ISSN : 0376-4672
The traumatic accident could cause various damages to the teeth and surrounding tissues. It makes dentist embarrass be cause it not only requires the dentist to make quick decision, but also delayed decision affect the prognosis of the treatment. Depending on the location of the fracture, the fractured teeth are divided into crown fracture without pulpal involvement (Uncomplicated crown fracture), crown fracture with pulpal involvement (Complicated crown fracture), crown-root frac ture, and root fracture. When the crown was fractured, treatment was performed with reattachment of the fragment or direct composite resin restoration depending on the presence or absence of the crown fragment. In the case of crown-root fracture, the direction of treatment can be set depending on whether the moisture control for final restoration is properly performed. In the case of root fracture, follow-up was observed after fixation using resin wire splint fixation, and if necessary, endodontic treatment of the crown fragment is recommended. The cases reported here have led to positive treatment outcome in fractured tooth for various traumatized situation.
Childhood obesity is a common chronic disease in childhood, and its prevalence and socioeconomic costs have increased worldwide over the past 40 years. The World Health Organization has designated obesity as a global epidemic, emphasizing the need for its treatment and management. The impacts of childhood obesity on dentistry include a higher risk of dental caries, advanced dental development, as well as psychological changes (anxiety, depression, attention deficit hyperactiv ity disorder) and physical changes (increased complications, changes in drug metabolism) that should be considered when implementing preventive strategies, orthodontic treatment, behavior management and sedative procedures. Dentists should regularly check child’s body mass index and diet for every child visiting dental office. Parental obesity, consumption of sugar-sweetened beverages, poor dietary habits, and lack of exercise can be a risk factors for obesity in normal/overweight child. Diet counseling should be provided to high-risk children and their parents. Preventing childhood obesity is crucial, and the key point in treating childhood obesity is behavior modification therapy, which focuses on regulating daily eating habits and physical activity. Dentists should recognize the seriousness of childhood obesity and participate in the prevention and management of the obesity epidemic, thus enhancing oral and systemic health
It is difficult to diagnose differently from other diseases if patients have pain due to cracked teeth. The main reason why cracked tooth diagnosis is difficult is that there is no diagnostic method that can visualize and quan titatively evaluate the degree and depth of cracks. Bite tests, methylene blue staining, transillumination tests, and x-ray tests can be performed to diagnose cracked teeth. In this paper, I will explore the pros and cons of the methods used so far and discuss their effectiveness in diagnosing cracked teeth.
As social interest in health increases, interest in oral health and preservation of natural teeth are also increas ing. The hard tissues in the oral cavity undergo physical changes as age increases. One of the changes is the progress of tooth cracks in natural or restored teeth. These cracks are commonly encountered in daily clinical practice but often confuse the operator due to its difficulties in diagnosis and therapeutic access. Diagnosing a cracked tooth has been a chanllenge to dental clinicians. For the diagnosis of a cracked tooth, the quantitative light-induced fluorescent (QLF) device, which is capable of detecting fluorescent reactions of the tooth with visible light (405nm), has been introduced as one of the methods for observing tooth cracks. Specific metabolites of microorganisms that penetrate through the crack’s line react with specific autofluorescence to 405nm visible light emitted from the QLF device. These fluorescent image provided by the QLF helps to observe the location of the crack during the diagnosis of a cracked tooth and helps the patient’s dental record. The QLF images provided a magnified image as well as a fluorescent im age that could identify the location of the crack existing outside the tooth, around the restoration, and inside the cavity after removal of the restoration by a simple process of capturing images. This report shows the process of diagnosis of a cracked tooth using a QLF device by observing three separate cases which can help clinicians to understand this process.
In many cases, endodontic treatment is unnecessarily performed while managing cracked tooth. However, there are many cases where it is unclear whether endodontic treatment should be performed or not during the treatment of cracked tooth. One good way is to attach the final prosthesis with a temporary cement and then have a lot of conversations with the patient about their condition. Through this process, the timing of final ce mentation or endodontic treatment can be determined. Of course, even if we do so, endodontic treatment may be performed in some cases, so the management of cracked tooth is inevitably called endodontic treatment originated treatment.
