Mostrando entradas con la etiqueta Oral Rehabilitation. Mostrar todas las entradas
Mostrando entradas con la etiqueta Oral Rehabilitation. Mostrar todas las entradas


Restoring an upper primary molar with a stainless steel crown


Stainless steel crowns (SSC) have been a very successful treatment modality in pediatric dentistry.

Theoretically, they last the lifespan of the tooth. In addition to restoring the tooth, stainless steel crowns offer additional prevention from recurrent decay, especially in high caries-risk children.

Overall, they are easy to place and the new generation SSCs require minimal trimming and manipulation.

Most often a fluoride-releasing glass ionomer is used for the cementation of the final restoration.

Read Also: Atraumatic Restorative Treatment : step-by-step

Youtube / 3M Oral Care
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The Stainless-Steel Crown for Primary Molars . Overuse? No, I say underuse

Stainless-Steel Crown

The stainless-steel crown is an important restorative tool in caring for the oral health of children.

Although our focus in providing the best oral health care for children is clearly on prevention, unfortunately there are many children who do not seek or obtain oral health preventive care at an early enough age to prevent what can be devastating disease at an early stage of their lives.

All who care for children’s oral health see many cases of early childhood caries present at the first visit to a dentist.

Children as young as 18 months present to pediatric dental centers all over the country each day with severe early childhood caries in need of treatment to avert progression of significant infection.

Read Also: ORTHODONTIC : Dental disorders are linked to mouth breathing

Further, some children initially present with disease only after the infection has spread beyond the teeth causing facial swelling and a potentially life-threatening condition.

These children often need to be hospitalized, placed on intravenous antibiotics and must have an incision and drainage performed, along with extraction of the offending tooth, to avoid a dangerous situation.


° by Joel Berg, DDS, MS


EMERGENCY : Multidisciplinary approach in the immediate replantation of a maxillary central incisor

Emergency Pediatric Dentistry

This report proposes a discussion of the various peculiarities of a tooth 21 replantation in a 9-year-old patient and describes different treatment facets and a 6-year follow-up of the case.

The splint was maintained for a 3-month period. After a 10 year therapy with calcium hydroxide to control inflammatory resorption, the final canal obturation was performed 18 months after trauma with mineral trioxide aggregate.

Two years after replantation, the orthodontic treatment had been initiated and 5 years after avulsion, whitening of tooth 21 was also done.

Clinical and radiographic follow-up at regular intervals revealed that the treated tooth was still functional, showing normal mobility, resorption stabilization, and normal appearance of the bone tissue and lamina dura, testifying the treatment has been so far successful.

Read Also: ORAL REHABILITATION of a child with dentinogenesis imperfecta

The possibility of submitting avulsed teeth to other dental treatments once, there is close professional monitoring by controlling the risks and benefits of each therapy, as well as the patient's cooperation, extra-oral time, and storage media for transport to the dentist among other details is emphasized.

Introduction : Avulsion, which involves total tooth displacement from its socket, causing rupture of periodontal fibers, is a true emergency case.


°Multidisciplinary approach in the immediate replantation of a maxillary central incisor - A six and a half year follow-up
°Cristina Braga Xavier, Beatriz Farias Vogt, Giselle Daer Faria, Leandro Calcagno Reinhardt, Elaini Sickert Hosni, Josué Martos


Oral rehabilitation of primary dentition affected by amelogenesis imperfecta

Emergency Pediatric Dentistry

The purpose of the case report was to describe the treatment of a 4(1/2)-year-old boy with amelogenesis imperfect (AI) in the primary dentition.

AI is a hereditary condition that affects the development of enamel, causing quantity, structural, and compositional anomalies involving all dentitions.

Consequently, the effects can extend to both the primary and secondary dentitions.

A 4(1/2)-year-old boy was brought to the dental clinic complaining of tooth hypersensitivity during meals. The medical history and clinical examination were used to arrive at the diagnosis of amelogenesis imperfecta.

Read Also: Deformity of the tongue in an infant: Riga-Fede disease

The treatment was oral rehabilitation of the primary molars with stainless steel crowns and resin-filled celluloid forms of both maxillary and mandibular primary incisors and canines.

Improvements in the patient's psychological behavior and the elimination of tooth sensitiveness were observed, and the reestablishment of a normal occlusion resulted in improved eating habits.


°The journal of contemporary dental practice
°Cintia Maria de Souza-E-Silva / Thaís Manzano Parisotto / Carolina Steiner-Oliveira / Maria Beatriz Gavião


ORAL REHABILITATION : Technique for use of Stainless-Steel crowns in primary molars

Emergency Pediatric Dentistry

The stainless-steel crown (SSC) is one of the most important procedures in pediatric restorative dentistry.

Stainless-steel crowns cover and protect the entire tooth and are very durable.

They also are very difficult to dislodge if placed properly, with excellent adaptation to the tooth. They represent the preferred therapy for primary molar teeth after pulpotomy.

The stainless-steel crown is readily retained (often for the lifespan of the primary molar), because it fits over the contour of the buccal, lingual, mesial and distal surfaces of the tooth.

This "snap-on" feature of stanless-steel crowns. This is obviously distinctly different from the way in which precision laboratory-fabricated cast restorations are placed in permanent teeth, after parallel preparation of the tooth and avoidance of any undercuts during tooth preparation.

Read Also: ORAL REHABILITATION : Stainless steel crown prep on a primary molar

The pre-cut, pre-contoured and pre-crimped stainless-steel crown is intended to fit over the cervix of the crown preparation with the same "snap-on" effect as the older generation, non contoured crowns, but without all the trimming/reduction and contouring procedures.

Additional crimping can also be done on the pre-contoured crowns to further improve the mechanical retention.


° Joel Berg, DDS, MS / Jenn-Yith (Simon) Lin, DDS, MS


ORAL REHABILITATION : Stainless steel crown prep on a primary molar

Stainless steel crown

For many years stainless steel crowns have been a significant part of the restorative armamentarium in paediatric dentistry.

By definition they are prefabricated crown forms that are adapted to individual teeth and cemented with a biocompatible luting agent.

If some logical sequences of steps in tooth preparation and crown adaptation are followed it is a relatively simple restorative treatment modality to employ.

The principal indications for their use is in those primary and permanent teeth that are either hypocalcified or that have multiple and extensive carious lesions and whose pulps have been removed.

As a result stainless steel crowns continue to be the restoration of choice for compromised primary molar teeth although they are not aesthetically pleasing.

Read Also: How to restore an upper primary molar by using a stainless steel crown?

The eventual exfoliation of primary teeth ensures that aesthetics will ultimately be restored while the integrity of the dentition is maintained through its mixed dentition stage of development.

In the case of permanent molar teeth, stainless steel crowns are a useful semi-permanent restoration that can be used until the tooth fully erupts and more permanent and aesthetic coronal restorations can be selected.

Youtube / UT Health San Antonio School of Dentistry


Aesthetic Replacement For Missing Primary Teeth

Oral Rehabilitation

A Pediatric Dentist’s greatest restorative challenge is the esthetic rehabilitation of a pre-schooler, who has lost anterior tooth/teeth subsequent to early childhood caries or extensive dental trauma.

An anterior esthetic fixed or removable appliance is often the choice to replace lost tooth/teeth. Other important considerations replacing anterior teeth may include problems in speech and development of pernicious oral habits.

The options presently available have their own limitations like poor patient compliance or retention of the appliance.

Thus this paper discusses about modification of latest splint- it type of fiber reinforced composite (FRC) space maintainer with combination of orthodontic wires to aid in retention and longevity of the appliance.

Introduction : In the modern civilized, cosmetically conscious world, well contoured, and aligned teeth are the standards of beauty indicating nutritional health, self-esteem, economic status. Many treatment approaches have been proposed to address esthetics and retention of missing anterior primary teeth.

Read Also: ORTHODONTIC : Diagnosing Early Interceptive Orthodontic Problems – Part 1

Few studies have shown various appliance designs but scarce information is available to aid the clinician for an appropriate appliance design, retention and longevity.

Premature loss of primary teeth apart from being aesthetically unpleasing can cause oral habits, speech problems and also a lot of psychological implications on growing child.


° Dr. Jyothsna V Setty / Dr. Ila Srinivasan / Dr. Arihanth Bhandary


ORAL REHABILITATION in pediatric dentistry: a clinical case report

Oral Rehabilitation

Dental caries is known to affect 5 to 20% of children aged 12 to 36 months, usually occurring in the maxillary incisors (the first teeth to erupt).

Furthermore, dental trauma is common in this age group, occurring in approximately one-third of all children.

These two factors, still commonly observed in pediatric dental practice, account for cases of extensive coronal destruction requiring oral rehabilitation, even in children under the age of 3, which often poses a challenge to the pediatric dentist.

In children, the etiological factors of dental caries are the same as in the general population. However, in younger children, there is the additional factor that teeth are undergoing eruption (which facilitates plaque buildup due to lack of functional occlusion with the antagonist teeth), made worse by poor or nonexistent oral hygiene.

► Read Also: ORAL SURGERY : Guideline on Pediatric Oral Surgery

In very young patients, rehabilitative treatment is challenging due to difficulties inherent to the age of the child, which limit cooperation; to the extent of dental destruction; and to family members' motivations, especially in patients with early loss of deciduous teeth.

Therefore, pediatric dentists should be able to plan and implement individualized approaches on a case-by-case basis.


° RGO - Revista Gaúcha de Odontologia
° Natalino LOURENÇO NETO, Cristiane Almeida Baldini CARDOSO, Ruy César Camargo ABDO, Salete Moura Bonifácio da SILVA

Complete mouth rehabilitation of children with early childhood caries

Dental Caries

Early childhood caries (ECC) is the presence of one or more decayed, missing or filled tooth (DMFS) surfaces in any primary tooth in a child 71 months of age or younger.

In children aged 3–5 years, severe ECC (S-ECC) is defined as: one or more cavitated, missing (due to caries) or smooth filled surfaces in primary maxillary anterior teeth, or DMFS scores of ≥4 (age 3), ≥5 (age 4), or ≥6 (age 5).

It follows a characteristic pattern of development: maxillary incisors are affected first followed by maxillary then mandibular molars, and due to the protective nature of the tongue, the mandibular incisors are often spared.

ECC has multifactorial etiology. One of the reasons is improper feeding practices adopted and adoption of more cariogenic food with the weaning of milk during this age.

The loss of anterior teeth in children can lead to reduced vertical dimension and unesthetic smile which effect the child psychologically. Thus, it can interfere with the personality and behavioral development of the child.

Read Also: ORTHODONTIC : Dental disorders are linked to mouth breathing

When these teeth are lost, replacement, and prosthetic management is very important to restore all functions including esthetics of the child. Treatment of S-ECC is complex and expensive, often requiring extensive restorative treatment and extraction of teeth at an early age.

The most challenging in treatment of ECC is that children with age group 2–5 years are least manageable group of patients.


° Divya Doneria / Seema Thakur / Parul Singhal / Deepak Chauhan


Esthetic anterior fixed functional space maintainer

Oral Rehabilitation

Traumatic dental injury is one of the main causes of premature loss of maxillary anterior teeth in schoolgoing children, causing psychological trauma both to patient as well as parents.

In that situation, choice of treatment is maintaining the space by space maintainer which may be fixed/removable or functional/nonfunctional.

This article describes rehabilitation of a 4½-year-old child after avulsion of the maxillary central incisor, using fixed functional anterior esthetic space maintainer.

Introduction : Apart from early childhood caries, traumatic dental injury is one of the main reasons for premature loss of primary maxillary anterior teeth in schoolgoing children.

The greatest challenge in our specialty is to rehabilitate these patients esthetically and functionally to compensate the psychological impact of both the patients and parents.

Read Also: ORAL PATHOLOGY : Dental erosion in children: A literature review

Parental desire is one of the main decisive factors for treating these types of clinical situations. Different types of appliance have been developed to manage the space in case of early loss of a primary maxillary anterior tooth.

The choice can be either a removable or a fixed one, which can be functional or nonfunctional. The selection of the appliance depends on a number of factors including the child's stage of dental development, dental arch involved, tooth missing, and status of the teeth adjacent to the lost tooth.

Diptangshu Garai / Chiranjit Ghosh / Pradip Kumar Mandal / Sudipta Kar


ORAL REHABILITATION : Early oral rehabilitation of a child with amelogenesis imperfecta

Oral Rehabilitation

Amelogenesis imperfecta (AI) is an inherited disorder which results in enamel defects.

The main clinical characteristics are extensive loss of tooth tissue, poor esthetics and tooth sensitivity.

Early recognition followed by appropriate preventive care and oral rehabilitation is essential in the successful management of AI.

This clinical report describes the management of a 3 year-old girl with a hypocalcified type of Al.

The patient presented early extensive tissue loss of the superior incisors and molars, with general dentinal sensitivity.

The first phase of the treatment was preventive measures to improve dental and periodontal health. On the second phase the anterior teeth were extracted and the molars were endodontic treated and covered with stainless steel crowns.

Read Also: EMERGENCY : Multidisciplinary approach in the immediate replantation of a maxillary central incisor

A functional appliance was made to rehabilitate the anterior extracted teeth on the third phase.

The performed treatment achieved satisfactory esthetic and function, which resulted in an improvement in the child’s quality of life.


°Natalino Lourenço Neto / Marco A.B. Paschoal / Tatiana Y. Kobayashi / Daniela Rios1, Salete M.B. Silva


Aesthetic Rehabilitation of Maxillary Primary Anterior Teeth with Early Child Hood Caries – Report of Three Different Cases

Oral Rehabilitation

It is a great challenge for Pediatric Dentists to restore and to aesthetically rehabilitate a pre-schooler, who has lost their anterior teeth subsequent to early childhood caries or extensive dental trauma.

This paper discusses case reports of anterior aesthetic rehabilitation of upper primary incisors in three different methods taking into account the different aspects of the treatment modalities.

The different methods employed were post and core restoration with direct resin composite build up, restoration with strip crowns and rehabilitation with fixed functional space maintainers replacing the crowns of upper primary central and lateral incisors.

1. Introduction : Dental caries has been reported since prehistoric times and the present dietary course has contributed substantially to the increased prevalence of this disease worldwide.

The most common cause of the structural damage of the anterior teeth is the early childhood caries and dental trauma. ECC is defined as “the presence of one or more decayed (non-cavitated or cavitated lesions), missing teeth (due to caries), or filled tooth surfaces in any primary tooth in a child 72 of months age or younger.

Read Also: EMERGENCY : Multidisciplinary approach in the immediate replantation of a maxillary central incisor

In the initial phase it is found on either the labial or lingual surfaces of the teeth and the primary maxillary incisors are generally affected earlier.

ECC starts as a dull, white demineralized enamel that quickly advances to obvious decay along the gingival margin. S. mutans and Streptococcus sobrinus are the main cariogenic micro-organisms responsible for the ECC.


° Rena Ephraim, Rajamani. T, Ambili Ayilliath, Arifa. M.K
° International Journal of Dental Sciences and Research. 2017, 5(6), 159-162. DOI: 10.12691/ijdsr-5-6-5 Published online: January 05, 2018


Dental Management of Ectodermal Dysplasia: Two Clinical Case Reports

Oral Rehabilitation

Ectodermal dysplasia is a hereditary disorder associated with abnormal development of embryonic ectodermally-derived organs including teeth, nails, hair and sweat glands.

Hypodontia of the primary and permanent dentition is the most com-mon oral finding.

Therefore, affected patients need dental prosthetic treatments during their developmental years. This re-port presents two cases of children affected by ectodermal dysplasia with anodontia.

Oral rehabilitation was accomplished with removable acrylic prostheses. Treatment had major impacts on self-esteem, masticatory function, speech and facial esthetic.

Introduction : Hereditary ectodermal dysplasia represents a large group of conditions in which two or more ectodermally-derived anatomic structures fail to develop.

Read Also: Management of Facial Space Infection in a 9-Year-Old Child - A Case Report

Patients with ectodermal dysplasia are characterized by hypoplasia or aplasia of structures such as skin, hair, nails, teeth, nerve cells, sweat glands, parts of the eye and ear and other organs.

Ectodermal dysplasia might be inherited in any form of several genetic patterns including autosomal-dominant, autosomal-recessive, and X-linked modes.


° Somayeh Hekmatfar / Karim Jafari / Raziyeh Meshki and Samaneh Badakhsh - Dental Management of Ectodermal Dysplasia: Two Clinical Case Reports

Fixed functional space maintainer: A weight gainer: A case report

Space Maintainer

Early childhood caries (ECC) and dental trauma are the main reasons for premature loss of both anterior and posterior teeth during the infancy and toddler period.

Early loss of maxillary incisors due to caries is very common in young children. Premature tooth loss in anterior incisal segment usually causes minimum space loss and a linguodistal inclination of the teeth, resulting a collapse of the anterior lingually.

Apart from this collapse, closure of the space and shift of midline can also occur (Barber). It can also lead to parafunctional habits as well as altered behavior pattern including depression and increased shyness of a child, which leads to less friendly and non-acceptable daily lifestyle.

These negative effects of anterior tooth loss affects the patient's quality of life and reduces level of confidence. The lingual sides of anterior teeth, which are required by the tongue for certain phonations, may result in improper speech.

The pronunciations of tongue-tip consonants ("t," "d," "s," "sh," and "ch") and labial sounds ("f " and "v") are affected. The development of abnormal tongue habits and hence subsequent malocclusion is also possible.

Read Also: ORAL MEDICINE : How to manage a pediatric patient with oral ulcers

So, the space should be maintained functionally as well as aesthetically by a suitable space maintainer depending on the dental age of the patient. The space maintainer may be of removable, fixed or semi-fixed, and functional or nonfunctional type.

Fixed space maintainers are always acceptable in children as they have less desire to wear removable ones. The removable space maintainers cover large area of oral tissue causing irritation to ulceration.


° Souce :
° Authors : KP Aswanth / Sharath Asokan / Baby J John


Amelogenesis Imperfecta with Anterior Open Bite: A Rare Case Report

Amelogensis Imperfecta

This clinical report describes the treatment plan for a young patient affected by amelogenesis imperfecta with anterior open bite.

The objectives of the treatment were to eliminate tooth sensitivity while enhancing esthetics and restoring masticatory function. Treatment included resin composite laminate veneers on maxillary anterior teeth and stainless steel crowns for posterior teeth.

INTRODUCTION : Amelogenesis imperfecta (AI) has been described as a group of hereditary conditions that disturbs the developing enamel structure and exists independent of any related systemic disorder.

This enamel anomaly affects both the primary and permanent dentition. The incidence of AI has been reported to vary between approximately 1:700 and 1:16,000, depending on the population studied and the diagnostic criteria used.

There are three types of AI: Hypoplasia, hypocalcifica-tion and hypomaturation. In the hypoplastic forms, the enamel does not develop to its normal thickness.

Read Also: ORTHODONTIC : Early interceptive treatment management

In the hypocalcified forms, the enamel thickness on the newly erupted teeth closely approaches that of normal teeth, but the enamel is soft, friable and can easily be removed from the dentin. Hypomaturation is an abnormal occurrence in the final stages of the mineralization process.

Hypomatu-ration differs from hypocalcification in that the enamel is harder, but with a mottled opaque white to yellow-brown or red-brown color. According to Seow, the primary clinical problems of AI are esthetics, dental sensitivity and decreased occlusal vertical dimensions.


° Ruchi Singhal, Anuradha Pathak and Puneet Goenka


Stainless Steel Crowns in Pediatric Dentistry

Stainless Steel Crowns

No other factor plays a more significant role in pediatric dentistry then the restoration of deciduous dentition till its normal time of esfoliation.

Premature loss of deciduous tooth might lead to wide range of implications.

The stainless steel crown is the best restorative material for the treatment of badly broken down primary teeth.

In this review article we discuss the role of stainless steel crowns in pediatric dentistry.

Introduction : Preformed metal crowns, also referred to as stainless steel crowns were introduced to pediatric dentistry by Humphrey in 1950.

Read Also: EMERGENCY : Multidisciplinary approach in the immediate replantation of a maxillary central incisor

Since then they have become an invaluable restorative material in the treatment of badly broken primary teeth.

They are generally considered superior to large multisurface amalgam restorations and have a longer clinical lifespan then two or three surface amalgam restorations.


Souce :
Author : Dr. Vivek Mehta