PAEDIATRIC DENTISTRY - 3rd Ed. (2005)

(John Hannent) #1

Fig. 10.26 (a) Anterior clinical view of a 15-year-old male with a significant skeletal
discrepancy, posterior open bites, and multiple missing teeth. (b) and (c) Radiographs
of the same 15-year-old male.


10.7 SUMMARY



  1. The management of children with advanced restorative problems should be viewed
    as a long-term commitment.

  2. Advanced restorative problems in children should be treated as conservatively as
    possible.

  3. Identification of the aetiology of tooth discolouration is essential for selecting the
    most appropriate treatment technique.

  4. Microabrasion should be the first treatment option in all cases of enamel surface
    discolouration.

  5. Porcelain veneers should be delayed until a mature gingival contour is attained.

  6. Nearly 30% of all 15 year olds have experience of erosive tooth surface loss.

  7. The cause of tooth surface loss should be determined and eliminated before active
    treatment is started.

  8. Maintenance of occlusal face height is essential in patients with amelogenesis or
    dentinogenesis imperfecta.


10.8 FURTHER READING

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