Introduction
The morphological configuration of the occlusal surface of the first permanent molar is the most vulnerable and susceptible tooth surface to dental decay and the incidence of caries on these surfaces is still rising. There are occasions where the fissures of these teeth are stained and at the time of deciding the appropriate treatment the question arises whether we should or we should not treat them. When there are dentists that think that seal over a stained fissure is the right treatment choice, there is evidence suggested by others that a stained fissure should not be treated as a sound fissure.
There are teeth with questionable or suspicious occlusal surfaces, in which we can notice that there have been changes from the clear sound fissures even without loss of surface and it is dubious to decide whether or not it should be treated as it could be an incipient but not cavitated fissure. A stained fissure means a fissure that is discoloured, brown or black, even an area of white or opaque enamel where its normal translucidency is lost but it has no evidence of surface breakdown (cavitation). Discoloured fissures does not necessary indicate an active caries process and they may represent sounds surfaces (where the discolouration descends from organic material trapped in the fissure) or non-cavitated caries lesions (where the demineralised enamel has been stained and possibly arrested).
It is doubtful if a discoloured fissure expresses generally a viable
The patient presented with intrinsic discoloration on all permanent maxillary and mandibular teeth. Because the discoloration was located on the all the surfaces of the teeth, there was no radiographic appearance
One of the most difficult areas to diagnose decay is incipient carries on the occlusal surface. Unless they are large they tend not to show on radiographs, and can be hidden under the anatomy of the tooth. Occlusal caries may be confused with staining. Also, the narrow pits and grove of the occlusal surface of posterior teeth may be too small to allow an explorer tip to the base of the grove. The KaVo DIAGNOdent is designed to detect incipient occlusal caries. One of the intended advantages of this is to catch caries early in order to prevent the need for deeper restorations and the removal of excess enamel at a later time (KaVo Dental).
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.
Although oral problems have been around since the “beginning of mankind” (SB 1), the work in the dental field is still changing today. Efforts of treating tooth decay date back to 2700 B.C in Egypt and ancient China. Archaeologists examined the jaws of skulls only
In this study, it was used experimental approach. In the control group, the first wounds were placed on the hard palate of 11 dental students during
The human tooth was observed under a Wild M32 Heerburg with transmitted light and magnification of 12X. The tooth, seen in Figure 3, was perceived to have an enamel on the surface and dentine observed in the hole. The enamel is the hard, white, outer layer of the crown, and protects the tooth. The dentine is the bulk of the tooth and surrounds the pulp. Biomaterials in used in human teeth to produce dental adhesives to bond the enamel and
At the initial visit the patient’s plaque index was 43% and the plaque score was 55%. The most amount of plaque was present in the posterior regions in both the maxillary and mandibular quadrants. The anterior teeth suffered from a fair amount of attrition. Plaque was being retained in the grooves and pits of the damaged teeth. The patient also had slight interproximal plaque. Number 18 was chipped measially and was missing half of the large amalgam restoration. It had the most biofilm build up covering almost every aspect of the tooth, including the inside portion, which was exposed to oral cavity. When asked why she felt this was a problem area for her she responded that food constantly gets trapped inside and it’s painful, it hurts to brush. A large interproximal lesion on number 8 adjacent to porcelain fused to metal crown retained a considerable amount of biofilm also. The large and old amalgam restorations posteriorly were wearing away at the margins creating grooves and fissures on the occlusal surfaces also retaining plaque. I asked her if she felt like her diet or habits may be contributing to any oral pain or problems she is having. She answered honestly by saying she knows she harming not only her teeth but also her body. She wants to eat better and quit smoking, but she still gets pleasure when indulging and just isn’t ready to give up things she loves yet. She did agree to try and change some of her oral hygiene
The radiography, intraoral exam, and dental cast are taken upon presence of patient. Her intraoral examination has shown mild to moderate level of plaque and little calculus present throughout the mouth. From her panoramic and bite wing radiography, the patient is missing numbers 1, 16 and 32; and number 7 is congenitally missing. There are amalgam restorations on numbers 2 (MO class II), 13 (MO class II), 20 (OD class II) and 18 (O class II). She has composite restorations on numbers 4, 28, 29, and 30. She has PFM crowns on numbers 2, 3, 12, 14, and 15 with endodontic treatment on each. Moreover, she has PFM crowns on number 15, 19 and 30 without endodontic treatment and has PFM bridge between numbers 5 and 7. Radiography examination shows
Also, these lesions tend to obviate on their own following the extraction or exfoliation of the related tooth and are usually not submitted for histopathological investigation [11]. Histologically, there is no distinction between the cysts associated with primary teeth and those of permanent teeth with the exception of scarcity of cholesterol crystal slits in primary teeth cysts. This is because of the fact that the lesion associated with the primary teeth exist for shorter length of time before removal in contrast with permanent teeth [3]. In the present case the treatment plan comprised extraction of the primary tooth involved followed by enucleation of the cyst. The other conservative and effective alternative treatment option mentioned being marsupialization of lesion with a fixed resin tube placed in alveolar hole after the extraction of the affected primary tooth [12]. In a similar case the treatment included extraction of the affected primary teeth followed by marsupialization. A removable appliance with a resin extension into
Like most of my colleagues, I entered dental school unsure of specialty choice. It then motivated me to seek opportunities in various internship and externship programs to explore the many facets of dental medicine. Upon graduation from dental school, I attended the Eastman Institute for Oral Health of the University of Rochester, where my curiosity and interest in endodontics arose. Through various lectures and hands-on workshops on endodontics and microscopic dentistry, I was amazed and intrigued by the intricate and precise aspects required in the field of endodontics. I have also come to further appreciate the importance of preserving the integrity of a natural dentition.
It is assumed that everyone’s dentitions are unique to everyone. Forensic Odontology consists of applying dental knowledge to criminal and civil law cases, in identifying a potential suspect whose dentitions were left on a victim, deceased or alive through a bite mark. Human identification in forensic odontology consists of identifying a deceased victim through dental records and DNA from teeth that were possibly found at a possible crime scene. The teeth are then compared to dental data for a possible match of who’s identity the teeth may belong to (Franco, 2015). Many times, the use of Forensic Odontology identification is useful for identification purposes of those victims who suffered death due to a natural disaster. Human bite marks can be found on the skin of a living or deceased victim, adult or child, victim or
Non-carious teeth lesions is the deficiency of tooth structure by another factors instead of caries. There is a lot of factors can be considered as a non-carious teeth lesions like:
Dental Caries is becoming a real major concern for public health professionals. Globally, around 60-90% of school children and 100% of adults have dental caries (1). Dental Caries commonly known as tooth decay can be defined as a transmissible bacterial disease caused mainly by bacteria producing acids and dissolving tooth minerals(2). Prevalence of tooth decay showed that the mandibular central incisors have the lowest percentage to experience tooth decay, while maxillary and mandibular molars showed the highest incidence rate for caries. Caries also showed surface specificity in which occlusal surfaces in molars and proximal surfaces of incisors, canines and premolar have greater number of tooth decay compared to other sites
Oral pathology refers to the condition, which depicts dental or mouth disease. Oral piercings are related to oral pathology due to causing direct trauma to the teeth and
What is the tooth discoloration? The main causes of tooth discoloration is antibiotics, genetics, certain foods, and aging. There are two types of tooth discoloration. They consist of internal and external tooth discoloration. Internal tooth discoloration is caused by changes in enamel of the dentin and tooth. Main causes of internal tooth discoloration are exposure to high level fluoride, tetracycline, use of antibiotics as a child, developmental disorders, tooth decay, trauma, root canal issues, and restorations. External tooth discoloration is caused from the outside of the body,