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Sample records for anterior teeth utilizing

  1. Restoring primary anterior teeth.

    Science.gov (United States)

    Waggoner, William F

    2002-01-01

    A variety of esthetic restorative materials are available for restoring primary incisors. Knowledge of the specific strengths, weakness, and properties of each material will enhance the clinician's ability to make the best choice of selection for each individual situation. Intracoronal restorations of primary teeth may utilize resin composites, glass ionomer cements, resin-modified ionomers, or polyacid-modified resins. Each has distinct advantages and disadvantages and the clinical conditions of placement may be a strong determining factor as to which material is utilized. Full coronal restoration of primary incisors may be indicated for a number of reasons. Crowns available for restoration of primary incisors include those that are directly bonded onto the tooth, which generally are a resin material, and those crowns that are luted onto the tooth and are some type of stainless steel crown. However, due to lack of supporting clinical data, none of the crowns can be said to be superior to the others under all circumstances. Though caries in the mandibular region is rare, restorative solutions for mandibular incisors are needed. Neither stainless steel crowns nor celluloid crown forms are made specifically for mandibular incisors. Many options exist to repair carious primary incisors, but there is insufficient controlled, clinical data to suggest that one type of restoration is superior to another. This does not discount the fact that dentists have been using many of these crowns for years with much success. Operator preferences, esthetic demands by parents, the child's behavior, and moisture and hemorrhage control are all variables which affect the decision and ultimate outcome of whatever restorative treatment is chosen.

  2. Positioning of anterior teeth in removable dentures

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    Strajnić Ljiljana

    2002-01-01

    Full Text Available Introduction The aim of this paper was to present methods of placement of artificial anterior teeth in edentulous individuals. The following review takes account of the majority of papers published during the last 100 years. The review has been divided into sections regarding the method used to determine the position of artificial anterior teeth. Geometric aspect Gysi (1895-1920 produced the first scientific theory about the position of artificial anterior teeth. Physiognomic theory The aim of this theory is to find the most natural position for artificial anterior teeth for each individual. Camper's "face angle" as a physiognomic criterion, has been introduced in papers of Wehrli (1961, Marxhors (1966, Tanzer (1968, Lombardi (1973. Esthetic aspect Important names in the field of dental esthetics are: Schön and Singer (1961, Arnheim (1965, Krajiček (1969, Tanzer (1968, Lombardi (1973, Goldstein (1976. They have introduced principles of visual aspects for selection of contours, dimension and position of artificial anterior teeth. Constitution aspect Flagg (1880, Williams (1913 and Hrauf (1957, 1958, have considered body constitution and individual characteristics regarding position of artificial anterior teeth. Physiological theory In 1971, Marxhors pointed to the fact that the position of artificial teeth corresponds with the function of the surrounding soft tissue and from the aspect of physiognomy as well. Phonetic aspect According to Silverman (1962 artificial anterior teeth are nearest when we pronounce the sound "S". Cephalometrical research Rayson (1970, Watson (1989, Strajnić Lj. (1999, Bassi F. (2001 have presented cephalometric radiographic analyses of natural anterior teeth compared with cephalometric radiographic analyses of artificial anterior teeth. A review of dental literature shows several factors suggesting modalities which should determine the position of artificial anterior teeth. Numerous methods have been designed for

  3. [Esthetic restorations of primary anterior teeth].

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    Elqadir, A Jamil; Shapira, J; Ziskind, K; Ram, D

    2013-04-01

    Esthetic treatment of primary teeth is one of the greatest challenges to pediatric dentists. A variety of restorative options using full coverage are available for anterior primary teeth. In the last half century the emphasis on treatment of severely decayed primary teeth shifted from extraction to restoration. In the past, restorations consisted of placement of stainless steel crowns on severely decayed teeth. However, they are esthetically unacceptable today. Over the last decade parents expect a higher esthetic standard for their children's primary teeth. Thus, the restoration should provide esthetic appearance and durability in addition to restoring function. The purpose of this review is to describe the types of full coverage options for anterior primary teeth currently available.

  4. Restoring primary anterior teeth: updated for 2014.

    Science.gov (United States)

    Waggoner, William F

    2015-01-01

    The purpose of this paper was to review the current literature associated with the techniques and materials for the restoration of primary anterior teeth and make clinical recommendations based upon the available literature. A variety of esthetic restorative materials are available to utilize for restoring primary incisors. Awareness of the specific strengths, weakness, and properties of each material can enhance the clinician's ability to make the best choice of selection for each individual situation. Intracoronal restorations of primary teeth may utilize resin composites, glass ionomer cements, resin-modified ionomers, or polyacid-modified resins. Full coronal restoration of primary incisors may be indicated for a number of reasons. Crowns available for restoration of primary incisors include those that are directly bonded onto the tooth, which generally are a resin material, and crowns that are luted onto the tooth and are either some type of stainless steel or zirconia crown. There is insufficient controlled, clinical data to suggest that one type of restoration is superior to another. Operator preferences, esthetic demands by parents, the child's behavior, the amount of tooth structure remaining, and moisture and hemorrhage control are all variables that affect the decision and ultimate outcome of whatever restorative solution is chosen.

  5. An overlay partial denture to restore worn mandibular anterior teeth.

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    Samant, Asha; DeSciscio, Peter

    2014-01-01

    Restoring worn anterior mandibular teeth is a challenge, especially when teeth are small, esthetics are a concern, the long-term prognosis is questionable, and/or patient finances are an issue. This article describes an alternate treatment for a patient with a collapsed bite, missing posterior mandibular teeth, an ill-fitting complete maxillary denture with poor esthetics, and irregular, worn mandibular anterior teeth.

  6. Modified Anchor Shaped Post Core Design for Primary Anterior Teeth

    OpenAIRE

    R. Rajesh; Kusai Baroudi; K. Bala Kasi Reddy; Praveen, B. H.; V. Sumanth Kumar; Amit, S

    2014-01-01

    Restoring severely damaged primary anterior teeth is challenging to pedodontist. Many materials are tried as a post core but each one of them has its own drawbacks. This a case report describing a technique to restore severely damaged primary anterior teeth with a modified anchor shaped post. This technique is not only simple and inexpensive but also produces better retention.

  7. Modified Anchor Shaped Post Core Design for Primary Anterior Teeth

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    R. Rajesh

    2014-01-01

    Full Text Available Restoring severely damaged primary anterior teeth is challenging to pedodontist. Many materials are tried as a post core but each one of them has its own drawbacks. This a case report describing a technique to restore severely damaged primary anterior teeth with a modified anchor shaped post. This technique is not only simple and inexpensive but also produces better retention.

  8. Modified anchor shaped post core design for primary anterior teeth.

    Science.gov (United States)

    Rajesh, R; Baroudi, Kusai; Reddy, K Bala Kasi; Praveen, B H; Kumar, V Sumanth; Amit, S

    2014-01-01

    Restoring severely damaged primary anterior teeth is challenging to pedodontist. Many materials are tried as a post core but each one of them has its own drawbacks. This a case report describing a technique to restore severely damaged primary anterior teeth with a modified anchor shaped post. This technique is not only simple and inexpensive but also produces better retention.

  9. Complex aesthetic treatment on anterior maxillary teeth with malposition

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    Febriastuti Febriastuti

    2008-12-01

    Full Text Available Background: Complex aesthetic treatment on anterior teeth involves more than one caries tooth with malformed shape and malposition. Purpose: The purpose of this paper is to find the alternative treatment for anterior maxillary teeth with malposition. Case: In this case, a 25 year-old man with a peg shaped teeth and caries on several teeth and malposition can be treated with complex aesthetic treatment. Case management: Endodontic pulpectomy treatment on anterior maxillary teeth and post construction with splint porcelain fused to metal crowns on 11, 12, and 21, 22 to correct the shape and position into normal position. Conclusion: Malformed and malpositioned teeth with caries can be treated with complex aesthetic treatment.

  10. Restoration of primary anterior teeth: review of the literature.

    Science.gov (United States)

    Lee, Jacob K

    2002-01-01

    This paper reviews the published data on restorations of primary anterior teeth. The discussion includes Class III restorations, Class V restorations, various forms of full coronal restorations, atraumatic restorative technique (ART) and recommendations for future research.

  11. The management of over closured anterior teeth due to attrition

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    Eha Djulaeha

    2009-12-01

    Full Text Available Background: Tooth is the hardest tissue in human body, that can be injured because of attrition process. For old people, denture attrition process is caused by psysiological process relating with the mastication function which also supported by some bad habits such an bruxism, premature contact, and consuming habit of abrasive food. Attrition or abrasion can also be happened with patien’t dentition who does not have teeth subtutition for long time due the lost of their maxillary as well as mandibulary. The pasient will loose their vertical dimension of occlusion, injure, and the lower jaw becomes over closed which is called over closure. Purpose: This article reported the management of over closured anterior teeth due to attrition. Case: a seventy six year old woman patient came to Prosthodontic Clinic in Faculty of Dentistry, Airlangga University, to rehabilitate her upper and lower severe attrited anterior teeth and her posterior teeth. The patient has experienced of wearing acrylic removable mandibular partial denture ten years ago. Unfortunaly, the denture was uncomfortable, and she did not wear it anymore since five years ago. Case management: The severe attrition of anterior teeth with the lost of occlusal vertical dimension can be treated by improving the occlusal vertical dimension gradually. The treatment is then followed by the increasing of the height of the anterior teeth by lengthening the crown teeth of upper jaw with 12 units of span bridge and the acrylic removable partial denture of lower jaw. Conclusion: The severe attrition of anterior teeth with the lost of occlusal vertical dimension can be treated by improving the occlusal vertical dimension gradually, using long span bridge and acrylic removable partial denture.

  12. The significance of biometric parameters in determining anterior teeth width

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    Strajnić Ljiljana

    2013-01-01

    Full Text Available Background/Aim. An important element of prosthetic treatment of edentulous patients is selecting the size of anterior artificial teeth that will restore the natural harmony of one’s dentolabial structure as well as the whole face. The main objective of this study was to determine the correlation between the inner canthal distance (ICD and interalar width (IAW on one side and the width of both central incisors (CIW, the width of central and lateral incisors (CLIW, the width of anterior teeth (ATW, the width between the canine cusps (CCW, which may be useful in clinical practice. Methods. A total of 89 subjects comprising 23 male and 66 female were studied. Their age ranged from 19 to 34 years with the mean of 25 years. Only the subjects with the preserved natural dentition were included in the sample. All facial and intraoral tooth measurements were made with a Boley Gauge (Buffalo Dental Manufacturing Co., Brooklyn NY, USA having a resolution of 0.1mm. Results. A moderate correlation was established between the interalar width and combined width of anterior teeth and canine cusp width (r = 0.439, r = 0.374. A low correlation was established between the inner canthal distance and the width of anterior teeth and canine cusp width (r = 0.335, r = 0.303. The differences between the two genders were highly significant for all the parameters (p < 0.01. The measured facial distances and width of anterior teeth were higher in men than in women. Conclusion. The results of this study suggest that the examined interalar width and inner canthal distance cannot be considered reliable guidelines in the selection of artificial upper anterior teeth. However, they may be used as a useful additional factor combined with other methods for objective tooth selection. The final decision should be made while working on dentures fitting models with the patient’s consent.

  13. Is biologic width of anterior and posterior teeth similar?

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    Amir Alireza Rasouli Ghahroudi

    2014-09-01

    Full Text Available The biologic width (BW includes attached epithelial cells and connective tissue attachment complex being very important in the periodontal health during prosthetic treatments as invading this zone can cause bone resorption and gingival recession. The present study investigated biologic width values in the normal periodontium in anterior and posterior teeth. 30 patients that referred from restorative department to periodontics department of Tehran University of medical sciences who need crown lengthening procedure on their teeth with no history of orthodontic, prosthodontic and periodontal treatment were randomly enrolled in this cross-sectional trial. Sulcus depths (SD as well as the distance between free gingival margin and the bone crest (FB of anterior and posterior teeth were measured by UNC-15 probe and compared. periodontium thickness was also assessed. The data were subjected to Student t test. Mean BW in the 43 anterior and 47 posterior teeth was measured and not significantly different (1.4651±0.39 mm vs. 1.6312±0.49 mm was observed; however, BW was significantly more in the teeth with thick periodontium compared to those with thin periodontium (1.703±0.5 vs. 1.408±0.35; P=0.002. BW not only is different in individuals but also could be dissimilar in different teeth and should be calculated independently prior to restorative treatments.

  14. Esthetic crown lengthening for maxillary anterior teeth.

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    Sonick, M

    1997-08-01

    In the maxillary anterior region, the gingival labial margin position is an important parameter in the achievement of an ideal smile. The relationship between the periodontium and the restoration is critical if gingival health and esthetics are to be achieved. Periodontal therapy is a necessary and useful adjunct when any anterior restoration is undertaken. Anterior surgical crown lengthening may be undertaken to avoid restorative margin impingement on the biologic width. Crown lengthening is also used to alter the gingival labial profiles. This article discusses the esthetic parameters of ideal gingival labial positions and presents a classification of crown-lengthening procedures and the procedure for a two-stage crown-lengthening technique. The two-stage crown-lengthening technique is surgically precise because healing is predictable.

  15. A review on anterior teeth restorations

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    Gaurav Solanki

    2014-12-01

    Full Text Available Restorations of teeth have been a need of time since very long. As the time have passed, there have been different advances in the field of restorative materials and tooth restorations. Many newer restorative materials are now available to us for the purpose of tooth restorations still some of the older materials are materials of choice for a sector of society. This article focuses on few such restorative materials and also tells us about a few patents granted in such field.

  16. Endodontic-orthodontic management of fractured anterior teeth.

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    Delivanis, P; Delivanis, H; Kuftinec, M M

    1978-09-01

    A case history is presented of a 10-year-old patient, who accidentally injured her maxillary central incisor. The fracture of the crown extended 2 mm below the crest of the alveolar bone. After a pulpotomy was done as a temporary measure, orthodontic appliances were placed by bonding brackets on the maxillary anterior teeth and fitting a sectional arch wire to extrude the fractured tooth. After successful extrusion, the fracture line was brought above the level of alveolar bone where successful restoration of the tooth by the acid-etch method could be accomplished.

  17. Esthetic Rehabilitation of Anterior Teeth with Laminates Composite Veneers

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    Dino Re

    2014-01-01

    Full Text Available No- or minimal-preparation veneers associated with enamel preservation offer predictable results in esthetic dentistry; indirect additive anterior composite restorations represent a quick, minimally invasive, inexpensive, and repairable option for a smile enhancement treatment plan. Current laboratory techniques associated with a strict clinical protocol satisfy patients’ restorative and esthetic needs. The case report presented describes minimal invasive treatment of four upper incisors with laminate nanohybrid resin composite veneers. A step-by-step protocol is proposed for diagnostic evaluation, mock-up fabrication and trial, teeth preparation and impression, and adhesive cementation. The resolution of initial esthetic issues, patient satisfaction, and nice integration of indirect restorations confirmed the success of this anterior dentition rehabilitation.

  18. Esthetic rehabilitation of anterior teeth with laminates composite veneers.

    Science.gov (United States)

    Re, Dino; Augusti, Gabriele; Amato, Massimo; Riva, Giancarlo; Augusti, Davide

    2014-01-01

    No- or minimal-preparation veneers associated with enamel preservation offer predictable results in esthetic dentistry; indirect additive anterior composite restorations represent a quick, minimally invasive, inexpensive, and repairable option for a smile enhancement treatment plan. Current laboratory techniques associated with a strict clinical protocol satisfy patients' restorative and esthetic needs. The case report presented describes minimal invasive treatment of four upper incisors with laminate nanohybrid resin composite veneers. A step-by-step protocol is proposed for diagnostic evaluation, mock-up fabrication and trial, teeth preparation and impression, and adhesive cementation. The resolution of initial esthetic issues, patient satisfaction, and nice integration of indirect restorations confirmed the success of this anterior dentition rehabilitation.

  19. Anterior makeover on fractured teeth by simple composite resin restoration

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    Eric Priyo Prasetyo

    2011-09-01

    Full Text Available Background: In daily practice dentists usually treat tooth fractures with more invasive treatments such as crown, veneer and bridges which preparation require more tooth structure removal. While currently there is trend toward minimal invasive dentistry which conserves more tooth structure. This is enhanced with the vast supply of dental materials and equipment in the market, including restorative materials. Provided with these supporting materials and equipment and greater patient’s demand for esthetic treatment, dentists must aware of the esthetics and basic principle of conserving tooth which should retain tooth longevity. Purpose: This article showed that a simple and less invasive composite resin restoration can successfully restore anterior esthetic and function of fractured teeth which generally treated with more invasive treatment options. Case: A 19 year-old female patient came with fracture on 21 and 22. This patient had a previous history of dental trauma about nine years before and was brought to a local dentist for debridement and was given analgesic, the involved teeth were not given any restorative treatment. Case management: The fractured 21 and 22 were conventionally restored with simple composite resin restoration. Conclusion: Fracture anterior teeth would certainly disturbs patient’s appearance, but these teeth could be managed conservatively and economically by simple composite resin restoration.Latar belakang: Dalam praktek sehari-hari pada umumnya dokter gigi merawat fraktur dengan restorasi invasif seperti mahkota, veneer dan jembatan yang semuanya memerlukan pengambilan jaringan gigi lebih banyak, sedangkan saat ini trend perawatan gigi lebih menuju kearah invasif minimal yang mempertahankan jaringan gigi sebanyak mungkin. Keadaan ini ditunjang oleh tersedianya berbagai macam bahan dan peralatan kedokteran gigi di pasaran, termasuk bahan restorasi. Dengan tersedianya bahan dan peralatan yang mendukung serta tingginya

  20. Replacement of Missing Anterior Teeth in a Patient with Temporomandibular Disorder

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    Satheesh B. Haralur

    2014-01-01

    Full Text Available The loss of anterior teeth leads to extreme psychological trauma, along with functional and esthetic debilitations. Healthy anterior teeth play an important role of protecting the posterior teeth during excursive mandibular movement. Loss of anterior teeth induces posterior interference with extended disocclusion time. Posterior disocclusion is critical to remove the harmful force on the teeth temporomandibular joint and eliminate muscle hypertonicity. Occlusal interference is considered as contributing factor to temporomandibular disorder (TMD symptoms. Prosthesis design should eliminate deleterious tooth contacts. Establishing optimum anterior guidance is a key to establishing harmonious functional occlusion in addition to the correction of the esthetic and phonetic disabilities. This case report explains the steps involved in the rehabilitation of the TMD patient with loss of maxillary anterior teeth.

  1. Indirect veneer treatment of anterior maxillary teeth with enamel hypoplasia

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    Devi Eka Juniarti

    2010-09-01

    Full Text Available Background: Nowadays, aesthetic rehabilitation becomes a necessity. It is affected by patient’s background, especially career, social and economic status. The aesthetic abnormality of anterior teeth i.e discoloration, malposition and malformation can affect patient’s appearance, especially during smile. These dental abnormalities, as a result, can decrease patient’s performance. Dental malformation, for instance, can be caused by developmental tooth defect, such as enamel hypoplasia. Enamel hypoplasia is a developmental defect caused by the lack of matrix amount which leads to thin and porous enamel. Enamel hypoplasia can also be caused by matrix calcification disturbance starting from the formation and development of enamel matrix causing defect and permanent changes which can occur on one or more tooth. Purpose: The aim of the study is to improve dental discoloration and tooth surface texture on anterior maxillary teeth with enamel hypoplasia by using indirect veneer with porcelain material. Case: A 20 years-old woman with enamel hypoplasia came to the Dental Hospital, Faculty of Dentistry Airlangga University. The patient wanted to improve her anterior maxillary teeth. It is clinically known that there were some opaque white spots (chalky spotted and porous on anterior teeth’s surface. Case management: Indirect veneer with porcelain material had been chosen as a restoration treatment which has excellent aesthetics and strength, and did not cause gingival irritation. As a result, the treatment could improve the confidence of the patient, and could also make their function normal. Conclusion: Indirect veneer is an effective treatment, which can improve patient’s appearance and self confidence.Latar belakang: Saat ini perbaikan estetik menjadi suatu kebutuhan. Kebutuhan akan estetik dipengaruhi latar belakang penderita, terutama karir, status sosial dan ekonomi. Hal ini disebabkan, kelainan estetik seperti diskolorasi, malposisi

  2. Angle Class I malocclusion with anterior open bite treated with extraction of permanent teeth.

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    Pithon, Matheus Melo

    2013-01-01

    This clinical case reports the orthodontic treatment of a Class I malocclusion with anterior open bite and bimaxillary dentoalveolar protrusion in a 28-year-old female patient. The treatment of choice was to perform tooth extractions followed by retraction of the anterior teeth, with consequent closure of the anterior open bite and better accommodation of the teeth on their bony bases. This case was presented to the Brazilian Board of Orthodontics and Facial Orthopedics (BBO), representing the Category 2 -- i.e., an Angle Class I malocclusion, with anterior open bite, treated with extraction of permanent teeth --, as part of the requisites to become a BBO diplomate.

  3. Replacement of Missing Anterior Teeth in a Patient with Chronic Mouth Breathing and Tongue Thrusting

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    Satheesh B. Haralur

    2013-01-01

    Full Text Available The loss of anterior teeth has serious functional, esthetic disabilities, in addition to compromising the patients' quality of life. Various etiologies can be attributed to the anterior tooth loss, including trauma, caries, and periodontal diseases. The chronic mouth breathing due to nasal adenoids is known to enhance the gingival and periodontal diseases. The dental literature proves the association of nasal breathing, tongue thrusting, and anterior open bite. Arch shape and tooth position are primarily determined by the equilibrium of the forces from tongue and perioral musculature. Increased force from tongue musculature in the tongue thrusting patient leads to flaring of anterior teeth, making them susceptible for periodontal and traumatic tooth loss. Replacement of the anterior teeth in this patient will also help in restoration of anterior guidance, which is critical for the health of temporomandibular joint, posterior teeth, and musculature.

  4. Replacement of missing anterior teeth in a patient with chronic mouth breathing and tongue thrusting.

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    Haralur, Satheesh B; Al-Qahtani, Ali Saad

    2013-01-01

    The loss of anterior teeth has serious functional, esthetic disabilities, in addition to compromising the patients' quality of life. Various etiologies can be attributed to the anterior tooth loss, including trauma, caries, and periodontal diseases. The chronic mouth breathing due to nasal adenoids is known to enhance the gingival and periodontal diseases. The dental literature proves the association of nasal breathing, tongue thrusting, and anterior open bite. Arch shape and tooth position are primarily determined by the equilibrium of the forces from tongue and perioral musculature. Increased force from tongue musculature in the tongue thrusting patient leads to flaring of anterior teeth, making them susceptible for periodontal and traumatic tooth loss. Replacement of the anterior teeth in this patient will also help in restoration of anterior guidance, which is critical for the health of temporomandibular joint, posterior teeth, and musculature.

  5. Evaluation of Survival Time of Tooth Color Dental Materials in Primary Anterior Teeth

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    Taraneh Movahhed

    2012-09-01

    Full Text Available Introduction: In restorative dentistry, selecting the proper material is an important factor for clinical success. The objective of this study was clinical evaluation of survival time of three tooth color materials in primary anterior teeth. Methods: In this interventional clinical trial study, 94 deciduous anterior teeth (36 teeth in boys, 58 teeth in girls belonging to 3-5 year old children in Pediatric Department of Mashhad Faculty of Dentistry, Iran were selected. Selective dental materials included compoglass, glass-ionomer Fuji II LC, and composite resin. The data were analyzed with Kaplan–Meyer and Log rank test. Results: compoglass had the highest survival time in comparison with composite and glass-ionomer. Nine months retention rate for teeth restored with compoglass, composite resin and glass-ionomer were estimated: 95%, 21%, and 12.5%, respectively. Conclusion: Compoglass can be a suitable material for anterior primary teeth restoration.

  6. Evaluation of Survival Time of Tooth Color Dental Materials in Primary Anterior Teeth

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    Behjat-Al-Molook Ajami

    2013-01-01

    Full Text Available Introduction: In restorative dentistry, selecting the proper material is an important factor for clinical success. The objective of this study was clinical evaluation of survival time of three tooth color materials in primary anterior teeth. Methods: In this interventional clinical trial study, 94 deciduous anterior teeth (36 teeth in boys, 58 teeth in girls belonging to 3-5 year old children in Pediatric Department of Mashhad Faculty of Dentistry, Iran were selected. Selective dental materials included compoglass, glass-ionomer Fuji II LC, and composite resin. The data were analyzed with Kaplan–Meyer and Log rank test. Results: compoglass had the highest survival time in comparison with composite and glass-ionomer. Nine months retention rate for teeth restored with compoglass, composite resin and glass-ionomer were estimated: 95%, 21%, and 12.5%, respectively. Conclusion: Compoglass can be a suitable material for anterior primary teeth restoration

  7. The aesthetic treatment for anterior teeth with lost crown by endorestoration

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    Nanik Zubaidah

    2009-06-01

    Full Text Available Background: The aesthetic has an important role in social life, especially the anterior teeth. The aesthetic abnormality of anterior teeth i.e. discoloration, malpotition or the anterior teeth with crown damage for more than one third or all part of crown is lost due to caries or other causes, will influence its appearance especially during smile. Purpose: The aim of this case report, therefore, is to show how teeth with clinical crown lost or only the root left still can be treated by endorestoration treatment in order to reconstruct the shape and function of the teeth similar to the original ones. Case: Female 52 years old with the lost crown of anterior teeth. The patient did not want her teeth to be extracted. Case Management: The abnormality of these teeth are still able to be reconstructed by endorestoration i.e. endodontic treatment with post and core insertion in the root canal will increase its retention and recovery by the porcelain crown fused to metal to recover the original formation and aesthetic and thus has the normal refunction. The treatment, it improve the confidence of the patient, and also can function normally. The patient did not feel pain. Ronsenography showed the periapical lesion diminished, the neighbor gingival was going better in both function and color. Conclusion: Endorestoration treatment on the anterior teeth with lost crown could recover the normal function, dental aesthetic and self confidence.

  8. Orthodontic-periodontic intervention of pathological migration of maxillary anterior teeth in advanced periodontal disease.

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    Panchal, Anita H; Patel, Vasumati G; Bhavsar, Neeta V; Mehta, Hardik V

    2013-05-01

    This case report presents a female patient whose chief complaint was of mobile and palatally drifted upper left central incisor which led to malalignment of upper anterior teeth. Orthodontic treatment of upper left central incisor was done with the help of 'Z' spring for the alignment of the upper anterior teeth. It was followed by splinting of upper anterior teeth to improve the stability and masticatory comfort. Regenerative periodontal surgery with Decalcified freeze dried bone allograft was done in relation to upper left central incisor.

  9. Esthetic, occlusal, and periodontal rehabilitation of anterior teeth with minimum thickness porcelain laminate veneers.

    Science.gov (United States)

    da Cunha, Leonardo Fernandes; Pedroche, Lorena Oliveira; Gonzaga, Carla Castiglia; Furuse, Adilson Yoshio

    2014-12-01

    Ceramic veneers of minimum thickness provide satisfactory esthetic outcomes while preserving the dental structure. Dental ceramics can both improve the esthetic appearance and reestablish the strength and function of teeth. In worn anterior teeth, functional surfaces, for example, anterior and lateral guidance, can be restored effectively. The characteristics of dental ceramics, such as color stability and mechanical and optical properties, make this material a good choice for indirect restorations, especially when optimum function and esthetics are required. This clinical report presents an occlusal, periodontal, and restorative solution with minimum thickness glass ceramic veneers for worn anterior teeth with multiple diastemas.

  10. Orthodontic-periodontic intervention of pathological migration of maxillary anterior teeth in advanced periodontal disease

    Science.gov (United States)

    Panchal, Anita H.; Patel, Vasumati G.; Bhavsar, Neeta V.; Mehta, Hardik V.

    2013-01-01

    This case report presents a female patient whose chief complaint was of mobile and palatally drifted upper left central incisor which led to malalignment of upper anterior teeth. Orthodontic treatment of upper left central incisor was done with the help of ‘Z’ spring for the alignment of the upper anterior teeth. It was followed by splinting of upper anterior teeth to improve the stability and masticatory comfort. Regenerative periodontal surgery with Decalcified freeze dried bone allograft was done in relation to upper left central incisor. PMID:24049341

  11. Direct anterior composite veneers in vital and non-vital teeth: A retrospective clinical evaluation

    NARCIS (Netherlands)

    Coelho-de-Souza, F.H.; Goncalves, D.S.; Sales, M.P.; Erhardt, M.C.; Correa, M.B.; Opdam, N.J.M.; Demarco, F.F.

    2015-01-01

    OBJECTIVES: This retrospective, longitudinal clinical study investigated the performance of direct veneers using different composites (microfilledxuniversal) in vital or non-vital anterior teeth. METHODS: Records from 86 patients were retrieved from a Dental School clinic, comprising 196 direct vene

  12. Scanning electron microscopy and calcification in amelogenesis imperfecta in anterior and posterior human teeth

    OpenAIRE

    Sánchez-Quevedo, M. C.; Ceballos, G.; García, J. M.; Rodriguez, I. A.; Gómez de Ferraris, M. E.; Campos, Antonio

    2001-01-01

    Teeth fragments from members of a famil? clinically and genetically diagnosed as having amelogenesis imperfecta were studied by scanning electron microscopy and X-ray microprobe analysis to establish the morphological patterns and the quantitative concentration of calcium in the enamel of anterior (canine, incisor) and posterior (premolar and molar) teeth. The prism patterns in the enamel of teeth from both regions were parallel or irregularly decussate, with ...

  13. Evaluation of maxillary anterior teeth and their relation to the golden proportion in malaysian population

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    Al-Marzok Maan Ibrahim

    2013-01-01

    Full Text Available Abstract Background The maxillary anterior teeth are important in achieving pleasing dental aesthetics. Various methods are used to measure the size and form of them, including the golden proportion between their perceived widths, and the width-to-height ratio, referred to as the golden standard. The purpose of this study was conducted to evaluate whether consistent relationships exist between tooth width and height of the clinical crown dimensions; and to investigate the occurrence of the golden proportion of the maxillary anterior teeth. Methods Dental casts of the maxillary arches were made in this cross-sectional study from MAHSA University College students who met the inclusion criteria. The 49 participants represented the Malaysian population main ethnics. The dimensions of the anterior teeth and the perceived width of anterior teeth viewed from front were measured using a digital caliper. Results Comparison of the perceived width ratio of lateral to central incisor and canine to lateral incisor with the golden proportion of 0.618 revealed there were a significant statistical difference (p  Conclusions The golden proportion was not found to exist between the perceived widths of maxillary anterior teeth. No golden standard were detected for the width-to-height proportions of maxillary incisors. Specific population characteristics and perception of beauty must be considered. However, ethnicity has no association with the proportions of maxillary anterior teeth.

  14. Perawatan gigi impaksi anterior rahang atas pada remaja (The treatment of maxillary anterior impacted teeth in adolescent

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    Herdi Eko Pranjoto

    2005-09-01

    Full Text Available The incidence of impacted tooth in adolescent is usually found by oral surgeon or orthodontist during their sequence of treatments. The maxillary anterior teeth, especially canine and third lower molar are the most common impacted teeth found as the result of their eruption disturbances. The surgical technique principle is to facilitate the impacted tooth, so that it can be erupted by creating a window and take the bone obstructed surrounding the tooth crown surgically and afterward it is orthodontically tracted. In a case of third molar germ which is predicted to be impacted in mesio version position, germinectomy is preferred to prevent anterior mechanical drive during its development which may cause mal-alignment of the mandibular teeth. Germinectomy which is usually easier than odontectomy, the germ position, and less complication after the surgical intervention are three factors that should be considered in making decision.

  15. Esthetic rehabilitation of anterior discolored teeth with lithium disilicate all-ceramic restorations.

    Science.gov (United States)

    Prevedello, Gustavo Costa; Vieira, Marcelo; Furuse, Adilson Yoshio; Correr, Gisele Maria; Gonzaga, Carla Castiglia

    2012-01-01

    The esthetic treatment of darkened anterior teeth represents a great challenge to dentists, because dental materials ideally should match the natural teeth. The optical behavior of the final restoration is determined by the color of the underlying tooth structure, the color of the luting agent, and the thickness and opacity of the ceramic material used. This article reports a case in which veneers and full crowns made of heat-pressed, lithium disilicate glass-ceramic were used for the esthetic rehabilitation of anterior discolored teeth. The patient was referred for treatment with defective anterior composite resin restorations, provisional acrylic resin crowns, darkening of the gingival margins, and uneven gingival contours. The multidisciplinary treatment plan included dental bleaching, periodontal plastic surgery to create gingival symmetry, and indirect all-ceramic restorations using high-opacity lithium disilicate glass-ceramic ingots. The treatment was successful and an excellent esthetic result was achieved.

  16. A CASE OF LOWER ANTERIOR PRIMARY TEETH FUSION

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    Noni Nurseni

    2006-04-01

    Full Text Available Dental fusion is the most common problem seen in the primary dentition. The incidence of dental fusion was approximately 0.5% for deciduous dentition and 0.1% for permanent dentition. Fusion may be complete or incomplete. Its etiology was related to genetic or local factor. These anomalies could result in dental caries, esthetic problem, periodontal disease, dental malocclusion, and hypodontia in permanent dentition. Treatment of fused teeth depends on the location and extent of fusion. This report describes an incomplete dental fusion with dentinal caries occurred on 72 and 73 while 32 was agenesis. The purpose of the treatment was to improve the esthetic performance and subsequently to keep the teeth until the exfoliation time. After the restoration of 72 and 73, the patient feels satisfied.

  17. A simplified technique for the restoration of severely mutilated primary anterior teeth.

    Science.gov (United States)

    Mortada, A; King, N M

    2004-01-01

    The restoration of severely carious primary anterior teeth is a challenge to the pediatric dentist. The introduction of new materials and technologies makes re-evaluation of existing treatment philosophies necessary. A technique involving the placement of an omega shaped stainless steel wire extension into the entrance of the root canal prior to restoring the crown with a compomer material is described. 96 restorations were placed in 25 children. After 18 months 81.2% of the 96 restorations, which were available for evaluation, 60 (79.9%) were intact. The technique for restoring primary anterior teeth was simple, quick and effective.

  18. Gingival contour and clinical crown length: their effect on the esthetic appearance of maxillary anterior teeth.

    Science.gov (United States)

    Kokich, V G; Nappen, D L; Shapiro, P A

    1984-08-01

    Fractured, congenitally missing, or avulsed maxillary incisors can often jeopardize the esthetic appearance of the remaining maxillary anterior teeth after orthodontic treatment. In many cases the unesthetic appearance is related to the irregular clinical crown lengths of either the fractured teeth or those that have been substituted for the missing teeth. The results of five cases with either fractured or traumatically avulsed central incisors are reported. Selective tooth intrusion and restorative techniques were used during the finishing stages of orthodontic treatment to improve the final esthetic result. The advantages and disadvantages of the intrusion technique are discussed.

  19. Esthetic Rehabilitation of Anterior Teeth with Laminates Composite Veneers

    OpenAIRE

    Dino Re; Gabriele Augusti; Massimo Amato; Giancarlo Riva; Davide Augusti

    2014-01-01

    No- or minimal-preparation veneers associated with enamel preservation offer predictable results in esthetic dentistry; indirect additive anterior composite restorations represent a quick, minimally invasive, inexpensive, and repairable option for a smile enhancement treatment plan. Current laboratory techniques associated with a strict clinical protocol satisfy patients’ restorative and esthetic needs. The case report presented describes minimal invasive treatment of four upper incisors with...

  20. The Correlation between Different Facial Measurements and the Width of Maxillary Anterior Teeth

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    Hassan Ahangari A.

    2011-08-01

    Full Text Available Statement of Problem: One of the most important procedures in the rehabilitation of an edentulous space in the anterior segment is the selection of an appropriate size of the anterior teeth in order to achieve the perfect esthetic results.Purpose: The purpose of this study was to examine the correlation between horizontal measurements of the face and width of the maxillary anterior teeth.Material and methods: In this descriptive-analytical and cross-sectional study, the face and teeth of the 77 subjects (39 women and 38 men aged between 20-30 with no facial and dental deformities were examined. Some horizontal dimensions of the face including IC (intercanthal, IP (interpupillary, BZW (bizygomatic width, IA (interalar, and ICm (Intercomussural width and perceived width of the teeth were calculated with AutoCAD software with 0.1 mm accuracy on the photos. The actual width of the teeth was calculated with a digital caliper by 0.1 mm accuracy on the maxillary casts. The data were analyzed in SPSS software using the Pearson correlation coefficient and t-test.Results: Except for the IC and the sum of the actual width of the six maxillary anterior teeth on the cast, the rest of the measurements were significantly different by gender ( p < 0.05. All the correlations between facial measurements and width of the teeth were bigger than when they were separated by gender. In women, the correlation between IC and the six anterior teeth in the front view (SANTF was the highest one ( r = 0.436, p = 0.005. However, the highest correlation was related to the ICm and SANTF in men. (r = 0.0501, p =0.001Conclusion: Within the limitation of this study, the results suggest that except for the BZW, the rest of the facial measurements including IC, IP, IA and ICm can be used as a preliminary criterion for determining the width of the maxillary anterior teeth of the edentulous patients.

  1. An unusual presentation of all the mandibular anterior teeth with two root canals - A case report

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    Tiku A

    2005-01-01

    Full Text Available A rare case of two root canals in all mandibular anterior teeth is presented. The patient initially reported for the treatment of mandibular right central and lateral incisors. However, radiographic evaluation revealed variant root canal and apical foramen patterns.

  2. Comparative evaluation of slot versus dovetail design in class III composite restorations in primary anterior teeth

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    Arun Rathnam

    2010-01-01

    It was concluded from the results that the both slot and dovetail types of cavity preparations were equally effacious when clinically reviewed for a period of 12 months. Hence the use of slot type of cavity preparation with reduced loss of the tooth structure is indicated for class III cavities in primary anterior teeth.

  3. An indirect veneer technique for simple and esthetic treatment of anterior hypoplastic teeth

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    Amit Khatri

    2010-01-01

    Full Text Available This study describes a technique for treating anterior hypoplastic teeth using indirect nanocomposite veneer restoration. The prime advantage of an indirect veneer technique is that it provides an esthetic and conservative result. One of the most frequent reasons that patients seek dental care is discolored anterior teeth. Although treatment options such as removal of surface stains, bleaching, microabrasion or macroabrasion, veneering, and placement of porcelain crowns are available, conservative approach such as veneer preserves the natural tooth as much as possible. Full veneers are recommended for the restoration of localized defects or areas of intrinsic discoloration, which are caused by deeper internal stains or enamel defects. Indirectly fabricated veneers are much less sensitive compared to a operator′s technique and if multiple teeth are to be veneered, indirect veneers can be usually placed much more expeditiously. Indirect veneers last much longer than the direct veneers. Therefore, indirectly fabricated veneers are more advantageous than directly fabricated veneers in many cases.

  4. Aesthetic treatment on anterior teeth crown fracture caused by dental trauma

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    Nanik Zubaidah

    2012-12-01

    Full Text Available Background: Complicated crown fracture is a tooth fracture that involve enamel, dentine and pulp. The incidence of complicated crown fracture ranges from 2% to 13% of all dental injuries and the most commonly involved teeth are the maxillary central incisors. Various treatment modalities are available depending on the clinical, physiological and radiographic examination of the involved teeth. Purpose: The aim of this case report is to present the management of crown fractures with pulpal exposure caused by traumatic injury, through endorestoration approach to reconstruct the shape and function of the teeth. Case: A 17 years old male with complicated crown fractures of anterior teeth #11 #21 and #22. The patient wish for aesthetic dental treatment in both of its form and function. Case management: Crown fractures of anterior teeth with exposed pulp caused by traumatic injury were reconstructed by endorestoration approach. The endodontic treatment with post and core insertion in the root canal which will increase its retention and porcelain fused to metal crown which will aesthetically recover its original form and function. After restoration the patient feel very glad and confident with the result. Conclusion: Endorestoration treatment on anterior teeth with complicated crown fractures and exposed pulp is able to recover the normal form, function and dental aesthetic in accordance with stomatognatic system and self confidence.Latar belakang: Fraktur mahkota kompleks (complicated adalah fraktur pada mahkota gigi yang melibatkan enamel, dentin dan pulpa. Kejadian dari fraktur mahkota kompleks bervariasi antara 2-13% dari semua trauma gigi dan sebagian besar gigi yang terkena adalah gigi insisif pertama rahang atas. Berbagai macam cara perawatan yang dilakukan tergantung pada hasil pemeriksaan klinis, psikologis dan radiografis dari gigi yang terkena. Tujuan: Laporan kasus ini menjelaskan penatalaksanaan fraktur mahkota gigi dengan pulpa terbuka

  5. Clinical comparison of various esthetic restorative options for coronal build-up of primary anterior teeth

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    Himanshu Duhan

    2015-01-01

    Full Text Available Background: This study was designed to compare the clinical performance of composite, strip crowns, biological restoration, and composite with stainless steel band when used for the coronal build-up of anterior teeth. Materials and Methods: A total of 20 patients aged 3-6 years presenting with mutilated primary anterior teeth due to caries or trauma were selected for the study using randomized simple sampling. A total of 52 primary anterior teeth were randomly divided into four equal groups having 13 teeth in each group. Teeth in Group I were restored with composite, in Group II with strip crowns, in Group III with biologic restoration and with stainless steel band reinforced composite in group IV. The restorations were evaluated for color match, retention, surface texture, and anatomic form according to Ryge′s Direct (US Public Health Service evaluation criteria at baseline (immediate postoperative, after 48 h, 3, 6, and 9 months. The data obtained were statistically analyzed using Chi-square test, and level of significance, that is, P value was determined. Results: At baseline, none of the groups showed any color changes. Other than Group III all other groups showed highly significant changes (P 0.05. Deterioration in surface texture was exhibited maximum by restorations in Group IV followed by Group I at 3 months. Whereas, no surface changes were seen in Group II and III. Only Group I and IV showed discontinuity in anatomic form after 3 months. After 6 months, except in Group II, discontinuity in anatomic form was observed in all the groups. Discontinuity in anatomic form was seen in all the 4 groups after 9 months although the difference was not significant (P > 0.05. Conclusion: Biological restoration was found to be most satisfying esthetically owing to color compatibility with the patient′s tooth. Thus, it has a great potential to be used as esthetic restorative option in primary anteriors.

  6. Clinical comparison of various esthetic restorative options for coronal build-up of primary anterior teeth

    Science.gov (United States)

    Duhan, Himanshu; Pandit, Inder Kumar; Srivastava, Nikhil; Gugnani, Neeraj; Gupta, Monika; Kochhar, Gulsheen Kaur

    2015-01-01

    Background: This study was designed to compare the clinical performance of composite, strip crowns, biological restoration, and composite with stainless steel band when used for the coronal build-up of anterior teeth. Materials and Methods: A total of 20 patients aged 3-6 years presenting with mutilated primary anterior teeth due to caries or trauma were selected for the study using randomized simple sampling. A total of 52 primary anterior teeth were randomly divided into four equal groups having 13 teeth in each group. Teeth in Group I were restored with composite, in Group II with strip crowns, in Group III with biologic restoration and with stainless steel band reinforced composite in group IV. The restorations were evaluated for color match, retention, surface texture, and anatomic form according to Ryge's Direct (US Public Health Service) evaluation criteria at baseline (immediate postoperative), after 48 h, 3, 6, and 9 months. The data obtained were statistically analyzed using Chi-square test, and level of significance, that is, P value was determined. Results: At baseline, none of the groups showed any color changes. Other than Group III all other groups showed highly significant changes (P 0.05). Deterioration in surface texture was exhibited maximum by restorations in Group IV followed by Group I at 3 months. Whereas, no surface changes were seen in Group II and III. Only Group I and IV showed discontinuity in anatomic form after 3 months. After 6 months, except in Group II, discontinuity in anatomic form was observed in all the groups. Discontinuity in anatomic form was seen in all the 4 groups after 9 months although the difference was not significant (P > 0.05). Conclusion: Biological restoration was found to be most satisfying esthetically owing to color compatibility with the patient's tooth. Thus, it has a great potential to be used as esthetic restorative option in primary anteriors. PMID:26759595

  7. Correlation between some facial indexes and mesiodistal width of maxillary anterior teeth

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    Leila Ahmadian

    2012-01-01

    Full Text Available Background: Both tooth size and shape of the anterior maxilla play important role in complete denture and facial esthetics. Tooth selection for an edentulous patient with no pre-extraction is very difficult. The purpose of this study was to analyze mesio-distal width of maxillary anterior teeth and to determine the presence of any relationship between them and other facial measurements.Materials and Method: In this cross-sectional study, after enrolment of 100 high school students, full-face standardized digital images of them were taken in frontal view. Bizaygomatic, interpupilary and interalar distance were measured by images. Width of teeth was determined on the casts. T-test and pearson correlation coefficient were performed to analyze the data.Results: Maxillary central incisor is the widest anterior tooth in both male and female. Correlation between bizaygomatic and interpupillay distances and central incisor width were not significant but between interalar and intercanine were significant.Conclusion: Based on this study, interalar distance is a better index to estimate the width of anterior teeth of maxilla in an edentulous patient

  8. Non-masticatory uses of anterior teeth of Sima de los Huesos individuals (Sierra de Atapuerca, Spain).

    Science.gov (United States)

    Lozano, Marina; Bermúdez de Castro, José M; Carbonell, Eudald; Arsuaga, Juan Luis

    2008-10-01

    In this study we examine the labial and occlusal surfaces of incisors and canines of hominins recovered from the Sima de los Huesos (SH), middle Pleistocene site, in order to establish the possible extra-masticatory use of anterior teeth. We have compared the microwear of these fossils with microwear from the anterior teeth of Australian Aborigines, a population characterized by ethnographic evidence of the use of their teeth as a third hand. These two samples of teeth were microscopically analyzed using Scanning Electron Microscopy (SEM). Our results support the "cultural" origin of microwear observed on fossil teeth: we conclude that the SH hominins used their anterior teeth as a "third hand" for para- or extra-masticatory activities.

  9. Esthetic and functional rehabilitation of crowded mandibular anterior teeth using ceramic veneers: a case report.

    Science.gov (United States)

    de Andrade, Oswaldo Scopin; Ferreira, Luiz Alves; Hirata, Ronaldo; Rodrigues, Flavia Pires; D'Alpino, Paulo Henrique Perlatti; Di Hipolito, Vinicius

    2012-09-01

    The use of ceramic veneers to restore crowded teeth in the maxilla has been widely discussed in the literature. However, the use of this technique in the mandible has received little attention. Therefore, this case report describes the treatment of crowded mandibular anterior teeth using ceramic veneers. The primary treatment challenge in this region is the reduced tooth structure available for rehabilitation. Proper communication between the clinician and dental technician is required to achieve clinical success. This article presents a straightforward treatment plan and restorative technique that includes both the clinical and laboratory sequences necessary for predictable and stable postoperative outcomes.

  10. Forced orthodontic extrusion for anterior traumatized teeth by a simplistic approach

    OpenAIRE

    Sameer Sidhagouda Patil; Ajay Sidharth Panicker; Ajit Hindlekar; S R Srinidhi; Ajinkya Dhumal; Ketan Vhora

    2014-01-01

    The management of patients with traumatic injuries to their dentition is an integral part of the general dental practice. Anterior teeth with fractures that extend subgingivally require a complex treatment plan that addresses biologic, esthetic, and functional factors, such as mastication and speech. Treatment of crown fractures often requires a multi-disciplinary approach. However, crown-root fractures with fracture line below the gingival attachment or alveolar bone crest present restorativ...

  11. The Shear Bond Strength of Porcelain Laminate to Prepared and Unprepared Anterior Teeth

    OpenAIRE

    Ali Asghar Alavi; Zeinab Behroozi; Farid Nik Eghbal

    2017-01-01

    Statement of the Problem: Porcelain laminate veneer is an esthetic restoration used as an alternative to full veneer crowns and requires minimal tooth preparation. In restoration with porcelain laminate veneers, both the longevity of the laminate and conservation of the sound tooth structure are imperative. Purpose: The present study aimed to investigate the shear bond strength of porcelain laminates to prepared- and unprepared- anterior teeth in order to compare their longevity and succes...

  12. Esthetic crown lengthening for maxillary anterior teeth: an interdisciplinary case report

    OpenAIRE

    Çelik, Ersan; ÖZDEN, Nehir; ÖZAK, Şule Tuğba

    2014-01-01

    Dentists are called on to provide restorations that are harmony with the lips, the face, the adjacent teeth, and a healthy periodontium. Periodontal theraphy plays an important role in the esthetic rehabilitation of the maxillary anterior segment, especially if the periodontal disease is present. This case report describes an interdisciplinary approach to the management of upper central incisors and application of Turkom-Cera all-ceramic fixed partial denture.Turkom-Cera all-ceramic fixed par...

  13. Accuracy of an Electronic Apex Locator for Working Length Determination in Primary Anterior Teeth

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    Zahra Bahrololoomi

    2015-10-01

    Full Text Available Objectives: Correct determination of working length is an important step for suc- cess of endodontic therapy. Conventional radiography has limitations in providing the accurate location of apical foramen. For this reason, electronic apex locators (EALs were developed to shorten the treatment time and decrease the radiation dose. The aim of this study was to evaluate the accuracy of Root ZX EAL for work- ing length determination in primary anterior teeth.Materials and Methods: In this in-vitro study, 50 extracted primary anterior teeth with root resorption were selected with no obstructed canals or history of previous root canal therapy. Working lengths were measured by direct observation of actual length (AL, radiography and Root ZX EAL. A variation of ±0.5 mm from the AL was considered acceptable. The results were analyzed statistically using paired t test and interclass correlation coefficient (ICC at 0.05 level of significance.Results: Considering an acceptable 0.5 mm margin from AL (direct measurement, the accuracy of Root ZX EAL and radiography was found to be 86% and 76%, respectively. Absolute value of error from AL was significantly lower for ZX com- pared to radiography (P˂0.001. Interclass correlation comparing both radiography and Root ZX with AL showed strong correlations.Conclusion: Root ZX EAL can be used as a reliable tool for obtaining root canal length in primary anterior teeth with resorption.

  14. Evaluation of changes in clinical crown length of lower anterior teeth after treatment with Frankel-2′s appliance

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    Arthur C Vasconcelos

    2014-01-01

    Conclusion: It can be concluded that there is a tendency to increase the clinical crown of lower anterior teeth throughout the years after the mandibular advancement treatment by using functional devices, rejecting the null hypotheisis.

  15. Polyethylene fiber-reinforced composite resin used as a short post in severely decayed primary anterior teeth: a case report.

    Science.gov (United States)

    Bayrak, Sule; Tunc, Emine Sen; Tuloglu, Nuray

    2009-05-01

    The case report presented here is of a 4-year-old girl with severely decayed maxillary anterior teeth. After root canal treatment, the primary maxillary central and lateral incisors were reinforced using polyethylene fiber-reinforced composite resin short posts and restored using celluloid strip crowns. The technique described here offers a simple and effective method for restoring severely decayed primary anterior teeth that reestablishes function, shape, and esthetics.

  16. A New System for Choosing the Form and Size of Complete Denture Anterior Teeth

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    Dario Melilli

    2016-01-01

    Full Text Available Introduction: In the absence of pre-extraction records, the choice of the size an form of anterior complete denture teeth can be extremely subjective. Several clinical and statistical parameters are usually used for choosing the correct size and form of the complete denture anterior teeth. Clinical Innovation: The technique consists of a system that allows the dentist to choose and, if necessary, easily change the dental mold during maxillomandibular recording session. The unique feature of the system is that six teeth of each mold are represented by veneers, which are connected to each other on the lingual surface by a fiber that allows each veneer some degree of movement. Discussion: This technique allows the three-dimensional verification of the patient’s esthetics and realistic phonetic test during the session of maxillomandibular records; if necessary, the dentist may easily replace the mold with a different one in form or size, without working the wax to move or replace a tooth.

  17. Direct restoration of worn maxillary anterior teeth with a combination of composite resin materials: a case report.

    Science.gov (United States)

    Soares, Carlos José; Pizi, Eliane Cristina Gava; Fonseca, Rodrigo Borges; Martins, Luis Roberto Marcondes; Neto, Alfredo Júlio Fernandes

    2005-01-01

    Tooth loss, alterations on tooth structure, and reduced vertical dimension are known to severely compromise the stomatognathic system. This case report describes the treatment of a patient who presented with an extremely worn maxillary anterior dentition with a loss of posterior support owing to the loss of almost all the posterior teeth, except the mandibular premolars. Provisional removable partial dentures were used to create an optimum maxillomandibular relationship and to provide restorative space prior to the restoration of the remaining teeth. This restoration was accomplished with a combination of layered hybrid and microfilled composite materials, which restored the maxillary anterior teeth to optimum esthetics and function.

  18. Immediate overdenture for improving aesthetic of anterior teeth with periodontal problem

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    FX. Ady Soesetijo

    2012-03-01

    Full Text Available Background: The construction of overdenture is often applied because endodontic treatment usualy give very promising results and patient has high motivation to maintain their natural teeth. Overdenture is a removable partial or complete denture that covers and rests on one or more remaining natural teeth, roots and/or dental implants. The presence of retained teeth can maximize retention, stabilization and prevent trauma to the oral mucosa. Meanwhile, the presence of root in the bone can delay resorption of the alveolar process. The role of proprioceptor in the periodontal ligament abutment teeth remains effective. Thus, it can be said the overdenture treatment is a preventive prosthodontic treatment. Purpose: The purpose of this case report was to present a case of maxillary and mandibullary anterior teeth with periodontal disease, through endodontic and prosthodontic treatments for recovering its function of phonetic and aesthetic. Case: The 25 years old female with periodontal problems (protrusive, wiggly °1–°2 and along with gingival retraction on 12, 11, 21, 22 and 32, 31, 41, 42. The patient felt bad about his performance and affect his self confidence. The patient visited tthe dental hospital to restore her teeth and recovering aesthetic and phonetic functions. Case management: The overdenture inserted immediately after one visit endodontic treatment and cutting off the clinical crown of the teeth. The adaptation of the denture is needed by relining using self cured acrylic resin. The patient was quite satisfied with the treatment. Conclusion: In conclusion, the maxillary and mandibullary anterior teeth with periodontal problem could be managed through conservative and prosthotontic approach of treatment to recover of its performance and function.Latar belakang: Konstruksi overdenture sering diaplikasikan pada pasien, karena perawatan endodontik memberikan hasil perawatan yang sangat menjanjikan dan pasien memiliki motivasi tinggi

  19. ETIOLOGIC FACTORS AND CLINICAL EVALUATION OF RESTORED FRACTURED ANTERIOR TEETH: AN OBSERVATIONAL STUDY

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    Uzay KOÇ VURAL

    2016-10-01

    Full Text Available Purpose: The aims of this study were to investigate the etiologic factors and to evaluate performance of composite resin on fractured crown in permanent anterior teeth at 6 and 12 months. Subjects and Methods: Records from 51 patients were retrieved from a Dental School Clinic, comprising 73 fractured anterior teeth directly restored with a submicron hybrid composite (Spectrum TPH resin and respective adhesive system (Prime&Bond NT were evaluated. The United States Public Health Service criteria were used to assess the clinical evaluation. Data were analyzed using the Wilcoxon Signed Rank, Kruskal–Wallis, Mann–Whitney U, and Siegel and Castellan tests. Results: Seventy-two maxillary incisors and one canine of 51 patients were evaluated. The patient’s age at the time of therapy ranged from 14 to 64 years old (mean 25.47. Mostly observed crown fracture was seen in upper incisors (84.9% and due to falls (58.8%. At the 6-month follow-up, one patient lost one restoration and at the 12-month, one patient lost one and one lost two restorations. A statistically significant difference was found in terms of marginal adaptation between 6 and 12 months. Conclusion: In this short-term observation period, remaining tooth structure was conserved and good patient compliance was achieved. Factors such as esthetic and/or cost should be considered to indicate the direct composite restorations.

  20. Functional-aesthetic treatment of crown fracture in anterior teeth with severe crowding

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    Diego Henrique da Silva Mendonça

    2012-09-01

    Full Text Available Introduction: Traumatic injuries are usually the result of impacts whose aggressive strength exceeds the resistance found in bone, muscle and tooth tissues. With the advent of the etching technique and considering the improvement of composite resins, simpler and more conservative alternatives are indicated in the aesthetic and functional rehabilitation of fractured anterior teeth. Case report and objective: This study aimed to report the treatment of a 13 year-old patient that fractured his central incisor due to a trauma. After clinical and radiographic examination, an oblique crown fracture with extensive involvement of the incisal angle, without pulp exposure or injury to the biological space of the left maxillary central incisor (tooth #21 was observed. Because the fractured tooth fragment was lost, it was not possible to process a fragment bonding. Thus, it was proposed to treat the tooth through direct technique restoration with composite resin. Conclusion: It can be concluded that the aesthetic and functional rehabilitation with direct composite resin is a viable option for the conservative treatment of fractured anterior teeth.

  1. Anterior Teeth Splinting After Orthodontic Treatment: 3D Analysis Using Finite Element Method

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    A. Geramy

    2012-01-01

    Full Text Available Objective: Retention after orthodontic treatment is still an important part of the treatment. Splints are considered as an alternative for removable retainers. The main goal of this study was to assess splinting biomechanically.Materials and Methods: Three dimensional finite element models (3D were designed of a mandibular anterior segment which included six anterior teeth with their supporting tissues (model 1 as control and with a bonded lingual fixed retainer in the two other models. The wire cross section was round (0.016” in model 2 and rectangular (0.016” × 0.022” in model 3. The models were designed in Solid Works 2006 and analyzed in ANSYS Workbench Ver. 11.0 SolidWorks Incisors were loaded with a vertical force of 187 N. PDL stress and tooth displacements were evaluated.Results: The numeric findings showed an increase after splinting in the central incisors [2.42 MPa to 4.57 MPa (round and 16.66 (rectangular MPa] in biting with four incisors. Biting with two incisors decreased the stress after splinting [2.42 MPa to 1.7 MPa (round wire and 1.77 MPa (rectangular wire]. In lateral movement, all teeth showed an increased stress except for the working side canine.Conclusion: Splinted cases (with round or rectangular wires can benefit from stress redistribution when biting small food particles and in lateral movement.

  2. The Shear Bond Strength of Porcelain Laminate to Prepared and Unprepared Anterior Teeth

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    Ali Asghar Alavi

    2017-03-01

    Full Text Available Statement of the Problem: Porcelain laminate veneer is an esthetic restoration used as an alternative to full veneer crowns and requires minimal tooth preparation. In restoration with porcelain laminate veneers, both the longevity of the laminate and conservation of the sound tooth structure are imperative. Purpose: The present study aimed to investigate the shear bond strength of porcelain laminates to prepared- and unprepared- anterior teeth in order to compare their longevity and success rate. Materials and Method: Thirty extracted maxillary central incisors were randomly divided into 3 groups regarding their preparation methods. The preparation methods were full-preparation in group A, full-preparation and finishing with fine diamond bur in group B, and no-preparation, only grinding with diamond bur in group C. After conditioning the teeth, ceramic veneers (IP S e.max were silanated and then cemented with DuoLink luting cement. The shear bond strength was measured for each group and failure mode was determined by stereomicroscopic examination. Results: Group C exhibited the highest shear bond strength. The shear bond strength was significantly different between groups C and B (p 0.05. Adhesion failure mode was found to be more common than the cohesive mode. Conclusion: Regarding the shear bond strength of unprepared anterior teeth to porcelain laminate veneers yielded by this study, no-preparation veneers might be used when the enamel is affected by wearing, trauma, or abrasion. It can also be used in patients who refuse the treatments which involve tooth reduction and preparation.

  3. The Shear Bond Strength of Porcelain Laminate to Prepared and Unprepared Anterior Teeth

    Science.gov (United States)

    Alavi, Ali Asghar; Behroozi, Zeinab; Nik Eghbal, Farid

    2017-01-01

    Statement of the Problem: Porcelain laminate veneer is an esthetic restoration used as an alternative to full veneer crowns and requires minimal tooth preparation. In restoration with porcelain laminate veneers, both the longevity of the laminate and conservation of the sound tooth structure are imperative. Purpose: The present study aimed to investigate the shear bond strength of porcelain laminates to prepared- and unprepared- anterior teeth in order to compare their longevity and success rate. Materials and Method: Thirty extracted maxillary central incisors were randomly divided into 3 groups regarding their preparation methods. The preparation methods were full-preparation in group A, full-preparation and finishing with fine diamond bur in group B, and no-preparation, only grinding with diamond bur in group C. After conditioning the teeth, ceramic veneers (IP S e.max) were silanated and then cemented with DuoLink luting cement. The shear bond strength was measured for each group and failure mode was determined by stereomicroscopic examination. Results: Group C exhibited the highest shear bond strength. The shear bond strength was significantly different between groups C and B (p 0.05). Adhesion failure mode was found to be more common than the cohesive mode. Conclusion: Regarding the shear bond strength of unprepared anterior teeth to porcelain laminate veneers yielded by this study, no-preparation veneers might be used when the enamel is affected by wearing, trauma, or abrasion. It can also be used in patients who refuse the treatments which involve tooth reduction and preparation. PMID:28280760

  4. Restoration of endodontically treated anterior teeth: an evaluation of coronal microleakage of glass ionomer and composite resin materials.

    Science.gov (United States)

    Diaz-Arnold, A M; Wilcox, L R

    1990-12-01

    A glass ionomer material was evaluated for coronal microleakage in permanent lingual access restorations of endodontically treated anterior teeth. The material was tested as a restoration, placed over a zinc oxide-eugenol base, and as a base with an acid-etched composite resin veneer and a dentinal bonding agent. Restored teeth were thermocycled, immersed in silver nitrate, developed, and sectioned to assess microleakage. Significant coronal leakage was observed with all materials used.

  5. Torque Loss in En-Masse Retraction of Maxillary Anterior Teeth Using Miniimplants with Force Vectors at Different Levels: 3D FEM Study

    OpenAIRE

    Parashar, Abhishek; Aileni, Kaladhar Reddy; Rachala, Madhukar Reddy; Shashidhar, Nagam Reddy; Mallikarjun, Vankre; Parik, Nupur

    2014-01-01

    Objective: This FEM study was conducted to quantify the amount of torque loss in maxillary anterior teeth by applying force vectors from different levels to the anterior retraction hook at various heights and comparing with that of molar anchorage system.

  6. Anterior and middle superior alveolar nerve block for anesthesia of maxillary teeth using conventional syringe

    Directory of Open Access Journals (Sweden)

    Ignacio Velasco

    2012-01-01

    Full Text Available Background: Dental procedures in the maxilla typically require multiple injections and may inadvertently anesthetize facial structures and affect the smile line. To minimize these inconveniences and reduce the number of total injections, a relatively new injection technique has been proposed for maxillary procedures, the anterior and middle superior alveolar (AMSA nerve block, which achieves pulpal anesthesia from the central incisor to second premolar through palatal approach with a single injection. The purpose of this article is to provide background information on the anterior and middle superior alveolar nerve block and demonstrate its success rates of pulpal anesthesia using the conventional syringe. Materials and Methods: Thirty Caucasian patients (16 men and 14 women with an average age of 22 years-old, belonging to the School of Dentistry of Los Andes University, were selected. All the patients received an AMSA nerve block on one side of the maxilla using the conventional syringe, 1 ml of lidocaine 2% with epinephrine 1:100.000 was injected to all the patients. Results: The AMSA nerve block obtained a 66% anesthetic success in the second premolar, 40% in the first premolar, 60% in the canine, 23.3% in the lateral incisor, and 16.7% in the central incisor. Conclusions: Because of the unpredictable anesthetic success of the experimental teeth and variable anesthesia duration, the technique is disadvantageous for clinical application as the first choice, counting with other techniques that have greater efficacy in the maxilla. Although, anesthetizing the teeth without numbing the facial muscles may be useful in restorative dentistry.

  7. Forced orthodontic extrusion for anterior traumatized teeth by a simplistic approach

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    Sameer Sidhagouda Patil

    2014-01-01

    Full Text Available The management of patients with traumatic injuries to their dentition is an integral part of the general dental practice. Anterior teeth with fractures that extend subgingivally require a complex treatment plan that addresses biologic, esthetic, and functional factors, such as mastication and speech. Treatment of crown fractures often requires a multi-disciplinary approach. However, crown-root fractures with fracture line below the gingival attachment or alveolar bone crest present restorative difficulties. This case report presents a 24-year-old male who reported with fractured upper right lateral and central incisors and upper left central incisor following road traffic accident. On clinical examination, it was observed that the upper right lateral incisor had a horizontal fracture at the cervical one-third level with the fracture line extending subgingivally, mid crown fracture of right central incisor and incisal fracture of left central incisor. All the traumatized teeth were first treated endodontically, and then referred to our department for orthodontic extrusion before permanent crown placement.

  8. 上颌埋伏前牙的正畸治疗%Maxilary anterior teeth in the orthodontic treatment

    Institute of Scientific and Technical Information of China (English)

    陈斯军; 高红燕; 葛建华

    2012-01-01

      目的观察上颌埋伏前牙正畸治疗的临床疗效。方法对临床18例24颗上颌埋伏前牙患者采用固定正畸开拓间隙后,使其自行萌出,或者结合牙槽外科开窗术,对埋伏牙进行牵引治疗。结果24颗埋伏前牙均矫正至牙列正常位置,且牙髓活力正常,牙根无吸收。结论应用固定正畸矫正技术可有效保存上颌埋伏前牙。%  objective: to observe the maxilary anterior teeth in the clinical efficacy of orthodontic treatment. Methods: 18 cases of clinical 24 star in maxilary anterior teeth were treated with fixed orthodontic development gap, make its appear on its own, or combined with alveolar surgery fenestration of embedded teeth for traction therapy. Results: 24 a lie in front teeth are correct to dentition normal position, and dental pulp vitality normal, root no absorption. Conclusion: the application of fixed orthodontic correction technology can effectively save in maxilary anterior teeth.

  9. Clinical Efficiency of Two Sequences of Orthodontic Wires to Correct Crowding of the Lower Anterior Teeth

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    Cláudia Maria de Castro Serafim

    2015-01-01

    Full Text Available This study compared time to correction of mandibular anterior crowding using two arch wire sequences, one with conventional nickel-titanium (NiTi arch wires and the other with conventional and NiTi heat-activated arch wires. Twenty-two boys and girls (mean age: 16.68 ± 2.66 with moderate crowding (3–6 mm were assigned randomly to one of two groups and followed up for five months (six assessments when arch wires were changed. Time to crowding correction was analyzed statistically using the Kaplan-Meier method. Data were collected during the five-month follow-up, and time to correction was compared between groups using the log rank test. At the end of follow-up, mandibular crowding was corrected in 100% of the cases in the group treated with the sequence that included NiTi heat-activated arch wires, whereas about 30% of those treated with NiTi arch wires were not completely corrected. There was a significant difference in time to complete treatment between groups (log rank = 5.996; p<0.05. In the group treated with the sequence that included heat-activated wires, alignment and leveling of mandibular anterior teeth were completed earlier than in the group treated only with conventional NiTi arch wires. Clinical trial registration is found at RBR-7g5zng.

  10. Correlation Between Bone and Soft Tissue Thickness in Maxillary Anterior Teeth

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    Nasrin Esfahanizadeh

    2016-12-01

    Full Text Available Objectives: The purpose of this study was to determine buccal bone and soft tissue thicknesses and their correlation in the maxillary anterior region using cone beam computed tomography (CBCT.Materials and Methods: In this cross sectional study, 330 sound maxillary incisors in 60 patients with a mean age of 37.5 years were assessed by CBCT scans. For better visualization of soft tissue, patients were asked to use plastic retractors in order to retract their lips and cheeks away from the gingival tissue before taking the scans. Measurements were made in three different positions: at the crest and at 2 and 5mm apical to the crest. The cementoenamel junction‒crest distance was measured. for data analyses, the Pearson’s correlation coefficient, ANOVA and intraclass correlation coefficient were used.Results: There were mildly significant linear associations between labial soft tissue and bone thickness in the canines and incisors (r<0.40, P<0.05, but no association was found for the lateral incisors. The mean thickness of buccal bone differed significantly in the maxillary anterior teeth, being greater for the lateral incisors (P<0.05. For soft tissue thickness, the results were the same, and the least thickness was recorded for the canines. There was a mild association between labial soft tissue and bone thickness in canines and incisors (r=0.2, P=0.3, but no such linear association was seen for the lateral incisors.Conclusions: The mean thickness of buccal bone and soft tissue in the anterior maxilla was <1mm and there was a mild linear correlation between them.Keywords: Facial Bones; Cone-Beam Computed Tomography; Maxilla; Esthetics, Dental

  11. In vitro evaluation of fracture resistance of Fiber-Reinforced Composite inlay bridges in upper anterior and lower posterior teeth

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    Jalalian E.

    2007-07-01

    Full Text Available Background and Aim: Considering flexural strength of fiber-reinforced composites (FRC and also the role of conservative cavities in protecting sound tissue of abutments, the aim of this study was to evaluate the fracture resistance of these bridges by handmade samples in vitro.Materials and Methods: In this experimental in vitro study, 44 sound newly extracted teeth were used to make 22 fixed inlay bridges including 11 three unit anterior upper inlay bridges substituting clinical model of upper central and 11 three unit posterior lower inlay bridges substituting clinical model of lower first molar. Specimens were prepared with FRC and mounted with artificial PDL in acryl. Cases were exposed to final load by using Universal Testing Machine (Instron 1195 with the speed of 1 mm/min. Statistical analysis was performed by Kolmogorov- Smirnov, independent sample T and Kaplan-Meier tests with p<0.05 as the level of significance.Results: Based on the statistical tests, the 95% confidence interval of mean was 450-562 N in anterior and  1473- 1761 N in posterior area. Fracture strength was high in the studied groups. Fractures in both groups occurred on composite facing, and the framework remained intact. The highest percentage of fracture in posterior teeth was in the middle of pontic towards the distal connector and in the anterior teeth in the lateral connector, between central pontic and lateral abutment. Using the independent sample T  test a significant statistical difference was observed between two groups (P<0.001. The fracture resistance of anterior samples was lower than the posterior ones.Conclusion: Based on the results of this study regarding the high fracture resistance in both areas FRC inlay bridges could be recommended for upper anterior and lower posterior teeth in clinical dentistry certainly more studies are needed to ascertain this treatment option.

  12. Root and canal symmetry in the mandibular anterior teeth of patients attending a dental clinic: CBCT study

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    Guven KAYAOGLU

    2015-01-01

    Full Text Available The aims of this study were to evaluate the number of roots/root canals in the mandibular anterior teeth of a Turkish population, to assess the relationship between gender or age and the frequency of two canals in a single root, and to determine the symmetry in root/root canal numbers between contralateral sides among patients. Cone-beam computed tomography images (n = 1128; 6253 teeth taken at the Department of Dentomaxillofacial Radiology of the Faculty of Dentistry of Gazi University were examined by three observers and a supervisor, all of whom were blinded to patient gender and age. Axial, sagittal, and cross-sectional slices with a thickness of 1 mm were used. Numbers of roots and canals for each type of tooth were recorded. Most teeth had a single root and single root canal. Roots with two canals were more frequent in the incisors (14.9%, 17.2%, and 6.1% of the central incisors, lateral incisors, and canines, respectively. Teeth with two roots were more frequent in the canines (3.1%vs. 0% or 0.1%. Females more often had canines with double root canals (p < 0.001. When at least one tooth had two root canals, bilateral symmetry between contralateral teeth was found in 45.0%, 29.0%, and 28.0% of cases for central incisors, lateral incisors, and canines, respectively. Patients older than 56 years had fewer teeth with double root canals (p ≤ 0.001. A small proportion of the mandibular anterior teeth had two roots or root canals. Double root canals were mostly unilateral. Age and gender were associated with the number of root canals.

  13. Esthetic rehabilitation of worn anterior teeth with thin porcelain laminate veneers.

    Science.gov (United States)

    Gresnigt, Marco; Ozcan, Mutlu; Kalk, Warner

    2011-01-01

    Bonded porcelain restorations are a predictable and durable treatment option with which not only esthetic appearance but also the strength and function of teeth can be re-established. One of the most important issues of today's dentistry is the preservation of sound enamel. Following biomimetic principles, employing minimally invasive applications and adhesive technologies are of paramount importance for successful restorations. The mock-up technique is advised for delicate removal of the required space for thin porcelain veneers minimally. Besides minimally invasive preparation, long-term success is determined by the adhesive quality of the laminate veneers. This case presentation demonstrates restoration of anterior dentition where the wear of incisal edges posed a negative effect on the smile of the patient. Before bonded porcelain veneers were adhesively cemented, incisal lengthening with direct resin composite and gingival contouring was performed. By using the mock-up technique, minimal preparations were made with the outline ending in enamel only. For cementation of these restorations, step-by-step adhesive procedures are presented.

  14. Glass Fibre-Reinforced Composite Post and Core Used in Decayed Primary Anterior Teeth: A Case Report

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    Leena Verma

    2011-01-01

    Full Text Available Aesthetic requirement of severely mutilated primary anterior teeth in the case of early childhood caries has been a challenge to pediatric dentist. Among restorative treatment options, prefabricated crown and biological and resin composite restoration either by means of direct or indirect technique are mentioned in the literature. This paper presents the clinical sequence of rehabilitation of maxillary anterior primary teeth. Endodontic treatment was followed by the placement of a glass fibre-reinforced composite resin post. The crown reconstruction was done with composite restoration. Resin glass fibre post has best properties in elasticity, translucency, adaptability, tenaciousness, and resistance to traction and to impact. Along with ease of application, fiber can be used as an alternative to traditionally used materials in the management of early childhood caries.

  15. Prevalence of Traumatic Dental Injuries to Anterior Teeth of 12-Year-Old School Children in Kashmir, India

    Science.gov (United States)

    Ain, Tasneem S.; Lingesha Telgi, Ravishankar; Sultan, Saima; Tangade, Pradeep; Ravishankar Telgi, Chaitra; Tirth, Amit; Kumar Pal, Sumit; Gowhar, Owais; Tandon, Vaibhav

    2016-01-01

    Background Traumatic dental injuries to anterior teeth are a significant public health problem, not only because their prevalence is relatively high, but also because they have considerable impact on children’s daily lives. Traumatic dental injuries (TDIs) cause physical and psychological discomfort, pain and other negative impacts, such as tendency to avoid laughing or smiling, which can affect social relationships. Objectives This study aimed to assess the prevalence of traumatic dental injuries to anterior teeth among 12-year-old school children in Kashmir, India. Patients and Methods A cross-sectional study was conducted in private and government schools of India among 1600 schoolchildren aged 12 years. In addition to recording of the type of trauma (using Ellis and Davey classification of fractures, 1970), over jet, Angle’s molar relation and lip competence were also recorded. The socioeconomic status and academic performance of the study subjects were registered. The data obtained were compiled systematically and then statistically analyzed. The statistical significance for the association between the traumatic injury and the variables was analyzed using the chi-square test. Logistic regression was used to identify potential risk predictors of TDIs. Results The overall prevalence of TDI to anterior teeth was found to be 9.3%. The TDI to anterior teeth in male was more than female, but the difference was statistically nonsignificant (P sports were the most common causes of trauma in the present study. The highest potential risk factor for the occurrence of trauma was over jet. Academic performance was found to be significantly associated to TDI to anterior teeth, when analyzed in a multiple regression model. Conclusions It was concluded that the prevalence of traumatic dental injuries was 9.3%. Traumatic dental injuries among children exhibit complex interaction between the victims’ oral conditions and their behavior. Therefore, prevention should

  16. To evaluate the use of modified power arm [Discopender 468] for efficient anterior teeth retraction - A clinical study

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    Hemavathi Patil

    2017-01-01

    Full Text Available Introduction: Many new bracket prescriptions and Techniques have been developed and modified as treatment mechanics progress to create force system that can work efficiently and shorten the orthodontic treatment period. Aim of this study was to evaluate the use of modified power arm [Discopender 468] for efficient anterior Teeth retraction, to determine anchorage loss and upper incisor changes after space closure. Material & Method: Ten patients of class II division1were selected to need maxillary first premolars was extracted and the retraction of anterior teeth was carried out segmentally by using discopender468 which applies variable force with respect to height of power arm. To prevent anchor loss during anterior retraction we have placed the mini implant screw mesial to 1stmolar bilaterally in maxillary arch. Pre and post lateral cephalograms were taken to determine the anchorage loss and upper incisor changes. Result and Conclusion: Anterior retraction carried out by a new design of discopender 468 and minim plant brings out controlled bodily tooth movement and also has variable force vectors, which is one of the variable method to use for retraction in Straight Wire Appliance in day to day orthodontic practices and also has advantage over conventional retraction mechanics.

  17. In Vitro Comparison of Instrumentation Time and Cleaning Capacity between Rotary and Manual Preparation Techniques in Primary Anterior Teeth

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    Z. Bahrololoomi

    2007-06-01

    Full Text Available Objective: The aim of this study was to evaluate and compare the cleaning ability and instrumentation time of manual and rotary methods used for preparation of primary an-terior teeth.Materials and Methods: Forty-four primary anterior teeth were used in this experi-mental study. Access cavities were prepared and India ink was injected into the canals. The samples were divided into three groups according to the instrument and preparation technique. In group I the root canals were manually instrumented with K-files. Rotary Flexmaster instruments were used for canal preparation in Group II, and the samples in Group III (control were not instrumented. After canal preparation, the teeth were cleared with methyl salicilate and the removal of India ink was measured in the cervical, middle and apical thirds. The incidence of file breakage and instrumentation time was recorded in the three study groups. Statistical analysis was performed using Mann-Whitney and t-tests.Results: There was no significant difference in cleaning capacity between the two tech-niques, but a significant difference was found between the experimental and control groups. Working time was significantly shorter when using the rotary system. No file fracture was observed during the study period.Conclusion: Regarding the shorter working time for rotary instrumentation and the similar cleaning ability of the two techniques, the application of the rotary system is suggested for preparation of decidious root canals during pulpectomy.

  18. Fixed functional space maintainer: novel aesthetic approach for missing maxillary primary anterior teeth.

    Science.gov (United States)

    Khare, Vikram; Nayak, Prathibha Anand; Khandelwal, Vishal; Nayak, Ullal Anand

    2013-06-03

    The first-line treatment of non-restorable traumatically injured or carious deciduous teeth is extraction which may be a curse for the future dentition as well as social activity of a child. Various therapeutic modalities from removable partial dentures to fixed space maintainer can be used for replacement of such lost teeth. Two types of fixed aesthetic space maintainers for replacing premature loss of maxillary deciduous incisors in 4-year-old children are discussed.

  19. Fixed functional space maintainer: novel aesthetic approach for missing maxillary primary anterior teeth

    OpenAIRE

    Khare, Vikram; Nayak, Prathibha Anand; Khandelwal, Vishal; Nayak, Ullal Anand

    2013-01-01

    The first-line treatment of non-restorable traumatically injured or carious deciduous teeth is extraction which may be a curse for the future dentition as well as social activity of a child. Various therapeutic modalities from removable partial dentures to fixed space maintainer can be used for replacement of such lost teeth. Two types of fixed aesthetic space maintainers for replacing premature loss of maxillary deciduous incisors in 4-year-old children are discussed.

  20. Premature loss of primary anterior teeth due to trauma--potential short- and long-term sequelae.

    Science.gov (United States)

    Holan, Gideon; Needleman, Howard L

    2014-04-01

    Traumatic dental injuries (TDIs) can result in the premature loss of primary anterior teeth due to an immediate avulsion, extraction later after the injury because of poor prognosis or late complications, or early exfoliation. There are a number of potential considerations or sequelae as a result of this premature loss that have been cited in the dental literature, which include esthetics, quality of life, eating, speech development, arch integrity (space loss), development and eruption of the permanent successors, and development of oral habits. This article provides a comprehensive review of the dental literature on the possible consequences of premature loss of maxillary primary incisors following TDI.

  1. Surgical exposure and crown lengthening for management of complicated fractures of maxillary anterior teeth. A case report.

    Science.gov (United States)

    Anand, Pradeep S; Ashok, Sukumaran; Nandakumar, K; Varghese, N O; Kamath, Kavitha P

    2013-11-01

    When a tooth fracture occurs, the fracture line can extend in a variety of directions, and the direction of the fracture line often dictates the treatment plan. In cases where fracture lines extend apical to the gingival margin, exposure of fractured margins becomes necessary. And management of such tooth fractures often requires an interdisciplinary approach involving endodontic, periodontic and restorative procedures. This article describes a case in which severely traumatized maxillary anterior teeth were managed by a combined approach involving surgical exposure and crown lengthening, endodontic and restorative procedures.

  2. The center of resistance of maxillary anterior teeth and its clinical implication%上颌前牙的阻抗中心及其临床应用

    Institute of Scientific and Technical Information of China (English)

    徐凡; 唐国华

    2016-01-01

    In premolar extraction orthodontic cases, four incisors or six anterior teeth are usually retracted en masse. The torque and vertical control of maxillary anterior teeth is the key to success. The center of resistance ( CR) is an important biomechanical factor that determines the mode of orthodontic tooth movement. If a force is applied with a line of action passing through the CR of maxillary ante-rior teeth, the anterior teeth will undergo bodily movement. Otherwise, inclination movement will occur. This review discussed the fac-tors affecting the position of CR of maxillary anterior teeth and the clinical related implications.%正畸拔牙病例内收前牙时,常采用4个或6个前牙的整体移动,对上前牙转矩和垂直方向的控制是治疗成败的关键.阻抗中心是影响牙齿移动的重要生物力学概念.作用力通过前牙的阻抗中心时,前牙将产生整体移动.反之,则发生倾斜移动.该文旨在对上颌前牙阻抗中心的研究进展及其临床应用作一综述.

  3. Prevalence of traumatic dental injuries to the anterior teeth among three to thirteen-year-old school children of Tamilnadu

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    Mohan Govindarajan

    2012-01-01

    Full Text Available Context: Dental trauma has become an important attribute of dental public health. The primary requisite before actively dealing with such problems is to describe the extent, distribution, and associated variables with the specific condition. Aims: The aim of the present study was to assess the prevalence and distribution of traumatic dental injuries (TDI to anterior teeth among 3 to 13 years old Chidambaram school children. Settings and Design : A cross-sectional study was conducted. Data was collected through a survey form and clinical examination. Materials and Methods: A total of 3200 school children in the age group of 3-13 years were selected from 10 schools of Chidambaram, Tamilnadu. Information concerning sex, age, cause of trauma, number of injured teeth, type of the teeth, lip competence, terminal plane relationship and the molar relationship were recorded. Statistical Analysis Used: The statistical software EPIINFO (Version 6.0 was used for statistical analysis. In the present study, P≤0.05 was considered as the level of significance. Results: The trauma prevalence in the present study was 10.13%. Children with class I type 2 and mesial step molar relationship exhibited more number of dental injuries. Enamel fracture was the most common injury recorded. Only 3.37% of the children had undergone treatment. Conclusion: The high level of dental trauma and low percentage of children with trauma seeking treatment stresses the need for increased awareness in Chidambaram population.

  4. Effect of pulp tester probe placement site on the response of maxillary anterior teeth

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    Jalil Modaresi

    2012-01-01

    Full Text Available Background and Aims: Electric pulp testing is used for diagnosis of the pulp status. This test is technique sensitive and hence may elicit positive or negative false response in case of inaccurate use. The optimal site for placement of the probe tip has not been determined. The aim of this study was to evaluate the effect of pulp tester probe placement site on the response of maxillary teeth.Materials and Methods: A total of 378 teeth (126 central incisors, 126 lateral incisors and 126 canines in 67 voluntary 20-35 year-old patients were selected. Three sites on each tooth (incisal edge, labial and lingual surfaces were tested with an electrical pulp tester and responses were recorded. Data were analyzed by Repeated Measure ANOVA test.Results: The central teeth showed significantly lower sensation threshold than lateral and canine teeth (P<0.001. The incisal edge of tooth were significantly more sensitive compared to labial and lingual surfaces (P=0.008.Conclusion: This study showed that the optimum site for placement of pulp tester probe was incisal edge.

  5. Effect of Etching Time and Preparation on Push-Out Bond Strength of Composite to Intracanal Dentin of Primary Anterior Teeth

    OpenAIRE

    Shahram Mosharrafian; Hossein Afshar; Maryam Farbod; Zahra Baniameri

    2016-01-01

    Objectives: This in-vitro study aimed to compare the push-out bond strength of composite to prepared and unprepared intracanal dentin using a 5th generation bonding agent in primary anterior teeth after etching for seven and 15 seconds.Materials and Methods: Sixty primary anterior teeth were randomly divided into four groups. In groups one and two, intracanal dentin remained intact while in groups three and four it was prepared using a #5 round bur and low-speed handpiece. Single Bond 2 was u...

  6. Cone-beam computed tomography as a surgical guide to impacted anterior teeth

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    Fabiano Jeremias

    2016-01-01

    Full Text Available Surgical procedure for removal of impacted teeth is a challenge for clinicians as it involves accuracy in the diagnosis and localization of the dental elements. The cone-beam computed tomography (CBCT, compared to the conventional radiography, has a greater potential to provide complementary information because of its three-dimensional (3D images, reducing the possibility of failures in surgical procedures. Two 10-year-old boys presented with aesthetic issues associated with the juxtaposition of ectopic teeth with the permanent ones. Both two-dimensional and 3D preoperative radiographic diagnostic sets were produced. The occlusal and panoramic radiographs were not enough for proper localization of impacted incisors. Thus, the CBCT was used as a surgical guide. After 2 years of longitudinal following, no lesion was recorded, and the orthodontic treatment has proven successful. In all cases, CBCT contributed to both diagnosis and correct localization of supernumerary teeth, aiding the professional in the treatment planning, and consequently in the clinical success. The surgeries were completely safe, avoiding damage in noble structures, and providing a better recovering of the patients.

  7. Comparison of the Remaining Tooth Structure and Fracture Resistance between Labial and Lingual Access Cavities in Permanent Anterior Teeth with Labial Caries: An In-vitro Study

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    Eftekhar B.

    2012-02-01

    Full Text Available Statement of Problem: Labial access cavity preparation is a conventional method in endodontic treatment of the anterior teeth, but in some conditions labial cavity preparation is recommended.Purpose: The aim of this study was to compare labial and lingual access cavity preparation in the permanent anterior teeth with labial caries in terms of the remaining tooth structure and fracture resistance. Materials and Method: In this experimental study, 150 intact permanent human anterior teeth were selected in 5 groups each with 30 teeth including the maxillary central, maxillary lateral, maxillary canine, mandibular incisors and mandibular canine. A class V cavity with similar ratios to dimensions of each tooth was prepared on the labial surface of all specimens. The volumes of each of these teeth were measured by Penta Pycnometer before and after class V cavity preparation (V1, V2. Each group was randomly divided into 2 equal subgroups (n=15. Access cavities were prepared labially in subgroup A and lingually in subgroup B; then, the remained volume of each tooth was measured again (V3. The mean proportional volume loss of each tooth was calculated through access preparation (V2-V3/V1. Then, the specimens were embedded in acrylic resin blocks and subjected to load with a universal testing machine.Results: The differences of mean of theremained volume and fracture resistance of the two subgroups were statistically significant in all groups ( p <0.05 and those teeth with labial access showed more remained volume and fracture resistance than lingual access. Conclusion: Labial access cavity preparation can enhance the remained volume and fracture resistance as compared to lingual access in endodontic treatment of the anterior teeth with labial caries especially in mandibular incisors.

  8. Esthetic rehabilitation of anterior primary teeth using polyethylene fiber with two different approaches

    Directory of Open Access Journals (Sweden)

    M Jain

    2011-01-01

    Full Text Available An acceptable treatment approach for early childhood caries in the past may not necessarily be the best treatment option for our young patients today. Technological advances in dental materials and the approach to their use need to be considered, and the introduction of new adhesive systems, restorative materials, and the approach toward treating these teeth has yielded convincing results. Two such clinical case reports where polyethylene fibers were used as intra-canal posts and to splint the pontic fabricated with polyethylene fibers reinforced composite are reported.

  9. Modified Whale's tail technique for the management of bone-defect in anterior teeth.

    Science.gov (United States)

    Kuriakose, Anu; Ambooken, Majo; Jacob, Jayan; John, Priya

    2015-01-01

    The purpose of this case report is to describe the efficacy of a modified Whale's tail technique to achieve primary closure and thereby aid in regeneration of an interdental osseous defect between maxillary central incisors complicated by an aberrant frenal attachment. A healthy 32-year-old female patient reported with the complaint of spacing between her upper front teeth. Clinical examination revealed an aberrant frenum extending into the interdental papilla in relation to the central incisors. There was a 6 mm periodontal pocket in relation to the mesiopalatal aspect of maxillary left central incisor. Intraoral periapical radiograph showed vertical bone loss in relation to mesial aspect of maxillary left central incisor. A modified Whale's tail flap was employed to access the area. The defect was filled with an alloplastic graft. Six months postoperative review showed complete elimination of the pocket along with radiographic bone fill of the defect.

  10. Size and placement of developing anterior teeth in immature Neanderthal mandibles from Dederiyeh Cave, Syria: implications for emergence of the modern human chin.

    Science.gov (United States)

    Fukase, Hitoshi; Kondo, Osamu; Ishida, Hajime

    2015-03-01

    Evolutionary and functional significance of the human chin has long been explored from various perspectives including masticatory biomechanics, speech, and anterior tooth size. Recent ontogenetic studies have indicated that the spatial position of internally forming anterior teeth partially constrains adult mandibular symphyseal morphology. The present study therefore preliminarily examined the size and placement of developing anterior teeth in immature Neanderthal mandibles of Dederiyeh 1 and 2, compared with similarly-aged modern humans (N = 16) and chimpanzees (N = 7) whose incisors are comparatively small and large among extant hominids, respectively. The Dederiyeh 1 mandible is described as slightly presenting a mental trigone and attendant mental fossa, whereas Dederiyeh 2 completely lacks such chin-associated configurations. Results showed that, despite symphyseal size being within the modern human range, both Dederiyeh mandibles accommodated overall larger anterior dentition and displayed a remarkably wide bicanine space compared to those of modern humans. Dederiyeh 2 had comparatively thicker deciduous incisor roots and more enlarged permanent incisor crypts than Dederiyeh 1, but both Dederiyeh individuals exhibited a total dental size mostly intermediate between modern humans and chimpanzees. These findings potentially imply that the large deciduous/permanent incisors collectively distended the labial alveolar bone, obscuring an incipient mental trigone. It is therefore hypothesized that the appearance of chin-associated features, particularly of the mental trigone and fossa, can be accounted for partly by developmental relationships between the sizes of the available mandibular space and anterior teeth. This hypothesis must be, however, further addressed with more referential samples in future studies.

  11. 上颌前牙埋伏阻生的临床矫治%Clinical study on impacted maxil ary anterior teeth by orthodontic treatment

    Institute of Scientific and Technical Information of China (English)

    乔义强

    2014-01-01

    目的:探讨上颌埋伏阻生前牙的临床治疗效果及相关因素分析。方法:对28例39颗上颌前牙埋伏阻生病例,应用牙槽外科开窗术,以及正畸牵引对埋伏牙进行治疗。结果:39颗阻生牙矫治后牙髓活力正常,3例埋伏牙牙根轻度吸收,5例邻牙牙根吸收轻度,牙周组织基本正常,两例牙龈形态出现轻度异常。牵引成功率100%。结论:正畸治疗结合牙槽外科开窗术导萌埋伏阻生牙,可有效保存上颌埋伏阻生前牙。%Objective:To evaluate the results of treating anterior impacted teeth of maxil ary by orthodontic treatment.Method:28 cases with 39 tooth of impacted maxil ary anterior teeth were treated with orthodontic treatment with surgical exposure. Result:When the treatment completed,the tooth pulp vitality of impacted teeth were normal,3 tooth and the 5 adjacent tooth of inpacte teeth had root resorption,periodontal tissues of impacted teeth were normal,only one has light unnormal morphological of gingiva .Conclusion:The impacted maxil ary anterior teeth can be treated by orthodontic treatment with surgical exposure.

  12. Choosing a pre-adjusted orthodontic appliance prescription for anterior teeth.

    Science.gov (United States)

    Thickett, Eleanor; Taylor, Nigel G; Hodge, Trevor

    2007-06-01

    A common orthodontic task is to correct anterior tooth position using brackets whose torque, tip and in-out are pre-adjusted. Bracket prescription greatly influences final aesthetics and function. Pre-adjusted orthodontic brackets have in-built prescriptions of torque, tip and in-out which are optimized for average cases. Refinement of tooth position can be achieved by archwire adjustment or archwire auxiliaries. Modifications to bracket position such as inversion can also help achieve individual tooth movements. Planning bracket position must be considered at the outset of treatment to achieve the maximum benefit. A number of clinical scenarios will be discussed including: a Class II division 1 malocclusion with lateral incisors palatally displaced, and another case with absent lateral incisors for space closure. Also, Class III malocclusions with consideration given to: canine angulation; a palatally displaced canine requiring labial movement; absent upper central incisors (space closure), and finally, a Class III case where incisor inclination requires consideration. By using a typodont to illustrate some of the points, this article aims to (1) show how three pre-adjusted orthodontic bracket systems (Andrews, Roth and MBT) vary significantly in their ability to influence tooth position and appearance; (2) inform clinicians how modified bracket position can influence tooth position.

  13. Comparative in vivo evaluation of restoring severely mutilated primary anterior teeth with biological post and crown preparation and reinforced composite restoration

    OpenAIRE

    Grewal N; Seth R

    2008-01-01

    Background: This study was designed to compare the success rate of biological and composite restorations when used to replace structural loss of primary anterior teeth using intracanal post for radicular support of the restoration. Materials and Methods: Forty-two patients aged between 3-5 years presenting with early childhood caries (ECC) received at least one or more composite and biological restorations for comparative evaluation. A total of 150 restorations were done (75 biological re...

  14. Effect of Etching Time and Preparation on Push-Out Bond Strength of Composite to Intracanal Dentin of Primary Anterior Teeth

    Science.gov (United States)

    Mosharrafian, Shahram; Afshar, Hossein; Farbod, Maryam; Baniameri, Zahra

    2016-01-01

    Objectives: This in-vitro study aimed to compare the push-out bond strength of composite to prepared and unprepared intracanal dentin using a 5th generation bonding agent in primary anterior teeth after etching for seven and 15 seconds. Materials and Methods: Sixty primary anterior teeth were randomly divided into four groups. In groups one and two, intracanal dentin remained intact while in groups three and four it was prepared using a #5 round bur and low-speed handpiece. Single Bond 2 was used in groups one and three after 15 seconds and in groups two and four after seven seconds of etching with phosphoric acid. After restoring with composite resin and incubation, the specimens were subjected to push-out bond strength test. Data were analyzed using two-way ANOVA and Kaplan Meier curves. Results: The mean bond strength was not significantly different between seven and 15 seconds etching times (P=0.198). Dentin preparation had no significant effect on the mean bond strength (P=0.838). The interaction effect of etching time and dentin preparation was not significant either (P=0.680). Conclusions: Decreasing the etching time from 15 to seven seconds and preparation of intracanal dentin had no significant effect on push-out bond strength of composite to intracanal dentin of primary anterior teeth. PMID:28127329

  15. Effect of Etching Time and Preparation on Push-Out Bond Strength of Composite to Intracanal Dentin of Primary Anterior Teeth

    Directory of Open Access Journals (Sweden)

    Shahram Mosharrafian

    2016-12-01

    Full Text Available Objectives: This in-vitro study aimed to compare the push-out bond strength of composite to prepared and unprepared intracanal dentin using a 5th generation bonding agent in primary anterior teeth after etching for seven and 15 seconds.Materials and Methods: Sixty primary anterior teeth were randomly divided into four groups. In groups one and two, intracanal dentin remained intact while in groups three and four it was prepared using a #5 round bur and low-speed handpiece. Single Bond 2 was used in groups one and three after 15 seconds and in groups two and four after seven seconds of etching with phosphoric acid. After restoring with composite resin and incubation, the specimens were subjected to push-out bond strength test. Data were analyzed using two-way ANOVA and Kaplan Meier curves.Results: The mean bond strength was not significantly different between seven and 15 seconds etching times (P=0.198. Dentin preparation had no significant effect on the mean bond strength (P=0.838. The interaction effect of etching time and dentin preparation was not significant either (P=0.680.Conclusions: Decreasing the etching time from 15 to seven seconds and preparation of intracanal dentin had no significant effect on push-out bond strength of composite to intracanal dentin of primary anterior teeth. Keywords: Dental Etching; Composite Resins; Dentin; Tooth, Deciduous

  16. Impact of aesthetic restorative treatment on anterior teeth with fluorosis among residents of an endemic area in Brazil: intervention study

    Science.gov (United States)

    2014-01-01

    Background Endemic dental fluorosis has already been described in some regions of the world. The aim of this study was to evaluate the functional and psychosocial impact of direct aesthetic restorative treatments in endemic fluorosis patients in the northern state of Minas Gerais, Brazil. Was a quasi-experimental intervention study. Methods The reference population consisted of individuals between 9 and 27 years of age that were served by a project intended to recover the smiles of patients with severe fluorosis. The questionnaires were administered on two occasions, 24 months apart (before and after dental treatment). Initially, descriptive analyses were conducted. Prevalence and severity, as well as the extent of the functional and psychosocial impact of oral disorders were estimated based on the Oral Health Impact Profile instrument (OHIP-14). Comparisons between baseline and follow-up and between treatment techniques were carried out using the McNemar, Wilcoxon, and Mann–Whitney tests. Results The study involved 53 individuals, with a mean age of 15.9 years, treated with microabrasion, dental composite, or a combination of both techniques. The treatments performed proved to be competent for reducing the functional and psychosocial impact of oral disorders as measured by the OHIP-14, pointing to the possibility of establishing protocols to be used in programs aimed at restoring the aesthetics and functionality of the anterior teeth in large populations. Conclusions After performing the direct aesthetic restorative treatments in patients with endemic fluorosis, a significant improvement was observed in the prevalence and severity, as well as the extent of the functional and psychosocial impact of oral disorders. PMID:24886223

  17. Aesthetic repair of adult upper anterior teeth by metal-porcelain crown%成人上前牙烤瓷的美容修复

    Institute of Scientific and Technical Information of China (English)

    杨巨莉; 王雁冰; 白艳杰

    2011-01-01

    目的 探讨采用烤瓷熔附金属全冠修复上前牙错(牙合)的方法及美容效果.方法 采用烤瓷熔附金属全冠、桩核冠或桥体,对78例(164颗)上前牙错(牙合)畸形患者在短时间内完成修复治疗.用制作的烤瓷牙冠修复前牙,调整颜色、形态,使其与邻近的前牙排齐,达到美容效果.结果 所有患者获随访1~6年,其中2例(2颗)出现崩瓷,1例(1颗)为桩核冠脱落,1例(2颗)为单冠脱落,2例(2颗)根折;72例患者的前牙烤瓷冠无崩瓷、松动及脱落,其颜色自然,形态美观,功能正常.结论 采用烤瓷熔附金属全冠修复成人上前牙错(牙合)治疗的方法,具有修复时间短,形态逼真,改善美观,恢复咀嚼功能的良好效果,适合在基层医院推广应用.%Objective To explore the method and aesthetic outcome of the metal-porcelain crown for the repair of adult upper anterior teeth. Methods Totally 78 patients ( 164 teeth ) with malocclusion were treated by porcelain fused to metal crown, core crown and pontic which cost a short time. After the porcelain crowns placed, their color and profile of the repaired upper anterior teeth were adjusted according to the adjacent ones to reach the aesthetic outcome. Results After 1 to 6 years follow-up, 72 cases got satisfactory results with nature color. nice contour and normal function without crown craze or loosen, except for 2 cases ( 2 teeth ) with crowns crack. 1 case ( 1 tooth ) with porcelain-fused prosthesis fallen off, 1 case ( 2 teeth ) with single crown fallen off and 2 cases ( 2 teeth ) with root fracture. Conclusion It is an easy and effective method of metalporcelain crown for the repair of adult upper anterior teeth of malocclusion with such advantages as short operating time, nice postoperative contour and normal masticatory function. It worth spreading in clinic.

  18. Survival of Composite Resin Restorations of severely Decayed Primary Anterior Teeth retained by Glass Fiber Posts or Reversed-orientated Metal Posts

    Science.gov (United States)

    Ranjkesh, Bahram; Lovschall, Henrik; Erfanparast, Leila; Jafarabadi, Mohammad A; Oskouei, Sina Ghertasi; Isidor, Flemming

    2016-01-01

    ABSTRACT Aim: The aim of this study was to compare the survival of composite resin restorations retained by glass fiber posts or reversed-orientated (upside-down) metal posts in severely decayed primary anterior teeth after 6, 12, and 18 months. Materials and methods: A total of forty-four 3- to 5-year-old children with bilateral severely decayed primary maxillary canines were included. Patients were treated under general anesthesia. After pulpectomy, an intracanal post was seated in the primary maxillary canine on each side: either a glass fiber post or a metallic post in reversed orientation and teeth restored with light-cured composite. Survival rate of each technique was evaluated at predetermined follow-ups and data were analyzed with McNemar’s test (α = 0.05). Results: The difference in survival of restorations retained by two types of posts was not statistically significant in clinical and radiographical evaluations after 6, 12, and 18 months. The survival rate of reversed-orientated metal and glass fiber posts after 18 months was 81.1 and 67.6% respectively (p = 0.14). Conclusion: Reversed-orientated metal post did not show lower clinical survival compared with glass fiber posts in 18-month follow-up. Hence, reversed-orientated metal post can be considered as a potential method to obtain retention for composite restorations in severely decayed primary anterior teeth. How to cite this article: Vafaei A, Ranjkesh B, L0vschall H, Erfanparast L, Jafarabadi MA, Oskouei SG, Isidor F. Survival of Composite Resin Restorations of severely Decayed Primary Anterior Teeth retained by Glass Fiber Posts or Reversed-orientated Metal Posts. Int J Clin Pediatr Dent 2016;9(2):109-113. PMID:27365929

  19. 上颌埋伏阻生前牙正畸治疗的临床研究%Clinical study on impacted upper anterior teeth by orthodontic treatment.

    Institute of Scientific and Technical Information of China (English)

    陈晓明; 唐瞻贵; 刘友良; 全宏志; 赵丽莉; 曾碧映

    2011-01-01

    目的:观察上颌埋伏阻生前牙应用固定正畸方法进行矫治的临床疗效,探讨埋伏阻生前牙有效的治疗方法.方法:对49例58颗上颌前牙埋伏阻生病例,应用固定正畸进行矫治,结合牙槽外科开窗术,对埋伏牙进行牵引.其中20颗进行开拓间隙使之自然萌出,38颗进行开窗封闭式牵引导萌矫治.结果:55颗阻生牙矫治后牙髓活力正常、未见埋伏牙及邻牙牙根吸收、牙周组织正常.开窗封闭式牵引导萌有3颗牙治疗失败,总体成功率94.8%.结论:应用固定正畸技术开拓间隙或结合牙槽外科开窗术导萌埋伏阻生牙,可有效保存上颌埋伏阻生前牙.%Objective: To evaluate the results of treating anterior impacted teeth by fixed orthodontic treatment.Method: 49 cases of impacted upper anterior teeth were treated with fixed orthodontic treatment, with or without fenestration.20 cases just by open space and erupted by themselves, 29cases were pulled in the bone.Result: When the treatment completed, the tooth pulp vitality of impacted teeth were normal, no inpacte teeth or adjacent tooth had root resorption, and the periodontal tissues of impacted teeth were normal.Conclusion: The impacted upper anterior teeth can be treated by fixed orthodontic treatment, with or without fenestration.

  20. The interaction between reaction forces and stabilization systems during intrusion of the anterior teeth and its effect on the posterior unit.

    Science.gov (United States)

    Van den Bulcke, M M; Dermaut, L R

    1990-11-01

    The aim of this research is to attain a better understanding of the initial reaction forces induced by an intrusion mechanism (acting on the anterior teeth) on the posterior unit and to examine how these forces can be neutralized. The experiments were performed on the dentition of a dry human skull and initial tooth displacements were registered by means of two laser measuring techniques, namely holographic interferometry and the laser reflection technique. It was established that of all reaction forces induced by the intrusion arch, distal tipping of the first molars is the most pronounced. A transpalatal bar connecting the teeth does not counteract this movement. The stabilization of the posterior unit with a transpalatal bar, buccal sectionals, and high-pull headgear proved to be the most effective technique.

  1. Direct or indirect composite veneers in anterior teeth: which method causes higher tooth mass loss? An in vitro study.

    Science.gov (United States)

    Machado, Alessandra Nunes; Coelho-de-Souza, Fabio Herrmann; Rolla, Juliana Nunes; Erhardt, Maria Carolina Guilherme; Demarco, Flavio Fernando

    2014-01-01

    There is little information in the literature regarding the relationship between preparations made for direct and indirect veneers and the loss of tooth structure required for each technique. This in vitro study sought to quantify the different mass losses from preparation techniques used for direct and indirect veneers. Thirty artificial teeth were weighted using a digital balance and placed in a dental manikin in the position corresponding to the right maxillary central incisor. Five clinicians-all experts in esthetic dentistry-were asked to perform conventional preparations for both a direct composite resin veneer and an indirect ceramic veneer. After preparations, specimens were weighted again in the same digital balance. Teeth undergoing veneer preparations demonstrated a statistically significant mass loss compared to unprepared teeth. Indirect ceramic veneer preparations produced more mass loss than direct composite veneer preparations (P < 0.01).

  2. Evaluation of threshold response and appropriate electrode placement site for electric pulp testing in fluorosed anterior teeth: An in vivo study

    Science.gov (United States)

    Vemisetty, Harikumar; Vanapatla, Amulya; Ravichandra, Polavarapu Venkata; Reddy, Surakanti Jayaprada; Punna, Rajani; Chandragiri, Srujana

    2016-01-01

    Background: Accurate diagnosis is key to success. Diagnosing the pulpal status in varied clinical situations poses a challenge to the clinician. Electric pulp test (EPT) is one of the valuable attempts in evaluating the sensibility of pulp tissue. The aim of this study was to find out and compare the threshold levels and optimal electrode placement site for EPT in fluorosed and nonfluorosed anterior teeth. Materials and Methodology: Eighty volunteers recruited for this study were divided into two groups based on the incidence of dental fluorosis. Electric pulp testing was done on either of the central incisors in fluorosed and nonfluorosed group. Four sites on each crown were tested 4 times with digitest electric pulp tester, and the mean of the threshold responses was recorded. The data were analyzed with SPSS, version 11. Means of variables from each location were compared using one-way ANOVA and Tukey's post-hoc test while the critical level of significance was set at P 0.05). Conclusion: Within the limitations of this study, it can be concluded that fluorosed teeth respond to higher threshold levels than the non-fluorosed teeth, and incisal edge was the optimal electrode placement site. PMID:27274345

  3. Comparison of Push-Out Bond Strength of Two Bulk-Fill and One Conventional Composite to Intracanal Dentin in Severely Damaged Primary Anterior Teeth

    Directory of Open Access Journals (Sweden)

    Shahram Mosharrafian

    2016-10-01

    Full Text Available Objectives: This study sought to compare the push-out bond strength of two bulk-fill and one conventional composite to intracanal dentin in primary anterior teeth.Materials and Methods: This in vitro, experimental study was conducted on 39 primary anterior teeth, which were randomly divided into three groups. After cleaning and shaping, the root canals were filled with Metapex in such a way that after the application of 1mm light-cure liner on top of it, the coronal 3mm of the canal remained empty for composite post space. Z250 conventional composite was used in group 1 and SonicFill and Filtek bulk-fill composites along with Single Bond 2 were used in groups 2 and 3, respectively. The samples were subjected to thermocycling. One-millimeter thick sections were made of the mid-root and subjected to push-out bond strength test. Mode of failure was determined under a stereomicroscope at ×25 magnification. The data were analyzed using one-way ANOVA.Results: The mean (±standard deviation push-out bond strength was 11.40±4.23MPa, 10.94±6.69MPa and 8.79±4.12MPa in the conventional, SonicFill and Filtek groups, respectively. The difference in this regard among the three groups was not statistically significant (P=0.397.Conclusions: Based on the results, bulk-fill composites, similar to conventional types, can be successfully used for the fabrication of composite intracanal posts in primary teeth to decrease the treatment time in children.Keywords: Composite Resins; Dentin; Tooth, Deciduous

  4. The Clinical Application of Vacuum Die Holder in the Treatment of Anterior Teeth Injury in Children%真空压模牙托在儿童前牙外伤治疗的临床应用

    Institute of Scientific and Technical Information of China (English)

    阿孜古丽·阿不都热依木

    2015-01-01

    Objective To investigate the effect of vacuum die denture in children in the treatment of traumatic anterior teeth. Methods 24 cases of traumatic anterior teeth in children patients with proven dental trauma after were chosen in our hospital, vacuum pressure die tooth supporting teeth fixed and treatment. Results 24 cases were fixed by 1 to 3 months after the injury of anterior teeth are solid, cutting function returned to normal. Conclusion Vacuum pressure die dental care in the treatment of children with traumatic anterior teeth fixed effect is good.%目的:探讨真空压模牙托在儿童前牙外伤中的治疗效果。方法选取我院治疗的24例前牙外伤患儿,探明牙外伤的情况后,用真空压模牙托来进行牙齿的固定和治疗。结果24例患儿经固定1~3个月后损伤前牙均已稳固,恢复正常的切割功能。结论真空压模牙托在治疗儿童前牙外伤中的固定作用效果良好。

  5. 全瓷牙用于前牙美容修复的临床疗效分析%Porcelain Teeth for Cosmetic Restoration of Anterior Teeth Clinical Analysis

    Institute of Scientific and Technical Information of China (English)

    徐命松

    2013-01-01

      目的:观察分析使用全瓷牙做前牙美容修复的临床治疗效果。方法:从笔者所在医院接诊要求前牙美容修复的患者中抽取60例,随机分为观察组与对照组,观察组患者使用全瓷牙修复,对照组患者使用金属合金烤瓷冠修复,对比观察两组患者的修复效果。结果:观察组患者美学效果满意度在整体美观、面容改善、修复体色泽及外形、心理改善等方面明显高于对照组,牙龈炎、牙周炎发病率均为3.33%,明显低于对照组牙龈炎发病率43.33%与牙周炎发病率36.67%,差异有统计学意义(P<0.05)。结论:使用全瓷牙进行前牙的美容修复,能够达到更为理想的美学效果,且对周围组织刺激较小,使用安全可靠,具有在临床进一步推广应用的价值。%Objective:Observe the clinical effect analysis using all porcelain teeth for cosmetic restoration of anterior teeth.Methods:From my hospital admissions of patients require cosmetic restoration of anterior teeth extracted 60 cases were randomly divided into observation group and the control group,the observation group were using all-ceramic dental restoration,control group patients with metal alloy porcelain crown,contrast observed in both groups patients with repair effect.Results:Aesthetic effect in patients with satisfaction of the observation group was significantly higher in terms of overall appearance,face to improve and repair the body color and shape,psychological improvement,Gingivitis,periodontitis incidence rates are 3.33%.Gingivitis was significantly lower than the control group the incidence of 43.33%with periodontitis incidence of 36.67%.The difference was statistically significant(P<0.05).Conclusion:All-ceramic dental cosmetic restoration of anterior teeth to achieve a more desirable aesthetic effect and smaller surrounding tissue stimulation,the use of safe and reliable,to further promote the application in the clinical

  6. The Role of Mandibular Third Molars on Lower Anterior Teeth Crowding and Relapse after Orthodontic Treatment: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Khalid H. Zawawi

    2014-01-01

    Full Text Available Aims. To evaluate the role of third molars in the development of crowding or relapse after orthodontic treatment in the anterior segment of the dental arch. Methods. PubMed search of the literature was performed selecting all the articles relevant to the topic and limiting the studies to controlled trials on humans and written in English language. Systematic review was conducted according to the PRISMA (preferred reporting items for systematic reviews and meta-analyses statement. Results. A total of 12 clinical studies were included in the review. A high risk of bias was found in most of the articles, either because the relative items assessed were inadequate or because they were unclearly described. The third molars were not correlated with more severe anterior tooth crowding in most of the studies. However, four of them described a different outcome. Conclusion. Definitive conclusions on the role of the third molars in the development of anterior tooth crowding cannot be drawn. A high risk of bias was found in most of the trials, and the outcomes were not consistent. However, most of the studies do not support a cause-and-effect relationship; therefore, third molar extraction to prevent anterior tooth crowding or postorthodontic relapse is not justified.

  7. Comparative in vivo evaluation of restoring severely mutilated primary anterior teeth with biological post and crown preparation and reinforced composite restoration

    Directory of Open Access Journals (Sweden)

    Grewal N

    2008-01-01

    Full Text Available Background: This study was designed to compare the success rate of biological and composite restorations when used to replace structural loss of primary anterior teeth using intracanal post for radicular support of the restoration. Materials and Methods: Forty-two patients aged between 3-5 years presenting with early childhood caries (ECC received at least one or more composite and biological restorations for comparative evaluation. A total of 150 restorations were done (75 biological restorations and 75 composite restorations. The restorations were evaluated single-blind according to a modified USPHS system. Assessment of the patient′s response in accepting a biological restoration, psychological impact of the restorations, view of the parents, and peer group reviews, etc. were recorded in a response sheet in presence of the child and the parents. Observations and Results: In vivo clinical performance of biological post and crown restorations and intracanal reinforced composite restorations was comparable with respect to shade match, marginal discoloration, marginal integrity, surface finish, gingival health, retention, and recurrent carious lesions. The cost effectiveness of biological restorations was certainly a positive attribute. Conclusion: The biological restoration presented as a cost effective, clinician friendly, less-technique sensitive, and esthetic alternative to commercially available restorative materials used for restoring deciduous teeth affected by ECC.

  8. In vitro analysis of residual tooth structure of maxillary anterior teeth after different prosthetic finish line preparations for full-coverage single crowns.

    Science.gov (United States)

    Borelli, Bruna; Sorrentino, Roberto; Goracci, Cecilia; Zarone, Fernando; Ferrari, Marco

    2013-03-01

    To evaluate residual dentin thickness (RDT) after different tooth preparations, 90 sound maxillary anterior teeth were selected and divided into 3 groups according to tooth type (n = 30), namely, maxillary central incisors, maxillary lateral incisors, and maxillary canines. In each group, specimens were randomly divided and prepared for single-crown coverage with shoulder (SHO, n = 10, control), slight chamfer (CHA, n = 10), and knife-edge (KNE, n = 10) finish lines. After tooth preparation, specimens were sectioned and divided into 4 subgroups (buccal, distal, palatal, and mesial) according to measurement area. RDT values were compared by using one-way ANOVA and Tukey's post hoc test (P = 0.05). Significant differences were found between SHO and the other two groups (P 0.05). SHO was significantly more aggressive than CHA and KNE, which were comparable. Interproximal areas became critical due to thin RDT, which could potentially compromise the structural and biological integrity of teeth. The choice of finish line should be guided by careful clinical evaluation.

  9. Cone beam computed tomographic evaluation of two access cavity designs and instrumentation on the thickness of peri-cervical dentin in mandibular anterior teeth

    Science.gov (United States)

    Varghese, Vinny Sara; George, John V.; Mathew, Sylvia; Nagaraja, Shruthi; Indiresha, H. N.; Madhu, K. S.

    2016-01-01

    Background and Objectives: The aim of the study was to determine the effect of two access cavity designs on the peri-cervical dentin thickness before and after instrumentation using cone beam computed tomography (CBCT). Materials and Methods: Sixty mandibular anterior teeth were divided into two groups of thirty teeth each: Group I: conventional access cavity preparation, where access was prepared just above the cingulum and Group II: incisal access cavity preparation, where access was prepared in proximity to the incisal edge. CBCT scans were taken preoperatively, following access cavity preparation and post instrumentation. 200 μm thick slices were obtained 4mm apical and coronal to the cemento-enamel junction. The peri-cervical dentin thickness was calculated on the facial, lingual, mesial, and distal for all the three obtained scans. Results: The analysis showed that access cavity preparation and instrumentation resulted in a significant loss of tooth structure in Group I on all surfaces, but in Group II, there was a significant loss of tooth structure only in the mesial, lingual, and distal surfaces (P < 0.05). Conclusion: Incisal access cavity preparation resulted in lesser loss of dentin in the peri-cervical region. PMID:27656065

  10. 如何规避前牙美学修复的龈边缘暴露%Considerations of avoiding exposure of gingival margin in anterior teeth aesthetic prosthodontics

    Institute of Scientific and Technical Information of China (English)

    赵克; 魏雅茹

    2011-01-01

    Exposure of gingival margin is frequently observed in anterior teeth aesthetic restoration. How to obtain an expected result is a significant challenge during prosthodontic treatment. The present article discussed gingival bio-type, conditions of periodontal tissue, location of margin of restoration, gingival retraction, and provisional restoration, etc. Which would affect the final aesthetic outcome of anterior teeth restorations. The aim of this article is to figure out how to effectively avoid the exposure of gingival margin in anterior teeth aesthetic restoration, and to improve the finally aesthetic outcome of anterior teeth restoration.%前牙修复后常因修复体龈边缘暴露而影响最终美学效果,如何规避此问题是口腔医生面临的挑战.本文通过牙龈生物型、牙周组织状况、修复体龈边缘位置、排龈技术与排龈线及暂时修复体制作等几个方面,探讨前牙美学修复中如何有效地规避修复体龈边缘暴露,以提高前牙修复的美学效果.

  11. Membrane-assisted mineral trioxide aggregate apical plug for management of traumatized immature anterior teeth: Clinical case reports

    Directory of Open Access Journals (Sweden)

    Raji Viola Solomon

    2014-01-01

    Full Text Available Apexification using calcium hydroxide has many disadvantages, such as, it needs more time for the treatment, chance for fracture of the tooth, and incomplete calcification of the bridge. There are many alternative treatments introduced, which have gained popularity, such as, forming an apical plug using mineral trioxide aggregate (MTA, for excellent results. In cases of wide open apices, it is difficult to limit the restoration to the working length, as such situations lead to the apical extrusion of the material into the periapical region, which prevents further healing. Such conditions can be best treated with the use of a resorbable collagen membrane, which limits the restoration till the working length and prevents the extrusion of the material beyond the apex. The present case reports highlight the non-surgical management of immature teeth by using a membrane as a barrier, with an MTA apical plug, followed by crown rehabilitation.

  12. 方丝弓矫治器联合前牙转矩辅弓在正畸治疗中的应用%Application of edgewise appliance combined with anterior teeth torquing auxiliary arch in orthodontic treatment

    Institute of Scientific and Technical Information of China (English)

    汪伟材

    2012-01-01

    Objective To investigate the clincial torquing effectts of edgewise appliance combined with anterior teeth torquing auxiliary arch in the treatment of anterior teeth malocclusion. Methods Forty-two patients with Angle Class Ⅱ Category 1 malocclusion receiving tooth extraction in our hospital from June 2006 to December 2008 were randomly divided into the observation group and the control group, with 21 patients in each group respectively. The control group was given the edgewise orthodontic treatment and on this basis the observation group was given the combined treatment of anterior teeth torquing auxiliary arch for fine regulating. The lateral skull positioning X-ray was shooted before and after the gap was closed, and the incisor torques of the two groups were studied comparatively. Results For the observation group, the width of upper dental arch increased significantly, the anterior teeth covering significantly reduced by (3.55+1.68) mm and the anterior teeth overbite decreased by (0.78±0.31) mm. The observation group was significantly different from the control group in the ANB, U1-SN, U1-L1, U1-NA, etc (P < 0.05). Conclusion In the treatment of anterior teeth malocclusion, the edgewise appliance combined with anterior teeth torquing auxiliary arch can effectively control the torque of upper and lower occlusal anterior teeth, reduce the inclination of upper and anterior teeth and lips and anterior teeth covering, and shorten the treatment course. In addition, it is simple and highly safe, thereby worthy of clinical application.%目的 探讨方丝弓联合前牙转矩辅弓在治疗前牙错(牙合)过程中转矩的临床效果.方法 选择我院2006年6月~2008年12月收治的安氏Ⅱ类1分类错(牙合)拔牙患者42例,将其随机分为观察组和对照组,每组各21例,对照组给予方丝弓正畸治疗,观察组在此基础上联合前牙转矩辅弓进行精细调节,关闭间隙前后拍摄X线头颅定位侧位片,对两组上

  13. A SINGLE VISIT IMMEDIATE TEMPORIZATION WITH NATURAL TOOTH PONTIC FOR PERIODONTALLY INVOLVED ANTERIOR TEETH : ANESTHETIC AND INNOVATIVE APPROACH

    Directory of Open Access Journals (Sweden)

    Nilofer Sultan Sheikh, Neelima S. Rajhans, Preeti Mundhe, Gabriela Jude Fernandez, Nilkanth Mhaske, Nikesh Moolya, Sudeep HM

    2015-01-01

    Full Text Available Aim and Objectives: Sudden loss of anterior tooth is a dreadful situation. It can be as a result of trauma, endodontic failure or periodontal disease which is a true aesthetic emergency for a patient. Along with the patient, the dentist also emphasizes on saving an anterior tooth for the primary reason of aesthetics. If the tooth crown is intact, is not grossly decayed, broken down or discoloured, it can be used as a natural tooth pontic in designing an interim prosthesis. Case: A chair side technique for replacing the missing tooth using the patient’s own natural tooth as a pontic in the three dimensional original position using a fibre reinforced composite resin splint thus restoring the aesthetics and relieving the apprehension of the patient, as described in this case report. Conclusion: The concept of Natural tooth pontic placement is a simple, economical, minimal intervention, viable and an easy to handle treatment option and promises an excellent transient aesthetic solution for a lost tooth as well as require minimal or no tooth preparation, thus is a reversible technique and avoids the laboratory cost.

  14. 流体树脂应用于乳前牙美修复的效果评价%Clinical Application of Flowable Resin to Anterior Primary Teeth for Aesthetic Restoration

    Institute of Scientific and Technical Information of China (English)

    施春梅; 欧晓丽; 唐继伟; 李焱

    2012-01-01

    Objective To evaluate the clinical effect of light-cure flowable resins on the aesthetic restoration of anterior primary teeth caries. Methods Two different preventive restorative treatments were applied to anterior primary teeth in 65 patients( 169 teeth ). Test group:85 anterior primary teeth were removed their caries tissue,in which 40 teeth of enamel caries were treated with Wave flow flowable resins( test group A ) and 45 teeth of dentine caries were treated with Wave Flow flowable resins and composite resin( test group B ). Control group:84 anterior primary teeth were treated with composite resin,in which 37 teeth of enamel caries were treated with composite resin( control group A ) and 47 teeth of dentine caries were treated with composite resin( control group B ). The successful rates on the 3rd, 12th,36th month after the restoration of anterior primary teeth caries were analyzed. Results The patients were followed up for 3 years. There was no statistical difference in the successful rate on the 3rd, 12th month after the restoration of anterior primary teeth caries between the four groups( P > 0. 05 ). But after 36-month follow-up, the film coating retention rates of test group A and B were 88.6% ,87.2% ,which significantly higher than those of control group A and B( 65.6% ,61.9% ). There was statistical difference between test groups and control groups( P < 0. 01 ); Test group was superior to control group in shade,color and secondary caries of restoration( P <0.05 ). Conclusion light-cure flowable resin used in the aesthetic restoration of anterior primary teeth is reliable and effective.%目的 观察光固化流体树脂美容修复乳前牙龋的临床疗效.方法 对65例169颗两侧同名乳前牙分别采用两种不同的树脂充填方法.试验组:85颗乳前牙龋在磨除龋坏牙体组织后应用流体树脂修复牙釉质龋40颗(试验组A);复合树脂与流体树脂联用修复牙本质龋45颗(试验组B);对照组:84颗乳前牙龋直

  15. Evaluation of the Root and Canal Morphology of Mandibular Permanent Anterior Teeth in an Iranian Population by Cone-Beam Computed Tomography

    Directory of Open Access Journals (Sweden)

    Mohsen Aminsobhani

    2013-01-01

    Full Text Available Objective: To evaluate differences in the root and canal configurations of mandibular permanent anterior incisors and canines in an Iranian population by means of Cone Beam CT (CBCT images.Materials and Methods: Four hundred CBCT images of mandibular permanent incisors and canines that met the inclusion criteria were evaluated. Vertucci´s classification was used to evaluate the number of roots, number of root canals, root lengths, root curvatures and canal types.Results: Totally 632 central incisors, 614 lateral incisors and 608 canines were evaluated. The average length of the mandibular central, lateral incisors and canines was 21.3±0.10, 21.9± 0.13 and 25.1± 0.11 mm, respectively. All of the mandibular central and lateral incisors had one root, but the incidence of single-rooted mandibular canines and two-rooted mandibular canines was 96.3% and 4.7%, respectively. The majority of mandibular central, lateral incisors and canines had one canal (72.7%, 70.6% and 71.8%, respectively. Five types of Vertucci canal configurations were seen in the evaluated teeth. Type 1 Vertucci configuration was the most prevalent configuration (72.3%, 70.6% and 71.8% for the central, lateral incisors and canines, respectively, and type 5 Vertucci canal configuration was the least prevalent type seen (3.3%, 3.2% and 2.3% for the central, lateral incisors and canines, respectively. The most frequent root curvatures in these teeth were distally and buccally. No significant difference was seen between male and female patients regarding any of the parameters evaluated in this study (p>0.05.Conclusion: More attention should be given to the detection of additional canals and the recognition of canal curvature in Iranian patients.

  16. 前牙残根冠延长术后纤维桩核冠修复的临床研究%Clinical research of fiber post-core crown restoration after crown lengthening for upper anterior teeth residual root

    Institute of Scientific and Technical Information of China (English)

    罗永宏; 尹丽媚; 李慧; 刘青; 冯建国

    2016-01-01

    Objective To investigate curative effect by fiber post-core crown restoration after crown lengthening for upper anterior teeth residual root. Methods A total of 20 upper anterior fractured, or decayed to subgingival 2~4 mm teeth were repaired by fiber post-core and all-ceramic crown restoration on subgingival fracture surface after crown lengthening. Results There were 12 patients (19 teeth) received successful operation, along with good postoperative condition and successful crown restoration. Shallow defect group (10 teeth) had higher instant satisfaction degree as (9.5±0.3) points than (9.3±0.3) points of deep defect group (9 teeth) (P>0.05). The difference of mean plaque index and periodontal pocket depth had no statistical significance between shallow defect group and deep defect group (P>0.05), while the difference of their mean bleeding index and gingival index had statistical significance (P0.05)。浅缺损组和深缺损组残根修复后的平均菌斑指数、牙周袋深度比较(P>0.05);平均出血指数、牙龈指数比较(P<0.05)。结论前牙残根冠冠延长术能暴露根面,纤维桩及瓷全冠后可以达到良好地修复效果。

  17. Clinical evaluation of fractured immature anterior permanent teeth after immediate restoration%年轻恒前牙冠折后即刻冠修复的疗效观察

    Institute of Scientific and Technical Information of China (English)

    陈永丰; 马兆峰; 李石

    2012-01-01

    目的:通过21例(29颗)年轻恒前牙外伤冠折实例,讨论外伤冠折牙的即刻临床处理方法及效果.方法:对29 颗年轻恒前牙冠折,根据不同情况分别进行了间接盖髓术、活髓切断术、根尖诱导术.术后即刻或1周内采用断冠再接、直接树脂修复、活动义齿对缺损牙行临时冠修复,缺损牙修复后经过至少1年的临床观察.结果:冠折的年轻恒前牙经过相应的牙髓治疗与冠修复治疗,绝大多数患牙取得了良好的治疗效果.结论:年轻恒前牙外伤性冠折,在尽可能促进牙根继续发育的同时,即刻冠修复对于儿童身心健康具有重要意义.%Objective The objective of this study is to discuss the clinical effect of immediate restoration of fractured 29 immature permanent anterior teeth from 21 patients. Methods 21 cases including 29 fractured anterior teeth were treated by indirect pulp capping, partial pulpotomy and apexification respectively.Then.the fractured teeth were restored with esthetic light-cured resin, patients' natural crown and removable prosthesis.AII the provisional restorations were observed at least for 1year. Results Fractured permanent anterior teeth were treated endodontically.including 7 indirect pulp capping, 19 partial pulpotomy and 3 apexification.During the period of observation.pulpitis occurred from 1 tooth of indirect pulp capping and 2 teeth of partial pulpotomy.and apexification was performed for the 3 teeth.Fracture occurred from 2 light-cured resin restored teeth.The rest restoration presented satisfied appearance and function. Conclusion It is suggested that immediate restoration is important to the fractured immature permanent anterior teeth in prerequisite of maintaining root continuous growth.

  18. Clinical and radiographic assessment of mineral trioxide aggregate and calcium hydroxide as apexification agents in traumatized young permanent anterior teeth: A comparative study

    Science.gov (United States)

    Damle, S. G.; Bhattal, Hiteshwar; Damle, Dhanashree; Dhindsa, Abhishek; Loomba, Ashish; Singla, Sumit

    2016-01-01

    Background: To evaluate and compare the efficacy of mineral trioxide aggregate (MTA) and traditionally used calcium hydroxide (Ca(OH)2) in inducing root end formation of immature roots of traumatized young permanent anterior teeth. Materials and Methods: The study was carried out on 22 nonvital, immature permanent maxillary incisors. Samples were allotted into two groups - Group I MTA and Group II Ca(OH)2 Success rate was determined based upon the time duration required for apical barrier formation. The canals were obturated using gutta-percha points in MTA group, after 24 h, whereas in Ca(OH)2 group, obturation was carried out after radiographic confirmation of the apical barrier. The clinical and radiographic evaluation was carried out at a follow-up periods of 3, 6, and 9 months and statistical analysis was carried out by SPSS version 15.0 statistical analysis software (Chi-square test and fisher exact test). Results: In MTA Group, barrier formation was observed in 90.90% of the patients after 9 months whereas in Ca(OH)2 Group, the same was observed in 81.81%. The mean time required for barrier formation in MTA group was 4.90 months and 5.33 months in Ca(OH)2 group. Conclusion: MTA and Ca(OH)2, as medicaments for apexification, were comparable in terms of the evaluation parameters. However, MTA was beneficial in terms of immediate obturation of immature roots with wide open apices. PMID:27274351

  19. Evaluation of threshold response and appropriate electrode placement site for electric pulp testing in fluorosed anterior teeth: An in vivo study

    Directory of Open Access Journals (Sweden)

    Harikumar Vemisetty

    2016-01-01

    Conclusion: Within the limitations of this study, it can be concluded that fluorosed teeth respond to higher threshold levels than the non-fluorosed teeth, and incisal edge was the optimal electrode placement site.

  20. 前牙美学修复中数字微笑设计的护理及满意度分析%Nursing practice and application of digital smile sesign in the esthetic restoration of anterior teeth

    Institute of Scientific and Technical Information of China (English)

    秦晨; 赵雯; 周慧

    2016-01-01

    Objective To discuss the nursing cooperation process and results of digital smile design (DSD) technique in the esthetic restoration of anterior teeth. Methods From June 2012 to Dec. 2015,106 patients with anterior teeth esthetic complaints were treated using DSD technique, and the patients satisfaction were evaluated by visual analogue scale(VAS). ResultsThe VAS scores of overall and various restoration types were higher than 8. All the patients were satisifed with the esthetic results of restoration of anterior teeth using DSD technique.Conclusion Skilled nursing cooperation in preparation preoperative, esthetic information acquisition and software analysis processes are prerequisite to the success of DSD technique in the esthetic restoration of anterior teeth.%目的:总结数字微笑设计(digital smile design,DSD)在前牙美学修复中的护理配合流程和效果。方法:对2012年6月-2015年12月采用DSD进行前牙美学修复的106例患者采用直观模拟量表(visual analogue scale,VAS)评价其美学修复满意度,并且总结相关治疗护理配合。结果:106例患者总体满意度分值和各项缺损类型的满意度分值均大于8分,对DSD辅助的前牙美容修复治疗过程及最终效果满意。结论:护理人员在DSD临床接诊、美学信息采集,DSD软件分析使用等方面的规范化默契配合则是这一技术得以高效、顺利开展的重要保障。

  1. Clinical retrospective analysis of children for mixed dentition traumatic anterior teeth completely dislocation replantation%替牙期外伤性前牙完全脱位再植术的临床分析

    Institute of Scientific and Technical Information of China (English)

    赵然; 李凤和; 陈光

    2012-01-01

    目的:探讨替牙期完全脱位前牙再植术后的效果和相关影响因素.方法:对48例患儿58颗完全脱位前牙治疗方法和临床疗效进行分析.脱位前牙再植后复诊行牙髓测试、牙周检查,2周牙髓活力阴性的患牙行根尖诱导成形术,6个月~3年根尖孔完全形成后行根管永久充填治疗.结果:再植术后3年,5颗患牙活力存在,牙髓存活率达8.62%; 53颗患牙行根管治疗术后行X线检查,25颗患牙牙根牙周膜愈合,30颗患牙牙根部分牙周膜愈合和部分骨性愈合,3颗患牙不同程度牙根内外吸收,但无1例脱落.结论:早就诊且合理处理脱落牙、牙髓血管再生是牙再植术成功的关键,根尖诱导成形术可使替牙期牙根再度形成,牙骨质沉积于根端、封闭根尖孔,是替牙期脱位前牙治疗的重要手段,根管治疗可预防或减少脱位牙牙根的吸收.%Objective To explore the effects and related influential factors of replantation after complete dislocation of anterior teeth/tooth on mixed dentition patients experiencing tooth transitions. Methods Analysis of 48 patients with 58 traumatic anterior teeth were made based on treatments recieved and clinical observations.After the reimplantation for the traumatic anterior teeth, patients returned for dental pulp test and periodontal examination. 2 weeks later, apexification was performed after the dental pulp test had indicated a negative result.Six months to 3 years after apexification, permanent canal filling treatment was made once the apical had been fully formed. Results three years after the replantation,5 teeth exist vitality with a dental pulp survival rate of 8.62%; X-ray examination indicates that out of the 53 teeth have had apexification and canal filling treatment:25 teeth's tooth roots have periodontal ligament fully recovered (bined together or have been healed),30 teeth's teeth root have fully recovered iodontal ligaments and partial recover of the bone

  2. 正畸治疗后下前牙拥挤复发的牙性因素%Dental Factors for the Relapse of Lower Anterior Teeth Crowding and Rotation after Orthodontic Treatment

    Institute of Scientific and Technical Information of China (English)

    冯淑敏; 曾赞文; 殷慧

    2011-01-01

    目的 评估下前牙形态、接触点及下尖牙间宽度改变对正畸治疗后下前牙拥挤复发的影响.方法 选择156例下前牙旋转、拥挤复发患者的矫治前(T1)、矫治后(T2)以及保持3年后(T3)模型;以126例个别正常牙 合为对照组并制取模型.测量下前牙不整齐指数(mandibular irregularity index,MD-IRID)、下颌尖牙间宽度(mandibular intercanine width,MD-ICW),计算下切牙牙冠近远中径(mesiodistal length,MD)与唇舌径(faciolingual width,FL)比例(MD/FL),并观察下前牙间的接触形式,分析以上指标与下前牙拥挤复发的关系.结果 试验组T2期的下尖牙间宽度较T1期明显增大,而T3期的下尖牙间宽度较T2期又明显减小;下前牙临床排列整齐且IRID≤1.5 mm者,下切牙MD/FL正常或偏小,MD-ICW偏大;下前牙临床排列不整齐且IRID>1.5 mm者,下切牙MD/FL偏大,MD-ICW偏小;严重复发者(IRID>6.5 mm)下前牙接触点均有异常,邻牙间多为点接触,解剖接触点之间分离度大.结论 MD/FL偏大、下前牙间点接触及过度扩大下尖牙间宽度可能是矫治后下前牙拥挤复发的影响因素.%Objective To evaluate the impact of teeth shape, size and contact points, and mandibular inter-canine width on the post-treatment relapse of lower anterior teeth crowding and rotation. Methods Four hundred and sixty-eight dental models were selected from 156 cases of crowding and rotating lower anterior teeth before therapy ( T1 ), after therapy (T2) and in retaining therapy for three years (T3) with 126 normal occlusion models there from as the standard control group. Then the irregu larity index (IRID) of lower anterior teeth and the mandibular inter-canine width were measured followed by calculation of the mesiodistal length (MD), faciolingual width ( FL), MD/FL ratio of mandible incisor in the models of the 1 56 selected cases grouped by above three stages ( T1, T2, T3). Finally, the contact means between lower anterior teeth, the

  3. The clinical application of cosmetic repair of anterior teeth by 3M nano resin%3M纳米树脂在前牙美容修复中的临床应用观察

    Institute of Scientific and Technical Information of China (English)

    王栋

    2013-01-01

    目的:观察3M纳米树脂应用于前牙缺损美容修复的临床效果。方法:将2007年以来147例患者,256颗患牙通过酸蚀冲洗三步法粘接系统进行树脂美容修复。根据评价标准,定期随访,观察修复的效果。结果:6个月后复查,3M纳米树脂修复前牙成功率为97.54%,24个月后复查,成功率为93.01%。结论:3M 纳米树脂固位美观性好,非常适合前牙缺损的美容修复。%Objective:To evaluate the clinical prosthetic effect of by reparation of 3M nano resin in anterior teeth. Methods:147 patients since 2007 were enrol ed in the study. They were used resin for cosmetic teeth restoration by etch-and-rinse three-step adhesive system. According to the evaluation criteria, al patients were fol owed-up on a regular basis and observed the effect of the repair. Results:after 6 months and 24 months, the success rates of the reparation of 3M nano resin in anterior teeth were 97.54%and 93.01%respectively. Conclusion:3M nano resin has good retentive and aesthetic property and is fit for cosmetic repair of anterior teeth.

  4. The evaluation and application of crown lengthening surgery in 43 cases of anterior teeth defect%牙冠延长术在43例前牙缺损中的应用及评价

    Institute of Scientific and Technical Information of China (English)

    陈媛媛

    2012-01-01

      目的 探讨牙冠延长术在前牙缺损修复中的应用效果.方法 选取前牙缺损43例患者、共52颗患牙行牙冠延长术,6周后行核桩冠修复,在治疗后3、6、12、24个月行门诊复诊.结果 随访结果显示,前牙缺损修复有效率为96.2%(50例),修复体稳固,未见牙龈炎及牙龈萎缩,X线显示根尖及牙周情况良好.1颗欠佳,1颗失败,主要表现为患牙12个月后发生松动、冠脱落、伴有牙龈轻度红肿.结论 牙冠延长术有助于牙体折断至龈下患牙的保存,值得推广.%  Objective To investigate the surgical crown lengthening in anterior teeth restoration effect.Methods Of anterior teeth defect in 43 cases,a total of 52 teeth with teeth crown lengthening surgery,6 weeks after the reparation,during the treatment and after 3, 6,12, 24 months of outpatient visits.Results Follow-up Results show,anterior tooth defect repair rate was 96.2%(50 cases),prosthesis stability,no gingivitis and gingival atrophy,X display periapical and periodontal condition.1 poor,1 teeth failed,mainly for the teeth occurred 12 months after loosening,crown off,accompanied by gingival mild swelling.conclusion The crown lengthening surgery contributes to the tooth breaking the subgingival tooth preservation,is worth popularizing.

  5. 玻璃纤维桩加全瓷冠修复前牙残根残冠的效果%Effects of glass fiber post plus all-ceramic crown on reparation of anterior teeth residual root and crown

    Institute of Scientific and Technical Information of China (English)

    郑加军; 李瑛; 彭庭莉; 谢良宪

    2012-01-01

    目的 观察玻璃纤维桩+全瓷冠修复前牙残根残冠的效果.方法 选择我科进行前牙残根、残冠修复治疗患者76例82颗患牙,采用玻璃纤维桩+全瓷冠修复,完成后6~12个月对患者进行随访,观察有无冠桩脱落、折断、松动以及牙龈、牙冠的色泽改变情况.结果 82颗患牙中,有1颗出现冠脱落,1例出现根尖叩痛.全部82颗患牙均未出现根折、桩核脱落,无继发龋坏,冠及龈边缘无变色,色泽美观.结论 玻璃纤维桩+全瓷冠修复前牙残根残冠临床效果良好.%Objective To observe the effects of glass fiber post plus all - ceramic crown on the reparation of anterior teeth residual root and crown. Methods 76 patients ( 82 front teeth ) receiving the reparation of anterior teeth residual root and crown in our department were selected and received the reparation by glass fiber post plus all - ceramic crown. Follow up was made 6-12 months after the reparation. Observe was made in whether there were any non - crown post shedding, split, and loosening and the changes in the color of gingival gum and crown. Results There were 1 tooth with the crown shedding and 1 case of percussion pain in the root among the 82 teeth. There was no split, loss of post - core, and secondary caries among all the 82 teeth. The color of their crown and gingival margin did not change. Conclusion Glass fiber post plus all - ceramic crown have good effect on the reparation of anterior teeth residual root and crown.

  6. The effect of fixed appliance and jaw pad for correction of permanent anterior teeth and maxillofacial region%固定矫治器加颌垫矫治恒前牙反颌的临床疗效

    Institute of Scientific and Technical Information of China (English)

    李黎

    2014-01-01

    目的:探讨固定矫治器加颌垫矫治恒前牙反颌的疗效。方法:收治恒前牙反颌患者29例,以固定矫治器联合后牙颌垫矫治器治疗,观察疗效。结果:解除反颌平均时间2~3个月,完成矫治12个月。结论:颌垫加固定矫正器在接触反颌的同时可排齐牙列,提高了治疗效果,缩短了疗程。%Objective:To explore the effect of fixed appliance and jaw pad for correction of permanent anterior teeth and maxillofacial region.Methods:29 patients with permanent anterior teeth and maxillofacial region were selected,and they were treated with fixed appliance and jaw pad.Observed the curative effect.Results:The average time of removing reverse jaw was 2 to 3 months,and the time of completing treatment was 12 months.Conclusion:Fixed appliance and jaw pad can contact the reverse jaw, at the same time,it can adjust the teeth to neat,so it improves the therapeutic effect and shortens the course of treatment.

  7. The application of invisible denture in traumatic anterior teeth deifciency of children%隐形义齿在儿童外伤性前牙缺失中的应用

    Institute of Scientific and Technical Information of China (English)

    王津惠; 丛洪泉; 彭立红; 李金春

    2016-01-01

    objective To evaluate the effect of invisible denture to maintain clearance and restore appearance in children's lack of traumatic anterior tooth.Methods Retrospective studied on the age, sex, booth bit, reason of injury, treatment method and effect evaluation of 92 children with traumatic anterior teeth deifciency loss last three years in our department. Results Accidental injury was the main cause in 7-15 ages traumatic anterior teeth deficiency children. The sex ratio was 1.7 :1. Maxillary incisor was the most vulnerable, accounting for 48.91%; Wearing invisible denture was no hurm in teeth micromaxillary deformity and psychology.Conclusion The invisible denture has therapeutic value on children traumatic anterior tooth missing gaps remain, appearance, psychological rehabilitation. It is the preferred treatment for traumatic anterior missing teeth of children.%目的:评价隐形义齿在儿童外伤性前牙缺失间隙保持和恢复容貌的效果。方法:选择近3年在笔者科室就诊的92例前牙外伤缺失的儿童患者,对其年龄、性别、牙位、外伤原因、治疗方法及效果评价进行回顾性研究。结果:本组7~15岁外伤性前牙缺失儿童病例中生活意外伤为主要原因,男女比例为1.7:1,上颌中切牙最易受伤,占48.91%,佩戴隐形义齿后无牙颌畸形和心理伤害病例发生。结论:隐形义齿对儿童外伤性前牙缺失的间隙保持、容貌恢复、心理康复有较好的治疗价值,是儿童外伤性前牙缺失首选的治疗方法。

  8. The analysis of the application of crown lengthening surgery in the dental restoration of traumatic anterior teeth%牙冠延长术在外伤前牙修复中的临床应用

    Institute of Scientific and Technical Information of China (English)

    刘赟; 高婵; 吴佩; 汪春仙; 熊贵忠; 刘心

    2014-01-01

    Objective:To investigate the clinical efficacy of crown lengthening of shortening or subgingival teeth on restoration of the traumatic anterior. Method:The front 50 teeth choice of trauma cases after loosening degree less than or e-qual to the first degree,subgingival crown fracture was above or equal 3 mm,after complete periodontal therapy,using method of flap combined with excision of bone turnover and root crown repositioned flap operation for lengthening surgery, routine repair in patients according to their oral cavity after 4~6 weeks operation. Result:All traumatic anterior teeth after operation may obtain enough clinical crown length,which resulting ferrule effect effective. Follow-up with traumatic anterior teeth after operation,gingival color is normal,its height is adjust with neighbor teeth,and all coordination is meet with crown edge sealing. Patient is satisfy with the function and elegant appearance of the traumatic anterior teeth after operation. Con-clusion:Crown lengthening is great significance of successful repair surgery of traumatic anterior teeth. In the process of op-eration and repair,we need to pay further attention to detail and time selection of repair surgery.%目的:探讨牙冠延长术在外伤前牙牙冠过短或缺损至龈下的患牙进行修复的临床疗效。方法:选择外伤后松动度≤Ⅰ度,牙冠折断至龈下≥3 mm的前牙52颗,对患牙完成根管治疗及牙周基础治疗后,采用翻瓣联合骨切除的方法及根向复位瓣手术行牙冠延长术,术后4~6周根据患者的口腔情况进行常规桩核冠修复。结果:所有患牙术后获得足够的临床冠长度,残根断端产生有效的箍效应。术后对患牙进行跟踪随访,患牙龈缘色泽正常、高度与邻牙相协调、全冠边缘密合。患者对患牙的功能、美观满意。结论:牙冠延长术对于外伤前牙的成功修复有重要意义,治疗过程中应注重手术的细节及修复时机的选择。

  9. 口腔正畸治疗牙周病导致前牙移位的效果研究%The Research on Orthodontic Treatment Efficacy of Displaced Anterior Teeth Caused by Periodontal Disease

    Institute of Scientific and Technical Information of China (English)

    高莉娜

    2015-01-01

    目的:探讨口腔正畸治疗牙周病导致前牙移位的效果研究。方法选取2013年8月~2014年10月我院接诊的79例牙周病导致前牙移位的患者,按照入院的先后顺序分为两组,实验组和对照组,实验组采用口腔正畸治疗,对照组采用牙周病常规治疗,观察两组患者的治疗效果。结果实验组患者的治疗总有效率明显高于对照组,差异显著,有统计学意义(P<0.05);实验组患者的牙周袋深度、前牙覆盖情况、前牙覆牙合及牙周出血指数均低于对照组,差异显著,有统计学意义(P<0.05)。结论牙周病导致前牙移位采用口腔正畸治疗,能够恢复前牙移位,有效控制牙周炎症。%Objective The orthodontic treatment efficacy of displaced anterior a tooth caused by periodontal disease is to be investigated. Methods Choose 79 patients with displaced anterior teeth caused by periodontal disease that are treated in hospital from August 2013 to October 2014 and separate them into study group and control group according to their hospitalization sequence. Patients in study group are given orthodontic treatment, while patients in control group are given conventional treatment. And then observe the treatment efficacy of two groups. Results The treatment efficacy in study group is much higher than control group, there is a treatment differential between the two groups, such a differential has statistic value( P<0.05). In addition, the patients’ parameters in study group are lower than patients in control group with regarding to periodontal pocket depth, front teeth covering extension, and the anterior teeth occlusion condition and periodontal bleeding, such a differential has statistic value(P<0.05). Conclusion Orthodontic treatment is rather effective to cure displaced anterior teeth caused by periodontal disease and control periodontal infection, therefore, it is quite worthy to be promoted and applied.

  10. Clinical observation of root resorption caused by retraction and intrusion of the anterior teeth%内收及压低上前牙致牙根吸收的临床观察

    Institute of Scientific and Technical Information of China (English)

    魏艳华; 张端强

    2014-01-01

    Objective To investigate the root resorption during orthodontic treatment with retracting and intruding the anterior teeth. Methods There were 40 cases of Angle Class Ⅰor Angle Class Ⅱcrossbite of maxillary protrusion. Among them, 20 cases were treated by straight wire along (straight wire group), and the other 20 cases were treated by additional high pull J hook headgear (HPHG) to assist anterior teeth retraction. Panoramic radiographs were taken before and after the orthodontic treatment, and were used to evaluate the degree of root resorption of upper anterior teeth. Results Root resorption occurred in both groups, and the difference of the degree of root resorption between the two groups had statistical significance (P<0.01). There were differences of the degree of root resorption in each group before and after the treatment (P<0.01). Conclusion The combination of HPHG and straight wire in orthodontic treatment can lead to easy root resorption of anterior teeth.%目的:研究在正畸治疗中内收及压低上颌前牙时牙根吸收的情况。方法40例上颌前突的AngleⅠ类或AngleⅡ类1分类错牙合畸形的病例,其中20例采用单纯直丝弓治疗(直丝弓组),另外20例在内收前牙阶段配合应用高位J钩压低上前牙(直丝弓配合高位J钩组)。矫治前后拍摄全颌曲面断层片,分别测量两组治疗前后的上前牙牙根吸收等级。结果两组病例矫治后均有牙根吸收,两组治疗后牙根吸收等级差异有统计学意义(P<0.01);每组治疗前后的牙根吸收等级比较,差异有统计学意义(P<0.01)。结论在正畸治疗内收上前牙中配合高位J钩较易引起前牙的牙根吸收。

  11. Clinical application of the effect of orthodontic traction on anterior teeth with subgingival root fracture%正畸牵引在前牙龈下牙折的临床应用

    Institute of Scientific and Technical Information of China (English)

    李霞; 时函

    2011-01-01

    目的 分析与探讨正畸颌向牵引对龈下牙折的临床效果.方法 龈下牙折患者17例,共18颗患牙,断端均位于龈缘下2~5 mm.经完善的根管治疗后2周,黏接方丝托槽开始正畸牵引,使其达到直接修复高度,牵引后保持3个月行修复治疗.测量分析不同阶段根尖片上断根根尖区相对骨密度改变.结果 18颗患牙经正畸牵引1~2个月后,断端伸长2~5 mm,保持3个月后,无明显松动,通过烤瓷冠修复均达到理想的美观效果.牵引后保持3个月,根尖区骨密度基本达到正常水平.半年后随访,牙周正常未见异常及复发.结论 正畸牵引可有效用于龈下牙折病人的修复前牙根牵引,疗效可靠.%Objective To summarize and analyze the clinical effect of orthodontic traction by means of edgewise fixed appliance for anterior teeth with subgingival root fracture.Methods 18 fractured anterior teeth in 17 patients extended 2 -5mm below the gingival line were selected.Two weeks after complete root canal therapy, edgewise brackets were agglutinated and orthodontic traction was performed for restoration of tooth height.After the extrusion completed, the tooth had been stabilized and held for 3 months.The bone density changes in the apical area were measured and analyzed.Results It need about 1 -2months to see 2 -5mm displacement distance in anterior teeth of 18 patients.After 3 months retention the location was stable.The incisor was restored with all ceramic crowns.Optimal esthetic was achieved when restoration was performed after orthodontic extrusion.The bone density in the apical area approached normal value within 3 months after treatment.At 6 - month follow-up, the periodontal tissues were normal and neither luxation nor relapse was noted.Conclusion Tooth traction method with edgewise appliance is an effective method for anterior teeth with subgingival root fracture.

  12. Clinical Study on Orthodontic Treatment of Anterior Teeth Displacement Caused by Periodontal Disease%口腔正畸治疗牙周病致前牙移位的临床分析

    Institute of Scientific and Technical Information of China (English)

    王刚

    2016-01-01

    目的:对牙周病致前牙移位应用口腔正畸治疗的临床疗效进行分析研究。方法选取于2014年2月~2016年2月在我院接受治疗的牙周病致前牙移位患者94例,以上患者均接受口腔正畸治疗,对患者的临床资料和治疗资料进行回顾性分析。结果患者的各项临床症状均改善,治疗后出血指数低于治疗前,牙周袋深度浅于治疗前,前牙覆盖、前牙覆牙合均低于治疗前,t=9.85,6.88,7.52,6.23,差异具有统计学意义(P<0.05)。结论牙周病致前牙移位应用口腔正畸治疗的临床疗效理想。%Objective Orthodontic treatment effect for anterior teeth displacement caused by periodontal disease is to be investigated.MethodsReview and analyze clinical treatment data of selected 94 patients with anterior teeth displacement caused by periodontal disease that are given orthodontic treatment in our hospital from February 2014 to February 2016.Results Patients’clinical symptoms were improved much more favorable after treatment and patients’hemorrhage volume after treatment was much less than that before treatment. Besides,the value of PD (pocket depth) much lower after treatment and the probabilities of anterior overjet and anterior overbite after treatment are quite lower than those before treatment.there is a differential with treatment efficacy before and after treatment and such a differential has statistic value(P<0.05).Conclusion Orthodontic treatment is quite effective for anterior teeth displacement caused by periodontal disease.

  13. 铸瓷贴面在前牙美容修复中的临床效果观察%Observation on the effect of ceramic faced in the repair of anterior teeth beauty

    Institute of Scientific and Technical Information of China (English)

    陈艳青

    2013-01-01

    Objective To study the clinical effect of ceramic cover anterior on teeth beauty.Methods 138 teeth in 34 patients with dental fluorosis were divided into two groups,the control group (69 teeth in 16 patients) was given traditional PFM cover repair,the treatment group (69 teeth in 18 patients) was given ceramic cover,they were followed up for three years.The teeth remaining rate and patient satisfaction were compared,the match color,edge fit,healthy gums,restoration integrity were compared according to the Ryge standard.Results Teeth remaining rate in treatment group was 95.7%,which was significantly higher than control group (P < 0.05).The patient satisfaction was 94.4% in treatment group and 87.5% in the control group,the difference was significant (P < 0.05).The match color,edge coloring,healthy gums and teeth sensitivity were not different between the two groups (P > 0.05).The restoration integrity and marginal fit of treatment group was better than control group (P < 0.05).Conclusion The clinical effect of ceramic faced in the anterior teeth beauty repair,especially in the repair of dental fluorosis is remarkable,and the remaining teeth rate higher,repair,dental restoration integrity and marginal fit is significantly better than that of resin repair,patient satisfaction is higher,the water area from non-beryl popularization and application.%目的 研究铸瓷贴面在前牙美容修复中的临床效果.方法 将34例(138牙)氟斑牙患者随机分为两组,对照组16例(69牙)采用传统烤瓷贴面修复,治疗组18例(69牙)采用铸瓷贴面技术进行修复,随访3年,记录并比较两组患者的牙齿存留率及患者满意度,并采用改良Ryge标准对两组患者牙齿的颜色匹配、边缘密合度、牙龈健康、修复体完整度等指标进行评价.结果 3年后治疗组患者牙齿存留率为95.7%,明显高于对照组的89.9%,差异有统计学意义(P<0.05);治疗组患者满意度为94.4%,对照组为87

  14. Clinical Research of Strip Crowns in Restoration of Multi-Surface Caries Decay in Primary Anterior Teeth%透明成形冠在大面积龋损乳前牙修复中的应用

    Institute of Scientific and Technical Information of China (English)

    李永吉; 滕立群; 张英华; 于惠娟

    2011-01-01

    Objective To study the application of the strip crowns in restoration of multi-surface caries decay in primary anterior teeth. Methods Seventy-two patients with 174 multi-surface caries of primary anterior teeth were divided into group A ( control group, 86 cases), group B ( experimental group, 88 cases). Teeth were restored with composite resin in group A and strip crowns in group B, respectively. 6 months after therapy, restorations were re-examined at 6month and 18-month follow-up. Results 6-month retention rate was 96.51% for group A and 100% for group B, with no significant difference between two groups. 18-month retention rate was 67.44% for group A and 100% for group B,with significant difference (P u 0. 01 ) between two groups. Conclusion Strip crowns is a convenient and effective method to restore the multi-surface caries of primary anterior teeth.%目的 探讨应用Strip crowns透明成形冠对大面积龋损的乳前牙进行复合树脂全冠修复的效果.方法 72例174颗大面积龋损的乳前牙分为试验组和对照组.试验组88颗,应用Strip crowns透明成形冠进行复合树脂全冠修复;对照组86颗,用光固化复合树脂直接充填修复.经6个月、18个月随访观察修复体状态.结果 经6个月观察,修复体保存率试验组和对照组分别为100%、96.51%,两组间差异无统计学意义(P>0.05).经18个月观察,修复体保存率试验组和对照组分别为100%、67.44%,两组间差异有统计学意义(P<0.01).结论 应用Strip crowns透明成形冠对大面积龋损的乳前牙进行复合树脂全冠修复,其疗效可靠,明显优于复合树脂直接充填修复,具有良好的应用前景.

  15. 应用E-max铸瓷贴面修复效果的临床评价%Clinical evaluation of E-max ceramic veneers on restorations of anterior teeth

    Institute of Scientific and Technical Information of China (English)

    王瑞莉

    2012-01-01

    Objective To evaluate the effects of E-max ceramic veneers on restorations of anterior teeth.Methods One hundred and twenty-two teeth of 62 patients were treated with E-max ceramic veneers and the observation times were from 2 weeks to 24 months.The integrity,marginal adaptation,color of the prosthesis and the health of gingiva were observed.Results The success rate was 99% for E-max veneers and the marginal adaptation was good.There was one veneer cracked after 6 months restoration.Mild gingivitis occurred in 9 teeth after 2 weeks and got better then.9.8% of the teeth had little sensitivity at beginning and disappeared after 6 months.No secondary caries,and discoloring occurred and there was no significant color difference after restoration.Conclusion The E-max ceramic veneers were ideal for anterior teeth restoration which could acquire favorable aesthetic effects.%目的 评价E-max铸瓷贴面在前牙美容修复中的临床效果.方法 对62例患者的122颗患 牙进行E-max铸瓷贴面修复,于贴面粘接后2周及6、12、24个月复查.评价修复体完整度、边缘适合性、牙龈健康情况及修复体颜色等指标.结果 99%的贴面完整存在,且有良好的边缘适合度;1颗贴面切端有小缺损;2周复查时9颗修复体有牙龈炎症,后续复查明显改善;9.8%的牙齿有牙本质过敏症状,6个月以后症状消失.无继发龋、边缘变色及明显的颜色不调.结论 E-max铸瓷作为釉质的替代物是前牙较为理想的修复方法,并可获得良好的美学效果.

  16. Application of periradicular surgery in the treatment of anterior teeth periradicular diseases%应用根周外科手术方法治疗多个前牙根尖周病

    Institute of Scientific and Technical Information of China (English)

    章晓星; 范荣海

    2014-01-01

    Objective:To evaluate the effect of periradicular surgery in the treatment of anterior teeth periradicular diseases. Methods:Ten patients were selected for the study. After the periradicular surgery, all patients were followed up for 12 months and assessed for their treatment effects both clinically and radiographically. Results: The gingiva and epithelial attachment of these teeth returned to normal one month later after operation. Radiographically checking in the following up period of 3-12 months revealed that the periradicular bone became indistinguishable from the surrounding normal bone, which indicated the completion of bone regeneration. Conclusion:The periradicular surgery is an effective method in the treatment of anterior teeth periradicular diseases which can be performed in the department of stomatology of the community health service center.%目的:评价根周外科手术治疗多个前牙根周病的效果。方法:收集多个前牙根尖周病变患者10例,常规根周手术后随访,随访期限为完成治疗后的12个月,对患牙作临床与X线片评估,判断治疗效果。结果:术后1个月牙龈及上皮附着基本恢复正常。术后3~12个月复查X线片显示根周骨与周围正常骨已无明显区别,表明已有完全骨再生。结论:根周外科手术治疗多个前牙根周病的效果可靠,社区医院口腔科也可开展。

  17. 膜引导骨再生技术在上前牙即刻种植中的应用%Clinical application of membrane guided bone regeneration in immediate implant of upper anterior teeth

    Institute of Scientific and Technical Information of China (English)

    唐增斌; 韦惠平; 沈宁

    2013-01-01

    目的探讨膜引导骨再生技术在前牙拔除后即刻植入种植体修复牙缺失的可行性。方法对25例(32颗)前牙拔除术后患者,即刻植入种植体于骨缺损区,填入人工骨粉并用修复膜封闭,4~6个月行冠修复,通过临床观察和放射学检查分析修复效果。结果32颗种植体除1颗牙种植因感染失败外,其余种植体术后功能行使良好,冠修复后承载1年无松动。结论应用膜引导骨再生技术进行前牙即刻种植,解决了前牙拔除后唇侧骨缺损的不足,同时也缩短治疗疗程,获得满意效果。%Objective To investigate the feasibility of immediate implant fellowing extraction of anterior tooth with using membrane guided bone regeneration technique .Methods Thirty-two anterior teeth were pulled out from 25 patients in the surgery, and the immediate implants bone defect area was filled with artificial bone material . And then the barrier membrane was used to close it .After 4 to 6 months crown restoration were performed .The effects were evaluated through clinical observation and radiological examination .Results Among 32 implants there was only one tooth failed due to infection, the other function was well after implant surgery .After the crown restoration it was carried one year without any loose.Conclusion By the membrane guided bone regeneration technique the immediate implant of anterior teeth can be conducted which resolves the bone defect of lip side after the anterior teeth is pulled out.The result of immediately implant placement can reduce the treatment period so as to achieve satisfying effect.

  18. 重度前牙牙酸蚀症的临床治疗体会%Severe Anterior Teeth Etched Clinical Treatment

    Institute of Scientific and Technical Information of China (English)

    夏海霞

    2013-01-01

    牙酸蚀症是较长时间接触各种酸雾或酸酐所引起的牙体硬组织脱钙缺损的非龋性疾病。是生产和使用酸的工人的一种较常见口腔职业病。近几十年来,饮食习惯导致的酸蚀症上升,随着碳酸类饮料的饮用量增加及时间的延长,临床上出现了非职业性牙酸蚀症。碳酸类饮料pH值常低于5.5,但长期饮用、摄入量多且频率高又不注意防护的情况下,也会造成累积性的酸蚀作用。前牙位于固有口腔前端,酸蚀程度较后牙严重。酸蚀牙易引起牙敏感酸痛,牙面缺损影响美观。%Teeth acid scarification disease is of tooth hard tissue defects of decalcified dental caries disease. Is one of the workers in the production and use acid is common oral disease.In recent decades,a non professional teeth acid scarification disease clinical y. Carbonated beverage pH less than 5.5,but long-term consumption, intake of high frequency more and can also cause cumulative erosion of acid. Front teeth in the oral front-end,teeth after severe degree of acid erosion.Acid corrosion teeth easy cause tooth sensitivity to pain,tooth surface defects af ect beautiful.

  19. 桩核冠在前牙美容性修复中的临床应用%Clinical application of post-core crown in anterior teeth aesthetical restoration

    Institute of Scientific and Technical Information of China (English)

    陈勃; 郑春玉; 刘建军; 方继荣; 杨玲

    2010-01-01

    Objective To investigate the clinical status of post-core crown in anterior teeth aesthetical restoration and to observe its effect. Methods 126 cases of anterior teeth in patients with mild deformity,restored with post-core crown after informed consent meanwhile conducted clinical follow-up observation. Results In addition to 2 cases of disease after root canal treatment, 1 incisal and labial surface of porcelain fracture, other cases achieved desired results in the way of self-satisfaction,clinical efficacy and x-ray observation and periapical films. Conclusion Post-core crown in anterior aesthetical restoration has a unique position and clinical efficacy.%目的 探讨桩核冠在前牙美容性修复治疗中的临床地位,并观察其疗效.方法 对126例前牙区轻度畸形的患者,在知情同意的情况下行桩核冠修复,并进行临床随访观察.结果 除2例发生根管治疗后疾病,1例切端及唇面崩瓷以外,其他病例在自我满意度、临床效果及X线根尖片观察等方面均达到理想预期效果.结论 桩核冠修复技术在前牙美容性修复治疗中有独特的临床地位和疗效.

  20. 透明成形冠在乳前牙美容修复中的应用效果%Application effect of strip crowns in cosmetic restoration of primary anterior teeth

    Institute of Scientific and Technical Information of China (English)

    李文敏; 秦帅华; 闫长山

    2016-01-01

    目的:观察使用透明成形冠对乳前牙大面积缺损进行复合树脂全冠修复的临床效果,并与直接树脂充填法进行对比。方法:选择上颌乳前牙牙体大面积缺损的患儿68例(152颗牙),随机分为两组。实验组:76颗牙,应用透明成形冠技术进行复合树脂全冠修复;对照组:76颗牙,去腐后采用复合树脂直接充填。分别于充填后6个月、18个月复查修复体保存情况,并从边缘密合性、边缘着色、表面质地、继发龋等方面比较两组修复效果。结果:充填后18个月复查,实验组在保存率、边缘密合性、边缘着色、继发龋四项指标上均优于对照组,差异有统计学意义(P<0.05),实验组在表面质地的成功率也高于对照组。结论:使用成形冠技术修复乳前牙大面积缺损,可有效提高修复体保存率,恢复牙体形态和功能,值得临床推广应用。%Objective To observe the clinical effect of restoration of multi-surface caries decay in primary anterior teeth with strip crowns, and to compare the method of direct resin iflling method.Methods Maxillary primary anterior teeth with multi-surface caries in children with 68 cases 152 teeth, were randomly divided into for two groups: the experimental group 76 teeth, which were restored with strip crowns; the control group 76 teeth, which were restored directly with the composite resin after getting rid of decay. After therapy,restorations were re-examined at 6-month and at 18-month follow-up respectively, at the same time, the restoration effects of the two groups were compared in the aspects of edge sealing, edge coloring, surface texture and secondary caries etc.ResultsAfter eighteen months following up,4 indicators(retention rate,edge sealing,edge coloring and secondary caries)in experimental group are better than those in control group, results there was a signiifcant difference in those ifve indicators between the two

  1. The clinical study of vacuum-formed jaw-pillow used for teeth fixing in children with traumatic anterior teeth%全牙列牙合垫用于混合牙列期儿童上颌外伤前牙固定

    Institute of Scientific and Technical Information of China (English)

    张辉伟; 李雅; 张峥

    2014-01-01

    目的:评价全牙列牙合垫用于儿童外伤前牙固定的临床效果。方法:选择58例7~12岁儿童,其中男42例,女16例,随机分为两组,实验组(30例)采用全牙列颌垫固定,对照组(28例)采用弓丝托槽技术固定。比较治疗前及固定4周后的牙松动度、患者舒适指数、牙龈指数和医生临床操作时间,并进行统计学分析。结果:外伤牙固定4周后,疗效差异无统计学意义(P>0.05);患者舒适指数、牙龈指数、临床操作时间全牙列牙合垫优于弓丝托槽(P<0.05)。结论:全牙列牙合垫用于混合牙列期儿童外伤前牙固定效果可靠,且较舒适,对牙周刺激小,可节省时间。%AIM:To evaluate the clinical effects of vacuum-formed jaw-pillow used for teeth fixing in chil-dren with traumatic anterior teeth.METHODS:58 cases of children (42 males and 16 females aged 7 -12 years) with anterior teeth trauma were randomly divided into 2 groups,and respectively treated by vacuum-formed jaw-pillow (30 cases)and arc wire (28 cases).The clinical operation time,tooth mobility,patient comfort index and gingival index were compared between the 2 groups before and 4 weeks after treatment .Tata were statistically analyzed.RE-SULTS:The efficacy between the 2 groups was not statistically different (P>0.05);the comfort index,gingival in-dex and clinical operation time of vacuum-formed jaw-pillow group were obviously better than those of control group (P<0.05).CONCLUSION:Vacuum-formed jaw-pillow used for teeth fixing in children with traumatic anterior is superior to arc wire .

  2. 不同排龈线方法用于前牙固定修复临床效果比较%Comparison of clinical effects of different kinds of gingival retraction technique in treatment of anterior teeth restoration

    Institute of Scientific and Technical Information of China (English)

    郑敏; 王晖; 周铨

    2016-01-01

    Objective To compare the clinical effects of four kinds of gingival retraction technique in treat-ment of anterior teeth restoration.Methods 169 patients for 352 teeth with tooth body and tooth dentition defect by anterior crown bridge repair were chosen and divided into 4 group by patients'order,including A group(88cases)with single track method,B group(91cases)with single line for two times method,C group(89cases)with double line method and D group(94cases)with double line for two times method.And the fixed restoration satisfaction rate of anterior teeth of both groups was compared.Results The satisfaction rates of gums,shoulder,impression,model and restoration of A group were 73.9%,70.1%,69.3%,65.9%,61.4% respectively,which of B group were 83.5%, 80.2%,80.2%,80.2%,76.9%;which of C group were 84.3%,80.9%,78.7%,77.5%,76.4%;which of D group were 94.6%,93.6%,92.6%,92.6%,90.4%.There were no significant differences in the fixed restoration satisfaction rate of anterior teeth between B group and C group(χ2 =2.43,1.17,2.85,3.04,2.30,all P >0.05). The fixed restoration satisfaction rate of anterior teeth of D group were significantly better than A,B and C groups (χ2 =14.90,16.39,15.83,19.87,21.38,all P <0.05 ).Conclusion Double line for two times method in the treatment of anterior teeth restoration can efficiently avoid ree gingival damage in the situation with abutment shoulder preparation,improve the quality of preparation,impression and model,and are helpful to higher the fitness of the neck of anterior teeth fixed restorations.%目的:探讨四种不同排龈线方法用于前牙固定修复临床效果。方法选取需行上前牙冠桥修复牙体、牙列缺损患者共169例牙352颗,依据治疗意愿分为 A(88例)、B(91例)、C(89例)及 D(94例)四组,分别采用单线一次法、单线二次法、双线一次法及双线二次法进行排龈治疗,并对四组患者前牙固定修复满意率进行比较。结果A 组牙龈、

  3. 牙周病患者前牙即刻种植的临床研究:成功因素和风险分析%Anterior teeth immediate implant of periodontitis patient:survival and risk factors

    Institute of Scientific and Technical Information of China (English)

    滕立钊; 杨小东; 吴大怡

    2014-01-01

    目的:通过对牙周病患者前牙的即刻种植临床研究,探讨牙周病患者前牙即刻种植的成功及风险因素。方法:对186名患者进行拔牙后即刻种植。所有患者都有轻度至中度的牙周病且均要求即刻种植治疗。种植术前患者均进行了牙周的基础治疗。最长临床跟踪随访5年。通过临床和放射的角度评估即刻种植的治疗效果。结果:自2007-2012年,186名牙周病患者超过500枚CDIC或replace种植体即刻植入拔牙窝,种植体存留率达到95.1%。接近80%的种植体松动发生在种植术后的六个月以内。结论:牙周病患者前牙的即刻种植较延期种植风险更大。上颌前牙即刻种植风险高于下颌。感染是失败的主要原因。根据患者的全身和局部条件合理选择手术时机和手术方式能有效控制失败风险。%Objective:The purpose of this clinical study on periodontal patients with anterior immediate im-plant was to discuss the survival and risk factors, which affect anterior teeth immediate implant of peri-odontitis patient. Methods: In this study 186 patients were be operated with anterior teeth immediate implant. All the patient had moderate chronic periodontitis and required immediate implant therapy. Before the operation of implant, the patients received the basic periodontal therapy. The longest clinical followed-up were for 5 years. Clinical results of treatment were evaluated from clinical and radiographic standpoint. Results: More than 500 dental implants of 186 patients were placed in the sockets that the anterior teeth were extracted immediately from 2007 to 2012. The survival rate of immediate implant in periodontitis patient was 95.1% during 5 years. Nearly 80% of implant loosing happened during the first 6 months after the operation of implant. Conclusion: Anterior teeth immediate implant of peri-odontitis patient had higher risk than delay implant of periodontitis patient. Immediate

  4. 全瓷牙在前牙美容修复中的应用体会%Clinical experience with the application of all-ceramic dental restoration of anterior teeth beauty

    Institute of Scientific and Technical Information of China (English)

    朱芒

    2014-01-01

    Objective Cosmetic restoration of anterior teeth in the clinical effects of the application of porcelain teeth, Summarize the clinical experience Methods Our hospital in January 2012 to June 2012 Anterior tooth of 56 patients for the study, 28 cases were randomly selected as a control group, another 28 cases as the observation group and control group patients metal alloy porcelain repair, observe group of patients with all - ceramic dental restoration, repair effect two groups were compared. Results After the restoration of the two groups of patients overall appearance, countenance improve aspects of color and shape, psychological improvement prostheses were significant differences ( <0.05); incidence of periodontitis and gingivitis patients in the observation group were significantly lower in the control group ( <0.05). Conclusion Anterior tooth application of porcelain teeth can achieve the desired aesthetic effect, and higher security, significant clinical value.%目的:探讨前牙美容修复中应用全瓷牙的临床效果。方法:选取我院收治的56例行前牙美容修复治疗的患者,从中随机抽取28例作为对照组,另28例作为观察组,对照组患者采用金属合金烤瓷修复,观察组患者则采用全瓷牙修复,并对两组患者的修复效果进行比较。结果:两组患者修复后其整体美观、面容改善、修复体色泽及外形、心理改善等方面比较,均有较大的差异(P<0.05),有统计学意义;且观察组患者的牙周炎及牙龈炎发病率均显著低于对照组(P<0.05)。结论:采用全瓷牙进行前牙美容修复可取得理想的美学效果,且安全性较高,其临床价值显著,应予广泛应用。

  5. Changes in alveolar bone height due to retraction of anterior teeth in adult patients%成人前牙内收前后切牙牙槽骨高度变化的研究

    Institute of Scientific and Technical Information of China (English)

    林薇薇; 陈金武

    2014-01-01

    Objective:To investigate the alveolar bone height change before and after retraction of anterior teeth in adult patients. Methods:A total of 15 adult patients with angle class I bimaxillary protrusion had 4 first premolars extracted followed by othodontic treatment for retraction of anterior teeth with straight arch wire techniques.Cone beam computed tomography(CBCT)scans were made before and 3 months after retraction.The labial and the lingual alveolar bone height around central and lateral incisors was measured and analyzed before and after treatment.Results:Significant increase of labial alveolar bone height around anterior teeth was found in both maxilla and mandible(P <0.05),however,lingual alveolar bone height was decreased(P <0.05).Conclusion:For bimaxillary protrusion patients,the lingual alveolar bone height decreased due to obvious incisors retraction in adults which should be considered carefully in orthodontic clinic.%目的:研究成人双颌前突患者前牙内收前后切牙区唇侧、舌侧牙槽骨高度的变化。方法:选取双颌前突成人患者15例,治疗需拔除4颗第一前磨牙行前牙内收,内收前后分别拍摄 CBCT 片,对其上、下颌8颗切牙唇舌侧牙槽骨高度进行测量和对比分析。结果:上、下颌切牙内收后唇侧牙槽骨高度均有不同程度升高,以下颌更为显著(P <0.05),舌侧牙槽骨高度降低(P <0.05)。结论:成人双颌前突患者切牙行大范围舌向移动时舌侧牙槽骨高度降低,临床治疗中应予以关注。

  6. Stability of the anterior maxillary segment and teeth after segmental le fort I osteotomy and postoperative skeletal elastic fixation with or without occlusal splint

    DEFF Research Database (Denmark)

    Blæhr, Tue Lindberg; Jensen, Thomas; Due, Karen Margrethe;

    2014-01-01

    OBJECTIVES: To assess the short term dental and skeletal stability of the anterior maxillary segment after segmental Le Fort I osteotomy with postoperative skeletal elastic fixation with or without occlusal splint. MATERIAL AND METHODS: 29 consecutive patients underwent segmental Le Fort I.......83 to 1.69°). There was no statistically significant difference in stability between the two groups at the P value 0.05. CONCLUSIONS: The skeletal anterior fixation with postoperative elastics for eight weeks may not compromise the early postoperative dental and skeletal stability of the anterior segment...... osteotomy and elastic skeletal fixation was applied. Patients were divided into two groups according to whether a fixed occlusal splint was used for six weeks (group A) or dismounted perioperatively (group B). Changes in landmarks and reference planes between the two timepoints were estimated on lateral...

  7. Perawatan Ortodontik Gigi Anterior Berjejal dengan Tulang Alveolar yang Tipis

    Directory of Open Access Journals (Sweden)

    Miesje K. Purwanegara

    2015-09-01

    Full Text Available Anterior teeth movement in orthodontic treatment is limited to labiolingual direction by very thin alveolar bone. An uncontrolled anterior tooth movement to labiolingual direction can cause alveolar bone perforation at its root segment. This case report is to remind us that alveolar bone thickness limits orthodontc tooth movement. A case of crowded anterior teeth with thin alveolar bone in malocclusion I is reported. This case is treated using adgewise orthodontic appliance. Protraction of anterior teeth is anticipated due to thin alveolar bone on the anterior surface. The conclusion is although the alveolar bone surrounding the crowded anterior teeth is thin, by controlling the movement the teeth reposition is allowed.

  8. The Measurement and Analysis on the Arranging of Maxillary Anterior Teeth of Dentulous and Edentulous Jaws%上颌天然牙列与全口义齿前牙排列位置的测量分析

    Institute of Scientific and Technical Information of China (English)

    杜斌; 白乐康; 李峥

    2014-01-01

    Objective :To evaluate the relationship between the incisive papilla and maxillary anterior teeth of dentulous and edentulous jaws ,in order to give some clinical guidance for teeth arrangement of complete denture .Methods :Selec-ting 60 adult maxillary dentulous casts with normal occlusion ,and 57 upper complete denture models of edentulous pa-tients repaired in our stomatological hospital .The relationship between incisive papilla and maxillary anterior teeth were measured ,including the distance between incisor and papilla (IEP) ,intercanine line and papilla (Dip-c ) .All data were input into SPSS14 .0 system and were analyzed with statistic analysis between different groups and sex .Results:In the dentulous group ,the average IEP distance was (8 .96 ± 1 .24)mm and the average Dip-cdistance was (-0 .20 ± 1.12) mm .In the edentulous group ,The average IEP distance was (6 .33 ± 2 .02)mm and the average Dip-c distance was (2.19 ± 1 .31)mm .No difference was found for different sex in each group (P>0 .05) .The distances between the two groups had significant differences (P<0 .05) .Conclusion:The relationship between incisive papilla and maxillary anterior teeth was constant in the dentulous group .But these values are less for artificial teeth than natural dentitions .%目的:调研上颌全口义齿前牙排列位置的现状,以指导临床工作。方法:为60例天然牙列人群及57例上颌总义齿患者制取上颌牙列模型,各组按性别分别测量切牙乳突中点到1|1唇面距离(IEP)、到3|3牙尖连线距离(Dip-c ),并将测量结果用SPSS14.0软件统计分析。结果:60例天然牙列测量结果:IEP为(8.96±1.24)mm ,Dip-c为(-0.20±1.12)mm ;57例上颌全口义齿测量结果:IEP为(6.33±2.02)mm ,Dip-c为(2.19±1.31)mm ,两组内所测数据无性别间差异,但两组间存在显著差异。结论:天然牙列中上颌前牙与切牙乳突存在较恒定的

  9. Root resorption after orthodontic treatment : a study of age factor and prevalence in anterior teeth%正畸前牙牙根吸收的年龄因素及好发牙位的探讨

    Institute of Scientific and Technical Information of China (English)

    田玉楼; 王坤; 王晶; 刘芳; 朴美玲

    2013-01-01

    PURPOSE: To investigate the impact of age factor on root resorption and the prevalence in anterior teeth during orthodontic treatment. METHODS: Sixty extraction cases treated with straight wire appliance were divided into adult group and child group, with 30 cases in each group.The panoramic radiographs pre-treatment and post梩reatment were examined to measure the degrees of root resorption. A total of 360 anterior teeth in each group were evaluated- SPSS 13.0 software package was applied to perform statistical analysis. RESULTS: There was significant difference in root resorption index before and after treatment(P<0.01). The incidence of root resorption increased remarkably after orthodontic treatment There was significant difference in the degree of root resorption in two groups (P<0.01). The prevalence of root resorption in anterior teeth was: upper central incisors, upper lateral incisors, lower central incisors, lower lateral incisors, upper canines and lower canines. CONCLUSIONS: The root resorption in adult patients are more obvious than child patients. The prevalence of root resorption in anterior teeth is different. Moderate or severe root resorption is prone to happen in upper central incisors or lateral incisors in adult patients.%目的:探讨年龄因素对正畸治疗引起牙根吸收的影响及在前牙中的好发牙位,以供临床参考.方法:选择60例拔牙后经直丝弓矫治完成的病例,分为成人组与儿童组,每组各30例.以上、下颌前牙作为研究对象,每组各360颗牙.应用全颌曲面体层片,研究正畸治疗后牙根吸收情况,采用SPSS 13.0软件包对结果进行统计学分析.结果:60例患者正畸治疗前、后牙根吸收指数改变均有统计学意义(P<0.01),正畸治疗后牙根吸收发生率明显升高;成人组与儿童组牙根吸收等级比较有显著差异(P<0.01).上、下前牙各牙位牙根吸收好发顺序是上颌中切牙、上颌侧切牙、下颌中切牙、下颌侧切

  10. 上颌埋伏前牙正畸治疗时机的初步探讨%A primary study of orthodontic treatment timing for embedded upper anterior teeth

    Institute of Scientific and Technical Information of China (English)

    王君香; 苏奇志; 王秀婧

    2013-01-01

    Objective To explore the treatment timing for embeddedupper anterior teeth.Methods 20 impacted upper anterior tcethwith ectopic eruption pathway or dilacerated root from 17 orthodontic patients were selected and X-ray films were taken to determine their position.After creating space by expansion,the teeth were treated with closed eruption techniques before their root development finish.The relative lengths of root were measured after treatment for the impacted teeth and their contralateral teeth.PES index was used to evaluate the gingival soft tissue esthetics.Results Treatments for all the 20 teethwere successful.The mean root lengths for central incisor,lateral incisor and canine were (18.00±2.79) mm、(15.75±1.06) mm and (21.88±2.32) mm respectively,which were slightly shorter than that ofthe contralateral teeth [(20.25 ± 1.66) mm,(18.00±1.41) mm and (23.5±2.58) mm].The mean PES score was 10.65±2.68.Conclusions Closed eruption technique is suitable to treat embedded teeth with ectopic eruption pathway or dilacerated root before root development finish.%目的 探讨上颌埋伏前牙正畸治疗的时机.方法 对17例20颗萌出道异常或牙根弯曲的上颌埋伏前牙摄片定位、拓展间隙后,在牙根未发育完成前进行闭合式牵引,治疗后测量埋伏牙和对侧同名牙牙根的相对长度,并采用PES(the pink esthetic score)指数对牵引后的埋伏牙进行牙龈软组织美学评价.结果 20颗埋伏前牙均牵引成功,牵引后中切牙、侧切牙和尖牙的牙根平均长度分别为(18.00±2.79) mm、(15.75±1.06) mm和(21.88±2.32) mm,略短于对侧同名牙[中切牙(20.25±1.56) mm、侧切牙(18.00±1.41) mm、尖牙(23.5±2.58) mm],牙龈软组织美学评分平均为10.65±2.68.结论 对某些萌出方向异常或牙根弯曲的埋伏牙在牙根未发育完成前进行闭合式开窗和正畸牵引可获得较好的治疗效果.

  11. Clinical observation of the metal-ceramic crowns with shoulder porcelain of anterior teeth%肩台瓷金瓷冠在前牙修复中的临床效果观察

    Institute of Scientific and Technical Information of China (English)

    唐颖; 袁剑鸣; 潘峰

    2013-01-01

      Objective To observe the prosthetic effects of the metal-ceramic crowns with shoulder porcelain of anterior teeth clinically. Methods Forty-two units of metal-ceramic crowns with shoulder porcelain, forty-four u-nits Ni-Cr based porcelain-fuse-metal crowns were observed after one year through clinical methods. Results There were some differences between the two groups in color match, contour, marginal integrity and health of gum. But the difference between the two groups had no statistic significance. The differences of marginal integrity and marginal discoloration between metal-ceramic crowns with shoulder porcelain and Ni-Cr based porcelain-fuse-metal crowns had high statistic significance. Conclusion Using metal-ceramic crowns with shoulder porcelain could progress the esthetics in anterior teeth.%  目的分析肩台瓷金瓷冠在前牙修复中的临床效果。方法根据纳入标准分别对42颗肩台瓷金瓷冠、44颗镍铬合金烤瓷冠修复1年后的临床效果进行观察对比,评价其结果。结果2组间在颜色、外形、边缘密合性、牙龈健康方面有差异但无统计学意义。在牙龈灰线、边缘变色方面有差异,且差异有统计学意义。结论肩台瓷金瓷冠在前牙修复中有较好的美观效果。

  12. Proportional Smile Design: Using the Recurring Esthetic Dental Proportion to Correlate the Widths and Lengths of the Maxillary Anterior Teeth with the Size of the Face.

    Science.gov (United States)

    Ward, Daniel H

    2015-07-01

    Proportional smile design is a useful tool for evaluating and designing smiles that are in harmony with the face. Although not always observed in nature, the recurring esthetic dental proportion is preferred by dentists surveyed to the width proportions observed in nature with normal-length teeth. The width/length ratio of the central incisor is a key determinant in providing a smile that is pleasing to dentists. Using the desired tooth length while maintaining the preferred 78% width/length ratio of the central incisor in conjunction with the recommended recurring esthetic dental proportion is a good method for designing a smile balanced with the face.

  13. Stability of the anterior maxillary segment and teeth after segmental Le Fort I osteotomy and postoperative skeletal elastic fixation with or without occlusal splint

    OpenAIRE

    2015-01-01

    ABSTRACT Objectives To assess the short term dental and skeletal stability of the anterior maxillary segment after segmental Le Fort I osteotomy with postoperative skeletal elastic fixation with or without occlusal splint. Material and Methods 29 consecutive patients underwent segmental Le Fort I osteotomy and elastic skeletal fixation was applied. Patients were divided into two groups according to whether a fixed occlusal splint was used for six weeks (group A) or dismounted perioperatively ...

  14. Stability of the Anterior Maxillary Segment and Teeth after Segmental Le Fort I Osteotomy and Postoperative Skeletal Elastic Fixation With or Without Occlusal Splint

    Directory of Open Access Journals (Sweden)

    Tue Lindberg

    2014-10-01

    Full Text Available Objectives: To assess the short term dental and skeletal stability of the anterior maxillary segment after segmental Le Fort I osteotomy with postoperative skeletal elastic fixation with or without occlusal splint. Material and Methods: 29 consecutive patients underwent segmental Le Fort I osteotomy and elastic skeletal fixation was applied. Patients were divided into two groups according to whether a fixed occlusal splint was used for six weeks (group A or dismounted perioperatively (group B. Changes in landmarks and reference planes between the two timepoints were estimated on lateral cephalometric radiographs. Results: Group A: The upper incisor had a mean intrusion of -0.56 mm (SD 0.77; range -2.04 to 1.08 mm and a mean posterior movement of -0.93 mm (SD 1.03; range -2.52 to 0.96 mm. The mean change in the axial inclination of the upper incisor was -0.33° (SD 2.56; range -6° to 4° (95% CI: -1.75 to 1.08°. Group B: The upper incisor had a mean intrusion of -0.13 mm (SD 1.36; range -1.92 to 3.6 mm and a mean anterior movement of 0.11 mm (SD 1.78; range -2.88 to 3.84 mm. The mean change in the axial inclination of the upper incisor was -0.07° (SD 3.05; range -5° to 5° (95% CI: -1.83 to 1.69°. There was no statistically significant difference in stability between the two groups at the P value 0.05. Conclusions: The skeletal anterior fixation with postoperative elastics for eight weeks may not compromise the early postoperative dental and skeletal stability of the anterior segment in segmental Le Fort I osteotomy.

  15. Evaluation of porcelain laminate veneer on aesthetic restoration of anterior teeth%全瓷贴面在前牙美容修复中的疗效观察

    Institute of Scientific and Technical Information of China (English)

    邓薇; 杨永进; 蔡兴伟; 李涛; 张娜; 王亚锋

    2015-01-01

    目的:探讨全瓷贴面在前牙美容修复中的疗效。方法:选择97颗前牙,全瓷贴面修复,并进行2年的随访,采用美国公共健康协会的修正标准进行评价分析。结果:97颗全瓷贴面在修复完成后6个月,六项评价指标均达到A级;修复完成后1年,修复体周围龋:2颗达到B级;修复完成后2年,2例患者(3颗牙)失访,修复体周围龋:2颗B级、1颗C级,修复体折断:1颗B级,基牙松动:2颗B级。结论:全瓷贴面在前牙美学修复中的临床效果是非常理想的。%Objective:To evaluate the clinical effect of porcelain laminate veneer in the aesthetic restoration of anterior teeth.Methods:97 porcelain laminate veneers were fabricated, and evaluated in 2 year follow up appointments. The restorations were examined with a modified USPHS criteria.Results:All 97 porcelain laminate veneers achieved class A six months after treatment. Two porcelain laminate veneers were classified as class B for secondary caries 1 year after treat-ment. Three veneers of 2 patients missed 2-year follow up examination. Two veneers were classified as class B, and one ve-neer classified as class C due to secondary caries; one veneer was classified as class B due to fracture; two veneers were classified as class B due to mobility of abutment teeth.Conclusion:Porcelain laminate veneer is an optimal method in aes-thetic restoration of anterior teeth.

  16. 牙冠延长术用于前牙修复再治疗的疗效分析%Clinic effects of crown lengthening in the re-therapy for anterior teeth restoration

    Institute of Scientific and Technical Information of China (English)

    桂盠; 唐丽琴; 冯琛琛

    2014-01-01

    目的:评价牙冠延长术应用于前牙修复再治疗的疗效。方法:选择因前牙烤瓷修复后牙龈肿胀出血,要求重新修复治疗的患者45例(72个前牙)。基线检查后,拆除原有烤瓷冠,完善根管治疗及牙周基础治疗,然后行牙冠延长术。术后8周行永久性修复并进行牙周检查;术后8周、6个月、1、2年复诊,分别记录出血指数和探诊深度,并进行疗效分析。结果:术后各时间点牙周指数分别与术前相比,数值下降差异有统计学意义(P<0.05);各时间点牙周指数之间相比,差异无统计学意义(P>0.05)。术后6个月、1、2年有效率分别与术后8周相比无统计学差异(P>0.05),8周后各时间点有效率无统计学差异(P>0.05)。结论:牙冠延长术用于前牙修复再治疗疗效良好。%AIM:To evaluate the clinical effects of surgical crown lengthening in the re-treatment of anteri-or teeth restoration.METHODS:45 patients complaining of gum edema after anterior teeth restoration (72 teeth) were included.After baseline examination,the previous ceramic crowns were removed,root canal therapy and perio-dontal therapy were done as indicated.Then,surgical crown lengthening was performed.8 weeks after crown lengthe-ning,permanent restorations were made.Sulcus bleeding index (SBI)and probing depth (PD)were recorded at 8week,6month,1year and 2 year follow-up.RESULTS:Significantly lower values of SBI and PD were found at all time points post crown lengthening as compared with that of pre-surgery (P0.05 ).CONCLUSION:Surgical crown lengthening is an effective method for the re-therapy of anterior teeth restoration.

  17. Z350纳米树脂在前牙美容修复中的临床效果观察%Clinical effects of Z350 nano resin in the anterior teeth beauty and repair

    Institute of Scientific and Technical Information of China (English)

    唐碧茹; 马慕兰

    2016-01-01

    目的:探讨Z350纳米树脂在前牙美容修复中的临床效果。方法收集2014年1月~2015年5月期间我院收治的共150例患者(150颗)牙进行美容修复治疗,按照随机数字表法分为观察组和和对照组,观察组共75例75颗牙,用Z350纳米树脂进行前牙美容修复,对照组共75例75颗牙,用光固化树脂材料对牙齿进行美容修复。比较两组临床疗效、满意度。结果与对照组比较,观察组优良率明显较高,两组差异有统计学意义(P<0.05)。与对照组比较,观察组在色泽修复、外形美观、面容改善及心理状况改善等方面的满意度评分均明显较高,两组差异有统计学意义(P<0.05)。结论 Z350纳米树脂进行前牙美容修复效果较好,患者满意度高,更易于接受,可在临床推广应用。%Objective To investigate the clinical effect of Z350 nano resin in the anterior teeth beauty and repair. Methods 150 patients(150 teeth)for cosmetic dental restorative were collected from January 2014 to May 2015 in our hospital,according to a random number table,all the patients were divided into the observation group and the control group,a total of 75 cases(75 teeth)in the the observation group and all of them were treated with resin Z350 nano Anterior Tooth,a total of 75 cases(75 teeth)in the control group and all of them were treated with photo-curable resin material for cosmetic dental restoration.The clinical efficacy,satisfaction of two groups were compared. Results The Excellent rate of the observation group was significantly higher compared with control group,the difference was statistically significant(P < 0.05).The color restoration,appearance,face to improve and improve mental condition and other aspects of satisfaction scores of the observation group were significantly higher compared with the control group,the difference was statistically significant(P < 0.05). Conclusion The clinical effect of Z350

  18. 上颌前牙美学区连续多颗牙缺失即刻种植的临床研究%Clinical study on immediate implant of multiple adjacent teeth in maxillary anterior esthetic zone

    Institute of Scientific and Technical Information of China (English)

    祝岩; 万澎波; 赵伟; 邵元霞; 魏抗抗; 刘瑾; 刘军祥

    2016-01-01

    形切口为相邻多颗牙即刻种植的应用技巧提供了临床依据,值得临床推广。%Objectives To analyze the influence of different dental implant systems utilized for immediate implant in maxillary es⁃thetic zone on peri⁃implant bone resorption, and to investigate the techniques and esthetic factors of applying the improved minimally invasive H⁃shaped notch to the immediate implant of multiple adjacent teeth in maxillary anterior esthetic zone. Methods 58 patients who were subjected to dental implantation and restoration from January 2011 to January 2015 were included in the study. The improved minimally invasive H⁃shaped notch was used in all the patients. Based on the implanted dental systems, they were divided into three groups:group 3I, group DIO, and group Replace. The follow⁃up time was 12 months, during which their peri⁃implant bone resorption, probing depth, and sulcus bleeding index after surgery were observed. The gingival marginal tissue recessions were analyzed according to Miller’ s classification and interproximal papillae was analyzed according to Jemt’ s classification. The stability of the implants was analyzed according to Albrektsson’ s criteria of success. Results Six months after surgery, the peri⁃implant bone resorption of patients in all groups was stable, showing no significant differences among different dental implant systems (P>0.05), but the peri⁃implant bone resorption of different dental implants increased differently that the bone resorption of group DIO in the 3rd month was evidently higher than that of group Replace and group 3I, which was statistically significant (P0.05);in 9th and 12th months, com⁃pared with natural teeth, the differences of sulcus bleeding index were still not statistically significant ( P>0.05) . six months after surg⁃ery, the probing depth in all the groups was stable and was slightly higher than natural teeth at various periods, but the difference was not

  19. Effects of direct and indirect repair methods on microleakage in weak anterior teeth root canals%直接与间接修复方法对薄弱根管微渗漏影响的研究

    Institute of Scientific and Technical Information of China (English)

    田野; 邹霖; 屈直; 许艳艳

    2016-01-01

    Objective To compare the difference of the microleakage repaired by direct method and indirect method of the funnel shaped root canal in the anterior teeth. Methods A total of 22 middle teeth at the similar size were collected, prepared into funnel root canal after finishing the root filling. The teeth were divided into A and B groups randomly, and there were 11 test pieces in each group. The root canal was repaired by direct method in group A and indirect method in group B. After 500 thermal-cold cycling and 240 000 dynamic cyclic loading,one tooth was selected in each group randomly. The microstructure were observed by scanning electron microscope (SEM). One piece of each group was randomly selected and the image of the core and the dentin was scanned by electron microscope. The remaining 20 pieces were dyed by India ink, dealt with transparent, compared and observed under the microscope. The degree of microleakage was recorded and analyzed in two groups. Results Under electron microscope, a gap can be observed in the bonding interface of group A. The gap was significantly bigger than that of group B. The leakage was significantly serious in group A than that in group B (P<0.05). Conclusion The level of microleakage of anterior teeth with flared canals, which is restored by fiber post core with the indirect method, is significantly better than that with the direct method. The indirect method has a good edge seal action and is more suitable for clinical application.%目的:比较同种纤维桩核直接法与间接法修复前牙漏斗状根管之间微渗漏的差异。方法收集22颗上颌中切牙,完善根充后,制备漏斗状根管,随机分成A、B两组,每组11个试件,A组直接法完成纤维桩核修复,B组采用间接法修复。通过500次冷热循环及240000次动态循环加载后,每组随机抽取1件制成切片,电镜扫描纤维桩核与牙本质间图像。其余的20个试件经过印度墨水染色,透明化处理

  20. Tratamento conservador de uma má oclusão Classe I de Angle, com atresia maxilar e apinhamento anterior The conservative treatment of Class I malocclusion with maxillary transverse deficiency and anterior teeth crowding

    Directory of Open Access Journals (Sweden)

    Lincoln I. Nojima

    2011-10-01

    Full Text Available Este artigo relata o tratamento de uma paciente do sexo feminino, com 15 anos de idade, má oclusão Classe I de Angle, severo apinhamento anterossuperior, desvio da linha média superior para o lado esquerdo e atresia maxilar, associada à mordida cruzada posterior. Os procedimentos executados envolveram a expansão maxilar com disjuntor palatino do tipo Haas modificado e montagem de aparelho fixo com sistema Edgewise standard. Foram realizados desgastes proximais nos incisivos e caninos inferiores para o alinhamento anterior, bem como redução da discrepância de Bolton com excesso inferior. Esse caso foi apresentado à diretoria do Board Brasileiro de Ortodontia e Ortopedia Facial (BBO, representando a categoria livre escolha, como parte dos requisitos para a obtenção do título de Diplomado pelo BBO.This article reports the treatment of a 15-years-old female patient, with Class I malocclusion, severe upper anterior crowding, midline deviation to the left side and maxillary transverse deficiency associated with posterior crossbite. The procedures involved rapid maxillary expansion with modified Haas appliance and the use of Edgewise standard system. Proximal wear were performed to the alignment of mandibular incisors, as well as to reduce the Bolton discrepancy. This case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO, representative of category free, as partial fulfillment of the requirements for obtaining the title of BBO Diplomate.

  1. Clinical observation of esthetic outcomes in immediate implantation after anterior teeth trauma%前牙外伤患者即刻种植美学影响因素的临床观察

    Institute of Scientific and Technical Information of China (English)

    李韩; 何家才

    2016-01-01

    目的:评价前牙外伤后即刻种植的临床美学效果。方法选取2013—2014年就诊于种植中心的前牙外伤患者31例,共植入种植体48枚。拔除外伤患牙后,即刻种植,部分患者同期引导性骨组织再生,3个月后行最终修复。随访1年,统计种植体成功率,观察种植体周围软硬组织改变情况,评价龈乳头指数与红白美学指数、测量边缘骨水平。结果观察期内,种植体成功率均为100%。软组织恢复较好,无牙龈乳头退缩,红色美学得分随植入时间增加,差异有统计学意义,白色美学总分为(7.23±1.17)分。早期骨丧失与骨增量无明显差距,随着骨改建趋于稳定,骨丧失量明显减少,牙槽骨恢复良好。结论前牙外伤患者的即刻种植能缩短手术疗程,减缓种植体周围软硬组织吸收,达到较高的美学满意度。%Objective To evaluate esthetic outcomes in immediate implantation after anterior teeth trauma.Methods 31 cases of an-terior teeth trauma are selected from patients treated at Stomatology Dental Implant Center from 2013 to 2014, with a total number of 48 implants.Implants are placed in fresh extraction socket.Guided bone regeneration (GBR) is implemented intraoperatively when the extraction socket is accompanied by alveolar bone defect.The final restoration was performed 3 months after surgery.1 year follow -up revealed success rate of implants, and changes of hard and soft tissues around implants were observed.The Papilla Index and pink/white esthetic scores were evaluated, and the marginal bone levels around implants were also measured.Results During observation period, the success rates of all the implantations in the 31 cases are 100%.Soft tissues recovered well.No gingival papilla atrophy has been found.With implantation time increasing,pink esthetic scores increased, and the difference was statistically significant.The total score of white esthetic was 7

  2. Research on labial and lingual alveolar bone plate thickness of the mandibular anterior teeth by CBCT%下颌前牙唇舌侧骨壁厚度的锥形束 CT 研究

    Institute of Scientific and Technical Information of China (English)

    朱娟芳; 田雪丽; 田丽萍; 杜田丰; 王茜; 马艳蕊

    2016-01-01

    目的:应用锥形束 CT(CBCT)测量下颌前牙唇舌侧骨壁厚度,为即刻种植提供临床指导。方法选取132例正常牙合个体的 CBCT 图像,对其下颌前牙进行研究。测量根尖处、根尖1/4、根中1/2、根颈1/4处的唇舌侧骨壁厚度,比较左、右侧及性别之间骨壁厚度的差异。结果下前牙左右侧同名牙相应骨壁厚度无差异。除根颈1/4处外,舌侧骨壁较唇侧厚。中切牙、侧切牙和尖牙在根颈1/4处,唇侧骨壁厚度>2 mm 的比例分别占0、0和1.51%。在根中1/4处,分别占0.76%、1.44%和3.79%。性别对舌侧骨壁厚度有影响。结论应用 CBCT 建立了正常牙合个体下颌前牙区唇舌侧骨壁厚度的参考值,为即刻种植提供临床指导依据。%Objective To investigate labial and lingual alveolar bone plate thickness of the mandibular anterior teeth by using cone-beam computed tomography (CBCT),in order to provide a reference for immediate implantation.Methods 132 individuals with normal occlusion were examined with CBCT,and their mandibular anterior teeth were analyzed.The labial and lingual alveolar bone plate thickness at the level of the apical,1/4 of the apical,1/2 of the middle and 1/4 of the cervical were measured.The differences of the thickness were compared among the side and gender.Results There were no significant differences between the left and right sides. Except on the 1/4 of the cervical,the thickness of lingual bone plate was thicker than that of labial bone plate.The frequency of the thickness of the labial bone larger than 2 mm on the 1/4 of the cervical of the center incisor,lateral incisor,and canine were 0,0 and 1.5 1%,respectively,and on 1/4 of the middle were 0.76%,1.44% and 3.79%,respectively.The lingual bone plate thickness showed significant difference between genders.Conclusion Reference values of alveolar bone plate thickness in anterior teeth of normal occlusion were established by using CBCT,which can

  3. Evaluation of the therapeutic effect of fluoride varnish Duraphat for incipient carious lesions in permanent anterior teeth%氟保护漆Duraphat治疗前牙初期龋损的临床效果

    Institute of Scientific and Technical Information of China (English)

    辛蔚妮; 许青峰

    2014-01-01

    Objective To assess the therapeutic effect of fluoride varnish Duraphat on the performance of incipient carious lesions white spot lesions (WSL) in anterior teeth in vivo. Methods The sample included 120 children aged 7 to 13 years old , with a total of 146 active WSL in permanent anterior teeth. The children were randomly divided into 3 groups, according to the treatment received:Group A (fluoride varnish Duraphat+oral health instrument, n=52), Group B (oral health instrument, n=47) and Group C (control, n=47). Maximum WSL dimensions (mesiodistal and incisogingival) were measured in millimeters by a previously calibrated single examiner using a periodontal probe . The oral hygiene was assessed by the plaque index . Results Wilcoxon test revealed a statistically significant difference (χ2=29.1,P<0.001) between the initial size and final size in A group (1.53 vs. 0.88) and B group (1.56 vs. 1.47). Pearson′s chi-square test revealed statistically significant differences (χ2=42.5, P<0.001) in the caries activity of the WSL among three groups. Conclusions The fluoride varnish Duraphat is effective to the incipient carious lesions in permanent anterior teeth .%目的:探讨氟保护漆Duraphat对前牙初期龋损白垩色斑块的治疗效果。方法共纳入并分析120例患者146个前牙唇侧白垩斑病损,分为三组:A组(涂氟保护漆Duraphat+口腔健康教育组,n=52),B组(口腔健康教育组,n=47)和C组(对照组,n=47)。由同一位已经过培训的医生采用牙周探针对白垩斑的直径及龋活动性进行评估,同时对研究对象的口腔卫生采用改良菌斑指数进行评估。结果 A组在接受2年的涂氟治疗后其白垩斑直径明显缩小,与另外两组差异有统计学意义(χ2=29.1,P<0.001),初期龋损白垩色斑块活动性龋的比例明显下降(χ2=42.5,P<0.001)。结论氟保护漆Duraphat能有效治疗光滑面的初期龋损。

  4. Clinical evaluation of gingival composite resin restoring cervical defects in anterior teeth%应用龈色树脂修复前牙颈部缺损的临床评价

    Institute of Scientific and Technical Information of China (English)

    赵奇; 薛世华; 吴艳; 王世明

    2011-01-01

    Objective : To evaluate the clinical effects of gingival composite resin used for restoring cervical defects in anterior teeth. Methods: Eighty cervical defects of anterior teeth were involved. Firstly, they were restored with simulated restorations using only tooth colored composite resin. Then, the simulated restorations were removed and the defects were restored with simulated restorations using gingival composite resin combined with tooth colored composite resin. Visual analogue scale ( VAS) was employed to survey the patient satisfaction with the esthetic results of the two methods. The defects were filled with gingival composite resin and tooth colored composite resin. Then, longitudinal clinical evaluation were made at 1-week, 6-month, 1-year and 2-year recalls respectively using modified United States Public Health Service ( USPHS) criteria. Results : Simulated restorations made of gingival composite resin and tooth colored composite resin obtained more satisfaction in overall impression, gingival position and tooth contour than simulated restorations simply made of tooth colored composite resin ( P < 0. 1 ) . In the longitudinal clinical evaluation, no significant differences among the recalls were found in color match , restoration morphology, marginal adaptation, marginal discoloration, secondary caries or pulp sensitivity ( P > 0. 1 ) . Conclusion : Using gingival composite resin in restoring cervical defects in anterior teeth achieved not only satisfactory treatment effect but also ideal esthetic results.%目的:评价采用龈色树脂修复前牙颈部缺损的临床效果.方法:选择北京大学口腔医院第一门诊部 2007年6月至2008年10月前牙唇侧颈部缺损患者80例,先单纯使用牙色树脂模拟充填,然后用龈色树脂配合牙色树脂按照前牙美学标准模拟充填.采用视觉模拟评分法,由患者从整体印象、龈位置和牙齿轮廓3个方面对两种充填方法的美学效果满意度分别进行

  5. Treatment of multiple traumatized anterior teeth associated with an alveolar bone fracture in a 20-year-old patient: A 3-year follow up.

    Science.gov (United States)

    Faus-Matoses, Vicente; Martínez-Viñarta, María; Alegre-Domingo, Teresa; Faus-Matoses, Ignacio; Faus-Llácer, Vicente J

    2014-10-01

    Intrusive luxation is a type of recognizable luxation injury represented by a deeper axial displacement of the tooth toward the alveolar bone. Treatment strategies include waiting for the tooth to return to its position, immediate surgical repositioning, and repositioning through dental traction by orthodontic devices. The aim of this case report was to present the management of severe dental trauma and later restoration following IADT. A 20-year-old patient was presented after fainting at home four hours before, resulting in a dento-alveolar trauma. Clinical examinations revealed a traumatic intrusion, in 1.2, 1.1 and 2.1, uncomplicated crown fractures in 1.1 and 2.1 and a complicated crown-root fracture in 2.2. The diagnosis was confirmed with CBCT. Following IADT protocol, the emergency treatment consisted of the surgical repositioning and semi-rigid splinting using orthodontic wire-composite, replacing the buccal bone plate, and postoperative instructions to the patient regarding oral hygiene. After 2 weeks the root canal treated and filled with fiberglass posts in 1.2, 1.1, 2.1 and 2.2. Splint was removed after 4 weeks and the IADT reassessment protocol followed, with revisions at 6-8 weeks, 6 months, a year and annual reviews for 5 years. A year after the treatment, the traumatized teeth were restored with minimally invasive preparations of feldspathic ceramic. Esthetics and function were recorded with a 3-year follow-up period. Key words:Intrusive luxation, dental trauma, crown-root fracture, dento-alveolar trauma, permanent tooth, CBCT.

  6. Clinical Application of Digitized Analog Prostheses in Aesthetic Restoration of Anterior Teeth%前牙美学修复中数字化模拟修复体的临床应用

    Institute of Scientific and Technical Information of China (English)

    周开强

    2015-01-01

    目的:研究前牙美学修复中数字化模拟修复体的应用效果。方法选择需要进行前牙美术修复的患者68例,随机分为两组,对照组使用常规修复方式,观察组使用数字化模拟方式。观察两组患者戴调节时间、修复效果以及患者对修复体及修复后面部外观的满意度。结果两组修改效果对比无差异(P>0.05)。观察组戴调节时间和修复后的满意度均优于对照组(P<0.05)。结论前牙美学修复使用数字画模拟方式,事前预估、制作方式都具备可行性,这个方式,能让最初使用的调整速度加快,且患者比较满意。%Objective To study the application of digitized analog prosthesis in anterior aesthetic restorations.MethodsA patient in need of art restoration front teeth 68 patients were randomly divided into two groups,the control group used conventional repair methods,observation group used digitized analog mode. Wearing regulation time,repairing effect,and patient satisfaction with restoration and repair the appearance of the rear section were observed. ResultsThere was no difference in modifying effect of contrast(P>0.05). Observation group wearing satisfaction adjust the time and after the repair than the control group(P<0.05). Conclusion The aesthetic restoration of anterior teeth using digital painting simulation mode,prior estimates, production methods are feasible,this approach,originaly used to adjust the speed to make faster,and more satisfied patients.

  7. 浅析联冠或固定桥法修复前牙松动移位缺失%Analysis of the Crown or Fixed Bridge Restoration of Anterior Teeth Loosening Deletion

    Institute of Scientific and Technical Information of China (English)

    向兰锋

    2013-01-01

    Objective To observe the periodontal disease patients before tooth mobility displacement or loss associated with the crown or fixed bridge restoration treatment ef ect. Methods 8 cases of anterior teeth 1~4 teeth loosening or 1~2 teeth missing patients with periodontal disease, periodontal therapy, in combination with the crown or fixed bridge do permanent splint fixation treatment, observation of 1~5 years, al patients were taken X-ray radiograph. Results the periodontal disease patients before tooth mobility displacement loss associated with the crown or fixed bridge restoration after treatment, loosening control, patients feel comfortable and beautiful, the high degree of satisfaction. Conclusion for patients with periodontal disease before tooth mobility displacement or lack of appropriate indications for the crown or fixed bridge restoration treatment, ef icacy, patient satisfaction, but the doctor must be designed to handle the crown gingival margin or bridge body position, and al ow patients to oral hygiene maintenance, ef ective control of plaque.%目的观察牙周病患者前牙松动移位或缺失用联冠或固定桥修复治疗的效果。方法选取8例前牙1~4颗松动移位或1~2颗缺失的牙周病患者,采用牙周基础治疗后,用联冠或固定桥做恒久夹板固定修复治疗,观察1~5年,所有病例均拍摄X线牙片。结果牙周病患者前牙松动移位缺失用联冠或固定桥修复治疗后,松动移位得到控制,患者感觉舒适美观,其满意度高。结论对牙周病患者前牙松动移位或缺失选择合适的适应症用联冠或固定桥修复治疗,效果肯定,患者满意,但医生一定要设计处理好冠龈缘或桥体位置,并让患者做好口腔卫生维护,有效控制菌斑。

  8. 玻璃纤维桩和氧化锆全瓷冠在前牙美学修复中的应用%Zirconia All-ceramic Crowns And Glass Fiber Posts On Aesthetic Restoration Of Anterior Teeth

    Institute of Scientific and Technical Information of China (English)

    宋应博

    2014-01-01

    Objective:To investigate clinical effects of zirconia all-ceramic crowns and glass fiber postson on aesthetic restoration of anterior teeth. Methods:Computer Aided Design and Computer Aided Manufacture(CAD/CAM)technicals were used to make zirconia all-ceramic crowns and glass fiber posts restoration in 162 teeth in 78 patients. In the 2 years,satisfactory degree of patients was evaluated by examining oral adaptability of restoration and gingival health condition. Results:Oral adaptability was accepted by patients with high satisfactory degree. The fall of glass fiber post was found in 2 teeth and gingivitis was found in 1 tooth. The rest were all good. Conclusion:Zirconia all-ceramic crowns and glass fiber posts technical obtained wonderful effects,which was worthy of popularization in clinical practice.%目的:探讨玻璃纤维桩和氧化锆全瓷冠在前牙美学修复中的临床应用效果。方法:应用计算机辅助设计(Computer Aided Design,CAD)和计算机辅助制作(Computer Aided Manufacture,CAM)技术,对78例前牙美学修复的患者,共162颗患牙行玻璃纤维桩和氧化锆全瓷冠修复,随访2年,调查患者满意度,观察修复体在口内适应情况和牙龈的健康状况等,综合评价其应用效果。结果:玻璃纤维桩和氧化锆全瓷冠在口内的适应性良好,患者满意程度高;随访观察中有2颗玻璃纤维桩脱落,1颗牙冠边缘出现牙龈炎,其余修复体均良好。结论:玻璃纤维桩和氧化锆全瓷冠的前牙美学修复效果良好,应用前景广阔。

  9. Má oclusão Classe I de Angle, com mordida aberta anterior, tratada com extração de dentes permanentes Angle Class I malocclusion, with anterior open bite, treated with extraction of permanent teeth

    Directory of Open Access Journals (Sweden)

    Mírian Aiko Nakane Matsumoto

    2011-02-01

    Full Text Available A mordida aberta é uma anomalia com características distintas que, além da complexidade dos múltiplos fatores etiológicos, traz consequências estéticas e funcionais. Muitas alternativas têm sido utilizadas em seu tratamento, entre elas a grade palatina, forças ortopédicas, ajuste oclusal, camuflagem com ou sem exodontias, mini-implantes ou miniplacas e cirurgia ortognática. O diagnóstico preciso e a determinação da etiologia permitem estabelecer os objetivos e o plano de tratamento ideal para essa má oclusão. O presente relato descreve o tratamento de uma má oclusão Classe I de Angle, com padrão esquelético de Classe II e mordida aberta anterior, realizado em duas fases e que foi apresentado à diretoria do Board Brasileiro de Ortodontia e Ortopedia Facial (BBO, representando a categoria 2, como parte dos requisitos para a obtenção do título de Diplomado pelo BBO.Open bite is an anomaly with distinct characteristics which, in addition to involving complex, multiple etiologic factors, entails aesthetic and functional consequences. Many alternative approaches have been employed to treat open bite, including palatal crib, orthopedic forces, occlusal adjustment, camouflage with or without extractions, mini-implants or mini-plates, and orthognathic surgery. By determining accurate diagnosis and etiology professionals can set the goals and ideal treatment plan for this malocclusion. This report, describing the two stages treatment of a Angle Class I malocclusion with Class II skeletal pattern and anterior open bite, was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO, representative of category 2, as partial fulfillment of the requirements for obtaining the title of BBO Diplomate.

  10. Finnegan's teeth

    OpenAIRE

    Cowan, Judith

    2009-01-01

    Finnegan's Teeth is a visual journey seen through the eyes of the animal, Finnegan. Taking place around King's Cross in London, it follows the area as it goes through construction and deconstruction. Photographs of the happenings and events that Finnegan notices on his travels accompany the voices of the street life around him. Finnegan's Teeth is the title of a recently published book by artist Judith Cowan, which has now developed into a major public Art project. This takes Finnegan's ...

  11. 牙冠延长术用于前牙冠修复的牙周指标分析%Periodontal index analysis of crown lengthening surgery for anterior teeth crown restoration

    Institute of Scientific and Technical Information of China (English)

    李隽; 刘晓峰

    2014-01-01

    目的:评价牙周基础治疗及牙冠延长术治疗前牙不良冠修复所致牙周病的临床疗效。方法:选取30例前牙冠修复所致牙周病患者共105颗患牙,均采用牙周基础治疗及牙冠延长术后再行冠修复,观察不同时段临床冠长度的变化,记录各相关牙周指数并进行分析,评估术后全冠修复的临床效果。结果:术后短期内临床冠长度增加效果确切,治疗组术后的各项牙周指数均优于术前(P<0.05),与对照组比较无明显差异(P>0.05),在1年的观察期内保持相对稳定(P>0.05);全冠修复体的固位良好,边缘密合,龈缘与冠缘的位置关系相对稳定。结论:牙周基础治疗及牙冠延长术有利于不良冠修复所致牙周病的治疗,且冠延长术解决了生物学宽度的问题,确保了牙周健康的长期稳定。%Objective:To evaluate the clinical effect of initial therapy and crown lengthening surgery on anterior teeth involved with periodontal disease after crown restored. Method:Initial therapy and crown lengthening surgery were applied to 105 anterior teeth of 30 cases. After treatment all teeth were restored by crowns. At different time we observe changes in clinical crown length,record relevant periodontal index and analyse and evaluate clinical effect of the postoperative crown restoration. Result:Postoperative clinical crown length had obvious short-term effect.The experiment group's postoperative periodontal index were superior to preoperative index(P0.05),and remained relatively stable in one-year observation period (P >0.05).The retention of crown prosthesis was bet-ter,and the margin was fitted well and relatively stable to the margin of gingival. Conclusion:Crown lengthening surgery solved the problem of biologic width. Therefore,right selection of indications,initial therapy,crown lengthening surgery and accurate restoration design contribute to the treatment of periodontal

  12. 上颌前牙即刻种植修复8例报道%The report of maxillary anterior teeth with immediate implant in 8 cases

    Institute of Scientific and Technical Information of China (English)

    刘勇; 杨晓玄; 卢燕波; 周国清; 彭晓芸

    2015-01-01

    Objective To evaluate the esthetic effect of the lost tooth repaired by immediate implant cmbined with GRB. Methods The residual roots in maxillary an terior zone with labial bone defect of five male and three female,anged grom 18 to 55,have to be extracted.They gt immediate implant with GRB.Then the results were evaluated with CT and the satisfaction of patients. Results All implants were survived,but just one patient was found gingival recessin of adjacent tooth.The CT images changed little compared with pre-operatin. Condusion Immediate implant combined with GRB could be applied to the dental clinical practice in maxillary anterior zone for satisfactory aesthetic effect.%目的:评价上颌前牙区即刻种植联合GBR修复缺牙的美学效果。方法:8位上颌前牙残根无法保留,伴唇侧缺损的患者(男5例,女3例),年龄18~55岁,接受了骨水平种植即刻修复同期GBR骨增量处理,对其临床疗效进行评价,术前留取口内照片及放射线资料,在术后、修复完成及复查时,观察牙槽骨吸收情况及牙龈情况,询问患者的满意度。结果:接受种植修复的8例患者种植体均存活,有1例出现邻牙唇侧牙龈萎缩,其余牙齿的牙龈稳定,有2例术后牙龈缘位置向冠方增长。种植复查时放射线检查基本与修复时相比无明显变化。结论:在前牙区应用即刻种植的方法可以取得满意的美学效果,是一种较可靠的种植修复方式。

  13. Study of loose teeth fixed titanium chain for treatment of children with maxillary anterior teeth fixed traumatic loose%改良松牙固定钛链用于儿童上颌外伤松动前牙固定的临床疗效

    Institute of Scientific and Technical Information of China (English)

    韩峰

    2014-01-01

    Aim:To study the clinical curative effect of loose teeth fixed titanium chain for treatment of children with maxillary anterior teeth fixed traumatic loose .Methods:34 children with maxillary anterior teeth fixed traumatic loose were selected.They were randomly divided into two groups ,the observation group were treated with improved loose teeth fixed ti-tanium chain technology ,the control group were given the bracket archwire treatment technology ,the efficiency gingival in-dex,comfort index,falling number and operation time of resin of both groups were compared .Results:The effective rate of treatment group was 94.12%,while 88.24%in the control group,there was no significant difference between both groups (χ2 =0.060,P=0.472).Two weeks after treatment,no significant difference between the gingival index of both groups (Z=0.658,P=0.084);after 4 weeks treatment,the observation group with gingival index was significantly lower than that in the control group(Z=2.160,P=0.022).The observation group with comfort index ,resin off number and operating time was(3.96 ±1.27),(0.11 ±0.15),(8.68 ±1.18)min,the control group were(7.34 ±1.78),(0.85 ±0.36),(19.19 ± 2.85)min,the observation group with comfort index ,resin off the number and time of operation were significantly lower than those in the control group,there was significant difference between groups (t=3.834,0.056,8.327,P all<0.05).Conclu-sion:Improved loose teeth fixed titanium chain technology was used for fixing the maxillary anterior teeth trauma .The clini-cal curative effect is reliable .This technology can reduce the pain of patients ,reduce the gingival index ,and the number of resin shedding ,shorten fixed operation time as well .%目的:探讨改良松牙固定钛链技术固定儿童上颌外伤松牙的临床疗效。方法:选取2013年1月至12月接受治疗的34例牙外伤患儿为研究对象,观察组给予改良松牙固定钛链技术固定松牙,对照组给予弓丝托

  14. A finite element analysis of en-mass retraction of maxillary anterior teeth with double keyhole loops%双钥匙曲整体内收上前牙的三维有限元研究

    Institute of Scientific and Technical Information of China (English)

    李永刚; 金晶; 孙婧婧; 王为; 冯雪

    2016-01-01

    Objective:To evaluate the biomechanical effects of en-mass retraction of maxillary anterior with double keyhole loops in different kinds of loading methods on maxillary anterior teeth.Methods:Three 3D finite element models of the maxillary with double keyhole loops were constructed using MIMICS software with CT data of a male patient who had maxillary first premolars extracted.The orthoclontic force was loaded by ① back winding of the archwire end,② archwire strengthening and ③ archwire strengthening com-bined with successive ligation on the top of the doube keyhole loops,respectively.The initial displacement of maxillary anterior teeth in different loading conditions was analysed with the help of ANSYS software.Results:From the loading condition 1 to 3,on the sagit-tal direction,the displacement difference of crown and root of the maxillary central incisor was reduced from 4.19E -03 mm to -8. 85E -03 mm,which means that the lingual crown tipping movement gradually turn into bodily movement and then to labial tipping crown movement.Meanwhile the displacement of lateral incisor decreased from 7.99E -03 mm to 5.84E -04 mm and that of canine decreased from 9.47E -03 mm to 8.54E -03 mm.Vertical movement of incisors became intrusion from extrusion and intrusion move-ment of canines become more significantly.Conclusion:Torque control of anterior teeth is different in three loading conditions,load-ing by ligation and successive ligation on the top of the double keyhole loops may make the anterior tooth movement as a whole.%目的:探讨双钥匙曲整体内收上前牙的过程中不同的加力方式对上颌前牙生物力学效应的影响。方法:采用 CBCT采集患者上颌骨以及上牙列数据信息,利用 Mimics 软件进行三维重建,建立双钥匙曲整体内收上前牙的三维有限元模型;在ANSYS 软件中分别分析①末端回弯、②结扎丝加力以及③结扎丝加力联合双钥匙曲顶部连扎3种工况下上颌前牙

  15. 外伤移位前牙两种固定方法的疗效比较%Comparison of two methods on the fixation of loose anterior teeth

    Institute of Scientific and Technical Information of China (English)

    孟慧萍; 王晓洁; 任肖华; 陈宇梅

    2012-01-01

    Objective To compare the clinical effects of segmented arch technique and glass fiber reinforced composite resin dental splint method on the fixation of loose anterior teeth caused by trauma. Methods 34 patients with traumatic loose teeth were chosen as specimens, they were randomly divided into two groups, one of which treated with segmented arch technique, the other treated with glass fiber reinforced composite resin dental splint. Fixation lasted for 8 weeks. The clinical effect was compared through the clinical examination and x-ray. Results The segmented arch and glass fiber reinforced composite resin dental splint were stable and the periodontal tissue was healthy in 34 patients. The alveolar bone had not absorbed and the traumatic loose teeth were not movement any more even though the fixed appliances were taken out. Glass fiber reinforced composite resin dental splint method is better in comfortable and beautiful than segmented arch technique. Conclusion The segmented arch technique and glass fiber reinforced composite resin dental splint all are the good approach to the fixation of loose teeth, but the glass fiber reinforced composite resin dental splint is more esthetic and more comfortable.%目的 评估片段弓固定法与高强纤维夹板固定法在外伤移位前牙固定术中的临床效果.方法 将34例因训练和运动导致上前牙移位和半脱位的门诊军人随机分成两组,分别采用片段弓固定法与高强纤维夹板固定法进行复位固定,8周后通过临床和X线检查,比较其临床应用效果.结果 两组34例患者固位效果稳固、无松脱,牙龈组织健康;去除固定后检查外伤牙均无松动,无叩痛;X线检查未见牙槽骨及牙根吸收现象.在即刻效果的美观、舒适方面高强纤维夹板固定法优于片段弓固定法.结论 对于外伤所致的上前牙移位和半脱位患者,两种固定法均可有效的固定松动患牙;高强纤维夹板固定法更为美观和舒

  16. 闭合式开窗术联合正畸牵引治疗骨埋伏阻生前牙32例临床分析%Clinical analysis of cosed-eruption surgical technique combined with orthodontic traction in the treatment of bone impacted anterior teeth of 32 cases

    Institute of Scientific and Technical Information of China (English)

    孟元元; 韩立显

    2014-01-01

    目的:探讨闭合式开窗术联合正畸牵引治疗骨埋伏阻生前牙的治疗效果。方法:收治骨埋伏前牙患者32例35颗,先行正畸开拓埋伏牙萌出间隙,后行手术开窗,术中充分暴露埋伏牙黏接牙面,黏接正畸牵引附件,待伤口愈合开始埋伏牙牵引助萌。结果:32例患者中,导萌术后有2例2颗埋伏前牙在术后2个月内自行萌出,有3例患者因出国、转学等原因停止治疗。27例共28颗埋伏前牙中成功23颗(82.14%),有效3颗(10.71%),失败1颗(3.57%)。经闭合式开窗术联合正畸牵引治疗28颗埋伏牙全部萌出至正常咬牙合位置,牙龈形态满意,牙髓活力正常,未见邻牙牙根吸收及损伤。结论:使用闭合式开窗术联合正畸牵引治疗埋伏阻生前牙可取得良好的临床治疗效果。%Objective:To explore the clinical effect of cosed-eruption surgical technique combined with orthodontic traction in the treatment of bone impacted anterior teeth.Methods:32 patients with bone impacted anterior teeth of 35 teeth were selected.The patients first were given orthodontic pioneering impacted tooth adorable out the gap,and then were given fenestration operation. Impacted tooth bonding tooth surface was fully exposed in the operation.It was adhesive with orthodontic traction accessories.After wound healing,traction of teeth was impacted to help germination.Results:In 32 patients,after guided eruption operation,2 cases of 2 impacted anterior teeth were eruption in 2 months after operation,3 patients discontinued treatment due to go abroad,transfer and other reasons.A total of 27 patients with 28 impacted anterior teeth,23 teeth(82.14%) were successful;3 teeth(10.71%) were effective;1 tooth(3.57%) was failed.After cosed-eruption surgical technique combined with orthodontic traction treatment,the 28 impacted teeth were erupted to the normal position;gingival morphology was satisfied;dental pulp vitality was normal

  17. Finite element analysis of stress distribution of mandibular anterior teeth fixed by fibre strengthened com-posite resin splint%纤维加强树脂夹板固定下颌前牙应力分布的有限元分析

    Institute of Scientific and Technical Information of China (English)

    郑立娟; 马卫东; 陈秉智

    2012-01-01

    Objective: To analyze the stress distribution of mandibular anterior teeth fixed by fibre strengthened composite resin splint. Methods:The mandibule with normal teeth of a healthy male volunteer was scanned by CT, the image was transfered into DI-COM file and then put into Mimics finite element software, the stress distribution of the anterior teeth with various alveolar bone absorption was analysed before and after application of the fibre strengthened composite resin splint. Results: The max von Mises stress of lower anterior teeth increased as the the alveolar bone absorption increased, meanwhile the strength on central and lateral incisors changed obviously and related to the canine teeth. But when the alveolar bone absorbed by 50% or more of the root length, the stress value of the apical increased significantly. Application of the fibre strengthened composite resin splint reduced the stress on the anterior teeth, and increased the stress on canine. Conclusion; Fiber composite resin periodontal splint can effectively spread the occlusal force to related teeth.%目的:探讨不同牙周状况下,纤维加强复合树脂夹板固定前后的应力分布;为临床牙周夹板应用提供理论参考.方法:采用CT技术、计算机图像处理系统及有限元软件建模,研究不同牙周支持组织的下前牙纤维加强复合树脂夹板固定前后应力的分布.结果:下前牙的von Mises应力的最大值,随着牙槽骨吸收程度的增加,逐渐增大,中切牙和侧切牙的变化明显,尖牙平缓.但当牙槽骨吸收达根长的1/2或以上时,根尖的应力值急剧增大;戴用牙周夹板后,中切牙和侧切牙的应力值均减小,而尖牙的应力值增加.结论:牙槽吸收达根长的1/2或以上时,牙周组织缓冲能力降低,应采取牙周夹板固定,纤维加强复合树脂夹板能有效分散(牙合)力至有富余潜能的牙齿上.

  18. 安氏Ⅱ1类错前牙宽度厚度与Bolton 指数测量分析%STUDY IN THE MESIODISTAL WIDTH AND THE CROWN THICKNESS OF ANTERIOR TEETH AND BONLTON INDEX IN CLASS Ⅱ1 MALOCCLUSION

    Institute of Scientific and Technical Information of China (English)

    徐佳瑛; 马超

    2015-01-01

    目的:通过对正常与安氏Ⅱ1类错模型的比较,分析上下颌牙冠宽度、上颌牙冠厚度、Bolton指数差异,为安氏Ⅱ1类错矫治设计提供参考。方法以正常,安氏Ⅱ1类错各50例为研究对象,分别进行牙冠宽度、牙冠厚度的测量并计算。结果安氏Ⅱ1类错上下颌侧切牙和下颌中切牙的牙冠宽度比正常大,差异有统计学意义(P<0.05)。 Bolton 指数前牙比:正常>安氏Ⅱ1类错。安氏Ⅱ1类错上前牙牙冠厚度均大于正常,差异有统计学意义(P <0.05)。 结论上下颌牙量不调和上前牙牙冠厚度变化会对安氏Ⅱ1类错矫治后期正常前牙咬合关系的建立产生影响。%Objective To compare the mesiodistal width and the crown thickness of anterior teeth and Bolt‐on Index of Class Ⅱ 1 and normal occlusion casts in order to provide reference for the diagnosis and treat‐ment of Class Ⅱ 1 malocclusion .Methods Fifty cases of normal occlusion ,Class Ⅱ 1 malocclusion were selected ,respectively .Mesiodistal width of anterior teeth and the upper anterior teeth's thickness were measured and Bolton Index was calculated .Results The results indicated that mesiodistal width of maxil‐lary and mandibular lateral incisors and mandibular central incisors in Class Ⅱ 1 malocclusion were larger than that in normal occlusion with significant difference(P< 0 .05) .Bolton Index of normal occlusion was larger than that of Class Ⅱ 1 malocclusion .The crown thickness of upper anterior teeth in Class Ⅱ 1 maloc‐clusion were larger than that in normal occlusion with significant difference(P < 0 .05) .Conclusion The maxillary and mandibular teeth size discrepancy and the change of the upper anterior teeth's thickness can have effect on the ultimate occlusion of Class Ⅱ 1 malocclusion after orthodontic treatmeant .

  19. Esthetic restoration for anterior teeth with the hot pressed porcelain laminate veneers%热压铸造陶瓷制作前牙瓷贴面的临床效果观察

    Institute of Scientific and Technical Information of China (English)

    许少平; 骆小平; 石玉娟

    2012-01-01

    目的:探讨采用热压铸造瓷块制作前牙瓷贴面的临床修复效果.方法:选择要求进行前牙修复的患者32例,共206颗牙.其中,氟斑牙患者20例,轻度四环素牙患者8例,牙唇侧釉质发育不全或釉质表面有明显裂纹患者4例.根据邻牙颜色、皮肤和唇颜色选择瓷块颜色,进行失蜡热压铸造成型,并经过口内试戴、仔细修形后,再在超薄贴面的边缘嵴、切缘等部位进行特殊艺术化染色处理,采用VariolinkⅡ树脂粘固剂黏结超薄瓷贴面.结果:根据改进的USPHS标准评价临床美学修复效果:瓷贴面的半透性极佳,边缘完整性好,与预备体边缘终止线对接密合.经7年多使用,瓷贴面边缘无着色,且能吸收牙龈和邻牙的色泽而产生良好的变色龙作用,同时精雕后的瓷面能够产生自然牙釉质的表面特征.经7年多临床观察,206个瓷贴面仅有5个发生瓷体折裂和脱落.结论:采用热压铸造陶瓷制作瓷贴面,具有操作简单、修复体强度高、磨除牙体组织少、美观效果好等特点,特别适用于氟斑牙、轻度四环素牙、自然磨损牙的美学修复.%To evaluate the esthetic effect of anterior porcelain veneers fabricated with the heat pressed glass ceramic. METHODS: Thirty-two patients, who wanted to receive a aesthetic restorative treatment for 206 anterior teeth were selected. Among them, 20 were for dental fluorosis, 8 were for light tetracycline stained teeth, the other 4 were labial enamel hypoplasia or obvious crack on the surface of enamel. According to the color of adjacent teeth ,skin and lips, heat pressed IPS e.rnax ingots of different color were chosen to mold the restorations. Afterwards, special straining technique was conducted on the marginal ridge and incisor ridge of the veneers after carefully trimmed in the mouth. Restorations were them bonded with Variolink II resin cement. After 7 years of follow-up, a modified USPHS criterion was used to evaluate the

  20. Observation of effect of using mineral trioxide aggregate to prevent external resorption in traumatic permanent anterior teeth%预防性使用MTA控制外伤恒前牙牙根外吸收的临床疗效观察

    Institute of Scientific and Technical Information of China (English)

    周中苏

    2013-01-01

    目的:探讨牙根发育完成的外伤冠折露髓恒牙使用MTA预防性控制根吸收的临床疗效.方法:对109颗牙根发育完成的冠折露髓恒牙随机分为预防性使用MTA治疗组(55颗)和常规治疗组(54颗),完成根管治疗.2年后,通过临床症状及X线根尖片判断疗效.结果:预防性使用MTA治疗组控制根吸收成功率为98.07%,对照组成功率为86.00%,两组间比较差异有统计学意义(P<0.05).结论:外伤恒前牙使用MTA预防性控制根吸收临床疗效好,值得临床应用.%Objective:To evaluate the effect of using mineral trioxide aggregate to prevent external resorption in traumatic permanent anterior teeth.Method:55 traumatic permanent anterior teeth with completed apices referred to our hospital for root canal treatment received an procedure with MTA,and 54 traumatic permanent anterior teeth was filled with gutta-flow.Patients were recalled after 2 years to evaluate the effect.Result:The success rate of MTA group was 98.07 % and control group was 86.00 %.There was significant different in two groups (9 < 0.05).Conclusion:The effect of MTA in preventing external resorption of traumatic permanent anterior teeth is effective,MTA is worth clinical applying.

  1. A clinical cephalometric study of mini-implant anchorage for en-masse retraction of eight maxillary anterior teeth%微种植体辅助整体内收上前牙段的头影测量

    Institute of Scientific and Technical Information of China (English)

    张华; 麦志辉; 卢红飞; 艾虹; 文冲

    2011-01-01

    目的:研究微种植体支抗在矫治上颌前突病例中整体内收上前牙段的应用.方法:选择5例上颌前突患者,拔除第二前磨牙,采用直丝弓矫治技术,辅以微种植体支抗同时整体内收前牙段(6个前牙及2个第一前磨牙),通过X线头影测量分析,观察矫治前后上颌骨软硬组织的变化.结果:上颌骨的变化轻微;切牙平均内收(4.6±1.5)mm,压低(0.8±1.1)mm,根尖后移(1.7±1.4)mm,切牙与腭平面的夹角减少(6.8±3.5)度;支抗磨牙水平前移(0.5±0.3)mm,没有出现明显的颌向伸长;上唇突度减少(2.0±0.9)mm,鼻唇角增大(3±2.4)度.结论:微种植体能提供稳定的支抗,同时整体内收上前牙段,最大限度避免支抗的丧失,改善上唇突度.%Aim: To Study the efficiency of mini-implants as intraoral anchorage units for en-masse retraction of the 6 maxillary anterior teeth and 2 first premolars after the second premolars are extracted. Methods: Five patients requiring high anchorage after extraction of the maxillary second premolars were selected for this study. Straight wire appliance and mini-implants were used for en-masse retraction, Horizontal , vertical, and angular positions of the maxillary ? Rst molar and central incisor were evaluated ceph-alometrically before and after orthodontic retraction. Results; The edge of upper incisors were retracted (4. 6 ±1. 5)mm and intruded (0. 8 ±1. L)mm, the root apex moved distally (1. 7 ± 1.4)mm. The maxillary first molars showed mesial movement of (0. 5 ±0. 3)mm. The nasolabial angle increased (3 ±2.4)° and the angle between upper incisor and PP-plane decreased (6. 8 ± 3. 5 ) °. Conclusion: Mini-implants are efficient for intraoral anchorage reinforcement for en-masse retraction and intrusion of maxillary anterior teeth.

  2. The primary evaluation of minimal prepared ceramic veneer in anterior teeth for clinical application%微创全瓷贴面修复临床应用初探

    Institute of Scientific and Technical Information of China (English)

    刘峰; 师晓蕊; 李祎; 徐明明; 王六

    2012-01-01

    Objective To evaluate the clinical application value of minimal prepared ceramic veneer in anterior teeth,by analyzing the esthetic effects and success rates.Methods Forty-four anterior teeth in 30 patients with minor esthetic defect were included in this study.Less than 0.5 mm preparation or no preparaion technique was used in the clinical procedure.Glass ceramics veneers were delivered and 3M Relyx Veneer were used as the adhesive.The final appearance of each restoration was evaluated by patients on visual analogue scales ( VAS ) and by professional prosthodontists. Evaluation criteria included margin effects,color,shape and translucency.The success rate of all the restoration were analyzed in 6,12 and 24 month after the treatment. Results The patients' degree of satisfaction was 9.2 ±0.4,while the excellent rate of esthetic effect of margin effect,color,shape and translucency was 89% (39/44),91% (40/44),98 % ( 43/44 ) and 93 % ( 41/44 ) by professional prosthodontist.The success rate of 6,12 and 24 month were 100% (44/44),98% ( 43/44 ) and 91% (40/44).Conclusions The minimal prepared venneers have a good esthetic effect and a satisfactory success rate,and is a suitable technique in esthetic treatment under the critical indications.%目的 通过分析微创全瓷修复体的美学效果和成功率,初步评价该修复形式的临床应用价值.方法 对30例前牙美学缺陷患者的44颗患牙进行0.5 mm厚度以内的牙体预备或不进行牙体预备,采取长石质陶瓷材料制作全瓷修复体,应用树脂粘接剂粘接.修复后患者采用视觉模拟评分法(visual analogue scales,VAS)评价美学效果满意度;同时,3名修复专业医师对修复后照片进行美学效果评价(边缘美观效果、颜色、形态、半透明度).修复后6、12、24个月复查评价成功率.结果 修复后患者对修复体美学效果的满意度为9.2±0.4;医师美学效果评价中修复体的边缘美观效果、颜色、形

  3. 前牙区牙龈组织的自我修复效果研究%Study on self-healing effect of anterior teeth area gingival soft tissue in clinical patients

    Institute of Scientific and Technical Information of China (English)

    程旭; 黄伟; 张志宏; 刘红红; 倪婧; 查大慧; 龚乃胜; 张燕

    2015-01-01

    Objective:The purpose of this study is to observe the self-healing effect of gingival soft tissue under the condition of keeping the residual roots in anterior teeth area. Method:16 patients,involving the residual roots or crowns in maxillary anterior teeth area (right maxillary central incisor) were included in the study. Grinding the residual roots or crowns to approximate alveolar ridge top level in subgingival margin and avoiding wearing gingival tissue were conducted for these 24 patients. The growth of gums were observed in the 10 th,20 th,30 th days after surgery,and then,the distance be-tween gingival papilla and adjacent regions spire and the distance between the modpoint of gingival margin and adjacent tooth spire were measured. All the statistical analyses for the experimental data measured were performed by SPSS 13.0 sta-tistical software. Result:Hyperplasia of the gum tissue in the 30 th day after surgery was nearly full of residual root fracture, and no color and texture difference was found between the gingival tissue and normal gingival. With the increasing of obser-vation time,the distance between gingival papilla and adjacent regions spire and the distance between the modpoint of gin-gival margin and adjacent tooth spire were much shorter,and the difference was statistically significant(F=11.502,P<0.001;F=26.088,P <0.001). Conclusion:Keeping the residual roots in clinic can make gingival have an ability of self-healing in the case of no damage.%目的:观察前牙区残根保留情况下牙龈组织的自我修复能力. 方法:上颌前牙区残根或残冠患者16例,将残根或残冠磨至龈缘下平齐牙槽嵴顶水平,避免磨损牙龈组织,术后第10、20、30 d观察牙龈生长情况,测量龈乳头至邻牙牙尖水平面的垂直距离、龈缘中点至邻牙牙尖水平面的垂直距离. 利用SPSS 13.0软件对测量的实验数据进行统计学分析. 结果:术后第30 d增生的软组织基本覆盖残根断面,且新生的

  4. Thickness of labial gingiva and mucosa at maxillary anterior teeth measured by cone-beam CT%上颌前牙唇侧牙龈及牙槽黏膜厚度的锥形束CT测量研究

    Institute of Scientific and Technical Information of China (English)

    师苏萌; 施生根; 白忠诚; 闫澍; 吴宝江

    2014-01-01

    AIM:To measure the thickness of labial gingiva and mucosa at maxillary anterior teeth by cone-beam CT and to analyze its association with gender and body mass index (BMI).METHODS:45 male and 55 fe-male youths of Han nationality were included.At the time of cone-beam CT scanning,a mouth opening device was used to retract soft tissues away from the teeth and gingiva.The thickness of labial gingiva and mucosa was measured at six different leves on each maxillary anterior tooth from gingival margin to crest of alveolar ridge and from the alveolar crest ridge to apical 3 mm respectively.The mucosal width was measured from gingival margin to the crest of alveolar ridge.T-test was used to examine the gender differences.Pearson correlation analysis was used to examine the correla-tions between mucosal thickness and BMI.RESULTS:As total,the thickness(mm)of gingiva at central incisor,lat-eral incisor and canine was 1.32 ±0.20,1.10 ±0.24 and 1.21 ±0.19 respectively;the thickness(mm)of mucosa of the teeth was 0.69 ±0.17,0.52 ±0.16 and 0.59 ±0.15;the mucosal widths(mm)of alveolar ridge of the teeth was 3.18 ±0.45,3.00 ±0.44 and 3.07 ±0.40,respectivelyr.Males had thicker mucosa than females(P<0.05),and the thickness was positively associated with BMI (r=0.376,P<0.05).CONCLUSION:The thickness of labial gingiva increases from crown to root direction.Gingiva was thicker than alveolar mucosa.Males have thicker labial alveolar mu-cosa than females.The thickness of alveolar mucosa was positively associated with BMI.%目的:测量上颌前牙唇侧黏膜厚度,分析其与性别及体质量指数(BMI)的相关性。方法:选择健康汉族青年男45人,女55人为研究对象,推开唇颊组织,用锥形束CT对颌面部扫描并三维重建,测量上颌前牙唇侧龈缘至牙槽嵴顶牙龈及牙槽嵴顶至其根方3 mm范围的黏膜厚度和龈缘至牙槽嵴顶的牙龈宽度。分析黏膜厚度的性别组间差异及与BMI的相关性。结果:

  5. 手术导萌联合正畸矫治治疗小儿上颌前牙埋伏阻生的疗效分析%Analysis of the Effect of Surgical Guide Eruption Combined With Orthodontic Treatment in the Impacted Maxillary Anterior Teeth of Children

    Institute of Scientific and Technical Information of China (English)

    丁志民

    2015-01-01

    Objective To explore the curative effect of surgical guide eruption combined with orthodontic treatment for the impacted maxil ary anterior teeth in children. Methods The effect and safety of treatment in 78 cases(86 teeth)of children with anterior teeth impacted by impacted maxil ary teeth were observed,who were treated with surgical flap guided eruption combined with orthodontic treatment in recent years. Results The success rate was 94.2%. The results showed that there was no serious complication in the dental pulp and periodontal tissues. Conclusion Surgical guide eruption combined with orthodontic treatment were effective for the treatment of the impacted maxil ary teeth in children,easy to pul in place,and the treatment effect is satisfied.%目的:探究手术导萌联合正畸矫治治疗小儿上颌前牙埋伏阻生的疗效。方法对近年我院收治的小儿上颌前牙埋伏阻生患儿78例(86颗)行手术翻瓣导萌联合正畸矫治治疗,观察矫治效果和安全性。结果患牙矫治成功率为94.2%,复查显示牙髓及牙周组织未发生严重并发症。结论该联合术式治疗小儿上颌前牙埋伏阻生的疗效确切,易牵引到位,可获得满意的矫治效果。

  6. Clinical evaluation of IPS e.max porcelain laminate veneer on anterior teeth%前牙IPS e.max全瓷贴面修复临床效果评价

    Institute of Scientific and Technical Information of China (English)

    彭文军; 刘党利; 赵艳英; 赵红宇

    2011-01-01

    目的 通过定期复诊观察,评价IPS e.max全瓷贴面修复的临床效果,并对出现的问题进行分析.方法 对39例患者89颗牙齿行IPS e.max全瓷贴面修复后,分别于12个月(89颗)、24个月(52颗)对修复体完整性、颜色协调性、边缘适合性、牙龈健康状况及牙齿敏感等方面进行观察比较,并评价临床效果.结果 12个月后89颗贴面中92.3%保持完整性,89.89%具有良好的边缘适合性,93.26%颜色保持一致,89.89%牙龈保持健康,但是有13.48%出现了牙齿敏感;24个月后52颗贴面中的90.38%保持了贴面的完整性,边缘适合性良好和牙龈健康的均占94.23%,无变色和牙齿敏感现象出现.结论 IPS e.max全瓷贴面能较好地满足临床牙齿美容需求,是一种良好的美容修复手段.%Objective To analyze the outcome of 89 IPS e. Max porcelain veneers cemented with Variolink II for 12 and 24 months. Methods Evaluated the marginal adaption, shape integrity, color match, tooth sensitivity and gingival health after porcelain laminate veneers were bonded to the anterior teeth, 89 for 12 months and 52 for 24 months. Results After 12 months cementation, 92. 3% of 89 veneers kept their integrity, 89.89% of which produced fine marginal adaption, 93.26% matched teeth well on color, and 89. 89% kept good gingival health. But tooth sensitivity was found within 13.48% of them. 24 months later, still 90.38% preserved shape integrity, 94.2% maintained good gingival health and marginal adaption. All studied veneers showed color stability and no tooth sensitivity was found. Conclusions When bonded to enamel substrate, IPS e. Max veneer can offer perfect restoration with low failure percentage, and well meet the clinical aesthetic needs.

  7. A three dimensional finite element analysis on en-masse retraction of maxillary anterior teeth by rocking-chair archwire in sliding mechanics%摇椅弓滑动法整体内收上颌前牙的三维有限元分析

    Institute of Scientific and Technical Information of China (English)

    安晓莉; 陈宏伟; 司庆宗; 周又和; 刘斌; 王记增

    2013-01-01

    Objective To investigate the effect of en-masse retraction of maxillary anterior teeth by rocking-chair archwire (RCA) in sliding mechanics. Methods The three dimensional finite element model of maxillary teeth was created based on spiral CT data of a patient by ANSYS software. The forces on each tooth and the torques on the six center of resistance (CR) of the anterior teeth induced by the deformation of RCA with different depth and anterior retraction hook (ARH) with different height were calculated when retracted from a mini-implant between the first molar and the second premolar. The movements of anterior teeth were observed combining different depth of RCA with different height of ARH. Results The clockwise torque in sliding mechanics to realize en-masse retraction of the anterior teeth could be counterbalanced by RCA of certain depth. The combination of 7.2 mm ARH and 2 mm RCA can be used to intrude and retract maxillary anterior teeth under the condition of applying mini-implant. Conclusion The excessive retraction that usually exists in traditional treatments can be avoided by RCA in sliding mechanics and intrusion and torque control during anterior segment retraction can also be achieved by this method.%目的 探讨摇椅弓应用于滑动法内收上颌前牙的力学效应.方法 应用ANSYS软件建立上牙列三维有限元模型,分别计算不同深度摇椅弓和不同高度牵引钩内收上前牙时对6个上前牙阻抗中心产生的转矩,并观察二者联合应用时上前牙初始移动情况.结果 选择不同深度的摇椅弓可产生不同的冠唇向转矩,用以抵消摩擦力及不同高度牵引钩滑动法内收产生的冠舌向转矩,进而实现上前牙的整体移动.在上颌第二前磨牙和第一磨牙之间应用种植体支抗时,2 mm深度的摇椅弓可配合使用7.2 mm高度的牵引钩来实现上前牙的压低及整体内收.结论 摇椅弓可以有效改善内收前牙时出现的直立和舌倾状态,实现压低和转矩的双重控制.

  8. Delayed replantation of avulsed teeth

    Directory of Open Access Journals (Sweden)

    Adil N

    2007-05-01

    Full Text Available Dental injuries are very common and their extent has been classified by Ellis. Avulsion of tooth is a grievous injury and ranges from 1-16% among the traumatic injuries, of which maxillary anterior are commonest. Reimplantation of avulsed teeth is a standard procedure. However, it has certain limitations. Most often their management is very challenging. In this case report we are presenting the management of maxillary incisors by replantation after 36 hrs in a 12 year old girl.

  9. 应用改良E型桥体成形上颌前牙缺牙区软组织形态的临床研究%Clinicla research of application of innovative E-po ntic design shaping the soft tissue of missing maxillary anterior teeth

    Institute of Scientific and Technical Information of China (English)

    黄娜; 吕杰; 李平; 唐尤超; 王远勤

    2015-01-01

    目的:评价前牙缺失区应用改良E型桥体成形前牙缺牙区软组织形态的临床效果。方法选择上颌前牙缺失拟行天然牙固定义齿修复的患者19例,行天然基牙的牙体预备,不做传统方法的阶段性临时冠牙龈成形。在石膏代型上进行特殊E型桥体的制作,技师要在石膏代型的预计组织进入深度内创造出唇侧90°的线角和邻间角及斜向舌侧的平面。根据该型设计要点和最终修复体的形态在桥体组织面上行激光外科修整,试戴、粘接修复体。修复结束后2个月和12个月进行治疗后随访。测量记录桥体处牙龈乳头高度水平、龈缘水平、角化龈宽度、改良菌斑指数及改良出血指数。结果随访观察期内所有义齿行使功能良好,修复前和修复后12个月时角化龈宽度分别为3.6 mm和2.7 mm。修复后2个月和修复后12个月改良菌斑指数分别为0.70和0.75,改良出血指数分别为0.25和0.40,近中牙龈乳头高度水平分别为5.49 mm和5.31 mm,远中牙龈乳头高度水平为5.89 mm和5.73 mm,龈缘水平为10.84 mm 和10.48 mm,改良菌斑指数和改良出血指数的差异均无统计学意义;而牙龈乳头高度水平、龈缘水平,角化龈宽度差异有统计学意义。结论应用改良E型桥体成形上颌前牙缺牙区软组织可获得良好的效果。%Objective The purpose of this clinical study was to evaluate the effect of utilizing an innovative E-pontic design in missing maxillary anterior teeth soft tissue area.Methods The patients with the missing anterior teeth who in-tended to receive fixed partial denture restoration were included n this clinical study.At the tooth preparation and impres-sion appointment, the pontic site did not have to be anatomically developed by the provisional at this stage.In the labora-tory setting, the clinician sculpted the approximate outline and predetermined tissue depth on the

  10. The Impact of Two Kinds of Immediate Dental Implant for Maxillary Anterior Teeth on the Soft and Hard Tissues in Patients With Oral Cavity%两种上颌前牙即刻牙种植术对患者口腔内软硬组织的影响

    Institute of Scientific and Technical Information of China (English)

    刘龙坤

    2015-01-01

    目的:探讨翻瓣与不翻瓣两种上颌前牙即刻牙种植术对患者口腔内软硬组织的影响。方法选取我院近年来收治行上颌前牙即刻牙种植术患者140例,采用随机数字表法分为A组和B组,各70例,分别采用翻瓣与不翻瓣上颌前牙即刻牙种植术治疗;比较两组患者种植成活率、手术时间、牙槽骨长度及术后并发症发生率等。结果 B组患者手术时间和牙槽骨长度均优于A组,P<0.05,差异具有统计学意义。B组患者术后并发症发生率低于A组,P<0.05,差异具有统计学意义。结论相较于翻瓣上颌前牙即刻牙种植术,不翻瓣上颌前牙即刻牙种植术可有效缩短手术时间,提高种植成活率,并有助于降低并发症发生风险。%Objective To investigate the effects of two kinds of immediate dental implant for maxillary anterior teeth including lfap and non-lfap on the soft and hard tissues in patients with oral cavity.MethodsSelected 140 patients with immediate dental implant for maxillary anterior teeth in our hospital were randomly divided into both group including A group and B group, each group had 70 cases, respectively with immediate dental implant for maxillary anterior teeth including lfap with immediate dental implant for maxillary anterior teeth including non-flap, and the survival rate of implantation, operation time, the length of alveolar bone and postoperative complication incidence of both groups were compared. ResultsThe operation time and the length of alveolar bone of B group was better than A group,P<0.05, had difference statistically signiifcance. The postoperative complication incidence of B group was significantly better than A group,P<0.05, had difference statistically signiifcance.Conclusion Compared with immediate dental implant for maxillary anterior teeth by flap, immediate dental implant for maxillary anterior teeth by non-flap can efficiently shorten the operation time, improve

  11. 树脂短桩结合透明冠修复上颌乳前牙残冠的临床观察%Clinical observation of resin short post combined with strip crown to restore the residual crown of maxillary deciduous anterior teeth

    Institute of Scientific and Technical Information of China (English)

    李文敏; 闫长山; 秦帅华

    2016-01-01

    Objective To observe the clinical effect of resin short post combined with strip crown to restore the residual crown of maxillary deciduous anterior teeth. Methods Select 75 residual crown of maxillary deciduous anterior teeth which were removed all of dental caries and accepted root canal therapy, and then treat them by short post core restoration with composite resin, combined with strip crown to restore the shape. Results Reexamination after 4 years showed 71 cases succeed and 4 cases failed, the success rate is 94.7%. Conclusion The method of the composite resin short pile combined with transparent crown is used to restore the residual crown of maxillary deciduous anterior teeth is reliable and suitable for clinical application.%目的:观察树脂短桩结合透明冠的方式修复上颌乳前牙残冠的临床效果。方法:选择75颗乳上前牙残冠,去净龋坏并行根管充填后,用复合树脂做短桩核修复,再结合透明冠恢复外形。结果:4年后复查,成功71颗,失败4颗,成功率94.7%。结论:采用复合树脂短桩联合透明冠的方式修复上颌乳前牙残冠,效果可靠,适合临床推广使用。

  12. 数字化口腔修复(13)--消除前牙黑三角的数字化笑设计(附病例报告)%Digital restorative dentistry and prosthodontics(13)---Digital smile design of eliminating the black triangle in anterior teeth (a case report)

    Institute of Scientific and Technical Information of China (English)

    陶娴; 姚江武

    2016-01-01

    Objective:To use computer aided design (CAD) changing the location of proximal contact point in crowns and pre-restorative digital smile design in order to get better communication and satisfaction with the patients. Method:One patient with anterior teeth broken and chronic periodontitis with the black triangle, would be proceed in all-ceramic crown restoration by two-dimensional digital smile design (2-DDSD) and three-dimensional smile designs (3-DDSD) via Photoshop CS6 software and CEREC®AC Omnicam 4.2 software. Result:Via comparison of the virtual images of 2- and 3-DDSD, both patient and dentist reached consensus on the images of the teeth morphology which were changed from triangle to square. Because of that the black triangles in anterior teeth were disappeared completely, this restoration was the most satis-faction. Conclusion:2- and 3-DDSD were effective communication channel and method. Meanwhile, changing the teeth morphology via moving proximal contact point contributed to eliminate the black triangle in anterior teeth.%目的:通过计算机辅助设计,改变修复体邻面接触点的位置,并进行修复前的数字化笑设计,以获得与患者良好的沟通。方法:利用Photoshop CS6软件和CEREC®AC Omnicam 4.2软件分别对1例冠折且伴有慢性牙周暴露“黑三角”的患者行全瓷冠修复和二维/三维数字化笑设计。结果:经过患者和口腔医师共同比较二维和三维数字化笑设计的虚拟图像,双方达成共识,即牙齿的基本形态由三角形改为方形,消除了“黑三角”,修复后效果最为满意。结论:医患双方共同参与的修复前二维和三维数字化笑设计是行之有效的沟通渠道和手段,同时通过移动邻面接触点改变牙齿基本形态的方法有利于消除前牙“黑三角”。

  13. 口腔临床新兴实用技术学习班通知玻璃纤维桩修复前牙牙体缺损的临床效果比较%Comparision of the clinical effects of glass-fiber post on endodontically treated anterior teeth with varying ferrule heights and configurations

    Institute of Scientific and Technical Information of China (English)

    田菊忠; 王宏

    2011-01-01

    目的 探讨不同程度前牙牙体缺损玻璃纤维桩核修复的临床疗效.比较前牙重度牙体缺损运用冠延长术和未运用冠延长术后玻璃纤维桩修复的临床效果.方法 临床选择182例前牙缺损患者的共295颗患牙,按牙体缺损程度分3类:Ⅰ类、Ⅱ类和Ⅲ类,按缺损程度所有患牙分为A、B、C、D、E五组,A组为Ⅰ类牙体缺损62颗,B组为Ⅱ类牙体缺损77颗,C组为Ⅲ类牙体缺损并保留2 mm以上牙本质肩领的患牙59颗,D组为Ⅲ类牙体缺损48颗,E组为Ⅲ类牙体缺损49颗,A、B、C、D四组均采用玻璃纤维桩核修复,E组采用牙冠延长术牙体颈部获得至少2 mm大小的牙本质肩领后采用玻璃纤维桩核修复.结果 A、B、C、D、E各组治疗成功率分别为100%、100%、96.6%、85.4%、97.9%,其中A、B、C、E四组之间两两比较无显著性差异(P>0.05),D、E两组之间比较有显著性差异(P<0.05).结论 前牙牙体缺损颈部留有至少2 mm大小的牙本质肩领,玻璃纤维桩核修复能达到较好的效果,牙冠延长术后玻璃纤维桩核能有效修复重度前牙缺损.%Objective To study the clinical effects of glass-fiber post on anterior teeth with varying ferrule heights and configurations. To compare the clinical effects of glass-fiber post following surgical crown lengthening or not on severe anterior teeth defect.Methods 295 anterior teeth with varying ferrule heights were divided into Ⅰ、Ⅱ、Ⅲ degree teeth defects. All teeth were divided into five groups: A、B、C、D、E. Group A:62 teeth with Ⅰ degree defect; Group B :77 teeth with Ⅱ degree defect; Group C :59 teeth with Ⅲ degree defect; Group D:48 teeth with Ⅲ degree defect; Group E:49 teeth with Ⅲ degree defect; The groups of A、B、C、D were restored with glass-fiber post; The teeth of group E gained ferrule no less than 2mm following surgical crown lengthening and were restored with glass-fiber post. Results The success rates of group A

  14. 成人骨性Ⅱ类错牙合不同垂直骨面型前牙区牙槽骨形态的 CBCT 研究%A cone-beam CT study on alveolar bone morphology in anterior teeth area of adult skeletal Class Ⅱ mal-occlusion subjects with different vertical skeletal types

    Institute of Scientific and Technical Information of China (English)

    季海宁; 梁源; 隋珂; 高麒; 丁寅

    2016-01-01

    目的:应用锥形束 CT(CBCT)研究成人骨性Ⅱ类错(牙合)患者前牙区牙槽骨形态特征及垂直骨面型对其的影响。方法:纳入64名成人骨性Ⅱ类错(牙合)患者,对照组选择正常(牙合)15名,进行锥形束 CT 的拍摄,对前牙区牙槽骨各项数据进行对比分析;并将骨性Ⅱ类错(牙合)患者根据垂直骨面型的不同进行分组整理分析。结果:骨性Ⅱ类错(牙合)患者前牙区唇舌侧牙槽骨高度及厚度均低于对照组(P <0.05)。骨性Ⅱ类错(牙合)高角组患者前牙区唇舌侧牙槽骨高度、牙槽骨厚度均低于低角组(P <0.05)。结论:骨性Ⅱ类错(牙合)患者前牙区牙槽骨厚度尤其是切牙区牙槽骨厚度较低,高角组低于低角组。%Objective:To study the alveolar bone morphology in the anterior teeth area of the skeletal Class Ⅱ malocclusion subjects with different vertical skeletal types.Methods:64 patients with skeletal Class Ⅱ malocclusion and 15 subjects with normal occlusion were included.The alveolar bone structure of the anterior teeth were observed using CBCT.Results:The labial and lingual alveolar bone height and the alveolar bone thickness of the incisors of the patients were much lower than those of the normal controls.The height of labial and lingual alveolar bone and the alveolar bone thickness of anterior teeth in high-angle subgroup were lower than those in low-angle subgroup.Conclusion:The thickness of the anterior teeth alveolar bone of skeletal Class Ⅱ malocclusion is low,espe-cially in the high-angle group.

  15. 应用锥形束CT评价前牙唇舌侧牙槽骨高度及厚度的研究%Evaluation of quantitative measurement of labial and lingual alveolar height and thickness in anterior teeth by cone-beam computed tomography

    Institute of Scientific and Technical Information of China (English)

    钟金晟; 柳登高; 欧阳翔英; 谢晓艳

    2012-01-01

    Objective To evaluate the accuracy of in vitro and in vivo measurement of labial and lingual alveolar height and thickness in anterior teeth by cone-beam computed tomography ( CBCT). Methods Anterior teeth sockets in 10 dry mandibles were examined by CBCT, and the alveolar height and thickness were measured and compared with direct measurement. Twenty-two anterior teeth, that had been determined to extract, were examined by CBCT, and the alveolar height and thickness were measured and compared with direct measurement after the extraction. Results In vitro experiments , no significant difference was found between the data obtained by CBCT and direct measurements ( P > 0.05 ) . In vivo experiments, no significant difference was found between the data obtained by CBCT and direct measurements except for the labial alveolar height. The difference might be caused by the trauma from the extraction and patient mobility during the projection. Conclusion CBCT could provide accurate information of labial and lingual alveolar height and thickness in anterior teeth.%目的 评价锥形束CT(CBCT)在体内外定量测量前牙唇舌侧牙槽骨高度及厚度的准确性.方法 体外实验利用CBCT测量10个干下颌骨下前牙牙槽窝的高度和厚度,并与直接测量结果进行比较;体内实验选取待拔除的22颗前牙,拔除前使用CBCT测量牙槽骨的高度和厚度,并与拔除后即刻直接测量的结果进行比较.结果 体外实验CBCT与直接测量结果之间的差异无统计学意义(P>0.05);体内实验CBCT对唇侧牙槽骨厚度测量结果大于CBCT测量结果(P<0.05),而其他3个参数二者之间的差异无统计学意义,造成差异的原因可能与拔牙的损伤和CBCT拍摄过程中患者的移动有关.结论 CBCT可以较好地反映前牙唇舌侧牙槽骨高度和厚度的实际情况.

  16. 超声骨刀行冠延长术后纤维桩修复上颌前牙的临床应用%Clinical application of fiber posts in restoring maxillary anterior teeth after surgical crown lengthening by piezosurgery

    Institute of Scientific and Technical Information of China (English)

    李张维; 康成容; 吴妹娟; 王玉栋; 潘宣

    2015-01-01

    目的 观察保留冠折位于龈下的上颌前牙残根残冠,使用超声骨刀行冠延长术后纤维桩修复的临床疗效.方法 27例患者共32颗患牙,经完善的根管治疗后使用超声骨刀行冠延长术,术后6周复诊,采用纤维桩、双固化树脂水门汀及复合树脂材料恢复桩核,二氧化锆烤瓷冠修复.术后通过临床和X线片检查评估修复体的临床疗效.结果 27例患者的32颗患牙经过1~3年期间的随访检查,成功29颗(90.6%),失败3颗(9.4%).结论 超声骨刀应用于上颌前牙冠延长术,并联合纤维桩修复,可取得良好的治疗效果.%Objective To observe the clinical effects of fiber posts in restoring maxillary anterior teeth after surgical crown lengthening by piezosurgery. Methods After root canal therapy, 32 teeth from 27 patients were lengthened with piezosurgery. After 6 weeks, they were restored by fiber posts, dual cure resin cement, composite res-in material. And then, zirconia crowns were applied to restore them. The patients were observed the restoration effects by clinical results and X-ray. Results The 32 teeth from 27 patients were followed up for 1~3 years, with 29 teeth successfully restored (90.6%) and 3 teeth unsuccessfully restored (9.4%). Conclusion A satisfactory treatment ef-fects could be achieved by surgical crown lengthening with piezosurgery and fiber posts in restoring maxillary ante-rior teeth.

  17. Impacted Wisdom Teeth

    Science.gov (United States)

    ... with crowding of the other teeth or require orthodontic treatment to straighten other teeth. Cysts. The wisdom ... is usually required for: Infection or gum disease (periodontal disease) involving the wisdom teeth Tooth decay in partially ...

  18. Wisdom Teeth Management

    Science.gov (United States)

    Wisdom Teeth Management Wisdom teeth, or third molars, are the last teeth to develop and appear in your mouth. They come ... of third molars, disease status, and to suggest management options ranging from removal to a monitored retention ...

  19. 汉族青年人上颌前牙牙根位置及牙槽骨厚度的测量分析%Measurement of sagittal root position and the thickness of the facial and palatal alveolar bone of maxillary anterior teeth

    Institute of Scientific and Technical Information of China (English)

    杨刚; 胡文杰; 曹洁; 柳登高

    2013-01-01

    Objective To classify the relationship of the sagittal root positions of the maxillary anterior teeth to their respective osseous housings,and to measure the thickness of facial and palatal alveolar bone by cone-beam computed tomography(CBCT).Methods Twenty-three subjects [9 male,14 female,mean age:(24.5 ± 1.6) years] who fulfilled the inclusion criteria were involved in this study.The CBCT images were evaluated and the relationship of the sagittal root position of the maxillary anterior teeth to its associated osseous housing was recorded as Kan's Class 1,2,3,4.The facial and palatal alveolar bone thickness at three locations:2 mm apical to crest level,mid-root level and apical level,was measured respectively.Results Ninety seven point one percent(134/138) of the anterior maxillary teeth were classified as Class 1.Only 2.9% (4/138) were Class 4.Occurrences of >2 mm thickness of maxillary facial alveolar bone were found 2.2% (6/276 sites) at 2 mm apical to crest level and mid-root level in the sample of maxillary anterior teeth.Conclusions The majority of the anterior maxillary teeth roots were positioned close to the labial cortical plate.Most tooth sites in the anterior maxilla had a thin facial bone wall.%目的 对上颌前牙牙根与牙槽骨在矢状向的位置关系进行分类,测量上颌前牙唇腭侧牙槽骨厚度,为深入了解上颌前牙牙根和牙槽骨的关系提供参考.方法 选择牙周健康的汉族青年23名[男性9名,女性14名,平均年龄(24.5±1.6)岁],对共计138颗上颌前牙拍摄锥形束CT,通过锥形束CT配套软件进行三维重建处理,调整至合适的位置及轴向,定性分析上颌前牙牙根与牙槽骨的矢状向位置关系,并进一步定量测量上颌前牙唇腭侧牙槽骨的厚度.结果 97.1% (134/138)的上颌前牙牙根矢状向位置偏向唇侧骨皮质,2.9% (4/138)的牙根偏向腭侧骨皮质;上颌前牙唇侧正中骨嵴顶下方2 mm和根中部位点仅有2.2%(6/276)

  20. Analysis on self-healing effect of anterior teeth area gingival soft tissue in canine model%前牙区软组织自我修复效果的实验测量观察

    Institute of Scientific and Technical Information of China (English)

    黄伟; 张志宏; 刘红红; 鲍军燕; 张敏; 韩倩; 何华

    2014-01-01

    Residual roots model was conducted in the maxillary anterior teeth area of the canine ( right maxillary lateral incisor and left maxillary central incisor) by grinding dental crown to approximate alveolar ridge top level in subgingival margin and avoiding wearing gingival tissue. The growth of gums was observed in the 1, 3, 4, 5 weeks after surgery through measuring the distance between gingival papilla and adjacent regions spire, the vertical dis-tance between gingival papilla and the level of the adjacent regions spire, the distance between the modpoint of gin-gival margin and adjacent tooth spire and the vertical distance between the modpoint of gingival margin and the level of the adjacent regions spire. All the statistical analyses for experimental data were performed by SPSS statistical software. The results showed hyperplasia of the gum tissue in the fourth week after surgery was nearly full of residu-al root fracture, and no color and texture difference was found between the gum tissue in the fifth week after surgery and normal gum. According to data the growth of gum tissue was toward the direction of hyperplasia during the ob-servation period. This study shows that gums have some certain ability of self-healing in the case of no damage, and the residual root tissue can complete self-healing in 4 weeks.%在犬的上颌前牙区(右上颌侧切牙、左上颌中切牙)制造残根模型,将牙冠磨至龈缘下约平齐牙槽嵴顶水平,避免磨损牙龈软组织,术后第1、3、4、5周观察其牙龈生长情况,测量龈乳头至邻牙牙尖顶的距离、龈乳头至邻牙牙尖顶的水平面的垂直距离、龈缘中点至邻牙牙尖顶的距离、龈缘中点至邻牙牙尖顶的水平面的垂直距离。利用SPSS软件对测量的实验数据进行线图分析。结果显示术后第4周增生的软组织基本长满残根断面,术后第5周新生的软组织与正常牙龈在颜色、质地上基本一致,测量数据显示在观察周期

  1. Restoring Anterior Aesthetics by a Rotational Path Cast Partial Denture: An Overlooked Technique

    OpenAIRE

    Sharma, Deeksha; Bhat, Bala Saraswati; Arora, Himanshu

    2016-01-01

    Cast Partial Dentures (CPD) has long been known to restore missing teeth in patients with minimal invasion on hard and soft tissues. Although satisfactory otherwise, the main concern in CPD is the anterior display of metal. Also the technique sensitive lab procedures, together with the esthetic concern have built an iceberg around the frequent utilization of this treatment modality. With the advent of various techniques to get rid of the metallic display, it was predicted to have more CPD’s d...

  2. Clinical application of the surgical crown lengthening combining all ceramic crown after failure of the anterior teeth PFM crown restoration%牙冠延长术结合全瓷冠修复在前牙烤瓷冠失败病例的应用

    Institute of Scientific and Technical Information of China (English)

    李雪峰

    2013-01-01

    目的:探讨应用牙冠延长术结合全瓷冠技术治疗前牙生物学宽度不足导致不良烤瓷冠修复的临床疗效。方法选取26例因生物学宽度不足导致的前牙修复失败病例,进行完善牙周治疗,根管治疗,并进行牙冠延长术后全瓷冠修复,观察术前,术后六周以及修复后三个月以及修复六个月的PD(探诊深度), SBI(出血指数)并予以记录。结果24例患者治疗效果较好,两例术后牙龈高度不对称,患者不甚满意。结论牙冠延长术结合全瓷冠修复可以较好的解决前牙不良烤瓷冠修复的再治疗问题。%Objective To investigate the effect after crown lengthening surgery combining all ceramic crown on anterior teeth failure of PFM crown restoration because of insufficient biological width Methods Select 26 failure cases of anterior teeth caused by insufficient biological width , repair to perfect the periodontal treatment, root canal treatment, and crown lengthening surgery. After treatment all teeth were restored by all ceramic crown, At baseline, 6 weeks after surgery and 3 months and 6 months after the restoration BOP and PD were recorded and analyzed. Results 24 patients treatment effect is good, two cases of postoperative were not very satisfied because of gum hight asymmetric. Conclusion Crown lengthening sursery combining all ceramic crown restoration can solve the failure PFM restoration on anterior teeth.

  3. Comparison of the clinical value of porcelain veneer and all ceramic crowns in the restoration of anterior teeth%烤瓷贴面和全瓷冠在前牙美容修复中的临床应用价值比较

    Institute of Scientific and Technical Information of China (English)

    刘卫锋; 刘继华; 闫慧鑫; 王生党; 王垚

    2015-01-01

    目的:旨在比较烤瓷贴面和全瓷冠在前牙美容修复中的临床效果。方法选择2012年1月至2013年1月在我院接受烤瓷贴面和全瓷冠前牙美容修复的患者127例(320颗),根据患者的牙齿情况选择修复材料,其中接受烤瓷贴面修复患者70例(144颗),全瓷冠修复患者57例(176颗),320颗前牙均采用耐火代型技术进行修复,对所有患者随访2年。为了评价2种修复方式在前牙美容中的效果,分别在修复后3个月和24月后比较近期的美容效果和远期的完整性效果。结果经烤瓷贴面和全瓷冠修复后,患者均达到较好的近期美容效果,其主观满意度均达到100%,2种修复方式差异无统计学意义(P=0.51);全瓷冠修复的客观满意度为94.7%,高于烤瓷贴面(90.0%),表明全瓷冠的遮色效果优于烤瓷贴面。修复2年后全瓷冠的完好率仍为100%,烤瓷贴面的完好率为96.0%,二者差异有统计学意义(P=0.04),全瓷冠修复的远期完整性效果更佳。结论烤瓷贴面和全瓷冠对于前牙修复均能收到较好的美容效果,全瓷冠修复的远期完整性效果优于烤瓷贴面修复。%Objective To compare the clinical effects of porcelain veneer and all ceramic crowns in the cosmetic restoration of anterior teeth .Methods One hundred and twenty-seven patients ( 320 teeth ) , who received porcelain veneer and all ceramic crowns in the cosmetic restoration of anterior teeth from January , 2012 to January, 2013 in our hospital were chosen for our study .The repair materials for the patients′teeth were selected in accordance with the patient conditions of the teeth .All the 320 anterior teeth were repaired with refractory generation technology , of which 70 cases (144 teeth) were repaired with porcelain veneer and 57 cases (176 teeth) were repaired with all ceramic crowns , and all the patients had medical follow-ups for 2

  4. The histological effects of composite resin materials on the pulps of monkey teeth.

    Science.gov (United States)

    Heys, R J; Heys, D R; Cox, C F; Avery, J K

    1977-03-01

    Pulpal response of three bis glycol methacrylate composite resins, Smile, Simulate and Experimental Composite no. 2 were tested on primary and permanent monkey teeth using zinc oxide eugenol (ZOE) and silicate as controls. All materials were placed in Class V cavity preparations in Rhesus monkey teeth and evaluated at 3 days and 5 and 8 weeks. The materials were randomly placed in anterior and posterior teeth utilizing 75 primary and 75 permanent teeth. Following perfusion the teeth were prepared by routine histological procedures. The 3 day response of the composite resins was moderate, characterized by disruption of the odontoblasts, vacuolization and mild inflammatory response underlying the cavity. At 5 weeks the formation of reparative dentin and a decrease in the inflammatory response was similar for all resins observed. At 8 weeks a slight increase in reparative dentin and continued decrease in inflammation was noted when compared to the 5 weeks responses. At all time intervals ZOE produced the least pulpal response while silicate produced the most severe response.

  5. O efeito da retração dos dentes anteriores sobre o ponto A em pacientes submetidos ao tratamento ortodôntico corretivo The effect of retraction of anterior teeth on the point A in patients submitted to corrective orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Tien Li An

    2008-04-01

    Full Text Available OBJETIVO: avaliar o efeito da retração anterior sobre o ponto A sagital e verticalmente, bem como a correlação e a previsibilidade do comportamento dessas estruturas. METODOLOGIA: sessenta telerradiografias em norma lateral foram usadas, tomadas no início e no final do tratamento ortodôntico corretivo, a partir de 30 pacientes (22 feminino e 8 masculino com idade entre 10 e 17 anos antes do tratamento, com má oclusão de Classe II, divisão 1 ou Classe I, que foram submetidos às extrações dos quatro primeiros pré-molares ou somente dois primeiros pré-molares superiores. Além das variáveis .1NA,1-NA, 1.PP e 1-A, mensurações lineares horizontais e verticais foram feitas em relação a uma linha de referência construída a partir da linha SN menos 7º e uma linha perpendicular a ela. Todos os dados foram mensurados duas vezes, e as médias foram submetidas ao teste t emparelhado, de correlação linear e de regressão. RESULTADOS: em média, o ponto A retraiu 0,71mm e movimentou para baixo 2,38mm, seguindo 1,03mm e 4,13mm de retração, respectivamente, do ápice radicular e da borda incisal, e 2,35mm de extrusão dentária. A retração do ponto A apresentou correlação positiva em relação ao ápice radicular (r = 0,75; alfa OBJECTIVE: it was aimed to evaluate the effect of retraction of anterior teeth on the point A sagittally and vertically, as well as the correlation and the predictability of the behavior of these structures. METHODS: sixty lateral cephalograms were used, which were taken at the beginning and at the end of fixed appliance orthodontic treatment, from thirty patients (22 female and 8 male aging from 10 to 17 years at baseline, with Class II, Division 1 or Class I malocclusion, who underwent four first premolars extractions or maxillary first premolars extractions only. Besides the variables 1.NA, 1-NA, U1/PP and U1«AVERT, horizontal and vertical linear measurements were made in relation to a horizontal

  6. Cervicoplastia anterior Anterior cervicoplasty

    Directory of Open Access Journals (Sweden)

    Lucas Gomes Patrocínio

    2004-10-01

    Full Text Available Muitos pacientes buscam correção estética da frouxidão da pele do pescoço, depósito de gordura na região submentoneana ou bandas de platisma. Em grande parte dos casos a ação medial, via cervicoplastia anterior é necessária. OBJETIVO: Demonstrar a casuística e avaliar os resultados e complicações com a técnica de cervicoplastia anterior no Serviço de Otorrinolaringologia da Universidade Federal de Uberlândia. FORMA DE ESTUDO: Relato de série. PACIENTES E MÉTODOS: Quarenta e dois pacientes, entre 39 e 65 anos de idade, sendo 40 (95,2% do sexo feminino e 2 (4,8% do masculino, foram submetidos a cervicoplastia anterior. Retrospectivamente foram avaliados resultados e complicações. RESULTADOS: Destes, 34 apresentaram resultados satisfatórios, 4 apresentaram déficit estético notado somente pelo cirurgião, 3 apresentaram déficit estético notado somente pelo paciente e 1 apresentou déficit estético necessitando cirurgia revisional. Ao estudo fotográfico, todos os pacientes apresentaram melhora do perfil cervical, redução das bandas de platisma e da frouxidão da pele, estabilização da musculatura cervical e acentuação do ângulo cervicomental, em graus variados. Houve complicação em 2 casos (discreto serohematoma e cicatriz um pouco alargada. CONCLUSÃO: A cervicoplastia, associada ou não à tração lateral pela ritidoplastia, é uma técnica que produz resultados satisfatórios na grande maioria dos casos.Many patients look for aesthetic correction of the laxity of neck skin, submandibular fat deposit or platisma bands. In a large part of the cases, medial action, through anterior cervicoplasty is necessary. AIM: To demonstrate the casuistic and to evaluate the results and complications with anterior cervicoplasty technique in the Otorhinolaryngology Service of the Federal University of Uberlândia. STUDY DESIGN: Serie report. PATIENTS AND METHODS: Forty-two patients, between 39 and 65 years of age, being 40 (95

  7. 不同类型胶黏剂联合复合树脂充填修复乳前牙环状龋疗效对比分析%Comparative analysis of curative effect of different types of adhesive combined with com posite resin in iflling repair deciduous anterior teeth cricoid caries

    Institute of Scientific and Technical Information of China (English)

    李菊

    2016-01-01

    目的:研究不同类型胶黏剂联合复合树脂充填修复乳前牙环状龋的临床效果,以期提高乳前牙环状龋的治疗效果。方法选取本院2013年7月至2014年3月治疗的35例乳前牙环状龋患儿(108颗患牙)为研究对象,随机将其分为观察组(18例,55颗患牙)和对照组(17例,53颗患牙)。观察组患儿应用新型混合型胶黏剂联合复合树脂充填修复患牙,对照组患儿采用自酸蚀牙本质胶黏剂联合复合树脂充填修复患牙。分别于修复后6个月和12个月进行随访,比较两组患儿的治疗效果。结果观察组患儿患牙修复体固位、边缘密合性、牙髓活力评分均显著低于对照组(P<0.05)。结论新型混合型胶黏剂联合复合树脂对乳前牙环状龋充填修复的临床效果优于自酸蚀牙本质胶黏剂联合复合树脂,是较理想的治疗方案,值得临床推广应用。%ObjectiveTo investigate the clinical effect of composite resinfilling restoration with different adhesives in deciduous anterior teeth cricoid caries, so as to improve the curative effect.MethodFrom July 2013 to March 2014, 35 cases (108 involved teeth) of children with deciduous anterior teeth cricoid caries were selected as the research objects and were randomly divided into observation group (18 cases, 55 involved teeth) and control group (17 cases, 53 involved teeth). Observation group applied composite resin with new mixed adhesive asfilling restoration materials and control group applied composited resin with self-etching dentin adhesive. Evaluated the clinical effect of both groups.ResultThe scores of observation group on retention of restorations, marginal closeness, dental pulp vitality scores were significantly lower than control group (P<0.05).ConclusionThe new mixed resin adhesive with composited resin has ideal effect on treating deciduous anterior teeth cricoid caries and deserves clinical expansion.

  8. Clinical investigation of pulpotomy with Pulpdent Multi-Cal in young permanent anterior teeth%PulpdentMulti-Cal用于年轻恒前牙活髓切断术的临研究

    Institute of Scientific and Technical Information of China (English)

    白洁; 秦满; 姬爱平

    2011-01-01

    Objective:To investigate the clinical characteristics and prognosis of pulpotomy with Pulp-dent Multi-Cal (PMC) in young permanent incisors. Methods: Twenty-five young permanet incisors with vital pulps and complicated crown fractures were treated by pulpotomy with PMC at the Emergency Department of Peking University School and Hospital of Stomatology. The teeth were checked clinically and radiographically during fixed intervals. Healing of the pulp was considered to have taken place if the following criteria were met; absence of clinical symptoms, absence of apical radiolucency, continued root development in immature teeth, radiographic evidence of dentin bridge formation, and positive response to pulp vitality tests. The results were compared with the teeth which underwent pulpotomy with preparation made by our hospital. Results:Followed up for 6 -15 months (median 12 months) , on basis of the criteria for pulp healing, all teeth got successful treatment. And all the teeth showed radiographic evidence of dentin bridge formation within 1 to 3 months after pulpotomy. The operation time of PMC pulpotomy was significantly shortened (P <0.01). The root length of teeth performed with PMC pulpotomy and normal teeth had no significant difference (P >0. 05). Conclusion: PMC is an acceptable material when used in pulpotomy of young permanent teeth.%目的:研究Pulpdent Multi-Cal (PMC)盖髓剂用于活髓切断术的临床可操作性和疗效,为临床应用提供参考依据.方法:对因冠折露髓到北京大学口腔医院急诊科就诊患者的上颌年轻恒前牙25颗(20例患者)进行活髓切断术,用PMC盖髓剂作为活髓保存剂,观察临床可操作性和操作时间,术后对患牙进行定期随访观察,复诊时记录患牙的临床检查和X线片检查情况,并与采用北京大学口腔医院自制制剂进行活髓切断术的患牙进行比较.结果:随访6~15个月(中位时间12个月),25颗患牙(20例患者)均于1~3个月间

  9. Study the relationship of third molar and relapse of lower anterior teeth crowding after orthodontic treatment%下颌第三磨牙与正畸治疗后下前牙拥挤复发的相关性分析

    Institute of Scientific and Technical Information of China (English)

    夏静

    2016-01-01

    Objective To investigate the relationship of third molar and relapse of lower anterior teeth crowding after ortho-dontic treatment.Method 40 untreated subjects without skeletal malocclusion and with varying degrees of anterior teeth crowding were studied.They were divided into two groups after orthodontic treatment.Test group were extracted the third molar.Control group were held the third molar.Dental casts were measured according to Little′s irresularity index(IRID)5 years later.Results There were no significant difference between two groups through 5 years (P >0.05).Conclusion Third molar is not the main reason for relapse of anterior teeth crowding after orthodontic treatment.The prophylactic removal of third molar with no clinical symptom should be avoided.%目的:探讨下颌第三磨牙的存在与正畸结束后下前牙拥挤复发的关系。方法:选择骨性Ⅰ类下颌前牙区拥挤的患者40例,在正畸治疗结束,牙齿排齐后,随机分为两组,每组20例。试验组行下颌第三磨牙拔除术,对照组保留第三磨牙,五年后测量下前牙不整齐指数(MD -IRID)。结果:五年后观察,两组患者下前牙拥挤复发率差异无统计学意义(P >0.05)。结论:下颌第三磨牙与正畸结束后下前牙拥挤复发无直接关系,拔除没有临床症状的第三磨牙来预防下前牙拥挤复发其实不可取。

  10. Comparison of treatment effects of modified crown lengthening surgery and orthodontic traction with crown lengthening surgery on the maxillary anterior teeth complex root fracture%改良牙冠延长术与正畸牵引加牙冠延长术对上前牙复杂根折治疗效果的比较

    Institute of Scientific and Technical Information of China (English)

    李军科; 程瑞卿

    2011-01-01

    目的 比较改良牙冠延长术与正畸牵引+牙冠延长术对上前牙复杂根折的治疗效果.方法 选取60颗牙体缺损达龈下4.Omm以上的具有保留价值的上颌前牙,随机均分为两组,每组30颗患牙,分别采用改良牙冠延长术和正畸牵引+牙冠延长术,分别记录术前、术后一周及修复后6个月的牙周探诊深度(PD)、龈沟出血指数(SBI)、牙齿松动度(TM),观察临床效果.结果 两组病例术后及修复后PD、SBI明显改善,有显著性差异(P<0.05),组间比较,无显著性差异(P>0.05).结论 两种术式对上前牙复杂根折病例均能取得较好的治疗效果.%Objective To compare the effects of modified crown lengthening surgery and orthodontic traction with crown lengthening surgery on the maxillary anterior teeth complex root fracture.Methods Sixty maxillary anterior complicated root fracture teeth with from the lowest site tooth defect to the gingival margin > 4.0mm, which can be preserved, were selected and respectively divided into two groups, and each group have 30 tooth.The modified crown lengthening surgery and onhodontics traction with crown lengthening surgery was used in the two groups respectively.The probing depth ( PD) , sulcus bleeding index ( SBI) , tooth mobility ( TM) were recorded before operation, at 7 day after operation and on six month after resloration of tooth.Results PD, SBI were decreased signiricantly at 7 day after operation and on six month after restoration in the two groups ( P < 0.05).There was no significant difference in comparison between groups ( P > 0.05).Conclusion Cood effect was obtained in using the both two methods on the maxillary anterior teeth complex root fracture.

  11. 改良牙冠延长术与正畸牵引加牙冠延长术对上前牙复杂根折治疗效果的比较%Comparison of curative effects between modified crown lengthening surgery and orthodontic traction combined with crown lengthening surgery in the treatment of maxillary anterior teeth complex root fracture

    Institute of Scientific and Technical Information of China (English)

    李新; 马科院

    2014-01-01

    目的:探讨改良牙冠延长术与正畸牵引加牙冠延长术对上前牙复杂根折的治疗效果。方法80例上前牙复杂根折患者,依据治疗措施不同进行临床分组,治疗Ⅰ组40例,采用单独牙冠延长术治疗;治疗Ⅱ组40例,采用正畸牵引联合牙冠延长术治疗。观察两组疗效。结果治疗Ⅱ组上前牙复杂根折患者美学效果评分和功能满意评分明显优于治疗Ⅰ组,差异均有统计学意义(P<0.05)。结论正畸牵引加牙冠延长术对上前牙复杂根折治疗效果明显,预后良好,值得临床推广应用。%Objective To investigate the curative effects between modified crown lengthening surgery and orthodontic traction combined with crown lengthening surgery in the treatment of maxillary anterior teeth complex root fracture. Methods A total of 80 patients with maxillary anterior teeth complex root fracture were divided into groups according to different treatment measures. The treatmentⅠgroup (n=40) received crown lengthening surgery for treatment alone, and the treatmentⅡgroup (n=40) received orthodontic traction combined with crown lengthening surgery for treatment. The curative effects of the two groups were observed. Results The aesthetic score and functional satisfaction score of the treatment Ⅱgroup were better than those of the treatment Ⅰgroup, and the difference had statistical significance (P<0.05). Conclusion Orthodontic traction combined with crown lengthening surgery can provide good curative effect and prognosis in the treatment of maxillary anterior teeth complex root fracture, and it is worthy of clinical application and promotion.

  12. Clinical therapeutic effect comparison between Sirona Cerec 3D all-ceramic crowns and porcelain fused to metal crown in anterior teeth restoration%Sirona Cerec3D全瓷冠与金属烤瓷冠修复前牙的临床对比

    Institute of Scientific and Technical Information of China (English)

    汤琼

    2012-01-01

    目的 评价Sirona Cerec 3D全瓷冠进行前牙修复的临床效果.方法 将81例(145颗前牙)患者进行随机分组,参照美国加利福尼亚牙科协会(CDA)评价标准,对使用1年的牙冠进行评价,并与同期治疗的金属烤瓷冠进行对比.结果 Sirona Cerec 3D全瓷冠修复组在边缘完整性、解剖外形、颜色和表面的成功率分别为97.5%、95%、100%、97.5%,而金属烤瓷冠对照组成功率为97.6%、92.6%、87.8%和95.1%.修复组在解剖外形和颜色方面明显优于对照组(P<0.05),且牙龈炎等副反应发生率小.结论Sirona Cerec 3D全瓷冠进行前牙修复效果良好,值得临床广泛推广.%Objective To evaluate the clinical therapeutic effect ofSirona Cerec 3D all-ceramic crowns in anterior teeth restoration.Methods 81 patients(145 anterior teeth) were divided randomly into two groups.The clinical evaluation criteria of CDA was performed 6 months to two years after wearing.And we compared the effects with porcelain fused to metal (PFM) crowns in the same period.Results On the integrity of crown margin,anatomical shape,color and surface,the succeed rate of all-ceramic crowns group were 97.5%,95%,100% and 97.5% respectively while PFM crowns group were 97.6%,92.6%,87.8% and 95.1% respectively.All-ceramic crowns group was better than PFM crowns group on the anatomical shape and color ( P < 0.05 ) and had less side effects.Conclusion Sirona Cerec 3D all-ceramic crowns has a good effect in anterior teeth restoration,worthy in expanded clinical use.

  13. 计算机辅助设计与制作氧化锆桩核在前牙修复中的应用%Clinical application of zirconia post and core made by CAD/CAM in the restoration of anterior teeth

    Institute of Scientific and Technical Information of China (English)

    刘自力; 罗文平; 贺美兰; 黄慧洁; 晏祥任; 岑荣基

    2012-01-01

    Objective To investigate the clinical application of zirconia post core made by computer-aided design and manufacturing (CAD/CAM) in the restoration of anterior teeth. Methods Seventy-five anterior teeth from 68 patients after root therapy were restored with zirconia post core crown made by CAD/CAM. At the 6 to 24 months recall appointment, clinical evaluation was applied according to the stability, beauty and periodontal index of the prosthesis. Results Three repairs were loosen, while the others were successful. During the observation, the successful ratio was 96% (72/75 ). Conclusion The recent results of the clinical application of zirconia post core made by CAD/CAM in the restoration of anterior teeth was satisfactory and the oncoming effects still depend on the further observation.%目的 评价计算机辅助设计与制作(computer-aided design and manufacturing,CAD/CAM)氧化锆桩核在前牙残根、残冠修复中的应用效果.方法 收集前牙大面积缺损患者68例共75颗患牙,CAD/CAM氧化锆桩核和全瓷冠修复,随访6 ~ 24个月,从修复体的稳定性、美观效果及牙周健康状况3个方面进行评价.结果 75颗全瓷冠修复体,2颗桩核与根部之间出现松动,牙冠与桩核之间不松动;1颗出现冠松动,桩核与根部无松动.X线片未见根尖周病变,也未出现根折、桩折.修复体与邻牙及对侧、对颌同名天然牙的电脑比色数值( Shade 值)差值为0的占41颗,差值为1~2的占34颗,差值为3及以上的为0颗.修复体外形美观,无边缘着色,牙龈形态与颜色正常.6~24个月累计成功率为96%( 72/75).结论 CAD/CAM氧化锆桩核应用于前牙修复近期效果满意.

  14. MULTIPLE RETAINED TEETH IN MANDIBLE: A Case Report

    OpenAIRE

    Cvetan Cvetanov; Ivan Chenchev; A. Bakardjiev

    2010-01-01

    Purpose: The aim of this science report is to show a rare case of multiple impacted teeth at adult patient and our propose clinical approach.Materials and methods: The clinical case is showed from adult man /64-year old/ with multiple impacted teeth (6 impacted teeth in the anterior place on the mandible) were not suggestive of any syndrome or metabolic disorder. The extraction of the impacted teeth was made on two stage with piezosurgery unit under local anaesthesia. For prevention of post...

  15. Malocclusion (Misaligned Teeth)

    Science.gov (United States)

    ... Prompt Healthier Eating Scientists Working on Solar-Powered Prosthetic Limbs Health Highlights: March 23, 2017 Fruit Juice for Kids: A Serving a Day OK ALL NEWS > Resources First Aid Videos ... Malocclusion is abnormal alignment of the teeth and the way in which the upper and lower teeth fit together. Normally, the upper teeth overlap ...

  16. RTD MACRO-LOCK POST固位增强型石英纤维桩与金属桩修复上颌前牙残冠的临床疗效比较%Clinical Effect Contrast Between RTD MACRO-LOCK POST Retentive Enhanced Quartz Fiber Post and Metal Post In Restoration Of Residual Crown Of Maxillary Anterior Teeth

    Institute of Scientific and Technical Information of China (English)

    韩凉; 袁方; 应王贵

    2012-01-01

    Objective Clinical effect contrast between RTD MACRO-LOCK POST retentive enhanced quartz fiber post and metal post in restoration of residual crown of maxillary anterior teeth. Methods Select 200 cases with maxillary anterior teeth defect, randomly divide into 2 groups. Use RTD MACRO-LOCK POST retentive enhanced quartz fiber post and metal post for post core crown, observe and compare the clinical effects after 3 years. Results There is no significant difference between 2 groups after 6 months (P>0.05). The clinical success rate of fiber post group is higher than that of the metal post group after 3 years (P<0.05 ). Conclusion With correct choice of indications, the clinical effect of RTD MACRO-LOCK POST retentive enhanced quartz fiber post is better than that of the metal post.%目的 观察RTD MACRO-LOCK POST固位增强型石英纤维桩与金属桩修复上颌前牙残冠的临床疗效.方法 选取上颌前牙牙体缺损患者200例,随机分为两组,分别采用RTD MACRO-LOCK POST固位增强型石英纤维桩与金属桩进行桩核冠修复,随访观察3年.结果 纤维桩组患者修复后6个月临床成功率与金属桩组无明显区别(P>0.05),修复后3年临床成功率高于金属桩组(P<0.05).结论 在正确选择适应证前提下,RTD MACRO-LOCK POST固位增强型石英纤维桩修复效果优于金属桩.

  17. Tooth wear, Neanderthal facial morphology and the anterior dental loading hypothesis.

    Science.gov (United States)

    Clement, Anna F; Hillson, Simon W; Aiello, Leslie C

    2012-03-01

    The Anterior Dental Loading Hypothesis states that the unique Neanderthal facial and dental anatomy was an adaptive response to the regular application of heavy forces resulting from both the masticatory and cultural use of the anterior teeth. Heavy anterior tooth wear frequently observed in Neanderthal specimens is cited as a main source of evidence for heavy forces being applied to these teeth. From this, it might be predicted that the wear shown on the anterior teeth of Neanderthals would greatly exceed that of the posterior teeth and that this differential would be greater than in other hominins with different facial morphologies. In this paper, a new method of examining tooth wear patterns is used to test these predictions in a large assemblage of Late Pleistocene hominins and a group of recent hunter-gatherers from Igloolik, Canada. The results show that all Late Pleistocene hominins, including Neanderthals, had heavily worn anterior teeth relative to their posterior teeth but, contrary to expectations, this was more pronounced in the modern humans than in the Neanderthals. The Igloolik Inuit showed heavier anterior tooth wear relative to their posterior teeth than any Late Pleistocene hominins. There was, however, a characteristic Neanderthal pattern in which wear was more evenly spread between anterior teeth than in modern humans. Overall, the evidence presented here suggests that all Late Pleistocene hominins habitually applied heavy forces between their anterior teeth and that Neanderthals were not exceptional in this regard. These results therefore does not support the Anterior Dental Loading Hypothesis.

  18. 基于计算机辅助设计的个性化舌侧矫治的前牙内收系统的临床研究%A clinical study of retraction system of maxillar anterior teeth with computer-aid designed for individual lingual orthodontics

    Institute of Scientific and Technical Information of China (English)

    张栋梁; 周春华; 白玉兴

    2012-01-01

    Objective To evaluate the effects of anterior torque controlling with individual lingual en masse retraction in the maxillary anterior teeth using computer-aided designed lever-arm and miniscrew system.Methods 20 non-growing cases with treatment protocol of extraction was selected and treated with individual lingual system,employing the lever-arm and miniscrew as en masse retraction system.Based on CBCT data,Mimics 10.0 and Claytool software was used to determine the length of the lever-arm and the position of the miniscrew so as to make sure the line of action of retraction force pass through the center of resistance of 6 maxillary anterior teeth and parallel to occlusion plane.The cephalograms were analyzed for differences in skeletal,dental and soft tissue variables between pretreatment and postretraction.Results Distances from tip of upper central incisor to PTV (PTV-U1) and upper lip to E line (LS-E) was significantly decreased (P<0.001),and no significant difference was noted for the distance from tip of upper central incisor to Palatal Plane (P>0.05).Significant retraction of maxillary anterior teeth was achieved in all patients and improved profile was obtained.Bodily movement and slightly controlled tipping occurred during the retraction and maxillary molars did not show any statistically significant movement. Conclusions The computer-aided design and location of the lingual retraction system (lever-arm and miniscrew) produced excellent and efficient retraction with great accuracy in control of anterior torque.%目的 评价计算机辅助设计的个性化舌侧前牙内收系统对前牙整体内收过程中转矩控制的效果.方法 选取20例拔除上颌第一双尖牙并且采用个性化舌侧系统进行矫治的正畸病例,采用舌侧牵引延长臂(lever-arm)和腭侧微种植钉整体内收上颌6颗前牙.基于患者的CBCT数据,采用Mimics 10.0和Claytool软件确定舌侧牵引延长臂的长度和微种植钉植入部位,使内

  19. 前牙修复“动态功能性设计”概念的提出与临床实践%The concept of “dynamic functional design”for anterior teeth restoration and its clinical application

    Institute of Scientific and Technical Information of China (English)

    吴国锋

    2016-01-01

    针对前牙修复中前导功能的设计问题,该文提出前牙修复“动态功能性设计”(DFD)的新概念。先由前牙“数字化微笑设计”(DSD)技术引申出 DFD 概念的含义,提出两者在前牙修复过程中是互为补充的关系。然后通过10个临床病例具体介绍了影响 DFD 设计的4个临床因素,并根据 DFD 提出了一种前牙修复的临床对象分类法。%This article introduces a new concept,named “dynamic functional design”(DFD)for the anterior guidance control of prosthe-ses.The concept was proposed from the deficiency of “digital smile design”as a complement.Four key points have been discussed to realize DFD in clinic by 1 0 real cases,and a new classification for anterior teeth restoration is presented according to DFD in this paper.

  20. 上颌前牙及前磨牙区唇(颊)侧骨厚度及嵴顶高度相关性研究%The correlation between the labial (buccal)bone thickness and alveolar crest height in maxillary anterior teeth and premolar zone

    Institute of Scientific and Technical Information of China (English)

    张朋; 贾筱诗; 张秋霞; 卫晓霞; 许孟杰; 王蒙

    2015-01-01

    目的:测量正常�青年人上颌前牙及前磨牙区唇(颊)侧牙槽骨厚度及嵴顶高度,并研究二者之间的相关性。方法:对67名汉族青年志愿者上颌前牙及前磨牙区进行 CBCT 扫描,测量该区域牙槽嵴顶区唇(颊)侧牙槽骨厚度及唇侧牙槽嵴顶与釉牙骨质界(CEJ)间距离,采用 SPSS 17.0软件进行分析。结果:第一前磨牙颊侧嵴顶与 CEJ 之间距离最大(P <0.05);在CEJ 根方2 mm 处唇(颊)侧嵴顶高度与唇(颊)侧骨厚度呈负相关(P <0.05),0.6<|r|<0.8。结论:上颌第一前磨牙颊侧嵴顶较其他牙位高,牙槽嵴顶区唇(颊)侧骨厚度越薄,唇(颊)侧嵴顶距 CEJ 越远,种植美学风险越大。%Objective:To investigate the labial(buccal)bone thickness at alveolar crest zone and alveolar crest height of the maxil-lary anterior teeth and premolars of young adults with normal occlusion.Methods:The alveolar bone of the anterior teeth and premo-lars of 67 eligible Han national young volunteers was scanned by CBCT.Then the facial bone thickness and the distance between the facial alveolar crest and Cemento-enamel Junction(CEJ)of the anterior teeth and premolars were measured and analyzed after recon-struction.Results:The distance between labial (buccal)crest and labial (buccal)CEJ of the maxillary first premolars was the lar-gest(P <0.05);there was a negative correlation between the labial(buccal)crest height and the facial alveolar bone thickness at 2 mm from CEJ toward root derection[(P <0.05),0.6 <|r|<0.8].Conclusion:The labial (buccal)crest of the first premolars was higher than that of other teeth in maxillary aesthetic zone.At alveolar crest zone,when the labial (buccal)bone was thinner,the dis-tance between labial (buccal)crest and labial (buccal)CEJ was larger,and the implant aesthetic risk is higher.

  1. Quartz splintTM高强度石英纤维和Super-Bond C & B粘结剂固定下前牙松动牙疗效比较%Comparison of the clinical effect of Quartz splintTM high strength quartz fiber and Super-Bond C & B adhesive for anterior teeth loosening

    Institute of Scientific and Technical Information of China (English)

    赵静

    2016-01-01

    目的:比较Quartz splintTM高强度石英纤维和Super-Bond C&B粘结剂固定慢性牙周炎下前牙松动牙的临床效果。方法:选取下前牙松动需要做牙周夹板松牙固定患者40例,随机分为两组。A组:在洁治、刮治和根面平整后,使用Quartz splintTM高强度石英纤维做牙周固定;B组:在在洁治、刮治和根面平整后,使用Super-Bond C&B粘结剂做牙周固定。两组固定后即刻让患者对于固定物做出异物感评价。固定6个月后比较治疗前后的牙周探诊深度和牙周附着丧失情况。结果:两组治疗前后的牙周探诊深度和牙周附着丧失均比治疗前有明显减少,有统计学意义。组间比较,无统计学意义。固定后即刻异物感评价,B组优于A组,有统计学意义。结论:对于下前牙松动的患者,洁治、刮治和根面平整后使用Quartz splintTM高强度石英纤维和Super-Bond C&B粘结剂牙周夹板固定,均可以使牙周状况明显改善。Super-Bond C&B粘结剂牙周夹板异物感小于Quartz splintTM高强度石英纤维。%Objective To compare the clinical effect of Quartz splintTM high strength silica fiber and Super-Bond C&B adhesive in the treatment of anterior teeth loosening of the periodontal disease. Methods 40 patients with anterior teeth loosening need to be fixed in patients with loose teeth, and were randomly divided into two groups. In group A, scaling and root planing, the use of Quartz splintTM high strength quartz fiber periodontal fixed. In group B, scaling, root planing, the use of Super-Bond C&B adhesive periodontal fixation. A group and B group make foreign body sensation evaluation after fixation immediately. After 6 months of treatment, the depth of the periodontal probe and the loss of periodontal attachment were compared with that before and after the treatment. Results The depth of the periodontal probe and the loss of periodontal attachment in the A group and the B

  2. 前牙IPS热压铸造全瓷粘接桥修复的3年临床应用研究%All-ceramic resin bonded fixed partial denture made of IPS hot-pressed casting porcelain restore anterior missing teeth: a three years clinical observation

    Institute of Scientific and Technical Information of China (English)

    周团锋; 王新知; 张桂荣

    2011-01-01

    Objective :To clinic observation of IPS Empress2 and IPS e. max all ceramic resin bonded fixed partial dentures used in one anterior teeth lost in upper jaw or less than two anterior tooth lost in lower jaw. Methods : 22 patients, 26 restorations had been made, which included 16 single-retainer all ceramic resin bonded fixed partial dentures and 10 two-retainers all ceramic resin bonded fixed partial dentures. Secondary caries of the abutments, shade in the margin of the retainers and the integrity of the restorations had been observed at 3 months, 6 months, 1 year, 2 years and 3 years after all ceramic resin bonded fixed partial dentures having been bonded. Results : In the 3 years of clinic observation of the anterior all ceramic resin bonded fixed partial dentures, 1 two-retainers restoration lost bond after it had been made for 3 months, a retainer of one two-retainers restoration was broken after 6 months, but they are still used after modified as one-retainer all ceramic resin bonded fixed partial dentures, 1 two-retainers restoration lost bond two year later, It was integrity and re-bonded again that was still stable. No secondary carries and no shade in margin of the retainers had been found. Their color matches with the nature teeth excellently. The success rate was 88.5% . Conclusion: IPS Empress 2 and IPS e. max all ceramic resin bonded fixed partial dentures should be a good selection in one or two teeth lose in anterior jaws.%目的:观察单个上前牙或下颌2个以内前牙缺失采用IPS Empress 2或IPS e.max热压铸造全瓷粘接桥的临床修复效果.方法:22位患者,共制作26件前牙热压铸造全瓷粘接桥,包括16例单翼全瓷粘接桥和10例双翼全瓷粘接桥,修复后3个月、6个月、1年,2年和3年观察修复体的完整性,基牙的继发龋,边缘着色及修复体的颜色匹配.结果:1例双翼全瓷粘接桥修复后3个月脱落;1例双翼全瓷粘接桥6个月后一侧连接体折断,均改为单翼

  3. A multi-faceted treatment approach for anterior reconstructions using current ceramics, implants, and adhesive systems.

    Science.gov (United States)

    Hajtó, Jan; Gehringer, Uwe; Ozcan, Mutlu

    2010-01-01

    Of all developments in dental technology, fulfilling the esthetic and functional demands of the patient, especially regarding anterior reconstructions, is still a challenge for both dentists and dental technicians. This becomes more difficult for patients with a previous treatment history that is not ideal. This case presentation demonstrates reconstruction of an anterior zirconia resin-bonded fixed dental prosthesis (RBFDP) for the mandible with a combined approach utilizing veneers for harmonized space distribution on the abutment teeth and an implant-supported zirconia fixed dental prosthesis in the anterior segment of the maxilla. Adhesive cementation of the restorations is also presented in a step-by-step approach based on the current state of the art.

  4. Using High-frequency Electric Knife to Open Assistant Anterior Teeth%利用高频电刀切开助萌上前牙的疗效观察

    Institute of Scientific and Technical Information of China (English)

    王景涛; 李新青; 吴大铭; 娄晓静; 李振杰

    2013-01-01

    Objective:To observe the efect of electrotome gingivoplasty in retarded eruption treatment. Methods:51 premature loss teeth of the 45 patients who need gingivectomy were carried out immediately,were randomly divided into eleltrotome group(27cases)and routine surgery group(24cases). Results:Teeth in the cases were al erupted after operation,al the periodontal and pulp of the cases were no dif erence between eleltrotome group and routine surgery group.There was a significant statistical dif erence between eletrotome group and routine surgery group (p<0.01) on the time and amount of bleeding in the opreation. Al the children of the cases were combined wel with dentists. Conclusions:The study shows that electrotome gingivoplasty is a successful and reliable method in retarded eruption treatment.%目的:探讨应用高频电刀切开助萌上前牙迟萌的临床疗效。方法45例患者51颗上前牙迟萌,24颗上前牙经过传统手术切除牙龈,对照组27颗上前牙经高频电刀切开切缘或合面龈片组织,暴露迟萌上前牙切缘或合面。结果51颗迟萌上前牙均正常萌出,牙体萌出后,牙髓、牙周情况良好。两种术式均无明显出血。电刀切除和传统手术切除牙龈两者术式时间及出血量分别为:(2.1±1.4)min和(11±3.6)min,(1.5±1.7)ml和(12±4.3)ml。传统术式的20例患儿,配合很好的2例,一般的15例,但有3例患儿配合较差。电刀切除的25例患儿,能较好配合治疗的23例,2例患儿配合一般。结论高频电刀是治疗上前牙迟萌的一种有效的技术手段之一。

  5. 单件式锥状种植体即刻修复下前牙的临床疗效观察%Clinical observation for one-piece tapered implants immediate restoration of the lower anterior teeth

    Institute of Scientific and Technical Information of China (English)

    刘世锋; 杨小东; 滕立钊; 董鑫; 凌雄健; 周尚敏; 吴大怡; 刘果生

    2016-01-01

    目的:评价使用单件式锥状种植体在下前牙区拔牙后即刻种植并即刻修复的临床疗效。方法:将无保留价值的下前牙患牙拔除后,采用了同期植入单件式锥状种植体并即刻修复,并且修复1年以上,有随访记录的病例资料做回顾性研究。结果:53例患者共75枚单件式锥状种植体,平均观察年限3.7年,种植体存留率100%。种植修复体周围牙龈组织健康,种植体颈部无明显骨吸收。结论:单件式锥状种植体适合用于下前牙区域的即刻修复,临床疗效确切。%Objective:To evaluate clinical effects of immediate restoration after one-piece tapered implant in-stallation in lower anterior region with immediate extraction. Methods: This retrospective study includ-ed patients who have received immediate restoration after one-piece tapered implant installation in lower anterior region with immediate extraction for over 1 year. The follow-up data and clinical effects were collected and evaluated respectively. Results: The average observed period of total 75 one-piece tapered implants in 53 cases was 3.7 years. The survival rate was 100%. All implants had healthy gum tissues. In addition, no obvious periimplant bone resorption was observed. Conclusion: The clinical ef-fects of immediate restoration after one-piece tapered implant installation in lower anterior region with immediate extraction are definite.

  6. Pembuatan Adhesive Bridge dengan Fiber Reinforced Composite untuk Perawatan Kehilangan dan Kegoyahan Gigi Anterior Rahang Bawah

    Directory of Open Access Journals (Sweden)

    Demmy Wijaya

    2014-06-01

    can be used in the manufacture of adhesive bridge and can also be utilized for a tooth stabilization for luxation case. The existence of supporting healthy teeth is also very helpful the success of this treatment. Objective: The aim of this case report was to provide information about management of missing teeth and luxation of lower anterior teeth using the FRC. Case: Thirty-three years old male patient came for a denture to the Prosthodontics Clinic of the Prof. Soedomo Hospital. The patient lost tooth 31, the teeth 32 and 41 had a luxation degree 2 with gingival recession. The condition is due to post-manufacture of artificial teeth in dental technician. The Patient did not want to extract the teeth. Managing cases: Impression of teeth for diagnostic models, mock-ups of the pontic tooth 31 on diagnostic models, manufacturing of index scoring lingual and 1/3 incisal using putty, preparation of the abutment (32, 33, 41, 42, 43, the installation of fiber with index putty, forming the labial pontic with composite continued with finishing and polishing. Conclusion: Fiber reinforced composite can be used for the management of patients who experienced a loss and shakiness lower anterior teeth.

  7. 四种材料冠修复体对上颌前牙修复效果的比较%Comparative study on the effect of anterior teeth resteration by 4 kinds of ceramic crowns

    Institute of Scientific and Technical Information of China (English)

    王志凌; 陈立强; 陈鹏; 蒋志平; 高铭武; 李宁毅

    2011-01-01

    [Objective] To compare the effect of crown made by 4 different kinds material in resteration of maxillary anterior tooth. [Methods] The effect was evaluated by the following indices including color, marginal adaptation, gingival border stainjracture of the crown and status of the gingival. [ Results ] Galvanized forming ceramic crown and Cercon all-ceramic crown were better than Ni-Cr alloy ceramic crown and Co-Cr alloy ceramic crown in all aspects. [Conclusion] Galvanized forming ceramic crown and Cercon all-ceramic crown are favorable choice to restore the maxillary anterior tooth,and the Co-Cr alloy ceramic crown is better than Ni-Cr alloy ceramic crown.%[目的]比较四种材料制成的冠修复体修复上颌前牙的临床应用效果.[方法]从修复体颜色,冠边缘适合性,颈缘着色,修复体折裂和牙龈健康状况等五个方面对修复效果进行比较评价.[结果]金沉积瓷冠和泽康氧化锆全瓷冠在各个方面均优于镍铬和钴铬烤瓷冠.[结论]金沉积瓷冠和泽康氧化锆全瓷冠是上颌前牙的理想修复方式,而钴铬合金烤瓷冠优于镍铬合金烤瓷冠.

  8. Root resorption of anterior teeth by using elastic flat bite plate during orthodontic treatment of deep overbite%深覆患者弹性颌平面导板矫治后下前牙牙根吸收情况观察

    Institute of Scientific and Technical Information of China (English)

    常永春; 郭杰

    2015-01-01

    Objective To observe the root resorption of the anterior teeth by using elastic flat bite plate during ortho-dontic treatment of deep overbite.Methods Sixty-one cases with deep overbite were selected and randomly divided into the observation group (21 cases for the young subgroup, 12 cases for the adult subgroup) and the control group (17 cases for the young subgroup, 11 cases for the adult subgroup) .Both groups underwent orthodontic treatment, and we used elas-tic flat bite plate in the observation and rigid flat bite plate in the control group, respectively.Periapical films were taken before and after the process of stimulating root resorption, and the root resorption of anterior teeth was measured.Results The patients in the two groups obtained satisfactory results and the effect of bite-opening was obvious.Root resorption a-mount in the observation group was (0.79 ±0.29) mm, during which the root resorption amount for the young subgroup was (0.69 ±0.29) mm and adult subgroup was (0.96 ±0.19) mm, and they were respectively(1.03 ±0.25), (0.91 ± 0.23) and (1.21 ±1.18) mm in the control group.Significant differences were found between the two groups ( all P<0.05).Conclusion The root resorption of the anterior teeth caused by elastic flat bite plate during orthodontic treatment of deep overbite is lighter than the traditional rigid plane bite plate.%目的:观察深覆患者弹性颌平面导板矫治后下前牙牙根吸收情况。方法深覆患者61例,随机分为观察组33例(青少年、成年患者各21、12例)、对照组28例(青少年、成年患者各17、11例)。两组均进行深覆矫治,其中观察组戴用弹性平面导板,对照组戴用硬性平面导板。分别于治疗前后拍摄根尖X线片,测算下前牙牙根吸收量。结果两组均取得满意疗效,打开咬合效果明显。观察组下前牙牙根吸收量为(0.79±0.29) mm,其中青少年亚组为(0.69±0.29

  9. Clinical research on segmental invisible technique with mini-implant for en-masse retraction of maxillary anterior teeth%片段隐形矫治器结合微种植体内收上前牙的临床研究

    Institute of Scientific and Technical Information of China (English)

    金丽飞; 黄一慧; 弓国梁; 林新平

    2016-01-01

    Objective To evaluate the clinical efficiency of segmental invisible technique with mini-implant for en-masse retraction of maxillary anterior teeth on the aspect of vertical and torque in the treatment of bimaxillary protrusion. Methods Twelve subjects with upper dental alveolar bone protrusion were selected for this study. Arch-dimension variables were evaluated by cephalometric and dental models before and after orthodontic retraction. All data were analyzed by SPSS 20. 0 software. Results For vertical control, U1E-PP was increased by 0. 78 mm, U1AP-PP was decreased by 0. 29 mm, while the change of U1CR-PP showed no significant difference ( P>0. 05). For sagittal control, all the anterior teeth showed a decreased torque with canine displaying uprighting. Conclusion Segmen-tal invisible technique with mini-implant is efficient in the vertical and torque control of anterior teeth in the treatment of bimaxillary protrusion, and it can demonstrate invisible and aesthetic orthodontic effects.%目的:评估片段隐形矫治器结合微种植体矫治前突患者时对上前牙垂直向和转矩方面的控制效果。方法选取12例双牙槽前突患者,通过测量治疗前后X线头颅定位侧位片上颌前牙矢状向与垂直向的变化值,以及模型上的转矩变化值,使用SPSS 20.0软件进行统计分析。结果治疗后上切牙切缘至腭平面距离U1E-PP增加0.78 mm,上切牙根尖点至腭平面距离U1AP-PP减小0.29 mm,上切牙阻抗中心至腭平面距离U1CR-PP的变化无统计学差异(P>0.05),上切牙阻抗中心的位置基本不变;治疗后的上前牙转矩值减少,尖牙出现直立趋势。结论片段隐形矫治技术治疗前突患者对其上前牙的垂直向和转矩控制较好,总体获得了良好的治疗效果,并且在治疗期间充分发挥了隐形、美观的矫治效果。

  10. Observation on clinical application value of all-ceramic crown of glass ifber post and resin core for residual crown and residual root repair of anterior teeth%玻璃纤维桩树脂核全瓷冠在前牙残冠及残根修复中的临床应用价值探讨

    Institute of Scientific and Technical Information of China (English)

    李伟; 赵国廷; 徐革英

    2014-01-01

    Objective To observe the clinical application value and effect of all-ceramic crown of glass fiber post and resin core for residual crown and residual root repair of anterior teeth. Method 106 cases with residual crown and residual root of anterior teeth treated in our hospital from April 2010 to March 2012 were selected, and the patients received repair after root canal therapy. The patients were divided into two groups according to repair modes, observation group and control group. Observation group received repair of all-ceramic crown of glass ifber post and resin core, and control group received repair of cast metal post-core and baked porcelain crown. The repair effect of two groups was compared and observed. Result After following up for two years, the success rate and satisfactory degree of observation group was evidently higher than that of control group, and the expulsion rate and odontagma rate of restoration was lower than that of control group (P<0.05), which had statical signiifcance. Conclusion Applying all-ceramic crown of glass ifber post and resin core to all-ceramic crown of glass ifber post and resin core for residual crown and residual root repair of anterior teeth not only has good retention, good color and appearance maintenance, and has little stimulation on the surrounding tissues, but also can effectively reduce detachment and fracture of restoration, which evidently improves the success rate of repair and satisfactory degree of patients, which has ideal clinical application value.%目的:探讨在前牙残冠、残根修复中使用玻璃纤维桩树脂核与全瓷冠的临床应用效果及价值。方法选取本院2010年4月至2012年3月收治的前牙残冠、残根患者106例,根管治疗后修复,并根据修复方式分为观察组与对照组,观察组患者使用玻璃纤维桩树脂核与全瓷冠修复,对照组患者使用铸造金属桩核与烤瓷冠或全瓷冠修复,对比观察两

  11. Ankylosed teeth as abutments for maxillary protraction: a case report.

    Science.gov (United States)

    Kokich, V G; Shapiro, P A; Oswald, R; Koskinen-Moffett, L; Clarren, S K

    1985-10-01

    It has been recognized that using the maxillary teeth to deliver extraoral force to the maxilla not only results in sutural remodeling but also periodontal remodeling and tooth movement. In patients with severe maxillomandibular malrelationships, the potential for tooth movement often limits the amount and duration of extraoral force and, consequently, affects the success of treatment. This case report describes a technique to intentionally ankylose deciduous teeth in a patient with severe maxillary retrusion. The ankylosed teeth were used as abutments to deliver an anteriorly directed intermittent extraoral force. After 12 months of treatment, the anterior crossbite was nearly corrected. At that point the ankylosed teeth loosened because of root resorption and the treatment was terminated. Cephalometric superimposition demonstrated that the occlusal correction was the result of anterior maxillary movement with little mandibular growth and no movement of the ankylosed teeth. The results suggest that intentionally ankylosed teeth may be used as abutments for extraoral traction in patients with a severe disturbance in maxillary growth.

  12. Are teeth evidence in acid environment

    Directory of Open Access Journals (Sweden)

    Makesh Raj

    2013-01-01

    Full Text Available Aim: Teeth are the most durable structures that resist destruction more than skeletal tissue Commercially available acids can be used to destroy the body or a part, to mask human identification. The present study examines the effect of caustic acids on human dentition. Materials and Methods: Ten upper anterior teeth each were immersed in 37% hydrochloric acid (conc. HCl, 65% nitric acid (conc. HNO 3 and 96% sulfuric acid (conc. H 2 SO 4 . Teeth were retrieved, washed in distilled water, dried, photographed and radiographed at intervals of 15 min, 30 min, 1 hr, 3 hr, 5 hr and 8 hr. Results: Teeth placed in conc. HCl and conc. HNO 3 dissolved completely after 8 hours, while that placed in conc. H 2 SO 4 retained its morphology and radiographic dimension even after 8 hours. Conclusion: Hence teeth can serve as a tool in identification (age estimation and sex determination of the victim when in contact with conc. H 2 SO 4 .

  13. Changes of crown to root ratio of upper anterior teeth during orthodontic treatment of juvenile and adult patients:a preliminary study%青少年与成人正畸治疗前后上前牙冠根比变化的初步研究

    Institute of Scientific and Technical Information of China (English)

    钟佳永; 林新平; 汪志蔚; 郭萍

    2011-01-01

    Objective To investigate the changes of crown to root ratio of upper anterior teeth during straight wire appliance treatment, and the correlation with age. Methods 23 juvenile patients and 23 adult patients were selected. The 46 patients were divided into two groups according to age:adolescent group and adult group. External apical root resorption and alveolar crest loss of upper anterior teeth were measured on the pre-treatment and post-treatment panoramic-radiographs. The crown to root ratios of the teeth were calculated before and after treatment. Results Before the treatment, the crown to root ratios of the central incisor group, the lateral incisor group and the cuspid group of adolescent group were 0.62 ± 0.04,0.63 ± 0.04, 0.54 ± 0. 05, respectively. After the treatment, they changed into 0.70 ± 0.06, 0.70 ± 0.06, 0.60 ±0.06, respectively. Before the treatment, the crown to root ratios of central incisor group,lateral incisor group and the cuspid group of adult group were 0.67 ± 0.04, 0. 66 ± 0. 05, 0. 57 ± 0. 05, respectively. After the treatment, they changed into 0.78 ± 0.06,0.77 ± 0. 05 ,0.70 ± 0.06, respectively. Changes of crown to root ratio of upper anterior teeth occured to every patient. There was significant difference between adult group and adolescent group( P <0.01 ). Conclusions The crown to root ratio of upper anterior teeth was found significantly increased after straight wire appliance treatment, and the adult group was of higher level than adolescent group,but it was still acceptable clinically.%目的 探讨直丝弓矫治器矫治前后牙齿冠根比的变化规律,及年龄因素在其中所起的作用.方法 选取青少年患者23例和成人患者23例共46例,分为青少年组和成年组,根据正畸治疗前后全口曲面断层片,以托槽为参照系,测量计算出治疗前后中切牙、侧切牙及尖牙的根尖吸收量、牙槽嵴吸收量及冠根比变化量,进行配对t检验,分析年龄因素与矫

  14. Estimating Gear Teeth Stiffness

    DEFF Research Database (Denmark)

    Pedersen, Niels Leergaard

    2013-01-01

    The estimation of gear stiffness is important for determining the load distribution between the gear teeth when two sets of teeth are in contact. Two factors have a major influence on the stiffness; firstly the boundary condition through the gear rim size included in the stiffness calculation...

  15. The clinical effect of MTA in root tip reverse filling treatment for external apical root resorption of permanent anterior teeth%MTA用于根尖倒充填治疗恒前牙根尖外吸收的临床疗效观察

    Institute of Scientific and Technical Information of China (English)

    马列娜; 杨丽

    2016-01-01

    Objective:To explore the clinical effect of MTA in root tip reverse filling treatment for external apical root resorption of permanent anterior teeth.Methods:78 patients with periapical disease were selected.They were randomly divided into the experimental group and the control group with 39 cases in each.The experimental group was treated by MTA in root tip reverse filling.The control group was treated with silver mercury.We compared the treatment effect of two groups.Results:In the experimental group,the apical closure and repair of lesions were significantly better than the control group(P<0.05).The treatment effective rate of the experimental group of 97.4% was significantly higher than 89.7% of the control group(P<0.05).Conclusion:The clinical effect of MTA in root tip reverse filling treatment for external apical root resorption of permanent anterior teeth was significant.%目的:探讨矿物三氧化物凝聚体(MTA)用于根尖倒充填治疗恒前牙根尖外吸收的临床效果。方法:收治根尖周病患者78例,随机分为试验组和对照组各39例,试验组行MTA术进行根尖倒充填,对照组给予银汞合金治疗,比较两组的治疗效果。结果:试验组根尖封闭状况及病损区修复情况明显优于对照组(P<0.05)。试验组治疗有效率97.4%,明显高于对照组的89.7%(P<0.05)。结论:MTA用于根尖倒充填治疗恒前牙根尖外吸收的临床疗效显著。

  16. Indirect porcelain veneer technique for restoring intrinsically stained teeth.

    Science.gov (United States)

    Cutbirth, S T

    1992-01-01

    Indirect porcelain veneers are often the ideal restoration for intrinsically stained teeth. This article details a step-by-step procedure for esthetically restoring discolored teeth. Porcelain laminate veneers are often indicated when teeth bleaching or direct composite bonding procedures cannot provide the desired esthetic result. Veneers are more appealing to many patients than full coverage crowns because of the more conservative tooth preparation required. If technique details are followed meticulously and cases are appropriately selected, porcelain veneers are not only durable but also promote marvelous gingival health and may be the most esthetic anterior dental restoration.

  17. 渗透树脂治疗固定矫治后前牙唇面白垩斑的临床观察%Clinical observation on the effect of infiltration resin for the labial white spot lesions of anterior teeth after orthodontic treatment

    Institute of Scientific and Technical Information of China (English)

    杨红丽; 唐睿; 黄珊珊; 杨雁

    2016-01-01

    目的:观察渗透树脂治疗固定矫治后前牙唇面白垩斑的临床效果。方法:选取32例179颗患牙,参照ICDAS评估方法分为A、B、C组,观察治疗后即刻、1周及1年的治疗效果。结果:经ANOVA及Duncan多重比较,3组患牙疗效具有极显著差异(P<0.01),术前、术后1周及术后1年比较显示治疗效果不会随时间变化产生显著差异(P=0.91)。结论:渗透树脂治疗能改善患牙的美观,临床效果与患牙的病损程度有关,治疗1年后牙面颜色稳定。ICDAS方法是简单、有效、易掌握的评估方法。%Objective:To evaluate the effect of infiltration resin on the labial white spot lesions of anterior teeth after orthodontic treatment. Method:179 teeth with white spot lesions from 32 patient,and divided into A,B,C groups based on ICDAS criterion,and treated with infiltration resin. The teeth were examined immediate,one week and one year after the treatment. Result:There were significant difference among the three groups after infiltration resin treatment (ANOVA and Duncan test,P<0.01). The difference were insignificant before,one week or one year after the treatment(P=0.91). Conclu-sion:The infiltration resin treatment was effective for the white spot lesion at the early caries and could enhance the aesthetic appearance,which was stable after one-year recall. This investigation demonstrates ICDAS criterion as both a highly clinic-feasible and efficient method for caries grading.

  18. 纳米树脂用于前牙美容修复的临床疗效分析%Nano resin used for anterior teeth cosmetic repair analysis of the clinical effectio

    Institute of Scientific and Technical Information of China (English)

    夏娜

    2015-01-01

    目的::研究纳米树脂材料用于前牙美容修复的临床疗效.方法:选取2013年2月~2014年5月在我院接受前牙美容修复治疗的160例患者作为本次研究的对象.根据患者自愿选择分为观察组和对照组,每组80人,观察组患者给予纳米树脂材料治疗方法,对照组患者采取光固化复合树脂材料的治疗方法,治疗后比较两组患者疗效的差异.结果:在患者治疗1个月、3个月、6个月后,观察组患者的敏感发生率、相关并发症发生率远远低于对照组(P<0.05),而美观满意度则远远高于对照组(P<0.05).结论:纳米树脂材料应用于前牙美容修复治疗中拥有更加显著的效果,值得被广泛推广.%Objective:To observe the clinical ef ection of nano resin material used for anterior tooth cosmetic repair.Methods:Analyzed from February 2013 to May 2014 in our hospital treated with anteriG or tooth cosmetic repair of the clinical data of 160 patients,as the study object.According to the patients’voluntary choice divided into observation group and control group,each group of 80 people,the obG servation group patients give treatment of nano resin materials,the control group patients treated with light-curing composite resin material method,comparing the dif erence between the two groups of paG tients with curative ef ect after treatment.Result:In patients after 1 month,3 month,6 months later,the observation group of patients with the sensitive rate,and the incidence of complications is much lower than the control group(P<0.05),while satisfaction is significantly higher than control group(P<0.05).Conclusion:Nano resin material used for anterior tooth cosmetic repair has more significant ef ect,is worth popularizing widely.

  19. Frequency of intrusive luxation in deciduous teeth and its effects.

    Science.gov (United States)

    Carvalho, Vivian; Jacomo, Diana Ribeiro; Campos, Vera

    2010-08-01

    The aims of this study were three-fold: First, to determine the prevalence of partial and total intrusion of the primary anterior teeth. Second, to investigate the sequelae of total and partial intrusive luxation in the primary anterior teeth and in their successors and finally, to establish whether the sequelae on both deciduous and permanent teeth were related to the child's age at the time of the intrusion. Data collected from records of 169 boys and 138 girls, all between the ages of zero and 10 years, who were undergoing treatment during the period of March 1996 to December 2004. The sample was composed of 753 traumatized deciduous teeth, of which 221 presented intrusive luxation injury. Children with ages ranging from one to 4 years were the most affected with falls being the main cause of intrusion. Of all intruded teeth 128 (57.9%) were totally intruded and 93 (42.1%) partially. Pulp necrosis/premature loss and color change were the most frequent sequelae in both total and partial intrusions. Concerning permanent dentition, the most common disturbances were color change and/or enamel hypoplasia. Both types of intrusion caused eruption disturbance. Total intrusion was the most frequent type of intrusive luxation. There was no significant correlation between the child's age at the time of intrusion and the frequency of subsequent sequela on primary injured teeth (P = 0.035), between the age at the time of injury and the developmental disturbances on permanent teeth (P = 0.140).

  20. Restoring Esthetics after Anterior Tooth Loss for a Five-Year-Old Child: Natural Tooth Pontic Fiber Reinforced Prosthesis

    Directory of Open Access Journals (Sweden)

    Dhirja Goel

    2013-01-01

    Full Text Available The loss of anterior teeth can be hurtful to the patient both psychologically and socially. As the children are becoming more aware these days, they have also become conscious about their looks. Early loss of deciduous anterior teeth has a psychological effect on many children. In such young patients, paper replacement of the teeth can minimize these concerns. Many approaches have been described for this temporary replacement. This article describes the technique to use extracted natural teeth as pontics bonded to adjacent teeth with fiber reinforced resin. A fiber reinforced temporary replacement of missing teeth provides adequate strength and esthetic requirements in such cases.

  1. Study of Perioral Force Exerted on the Teeth in Preadolescent Children with Anterior Crossbite after Treatment%替牙期前牙反(牙合)患者治疗后口周力分布变化的研究

    Institute of Scientific and Technical Information of China (English)

    张新海; 刘国勤; 赵海军; 陈骏; 张庆福; 陈铁楼

    2012-01-01

    To provide a theoretical basis for the treatment and prevation of preadolescent children with anterior crossbite by measuring the perioral force distibution of the patients. 30 preadolescent children with anterior crossbite were selected for our study. Among them 15 children were male and 15 children were female. Their age ranged from 8 years old to 12 years old. The mean age was 10. 8 years old. Their perioral force of pre - and post - treatment in the area as followed were measured; the labial and lingual sides of man-dibular and maxillar central incisors, the first premolars and molars of both sides. About the distribution of the perioral force, there were no significient difference between pri - and post - treatment. Neglect values were not found in the lingual side of mandibular incisors. There were significient differences in perioral force values of both side of up incisor between pri - and post - treatment (P < 0. 05 ). Perioral soft tissues included muscular tissue can adapt to the changes of hard tissues and make corresponding changes to the hard tissue structures tomaintain the balance and stability of stomatognathic system.%测量替牙期前牙反(牙合)患者治疗前后口周力的分布情况,为替牙期前牙反(牙合)的预防和临床治疗提供理论依据.临床选取30名替牙期前牙反(牙合)患者,年龄8岁~12岁,平均年龄10.8岁,其中男性15名,女性15名,测量其治疗前后姿势位时上、下中切牙区唇、舌侧,左右上、下第一前磨牙区颊舌侧,左右上、下第一磨牙区颊舌侧口周力值,分析姿势位时受试者牙弓周围口周力分布变化的情况及规律.治疗前后受试者口周力各区域的分布规律基本一致;值得注意的是治疗后下切牙舌侧不再存在负压现象;治疗前后上中切牙区口周力测量值存在着显著的差异(P<0.05).口周肌肉等软组织具有适应硬组织改变的功能,随着硬组织结构的改变,口周软组织通过发生

  2. Clinical effect on the subgingival tooth defect of the anterior teeth crown after surgical crown lengthening%牙体缺损达龈下前牙行牙冠延长术后冠修复的临床效果

    Institute of Scientific and Technical Information of China (English)

    卢文博; 王京阳

    2015-01-01

    目的:对前牙牙体缺损达龈下的患者行冠延长术,探讨冠延长适应证、手术方法及术后修复方法和效果。方法收集2009年6月~2013年3月于中国中医科学院广安门医院就诊的前牙牙体缺损达龈下患者36例(41颗患牙),行牙冠延长术,牙体缺损位于龈下<2 mm,采用龈切除术;牙体缺损位于龈下2~4 mm,采用翻瓣去骨及骨成形术,术后6~8周行全冠修复。比较修复效果及修复前后龈沟出血指数(SBI)、菌斑指数(PLI),松动度(TM)、延长出的冠高度、黑三角发生率。结果①41颗患牙的牙体缺损断面术后均暴露,无松动;1年后仅1例出现冠脱落,其余良好。②术后6、12周SBI(0.98,0.76)、PLI(0.70,0.44)低于术前(2.35,1.52),TM(0.65,0.52)高于术前(0.37),差异有统计学意义(P<0.05)。③术后6周[(3.02±0.51)mm]、12周[(3.24±0.59)mm]延长出的冠高度均高于术后2周[(2.35±0.46)mm],差异有统计学意义(P<0.05)。④修复即刻(78.05%)、修复后6个月(21.95%)、修复后12个月(19.51%)黑三角发生率差异有统计学意义(P<0.05)。⑤修复后12个月SBI(1.14)、PLI(0.71)高于修复即刻(0.76,0.44),差异有统计学意义(P<0.05)。结论通过严格控制冠延长术适应证和术后修复方法,以及正确牙周护理,前牙牙体缺损达龈下可获得满意的临床修复效果。%Objective To carry out surgical crown lengthening for patients with subgingival tooth defect of the anterior teeth crown, discuss the selection of indications, surgical techniques, postoperative repair methods and effects. Meth-ods 36 patients with a total of 41 teeth structure defect were selected from June 2009 to March 2013 in Guang' anmen Hospital, China Academy of Traditional Chinese Medicine. All of them were treated with anterior subgingival surgical crown lengthening. Patients whose subgingival tooth defect located< 2 mm, treated with gingival resection; patients whose

  3. A comparative study of the clinical effects on the treatment of the subgingival defects of the upper anterior teeth by modified crown lengthening surgery and by crown lengthening surgery with orthodontic traction%改良牙冠延长术与正畸牵引加牙冠延长术治疗上前牙龈下牙体缺损的疗效比较

    Institute of Scientific and Technical Information of China (English)

    雷琼; 陈燕

    2012-01-01

    Objective The purpose of the study is to compare the clinical effects on the treatment of the subgingival defect of the upper anterior teeth by modified crown lengthening surgery and by crown lengthening surgery with Orthodontic traction. Methods 54 upper anterior teeth from 46 patients were divided into two groups randomly, including 27 teeth in the observation group treated by crown lengthening surgery with orthodontic traction and 27 in the control group treated by modified crown lengthening surgery. The difference of indexes before and after treatment in the two groups. Results The indexes such as PPD, GI and TM were improved statistically after treatment ( P 0.05 ) . Conclusion Both the modified crown lengthening surgery and the crown lengthening surgery with orthodontic traction can be applied to treat the subgingival defect of the upper anterior teeth.[ Key words ] modified crown lengthening surgery; crown lengthening surgery with orthodontic traction; subgingival defects%目的 比较改良牙冠延长术与正畸牵引加牙冠延长术对上前牙龈下牙体缺损的治疗效果.方法 选择上前牙龈下牙体缺损患者46例(54颗牙),随机均分为两组.对照组采用改良牙冠延长术治疗,观察组采用正畸牵引加牙冠延长术治疗.比较治疗前后两组患者治疗后各指标的差异.结果 与治疗前比较,两组患者PPD、GI、TM等指标均有不同程度的改善,差异有统计学意义(P<0.05).两组患者之间比较,差异无统计学意义(P>0.05).结论 改良牙冠延长术与正畸牵引加牙冠延长术对上前牙龈下牙体缺损均有较好的治疗效果,临床工作中可根据患者情况选择使用.

  4. COMPARISON OF BOND STRENGTH OF THREE DENTURE TEETH MADE IN IRAN WITH RESIN BASES AND IVOCLAR DENTURE TEETH

    Directory of Open Access Journals (Sweden)

    R MOSHARRAF

    2002-09-01

    Full Text Available Introduction. One of the most common repairs in removable prostheses is, substitution debonded teeth in their places. In the other hand, with the incrased use of implants & the commensurate increase in force applied to prosthetic components, it is probable that tooth debonding will become an even greater clinical problem. Therefore in this study we are trying to select the strongest bond strength of Iranian denture teeth with respect to lvoclar denture teeth (Approved and recommended by ADA. Methods. In this study the upper anterior set of three Iranian denture teeth (called Berelian, Marjan and Supernevoclar and lvoclar denture teeth were used. of each type of denture teeth, 21 specimens was selected and the denture teeth glaze was removed in each specimen. Then the laboratory procedures (removal of wax & resin packing according to British Standard 3990 (BS 3990 or ISO 3336 was done. Each specimen was tested by an Instron machine. The tensile test used with the cross-head speed of 5mm/min until fracture occured. Results. The mean bond strength in Berelian teeth uppermost, afterward Marjan, Ivoclar and Super nevoclared in second, third and fourh rank respectively. But statistical analysis showed no significanrt difference among the mean bond strength in four groups of denture teeth. The percentage of cohesive fracture (sum of acrylic farcture and dental fracture in Berelian specimens was uppermost, afterward Supernevoclar and Marjan were placed in second, third & fourth rank respectively. But statistical analysis showed no significant difference among the percentage of cohesive fracture in different groups of denture teeth. Discussion. The bond strength and the percentage of cohesive fracture of Iranian denture teeth is the same & competitive to lvoclar denture teeth (approved and recommended by ADA.

  5. Four year's clinical evaluation of glass fiber reinforced resin-bonded fixed partial denture as a periodontal splint to replace lost anterior teeth%玻璃纤维增强复合树脂牙周夹板粘接修复前牙缺失的四年临床观察

    Institute of Scientific and Technical Information of China (English)

    肖遵胜; 姜婷; 方晓倩; 吕品; 李健; 贾璐

    2016-01-01

    目的 评价玻璃纤维增强复合树脂粘接义齿修复前牙缺失的临床存活率并分析其影响因素.方法 选择1~3颗前牙缺失、缺牙区邻牙牙周支持丧失严重、不符合种植义齿及全冠固位固定义齿修复条件的30例患者,制作玻璃纤维(Everstick C&B)增强复合树脂粘接义齿30个.采用树脂粘接系统(Superbond C&B)进行粘接固定修复.在修复即刻、修复后1、2、3、4年分别对义齿的完全存活率、功能存活率、基牙牙槽骨高度进行记录和评估,分析失败原因.采用完全随机的单因素方差分析及卡方检验分析基牙骨高度变化.结果 修复1~3年后,每年分别出现义齿连接体折裂1例,经过树脂修补后继续使用.第3、4年各有1例连接体再次折裂后义齿整体脱落.4年随诊后,30例玻璃纤维增强复合树脂粘接义齿的完全存活率为83% (25/30),功能存活率为93% (28/30).22% (13/60)的邻牙骨高度降低,而另外78% (47/60)的邻牙骨高度增加,与修复后第1年相比差异有统计学意义(P<0.05),邻牙牙周状况得到改善.结论 4年临床观察显示,对于1~3颗前牙缺失合并邻近基牙牙周支持受损的患者,玻璃纤维增强复合树脂粘接义齿是一种可行的固定修复方式.%Objective To evaluate the clinical performance of glass fiber reinforced resin-bonded fixed partial denture(GFR-RBFPD) as a periodontal splint on abutment teeth with reduced periodontal support.Methods Thirty fixed-fixed GFR-RBFPD were delivered to restore anterior partial edentulous dentitions.The adjacent abutment teeth had severely reduced periodontal support and were not indicated for full crown retained FPD.The success rate and functional survival rate had been recorded and the periodontal condition had been evaluated for 4 years.The results were statistically analyzed with single factor variance analysis and chi square test(α=0.05).Results In the first,second,and third year following

  6. Clinical use of CBCT and light cure adhesive system in treatment of maxillary anterior impacted teeth%锥形束 CT和光固化粘接技术在上颌埋伏前牙矫治中的应用

    Institute of Scientific and Technical Information of China (English)

    陈慧霞; 沈云娟; 秦燕军; 曹寅

    2014-01-01

    Objective To analyze the clinical use of CBCT and light cure adhesive system in treatment of anterior maxil -lary impacted teeth in orthodontics .Methods Patients with impacted teeth were divided into two groups according to methods of examination .Brackets of traditional X-ray group were bonded and rebonded with Tianjin-Beijing enamel adhesive system while brackets of CBCT group with Transbond TM PLUS MIP and Transbond TM PLUS light cure adhesive system .Treatment dura-tion and rates of bond failure of the two groups were collected and analyzed .Results For the traditional X-ray group,the fail-ure rate was higher(P<0.05)and the treatment duration was longer (P<0.05) than that of the CBCT group.Conclusion The clinical use of CBCT and light cure adhesive system is of great value in the orthodontic treatment of anterior maxillary im -pacted teeth .%目的:评价锥形束CT( CBCT)和光固化粘接技术在上颌埋伏前牙正畸矫治中的应用效果。方法选择2006年3月-2012年10月在我院正畸科诊治的上前牙埋伏阻生患者28例,根据患者埋伏阻生牙检查定位方法分为传统X线片组和CBCT组,传统X线片组采用37%磷酸酸蚀剂和津京牙釉质粘接剂严格按照使用说明进行埋伏牙托槽的直接粘接和脱落后再粘接;CBCT 组采用3M公司生产的TransbondTM PLUS MIP耐湿性处理液和TransbondTM PLUS光固化粘接剂严格按照使用说明进行托槽的直接粘接和脱落后再粘接。分别记录2组患者埋伏牙牵引至正常位置所需时间及牵引过程中埋伏牙托槽的脱落情况,比较其差异。结果 CBCT组埋伏牙托槽脱落次数及矫治时间均少于传统X线片组( P<0.05)。结论 CBCT和光固化粘接技术的结合在上颌前部埋伏阻生牙的正畸矫治过程中发挥了积极有效的作用。

  7. 纳米复合树脂和光固化复合树脂材料用于前牙美容修复的效果比较%Effect of Nano-Composite Resin Material and Light-Cured Composite Resin Material on Cosmetic Restoration of Anterior Teeth

    Institute of Scientific and Technical Information of China (English)

    王玫

    2014-01-01

    目的:比较纳米复合树脂材料和光固化复合树脂材料用于前牙美容修复的效果。方法选择接受前牙美容修复的患者100例作为研究对象,分别使用光固化复合树脂材料及纳米复合树脂材料,比较治疗后牙齿敏感发生率及自觉疼痛评分差异。结果观察组治疗后1 d、1周、1个月牙齿敏感发生率分别为8.00%,6.00%,4.00%,均明显低于对照组( P﹤0.05);平均疼痛评分为(2.63±0.72)分,并发症发生率为22.22%,均明显低于对照组( P﹤0.05);优良率为88.00%,满意度为92.00%,均明显高于对照组( P﹤0.05)。结论纳米复合树脂材料用于患者前牙美容修复可有效降低近期牙齿敏感发生率,减轻自觉疼痛感受,优于光固化复合树脂材料。%Objective To compare the effect of the nano-composite resin material and the light-cured composite resin material on cosmetic restoration of anterior teeth. Methods The 100 patients receiving cosmetic restoration of anterior teeth were selected as the research subjects and used the light-cured composite resin materials and the nano-composite resin materials respectively. The occur-rence rates of the tooth sensitivity and the perceived pain scores after therapy were compared between the two kinds of materi-als. Results The occurrence rates of the teeth sensitive on 1 d' 1 week' 1 month after treatment in the observation group were 8. 00%' 6. 00% and 4. 00% respectively' which were significantly lower than those in the control group ( P﹤0. 05 ) . The average pain scores in the observation group were ( 2. 63 ± 0. 72 ) and the occurrence rate of complications was 22. 22%' which were significantly lower than those in the control group ( P﹤0. 05 ) . The excellent rate in the observation group was 88. 00% and the satisfaction was 92. 00%' which were significantly higher than those in the control group( P﹤0. 05). Conclusion Nano-composite resin can effectively

  8. 成年人正畸治疗中上前牙牙根吸收的CBCT研究%Study of CBCT for Root Resorption of the Anterior Teeth of Maxillary During Adult Orthodontic Treatment

    Institute of Scientific and Technical Information of China (English)

    乔义强; 朱凤节; 崔淑霞

    2014-01-01

    To evaluate the correlations between root resorption during orthodontic treatment using cone-beam computed tomography(CBCT).Method:10 patients who treated for orthodontic tooth were selected, and measured the root resorption around six teeth(bilateral maxillary central incisors,lateral incisors,and canines) by using CBCT,before orthodontic treatment and after 12 months treatment,the correlation was calculated between root resorption.Result:The length of all measuring tooth root were compared before and after treatment,and the differences were statistically significant(P<0.05). The root resorption was largest in the maxillary lateral incisors, the left and right lateral incisors were 1.13 mm and 1.14 mm respectively;followed by the maxillary central incisors, the left and right central incisors were 0.97 mm and 0.96 mm;and then was the maxillary canines,the left and right canines were 0.87 mm and 0.95 mm.Conclusion:(1)The patients have an obvious root absorption in the treatment of orthodontic tooth orthodontic.(2)This study has demonstrated that CBCT is a useful approach for evaluating apical root resorption after orthodontic treatment.%目的:本研究使用三维影像CBCT进行评价旨在提高正畸治疗中牙根吸收的精确性。方法:选取进行正畸拔牙治疗的患者10例,并在治疗前和治疗12个月分别拍摄CBCT,测量治疗前后上颌6个牙齿的长度(双侧中切牙、侧切牙和尖牙),计算得出牙根吸收的数值。结果:所有测量牙齿治疗前后牙根长度比较均有统计学意义(P<0.05)。牙吸收量最大为上颌侧切,左右侧分别为:1.13 mm和1.14 mm;其次为上颌双侧中切牙,左右侧分别为:0.97 mm和0.96 mm;上颌双侧尖牙吸收最少,左右侧分别为0.87 mm和0.95 mm。结论:(1)结果显示正畸拔牙矫正患者治疗中有一个明显的牙根吸收。(2)本研究证实使用CBCT评价牙根吸收是一个有效而且精确的方法。

  9. Clinical study of traction preservation of maxillary anterior teeth residual root with microscrew anchorage%种植钉牵引保存上颌前牙残根的临床研究

    Institute of Scientific and Technical Information of China (English)

    温兴涛; 任柏林; 包丽娜; 李东健

    2015-01-01

    目的:通过种植钉辅助正畸加力牵引上前牙龈下残根,评价其使用效果。方法选择上前牙冠折病例18例,前牙10例,前磨牙8例。在需要牵引的牙齿附近植入2颗彼此平行的微种植钉,用树脂粘接托槽,将片段弓固定在托槽上,牵引龈下残根。结果所有患牙断端均达到龈缘上1mm以上,向移动距离为2.8~4.3mm。15例合格,3例修复体松动达Ⅱ度,判定为不合格。结论利用正畸方法牵引龈下牙根,再行桩冠修复,可有效地解决前牙美观的问题,这种方法不需要以邻牙或对牙作为支抗,能有效避免支抗牙移位或支抗丧失的不良反应。%Objective   To evaluate the effect of orthodontic extrusion with microscrew anchorage in the repair of reexposed subgingival residual root. Methods   A total of 18 cases of anterior teeth with crown fracture, 10 cases of anterior teeth, and 8 cases of premolar were chosen. Two parallel microimplants were implanted near the traction dental implant, with resin-bonded brackets. Segmental arch is fixed on the bracket and traction of subgingival residual root. Results   The broken end of all teeth reached a gingival margin of 1 mm. The distance of the occlusion to the mobile was 2.8 mm to 4.3 mm. Among 18 patients, 15 cases were qualified, and 3 cases of prosthesis were unqualified. Conclusion  Orthodontic traction with microscrew anchorage has good effect on the repair of under-the-gum residual root. The greatest advantage of this method is that it does not need to use adjacent teeth or antagonistic teeth as anchorage, thus effectively avoiding the

  10. Malocclusion of teeth

    Science.gov (United States)

    ... clean and decrease risk of tooth decay and periodontal diseases ( gingivitis or periodontitis ). Eliminate strain on the teeth, ... JA, ed. McDonald and Avery's Dentistry for the Child and Adolescent . 10th ed. St. Louis, MO: Elsevier; 2016:chap ...

  11. Bonding of acrylic denture teeth to resin denture bases.

    Science.gov (United States)

    Geerts, G A V M; Stuhlinger, M E

    2012-07-01

    Anterior teeth debonding from dentures is a common problem. This study tested the bond strength of denture teeth to two types of denture resin, with and without grooving the ridge-lap surface. Bond strength and fracture type of three different groups were compared: 1. Teeth bonded to heat-cured polymethyl methacrylate (PMMA); 2. Teeth bonded to pour-type PMMA; 3. Grooved teeth bonded to pour-type PMMA. Specimens were manufactured following ISO standard 22112. Force values at failure were analysed using one-way analysis of variance, using the mixed procedure with confidence interval of 95%. Types of failure were identified as adhesive, cohesive or combination. In descending order, mean failure forces were 418.55N (Group One), 367.55N (Group Two) and 290.05N (Group Three). There was no significant difference between the means of groups 1 and 2 (p = 0.0627). Group Three differed from both other groups (p denture teeth (83% and 72% respectively); group Three showed predominantly cohesive fractures within the denture PMMA (75%). Without ridge-lap modification, the bond strengths of denture teeth to pour-type and heat-cured denture resin were similar. Failures were predominantly of cohesive nature within the teeth themselves. Grooving the ridge-lap reduced fracture resistance and led to breakages predominantly in denture PMMA.

  12. Changes in alveolar bone thickness due to retraction of lower anterior teeth%内收下切牙对下切牙区牙槽骨改建的影响

    Institute of Scientific and Technical Information of China (English)

    李佳岭; 李小兵; 李佳园

    2011-01-01

    目的 对拔除第一前磨牙内收下切牙后,下切牙区牙槽骨的改建情况进行头影测量分析。方法选择47例治疗前轻度拥挤、拔除4颗第一前磨牙以内收下切牙的患者,在其治疗前后行X线头颅侧位片检查,采用盲法对软硬组织和下切牙区牙槽唇舌侧厚度的进行测量,并采用SPSS 13.0软件对治疗前后的测量数据进行配对t检验。结果头影测量分析显示:拔除4颗第一前磨牙内收切牙后,下切牙区牙槽整体厚度减小。唇舌向:舌侧牙槽厚度减少较多,唇侧牙槽厚度减小较少。垂直向:靠近牙冠的牙槽厚度减少较少,根部减小较多。结论内收下切牙后,牙槽骨的生物学改建以吸收为主,增生很少,因此下前牙牙槽厚度减少明显。治疗前下齿槽座点和根尖处唇舌侧骨皮质改建能力较弱,可以近似作为下切牙移动的“限制点”所在,帮助临床医生确定下切牙移动的范围。%Objective To investigate the changes of alveolar bone thickness after retraction of lower incisor. Methods 47 patients of slight crowding and four first premolars extracted for orthodontics purpose, were collected as study samples. Their pre- and post treatment cephalometric films were analyzed by blind method for hard and soft tissue changes and remodeling of anterior alveolar after treatment. Paired t test was used to evaluate the hard and soft tissue changes with SPSS 13.0 software package. Results The cephalometric values demonstrated that: Lower incisor alveolar thickness showed a significant decrease after incisor retraction. From sagittal view, the lingual cortical plate thickness reduced more than the labial one; from vertical view, alveolar bone thickness at the apical level decreased more than that at the coronal level. Conclusion The absorption of alveolar bone exceed the apposition during lower incisor retraction, so that the alveolar thickness decreased significantly

  13. The length of teeth : A statistical analysis of the differences in length of human teeth for radiologic purposes

    NARCIS (Netherlands)

    Verhoeven, J.W.; Aken, J. van; Weerdt, G.P. van der

    1979-01-01

    Intraoral radiograms can be made according to the long tube paralleling technique utilizing aiming devices. An important factor in the design of these instruments is the length of the teeth to be radiographed. Reliable data regarding the length of the teeth in the different regions of the mouth are

  14. Aspiration of two permanent teeth during maxillofacial injuries.

    Science.gov (United States)

    Xiao, Wen-lin; Zhang, Dai-zun; Wang, Yan-hui

    2009-03-01

    Aspiration of a tooth in maxillofacial injuries is a known complication necessitating prompt recognition and early treatment to minimize potentially serious and, sometimes, even fatal consequences. Here, we report a rare and unusual case in its presentation, the patient having aspirated 2 permanent teeth after maxillofacial, cervical vertebrae, and thoracic region crush injuries due to a motor vehicle accident. The diagnosis of teeth aspiration was delayed until 2 weeks after the event. An aspirated anterior tooth was expectorated by the patient himself, and the other aspirated anterior tooth was removed by flexible bronchoscopy. The paper also emphasizes that clinicians must be aware of dental injury resulting from maxillofacial injuries and account for all teeth as part of their evaluation, keeping an open mind as to where a missing tooth might be located. A rapid diagnosis depends on high clinical suspicion, clinical signs, and radiologic findings.

  15. A Spectrophotometric Color Evaluation of Natural Teeth and Gingival

    DEFF Research Database (Denmark)

    Peng, Min; Hosseini, Mandana; Gotfredsen, Klaus

    2012-01-01

    Objectives: The aim of the present study was to evaluate the color of natural teeth and gingival in anterior maxillary using a new spectrophotometer. Materials and Methods: Thirty four patients with 52 healthy natural teeth and gingival in anterior maxillary were recruited. The color at four...... positions of each tooth (incisal 1/3, body1/3, cervical 1/3 and gingival) were assessed using a spectrophotometer (SpectroShadeTM, Micro Dental, Seria No. HDL3214, MHT, S.p.A, Italy) in CIELab coordinates. Descriptive statistics of Spss17.0 was used to analyze the distribution of color coordinates. Pearson...... correlation was used to test the relationship between the coordinates and age. Independent t test was used to test the difference between gender groups. Results: All the color coordinates for teeth and gingival were in right-left symmetric distribution by the central incisors and the distribution was in same...

  16. 根尖囊肿前牙行即刻种植联合引导骨再生术对骨形成的影响%The effect of immediate implant combined guided bone regeneration technique on the bone formation of anterior teeth with apical cyst

    Institute of Scientific and Technical Information of China (English)

    赵殿才; 何琨瑜; 欧阳舢

    2016-01-01

    Objective To evaluate the bone formation of immediate implant in combination with guided bone regeneration (GBR) technique in restoration of anterior teeth with apical cyst. Methods Twenty⁃nine residual roots in 20 patients who asked for implant treatment and had no surgical contraindications were included. The residual roots were extracted and cystectomy was performed, followed by immediate implant and GBR. The second stage surgery was performed 6 months later and restorations were cemented in 8 months postoperatively. One year follow⁃up was performed to observe the stability of the implants and crowns. X⁃ray was also taken to evaluate the bone loss around the implant. Results Only one implant was loose,the rest implants were demonstrated to have good clinical results without loosen,dislocation or collagen membrane exposure. The gingival margins around the implants were free from suppuration and porrhea. High patient satisfaction and good masticatory function were reported during the follow⁃up. X⁃ray showed bone resorption was less than 1.2 mm for one year and good calcification of implanted bone powders. The clinical successful rate was 96.6% in this study. Conclusion For the cases of anterior teeth apical cyst,apical cyst cystoectomy in combination with immediate implant surgery and GBR technique can be used as a reliable and effective method to reduce the absorption of alveolar bone and facilitate new bone formation.%目的:评价前牙区根尖囊肿摘除后行即刻种植联合同期引导骨再生术(GBR)的骨形成情况。方法本研究入选共20例患者29颗无保留价值的残根,所有患者就诊时均要求种植修复,排除手术禁忌后拔出残根,行囊肿摘除术+即刻种植+GBR。术后6个月行二期手术,8个月冠修复,永久修复后随访1年,观察种植体及义齿的稳定性和牙片变化,对临床效果进行评价。结果除1枚种植体松动明显,其余种植体植骨区新骨形成

  17. 上颌前牙翻瓣与不翻瓣即刻牙种植术对患者口腔内软硬组织的影响对比%Maxillary anterior teeth turned contrast flap and the effect of flapless immediate implant on patients with oral soft tissue

    Institute of Scientific and Technical Information of China (English)

    林华荣; 钱三楼; 温兴涛

    2015-01-01

    Objective: To explore the application of flap and flapless on maxillary anterior teeth of immediate implant soft tissue contrast effect, oral cavity. Method: Selected January 2012 to January 2014 of 254 cases of surgery patients in our hospital for immediate dental implant, and according to the patients to choose different implantation divided into observation group and control group. The observation group was given with no flap for immediate implant, the control group was used flap immediate implant, compared the two groups of patients after operation and the satisfaction indexes. Results: The patients in the observation group after treatment satisfaction reached 88.93%(217/244), was significantly higher than the control group of 79.10%(193/244). Moreover, the observation group's planting survival rate was high, operation time was short, the better was the symptoms and postoperative. Conclusion: No flap of anterior maxillary teeth immediate implant does not need to flap suture, reduce the risk of postoperative infection, can better meet the needs of patients. This relieves the pain to a great extent, is worthy of recommendation.%目的:探究应用翻瓣与不翻瓣对上颌前牙即刻牙种植术效果,对比口腔内软硬组织状况。方法:选择2012年1月至2014年1月在我院行即刻牙种植术病患254例,并根据病患选择不同种植术分为观察组和对照组。其中观察组采用不翻瓣进行即刻牙种植术,对照组采用翻瓣即刻牙种植术。对比两组病患术后各项指标和满意度。结果:观察组病患治疗后满意度达到88.93(217/244),明显高于对照组79.10(193/244)。并且,观察组种植成活率高、手术时间短,且术后各症状表现更好。结论:不翻瓣对上颌前牙行即刻牙种植术不需要翻瓣缝合,降低术后感染的几率,能更好满足病患需求。这在极大程度上减轻了病患的疼痛,值得临床推荐。

  18. Supernumerary teeth in clinical practice

    Directory of Open Access Journals (Sweden)

    Anna K. Szkaradkiewicz

    2011-07-01

    Full Text Available Introduction: Hyperdontia is the condition of having supernumerary teeth, or teeth which appear in addition to the regular number of teeth. The prevalence rates of supernumerary teeth in the permanent dentition amounts 0.1-6.9%, and in deciduous dentition 0.4-0.8%. The presence of supernumerary teeth can be found in everyday dental practice.Case presentation: We describe 3 cases of patients with supernumerary teeth. First patient had supernumerary lateral incisor 12s, second - premolar fused, multicuspid, supernumerary deciduous tooth 64s of having several interconnected roots, and third - erupted odontoma between teeth 13 and 14. In all cases treatment involved the removal of the supernumerary tooth.Conclusions: The decision on proceeding with the supernumerary teeth should be based on the full clinical picture and interview. Early diagnosis and removal of supernumerary teeth allow to avoid or reduce possible complications.

  19. Fine structure of the mineralized teeth of the chiton Acanthopleura echinata (Mollusca: Polyplacophora).

    Science.gov (United States)

    Wealthall, Rosamund J; Brooker, Lesley R; Macey, David J; Griffin, Brendan J

    2005-08-01

    The major lateral teeth of the chiton Acanthopleura echinata are composite structures composed of three distinct mineral zones: a posterior layer of magnetite; a thin band of lepidocrocite just anterior to this; and apatite throughout the core and anterior regions of the cusp. Biomineralization in these teeth is a matrix-mediated process, in which the minerals are deposited around fibers, with the different biominerals described as occupying architecturally discrete compartments. In this study, a range of scanning electron microscopes was utilized to undertake a detailed in situ investigation of the fine structure of the major lateral teeth. The arrangement of the organic and biomineral components of the tooth is similar throughout the three zones, having no discrete borders between them, and with crystallites of each mineral phase extending into the adjacent mineral zone. Along the posterior surface of the tooth, the organic fibers are arranged in a series of fine parallel lines, but just within the periphery their appearance takes on a "fish scale"-like pattern, reflective of the cross section of a series of units that are overlaid, and offset from each other, in adjacent rows. The units are approximately 2 microm wide and 0.6 microm thick and comprise biomineral plates separated by organic fibers. Two types of subunits make up each "fish scale": one is elongate and curved and forms a trough, in which the other, rod-like unit, is nestled. Adjacent rod and trough units are aligned into large sheets that define the fracture plane of the tooth. The alignment of the plates of rod-trough units is complex and exhibits extreme spatial variation within the tooth cusp. Close to the posterior surface the plates are essentially horizontal and lie in a lateromedial plane, while anteriorly they are almost vertical and lie in the posteroanterior plane. An understanding of the fine structure of the mineralized teeth of chitons, and of the relationship between the organic and

  20. Efficacy and Long-term Prognosis of Zirconia All-ceramic Crown Plus Fiber Post for Repair of Ante-rior Teeth Complex Crown Root Fracture%氧化锆全瓷冠加纤维桩修复前牙复杂冠根折的疗效及远期预后分析

    Institute of Scientific and Technical Information of China (English)

    周凌燕; 毛艳; 苏宗佑; 陈俊文; 罗家威; 吕夏

    2016-01-01

    Objective To analyze the efficacy and long-term prognosis zirconia all-ceramic crown plus fiber post to repair anterior teeth complex crown root fracture.Methods From Feb.2008 to Jan.2010 in Affiliated Stomatology Hospital of Guangxi Medical University 110 patients for treatment of anterior teeth crown root fracture were included as research objects,and were divided into observation group and control group according to random number table method,55 cases each.The observation group adopted zirconia all-ceramic crown plus fiber post restoration treatment,an the control group adopted conventional orthodontic traction plus crown lengthening surgery for treatment.The tooth mobility,periodontal probing depth,gingival sulcus bleeding index of the two groups before and after treatment were compared,and 5 years of follow-up was done to compare the long-term prognosis.Results After treatment the tooth mobility,the sulcus bleeding index of the observation group were significantly lower than the control group [ ( 0.19 ±0.04 ) vs ( 0.40 ± 0.11),(0.78 ±0.16) vs (2.01 ±0.27),P <0.01],probing depth of the observation group was signifi-cantly higher than the control group[(5.99 ±0.14) mm vs (3.97 ±0.10) mm,P<0.01],the difference was statistically significant ( P <0.05 );the repair success rate of the observation group was significantly higher than the control group [92.73% (51/55) vs 54.55% (30/55)],the difference was statistically sig-nificant ( P <0.05 ) .Root fracture, secondary caries and periodontal disease incidence of the observation group were significantly lower than the control group [1.82%(1/55) vs 14.55%(8/55),1.82%(1/55) vs 9.09%(7/55),3.64%(2/55) vs 18.18%(10/55)],the differences were statistically significant(P<0.05).Conclusion Zirconia all-ceramic crowns plus fiber post has good clinical efficacy for anterior teeth complex crown root fracture,which can promote tooth mobility,probing depth,and improve sulcus bleeding index,with good long-term prognosis,thus is

  1. Clinical evaluation of midazolam intravenous sedation under bispectral index monitoring on romoval of anterior supernumerary teeth in children%咪达唑仑静脉注射对儿童埋伏多生牙拔除术中镇静效果的临床评价

    Institute of Scientific and Technical Information of China (English)

    关明; 王恩博; 刘宇; 崔念晖; 丁蓓; 张伟

    2012-01-01

    Objective: To evaluate the efficacy and safety of midazolam intravenous sedation plus local anaesthesia on removal of children' s anterior supernumerary teeth in dental clinic. Methods: A total of 41 ASA I children with anterior supernumerary teeth aged 6 to 14 were selected for removal surgery, anaesthesia was done by moderate sedation by midazolam intravenous titration plus local anaesthesia. Heart rate (HR) , blood pressure (BP) , pulse oxygen saturation rate (SpO2) , bispectral index (BIS) and Ramsay sedation score ( RSS) at different time points were recorded (5 min after patient is in operation room, at local anaesthesia injection, at incision, 10 min after incision and at the end of operation). After operation, the overall efficacy of sedation by Houpt rating scale was evaluated by surgeon, anaes-thesiologist and anaesthetic nurse. Results; Among the 41 children, 29 were male, 12 were female, mean age (9.76 ±2.46) years old; The average operation time was (23.83 ±9.98) min, total dose of midazolam was (2. 96 ±0. 92) mg with a dosage rate being (0. 084 ±0. 016) mg/kg. There was a positive correlation between age and total dose (r=0.69, P < 0.01) ; and a negative correlation between age and total dosage (r= -0. 37, P <0. 05). With the decreasing of age, probability for children to move or cry during local anaesthesia can increase, while with the increasing of age, probability for children to memorize the clicking of drill or hammer could increase. The correlation coefficient between RSS and BIS value was r = -0. 854 (P <0.01) , the median BIS value corresponded to RSS of 3 was 75. Pulse oxygen saturation rate was above 95% in all the cases. Conclusion: Sedation by midazolam intravenous titration is a safe and efficient method of anesthesia for removal of children' s anterior supernumerary teeth when BIS value is above 75.%目的:旨在评估咪达唑仑静脉镇静联合局部麻醉拔除儿童上颌理伏多生牙的镇静效果及共安全性.方法:选

  2. The Use of Glass-fibers Ribbon and Composite for Prosthetic Restoration of Missing Primary Teeth-Laboratory and Clinical Research

    OpenAIRE

    Zilberman, Uri; Lasilla, Lippo

    2014-01-01

    Very few modalities can be used for restoring missing primary anterior teeth, although the impact of missing anterior teeth during early childhood can be harmful. In the permanent dentition the use of glass-fibers ribbon and composite materials are frequently used for restoring missing teeth with no or minimal preparation. The purpose of this study was to examine the possibility to use the glass-fibers ribbon (ever-Stick from GC Corporation, Japan) together with esthetic composite materials (...

  3. Aesthetic approach for anterior teeth with enamel hypoplasia

    Directory of Open Access Journals (Sweden)

    Josué Martos

    2012-01-01

    Full Text Available Enamel hypoplasia is a developmental defect of the enamel that is produced by a disturbance in the formation of the organic enamel matrix, clinically visible as enamel defects. Disorders that occur during the stages of enamel development and maturation reduce the amount or thickness of the enamel, resulting in white spots, tiny grooves, depressions and fissures in the enamel surface. The complexity and intensity of the dental deformity lesions will conduct the ideal treatment-associating conservative techniques. This article presents a case report of a restorative treatment of enamel hypoplasia using hybrid composite resin to mask color alteration and enamel defects. An aesthetic appearance that respects the tooth polychromatic and the self-esteem of the patient can be achieved with this approach.

  4. Anterior makeover on fractured teeth by simple composite resin restoration

    OpenAIRE

    2011-01-01

    Background: In daily practice dentists usually treat tooth fractures with more invasive treatments such as crown, veneer and bridges which preparation require more tooth structure removal. While currently there is trend toward minimal invasive dentistry which conserves more tooth structure. This is enhanced with the vast supply of dental materials and equipment in the market, including restorative materials. Provided with these supporting materials and equipment and greater patient’s demand f...

  5. Mouth and Teeth (For Parents)

    Science.gov (United States)

    ... usually occurring in 1 to 3 weeks. Cleft lip and cleft palate . These are birth defects in which the tissues ... Child's Teeth Healthy Movie: Teeth Your Tongue Cleft Lip and Cleft Palate How Does Fluoride Work? Bad Breath Going to ...

  6. Mesiodistal crown diameters of the primary and permanent teeth in southern Chinese--a longitudinal study.

    Science.gov (United States)

    Yuen, K K; So, L L; Tang, E L

    1997-12-01

    The mesiodistal crown diameters of the primary and permanent teeth were measured on serial casts of 112 Hong Kong Southern Chinese (61 males and 51 females) taken at 5.68 and 12.31 years of age. None of the teeth showed significant sex difference in bilateral asymmetry, and significant bilateral asymmetry was found only for the upper primary second molars. The asymmetries were small and the sizes of the antimeres were averaged. Posterior teeth were generally less variable than anterior teeth in both dentitions in Chinese, which is contrary to other reports, but the anterior tooth of each morphological class was, in general, less variable than the posterior member. Male teeth were larger than those of females except for the lower central and lateral incisors in both dentitions, but the difference was not statistically significant. None of the primary teeth nor three of the permanent teeth were found to have significant sex differences in size. Percentage sexual dimorphism ranged from 0.06 to 1.97 per cent for the primary teeth and from 0.36 to 5.27 per cent for the permanent teeth. In the primary dentition, molars were the most dimorphic teeth in both arches, while upper incisors and lower canine were the least dimorphic teeth in their own arch. Among the permanent teeth, the canines were the most dimorphic and the incisors were among the least dimorphic teeth in both arches. Tooth sizes in both dentitions were, in general, larger than those of the Caucasians, comparable with Northern Chinese, but smaller than those of Australian Aboriginals.

  7. 上颌前牙区不翻瓣即刻牙种植术对患者口腔内软硬组织的影响分析%Analysis of Maxillary Anterior Teeth Area Flapless Dental Implants Immediately to Soft and Sclerous Tissue in the Mouth

    Institute of Scientific and Technical Information of China (English)

    刘伟林

    2015-01-01

    Objective:To study maxillary anterior teeth area flapless dental implants immediately to soft and sclerous tissue in the mouth .Method:From Mar.2010 to Mar.2013 in our hospital with surgery treat-ment of front teeth or premoLar repair patients 100 cases as the research object .In digital method of 50 cases was randomly divided into observation group and control group of 50 cases.The control group was treated with flap of immediate implant surgery , while the observation group was treated with flapless dental implants im-mediately surgery , statistics and compared two groups of postoperative overall situation , sclerous and soft tis-sue following surgery , and PES grading and VAS score before and after the treatment .Result:The postoper-ative pain and swelling of 1 day ratio in observation group were significantly lower than the control group , and 12 months after gingival papilla index proportion was significantly higher than the control group , differences were statistically significant (all P 0.05) .Observation group of 12 months after the operation of the crest of absorption value was significantly less than the control group;the difference was statistically significant ( P 0.05) .PES rating of the two groups after treatment , and VAS scores were raising before the treatment , but the rising degree of observation group was significantly higher than the control group, the difference was statistically significant (P <0.05).Conclusion: Maxillary anterior teeth area flapless dental implants immediately , curative effect is better , which has more aesthetic feeling , is worth promoting .%目的:研究分析上颌前牙区不翻瓣即刻牙种植术对患者口腔内软硬组织的影响。方法:选择2010年3月至2013年3月在我院接受手术治疗的前牙或者前磨牙修复患者100例作为研究对象。以数字法随机分成观察组50例以及对照组50例。对照组实施翻瓣的即刻牙种植手术,观察组则实施不翻瓣的即刻牙

  8. Iatrogenic mid-root perforation of fused teeth

    Directory of Open Access Journals (Sweden)

    Vijay Kumar

    2012-01-01

    Full Text Available Fusion is defined as a union between the dentin and/or enamel of two or more distinct dental sprouts that occurs at any stage of the dental organ. Its prevalence ranges from 0.5%-2.5% in the primary dentition alone and 0.1%-1% of the primary as well as the permanent dentition. These fused teeth can cause various problems such as caries, periodontal disease, abnormal eruption, impaction or an ectopic eruption of an adjacent tooth and reported in the literature. However this paper documented an unusual case of iatrogenic root perforation of fused permanent lower anterior teeth during inter maxillary fixation.

  9. A multicenter randomized 5-year clinical evaluation of restoration made of Ni-Cr porcelain-fused-to-metal with or without gold-plating for anterior teeth%镍铬烤瓷与镀金镍铬烤瓷前牙修复体5年随机效果评价

    Institute of Scientific and Technical Information of China (English)

    吴玮; 张清磊; 卢丹; 何帅; 王文莲

    2012-01-01

    目的:评价镀金镍铬烤瓷修复体与镍铬烤瓷修复体在3个单位用于前牙修复的5年临床效果.方法:对3个单位158例患者的268颗天然牙随机分为2组:134颗镍铬合金烤瓷(对照组)与134颗镀金烤瓷修复体(镀金组)进行上前牙固定修复,分别于粘结时、3个月、6个月、1年、3年及5年对比评价其修复效果,主要临床观察指标为牙龈变色与探诊出血情况.结果:两组修复体临床戴入时均未发生探诊出血情况,对照组有3颗发生了牙龈变色(2.24%),镀金组也有1颗发生了牙龈变色(0.75%),两组之间存在显著差异(P<0.05).3个月后有1例镍铬烤瓷修复体出现牙龈探诊出血(0.75%),而牙龈变色的表现与基线无明显变化(P>0.05),镀金烤瓷组无变化.1年、3年及5年复诊时镀金烤瓷冠与镍铬合金烤瓷冠相比,较少出现烤瓷冠边缘牙龈变色和牙龈灰线及探诊出血情况(P<0.05).结论:本研究5年临床观察结果提示镀金镍铬烤瓷冠用于前牙修复短期效果较为理想,且较镍铬烤瓷冠良好,但是随着应用时间的延长,其美学效果逐步降低.%Objective To evaluate the 5-years clinical quality of gold-plating technique used in Ni-Cr metal ceramic restorations in anterior teeth in 3 units. Methods 268 teeth of 158 cases from 3 units were radonmaziedlly divided into two groups. 134 teeth of control group were restored with Ni-Cr metal ceramic crown, while 134 teeth in gold-plating group were treated with gold -plating technique on the Ni -Cr metal restorations.Gingival discoloration, bleeding on probing (BOP) were examined at baseline,3 months,6 month, 1 year,3 years and 5years after restoration cementation. Chisquare test was used for statistical analysis with software SPSS 18.0. Results Gingival discolorations were found in 3 cases of control group (2.24%), 1 case in gold-plating group (0.75%) at baseline, there was significant difference between 2 groups (P<0.05), while

  10. INCIDENCE OF SILICONE RUBBER IMPRESSION MATERIAL FOUND IN THE GINGIVAL SULCUS AFTER IMPRESSION PROCEDURE FOR FIXED PARTIAL DENTURES OF MAXILLARY ANTERIOR TEETH%上前牙固定修复中硅橡胶印模材料龈沟残留的观察

    Institute of Scientific and Technical Information of China (English)

    周鹏; 石连水; 曾永发; 张林

    2013-01-01

    目的分析评估用硅橡胶二次印模法制取上前牙印模中的龈沟残留材料情况,为临床安全使用硅橡胶印模材料提供指导。方法对135颗拟行固定修复的上前基牙使用硅橡胶二次印模法制取印模后,观察并记录印模基牙龈沟翼缺损数,并依次用以下两种方法检查口内基牙龈沟中硅橡胶印模材料残留情况:A:采用肉眼直视下观察基牙龈沟,B:在5倍放大镜下继续用刮治器探寻基牙龈沟;分别记录材料残留数量与位置。结果135颗上前牙印模在肉眼直视下见24颗印模翼缘缺损,口内直视观察发现9颗基牙龈沟硅橡胶残留,继续放大镜下用刮治器探查,又发现13例龈沟深部残留。结论硅橡胶印模龈沟残留现象比较常见且容易被忽略,应引起临床医师的的高度重视,印模后应常规使用刮治器械探查龈沟内是否有印模材料的残留现象。%Objective: To evaluate the incidence rate of silicone rubber impression material remaining in the gingival crevice after removal of the set impression. Methods: A total of 135 anterior abutment teeth were prepared for complete coverage restorations. Curette were used to find the remaining pieces of impression material with a forehead type magnifying glass. Results:An inspection of the impression after removal, revealed defect in the sulcus region of 24 teeth. Subsequent visual inspection of the sulcus revealed 9 and a further exploration of the sulcus with curette revealed 13. Conclusion:For being relatively easy to ignore silicone rubber impression of gingival sulcus residual phenomenon after impression procedures, it should cause clinicians more attention to it. It would be prudent to consider a routine curettage of abutment sulci after impression-making.

  11. 安氏Ⅱ类2分类错牙合上前牙冠根形态的锥形束CT分析%A cone-beam computed tomography study on crown-root morphology of maxillary anterior teeth in Class Ⅱ,division 2 malocclusion

    Institute of Scientific and Technical Information of China (English)

    黎敏; 王斯维; 赵一姣; 刘怡

    2016-01-01

    Objective:To study crown-root morphology of maxillary anterior teeth in ClassⅡ,division 2 malocclusion using cone-beam CT (CBCT)combined with computer aided measurement technology to provide guidance for clinical treatment.Methods:The samples which consisted of 36 cases radiographed with CBCT techniques were selected and divided into two groups (1 8 each )based on the type of maloc-clusion presented:ClassⅡ,division 2 group (groupⅡ2)and ClassⅠgroup (groupⅠ).The measure-ments of crown-root morphology including crown-root angle and surface-shaft angle were got by Multiple Planer Reconstruction of CBCT data uploaded into InvivoDental software 5.0.The data were processed with SPSS 20.0 software package and t test was employed for comparison of angular measurements. Results:In group Ⅰ,crown-root angles of maxillary central incisor,maxillary lateral incisor and maxillary canines were 1 79.08°±3.31 °,1 76.55°±2.77°and 1 84.20°±2.51 °respectively, surface-shaft angles were 21 .00°±2.63°,1 9.63°±2.35°and 1 9.36°±2.30°respectively. While in group Ⅱ 2 ,crown-root angles of maxillary central incisor,maxillary lateral incisor and maxillary canines were 1 76.80°±2.62°,1 74.1 3°±3.28°and 1 81 .79°±2.88°respectively, surface-shaft angles were 23.20°±2.95°,22.29°±2.1 9°and 20.61 °±2.34°respectively. Compared with group Ⅰ,significant statistical differences were observed with the exception of sur-face-shaft angle of maxillary incisor.There was significant difference in crown-root angle between group Ⅱ2 and 1 80 °.Conclusion:The maxillary anterior teeth in ClassⅡ,division 2 malocclusion exhibited significant crown-root morphology which would influence the torque after orthodontic treat-ment.Special attention should be paid to the position of maxillary anterior teeth roots during ortho-dontic treatment for Class Ⅱ,division 2 malocclusion.The ideal position of tooth movement should be decided by the root rather than the

  12. [Multiple retained deciduous teeth: a case report].

    Science.gov (United States)

    Wang, Jing; Lai, Wen-Li

    2009-06-01

    Retained deciduous teeth are defined as the succedaneous permanent teeth have erupted while the primary teeth were retained, or the permanent teeth unerupted while the primary teeth remained in the permanent dentition. One case of multiple retained deciduous teeth was reported.

  13. MULTIPLE RETAINED TEETH IN MANDIBLE: A Case Report

    Directory of Open Access Journals (Sweden)

    Cvetan Cvetanov

    2010-07-01

    Full Text Available Purpose: The aim of this science report is to show a rare case of multiple impacted teeth at adult patient and our propose clinical approach.Materials and methods: The clinical case is showed from adult man /64-year old/ with multiple impacted teeth (6 impacted teeth in the anterior place on the mandible were not suggestive of any syndrome or metabolic disorder. The extraction of the impacted teeth was made on two stage with piezosurgery unit under local anaesthesia. For prevention of postsurgical complications, as a swelling and prevention of postsurgical resorbtion were used coneshapes from pressure xeno colagen. To base on clinical and radiological examination we will discuss the differential diagnosis and we will offer a clinical approach about decided the case.Result and Conclusion: The incidence of multiple retained teeth by literature research range from 10.9% to 40.4%, most frequently is the retention of the third molars. In the literature most rarely have clinical reports about multiple retained teeth which differ from third molars at adult patients. The rare clinical case we showed is very demonstrative and the medicative approach which we used gave excellent result.

  14. Teeth number anomalies in permanent dentition among non-syndromic dental patients.

    Science.gov (United States)

    Aslan, Belma Işik; Akarslan, Zühre Zafersoy

    2013-03-01

    The aim of this study was to establish teeth number anomalies in relation to gender, tooth type, location, distribution pattern and the association between frequently missing teeth among a group of dental patients in Turkey. A total of 378 non-syndromic patients (240 females and 138 males) with an age range of 7-45 (x +/- SD = 22.07 +/- 3.6) having evidence of absent or excess teeth were evaluated in the study. Pearson Chi-square, Fisher's exact, McNemar and Kappa coefficients were used for statistical analysis. 237 patients had a total of 546 congenitally missing teeth and 141 had 185 excess teeth. Congenitally missing teeth were more commonly seen rather than the presence of supernumerary teeth. Difference was determined in the frequent locations of congenital missing and supernumerary teeth. The most frequent missing tooth type was found to be the mandibular second premolar (26.6%), while the majority of supernumerary teeth were located in the anterior region of the maxillary arch (37.9%). Both teeth number anomalies were more commonly seen among females. In hypodontia cases the occurrence of symmetrical agenesis of laterals and second premolars in maxilla; centrals and second premolars in mandible was notable. Agenesis of mandibular centrals was found to be associated with maxillary lateral agenesis in males. Also higher prevalence of molar teeth agenesis was determined in the occurrence of at least 4 teeth agenesis. These findings will serve as information about the contemporary demographic pattern of teeth number anomalies among non-syndromic Turkish dental patients and can provide evidence that agenesis of some teeth symmetrically or together are the products of the same genetic mechanisms.

  15. 脱细胞真皮基质用于前牙即刻种植扩增角化龈的临床研究%Clinical Observation of Peri-implants Keratinized Tissue Augmented in Anterior Teeth with Acellular Dermal Matrix Xerograft

    Institute of Scientific and Technical Information of China (English)

    彭国光; 谢建雅; 夏炜; 严鑫; 吴俊伟; 沈琳; 吴美珍; 谭玉莲

    2011-01-01

    Objective To evaluate the effectiveness of acellular dermal matrix (ADM) xerograft in increasing the width and esthetics of keratinized gingiva around anterior immediate dental implants. Methods Twenty patients received ADM xerograft with/without guided bone regeneration ( GBR ) after immediate implants in maxillary or mandibular anterior regions. The width of keratinized gingiva was recorded at 3 and 6 months after final porcelain crown restoration. The parameter was compared to the mean width of adjacent teeth, and the implant gingival papilla was evaluated with Jemt' s classification. Results ADM xerografts provided satisfactory results. The width and esthetics of the gingival/papilla in immediate implants were no difference (P >0.05) with them in the natural adjacent teeth, and the position before operation. Conclusion The width of keratinized tissues was augmentation by using the ADM xerograft.%目的 研究脱细胞真皮基质用于前牙即刻种植扩增角化龈的临床效果.方法 唇侧骨板垂直缺损不超过牙根长度1/3的单颗前牙即刻种植病例20例,拔除患牙即刻种植,利用异种脱细胞真皮基质双层封闭植牙创口,并与周围黏膜加压严密缝合,2~3周拆线,8~12周行冠修复.冠修复后3、6个月,从龈缘高点到膜龈联合线测量种植牙角化龈的宽度,和邻牙及术前角化龈的宽度进行比较,并对种植牙的龈乳头进行美学评价.结果 20颗种植牙的角化龈宽度与种植前相比无明显差异,与相邻牙也无明显差异,膜龈联合线自然;17例种植牙的龈乳头达到Jemt氏分类的2级、3级.种植前,20颗种植牙的角化龈宽度为(4.460±0.220) mm,冠修复后3个月为(4.451±0.245) mm,正常邻牙是(4.410±0.189) mm.冠修复后3个月,种植位点角化龈平均宽度与正常邻牙比较(t =1.283,P=0.215)、与术前比较(=0.584,P=0.566),差异均无统计学意义.冠修复后6个月,种植位点角化龈宽度为(4.448±0.223) mm

  16. PES and WES evaluation of CAD/CAM custom abutments and all ceramic crowns in the anterior teeth area%红、白美学评价 CAD/CAM 个性化基台与全瓷冠在前牙区的应用

    Institute of Scientific and Technical Information of China (English)

    张晓真; 周国兴; 戴文雍; 赵毅; 邱憬; 王洁; 汤春波

    2013-01-01

    Objective:To investigate the clinic application of computer aided design&computer aided manufacturing ( CAD/CAM) custom abutments and all ceramic crowns and evaluate their esthetic effect in the anterior teeth area according to the assessment criteria Pink Esthetic Score ( PES ) and White Esthetic Score ( WES ) .Methods:Totally 73 CAD/CAM custom abutments and all ceramic crowns were used in 51 implant-supported prosthesis cases .The esthetic prosthetic effect was evaluated according to the assessment cri-teria PES and WES.Results:The 3-month-follow-up results of totally 73 CAD/CAM custom abutments and all ceramic crowns of 51 pa-tients:the percentage of the PES scores of 10,8-9,6-7 and≤5 was 9.59%,71.23%,17.81%,and 1.37%,respectively;the percent-age of the WES scores of 10,8-9,6-7 and ≤5 was 39.73%,60.27%,0%,and 0%,respectively.The 6-month-follow-up results: the percentage of the PES scores of 10,8-9,6-7 and≤5 was 8.22%,69.86%,17.81%,and 4.11%,respectively;the percentage of the WES scores of 10,8-9,6-7 and≤5 was 36.99%,61.64%,1.37%,and 0%,respectively.The 1-year-follow-up results:the percentage of the PES scores of 10,8-9,6-7 and≤5 was 5.48%,68.49%,20.55%,and 5.48%,respectively;the percentage of the WES scores of 10,8-9,6-7 and ≤5 was 31.51%,64.38%,4.11%,and 0%,respectively.During the follow-up of 1 to 3 years,there was only one abutment got fractured when the torque control was installed ,and one loosened during observation .In all cases,the gingivae were in healthy condition ,and no further obvious gingival retreat or periimplantitis occurred .Conclusions:PES and WES are objective ,integrat-ed and comparable .CAD/CAM custom abutments and all ceramic crowns have good biocompatibility and chemical stability ,and can be more widely used in the anterior teeth area .However,their long term effects need to be confirmed by further follow-up.%目的:研究计算机辅助设计及计算机辅助制作( CAD/CAM )个性化基台及全瓷冠的临床

  17. New teeth from old: treatment options for retained primary teeth.

    Science.gov (United States)

    Robinson, S; Chan, M F W-Y

    2009-10-10

    Retention of primary teeth beyond their expected exfoliation date is encountered relatively frequently. Most commonly this is due to absence of the permanent successor. In this article patient assessment and the restorative treatment options are discussed with particular emphasis on retention of the primary tooth/teeth in the medium to long-term. The restorative techniques that may be used to improve aesthetics and function of retained primary teeth are illustrated. Consideration of this minimally invasive approach is commended in such cases.

  18. Clinical management of supernumerary teeth: A report of two cases

    Directory of Open Access Journals (Sweden)

    Mittal M

    2010-09-01

    Full Text Available Supernumerary tooth may closely resemble the teeth of the group to which it belongs, i.e. molars, premolars or anterior teeth, or it may bear little resemblancein size or shape to which it is associated. Many complications can be associated with supernumeraries, like impaction, delayed eruption or ectopic eruption of adjacent teeth, crowding, development of median diastema and eruption into floor of the nasal cavity. This may also cause the formation of follicular cysts with significant bone destruction. Early intervention to remove it is usually required to obtain reasonable alignment and occlusal relationship. This article will present the clinical management of an (i impacted supernumerary tooth impeding the eruption of maxillary central incisor and (ii erupted supernumerary tooth with midline diastema.

  19. Smile design for the adolescent patient--interdisciplinary management of anterior tooth size discrepancies.

    Science.gov (United States)

    Waldman, Alexander B

    2008-05-01

    Adolescent patients often seek orthodontic treatment to correct spacing of the maxillary anterior teeth. If the spacing is caused by a tooth size discrepancy that affects one or more anterior teeth, an interdisciplinary treatment plan involving orthodontic, restorative, and periodontal treatment is recommended to achieve a harmonious esthetic result. This article describes a clinical approach for treatment of these complex cases, focusing on the importance of tooth form, gingival esthetics, and treatment sequencing.

  20. Management of multiple impacted teeth

    Directory of Open Access Journals (Sweden)

    Nidhi Bansal

    2012-01-01

    Full Text Available An impacted or missing permanent tooth can add significant complications to an otherwise straightforward case. When multiple impacted teeth are present, the case complexity increases further. Developing a treatment sequence, determining appropriate anchorage, and planning and executing sound biomechanics can be a challenge. The following case report illustrates a patient with three retained primary teeth and three impacted permanent canines. After careful treatment planning and extraction of multiple primary teeth;, followed by attempted guided eruption of impacted teeth, the patient finished with a significantly improved functional and aesthetic result.

  1. Uncovering labially impacted teeth: apically positioned flap and closed-eruption techniques.

    Science.gov (United States)

    Vermette, M E; Kokich, V G; Kennedy, D B

    1995-01-01

    The purpose of this study was to examine the esthetic and periodontal differences between two methods of uncovering labially impacted maxillary anterior teeth: the apically positioned flap and closed-eruption techniques. The sample consisted of 30 patients who were recalled a minimum of three months after orthodontic treatment of a unilateral labially impacted maxillary anterior tooth. Eighteen of the patients had undergone an apically positioned flap (APF) procedure, and the remaining twelve had undergone the closed-eruption (CE) technique. In the CE group, clinical examination showed less width of attached gingiva on the distal surface and increased probing bone level on the facial surface of the uncovered teeth relative to their contralateral controls. Uncovered teeth in the APF group showed more apical gingival margins on the mesial and facial surfaces; greater crown length on the midfacial surface; increased probing attachment level on the facial surface; increased width of attached gingiva on the facial surface; increased probing bone level on mesial, facial, and distal surfaces; and gingival scarring. Radiographic examination showed shorter roots on the uncovered teeth in both groups. Photographic examination revealed vertical relapse of the uncovered teeth in the APF group. We conclude that labially impacted maxillary anterior teeth uncovered with an apically positioned flap technique have more unesthetic sequalae than those uncovered with a closed-eruption technique.

  2. Correlation between three color coordinates of human teeth.

    Science.gov (United States)

    Lee, Yong-Keun

    2014-11-01

    The objective was to determine whether there were significant correlations in the three color coordinates within each of two color coordinate systems, such as the Commission Internationale de l’Eclairage (CIE) L*a*b* system, and the lightness, chroma, and hue angle system, of human vital teeth. The color of six maxillary and six mandibular anterior teeth was measured by the Shade Vision System. Pearson correlations between each pair of the color coordinates were determined (α=0.01 ). The influence of two color coordinates on the other color coordinate was determined with a multiple regression analysis (α=0.01 ). Based on correlation analyses, all the color coordinate pairs showed significant correlations except for the chroma and hue angle pair. The CIE L* was negatively correlated with the CIE a*,b*, and chroma, but positively correlated with the hue angle. The CIE a* was positively correlated with the CIE b* and chroma. Tooth color coordinates were correlated each other. Lighter teeth were less chromatic both in the CIE a* and b* coordinates. Therefore, it was postulated that the three color coordinates of human teeth were harmonized within certain color attribute ranges, and a lack of correlations in these coordinates might indicate external/internal discolorations and/or anomalies of teeth.

  3. Effects of the marginal position of porcelain fused metal crown on beauty and periodontal health for anterior teeth%不同金瓷冠边缘位置对前牙区美容和牙周健康的影响

    Institute of Scientific and Technical Information of China (English)

    张志慧

    2015-01-01

    Objective To explore the influence of the marginal position of porcelain fused metal crown on beauty and periodontal health for anterior teeth. Methods 96 patients were treated by porcelatin fused metal crowns and were randomly divided into three groups. According to the difference in the marginal position of the crown patients were with crown margins up the gingival level,at the gingival level and under the gingival level.The degee of satisfaction,gingival crevicular fluid volume (GCF) , aspartate(AST) and alkaline phosphatase(ALP) were investigated at 1-month,3-month and 6-month after premanent restoration. Results The satisfaction survey of under the gingival level group and at the gingival level group were higher than up the gingival level group's.There was significant statistically difference. Conclusion Based on the results of this study, the crown with gingival margin at gingival level is better than others.Crown margin at gingival level should been chosen at most times by dentists.%目的:探讨不同冠边缘设计对前牙区金瓷全冠修复患者的美观和牙周健康的影响。方法:选择需进行金属熔附烤瓷全冠修复病例96例,随机分成3个治疗组,根据冠的颈缘位置不同分别采用龈上冠边缘修复、平龈冠边缘修复和龈下冠边缘修复,调查3组患者全冠戴入后患者美观满意度,检测全冠戴入后龈沟液量及AST、ALP活性的变化。结果:龈下冠边缘修复和平龈冠边缘修复组患者美观满意度明显较龈上冠边缘修复组高;龈上冠边缘修复和平龈冠边缘修复组患者对牙周损伤明显较龈下冠边缘修复组低,差异均具有统计学意义(P<0.05)。结论:全冠平龈冠边缘修复设计既不影响患者对美观方面的需求,又对龈沟液的影响较小,优于龈上冠边缘修复和龈下冠边缘修复,不考虑其他影响因素时,临床应优先选择。

  4. Keeping Your Child's Teeth Healthy

    Science.gov (United States)

    ... options than ever. A silver-colored material called amalgam (a special mix of metals) was once the substance of choice for most fillings in permanent teeth. But now, other materials like composite resins are becoming popular. Resins bond to the teeth ...

  5. Notching and anterior beveling on fossil horse incisors: Indicators of domestication?

    Science.gov (United States)

    Rogers, Richard A.; Rogers, Laurine A.

    1988-01-01

    One of the lines of evidence cited for possible late Pleistocene human control of horses has been the presence of notching and anterior beveling on horse incisor teeth recovered from upper and middle Paleolithic sites in Europe. Similar forms of wear have been found on the incisor teeth of wild horses from early and middle Pleistocene deposits in North America. Notching appears partly due to malocclusion and chipping. The causes of beveling are less certain but may involve the eating of bark. Therefore, the presence of notching and anterior beveling on horse incisor teeth may not be a reliable indicator of human control.

  6. Multiple supernumerary teeth and odontoma in the maxilla: A case report

    Directory of Open Access Journals (Sweden)

    P B Sood

    2010-01-01

    Full Text Available Most supernumerary impacted teeth are located in the anterior maxillary region. They are classified according to their form and location. Their presence may give rise to a variety of clinical problems. The detection of supernumerary teeth is best achieved by thorough clinical and radiographic examination. Their management should form part of a comprehensive treatment plan. This article presents an overview of the diagnostic problems associated with multiple supernumerary impacted teeth and includes a discussion of the classification, diagnosis, and management of this difficult clinical entity.

  7. Rehabilitation of severely mutilated teeth under general anesthesia in an emotionally immature child.

    Science.gov (United States)

    Navit, S; Katiyar, A; Samadi, F; Jaiswal, J N

    2010-01-01

    Dental caries is the single most common chronic childhood disease. In rampant caries, there is early pulp involvement and gross destruction of the maxillary anterior teeth as well as posterior teeth. This leads to decreased masticatory efficiency, difficulty in speech, compromised esthetics, development of abnormal tongue habits and subsequent malocclusion and psychological problems. The restoration of severely decayed primary incisors is often a procedure that presents a special challenge to dentists, particularly in an uncooperative child. This case report documents the restoration of severely mutilated deciduous teeth in an emotionally immature patient under general anesthesia.

  8. Improved pathologic teeth migration following gingivectomy in a case of idiopathic gingival fibromatosis.

    Science.gov (United States)

    Seki, Keisuke; Sato, Shuichi; Asano, Yukhiro; Akutagawa, Hideyasu; Ito, Koichi

    2010-01-01

    A case is reported of a 20-year-old woman with generalized severe gingival overgrowth covering almost all of the teeth with diastemata, diagnosed as idiopathic gingival fibromatosis. After initial therapy, the patient underwent surgery consisting of a full-mouth internal beveled gingivectomy. Postoperatively, the maxillary anterior teeth spontaneously moved to almost optimal positions. Removing the cause by gingivectomy can lead to spontaneous correction of the pathologic tooth migration. With supportive periodontal treatment, the patient showed no recurrence of gingival enlargement or repositioning of the teeth at the 5-year follow-up.

  9. Polycarbonate crowns for primary teeth revisited: restorative options, technique and case reports.

    Science.gov (United States)

    Venkataraghavan, Karthik; Chan, John; Karthik, Sandhya

    2014-01-01

    Esthetics by definition is the science of beauty - that particular detail of an animate or inanimate object that makes it appealing to the eye. In the modern, civilized, and cosmetically conscious world, well-contoured and well-aligned white teeth set the standard for beauty. Such teeth are not only considered attractive but are also indicative of nutritional health, self esteem, hygienic pride, and economic status. Numerous treatment approaches have been proposed to address the esthetics and retention of restorations in primary teeth. Even though researchers have claimed that certain restorations are better than the others, particularly owing to the issues mentioned above, the search for the ideal esthetic restoration for the primary teeth continues. This paper revisits and attempts to reintroduce the full coverage restoration, namely, polycarbonate crown, for use in primary anterior teeth.

  10. Polycarbonate crowns for primary teeth revisited: Restorative options, technique and case reports

    Directory of Open Access Journals (Sweden)

    Karthik Venkataraghavan

    2014-01-01

    Full Text Available Esthetics by definition is the science of beauty - that particular detail of an animate or inanimate object that makes it appealing to the eye. In the modern, civilized, and cosmetically conscious world, well-contoured and well-aligned white teeth set the standard for beauty. Such teeth are not only considered attractive but are also indicative of nutritional health, self esteem, hygienic pride, and economic status. Numerous treatment approaches have been proposed to address the esthetics and retention of restorations in primary teeth. Even though researchers have claimed that certain restorations are better than the others, particularly owing to the issues mentioned above, the search for the ideal esthetic restoration for the primary teeth continues. This paper revisits and attempts to reintroduce the full coverage restoration, namely, polycarbonate crown, for use in primary anterior teeth.

  11. Management of anterior dental crossbite with removable appliances

    Directory of Open Access Journals (Sweden)

    Ayca Tuba Ulusoy

    2013-01-01

    Full Text Available This case report describes the treatment of an 8-year-old girl with anterior dental crossbite using a series of removable appliances to bring the teeth into a normal position. Clinical presentation and intervention: A removable acrylic appliance with a bite plate incorporating a screw was used to correct the anterior dental crossbite and align the incisors. The subsequent eruption of the maxillary left lateral incisor on the palatinal side was treated with a second acrylic plate incorporating a labiolingual spring. After an 8-month period, the anterior crossbite involving multiple incisors was corrected.

  12. Triple Teeth: Report of an Unusual Case

    OpenAIRE

    Prashant Babaji; M. A. Prasanth; Gowda, Ajith R.; Soumya Ajith; Henston D'Souza; Ashok, K. P.

    2012-01-01

    Fusion or synodontia is a union of two or more than two developing teeth. Commonly fusion occurs between teeth of the same dentition, mixed dentition, or between normal and supernumerary teeth. Fused primary teeth present with several clinical problems like caries, periodontal problem, arch asymmetry, delayed eruption, ectopic eruption of succedaneous teeth, aesthetic, and other complications. This paper presents a rare and unusual case of triple teeth in mandibular primary dentition.

  13. Triple Teeth: Report of an Unusual Case

    Directory of Open Access Journals (Sweden)

    Prashant Babaji

    2012-01-01

    Full Text Available Fusion or synodontia is a union of two or more than two developing teeth. Commonly fusion occurs between teeth of the same dentition, mixed dentition, or between normal and supernumerary teeth. Fused primary teeth present with several clinical problems like caries, periodontal problem, arch asymmetry, delayed eruption, ectopic eruption of succedaneous teeth, aesthetic, and other complications. This paper presents a rare and unusual case of triple teeth in mandibular primary dentition.

  14. Supernumerary Teeth in Nepalese Children

    Directory of Open Access Journals (Sweden)

    Varun Pratap Singh

    2014-01-01

    Full Text Available Objective. The objectives of the present study were to investigate the prevalence and characteristics of supernumerary teeth in a patient sample of Nepalese children. Study Design. A survey was performed on 2684 patients (1829 females and 1035 males ranging in age from 6 to 14 for the presence of supernumerary teeth. For each patient with supernumerary teeth the demographic variables (age and sex, number, location, eruption status, and morphology were recorded. Descriptive statistics were performed. Results. Supernumerary teeth were detected in 46 subjects (1.6%, of which 26 were males and 20 were females with a male : female ratio of 1.3 : 1. The most commonly found supernumerary tooth was mesiodens followed by maxillary premolars, maxillary lateral incisor, and mandibular lateral incisor. Of the 55 supernumerary teeth examined, 58.18% (n=32 had conical morphology, followed by tuberculate (30.90%, n=17 and supplemental (10.90%, n=6 forms. The majority of the supernumerary teeth were erupted (56.36%, n=31. Conclusion. The prevalence of supernumerary teeth in Nepalese children was found to be 1.6%, the most frequent type being mesiodens. Conical morphology was found to be the most common form of supernumerary tooth.

  15. Crown lengthening in the maxillary anterior region: a 6-month prospective clinical study.

    Science.gov (United States)

    Deas, David E; Mackey, Scott A; Sagun, Ruben S; Hancock, Raymond H; Gruwell, Scott F; Campbell, Casey M

    2014-01-01

    The purpose of this study was to assess osseous parameters and stability of maxillary anterior teeth following crown lengthening surgery. Thirty-six patients requiring facial crown lengthening of 277 maxillary anterior and first premolar teeth were included. Presurgical and intraoperative clinical measurements were recorded at baseline and 1, 3, and 6 months postsurgery at midfacial, mesiofacial, and distofacial line angles. The data presented here suggest that when crown lengthening anterior maxillary teeth, the distance between the desired gingival margin and alveolar crest is usually insufficient to allow for biologic width. In addition, there is significant tissue rebound that may stabilize by 6 months. Tissue rebound appears related to flap position relative to the alveolar crest at suturing. These findings suggest that clinicians should establish proper anterior crown length with osseous resection.

  16. Prevalence rate of supernumerary teeth among non-syndromic South Indian population: An analysis

    Directory of Open Access Journals (Sweden)

    M Nazargi Mahabob

    2012-01-01

    Full Text Available Aim: Supernumerary teeth are considered as one of the most significant dental anomalies during the primary and early mixed dentition stage. The main objective of the study was to determine the prevalence rate of supernumerary teeth in the patients who reported to the Department of Oral Medicine and Radiology and to study the associated clinical complications. Materials and Methods: A longitudinal observational study was conducted of 2216 patients for a period of 4 months with the documentation of demographic data, the presence of supernumerary teeth, their location, and associated complications such as mechanical trauma, dental caries, and associated pathology. Results: The study recorded 27 supernumerary teeth from the examined 2216 patients. This yields a prevalence of 1.2%, with greater frequency in males which was 1.49% and in females the frequency was 0.85%. The greatest proportion of supernumerary teeth was found in the maxillary anterior region (77.8%. Out of this, 85.7% were classified as mesiodens based on their location. The displacement of adjacent teeth was the most common finding, followed by dental caries. Conclusion: The prevalence of supernumerary teeth in this study was 1.2% which is in agreement with that reported in similar studies and the maxillary mesiodens was the most common location. Displacement of adjacent teeth was the most common finding.

  17. Color differences between artificial and natural teeth in removable partial denture wearers.

    Science.gov (United States)

    Ueda, Takayuki; Takagi, Ichiro; Ueda-Kodaira, Yorika; Sugiyama, Tetsuya; Hirose, Naoki; Ogami, Koichiro; Mori, Kazunari; Sakurai, Kaoru

    2010-01-01

    The purpose of this study was to investigate differences between natural tooth color and that selected for artificial teeth in partial dentures at our department with a view to establishing criteria for obtaining greater harmonization between colors. The participants in this study comprised partial denture wearers visiting the Department of Prosthodontics, Tokyo Dental College Chiba Hospital, in whom both artificial teeth and natural teeth were present in the maxillary anterior tooth area. Natural tooth color was measured according to VITA classical shade guide number using a dental color measurement apparatus. Artificial tooth color in partial dentures produced at our department was investigated by referring to medical records. Color of 28 participants' natural teeth and 345 participants' artificial teeth was investigated. Differences in color distribution between the natural and artificial tooth were analyzed using the Fisher exact test. The most frequent color of natural tooth was C-type, accounting for 39%, followed by D- at 32%, A-at 22% and B-type at 7%. In terms of artificial tooth color, A-type was the most common (97%). The color distribution of natural teeth differed significantly from that of artificial teeth in partial dentures. These results suggest that artificial tooth color did not harmonize with the color of the natural teeth in partial denture wearers.

  18. Clinical survey on type of restoration in deciduous teeth.

    Science.gov (United States)

    Fukuyama, Tatsuro; Oda, Shinya; Yamashita, Haruto; Sekiguchi, Hiroshi; Yakushiji, Masashi

    2008-02-01

    This study was conducted in 533 children with 1,634 treated teeth who visited the Pediatric Dentistry Department at the Chiba Hospital of Tokyo Dental College between January and December, 2003. Restorations on deciduous tooth were categorized by age of patient and tooth type. The following observations were made: Children aged 4 (17.9%) visited the clinic most frequently and this group had the highest number of deciduous restorations (21.3%). Among the 1,634 deciduous teeth restored, metal inlays were provided in 29.4% of total teeth restored, composite resin restorations in 27.2%, stainless-steel crowns in 25.7%, composite resin full crowns in 7.7%, glass-ionomer cement restorations in 6.6%, and amalgam restorations in 3.4%. By age, composite resin was most frequently used in children aged 1 to 3. In children aged 5 to 9, metal inlay was most frequently used. Those aged 4 received mostly stainless-steel crowns. Composite resin restorations were used mostly in anterior deciduous teeth, and metal inlays mostly in deciduous molars. Previous research indicated an increasing trend towards composite resin restorations and composite resin full crowns. The present study also confirmed such a trend. While the use of metal inlays and stainless-steel crowns tended to increase until 1987, the present study indicated a trend to decrease.

  19. The value of the Gothic arch tracing in the positioning of denture teeth.

    Science.gov (United States)

    el-Gheriani, A S; Winstanley, R B

    1988-07-01

    Twenty-five subjects of three nationalities carried out Gothic arch tracings. Measurements between the side arms were compared with the upper intercuspid distances measured in the same subjects. A relationship was found which may be of value in the setting up of anterior maxillary denture teeth.

  20. On the meaning of movable attachment of the incisiviform teeth in Ruminantia

    NARCIS (Netherlands)

    Bemmel, van A.C.V.

    1952-01-01

    In Ruminantia, the roots of the incisiviform teeth in the lower jaw are only partially enclosed in the bony alveolus. Only the lingual part of the alveolus continues in oral direction, the labial part being open at the anterior side, and occupied by fibrous tissue, which is elastic and compact. One

  1. 微螺钉结合片段弓技术内收上前牙的临床研究%Micro-screw with Segmental Arch Technique for En-masse Retraction of Maxillary Anterior Teeth:A Clinical Cephalometric Study

    Institute of Scientific and Technical Information of China (English)

    张燕琴; 林新平

    2013-01-01

    目的:评估微螺钉结合片段弓技术内收上前牙对上切牙垂直向和转矩控制的效果.方法:选取16例上颌前突患者分为实验组(微螺钉结合片段弓技术)和对照组(微螺钉全牙弓).测量治疗前后的X线头颅定位侧位片相关指标,使用SPSS17.0软件分析.结果:实验组上切牙切缘至RL(通过翼上颌裂点作腭平面的垂线)距离U1E-RL减小7.26 mm,阻抗中心至RL距离U1CR-RL减小3.72 mm,根尖至RL距离U1AP-RL减小1.23 mm,切缘至腭平面的距离U1E-PP增加0.49 mm,阻抗中心至腭平面的距离U1CR-PP减小0.19 mm,根尖至腭平面的距离U1AP-PP减小0.25 mm,上切牙长轴与腭平面交角U1-PP减小11.65°;对照组U1E-RL减小6.18mm,U1CR-RL减小2.94 mm,减小U1AP-RL 0.47 mm,U1E-PP增加0.53 mm,U1CR-PP增加0.27 mm,U1 AP-PP增加0.28 mm,U1-PP减小16.31°.结论:微螺钉结合片段弓技术内收上前牙对上切牙的转矩和垂直向控制较好.%Objective:To evaluate the efficiency of micro-screw with segmental arch technique for en-masse retraction of maxillary anterior teeth.Methods:Sixteen subjects with upper dental alveolar bone protrusion were selected for this study.They were divided into two groups:experimental group (micros-crew with sectional arch technique) and control group (micro-screw with the whole arch).Torque and vertical of the central incisor were evaluated cephalometrically before and after orthodontic retraction.All data were analyzed by SPSS17.0 software.Results:Experimental group:U1E-RL was decreased by 7.26mm,U1CR-RL was decreased by 3.72mm,U1AP -RL was decreased by 1.23mm,U1E-PP was increased by 0.49mm,U1CR-PP was decreased by 0.19mm,U1AP-PP was decreased by 0.25mm,U1-PP was decreased by 11.65°; control group:U1E-RL was decreased by 6.18mm,U1CR-RL was decreased by 2.94mm,U1AP-RL was decreased by 0.47mm,U1E-PP was increased by 0.53mm,U1CR-PP was increased by 0.27mm,U1AP-PP was increased by 0.28mm,U1-PP was decreased by 16.31

  2. A Hybrid Method for Segmentation and Visualization of Teeth in Multi-Slice CT scan Images

    Directory of Open Access Journals (Sweden)

    Mohammad Hosntalab

    2009-12-01

    Full Text Available Introduction: Various computer assisted medical procedures such as dental implant, orthodontic planning, face, jaw and cosmetic surgeries require automatic quantification and volumetric visualization of teeth. In this regard, segmentation is a major step. Material and Methods: In this paper, inspired by our previous experiences and considering the anatomical knowledge of teeth and jaws, we propose a hybrid technique for teeth segmentation and visualization in CT volumetric data. The major steps of the proposed techniques are as follows: (1 Separation of teeth in CT dataset; (2 Initial segmentation of teeth in panoramic projection; (3 Final segmentation of teeth in CT dataset; (4 3D visualization of teeth. Results: The proposed algorithm was evaluated in 30 multi-slice CT datasets. Segmented images were compared with manually outlined contours. In order to evaluate the proposed method, we utilized several common performance measures such as sensitivity, specificity, precision, accuracy and mean error rate. The experimental results reveal the effectiveness of the proposed method. Discussion and Conclusion: In the proposed algorithm, the variationallevel set technique was utilized to trace the contour of the teeth. In view of the fact that this technique is based on the characteristics of the overall region of the tooth image, it is possible to extract a very smooth and accurate tooth contour using this technique. For the available datasets, the proposed technique was more successful in teeth segmentation compared to previous techniques.

  3. Class I malocclusion with anterior crossbite and severe crowding

    Directory of Open Access Journals (Sweden)

    Daltro Enéas Ritter

    2014-04-01

    Full Text Available This article reports the orthodontic diagnosis and treatment planning carried out with a 14-year and 5-month-old female patient with esthetic and functional complaints. She presented an Angle Class I malocclusion, anterior crossbite and severe crowding in both maxillary and mandibular arches, in addition to a lightly concave straight facial profile. Orthodontic treatment did not require extraction. Crossbite was corrected by protrusion of upper teeth, which contributed to alignment and leveling of teeth, in addition to improving the patient's facial profile. The case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO as a requirement for the BBO certification.

  4. Bayes reconstruction of missing teeth

    DEFF Research Database (Denmark)

    Sporring, Jon; Jensen, Katrine Hommelhoff

    2008-01-01

     We propose a method for restoring the surface of tooth crowns in a 3D model of a human denture, so that the pose and anatomical features of the tooth will work well for chewing. This is achieved by including information about the position and anatomy of the other teeth in the mouth. Our system...... contains two major parts: A statistical model of a selection of tooth shapes and a reconstruction of missing data. We use a training set consisting of 3D scans of dental cast models obtained with a laser scanner, and we have build a model of the shape variability of the teeth, their neighbors...... regularization of the log-likelihood estimate based on differential geometrical properties of teeth surfaces, and we show general conditions under which this may be considered a Bayes prior.Finally we use Bayes method to propose the reconstruction of missing data, for e.g. finding the most probable shape...

  5. Angle Class II malocclusion treated with extraction of permanent teeth.

    Science.gov (United States)

    Barreto, Gustavo Mattos

    2013-01-01

    Angle Class II malocclusion associated with anterior open bite in adult patients demands a carefully elaborated orthodontic planning, aiming at restoring not only harmonious dental and facial esthetics, but also a balanced masticatory function. Orthognathic surgery or permanent teeth extraction are often the choice of treatment, therefore, treatment decision is related to all dental, skeletal and functional aspects. The present report discusses orthodontic compensation carried out by means of upper premolar extraction performed to correct the Class II canine relationship and, consequently, the anterior open bite, accepting that the upper incisors be retroclined. This clinical case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) as part of the requirements for obtaining the BBO Certification.

  6. Angle Class II malocclusion treated with extraction of permanent teeth

    Directory of Open Access Journals (Sweden)

    Gustavo Mattos Barreto

    2013-08-01

    Full Text Available Angle Class II malocclusion associated with anterior open bite in adult patients demands a carefully elaborated orthodontic planning, aiming at restoring not only harmonious dental and facial esthetics, but also a balanced masticatory function. Orthognathic surgery or permanent teeth extraction are often the choice of treatment, therefore, treatment decision is related to all dental, skeletal and functional aspects. The present report discusses orthodontic compensation carried out by means of upper premolar extraction performed to correct the Class II canine relationship and, consequently, the anterior open bite, accepting that the upper incisors be retroclined. This clinical case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO as part of the requirements for obtaining the BBO Certification.

  7. Esthetic Challenges in Rehabilitating the Anterior Maxilla: A Case Report.

    Science.gov (United States)

    Miranda, M E; Olivieri, K A; Rigolin, F J F; de Vasconcellos, A A

    2016-01-01

    The rehabilitation of an unesthetic smile in the anterior maxilla is always a clinical challenge, especially when an improper shape and size, old restorations, and unesthetic shading are present. In addition, an irregular gingival zenith contour in the anterior maxilla can affect the smile's harmony. Thus, detailed treatment planning is needed to define a functional and esthetic prosthetic rehabilitation. This study describes a clinical case in which a 55-year-old woman was rehabilitated using Digital Smile Design planning and full ceramic crowns (metal free) in the anterior zone of the maxilla and mandible. To normalize the gingival zenith, a dynamic compression technique was performed using provisional restorations to condition the gingival tissues and harmonize the proportional length of the anterior upper teeth.

  8. Case study: limitations of panoramic radiography in the anterior mandible.

    LENUS (Irish Health Repository)

    Walker, Cameron

    2009-12-01

    Dental Panoramic Tomography (DPT) is a widely used and valuable examination in dentistry. One area prone to artefacts and therefore misinterpretation is the anterior region of the mandible. This case study discusses a periapical radiolucency related to lower anterior teeth that is discovered to be a radiographic artefact. Possible causes of the artefact include a pronounced depression in the mental region of the mandible or superimposition of intervertebral spaces. Additional limitations of the DPT image include superimposition of radio-opaque structures, reduced image detail compared to intra-oral views and uneven magnification. These problems often make the DPT inappropriate for imaging the anterior mandible. Clinical Relevance: Panoramic radiography is often unsuitable for radiographic examination of the anterior mandible.

  9. CONGENITAL ANTERIOR TIBIOFEMURAL SUBLUXATION

    Directory of Open Access Journals (Sweden)

    A. Shahla

    2008-06-01

    Full Text Available Congenital anterior tibiofemoral subluxation is an extremely rare disorder. All reported cases accompanied by other abnormalities and syndromes. A 16-year-old high school girl referred to us with bilateral anterior tibiofemoral subluxation as the knees were extended and reduced at more than 30 degrees flexion. Deformities were due to tightness of the iliotibial band and biceps femuris muscles and corrected by surgical release. Associated disorders included bilateral anterior shoulders dislocation, short metacarpals and metatarsals, and right calcaneuvalgus deformity.

  10. Alternativa estética para reconstrução de dentes anteriores fraturados

    Directory of Open Access Journals (Sweden)

    Rachel Marturelli

    2007-01-01

    Full Text Available Anterior teeth fractures are clinical situations that demand scientific knowledge, technicalability and artistic sense for the success of the treatment, which has the adhesive technology asan conservative and fast alternative, with excellent aesthetic results. The purpose of thisclinical report is to describe a reconstruction technique of fractured teeth with endodonticinvolvement, by the use of micron-hybrid composite resin and aesthetic fiber glass post.

  11. Segmentation of teeth in CT volumetric dataset by panoramic projection and variational level set

    Energy Technology Data Exchange (ETDEWEB)

    Hosntalab, Mohammad [Islamic Azad University, Faculty of Engineering, Science and Research Branch, Tehran (Iran); Aghaeizadeh Zoroofi, Reza [University of Tehran, Control and Intelligent Processing Center of Excellence, School of Electrical and Computer Engineering, College of Engineering, Tehran (Iran); Abbaspour Tehrani-Fard, Ali [Islamic Azad University, Faculty of Engineering, Science and Research Branch, Tehran (Iran); Sharif University of Technology, Department of Electrical Engineering, Tehran (Iran); Shirani, Gholamreza [Faculty of Dentistry Medical Science of Tehran University, Oral and Maxillofacial Surgery Department, Tehran (Iran)

    2008-09-15

    Quantification of teeth is of clinical importance for various computer assisted procedures such as dental implant, orthodontic planning, face, jaw and cosmetic surgeries. In this regard, segmentation is a major step. In this paper, we propose a method for segmentation of teeth in volumetric computed tomography (CT) data using panoramic re-sampling of the dataset in the coronal view and variational level set. The proposed method consists of five steps as follows: first, we extract a mask in a CT images using Otsu thresholding. Second, the teeth are segmented from other bony tissues by utilizing anatomical knowledge of teeth in the jaws. Third, the proposed method is followed by estimating the arc of the upper and lower jaws and panoramic re-sampling of the dataset. Separation of upper and lower jaws and initial segmentation of teeth are performed by employing the horizontal and vertical projections of the panoramic dataset, respectively. Based the above mentioned procedures an initial mask for each tooth is obtained. Finally, we utilize the initial mask of teeth and apply a Variational level set to refine initial teeth boundaries to final contours. The proposed algorithm was evaluated in the presence of 30 multi-slice CT datasets including 3,600 images. Experimental results reveal the effectiveness of the proposed method. In the proposed algorithm, the variational level set technique was utilized to trace the contour of the teeth. In view of the fact that, this technique is based on the characteristic of the overall region of the teeth image, it is possible to extract a very smooth and accurate tooth contour using this technique. In the presence of the available datasets, the proposed technique was successful in teeth segmentation compared to previous techniques. (orig.)

  12. "Early baby teeth": Folklore and facts.

    Science.gov (United States)

    Maheswari, N Uma; Kumar, B P; Karunakaran; Kumaran, S Thanga

    2012-08-01

    Variations in the newborns' oral cavity have been an enduring interest to the pediatric dentist. The occurrence of natal and neonatal teeth is a rare anomaly, which for centuries has been associated with diverse superstitions among many different ethnic groups. Natal teeth are more frequent than neonatal teeth, the ratio being approximately 3:1. The purpose of this case report is to review the literature related to the natal teeth folklore and misconceptions and discuss their possible etiology and treatment.

  13. Quality of Life Following Early Orthodontic Therapy for Anterior Crossbite: Report of Cases in Twin Boys

    Science.gov (United States)

    Piassi, Eluza; Antunes, Leonardo Santos; Andrade, Marcia Rejane Thomas Canabarro

    2016-01-01

    Anterior crossbite (AC) refers to a condition in which the maxillary anterior teeth are placed lingually in their relationship with the mandibular anterior teeth. This dental condition results in visible incisor differences that are associated with higher levels of dissatisfaction with appearance and have potential to negatively impact on oral health-related quality of life (OHRQoL) of the children. The aim of this paper was to report two cases of interceptive orthodontic treatment of twin children with anterior crossbite and its impact on OHRQoL of these children. Although AC affects negatively psychosocial aspects of OHRQoL of the children, the interceptive orthodontic treatment of children with AC was essential to improve their OHRQoL. PMID:27738533

  14. Bayes reconstruction of missing teeth

    DEFF Research Database (Denmark)

    Sporring, Jon; Jensen, Katrine Hommelhoff

    2008-01-01

     We propose a method for restoring the surface of tooth crowns in a 3D model of a human denture, so that the pose and anatomical features of the tooth will work well for chewing. This is achieved by including information about the position and anatomy of the other teeth in the mouth. Our system...... of a missing tooth based on the best match with our shape model on the known data, and we superior improved reconstructions of our full system....

  15. Anterior Cruciate Ligament (ACL) Injuries

    Science.gov (United States)

    ... Week of Healthy Breakfasts Shyness Anterior Cruciate Ligament (ACL) Injuries KidsHealth > For Teens > Anterior Cruciate Ligament (ACL) ... and Recovery Coping With an ACL Injury About ACL Injuries A torn anterior cruciate ligament (ACL) is ...

  16. Iron deposition in modern and archaeological teeth

    Energy Technology Data Exchange (ETDEWEB)

    Williams, A.-M.M., E-mail: AnneMarie.Williams@utas.edu.au [School of Medicine, Private Bag 34, University of Tasmania, Hobart 7001 (Australia); Siegele, R. [Australian Nuclear Science and Technology Organisation, PMB 1, Menai, NSW 2234 (Australia)

    2014-09-15

    Iron surface concentrations and profile maps were measured on the enamel of archaeological and modern teeth to determine how iron is deposited in tooth enamel and if it was affected by the post-mortem environment. Teeth from Australian children who died in the second half of the 19th century were compared with contemporary teeth extracted for orthodontic purposes. Surface analysis of the teeth was performed using the 3 MV Van Der Graff Accelerator at The Australian Nuclear Science and Technology Organisation (ANSTO), Sydney, Australia. A small sample of teeth were then cut in the mid sagittal plane and analysed using ANSTO High Energy Heavy Ion Microprobe. Maps and linear profiles were produced showing the distribution of iron across the enamel. Results show that both the levels and distribution of iron in archaeological teeth is quite different to contemporary teeth, raising the suggestion that iron has been significantly altered by the post-mortem environment.

  17. Iron deposition in modern and archaeological teeth

    Science.gov (United States)

    Williams, A.-M. M.; Siegele, R.

    2014-09-01

    Iron surface concentrations and profile maps were measured on the enamel of archaeological and modern teeth to determine how iron is deposited in tooth enamel and if it was affected by the post-mortem environment. Teeth from Australian children who died in the second half of the 19th century were compared with contemporary teeth extracted for orthodontic purposes. Surface analysis of the teeth was performed using the 3 MV Van Der Graff Accelerator at The Australian Nuclear Science and Technology Organisation (ANSTO), Sydney, Australia. A small sample of teeth were then cut in the mid sagittal plane and analysed using ANSTO High Energy Heavy Ion Microprobe. Maps and linear profiles were produced showing the distribution of iron across the enamel. Results show that both the levels and distribution of iron in archaeological teeth is quite different to contemporary teeth, raising the suggestion that iron has been significantly altered by the post-mortem environment.

  18. Anterior cervical plating

    Directory of Open Access Journals (Sweden)

    Gonugunta V

    2005-01-01

    Full Text Available Although anterior cervical instrumentation was initially used in cervical trauma, because of obvious benefits, indications for its use have been expanded over time to degenerative cases as well as tumor and infection of the cervical spine. Along with a threefold increase in incidence of cervical fusion surgery, implant designs have evolved over the last three decades. Observation of graft subsidence and phenomenon of stress shielding led to the development of the new generation dynamic anterior cervical plating systems. Anterior cervical plating does not conclusively improve clinical outcome of the patients, but certainly enhances the efficacy of autograft and allograft fusion and lessens the rate of pseudoarthrosis and kyphosis after multilevel discectomy and fusions. A review of biomechanics, surgical technique, indications, complications and results of various anterior cervical plating systems is presented here to enable clinicians to select the appropriate construct design.

  19. Outcomes and stability in patients with anterior open bite and long anterior face height treated with temporary anchorage devices and a maxillary intrusion splint

    Science.gov (United States)

    Scheffler, Nicole R.; Proffit, William R.; Phillips, Ceib

    2015-01-01

    Introduction Temporary skeletal anchorage devices now offer the possibility of closing anterior open bites and decreasing anterior face height by intruding maxillary posterior teeth, but data for treatment outcomes are lacking. This article presents outcomes and posttreatment changes for consecutive patients treated with a standardized technique. Methods The sample included 33 consecutive patients who had intrusion of maxillary posterior teeth with a maxillary occlusal splint and nickel-titanium coil springs to temporary anchorage devices in the zygomatic buttress area, buccal and apical to the maxillary molars. Of this group, 30 had adequate cephalograms available for the period of treatment, 27 had cephalograms including 1-year posttreatment, and 25 had cephalograms from 2 years or longer. Results During splint therapy, the mean molar intrusion was 2.3 mm. The mean decrease in anterior face height was 1.6 mm, less than expected because of a 0.6-mm mean eruption of the mandibular molars. During the postintrusion orthodontics, the mean change in maxillary molar position was a 0.2-mm extrusion, and there was a mean 0.5-mm increase in face height. Positive overbite was maintained in all patients, with a slight elongation (<2 mm) of the incisors contributing to this. During the 1 year of posttreatment retention, the mean changes were a further eruption of 0.5 mm of the maxillary molars, whereas the mandibular molars intruded by 0.6 mm, and there was a small decrease in anterior face height. Changes beyond 1 year posttreatment were small and attributable to growth rather than relapse in tooth positions. Conclusions Intrusion of the maxillary posterior teeth can give satisfactory correction of moderately severe anterior open bites, but 0.5 to 1.5 mm of reeruption of these teeth is likely to occur. Controlling the vertical position of the mandibular molars so that they do not erupt as the maxillary teeth are intruded is important in obtaining a decrease in face height

  20. Early removal of odontoma resulting in spontaneous eruption of the impacted teeth

    Directory of Open Access Journals (Sweden)

    Achmad Harijadi

    2010-06-01

    Full Text Available Background: Compound odontomas in the anterior maxilla during mixed dentition frequently cause obstruction to the eruption pathway of permanent upper anterior teeth. Removal of the odontomas may or may not lead to spontaneous eruption of the impacted teeth depending on the age when the surgery is performed, the size of the lesion, and the stage of tooth development of the involved teeth. Purpose: This paper attempts to emphasize the importance of early removal of compound odontoma to enable spontaneous eruption of the affected teeth. Case: A case of odontoma in the anterior maxilla causing failure of eruption and delayed root formation of upper right permanent lateral incisor and canine in a 10-year-old male patient is presented. Case management: The odontoma was surgically removed under general anesthesia and histology result confirmed the diagnosis of compound odontoma. A three-year post surgical follow up showed spontaneous eruption as well as continued root formation of the two affected teeth. Conclusion: Removal of odontoma may lead to spontaneous eruption of the affected teeth if their root development are not completed.Latar belakang: Compound odontoma pada daerah anterior maksila pada masa geligi pergantian sering menyebabkan hambatan erupsi pada gigi permanen penggantinya. Kemungkinan terjadinya erupsi spontan gigi permanen yang impaksi setelah pengambilan odontoma tergantung dari: umur penderita pada saat dilakukan operasi, ukuran lesi odontoma dan tahapan perkembangan gigi permanen yang terlibat. Tujuan: Laporan kasus ini ingin menekankan pentingnya pengambilan compound odontoma sedini mungkin untuk memberi kesempatan tumbuhnya gigi permanen yang terlibat dan erupsi secara spontan. Kasus: Ditampilkan sebuah kasus compound odontoma pada regio maksila anterior menyebabkan gagalnya erupsi dan terlambatnya pembentukan akar gigi insisif kedua dan kaninus permanent rahang atas kanan pada penderita anak laki-laki berumur 10 tahun

  1. Sealing Ability of Nano-ionomer in Primary Teeth: An ex vivo Study

    OpenAIRE

    Siddiqui, Fawaz; Karkare, Swati

    2016-01-01

    Introduction Microleakage is an important consideration in primary dentition because the floor of the cavity preparation may be close to the pulp. The added insult to the pulp caused by seepage of irritants around the restoration and through the thin dentin may produce irreversible pulp damage. Aim The objective of this study was to evaluate and compare the sealing ability of three light cured (LC) resin-modified glass-ionomer cements (RMGICs) in primary anterior teeth. Materials and methods ...

  2. 细丝弓技术舌侧内收上颌前牙的三维有限元生物力学分析%Three-dimensional finite element analysis of maxillary anterior teeth retraction force system in light wire technique

    Institute of Scientific and Technical Information of China (English)

    张向凤; 王超; 夏熹; 邓锋; 张翼

    2015-01-01

    ObjectiveThis study aims to construct a three-dimensional finite element model of a maxillary anterior teeth retraction force system in light wire technique and to investigate the difference of hydrostatic pressure and initial displacement of upper anterior teeth under different torque values of tip back bend. Methods   A geometric three-dimensional model of the maxillary bone, including all the upper teeth, was achieved via CT scan. To construct the force model system, lingual brackets and wire were constructed by using the Solidworks. Brackets software, and wire were assembled to the teeth. ANASYS was used to calculate the hydrostatic pressure and the initial displacement of maxillary anterior teeth under different tip-back bend moments of 15, 30, 45, 60, and 75 Nmm when the class Ⅱ elastic force was 0.556 N. Results   Hydrostatic pressure was concentrated in the root apices and cervical margin of upper anterior teeth. Distal tipping and relative intrusive displacement were observed. The hydrostatic pressure and initial displacement of upper canine were greater than in the central and lateral incisors. This hydrostatic pressure and initial intrusive displacement increased with an increase in tip-back bend moment. Conclusion   Lingual retraction force system of maxillary anterior teeth in light wire technique can be applied safely and controllably. The type and quantity of teeth movement can be controlled by the alteration of tip-back bend moment.%目的:建立细丝弓舌侧内收上颌前牙的三维有限元模型

  3. Orthodontic movement of endodontically treated teeth

    Directory of Open Access Journals (Sweden)

    Alberto Consolaro

    2013-08-01

    Full Text Available Often there is the need of moving teeth endodontically treated or teeth still in endodontic treatment. In order to collaborate with the comprehension and substantiation of the following subjects will be discussed: 1 Orthodontic movement in endodontically treated teeth without periapical lesion, 2 Orthodontic movement in endodontically treated teeth with inflammatory periapical lesion, and 3 Orthodontic movement in teeth endodontically treated due to aseptic pulp necrosis by dental trauma. In practically all situations, endodontically treated teeth to be orthodontically moved must be subjected to a careful evaluation by the endodontist about the conditions, adequate or not, of the endodontic treatment. Then, in this paper it was sought to induce an insight for new clinical researches about the theme that may definitely prove the information obtained by interrelations of information in parallel to clinical practice.

  4. Supernumerary teeth in non-syndromic patients

    Energy Technology Data Exchange (ETDEWEB)

    Mali, Santosh; Karjodkar, Freny Rashmiraj; Sontakke, Subodh; Sansare, Kaustubh [Nair Hospital Dental College, Maharashtra (India)

    2012-03-15

    Hyperdontia or supernumerary teeth without associated syndrome is a rare phenomenon, as supernumerary teeth are usually associated with cleft lip and palate or other syndromes such as Gardner's syndrome, cleidocranial dysplasia, and so on. Five patients with supernumerary teeth visited our department. They had no familial history or other pathology, certain treatment protocols was modified due to the presence of supernumerary teeth. Non-syndromic supernumerary teeth, if asymptomatic, need to have periodical radiographic observation. If they showed no variation as they impacted in the jaw, careful examination is necessary because they may develop into pathological status such as dentigerous cysts. The importance of a precise clinical history and radiographic examination for patients with multiple supernumerary teeth should be emphasized.

  5. Regional odontodysplasia (Ghost teeth). A case report.

    OpenAIRE

    Kannan S; Saraswathi K

    2001-01-01

    Regional odontodysplasia is a rare development anomaly affecting the teeth with an unknown etiology. This dental abnormality involves the hard tissues of the teeth that are derived from both epithelial (enamel) and mesenchymal (dentine & cementum) components of the tooth forming apparatus. Teeth in a region or quadrant of maxilla or mandible are affected to the extent that they exhibit short roots, wide open apical foramen and large pulp chamber, the thinness and poor mineralisation quali...

  6. A New Design for Anterior Laminate Fixed-Partial dentures; PTU Type I

    Directory of Open Access Journals (Sweden)

    A. Pahlevan

    2006-03-01

    Full Text Available A new fixed-partial denture design using laminates is described for the replacement of a missing anterior tooth. In this article advantages, disadvantages, indications and contraindications of the new design have been discussed. This method is best suited forcases with missing incisors and esthetically compromised abutment teeth.

  7. Anterior tooth wear and retention type until 5 years after orthodontic treatment.

    NARCIS (Netherlands)

    Kuijpers, M.A.; Kiliaridis, S.; Renkema, A.M.; Bronkhorst, E.M.; Kuijpers-Jagtman, A.M.

    2009-01-01

    OBJECTIVES: To study occlusal wear of anterior teeth in orthodontic patients retained with different retainers until 5 years post-treatment, and to investigate whether type of retention influences occlusal wear. MATERIAL AND METHODS: Orthodontic patients (n=222), aged 15 years maximally at the start

  8. Etiological aspects of anterior open bite

    Directory of Open Access Journals (Sweden)

    Stojanović Ljiljana

    2007-01-01

    Full Text Available Introduction. Open bite is a multifactorial phenomenon and no single factor can account for open-bite. Etiology plays an important role in diagnosis. Heredity, unfavorable growth patterns, incorrect jaw postoure, are the characteristics of skeletal open bite. Digit sucking. Depending on where the thumb is placed, a number of different types of dental problems can develop. Malocclusions of the late mixed or permanent dentitions, caused by thumb sucking are not self corrected and orthodontic treatment is necessary for their correction. Lymphatic tissue. In order to produce oral respiration, the mandible is postured inferiorly with the tongue protruded and resting against the oral floor. This postural alteration induces dental and skeletal modifications similar to those caused by thumb sucking. This may cause excessive eruption of the posterior teeth, leading to an increase in the vertical dimension of the face and result in development of anterior open bite. Tongue thrust. Tongue habits cause an anterior open bite or they develop secondarily to thumb sucking. In skeletal open bite the tongue habit acts as a secondary factor which helps to maintain or exacerbate the condition. Many orthodontists have had a discouraging experience of completing dental treatment, with what appeared to be good results, only to discover that the case had relapsed because the patient had a tongue thrust swallowing pattern. Conclusion. Dentoalveolar or habitual open bite is caused by habits, which influence the growth and development of dentoalveolar processes and contribute to occlusal disharmonies. Prior to eruption of adult dentition, open bite related to oral habits is usually not a concern as when the habits stop, because the erupting dentition tends to improve spontaneously. Treatment is usually not necessary until permanent teeth erupt (~6 years old. .

  9. Correction of anterior crossbite using modified transparent aligners: An esthetic approach

    Directory of Open Access Journals (Sweden)

    K Korath Abraham

    2016-01-01

    Full Text Available Anterior crossbite results from the abnormal axial inclination of one or more anterior teeth. It is a major esthetic and functional anomaly which has to be corrected in the primary and early mixed dentition period to allow the normal development of maxilla and mandible as well as the occlusion. Several treatment options are available to correct the problem. A unique appliance, "modified transparent tray aligners" was used to correct the anterior crossbite in an 8-year-old child. The clinical presentation, fabrication of the appliance, and the outcome are discussed.

  10. Correction of anterior crossbite using modified transparent aligners: An esthetic approach

    Science.gov (United States)

    Abraham, K. Korath; James, Arun Roy; Thenumkal, Elza; Emmatty, Tharian

    2016-01-01

    Anterior crossbite results from the abnormal axial inclination of one or more anterior teeth. It is a major esthetic and functional anomaly which has to be corrected in the primary and early mixed dentition period to allow the normal development of maxilla and mandible as well as the occlusion. Several treatment options are available to correct the problem. A unique appliance, “modified transparent tray aligners” was used to correct the anterior crossbite in an 8-year-old child. The clinical presentation, fabrication of the appliance, and the outcome are discussed. PMID:27630508

  11. Spectrum of choices to restore the smile of a child: An update on current pediatric anterior crowns

    Directory of Open Access Journals (Sweden)

    Amit Kumar Sahu

    2016-01-01

    Full Text Available Esthetic treatment of severely damaged primary teeth is one of the greatest challenges to pediatric dentists. A wide variety of full coverage esthetic crowns for primary teeth are commercially available in the market. A practitioner should choose convenient, durable, and reliable solution which is fulfilled with complete knowledge of different crown forms. This article on esthetic crowns for children gives an outline of various anterior crowns in a tabular form, reviews their composition, advantages, disadvantages, and selection criteria.

  12. Comparison of the Root End Sealing Ability of Four Different Retrograde Filling Materials in Teeth with Root Apices Resected at Different Angles – An Invitro Study

    Science.gov (United States)

    Ponnappa, K.C.; Yadav, Pankaj; Rao, Yogesh; Relhan, Nikhil; Gupta, Priyanka; Choubey, Ashish; Bhardwaj, Shivanshu

    2016-01-01

    Introduction Insufficient apical seal is the significant reason for surgical endodontic disappointment. The root-end filling material utilized should avoid egress of potential contaminants into periapical tissue. Aim The aim of this study was to compare the sealing ability of four root-end filling materials MTA, Portland cement, IRM, RMGIC in teeth with root apices resected at 0 and 45 angle using dye penetration method under fluorescent microscope. Materials and Methods Hundred extracted human maxillary anterior teeth were sectioned horizontally at the cement-enamel junction. After cleaning, shaping and obturation with gutta-percha and AH Plus sealer, the tooth samples were randomly divided in two groups (the root apices resected at 0° and 45° to the long axis of the root). The root resections were carried out by removing 2 mm and 1 mm in both the groups. Following which 3 mm deep root-end cavities were prepared at the apices and the root were coated with nail varnish except the tip. The teeth in both the group were randomly divided into four subgroups each (Pro root MTA, Portland cement, IRM and Light cure nano GIC Ketac N-100). All the retrofilled samples were stored in acrydine orange for 24 hours after which they were cleaned and vertically sectioned buccolingually. The sectioned root samples were observed under fluorescent microscope. Results The root apex sealing ability of Mineral Trioxide Aggregate (MTA) was superior to Portland cement, Intermediate Restorative Material (IRM) and LC GIC. IRM demonstrated the maximum apical leakage value among all the materials. Portland cement and LC GIC showed comparable sealing ability. Conclusion The angulation whether 0° or 45° angle did not affect the sealing ability of all the four materials used, MTA proved to be one of the superior materials for root-end filling. PMID:26894168

  13. Porcelain crown with light-cured composite resin to repair all the clinical effect of anterior teeth defect%全瓷冠与光固化复合树脂修复前牙缺损的临床效果

    Institute of Scientific and Technical Information of China (English)

    姜守贵

    2016-01-01

    目的:探讨全瓷冠与光固化复合树脂修复前牙缺损的临床效果。方法选取我科2012年3月至2014年12月25例上前牙缺损的患者,对其36颗缺损的上前牙,按病例及年龄分类分为2组,全瓷冠修复组18颗患牙采用氧化锆全瓷冠修复,复合树脂修复组18颗患牙用卡瑞斯玛复合树脂充填修复。修复完成后检查修复体边缘密合性,外观及颜色,随访1年后复查,评价修复体的满意率。结果刚完成全瓷冠修复组的满意率94%,复合树脂组89%,差异无统计学意义(P>0.05)。1年后全瓷冠修复组的满意率89%,复合树脂组61%,差异有统计学意义(P 0.05). 1 years later the whole porcelain crown repair group, the satisfaction rate of 89%, the composite resin group 61%, the difference was statistically significant (P< 0.01).Conclusion the whole porcelain crown repair anterior tooth defect is a kind of ideal repair method.

  14. Reattachment of fractured teeth fragments in mandibular incisors: a case report

    Directory of Open Access Journals (Sweden)

    Yousef MK

    2015-04-01

    Full Text Available Mohammed K YousefDepartment of Operative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi ArabiaAbstract: The majority of dental trauma involves anterior teeth, especially the maxillary central incisors. A mandibular incisor fracture with or without pulp tissue involvement is considerably less common. Different approaches for treating these fractured teeth have been reported in the literature. The type of treatment rendered depends mainly on the extent of fracture, pulp involvement, radicular fracture, biologic width infringement or violation, and presence of the fractured piece. This case report illustrates reattachment of fractured fragments on two mandibular incisors without pulp exposure using a new proposed reattachment method using a combination of two different types of composite materials together with an orthodontic lingual retention wire. An 8-year-old female patient presented with fractured mandibular left incisors (Ellis class II fracture. Broken pieces were saved and brought in a closed container in water. Periapical radiographs revealed no evidence of pulpal involvement in either tooth and no periapical radiolucency was noticed. Fractured fragments and the broken teeth were prepared with circumferential bevels. Reattachment of the fractured fragments were done using two types of composite resin materials and a lingual orthodontic retention wire was also used. The patient was recalled after 8 months to follow up both teeth. Clinical examination revealed excellent composite restorations covering the fracture lines.Keywords: reattachment, fractured teeth, dental trauma 

  15. Contribution of prosthetic treatment considerations for dental extractions of permanent teeth.

    Science.gov (United States)

    Fernández-Barrera, Miguel Ángel; Medina-Solís, Carlo Eduardo; Casanova-Rosado, Juan Fernando; Mendoza-Rodríguez, Martha; Escoffié-Ramírez, Mauricio; Casanova-Rosado, Alejandro José; Navarrete-Hernández, José de Jesús; Maupomé, Gerardo

    2016-01-01

    Background. Tooth loss is an easily identifiable outcome that summarizes a complex suite of factors in an individual's history of dental disease and its treatment by dental services over a lifetime. Assessment of overall tooth loss data is essential for epidemiologically evaluating the adequacy of dental care provided at a systems level, as well as for placing in context tooth loss for non-disease causes. For example, when derived from prosthetic treatment planning, the latter may unfortunately lead to some teeth being extracted (pulled) for the sake of better comprehensive clinical results. The objective of the present manuscript was to identify the contribution to overall tooth loss, by extraction of permanent teeth because of prosthetic treatment reasons. Material and Methods. A cross-sectional study included sex, age, total number of extractions performed by subject, sextant (anterior vs. posterior), group of teeth (incisors, canines, premolars and molars), upper or lower arch, and the main reason underlying extraction (extraction for any reason vs. prosthetic treatment), in patients 18 years of age and older seeking care at a dental school clinic in Mexico. A multivariate logistic regression model was generated. Results. A total of 749 teeth were extracted in 331 patients; 161 teeth (21.5% of total) were extracted for explicit prosthetic treatment indications. As age increased, the likelihood of having an extraction for prosthetic reasons increased 3% (OR = 1.03, p dental school clinical environment; age, sex, type of tooth, and the total number of extractions moderated such pattern.

  16. Cultural alteration of human teeth in the Mariana Islands.

    Science.gov (United States)

    Ikehara-Quebral, R; Douglas, M T

    1997-11-01

    Evidence of cultural dental modification in a precontact (pre-1521) skeletal sample from the Academy of Our Lady of Guam gymnasium site in Agana, Guam, is documented. Two of the four individuals recovered at the Academy Gym site exhibit modification of the maxillary teeth. One individual displays vertical incising of a single tooth, and the other exhibits horizontal abrading of the anterior teeth which may be a purposeful or an incidental alteration. Although deliberate alteration of the dentition, including tooth extraction, notching, filing, and drilling, has been documented in human groups worldwide, little has been written about these cultural practices in the Mariana Islands. Examination of the available literature on precontact human remains from the region reveals at least three patterns of dental incising and similar cases of dental abrasion. While the origins of these practices are not known, the presence and style of these cultural alterations may be sex-specific, cosmetic in nature, or an indication of status in a ranked society. Alternatively, they may signify membership in a particular group or lineage, or mark a rite of passage. Because the comparative samples are limited in number and small, and the provenience of many of the skeletons is obscure, temporal variation cannot be ruled out.

  17. Lead levels in human teeth from the inhabitants of Mexico City from three different historical periods

    Energy Technology Data Exchange (ETDEWEB)

    Mansilla, J.; Solis, C.; Chavez, M.E. [Instituto Nacional de Antropologia e Historia, Direccion de Antropologia Fisica, Mexico D.F. (Mexico)

    1999-07-01

    Human teeth from pre-Columbian, colonial and contemporary population groups were analyzed by PIXE in order to evaluate the lead contents in the inhabitants of Mexico City through different historical periods. Lead contents showed significant differences among the three groups, in Pre-Columbian teeth no lead was found, colonial teeth showed higher lead levels than contemporary ones. This results suggest that the native americans had no exposure to this toxic metal. The lead-glaze pottery introduced by the Spaniards, utilized in pottery and lead pipes, was the main source of lead in the colonial period. In recent teeth the deposited lead is mainly due to the absorption from the contaminated atmosphere. (Author)

  18. Caries detection in primary teeth is less challenging than in permanent teeth

    Directory of Open Access Journals (Sweden)

    Fausto M Mendes

    2013-01-01

    Full Text Available Introduction: Most studies about caries detection methods have been performed using permanent teeth. Primary teeth, however, present significant differences from permanent teeth; hence findings of these studies with permanent teeth cannot be extrapolated. The Hypothesis: Our hypothesis is that the caries diagnosis process in primary teeth is less challenging than in permanent teeth. This assertion is based on the fact that primary enamel is thinner and the caries process progresses faster in this type of teeth when compared to permanent teeth. For these reasons, the majority of caries lesions in primary teeth would be more evident and therefore, easily detected through visual inspection. Only a few number of caries lesions would be missed by visual inspection. Thus, adjunct diagnostic methods, such as radiographs, would be unnecessary for primary teeth. Evaluation of the Hypothesis: To evaluate this hypothesis, researchers should conduct studies about the performance of the caries detection methods avoiding selection bias and defining appropriate settings. Clinical trials randomizing the diagnostic strategies would be worthwhile. The evidence supporting the benefits of adjunct methods in detecting caries lesions in primary lesions is limited. However, clinical guidelines have recommended the use of the radiographic method to detect caries in primary teeth in all symptomless children. The confirmation of our hypothesis would lead to the need to re-evaluate such guidelines.

  19. Anterior tooth root morphology and size in Neanderthals: taxonomic and functional implications.

    Science.gov (United States)

    Le Cabec, Adeline; Gunz, Philipp; Kupczik, Kornelius; Braga, José; Hublin, Jean-Jacques

    2013-03-01

    Comparing modern humans and Neanderthals, we have previously shown that recent modern humans (RMH) and Neanderthals differ in anterior root lengths, and that this difference cannot be explained by group differences in overall mandibular size. Here, we first document the evolutionary changes of root size and shape of the anterior upper and lower dentition in a broad chronological and geographical framework. We then use the size and shape differences between RMH and Neanderthals to classify several isolated teeth from Kebara cave and Steinheim, and to interpret the anterior tooth roots of the Tabun C2 mandible. Our samples comprise permanent mandibular and maxillary incisors and canines from early Homo, Neanderthals, as well as extant and fossil modern humans (N = 359). In addition to root length, we measured cervical root diameter and area, total root volume, root pulp volume and root surface area from μCT scans. We quantified root shape variation using geometric morphometrics. Our results show that Neanderthals have not only significantly larger anterior roots than RMH overall, but also different root shapes for each tooth type. In the context of the 'teeth-as-tools' hypothesis, this could be an adaptation to better sustain high or frequent loads on the front teeth. We demonstrate that the two isolated incisors stored with the Steinheim skull are very likely recent. Tabun C2 shows an anterior dentition similar in size and shape to Neanderthals while its molar roots are non-Neanderthal. Two of the five isolated teeth from Kebara are classified as Neanderthals. Interestingly, early modern humans overlap with Neanderthals and RMH in root size and shape. Anterior roots of the Lower and Middle Pleistocene specimens are at least as large as Neanderthals, suggesting that Neanderthals retained a primitive pattern, which should prompt caution in the assessment of the earliest forms of modern humans.

  20. Esthetic Concerns and Acceptability of Treatment Modalities in Primary Teeth: A Comparison between Children and Their Parents

    Directory of Open Access Journals (Sweden)

    Sharat Chandra Pani

    2016-01-01

    Full Text Available Background and Aim. Esthetic concerns in primary teeth have been studied mainly from the point of view of parents. The aim of this study was to study compare the opinions of children aged 5–8 years to have an opinion regarding the changes in appearance of their teeth due to dental caries and the materials used to restore those teeth. Methodology. A total of 107 children and both of their parents (n=321, who were seeking dental treatment, were included in this study. A tool comprising a questionnaire and pictures of carious lesions and their treatment arranged in the form of a presentation was validated and tested on 20 children and their parents. The validated tool was then tested on all participants. Results. Children had acceptable validity statistics for the tool suggesting that they were able to make informed decisions regarding esthetic restorations. There was no difference between the responses of the children and their parents on most points. Zirconia crowns appeared to be the most acceptable full coverage restoration for primary anterior teeth among both children and their parents. Conclusion. Within the limitations of the study it can be concluded that children in their sixth year of life are capable of appreciating the esthetics of the restorations for their anterior teeth.

  1. Esthetic Concerns and Acceptability of Treatment Modalities in Primary Teeth: A Comparison between Children and Their Parents

    Science.gov (United States)

    Saffan, Abdulrahman Al; AlHobail, Sultan; Bin Salem, Fares; AlFuraih, AlBara; AlTamimi, Mohammad

    2016-01-01

    Background and Aim. Esthetic concerns in primary teeth have been studied mainly from the point of view of parents. The aim of this study was to study compare the opinions of children aged 5–8 years to have an opinion regarding the changes in appearance of their teeth due to dental caries and the materials used to restore those teeth. Methodology. A total of 107 children and both of their parents (n = 321), who were seeking dental treatment, were included in this study. A tool comprising a questionnaire and pictures of carious lesions and their treatment arranged in the form of a presentation was validated and tested on 20 children and their parents. The validated tool was then tested on all participants. Results. Children had acceptable validity statistics for the tool suggesting that they were able to make informed decisions regarding esthetic restorations. There was no difference between the responses of the children and their parents on most points. Zirconia crowns appeared to be the most acceptable full coverage restoration for primary anterior teeth among both children and their parents. Conclusion. Within the limitations of the study it can be concluded that children in their sixth year of life are capable of appreciating the esthetics of the restorations for their anterior teeth. PMID:27446212

  2. Morphogenesis of the anterior segment in the zebrafish eye

    Directory of Open Access Journals (Sweden)

    Link Brian A

    2005-06-01

    Full Text Available Abstract Background The ocular anterior segment is critical for focusing incoming light onto the neural retina and for regulating intraocular pressure. It is comprised of the cornea, lens, iris, ciliary body, and highly specialized tissue at the iridocorneal angle. During development, cells from diverse embryonic lineages interact to form the anterior segment. Abnormal migration, proliferation, differentiation, or survival of these cells contribute to diseases of the anterior segment such as corneal dystrophy, lens cataract, and glaucoma. Zebrafish represent a powerful model organism for investigating the genetics and cell biology of development and disease. To lay the foundation for genetic studies of anterior segment development, we have described the morphogenesis of this structure in zebrafish. Results As in other vertebrates, the zebrafish anterior segment derives from diverse origins including surface ectoderm, periocular mesenchyme, and neuroepithelium. Similarly, the relative timing of tissue differentiation in the anterior segment is also conserved with other vertebrates. However, several morphogenic features of the zebrafish anterior segment differ with those of higher vertebrates. These include lens delamination as opposed to invagination, lack of iris muscles and ciliary folds, and altered organization in the iridocorneal angle. In addition, substantial dorsal-ventral differences exist within the zebrafish anterior segment. Conclusion Cumulatively, our anatomical findings provide a reference point to utilize zebrafish for genetic studies into the mechanisms of development and maintenance of the anterior segment.

  3. 应用锥形束CT分析上颌前牙区龈乳头形态的初步研究%Preliminary study on measuring interdental papilla height and thickness of the maxillary anterior teeth based on cone-beam computed tomography

    Institute of Scientific and Technical Information of China (English)

    曹洁; 胡文杰; 张豪; 柳登高; 乐迪

    2013-01-01

    目的 探索上颌前牙区龈乳头充满牙间接触点根方楔形间隙时(以下简称龈乳头充满)的特点及相关因素.方法 选择牙龈健康的北京大学口腔医学院在读学生15人,共纳入62个龈乳头,进行印模技术结合造影间接牙龈显影的锥形束CT拍摄后测量骨嵴顶处的龈乳头高度及厚度,临床测量龈乳头宽度,应用SPSS16.0统计软件分析其相互关系.结果 自然人群中上颌前牙区健康牙龈乳头充满时骨嵴顶处的龈乳头高度为(3.67 ±0.51) mm(均<5 mm);龈乳头厚度为(8.38±0.75) mm;龈乳头宽度为(4.35±1.03) mm.中切牙与侧切牙间骨嵴顶处龈乳头厚度为(7.97±0.56) mm,与中切牙间及侧切牙与尖牙间的龈乳头厚度差异均有统计学意义(P<0.05).龈乳头充满时骨嵴顶处的龈乳头高度与厚度呈中度正相关(r=0.433,P<0.001).结论 应用锥形束CT拍摄能获得龈乳头的清晰影像并可测量其相关指标,牙龈健康的自然人群上颌前牙区龈乳头充满时骨嵴顶处龈乳头高度均<5 mm;骨嵴顶处龈乳头高度、厚度、宽度两两相关.%Objective To investigate the features of the fill of interdental spaces by gingival papillae and the associated factors.Methods Fifteen volunteers with healthy gingiva were involved in this study.The height and thickness on the alveolar crest level of 62 maxillary anterior papilla were measured radiographically with cone-beam computed tomography(CBCT) scans.A standardized periodontal probe with Williams markings was used for measurements of the papilla width on the alveolar crest level.Results When the papilla was complete fill interdentally,the mean height of papillary tissue on the alveolar crest level (equal to contact point-bone crest) was (3.67 ± 0.51) mm.The mean thickness of papilla on the alveolar crest level was (8.38 ± 0.75) mm.The papilla height had a positive correlation with papilla thickness (r =0.433,P < 0.001).Conclusions The cone

  4. Anterior crucate ligament (ACL) injury

    Science.gov (United States)

    ... An anterior cruciate ligament injury is the over-stretching or tearing of the anterior cruciate ligament (ACL) ... may be injured. This is a medical emergency. Prevention Use proper techniques when playing sports or exercising. ...

  5. Orthodontics Align Crooked Teeth and Boost Self-Esteem

    Science.gov (United States)

    ... desktop! more... Orthodontics Align Crooked Teeth and Boost Self- esteem Article Chapters Orthodontics Align Crooked Teeth and Boost Self- esteem Orthodontics print full article print this chapter email ...

  6. Micro-computed tomographic analysis of progression of artificial enamel lesions in primary and permanent teeth after resin infiltration.

    Science.gov (United States)

    Ozgul, Betul Memis; Orhan, Kaan; Oz, Firdevs Tulga

    2015-09-01

    We investigated inhibition of lesion progression in artificial enamel lesions. Lesions were created on primary and permanent anterior teeth (n = 10 each) and were divided randomly into two groups with two windows: Group 1 (window A: resin infiltration; window B: negative control) and Group 2 (window A: resin infiltration + fluoride varnish; window B: fluoride varnish). After pH cycling, micro-computed tomography was used to analyze progression of lesion depth and changes in mineral density. Resin infiltration and resin infiltration + fluoride varnish significantly inhibited progression of lesion depth in primary teeth (P 0.05). Resin infiltration is a promising method of inhibiting progression of caries lesions.

  7. Facetas em dentes anteriores

    OpenAIRE

    Veloso, Helena Rafaela Lourenço Martins

    2015-01-01

    Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária A presente revisão bibliográfica aborda as facetas estéticas em dentes anteriores, pela crescente valorização de um sorriso esteticamente agradável, facto que faz com que as pessoas procurem cada vez mais alternativas de tratamento para melhorar a aparência do seu sorriso. Os dentes anteriores são decisivos na aparência estética e, c...

  8. Provisional anterior tooth replacement using nonimpregnated fiber and fiber-reinforced composite resin materials: a clinical report.

    Science.gov (United States)

    Chan, Daniel C N; Giannini, Marcelo; De Goes, Mario Fernando

    2006-05-01

    The loss of anterior teeth is often a serious esthetic concern. While conventional fixed partial dentures and implant-supported restorations may be the treatments of choice, nonimpregnated fibers (NFs) and fiber-reinforced composite (FRC) resins offer a conservative alternative for improving esthetics. This article describes 2 clinical situations in which NF glass ribbon and FRC were successfully used to provisionally restore anterior edentulous areas in an esthetic, functional, and timely manner.

  9. Maxillary anterior en masse retraction using different antero-posterior position of mini screw: a 3D finite element study

    Directory of Open Access Journals (Sweden)

    Zohreh Hedayati

    2016-10-01

    Full Text Available Abstract Background Nowadays, mini screws are used in orthodontic tooth movement to obtain maximum or absolute anchorage. They have gained popularity among orthodontists for en masse retraction of anterior teeth after first premolar extraction in maximum anchorage cases. The purpose of this study was to determine the type of anterior tooth movement during the time when force was applied from different mini screw placements to the anterior power arm with various heights. Methods A finite element method was used for modeling maxillary teeth and bone structure. Brackets, wire, and hooks were also designed for modeling. Two appropriate positions for mini screw in the mesial and distal of the second premolar were designed as fixed nodes. Forces were applied from the mini screw to four different levels of anterior hook height: 0, 3, 6, and 9 mm. Initial tooth movement in eight different conditions was analyzed and calculated with ANSYS software. Results Rotation of anterior dentition was decreased with a longer anterior power arm and the mesial placement of the mini screw. Bodily movements occurred with the 9-mm height of the power arm in both mini screw positions. Intrusion or extrusion of the anterior teeth segment depended on the level of the mini screw and the edge of the power arm on the Z axis. Conclusions According to the findings of this study, the best control in the sagittal plane during anterior en masse retraction was achieved by mesial placement of the mini screw and the 9-mm height of the anterior power arm. Where control in the vertical plane was concerned, distal placement of the mini screw with the 6-mm power arm height had minimum adverse effect on anterior dentition.

  10. Intradural anterior transpetrosal approach.

    Science.gov (United States)

    Ichimura, Shinya; Hori, Satoshi; Hecht, Nils; Czabanka, Marcus; Vajkoczy, Peter

    2016-10-01

    The standard anterior transpetrosal approach (ATPA) for petroclival lesions is fundamentally an epidural approach and has been practiced for many decades quite successfully. However, this approach has some disadvantages, such as epidural venous bleeding around foramen ovale. We describe here our experience with a modified technique for anterior petrosectomy via an intradural approach that overcomes these disadvantages. Five patients with petroclival lesions underwent surgery via the intradural ATPA. The intraoperative hallmarks are detailed, and surgical results are reported. Total removal of the lesions was achieved in two patients with petroclival meningioma and two patients with pontine cavernoma, whereas subtotal removal was achieved in one patient with petroclival meningioma without significant morbidity. No patient experienced cerebrospinal fluid leakage. The intradural approach is allowed to tailor the extent of anterior petrosectomy to the individually required exposure, and the surgical procedure appeared to be more straightforward than via the epidural route. Caveats encountered with the approach were the temporal basal veins that could be spared as well as identification of the petrous apex due to the lack of familial epidural landmarks. The risk of injury to the temporal bridging veins is higher in this approach than in the epidural approach. Intradural approach is recommended in patients with a large epidural venous route, such as sphenobasal and sphenopetrosal vein. Navigation via bone-window computed tomography is useful to identify the petrous apex.

  11. Bruxism (Teeth Grinding or Clenching) (For Parents)

    Science.gov (United States)

    ... Old Feeding Your 1- to 2-Year-Old Bruxism (Teeth Grinding or Clenching) KidsHealth > For Parents > Bruxism ( ... called bruxism , which is common in kids. About Bruxism Bruxism is the medical term for the grinding ...

  12. Take Care of Your Teeth and Gums

    Science.gov (United States)

    ... your teeth 2 times every day. Use a toothbrush with soft bristles and toothpaste with fluoride. Fluoride ... forget to brush your tongue. Get a new toothbrush every 3 to 4 months. Replace your toothbrush ...

  13. Surgical and orthodontic management of impacted teeth.

    Science.gov (United States)

    Kokich, V G; Mathews, D P

    1993-04-01

    This article has accomplished four objectives. First of all, the most commonly impacted teeth have been identified. Aside from the third molars, these teeth include the maxillary canines, maxillary central incisors, mandibular second premolars, and mandibular second molars. Second, the cause of impaction has been discussed. In most situations, these unerupted teeth have been diverted or are angulated aberrantly during development. Once the root apex has closed, they lose their potential to erupt. Third, the various surgical procedures to uncover these impacted teeth have been described. Three different techniques (excision, apically positioned flap, and closed eruption technique) may be used to uncover the impacted tooth. The specific criteria used to select the proper surgical technique were stated. Last, the orthodontic mechanics and integration of tooth movement and surgical procedures were delineated and illustrated for each of the various types of impactions and uncovering techniques.

  14. Severe Class II anterior deep bite malocclusion treated with a C-lingual retractor.

    Science.gov (United States)

    Kim, Seong-Hun; Park, Young-Guk; Chung, Kyurhim

    2004-04-01

    A C-lingual retractor was placed on the lingual aspects of the six maxillary anterior teeth in a 24-year-old female patient with a Class II anterior deep-bite malocclusion. The treatment plan consisted of extracting both the upper first premolars and intruding and retracting the upper six anterior teeth. Transpalatal arches were soldered to the upper first and second molar bands and used as an intra-arch anchor unit for upper space closure. Double NiTi closed coil springs were used palatally between the hooks of the C-lingual retractor and the transplantar arches. A high-pull headgear was used for anchorage reinforcement during en masse retraction. It took 14 months to treat this patient. The correct overbite and overjet was obtained by simultaneously intruding and retracting the upper six anterior teeth into their proper positions by C-lingual retractor mechanics, which contributed to an improvement in facial balance. The treatment result was stable 6 months after debonding. The application of this new appliance, consideration in case selection, and sequence of treatment are presented.

  15. ANTERIOR OPEN-BITE TREATMENT BY MEANS OF ZYGOMATIC MINIPLATES: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Kadir BEYCAN

    2017-01-01

    Full Text Available This case report presents the treatment of a patient with skeletal Cl II malocclusion and anterior open-bite who was treated with zygomatic miniplates through the intrusion of maxillary posterior teeth. A 16-year-old female patient with a chief complaint of anterior open-bite had a symmetric face, incompetent lips, convex profile, retrusive lower lip and chin. Intraoral examination showed that the buccal segments were in Class II relationship, and there was anterior open-bite (overbite -6.5 mm. The cephalometric analysis showed Class II skeletal relationship with increased lower facial height. The treatment plan included intrusion of the maxillary posterior teeth using zygomatic miniplates followed by fixed orthodontic treatment. At the end of treatment Class I canine and molar relationships were achieved, anterior open-bite was corrected and normal smile line was obtained. Skeletal anchorage using zygomatic miniplates is an effective method for open-bite treatment through the intrusion of maxillary posterior teeth.

  16. Non-syndromic supernumerary teeth: report of a case with 6 supernumerary teeth

    Directory of Open Access Journals (Sweden)

    Taghibakhsh M

    2011-02-01

    Full Text Available "nBackground and Aims: Multiple supernumerary teeth are rare and often found in association with syndromes such as Gardner, Cleidocranial dysplasia and cleft lip and palate, with a much less chance for isolated"nnon-syndromic cases. The aim of this study was to report a case with 6 supernumerary teeth without syndromic association."nCase Report: The patient was a 33 year-old female, referred to oral diseases and diagnosis department with chief complaint of sensitivity to cold and hot food in right upper premolar region. Oral examination revealed 5 erupted lingually supernumerary teeth (four in mandibular and one in maxillary premolar region, respectively. Further panoramic radiography clarified an extra impacted tooth in the palatal region of left premolar maxillary area. All extra teeth had been appeared since the age of 17 during one year, as the patient claimed. Medical history and thorough clinical and paraclinical examinations were not significant except for the hypothyroidism, since 5 years ago. No other family member noticed to be the case. Based on our findings, a diagnosis of non-syndromic multiple supernumerary teeth was established."nConclusion: A thorough examination of each patient presented with supernumerary teeth, including panoramic and intraoral radiographic images may provide valuable information regarding accompanying syndromes and unerupted teeth. Early diagnosis is an essential step for orthodontic or surgical decisions making, preventing or avoiding worsening complications such as malocclusion, adjacent normal teeth delayed eruption or rotation, diasthema, cystic lesions and resorption of contiguous teeth.

  17. Straight, white teeth as a social prerogative.

    Science.gov (United States)

    Khalid, Abeer; Quiñonez, Carlos

    2015-06-01

    A distinguishing feature of North American society is preoccupation with self-image, as seen in the ritualistic nature of bodily practices aimed at constantly improving the body. Nowhere is this more apparent than in the prevailing fixation with straight, white teeth. While there is an ever-expanding literature on the sociology of body, very little has been written on teeth in this context. Using literature from anthropology, biology, dentistry, sociology and social psychology, this study attempts to answer: (1) Why have straight, white teeth become a beauty ideal in North American society? (2) What is the basis for this ideal? (3) How is this ideal propagated? It demonstrates that dental aesthetic tendencies are biologically, culturally and socially patterned. Concepts from the works of Pierre Bourdieu and Michel Foucault are used to illustrate how straight, white teeth contribute towards reinforcing class differences and how society exercises a disciplinary power on individuals through this ideal. It is concluded that modified teeth are linked to self and identity that are rooted in social structure. Moreover, teeth demonstrate the ways in which class differences are embodied and projected as symbols of social advantage or disadvantage. Implications on professional, public health, sociological and political levels are considered.

  18. Anterior knee pain

    Energy Technology Data Exchange (ETDEWEB)

    LLopis, Eva [Hospital de la Ribera, Alzira, Valencia (Spain) and Carretera de Corbera km 1, 46600 Alzira Valencia (Spain)]. E-mail: ellopis@hospital-ribera.com; Padron, Mario [Clinica Cemtro, Ventisquero de la Condesa no. 42, 28035 Madrid (Spain)]. E-mail: mario.padron@clinicacemtro.com

    2007-04-15

    Anterior knee pain is a common complain in all ages athletes. It may be caused by a large variety of injuries. There is a continuum of diagnoses and most of the disorders are closely related. Repeated minor trauma and overuse play an important role for the development of lesions in Hoffa's pad, extensor mechanism, lateral and medial restrain structures or cartilage surface, however usually an increase or change of activity is referred. Although the direct relation of cartilage lesions, especially chondral, and pain is a subject of debate these lesions may be responsible of early osteoarthrosis and can determine athlete's prognosis. The anatomy and biomechanics of patellofemoral joint is complex and symptoms are often unspecific. Transient patellar dislocation has MR distinct features that provide evidence of prior dislocation and rules our complication. However, anterior knee pain more often is related to overuse and repeated minor trauma. Patella and quadriceps tendon have been also implicated in anterior knee pain, as well as lateral or medial restraint structures and Hoffa's pad. US and MR are excellent tools for the diagnosis of superficial tendons, the advantage of MR is that permits to rule out other sources of intraarticular derangements. Due to the complex anatomy and biomechanic of patellofemoral joint maltracking is not fully understood; plain films and CT allow the study of malalignment, new CT and MR kinematic studies have promising results but further studies are needed. Our purpose here is to describe how imaging techniques can be helpful in precisely defining the origin of the patient's complaint and thus improve understanding and management of these injuries.

  19. What are the longevities of teeth and oral implants?

    DEFF Research Database (Denmark)

    Holm-Pedersen, Poul; Lang, Niklaus P; Müller, Frauke

    2007-01-01

    To analyse tooth loss and to evaluate the longevity of healthy teeth and teeth compromised by diseases and influenced by therapy as well as that of oral implants.......To analyse tooth loss and to evaluate the longevity of healthy teeth and teeth compromised by diseases and influenced by therapy as well as that of oral implants....

  20. Reattachment of fractured teeth fragments in mandibular incisors: a case report.

    Science.gov (United States)

    Yousef, Mohammed K

    2015-01-01

    The majority of dental trauma involves anterior teeth, especially the maxillary central incisors. A mandibular incisor fracture with or without pulp tissue involvement is considerably less common. Different approaches for treating these fractured teeth have been reported in the literature. The type of treatment rendered depends mainly on the extent of fracture, pulp involvement, radicular fracture, biologic width infringement or violation, and presence of the fractured piece. This case report illustrates reattachment of fractured fragments on two mandibular incisors without pulp exposure using a new proposed reattachment method using a combination of two different types of composite materials together with an orthodontic lingual retention wire. An 8-year-old female patient presented with fractured mandibular left incisors (Ellis class II fracture). Broken pieces were saved and brought in a closed container in water. Periapical radiographs revealed no evidence of pulpal involvement in either tooth and no periapical radiolucency was noticed. Fractured fragments and the broken teeth were prepared with circumferential bevels. Reattachment of the fractured fragments were done using two types of composite resin materials and a lingual orthodontic retention wire was also used. The patient was recalled after 8 months to follow up both teeth. Clinical examination revealed excellent composite restorations covering the fracture lines.

  1. The evaluation of three electronic apex locators in teeth with simulated incomplete oblique root fractures

    Directory of Open Access Journals (Sweden)

    Lotika Beri

    2009-01-01

    Full Text Available Traumatic injuries to the tooth may lead to a dilemma in the treatment plan specially in teeth with fractured roots with displacement. The treatment plan for teeth with root fractured with displaced apical segment is to implement root canal therapy up to the fractured line leaving the apical segment untreated. Determining the working length of the coronal segment may be difficult by radiograph, so we tested the accuracy of three electronic apex locators (EALs to locate the apical limit in teeth with simulated oblique root fractures. An oblique incomplete root fracture was simulated on 15 freshly extracted maxillary anterior teeth by means of a notch made on the vestibular root plane 8 mm from the anatomic apex. The EALs investigated were the ProPex (Dentsply Maillefer, Ballaigues, Switzerland, Root ZX (J.Morita Co, Kyoto, Japan. Dentaport ZX ( J. Morita Co., Kyoto, Japan. The electronic measurements were compared with the real "working length." The accuracy obtained was of 86.6% (n _ 13 with Root ZX , 66.6% (n _ 10 with the ProPex, and 60% (n _ 09 with Dentaport ZX. When tolerances of 0.5-mm and 1.0-mm tolerance were, respectively, allowed. The analysis of variance (p _ 0.05 and chi-square test (0.5 mm/p _ 0.47 and 1.0 mm/p _ 0.63 tolerances showed no statistical significant differences between the EALs at either tolerance level.

  2. The anterior cingulate cortex

    Directory of Open Access Journals (Sweden)

    Pavlović D.M.

    2009-01-01

    Full Text Available The anterior cingulate cortex (ACC has a role in attention, analysis of sensory information, error recognition, problem solving, detection of novelty, behavior, emotions, social relations, cognitive control, and regulation of visceral functions. This area is active whenever the individual feels some emotions, solves a problem, or analyzes the pros and cons of an action (if it is a right decision. Analogous areas are also found in higher mammals, especially whales, and they contain spindle neurons that enable complex social interactions. Disturbance of ACC activity is found in dementias, schizophrenia, depression, the obsessive-compulsive syndrome, and other neuropsychiatric diseases.

  3. Torque ripple minimization in a doubly salient permanent magnet motors by skewing the rotor teeth

    Science.gov (United States)

    Sheth, N. K.; Sekharbabu, A. R. C.; Rajagopal, K. R.

    2006-09-01

    This paper presents the effects of skewing the rotor teeth on the performance of an 8/6 doubly salient permanent magnet motor using a simple method, which utilizes the results obtained from the 2-D FE analysis. The optimum skewing angle is obtained as 12-15° for the least ripple torque without much reduction in the back-emf.

  4. Occlusal relationships and spacing or crowding of teeth in the dentitions of 3-4-year-old Nigerian children.

    Science.gov (United States)

    Otuyemi, O D; Sote, E O; Isiekwe, M C; Jones, S P

    1997-09-01

    A study of 525 3-4-year-old children in nursery schools and day-care centres was carried out to assess occlusal relationships and the presence of spacing or crowding of teeth. No significant differences in occlusal relationships were found between boys and girls (P > 0.05). Bilateral straight terminal planes of molars and class 1 canine relationship were the most prevalent features (74.5% and 73.3% respectively). Most of the children had 'normal' vertical and transverse occlusal relationships. The most common sites of spacing were mesial to maxillary canines and distal to mandibular canines. 32% of the children were found to have generalized anterior segment spacing, 4% showed exclusively anthropoid spaces, and 18% had either contact between all the teeth or crowding in the anterior region.

  5. Rehabilitation of Avulsed Teeth in Fractured Jaws via Bone Grafting and Implant Placement: Report of Two Cases

    Directory of Open Access Journals (Sweden)

    Anshul Jain

    2016-01-01

    Full Text Available The maxillofacial region is one of the most injury-prone areas during road traffic accidents, personal violence, falls and sports. Maxillofacial trauma can lead to breakage or avulsion of upper anterior teeth, which may cause significant aesthetic and functional problems. There are many treatment options available for rehabilitation including removable partial dentures, fixed partial dentures, crown and bridges and implant-supported prostheses.Herein, two cases are presented where implant placement was done for upper anterior teeth, which were traumatized or avulsed following maxillofacial trauma. Both patients demonstrated a history of maxillofacial trauma and had undergone open reduction and internal fixation. The first patient had a severe maxillary alveolar defect treated via autogenous bone grafting and a six-month period was given for proper integration of the bone graft. The second patient was a smoker with very poor oral hygiene and a deep bite. Thus, implant placement was not initially justified.

  6. Rehabilitation of Avulsed Teeth in Fractured Jaws via Bone Grafting and Implant Placement: Report of Two Cases

    Science.gov (United States)

    Baliga, Shridhar

    2015-01-01

    The maxillofacial region is one of the most injury-prone areas during road traffic accidents, personal violence, falls and sports. Maxillofacial trauma can lead to breakage or avulsion of upper anterior teeth, which may cause significant aesthetic and functional problems. There are many treatment options available for rehabilitation including removable partial dentures, fixed partial dentures, crown and bridges and implant-supported prostheses. Herein, two cases are presented where implant placement was done for upper anterior teeth, which were traumatized or avulsed following maxillofacial trauma. Both patients demonstrated a history of maxillofacial trauma and had undergone open reduction and internal fixation. The first patient had a severe maxillary alveolar defect treated via autogenous bone grafting and a six-month period was given for proper integration of the bone graft. The second patient was a smoker with very poor oral hygiene and a deep bite. Thus, implant placement was not initially justified. PMID:26877745

  7. Esthetic rehabilitation of crowded and protruded anterior dentition

    Directory of Open Access Journals (Sweden)

    Cecilia G. J. lunardhi

    2009-03-01

    Full Text Available Background: Recent trends put estheticrehabilitationas a demandingtreatmentin order to correct malpositionedanteriordentition. This is enhanced by the patient’s background, especially careers that require prime appearance for the public. Purpose: To describe that even though there are many treatment alternatives and procedures, esthetic rehabilitation on crowded and protruded anterior dentition using endodontic treatment, cast posts and all ceramic crowns, can improve patient’s appearance. Case: This article presents a case report on esthetic rehabilitation of crowded and protruded anterior dentition. Treatment was done due to patient’s refusal in receiving orthodontic treatment. The patient requested esthetic rehabilitation as an expectation for faster and instant esthetic result. Case management: Endodontic treatment was done to the involved dentition prior to the final restoration. Cast posts and all ceramic crowns were used as final restoration to correct the crowded and protruded anterior teeth. Conclusion: Esthetic rehabilitation can be done successfully on crowded and protruded anterior dentition. Instant result could be achieved by this treatment. This is supported by the fact that dentists should be aware of not only choosing the right treatment and materials but also patient’s expectations and conditions.

  8. Finite element analysis of stress concentration in three popular brands of fiber posts systems used for maxillary central incisor teeth

    Directory of Open Access Journals (Sweden)

    Shalini Aggarwal

    2011-01-01

    Full Text Available Aims and Objectives: To study the stress concentrations in endodontically treated maxillary central incisor teeth restored with 3 different fiber post systems subjected to various oblique occlusal loads. Materials and Methods: FEM analysis was used to analyze stress concentrations generated in maxillary anterior teeth. Computer aided designing was used to create a 2-D model of an upper central incisor. Post systems analyzed were the DT Light Post (RDT, Bisco, Luscent Anchor (Dentatus & RelyX (3M-ESPE. The entire design assembly was subjected to analysis by ANSYS for oblique loading forces of 25N, 80N & 125 N Results: The resultant data showed that the RelyX generated the least amount of stress concentration. Conclusions: Minimal stress buildups contribute to the longevity of the restorations. Thus RelyX by virtue of judicious stress distribution is the better option for restoration of grossly decayed teeth.

  9. Congenitally missing teeth (hypodontia): A review of the literature concerning the etiology, prevalence, risk factors, patterns and treatment

    Science.gov (United States)

    Rakhshan, Vahid

    2015-01-01

    Congenitally missing teeth (CMT), or as usually called hypodontia, is a highly prevalent and costly dental anomaly. Besides an unfavorable appearance, patients with missing teeth may suffer from malocclusion, periodontal damage, insufficient alveolar bone growth, reduced chewing ability, inarticulate pronunciation and other problems. Treatment might be usually expensive and multidisciplinary. This highly frequent and yet expensive anomaly is of interest to numerous clinical, basic science and public health fields such as orthodontics, pediatric dentistry, prosthodontics, periodontics, maxillofacial surgery, anatomy, anthropology and even the insurance industry. This essay reviews the findings on the etiology, prevalence, risk factors, occurrence patterns, skeletal changes and treatments of congenitally missing teeth. It seems that CMT usually appears in females and in the permanent dentition. It is not conclusive whether it tends to occur more in the maxilla or mandible and also in the anterior versus posterior segments. It can accompany various complications and should be attended by expert teams as soon as possible. PMID:25709668

  10. Managing discoloured non-vital teeth: the inside/outside bleaching technique.

    Science.gov (United States)

    Poyser, Neil J; Kelleher, Martin G D; Briggs, Peter F A

    2004-05-01

    The discoloured, non-vital anterior tooth is a common aesthetic concern for many patients. It can have a profound effect on their self-esteem, interaction with others and employability. Discoloured non-vital teeth are frequently compromised owing to previous trauma, caries, endodontic therapy and failed restorations. Destructive invasive treatment options are likely to weaken the residual structure of the tooth. This can reduce the prognosis and challenge the long-term viability of the tooth, thereby initiating further prosthetic predicaments. This paper discusses modern approaches to the treatment of discoloured teeth. The importance of preventing and eliminating the potential for discoloration will be highlighted. The paper will include a detailed technical account on the application of the inside/outside bleaching technique, with several clinical examples.

  11. A Novel Approach to Regain Anterior Space Using Modified 2 by 3 Fixed Appliance: A Report of Two Cases.

    Science.gov (United States)

    Mohammad, Ziauddin; Cheruku, Sampath Reddy; Penmetcha, Sarada; Bagalkotkar, Apeksha; Kumari, Surabhi

    2015-10-01

    Early loss of permanent anterior teeth in growing children has a psychological impact on the child. Anterior teeth are important both aesthetically and functionally. When a permanent tooth is lost, the teeth adjacent to the created space tend to migrate into the space resulting in the space loss. Management of regaining space with the removable appliance always depends on child cooperation for using the appliance as well as for the recall visits. The advantages of fixed appliances over the removable appliances are minimal discomfort, reduced need for patient cooperation and increased control of tooth movements in all three directions of space. Thus, a short course of fixed appliance like the modified 2 by 3 fixed appliance followed by fixed functional space maintainer could be an ideal treatment option for such cases.

  12. Clinical Evaluation of an Acrylic Pontic ’Adhesively’ Bonded to Uncut Abutment Teeth: 18 Month Results

    Science.gov (United States)

    1974-12-23

    acid etch technique, permit reconstruction of fractured anterior teeth in one sitting often without anesthesia. ’ 3. Orthodontic banding is accom...their own misuse of "flipper" partial dentures, patients scheduled for full arch extractions whose previous partial dentures were no longer usable...because of already completed extractions , and some few patients with no previous prosthetic experience who, after being made aware of the

  13. Miniplacas permitem tratamento eficiente e eficaz da mordida aberta anterior Miniplates allow efficient and effective treatment of anterior open bites

    Directory of Open Access Journals (Sweden)

    Jorge Faber

    2008-10-01

    Full Text Available INTRODUÇÃO: o tratamento das deformidades e más oclusões que incluem mordidas abertas anteriores foi uma das primeiras aplicações de miniplacas como forma de ancoragem ortodôntica. A implementação desse sistema de tratamento reduz o número de pacientes indicados para a cirurgia ortognática e simplifica muitos problemas. Nessa abordagem, os dentes posteriores são intruídos e a mandíbula sofre um giro no sentido anti-horário, diminuindo a altura facial inferior e projetando os pogônios de tecidos duro e mole. OBJETIVO: o presente artigo apresenta os fundamentos da mecânica ortodôntica para correção da mordida aberta anterior e os ilustra com uma série de casos clínicos.INTRODUCTION: The treatment of facial deformities and malocclusions, such as anterior open bite, was one of the first applications of miniplates for orthodontic anchorage. The use of this treatment system reduces the number of patients referred to orthognathic surgery and simplifies many problems. This approach applies intrusive forces to posterior teeth, and the mandible undergoes counterclockwise rotation, which decreases lower facial height and advances the projection of hard and soft tissue pogonions. OBJECTIVE: This study describes the principles of orthodontic mechanics in the correction of anterior open bite and illustrates these principles with a series of cases.

  14. The evaluation of the carbon fiber post system on restoration of teeth defect in children

    Institute of Scientific and Technical Information of China (English)

    ZHANG Xiang-hao; WANG Xin-zhi

    2006-01-01

    Background Post and post-core systems are used to restore extensively damaged teeth. Among these systems,cast alloy post and core, prefabricated threaded alloy post and prefabricated simple alloy post are most frequently applied in China nowadays. In Europe and North America a combined application of the fiber post, resin-core and crown has been applied to restore seriously destructed teeth with satisfactory results in recent years. This study was intended to evaluate the clinical effect of carbon fiber post system on restoration of child anterior tooth defect after root canal therapy, based on 3- 5 years' observation.Methods One hundred and six children with incompletely established occlusion were observed and followed for an average of 42 months (ranging from 36 to 60 months). Eighty-five upper teeth and forty-one lower teeth were restored with carbon fiber post system and composite jacket crown. Periodic check-up was conducted for periodontal condition and restoration effect.Results One hundred and twenty-one (96.2%) restorations were successful. Four jacket crowns (3.0%) were lost. One tooth (0.8%) had slight gingival inflammation. Tooth root or post fracture and gingival stain were not observed. X-ray showed there was no obvious change in aspects including the width of periodontal membrane,the density of alveolar bone and the height of alveolar ridge crest.Conclusions Carbon-fiber post system can satisfy the clinical requirements of young patients who have residual anterior crown and root caused by trauma or caries, and have incomplete occlusion and have completed root canal therapy. This system helps realize good esthetic result for patients and easy practice for dentists.Carbon fiber post is safe and convenient, especially for sick children.

  15. [Different multidisciplinary approaches of two traumatic teeth fractures in the esthetic zone: a case report].

    Science.gov (United States)

    Jia, Xue-ting; Zhen, Min; Hu, Wen-jie; Liu, Yun-song

    2015-10-18

    In this article, different methods to deal with teeth fractures were discussed by presenting a case of traumatic crown-root fracture in the anterior esthetic zone. The traumatic crown-root fracture is a common problem in clinic. When a fracture line locates in close proximity to or below the alveolar bone crest, the fracture most likely involve the junctional epithelium and the connective tissue attachment. This type of fracture becomes a challenge for restorative dentists because it involves biologic, functional, and esthetic considerations, especially when the fracture occurs in an esthetic area. In this case, a young patient presented with two fractured upper anterior teeth to the Department of Periodontics, Peking University School and Hospital of Stomatology. After the comprehensive clinical evaluation, the right central incisor was decided to extract for implant therapy and the right lateral incisor was decided to retain by one modified crown lengthening surgery. The most common technique applied to save a retained root is a clinical crown lengthening procedure. However, the aggressive alveolar bone resection of both target and adjacent teeth to reestablish the bone width and periodontal health may compromise functional and esthetic outcomes. To reduce loss of excessive osseous tissue during osteotomy procedure, the modified crown lengthening of the right lateral incisor was performed, including minor bone resection and root reshaping. Regarding the right central incisor, the retained root was all located below the alveolar bone crest. The extraction and implant procedure, combined with guided bone graft were performed to avoid the damage to neighbor teeth during traditional restorative therapy and to reshape a preferable buccal contour. At the last visit, the patient was recalled with healthy periodontium, normal tooth function and favorable esthetic results.

  16. Minimally invasive use of coloured composite resin in aesthetic restoration of periodontially involved teeth: Case report.

    Science.gov (United States)

    Wahbi, M A; Al Sharief, H S; Tayeb, H; Bokhari, A

    2013-04-01

    Gingival recession causes not only aesthetic problems, but problems with oral hygiene, plaque accumulation, speech, and tooth sensitivity. Replacing the missing gingival tissue with composite resin, when indicated, can be a time- and cost-effective solution. Here we report the case of a 25-year-old female who presented with generalized gingival recession. Black triangles were present between the maxillary and mandibular anterior teeth due to loss of interdental tissues, caused by recent periodontal surgery. She also had slightly malposed maxillary anterior teeth. The patient elected to replace gingival tissue with pink composite resin and to alter the midline with composite resin veneers. The first treatment phase involved placement of pink gingival composite to restore the appearance of interdental papilla to her upper (16, 15, 14, 13, 12, 11, 21, 22, 23, and 24) and lower (34, 33, 32, 31, 41, 42, 43, and 44) teeth. Phase two was to place direct composite resin bonded veneers on her upper (16, 15, 14, 13, 12, 11, 21, 22, 23, and 24) teeth to alter the midline and achieve desired colour. The third treatment phase was to level the lower incisal edge shape by enameloplasty (31, 32, 41, and 42) to produce a more youthful and attractive smile. This case report and brief review attempt to describe the clinical obstacles and the current treatment options along with a suggested protocol. Use of contemporary materials such as gingival coloured composite to restore lost gingival tissue and improve aesthetics can be a simple and cost-effective way to manage patients affected by generalized aggressive periodontitis (AgP).

  17. Multidisciplinary management of anterior diastemata

    DEFF Research Database (Denmark)

    Furuse, Adilson Yoshio; Herkrath, Fernando José; Franco, Eduardo Jacomino

    2007-01-01

    Anterior diastemata may compromise the harmony of a patient's smile. Consideration of etiologic factors, previous gingival conditioning, and individual treatment planning are essential in the proper management of anterior diastemata. An integrated orthodontic-restorative approach may enhance...... the aesthetic results when orthodontic therapy itself is not feasible. This article presents integrated orthodonticrestorative solutions of anterior diastemata, associated with the conditioning of the gingival tissue with composite resin, and discusses the most relevant aspects related to their etiology...

  18. Translucency measurements in teeth and dental materials

    Science.gov (United States)

    Rawicz, Andrew H.; Melnyk, Ivan; Kowalski, Pawel

    2003-06-01

    Exact color matching of dental restorative materials to vital teeth is a difficult task. There are several reasons for this difficulty and they will be elaborated upon in the presentation. One of the most important reasons is the fact that teeth, as well as dental restorative materials are translucent, and thus the color impression is a product of light scattering, back scattering, transmission, and spectral modifications inside of these objects. Classic colorimetry is insufficient to provide an exact color match. Additional information about the translucency factor of the considered object (material and geometry) is necessary to provide full reproducibility. Translucency has a direct effect on perceived brightness. In this article we describe the TransluDent, a complementary product to ColorDent, which measures translucency of teeth and dental materials. TransluDent determines translucency by measuring light transmitted through an object and light scattered inside of the object. The translucency measurements were performed on two groups of subjects. One group consisted of people in their twenties and the second group of subjects was in fifties. For comparison several sets of dental shade-guides were also tested. The great discrepancy in translucency factor between human teeth and popular on the market shades may explain difficulty in color matching of dental restorative materials to teeth.

  19. Tooth loss treatment in the anterior region: Autotransplantation of premolars and cryopreservation

    Directory of Open Access Journals (Sweden)

    Hans Ulrik Paulsen

    2016-01-01

    Full Text Available Avulsed and lost anterior teeth are common in young people. Using autotransplantation, it is possible to move problems in dental arches to regions where they are easier to solve orthodontically. Transplantation of premolars with three-quarter root formation or full root formation with wide open apical foramina provides the best prognosis for long-term survival. This article describes the use of autotransplantation and orthodontic treatment, together with cryopreservation, in connection with complicated trauma in the anterior region of an 8-year-old female child.

  20. An analysis on forced eruption in crown lengthening of un-restorable teeth

    Directory of Open Access Journals (Sweden)

    Vahid A

    2004-07-01

    Full Text Available Cervical third root defects, like perforations (due to resoption or iatrogeic, fractures or invasive decays make great difficulties for appropriate restoration making. In these circumstances crown lengthening is needed, especially for anterior teeth. Forced eruption also could be a beneficial treatment. By this therapy, cervical third root defects will be available to receive a good restoration. without gum and biologic width problems. In this article tried to introduce this method of therapy by reviewing litraure and with regard to personal research.

  1. Esthetic Rehabilitation of Anterior Teeth with Copy-Milled Restorations: A Report of Two Cases

    Science.gov (United States)

    Jain, Chandan; Mutneja, Parul; Verma, Mahesh

    2017-01-01

    Digitalization has become part and parcel of contemporary prosthodontics with the probability of most of the procedures being based on the digital techniques in the near future. This digital revolution started in the latter half of the 20th century by converting analog objects/signals into digital bits and bytes. Recent developments in all-ceramic materials and systems of computer-aided designing and computer-aided manufacturing (CAD/CAM), copy milling, and so forth offer excellent esthetics and superb biocompatibility. Copy milling system for ceramics enables milling of the zirconia cores of all-ceramic restorations precisely and also if this system is properly used the procedure for fabricating all-ceramic restorations can be substantially simplified. This case report presents fabrication of all-ceramic Maryland Bridge and post-core with a copy milling system for esthetics and preservation of integrity of tooth. For both of the patients, the use of biologic, all-ceramic, copy-milled restorations resulted in clinical success and recovered function and esthetics. PMID:28326203

  2. Treatment of Adults with Anterior Mandibular Teeth Crowding: Reliability of Little’s Irregularity Index

    Directory of Open Access Journals (Sweden)

    J. Antoszewska-Smith

    2017-01-01

    Full Text Available The attempt of this article was to assess reliability of Little’s Irregularity Index (LII as for stability of the treatment outcomes in adults with crowded mandibular incisors. LII was measured on a digital cast prior to an orthodontic treatment (T1 of the 302 patients thus allowing us to establish the treatment plan, which called for (a expansion (group 1, interproximal stripping (group 2, or extraction of one of the mandibular incisors. LII was measured after debonding (T2 and a year after retention (T3. Treatment resulted in significant reduction of LII values after treatment, in T1-T2 period in all groups. As for T2-T3 period it brought significant but clinically irrelevant relapse that occurred in groups 1 and 2; group 3 presented with insignificant improvement of occlusion. Conclusively, 30 years after introducing LII it has been a reliable parameter that allows selection of optimal treatment methods, provided that the appropriate ranges of values displaying dentoalveolar discrepancy are obeyed, namely, (1 up to 3 mm: expansion, (2 from 3 to 5 mm: interproximal enamel reduction, and (3 above 5 mm: extraction.

  3. Treatment of Adults with Anterior Mandibular Teeth Crowding: Reliability of Little's Irregularity Index

    Science.gov (United States)

    Antoszewska-Smith, J.; Bohater, M.; Kawala, M.

    2017-01-01

    The attempt of this article was to assess reliability of Little's Irregularity Index (LII) as for stability of the treatment outcomes in adults with crowded mandibular incisors. LII was measured on a digital cast prior to an orthodontic treatment (T1) of the 302 patients thus allowing us to establish the treatment plan, which called for (a) expansion (group 1), interproximal stripping (group 2), or extraction of one of the mandibular incisors. LII was measured after debonding (T2) and a year after retention (T3). Treatment resulted in significant reduction of LII values after treatment, in T1-T2 period in all groups. As for T2-T3 period it brought significant but clinically irrelevant relapse that occurred in groups 1 and 2; group 3 presented with insignificant improvement of occlusion. Conclusively, 30 years after introducing LII it has been a reliable parameter that allows selection of optimal treatment methods, provided that the appropriate ranges of values displaying dentoalveolar discrepancy are obeyed, namely, (1) up to 3 mm: expansion, (2) from 3 to 5 mm: interproximal enamel reduction, and (3) above 5 mm: extraction. PMID:28265286

  4. Assesment of gingival microcirculation in anterior teeth using laser Doppler flowmetry

    Science.gov (United States)

    Canjau, Silvana; Miron, Mariana I.; Todea, Carmen D.

    2016-03-01

    Introduction: Evaluating the health status of the gingival tissue represents an important objective in the daily practice. Inflammation changes the microcirculatory and micromorphological dynamics of human gingiva. Aim: The purpose of this study was to evaluate the microcirculation in subjects with moderate gingivitis and healthy gingiva by using laser Doppler flowmetry (LDF). Material and Methods: Recordings of the gingival microcirculation (GM) were taken from 20 healthy gingival sites and from 20 sites with moderate gingivitis. The gingival blood flows in the gingivitis group before treatment was significantly different from those in the healthy gingiva group. Signals were recorded with the aid of a laser Doppler MoorLab instrument VMS-LDF2 probe VP3 10 mm S/N 2482. Three consecutive determinations of the GM were registered for each site, as follows: before the initial therapy, at 24 hours after the initial therapy and then, 7 days after the initial therapy. The data were processed using the statistical analysis software SPSS v16.0.1. Results: The results of this preliminary study showed statistically significant differences among the GM values recorded before and after the initial therapy. Conclusions: LDF could be a useful, noninvasive, sensitive, reproducible, and harmless method for measuring gingival blood flow (gingival microcirculation) in humans.

  5. Esthetic Rehabilitation of Anterior Teeth with Porcelain Laminates and Sectional Veneers

    NARCIS (Netherlands)

    Gresnigt, Marco; Ozcan, Mutlu

    2011-01-01

    Full-coverage bonded porcelain restorations offer predictable treatment options in dentistry, but a certain amount of tooth material must be removed to allow space for the required thickness of the restorative material. Laminate veneers and inlays are considered minimally invasive, but they also req

  6. Personal Factors Determining Patient Satisfaction with All-Ceramic Crown Treatment for Single Anterior Teeth.

    Science.gov (United States)

    Zou, Yun; Zhan, DeSong

    2016-01-01

    The Eysenck Personality Questionnaire's (EPQ) N value (neuroticism) was used to evaluate information from 158 patients before ceramic crown treatment. Patient satisfaction was also evaluated using a satisfaction questionnaire 2 weeks post treatment. Patient expectations were not correlated with sex, age, or N value, and sex was not correlated with patient satisfaction other than in relation to crown shape. Total esthetic satisfaction and feature improvement were positively correlated with age, while satisfaction for five specific criteria was negatively correlated with N value and overall expectation. These observations underscore the importance of considering the physical and psychologic aspects of patient care when planning dental treatment.

  7. Anterior crossbite correction in primary and mixed dentition with removable inclined plane (Bruckl appliance).

    Science.gov (United States)

    Jirgensone, Irena; Liepa, Andra; Abeltins, Andris

    2008-01-01

    Anterior crossbite correction in early mixed dentition is highly recommended as this kind of malocclusion do not diminish with age. Uncorrected anterior crossbite may lead to abnormal wear of the lower incisors, dental compensation of mandibular incisors leading to thinning of labial alveolar plate and/or gingival recession. There are several methods for solving this problem. In this article we would like to describe removable inclined plane. This is a removable simple functional appliance on the lower arch (jaw), which works as inclined plane. One of the advantage of the Bruckl appliance is that it can also be used as retention appliance after active treatment as well as it is possible to add acrylic teeth if necessary. Therefore it can be used as a removable partial denture in lower jaw in case where there is a premature loss of the primary teeth. The use of this appliance is illustrated with three cases.

  8. Rotary endodontics in primary teeth - A review.

    Science.gov (United States)

    George, Sageena; Anandaraj, S; Issac, Jyoti S; John, Sheen A; Harris, Anoop

    2016-01-01

    Endodontic treatment in primary teeth can be challenging and time consuming, especially during canal preparation, which is considered one of the most important steps in root canal therapy. The conventional instrumentation technique for primary teeth remains the "gold-standard" over hand instrumentation, which makes procedures much more time consuming and adversely affects both clinicians and patients. Recently nickel-titanium (Ni-Ti) rotary files have been developed for use in pediatric endodontics. Using rotary instruments for primary tooth pulpectomies is cost effective and results in fills that are consistently uniform and predictable. This article reviews the use of nickel-titanium rotary files as root canal instrumentation in primary teeth. The pulpectomy technique is described here according to different authors and the advantages and disadvantages of using rotary files are discussed.

  9. Extreme strength observed in limpet teeth

    Science.gov (United States)

    Barber, Asa H.; Lu, Dun; Pugno, Nicola M.

    2015-01-01

    The teeth of limpets exploit distinctive composite nanostructures consisting of high volume fractions of reinforcing goethite nanofibres within a softer protein phase to provide mechanical integrity when rasping over rock surfaces during feeding. The tensile strength of discrete volumes of limpet tooth material measured using in situ atomic force microscopy was found to range from 3.0 to 6.5 GPa and was independent of sample size. These observations highlight an absolute material tensile strength that is the highest recorded for a biological material, outperforming the high strength of spider silk currently considered to be the strongest natural material, and approaching values comparable to those of the strongest man-made fibres. This considerable tensile strength of limpet teeth is attributed to a high mineral volume fraction of reinforcing goethite nanofibres with diameters below a defect-controlled critical size, suggesting that natural design in limpet teeth is optimized towards theoretical strength limits. PMID:25694539

  10. Anatomic (positional) variation of maxillary wisdom teeth with special regard to the maxillary sinus.

    Science.gov (United States)

    Lanzer, Martin; Pejicic, Rada; Kruse, Astrid L; Schneider, Thomas; Grätz, Klaus W; Lübbers, Heinz-Theo

    2015-01-01

    The removal of wisdom teeth is one of the most common interventions in oral surgery. In order to avoid complications, a profound knowledge of the anatomy of teeth and adjacent tissues is crucial. In the case of maxillary wisdom teeth, their relationship to the maxillary sinus, to the pterygoid fossa, to the maxillary tuber and the adjacent venous plexus is particularly important. Three-dimensional (3D) imaging, for example by means of cone beam computed tomography (CBCT), is increasingly utilized in practice. However, the necessity of CBCT imaging is still a matter of intensive debate. The aim of this study was to describe the anatomic (positional) variation of maxillary wisdom teeth and, based on these findings, to elucidate the additional benefit of such imaging. A retrospective case study was performed using patients examined by means of CBCT imaging in the Department of Dento-Maxillofacial Radiology during the period from 2008 to 2013. Primary study variables comprised the spatial relationship of the teeth to the maxillary sinus, the degree of retention and root development, the covering of the root with bone and mucosa, the root configuration, and the developmental stage of the tooth. In addition, the association of the inclination of teeth in the transversal and sagittal plane with the above variables was evaluated. Descriptive statistical parameters were calculated for all results of the examination. In total, CBCT recordings of 713 maxillary wisdom teeth from 430 patients were evaluated. Their mean age was 29.8 years, and the proportion of male patients slightly prevailed (54.4%). Most teeth exhibited fully developed roots (64.1%). Overall 22.9% of third molars were impacted, 32.3% were retained, and 6.5% were erupting. In more than a third of the patients, wisdom teeth were in occlusion. The inclination of the third molars both in the transversal and sagittal plane was significantly associated with the distance of the root from the maxillary sinus as well

  11. Esthetic Rehabilitation of a Severely Compromised Anterior Area: Combined Periodontal and Restorative Approach

    Directory of Open Access Journals (Sweden)

    Rachele Censi

    2014-01-01

    Full Text Available The complete oral rehabilitation of patients demanding a beautiful and attractive smile involves a multidisciplinary approach that includes the change of both the morphological aspect of the teeth and the architecture of gum tissues. This clinical report describes a successful interdisciplinary approach for the treatment of an esthetically compromised dentition. In a first phase, the periodontal plastic surgery was performed for root coverage and, in particular, it was decided for the execution of a coronally advanced flap for the treatment of multiple recession defects. Once complete healing of soft tissues was obtained, six lithium disilicate veneers were placed over the anterior maxillary teeth. Lithium disilicate is a glass-based ceramic which presents excellent aesthetics and allows the passage of light without creating unnatural reflections. This feature has made it possible to recreate a natural aspect of teeth that in combination with the harmonic architecture of soft tissue has permitted obtaining a beautiful and pleasant smile.

  12. Esthetic rehabilitation of a severely compromised anterior area: combined periodontal and restorative approach.

    Science.gov (United States)

    Censi, Rachele; Vavassori, Virna; Borgonovo, Andrea Enrico; Re, Dino

    2014-01-01

    The complete oral rehabilitation of patients demanding a beautiful and attractive smile involves a multidisciplinary approach that includes the change of both the morphological aspect of the teeth and the architecture of gum tissues. This clinical report describes a successful interdisciplinary approach for the treatment of an esthetically compromised dentition. In a first phase, the periodontal plastic surgery was performed for root coverage and, in particular, it was decided for the execution of a coronally advanced flap for the treatment of multiple recession defects. Once complete healing of soft tissues was obtained, six lithium disilicate veneers were placed over the anterior maxillary teeth. Lithium disilicate is a glass-based ceramic which presents excellent aesthetics and allows the passage of light without creating unnatural reflections. This feature has made it possible to recreate a natural aspect of teeth that in combination with the harmonic architecture of soft tissue has permitted obtaining a beautiful and pleasant smile.

  13. Modified Occlusal Rim Design and Use of Phonetics to Determine Anterior Tooth Position and Vertical Dimension: A Clinical Report.

    Science.gov (United States)

    Romero, Mario F; DeRosa, Thomas A

    2016-06-01

    Prosthetic rehabilitation of edentulous patients can sometimes pose many clinical challenges for the clinician. The importance of correct vertical and horizontal positioning of the anterior teeth so that the completed denture is esthetically pleasing while being functionally correct has been well documented in the literature. Different techniques have been proposed whereby a conventional occlusal rim is used. The wax-rim thickness of this design can interfere with the neutral zone, making normal phonetics difficult. In this report, a completely edentulous patient received treatment using a modified occlusal rim so that phonetics could be used to determine the anterior tooth position and vertical dimension, following a strict adherence to a clinical protocol. The methodology involved the use of heat-processed resin record bases and a thin segment of baseplate wax that mimics anterior teeth. This approach resulted in a more natural feeling for the patient and provided the clinician the necessary information for the laboratory, which was easily communicated.

  14. Changes in shape of posterior parts of upper jaws after extraction of teeth and prosthetic treatment.

    Science.gov (United States)

    Berg, H; Carlsson, G E; Helkimo, M

    1975-09-01

    Changes in the sagittal and transverse profiles of the anterior and posterior parts of the alveolar process after extraction of all teeth and insertion of immediate dentures were studied during a five-year period using casts of 14 patients. The casts were oriented in a uniform way with the help of reference points in the hard palate. The desired profiles could then be reproduced with a special tracing apparatus. Four profiles made during the five-year period were compared for each patient. Changes in shape of the upper jaws in the median sagittal plane agreed well with the results obtained in earlier investigations and showed a reduction of the anterior part of the alveolar process for each patient. In the posterior part of the upper jaw, on the other hand, an increase in size was seen in the transverse section of the alveolar process in most patients examined.

  15. Tooth loss treatment in the anterior region: Autotransplantation of premolars and cryopreservation

    OpenAIRE

    2016-01-01

    Avulsed and lost anterior teeth are common in young people. Using autotransplantation, it is possible to move problems in dental arches to regions where they are easier to solve orthodontically. Transplantation of premolars with three-quarter root formation or full root formation with wide open apical foramina provides the best prognosis for long-term survival. This article describes the use of autotransplantation and orthodontic treatment, together with cryopreservation, in connection with c...

  16. The dynamic relationship between pathological migrating teeth and periodontal disease

    Directory of Open Access Journals (Sweden)

    Surekha R Rathod

    2013-01-01

    Full Text Available Background: Pathologic migration is defined as change in tooth position resulting from disruption of the forces that maintain teeth in normal position in relation to their arch. The disruption of equilibrium in tooth position may be caused by several etiologic factors. So, the aim of the study was to evaluate the pathologic tooth migration (PTM in the upper anterior sextant and its relationship with predisposing and external factors such as bone loss, tooth loss, gingival inflammation, age, parafunctions, lingual interposition in the tongue thrust, and oral habits. Aim: The aim of the study was to evaluate the PTM in the upper anterior sextant and its relationship with predisposing and external factors such as bone loss, tooth loss, gingival inflammation, age, parafunctions, lingual interposition in the tongue thrust, and oral habits. Materials and Methods: The study sample consisted of 100 subjects of both sexes, with age ranging from 19 to 72 years. The probing pocket depth and gingival index were recorded for each patient. Competency of lips was also evaluated as competent or incompetent. Habits such as tongue thrusting, nail biting, and lip sucking were evaluated in relation to pathological migration of the tooth. Results: The results showed that no single factor by itself is clearly associated with PTM. As bone loss increases, the association of PTM with additional factors such as tooth loss and gingival inflammation increases. Conclusion: Further studies would be of great help to identify under which circumstances PTM is reversible according to the influence of gingival inflammation, malocclusion, and other factors. This information would contribute to a better understanding of some biological implications of the so-called minor tooth movement.

  17. [Anterior cervical hypertrichosis: case report].

    Science.gov (United States)

    Orozco-Gutiérrez, Mario H; Sánchez-Corona, José; García-Ortiz, José E; Castañeda-Cisneros, Gema; Dávalos-Rodríguez, Nory O; Corona-Rivera, Jorge R; García-Cruz, Diana

    2016-10-01

    The non-syndromic anterior cervical hypertrichosis (OMIM N° 600457) is a genetic disorder characterized by a patch of hair at the level of the laryngeal prominence. We present a 12-year-old boy with anterior cervical hypertrichosis and mild generalized hypertrichosis. He has no neurological, ophthalmological or skeletal anomalies. The clinical follow up is 10 years.

  18. Clinical Report of 1 Cases of Monozygotic Twins Supernumerary Teeth%单卵双胞胎兄弟额外牙1例

    Institute of Scientific and Technical Information of China (English)

    杨春敏

    2014-01-01

    额外牙是指牙数目异常,其发生可能来自形成过多的牙蕾,也可能是牙胚分裂而成。临床上最多见的是上前牙区单颗多生牙。单卵双胞胎同患多生牙未见报道,同时含有2颗或多颗多生牙者更少见。近日笔者遇到一对双胞胎兄弟,因上前牙区多生牙影响美观前来就诊,由此正确的诊断及时拔除额外牙具有临床意义。%Supernumerary tooth is tooth abnormalities, which may be derived from the formation of excessive tooth bud, may also be split into tooth germ. Clinical go up to see at most is the anterior teeth area single supernumerary teeth. Monozygotic twins with supernumerary teeth is not reported, while containing two or more supernumerary teeth are more rare. I recently met a pair of twin brothers, because to supernumerary teeth appearance came to visit, report as fol ows now.Because the forward supernumerary teeth af ect the appearance to come round to see a doctor, the clinical significance of the correct diagnosis and timely removal of supernumerary teeth. Report as fol ows now.

  19. Endodontic management of immature teeth with spontaneous apical closure and periapical lesions: case series and review of the literature.

    Science.gov (United States)

    Çalışkan, Mehmet Kemal; Kaval, Mehmet Emin

    2015-08-01

    Spontaneous apical closure in non-vital immature teeth has been rarely encountered and outcome of non-surgical endodontic treatment of related teeth associated with periapical lesions has not yet been adequately elucidated. The aim of this article was to report endodontic management of spontaneous apical closure of infected untreated immature teeth with periapical lesions and to review previously proposed mechanisms for the development of spontaneous hard tissue barrier. Three patients were referred at different time intervals to the endodontic clinic for treatment of their maxillary anterior incisors with acute or chronic apical periodontitis. Dental histories indicated that related teeth had been subjected to trauma approximately 12-18 years previously. Radiographically, the involved teeth exhibited incomplete root formation with spontaneous apical closure and were associated with an apical radiolucency. After biomechanical preparation, calcium hydroxide paste was applied and was changed once or twice within 3 months. All canals were then filled with gutta-percha and AH Plus and the follow-up period was 16-50 months; both clinical and radiographic examinations revealed adequate function, the absence of clinical symptoms and significant healing of the periapical radiolucency.

  20. Inestabilidad Anterior de Hombro

    Directory of Open Access Journals (Sweden)

    Pablo David Flint Kuran

    2013-11-01

    Full Text Available In­tro­duc­ción La luxación recidivante de hombro es una patología frecuente en pacientes jóvenes, laboralmente activos. Existen numerosas técnicas quirúrgicas para la inestabilidad glenohumeral. La técnica de Bristow, discutida por no ser anatómica y por sus complicaciones, continúa vigente debido al bajo índice de reluxaciones. Los objetivos fueron determinar el índice de recidiva, alteraciones funcionales e índice de consolidación del injerto. Materiales­ y­ Métodos Se evaluaron 24 pacientes del sexo masculino, de entre 19 y 40 años, operados por luxación anterior recidivante de hombro según la técnica de Bristow, entre enero de 2003 y agosto de 2011. Se evaluó la tasa de reluxación, la función articular según el puntaje de Constant y el posicionamiento del injerto con respecto a la superficie articular con tomografía y radiografías para evaluar la consolidación del injerto. Se registraron las complicaciones quirúrgicas. Resultados ­Todos los pacientes eran hombres, con rango de edad de 19 a 40 años. La causa fue traumática en 24 pacientes. Dieciséis pacientes presentaron más de 3 episodios de luxación prequirúrgicos. Según la escala de Constant, 21 obtuvieron entre 96 y 100 puntos, y los restantes, entre 90 y 95 puntos. No hubo nuevos episodios de luxaciones. La tomografía mostró la consolidación en todos los casos. Un paciente tuvo una imagen osteolítica alrededor del tornillo, sin compromiso funcional del hombro. Conclusión La técnica de Bristow para tratar la luxación anterior recidivante de hombro provocó un bajo índice de complicaciones, con resultados funcionales entre excelentes y buenos. No hubo episodios de reluxación y se logró la consolidación del injerto óseo en todos los casos.

  1. Evaluation of technical quality and periapical health of root-filled teeth by using cone-beam CT

    Directory of Open Access Journals (Sweden)

    Bilge Gülsüm NUR

    2014-12-01

    Full Text Available Objective This study aimed to assess the quality of root fillings, coronal restorations, complications of all root-filled teeth and their association with apical periodontitis (AP detected by cone-beam computed tomography (CBCT images from an adult Turkish subpopulation. Material and Methods The sample for this study consisted of 242 patients (aging from 15 to 72 years with 522 endodontically treated teeth that were assessed for technical quality of the root canal filling and periapical status of the teeth. Additionally, the apical status of each root-filled tooth was assessed according to the gender, dental arch, tooth type and age classification, undetected canals, instrument fracture, root fracture, apical resorption, apical lesion, furcation lesion and type and quality of the coronal structure. Statistical analysis was performed using percentages and chi-square test. Results The success rate of the root canal treatment was of 54.4%. The success rates of adequate and inadequate root canal treatment were not significantly different (p>0.05. Apical periodontitis was found in 228 (45.6% teeth treated for root canals. Higher prevalence of AP was found in patients aging from 20 to 29 years [64 (27% teeth] and in anterior (canines and incisors teeth [97 (41% teeth]. Conclusions The technical quality of root canal filling performed by dental practitioners in a Turkish subpopulation was consistent with a high prevalence of AP. The probable reasons for this failure are multifactorial, and there may be a need for improved undergraduate education and postgraduate courses to improve the clinical skills of dental practitioners in endodontics.

  2. Anterior segment spectral domain optical coherence tomography imaging of patients with anterior scleritis.

    Science.gov (United States)

    Levison, Ashleigh L; Lowder, Careen Y; Baynes, Kimberly M; Kaiser, Peter K; Srivastava, Sunil K

    2016-08-01

    The purpose of the study was to describe the findings seen on anterior segment spectral domain optical coherence tomography (SD-OCT) in patients with anterior scleritis and determine the feasibility of using SD-OCT to image and grade the degree of scleral inflammation and monitor response to treatment. All patients underwent slit lamp examination by a uveitis specialist, and the degree of scleral inflammation was recorded. Spectral domain OCT imaging was then performed of the conjunctiva and scleral tissue using a standardized acquisition protocol. The scans were graded and compared to clinical findings. Twenty-eight patients with anterior scleritis and ten patients without ocular disease were included in the study. Seventeen of the scleritis patients were followed longitudinally. Common findings on SD-OCT in patients with active scleritis included changes in hyporeflectivity within the sclera, nodules, and visible vessels within the sclera. There was significant variation in findings on SD-OCT within each clinical grade of active scleritis. These changes on SD-OCT improved with treatment and clinical improvement. SD-OCT imaging provided various objective measures that could be used in the future to grade inflammatory activity in patients with anterior scleritis. Longitudinal imaging of patients with active scleritis demonstrated that SD-OCT may have great utility in monitoring response to treatment.

  3. Elephant teeth from the atlantic continental shelf

    Science.gov (United States)

    Whitmore, F.C.; Emery, K.O.; Cooke, H.B.S.; Swift, D.J.P.

    1967-01-01

    Teeth of mastodons and mastodons have been recovered by fishermen from at least 40 sites on the continental shelf as deep as 120 meters. Also present are submerged shorelines, peat deposits, lagoonal shells, and relict sands. Evidently elephants and other large mammals ranged this region during the glacial stage of low sea level of the last 25.000 years.

  4. Simulation of a flow around biting teeth

    Science.gov (United States)

    Narusawa, Hideaki; Yamamoto, Eriko; Kuwahara, Kunio

    2008-11-01

    We simulated a flow around biting teeth. The decayed tooth is a disease that a majority of people are annoyed. These are often generated from a deep groove at occlusal surface. It is known that a person who bites well doesn't suffer from a decayed tooth easily. Biting forces reach as much as 60 kg/cm^2 by an adult male, and when chewing, upper and lower teeth approach to bite by those forces. The crushed food mixed with saliva becomes high viscosity fluid, and is pushed out of ditches of teeth in the direction of the cheek or the tongue. Teeth with complex three dimension curved surface are thought to form venturi at this time, and to generate big pressure partially. An excellent dental articulation will possibly help a natural generation of a flow to remove dental plaque, i.e. the cause of the decayed tooth. Moreover, the relation of this flow with the destruction of the filled metal or the polymer is doubted. In this research, we try to clarify the pressure distributions by this flow generation as well as its dynamics when chewing. One of our goals is to enable an objective design of the shape of the dental fillings and the artificial tooth. Tooth has a very small uneven ground and a bluff body. In this case, to calculate a computational numerical simulation to solve the Navier-Stokes equations three dimension Cartesian coordinate system is employed.

  5. Set Someone's Teeth on Edge

    Institute of Scientific and Technical Information of China (English)

    江河

    2002-01-01

    有些人听到刺耳的声音,或尝到酸溜溜的滋味时,会被刺激得牙齿颤动。“Set someone's teeth on edge”的成语由此产生,解释为使某人不安、烦躁甚至咬牙切齿。

  6. Rows of small teeth in Ziphioid whales

    NARCIS (Netherlands)

    Boschma, H.

    1951-01-01

    In Ziphioid Whales the toothrows as a rule have been subject to pronounced reduction, so that the number of teeth of fairly large size is restricted to one pair in the lower jaw. Even these often are concealed in the gum and then must be regarded as functionless, though especially in old males the t

  7. Transplantation of premolars as an approach for replacing avulsed teeth.

    Science.gov (United States)

    Andreasen, Jens Ove; Schwartz, Ole; Kofoed, Thomas; Daugaard-Jensen, Jette

    2009-01-01

    Autotransplantation of premolars to the anterior region subsequent to tooth loss represent a unique treatment method that has a number of advantages in comparison with other tooth substitution methods. A tooth transplant has a bone inducing capacity implying that lost labial bone is regenerated. Secondly the tooth precipitates growth of the alveolar procces and allows treatment to be performed at an early age (10-12 years) where the trauma incidence is at its maximum. Finally transplanted teeth can be moved orthodontically. These characteristics make implant solutions appealing in a number of situations. The procedure consist in selecting a premolar in a optimal root development stage which is approximately three fourths root formation where optimal pulp and periodontal ligament healing can be achieved in more than 90 percent of the cases. The tooth is later after slight crown remodeling restored with composite or a porcelain laminate. Four recent long-term studies have shown survival rates between 90-98 percent and a single long term study (33 years) showed a survival rate of 90 percent, a survival rate not surpassed by any other type of tooth replacement (fixed or removable prostetics, implants). In conclusion premolar transplantation should be considered in cases of early loss of a permanent tooth.

  8. Congenital oligodontia of the deciduous teeth and anodontia of the permanent teeth in a cat.

    Science.gov (United States)

    Vieira, Ana Luiza S; Ocarino, Natalia de M; Boeloni, Jankerle N; Serakides, Rogeria

    2009-02-01

    This report describes a rare case of congenital oligodontia of the deciduous teeth and anodontia of the permanent teeth in a cat. According to cat's veterinarian, the patient had only two deciduous upper canines and no permanent teeth had ever erupted. Post-mortem evaluation showed a complete absence of teeth in the oral cavity and inflammatory lesions were not found on the gums. Histopathological analysis of serial sections of maxilla and mandible revealed absence of odontogenic epithelium, inflammatory cells and odontoclastic resorptive lesions. Diagnosis was confirmed after both the establishment that there were no remaining dental structures and the exclusion of other relevant diseases that lead to tooth loss, such as periodontal disease, renal fibrous osteodystrophy, odontoclastic resorptive lesions, ectodermal dysplasia and trauma.

  9. Anterior dental evolution in the Australopithecus anamensis-afarensis lineage.

    Science.gov (United States)

    Ward, Carol V; Plavcan, J Michael; Manthi, Fredrick K

    2010-10-27

    Australopithecus anamensis is the earliest known species of the Australopithecus-human clade and is the likely ancestor of Australopithecus afarensis. Investigating possible selective pressures underlying these changes is key to understanding the patterns of selection shaping the origins and early evolution of the Australopithecus-human clade. During the course of the Au. anamensis-afarensis lineage, significant changes appear to occur particularly in the anterior dentition, but also in jaw structure and molar form, suggesting selection for altered diet and/or food processing. Specifically, canine tooth crown height does not change, but maxillary canines and P(3)s become shorter mesiodistally, canine tooth crowns become more symmetrical in profile and P(3)s less unicuspid. Canine roots diminish in size and dimorphism, especially relative to the size of the postcanine teeth. Molar crowns become higher. Tooth rows become more divergent and symphyseal form changes. Dietary change involving anterior dental use is also suggested by less intense anterior tooth wear in Au. afarensis. These dental changes signal selection for altered dietary behaviour and explain some differences in craniofacial form between these taxa. These data identify Au. anamensis not just as a more primitive version of Au. afarensis, but as a dynamic member of an evolving lineage leading to Au. afarensis, and raise intriguing questions about what other evolutionary changes occurred during the early evolution of the Australopithecus-human clade, and what characterized the origins of the group.

  10. Traumatic intrusion of permanent teeth. Part 1. An epidemiological study of 216 intruded permanent teeth.

    Science.gov (United States)

    Andreasen, Jens Ove; Bakland, Leif K; Matras, Rannva C; Andreasen, Francis Meriam

    2006-04-01

    An epidemiological study of traumatic intrusion of permanent teeth was performed on 216 teeth in 151 patients treated over a 50-year period at a major trauma center in Denmark (Copenhagen). This analysis showed that intrusion of permanent teeth was of rare injury only affecting 1.9% of traumatic injuries involving permanent teeth. The main etiologic factor appeared to be falling which resulted in axial impacts on maxillary or mandibular teeth. The most common injury patterns were intrusion without additional injuries (33.5%) and intrusion with crown fractures (60.5%). A few cases were combinations of intrusion and either crown/root-fractures or root fractures (6%). Most often one tooth was intruded (46.3%), followed by two teeth (32.4% ) and three or more teeth (21.3%). The majority of intruded teeth were displaced 2-8 mm. The age group of 6-12 years of age was most frequently involved and boys appeared to experience intrusion injuries more frequently than girls, and at an earlier age. Maxillary central and lateral incisors are the primary victims of intrusions and this seems to be identical to other trauma types and is possibly related to the known exposure to impacts of maxillary incisors. The reliability of clinical findings, such as lack of mobility (81.8%), metallic percussion tone (72.5%), and no pain to percussion (66%) was reasonably high, whereas a radiographic feature such as the obliteration of the periodontal ligament space appeared to be only a partly reliable diagnostic tool (52%).

  11. Modular Permanent Magnet Machines with Alternate Teeth Having Tooth Tips

    OpenAIRE

    Li, G. J.; Zhu, Z.Q.; Foster, M. P.; Stone, D. A.; Zhan, H.L.

    2015-01-01

    This paper presents single layer modular permanent magnet machines with either wound or unwound teeth with tooth tips. The structures with wound teeth having tooth tips are suitable for modular machines with slot number higher than pole number to compensate for the drop in winding factor due to the flux gaps in alternate stator teeth, accordingly to maintain or even to increase their average torques. However, the structures with unwound teeth having tooth tips are suitable for modular machine...

  12. Reduction of contact stresses using involute gears with asymmetric teeth

    OpenAIRE

    2015-01-01

    Asymmetrical involute gears have a different value of the operating pressure angle for right and left side of the gear. These teeth are suitable for one direction of rotation. Such teeth enable to change the length of the generating line. They enable to improve the value of reduced radii of curvature. Asymmetrical teeth allow reducing the values of Hertz's pressures, especially on the root of the teeth. Hertz pressures are directly related to the asymmetry.

  13. Natal teeth in an infant with congenital hypothyroidism

    Directory of Open Access Journals (Sweden)

    C Venkatesh

    2011-01-01

    Full Text Available Teeth erupting at birth are referred to as natal teeth. It is a common and benign finding in the neonatal period. However, they may be associated with genetic syndromes like Ellis Van Creveld syndrome and Hallermann-Streiff syndrome. We report here a case of natal teeth in an infant with congenital hypothyroidism.

  14. Dentinogenesis imperfecta - hardness and Young's modulus of teeth.

    Science.gov (United States)

    Wieczorek, Aneta; Loster, Jolanta; Ryniewicz, Wojciech; Ryniewicz, Anna M

    2013-01-01

    Dentinogenesis imperfecta type II (DI-II) is the most common dental genetic disease with reported incidence 1 in 8000. Elasticity and hardness of the enamel of teeth are important values which are connected with their resistance to attrition. It is hypothesized that values of physical properties for healthy teeth and teeth with DI-II are different. The aim of the study was to investigate some physical properties of teeth extracted from patients with DI-II in comparison with normal teeth. The material of the study was six teeth: three lower molars, with clinical signs of DI-II, which were extracted due to complications of pulp inflammation and three other lower molars which were extracted for orthodontic reasons - well formed, without any signs of pathology. The surfaces of DI-II and normal teeth were tested on the CSM Instruments Scratch Tester machine (producer CSEM Switzerland) by Oliver and Pharr method. The indenter used was Vicker's VG-73 diamond indenter. Additionally, the Scanning Electron Microscopy (SEM) analysis of the surface of the teeth with DI-II was made. Vickers hardness of the teeth with dental pathology (DI-II) was seven times smaller, and Young's modulus six times smaller than those of healthy teeth. The parameters of hardness and elasticity of enamel of teeth with clinical diagnosis of DI-II were very much smaller than in normal teeth and because of that can be responsible for attrition.

  15. An evaluation of factors associated with persistent primary teeth.

    Science.gov (United States)

    Aktan, Ali Murat; Kara, Isa; Sener, Ismail; Bereket, Cihan; Celik, Salih; Kirtay, Mustafa; Ciftçi, Mehmet Ertugrul; Arici, Nursel

    2012-04-01

    The aim of the present study was to investigate the reasons for the persistence of primary teeth and also use panoramic radiography to determine the characteristics of persistence teeth. Four-hundred and twenty-six panoramic radiographies, which diagnosed one or more retained primary teeth, were selected from 100,577 panoramic radiographic image files from nine clinics and six different cities in Turkey. The selected radiographies were evaluated to determine the reasons for the persistence of primary teeth; furthermore, this study analyzed the characteristics of the retained primary teeth including tooth type, number, location, and root resorption, and whether, or not, the primary teeth showed evidence of pathological conditions, such as periodontal problems, caries, ankylosis, infra-occlusions, or tipping of the adjacent permanent teeth. Six hundred and seventy-seven retained primary teeth were determined in 426 patients (148 males and 278 females). Retained primary teeth were found most frequently in the mandible rather than the maxilla and the left side was more frequently affected than the right side. Level 1 was found as a most frequently encountered root resorption level. Within the limitation of the present study, the most common type of persistent primary teeth seen on the dental arch were mandibular primary second molars, followed by maxillary primary canines. The most frequent reason for the persistence was the congenital absence of successors to the primary teeth, followed by impaction of the successor teeth.

  16. Mesiodistal root angulation of permanent teeth in children with mixed dentition and normal occlusion

    Directory of Open Access Journals (Sweden)

    Flávia A. S. Jesuino

    2010-12-01

    Full Text Available OBJECTIVE: There is little information regarding the mesiodistal angulation of permanent teeth in mixed dentition. The aim of this study was to evaluate mesiodistal root angulation of permanent incisors, canines and first molars of 100 Brazilian children, using a new horizontal reference plane based on the midpoint of the intercuspation of primary canines and permanent first molars in panoramic radiographs during the mixed-dentition phase. MATERIAL AND METHODS: Children were equally divided between the genders with a mean age of 8.9 years (SD=0.76, normal occlusion and no eruptive disturbances. RESULTS: The angulation of the permanent maxillary first molars was close to the vertical, whereas the mandibular molars presented approximately 25 degrees of distal root angulation. The maxillary canines were the most distally angulated teeth, whereas the permanent mandibular canines were vertically positioned. The evaluation of the anterior maxillary area showed vertical position of permanent lateral, and central incisors with a slight distal angulation, whereas the permanent mandibular incisors tended to a mesial radicular convergence. CONCLUSIONS: The proposed reference line could be useful in mixed dentition root angulation evaluation; there was a slight asymmetry in the mesiodistal angulation among homologous teeth, and also a small variation between the male and the female groups, but no difference between 8-and 10-year-old children.

  17. Maternal diets, nutritional status, and zinc in contemporary Mexican infants' teeth: Implications for reconstructing paleodiets.

    Science.gov (United States)

    Dolphin, Alexis E; Goodman, Alan H

    2009-11-01

    Despite attempts to use zinc (Zn) concentrations in hard tissues to comment upon the degree of carnivory in past populations, zinc has yielded inconsistent trophic level effects. The question of what, if anything, zinc in human enamel reveals regarding past diets is the focus of this research. We test whether the zinc content of deciduous tooth enamel from contemporary Mexican infants varies by maternal dietary variables such as zinc intake, proportion of animal products consumed, and dietary components that are known to impact zinc absorption. Deciduous teeth were collected from former participants in a longitudinal study of maternal and infant diet and function in highland Mexico. The Zn/Ca ratios of both prenatal and postnatal regions of 37 anterior teeth representing 26 individuals were assessed via laser ablation-inductively coupled plasma-mass spectrometry. Maternal dietary data collected during lactation were not correlated with zinc levels in the early postnatal enamel of infants' teeth, which were forming at the same time. In the case of prenatal enamel, zinc values were correlated with the consumption of foods known to influence Zn bioavailability, most notably tortillas (P = 0.008; r = 0.510), but not with meat consumption. Unexpectedly, women who consumed diets with poor zinc bioavailability during pregnancy gave birth to infants whose prenatal enamel demonstrated the highest Zn/Ca ratios, possibly due to enhanced zinc absorption during pregnancy for those mothers suffering most from long-term micronutrient deficiency. These results would suggest that zinc is not a reliable trophic level indicator.

  18. Microleakage in primary teeth restored by conventional or bonded amalgam technique.

    Science.gov (United States)

    Myaki, S I; Rodrigues, C R; Raggio, D P; Flores, T A; Matson, M R

    2001-01-01

    The aim of this in vitro study was to evaluate marginal leakage in class V restorations in primary teeth restored with amalgam, using three different techniques. Thirty maxillary anterior primary teeth, clinically sound and naturally exfoliated, were used. In group 1 (n = 10), two thin layers of a copal varnish (Cavitine) were applied. In group 2 (n = 10), Scotchbond Multi-Purpose Plus, a dual adhesive system, was used according to manufacturer instructions. In group 3 (n = 10), One-Step adhesive system in combination with a low-viscosity resin (Resinomer) were used according to manufacturer instructions. All samples were restored with a high-copper dental amalgam alloy (GS 80, SDI). After restoration, the samples were stored in normal saline at 37 degrees C for 72 h. The specimens were polished, thermocycled (500 cycles, 5 degrees and 55 degrees C, 30-s dwell time) and impermeabilized with fingernail polish to within 1.0 mm of the restoration margins. The teeth were then placed in 0.5% methylene blue for 4 h. Finally, the samples were sectioned and evaluated for marginal leakage. The Kruskal-Wallis test showed that the filled adhesive resin (group 3) had the least microleakage. There was no significant difference between groups 1 and 2.

  19. Efficacy of various eugenol and non-eugenol root canal sealers in the treatment of teeth with periapical radiolucent area--a clinical and radiological study.

    OpenAIRE

    Bal C; Sikri V; Agrawal R

    1990-01-01

    A clinical and radiological study was conducted to compare the efficacy of various eugenol containing Viz. Zinc oxide eugenol, CRCS and Rosen′s Cement and non eugenol containing sealers and N2 on forty eight non-vital anterior teeth, with a periapical radiolucent area of 1-7mm in diameter. The patients were recalled after 30,90,150 and 210 days On radiological examination after 210 days CRCS showed maximum decrease in periapical radiolucency from 4.39 mm. to 1.80mm. The teeth treated w...

  20. Anterior chamber depth during hemodialysis

    Directory of Open Access Journals (Sweden)

    Gracitelli CPB

    2013-08-01

    Full Text Available Carolina Pelegrini Barbosa Gracitelli,1 Francisco Rosa Stefanini,1 Fernando Penha,1 Miguel Ângelo Góes,2 Sérgio Antonio Draibe,2 Maria Eugênia Canziani,2 Augusto Paranhos Junior1 1Ophthalmology Department, 2Division of Nephrology, Federal University of São Paulo – UNIFESP, São Paulo, Brazil Background: Exacerbation of chronic glaucoma or acute glaucoma is occasionally observed in patients undergoing hemodialysis (HD because of anterior chamber depth changes during this therapy. Purpose: To evaluate anterior chamber depth and axial length in patients during HD sessions. Methods: A total of 67 eyes of 35 patients were prospectively enrolled. Axial length and anterior chamber depth were measured using ultrasonic biometry, and these measures were evaluated at three different times during HD sessions. Body weight and blood pressure pre- and post-HD were also measured. Results: There was no difference in the axial length between the three measurements (P = 0.241. We observed a significantly decreased anterior chamber depth (P = 0.002 during HD sessions. Conclusion: Our results support the idea that there is a change in anterior chamber depth in HD sessions. Keywords: anterior chamber, hemodialysis, axial length, acute angle-closure glaucoma

  1. Diffuse anterior retinoblastoma: current concepts

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    Yang J

    2015-07-01

    Full Text Available Jing Yang,1–3 Yalong Dang,1–3 Yu Zhu,1 Chun Zhang2,3 1Department of Ophthalmology, The First Affiliated Hospital, Zhengzhou University, Zhengzhou City, Henan Province, 2Department of Ophthalmology, Peking University Third Hospital, 3Clinical Stem Cell Research Center, Peking University Third Hospital, Beijing, People’s Republic of China Abstract: Diffuse anterior retinoblastoma is a rare variant of retinoblastoma seeding in the area of the vitreous base and anterior chamber. Patients with diffuse anterior retinoblastoma are older than those with the classical types, with the mean age being 6.1 years. The original cells of diffuse anterior retinoblastoma are supposed to be cone precursor. Patients most commonly present with pseudouveitis, pseudohypopyon, and increased intraocular pressure. The retina under fundus examination is likely to be normal, and the clinical features mimic the inflammation progress, which can often lead to misdiagnosis. The published diffuse anterior retinoblastoma cases were diagnosed after fine-needle aspiration biopsy running the potential risk of inducing metastasis. The most common treatment for diffuse anterior retinoblastoma is enucleation followed by systematic chemotherapy according to the patient’s presentation and clinical course. This review summarizes the recent advances in etiology (including tumorigenesis and cell origin, pathology, diagnosis, differential diagnosis, and new treatment. The challenges of early diagnosis and prospects are also discussed. Keywords: pathology, microenvironment, treatment, diagnosis 

  2. Pulpectomy procedures in primary molar teeth

    Directory of Open Access Journals (Sweden)

    Hany Mohamed Aly Ahmed

    2014-01-01

    Full Text Available Premature loss of primary molars can cause a number of undesirable consequences including loss of arch length, insufficient space for erupting premolars and mesial tipping of the permanent molars. Pulpectomy of primary molar teeth is considered as a reasonable treatment approach to ensure either normal shedding or a long-term survival in instances of retention. Despite being a more conservative treatment option than extraction, efficient pulpectomy of bizarre and tortuous root canals encased in roots programmed for physiologic resorption that show close proximity to developing permanent tooth buds presents a critical endodontic challenge. This article aims to provide an overview of this treatment approach, including partial and total pulpectomy, in primary molar teeth. In addition, the recommended guidelines that should be followed, and the current updates that have been developed, while commencing total pulpectomy in primary molars are discussed.

  3. Teaching parents to look after children's teeth.

    Science.gov (United States)

    Lloyd, S

    1994-03-01

    Children's toothpastes with fluoride help to prevent decay, but parents should ask their dentist before giving fluoride supplements to children. Overdosage is harmful. Sugars eaten as part of a meal do less harm to teeth than those eaten frequently as snacks. Sugar-free infant drinks and children's confectionery are now on the market and are more "tooth friendly". Look out for the "happy tooth" symbol. Babies can be registered with NHS dentists as soon as the first teeth start to come through, and should be taken regularly to the dentist throughout childhood. Under the NHS scheme, dentists are paid a capitation fee to provide continuing preventive care and treatment for children free of charge.

  4. Utilization of different management concepts in fractured tooth fragment reattachment: a report of three cases.

    Science.gov (United States)

    Patel, Nishtha; Patel, Kiran; Venkataraghavan, Karthik; Madan, Sonal

    2013-09-01

    Traumatic injuries of teeth involve varying degrees of damage to the supporting soft tissues or the teeth itself. A very common injury to the permanent dentition affecting children and adolescents during their growing years is the anterior crown fracture. Recent developments in restorative material, placement techniques, preparation designs, and an adhesive protocol allow clinicians to predictably restore fractured teeth. With the advent of adhesive dentistry the process of fragment reattachment has become simplifed and more reliable. This procedure provides an improved function, is relatively faster to perform and at the same time provides long lasting esthetics. This paper discusses various innovative techniques of fracture reattachment depending on the complexity of the case.

  5. Dental Trauma: An inside to Avulsion Teeth

    OpenAIRE

    Mendes PhD, Beatriz

    2015-01-01

    Several studies shows that a wide range from 3-16% of dentoalveolar traumatic injuries result in avulsion. The ideal treatment for avulsion would be the reimplantation of the tooth. Thus, it is recommended to replant the tooth as quickly as possible. However, immediate repositioning of teeth is not always possible, so the choice of a suitable storage medium for maintenance of Periodontal Ligament cell viability is of extreme importance for the success of replantation. At the present article a...

  6. Sexual dimorphism in permanent teeth of modern Greeks.

    Science.gov (United States)

    Zorba, Eleni; Moraitis, Konstantinos; Manolis, Sotiris K

    2011-07-15

    Sex determination is considered an important step in reconstructing the biological profile of unknown individuals from a forensic context. Forensic anthropologists have long used teeth as an additional tool for sex determination as they resist postmortem destruction. In this case the use of population-specific data is necessary since sexual dimorphism varies between different populations. Currently there are no odontometric standards for determining sex in Greek populations. The purpose of this study is to examine the degree of sexual dimorphism in permanent teeth of modern Greeks. A total of 839 permanent teeth in 133 individuals (70 males and 63 females) from the Athens Collection were examined. Mesiodistal and buccolingual crown and cervical diameters of both maxillary and mandibular teeth were measured. It was found that males have bigger teeth than females and in 65 out of 88 dimensions measured, male teeth exceeded female teeth significantly (P<0.05). Canines were the most dimorphic teeth followed by first premolars, maxillary second premolar and mandibular second molar. Although other teeth were also sexually dimorphic they did not have a statistically significant difference in all dimensions. The most dimorphic dimension was buccolingual cervical diameter followed by buccolingual crown diameter. A comparison of sexual dimorphism in teeth between different populations showed that it differs among different groups. European population groups presented the highest degree of sexual dimorphism in teeth whereas Native South Americans the lowest.

  7. Microprobe analysis of teeth by synchrotron radiation: environmental contamination

    Energy Technology Data Exchange (ETDEWEB)

    Pinheiro, T. E-mail: murmur@itn1.itn.pt; Carvalho, M.L.; Casaca, C.; Barreiros, M.A.; Cunha, A.S.; Chevallier, P

    1999-09-02

    An X-ray fluorescence set-up with microprobe capabilities, installed at the Laboratoire pour l'Utilisation du Rayonnement Electromagnetique (LURE) synchrotron (France) was used for elemental determination in teeth. To evaluate the influence of living habits in dental elemental composition nine teeth collected post-mortem were analysed, five from a miner and four from a fisherman. All teeth from the fisherman were healthy. From the miner some teeth were carious and one of them was filled with metallic amalgam. Teeth were sliced under the vertical plane and each slice was scanned from the root to the enamel for elemental profile determination. The synchrotron microprobe resolution was of 100 {mu}m and incident photons of 18 keV energy were used. The elemental concentration values found suggest heterogeneity of the teeth material. Moreover, the distinct profiles for Mn, Sr, Br and Pb were found when teeth from the miner and from the fisherman are compared which can be associated with dietary habits and environmental influence. Higher concentrations of Mn and Sr were found for the fisherman teeth. In addition, Br was only observed in this group of teeth. Pb levels are higher for the miner teeth in particular for dentine regions. The influence of amalgam, such as, increase of Zn and Hg contents in the teeth material, is only noticed for the immediate surroundings of the treated cavity.

  8. Effects of Adjacent Teeth on Caries Status of a Deciduous Tooth in 3-5 Years-Old Children

    Directory of Open Access Journals (Sweden)

    S Afroughi

    2010-10-01

    Full Text Available Introduction & Objective: Based on the carried out studies, the prevalence of dental caries in preschool children is high and ranges from 31.64 to 83.7 percents in Iran. The dmft criterion is not able to compute the impact of neighboring teeth on caries status of a tooth in deciduous teeth. The purpose of this study was to investigate the above issue in a sample of 3-5 years old children in Tehran during 2008-2009. Materials & Methods: In this cross-sectional study, a group of 400, 3–5 years old children who lived in Tehran and referred to Pediatric Dentistry Department of the Dentistry Faculty of Tehran University of Medical Sciences, Iran, for treatment of their deciduous teeth were investigated The demographic variables and mouth health cares data were collected by a questionnaire and the caries status of deciduous teeth were diagnosed by standard methods. The caries statuses were considered as spatially correlated binary data. The auto logistic regression model was implemented for inspecting the association of a tooth and its neighboring teeth which consists of two adjacent teeth and the opponent tooth. The effects of factors were tested using z-score. Results: The fitted model and the computed criteria showed that there was a strong dependency between caries statuses of a tooth and its three neighbors (including the two adjacent and the vertically opponent teeth (p=0.0001. Also the effect of spatial auto covariate which is equivalent to the sum of statuses of nearest neighbors of a tooth is highly significant. Furthermore, the effects of local variables such as jaw and posterior-anterior positions were also highly significant (p=0.0001. Conclusions: In deciduous teeth, the three nearest neighbors have a high effect on a tooth. As a result, the teeth in maxilla and posterior locations are decayed sooner than the other ones. These findings may be considered in preventive programs of health of mouth and tooth in children.

  9. Resistance to cyclic loading of teeth restored with posts

    DEFF Research Database (Denmark)

    Sahafi, A; Peutzfeldt, A; Ravnholt, G

    2005-01-01

    This in vitro study evaluated the effect of presence of post, presence of core, and of shape, type, and surface treatment of posts on resistance to cyclic loading of crowned human teeth. For all teeth, crowns designed without ferrule were cast in sterling silver and luted with resin cement (Panavia...... F). Each tooth underwent cyclic loading of 600 N at two loads per second until failure. Teeth that had only been crowned showed significantly higher resistance to cyclic loading than teeth with cores or with post and cores. No significant differences were found between teeth restored with cores only...... or with post and cores, irrespective of surface-treatment of the posts. Teeth restored with parallel-sided cast post (ParaPost XP) and cores showed significantly higher resistance to cyclic loading than teeth with either tapered cast posts or untreated prefabricated posts of titanium alloy (ParaPost XH...

  10. Effects of a low level laser on periodontal tissue in hypofunctional teeth.

    Science.gov (United States)

    Hayashi, Hidetaka; Terao, Akiko; Kunimatsu, Ryo; Kawata, Toshitsugu

    2014-01-01

    Malocclusions, such as an open bite and high canines, are often encountered in orthodontic practice. Teeth without occlusal stimuli are known as hypofunctional teeth, and numerous atrophic changes have been reported in the periodontal tissue, including reductions in blood vessels in the periodontal ligament (PDL), heavy root resorption, and reduced bone mineral density (BMD) in the alveolar bone. Low Level Laser (LLL) has been shown to have a positive effect on bone formation and the vasculature. Although the recovery of hypofunctional teeth remains unclear, LLL is expected to have a positive influence on periodontal tissue in occlusal hypofunction. The aim of the present study was to elucidate the relationship between LLL and periodontal tissue in occlusal hypofunction. Twenty-four male rats aged 5 weeks were randomly divided into control and hypofunctional groups. An anterior metal cap and bite plate were attached to the maxillary and mandibular incisors in the hypofunctional group to simulate occlusal hypofunction in the molars. LLL irradiation was applied to the maxillary first molar through the gingival sulcus in half of the rats. Rats were divided into four groups; control, control+LLL, hypofunctional, and hypofunctional+LLL. Exposure to LLL irradiation was performed for 3 minutes every other day for 2 weeks. Animals were examined by Micro-CT at 5 and 7 weeks and were subsequently sacrificed. Heads were resected and examined histologically and immunohistologically. The hypofunctional group had obvious stricture of the PDL. However, no significant differences were observed in the PDL and alveolar bone between the hypofunctional+LLL and the control groups. In addition, the expression of basic fibroblast growth factor (bFGF) and vascular endothelial growth factor (VEGF)-positive cells were higher in the hypofunctional + LLL group than in the hypofunctional group. These results indicated that LLL enhanced the production of bFGF and VEGF in the periodontal tissue

  11. Effect of polishing on the microleakage of two different restorative materials in primary teeth: An in vitro study

    Directory of Open Access Journals (Sweden)

    Bhagyashree Salunkhe

    2014-01-01

    Full Text Available Aims and objectives: The aim of this in vitro study was to evaluate the effect of polishing on the microleakage of silorane based Composite (Filtek Z350XT and Resin modified GIC (Vitremer restorations in primary teeth. The objectives were to compare the microleakage with and without polishing, and compare the same between the two materials. Materials and Methods: Class V cavities were prepared on 28 retained deciduous anterior teeth, after they were extracted. The prepared teeth were randomly divided into two groups and restored with the respective materials. The restored teeth were then divided into two subgroups (polished and not polished of seven each. Finishing and polishing for the designated subgroup was done using the Shofu polishing kit. The teeth were then thermocycled and subjected to 1% methylene blue dye penetration, and sectioned buccolingually. Microleakage was evaluated by observing degree of dye penetration under a stereomicroscope, and data subjected to statistical analysis. Statistical analysis was done using Mann-Whitney U test. Results: The results showed that polishing decreased the microleakage in Composite restorations (P0.05. Intergroup comparison of the microleakage without polishing was not significant (P>0.05 while the intergroup comparison after polishing was significant (P<0.05, with polished composite showing comparatively less microleakage. Conclusions: The conclusions of the study were that unpolished restorations with both materials did not show any significant difference in the microleakage scores. Composite restorations, after polishing, showed significantly less microleakage in primary teeth, while with Resin Modified GIC restorations, there wasn′t any difference in microleakage, with or without polishing.

  12. Contribution of prosthetic treatment considerations for dental extractions of permanent teeth

    Directory of Open Access Journals (Sweden)

    Miguel Ángel Fernández-Barrera

    2016-07-01

    Full Text Available Background. Tooth loss is an easily identifiable outcome that summarizes a complex suite of factors in an individual’s history of dental disease and its treatment by dental services over a lifetime. Assessment of overall tooth loss data is essential for epidemiologically evaluating the adequacy of dental care provided at a systems level, as well as for placing in context tooth loss for non-disease causes. For example, when derived from prosthetic treatment planning, the latter may unfortunately lead to some teeth being extracted (pulled for the sake of better comprehensive clinical results. The objective of the present manuscript was to identify the contribution to overall tooth loss, by extraction of permanent teeth because of prosthetic treatment reasons. Material and Methods. A cross-sectional study included sex, age, total number of extractions performed by subject, sextant (anterior vs. posterior, group of teeth (incisors, canines, premolars and molars, upper or lower arch, and the main reason underlying extraction (extraction for any reason vs. prosthetic treatment, in patients 18 years of age and older seeking care at a dental school clinic in Mexico. A multivariate logistic regression model was generated. Results. A total of 749 teeth were extracted in 331 patients; 161 teeth (21.5% of total were extracted for explicit prosthetic treatment indications. As age increased, the likelihood of having an extraction for prosthetic reasons increased 3% (OR = 1.03, p < 0.001. Women (OR = 1.57, p < 0.05 were more likely to be in this situation, and molars (OR = 2.70, p < 0.001 were most at risk. As the total number of extractions increased, the risk of having an extraction for prosthetic reasons decreased (OR = 0.94, p < 0.05. Conclusions. A significant amount (21.5% of the extractions of permanent teeth were performed for prosthetic reasons in this dental school clinical environment; age, sex, type of tooth, and the total number of extractions

  13. Prevalence and correlates of perceived teeth health status and oral health behavior among school-going adolescents in Cambodia

    Science.gov (United States)

    Peltzer, Karl; Tepirou, Chher; Pengpid, Supa

    2016-01-01

    ABSTRACT The purpose of the study was to investigate perceived teeth health status and oral health behavior, as well as their correlates, among adolescents in Cambodia. The analysis included 3806 Cambodian school children (mean age 15.7 years, SD=1.8 years) who took part in the “Global School-based Student Health Survey” (GSHS) in 2013. Overall, 7.8% of the students reported poor perceived teeth status, 18.0% had missed school in the past year because of a toothache, 26.7% engaged in combined oral health behavior (brushing teeth twice daily or more often = 79.8%, using fluoride toothpaste = 59.9%, and drinking soft drinks less than once a day = 53.6%), and 59.9% had never visited a dentist for a routine examination or other dental work. In the multivariate logistic regression analysis, older age, being female, missing school because of a toothache, having a toothache in the past 12 months, poor oral health behavior and sedentary leisure time were associated with poor perceived teeth status. Older age, good perceived teeth status, having had a dental check-up, washing hands before eating and after toilet use, and not eating fast food were associated with a positive oral health behavior (brushing teeth twice daily or more often, using fluoride toothpaste, and drinking soft drinks less than once a day). Significant proportions of poor perceived teeth status and poor oral health behavior were found among school children in Cambodia. Various risk factors (sociodemographic, dental variables, general health risk behaviors) for perceived poor teeth status, oral health behavior and never having had a dental check-up were identified, which can be utilized for intervention programs. PMID:28008205

  14. Mini-implantes ortodônticos como auxiliares da fase de retração anterior Orthodontic mini-implants assisting the anterior retraction phase

    Directory of Open Access Journals (Sweden)

    Carlo Marassi

    2008-10-01

    Full Text Available INTRODUÇÃO: os mini-implantes ortodônticos se estabeleceram como um importante método de ancoragem e vêm auxiliando os ortodontistas nas várias etapas do tratamento ortodôntico, eliminando, em grande parte, a necessidade de colaboração dos pacientes e tornando os resultados mais previsíveis. OBJETIVO: este artigo descreve os principais aspectos do uso dos mini-implantes como auxiliares da fase de retração anterior, trazendo considerações sobre suas indicações, quantidade de movimentação dos dentes anteriores, os vetores de força de retração, o controle vertical, o posicionamento dos mini-implantes, os tipos de apoio na região anterior e a força a ser utilizada. São citados os sítios de instalação mais usados para a retração anterior e abordados fatores que deverão ser controlados durante o fechamento de espaço. Por fim, são citadas algumas considerações clínicas sobre o uso dos mini-implantes nessa importante fase do tratamento ortodôntico.INTRODUCTION: The use of orthodontic mini-implants has settled as an important anchorage method and is aiding the orthodontists in the several stages of the treatment, largely eliminating the need of patients' compliance, and turning the results more predictable. AIM: This article describes the main aspects of the use of mini-implants as auxiliaries on the retraction phase of the anterior teeth, bringing considerations about their indications, amount of movement of the anterior teeth, the vectors of retraction force, the vertical control and evaluation of the incisors vestibulolingual tipping, the positioning of the mini-implants, the support types in the anterior area and the force to be applied. The placement sites best used for the anterior retraction are mentioned, and the factors that should be controlled during the space closure are approached. Lastly, some clinical considerations on the use of mini-implants in such important phase of the orthodontic treatment are

  15. Comparison of Tensile Strength of Four Kind of Acrylic Artificial Teeth to Acrylic Denture Base In Vitro

    Directory of Open Access Journals (Sweden)

    Rosthamkhani F

    2012-01-01

    Full Text Available Introduction: Acrylic teeth properties in complete denture prostheses are important in prosthesis survival. In this regard, tooth tensile bond strength with denture base is very important. The purpose of this study was to compare tensile bond strength of three kind of artificial teeth to denture base manufactured in Iran with a kind manufactured in Italy. Materials & Methods: In this experimental in vitro study, four kind of artificial teeth (Italian Ivoclar, Yaghoot, Herasit plus and Acradent were used. Nine anterior and premolar teeth were selected and were prepared as Cylinders with 4mm diameter. Through flasking, toothbase was bonded to heat-cured acryl. Samples were thermocycled for 2500times (5˚C-55˚C and then were put in plastic pipes and under stretch to fracture by Zwick Z250 instrument. The data were analysed by One-Way ANOVA and Tukey test.Results: Mean tensile bond strength was 260N for Ivoclar, 195N for Herasit, 124N for yaghoot and 54N for Acradent. Adhesive fracture percentage was 100% for Acradent, 60% for Ivoclar, 50% for yaghoot and 35.7% for Herasit. The rest was for cohesive fracture.Conclusion: The highest tensile bond strength was seen with Ivoclar followed by Herasit, Yaghoot and Acradent respectively.

  16. A minimally invasive approach to restore function and esthetics in periodontally involved teeth.

    Science.gov (United States)

    Ricci, Andrea; Ferraris, Federico

    2011-01-01

    The objective of dental treatment is the elimination of the etiologic factors, the rehabilitation of function and esthetics, and, when possible, the maintenance of vitality and structure of the natural dentition. After the loss of the periodontal support, as a consequence of periodontal disease, it may be necessary to splint the residual teeth in order to improve their stability, and sometimes it is also necessary to modify the morphology to optimize the final esthetic outcome. In many periodontally treated teeth, prosthodontic treatment on the residual dentition will be required with an important loss of tooth structure as an unavoidable consequence. This procedure frequently requires endodontic treatment of the residual abutments in order to obtain the necessary space for replacement materials. Similar objectives could however be achieved through an alternative therapy where the esthetic remodeling of the teeth and the closure of the interproximal spaces is obtained with composite resin materials. The objective of this article is to present an alternative protocol to optimize the functional and esthetic result of periodontally treated cases, where the most frequent complication is the increased length of the clinical crown. This is obtained by utilizing a different conservative approach, which has as its main objective the stabilization of the residual teeth, the maintenance of their vitality, and the achievement of the best esthetic result possible.

  17. Maxillary anterior tooth dimensions and proportions in an Irish young adult population.

    LENUS (Irish Health Repository)

    Condon, M

    2011-07-01

    This study was undertaken in a young Irish population to determine the dimensions and ratios of the six maxillary anterior teeth. One hundred and nine Irish subjects (age 18-25 inclusive) had irreversible hydrocolloid impressions made of their maxillary dentition poured in type V stone. Clinical crown dimensions were measured with a digital calliper. The stone casts were digitally photographed in a standardised manner enabling calculation of various ratios between the maxillary anterior teeth. Sexual dimorphism existed for various tooth dimensions; most notably canine teeth were in the region of 0·8 mm longer and 0·6 mm wider in males. Central and lateral incisors were found to be 0·5 mm wider in males. It is, therefore, recommended that dimensional tooth guidelines should be given for each of the sexes and not on a population basis. With regard to tooth proportion ratios, no significant differences were found between genders or the left and right sides for any of the measurements or ratios measured. The digitally recorded tooth proportions were similar for both sexes, and the Golden Proportion guidelines could only be applied to the lateral incisor\\/central incisor widths (0·618). Identified width proportions for the canine\\/central incisor were 0·58 and for canine\\/lateral incisor 0·89.

  18. Tutankhamun's Dentition: The Pharaoh and his Teeth.

    Science.gov (United States)

    Pausch, Niels Christian; Naether, Franziska; Krey, Karl Friedrich

    2015-01-01

    Tutankhamun was a Pharaoh of the 18th Dynasty (New Kingdom) in ancient Egypt. Medical and radiological investigations of his skull revealed details about the jaw and teeth status of the mummy. Regarding the jaw relation, a maxillary prognathism, a mandibular retrognathism and micrognathism have been discussed previously. A cephalometric analysis was performed using a lateral skull X-ray and a review of the literature regarding King Tutankhamun´s mummy. The results imply diagnosis of mandibular retrognathism. Furthermore, third molar retention and an incomplete, single cleft palate are present.

  19. Replacement of Anterior Composite Resin Restorations Using Conservative Ceramics for Occlusal and Periodontal Rehabilitation: An 18-Month Clinical Follow-Up

    Directory of Open Access Journals (Sweden)

    Leonardo Fernandes da Cunha

    2016-01-01

    Full Text Available This case report describes a patient with discolored and fractured composite resin restorations on the anterior teeth in whom substitution was indicated. After wax-up and mock-up, the composite was removed and replaced with minimally invasive ceramic laminates. An established and predictable protocol was performed using resin cement. Minimally invasive ceramic restorations are increasingly being used to replace composite restorations. This treatment improves the occlusal and periodontal aspects during the planning and restorative phases, such as anterior guides, and laterality can be restored easily with ceramic laminates. In addition, the surface smoothness and contour of ceramic restorations do not affect the health of the surrounding periodontal tissues. Here we present the outcome after 18 months of clinical follow-up in a patient in whom composite resin restorations in the anterior teeth were replaced with minimally invasive ceramic laminates.

  20. Partial pulpotomy in young permanent teeth with deep carious lesions.

    Science.gov (United States)

    Mejàre, I; Cvek, M

    1993-12-01

    The material comprised 37 young posterior teeth with deep carious lesions and exposed pulps, treated with partial pulpotomy and dressed with calcium hydroxide. The teeth were divided into two groups. Group 1 consisted of 31 teeth with no clinical or radiographic symptoms before treatment, Group 2 of 6 teeth with temporary pain, widened periodontal space periapically and/or productive osteitis, i.e. increased density of the surrounding alveolar bone. After an observation time of 24 to 140 months (mean = 56 months), healing had occurred in 29 of 31 teeth in Group 1 (93.5%) and in 4 of 6 teeth in Group 2. It was concluded that the present, as well as previously reported results indicate that partial pulpotomy may be an adequate treatment for young permanent molars with a carious exposure, although more studies are needed before the treatment can be recommended for routine clinical use.

  1. Histological appearance of postmortem pink teeth: Report of two cases.

    Science.gov (United States)

    Gowda, Bk Charan; Sivapathasundharam, B; Chatterji, Ananjan; Chatterji, B L

    2015-01-01

    This article presents images and histological changes in the dentin of two cases involving posmortem pink teeth. Postmortem pink teeth were noted among two deceased male individuals. Pink teeth were noted during autopsy examination after twelve days in one corpse, and eight days following death in the second case. During the examination decomposition and putrefaction of the body was noted. Cause of death was drowning in one case and haemorrhages and shock in another. A central incisor tooth was obtained from each body. Both teeth exhibited a pink appearance and the intensity was more pronounced in the cervical region. Although pink teeth can be noted in death due to asphyxia, carbon monoxide poisoning and so on, it is necessary to study the exact role behind the appearance of pink teeth and try to incorporate the finding medico legally.

  2. Anterior cruciate ligament - updating article.

    Science.gov (United States)

    Luzo, Marcus Vinicius Malheiros; Franciozi, Carlos Eduardo da Silveira; Rezende, Fernando Cury; Gracitelli, Guilherme Conforto; Debieux, Pedro; Cohen, Moisés

    2016-01-01

    This updating article on the anterior cruciate ligament (ACL) has the aim of addressing some of the most interesting current topics in this field. Within this stratified approach, it contains the following sections: ACL remnant; anterolateral ligament and combined intra and extra-articular reconstruction; fixation devices; and ACL femoral tunnel creation techniques.

  3. Anterior cruciate ligament - updating article

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    Marcus Vinicius Malheiros Luzo

    2016-08-01

    Full Text Available ABSTRACT This updating article on the anterior cruciate ligament (ACL has the aim of addressing some of the most interesting current topics in this field. Within this stratified approach, it contains the following sections: ACL remnant; anterolateral ligament and combined intra and extra-articular reconstruction; fixation devices; and ACL femoral tunnel creation techniques.

  4. Methods of Intracanal Reinforcement in Primary Anterior Teeth–Assessing the Outcomes through a Systematic Literature Review

    OpenAIRE

    Mittal, Neeti; Bhatia, Hind Pal; Haider, Khushtar

    2015-01-01

    ABSTRACT Aim: To assess how the various methods of intracanal reinforcement (short root canal posts) performed in their clinical and radiographic outcomes for restoring grossly broken down primary anterior teeth after pulpectomy for 1 year or longer follow-up period. Materials and methods: Literature search of electronic databases (Sept 2013) and various journals (1980-Sept 2013) using medical subject headings and free text terms was conducted. For inclusion in quality assessment, prespecifie...

  5. A root submergence technique for pontic site development in fixed dental prostheses in the maxillary anterior esthetic zone

    OpenAIRE

    Choi, Sunyoung; Yeo, In-Sung; Kim, Sung-Hun; Lee, Jai-Bong; Cheong, Chan Wook; Han, Jung-Suk

    2015-01-01

    Purpose This case report discusses the effect of a root submergence technique on preserving the periodontal tissue at the pontic site of fixed dental prostheses in the maxillary anterior aesthetic zone. Methods Teeth with less than ideal structural support for fixed retainer abutments were decoronated at the crestal bone level. After soft tissue closure, the final fixed dental prostheses were placed with the pontics over the submerged root area. Radiographic and clinical observations at the p...

  6. Bacteriological analysis of necrotic pulp and fistulae in primary teeth

    OpenAIRE

    FABRIS, Antônio Scalco; Nakano, Viviane; Avila-Campos,Mario Júlio

    2014-01-01

    Objectives: Primary teeth work as guides for the eruption of permanent dentition, contribute for the development of the jaws, chewing process, preparing food for digestion, and nutrient assimilation. Treatment of pulp necrosis in primary teeth is complex due to anatomical and physiological characteristics and high number of bacterial species present in endodontic infections. The bacterial presence alone or in association in necrotic pulp and fistula samples from primary teeth of boys and gir...

  7. The Anesthetic Effect of Anterior Middle Superior Alveolar Technique (AMSA)

    Science.gov (United States)

    de Souza Tolentino, Lívia; Barbisan Souza, André; Girardi, Ana Alice; Romito, Giuseppe Alexandre; Araújo, Maurício Guimarães

    2015-01-01

    Anesthesia of the soft and hard tissues of the maxilla may require up to 5 injections. Thus, the aim of this study was to evaluate the anesthetic efficacy of the anterior middle superior alveolar (AMSA) and supraperiosteal injection techniques during subgingival scaling and root planing (SRP). Thirty individuals with periodontitis were scheduled for SRP on the buccal aspect of teeth in the anterior maxilla. Before SRP, on a randomly chosen side of the maxilla, the supraperiosteal injection was performed in 1 session, while the AMSA injection was conducted in the contralateral side of the same patient in another session. Immediately after each SRP session, patients rated their pain perception during the procedure with a visual analog scale. No statistically significant differences in mean pain ratings during SRP were found after both anesthetic techniques (P > .05). This preliminary study demonstrated that the AMSA and supraperiosteal injection techniques provided similar anesthetic comfort during SRP. The AMSA injection could be an alternative to anesthetize the buccal aspect of maxilla, without the undesirable effects on facial structures such as the upper lip, nostrils, and lower eyelids. However, further randomized clinical trials with larger samples are necessary to confirm such results. PMID:26650493

  8. Válvula de uretra anterior Anterior urethral valves

    Directory of Open Access Journals (Sweden)

    Silvio Tucci Jr.

    2003-02-01

    Full Text Available Objetivo: apresentar os aspectos clínicos, diagnósticos e terapêuticos de pacientes portadores de válvula da uretra anterior. Descrição: em dois neonatos, o diagnóstico presuntivo de patologia obstrutiva do trato urinário foi sugerido pela ultra-sonografia realizada no período pré-natal, confirmando-se o diagnóstico de válvula de uretra anterior pela avaliação pós-natal. Os pacientes foram submetidos a tratamento cirúrgico paliativo, com vesicostomia temporária e, posteriormente, definitivo, pela fulguração endoscópica das válvulas. Ambos evoluíram com função renal normal. Comentários: a válvula da uretra anterior é anomalia rara que deve ser considerada em meninos com quadro radiológico pré-natal sugestivo de obstrução infravesical, secundariamente à hipótese mais comum de válvula da uretra posterior. Ressaltamos a utilização da vesicostomia como derivação urinária temporária nestes casos, prevenindo potenciais complicações pela manipulação da uretra do recém-nascido.Objective: to discuss clinical signs, diagnostic tools and therapeutics of anterior urethral valves, an obstructive anomaly of the urinary system in males. Description: signs of urinary tract obstruction were identified on pre-natal ultrasound in two male fetuses and the diagnosis of anterior urethral valves was made through post-natal evaluation. As an initial treatment, vesicostomy was performed in both patients. Later, the valves were fulgurated using an endoscopic procedure. During the follow-up period both patients presented normal renal function. Comments: anterior urethral valves are a rare form of urethral anomaly that must be ruled out in boys with pre-natal ultrasound indicating infravesical obstruction. Vesicostomy used as an initial treatment rather than transurethral fulguration may prevent potential complications that can occur due to the small size of the neonatal urethra.

  9. MANAGEMENT OF TEMPORO MANDIBULAR DISORDER (TMD IN PATIENT WITH LOW VERTICAL DIMENSION AND DEEP ANTERIOR BITE

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    Henni Koesmaningati

    2015-06-01

    Full Text Available The cases of TMD are complex and multifactorial, therefore the management should be done by several disciplines. In this report, a 27-year-old man came to the teaching hospital of the University of Indonesia Faculty of Dentistry’s Prosthodontic Department complaining about clicking sound and pain around his right joint. He received orthodontic treatment 9 years ago with removable appliance at a private practice and had 4 premolar extractions. The patient’s face looked asymmetric, with a low vertical dimension, a Class II occlusion, and an anterior deep bite. Besides that, he clenched his teeth during emotional stress. Lateral transcranial photo showed that the position of the left condyle was relatively normal or slightly anterior, and the right condyle was in the superoposterior position in the fossa with an abnormal shape. To solve this problem, the patient was referred to the Orthodontic Department to get a correct vertical dimension and normal anterior overbite. After 6 years, the patient was again referred to the Prosthodontic Department, but the result was not successful. In order to get the right vertical dimension, an occlusal splint was fabricated to achieve a comfort jaw relation. In this position, the overbite was 2 mm, but the space between the upper and lower posterior teeth was 5 mm. In this situation, full veneer crowns were not impossible to fabricate. Finally, to maintain this comfort position, the patient was suggested to wear the occlusal splint and come regularly for control every 6 months.

  10. Clinical strategies for esthetic excellence in anterior tooth restorations: understanding color and composite resin selection.

    Science.gov (United States)

    Nahsan, Flavia Pardo Salata; Mondelli, Rafael Francisco Lia; Franco, Eduardo Batista; Naufel, Fabiana Scarparo; Ueda, Julio Katuhide; Schmitt, Vera Lucia; Baseggio, Wagner

    2012-01-01

    Direct composite resin restorations have become a viable alternative for patients that require anterior restorative procedures to be integrated to the other teeth that compose the smile, especially for presenting satisfactory esthetic results and minimum wear of the dental structure. Technological evolution along with a better understanding of the behavior of dental tissues to light incidence has allowed the development of new composite resins with better mechanical and optical properties, making possible a more artistic approach for anterior restorations. The combination of the increasing demand of patients for esthetics and the capacity to preserve the dental structure resulted in the development of different incremental techniques for restoring fractured anterior teeth in a natural way. In order to achieve esthetic excellence, dentists should understand and apply artistic and scientific principles when choosing color of restorative materials, as well as during the insertion of the composite resin. The discussion of these strategies will be divided into two papers. In this paper, the criteria for color and material selection to obtain a natural reproduction of the lost dental structures and an imperceptible restoration will be addressed.

  11. Clinical strategies for esthetic excellence in anterior tooth restorations: understanding color and composite resin selection

    Directory of Open Access Journals (Sweden)

    Flavia Pardo Salata Nahsan

    2012-04-01

    Full Text Available Direct composite resin restorations have become a viable alternative for patients that require anterior restorative procedures to be integrated to the other teeth that compose the smile, especially for presenting satisfactory esthetic results and minimum wear of the dental structure. Technological evolution along with a better understanding of the behavior of dental tissues to light incidence has allowed the development of new composite resins with better mechanical and optical properties, making possible a more artistic approach for anterior restorations. The combination of the increasing demand of patients for esthetics and the capacity to preserve the dental structure resulted in the development of different incremental techniques for restoring fractured anterior teeth in a natural way. In order to achieve esthetic excellence, dentists should understand and apply artistic and scientific principles when choosing color of restorative materials, as well as during the insertion of the composite resin. The discussion of these strategies will be divided into two papers. In this paper, the criteria for color and material selection to obtain a natural reproduction of the lost dental structures and an imperceptible restoration will be addressed.

  12. Evaluation of the therapeutic efficiency of mandibular anterior implant-supported fixed bridges with cantilevers

    Institute of Scientific and Technical Information of China (English)

    WU Min-jie; WANG Xiao-jing; ZOU Li-dong; XU Wei-hua; ZHANG Xiang-hao

    2013-01-01

    Background Dental implant technology has developed rapidly in recent years.However,the use of implant-supported fixed bridges with cantilevers has been controversial.The purpose of this study was to evaluate the clinical results of the mandibular anterior implant-supported fixed bridges with a cantilever.Method Thirty-three patients (15 males,18 females; mean age,42.6 years; range 20-54 years) with two missing anterior mandibular teeth had single implant-supported fixed bridges with a cantilever.Clinical examination was recorded and radiographs were taken.The mean duration of follow-up was 30 months (15-44 months).Results All implants survived.Loosening or fracture of the prosthesis was not observed.All patients were satisfied with the treatment.The mean bone resorption values after 12,24,and 36 months of implant loading were 0.94,1.18 and 1.35 mm respectively.The changes of gingival papilla height ranged from 0 to 0.5 mm.There was significant difference between 1-year and 2 or 3 years restoration groups regarding the average gingival height changes (P <0.05).Conclusion After careful and precise selection of patients,restoration with a single implant-supported fixed bridge with a cantilever can be recommended if two anterior mandibular teeth are missing.

  13. Applying tribology to teeth of hoofed mammals.

    Science.gov (United States)

    Schulz, Ellen; Calandra, Ivan; Kaiser, Thomas M

    2010-01-01

    Mammals inhabit all types of environments and have evolved chewing systems capable of processing a huge variety of structurally diverse food components. Surface textures of cheek teeth should thus reflect the mechanisms of wear as well as the functional traits involved. We employed surface textures parameters from ISO/DIS 25178 and scale-sensitive fractal analysis (SSFA) to quantify dental wear in herbivorous mammals at the level of an individual wear enamel facet. We evaluated cheek dentitions of two grazing ungulates: the Blue Wildebeest (Connochaetes taurinus) and the Grevy's Zebra (Equus grevyi). Both inhabit the east African grassland savanna habitat, but they belong to fundamentally different taxonomic units. We tested the hypothesis that the foregut fermenting wildebeest and the hindgut fermenting zebra show functional traits in their dentitions that relate to their specific mode of food-composition processing and digestion. In general, surface texture parameters from SSFA as well as ISO/DIS 25178 indicated that individual enamel ridges acting as crushing blades and individual wear facets of upper cheek teeth are significantly different in surface textures in the zebra when compared with the wildebeest. We interpreted the complexity and anisotropy signals to be clearly related to the brittle, dry grass component in the diet of the zebra, unlike the wildebeest, which ingests a more heterogeneous diet including fresh grass and herbs. Thus, SSFA and ISO parameters allow distinctions within the subtle dietary strategies that evolved in herbivorous ungulates with fundamentally different systematic affinities but which exploit a similar dietary niche.

  14. Soft dentin results in unique flexible teeth in scraping catfishes.

    Science.gov (United States)

    Geerinckx, Tom; Huysseune, Ann; Boone, Matthieu; Claeys, Myriam; Couvreur, Marjolein; De Kegel, Barbara; Mast, Peter; Van Hoorebeke, Luc; Verbeken, Kim; Adriaens, Dominique

    2012-01-01

    Teeth are generally used for actions in which they experience mainly compressive forces acting toward the base. The ordered tooth enamel(oid) and dentin structures contribute to the high compressive strength but also to the minor shear and tensile strengths. Some vertebrates, however, use their teeth for scraping, with teeth experiencing forces directed mostly normal to their long axis. Some scraping suckermouth catfishes (Loricariidae) even appear to have flexible teeth, which have not been found in any other vertebrate taxon. Considering the mineralized nature of tooth tissues, the notion of flexible teeth seems paradoxical. We studied teeth of five species, testing and measuring tooth flexibility, and investigating tooth (micro)structure using transmission electron microscopy, staining, computed tomography scanning, and scanning electron microscopy-energy-dispersive spectrometry. We quantified the extreme bending capacity of single teeth (up to 180°) and show that reorganizations of the tooth (micro)structure and extreme hypomineralization of the dentin are adaptations preventing breaking by allowing flexibility. Tooth shape and internal structure appear to be optimized for bending in one direction, which is expected to occur frequently when feeding (scraping) under natural conditions. Not all loricariid catfishes possess flexible teeth, with the trait potentially having evolved more than once. Flexible teeth surely rank among the most extreme evolutionary novelties in known mineralized biological materials and might yield a better understanding of the processes of dentin formation and (hypo)mineralization in vertebrates, including humans.

  15. Factors influencing trace element composition in human teeth

    Energy Technology Data Exchange (ETDEWEB)

    Tandon, L. [Los Alamos National Lab., NM (United States); Iyengar, G.V. [Biomineral Sciences International, Inc., Bethesda, MD (United States)

    1997-12-01

    The authors recently compiled and reviewed the literature published in or after 1978 for 45 major, minor, and trace elements in human teeth as a part of an International Atomic Energy Agency (IAEA) study. The purpose of this paper is to discuss the various factors that influence the concentration levels of certain trace elements in human teeth. The sampling practices and analytical techniques that are applicable for trace element analysis are also discussed. It is also our intention to identify reference range of values, where data permit such conclusions. The scrutiny was designed to identify only the healthy permanent teeth, and values from teeth with fillings, caries, or periodontal diseases were eliminated.

  16. Teeth size reduction in the prehistoric populations in Serbia

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    Pajević Tina

    2012-01-01

    Full Text Available Introduction. Anthropological studies show craniofacial changes with a reduction in teeth size during evolution of the human population. Objective. The objective was to measure and compare the sizes of teeth in the population of the Mesolithic-Neolithic sites in the Iron Gate Gorge and the population from the Early Bronze Age site of Mokrin. Methods. The study included teeth without advanced wear near the pulp. The material was divided according to the site of the skeletal population in two groups. Group 1 comprised 107 teeth from the Mesolithic-Neolithic sites Lepenski Vir and Vlasac. Group 2 included 158 teeth from the Mokrin graveyard dated in the Early Bronze Age. The mesio-distal diameter was measured in all teeth, while the vestibulo-oral diameter was measured in the molars only. Using the two-factor analysis of variance, the influence of sex, site and their interaction on the size of the teeth were investigated. Results. The vestibulo-oral diameter of the upper third molar was significantly higher in males compared to females. The comparison between the groups showed that the vestibulooral diameter of the lower first molar was significantly higher in group 1. Conclusion. The present difference in teeth size indicates the existence of reduction during the prehistoric times. However, the time period between the populations studied is probably too short to be manifested on a large number of teeth.

  17. Abordagem de lesão de cárie proximal em dentes decíduos anteriores pela técnica de abrasão: relato de caso

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    Fernanda Malheiro Santos

    2010-01-01

    Full Text Available The treatment of proximal carious lesions in primary teeth is usually difficult to implement. The success is related to cavity preparation, the proper color choice of the restorative material and the restorative technique itself. This case report describes for proximal carious lesions in primary teeth alternative approach, by using abrasion technique of the decayed surface and with the technique of surface abrasion of decayed, with clinical and radiographic follow-up of 07 months. It is concluded that, the abrasion technique can be effective to arrest proximal carious lesions in primary anterior teeth.

  18. Biological approach for management of anterior tooth trauma: Triple case report

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    Goenka P

    2010-09-01

    Full Text Available Anterior crown fractures are a common form of injury that mainly affect children and adolescents. The position of maxillary incisors and their eruptive pattern carries a significant risk for trauma. In the pre-adhesive era, fractured teeth needed to be restored either with pin-retained inlays or cast restorations that sacrificed healthy tooth structure and were a challenge for clinicians to match with adjacent teeth. The development of adhesive dentistry has allowed dentists to use the patient′s own fragment to restore the fractured tooth. Three cases are presented here with complicated crown fracture of maxillary central incisors; the reattachment of the fractured tooth segment in this case has been performed using different combinations of techniques, viz. simple reattachment, circumferential bevel and internal dentinal groove.

  19. Biological approach for management of anterior tooth trauma: Triple case report

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    Puneet Goenka

    2011-01-01

    Full Text Available Anterior crown fractures are a common form of injury that mainly affect children and adolescents. The position of maxillary incisors and their eruptive pattern carries a significant risk for trauma. In the pre-adhesive era, fractured teeth needed to be restored either with pin-retained inlays or cast restorations that sacrificed healthy tooth structure, and were a challenge for clinicians to match with adjacent teeth. The development of adhesive dentistry has allowed dentists to use the patient′s own fragment to restore the fractured tooth. Three cases are presented here with complicated crown fracture of maxillary central incisors; the reattachment of the fractured tooth segment in these cases has been performed using different combinations of techniques, viz. simple reattachment, circumferential bevel and internal dentinal groove.

  20. Biological approach for management of anterior tooth trauma: triple case report.

    Science.gov (United States)

    Goenka, Puneet; Dutta, Samir; Marwah, Nikhil

    2011-01-01

    Anterior crown fractures are a common form of injury that mainly affect children and adolescents. The position of maxillary incisors and their eruptive pattern carries a significant risk for trauma. In the pre-adhesive era, fractured teeth needed to be restored either with pin-retained inlays or cast restorations that sacrificed healthy tooth structure, and were a challenge for clinicians to match with adjacent teeth. The development of adhesive dentistry has allowed dentists to use the patient's own fragment to restore the fractured tooth. Three cases are presented here with complicated crown fracture of maxillary central incisors; the reattachment of the fractured tooth segment in these cases has been performed using different combinations of techniques, viz. simple reattachment, circumferential bevel and internal dentinal groove.

  1. The gothic arch tracing and the upper canine teeth as guides in the positioning of upper posterior teeth.

    Science.gov (United States)

    el-Gheriani, A S; Davies, A L; Winstanley, R B

    1989-09-01

    The relationship between the position of the buccal cusps of the natural upper posterior teeth and the distance between the lateral arms of the Gothic arch tracing or the distance between the upper canine teeth has been found to be constant to within +/- 2 mm. This may be of value when setting up artificial teeth for denture patients, enabling them to be positioned close to the natural predecessors.

  2. Effect of skewing the rotor teeth on the performance of doubly salient permanent magnet motors

    Science.gov (United States)

    Sheth, N. K.; Sekharbabu, A. R. C.; Rajagopal, K. R.

    2006-04-01

    This paper presents the effects of skewing the rotor teeth on the performance characteristics such as flux linkage, back emf, phase inductance, and reluctance torque of an 8/6 doubly salient permanent magnet motor using a simple method, which utilizes the results obtained from the two-dimensional finite element analysis. The optimum skewing angle is obtained as 12°-15° for the least ripple torque without much reduction in the back emf. Skewing the rotor teeth of an 8/6 doubly salient permanent magnet motor by 12°-15° will reduce the total harmonic distortion of the back emf profile to 29.69% from the original value of 44.69%. The reduction in the amplitude of the back emf in this case will be 18.79% only.

  3. Clinical Manifestations of pathology of temporomandibular joints and masticatory muscles in patients with teeth occlusion and teeth row disturbances

    Directory of Open Access Journals (Sweden)

    A.V. Lepilin

    2010-06-01

    Full Text Available The aim of the research is a literature review about the problem of temporomandibular joints and masticatory muscles in patients with teeth occlusion and teeth row disturbances. Teeth occlusion and teeth row disturbances are widespread pathology of maxillofacial area, that can lead to different pathology alterations of masticatory system including musculo-articular dysfunction. Some specialists consider that the key factor of pathogenesis of musculo-articular dysfunction is occlusion disturbances, by the other opinion - discoordination of muscle contraction. Thus occlusive and muscular disorders are leading in pathogenesis and clinic of musculo-articular dysfunction

  4. Teething myths among nursing mothers in a Nigerian community

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    Opeodu Olanrewaju Ige

    2013-01-01

    Full Text Available Background: Many symptoms had been associated with teething in children with the possibility of overlooking potentially fatal condition. Symptoms that had been associated with teething include diarrhoea, fever, vomiting and cough. The possibility that any of these symptoms could have been due to other causes call for thorough investigation of the child before concluding that it is only "teething". Objectives: The study was carried out to assess the beliefs of nursing mothers concerning symptoms that are associated with teething among children and to identify those that would seek medical treatments in case of their children having such symptoms during teething. Materials and Methods: Two hundred and ninety nursing mothers whose children had erupted at least a tooth were interviewed in the immunisation clinics of the University College Hospital and Adeoyo Maternity Teaching Hospital, both in Ibadan, Nigeria, on their beliefs and practice concerning teething in children. Results: One hundred and eighty-eight (64.8% of the mothers associated symptoms such as fever, cough, catarrh and diarrhoea with eruption of teeth in their children. Over half of the women agreed that a child having either fever (51.0%, ear infection (57.6% or cough (50.3% should be promptly taken for medical consultation and not be tagged "teething", while for other symptoms such as gum pain (74.5%, sleepless night (56.6%, vomiting (51.4% and diarrhoea (51.7%, over half of the mothers believed that the symptoms will resolve following the eruption of the teeth. Conclusion: The study demonstrated that mothers in the study attributes several symptoms to teething, which could be detrimental to the survival of their children as the symptom could have been due to other causes. There is, therefore, need for public enlightenment to create awareness on the possible effect of presumptuous belief that childhood diseases are due to teething process.

  5. Maxillary overlay removable partial dentures for the restoration of worn teeth.

    Science.gov (United States)

    Fonseca, Júlio; Nicolau, Pedro; Daher, Tony

    2011-04-01

    Prolonged tooth maintenance by a more aged population considerably increases the probability of dentists having to treat patients with high levels of tooth wear. Pathological tooth wear, caused primarily by parafunction, seems to be a growing problem that affects a large number of adult patients. The clinical report presents a case of a partially edentulous patient with an elevated degree of wear in the upper jaw caused by attrition and erosion, rehabilitated with a maxillary overlay removable partial denture (ORPD) consisting of a chrome-cobalt (Cr-Co) framework with anterior acrylic resin veneers, posterior cast overlays, and acrylic resin denture bases. Removable partial prosthesis is a treatment alternative when teeth are found to be severely worn or when the patient needs a simple and economical option. Because economics is a conditional factor of the treatment, the clinician should present different treatment alternatives to the patient, in which the overlay prosthesis can be considered.

  6. Comparative evaluation of shear bond strength of two self-etching adhesives (sixth and seventh generation on dentin of primary and permanent teeth: An in vitro study

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    Yaseen S

    2009-03-01

    Full Text Available Aim: The present study was undertaken to compare and evaluate shear bond strength of two self-etching adhesives (sixth and seventh generation on dentin of primary and permanent teeth. Materials and Methods: Flat dentin surface of 64 human anterior teeth (32 primary and 32 permanent divided into four groups of 16 each. Groups A and C were treated with Contax (sixth generation, while groups B and D were treated with Clearfil S3 (seventh generation. A teflon mold was used to build the composite (Filtek Z-350 cylinders on the dentinal surface of all the specimens. Shear bond strength was tested for all the specimens with an Instron Universal Testing Machine. Data were statistically analyzed using one-way ANOVA for multiple group comparison, followed by student′s unpaired ′t′ test for group-wise comparison. Results: There was no statistically significant difference in shear bond strength among the study groups except that primary teeth bonded with Contax exhibited significantly lesser shear bond strength than permanent teeth bonded with Clearfil S3. Conclusion: This study revealed that Clearfil S3 could be of greater advantage in pediatric dentistry than Contax because of its fewer steps and better shear bond strength in dentin of both primary and permanent teeth.

  7. Interactions between Shh, Sostdc1 and Wnt signaling and a new feedback loop for spatial patterning of the teeth.

    Science.gov (United States)

    Cho, Sung-Won; Kwak, Sungwook; Woolley, Thomas E; Lee, Min-Jung; Kim, Eun-Jung; Baker, Ruth E; Kim, Hee-Jin; Shin, Jeon-Soo; Tickle, Cheryll; Maini, Philip K; Jung, Han-Sung

    2011-05-01

    Each vertebrate species displays specific tooth patterns in each quadrant of the jaw: the mouse has one incisor and three molars, which develop at precise locations and at different times. The reason why multiple teeth form in the jaw of vertebrates and the way in which they develop separately from each other have been extensively studied, but the genetic mechanism governing the spatial patterning of teeth still remains to be elucidated. Sonic hedgehog (Shh) is one of the key signaling molecules involved in the spatial patterning of teeth and other ectodermal organs such as hair, vibrissae and feathers. Sostdc1, a secreted inhibitor of the Wnt and Bmp pathways, also regulates the spatial patterning of teeth and hair. Here, by utilizing maternal transfer of 5E1 (an anti-Shh antibody) to mouse embryos through the placenta, we show that Sostdc1 is downstream of Shh signaling and suggest a Wnt-Shh-Sostdc1 negative feedback loop as a pivotal mechanism controlling the spatial patterning of teeth. Furthermore, we propose a new reaction-diffusion model in which Wnt, Shh and Sostdc1 act as the activator, mediator and inhibitor, respectively, and confirm that such interactions can generate the tooth pattern of a wild-type mouse and can explain the various tooth patterns produced experimentally.

  8. Does the maxillary anterior ratio in Korean adults follow the Golden Proportion?

    Science.gov (United States)

    2016-01-01

    PURPOSE The purpose of this study was to determine the effect of changes in the horizontal plane angle on the mesiodistal width ratios of the maxillary anterior teeth during the acquisition of frontal view photographs, derive these ratios for Korean adults on the basis of the data obtained, and analyze them using the Golden Proportion as a reference. MATERIALS AND METHODS In experiment I, 30 plaster casts were mounted on an articulator and positioned on the angle-measuring device with a center setting of 0°. The device was rotated to 10° in 1° increments in a counterclockwise direction. At each angle, photographs were obtained and analyzed. Experiment II was based on 60 patients who visited the Department of Prosthodontics at Kyungpook National University Dental Hospital from February 2012 to February 2015. The patients were divided into three groups [Male (M), Female (F), Total (M + F)]. Frontal views were obtained for all groups and analyzed. RESULTS From 1° to 10°, the relative mesiodistal width ratios for the maxillary anterior teeth showed no significant differences from those at 0°. In all three groups, the relative width ratio of the maxillary central incisor was smaller than that specified in the Golden Proportion; the opposite was true for the canine. CONCLUSION Our results suggest that the mesiodistal width ratios of the maxillary anterior teeth do not follow the Golden Proportion in Korean adults, and that a change in the horizontal plane angle from 1° to 10° during frontal photography does not affect these ratios. PMID:27141256

  9. Fenestration of the anterior cerebral artery

    Energy Technology Data Exchange (ETDEWEB)

    Ito, J.; Washiyama, K.; Hong, K.C.; Ibuchi, Y.

    1981-08-01

    Three cases of angiographically demonstrated fenestration of the anterior cerebral artery are reported. Fenestration occurred at the medial half of the horizontal segment of the anterior cerebral artery in all cases. Its embryology and clinical significance are briefly discussed, and the anatomical and radiological literature on fenestration of the anterior cerebral artery is reviewed.

  10. 38 CFR 3.379 - Anterior poliomyelitis.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Anterior poliomyelitis. 3... Specific Diseases § 3.379 Anterior poliomyelitis. If the first manifestations of acute anterior poliomyelitis present themselves in a veteran within 35 days of termination of active military service, it...

  11. Epidermoid cyst in Anterior, Middle

    Directory of Open Access Journals (Sweden)

    Kankane Vivek Kumar

    2016-09-01

    Full Text Available Epidermoid cysts are benign slow growing more often extra-axial tumors that insinuate between brain structures, we present the clinical, imaging, and pathological findings in 35 years old female patients with atypical epidermoid cysts which was situated anterior, middle & posterior cranial fossa. NCCT head revealed hypodense lesion over right temporal and perisylvian region with extension in prepontine cistern with mass effect & midline shift and MRI findings revealed a non-enhancing heterogeneous signal intensity cystic lesion in right frontal & temporal region extending into prepontine cistern with restricted diffusion. Patient was detoriated in night of same day of admission, emergency Fronto-temporal craniotomy with anterior peterousectomy and subtotal resection was done. The histological examination confirms the epidermoid cyst. The timing of ectodermal tissue sequestration during fetal development may account for the occurrence of atypical epidermoid cysts.

  12. Dental fluorosis in bovine temporary teeth

    Energy Technology Data Exchange (ETDEWEB)

    Suttie, J.W.; Clay, A.B.; Shearer, T.R.

    1985-02-01

    Deciduous incisors from calves born to dams fed an average of 40 mg of fluoride/kg of forage ration (40 ppm) were compared with incisors from calves born to dams fed a normal dairy ration. Skeletal fluoride concentration in the calves born to fluoride-fed dams was increased 5 to 8 fold, but enamel mottling and hypoplasia, typical of permanent bovine incisor dental fluorosis were not seen by gross, histologic, or radiologic examination. Decreases in the amount of enamel on the tooth or hardness of the enamel were not observed. These data do not support recent reports of widespread dental fluorosis of deciduous bovine teeth as a clinical sign of fluoride toxicity.

  13. The Vikings bare their filed teeth.

    Science.gov (United States)

    Arcini, Caroline

    2005-12-01

    Finds of deliberate dental modification have for the first time been found in archaeological human skeletal material from Europe. The type of modification is a horizontally filed furrow on the frontal upper part of the tooth crown. The furrows are single or, more usually, multiple, and are found on the front teeth in the maxilla. The affected individuals are 24 men from the Viking Age (ca. 800-1050 AD), found in present day Sweden and Denmark. The marks are so well-made that it is most likely they were filed by a person of great skill. The reason for, and importance of, the furrows are obscure. The affected individuals may have belonged to a certain occupational group (such as tradesmen), or the furrows could have been pure decoration.

  14. Electron probe microananlysis of fluorotic bovine teeth

    Energy Technology Data Exchange (ETDEWEB)

    Shearer, T.R.; Kolstad, D.L.; Suttie, J.W.

    1978-09-01

    Incisor teeth were obtained from adult cattle which since 4 months of age to 5 or 6 years were maintained on rations containing a yearly average of 40 ppM F in the forage. Microchemical analyses were performed on the fluorotic bovine incisors. The microdistribution of fluoride varied markedly at different sites within the same tooth. Fluoride concentrations varied with depth from the tooth surface and were influenced by the concentrations of fluoride present in the forage during amelogenesis, and the presence of hypoplastic pits and hyperplastic coronal cementum in enamel. The cementum in these lesions contained remarkably high concentrations of fluoride, and it was less calcified and more porous than adjacent enamel. 5 figures.

  15. Prevalence and Pattern of Accessory Teeth (Hyperdontia in Permanent Dentition of Iranian Orthodontic Patients.

    Directory of Open Access Journals (Sweden)

    Fariborz Amini

    2013-11-01

    Full Text Available Awareness of hyperdontia pattern/prevalence can be useful in early diagnosis and prevention by general practitioners, pediatric dentists, and orthodontists. Since the previous results regarding the pattern of hyperdontia (supernumerary teeth are controversial, this study aimed to assess this subject among Iranian orthodontic patients.All approved panoramic radiographs of 3374 orthodontic patients (aged 10 to 20 years old who had visited orthodontic departments of all Tehran dentistry universities and 10 private clinics during the years 1999-2009 were investigated to establish the prevalence/pattern of hyperdontia in permanent dentition (excluding third molars. The data were analyzed using a chi-square, a chi-square goodness-of-fit, and a Fisher exact test (α=0.05.Of the patients, 2012 were female and 1362 were male. The prevalence of hyperdontia was 0.72% (14 females [0.69% of females], 10 males [0.73% of males], female-to-male ratio=1:1.055. The difference between the genders was not significant (P = 0.896. No double or multiple supernumeraries were found. The most common accessory teeth were mesiodens (58.3%, maxillary laterals (25%, and maxillary premolars (16.7%. Hyperdontia was significantly more common (P=0.000 in maxilla (there was only one mandibular accessory tooth. It was more frequent in the anterior segment (P=0.000. However the occurrence was not significantly different between bimaxillary right and left quadrants (P=0.6.Hyperdontia was more common in premaxilla, and the most common accessory tooth was mesiodens. Unlike earlier studies, no bilateral accessory teeth were found. Also no gender dimorphism was discerned.

  16. Facial lesions in piglets with intact or grinded teeth

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    Hansson Monica

    2012-04-01

    Full Text Available Abstract Background Piglets are born with eight sharp teeth that during nursing can cause facial lesions on littermates and teat lesions on the sow. Teeth grinding in piglets is therefore often practiced to reduce these lesions. The aim of this study was to assess the consequences of grinding piglet teeth in regard to the occurrence of lesions. In this study the piglets' teeth were grinded in 28 litters, and in 36 litters the piglets' teeth were kept intact. Twice, one time during the first week and one time during the second week after birth facial lesions of the piglets were scored and the teats of the sows were examined for lesions. The facial lesion score accounted for the amount and severity of lesions. The individual observations on piglets in the litter were synthesized in a litter facial lesion score. Findings 69.8% and 43.5% of the piglets had facial lesions in week 1 and week 2 respectively. The effect of treatment was not significant on litter facial lesion score. The litter facial lesion score was higher in week 1 than in week 2 (p p = 0.003 than in small litters. Mortality between week 1 and week 2 was higher in litters with intact teeth (p = 0.02. Sow teat lesions only occurred if litters had intact teeth. Conclusions According to our results teeth grinding is only justifiable in large litters.

  17. Pulp response in sound and carious teeth: a pilot study.

    Science.gov (United States)

    Paterson, R C

    1981-02-01

    This article describes a pilot investigation in which the response of the pulps in both sound and carious rat molar teeth to traumatic exposure and treatment with three different compounds was assessed. Two of the compounds appeared to give a more favorable response in carious teeth. These results are discussed, and future experiments described.

  18. ELECTRIC PULP TEST OF TEETH WITH PERIODONTAL DISEASE.

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