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Duhita Multispeciality Dental Clinic

Vijayawada, Andhra Pradesh
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Pedodontics

Offering you a complete choice of services which include Pediatric Endodontics, Interceptive Orthodontics, Anterior Stainless Steel Crowns, Strip Crowns and Esthetic Pediatric Dentistry.

Pediatric Endodontics

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The dental diseases affecting the pulp and periapical tissues in the primary and permanent dentitions pose treatment challenges for the endodontists because of the vast variations in these dentitions basically due to factors like longetivity of primary teeth , coronal structure and root canal morphology and anatomy of the teeth which needs to be criticallyanalysed before rendering treatment. In recent years, new materials, equipments and instruments have evolved to a great extent and simplified the endodontic treatment procedures for the clinicians. The aim of this article is to highlight the clinical techniques and treatment considerations in treating the vital and non-vital as well as emphasize on surgical management of cases

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Orthodontics is a specialty of dentistry, which deals with the realignment of jaws and teeth to achieve an optimum bite (occlusion), smile and facial balance

Interceptive orthodontics is a more recent concept where certain problems are treated early (around age 7-11) to take advantage of growth and better cooperation. This can result in fewer teeth extracted, better profile and facial esthetics, and great full smiles.

Interceptive orthodontics is a more recent concept where certain problems are treated early (around age 7-11) to take advantage of growth and better cooperation. This can result in fewer teeth extracted, better profile and facial esthetics, and great full smiles.

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Stainless steel crowns were introduced to pediatric dentistry by the Rocky Mountain Company in 1947 and made popular by W. P. Humphrey in 1950. Until then the treatment for grossly decayed primary teeth was extractions. Stainless steel is composed of iron, carbon, chromium, nickel, manganese and other metals. The term stainless steel is used when the chromium contents exceeds 11% (usually a range of 12 to 30%. The chromium oxidizes and forms a protective film of chromium oxide which protects against corrosion.

While originally intended for the restoration of posterior primary and young permanent teeth, its use was expanded to badly decayed anterior teeth. Although, more durable and retentive than amalgam or composite they are unaesthetic, especially on the anterior teeth. With aesthetics of their child’s smile of extreme importance to parents, many opted for extraction and prosthetic replacement of severely decayed teeth rather than placement of stainless steel crowns. The advent of composite bonding, allowed for a composite facing to be placed on the facial surface of the tooth, thus improving aesthetics.

Open faced stainless steel crowns combine strength, durability and improved aesthetics, however they are time consuming to place as the composite facing cannot be placed until the stainless steel crown cement sets. Bleeding of the color of the metal margins surrounding the composite adds a grayish tinge to the tooth that is accentuated next to the white enamel of an adjoining or opposing primary tooth.

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Strip Crowns

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Composite Strip Crowns Composite strip crowns are composite filled celluloid crowns forms. They have become a popular method of restoring primary anterior teeth because they provide superior aesthetics as compared to other forms of anterior tooth coverage. Composite strip crowns rely on dentin and enamel adhesion for retention. Therefore the lack of tooth structure, the presence of moisture or hemorrhage contributes to compromised retention. They are less resistant to wear and fracture more readily than other anterior full coverage restorations. A 2002 study by Tate, et al. found that composite strip crowns had a failure rate of 51%, compared to an 8% failure rate of stainless steel crowns. With a cooperative patient, the time required for placement is comparable to that of a stainless steel crown or polycarbonate crown.

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A number of conditions can lead to aesthetically unacceptable dentitions like dental caries, discoloration, trauma, early loss of teeth, misalignment and any abnormality of shape and size. Today we have a large number of solutions available for aesthetic problems in paediatric dentistry. But the biggest dilemma is: How to choose what is best for a particular patient and that situation? Through this review we try to precisely highlight the various options for aesthetic restorations along with their indications, advantages and disadvantages

Children who have damaged, discolored or missing teeth sometimes have problems with self-esteem that can be improved with aesthetic dentistry, says a pediatric dentist.

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