THE IMPACT OF ANTERIOR TEETH ALIGNMENT ON THE COLLECTIVITY PUPILS PERCEPTION

Abstract Background: Desquamative gingivitis (DG) is a non-plaque-induced, blistering and painful condition occurring most frequently on the labial aspect of the attached gingiva of anterior teeth. The incidence of DG is highest around 50 years of age, and usually indicates the presence of oral or systemic diseases. The purpose of our study was to determine the impact of DG on periodontal health by recording the plaque index, gingival index and gingival bleeding index in a group of patients with DG, compared to healthy controls. Materials and methods: Recordings of specific indices were performed in a group of 26 patients with DG and compared with 24 healthy individuals. These were followed by radiographic examinations in order to assess the loss of marginal alveolar bone. Results: The results showed that patients with DG had a statistically significant increase in periodontal indices, with more gingival inflammation and plaque retention compared to the control group (p <0.05). The highest scores for gingival inflammation were recorded in patients with DG, but on radiographic evaluation the difference was related only to gender, men being more affected by alveolar bone loss in both groups (p <0.05). Conclusions: The incidence and severity of gingival inflammation proved to be higher in patients with DG, which calls for better preventive and maintenance treatment protocols in this group of patients. Early diagnosis and initial-phase periodontal treatment are very important in preventing further tissue breakdown.

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Management of trauma to the anterior segment of the maxilla: alveolar fracture and primary incisors crown and root fracture

Journal of Baghdad College of Dentistry ◽

10.26477/jbcd.v33i2.2934 ◽

2021 ◽

Vol 33 (2) ◽

pp. 16-20

Author(s):

Muna S Khalaf ◽

Bayan S Khalaf ◽

Shorouq M Abass

Keyword(s):

Soft Tissue ◽

Primary Teeth ◽

Alveolar Bone ◽

Anterior Segment ◽

Dental Trauma ◽

Permanent Tooth ◽

Permanent Teeth ◽

Normal Position ◽

Anterior Teeth ◽

The Impact

Background: An injury to both the primary and permanent teeth and the supporting structures is one of the most common dental problems seen in children. Splinting is usually difficult or impossible to perform in the primary dentition (due to diminutive room size and lack of patient cooperation). Healing must, therefore, occur despite mobility at the fracture line, usually resulting in interposition of connective tissue. In some instances, infection will occur in the coronal pulp. The present study reported a case of trauma to the anterior primary teeth and alveolar bone in a four year old child. The trauma has caused fracture to the crowns and roots of the primary anterior teeth. The following case was managed in a procedure that may provide primary teeth subjected to trauma a better chance than extraction with a better prognosis. Case presentation: a 4 and a half year old child was subjected to trauma in anterior segment of maxilla. Suturing of the torn soft tissue was the first step followed by pulpotomy for the left primary lateral incisor. Fixation of the right primary central and lateral incisors was done by acid etch wire fixation. Both clinical and radiographic follow up was carried out for 6.4 years. Results: healing of the soft tissue was observed after one week and completed after two months. Fixation of the teeth continued for ten months. The fracture lines in the roots remained in position. Clinically there was no sign of any pulpal inflammation or necrosis. Radiographically, no signs of infection to the surrounding tissues could be seen, no resorption in the alveolar bone, external or internal resorption of the root did not happen also. After ten months fixation ended and the wire was removed. At that time there was normal resorption of the roots of the primary incisors in relation with the normal development of the permanent incisors. After 3 years both permanent central incisors erupted in their normal position. After 6.4 years all four permanent incisors erupted into occlusion in their normal position. Conclusion: primary teeth with root fractures and severely mobile coronal fragments can be treated by a conservative approach. The severity of the sequels is directly related to the degree of permanent tooth formation (child’s age), type of dental trauma and extent of the impact. Key words: trauma, primary incisors, fractured crown and root

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Patients’ general satisfaction with the appearance of anterior maxillary teeth

Vojnosanitetski pregled ◽

10.2298/vsp151110248l ◽

2017 ◽

Vol 74 (6) ◽

pp. 520-525 ◽

Cited By ~ 1

Author(s):

Vlatka Lajnert ◽

Daniela Kovacevic-Pavicic ◽

Hrvoje Pezo ◽

Aleksandra Stevanovic ◽

Tatjana Jovic ◽

...

Keyword(s):

Dental Plaque ◽

Negative Influence ◽

Cross Sectional ◽

Age And Gender ◽

Tooth Shape ◽

General Satisfaction ◽

Anterior Teeth ◽

Dental Appearance ◽

And Gender ◽

The Impact

Background/Aim. Dental appearance plays an important role in practically all personal social interactions. The main factors that define the dental appearance are tooth colour, shape and position, quality of restoration, and the general position of the teeth in arch, especially in the anterior region. The aim of this study was to evaluate the impact of dental status (tooth shape, fracture, dental and prosthetic restorations and presence of plaque) on patient''s satisfaction with the dental appearance, controlling for the age and gender. Methods. A total of 700 Caucasian subjects (439 women) aged 18?86 (median 45 years) participated in the cross-sectional study. Study included clinical examination and self-administrated questionnaire based on selfperceived aesthetics and satisfaction with the appearance of their maxillary anterior teeth. Results. A regression analysis demonstrated that presence of dental plaque, tooth fracture, composite fillings and crowns had significant independent contribution and were negative predictors of satisfaction with teeth appearance. Participants with presence of plaque on upper teeth (p < 0.001), fractures (p = 0.005), composite fillings (p < 0.001) and crowns (p = 0.032) were less satisfied than those without it. Model explains 12% or variance of general satisfaction with the appearance of maxillary frontal teeth (p < 0.001) and the major contributors are composite fillings (5.3%) and plaque (3.2%). Tooth shape, age and gender were not significant predictors of satisfaction. Conclusion. Satisfaction with the teeth appearance is under the influence of many factors with significant negative influence of presence of dental plaque, fractures, composite restorations, and crowns.

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Effects of mouth breathing on facial skeletal development and malocclusion in children: A systematic review and meta-analysis.

10.21203/rs.3.rs-28100/v1 ◽

2020 ◽

Author(s):

Ziyi Zhao ◽

Leilei Zheng ◽

Xiaoya Huang ◽

Caiyu Li ◽

Jing Liu ◽

...

Keyword(s):

Systematic Review ◽

Skeletal Development ◽

Meta Analysis ◽

Mouth Breathing ◽

Occlusal Plane ◽

Cochrane Library ◽

Nasal Breathing ◽

Anterior Teeth ◽

Newcastle Ottawa Scale ◽

The Impact

Abstract BACKGROUND: Mouth breathing is closely related to the facial skeletal development and malocclusion. The purpose of this systematic review and meta-analysis was to assess the effect of mouth breathing on facial skeletal development and malocclusion in children. METHODS: An electronic search in PubMed, the Cochrane Library, Medline, Web of Science, EMBASE and Sigle through February 23rd, 2020, was conducted. Methodological quality assessments of the selected articles were performed using the Newcastle-Ottawa Scale. Review Manager 5.3, was used to synthesize various parameters associated with the impact of mouth breathing on facial skeletal development and malocclusion. RESULTS: Following full-text evaluations for eligibility, 7 studies (387 mouth-breathing subjects and 433 nasal-breathing controls) were included in the final quantitative synthesis; they were all high-quality. The included indicators were SNA (p>0.050), ANS-PNS (p>0.050), 1.NB (p>0.050), MP-H (p>0.050), FMA (p>0.050), SNB (MD: -1.99, P <0.0001), ANB (MD: 0.95, P = 0.0005), SN-OP (MD: 3.20, P < 0.0001), SNGoGn (MD: 4.34, P < 0.0001), 1-NA (MD: 0.72, P = 0.004), 1. NA (MD: 1.98, P = 0.020), 1-NB (MD: 1.06, P < 0.0001), SPAS (MD: -5.23, P < 0.0001), PAS (MD: -2.11, P < 0.0001), and C3-H (MD: -1.34, P < 0.0001). CONCLUSIONS: The results showed that mouth breathing can cause underdevelopment of the mandible. The mandible rotated backward and downward, and the occlusal plane was steep. However, there was little effect on the maxilla. In addition, mouth breathing presented a tendency of lip inclination of the upper and lower anterior teeth. Airway stenosis was common in mouth-breathing children. TRIAL REGISTRATION: [email protected]; registration number CRD42019129198 KEYWORDS: Mouth breathing; Facial skeletal development; Children; Systematic review, Meta-analysis.

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The Digital Integrated Workflow in the Aesthetic Management of the Smile: A Case Report

Prosthesis ◽

10.3390/prosthesis2030017 ◽

2020 ◽

Vol 2 (3) ◽

pp. 196-210

Author(s):

Paolo Scattarelli ◽

Paolo Smaniotto ◽

Serena Leuci ◽

Gabriele Cervino ◽

Mario Gisotti

Keyword(s):

Case Report ◽

Treatment Plan ◽

Digital Tools ◽

Invasive Procedures ◽

Digital Workflow ◽

Deep Bite ◽

Anterior Teeth ◽

Dental Technician ◽

The Aesthetic ◽

The Impact

The aesthetic treatment for anterior teeth requires a series of clinical and technical evaluations to obtain a predictable result, following a well-defined operating sequence. Today, the clinical–technical team can use different digital tools in the different steps of the workflow. A preventive assessment, the knowledge of limits, and the possibilities of surgical and prosthetic procedures allow to use these devices. Sharing goals of the treatment with the patient according to their expectations and needs is the key point of the treatment plan. Setting a defined treatment plan avoids invasive procedures. In this clinical case report, a 27-year-old patient affected by Class II div 2 malocclusion with deep bite was treated with a full digital workflow. Previewing the aesthetics was through dedicated software, which shows operators and patients the objectives of the therapy and guides the dental technician in the first phase of the work. The use of digital flows in the prosthetic phases reduces the working time. In this case, it shows the impact of a digital workflow on peri-prosthetic therapy for the aesthetic rehabilitation of the upper central incisors in a young adult.

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Factors Influencing the Survival of Preformed Zirconia Crowns in Children Treated under General Anesthesia

International Journal of Dentistry ◽

10.1155/2021/5515383 ◽

2021 ◽

Vol 2021 ◽

pp. 1-5

Author(s):

Abdurahman S. Alhissan ◽

Sharat Chandra Pani

Keyword(s):

Confidence Interval ◽

General Anesthesia ◽

Survival Time ◽

Mean Survival Time ◽

Pulp Therapy ◽

Anterior Teeth ◽

Kaplan Meier ◽

Zirconia Crowns ◽

Rate Of Failure ◽

The Impact

Aim. This study aimed to retrospectively evaluate the success of zirconia crowns placed in the anterior teeth of children and evaluate the impact of pulp therapy of the tooth on the rate of failure. Materials and Methods. A total of 70 anterior teeth of 20 children aged between 3 and 5 years who had undergone the placement of zirconia crowns under general anesthesia were followed up for 24 months. Kaplan–Meier Survival curves were plotted for the estimation of two-year survival time. The outcomes for teeth that had received pulp therapy were compared to those that had not received pulp therapy. Results. Kaplan–Meier survival analysis of 70 crowns observed over a two-year period showed that mean survival time for the crowns was 38.7 months with a confidence interval ranging from 38.1 months to 39.3 months. When the survival of the crowns was observed based on the presence or absence of symptoms, it was observed that only 4 out of the 70 crowns were symptomatic (with or without crown loss) at the end of two years, giving a success rate of 94.3%. The mean survival time was also increased to 39.5 months (confidence interval 39.15–39.98 months). Conclusion. Zirconia crowns provide an acceptable level of success and longevity. Crowns placed on teeth after pulp therapy are more likely to fail than those placed on teeth without pulp therapy.

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Effects of mouth breathing on facial skeletal development in children: a systematic review and meta-analysis

BMC Oral Health ◽

10.1186/s12903-021-01458-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ziyi Zhao ◽

Leilei Zheng ◽

Xiaoya Huang ◽

Caiyu Li ◽

Jing Liu ◽

...

Keyword(s):

Systematic Review ◽

Skeletal Development ◽

Meta Analysis ◽

Vertical Direction ◽

Mouth Breathing ◽

Cochrane Library ◽

Canine Retraction ◽

Anterior Teeth ◽

The Mean ◽

The Impact

Abstract Background Mouth breathing is closely related to the facial skeletal development and malocclusion. The purpose of this systematic review and meta-analysis was to assess the effect of mouth breathing on facial skeletal development and malocclusion in children. Methods An electronic search in PubMed, the Cochrane Library, Medline, Web of Science, EMBASE and Sigle through February 23rd, 2020, was conducted. Inclusion criteria were children under 18 years of age with maxillofacial deformities due to mouth breathing. The risk of bias in nonrandomized studies of interventions (ROBINS-I) tool for controlled clinical trials. The Grading of Recommendation, Assessment, Development and Evaluation (GRADE) approach was used for the quality assessment. The included indicators were SNA, SNB, ANB, SN-OP, SN-PP, PP-MP, SNGoGn, MP-H, 1-NA, 1. NA, 1. NB, 1-NB, Overjet, Overbite, SPAS, PAS, and C3-H. Data concerning the mean difference in mesial molar movement and extent of canine retraction were extracted for statistical analysis. The mean differences and 95% confidence intervals were analyzed for continuous data. Review Manager 5.3, was used to synthesize various parameters associated with the impact of mouth breathing on facial skeletal development and malocclusion. Results Following full-text evaluations for eligibility, 10 studies were included in the final quantitative synthesis. In Sagittal direction, SNA (MD: − 1.63, P < 0.0001), SNB (MD: − 1.96, P < 0.0001) in mouth-breathing children was lower than that in nasal-breathing children. ANB (MD: 0.90, P < 0.0001), 1. NA (MD: 1.96, P = 0.009), 1-NA (MD: 0.66, P = 0.004), and 1-NB (MD: 1.03, P < 0.0001) showed higher values in children with mouth breathing. In vertical direction, SN-PP (MD: 0.68, P = 0.0050), SN-OP (MD: 3.05, P < 0.0001), PP-MP (MD: 4.92, P < 0.0001) and SNGoGn (MD: 4.10, P < 0.0001) were higher in mouth-breathing individuals. In airway, SPAS (MD: − 3.48, P = 0.0009), PAS (MD: − 2.11, P < 0.0001), and C3-H (MD: − 1.34, P < 0.0001) were lower in mouth breathing group. Conclusions The results showed that the mandible and maxilla rotated backward and downward, and the occlusal plane was steep. In addition, mouth breathing presented a tendency of labial inclination of the upper anterior teeth. Airway stenosis was common in mouth-breathing children. Trial registration [email protected], registration number CRD42019129198.

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Impacts of Tooth Loss on OHRQoL in an Adult Population in Cape Town, South Africa

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094989 ◽

2021 ◽

Vol 18 (9) ◽

pp. 4989

Author(s):

Faheema Kimmie-Dhansay ◽

Carla Cruvinel Pontes ◽

Usuf M. E. Chikte ◽

Albert Chinhenzva ◽

Rajiv T. Erasmus ◽

...

Keyword(s):

Quality Of Life ◽

South Africa ◽

Tooth Loss ◽

Adult Population ◽

Cape Town ◽

Oral Disease ◽

Cross Sectional ◽

Anterior Teeth ◽

The Impact

(1) Background: Tooth loss is an important component of the global burden of oral disease, greatly reducing the quality of life of those affected. Tooth loss can also affect diet and subsequent incidences of lifestyle diseases, such as hypertension and metabolic syndromes. This study aimed to evaluate the oral health-related quality of life (OHRQoL) score using the oral impacts on daily performance (OIDP) index in relation to tooth loss patterns among adults. (2) Methods: From 2014 to 2016, a cross-sectional study was conducted on adults living in Bellville South, Cape Town, South Africa. The OHRQoL measure was used to evaluate the impact of tooth loss. (3) Results: A total of 1615 participants were included, and 143 (8.85%) had at least one impact (OIDP > 0). Males were less likely to experience at least one impact compared to the females, OR=0.6, 95% C.I.: 0.385 to 0.942, p = 0.026. Those participants who did not seek dental help due to financial constraints were 6.54 (4.49 to 9.54) times more likely to experience at least one impact, p < 0.001. (4) Conclusions: Tooth loss did not impact the OHRQoL of these subjects. There was no difference in the reported odds for participants experiencing at least one oral impact with the loss of their four anterior teeth, the loss of their posterior occlusal pairs, or the loss of their other teeth.

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Effects of mouth breathing on facial skeletal development and malocclusion in children: A systematic review and meta-analysis.

10.21203/rs.3.rs-28100/v2 ◽

2020 ◽

Author(s):

Ziyi Zhao ◽

Leilei Zheng ◽

Xiaoya Huang ◽

Caiyu Li ◽

Jing Liu ◽

...

Keyword(s):

Systematic Review ◽

Skeletal Development ◽

Meta Analysis ◽

Vertical Direction ◽

Mouth Breathing ◽

Cochrane Library ◽

Canine Retraction ◽

Anterior Teeth ◽

The Mean ◽

The Impact

Abstract BACKGROUND: Mouth breathing is closely related to the facial skeletal development and malocclusion. The purpose of this systematic review and meta-analysis was to assess the effect of mouth breathing on facial skeletal development and malocclusion in children. METHODS: An electronic search in PubMed, the Cochrane Library, Medline, Web of Science, EMBASE and Sigle through February 23rd, 2020, was conducted. Inclusion criteria were children under 18 years of age with maxillofacial deformities due to mouth breathing. Methodological quality assessments of the selected articles were performed using the Newcastle-Ottawa Scale. The risk of bias in nonrandomized studies of interventions (ROBINS-I) tool for controlled clinical trials. The Grading of Recommendation, Assessment, Development and Evaluation (GRADE) approach was used for the quality assessment. The included indicators were SNA, SNB, ANB, SN-OP, SNGoGn, MP-H, 1-NA, 1. NA, 1. NB, 1-NB, SPAS, PAS, and C3-H. Data concerning the mean difference in mesial molar movement and extent of canine retraction were extracted for statistical analysis. The mean differences and 95% confidence intervals were analyzed for continuous data. Review Manager 5.3, was used to synthesize various parameters associated with the impact of mouth breathing on facial skeletal development and malocclusion. RESULTS: Following full-text evaluations for eligibility, 6 studies were included in the final quantitative synthesis. In Sagittal direction, SNA (MD: -1.61, P <0.0001), SNB (MD: -1.99, P <0.0001), ANB (MD: 0.95, P = 0.0005),1-NA (MD: 0.72, P = 0.004), 1. NA (MD: 1.98, P = 0.020), 1-NB (MD: 1.06, P < 0.0001), In vertical direction, SN-OP (MD: 3.20, P < 0.0001), SNGoGn (MD: 4.34, P < 0.0001). In airway, SPAS (MD: -5.23, P < 0.0001), PAS (MD: -2.11, P < 0.0001), and C3-H (MD: -1.34, P < 0.0001). CONCLUSIONS: The results showed that the mandible and maxilla rotated backward and downward, and the occlusal plane was steep. In addition, mouth breathing presented a tendency of labial inclination of the upper anterior teeth. Airway stenosis was comm on in mouth-breathing children. TRIAL REGISTRATION: [email protected]; registration number CRD42019129198

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Effects of mouth breathing on facial skeletal development in children: A systematic review and meta-analysis.

10.21203/rs.3.rs-28100/v3 ◽

2021 ◽

Author(s):

Ziyi Zhao ◽

Leilei Zheng ◽

Xiaoya Huang ◽

Caiyu Li ◽

Jing Liu ◽

...

Keyword(s):

Systematic Review ◽

Skeletal Development ◽

Meta Analysis ◽

Vertical Direction ◽

Mouth Breathing ◽

Cochrane Library ◽

Canine Retraction ◽

Anterior Teeth ◽

The Mean ◽

The Impact

Abstract BACKGROUND: Mouth breathing is closely related to the facial skeletal development and malocclusion. The purpose of this systematic review and meta-analysis was to assess the effect of mouth breathing on facial skeletal development and malocclusion in children.METHODS: An electronic search in PubMed, the Cochrane Library, Medline, Web of Science, EMBASE and Sigle through February 23rd, 2020, was conducted. Inclusion criteria were children under 18 years of age with maxillofacial deformities due to mouth breathing. The risk of bias in nonrandomized studies of interventions (ROBINS-I) tool for controlled clinical trials. The Grading of Recommendation, Assessment, Development and Evaluation (GRADE) approach was used for the quality assessment. The included indicators were SNA, SNB, ANB, SN-OP, SN-PP, PP-MP, SNGoGn, MP-H, 1-NA, 1. NA, 1. NB, 1-NB, Overjet, Overbite, SPAS, PAS, and C3-H. Data concerning the mean difference in mesial molar movement and extent of canine retraction were extracted for statistical analysis. The mean differences and 95% confidence intervals were analyzed for continuous data. Review Manager 5.3, was used to synthesize various parameters associated with the impact of mouth breathing on facial skeletal development and malocclusion. RESULTS: Following full-text evaluations for eligibility, 10 studies were included in the final quantitative synthesis. In Sagittal direction, SNA (MD: -1.63, P <0.0001), SNB (MD: -1.96, P <0.0001) in mouth-breathing children was lower than that in nasal-breathing children. ANB (MD: 0.90, P <0.0001), 1. NA (MD: 1.96, P = 0.009), 1-NA (MD: 0.66, P = 0.004), and 1-NB (,MD: 1.03, P <0.0001) showed higher values in children with mouth breathing. In vertical direction, SN-PP (MD: 0.68, p=0.0050) ,SN-OP (MD: 3. 05, P <0.0001), PP-MP(MD: 4.92, P <0.0001)and SNGoGn (MD: 4.10, P < 0.0001) were higher in mouth-breathing individuals. In airway, SPAS (MD: -3.48, P = 0.0009), PAS (MD: -2.11, P < 0.0001), and C3-H (MD: -1.34, P < 0.0001) were lower in mouth breathing group.CONCLUSIONS: The results showed that the mandible and maxilla rotated backward and downward, and the occlusal plane was steep. In addition, mouth breathing presented a tendency of labial inclination of the upper anterior teeth. Airway stenosis was common in mouth-breathing children.

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