1,721,059 research outputs found
Replantation After Dental Avulsion: A Scoping Review and Proposal of a Flow Chart
No full textDental avulsion, the complete displacement of a tooth from its socket, is a severe dental trauma with a prevalence of 0.5% to 16% of all dental injuries. Replantation of avulsed teeth is common, yet recent studies show high failure rates and unpredictable long-term outcomes. This review examines clinical variables influencing intentional dental replantation decisions and proposes a treatment flow chart. A comprehensive literature search was conducted in PubMed-Medline, Scopus, WoS, and Cochrane databases using the keywords "tooth avulsion," "tooth replantation," and "tooth ankylosis." Inclusion criteria encompassed studies from January 2018 to February 2024. From 752 identified articles, 9 systematic reviews including 3 meta-analyses were selected for this scoping review. Immediate replantation is the gold standard for avulsed teeth, yet delayed replantation is more common in practice, impacting survival rates. Adherence to guidelines from the International Association on Dental Traumatology improves outcomes, especially in paediatric patients. Factors such as multiple caries, severe periodontal disease, advanced age, psychological conditions, immunodeficiency, and lack of cooperation are contraindications for replantation. Despite the high failure rate, replantation remains recommended in literature due to its potential advantages over prosthetic implants. This review highlights the complexities in decision-making for dental replantation, emphasising the need for a comprehensive approach considering individual clinical cases. A proposed treatment flow chart aims to support clinicians in predicting prognosis and making informed decisions. The review also underscores the link between dental trauma, poor oral health, and potential neglect in children, highlighting the importance of preventive measures and parental awareness
Black Stains in Children: A New Classification and an Innovative Flowchart for Management and Recurrence Prevention
No full textExogenous black pigmentations, commonly referred to as black stains (BS), are an acquired oral pathology, prevalent among children. The condition is characterized by black punctiform spots that are distributed variably on the lingual and vestibular surfaces of both deciduous and permanent teeth. These spots are predominantly located on the cervical third of the crown but can also be found on the middle third, until the crown third, of the affected tooth's crown. These stains present a therapeutic challenge due to their high recurrence rate and the often-insufficient oral hygiene practices among children and their caregivers. Although general dentists may not be familiar with the classification of BS, the clinical diagnosis of this condition is typically straightforward. There is still no consensus among researchers regarding the prevalence of BS, and the etiopathogenesis of this condition remains not fully understood. Although BS are not a serious pathology, many children and their families experience significant embarrassment, anxiety, and negative psychological effects due to the condition. Recent literature on the treatment of BS indicates that a universally effective clinical protocol has not yet been established. This study introduces a new classification based on therapeutic approach and a flow chart designed to assist paediatric dentists in managing BS with a focus on preventing recurrence
Patient’s perception of hygiene in the dental practice after cOViD-19
No full textBACKGROUND: The COVID-19 pandemic has significantly impacted various sectors, including healthcare. The dental profession has faced unprecedented challenges in providing care while minimizing the risk of transmission. the aim of the study is to assess how patient’s perception of hygiene in the dental field has changed since COVID-19. In detail, it has been analyzed patient’s attention to hygiene and how in his opinion the dental practice changed its procedures after cOViD-19. MetHODS: a questionnaire consisting of 10 multiple-choice questions was submitted to 509 subjects, patients of several dental practices. These were related to: 1) change in their perception of hygiene after COVID-19; 2) how the office they usually go to has changed and what hygiene standards it has adopted; 3) vaccination against cOViD-19. Descriptive analyses of all variables in the questionnaire were performed, and statistical analyses between variables were carried out by chi-square test and Fisher’s exact test. reSUltS: Most patients (75.8%) stated that they had changed their perception of hygiene after the onset of cOViD-19. they reported that they had experienced changes in hygiene procedures at their usual dental practice (70.7%), including rinsing with chlorhexidine mouthwash, continuous air and water disinfection and use of personal protective equipment (PPe). Vaccination of practitioners was considered to be important by 73.5% of participants. cONclUSiONS: in the present study it was analyzed how emergence of the new coronavirus has considerably changed the perception of patient hygiene within the dental practice. as a result of the awareness implemented to prevent virus transmission, patients are paying more attention to hygiene and preventive procedures to protect their health. (Cite this article as: ludovichetti FS, Zerman N, Stellini e, Zambon G, Mazzoleni S, Zuccon a. Patient’s perception of hyiene in the dental practice after cOViD-19. Minerva Dent Oral Sci 2023;72:319-25
Traumatic injuries to permanent incisors
No full text: The prevalence of traumatic injuries to permanent incisors and their distribution according to type and some clinical factors, were analysed in a total population of 2798 patients, aged 6-21 years, examined over a 5-year period in the Dental Clinic of the University of Verona, Italy. The material consisted of case histories and radiograms taken during the examination of injured teeth. The number of injured patients was 178 (131 males and 47 females), the number of injured incisors was 326. The prevalence of injuries was 7.3%. A very large number of dental injuries occurred to children aged between 6 and 13 years. The ratio of boys to girls was 2.7:1. Most frequent causes of injuries were falls and traffic accidents. Most injuries involved two teeth. About 80% of the teeth were maxillary central incisors. The most common type of injury was non complicated crown fracture. In 87 cases (48%) there was an associated injury to soft tissue. Alveolar fractures occurred in 22 cases (12%). Traumas involving periodontal ligament constituted nearly 40% of the total. This study noted the following points: 1) preventive education programs should be instituted in the region, directed at parents and school teachers, to inform them about the problems of dental trauma and to obtain cooperative attitude to treatment and good motivation in controls; 2) the necessity to unify the diagnostic and therapeutic protocol to provide reliable information in clinical investigations, to permit valid comparison with other studies and to improve the long-term prognosis of many cases
Traumatic crown fractures in permanent incisors with immature roots: a follow‐up study
No full text: A follow-up study of crown fractured permanent incisors with incomplete root formation was carried out in a group of patients, aged 6-12 years, over a 5-year period in the Dental Clinic of the University of Verona, Italy. The number of injured patients was 55, representing 84 injured incisors. All patients were followed clinically and radiographically using a standardized follow-up protocol. The most common type of trauma was fracture of enamel and dentine without pulpal exposure (80%) and the most common type of treatment was restoration with the acid-etch composite resin technique (46%). Bonding of the crown fragment was performed in 10 instances (12%). At the 5-year-control all teeth with fracture of the enamel had no pulp complications. Four of 67 teeth (6%) with fracture of the enamel and dentine without pulpal involvement showed pulp necrosis and 1 tooth showed pulp obliteration (1.5%). Eight of 14 teeth (57%) with fractures of the enamel and dentine with pulp involvement showed pulp necrosis. Aesthetically 36 of the restored teeth were deemed satisfactory (43%). In 9 teeth the bonded fragment had to be rebonded. 14 teeth were considered unsatisfactorily restored due to wear of the composite (17%). 34 restored teeth had to be retreated because of a new trauma (40%). In one tooth a previous bonded fragment had to be rebonded. These results confirmed that crown fractures without pulp involvement in permanent incisors with incomplete root formation hav a low percentage of pulp complications, while 60% of the teeth with crown fractures with pulp involvement had pulp complications
Lack of correlation between salivary Streptococcus mutans and lactobacilli counts and caries in IDDM children
No full textIn a previous clinical study regarding the incidence of caries and the periodontal health, a group of young patients with various levels of glyco-metabolic control was studied and the results showed that the decayed-missing-filled teeth (DMFT) index was higher in insulin dependent diabetes mellitus (IDDM) type 1 patients with a poor glyco-metabolic balance than in a control group or in IDDM patients with sufficient glyco-metabolic balance. In light of these results, the purpose of this study was to find an explanation for these clinical observations by searching at a microbiological level. The results indicate that salivary counts of Streptococcus mutans and lactobacilli were higher in patients with active caries whether or not they be diabetic, than in people with no active caries, but the count of S. mutans was not directly correlated to the DMFT index. No significant alterations were found in salivary flow, pH, buffer capacity and glucose concentration in all the groups in this study. We conclude that the salivary count of S. mutans is not sufficient alone to account for the higher susceptibility to active caries of young IDDM patients with poor glyco-metabolic control
[Fissure sealants: comparison of 3 materials]
No full textThe study examined three different materials in use for sealing permanent first molars. The different clinical features were analyze
[Epidemiologic study in nursery schools of the Verona Commune on the occurrence of dental caries, malocclusion and bad habits that can influence the normal development of facial bone structure in children]
No full textA large sample of children aged 3 to 6 was investigated for the presence of caries, malocclusions and bad habits. The study highlighted the correlation between bad habits and impaired development of facial skeletal structure
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