Pediatric Dentistry Clinical Photos
Restorative Dentistry


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1 Radiograph of failing pulp therapy; note furcation involvement, external root resorption, and inadequate margin of the stainless steel crown.

1 2 Strip crowns, maxillary primary incisors, before and after.

1 Distal shoe space maintainer.

1 MOL Composite restoration on permanent molar.

1 Initial smoothness and contour of Class I amalgam.

1 Mesial migration of second primary molar; should not restore 1st primary.

1 2 The importance of good clinical/radiographic exam in evaluating SSCs

1 Pit and fissure sealant

1 2    Extensive anterior decay with fistulae; significant external root resorption and periapical pathology.

1   Large lesion on 1st primary molar, but normal furcation.

1   Furcation involvement, #t.  #s will be scheduled for PT and SSC.

1   Extensive distal lesion, congenitally missing permanent tooth

1   Failing pulp treatments.


Nice countour on mesial of #A, overhang on distal of #T.


Nice carving and outline form.


Very flat, uncontoured carving, wide prep.


Very shallow on the lingual wall.


Again, shallow on the lingual wall.


This one is shallow on the lingual wall ;-)


Somewhat wide on occlusal outline.


Lack of convergence of proximal box.


Very narrow isthmus.


Wide isthmus, excessive extension.


Excessive flaring of proximal walls.


Occlusal outline should include mesial-buccal pit.


Rough carving, overcontoured proximal.


Deep preparation in central pit.


Shallow occlusal preparation.


Outline overextended mesially.


Nicely contoured carving.


Deep axial wall.


Nice preps of #s and #t


Nice preps of #k and #l


First two steps in a stainless steel crown preparation; occlusal indexing and reduction


Third and fourth steps in a stainless steel crown preparation; interproximal reduction and beveling occlusal


View of interproximal decay after preparation of the occlusal section of a Class II


View of interproximal decay after preparation of the box section of a Class II; further decay should now be removed with a round bur


Radiograph showing interproximal lesions and what those lesions looked like after preparation of occlusal surface only.




Serial bitewing radiographs demonstrating progression of carious lesions.


Composite strip crowns on the primary central incisors, stainless steel crowns on the primary lateral incisors.


Effects of erosion, possibly due to gastro-esophogeal reflux.


Radiographs of internal resorption; pulp therapy is contra-indicated.


Another xray of a non-restorable tooth due to severe furcation involvement.


Permanent first molar that is severely decayed and is non-restorable.


Polished amalgam restoration.


P
it and fissure sealant on mostly erupted 1st permanent molar. Special care must be taken to maintain an absolutely dry field.


Failing pulpotomy. Note significant bone destruction and external root resorption. In addition, the SSC is oversized.

 
Anterior SSC with composite facing.


Enamel decalcification due to poor oral hygiene during orthodontic treatment.

 


"Band and Hook" space maintainer.


Band and loop space maintainer embedded into gingival tissue. Also note ectopic eruption of the permanent lateral incisor.


Distal shoe space maintainer at insertion and following eruption of the first permanent molar. A conventional space maintainer should now be constructed.


Lower lingual holding arch.


Anterior stainless steel crowns... unesthestic, but durable.


MO, OL amalgam preps on maxillary 2nd primary molar.


MO amalgam prep on maxillary 2nd primary molar.


Furcation involvement of the primary second molar.