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Related Concept Videos

Teeth01:15

Teeth

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The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
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Assessment of the Mouth01:26

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A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
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Tooth Anatomy01:21

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The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
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Needs for re-intervention on restored teeth in adults: a practice-based study.

Franck Decup1,2, Emmanuelle Dantony3,4,5,6, Charlène Chevalier3,7,8,9

  • 1Service de Médecine Bucco-Dentaire, Hôpital Charles Foix, Assistance Publique - Hôpitaux de Paris, Ivry sur Seine, France.

Clinical Oral Investigations
|July 24, 2021
PubMed
Summary

The need for re-intervention on adult dental restorations remains high at 74%. Factors like age, risk profile, and filling extent influence this need, highlighting a demand for better failure definitions and feedback systems.

Keywords:
Community care networkCross-sectional studyDental restoration failurePatient satisfactionPrivate practice; Risk factor

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Area of Science:

  • Dental Restorations
  • Clinical Dentistry
  • Public Health

Background:

  • High rates of re-intervention for dental coronal restorations indicate persistent challenges in achieving long-term clinical success.
  • Evolving dental materials and techniques necessitate continuous evaluation of restoration longevity and re-intervention needs.

Purpose of the Study:

  • To assess the prevalence and influencing factors of re-intervention for dental coronal restorations in adults within a general dental practitioner network.
  • To identify patient and restoration characteristics associated with the need for re-intervention.

Main Methods:

  • An observational, cross-sectional, multicenter study involving 40 dental practitioners and 400 adult patients.
  • Utilized a simplified rating scale based on FDI World Dental Federation criteria to assess restoration failures.
  • Analyzed oral health status, risk factors, Oral Health Impact Profile-14, and restoration characteristics (extent, technique, material).

Main Results:

  • A significant 74% of adult dental restorations required re-intervention.
  • The need for re-intervention increased with patient age, unfavorable oral health risk profiles, and the number of tooth surfaces restored.
  • Posterior teeth had a higher median number of restorations and re-interventions compared to anterior teeth.

Conclusions:

  • Despite advancements, the high need for re-intervention underscores the ongoing challenges in dental restoration durability.
  • Addressing this requires standardized definitions of "failure" and robust feedback mechanisms on materials and procedures.
  • Developing large practitioner-driven databases is crucial for AI-driven analysis to guide future treatment and research.