B. Berg, M. Cremer, M. Flothkötter, B. Koletzko, N. Krämer, M. Krawinkel, B. Lawrenz, H. Przyrembel, U. Schiffner, C. Splieth, K. Vetter, A. Weißenborn
{"title":"Kariesprävention im Säuglings- und frühen Kindesalter","authors":"B. Berg, M. Cremer, M. Flothkötter, B. Koletzko, N. Krämer, M. Krawinkel, B. Lawrenz, H. Przyrembel, U. Schiffner, C. Splieth, K. Vetter, A. Weißenborn","doi":"10.1007/s00112-021-01167-z","DOIUrl":"https://doi.org/10.1007/s00112-021-01167-z","url":null,"abstract":"","PeriodicalId":53544,"journal":{"name":"Oralprophylaxe und Kinderzahnheilkunde","volume":"43 1","pages":"18 - 27"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00112-021-01167-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43559755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beobachtungen über die Verwendung von Lückenhaltern aus einer deutschen Kinderzahnarztpraxis","authors":"Anne Lauenstein-Krogbeumker","doi":"10.3238/opkzh.2020.0130-0140","DOIUrl":"https://doi.org/10.3238/opkzh.2020.0130-0140","url":null,"abstract":"Background: The insertion of removable or fixed space maintainers is a common treatment in cases of premature loss of a primary molar in pediatric dentistry. This is rarely evident. It is interesting to get data about the benefit of using space maintainers and in the case of an positive effect, to evaluate which type is more effective, the removable or the fixed maintainer. Materials and methods: In a retrospective study a total of 352 children were examined, who got treated with two different types of space maintainers, between 01.01.2016 and 30.06.2018. The function of the space maintainer and the compliance of the children were evaluated every 5 months. It was also evaluated, if a space maintainer had prevented a future orthodontic treatment. Results: From the total of 352 children, who matched the inclusion critera, 172 (48.9 %) were treated with an removable and 180 children (51.1 %) with an fixed space maintainer. The cohort consisted of 200 boys (56.8 %) and 152 girls (43.2 %). The average age was 6,5 years at the time of extraction (sd 1.7). The average time period between the extraction and the insertion of the space maintainer was 25 days (sd 74.2). After the evaluation period of 20 months 52 children (30.2 %) showed a functional removable space maintainer with a good compliance. The fixed space maintainers were mostly inserted to keep the space of the first primary molar of children with an average age of 6 years (66 %). The removable space maintainers were used for children with an average age of 7 years at the time of the extraction. They were usually used to keep the space for the second primary molar while the first permanent molar was already erupted. In comparison to this, 25 (13.9 %) functional fixed space maintainers were evaluated in the cohort. Statistical significant findings were evaluated after 12, 14 and 16 months in comparison of the function of the two types of space maintainers (Wilcoxon-Mann-Whitney-Test, p-values: 0.01, 0.00 and 0.00). Statistically significant more of the children, who were treated with a removable space maintainer and not treated with an fixed appliance, received an active orthodontic treatment afterwards during the evaluating period (Chi-Quadrat-Test n. Pearson, p-value: 0.00). Conclusion: By means of the present monitoring study from a German paediatric dental practice can be concluded, that removable space maintainers are more functional during a long time period in comparison to fixed space maintainers. The “band and loop” space maintainers were used for younger children (often treated under general anaesthesia) to keep the space for the first primary molar. But in a long time period the failure rate was higher (complete loss, gingival problems, uncooperation of the child), so that the space maintainer could not be recemented, that finally causes an untreated gap in the primary dentition. The removable space maintainers were used for older children to keep the space for the second primary molar","PeriodicalId":53544,"journal":{"name":"Oralprophylaxe und Kinderzahnheilkunde","volume":"42 1","pages":"130-140"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47643702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Versorgung mit Präparation: Direkte Restaurations möglichkeiten bei frühkindlicher Karies","authors":"N. Krämer, R. Frankenberger","doi":"10.3238/opkzh.2020.0124-0129","DOIUrl":"https://doi.org/10.3238/opkzh.2020.0124-0129","url":null,"abstract":"Background: Treatment of carious deciduous teeth is still underrepresented in Germany. Recent numbers of epidemiological investigations show that 50 % of carious milk teeth are actually treated. The present review elucidates and appraises possibilities of invasive restorative measures in deciduous teeth. Materials and Methods: Considering both literature review and own data, restorative concepts and adequate materials are introduced. Results: Modern adhesive techniques and materials allow for minimally invasive therapy in the first dentition. Defensive excavation is sufficient for effective restorative treatment, however, margins and enamel-dentin junctions have to be excavated consequently in order to get appropriate marginal seal. Due to positive clinical results, adhesively bonded resin composites are favorable for both anterior and posterior deciduous teeth. So-called bulk-fil resin composites are assumed to play an important role in the future. Dependent on both the child’s compliance and the size of the defect, conventional or resin-modified glass ionomer cements as well as tailored crowns can be also applied. Conclusion: Due to several valid treatment options, deciduous teeth can be safely restored and there is no need for leaving them untreated. Hintergrund Die Sanierung von kariösen Milchzähnen spielt in der Bundesrepublik nach wie vor eine untergeordnete Rolle. Aktuelle Zahlen der epidemiologischen Untersuchungen zeigen, dass gerade etwa 50 % der Milchzahnkaries versorgt werden. Die vorliegende Übersichtsarbeit soll daher die Möglichkeiten der restaurativen invasiven Versorgung von Milchzähnen vorstellen und bewerten. Material und Methode Im Rahmen einer Literaturrecherche und anhand von eigenen Daten wurden Füllungskonzepte und -materialien für das Milchgebiss bewertet. Ergebnisse Aktuelle adhäsive Techniken und Materialien ermöglichen eine defektorientierte und minimalinvasive Therapie in der 1. Dentition. Für die Füllungstherapie ist eine schonende Kariesexkavation ausreichend. Allerdings müssen die Füllungsränder und die Schmelz-Dentin-Grenze gut exkaviert werden, um einen dichten Randschluss zu gewährleisten. Aufgrund der positiven klinischen Ergebnisse sind adhäsiv applizierte Komposite für die Füllungstherapie im Front- und Seitenzahnbereich des Milchgebisses das Mittel der Wahl. Sogenannte Bulk-Fil-Komposite könnten künftig auch im Milchgebiss eine bedeutende Rolle in der Therapie spielen. Je nach Mitarbeit der Kinder und der Defektgröße können Milchzähne mit konventionellen bzw. lichthärtenden Glasionomerzementen oder konfektionierten Kronen versorgt werden. Fazit Aufgrund des vielseitigen Angebotes in der Füllungstherapie müssen Milchzähne heutzutage nicht mehr unbehandelt bleiben.","PeriodicalId":53544,"journal":{"name":"Oralprophylaxe und Kinderzahnheilkunde","volume":"42 1","pages":"124-129"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47843949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kinderzahnheilkunde in Gießen-Marburg","authors":"N. Krämer","doi":"10.3238/bf03651746","DOIUrl":"https://doi.org/10.3238/bf03651746","url":null,"abstract":"","PeriodicalId":53544,"journal":{"name":"Oralprophylaxe und Kinderzahnheilkunde","volume":"42 1","pages":"120"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42697681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Deutscher Ärzteverlag trennt sich von der „Oralprophylaxe und Kinderzahnheilkunde“","authors":"Carmen Ohlendorf, G. Schubert","doi":"10.3238/bf03651747","DOIUrl":"https://doi.org/10.3238/bf03651747","url":null,"abstract":"","PeriodicalId":53544,"journal":{"name":"Oralprophylaxe und Kinderzahnheilkunde","volume":"42 1","pages":"121"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43252508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Zahnbehandlung unter Vollnarkose bei Vorschulkindern","authors":"N. Krämer","doi":"10.3238/bf03651748","DOIUrl":"https://doi.org/10.3238/bf03651748","url":null,"abstract":"","PeriodicalId":53544,"journal":{"name":"Oralprophylaxe und Kinderzahnheilkunde","volume":"42 1","pages":"122-123"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44498303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julia Camilla Bulski, Thushiha Logeswaran, N. Krämer, N. Schulz-Weidner
{"title":"Zahngesundheit bei Vorschulkindern mit angeborenem Herzfehler im Vergleich zu Kindern ohne Allgemeinerkrankungen*","authors":"Julia Camilla Bulski, Thushiha Logeswaran, N. Krämer, N. Schulz-Weidner","doi":"10.3238/opkzh.2020.0142-0150","DOIUrl":"https://doi.org/10.3238/opkzh.2020.0142-0150","url":null,"abstract":"","PeriodicalId":53544,"journal":{"name":"Oralprophylaxe und Kinderzahnheilkunde","volume":"42 1","pages":"142-150"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41914045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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