This article reports orthodontic treatment of a case of hypodontia of five premolars
in an 11-year-old female patient with a positive tooth size-arch length discrepancy
in both dental arches. The patient had a straight profile with balanced facial
growth. Setup manufacture revealed the possibility of achieving ideal occlusion by
mesializing permanent molars up to 15 mm, in addition to keeping a primary molar in
the dental arch. With the aid of absolute anchorage, the proposed mechanics was
performed and the occlusion predicted in the setup was achieved, while profile and
facial growth pattern were maintained. The use of miniscrews for extensive
orthodontic movements was successful. Furthermore, one primary molar was extensively
mesialized. The indication of gingivoplasty to correct gingival smile proved
effective. This is considered a useful technique for orthodontists.
Hypodontia is the most prevalent craniofacial malformation in mankind. It may present a wide variety of manifestations and, depending on the number and location of missing teeth, it may affect the esthetics, mastication, speech and occlusal balance. This paper discusses the therapeutic approaches to solve this condition, describing a case report with hypodontia of one mandibular lateral incisor, which treatment option included space closure at the region of hypodontia associated with composite resin restorations in the mandibular central incisors. The three-year follow-up after treatment revealed occlusal stability, adequate intercuspation in Class I relationship and excellent micro and macroesthetics.
Objective: to investigate the association between caries incidence in children and the number of clinical preventive visits and follow-up period (intervals). Study Design: a 30-year cohort composed of the dental records of 600 children who were 12–23 months old at their first dental appointment and who were followed up to 12 years of age (200 followed since 1981, Group 1; 200 followed since 1991, Group 2; and 200 followed since 2001, Group 3) was analytically and quantitatively evaluated. Random sample calculation was performed with 95% confidence, a maximum error of 2.95% and a ratio of 50%. Results: association was found between caries incidence and the number of dental visits and consultation intervals. Children who attended a smaller number of preventive visits had a higher incidence of the disease. Children who had an interval between returns greater than 12 months had an 18.7-times greater caries risk compared to children who had intervals no longer than 8 months between return visits. Conclusions: preventive consultations with an average interval of up to 8 months seemed to increase family adherence to preventive procedures and acted as a protective factor against caries incidence in children.
The first visit is one of the most important moments of the dental office routine, considering that, ideally, the child has the opportunity to be attended even in the first years of life, when it is possible to develop a health promotion program aiming at an experience zero caries life. At the first visit we have the unique opportunity to create partnership, providing a series of information on all issues that will involve the child’s next years in relation to Dentistry. The purpose of this paper is to propose a model of care for the family nucleus education, to establish a health promotion and prevention program directedto preventive maintenance consultations, regardless of the reason for the consultation.
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