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Micro-computed tomography evaluation of root canal preparation using rotary system and hand instrument in young permanent molars 微型计算机断层扫描评价旋转系统和手器械在年轻恒磨牙根管预备中的应用
Pub Date : 2015-05-01 DOI: 10.4103/2321-6646.155568
H. Sillelioğlu, A. Ölmez, D. Atabek
The aim of this study was to evaluate the shaping potentials of the ProTaper system and nickel-titanium (Ni-Ti) hand-files using micro-computed tomography (μCT) in young permanent teeth. Thirty-second permanent molar teeth extracted from patients 15 to 18 years of age were divided into two groups with 15 samples of each. Group I: were instrumented using the traditional "step-back" technique by Ni-Ti K-files. Group II were instrumented using the "crown-down" technique by ProTaper rotary instruments. Before and after root canal preparation, the μCT data were analyzed for the canal volume changes, the percentage differences between these volumes and unprepared surface area ratio of the total surfaces. At all root canals in both groups, the difference between the percentage of the root canal volume before-after preparation was significant (P < 0.05). There was no significant difference between the groups in terms of root canal volume changes and unprepared surface area ratios (P > 0.05). There was no difference between the systems in terms of shaping ability. Considering the shortening session time of the child patient ProTaper system appeared to be beneficial.
本研究采用微计算机断层扫描(micro-computed tomography, μCT)评价ProTaper系统和镍钛(Ni-Ti)手锉在幼小恒牙中的整形潜力。将15 ~ 18岁患者的32颗恒磨牙分为两组,每组15颗恒磨牙。第一组:采用传统的“退步”技术,采用镍钛k锉进行仪器检测。第二组采用ProTaper旋转器械“冠下”技术。观察根管预备前后的μCT数据,分析根管体积变化、体积差异百分比及未准备表面积占总表面积的比例。两组各根管预备前后根管容积百分比比较差异均有统计学意义(P < 0.05)。两组间根管容积变化和未准备表面积比差异无统计学意义(P < 0.05)。在塑造能力方面,系统之间没有差异。考虑到缩短儿童患者的治疗时间,ProTaper系统似乎是有益的。
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引用次数: 2
Influence of erbium: Yttrium-aluminum-garnet laser, potassium titanyl phosphate laser irradiation, and acid etch on microtensile bond strength of adhesives 铒钇铝石榴石激光、磷酸钛钾激光照射和酸蚀对胶粘剂微拉伸结合强度的影响
Pub Date : 2015-05-01 DOI: 10.4103/2321-6646.155559
F. Oznurhan, A. Kapdan, B. Buldur, C. Ozturk
The aim of this study was to evaluate the microtensile bond strength (μTBS) of one layer or two-layer applications of single bond (SB) and prime & bond (PB) which prepared with erbium: Yttrium-aluminum-garnet (Er:YAG) laser, potassium titanyl phosphate (KTP) laser, and acid-etched dentin. Various surface pretreatments have been developed to have better adhesion to dentine. However, the effects of laser-etch and acid-etch on adhesion with various applications of bonding agents have not yet been achieved. Twenty-four human third molar teeth were used in this study. One-third of the teeth were removed; then the teeth divided into three groups and two subgroups randomly. After Er:YAG laser, KTP laser, and acid-etch applied to dentine, SB and PB applied one or two layer for the subgroups. Waiting in distilled water for 24 h, the teeth were sectioned to sticks and the sticks were stressed in tension until failure using a microtensile testing machine. The data were collected in SPSS for statically analysis with three-way ANOVA and independent sample t-tests at the confidence interval of 95%. The highest μTBS values were in Er:YAG laser and PB group in one-layer application. The Er:YAG laser can be useful to obtain high μTBS values. Applying a second consecutive coat of adhesive showed decreased μTBS values and KTP laser was not effective to obtain an increased μTBS values.
研究了用铒:钇-铝-石榴石(Er:YAG)激光、磷酸钛钾(KTP)激光和酸蚀牙本质制备的单键(SB)和主键(PB)的单层和双层微拉伸结合强度(μTBS)。各种表面预处理方法已被开发出来,以更好地粘附牙本质。然而,激光蚀刻和酸蚀刻对各种粘结剂的粘合效果的影响尚未得到研究。本研究使用24颗人类第三磨牙。三分之一的牙齿被拔掉;然后将牙齿随机分为三组和两个亚组。在对牙本质进行Er:YAG激光、KTP激光和酸蚀后,再对SB和PB进行一层或两层的亚组处理。在蒸馏水中等待24 h,将牙齿切成棒状,用微拉伸试验机对棒状进行拉伸直至失效。数据采用SPSS统计软件进行统计分析,采用三因素方差分析和独立样本t检验,置信区间为95%。在单层应用中,Er:YAG激光和PB组μTBS值最高。Er:YAG激光器可以获得高的μTBS值。连续2次涂布后,胶粘剂的μTBS值下降,而KTP激光不能使胶粘剂的μTBS值升高。
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引用次数: 5
Effect of anti-retroviral treatment on tooth size of first premolars in children with human immunodeficiency virus 抗逆转录病毒治疗对人类免疫缺陷病毒感染儿童第一前磨牙牙大小的影响
Pub Date : 2015-05-01 DOI: 10.4103/2321-6646.155564
P. Subramaniam, Krishna Kumar
Children infected with human immunodeficiency virus (HIV) receive anti-retroviral therapy (ART) quite early in life. These drugs could possibly have an effect on tooth development. A group of 221 HIV-infected children in the age group of 6-18 years (mean 11.62 ± 3.30 years) were examined for any tooth anomalies. Only 109 children were on ART and they were divided into three groups based on the anti-retroviral regimen they received. Twenty percent of children on ART had microdontia of the first premolars, with a mean age of drug onset 3.2 ± 0.8 years. Type of anti-retroviral regimen and age of administration appears to have an effect on developing teeth. There is a need for further research on the possible effects of anti-retroviral medications on tooth mineralization.
感染人类免疫缺陷病毒(HIV)的儿童很早就接受抗逆转录病毒治疗(ART)。这些药物可能对牙齿发育有影响。对年龄6 ~ 18岁(平均11.62±3.30岁)的221例hiv感染儿童进行牙齿异常检查。只有109名儿童接受了抗逆转录病毒治疗,根据他们接受的抗逆转录病毒治疗方案,他们被分为三组。20%接受抗逆转录病毒治疗的儿童患有第一前磨牙小齿症,平均服药年龄为3.2±0.8岁。抗逆转录病毒疗法的类型和服用的年龄似乎对牙齿的发育有影响。有必要进一步研究抗逆转录病毒药物对牙齿矿化的可能影响。
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引用次数: 1
Why parents prefer university clinic for pedodontic treatment? Effect of caries/orthodontic treatment/trauma, education and media: A cross-sectional study 为什么家长更喜欢大学诊所的儿童治疗?龋齿/正畸治疗/创伤、教育和媒介的影响:一项横断面研究
Pub Date : 2015-05-01 DOI: 10.4103/2321-6646.155562
M. Bani, D. Atabek, N. Aktaş, N. Öztaş
The aim of this study is to determine why parents prefer university clinics for pedodontic treatment, as well as describe caries, orthodontic treatment, trauma, education, and the media effect. A five-item, questionnaire-based, cross-sectional interview study was administered face-to-face to a nationally representative sample in Turkey in 2013 by the Gazi University, Department of Pediatric Dentistry. The researchers recorded the parents′ educational status, reasons for referral, and the children′s age and sex. A Chi-square test was used for the categorical variables. The continuous variables were compared using a Mann-Whitney U-test and a Kruskal-Wallis test in 90% confidence interval of ΁3%. A total of 572 patients and their parents agreed to participate in this study. Question 1: Statistically significant difference was found between parents educational status. Question 2: Increased education status led to increased confidence in academic facilities (P < 0.05). Question 3: Just for over the 16 years education status has found significantly a low concern (P < 0.05). Question 4: Only for over the 16 years education status was found significant information via media sources (P < 0.05). Question 5: 56.6% said dentists should provide more information. Media sources are gaining importance and status for educating the public information source in pedodontic treatment. The increasing status of education showed a significant difference for confidence in academic facilities.
本研究的目的是确定为什么家长更喜欢在大学诊所进行儿童正畸治疗,并描述龋齿,正畸治疗,创伤,教育和媒体效应。2013年,Gazi大学儿科牙科学系对土耳其具有全国代表性的样本进行了一项基于问卷调查的五项横断面访谈研究。研究人员记录了父母的教育状况、转诊原因以及孩子的年龄和性别。分类变量采用卡方检验。连续变量比较采用Mann-Whitney u检验和Kruskal-Wallis检验,90%置信区间为΁3%。共有572名患者及其父母同意参与这项研究。问题1:父母受教育程度的差异有统计学意义。问题2:受教育程度的提高导致对学术设施的信心增加(P < 0.05)。问题3:刚过16岁的受教育程度明显较低(P < 0.05)。问题4:只有16年以上学历的媒体信息才有显著性(P < 0.05)。问题5:56.6%的人认为牙医应该提供更多的信息。媒体作为教育儿童治疗的公共信息来源,其重要性和地位日益提高。随着教育地位的提高,对学术设施的信心也出现了显著的差异。
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引用次数: 0
Oral manifestations of a patient with cri du chat (5p-) syndrome 5p-综合征患者的口腔表现
Pub Date : 2015-05-01 DOI: 10.4103/2321-6646.155572
Zeycan Irem Köylüoglu, E. Yildiz, B. Nur, E. Mıhçı, Ö. Clark
Cri du chat syndrome (CdCs) is a rare genetic disorder caused by deletion of the end of the short arm of chromosome 5. Affected infants are characterized by a high-pitched monochromatic cry that sounds similar to that of a meowing kitten. The incidence ranges from 1:15,000 to 1:50,000 live-born infants. Oral features of this condition include micrognathia, malocclusions, high but rarely cleft palate, anterior open bite, poor oral hygiene, enamel hypoplasia, chronic periodontitis, and retardation of tooth eruption. This case report presents typical medical and dental symptoms and dental rehabilitation of a 2.5-year-old female with CdCs. The patient was referred to our clinic because of caries arising from poor oral hygiene. The dental symptoms of the patient included hyperemic gingival tissue, abundant plaque, enamel hypoplasia, and tooth decay. Restorative treatment of the caries was completed and oral hygiene recommendations and caries risk factors were presented to the parents.
Cri du chat综合征(CdCs)是一种罕见的遗传性疾病,由5号染色体短臂末端缺失引起。受影响的婴儿的特点是一种高音调的单色哭声,听起来类似于小猫的喵喵叫。活产婴儿的发病率为1:15 000至1:5万。这种疾病的口腔特征包括小颌畸形、咬合不全、高但罕见的腭裂、前牙开咬、口腔卫生差、牙釉质发育不全、慢性牙周炎和牙齿发育迟缓。本病例报告介绍了一名患有cdc的2.5岁女性的典型医学和牙科症状和牙科康复。该病人因口腔卫生不良引致蛀牙而转介至本诊所。患者的牙齿症状包括牙龈组织充血、牙菌斑丰富、牙釉质发育不全和蛀牙。完成龋齿修复治疗,并向家长介绍口腔卫生建议及龋齿危险因素。
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引用次数: 1
Autotransplantation of an impacted mandibular third molar to replace a severely impacted mandibular second molar: A borderline case 自体移植阻生下颌第三磨牙取代严重阻生下颌第二磨牙:一个边缘病例
Pub Date : 2015-05-01 DOI: 10.4103/2321-6646.155576
S. Soydan, Ç. Şar, S. Çehreli
The alveolar bone support around the transplanted tooth, the stage of root development and apical closure are accepted as basic clinical factors that affect the success of tooth transplantation. Due to its high failure ratio, tooth transplantation is not common in the field of dentistry; however, major advantages of the technique such as continuing physiological root development, formation of interdental papilla, and rapid generation of alveolar bone with a lower cost should be considered. The aim of this report was to present autotransplantation of a third molar into adjacent deep-impacted second molar extraction socket without sufficient alveolar bone support. A 15-year-old healthy male patient referred to Department of Orthodontics due to dental crowding. For left mandibular quadrant, it was multidisciplinary planned to surgical removal of deep-impacted vertically positioned second molar and adjacent impacted mesioangular third molar was re-implanted to its extraction socket. Patient was followed for 4 years; clinical and radiological results were thoroughly sufficient. Even in this borderline case where there is only alveolar bone support on lingual site, autotransplanted tooth can survive successfully.
移植牙周围的牙槽骨支持、牙根发育阶段和牙尖闭合是影响移植牙成功的基本临床因素。由于失败率高,牙齿移植在牙科领域并不常见;然而,该技术的主要优点,如持续的生理性牙根发育、牙间乳头的形成、牙槽骨的快速生成和较低的成本,应予以考虑。本报告的目的是介绍在没有足够的牙槽骨支持的情况下,将第三磨牙移植到邻近的深阻生第二磨牙拔牙槽中。一名15岁健康男性病人因牙齿拥挤而转介至正畸科。对于左侧下颌象限,多学科计划手术切除深度嵌生的垂直位置第二磨牙,并将邻近嵌生的中角第三磨牙重新植入其拔牙槽。随访4年;临床和放射学结果完全足够。即使在舌侧只有牙槽骨支持的边缘情况下,自体移植牙也能成功存活。
{"title":"Autotransplantation of an impacted mandibular third molar to replace a severely impacted mandibular second molar: A borderline case","authors":"S. Soydan, Ç. Şar, S. Çehreli","doi":"10.4103/2321-6646.155576","DOIUrl":"https://doi.org/10.4103/2321-6646.155576","url":null,"abstract":"The alveolar bone support around the transplanted tooth, the stage of root development and apical closure are accepted as basic clinical factors that affect the success of tooth transplantation. Due to its high failure ratio, tooth transplantation is not common in the field of dentistry; however, major advantages of the technique such as continuing physiological root development, formation of interdental papilla, and rapid generation of alveolar bone with a lower cost should be considered. The aim of this report was to present autotransplantation of a third molar into adjacent deep-impacted second molar extraction socket without sufficient alveolar bone support. A 15-year-old healthy male patient referred to Department of Orthodontics due to dental crowding. For left mandibular quadrant, it was multidisciplinary planned to surgical removal of deep-impacted vertically positioned second molar and adjacent impacted mesioangular third molar was re-implanted to its extraction socket. Patient was followed for 4 years; clinical and radiological results were thoroughly sufficient. Even in this borderline case where there is only alveolar bone support on lingual site, autotransplanted tooth can survive successfully.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"433 1","pages":"71 - 73"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78130387","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}
引用次数: 1
Bicuspidization in an 11-year-old child: A conservative approach for periodontally compromised molar 11岁儿童双尖牙拔除:一种治疗牙周受损磨牙的保守方法
Pub Date : 2015-01-01 DOI: 10.4103/2321-6646.151849
A. Ratnaditya, M. Manoj Kumar, A. Sai Sankar, M. Nanduri
Recent advances in today′s dentistry and the increased awareness among the patients to maintain their dentition have led to conservative treatment approaches, which once would have been opted for removal. In order to carry out the present day mandate, periodontally diseased or carious teeth with involvement of furcation area may be well retained by separation of their roots. This clinical report describes a case of bicuspidization of mandibular first permanent molar with subsequent double crowns restoration, which yielded a satisfactory result in an 11-year-old young female patient.
当今牙科的最新进展和患者维护牙齿的意识的增强导致了保守治疗方法,以前会选择拔除。为了执行今天的任务,牙周病或龋齿与分岔区参与可以很好地保留他们的根分离。本临床报告描述了一个11岁的年轻女性患者,下颌第一恒磨牙双尖牙化,随后进行双冠修复,取得了满意的结果。
{"title":"Bicuspidization in an 11-year-old child: A conservative approach for periodontally compromised molar","authors":"A. Ratnaditya, M. Manoj Kumar, A. Sai Sankar, M. Nanduri","doi":"10.4103/2321-6646.151849","DOIUrl":"https://doi.org/10.4103/2321-6646.151849","url":null,"abstract":"Recent advances in today′s dentistry and the increased awareness among the patients to maintain their dentition have led to conservative treatment approaches, which once would have been opted for removal. In order to carry out the present day mandate, periodontally diseased or carious teeth with involvement of furcation area may be well retained by separation of their roots. This clinical report describes a case of bicuspidization of mandibular first permanent molar with subsequent double crowns restoration, which yielded a satisfactory result in an 11-year-old young female patient.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"42 1","pages":"32 - 35"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80595031","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}
引用次数: 0
Effect of acidic center-filled chewing gums on enamel microhardness: In vitro study 酸性中心充填口香糖对牙釉质显微硬度影响的体外研究
Pub Date : 2015-01-01 DOI: 10.4103/2321-6646.151846
Vijaya Lakshmi Mudumba, M. Radhika, N. Srinivas
Altered dietary habits are becoming etiological factor in the development of dental erosion. Evaluation of changes in microhardness of enamel after exposure to acidic center-filled chewing gums. Exposure of enamel to center filling (concentrated acid) and outer coating along with center filling in artificial saliva (dilute acid) of two chewing gums (Center Fresh and Bubbaloo) to evaluate the difference in microhardness change between primary and permanent enamel, on exposure to concentrated and dilute acids and two chewing gums. A total of 120 primary and permanent molar extracted teeth were painted with acid resistant varnish except a small buccal window and divided into eight groups according to type of dentition, chewing gum and acid exposure. 5 min acid exposures were done twice a day for 5 days. Then, specimens were submitted for microhardness studies. Independent sample t -test and paired t-test were used in statistical analysis. Statistically significant difference in reduction of microhardness is seen between groups exposed to dilute and concentrated acid, reduction of microhardness is more with dilute acids than concentrated acids.; but the difference is seen neither on exposure to two chewing gums nor between primary and permanent enamel. (1) Dilute acid causes a definite reduction in microhardness than concentrated acid. (2) Two types of chewing gums are equally effective. (3) Permanent and primary teeth are equally affected. (4) Outer coating of center-filled chewing gum is not protective against reduction in microhardness of enamel. Therefore, acidic center-filled chewing gums cannot be suggested to children.
饮食习惯的改变正成为牙蚀发生的病因。酸性中心充填口香糖对牙釉质显微硬度变化的评价。将牙釉质暴露于两颗口香糖(center Fresh和Bubbaloo)的中心填充物(浓酸)和外层涂层以及人工唾液的中心填充物(稀酸)中,以评估初级牙釉质和永久牙釉质在暴露于浓酸和稀酸以及两颗口香糖时的显微硬度变化差异。除一小颊窗外,对拔出的120颗乳牙和恒磨牙涂上耐酸清漆,并根据牙列类型、咀嚼口香糖和酸暴露情况分为8组。5 min酸暴露,每天2次,连续5天。然后,将样品提交进行显微硬度研究。统计学分析采用独立样本t检验和配对t检验。稀酸和浓酸对显微硬度降低的影响有统计学意义,稀酸对显微硬度的影响大于浓酸。但是,在嚼两颗口香糖的情况下,以及在初级牙釉质和永久牙釉质之间,都看不出这种差异。(1)稀酸比浓酸使显微硬度明显降低。两种口香糖的效果是一样的。(3)恒牙和乳牙受到的影响是一样的。(4)中填充口香糖的外涂层对牙釉质显微硬度降低没有保护作用。因此,不能建议儿童食用含酸性中心的口香糖。
{"title":"Effect of acidic center-filled chewing gums on enamel microhardness: In vitro study","authors":"Vijaya Lakshmi Mudumba, M. Radhika, N. Srinivas","doi":"10.4103/2321-6646.151846","DOIUrl":"https://doi.org/10.4103/2321-6646.151846","url":null,"abstract":"Altered dietary habits are becoming etiological factor in the development of dental erosion. Evaluation of changes in microhardness of enamel after exposure to acidic center-filled chewing gums. Exposure of enamel to center filling (concentrated acid) and outer coating along with center filling in artificial saliva (dilute acid) of two chewing gums (Center Fresh and Bubbaloo) to evaluate the difference in microhardness change between primary and permanent enamel, on exposure to concentrated and dilute acids and two chewing gums. A total of 120 primary and permanent molar extracted teeth were painted with acid resistant varnish except a small buccal window and divided into eight groups according to type of dentition, chewing gum and acid exposure. 5 min acid exposures were done twice a day for 5 days. Then, specimens were submitted for microhardness studies. Independent sample t -test and paired t-test were used in statistical analysis. Statistically significant difference in reduction of microhardness is seen between groups exposed to dilute and concentrated acid, reduction of microhardness is more with dilute acids than concentrated acids.; but the difference is seen neither on exposure to two chewing gums nor between primary and permanent enamel. (1) Dilute acid causes a definite reduction in microhardness than concentrated acid. (2) Two types of chewing gums are equally effective. (3) Permanent and primary teeth are equally affected. (4) Outer coating of center-filled chewing gum is not protective against reduction in microhardness of enamel. Therefore, acidic center-filled chewing gums cannot be suggested to children.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"93 1","pages":"24 - 31"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78655070","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}
引用次数: 0
White spot lesions: A literature review 白斑病变:文献回顾
Pub Date : 2015-01-01 DOI: 10.4103/2321-6646.151839
K. Roopa, Sidhant Pathak, P. Poornima, I. Neena
There has been a paradigm shift from Black′s "extension for prevention" to a minimal intervention approach in the recent time. To diagnose earliest stages of enamel demineralization, accurate and reliable detection of white spot lesions is very important. The newer diagnostic aids would enable the dentist to detect and diagnose early such lesions and direct appropriate preventive measures to promote remineralization and conservation of the tooth substance. A high level of caries experience necessitates preventive strategies which are more cost-effective than surgical intervention and restorative procedures. The goal of modern dentistry is to manage white lesions non-invasively through remineralization in an attempt to prevent disease progression, and to improve strength, esthetics, and function of teeth.
最近出现了一种范式转变,从布莱克的“扩展预防”到最小干预方法。对于牙釉质脱矿的早期诊断,准确可靠的白斑病变检测是非常重要的。较新的诊断辅助工具将使牙医能够及早发现和诊断这种病变,并指导适当的预防措施,以促进再矿化和保存牙齿物质。高水平的龋齿经验需要比手术干预和修复程序更具成本效益的预防策略。现代牙科的目标是通过再矿化非侵入性地处理白色病变,以防止疾病进展,并改善牙齿的力量,美观和功能。
{"title":"White spot lesions: A literature review","authors":"K. Roopa, Sidhant Pathak, P. Poornima, I. Neena","doi":"10.4103/2321-6646.151839","DOIUrl":"https://doi.org/10.4103/2321-6646.151839","url":null,"abstract":"There has been a paradigm shift from Black′s \"extension for prevention\" to a minimal intervention approach in the recent time. To diagnose earliest stages of enamel demineralization, accurate and reliable detection of white spot lesions is very important. The newer diagnostic aids would enable the dentist to detect and diagnose early such lesions and direct appropriate preventive measures to promote remineralization and conservation of the tooth substance. A high level of caries experience necessitates preventive strategies which are more cost-effective than surgical intervention and restorative procedures. The goal of modern dentistry is to manage white lesions non-invasively through remineralization in an attempt to prevent disease progression, and to improve strength, esthetics, and function of teeth.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"27 1","pages":"1 - 7"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85931611","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}
引用次数: 39
"Holding the horses": Pulpal healing after replantation of an immature permanent central incisor following avulsion: A 3 years follow-up case study “牵马”:脱臼后未成熟永久中切牙再植后牙髓愈合:3年随访病例研究
Pub Date : 2015-01-01 DOI: 10.4103/2321-6646.151851
J. Shapira, N. Bernfeld
Avulsion is one of the most complex kinds of trauma that was believed to result in pulp necrosis and therefore require endodontic treatment. This case demonstrates that in avulsion of immature permanent incisors we should consider the revascularization before starting endodontic treatment. Avulsion of an immature permanent central incisor in a 6 and a ½-year-old girl is presented. The girl was brought immediately to a dental office, and the immature tooth was replanted shortly after the avulsion. During 3 years follow-up, continuation of root development, pulp revascularization and bone-like tissue growth into the pulp chamber were observed. The tooth is vital and asymptomatic with no signs of ankylosis.
撕脱是最复杂的创伤之一,被认为会导致牙髓坏死,因此需要根管治疗。本病例提示,对于未成熟恒切牙撕脱,在进行根管治疗前应考虑血管重建。在一个6岁半的女孩不成熟的永久中门牙撕脱。女孩立即被带到牙科诊所,在撕脱后不久,未成熟的牙齿被重新种植。在3年的随访中,观察到牙根发育的延续、牙髓血运重建和骨样组织在牙髓腔内的生长。牙齿很重要且无症状,没有强直的迹象。
{"title":"\"Holding the horses\": Pulpal healing after replantation of an immature permanent central incisor following avulsion: A 3 years follow-up case study","authors":"J. Shapira, N. Bernfeld","doi":"10.4103/2321-6646.151851","DOIUrl":"https://doi.org/10.4103/2321-6646.151851","url":null,"abstract":"Avulsion is one of the most complex kinds of trauma that was believed to result in pulp necrosis and therefore require endodontic treatment. This case demonstrates that in avulsion of immature permanent incisors we should consider the revascularization before starting endodontic treatment. Avulsion of an immature permanent central incisor in a 6 and a ½-year-old girl is presented. The girl was brought immediately to a dental office, and the immature tooth was replanted shortly after the avulsion. During 3 years follow-up, continuation of root development, pulp revascularization and bone-like tissue growth into the pulp chamber were observed. The tooth is vital and asymptomatic with no signs of ankylosis.","PeriodicalId":16711,"journal":{"name":"Journal of Pediatric Dentistry","volume":"70 1","pages":"36 - 38"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74396318","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}
引用次数: 0
期刊
Journal of Pediatric Dentistry
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