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At least 181 records · Page 10Linked to original sources
PubMed1992

[Germectomy. The germ of the third mandibular molar in children: remove or preserve?].

Third molars are often removed in order to prevent complications and various other problems associated with impacted third molars and their removal. Abortion of mandibular third molars is a procedure carried out at an early age in those subjects where there is insufficient room for the eruption of the third molars. On the other hand one can also decide to remove the second molars and to annexate orthodontically the third molars in the arch.

Child↗
PubMed1994

[Nutrition education and oral health].

At present, reduction of the consumption of fat is the main issue in nutritional education. However, this can lead to an increased consumption of mono- and disaccharides and, as a result, to increased dental caries. Individual variations in the susceptibility of caries make it necessary to differentiate the advice for the consumption of snacks between meals. Generally, consumption of complex carbohydrates, such as bread or bread products, can be advised as an alternative for fat and sugar containing snacks. Sugar-free products can also be advised, but not unlimited because of the laxative effect of sorbitol. To prevent tooth erosion the frequent consumption of fruits and fruit juices should be discouraged.

Dental Caries↗
PubMed2002

Direct restoration of anterior teeth: review of the clinical technique and case presentation.

Direct composite resin bonding procedures are growing in popularity as conservative and predictable restorative treatment alternatives. An understanding of the fundamental layering, contouring, and polishing principles is paramount to the success of any direct composite restoration; this awareness can be subsequently applied to indirect restorations and significantly enhance laboratory/clinician communication. This article presents a clinical technique that describes the incremental placement of direct resin veneers on a typodont and demonstrates the application of these procedures on an actual clinical case.

Adult↗
PubMed2002

Rehabilitation of a bulimic patient using endosteal implants.

This article describes the dental rehabilitation of a bulimic patient using endosteal implants. Although the patient, a 31-year-old woman with a long history of bulimia nervosa, had been receiving medical and psychological treatment, the condition was not completely controlled. Clinical examination revealed multiple crowns with extensive cervical caries. The prognosis for all remaining teeth was poor. After extractions, implant therapy was implemented to provide support for fixed prostheses. After the implants were uncovered and during provisional therapy, the peri-implant tissue exhibited inflammation and lack of keratinized tissue requiring additional periodontal procedures before definitive restorations could be placed. Because of the difficulty in managing the peri-implant tissue during the many phases of implant therapy, treatment was challenging. One year after treatment, the patient's low self-esteem had improved substantially and her restorations provided satisfactory esthetics and function.

Adult↗
PubMed2004

The diagnostic accuracy and reproducibility of school dental screening using an index of treatment need.

OBJECTIVE: To test the use of an index in school screening programmes by assessing its accuracy in determining treatment need, and its reproducibility. BASIC RESEARCH DESIGN: Diagnostic accuracy was measured against a gold standard, inter-examiner and intra-examiner variation was measured by comparing the results of two examiners for the same subjects. Setting A large inner city primary school in Birmingham. PARTICIPANTS: 570 primary school children. OUTCOME MEASURES: Diagnostic accuracy was measured by sensitivity and specificity values. Reproducibility was measured by using kappa scores. RESULTS: The mean sensitivity for positive screening result was 81% and mean specificity for negative screening result was 97%. The kappa score for inter-examiner variation was 0.7 with agreement on decision to refer in 91% of cases. Intra-examiner variation was 11% for both examiners. CONCLUSION: The use of the index was shown to be both accurate and reproducible and is advocated for use in school dental screening programmes.

Child↗
PubMed2004

Clinical efficacy evaluation of calcium, phosphate, and sodium bicarbonate on surface-enamel smoothness and gloss.

This clinical study evaluated the effectiveness of a fluoride dentifrice containing calcium, phosphate, and sodium bicarbonate for improving surface-enamel smoothness and gloss relative to a commercially available fluoride and silica-containing dentifrice. Balancing for baseline surface-enamel roughness and gloss, 113 healthy adult volunteers who met the inclusion criterion for daily acidic drink consumption were randomized to receive 1 of the 2 products. Subjects brushed their teeth using the assigned dentifrice and a soft-bristled adult toothbrush for 1 minute twice daily for 3 months. Surface-enamel roughness and gloss were evaluated at baseline and after 1 and 3 months of brushing twice daily. Within-treatment comparisons showed longitudinal improvement by the test dentifrice in tooth-surface roughness and gloss at the 1-month and 3-month examinations. After 3 months of use, the test dentifrice exhibited a highly significant improvement in gloss (23.4%, P < .0001) and surface roughness (13.7%, P < .0001) over baseline. The control dentifrice showed no significant improvement longitudinally in either parameter. Between-group comparisons adjusted for baseline demonstrated a significantly (P < .0001) greater improvement in tooth-surface roughness and gloss for the test dentifrice. The results indicate that the fluoride dentifrice containing calcium, phosphate, and sodium bicarbonate is effective in improving tooth-surface smoothness and gloss with regular use.

Adolescent↗
PubMedDate not supplied

Prioritizing oral health in pregnancy.

Pregnant women are particularly susceptible to gum and periodontal disease. The biochemical and hormonal changes of pregnancy enhance the risk. In addition, pregnant women may not experience symptoms until advanced disease stages and therefore unknowingly increase perinatal risk. Associated risks include: premature birth, low birth weight babies, pre-eclampsia, ulcerations of the gingival tissue, pregnancy granuloma, and tooth erosion. These risks increase in women who smoke, experience nutritional deficiencies, or have less frequent visits to the dentist. Many women fail to see the importance of oral care in pregnancy while others experience barriers to care. Health care providers should be educated to recognize the risks of oral health complications during pregnancy. This article provides a review of literature on the correlations between oral health and pregnancy. Implications for practice include: enhanced screening and referral services in preconception and pregnant populations, providing oral health education in clinics, and advocating affordable oral health for all pregnant women.

Female↗
PubMedDate not supplied

Full-mouth rehabilitation of a patient with bulimia nervosa. A case report.

Anorexia and bulimia nervosa are eating disorders seen mainly in adolescents or young patients. The dentist should be in the position to recognize early signs of the disorder and alert the patient (and the patient's parents, if necessary) of the possible physical, psychologi cal, and dental consequences. Such dental treatment may help motivate the patient to confront the problem. In this paper the full-mouth rehabilitation, using a combination of galvano- and metal-ceramic restorations, of a young patient suffering from bulimia nervosa is described.

Adult↗
PubMedDate not supplied

The dental status of cerebral palsied children.

The prevalence of dental disease, the types and quality of dental care, and the provision of services were assessed for 150 cerebral palsied children (mean age 10.25 years) attending special schools in Leeds and compared with a matched control group of 191 children (mean age 10.39 years). Similar dental caries experience existed in the two groups, but study children had more extracted and unrestored teeth, and fewer and poorer quality restorations than control children. Oral hygiene and gingival health were worse in the study group, which also exhibited delayed eruption and higher levels of tooth wear. Significantly greater overjet (5.1 mm compared with 2.5 mm) and less crowding occurred in the study group than in the control group. All parents had favorable attitudes toward dentistry and were satisfied with their children's dental care. More study children received treatment from the community dental service, while the general dental services were used more commonly by the control group.

Adolescent↗