Using the Willems dental age estimation method, the current study investigated the dental development of a collection of Turkish children with multiple presentations of PPT.
Panoramic radiographs, obtained from a cohort of children and adolescents aged 9 to 15 years, were retrieved, assessed, and categorized. From the database of radiographic images, eighty were selected from patients with multiple PPTs and these were meticulously paired with corresponding images of children free from PPTs. The Willems method was used to calculate the dental age.
The utilization of SPSS statistical software was integral to all analyses. Statistical significance was determined to be 0.05.
A divergence in the timeline for the eruption of permanent teeth in children with multiple PPTs might be observed, extending from 0.5 to 4 years compared to typically developing children. PPT count correlated positively and substantially with deviation, with this relationship being similar for both females and males.
< 0001).
In the end, our research demonstrated that the development of permanent teeth in children with a history of multiple PPT cases might be delayed relative to those with no such history. Furthermore, a rise in the number of PPT correlated with a growing discrepancy between chronological and dental age, particularly pronounced in male subjects.
Overall, our study demonstrated that the progression of permanent tooth development in children with multiple PPT cases could be slower than in children free of these conditions. Consequently, a higher number of PPTs correlated with a greater difference between chronological and dental ages, markedly so in the male demographic.
Dental anomalies, such as impaction of the maxillary central incisor, are frequently identified in children. Given the position of the impacted central incisors, the development of their roots, and the intricate direction of crown eruption, treatment proves to be a formidable and complicated procedure. The objective of this study was to illustrate the application of a novel multifunctional appliance in the treatment of impacted maxillary central incisors. The treatment of impacted maxillary central incisors is explored in this article, utilizing a novel device. We present two cases of young patients, each having horizontally impacted maxillary central incisors located labially. This novel appliance facilitated the treatment of both patients. To quantify the therapeutic effects, post-treatment clinical evaluations, pre-treatment outcomes, and post-treatment cone-beam computed tomography images were compared. By the end of the treatment phase employing the new device, the impacted central incisors had been successfully aligned within the dental arch, showing no signs of root resorption. Both patients presented with good dental alignment, demonstrating restored function and achieving acceptable aesthetic results. The appliance's demonstrably comfortable, convenient, safe, and effective treatment of impacted maxillary central incisors, as presented in this article, necessitates its future clinical implementation.
A microbiological investigation into the effectiveness of decreasing Enterococcus faecalis in the canals of primary molars, employing pediatric rotary systems (EndoArt Pedo Kit Blue, EasyInSmile X-Baby, and Denco Kids), alongside rotary (ProTaper Next) and reciprocating (WaveOne Gold) files. To ascertain the effectiveness of various instrumentations, seventy-five mandibular primary second molars were separated into a control group and five other instrumentation groups. To confirm biofilm development, five roots were assessed after incubation, focusing on the root canals. Instrumentation was performed, followed by the collection of bacterial samples. The Kruskall-Wallis test, followed by Dunn's post hoc analysis, was employed to statistically assess the reduction in bacterial load, at a significance level of 0.05. The effectiveness of bacterial reduction was higher for Denco Kids and EndoArt Pedo Kit Blue than for EasyInSmile X-Baby systems. ProTaper Next rotary file systems achieved no different bacterial reduction results when compared to the other file system groups. Among the single-file instrumentation techniques, the Denco Kids rotary system led to a more substantial decrease in bacterial load compared to the WaveOne Gold system, a statistically significant difference (p < 0.005). A decrease in bacterial counts from primary teeth root canals was accomplished by all systems examined in the study. The use of pediatric rotary file systems in clinics deserves further scrutiny through additional studies for the purpose of generating more data.
This study's objective was to determine the differential disinfection performance of a triple antibiotic paste and neodymium-doped yttrium aluminum perovskite (NdYAP) laser in the context of pulp regenerative therapy, analyzing the subsequent therapeutic outcomes using apical radiographs and cone-beam computed tomography (CBCT). 66 immature permanent teeth of 66 patients, each diagnosed with either acute or chronic apical periodontitis, formed the basis of this study. All teeth underwent pulp regenerative therapy. For the purpose of the study, patients were grouped as either a control group, receiving triple antibiotic paste, or an experimental group, undergoing NdYAP laser procedures. Using an NdYAP laser, the teeth in the experimental group were disinfected, contrasting with the control group, whose teeth were disinfected using a triple antibiotic paste. A 24-month follow-up period included clinical and radiological evaluations every three to six months after the completion of treatment. Statistical analysis, performed subsequent to clinical examination, indicated that, after one week of treatment, two teeth in the control group and two teeth in the experimental group continued to exhibit symptoms. Two weeks from the initial assessment, the clinical symptoms vanished from all teeth, a statistically significant outcome (p < 0.005). The 24-month follow-up period demonstrated a return of clinical symptoms in two teeth belonging to the control group and one tooth from the experimental group. Examination of radiographic images revealed 31 and 27 teeth with continuing root growth in the control group, while three teeth demonstrated no noticeable root development. In the experimental group, 27 teeth showed continued development, and two teeth exhibited no clear indication of root development. A pulp sensibility test performed on teeth in both groups indicated positivity in four teeth per group, revealing no significant difference between the groups (p > 0.05). The disinfection of pulp regenerative therapy, according to this study, might benefit from using an NdYAP laser for endodontic irradiation as an alternative to triple antibiotic paste. Apical radiographs and CBCT were used to assess treatment outcomes, revealing no detrimental effects of the Nd:YAG laser on pulp regenerative therapy.
A suitable vital pulp therapy (VPT) for primary teeth presenting reversible pulpitis might prove difficult for clinicians to choose. The encouraging advancements in bioactive capping materials contribute to the selection of less-invasive treatment options. The clinical and radiographic success rates of indirect pulp treatment (IPT), direct pulp capping (DPC), partial pulpotomy (PP), and pulpotomy in primary molars, with the use of TheraCal PT, were investigated in a 12-month non-randomized clinical trial. malaria vaccine immunity A unique set of inclusion criteria was established for each treatment to ascertain its suitability in specific clinical situations. Along with this, a determination of the association of tooth survival with different factors was made. The trial's information was meticulously entered on the clinicaltrials.gov website. At the time of November 19th, 2019, clinical trial NCT04167943 was activated. Non-HIV-immunocompromised patients Molars, primary in nature (n = 216), with caries extending to the inner third or quarter of their dentin, were incorporated into the study. Selective caries removal was part of the standard protocol for interventional periodontal therapy (IPT). In other cohorts, non-selective caries removal was the standard, with treatment plans subsequently dictated by pulp exposure patterns. The principle of selecting the most conservative treatment was applied to cases with the least visible indicators of pulp inflammation. The effects of various factors on tooth survival were examined using a Cox regression model, employing a p-value of 0.05 as the threshold for statistical significance. The 12-month clinical and radiographic success rates for IPT, DPC, PP, and pulpotomy were, respectively, 93.87%, 80.4%, 42.6%, and 96.15%. A significant association was found between treatment failure and the presence of first primary molars, proximal surface involvement, and provoked pain. The inclusion criteria determined that IPT, DPC, and pulpotomy with TheraCal PT yielded acceptable outcomes, yet PP treatments correlated with unsatisfactory outcomes. RGFP966 price Involvement of proximal surfaces, provoked pain, and the eruption of first primary molars were linked to a heightened risk of failure. The implications of these results extend to diverse scenarios encountered in the treatment of deep cavities within primary teeth. Selection of cases for treatment can be informed by the effects of clinical predictors on treatment outcomes.
Investigating the frequency and types of enamel developmental anomalies (EDAs) in children with HIV infection, or with mothers infected by HIV, versus those without such exposure (i.e., children of uninfected mothers). An analytic cross-sectional study investigated DDE presence and distribution patterns among three groups of school-aged children (4-11 years) receiving care at a Nigerian tertiary hospital. The groups were: (1) HIV-infected children on antiretroviral therapy (n=184), (2) HIV-exposed, but not infected children (n=186), and (3) HIV-unexposed, uninfected children (n=184). Based on a review of clinical charts and parental recall, data capture forms and questionnaires were used to record the complete history of dental and medical issues experienced by the children. The dental examinations were performed by calibrated dentists, masked to the study groups' assignments. T-cell counts, specifically CD4+ (Cluster of Differentiation) , were assessed for each participant.