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PubMedDate not supplied

Glass-fiber reinforced composite in management of avulsed central incisor: a case report.

Reimplantation failure of avulsed anterior tooth in an adolescent patient requires removal of the failed tooth and consideration of restorative options. These options may include a removable partial denture, conventional 3-unit fixed partial denture, implant, or a resin-bonded appliance with a metal substructure (Maryland bridge). The glass-fiber reinforced composite material (everSTICK, StickTech Ltd, Turku, Finland) offers a restorative solution that is conservative and esthetic when compared to other restorations. Advantages include reduction of cost compared to conventional bridges, saving of time, elimination of second visit, ease of application, absence of metal allergy, ease of cleaning, and naturalness of feel. Its limitations include occlusal factors, and the presence of unsuitable abutment teeth. Another traditional contraindication is the presence of diastemas, which may limit the potential esthetic gains. This case of an 11-year-old girl, addresses the indications, preparation guidelines, and restorative procedures for an everSTICK bridge.

Adolescent↗
PubMedDate not supplied

Dentoalveolar trauma in a patient with chronic idiopathic thrombocytopenic purpura: a case report.

A case is presented of a 13-year-old boy with chronic idiopathic thrombocytopenic purpura (ITP) who sustained traumatic labial luxation of both lower central incisors, with partial alveolar fracture resulting in displacement of the labial alveolar plate. Intravenous immunoglobulin (Fleibogamma, 1 g/kg body weight x 2 days) was administered, resulting in the patient's platelet count rising from 15,000/mm3 to 70,000/mm3. Under general anesthesia, the displaced lower labial alveolus and luxated teeth were repositioned and splinted 2 days following trauma. Healing was uneventful. Subsequently, both lower central incisors became nonvital and were endodontically treated. The dental treatment of this patient with ITP is discussed in terms of emergency management, and subsequent care.

Adolescent↗
PubMedDate not supplied

A novel multidisciplinary approach for the treatment of an intruded immature permanent incisor.

The optimal treatment for intruded permanent teeth has not yet been determined. The ideal treatment option is the one with the lowest probability of developing complications such as external root resorption and marginal bone loss. Each case should be considered individually, bearing in mind the severity of the intrusion, the stage of root development, and tooth mobility. Management of an intruded permanent tooth may consist of: (1) observation for spontaneous eruption; (2) surgical crown uncovering; (3) orthodontic extrusion (with or without prior luxation of the intruded tooth); (4) and partial surgical extrusion, immediately followed by orthodontic extrusion and surgical repositioning. The purpose of this article was to review the treatment options for intruded immature permanent incisors, and to present a new modality of an elective internal strengthening of the immature root weakened by external root resorption. A case of an intrusive luxation injury in a 7 1/2-year-old child and the resulting complications utilizing this technique is described. This is the first known report in the pediatric dentistry literature of performing an elective (preventive) internal strengthening of an immature root weakened by severe external inflammatory resorption. The child was followed for 5 years with an excellent clinical outcome. This technique should be considered for treatment of immature permanent teeth with thin cervical root dentin and external or internal root resorption due to trauma or caries.

Child↗
PubMed2004

Multiple dentoalveolar traumatic lesions: report of a case and proposition of dental polytrauma as a new term.

Traumatic injuries to permanent teeth are common, and dramatic episodes can occur during childhood. The aim of this paper is to present a report of severe trauma to the orofacial complex of an 8-year old girl that resulted in multiple injuries. The use of the term "dental polytrauma" (concomitant different dental traumatic injuries) is advocated in this case presentation.

Child↗
PubMed2004

[Emergency signs in oro-facial traumatology in children and adolescents].

Based on an analysis of the literature concerning the children and adolescents with dental trauma to primary and permanent teeth, the treatment is multidisciplinary, requiring surgical, orthodontic, operative and prosthetic compliance. Periodic check-up is essential. These guidelines are intended as an aid to the dentist in the management and treatment of traumatized teeth and should be revised as soon as more evidence about the effect of treatment delay becomes available.

Adolescent↗
PubMedDate not supplied

[Composite materials in pedodontics].

A brief account is given of the features of 1st and 2nd generation compounds and their clinical applications. Reference is made to many years of personal experience in an assessment of their long-term results.

Child↗
PubMed2005

An intrusion injury as an example of interdisciplinary aspects in dental traumatology: a case report.

Traumatic injury to teeth presents a considerable challenge for the practitioner. Very often a variety of oral tissues are involved, such as enamel, dentin, periodontal ligament, alveolar bone, and mucosa. Extraoral lesions are often another focus of attention for the patient and the practitioner. To cover all these various demands and necessities in a proper and adequate manner, a sound knowledge and experience of many different dental fields is needed. This case report presents the treatment of an 8-year-old girl during which surgical, restorative, endodontic, and orthodontic practices cooperated to achieve an adequate rehabilitation of the patient.

Accidental Falls↗
PubMed2005

The aesthetic and functional restoration in the case of partial edentulism in young patients.

The absence of teeth in youths can be due to congenital absence, traumas, caries and periodontitis. The loss of a tooth in growing patients can cause both aesthetic-functional and psychological problems, particularly if the teeth of the anterior region are involved. When there is the loss of a dental element in a teenager it is necessary to provide a quick suitable therapeutic solution, which will be different in comparison to an adult because of the changes related to the growth of the maxillary bones. The aim of this paper is the analysis of the several therapies which can be carried out on young patients with partial edentulism, paying particular attention to the conditions and the indications which allow an implant prosthesis restoration.

Adolescent↗
PubMed2005

Emergency trauma: treating the unexpected.

Patients expect their dentist to be capable of priority management of their dental injury. However, unless a dentist regularly attends emergency calls at a hospital or clinic, he or she may be "rusty" when faced with the unexpected arrival of an injured, upset patient. The dentist must deal with the schedule disruption, prioritize treatment or referral, deal with informed consent for minors and adults, and sort out contradictory treatment protocols that are often out of date and inconsistent with scientific evidence.

Adolescent↗
PubMed2004

Evaluation of stomatological needs of 8-year-old children connected with premature loss of deciduous teeth.

The study covered 106 eight-year-old children attending different schools in Lublin that do not provide dental care. The study evaluated decay frequency, DEF value and its components D, E, F, def value and its components d, e, f as well as treatment index for deciduous and permanent teeth. Additionally, it assessed the needs for orthodontic and prosthetic provisions connected with premature loss of deciduous teeth. The study found low treatment index, especially for deciduous teeth. Premature loss of deciduous teeth is an indication for prosthetic provision in the form of space retainers or partial dentures. Without prompt treatment different acquired facio-occlusal defects may develop.

Child↗