The aim of the present study was to determine the association of tooth discoloration in traumatized primary teeth with clinical and radiographic signs of pulp necrosis, and pulp status at the time of endodontic access. Clinical and radiographic data from dental reports of the 47 patient charts of the Trauma Patient Care Program were used totaling 55 teeth that underwent endodontic treatment following the protocol of the Federal University of Santa Catarina (Brazil). The following data were collected: gender, age of child at time of trauma; crown discoloration; abscess and/or fistula; periapical bone rarefaction and/or pathological root resorption; and pulp status at the time of endodontic access.
View Article and Find Full Text PDFBackground: The periapical lesion is the result of a local inflammatory reaction caused by bacteria and its products present on the root canal. The interaction between inflammatory cells and bacteria elicit both specific and non-specific immune responses.
Objective: Due to the lack of studies evaluating the role of the immune system in periapical lesions of primary teeth and considering the potentially systemic effects that these infections can cause in children, especially because of the immaturity of their immune system, we sought to evaluate the presence of T cells, B cells and macrophages on periradicular lesions in primary teeth.
This article reports a clinical case of a primary tooth avulsion followed by dental reimplantation and endodontic treatment according to the protocol established by the Federal University of Santa Catarina for the treatment of traumatized primary teeth. A patient, 2 years and 6 months of age, MR, suffered the avulsion of tooth 61 because of a fall at school. The child was given dental assistance within 30 min, and the avulsed tooth was stored in milk during the period.
View Article and Find Full Text PDFThe aim of this study was to determine the factors associated with the development of pathological root resorptions in traumatized primary teeth. Based on Dental Reports on Traumatism from the Assistance Program for the Traumatized Patient, 90 children were selected. Among these children, 45 did not present pathological root resorption, while 45 did (23 replacement root resorptions and 22 external inflammatory root resorptions).
View Article and Find Full Text PDFOral Surg Oral Med Oral Pathol Oral Radiol Endod
April 2008
Objective: This study aimed to evaluate, ex vivo, time and dentin removal by manual and rotary instrumentation in human primary teeth.
Study Design: Eighty primary teeth were divided into 2 groups, embedded in resin, and sectioned for evaluation before and after instrumentation. For manual technique, teeth were prepared using K-type files and rotary preparation was performed with Hero 642.
The present study aimed to verify the factors that interfere with the success of endodontic treatment of traumatized primary teeth as well as to determine the success level of the proposed treatment, through survival analysis. The research was conducted through the analysis of dental traumatism records and attached radiological exams of patients assisted by the Assistance Program for the Traumatized Patient at UFSC (Universidade Federal de Santa Catarina). Fifty-one dental records of patients aged between 10 and 60 months were analyzed.
View Article and Find Full Text PDFOral Surg Oral Med Oral Pathol Oral Radiol Endod
November 2007
This study presents a histological analysis through optical microscopy of primary teeth with physiological and pathological resorptions to outline the histological profile of resorptions. Sixty teeth were examined: 19 primary teeth with physiological resorption and 41 primary teeth with pathological resorption. To analyze the histological conditions of the pulp, periradicular tissue, and the resorption areas, and to investigate the presence, intensity, and location of bacteria, slides were prepared using the hematoxylin-eosin and the Brown-Brenn techniques.
View Article and Find Full Text PDFTalon cusp is a developmental dental anomaly, normally located on the palatal surface of the anterior teeth, that can occur in both primary and permanent dentition. The aim of this article is to relate a clinical case of talon cusp that interfered with both the occlusion and appearance of the patient. During anamnesis, the patient told of difficulty masticating.
View Article and Find Full Text PDFPrimary teeth and the permanent successors must be understood as interdependent units, where each one of them interacts with and depends on each other. Pulpal inflammation/infection of a primary tooth and the spread of this condition over the periradicular tissues can lead to alterations in the dental germ of the permanent successor and to the surrounding structures if no therapy is done, i.e.
View Article and Find Full Text PDFThe purpose of this research was to evaluate the diffusion of calcium (Ca+2) and hydroxyl (OH-) ions from materials with a calcium hydroxide base - Ca(OH)2 through the intact roots of deciduous teeth. This diffusion of ions is important for periapical healing. Forty-six deciduous teeth were selected and instrumented to their working length with #40 files.
View Article and Find Full Text PDFThis research sought to evaluate periapical repair in 28 traumatized deciduous teeth that had suffered endodontic intervention due to the presence of internal or external inflammatory resorption or replacement root resorption. After obtaining endodontic access, work length and biomechanical preparation, the root canals were filled with calcium hydroxide and propylene glycol under the form of a dense slurry, during 12 months. Replacement of the intracanal dressing was performed when monthly radiographic examinations showed its absence.
View Article and Find Full Text PDFThe objective of this study was to verify if the follow-up management routine of traumatized primary teeth set up by Federal University of Santa Catarina, which performs clinical and radiographic assessments (15 and 45 days; 4, 8 and 12 months) after the oral trauma, enabled an early diagnosis of sequelae which would indicate the need for endodontic intervention, as well as the influence a type of trauma and the child's age could have in the severity of the sequelae. In this study 52 sets of records were used of patients being seen in the last 6 months, with a total of 70 teeth that were receiving follow-up treatment. Patients returned for regular visits set up by the management routine, where clinical and radiographic examinations were performed to check for sequelae, which justified endodontic intervention.
View Article and Find Full Text PDFJ Dent Child (Chic)
September 2003
The Pediatric Dentistry Clinic staff of the Federal University of Santa Catarina (UFSC) treated a 5-year-old patient who had multiple dental treatment necessities. He also had cystic fibrosis (CF). As CF is an incurable disease that affects the mucous glands, especially the ones related to the lungs and digestive organs, the patient presented both chronic respiratory and intestinal problems.
View Article and Find Full Text PDFThe goal of the present study was to identify the factors related to the occurrence of dental trauma in deciduous teeth. Over a period of 25 months, 85 children between 10 months and 6 years of age were assisted by the staff of the Pediatric Dentistry Clinic of the Federal University of Santa Catarina (UFSC) Florianópolis, Brazil. The children, all assisted by only one professional, a dentist working as a trainee in the Pediatric Dentistry Clinic, had 157 traumatized teeth treated.
View Article and Find Full Text PDF