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Dental Literature (dental + literature)
Selected AbstractsGuidelines for the management of traumatic dental injuries.DENTAL TRAUMATOLOGY, Issue 4 2007Abstract ,, Trauma to the primary dentition present special problems and the management is often different as compared with permanent teeth. An appropriate emergency treatment plan is important for a good prognosis. Guidelines are useful for delivering the best care possible in an efficient manner. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the group. In cases in which the data did not appear conclusive, recommendations were based on the consensus opinion of the IADT board members. The guidelines represent the current best evidence based on literature research and professional opinion. In this third article out of three, the IADT Guidelines for the management of traumatic injuries in the primary dentition, are presented. [source] Guidelines for the management of traumatic dental injuries.DENTAL TRAUMATOLOGY, Issue 3 2007Abstract,,, Avulsion of permanent teeth is the most serious of all dental injuries. The prognosis depends on the measures taken at the place of accident or the time immediately after the avulsion. Replantation is the treatment of choice, but cannot always be carried out immediately. An appropriate emergency management and treatment plan is important for a good prognosis. Guidelines are useful for delivering the best care possible in an efficient manner. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the group. In cases in which the data did not appear conclusive, recommendations were based on the consensus opinion of the IADT board members. The guidelines represent the current best evidence based on literature research and professional opinion. In this second article of three, the IADT Guidelines for management of avulsed permanent teeth are presented. [source] Guidelines for the management of traumatic dental injuries.DENTAL TRAUMATOLOGY, Issue 2 2007Abstract,,, Crown fractures and luxations occur most frequently of all dental injuries. An appropriate treatment plan after an injury is important for a good prognosis. Guidelines are useful for delivering the best care possible in an efficient manner. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion of the IADT board members. The guidelines represent the current best evidence, based on literature research and professional opinion. In this first article of three, the IADT Guidelines for management of fractures and luxations of permanent teeth will be presented. [source] Seen but not heard: a systematic review of the place of the child in 21st-century dental researchINTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 5 2007ZOE MARSHMAN Background., The position of children in society has changed with increasing emphasis on children's rights and child-centred services. This study aimed to describe the extent to which contemporary oral health research has been conducted with or on children. Design., A systematic review of the child dental literature from 2000,2005 was conducted. A purposive sample was used to develop categories describing the level of involvement of children in research. Four main categories were developed: children as the objects of research, proxies used on behalf of children, children as the subjects of research with some involvement and children as active participants with their perspectives explored. Electronic databases were searched and exclusion criteria applied. Each of the resulting papers was examined and categorised. The frequency distribution in each category and the distribution of these categories according to subject were calculated. Results., The search revealed 3266 papers after application of the exclusion criteria. Of these, 87.1% were categorised as research where children were used as objects, 5.7% were found to involve proxies (parents or clinicians), 7.0% involved children to some extent and 0.3% involved children actively. Conclusion., Most oral health research is conducted on children, in future research should strive to be conducted with children, involving them as fully as possible. [source] Labial piercing resulting in gingival recession.JOURNAL OF CLINICAL PERIODONTOLOGY, Issue 10 2002A case series Abstract Several complications of oral piercing have been recently reported in the medical and dental literature. Even though few people have had problems related to oral piercing, dentists should familiarise themselves with the potential associated oral and dental problems. We present three cases of young people with gingival recession in the mandibular incisor area related to labial piercing. The clinical examination and the dental history of the three cases revealed the relationship between the gingival recession and the presence of labial piercing. In particular, a stud in the lower lip was held in place by a metal disk on the inner labial mucosa in each case. The metal disk was in close proximity to the mandibular front teeth and it would appear that it was responsible for local trauma and recession. This case series reinforces previously reported concerns regarding the practice of piercing and the role of the dentist, both in advising patients with oral or facial piercing and in the treatment of related oral, gingival and dental problems. Zusammenfassung Durchstochene Lippen führten zu einer Retraktion Gingiva. Eine Fallserie In jüngerer Zeit wurden in der allgemein- und zahnmedizinischen Literatur eine Reihe von Komplikationen nach Durchstechen des Mundgewebes berichtet. Obwohl nur wenige Menschen Probleme nach durchstochenen Lippen bekamen, sollten sich Zahnärzte dennoch mit den potentiell mit dieser Praxis verbundenen Zahnproblemen beschäftigen. Wir stellen hier drei Fälle von jungen Menschen mit einer Retraktion der Gingiva im Bereich der mandibulären Schneidezähne vor, die auf ein Durchstechen der Lippen zurückzuführen ist. Die klinische Untersuchung und die Zahnanamnese der drei Fälle zeigte eine Verbindung zwischen der Retraktion der Gingiva und den durchstochenen Lippen. In jedem der Fälle wurde ein Stecker in der Unterlippe durch eine an der inneren Schleimhaut der Unterlippe anliegende Metallscheibe festgehalten. Die Metallscheibe lag in der direkten Umgebung der mandibulären Schneidezähne und wir gehen davon aus, das diese Scheibe für das lokale Trauma und die Retraktion der Gingiva verantwortlich war. Diese Fallserie unterstützt an früherer Stelle ausgedrückte Besorgnisse in Bezug auf das Durchstechen der Lippen und die Rolle des Zahnarztes, sowohl bei der Beratung des Patienten in Bezug auf das Durchstechen der Lippen bzw. anderer Gesichtsteile, als auch bei der Behandlung damit verbundener oraler, gingivaler oder dentaler Probleme. Résumé Piercing labial entraînant une récession gingivale. Série de cas La littérature médicale et dentaire a récemment fait état de plusieurs complications dues au piercing buccal. Bien que peu de personnes aient eu des problèmes liés au piercing buccal, les dentistes devraient se familiariser avec les potentielles complications buccales et dentaires qui lui sont associées. Nous exposons les cas de trois jeunes personnes présentant une récession gingivale dans la région incisive mandibulaire, en relation avec un piercing labial. L'examen clinique et le passé dentaire des trois cas ont mis en évidence la relation entre la récession gingivale et la présence d'un piercing labial. En particulier, dans chaque cas, un clou placé dans la lèvre inférieure était maintenu en place par un disque métallique situé sur la muqueuse labiale interne. Ce disque était à proximité des dents mandibulaires antérieures, et il semblerait qu'il ait étéà l'origine d'un traumatisme local et d'une récession. Cette série de cas renforce les préoccupations déjàévoquées dans le passé sur la pratique du piercing, ainsi que sur le rôle du dentiste, à la fois pour conseiller les patients sur le piercing buccal et facial et pour traiter les problèmes dentaires buccaux et gingivaux associés. [source] Use of Shade Guides for Color Measurement in Tooth-Bleaching StudiesJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 2003WILLIAM D. BROWNING DDS ABSTRACT Several different methods are used to measure tooth color in bleaching studies. The ADA Acceptance Program Guidelines for Home Use Tooth Whitening Products specify the use of a value-oriented shade guide and/or electronic color measurement devices. Since people perceive color differently, shade guides are a subjective measure. Differences between raters and by the same rater are well documented in the dental literature. The purposes of this article will be to discuss the advantages and disadvantages using shade guides to measure color change related to tooth whitening, and to evaluate the correlation of data gathered from the use of shade guides to electronic color measurement devices. Using an order published by the manufacturer, both the TRUBYTE® Bioform and Vita Classical guides can be arranged by value. A study by O'Brien demonstrated however, that the order is flawed and the change in brightness from tab to tab varies greatly. Despite these disadvantages, a review of data from several clinical trials demonstrates that Vita Classical shade guide data is consistent with data gathered using electronic color measurements. Furthermore, the O'Brien data can be used to make both these guides better measurement systems. The ADA Certification program standards define the degree of overall color change that should be considered clinically important. This issue is as critical as the measurement system used. Reporting color changes that are neither detectable to the human eye nor considered by the public to be important offers the profession little usable information. Given that any standard for color change during bleaching must relate to the abilities of the human eye, it is the conclusion of the author that shade guides should remain a critical element of any bleaching study. CLINICAL SIGNIFICANCE Clinicians are frequently exposed to reports of bleaching agents that have been shown to result in a change of 6, 7, 8, etc., tabs. Without understanding the limitations of the shade guide used, reports of a specific shade tab change are of little use and may actually be misleading. [source] Craniofacial morphology in patients with hypophosphataemic vitamin-D-resistant rickets: a cephalometric studyJOURNAL OF ORAL REHABILITATION, Issue 7 2009S. H. AL-JUNDI Summary, Hypophosphataemic vitamin-D-resistant rickets (HVDRR) is a hereditary disease mainly transmitted as an X-linked dominant trait and characterized by certain general clinical signs (Filho HM, de Castro LC, Damiani D. Arq Bras Endocrinol Metab. 2006;50:802). In literature, only one study had been published in 1965 on the cephalometric findings in patients with HVDRR (Marks SC, Lindahl RL, Bawden JW. J Dent Child. 1965;32:259). This is the first detailed study on craniofacial characteristics of patients with HVDRR in the dental literature. The aim of this study was to determine the effect of HVDRR on the parameters of the craniofacial skeleton of young Jordanian patients using cephalometric analysis. Lateral cephalometric radiographs were made for 22 Jordanian children (aged 2,16 years) diagnosed with HVDRR. The cephalometeric parameters of HVDRR group were compared with those of normal control group matched for gender and chronological age using paired t -test. The HVDRR group had a significant increase in the SNBa angle (P < 0·01); as well as reduced anterior cranial base length (P = 0·01), reduced maxillary length, corpus mandibular length and mandibular height (P = 0·01, 0·04 and 0·008 respectively). The cranial base and gonial angles were significantly increased in diseased individual, but the SNA and ANB angles were significantly reduced (P = 0·018 and 0·000 respectively). The angulation of the lower incisor to mandibular plane was also significantly reduced in the diseased group compared with Jordanian norm (P = 0·004). Patients with HVDRR have deficiency in the anterior cranial base length, ramus height and cranial base angle. Patients with HVDRR also have class III skeletal relationship. [source] Design and statistical analysis of oral medicine studies: common pitfallsORAL DISEASES, Issue 3 2010L Baccaglini Oral Diseases (2010) 16, 233,241 A growing number of articles are emerging in the medical and statistics literature that describe epidemiologic and statistical flaws of research studies. Many examples of these deficiencies are encountered in the oral, craniofacial, and dental literature. However, only a handful of methodologic articles have been published in the oral literature warning investigators of potential errors that may arise early in the study and that can irreparably bias the final results. In this study, we briefly review some of the most common pitfalls that our team of epidemiologists and statisticians has identified during the review of submitted or published manuscripts and research grant applications. We use practical examples from the oral medicine and dental literature to illustrate potential shortcomings in the design and analysis of research studies, and how these deficiencies may affect the results and their interpretation. A good study design is essential, because errors in the analysis can be corrected if the design was sound, but flaws in study design can lead to data that are not salvageable. We recommend consultation with an epidemiologist or a statistician during the planning phase of a research study to optimize study efficiency, minimize potential sources of bias, and document the analytic plan. [source] Discuss That The Coronal Seal Is More Important Than The Apical Seal For Endodontic SuccessAUSTRALIAN ENDODONTIC JOURNAL, Issue 3 2002Anjella Sritharan One of the main principles for successful root canal treatment is the prevention of microorganisms and toxins from the oral flora penetrating through the root canal system into the periapical tissues (1). This is achieved by obturating the root canal system completely, including the coronal and apical ends. Inadequate obturation of the root canal system has been found to be the most frequent cause of failure after endodontic treatment (2). A number of studies have indicated that leakage, whether from a coronal or apical direction, adversely affects the success of root canal treatment (3,7). The significance of the coronal seal has been increasingly recognized in the dental literature (4, 5, 8, 9) and in more recent times, it has been suggested that apical leakage may not be the most important factor leading to the failure of endodontic treatment , but that coronal leakage is far more likely to be the major determinant of clinical success or failure (10). This paper will discuss aspects of: endodontic success and failure; the use of leakage studies to assess the quality of the seal; the significance of both apical and coronal leakage; followed by a review of the literature. 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