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PubMed1988

Pieces of eight.

Explore the source record for details and available documents.

Adult↗
PubMed1995

Are anterior occlusal radiographs indicated to supplement panoramic radiography during an orthodontic assessment?

Five hundred pairs of dental panoramic tomographs (DPT) and maxillary anterior occlusal radiographs (AO) from patients referred to the orthodontic department of a dental teaching hospital were examined to assess the diagnostic yield from a panoramic radiograph of the premaxillary region alone and then assess the additional yield when this view was supplemented by a maxillary anterior occlusal radiograph. Of the 500 DPTs assessed, 208 (42%) lacked clarity of the premaxillary region when the labial segments were used to locate the patient in the DPT machine. An association was found between patients who had abnormal incisor relationships and poor clarity in the premaxillary region of the DPT. Overall 165 (33%) of the supplementary AO views were used to support or refute findings identified on the DPT. It was concluded that in patients referred for an orthodontic assessment, supplementary radiography of the premaxilla may be justified in the following situations: 1. unsatisfactory image quality which may frequently be the case where there are abnormal incisor relationships, 2. localisation of tooth position by vertical parallax and 3. where a reasonable expectation that pathology exists on clinical grounds.

Humans↗
PubMed2006

Orthodontic treatment protocol of Ehlers-Danlos syndrome type VI.

Ehlers-Danlos syndrome (EDS) type VI is an autosomal recessive disorder of the connective tissue characterized by joint hypermobility, muscle hypotonia, scoliosis, and ocular fragility. In this case report, an EDS type VI patient with a skeletal and dental Class III malocclusion is presented and the clinical approach to his orthodontic problem is emphasized. A 17-year-old male patient presenting some major and minor symptoms of the syndrome was referred to our orthodontic department for diagnosis and treatment. The typical clinical signs confirmed the diagnosis of EDS type VI. He was a skeletal and dental Class III malocclusion patient (both mandibular protrusion and maxillary retrusion) with a noncontributory family history. He had severe crowding in the lower and upper dental arches with retruded incisors. His first treatment plan included orthognathic surgery, but because of the risks of bleeding and poor healing, we elected to treat the patient without surgery.

Adolescent↗
PubMed2001

Eruption disturbances of mandibular permanent canines in Japanese children.

OBJECTIVES: The purpose of this study was to clarify the cause and prognosis of eruption disturbance of mandibular permanent canines. SAMPLE AND METHODS: Fifteen Japanese children who visited Niigata University Dental Hospital between 1979 and 1997 with unerupted and/or impacted mandibular permanent canines were examined. RESULTS: All cases showed unilateral disturbances. The eruption disturbance of 6 mandibular canines was associated with a calcified obstacle such as an odontoma (5 cases) or a supernumerary tooth (1 case). After removal of the obstacle, 5 canines were aligned within the dentition. Out of 10 cases, where the permanent canine germ showed malpositioning or aberrant eruption path, 5 primary predecessors had undergone endodontic treatment. In these 10 cases, 6 canines erupted after treatment, two were extracted and the remaining two were left in their impacted position. CONCLUSIONS: The present results suggest that it is relatively easy for the position of unerupted mandibular canines associated with calcified obstacles to be improved by removal of the obstacle, but that it is more difficult for teeth showing anomaly in the position of the canine germ to be aligned within the dentition.

Adolescent↗
PubMed1996

Mandibular incisor extraction: indications and long-term evaluation.

The extraction of a lower incisor constitutes a therapeutic alternative limited to certain occlusal situations, i.e. supernumerary incisors, tooth size anomalies (peg-shaped upper laterals), ectopic eruption and anterior crossbites. The effect of the extraction of a single incisor on the out of retention alignment of lower anterior teeth was studied in 26 treated cases. Initial (T1), final (T2) and 5-8 years out of retention (T3) dental casts were measured. Mean crowding at the start of treatment (T1 = 3.86 mm) relapsed out of retention (T3 = 1.49 mm), with a net mean improvement of 2.37 mm. Little's irregularity index at the start of treatment (T1 = 6.44) relapsed out of retention (T3 = 2.53), with a net mean improvement of T1-T3 = 3.91. Alignment stability seems to be better than that achieved in cases subjected to premolar extraction.

Adolescent↗
PubMed1980

Panoramic radiographic examination of 704 Danish children aged 9--10 years.

Panoramic radiographs of 704 apparently health children aged 9--10 years were examined regarding anomalies and pathologic conditions in the maxillofacial area. Almost all findings were mesial to the molars. 1.7% of the children had a supernumerary tooth, 7.7% had hypodontia. Malposition of 631 permanent teeth was recorded. 42 dentigerous cysts were detected. Malformed crown or root was seen on 60 permanent teeth. Caries was found on 224 primary and 32 permanent teeth. 257 primary teeth showed atypical resorption, and 53 had a periapical inflammatory radiolucency. 20 retained roots of primary teeth were detected. 31 maxillary sinuses had an opacity. There were very few other findings.

Child↗
PubMed1989

Comparison of oral radiographic findings among 35-year-old Oslo citizens in 1973 and 1984.

The purpose of the present study was to evaluate a variety of radiographically detectable conditions found on orthopantomograms of 141 individuals as a part of an oral health survey of 35-year-old Oslo citizens, born 1949. Radiographic findings were recorded and compared with those of a similar study made in 1973. The findings revealed a statistically significant reduction in the prevalence of marginal bone loss. The frequencies of endodontically treated teeth and teeth with apical radiolucencies were unchanged.

Adult↗
PubMed1987

The surgical and orthodontic management of unerupted teeth in cleidocranial dysostosis.

A common feature of patients with cleidocranial dysostosis is delayed shedding of deciduous teeth and failure of eruption of the permanent dentition. This article describes a method whereby orthodontic forces may be applied to these unerupted permanent teeth to move them into a satisfactory functional and aesthetic position with good periodontal support whilst maintaining their vitality. This method of treatment avoids the need for overdentures or other prosthetic aids which have often been used in the past.

Adolescent↗
PubMed1993

An unerupted canine--an unusual diagnostic problem?

A case is reported in which the eruption of an upper canine was delayed as a result of the presence of a denticle. This remained undiagnosed until the age of 13 years. The paper illustrates the clinical and diagnostic problems associated with denticles in this region due to their position close to, but not actually in, the midline.

Adolescent↗
PubMed2006

Clinical application of cone beam digital volume tomography in children with cleft lip and palate.

OBJECTIVES: The diagnostic advantages of digital volume tomography (DVT) over conventional imaging and computed tomography are demonstrated in terms of the respective radiation exposure. The potential role for three-dimensional imaging in cleft lip and palate patients is illustrated on the basis of clinical examples. METHODS: The radiation exposure resulting from scans using a cone beam DVT (NEW TOM QR-DVT 9000, Marburg, Germany) was measured with an Alderson-Rando-Phantom (The Phantom Laboratory, New York, NY) and compared with that resulting from other standard imaging modalities. The patient sample consisted of young children with cleft lip and palate on whom orthodontic and surgical treatment was planned on an interdisciplinary basis at the University-Hospital of Heidelberg. RESULTS: Digital volume tomography allows high-quality three-dimensional imaging of the premaxilla region, with an effective equivalent investigation dose of (110 kV, 5.4 mA) 0.342 mSv based on ICRP recommendations. While the effective equivalent investigation dose for DVT is higher than that for standard imaging techniques (for example digital panoramic radiograph Orthophos Plus DS Ceph (66 kV, 8 mA) 0.016 mSv), it is much lower than that for a normal CT scan (e.g. Picker International Inc., Highland Heights, OH) adjusted at (spiral 130 kV, 125 mA, and 30 mA, 1.5 s) 2.27 mSv. Digital volume tomography provides extensive data important in clinical decision making. CONCLUSIONS: The clinical examples show the good applicability of DVT with a reduced radiation dose.

Child, Preschool↗