.
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Background : In recent times, resin-based direct composite restorations have become a routine and well-established dental practice, meeting the demands for aesthetics and minimally invasive restorative care. The use of resin-based composite resin for defects in posterior teeth is on the rise. A good knowledge of adhesives, composite resins, and polymerization kinetics is required to effectively use composite in patient care.Objective : To compare the functional clinical performance of an ormocer and a nanohybrid to that of a traditional microhybrid composite in posterior teeth restorations.Material and Method : Patients with at least three carious lesions which required replacement (Class Ι and/or Class ΙΙ), each with an opposing tooth, were enrolled in this study. A total of 105 restorations were placed, 35 for each. The materials used for this study included an ormocer-based composite, a nanohybrid resin composite, and a micro-hybrid resin composite. One operator placed all the restorations according to the manufacturers’ instructions. Each restoration is finished and polished immediately after placement. The patient returned for follow-up evaluation at one(1 )month, three (3 )months,six6 months, and 12 months. Two independent examiners calibrated with the web-based training called e-calib performed the evaluation using the FDI Criteria.Results : A total of 105 resin composite restorations, 35 restorations for each of the study materials, were placed in 35 subjects, with a female to male ratio of 4.8:1. The subject recall rate was 100%. All ormocer, nanohybrid, and micro-hybrid resin composites restorations recorded 100% clinically excellent scores from baseline to 3 months for all parameters. Most of the study materials showed a decrease from 100% clinically excellent scores, with a few recordings clinically good at 12 months. At least one restoration of each material experienced a deterioration of the parameters, fracture, retention of materials, and proximal anatomic form.The functional clinical performance of ormocer admira (voco), Tetric EvoCeram (Ivoclar Vivadent), a Nanohybrid, and tetric Ceram (Excite), a micro-hybrid were satisfactory in the restorations of carious posterior permanent teeth. The majority of the restorations maintained clinically excellent scores from 1 month to 12 months. There was, however, no record of scores 3, 4, or 5 by any of the test materials throughout the study.Conclusion : The functional clinical performance of ormocer admira (voco), Tetric EvoCeram (Ivoclar Vivadent), a Nanohybrid, and tetric Ceram (Excite) micro-hybrid were satisfactory in the restorations of posterior permanent teeth restorations.
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Shathi, Ishrat Jhahan, Mozammal Hossain, Md Abdul Gafur, Md Shahjalal Rana, and Md Shamsul Alam. "A comparative study of microleakage between giomer and ormocer restoration in class I cavity of first permanent premolar teeth in vivo." Bangabandhu Sheikh Mujib Medical University Journal 10, no. 4 (November 25, 2017): 214. http://dx.doi.org/10.3329/bsmmuj.v10i4.34284.
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<p class="Abstract">This study was performed to compare the marginal microleakage of ormocer restorative material with that of giomer in vivo. Forty Class I cavities were prepared in non-carious permanent premolar teeth from 10 patients. Twenty cavities were filled with giomer and the remaining 20 cavities were filled by ormocer restorative materials. After one month, teeth were extracted, immersed in rhodamine dye solution, and then longitudinally bisected to assess the degree of dye penetration by stereoscopy. Furthermore, the gap between the dental material and tooth tissue were observed by the scanning electron microscope. The results showed that no microleakage (score 0) was detected in 15 ormocer and 5 giomer restorations. The remaining restorations were associated with dye penetration which was due to gap formation as seen in stereoscopic and scanning electron microscopic observations. The differences between ormocer and giomer restorative materials in respect to dye penetration were statistically significant. It can be concluded that ormocer restorative material shows less microleakage than that of giomer.</p>
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Dobrzański, L. B., A. Achtelik-Franczak, J. Dobrzańska, and L. A. Dobrzański. "The digitisation for the immediate dental implantation of incisors with immediate individual prosthetic restoration." Journal of Achievements in Materials and Manufacturing Engineering 2, no. 97 (December 1, 2019): 57–68. http://dx.doi.org/10.5604/01.3001.0013.8541.
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Purpose: The purpose of this study is to present the author's method of planning the procedure of immediate implant-prosthetic restoration in place of a tooth qualified for removal by performing a surgical template and implant-prosthetic restoration based on data obtained in the CBCT test and intraoral scanning 3D model. Design/methodology/approach: The method of planning the implant surgery through the design and manufacture of surgical templates and implant prostheses performed before the start of medical procedures was described on the basis of actual clinical data from patients with anterior segment teeth qualified for extraction for reasons of complications after endodontic treatment. The placement of the implant was planned using virtual reality, where the bone model and the virtual soft tissue model were combined, which made it possible to perform a surgical template and prosthetic implant restoration. For the manufacturing, 3D printing as stereolithography SLA and selective laser sintering SLS for the surgical template manufacturing and CNC milling in the case of the prosthetic implant were used for restoration. Findings: The method allows planning the implant position based on two connected bone and soft tissue models and allows to design and manufacture a surgical guide. In this way, it becomes possible to place implants in the patient's bone during surgery procedure in the planned position and to install the prosthetic implant restoration in the form of an individual abutment and a PMMA crown during the same procedure in the surgical part. Practical implications: Thanks to the method of computer-aided design/manufacturing CAD/CAM production of surgical templates and prosthetic restoration based only on digital models and the planned position of the implant, it is possible to carry out the procedure of immediate tooth extraction and replacement with permanent prosthetic restoration. The whole process is based on the CBCT test performed at the beginning. The presented method allows shortening the procedure time by four times and the rehabilitation time by 3-6 months when performing the procedure in a minimally invasive manner. Originality/value: This article presents the original design and production method of surgical guides. It allows for precise planning of the implant position and transfer of this data to the patient's mouth during the procedure, enabling permanent prosthetic restoration before starting medical procedures.
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Vajda, Katalin, Gergő Fekecs, and Zsófia Muzsek. "Felső nagymetszőfogak avulsiójának kombinált ellátása." Orvosi Hetilap 158, no. 33 (August 2017): 1314–18. http://dx.doi.org/10.1556/650.2017.30834.
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Abstract: Avulsion of the permanent teeth is one of the most serious forms of traumatic dental injuries, which endangers the patients’ quality of life. Therefore, the fast and proper treatment is crucial. In this case report we will discuss the supportive and definitive functional treatment and correct rehabilitation. The traumatic force can cause complex oral and maxillofacial injuries, which comprehensive treatment constitutes a major challenge for the dentist. Here we review functional restoration of dental injuries and their definitive aesthetic solution. Orv Hetil. 2017; 158(33): 1314–1318.
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Бимбас, Е., E. Bimbas, Е. Меньшикова, and E. Menshikovа. "RESTORATION OF THE DENTITION WITH ANKYLOSIS PERMANENT INCISOR TEETH DUE TO SCLERODERMA: CLINICAL OBSERVATION." Actual problems in dentistry 10, no. 3 (June 25, 2014): 46–49. http://dx.doi.org/10.18481/2077-7566-2014-0-3-46-49.
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<p>In research is presented case of treatment 21 years old man with dental ankylosis 2.1 tooth, and scleroderma. The diagnosis of scleroderma was established when patient was 10 years old, since 19 years the patient had remission. Esthetic and functional defect after ankylosis 2.1 tooth were eliminated by orthopedic treatment. Made bridge Made of veneers zirconia ceramic veneer 1.1,, 2.1., 2.2. While tooth 2.1 retained. </p>
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Alharthi, Yazeed, Osama Alasmari, Hamad Almuaiqly, Saif Alhumaidi, Amjad Alemam, Wahdan Elkwatehy, and Omair M. Bukhari. "Quantifying Health State Utilities for Permanent Dentition: A Cross-Sectional Study." International Journal of Dentistry 2022 (November 24, 2022): 1–6. http://dx.doi.org/10.1155/2022/1735011.
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Introduction. Health utility represents individual preference strengths regarding health-related outcomes as a numerical value, with higher utility values of a health state achieved by a service or treatment strategy suggesting that it is more worthwhile to implement and allocate resources to this service. This study aimed to find and compare the utilities of permanent teeth-related health state outcomes. Materials and Methods. Two groups, one of the dentists (50) and another of dental patients (50), responded to a standard gamble questionnaire to determine the utilities of four hypothetical alternatives of dental health state as follows: (1) carious posterior tooth with pain, (2) carious posterior tooth without pain, (3) filled posterior tooth with a temporary restoration, and (4) filled posterior tooth with a permanent restoration. Values were calculated and compared between the two groups using the unpaired Student’s t-test, and another comparison between gender groups was performed using a one-way analysis of variance. Results. There were significant differences between dentists and patients regarding health states 2, 3, and 4 (p = 0.011, 0.026, and 0.008, respectively). However, there were no significant differences between men and women regarding all health statuses. Nonetheless, there were significant differences between male dentists and male patients for health statuses 1 and 3 (p = 0.047 and p = 0.036), respectively. Conclusion. The oral health-related quality of life and its relation to economic dentistry is essential aspects of our modern practice. In the present study, there was a statistically significant difference in the utility value reported by dentists and patients. However, more research is needed in this area.
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Qvist, V., L. Laurberg, A. Poulsen, and P. T. Teglers. "Longevity and Cariostatic Effects of Everyday Conventional Glass-ionomer and Amalgam Restorations in Primary Teeth: Three-year Results." Journal of Dental Research 76, no. 7 (July 1997): 1387–96. http://dx.doi.org/10.1177/00220345970760070901.
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The aim of this study was to compare the longevity and cariostatic effects of everyday conventional glass-ionomer and amalgam restorations in primary teeth. The materials consisted of 515 Ketac-Fil glass-ionomer restorations and 543 Dispersalloy amalgam restorations prepared in 666 children, from 3 to 13 years of age, by 14 dentists within the Danish Public Dental Health Service in the municipalities of Vaerlose and Hillerød. The restorations, of which 79% were of the Class II type, were in contact with 593 unrestored surfaces in adjacent primary and permanent teeth. After 3 years, 6% of the patients had dropped out of the study, and 33% of the teeth were exfoliated with the restoration in situ. A further 37% of the glass-ionomer and 18% of the amalgam restorations were recorded as failed (p < 0.001). The frequency of failures was highest for Class II glass-ionomer restorations, which showed a 50% median survival time of only 34½ months, because of many fractures, while the 75% survival time for Class II amalgam restorations just exceeded the actual 36 months (p < 0.001). Caries progression was most often recorded in surfaces adjacent to amalgam restorations, and 21% of these surfaces needed restorative treatment vs. 12% of the surfaces adjacent to glass-ionomer restorations (p < 0.01). The three-year results indicated that conventional glass ionomer is not an appropriate alternative to amalgam for all types of restorations in primary teeth. In particular, the short longevity of Class II glass-ionomer restorations could not be compensated for by the reduced caries progression and need for restorative therapy of adjacent surfaces.
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Varughese, Anju, Chandrashekar Janakiram, Balagopal Varma, Anil Mathew, Shankar Rengasamy Venugopalan, Venkitachalam Ramanarayanan, and Prabath Singh. "Effectiveness of 38% Silver Diamine Fluoride Application along with Atraumatic Restorative Treatment for Arresting Caries in Permanent Teeth When Compared to Atraumatic Restorative Treatment in Adults—Study Protocol for a Randomized Controlled Trial." Methods and Protocols 5, no. 6 (October 26, 2022): 87. http://dx.doi.org/10.3390/mps5060087.
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Introduction: Dental caries in the adult population that require preventive and therapeutic treatment are generally neglected in rural communities. The determination of the effectiveness of the application of 38% silver diamine fluoride (SDF) in arresting caries lesions when combined with atraumatic restorative treatment (ART) is very important, as it serves as a preventive and restorative procedure to regain the function of the permanent dentition. The assessment of optimal SDF application with ART, in comparison with ART alone, in managing cavitated carious lesions in a pragmatic setting, is the need of the hour to recommend optimal dental care, especially in rural settings which have minimal access to comprehensive dental care. Methods and Analysis: The clinical trial will enrol 220 adults (18–65 years) with cavitated carious lesions attending the Amrita School of Dentistry in the Ernakulam district, India. This study is a randomized, controlled trial with a 1:1 allocation ratio in two parallel groups. Study arm 1 will receive 38% SDF application and ART, and study arm 2 will receive ART only. A digital radiograph will be taken immediately after restoration (baseline) as well as at the end of the 6th month for evaluation of caries arrest. The assessment of the survival of the restoration will be done on the 7th day, 30th day, and at the end of the 6th month. The final analysis would include both the tooth and person levels. Ethics and Dissemination: This trial adheres to the principles of the Declaration of Helsinki and the guidelines of the Indian Council of Medical Research (ICMR). This study protocol has been approved by the Institutional Review Board. This trial has been registered prospectively with the Clinical Trial Registry of India (Registration No: CTRI/2021/12/038816).
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de Sousa Gomes, Heloísa, Ana Beatriz Vieira da Silveira, Rodrigo Rodrigues, Allisson Filipe Lopes Martins, and Anna Alice Anabuki. "Atraumatic restorative treatment as a minimum invasive approach in pediatric dentistry - A literature review." Journal of Dental Health, Oral Disorders & Therapy 13, no. 3 (2022): 48–52. http://dx.doi.org/10.15406/jdhodt.2022.13.00571.
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Introduction: Atraumatic restorative treatment (ART) is a minimally invasive approach of dental caries lesions that is indicated in primary and permanent dentition. Objectives: To investigate based on a review of the scientific literature, the use of ART as a minimally invasive treatment approach in Pediatric Dentistry. Methodology: A literature review was conducted to verify the evidence regarding Atraumatic restorative treatment as a minimally invasive treatment in pediatric dental patients. Searches were performed in the following electronic health databases: Pubmed, Scientific Electronic Library Online (SciELO), and Latin American and Caribbean Literature on Health Sciences (LILACS), using the following search terms: minimally invasive treatment and Atraumatic restorative treatment and dental caries. The inclusion criteria for the studies were epidemiological (cross-sectional, case-control, cohort, clinical trials) or qualitative studies that evaluated the use of ART in children's dental care; papers published in English, Portuguese or Spanish; and the publication date of the studies was limited to the last five years (2017 to 2022). Data were presented through a description of the included studies after a complete reading. Results: Twenty-three studies were identified and after the inclusion criteria were applied, eight studies were included in the full analysis. From the data analysis, it was observed that ART is a great alternative for the caries control and treatment of the lesions, contributing to the reduction of the patient's anxiety levels in relation to conventional restorative dental treatment, as it minimizes the fear of children regarding dental caries treatment. ART is a viable alternative to conventional treatments that are associated with local anesthetics, drills, and composite resin. In addition, the materials used in ART showed good results when compared to conventional restorative techniques in relation to the survival of the restoration. Conclusion: The use of the ART technique is an effective option for minimally invasive treatment for children, mainly young children, and especially nowadays due to the minimization of aerosols production for dental treatments due to virus transmission during pandemic period. In addition, ART is a comfortable and easy technique for both patient and dental health professional.
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Pourdanesh, Fereydoun, Shahin Shams, and Hasan Mir Mohammad Sadeghi. "Facial Gel Complication after Dental Injection: A Case Report." Craniomaxillofacial Trauma & Reconstruction 6, no. 4 (December 2013): 267–69. http://dx.doi.org/10.1055/s-0033-1349204.
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Injectable gel is becoming increasingly popular for cosmetic reasons. The polyacrylamide gel (PAAG) is a permanent filler material used worldwide. In spite of the fact that the filler materials used today are considered quite safe, various complications have been reported in the literature. Hence PAAG use in the United States is not popular. As the area is very close to the dental field, a large complication potential is relatively considered following buccal dental injections. The aim of this article is to highlight a rare complication observed following a local anesthetic administration of a simple molar restoration in a healthy 33-year-old woman who had history of a filler augmentation in her cheek approximately 6 years ago.
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Möhn, Mirja, Julia Camilla Bulski, Norbert Krämer, Alexander Rahman, and Nelly Schulz-Weidner. "Management of Amelogenesis Imperfecta in Childhood: Two Case Reports." International Journal of Environmental Research and Public Health 18, no. 13 (July 5, 2021): 7204. http://dx.doi.org/10.3390/ijerph18137204.
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Amelogenesis imperfecta (AI) is defined as an interruption of enamel formation due to genetic inheritance. To prevent malfunction of the masticatory system and an unaesthetic appearance, various treatment options are described. While restoration with a compomer in the anterior region and stainless steel crowns in the posterior region is recommended for deciduous dentition, the challenges when treating such structural defects in mixed or permanent dentition are changing teeth and growing jaw, allowing only temporary restoration. The purpose of this case report is to demonstrate oral rehabilitation from mixed to permanent dentition. The dentition of a 7-year-old patient with AI type I and a 12-year-old patient with AI type II was restored under general anesthesia to improve their poor aesthetics and increase vertical dimension, which are related to problems with self-confidence and reduced oral health quality of life. These two cases show the complexity of dental care for structural anomalies of genetic origin and the challenges in rehabilitating the different phases of dentition.