scholarly journals Conservative Management of Dental Erosion in Adolescents with Medical Conditions

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Hikmah Mohd Nor ◽  
Nor Asilah Harun
Keyword(s):  
Conservative Management ◽  
Early Stage ◽  
Salivary Flow ◽  
Dental Erosion ◽  
Conservative Approach ◽  
Effective Management ◽  
Medical Conditions ◽  
Dentine Hypersensitivity ◽  
Gastrooesophageal Reflux ◽  
Vertical Height

The prevalence of dental erosion among children and adolescents is trending higher in recent decades and is becoming a major concern. Dental erosion can be caused by either extrinsic or intrinsic acids or both. One of the established aetiological factors for dental erosion by intrinsic acid is the gastrooesophageal reflux disease. The degree of dental erosions may be influenced by any medical conditions that cause a reduction in salivary flow such as the salivary gland excision, autoimmune disease, radiation to the head and neck regions, and medications. If left untreated, the dental erosion can cause dentine hypersensitivity, loss of occlusal vertical height, and aesthetic problems. For effective management of dental erosion, the aetiology of each case must be determined, and its detection at an early stage is of prime importance. This case report illustrates the conservative management of dental erosion in two adolescent patients presented with their medical conditions and behaviour issues. The aim of the treatments was to preserve the vitality of the affected teeth. The treatments were successfully completed using a conservative approach, with the patients’ medical conditions taken into consideration.

scholarly journals Exploring Some Aspects Associated with Dentine Hypersensitivity in Children

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Caleb Shitsuka ◽  
Fausto Medeiros Mendes ◽  
Maria Salete Nahás Pires Corrêa ◽  
Mariana Ferreira Leite
Keyword(s):  
Flow Rate ◽  
Oral Hygiene ◽  
Dietary Habits ◽  
Bitter Taste ◽  
Salivary Flow ◽  
Dental Erosion ◽  
Salivary Flow Rate ◽  
Dentine Hypersensitivity ◽  
Dental Biofilm ◽  
Whole Saliva

Background. The etiology of dentine hypersensitivity (DH) is still inconclusive and there are few studies concerning it in children.Aim. To evaluate clinical, dietary, and salivary variables in children with DH complaints.Design. Forty-eight children were asked about DH. Data regarding dietary habits were collected from the children’s parents and an examination was performed to determine dental erosion. Dental biofilm was estimated by oral hygiene status, according to Greene and Vermillion’s Simplified Oral Hygiene Index (OHI-S). Whole saliva was collected under mechanical stimulation and evaluated salivary flow rate, initial pH, buffer capacity, and calcium and phosphate concentrations. The temperature of soft drinks, drinking method, sense of bitter taste, and other variables were also determined. Possible factors associated with DH were analyzed by univariate and multiple Poisson regression analyses. The prevalence ratio (PR) values and 95% confidence intervals (95% CI) were calculated.Results. DH was associated with the presence of dental erosion (PR; 95% CI = 2.23; 1.05 to 4.71) and salivary flow rate (2.49; 1.05 to 5.91). When the presence of erosion was not included, other variables were retained as follows: bitter taste (2.36; 1.38 to 4.03), OHI-S (0.47; 0.23 to 0.97).Conclusion. DH in children is associated with factors related to dental erosion.

scholarly journals Minimally invasive treatment options to borderline ovarian tumors

2016 ◽  
Author(s):  
Punita Bhardwaj ◽  
T. K. Das ◽  
S. Batra ◽  
Keyword(s):  
Early Stage ◽  
Treatment Options ◽  
Malignant Potential ◽  
Ovarian Tumors ◽  
Conservative Approach ◽  
Uncertain Malignant Potential ◽  
Invasive Treatment ◽  
Younger Women ◽  
Borderline Ovarian Tumors

Borderline Ovarian tumors are tumors of uncertain malignant potential. They have favour able prognosis. They occur in younger women and present at an early stage. They are difficult to diagnose preoperatively as macroscopic picture is a combination of benign and invasive ovarian tumors. Over the years surgical treatment has changed from radical to conservative approach without overlooking oncologic safety. Follows up is essential. Prolonged follow up (>10 yrs) is required because of later recurrences. Special attention is to be paid to the conserved ovary in follow up.

The role of intra-operative radiotherapy (IORT) in the conservative management of early-stage breast cancer

2005 ◽  
pp. 422-431
Author(s):  
Roberto Orecchia ◽  
Alberto Luini ◽  
Giovanna Gatti ◽  
Mattia Intra ◽  
Mario Ciocca ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Conservative Management ◽  
Early Stage ◽  
Early Stage Breast Cancer

Pyogenic Granuloma of the Foot with Satellitosis: A Role for Conservative Management

2011 ◽  
Vol 15 (1) ◽  
pp. 58-60
Author(s):  
Janice Bacher ◽  
Dalal Assaad ◽  
David N. Adam
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Conservative Management ◽  
Treatment Options ◽  
Pyogenic Granuloma ◽  
Conservative Approach ◽  
Review Of The Literature ◽  
Atypical Case ◽  
Over Time ◽  
Rule Out

Background: Pyogenic granuloma (PG) with satellitosis is a rare phenomenon that typically occurs in children and teenagers. It can be seen after excision or trauma to the original lesion. Objective: The aim is to review an atypical case of PG with satellitosis and to highlight a conservative approach to management. Methods: This article includes a case report of a 48-year-old woman developing PG with satellitosis in her right foot and includes a review of the literature. Results: There are few cases of PG with satellitosis in the literature. Our patient differs from most given her age and the location of the lesions. She was managed differently with a conservative observational approach, and, over time, her symptoms abated. Conclusion: PG with satellitosis can occur in varying patient populations with varying presentations. Although several treatment options exist, managing patients conservatively should be considered an approach to management. Early investigations should be conducted to rule out more sinister items in the differential diagnosis.

scholarly journals Oral health in asthmatic patients: a review

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Federica Gani ◽  
Marco Caminati ◽  
Fabio Bellavia ◽  
Andrea Baroso ◽  
Paolo Faccioni ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Oral Candidiasis ◽  
Salivary Flow ◽  
Dental Erosion ◽  
Oral Diseases ◽  
Poor Oral Hygiene ◽  
Inhaled Drugs ◽  
Local Immunity ◽  
Asthmatic Patients ◽  
Inhaled Steroids

Abstract Different drugs used to treat asthma, such as beta 2 agonists and inhaled steroids, may promote a higher risk of caries, dental erosion, periodontal disease and oral candidiasis. This article reviews the evidences of mechanisms involved in oral diseases in patients affected by asthma. The main mechanism involved is the reduction of salivary flow. Other mechanisms include: acid pH in oral cavity induced by inhaled drugs (particularly dry powder inhaled), lifestyle (bad oral hygiene and higher consumption of sweet and acidic drinks), gastroesophageal reflux, and the impairment of local immunity. In conclusion asthma is involved in the genesis of oral pathologies both directly and indirectly due to the effect of the drugs used to treat them. Other cofactors such as poor oral hygiene increase the risk of developing oral diseases in these patients. Preventive oral measures, therefore, should be part of a global care for patients suffering from asthma.

Gastric Reflux is a Significant Causative Factor of Tooth Erosion

2009 ◽  
Vol 88 (5) ◽  
pp. 422-426 ◽  
Author(s):  
W.P. Holbrook ◽  
J. Furuholm ◽  
K. Gudmundsson ◽  
A. Theodórs ◽  
J.H. Meurman
Keyword(s):  
Ph Monitoring ◽  
Causative Factor ◽  
Salivary Flow ◽  
Dental Erosion ◽  
Tooth Erosion ◽  
Daily Consumption ◽  
Esophageal Ph ◽  
Causative Factors ◽  
Detailed Medical History ◽  
Study Participants

Dental erosion is caused by dietary or gastric acid. This study aimed to examine the location and severity of tooth erosion with respect to causative factors, and to determine whether the clinical pattern of erosion reflected the dominant etiological factor. The study involved 249 Icelandic individuals and included: a detailed medical history; clinical oral examination; salivary sampling, and analysis for flow rate, pH, and buffering capacity. Reflux was assessed in 91 individuals by gastroscopy, esophageal manometry, and 24-hour esophageal-pH monitoring. Reflux symptoms were reported by 36.5% individuals. Manometry results were abnormal in 8% of study participants, abnormal esophageal pH in 17.7%, and a pathological 24-hour pH recording in 21.3%. 3.6% were positive for Helicobacter pylori. Normal salivary flow was found in 92%, but low salivary buffering (10.4%) was associated with erosion into dentin (P < 0.05). Significant associations were found between erosion and diagnosed reflux disease (OR 2.772; P < 0.005) and daily consumption of acidic drinks (OR 2.232; P < 0.005).

scholarly journals Factors related to the presence of dental erosion and abrasion in Peruvian adults.

2021 ◽  
Vol 10 (4) ◽  
pp. 1-9
Author(s):  
Teresa Evaristo-Chiyong ◽  
◽  
Juana Delgadillo-Avila ◽  
Pamela Chacón-Uscamaita ◽  
Dora Gómez-Meza ◽  
...  
Keyword(s):  
Linear Models ◽  
Erosive Wear ◽  
Salivary Flow ◽  
Dental Erosion ◽  
Health Condition ◽  
Dietary Factors ◽  
Sex Characteristics ◽  
Related Factors ◽  
Cross Sectional ◽  
Clinical Criteria

Introduction: Non-carious lesions are an oral health pro-blem in adults, consequently it is necessary to create mechanisms for their diagnosis and prevention. Objective: To determine the frequency of erosion, abrasion and related factors in patients treated at a university dental clinic. Material and Methods: A cross-sectional study was conducted in a sample of 153 adults treated at a university clinic in Lima, Peru, in 2018. Personal aspects (age, sex, characteristics of saliva), dietary factors, health condition, oral habits, and tooth brushing were identified. The presence of abrasion was determined according to clinical criteria through direct observation. Erosion was identified using the Basic Erosive Wear index. Generalized linear models with Poisson distribution with robust variances were used. Results: The frequency of dental abrasion (70.6%) is higher than erosion (26.1%). The presence of erosion is associated with asthma (PR= 2.11), abrasion is related to age and poor dental hygiene habits (PR= 1.67 and 1.30, respectively). Conclusion: The presence of dental abrasion is greater than dental erosion. Age and poor dental habits are factors associated with tooth abrasion. The characteristics of saliva regarding pH and salivary flow were within normal p-values.

scholarly journals VATAHATA VARTMA (PTOSIS) AYURVEDIC MANAGEMENT: A CASE STUDY

2019 ◽  
pp. 145-148
Author(s):  
Aswathy Narayanan ◽  
Ashwini M J
Keyword(s):  
Present Article ◽  
Male Patient ◽  
Conservative Management ◽  
Double Vision ◽  
Effective Management ◽  
Upper Eyelid ◽  
Treatment Principles ◽  
Upper Lid

Vatahata vartma is a vataja vartmagata roga where there is drooping of the eyelids. Ptosis is an abnormal low position of the upper lid; it may be congenital or acquired.The condition can be either uniocular or binocular. The present article discusses a case of Vatahata vartma (uniocular involutional ptosis) where a male patient of 59 years visited opd with complaints of drooping of left upper eyelid associated with double vision of near objects since 1 month. Initially the patient was treated with amapachana chikitsa followed by bruhmana and vata shamana chikitsa along with eye exercise of ocular muscles. After 2 weeks of treatment there was improvement in the grade of ptosis. Eventhough acharya explained the disease as asadhya in nature; conservative management can be done using ayurvedic principles in particular types of ptosis.This case study helps in exploring the effective management of vatahata vartma(involutional ptosis) by applying vatahara treatment principles. KEYWORDS: vatahata vartma,involutional ptosis,vatahara chikitsa

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