RESUMO
Aim: This case report describes a protocol for restoring a crown fracture of an unerupted permanent incisor in a child. Background: Crown fractures are an important concern in pediatric dentistry due to the negative impact on oral health-related quality of life (OHRQoL) in children and adolescents resulting from functional limitations as well as consequences related to social and emotional well-being. Case description: An enamel and dentin fracture of the crown of unerupted tooth 11 due to direct trauma is being presented in a 7-year-old girl. The restorative treatment involved minimally invasive dentistry, including computer-aided design (CAD)/computer-aided manufacturing (CAM) technology and direct resin restoration. Conclusion: The treatment decision was essential for maintaining pulp vitality and continued root development, as well as ensuring esthetic and functional results. Clinical significance: Crown fracture of an unerupted incisor may occur in childhood, requiring a long-term clinical and radiographic follow-up. Predictable, positive, and reliable esthetic outcomes can be achieved using CAD/CAM technology combined with adhesive protocols. How to cite this article: Kamanski D, Tavares JG, Weber JBB, et al. Crown Fracture of an Unerupted Incisor in a Young Child: Case Report and Restorative Protocol. Int J Clin Pediatr Dent 2022;15(5):636-641.
RESUMO
The aims of this study were to analyze the spatial distribution of dental caries among preschool children and create equiprobable scenarios of its occurrence in the city of Canoas, Southern Brazil. Trained, calibrated dentists examined 1,100 children enrolled at public preschools to determine dental caries experience following World Health Organization criteria. The ArcGis 10.0 Geographic Information System was used to analyze spatial and non-spatial data. Geostatistical Modeling Software was used in geostatistical analyses to detect spatial continuity and create maps using stochastic simulation. Overall prevalence of dental caries was 25% with intraurban differentials in distribution. The findings enabled the generation of 100 equiprobable scenarios and maps with the best and worst scenarios. The highest concentration of dental caries occurrence was found in the western portion of the city, while the lowest probability of occurrence was found in the northern and southern portions. Identifying spatial inequalities in health conditions and visualizing them through the creation of maps can help to qualify and organize public health interventions and provide information to gain better understanding of the influence of the surrounding environment on adverse health conditions.
O objetivo do estudo foi analisar a distribuição espacial de cárie dentária entre crianças préescolares e criar cenários equiprováveis da ocorrência deste agravo na cidade de Canoas, sul do Brasil. Exame clínico para detecção da experiência de cárie dentária de acordo com o critério da Organização Mundial da Saúde foi realizado por cirurgiõesdentistas treinados e calibrados em uma amostra de 1.100 crianças matriculadas em escolas de educação infantil. Utilizouse o Sistema de Informação Geográfica ArcGis 10.0 para a inserção de dados espaciais e não espaciais. O programa GeoMS foi utilizado nas análises geoestatísticas para a detecção da continuidade espacial e construção de mapas através da simulação estocástica. A prevalência de cárie dentária foi 25%, com diferenciais intraurbanos na sua distribuição. Os resultados permitiram a construção de 100 cenários equiprováveis e de mapas com os melhores e piores cenários no município. Uma maior concentração de ocorrên cias foi encontrada na região oeste da cidade, enquanto que as regiões norte e sul tiveram a menor probabilidade de ocorrência de cárie dentária. A identificação de desigualdades espaciais em condições de saúde e a sua visualização por meio de mapas pode auxiliar na qualificação e organização de intervenções de saúde pública, assim como fornecer subsídios que ajudem no entendimento da influência do meio ambiente sobre as condições adversas de saúde.
Assuntos
Cárie Dentária/epidemiologia , Brasil/epidemiologia , Pré-Escolar , Estudos Transversais , Índice CPO , Feminino , Humanos , Masculino , Prevalência , Fatores Socioeconômicos , Análise Espacial , População UrbanaRESUMO
The aims of this study were to analyze the spatial distribution of dental caries among preschool children and create equiprobable scenarios of its occurrence in the city of Canoas, Southern Brazil. Trained, calibrated dentists examined 1,100 children enrolled at public preschools to determine dental caries experience following World Health Organization criteria. The ArcGis 10.0 Geographic Information System was used to analyze spatial and nonspatial data. Geostatistical Modeling Software was used in geostatistical analyses to detect spatial continuity and create maps using stochastic simulation. Overall prevalence of dental caries was 25% with intraurban differentials in distribution. The findings enabled the generation of 100 equiprobable scenarios and maps with the best and worst scenarios. The highest concentration of dental caries occurrence was found in the western portion of the city, while the lowest probability of occurrence was found in the northern and southern portions. Identifying spatial inequalities in health conditions and visualizing them through the creation of maps can help to qualify and organize public health inter ventions and provide information to gain better understanding of the influence of the surrounding environment on adverse health conditions (AU)
O objetivo do estudo foi analisar a distribuição espacial de cárie dentária entre crianças préescolares e criar cenários equiprováveis da ocorrência deste agravo na cidade de Canoas, sul do Brasil. Exame clínico para detecção da experiência de cárie dentária de acordo com o critério da Organização Mundial da Saúde foi realizado por cirurgiõesdentistas treinados e calibrados em uma amostra de 1.100 crianças matriculadas em escolas de educação infantil. Utilizouse o Sistema de Informação Geográfica ArcGis 10.0 para a inserção de dados espaciais e não espaciais. O programa GeoMS foi utilizado nas análises geoestatísticas para a detecção da continuidade espacial e construção de mapas através da simulação estocástica. A prevalência de cárie dentária foi 25%, com diferenciais intraurbanos na sua distribuição. Os resultados permitiram a construção de 100 cenários equiprováveis e de mapas com os melhores e piores cenários no município. Uma maior concentração de ocorrên cias foi encontrada na região oeste da cidade, enquanto que as regiões norte e sul tiveram a menor probabilidade de ocorrência de cárie dentária. A identificação de desigualdades espaciais em condições de saúde e a sua visualização por meio de mapas pode auxiliar na qualificação e organização de intervenções de saúde pública, assim como fornecer subsídios que ajudem no entendimento da influência do meio ambiente sobre as condições adversas de saúde (AU)
Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Distribuições Estatísticas , Características de Residência , Cárie Dentária/epidemiologia , Brasil , Estudos Transversais , Mapeamento GeográficoRESUMO
OBJECTIVE: The aim of the present study was to describe oral health-related quality of life (OHRQoL) and associated factors in elderly individuals treated at Family Health Units in urban areas of the city of Pelotas, Brazil. METHODS: The sample was composed of 438 individuals aged 60 years old or older. Demographic, socio-economic, general health and behavioural variables were collected using standardised questionnaires. OHRQoL was measured with the oral health impact profile (OHIP-14). Poisson regression analysis was employed to identify factors associated with OHRQoL. RESULTS: The mean total OHIP-14 score was 9.1 (standard deviation: 10.6), and major impacts were related to feeling conscious of psychological discomfort (28.1%) and difficulty eating (24.4%) due to teeth, mouth or dentures. The multivariate analysis revealed higher oral health impact scores among non-White individuals [Prevalence ratios (PR) = 1.33, 95% CI: 1.07-1.66; p = 0.011], those with depressive symptoms (PR = 1.61, 95% CI: 1.30-1.99; p < 0.001), tobacco users (PR = 1.46, 95% CI: 1.07-1.99; p = 0.016), non-denture users (PR = 1.42, 95% CI: 1.10-1.85, p = 0.008), those with a perceived need for dental treatment (PR = 1.99, 95% CI: 1.58-2.51; p < 0.001) and those with poor or very poor self-rated oral health (PR = 2.86, 95% CI: 1.93-4.24; p < 0.001). Lower scores were found among individuals aged 80 years or older (PR = 0.52, 95% CI: 0.33-0.82; p = 0.005) and those with household income of more than 1.5 times the minimum wage (PR = 0.65, 95% CI: 0.46-0.93; p = 0.018). CONCLUSIONS: The findings of the present study underscore the need for public policies aimed at reducing social inequalities and providing adequate dental treatment to improve OHRQoL among elderly individuals.
Assuntos
Assistência Odontológica para Idosos/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Saúde Bucal/estatística & dados numéricos , Qualidade de Vida , Fatores Socioeconômicos , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Saúde Bucal/etnologia , Prevalência , Política Pública , Análise de Regressão , Inquéritos e QuestionáriosRESUMO
PURPOSE: The purpose of this study, was to investigate the incidence of traumatic dental injuries in the first year of life and their associated factors. METHODS: Five hundred children were recruited at the outset of the cohort (at birth); 397 had an initial assessment at 6 months (investigation of demographic, socioeconomic, and environmental variables), and 378 were examined for dental trauma at the 1-year assessment (12-16 months); 122 children were lost in the follow-up, and 2 edentulous children were excluded from analysis. RESULTS: Approximately 15% of the children (54/376) had dental trauma, with the most common type of injury being enamel fracture. The main reported causes of dental injuries were falls from the same level, furniture, and strollers or walkers. Logistic regression after adjusting for confounding showed that the odds of dental trauma was 2.6 times higher for children whose mothers with higher education compared to those with a lower education level (odds ratio [OR]=2.61; 95% confidence interval [CI]=1.41-4.84). Family structure was associated with dental trauma, with an adjusted model showing higher odds for children from non-nuclear families compared to those from nuclear families (OR=2.28; 95% CI=1.18-4.39). CONCLUSIONS: These results demonstrated a high incidence of dental trauma in the first year of life, improving knowledge for future development of preventive strategies to reduce risk of dental traumatic injuries.