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At least 685 records · Page 38Linked to original sources
PubMed2001

Traumatic injuries to anterior teeth among schoolchildren in Malaysia.

Evidence of traumatized permanent incisors was recorded as part of a national oral health survey of schoolchildren in Malaysia. A total of 4,085 schoolchildren aged 16 years were examined. The prevalence of injury was 4.1% and it was significantly higher in males than females, with a ratio of 2:1. Almost 75% of the subjects had one tooth affected. Out of a total of 200 fractured teeth, 78.0% involved the maxillary central incisors. A high level of untreated traumatized teeth (89%) was noted. However, of the untreated traumatized teeth, only 9% presented with problems such as discoloration of tooth, sinus or abscess formation.

Adolescent↗
PubMed2003

Perception of dental fluorosis amongst Ethiopian children and their mothers.

This study was conducted in three Ethiopian Rift Valley villages known for endemic fluorosis. Three-hundred-and-six adolescents (12-15 years) and 233 mothers participated. The aim was to study dental fluorosis in the youngsters and to assess the extent of agreement between clinical and self-rated discoloration and pitting of teeth, and also the level at which dental fluorosis is perceived as a problem both by children and their mothers. The children (154 M and 152 F) gave a simple self-assessment of tooth-color and quality of their teeth, and were subsequently examined for dental fluorosis. Finally, four color photographs of teeth with dental fluorosis (TF-scores 2, 3, 5, and 7) were used as references during a structured oral interview of the children, as well as their mothers. At TF score > or = 2, the prevalence of dental fluorosis on maxillary central incisors was 72% and 37% at TF score > or = 4. The mean TF score was significantly higher among boys than among girls of unemployed fathers compared to children of employed fathers. The likelihood of reporting problems with dental appearance increased with increasing individual TF scores. The child/mother pairs found teeth with TF scores 2 and 3 esthetically acceptable, while teeth with TF scores 5 and 7 were considered unacceptable. Mothers were more critical of severe fluorosis than were their children.

Adolescent↗
PubMed2002

Clinical evaluation of a 35% hydrogen peroxide in-office whitening system.

This study evaluated the effectiveness of light-curing (heat conversion) vs no light-curing (no heat conversion) of a 35% hydrogen peroxide in-office tooth whitening system. Twenty patients with sound medical history (without tooth sensitivity) participated in this randomized, parallel clinical evaluation. Only six maxillary anterior teeth with discoloration and a tooth shade of A3 or darker were selected. Patients received a complete prophylaxis and were evaluated for initial (baseline) shade by three independent evaluators, precalibrated at 85% rater reliability in determining shades before the experiment began. Participants received a 20-minute chairside whitening treatment with a 35% hydrogen peroxide agent using a reflective resin barrier for gingival isolation. During the whitening treatment, the 35% hydrogen peroxide agent was light-activated with a halogen curing light on teeth Nos. 6 through 8 (Group I), but was not light-activated on teeth Nos. 9 through 11 (Group II). All patients returned 24 hours after the whitening application for shade evaluation. Although there were isolated instances (7 out of 20 patients) of greater degrees of lightening in the light-curing group, there was no statistically significant difference using the Mann-Whitney U test (P > .05). This study indicates that light-curing is optional with this 35% tooth whitening system.

Cuspid↗
PubMed2003

The use of microabrasion to remove discolored enamel: a clinical report.

There is an ever-growing demand for esthetic dental treatment. Treatment modalities include crowns, bleaching, and ceramic or composite veneers. A more conservative treatment option, enamel microabrasion, may be indicated in certain clinical scenarios. The purpose of this clinical report is to describe the use of enamel microabrasion for a patient with discolored anterior teeth.

Adult↗
PubMed1999

Nightguard vital bleaching beneath existing porcelain veneers: a case report.

Dentist-prescribed, at-home bleaching with 10% carbamide peroxide was used to lighten the apparent color of teeth with preexisting porcelain veneers. Veneers had been placed over unprepared, tetracycline-stained teeth; the translucency of the veneers over the discolored teeth resulted in a graying of the veneers. A custom-fitted tray with no reservoirs and no gingival scalloping was fabricated. A 10% carbamide peroxide material was applied nightly for 9 months to achieve the maximum change in the underlying tooth color. The patient was pleased with the apparent color change. Tooth sensitivity during treatment was minimal (lasting 4 days total); the patient treated sensitivity by brushing with a potassium nitrate-containing toothpaste or applying fluoride in the tray.

Adult↗
PubMed2004

Application of alumina coping to porcelain laminate veneered crown: part 1 masking ability for discolored teeth.

A densely sintered high-purity alumina has been successfully utilized as a coping for all-ceramic crown. In order to apply the alumina coping to the porcelain laminate veneer restoration for the discolored teeth, the present study evaluated its masking ability when it was thinner than the proposed thickness for the crown. Colorimetric examination was performed on white and black backgrounds for the 0.7 mm thick porcelain laminate veneer with 0.40 or 0.25 mm thick alumina coping and 0.7 mm thick porcelain without coping. With the presence of the coping, the porcelain appeared significantly lighter. Judging from the calculated color differences delta E and the literature, it was suggested that the masking ability of the alumina coping would be sufficient with a 0.25 mm thickness for the porcelain laminate veneer for heavily discolored teeth.

Aluminum Oxide↗
PubMed2003

Marginal deterioration as a predictor of failure of a posterior composite.

The purpose of the present study was to undertake a retrospective analysis of the findings of a multicentre clinical trial to test the hypothesis that marginal deterioration and cavomarginal discoloration may be a predictor of the failure of posterior composite restorations. Longitudinal 5-yr data from the multicentre trial of Occlusin were analysed (modified USPHS criteria data were available in respect of 1018 of the 1242 restorations included in the study). The 5-yr failure rate was calculated using three different methods. The various failure rates (maximum 18.8%) and the data pertaining to marginal deterioration and cavomarginal discoloration were then compared and contrasted by means of chi2 test. The analysis revealed that restorations with marginal deterioration at 3 yr were 5.3 times more likely to have failed by 5 yr than restorations with A (Alfa) rated marginal adaptation at 3 yr. Similarly restorations with cavomarginal discoloration at 3 yr were found to be 3.8 times more likely to have failed at 5 yr than restorations with no cavomarginal discoloration at 3 yr. Moreover, restorations with both marginal deterioration and cavomarginal discoloration at 3 yr failed 8.7 times more frequently than restorations with sound margin at 3 yr. It is concluded that clinical investigations of present-day materials for posterior composite should seek to determine if marginal deterioration and cavomarginal discoloration is an important predictor of the failure of posterior composites, especially when marginal deterioration and cavomarginal discoloration occur simultaneously.

Bicuspid↗
PubMed1992

Improvement of oral hygiene in patients with rheumatoid arthritis.

Programs in power toothbrushing, manual toothbrushing with conventional fluoride toothpaste and with a chlorhexidine/fluoride gel has been evaluated for plaque removal in an observer blind cross-over clinical trial on 14 rheumatoid arthritis patients. All three regimens lead to considerable improvement in oral hygiene. The use of an electric toothbrush was slightly more effective than a manual brush. Brushing with a chlorhexidine/fluoride gel gave the best results, but its clinical use is limited by unacceptable taste, discoloration and possibly adverse soft tissue effects.

Arthritis, Rheumatoid↗
PubMed1981

Evaluation of an oligomer or an oligomer plus cetyl pyridinium chloride against plaque, stain, calculus, and gingivitis.

A low molecular weight oligomer of sulfoacrylic acid (ND-2) was effective in inhibiting hydroxyapatite formation in vitro at 33 ppm from a saturated solution of calcium and phosphate. The oligomer did not damage or etch human dental enamel in vitro at pH 5.0 and 7.5. It significantly reduced calculus formation when applied topically in beagles at a concentration of 1% in a rinse. In a second study using 30 beagle dogs, the rinses containing 0.1% CPC and 0.1% CPC + 2% ND-2 significantly reduced (alpha less than 0.05) plaque and gingivitis for 12 wk when compared to a placebo rinse. One-tenth percent CPC rinse induced more discoloration of teeth than the placebo, while the rinse containing 0.1% CPC + 2% ND-2 had significantly less discoloration than CPC rinse or the placebo rinse in beagles. Thus the oligomer was effective in reducing CPC-induced discoloration in beagles.

Acrylic Resins↗
PubMed1975

[Damage of the permanent teeth after icterus neonatorum gravis--a case history].

A case is reported in which, after icterus gravis neonatorum (I.G.N.) with subsequent exchange transfusion, highly discolored permanent teeth were observed with the six-year molars showing hypoplastic cusps. Possible connections between I.G.N and the discoloration and hypoplasia of the permanent teeth are discussed.

Child↗
PubMed1992

Minocycline use discolors teeth.

A 25-year-old woman with gray striated staining on all teeth took minocycline for two years. Staining corresponded with the treatment time.

Acne Vulgaris↗
PubMed1995

Marginal ditching and staining as a predictor of secondary caries around amalgam restorations: a clinical and microbiological study.

Caries at the margins of restorations is difficult to diagnose. In particular, the relevance of both marginal ditching and staining around amalgam restorations is unclear. This clinical study questions the relevance of marginal ditching and color change to the level of infection of the dentin beneath the margins of amalgam restorations. Clinically visible sites (330) on the tooth/restoration margin were selected on 175 teeth. The enamel adjacent to each site was noted as stained (a grey discoloration) or stain-free. One hundred and seventy-eight sites were clinically intact, 83 sites had narrow ditches (< 0.4 mm), and at 49 sites, wide ditches were present (> 0.4 mm). Twenty sites with frankly carious lesions were also included. Plaque was sampled at the tooth-restoration margin, and the dentin was sampled at the enamel-dentin junction below each site. Samples were vortexed, diluted, and cultured for total anaerobic counts, mutans streptococci, lactobacilli, and yeasts. Plaque samples showed that margins with wide ditches (> 0.4 mm) harbored significantly more bacteria, mutans streptococci, and lactobacilli than did clinically intact margins and margins with narrow ditches. There were no significant differences in the degree of infection of the dentin beneath clinically intact restorations and those with narrow ditches, but samples associated with wide ditches and carious lesions yielded significantly more bacteria, mutans streptococci, and lactobacilli. The color of the enamel adjacent to the sample site was irrelevant to the level of infection of the dentin beneath the filling margin, provided a frankly carious lesion was not present.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed2004

Effect of bleaching and repolishing procedures on coffee and tea stain removal from three anterior composite veneering materials.

UNLABELLED: Discolored teeth can be treated with resin veneers, but their color changes when confronted with staining solutions. Polishing procedures can provide a remedy for highly stained composites, but they tend to remove some materials as well. However, bleaching procedures are an effective, nondestructive method for solving the problem. The aim of this study was to compare the color change of three veneer composites exposed to staining solutions and to evaluate the effectiveness of a 15% hydrogen peroxide bleaching agent and three polishing systems to remove the stain. Forty-five disks (12 x 2 mm) each of Clearfil ST (Kuraray Co. Ltd., Osaka, Japan), Esthet-X (Dentsply/Caulk, Milford DE, USA), and Filtek A110 (3M ESPE, St. Paul, MN, USA) were prepared. The specimens were polished with Sof-Lex (3M ESPE), Enhance (Dentsply/Caulk), or PoGo (Dentsply/Caulk). Five specimens for each material-polishing system combination were immersed in coffee (Nescafe Classic, Nestle SA, Vevey, Switzerland) or tea (Earl Grey, Lipton, Blackfriars-London, England) for 7 days. The remaining disks were stored in water. Color measurements were made with a spectrophotometer (X-Rite Seroice SP78, Loaner, Köln, Germany) at baseline; after 1, 3, 5, and 7 days; and after bleaching and repolishing. After 1 week, one side of the specimens was bleached with Illuminé-office (Dentsply De Trey GmbH, Konstanz, Germany) for 1 hour, and the other side was repolished for 30 seconds. All comparisons of color change for the polishing systems, times, and staining solutions were subjected to repeated measurements of analysis of variance. Paired t-test was used to examine whether significant color differences (deltaE*) occurred during immersion at the specified time intervals (p < or = .05). Filtek A110 was the least stained resin composite. Its color remained under a deltaE* value of 2 during the study. Clearfil ST exhibited the most color change after 1 week. All specimens polished with Enhance showed less staining, whereas those polished with the Sof-Lex system demonstrated the most color change. Water did not cause a variance in the deltaE*. There was no difference in the staining potential of coffee and tea. Bleaching and repolishing were effective in removing the stains. The resin composites tested reversed nearly to baseline color with the bleaching and to less than values at 1 day of staining with repolishing. The coffee and tea brands tested stained the composites used in this study equally. In-office bleaching was found to be more effective than repolishing in the restitution of the color. CLINICAL SIGNIFICANCE: The results of this study suggest that the discoloration of resin veneers can be partially removed by in-office bleaching and repolishing procedures.

Coffee↗