Cases reported "Dental Caries"

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1/87. Failure of intense preventive efforts to arrest early childhood and rampant caries: three case reports.

    This report presents the first three children who developed dental caries despite being enrolled in a randomized, control trial to test methods to prevent early childhood caries. The children's caretakers received education on decreasing frequent and prolonged feeding with a nursing bottle and other sugar containing foods, as well as brushing the children's teeth daily with 0.4% SnF2 gel. One of the child's caretaker additionally received training sessions to improve confidence in eliminating the child's nursing bottle habit and in performing daily tooth brushing. The two other children received monthly topical fluoride treatments with 2% NaF. Despite these intensive preventive efforts, these three children developed dental caries. Two of the children had mutans streptococci colonization at the time of initial visit, (12 and 14 months of age, respectively). All had high mutans streptococci levels at the time that caries was detected. Incorrigible, high-frequency sugar consumption from a bottle or from solid foods was suggested in all three cases. In one case, dental caries was associated with defects of the tooth enamel. Conceivably, the cariogenic challenge and harmful behaviors in certain children may be so extreme that they can overwhelm even extraordinary preventive efforts.
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2/87. Premature dental eruption: report of case.

    This case report reviews the variability of dental eruption and the possible sequelae. Dental eruption of the permanent teeth in cleft palate children may be variable, with delayed eruption the most common phenomenon. A case of premature dental eruption of a maxillary left first premolar is demonstrated, however, in a five-year-old male. This localized premature dental eruption anomaly was attributed to early extraction of the primary dentition, due to caries.
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keywords = eruption
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3/87. A five-year-old with a dental abscess: a case study.

    dental caries remain one of the most common disorders of childhood in the United States. Often nurse practitioners (NPs) will see children who are suffering from the complications of a dental carie, such as a dental abscess and/or cellulitis. This article describes the case of a 5-year-old girl who presented at an evening clinic with tooth pain, fever, and facial swelling. Three treatment choices are discussed: (1) 400 mg of amoxicillin (Augmentin), by mouth, with comfort measures, and return to the clinic in the morning; (2) 2 g of ceftriaxone by injection, with comfort measures, and return to the clinic in the morning; (3) or hospitalize via emergency department for intravenous fluids and antibiotics. The treatment that was chosen not only takes into account the disease process, but also the impact of this choice on the family. A model for the progression of dental caries in low-income groups with recommendations for prevention is also presented.
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4/87. Dysosteosclerosis: a case with unique dental findings and SEM evaluation of a hypoplastic tooth.

    A ten-year-old boy, who had the typical dental findings of dysosteosclerosis such as yellowish, hypoplastic teeth, retarded eruption, which upon eruption, decayed rapidly, is presented. To date this is the first known case reported with a congenital absence of the first permanent molars. Furthermore, SEM evaluation of the enamel and dentin was performed on a tooth from a patient with dysosteosclerosis for the first time. These studies showed weak ultrastructural compositions due to irregular calcification.
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keywords = tooth, eruption
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5/87. crown lengthening to facilitate restorative treatment in the presence of incomplete passive eruption.

    The following clinical case involves subgingival caries noted in the presence of incomplete passive eruption in the maxillary anterior sextant. Understand the clinical entity known as incomplete passive eruption and discover utilization of crown lengthening surgery to treat this condition.
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keywords = eruption
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6/87. Treatment of a Class I malocclusion with a carious mandibular incisor and no Bolton discrepancy.

    Occasionally orthodontists must plan treatment for a patient with extensive caries or a traumatic injury to one mandibular incisor. If the patient has a Bolton discrepancy, one treatment option could involve extraction of the affected mandibular incisor. However, if the patient does not have a Bolton discrepancy and a mandibular incisor is extracted, the treatment becomes more complicated. This case report will present and discuss the ramifications of extracting one mandibular incisor in a patient without an anterior tooth-size discrepancy. The CDABO Student Case Selection Committee chose this case for publication.
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7/87. Management of extensive carious lesions in permanent molars of a child with nonmetallic bonded restorations--a case report.

    The badly decayed molar teeth of a 12-year-old were restored using resin composite and ceramic restorations. The maxillary first left permanent molar, which had an extensive carious lesion that had destroyed most of the coronal hard tissues of the tooth, was restored to shape and function with a heat-treated resin composite onlay restoration. The restoration was followed up for two years. The mandibular right first molar had a failing large amalgam restoration with extensive recurrent caries. After a three-month period of pulp-capping, the tooth was restored with a bonded ceramic onlay restoration. A nine-month follow-up of this restoration is provided. The maxillary right first molar, which also had a failing large amalgam/resin composite restoration, was restored with a direct resin composite restoration. Under traditional treatment regimens, these extensive cavities would have been treated using more invasive procedures such as pin-retained restorations or elective root canal therapy, post placement, core build-up and crowning. Bonded non-metallic restorations avoid the trauma, time and cost that accompany such extensive procedures and offer a more conservative approach.
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8/87. Mandibular and maxillary furcation tunnel preparations--literature review and a case report.

    AIM: The objective of this literature review and subsequent case report is to discuss and illustrate the tunnel preparation procedure as a treatment alternative for furcation-involved molars. review OF THE literature: Furcation tunnel preparation, i.e., the creation of access for plaque control between periodontally diseased roots, has not been discussed in the literature as comprehensively as root resective therapy, though success rates appear to fall within the same range. A short root trunk and a wide furcation entrance diameter are prerequisites for the indication of the tunnel preparation procedure. Although accessory canals in the furcation area are frequent findings on extracted teeth, endodontic complications have not been reported to be major complications after tunnel preparation. Caries developed at tunneled teeth even under proper maintenance, but did not necessarily lead to the loss of an affected tooth. CASE REPORT: In the case presented to illustrate the indication for the tunnel preparation procedure, periodontal disease was almost entirely restricted to the furcation sites of molar teeth. Affected teeth were either extracted or left intact and subjected to tunneling procedures. Periodontal health could be established and maintained at both single and double tunnels over a period of 2 years of periodontal supportive therapy.
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9/87. Apparent periapical repair without operative intervention: a case report and discussion.

    CASE REPORT: A case is described where substantial reduction of an established periapical lesion appeared to take place in the absence of operative intervention, and as the crown of the tooth was progressively destroyed by dental caries. The case raises debate on the pathogenesis, diagnosis and monitoring of endodontic lesions, and may stimulate renewed research interest in these most fundamental elements of clinical endodontology.
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10/87. Orbital infection arising from a primary tooth: a case report.

    Odontogenic infections may spread to the orbit by one or more of several paths. Such extension is potentially dangerous and may lead to loss of vision. A case of infection from a primary tooth, which extended to the retrobulbar area is presented in this report. Treatment included surgical drainage of the resulting subperiosteal orbital abscess through a Caldwell-Luc approach as well as aggressive antibiotic therapy. The importance of early suspicion of this entity and its potential sequelae are discussed.
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