MIH – Treatment Treatment approaches The available treatment modalities for MIH is extensive but the decision on which treatment should be used is complex and multi-factorial. Factors may include: condition severity, the patient’s dental age, the child/parent’s social background and expectations. [1] Prevention Prevention is of prior importance at an early developmental age as the defective tooth is more likely to have caries and post-eruptive breakdown due to its increased porosity. [1] Appropriate dietary advice and toothpaste with a fluoride level of at least 1,000 ppm F should be recommended. [2] For treating spontaneous hypersensitivity, professional applications of fluoride varnish (e.g. Duraphat 22,600ppm F) or 0.4% stannous …show more content…
[8] Creamy-yellow or whitish-creamy defects are less porous and variable in depth [6], and may respond to microabrasion with 18% hydrochloric acid or 37.5% phosphoric acid and abrasive paste. [9] [10] Again, this should be undertaken cautiously as microabrasion may result in loss of enamel. [11] Cavity Design There is still much debate of whether margin extension should include removal of all defective enamel or only the porous enamel. The former provides sound enamel for bonding but leads to excessive tooth tissue loss, the latter is less invasive, but the margins may have a high risk of breakdown due to defective bonding. [1] Yet, it is agreed that adhesive restorations should be used as opposed to those reliant upon mechanical retention (such as amalgam). [12] Glass ionomer cement (GIC) restorations. GIC materials have adhesive capabilities with both enamel and dentine, long-term fluoride release and hydrophilicity when there is inadequate moisture control intra-orally, during early post-eruptive stages. However GIC’s poorer mechanical properties suggest avoidance in stress-bearing areas. In later post-eruptive stages GIC may be valuable as sub-layer beneath composite restorations. [1] Composite resin restorations Composite resin material has been shown to have longer-term stability in MIH teeth, with a median survival rate of 5.2 years [13] and a success rate of 74%-100% [14] [12] during a 4-year follow-up period. Self-etching adhesive was found to have
Researchers have shown that there are several ways through which fluoride achieves its decay-preventive effects. It makes the tooth structure stronger, so teeth are more resistant to acid attacks. Acid is formed when the bacteria in plaque break down sugars and carbohydrates from the diet. Repeated acid attacks break down the tooth,
It is pretty awkward to see such a professional writer as Anne Lamott talk about first drafts with such praise. Her fourth paragraph actually makes me question my own process of writing. My writing process is pretty similar to her own, however, I tend to think that writing in such way is a sign of weakness as a writer. Even though I tend to have the same process, reading this article, confirm that my beliefs were wrong. Nevertheless, I have always believed that before writing you have to know the structure, the way things will flow, the coherence and the adequacy of your writing. However, after reading the article, I understood that “[...]all first drafts are terrible.Coherence and, yes, brilliance come from revision”(Anne).
The goal of polishing tooth structure is to smooth roughened surfaces, and produce a pleasing appearance and feel with minimal to no trauma to hard and soft tissues.The first step is to assess our patient's awareness of their overall mouth condition. Dental Hygienist must carefully evaluate and select the appropriate procedures, based on the individual patient needs, and the types of stains and restorations present in the mouth. The clinician must critically evaluate the potential adverse effects of the coronal polish procedure against the benefits and be able to educate the patient.
The shades and fillings match the color of your existing teeth. The dentist adjusts the color from the gum line to the tip of the tooth to achieve a natural look.
On July 28, 1914 the largest War the World had ever seen found its way into the life of every human on the Planet. During this conflict, the Americans vowed they would sit back while millions lost their lives. In addition, they claimed that the War had nothing to do with them, also that it would be difficult to choose a side due to the diversity of immigrants that resided in America. While the United States declared neutrality, it seemed they already knew who they wanted to support before they entered the War.
With the 580 veneers on 66 patients, several parameters were examined in this study. The type of margins and depth of the preparation, crown lengthening, presence of restoration, diastema, crowding, discoloration, abrasion, and attrition. A cox regression modeling was used to determine which factors would relate and predict porcelain laminate veneer failure. 42 veneers 7.2 percent failed in 23 patients, and an overall survival rate of 86 percent was seen. A significant association was noted between the failure and the limits of the prepared tooth surface including the margin and depth. The most frequent failure type was fracture. A multivariable analysis also showed that veneers bonded to dentin and teeth with preparation margins on dentin were 10 times more likely to have failures than veneers bonded to enamel. A survival rate of 99 percent was observed for veneers with preparations confined to enamel and 94% for veneers with enamel only at the
accept Medicaid and this might result in higher utilization in particular wards over others. We did not have information about parental marital status and other private insurance, which could be used for dental services and not reflect in Medicaid billing data. Also, there could be a potential bias due to delayed reporting of the data which might not be included in the dataset when we received it. Also, Centre for Medicaid Services (CMS) uses the information from these datasets and presents it by financial year whereas this analysis was done by calendar year, which may not match with the generally available information. Also, the composition of Medicaid population might not be a true representation of over-all population. People having private dental insurance might have a different utilization pattern for assigned dental home and preventive dental services. We also feel that the information of ward might not be an accurate representation of utilization since people may seek services from a provider in different wards than the one in which they reside. Having data about unique providers, along with unique patient might make a robust database to get more accurate information. Last but not the least, we restricted our definition preventive dental services to a combination of examination and fluoride application, which is not the same as followed by
The author concluded that with regular periodontal maintenance, removal of root surface accretion for better periodontal tissue attachment was more important than any surgical procedures.
Resin Composite – These are thinner and can be applied without having to remove as much enamel.
“A pit and fissure sealant is an organic polymer that flows into the pit or fissure and bonds to the enamel surface mainly by mechanical retention when the acid etch process precedes the application of the sealant material” (Wilkins, 2013, p.543). According to Esther Wilkins, sealants are a part of a total preventative program, but are not substitutes for other preventative measures (Wilkins, 2013, p.550).
Esthetic restorations are in vogue today and their demand is increasing day by day. Composites represent two major advances in restorative dentistry. Composite resins have been introduced into the field of conservative dentistry to minimise the drawbacks of the acrylic resins that replaced silicate cements (the only aesthetic materials previously available) in the 1940s. In 1955, Buonocore used orthophosphoric acid to improve the adhesion of acrylic resins to the surface of the
In this article, a study was conducted comparing various fluoride toothpastes and gels that are combined with different agents to enhance the uptake of fluoride without having to increase the dosage of fluoride (Schemehorn, DiMarino, & Movahed, 2014, p.58). The various fluoride combinations included amorphous calcium phosphate (ACP), tri-calcium phosphate (TCP), and casein-phosphopeptide-amorphous calcium phosphate (CPP-ACP). This study was conducted on incipient lesions to see which combination had the best fluoride uptake and
If you experience tooth decay to a severe enough degree that dental fillings are not feasible, yet there is enough healthy tooth left that a dental crown is not necessary, your tooth can be restored with the use of inlays and onlays.
This morning I woke up and looked in the mirror and noticed that my teeth were not as white as I like them to be. I think to myself, I need to call and make an appointment to get my teeth whitened with my dentist. Teeth whitening is an example of Cosmetic Dentistry. Cosmetic Dentistry is different than regular dentistry in the sense that regular dentistry deals with oral hygiene and the prevention, diagnosing and treating of any oral diseases. Cosmetic dentistry however focuses on improving a person’s teeth, smile, and mouth. General dentistry deals with what needs to be done whereas Cosmetic dentistry is
The dental implant solution will help you with this transition because implants make your entire restoration function better!