How to achieve a correct marginal adaptation of steel crowns in pediatric dentistry? - Tips for a good finish

Preformed steel crowns are an excellent means of rehabilitation for primary teeth affected by advanced caries. Thanks to them, occlusion and chewing function are not lost.

Preformed stainless steel crowns are easily placed and less expensive than other means of rehabilitation. The pediatric dentist must choose the appropriate size crown and perform a correct seal when installing the crown.

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We share an article that offers us several tips for a correct adaptation of steel crowns in pediatric dentistry, as well as how to achieve an adequate finish and polishing of the crown margins.

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Croll TP, Epstein DW, Castaldi CR. Marginal adaptation of stainless steel crowns. Pediatr Dent. 2003 May-Jun;25(3):249-52. PMID: 12889701.

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Esthetic Options for Anterior Primary Teeth - Characteristics

When caries seriously affects a primary molar, we can use stainless steel crowns that meet the retention and resistance requirements, that way we do not lose the occlusion.

But when the upper incisors are affected, we must take into account aesthetics when rehabilitating them. In pediatric dentistry, there are suitable options for the rehabilitation of upper incisors that meet all functional and aesthetic requirements.

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We share the review of aesthetic crowns in pediatric dentistry, detailing their advantages, indications, characteristics and procedure.

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Anterior dental esthetics in primary teeth - Oral Rehabilitation

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Gaurav Kumar Mittal, Aviral Verma, Hansika Pahuja, Shashank Agarwal, Himani Tomar. Esthetic crowns in pediatric dentistry: a review. International Journal of Contemporary Medical Research 2016;3(5):1280-1282.

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Trigeminal Neuralgia: Clinical features and pharmacological and surgical treatment

Trigeminal neuralgia is a disorder of the trigeminal nerve that is characterized by painful and recurrent episodes at the facial level. Patients refer to this pain as a short-lived electric shock.

The treatment is pharmacological, but surgical treatment should be considered if the pain is not controlled or when the side effects of the drugs are not tolerated.

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We share an interesting guide on the clinical features, diagnosis, pharmacological and surgical treatment of trigeminal neuralgia.

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Lambru G, Zakrzewska J, Matharu M. Pract Neurol 2021;21:392–402.


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Fuente: Youtube / JJ Medicine

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Alternative for the rehabilitation of pediatric patients with early childhood caries

Early childhood caries (known as baby bottle tooth decay) is an infectious process that destroys tooth structure, even leading to tooth loss. Rehabilitation is necessary to avoid serious aesthetic and functional consequences in the pediatric patient.

Rehabilitation in pediatric dentistry is a challenge since the treatment must be immediate to avoid problems in the child's cooperation. There are several methods to rehabilitate and replace prematurely lost teeth.

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We share the oral rehabilitation of a pediatric patient affected by early childhood caries, using a functional appliance aesthetically appropriate for the patient.

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Pereira dos Santos MA, Moraes Pinheiro LH, Lima Pedro RD, Alves Antunes LA, Primo LG (2021) Overdenture: An alternative treatment for oral rehabilitation in patients with early childhood caries. J Dent Probl Solut 8(1): 005-009. DOI: https://dx.doi.org/10.17352/2394-8418.000095

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Temporomandibular disorders (TMD) in children - Clinical examination and treatment

Temporomandibular disorders involve the muscles of mastication and the temporomandibular joint, causing pain and difficulty in chewing. These disorders are not common in children and adolescents, but it is necessary to know the signs and symptoms to be able to identify them.

Diagnosis is through clinical and radiographic examinations, and treatment aims to eliminate pain, improve chewing, and reduce risk factors. In some cases, treatment is multidisciplinary.

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The article recommends how to perform a clinical examination and recognize the signs and symptoms of temporomandibular disorders in children, as well as offering treatment options in pediatric patients.

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American Academy of Pediatric Dentistry. Acquired temporomandibular disorders in infants, children, and adolescents. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2021:426-34.

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Space Maintainer in Pediatric Dentistry: How do they work? Benefits and indications

The primary teeth fulfill several functions, one of them is to save and maintain the space that corresponds to the permanent tooth until its exfoliation.

The premature loss of primary teeth puts the correct position and occlusion of the permanent teeth at risk. Preventive orthodontics makes use of space maintainers to prevent unwanted tooth movements.

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We share a complete study and review on the importance, indications, types and effectiveness of space maintainers in pediatric dentistry.

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What is the role of space maintainers? Types of maintainers

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(2021). The Use of Space Maintainer in Pediatric Dentistry: A Systematic Review. European Journal of Molecular & Clinical Medicine, 8(2), 1532-1545.

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[Nayara Silva de Oliveira Morais1, Fabiana Barbosa Faustino1, Talysson Silva de Oliveira Morais, Elias NaimKassis, Fábio Pereira Linhares de Castro, Andreia Borges Scriboni, Simone Andreia Gubolin, Leandro Moreira Tempest and Idiberto José Zotarelli Filho. (2016); DENTAL SPACE MAINTAINERS: A BRIEF REVIEW. Int. J. of Adv. Res. 4 (Oct). 2086-2092] (ISSN 2320-5407). www.journalijar.com


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Why do stainless steel crowns fail?

When primary molars lose a lot of dental tissue due to extensive caries or trauma, it is necessary to rehabilitate them with preformed steel crowns, which have a high success rate.

Stainless steel crowns are placed in an easy-to-perform, one-appointment procedure and are inexpensive. There are cases of failure that are the reason for this study.

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We share a study that analyzes the causes and reasons for the failure of stainless steel crowns in pediatric dentistry, taking into account clinical analyzes and data in the literature.

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Hall technique: Complete information for the treatment of carious primary molars

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Prakash AS (2020) Crowns in pediatric dentistry –A Review on the failures. Oral Health Care 5: DOI: 10.15761/OHC.1000193.

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