DISCOLORATION OF PRIMARY DENTITION AFTER MATERNAL TETRACYCLINE INGESTION IN PREGNANCY.
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PATIENT: The patient was a 44-year-old woman who presented with masticatory and esthetic problems. She had discoloration of CR filling of a maxillary anterior tooth, marginal discoloration, anterior protrusion, median diastema, and closed bite where the mandibular anterior tooth region occluded with the maxillary alveolar region, tooth 8 elongation and tooth 4 defect. Periodontal and orthodontic treatments were therefore performed for esthetic and functional recovery. DISCUSSION: After prosthodontic therapy, postoperative management techniques are crucial, including thorough plaque control, use of a retainer to prevent teeth from moving back towards the original positions (Begg technique), muscle function therapy (improving tongue movement patterns and strengthening the lingual and oral sphincter muscles) and occlusal adjustment. CONCLUSION: In the present patient, the effectiveness of orthodontic therapy before prosthodontic therapy was reaffirmed: dentine can be preserved, prosthodontic therapy is easier to perform, and therapeutic outcomes are highly predictable.
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The different evolutions of a red discoloration of the primary maxillary central incisors in the same patient are charted. In the right central incisor the red discoloration disappeared; in the left it faded but was sustained until exfoliation. This case supports the theoretical existence of a transient type of discoloration following trauma. The resorption of posttraumatic intrapulpal bleeding in a primary tooth is discussed as a possible pathogenesis.
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