AXIAL MODIFICATIONS OF PERMANENT LOWER MOLARS AFTER PREMATURE LOSSES OF TEMPORARY MOLARS.

AIM: The aim of our study was to determine the impact of premature loss of temporary lower molars upon the longitudinal axis of the first and second permanent molars. MATERIAL AND METHODS: The study groups included 61 patients, 6-9 year olds with premature loss of primary molars and a control group of 24 patients with intact temporary teeth. We evaluated the angle between longitudinal axis of first and second lower permanent molars and occlusal plane. RESULTS: It was observed that premature loss of lower second deciduous molar modifies more the vertical axis of first and second permanent molars than the premature loss of first lower primary molar. Reducing space occurs mainly through mesial inclination of molars that separates the edentulous breach. Temporary loss of both lower first molars on the same quadrant causes an accelerated eruption of both premolars increasing the prevalence of eruption sequence: "4-5-3-7". CONCLUSIONS: The preservation of the occlusal morpho-functional complex using space maintainers mainly when the premature loss of the second primary molars occurs is the best interceptive treatment option.

The study of the Association of Decay Risk With Malocclusions in Mixed Dentition at Children From Northeast Romania. A Transversal Retrospective Study.

Aim: The purpose of this study was to investigate if high values of DMFT/dmft indices constitute risk factors for installation in various types of malocclusions in mixed dentition. Material and Methods: The study consisted of 600 study-cast with mixed dentitions coming from the children in northeastern Romania. WHO (World Health Organization) dental caries criteria were applied to both groups. The existence of an increased caries risk was deducted from the dmft (decay, missed, filled temporary teeth) and DMFT (Decay, Missed, Filled Teeth) indices related to age. Malocclusion was classified in the three planes in accordance with the major symptom. The statistical study was conducted in SPSS 16.0 for Windows. The risk factors we have identified through calculating the odds ratio and relative risk. Results: Mean value dmft/DMFT (index in mixed dentition was found 3.64±2.686. The highest values of the dmft/DMFT indices were found in patients with normal overjet (4.73± 2.892) and normal overbite (4.04±2.781). In the transverse plane, the lowest value of DMFT/dmft index was recorded in patients with spacing (2.63±1.915), and the highest values were observed in patients with the combined diagnosis of crowding and lateral cross bite (4.97±3.010) respectively of crowding and spacing (4.65 ±2.792).The presence of malocclusions in the three plans is not influenced by increased DMFT/dmft index (DMFT/dmft>5) unless combined diagnoses of crowding and lateral cross bite, and crowding and spacing where the relative risks are over 2.5. Conclusions: The present study concluded that the prevalence of dental caries in children with mixed dentition is higher in patients with normal overjet and overbite. In terms of the risk of developing a certain malocclusion with dental crowding associate with lateral cross bite, respectively dental crowding associate false spacing are present under a high caries activities.

SECOND MOLAR UPRIGHTING AFTER PREMATURE LOSS OF MANDIBULAR FIRST PERMANENT MOLAR--CASE REPORT.

INTRODUCTION: Uprighting a tipped molar by using an uprighting spring is a fundamental orthodontic treatment technique. Following a weak anchorage done only by the anterior teeth the permanent lower second molar will rotate around its center of resistance, and besides the distalizing movement will occur its extrusion. Following the reaction, the mandibular anterior teeth will have a movement of intrusion. All these elements will lead to anterior open bite. Correction of vertical problems has become easier with the advent of mini-implants. CASE PRESENTATION: U.I patient aged 24 years presenting for aesthetic and functional disorders. Clinical examination reveals intraoral Class I molar malocclusion on the right sight, upper narrowing arch with a slight overbite, and the both permanent first molars on the left side lost prematurely. The tooth 37 is inclined at 600 degrees to the plane of occlusion. To avoid front opening occlusion we used an orthodontic miniscrew inserted between the canine and the first premolar on the same side to achieve the second molar up righting. Lower second molar uprighting was achieved without unwanted movements in anterior mandibular region and without molar extrusion. CONCLUSIONS: Using mini implants in uprighting a tipped molar will achieve the desired tooth movement and will reduce the number of unwanted side effects and eventually to improve patient's esthetics.

The influence of premature loss of temporary upper molars on permanent molars.

AIM: Premature loss of primary molars due to dental caries and their complications has been associated with space loss and eruptive difficulties, especially when the loss occurs early. The aim of our study was to determine the impact of premature loss of temporary upper molars upon the longitudinal axis of the first and second upper permanent molar. MATERIAL AND METHODS: The study group included 64 patients 6-9 years old with premature loss of primary molars and a control group of 48 patients with intact temporary teeth. It was evaluated the angle between longitudinal axis of first and second upper permanent molars and occlusal plane. The sofware used is Easy Dent 4 Viewer®.The data were analyzed by using the Statistical Package for the Social Sciences (version 20.0; SPSS, Chicago, III). RESULTS: It was observed that premature loss of upper second deciduous molars modifies greater the vertical axis of the permanent molars than the premature loss of first upper primary molar. First upper primary molar loss cause an acceleration eruption of first premolar, which will produce a distal inclintion of the both permanent molars. CONCLUSIONS: The use of space maintainers after premature loss of the second upper temporary molar is a last solution in preventing tridimensional lesions in the dental arch and occlusion.

Aspects regarding the hygienic-sanitary conditions at the level of certain dental medicine cabinets in Iasi County.

AIM: This baseline study aims to find out the evaluation of hygienic-sanitary conditions at the level of dental medicine cabinets through the verification of certain hygienic aspects. MATERIAL AND METHODS: The study conducted consists in monitoring the hygienic/sanitary conditions at the level of 68 dental medicine cabinets (40 private cabinets and 28 school/university dental cabinets in Iasi county), using sheets for the assessment of the hygienic/sanitary conditions adapted from the control sheets of existing dental medicine cabinets at the level of DSP (Public Health Department) Iasi. RESULTS AND DISCUSSION: The sheets for the assessment of the hygienic/sanitary conditions were evaluated by a specialized team and the results were i llustrated in the specific charts. At the level of all the dental cabinets the study revealed nonconformities regarding the means to carry out cleaning, disinfection operations, including the management of perilous waste, the control of medical personnel. CONCLUSIONS: An optimization of the hygienic-sanitary conditions at the level of dental medicine cabinets is still necessary, through participation to the activity of personnel training, who is directly involved in dental medical assistance.