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At least 433 records · Page 24Linked to original sources
PubMed1981

The dentition in the osteogenesis imperfecta syndromes.

The deciduous and permanent teeth in some patients with osteogenesis imperfecta syndromes are blue or brown and opalescent. As shown by radiologic examination, the pulp chambers and root canals are completely or partially obliterated by abnormal dentin. The junctions between the crowns and roots are more constricted than normal. Deciduous opalescent teeth lose their enamel readily and wear more easily than normal. Unusual wear does not occur as frequently in permanent opalescent teeth as in deciduous teeth. No relationship has been shown between the number of fractures or deformity and the degree to which the teeth are affected. In contrast, other patients with osteogenesis imperfecta have normal teeth. These clinical differences in the dentitions support the concept of genetic heterogeneity is osteogenesis imperfecta and provide information useful in genetic counseling. The differential diagnosis of opalescent teeth in osteogenesis imperfecta is not difficult provided that detailed clinical and radiologic examinations of the dentition are performed. Patients with osteogenesis imperfecta and opalescent teeth should be evaluated as soon as the deciduous teeth erupt, so that an attempt can be made to prevent loss of tooth structure. However, methods of dental care in osteogenesis imperfecta are not well delineated and deserve further study.

Amelogenesis Imperfecta↗
PubMed1995

The dental health of 3-year-old children in east Cumbria 1993.

A study of the dental health of 135 3-year-old children, with reference to social class group, was undertaken in East Cumbria District between September and December 1993. Caries free subjects numbered 110 (81.5 per cent), the mean number of decayed, missing, and filled teeth was 0.59; the value of the decayed component of the dmft index was 0.49. Caries experience was confined to 25 (18.5 per cent) individuals whose mean dmft was 3.20, seven of these subjects experienced rampant decay to the maxillary incisor teeth and three had received a dental general anaesthetic. An inverse relationship was demonstrated between dental caries and social class. Trauma to the maxillary incisors had occurred in 17 (12.6 per cent) children, with discolouration and fracture of the enamel and dentine the most prevalent types of injuries sustained. A relatively high proportion of the subjects, 39 (28.9 per cent), had experienced erosion to palatal surfaces of the maxillary incisors. The most prevalent type of erosion was that involving both enamel and dentine. Only 14 (10.4 per cent) children examined used fluoride supplements in this low-fluoride area; 98 (72.6 per cent) subjects reported registration with a dentist.

Cariostatic Agents↗
PubMed1994

Esthetic treatment of severe tetracycline staining with orthodontics and veneers: a case report.

This case history describes and illustrates the excellent esthetic results now clinically possible when fixed appliance orthodontic therapy is combined with porcelain veneers to treat severe tetracycline staining and crowding. Because the patient also presented with a bimaxillary protrusion and a displaced maxillary midline, the treatment options also illustrate the dilemma between ideal, but prolonged, treatment options and quicker, but compromised, alternatives. The excellent final result accepted the initial protrusion but corrected the midline. A long-span bonded multistrand wire functioned as semipermanent retention.

Adult↗
PubMed1993

Adhesive restoration of an endodontically treated incisor.

Glass-ionomer cement and composite resin can be used in combination for restoration of an endodontic access preparation. Adhesive restorations using these materials avoid the problems of marginal leakage and tooth discoloration, characteristic of silver amalgam restorations, and preclude the need for complete-coronal restoration. A detailed clinical procedure for placement of a stratified glass-ionomer cement and composite resin restoration for an endodontically treated permanent incisor is described.

Composite Resins↗
PubMedDate not supplied

Nursing-bottle caries: the importance of a development perspective.

Early diagnosis of nursing-bottle caries is so difficult because its first stage is difficult to detect, and occurs at an age the child does not visit a dentist regularly. Also, the first stage does not appear alarming. If for the parent serious complaints from the child arise, irreversible defects already have developed. The developmental stages of nursing-bottle caries are clearly linked to the eruption pattern of the primary teeth. The maxillary primary incisors are affected first, followed by the maxillary first molars. In all stages, a stabilized condition, arrested caries, can occur, if circumstances change. A correct diagnosis of the etiology of caries in toddlers and preschoolers is mandatory as a basis for introducing proper preventive measures. Further study is mandatory to clarify the cause and effect of the disease-pattern.

Bottle Feeding↗
PubMedDate not supplied

The oral manifestations of intestinal lymphangiectasia: case report.

Intestinal lymphangiectasia is a rare autosomal dominant disorder or acquired condition that leads to lymph obstruction, poor chyle transport, and concomitant problems of hypoproteinemia, lymphocytopenia, hypogammaglobulinemia, and peripheral edema. Patients develop diarrhea, steatorrhea, and hypocalcemia secondary to fat-soluble vitamin malabsorption. Treatment is a restrictive diet of low fat, medium chain triglycerides. Oral manifestations are gingivitis due to poor PMN function and enamel defects due to poor calcium absorption. A case of a 14-year-old boy with both gingival and enamel problems secondary to intestinal lymphangiectasia is reported.

Adolescent↗
PubMed1997

Guidelines for the treatment of Helicobacter pylori in the pediatric population.

Several factors including long-term eradication of the organism, cost, compliance, and adverse event profile should be considered for treating H. pylori infection in pediatric patients. Triple therapy with bismuth, tetracycline, and metronidazole is considered the gold standard for adult patients; however, tetracyclines are not recommended in children younger than 8 years due to the potential for tooth discoloration and alterations in bone growth. Dual and shorter duration of therapy should be evaluated in children with H. pylori. The new dual therapy omeprazole/clarithromycin regimens approved by the Food and Drug Administration for adults may be considered as an alternative for children when concerns include the use of salicylates or allergy to beta-lactams. Although the dosage of omeprazole in pediatric patients has not been established (no pediatric formulation exists), clarithromycin is available for use in pediatric patients. However, these drugs cannot be recommended for children with H. pylori until additional studies in this population are available. Based on the available data, aminopenicillin/bismuth or aminopenicillin/tinidazole combinations appear to be effective in eradicating H. pylori in children. Amoxicillin 50 mg/kg/d plus bismuth subsalicylate (< 10 y, 262 mg; > 10 y, 525 mg qid) or bismuth subcitrate (< 12 y, 120 mg; > 12 y, 240 mg bid) can be used for 6 weeks. The bismuth dosages represented above were those used in various studies. It should be realized, however, that a definitive dosage of bismuth subsalicylate for children in the treatment of H. pylori has not been established. The adult dosage of bismuth subsalicylate for the eradication of H. pylori is the same as that used for prophylaxis in diarrhea (525 mg qid). When dosage of this agent is unknown (particularly for the treatment of very young children), the use of established dosages for prophylaxis in diarrhea may be considered for treating H. pylori. Additionally, bismuth subsalicylate should be used with caution in children with suspected viral infections (i.e., to prevent Reye's syndrome) or those receiving concurrent therapy with interacting drugs. If available, tinidazole 20 mg/kg/d can be used with amoxicillin 50 mg/kg/d for 6 weeks to treat children infected with H. pylori.

Adolescent↗
PubMedDate not supplied

Dentinal dysplasia type I: review of the literature and report of a family.

A family is reported with dentinal dysplasia type I affecting both dentitions. Presenting features included unusual mobility of the teeth, followed by early exfoliation; normal clinical shape of the crowns of the teeth, but with an amber color without any sign of attrition or abnormal loss of enamel. Radiographic findings showed pulp-chamber and root-canal obliteration, poor root formation, radiolucent linear appearance of the pulp chamber parallel to the cementoenamel junction and frequent periapical radiolucencies. Histological studies have reported large masses of calcified tubular dentin, atypical osteodentin, and also true denticle.

Adult↗