RESUMO
OBJECTIVE: The aim of the study was to evaluate the exfoliation pattern of primary molars treated according to three treatment protocols. The hypothesis tested was that there is no difference in the exfoliation pattern of primary molars treated according to conventional restorative treatment using amalgam (CRT), atraumatic restorative treatment using highviscosity glassionomer (ART), and ultraconservative treatment (UCT). The latter consisted of restoring small cavities with ART and cleaning medium/large nonrestored cavities daily with toothpaste/toothbrush under supervision. METHODS: A sample of 302 children aged 67 years from a suburban area of Brasilia was followed up for 3.5 years. The numbers of treated molars were 341 (CRT), 244 (ART), and 275 (UCT). Exfoliation rates were obtained using the PHREG procedure. Differences between the three treatment protocol groups were tested using the Wald test. RESULTS: After 3.5 years, there was no difference over the exfoliation rates of all primary molars as 51.0% (CRT), 48.7% (ART), and 59.3% (UCT) had exfoliated at the overall period (P = 0.34). CONCLUSION: The three treatment protocols led to similar exfoliation patterns of all primary molars after 3.5 years.
Assuntos
Restauração Dentária Permanente/métodos , Dente Molar , Esfoliação de Dente/epidemiologia , Dente Decíduo , Brasil/epidemiologia , Criança , Tratamento Dentário Restaurador sem Trauma/efeitos adversos , Tratamento Dentário Restaurador sem Trauma/métodos , Cárie Dentária/cirurgia , Restauração Dentária Permanente/efeitos adversos , Feminino , Humanos , Masculino , Esfoliação de Dente/etiologia , Dente Decíduo/cirurgiaRESUMO
The Chediak-Higashi syndrome (CHS) is a rare hereditary fatal disease, if not treated. These changes are associated with various diseases and syndromes that mainly cause periodontal disease and thus the premature loss of teeth. This paper describes the monitoring of premature loss of primary teeth that began when the child was 5 years old. On presentation his teeth were mobile and there was a history of gingival bleeding. Panoramic radiography revealed generalized and severe bone loss, and the teeth showed no bony support enough for their stability. Blood test was ordered to assess the overall health of the child and giant cells with cytoplasmic granules were found, confirming the diagnosis of CHS. The management of periodontal disease focused on the control of infection and bacterial plaque by mechanical and chemical methods.
A síndrome de Chediak-Higashi (CHS) é uma doença rara hereditária e fatal se não for tratada. Estas alterações estão associadas com várias doenças e síndromes que, principalmente, causa a doença periodontal assim como perda prematura de dentes. Este artigo descreve o monitoramento de perda prematura de dentes decíduos, que começou quando a criança tinha 05 anos. Na apresentação os dentes estavam com mobilidade e apresentava sangramento gengival. As radiografias panorâmicas revelaram perda óssea generalizada e grave, e os dentes sem suporte ósseo suficiente para a sua estabilidade. Foi realizada o exame de sangue para avaliar a saúde geral da criança no qual foi encontrado células gigantes com grânulos citoplasmáticos, confirmando o diagnóstico de CHS. O tratamento da doença periodontal por meio de métodos mecânicos e químicos são necessários para controle da infecção e da placa bacteriana.
Assuntos
Pré-Escolar , Humanos , Masculino , Síndrome de Chediak-Higashi/diagnóstico , Esfoliação de Dente/etiologia , Perda do Osso Alveolar , Diagnóstico Diferencial , Radiografia PanorâmicaRESUMO
The Chediak-Higashi syndrome (CHS) is a rare hereditary fatal disease, if not treated. These changes are associated with various diseases and syndromes that mainly cause periodontal disease and thus the premature loss of teeth. This paper describes the monitoring of premature loss of primary teeth that began when the child was 5 years old. On presentation his teeth were mobile and there was a history of gingival bleeding. Panoramic radiography revealed generalized and severe bone loss, and the teeth showed no bony support enough for their stability. Blood test was ordered to assess the overall health of the child and giant cells with cytoplasmic granules were found, confirming the diagnosis of CHS. The management of periodontal disease focused on the control of infection and bacterial plaque by mechanical and chemical methods.
Assuntos
Síndrome de Chediak-Higashi/diagnóstico , Esfoliação de Dente/etiologia , Perda do Osso Alveolar/diagnóstico por imagem , Pré-Escolar , Diagnóstico Diferencial , Humanos , Masculino , Radiografia PanorâmicaAssuntos
Força de Mordida , Cemento Dentário/fisiologia , Esfoliação de Dente/etiologia , Fios Ortodônticos/classificação , Fios Ortodônticos/tendências , Microscopia Eletrônica de Varredura , Microscopia de Polarização , Dente Molar , Técnicas de Movimentação Dentária , Interpretação Estatística de Dados , Extração DentáriaRESUMO
Se hace el reporte de un caso de fibroma traumático en el reborde alveolar en una niña de cinco meses. La aparición de la lesión está en estrecha relación con la exfoliación espontánea de dientes neonatales y el hábito de succión del pulgar
Assuntos
Humanos , Feminino , Lactente , Processo Alveolar/patologia , Fibroma/diagnóstico , Fibroma/cirurgia , Distribuição por Idade , Esfoliação de Dente/etiologia , Fibroma/epidemiologia , Dentes Natais , Distribuição por Sexo , Sucção de Dedo/efeitos adversosRESUMO
Se consigna en este trabajo el viejo concepto de que el diente es un hueso, tal como lo aseveran los maestros dentistas del siglo XVIII. Como dice el autor "a las caries dentarias corresponde la caries ósea, fenómeno denominado exfoliación". El Dr. Vidal cita a los más elocuentes testimonios de esa época, que refirma en las numerosas referencias aclaratorias de este magnífico trabajo (AU)
Assuntos
Cárie Dentária/história , Esfoliação de Dente/etiologia , Dente/anatomia & histologiaRESUMO
Se consigna en este trabajo el viejo concepto de que el diente es un hueso, tal como lo aseveran los maestros dentistas del siglo XVIII. Como dice el autor "a las caries dentarias corresponde la caries ósea, fenómeno denominado exfoliación". El Dr. Vidal cita a los más elocuentes testimonios de esa época, que refirma en las numerosas referencias aclaratorias de este magnífico trabajo
Assuntos
Cárie Dentária/história , Esfoliação de Dente/etiologia , Dente/anatomia & histologiaRESUMO
A cross-sectional evaluation of dental caries in primary teeth and nutritional status was conducted involving 285 Peruvian children from low socioeconomic conditions aged 3-9 y. Forty-nine percent of the children were found to be chronically malnourished (stunted) whereas acute malnutrition (wasting) was infrequent (2%). Stunted children showed a delayed exfoliation of primary teeth. The caries prevalence curve as a function of age (ie, a plot of decayed, extracted, and filled teeth vs age) was found to be shifted to the right by approximately 15 mo in stunted children as compared with well-nourished children. Children aged 7-9 y with stunted growth showed a significantly higher percentage of carious teeth than did well-nourished children of the same age (40 and 29%, respectively; p less than 0.005). Nutritional deficits that lead to chronic malnutrition not only may affect tooth exfoliation but also appear to render the primary teeth more susceptible to caries attack later in life.