Esthetic and endosurgical management of Turner's hypoplasia; a sequlae of trauma to developing tooth germ.

Turner's hypoplasia usually manifests as a portion of missing or diminished enamel, generally affecting one or more permanent teeth in the oral cavity. A case report of 8 year old girl who met with trauma at 2 years of age leading to primary incisors being knocked out, reported after 6 years with complaint of pain and discharge in her anterior malformed teeth is discussed in this article. The permanent incisors erupted with dilacerated crown, root malformations and missing enamel. Further, patient developed sinus, lateral root pathology, tooth mobility and malocclusion in relation to affected teeth which were managed by esthetic, functional, endodontic and surgical procedure. Root canal treatment along with palatal contouring and esthetic restoration by light cure composite was performed on the tooth with crown dilaceration and sinus, where as surgical management was considered for the tooth with root malformation.

Effect of mechanical trauma on the tooth germ of rat molar--a scanning electron microscope study.

OBJECTIVE: Clinical and histopathological evaluation of mechanical trauma on the development of maxillary first molar with Scanning Electron Microscope. DESIGN: Experimental study with four newborn Wistar rats. Trauma induced on 1st, 3rd, 7th and 10th postnatal days with dental K file. Right first molar region of the maxilla was the experimental side and the left side as control. Animals were sacrificed on the 42nd Postnatal day when the teeth came into functional occlusion. Teeth were evaluated clinically and SEM study of the crown was performed. RESULTS: Marked disfigurement of cusps, roughened defective, enamel, crown dilacerations and enamel hypoplasia were observed. Damage was less severe to the tooth subjected to trauma on the 10th postnatal day.

Histometric study of periodontal trauma in dental germs to be transplanted - scanning electron microscopy

Dental transplants are of great interest in modern dentistry. Research has been directed toward the study of different techniques and observations of the results. Scientific basis is also to be observed and the aim of this paper is to associate technical with scientific data. Dental germs in different stages of development were carefully removed from their alveolar cavities together with the dental sac. Trauma was observed in some areas resulting from the movements of extraction or of the removal of the dental sac by dissection. It should be noticed that by the trauma produced by removal of the dental sac is very uncommon, since the operation is performed at a mesoscopic level. The material showed that the periodontal collagen net is complex in form and the meshes are wider in the surface. Smaller meshes could be seen closer to the cementum surface. Measures could be taken in order to have a basis of the distribution of collagen material around the dental root in different levels. The results showed that extraction should be performed in a most conservative manner and the movements for extraction should be applied to the crown of the dental germ. The maintenance of the periodontal integrity is very important in order to preserve the vascular barrier created by the dental cementum