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


ORAL REHABILITATION of a child with dentinogenesis imperfecta

Emergency Pediatric Dentistry

Odontogenesis is the tooth formation process involving interactions between the epithelium and ectomesenchyme.

These interactions are genetically determined and highly regulated, resulting in forming dental and periodontal tissues.

The process of dentin formation is called dentinogenesis and occurs by odontoblasts differentiation.

According to some studies, there might be hereditary changes in dentinal development, affecting the organic matrix and its mineralization.

The dentinogenesis imperfecta (DI) is a localized form of mesodermal dysplasia of dentin, which affects both dentitions, occurring most in primary teeth.

Read Also: ORAL PATHOLOGY : Guideline on Dental Management of Heritable Dental Developmental Anomalies

With regard to the prevalence, DI signs usually occur in the half number of each offspring with equal frequency between male and female.

There are three types of dentinogenesis imperfecta: Type I (dentinal changes associated with osteogenesis imperfecta presence), Type II (only changes in teeth), and Type III (only the teeth are affected, but with varied clinical findings such as pulp exposures and bell-shaped crowns).


°Oral rehabilitation of a child with dentinogenesis imperfecta – case report
°Kelly Maria Silva Moreira / Cibele Aparecida Silva / Rayen Milanao Drugowick / José Carlos Pettorossi Imparato / Juliana Braga Reis