Noncarious Diseases of Teeth Hard Tissues

Total Page:16

File Type:pdf, Size:1020Kb

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. 4. Dental calculi: colored plaque (dark, green, orange and plaque which is conditioned by smoking and betel chewing) generalized soft plaque, white deposit (materia alba), supra- and subgingival calculi. 5. Teeth hard tissues’ discoloration after eruption, caused by metals, presence of metal combinations, pulp bleeding, any habits which may be contributing to the condition, including tobacco use. 6. Other Specified Diseases of Teeth Hard Tissues: hypersensitive dentin, enamel changes, which are caused by the irradiation III Destructions, poisonings and other after-effects, caused by the influence of external factors 1. Tooth fracture 1.1. Tooth enamel fracture 1.2. Crown fracture without a pulp trauma 1.3. Crown fracture with exposed pulp 1.4. Root fracture 1.5. Crown and root fracture 1.6. Multiple fractures of tooth 2. Tooth dislocation: luxation, extrusion or intrusion, exarticulation 1 Enamel Hypoplasia Enamel hypoplasia (EH) is a tooth enamel defect that results in lessening of the quantity of enamel. The defect can be a small pit or dent on the tooth, or can be so widespread that the entire tooth is small and/or misshaped. A critical manifestation of the hypoplasia is the aplasia, i.e. a congenital absence of the enamel or the tooth. Etiology and pathogenesis: Hypoplasia is caused by metabolic processes disturbances in the teeth embryos. This can be occurred under the influence of mineral and albuminous exchange disturbances in embryos or child organism, or local reasons, influencing on the teeth embryos. When enameloblasts development is affected only, enamel hypoplasia is occurred, but when odontoblasts metabolism is also affected, the enamel hypoplasia is accompanied by dentin formation disturbances. Some scientists think that hypoplasia is caused, because of the enameloblasts formation disturbance (A. Abrikosov, 1914). According to the point of view of another group of scientists (I. Lukomsky, 1953, S. Vays, 1965), hypoplasia is a defect of the tooth tissues mineralization, in case of their proper forming. Z. Sharaevskaja (1954), I. Novikov (1961), A. Ribakov 1961) point out, that these two processes are interconnected. They think that teeth hard tissues’ hypoplasia is caused by both: disturbance of the enamel formation by ameloblasts and the suppression of the mineralization of the enamel prisms. Hypoplasia origination causes: a) Local harmful affect on the tooth embryo b) Metabolic disturbances in an embryo’s or a child’s organism during rachitis, infectious diseases, dyspepsia, functional disorders of the endocrine glands, etc. During hypoplasia the enamel changes are irreversible. Hypoplasia of primary teeth is mainly connected with the disorders in pregnant woman’s organism (toxicosis, etc). Hypoplasia of primary teeth is found rarely than hypoplasia of permanent teeth, which is connected with metabolic disorders in children’s organism. Hypoplasia of permanent teeth is caused by different diseases children have during the teeth formation and mineralization: rachitis, acute infectious diseases, diseases of gastroenteric path, toxic dyspepsia, alimentary dystrophy, disorders of endocrine system, congenital syphilis, cerebral disorders, etc. The location of the hypoplasia on the tooth crown and the extension of damage depend on the age of the child, when he/she undergone mentioned diseases. For example, in case of the diseases during first months after birth the incisal edges of the incisors and the cusps of the molars are affected. The size of the affected area indicates the long duration of the disease. Classification: According to the etiological factors there are systemic and local hypoplasias. Systemic hypoplasia is noted at teeth, which are formed at the same period. The hypoplasia of one tooth is called local. Systemic hypoplasia: Clinically 3 types of systemic hypoplasia are distinguished: - change of the enamel color - enamel underdevelopment - enamel absence Clinical symptoms The enamel color change is displayed as white or yellow spots, which have precise verges and the same size. The spots are usually found out on the vestibular surface of the teeth and aren’t accompanied by hypersensitivity. During the lifetime the size, the form and the color of the spot isn’t changed. Enamel underdevelopment is the maximal severe form of the systemic hypoplasia. It can appear with wavy (rough), spotted (pitted) or grooved surface. Wavy enamel is appeared after drying the crown surface with cylinders shape. There is unchanged enamel between cylinders in looks of the pits. The spotted changes of enamel are located on the both oral and vestibular tooth surfaces and have natural color after tooth eruption. These spots change the color later, though the enamel is still strong and smooth. This is the most widespread type of the hypoplasia. The grooved surface gives evidence of the isolated or multiple grooves on the tooth surface. If the whole crown has a lot of grooves it is called a “stepped”. In all the above stated examples the wholeness of the enamel isn’t broken. 2 The absence of enamel or aplasia is the most severe type of the hypoplasia and it is rarely met. In this case apart from the aesthetic defects the feeling of the pain can be present because of the irritant affect. The pain is eliminated after the stimuli removing. The Hutchinson’s, Furner’s and Pfluger’s teeth are the variety of the systemic hypoplasia. Hutchinson’s teeth (screw-driver, notched teeth): the teeth of congenital syphilis in which the incisal edge is notched and narrower than the cervical area. Furner’s teeth are the same with Hutchinson’s teeth without half-moon notches. They occur because of the congenital syphilis and smallpox. Pfluger’s teeth are the first molars, with the conic crown shape (the cervical area is wider than occlusal surface) and have under developmental cusps. “Tetracycline” teeth: This is a type of the systemic hypoplasia. Tetracycline is an antibiotic. It's a fairly powerful antibiotic that kills a broad spectrum of bacteria. However, when it is taken while teeth are forming, it deposits in the dentin and enamel of the teeth and creates a permanent gray or brown stain. It can be a uniform discoloration of the entire tooth or can occur in the form of horizontal bands of stain of varying intensity. They can range from mild to very dark. As a result, tetracycline is forbidden for pregnant women, because it can penetrate through the placenta. A tetracycline tooth stain is irreversible. That’s why tetracycline should be appointed for children and pregnant women only if it is necessary for life. Local hypoplasia is the defective or incomplete development of the enamel. Local hypoplasia of permanent teeth can be a result of injury or inflammation of the precedent primary tooth. Clinical symptoms It is characterized by pits and chalky spots (of color from white to brown) on the entire tooth surface. Sometimes it happens that all enamel or a part of it is missing. These teeth are called Turner’s teeth. More often the local hypoplasia is met on the premolars, which embryos are located between primary teeth (between primary incisors and canines, which are affected by caries and periodontitis very often). Pathological anatomy During histological investigations the decreasing of the enamel width, widen interprismal spaces, a smoothing prisms’ borders, a widening of the calcification lines of Retzius etc. are found. On the spotted type the changes of the dentin occur as well. In this case the interglobular spaces are increasing, the intensive producing of the secondary dentin in the pulp is formed and the quantity of the cells is being reduced. Differential diagnosis Enamel hypoplasia should be differentiated from
Recommended publications
  • Glossary for Narrative Writing
    Periodontal Assessment and Treatment Planning Gingival description Color: o pink o erythematous o cyanotic o racial pigmentation o metallic pigmentation o uniformity Contour: o recession o clefts o enlarged papillae o cratered papillae o blunted papillae o highly rolled o bulbous o knife-edged o scalloped o stippled Consistency: o firm o edematous o hyperplastic o fibrotic Band of gingiva: o amount o quality o location o treatability Bleeding tendency: o sulcus base, lining o gingival margins Suppuration Sinus tract formation Pocket depths Pseudopockets Frena Pain Other pathology Dental Description Defective restorations: o overhangs o open contacts o poor contours Fractured cusps 1 ww.links2success.biz [email protected] 914-303-6464 Caries Deposits: o Type . plaque . calculus . stain . matera alba o Location . supragingival . subgingival o Severity . mild . moderate . severe Wear facets Percussion sensitivity Tooth vitality Attrition, erosion, abrasion Occlusal plane level Occlusion findings Furcations Mobility Fremitus Radiographic findings Film dates Crown:root ratio Amount of bone loss o horizontal; vertical o localized; generalized Root length and shape Overhangs Bulbous crowns Fenestrations Dehiscences Tooth resorption Retained root tips Impacted teeth Root proximities Tilted teeth Radiolucencies/opacities Etiologic factors Local: o plaque o calculus o overhangs 2 ww.links2success.biz [email protected] 914-303-6464 o orthodontic apparatus o open margins o open contacts o improper
    [Show full text]
  • Preparation of Absorption-Resistant Hard Tissue Using Dental Pulp-Derived Cells and Honeycomb Tricalcium Phosphate
    materials Article Preparation of Absorption-Resistant Hard Tissue Using Dental Pulp-Derived Cells and Honeycomb Tricalcium Phosphate Kiyofumi Takabatake 1, Keisuke Nakano 1,* , Hotaka Kawai 1, Yasunori Inada 1, Shintaro Sukegawa 1,2 , Shan Qiusheng 1, Shigeko Fushimi 1, Hidetsugu Tsujigiwa 1,3 and Hitoshi Nagatsuka 1 1 Department of Oral Pathology and Medicine, Graduate School of Medicine, Dentistry and Pharmaceutical Science, Okayama University, Okayama 700-8525, Japan; [email protected] (K.T.); [email protected] (H.K.); [email protected] (Y.I.); [email protected] (S.S.); [email protected] (S.Q.); [email protected] (S.F.); [email protected] (H.T.); [email protected] (H.N.) 2 Department of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Kagawa 760-8557, Japan 3 Department of Life Science, Faculty of Science, Okayama University of Science, Okayama 700-0005, Japan * Correspondence: [email protected] Abstract: In recent years, there has been increasing interest in the treatment of bone defects using undifferentiated mesenchymal stem cells (MSCs) in vivo. Recently, dental pulp has been proposed as a promising source of pluripotent mesenchymal stem cells (MSCs), which can be used in various clinical applications. Dentin is the hard tissue that makes up teeth, and has the same composition and strength as bone. However, unlike bone, dentin is usually not remodeled under physiological conditions. Here, we generated odontoblast-like cells from mouse dental pulp stem cells and combined them with honeycomb tricalcium phosphate (TCP) with a 300 µm hole to create bone-like Citation: Takabatake, K.; Nakano, K.; tissue under the skin of mice.
    [Show full text]
  • 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]
  • Oral Diagnosis: the Clinician's Guide
    Wright An imprint of Elsevier Science Limited Robert Stevenson House, 1-3 Baxter's Place, Leith Walk, Edinburgh EH I 3AF First published :WOO Reprinted 2002. 238 7X69. fax: (+ 1) 215 238 2239, e-mail: [email protected]. You may also complete your request on-line via the Elsevier Science homepage (http://www.elsevier.com). by selecting'Customer Support' and then 'Obtaining Permissions·. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data A catalog record for this book is available from the Library of Congress ISBN 0 7236 1040 I _ your source for books. journals and multimedia in the health sciences www.elsevierhealth.com Composition by Scribe Design, Gillingham, Kent Printed and bound in China Contents Preface vii Acknowledgements ix 1 The challenge of diagnosis 1 2 The history 4 3 Examination 11 4 Diagnostic tests 33 5 Pain of dental origin 71 6 Pain of non-dental origin 99 7 Trauma 124 8 Infection 140 9 Cysts 160 10 Ulcers 185 11 White patches 210 12 Bumps, lumps and swellings 226 13 Oral changes in systemic disease 263 14 Oral consequences of medication 290 Index 299 Preface The foundation of any form of successful treatment is accurate diagnosis. Though scientifically based, dentistry is also an art. This is evident in the provision of operative dental care and also in the diagnosis of oral and dental diseases. While diagnostic skills will be developed and enhanced by experience, it is essential that every prospective dentist is taught how to develop a structured and comprehensive approach to oral diagnosis.
    [Show full text]
  • Dental and Temporomandibular Joint Pathology of the Kit Fox (Vulpes Macrotis)
    Author's Personal Copy J. Comp. Path. 2019, Vol. 167, 60e72 Available online at www.sciencedirect.com ScienceDirect www.elsevier.com/locate/jcpa DISEASE IN WILDLIFE OR EXOTIC SPECIES Dental and Temporomandibular Joint Pathology of the Kit Fox (Vulpes macrotis) N. Yanagisawa*, R. E. Wilson*, P. H. Kass† and F. J. M. Verstraete* *Department of Surgical and Radiological Sciences and † Department of Population Health and Reproduction, School of Veterinary Medicine, University of California, Davis, California, USA Summary Skull specimens from 836 kit foxes (Vulpes macrotis) were examined macroscopically according to predefined criteria; 559 specimens were included in this study. The study group consisted of 248 (44.4%) females, 267 (47.8%) males and 44 (7.9%) specimens of unknown sex; 128 (22.9%) skulls were from young adults and 431 (77.1%) were from adults. Of the 23,478 possible teeth, 21,883 teeth (93.2%) were present for examina- tion, 45 (1.9%) were absent congenitally, 405 (1.7%) were acquired losses and 1,145 (4.9%) were missing ar- tefactually. No persistent deciduous teeth were observed. Eight (0.04%) supernumerary teeth were found in seven (1.3%) specimens and 13 (0.06%) teeth from 12 (2.1%) specimens were malformed. Root number vari- ation was present in 20.3% (403/1,984) of the present maxillary and mandibular first premolar teeth. Eleven (2.0%) foxes had lesions consistent with enamel hypoplasia and 77 (13.8%) had fenestrations in the maxillary alveolar bone. Periodontitis and attrition/abrasion affected the majority of foxes (71.6% and 90.5%, respec- tively).
    [Show 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.
    [Show full text]
  • Dental and Temporomandibular Joint Pathology of the Walrus (Odobenus Rosmarus)
    J. Comp. Path. 2016, Vol. -,1e12 Available online at www.sciencedirect.com ScienceDirect www.elsevier.com/locate/jcpa DISEASE IN WILDLIFE OR EXOTIC SPECIES Dental and Temporomandibular Joint Pathology of the Walrus (Odobenus rosmarus) J. N. Winer*, B. Arzi†, D. M. Leale†,P.H.Kass‡ and F. J. M. Verstraete† *William R. Pritchard Veterinary Medical Teaching Hospital, † Department of Surgical and Radiological Sciences and ‡ Department of Population Health and Reproduction, School of Veterinary Medicine, University of California, Davis, CA, USA Summary Maxillae and/or mandibles from 76 walruses (Odobenus rosmarus) were examined macroscopically according to predefined criteria. The museum specimens were acquired between 1932 and 2014. Forty-five specimens (59.2%) were from male animals, 29 (38.2%) from female animals and two (2.6%) from animals of unknown sex, with 58 adults (76.3%) and 18 young adults (23.7%) included in this study. The number of teeth available for examination was 830 (33.6%); 18.5% of teeth were absent artefactually, 3.3% were deemed to be absent due to acquired tooth loss and 44.5% were absent congenitally. The theoretical complete dental formula was confirmed to be I 3/3, C 1/1, P 4/3, M 2/2, while the most probable dental formula is I 1/0, C 1/1, P 3/3, M 0/0; none of the specimens in this study possessed a full complement of theoretically possible teeth. The majority of teeth were normal in morphology; only five teeth (0.6% of available teeth) were malformed. Only one tooth had an aberrant number of roots and only one supernumerary tooth was encountered.
    [Show full text]
  • Course Preparation Materials
    COURSE PREPARATION MATERIALS Advanced Neuromuscular Team 1 LVI Global 1401 Hillshire Drive, Ste 200 Las Vegas, NV 89134 www.lviglobal.com 888.584.3237 Please note travel expenses are not included in your tuition. Visit the LVI Global website for the most up to date travel information. LVI Global | [email protected] | 702.341.8510 fax Each attendee must bring the following: Laptop with PowerPoint – remember to bring the power cord Cameras (dSLR & point-n-shoot) – don’t forget batteries and charger Memory card for cameras and Card reader USB drive Completed Health History Dental Charting of existing & needed Perio Charting Upper and Lower models of your own mouth – not mounted PVS Impressions with HIP of your own mouth (see attached photos) Full mouth X-ray series (print out and digital copy needed) LVI Global | [email protected] | 702.341.8510 fax Hamular Notch LVI Global | [email protected] | 702.341.8510 fax Please note accurate gingival margins on all upper and lower central incisors. We need this degree of accuracy for correctly measuring the Shimbashi measurements. Caliper Please note the notch areas are smooth and without distortions. Hamular Notches Hamular Notches Marked LVI Global | [email protected] | 702.341.8510 fax LVI Red Rock Casino, Resort and Spa Suncoast Hotel and Casino McCarran Airport JW Marriott Las Vegas Resort Spa Click on the links below to view and print maps and directions to the specified locations. McCarran Airport to LVI McCarran Airport to JW Marriott Resort and Spa McCarran Airport to Suncoast Hotel and Casino McCarran Airport to Red Rock Casino, Resort and Spa JW Marriott Resort and Spa to LVI Suncoast Hotel and Casino to LVI Red Rock Casino, Resort and Spa to LVI LVI Global | [email protected] | 702.341.8510 fax What is the weather like in Las Vegas? In the winter months temperatures range from 15-60.
    [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]
  • Susan Mcmahon, DMD AAACD Modern Adhesive Dentistry: Real World Esthetics for Presentation and More Info from Catapult Education
    Susan McMahon, DMD AAACD Modern Adhesive Dentistry: Real World Esthetics For presentation and more info from Catapult Education Text SusanM to 33444 Susan McMahon DMD • Accredited by the American Academy of Cosmetic Dentistry: One of only 350 dentists worldwide to achieve this credential • Seven times named among America’s Top Cosmetic Dentists, Consumers Research Council of America • Seven time medal winner Annual Smile Gallery American Academy of Cosmetic Dentistry • Fellow International Academy Dental-Facial Esthetics • International Lecturer and Author Cosmetic Dental Procedures and Whitening Procedures • Catapult Education Elite, Key Opinion Leaders Pittsburgh, Pennsylvania Cosmetic dentistry is comprehensive oral health care that combines art and science to optimally improve dental health, esthetics, and function.” Why Cosmetic Dentistry? Fun Success dependent upon many disciplines Patients desire Variety cases/materials services Insurance free Professionally rewarding Financially rewarding Life changing for Artistic! patients “Adolescents tend to be strongly concerned about their faces and bodies because they wish to present a good physical appearance. Moreover, self-esteem is considered to play an important role in psychological adjustment and educational success” Di Biase AT, Sandler PJ. Malocclusion, Orthodontics and Bullying, Dent Update 2001;28:464-6 “It has been suggested that appearance dissatisfaction can lead to feelings of depression, loneliness and low self-esteem among other psychological outcomes.” Nazrat MM, Dawnavan
    [Show full text]
  • Oral Care for Children with Leukaemia
    Oral care in children with leukaemia Oral care for children with leukaemia SY Cho, AC Cheng, MCK Cheng Objectives. To review the oral care regimens for children with acute leukaemia, and to present an easy-to- follow oral care protocol for those affected children. Data sources. Medline and non-Medline search of the literature; local data; and personal experience. Study selection. Articles containing supportive scientific evidence were selected. Data extraction. Data were extracted and reviewed independently by the authors. Data synthesis. Cancer is an uncommon disease in children, yet it is second only to accidents as a cause of death for children in many countries. Acute leukaemia is the most common type of malignancy encountered in children. The disease and its treatment can directly or indirectly affect the child’s oral health and dental development. Any existing lesions that might have normally been dormant can also flare up and become life- threatening once the child is immunosuppressed. Proper oral care before, during, and after cancer therapy has been found to be effective in preventing and controlling such oral complications. Conclusion. Proper oral care for children with leukaemia is critical. Long-term follow-up of these children is also necessary to monitor their dental and orofacial growth. HKMJ 2000;6:203-8 Key words: Child; Leukemia/therapy; Mouthwashes; Oral hygiene/methods Introduction with high-dose chemotherapy and total body irradi- ation is being increasingly used to treat patients experi- Cancer is an uncommon disease in children, yet it encing a relapse of acute leukaemia—an event more is second only to accidents as a cause of death for common in patients with acute myeloblastic leukaemia children in Hong Kong and many other countries.1-4 (AML).2,5 Special precautions may be needed during In Hong Kong, around 150 new cases of cancer are some oral procedures to avoid or reduce the likelihood reported each year in children younger than 15 years; of serious undesirable complications.
    [Show full text]