DOCSLIB.ORG

Oral Rehabilitation of Young Adult with Amelogenesis Imperfecta 1Vincent WS Leung, 2Bernard Low, 3Yanqi Yang, 4Michael G Botelho

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Oral Rehabilitation of Young Adult with Amelogenesis Imperfecta 1Vincent WS Leung, 2Bernard Low, 3Yanqi Yang, 4Michael G Botelho JCDP Oral Rehabilitation of Young10.5005/jp-journals-10024-2305 Adult with Amelogenesis Imperfecta CASE REPORT Oral Rehabilitation of Young Adult with Amelogenesis Imperfecta 1Vincent WS Leung, 2Bernard Low, 3Yanqi Yang, 4Michael G Botelho ABSTRACT preparation, correcting posterior bilateral cross-bite, as well as an anterior reverse overjet and derotation of the canines. Background: Amelogenesis imperfecta is a heterogeneous group of hereditary disorders that affect the enamel formation Clinical significance: This case report demonstrates the of the primary and permanent dentitions while the remaining effective restoration of AI using a multidisciplinary approach to tooth structure is normal. Appropriate patient care is necessary overcome crowding using a relatively conservative approach. to prevent adverse effects on dental oral health, dental disfigure- Keywords: Amelogenesis imperfecta, Full ceramic crown, ment, and psychological well-being. Orthodontic treatment, Porcelain veneers. Aim: This clinical report presents a 27-year-old Chinese male with How to cite this article: Leung WS, Low B, Yang Y, amelogenesis imperfecta (AI) and his restorative management. Botelho MG. Oral Rehabilitation of Young Adult with Amelogenesis Case report: This clinical report presents a 27-year-old Chinese Imperfecta. J Contemp Dent Pract 2018;19(5):599-604. male with AI and his restorative management. Extraoral exami- Source of support: Nil nation showed a skeletal class III profile and increased lower facial proportion. Intraorally, all the permanent dentition was Conflict of interest: None hypoplastic with noticeable tooth surface loss and a yellow- brown appearance. This was complicated with a mild maloc- BACKGROUND clusion and food packing on his posterior teeth. The patient wanted to improve his appearance and masticatory efficiency. Amelogenesis imperfecta is a heterogeneous group of Orthodontic treatment was performed to treat the mild malocclu- hereditary disorders that affect the enamel formation sion and create physiological interproximal spacing to minimize of the primary and permanent dentitions.1 There is a tooth preparation and facilitate oral hygiene. wide diversity of enamel malformation observed in AI. Conclusion: This report demonstrates how a multidisciplinary Witkop/Sauk classified three major types of AI.2 The approach for the management of AI can achieve a predict- diversity of the condition is believed to reflect the differ- able, functional, and esthetic outcome. Orthodontic treatment ences in the timing during which amelogenesis is affected. facilitated a conservative prosthodontic treatment outcome by selectively increasing interproximal space, minimizing tooth There are three major types of AI classified as: hypoplas- tic, hypocalcified, and hypomaturation. Hypoplastic AI usually appears pitted, thin, and tinged with a yellow- 1Private Practitioner, Shop B, G/F, Millennium Court, 72 Shau brown color and has a hard texture. Radiographically, the Kei Wan Road, Sai Wan Ho, Hong Kong enamel contrasts normally from dentin. Hypocalcified 2Private Practitioner, 318 Glen Osmond Rd, Myrtle Bank, SA 5064 AI enamel shows a normal thickness on eruption, but is 3Department of Orthodontics, Faculty of Dentistry, The University weak in structure, and appears opaque and chalky and of Hong Kong, The Prince Philip Dental Hospital, Sai Ying Pun is easily abraded and detachable from the underlying Hong Kong, China dentin. Radiographically, the enamel is less radiopaque 4 Department of Prosthodontics, Faculty of Dentistry, The than dentin. Hypomaturation AI enamel is slightly softer, University of Hong Kong, The Prince Philip Dental Hospital, Sai Ying Pun, Hong Kong, China but is not hypocalcified. The color is opaque, mottled white, yellow and sometimes brown. Radiographically, Corresponding Author: Michael G Botelho, Department of Prosthodontics, The University of Hong Kong, Room 3B19, The it shares a similar radiodensity as dentin. A variety of Prince Philip Dental Hospital, 34, Hospital Road, Sai Ying Pun nonenamel manifestations may also be present in AI, Hong Kong, China, e-mail: [email protected], e-mail: botelho@ such as delayed eruption, congenitally missing teeth, hku.hk crown resorption, root resorption, pulp calcification, and The Journal of Contemporary Dental Practice, May 2018;19(5):599-604 599 Vincent WS Leung et al gingival hyperplasia. Some other craniofacial features detachable by an explorer. The crown height was short may involve, such as reverse curve of Spee, anterior open in the posterior region. Interproximal caries on teeth #17 bite, or a vertical growth pattern.3 mesial, #16 distal and mesial, #26 distal, and #27 mesial Enamel is derived from epithelial (ectodermal) origin. were detected due to repeated food trapping in these areas. When the enamel is starting to form after the initiation The posterior teeth were in bilateral cross-bite with a of dentinogenesis, cells derived from the internal enamel reversed overjet and the teeth #12 and #13 were in reverse epithelium undergoes three functional stages: presecre- overjet also. Teeth #13 and #23 were rotated distally. There tory, secretory, and maturation.4 The ameloblasts acquire was minimal overjet and overbite of the anterior teeth, their characteristics and develop the apparatus to secrete malalignment and mild crowding. the organic matrix at the presecretory stage. Then they The free-way-space measured was 2 mm. The centric secrete the entire thickness of enamel at the secretory relationship and the centric occlusion were coincided. stage. Finally, the ameloblasts facilitate inorganic ions to No occlusal interference was detected during lateral be secreted and exchanged for water and organic content, excursion (Fig. 1). resulting in a highly organized hydroxyapatie crystal occupying 95% of the matrix volume, thereby producing Radiographic Findings the fully mineralized enamel. A panoramic radiograph showed all of the erupted teeth to have a reduced thickness of enamel but with a normal CASE REPORT dentin and pulpal appearance. Tooth #48 was impacted A 27-year-old Chinese male was referred to the with a normal thickness of enamel, but it was less radi- Prosthodontic Department, Prince Philip Dental Hospital opaque than dentin, and it was difficult to define the at the University of Hong Kong. He requested to improve dentin–enamel junction (Fig. 2). his dental appearance and chewing efficiency. He reported having increasing difficulty to grind the food into small Diagnosis enough pieces for swallowing. He also complained of The patient was diagnosed with a hypoplastic type AI, food trapping in between approximal surface where the generalized gingivitis, and caries on teeth #17M #16D, M enamel had cleaved off which was likely responsible for #26D #27M. A mild malocclusion with teeth #12 #13 in some interproximal dental decay. The appearance and reverse overjet, teeth #13 and #23 mesiobuccally rotated structural integrity of the patient’s dentition were signifi- and a bilateral posterior cross-bite. cantly compromised. The teeth appeared yellow-brown in color and had a rough and soft surface texture with a marked tooth surface loss of the enamel, especially on Treatment Objective the axial surfaces, which resulted in a change of contour The goal for treatment was to control active dental dis- of the teeth including loss of interproximal enamel mar- eases, restore the stomatognathic function in terms of mas- ginal ridges which facilitated food packing. He had no tication and speech, prevention of food packing, improve complaints of dentin hypersensitivity. esthetics, and facilitate self-administered oral hygiene care. According to the patient, his father had experienced similar problems and finally became edentulous and is now Treatment Plan wearing complete dentures. This motivated the patient to seek treatment for his condition. The medical history was Based on the multifactorial nature of this case, a cross- unremarkable and the patient was a nonsmoker. disciplinary approach was required to create space for prosthetic restoration and correct tooth alignment. Extraoral Examination A treatment plan was formulated with a key aim of facilitating the prosthodontic outcome for the recreation of The patient presented with increased lower facial propor- posterior interproximal spacing so as to reduce the amount tion and competent lips. There was no facial asymmetry of interproximal tooth preparation and to create a more or signs or symptoms of temporal mandibular joint physiological contour for better oral hygiene practices. disorders. This was achieved by way of upper arch expansion and proclination of the upper incisors to create posterior inter- Intraoral Examination proximal space. In addition, correction of the posterior, #12 The patient presented with poor oral hygiene, bleeding on and #13 cross-bites, derotation of the teeth #13 and #23, gingival probing, although no probing depth was greater and an increase of the anterior overjet were planned. The than 4 mm. The soft tissues appeared normal and healthy. correction of the malaligned canines would help establish The enamel was yellow-brown, rough, soft, and easily canine guidance. The increase in anterior overjet will also 600 JCDP Oral Rehabilitation of Young Adult with Amelogenesis Imperfecta A B C Figs 1A to C: (A) Preoperative frontal view showing severe AI and teeth 13 and 12 cross-bite. (B) Preoperative upper arch showing rotated teeth 13 and 23, loss of tooth surface substance and morphology. (C)
Load more

Recommended publications
  • DENTIN HYPERSENSITIVITY: Consensus-Based Recommendations for the Diagnosis & Management of Dentin Hypersensitivity
    October 2008 | Volume 4, Number 9 (Special Issue) DENTIN HYPERSENSITIVITY: Consensus-Based Recommendations for the Diagnosis & Management of Dentin Hypersensitivity A Supplement to InsideDentistry® Published by AEGISPublications,LLC © 2008 PUBLISHER Inside Dentistry® and De ntin Hypersensitivity: Consensus-Based Recommendations AEGIS Publications, LLC for the Diagnosis & Management of Dentin Hypersensitivity are published by AEGIS Publications, LLC. EDITORS Lisa Neuman Copyright © 2008 by AEGIS Publications, LLC. Justin Romano All rights reserved under United States, International and Pan-American Copyright Conventions. No part of this publication may be reproduced, stored in a PRODUCTION/DESIGN Claire Novo retrieval system or transmitted in any form or by any means without prior written permission from the publisher. The views and opinions expressed in the articles appearing in this publication are those of the author(s) and do not necessarily reflect the views or opinions of the editors, the editorial board, or the publisher. As a matter of policy, the editors, the editorial board, the publisher, and the university affiliate do not endorse any prod- ucts, medical techniques, or diagnoses, and publication of any material in this jour- nal should not be construed as such an endorsement. PHOTOCOPY PERMISSIONS POLICY: This publication is registered with Copyright Clearance Center (CCC), Inc., 222 Rosewood Drive, Danvers, MA 01923. Permission is granted for photocopying of specified articles provided the base fee is paid directly to CCC. WARNING: Reading this supplement, Dentin Hypersensitivity: Consensus-Based Recommendations for the Diagnosis & Management of Dentin Hypersensitivity PRESIDENT / CEO does not necessarily qualify you to integrate new techniques or procedures into your practice. AEGIS Publications expects its readers to rely on their judgment Daniel W.
    [Show full text]
  • Triage to Treatment
    Triage to Treatment Jarod W. Johnson, D.D.S. Disclosures Honorarium provided by SDI North America COVID-19 Incubation Period Thought to extend 14 Days Median time 4-5 Days One study shows 97.5% of COVID-19 patients with symptoms will develop them within 11.5 Days Timeline ADA Website ADA Flow Chart TEXT arctic to 31996 ADA Guidelines Emergency Care Emergencies Uncontrolled Bleeding Facial Trauma (Airway Risk) Cellulitis or Swelling with Airway Risk Urgent Care “to relieve severe pain and/or risk of infection and to alleviate the burden on hospital emergency departments. These should be treated as minimally invasively as possible.” ADA Guidelines Emergency Care Urgent Dental Care Severe Pain Pericoronitis or third molar pain Surgical post op osteitis Localized abscess, swelling resulting in pain Tooth fracture resulting in pain or soft tissue damage Dental trauma with avulsion/luxation Dental treatment required prior to medical care Final crown cementation (if temporary lost) Biopsy of abnormal tissue Other urgent care Deep caries Manage with interim restorative techniques (possible SDF/GI) Suture removal Replacing temporary filling on endo access Adjustment of orthodontic appliances piercing or ulcerating the mucosa Aerosols Aerosols Journal of the America Dental Association jada.ada.org/cov19 Link is in your handout. J Am Dent Assoc. 2004 Apr;135(4):429-37. Aerosols and splatter in dentistry: a brief review of the literature and infection control implications. Harrel SK, Molinari J. “The aerosols and splatter generated during dental procedures have the potential to spread infection to dental personnel and other people in the dental office. While, as with all infection control procedures, it is impossible to completely eliminate the risk posed by dental aerosols, it is possible to minimize the risk with relatively simple and inexpensive precautions.
    [Show full text]
  • Scales for Pain Assessment in Cervical Dentin Hypersensitivity
    ORIGINAL ARTICLE ISSN 2358-291X (Online) Scales for pain assessment in cervical dentin hypersensitivity: a comparative study Escalas para avaliação da dor na hipersensibilidade dentinária cervical: um estudo comparativo Bethânia Lara Silveira Freitas1 , Marina de Souza Pinto1 , Evandro Silveira de Oliveira1 , Dhelfeson Willya Douglas-de-Oliveira1 , Endi Lanza Galvão1 , Patricia Furtado Gonçalves1 , Olga Dumont Flecha1 , Paulo Messias de Oliveira Filho1 1 Departamento de Odontologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina (MG), Brasil. How to cite: Freitas BLS, Pinto MS, Oliveira ES, Douglas-de-Oliveira DW, Galvão EL, Gonçalves PF, et al. Scales for pain assessment in cervical dentin hypersensitivity: a comparative study. Cad Saúde Colet, 2020;28(2):271-277. https://doi. org/10.1590/1414-462X202000020372 Abstract Background: Currently, different pain scales are used extensively to measure clinical pain, especially in dental practice. Objective: This study aims to compare pain scales used in clinical research and dental practice, identifying the easiest to understand by patients with Cervical Dentin Hypersensitivity. Method: Seventy-four patients with Cervical Dentin Hypersensitivity were stimulated by a thermic test of the sensitive tooth, followed by application of different pain measurement scales (Visual Analogue Scale, Faces Pain Scales, Numeric Rating Scale, and Verbal Rating Scale) and by a questionnaire to evaluate the patient’s perception regarding the ease of understanding scales. The statistic tests used were the Wilcoxon, Spearman correlation, and Chi-Square tests. Results: The results founded a strong positive correlation between the scales (r = 0.798 to 0.960 p <0.001). The was easiest scale to understand according to the patients was the Verbal Rating Scale (52.7%).
    [Show full text]
  • The Klippel-Feil Syndrome: a Case Report
    JCDAJournal of the Canadian Dental Association Vol. 70, No. 10 November 2004 Painting by Dr. Kris Row Nonsurgical Decompression of Large Periapical Lesions Pigmented Lesions of the Oral Cavity Klippel-Feil Syndrome Diet and Dentin Hypersensitivity Canada’s Peer-Reviewed Dental Journal PM40064661 R09961 • www.cda-adc.ca/jcda • Dental technology is changing fast and Ash Temple keeps me up to date The people of Ash Temple are experienced and motivated. Their knowledge of what’s new in the market, combined with their understanding of your practice and your style, can help you to achieve the highest standards of performance. Ash Temple is your all-Canadian source for unmatched value on supplies and equipment and for answers to the challenges of a busy dental office. Our dedication to Canadian dentistry shows in our extra value Equity purchasing program, in our advanced ordering and delivery systems, and in our financial support for practice development and for professional organizations. Supplies ● Equipment ● Design We are ready to help. Call 1-800-268-6497, or visit ashtemple.com Repairs ● Financing ● Transitions JCDAJournal of the Canadian Dental Association CDA Executive Director George Weber Editor-In-Chief Mission statement Dr. John P. O’Keefe Writer/Editor CDA is the authoritative national voice of dentistry, dedicated to the Sean McNamara representation and advancement of the profession, nationally and Assistant Editor internationally, and to the achievement of optimal oral health. Natalie Blais Coordinator, French Translation Nathalie Upton Coordinator, Publications Rachel Galipeau Editorial consultants Writer, Electronic Media Dr. Catalena Birek Dr. Ernest W. Lam Melany Hall Manager, Design & Production Dr.
    [Show full text]
  • Bruxism, Related Factors and Oral Health-Related Quality of Life Among Vietnamese Medical Students
    International Journal of Environmental Research and Public Health Article Bruxism, Related Factors and Oral Health-Related Quality of Life Among Vietnamese Medical Students Nguyen Thi Thu Phuong 1, Vo Truong Nhu Ngoc 1, Le My Linh 1, Nguyen Minh Duc 1,2,* , Nguyen Thu Tra 1,* and Le Quynh Anh 1,3 1 School of Odonto Stomatology, Hanoi Medical University, Hanoi 100000, Vietnam; [email protected] (N.T.T.P.); [email protected] (V.T.N.N.); [email protected] (L.M.L.); [email protected] (L.Q.A.) 2 Division of Research and Treatment for Oral Maxillofacial Congenital Anomalies, Aichi Gakuin University, 2-11 Suemori-dori, Chikusa, Nagoya, Aichi 464-8651, Japan 3 School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2000, Australia * Correspondence: [email protected] (N.M.D.); [email protected] (N.T.T.); Tel.: +81-807-893-2739 (N.M.D.); +84-963-036-443 (N.T.T.) Received: 24 August 2020; Accepted: 11 October 2020; Published: 12 October 2020 Abstract: Although bruxism is a common issue with a high prevalence, there has been a lack of epidemiological data about bruxism in Vietnam. This cross-sectional study aimed to determine the prevalence and associated factors of bruxism and its impact on oral health-related quality of life among Vietnamese medical students. Bruxism was assessed by the Bruxism Assessment Questionnaire. Temporomandibular disorders were clinically examined followed by the Diagnostic Criteria for Temporomandibular Disorders Axis I. Perceived stress, educational stress, and oral health-related quality of life were assessed using the Vietnamese version of Perceived Stress Scale 10, the Vietnamese version of the Educational Stress Scale for Adolescents, and the Vietnamese version of the 14-item Oral Health Impact Profile, respectively.
    [Show full text]
  • Comparison of the Postoperative Pain and Discomfort After Diode Laser and Conventional Frenectomy
    Comparison of the Postoperative Pain and Discomfort after Diode Laser and Conventional Frenectomy Hatice BALCI YÜCE*, Feyza TÜLÜ*, Ozkan KARATAŞ*, Fatma UÇAN YARKAÇ* *Gaziosmanpasa University Faculty of Dentistry Department of Periodontology, Tokat, Turkey Running title: VAS evaluation of Diode laser frenectomy Corresponding address Hatice BALCI YUCE, Ph.D. Department of Periodontology Gaziosmanpaşa University Faculty of Dentistry Tokat 60100, Turkey Tel: +90356 2124222 Fax: +90356 2124225 E-mail: [email protected] Conflict of Interest and Sources of Funding Statement No external funding was available for this study. The authors declare that there are no conflicts of interest in this study. Number of figures: 1 Number of tables: 1 1 Konvansiyonel ve Diyot Lazer Yöntemleri ile Yapılan Frenektomi İşlemi Sonrası Ağrı ve Hasta Konforunun Karşılaştırılması Hatice BALCI YÜCE*, Feyza TÜLÜ*, Özkan KARATAŞ*, Fatma UÇAN YARKAÇ* *Gaziosmanpaşa Üniversitesi Diş Hekimliği Fakültesi Periodontoloji Anabilim Dalı, Tokat, Türkiye Sorumlu Yazar: Hatice BALCI YUCE, Ph.D. Periodontoloji anabilim dalı Gaziosmanpaşa Üniversitesi Diş Hekimliği Fakültesi Tokat 60100, Türkiye Tel: +90356 2124222 Fax: +90356 2124225 E-mail: [email protected] Özet: Bu çalışmada konvansiyonel veya diyot lazer cerrahisi ile yapılan frenektomi işlemi sonrası konuşma ve çiğneme güçlüğü ile ağrı, VAS skalası ile değerlendirilmiştir. Diyot lazer ile yapılan frenektomi işleminin konvansiyonel cerrahiye göre daha ağrısız, daha konforlu ve hasta açısından daha tolere edilebilir bir yöntem olduğu bulunmuştur. Kısa Başlık: Diyot lazer frenektomi sonrası ağrı ve rahatsızlığın değerlendirilmesi Şekil Sayısı: 1 Tablo Sayısı: 1 2 ÖZET Amaç: Frenilum dudak ve yanaklardan ağız mukozası veya yapışık dişetine uzanan, periosta tutunan kas ve bağ dokusu liflerinden oluşan fizyolojik-anatomik bir bağlantıdır. Bazı hastalarda frenilum yüksek seviyede ataçman ve geniş mukoza katlantıları yaparak fonksiyonel ve/veya estetik problemlere neden olabilir.
    [Show full text]
  • Selected Medicines Used in Iontophoresis
    pharmaceutics Review Selected Medicines Used in Iontophoresis Tomasz M. Karpi ´nski Department of Medical Microbiology, Pozna´nUniversity of Medical Sciences, Wieniawskiego 3, 61-712 Pozna´n,Poland; [email protected] or [email protected]; Tel.: +48-61-854-61-38 Received: 19 September 2018; Accepted: 24 October 2018; Published: 25 October 2018 Abstract: Iontophoresis is a non-invasive method of systemic and local drug delivery using an electric field. Iontophoresis enables diffusion of the selected drug via skin, mucosa, enamel, dentin, and other tissues. The amount of delivered therapeutic molecules is about 10–2000 times greater than conventional forms of delivery. Among other fields, this method is used in dentistry, ophthalmology, otorhinolaryngology, and dermatology. According to related literature, the most important drugs studied or administered by iontophoresis are: Local anesthetics, opioids, steroids, non-steroidal anti-inflammatory drugs, antibacterial drugs, antifungal drugs, antiviral drugs, anticancer drugs, fluorides, and vitamins. The present review covers current available data regarding the selected medicines used in iontophoresis. Furthermore, indications and conditions of iontophoresis application are reviewed. Keywords: iontophoresis; drug delivery; dentistry; ophthalmology; local anaesthetics; non-steroid anti-inflammatory drugs; antibiotics; anticancer drugs 1. Introduction Iontophoresis is a type of electrotherapy, during which a drug is introduced deep into the tissues as a means of systemic and local drug application [1]. It is based on the principle that in a given electric field, positively charged drug ions (cations) are repelled by a positive electrode (anode) and are directed to the cathode (Figure1). In turn, negative ions (anions, e.g., ketoprofen) being repelled by the negative electrode (cathode), follow the anode.
    [Show full text]
  • Tobacco-Associated Lesions of the Oral Cavity: Part I
    P RATIQUE CLINIQUE Tobacco-Associated Lesions of the Oral Cavity: Part I. Nonmalignant Lesions (Lésions de la cavité buccale associées au tabac. Partie I. Lésions bénignes) • Sayed M. Mirbod, DDS, M.Sc. • • Stephen I. Ahing, DDS, FRCD(C) • Sommaire La consommation excessive de produits du tabac a été associée à divers types de lésions de la cavité buccale, par exemple : formation de taches sur les dents, abrasions, mélanose du fumeur, gingivite ulcéronécrosante aiguë et autres parodontopathies, brûlures et plaques kératosiques, langue noire pileuse, stomatite due à la nicotine, érosions du palais, leucoplasie, dysplasie épithéliale et épithélioma spinocellulaire. L’examen intra-buccal de routine par un professionnel de la santé dentaire peut toutefois permettre de révéler la plupart de ces lésions à un stade précoce et favoriser ainsi une intervention hâtive qui pourra éviter de graves séquelles. Le dépistage des lésions associées au tabac, combiné à des conseils sur l’usage du tabac dispensés par les professionnels dentaires, est devenu la norme en matière de soins. Cette première partie d’une série de deux articles traite de la signification et du traitement des lésions bénignes associées au tabac. Les lésions malignes, ainsi que les principes fondamen- taux de la biopsie et les stratégies de prévention et d’intervention, sont examinés dans la deuxième partie. Mots clés MeSH : mouth mucosa/pathology; smoking/adverse effects; tobacco, smokeless/adverse effects © J Can Dent Assoc 2000; 66:252-6 Cet article a fait l’objet d’une révision par des pairs. obacco was first introduced in Europe by Spanish and a tobacco habit helps in determining the correct diagnosis and Portuguese explorers of America in the early 16th etiology.
    [Show full text]
  • Dentine Hypersensitivity: Analysis of Self-Care Products§
    Periodontics Periodontics Dentine hypersensitivity: analysis of self-care products§ Cassiano Kuchenbecker Rösing(a) Abstract: Dentine hypersensitivity is a condition that is often present in (b) Tiago Fiorini individuals, leading them to seek dental treatment. It has been described Diego Nique Liberman(b) Juliano Cavagni(b) as an acute, provoked pain that is not attributable to other dental prob- lems. Its actual prevalence is unknown, but it is interpreted as very un- pleasant by individuals. Several therapeutic alternatives are available to (a) Professor of Periodontology; (b)Graduate Student, Graduate Program in Dentistry manage dentine hypersensitivity, involving both in-office treatment and – School of Dentistry, Federal University of home-use products. The aim of this literature review was to evaluate self- Rio Grande do Sul, Porto Alegre, RS, Brazil. care products for managing dentine hypersensitivity. Among the prod- ucts available, dentifrices and fluorides are the most studied self-care products, with positive effects. However, a high percentage of individu- als is affected by the placebo effect. Among dentifrices, those containing potassium salts seem to be the most promising. Dental professionals need to understand the advantages and limitations of these therapies and use this knowledge in a positive approach that might help in decreasing den- tine hypersensitivity among patients. Descriptors: Dentin hypersensitivity; Review; Dental devices, home-care. § Paper presented at the “Oral Health Self-Care Products: Realities and
    [Show full text]
  • A Comparative Study on the Effect of Propolis and Dentine Bonding Agent in Treating Dentin Hypersensitivity: a Randomized Clinical Trial
    A Comparative Study on the Effect of Propolis and Dentine Bonding Agent in Treating Dentin Hypersensitivity: A Randomized Clinical Trial. A RESEARCH PROPOSAL By Dr. Ather Akber MSc.DS Periodontology Batch-I Submitted to the Scientific Committee Dow University of Health Sciences In partial fulfillment of the requirement For the Degree of Master of Science - Dental Surgery Periodontology th Dated: 30 May’ 2018 Approved by: Board of Advanced Studies and Research (BASR) RESEARCHER: Name: Dr. Ather Akber Designation: Lecturer, Post graduate trainee Department: Periodontology Qualification: BDS, MSc.DS Trainee Signature: ___________________ SUPERVISOR: Name: Dr. Shahbaz Ahmed Designation: Associate Professor Department: Operative dentistry Qualification: BDS, MSc, FCPS Signature: ___________________ 2 Table of Contents Abstract: ............................................................................................... Error! Bookmark not defined. Chapter 1: Introduction. ...................................................................................................................5 1.1 Background: .................................................................................................................................5 1.2 Literature Review:.........................................................................................................................7 1.3 Rationale of the Study: ................................................................................................................ 10 1.4 Statement of Problem
    [Show full text]
  • Special Care Advocates in Dentistry 2011 Lit. Review
    2011 ANNUAL SEMINAR LOUISVILLE KENTUCKY Special Care Advocates in Dentistry 2011 Lit. Review (SAID’s Search of Dental Literature Published in Calendar Year 2010*) Compiled by: Dr. Robert G. Henry Dr. Douglas Veazey 1 2011 SAID Literature Review – Annual Seminar Louisville, Kentucky Recent journal articles related to oral health care for people with mental and physical disabilities. Search Program = PubMed Database = Medline Journal Subset = Dental Publication Timeframe = Calendar Year 2010* Language = English SAID Search-Term Results 4,871 Initial Selection Result = 525 articles Final Selection Result = 184 articles SAID Search-Terms Employed: 1. Intellectual disability 22. Protective devices 2. Mental retardation 23. Moderate sedation 3. Mental deficiency 24. Conscious sedation 4. Mental disorders 25. Analgesia 5. Mental health 26. Anesthesia 6. Mental illness 27. Dental anxiety 7. Dental care for disabled 28. Nitrous oxide 8. Dental care for chronically ill 29. Gingival hyperplasia 9. Self-mutilation 30. Gingival hypertrophy 10. Disabled 31. Glossectomy 11. Behavior management 32. Sialorrhea 12. Behavior modification 33. Bruxism 13. Behavior therapy 34. Deglutition disorders 14. Cognitive therapy 35. Community dentistry 15. Down syndrome 36. State dentistry 16. Cerebral palsy 37. Gagging 17. Epilepsy 38. Substance abuse 18. Enteral nutrition 39. Syndromes 19. Physical restraint 40. Tooth brushing 20. Immobilization 41. Pharmaceutical preparations 21. Pediatric dentistry 42. Public health dentistry Program: EndNote X3 used to organize search and provide abstract. Copyright 2009 Thomson Reuters, Version X3 for Windows. *NOTE: The American Dental Association is responsible for entering journal articles into the National Library of Medicine database; however, some articles are not entered in a timely manner.
    [Show full text]
  • Noncarious Diseases of Teeth Hard Tissues
    Noncarious Diseases of Teeth Hard Tissues The Classification of Noncarious Diseases of Teeth Depending on their origination period the noncarious diseases of teeth hard tissues are divided into two basic groups (V.Patrikeev, 1986): 1. Diseases of teeth hard tissues, which are originated during a tooth development or before the tooth eruption a) Enamel hypoplasia b) Enamel hyperplasia c) Dental fluorosis d) Hereditary disturbances of the tooth development 2. Diseases of teeth hard tissues, which are originated after the tooth eruption a) Tooth discoloration and dental plaques b) Tooth wear, attrition, abrasion c) Abfraction d) Dental erosion e) Dental necrosis f) Tooth traumas f) Dental sensitivity Classification of Noncarious Diseases of Teeth Hard Tissues accepted by WHO in 1997 I Disorders of Tooth Development and Eruption 1. Anomalies of the tooth dimensions and shape- teeth coalescence, fused teeth, splited teeth, enamel drop (nodule, pearl), tooth in tooth. 2. Stained teeth- dental fluorosis 3. Teeth forming disorders- enamel hypoplasia (prenatal and neonatal, Terner’s teeth). 4. Hereditary disorders of teeth structures - indefinite amelo- and dentinogenesis, teeth changes because of indefinite osteogenesis. 5. Congenital syphilitic symptoms: screwdriver molars, Hutchinson’s teeth. 6. Other disorders of tooth development: color changes which are caused by Rh-conflict, congenital anomalies of the biliary system, porphyria and tetracycline usage in big quantities. II Other Diseases of Teeth Hard Tissues 1. Tooth wear 2. Abrasion ( loss by wear of dental tissue, caused by abrasion by foreign substance e.g., toothbrush with tooth powder; abfraction because of bad habits, harmful professional materials and habits influences) 3. Dental erosion: professional, idiopathic, are conditioned by diet, medicaments and vomiting.
    [Show full text]