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      Restoring the smile: Inexpensive biologic restorations

      case-report

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          Abstract

          Extensive breakdown of primary teeth to the cervical level and their loss in very young children is not uncommon. Owing to increasing concerns over self-appearance, due considerations to esthetic aspects in addition to restoring function are necessary aspects of rehabilitation of mutilated teeth to help children grow into a psychologically balanced personality. The present article describes rehabilitation of grossly decayed teeth with biologic restorations such as dentine posts, dentine post and core and biologic shell crown. This treatment modality provided a cost-effective esthetic solution.

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          Most cited references13

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          Changes in dental caries 1953-2003.

          In the first half of the 20th century, indices and methods of conducting surveys of the level of dental diseases were developed. Modern epidemiological studies began in the fifties and many reliable studies have been conducted after 1960. In the following decades, a substantial decline of caries prevalence was documented in the majority of the highly industrialized countries, with reductions of lifetime caries experience exceeding 75%. The decline comes to an end when low or very low levels of prevalence are reached. Children of low socioeconomic status and immigrants from outside Western Europe, however, generally have higher disease levels and may cause increases in caries prevalence. For this and other reasons, caries epidemiology will remain an indispensable part of dental public health. Copyright 2004 S. Karger AG, Basel
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            Biologic restoration of primary anterior teeth.

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              Child and parental acceptance of preformed metal crowns.

              To assess child and parent acceptance of preformed metal crowns (PMCs). This was a service evaluation using a child- and parent-centred self-report questionnaire in a convenience sample of hospital patients. Questionnaires were developed with serviceusers and issued to 98 children who had received a PMC on a primary molar within the paediatric dentistry clinic, Sheffield Dental Hospital, UK. Children used a pictorial Likert scale to rate their treatment experience and views on PMCs. Parents were also asked to complete a 5-item questionnaire, to explore their attitudes towards the PMC and how they felt their child had coped with treatment. Both children and parents were invited to comment in a free-text box on any other issues relating to PMCs. Clinical data were extrapolated from the child's dental records as follows: child's age and gender; status of clinician who had placed the PMC (staff or student), and technique for PMC placement (Hall technique or conventional). 62 questionnaires were completed (63% response rate). The mean age of the child participants was 6.6 years (SD±1.51; range=3.8-10.3), and 65% (n=40) were male. Most children found the clinical procedure acceptable with 54.8% (n=34) reporting it was 'really easy', with no significant differences according to placement technique, or the experience level of the operator (P<0.05, chi-squared test). Only 4.8% (n=3) of parents expressed strong objections to the appearance. Both children and parents felt the clinical rationale had been fully explained to them (88.7%, n=55 and 100%, n=62 respectively). Themes commonly identified from the children's accounts related to specialness, function and recollections of the treatment, with the perception that PMCs were valued for being different. This study revealed that PMCs were mainly viewed favourably by children and their parents. Clinicians who have been reluctant to use this restorative approach may be encouraged by these findings. However, communication and clinical expertise are paramount in ensuring children and parents have positive treatment experiences and attitudes towards PMCs.
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                Author and article information

                Journal
                Dent Res J (Isfahan)
                Dent Res J (Isfahan)
                DRJ
                Dental Research Journal
                Medknow Publications & Media Pvt Ltd (India )
                1735-3327
                2008-0255
                May-Jun 2014
                : 11
                : 3
                : 415-421
                Affiliations
                [1 ]Department of Pedodontics and Preventive Dentistry, Santosh Dental College and Hospital, Ghaziabad, Uttar Pradesh, India
                Author notes
                Address for correspondence: Dr. Neeti P Mittal, Department of Pedodontics and Preventive Dentistry, Santosh Dental College and Hospital, No. 1, Santosh Nagar, Ghaziabad - 201 009, Uttar Pradesh, India. E-mail: dr.neetipgi@ 123456gmail.com
                Article
                DRJ-11-415
                4119379
                150bdac0-b658-418a-bf55-1a0f76cdc8ae
                Copyright: © Dental Research Journal

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : January 2013
                : June 2013
                Categories
                Case Report

                Dentistry
                biologic restorations,dentine posts,esthetics,primary dentition
                Dentistry
                biologic restorations, dentine posts, esthetics, primary dentition

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