Chronic apical periodontitis (CAP) is one of the most common endodontic diagnosis caused by microbial infection within the root canal system of the affected tooth. Endodontic therapy is one of the possible treatment modalities for CAP, but the prognosis depends on numerous factors. The size of the periapical lesion is always singled out as one of the most significant, as its increase drastically decreases the degree of success of endodontic therapy. Certain periapex radiographic indices (PAI, CBCT-PAI, PESS) are used to evaluate the size and characteristics of the periapical lesion, as well as to monitor the outcome of the implemented therapy. A 30-year-old patient presented with pain caused by an acute exacerbation of CAP on tooth 37. Radiographic analysis revealed the presence of an extensive, diffuse radiolucency in the area of tooth 37. A complete endodontic procedure was performed. One year after, there were clear, radiographic signs of the reduction of the lesion. Findings of periapical radiographic indices indicated the success of therapy as well. The aim of this paper was to present, on one case from clinical practice, complete endodontic therapy protocol of an extensive periapical lesion with symptoms of exacerbation.
{"title":"Root canal treatment of an extensive periapical lesion","authors":"J. Vucetic, Jugoslav Ilić","doi":"10.2298/sgs2204183v","DOIUrl":"https://doi.org/10.2298/sgs2204183v","url":null,"abstract":"Chronic apical periodontitis (CAP) is one of the most common endodontic\u0000 diagnosis caused by microbial infection within the root canal system of the\u0000 affected tooth. Endodontic therapy is one of the possible treatment\u0000 modalities for CAP, but the prognosis depends on numerous factors. The size\u0000 of the periapical lesion is always singled out as one of the most\u0000 significant, as its increase drastically decreases the degree of success of\u0000 endodontic therapy. Certain periapex radiographic indices (PAI, CBCT-PAI,\u0000 PESS) are used to evaluate the size and characteristics of the periapical\u0000 lesion, as well as to monitor the outcome of the implemented therapy. A\u0000 30-year-old patient presented with pain caused by an acute exacerbation of\u0000 CAP on tooth 37. Radiographic analysis revealed the presence of an\u0000 extensive, diffuse radiolucency in the area of tooth 37. A complete\u0000 endodontic procedure was performed. One year after, there were clear,\u0000 radiographic signs of the reduction of the lesion. Findings of periapical\u0000 radiographic indices indicated the success of therapy as well. The aim of\u0000 this paper was to present, on one case from clinical practice, complete\u0000 endodontic therapy protocol of an extensive periapical lesion with symptoms\u0000 of exacerbation.","PeriodicalId":180624,"journal":{"name":"Serbian Dental Journal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131517669","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}
Introduction. Patients with orthodontic diagnosis of spacing most often require a multidisciplinary approach, which includes orthodontic and following restorative treatment to enhance the esthetic outcome. The aim of this case report is to present management of spacing in the anterior region by orthodontic treatment followed by partial veneers using the injectable composite resin technique. Case report. In this case, leveling and alignment of dental arches and stable occlusion was achieved during orthodontic treatment, with the correction of upper and lower incisor inclination and closing the diastemas. Intraoral and extraoral esthetic parameters were evaluated on the photographs, and partial veneers on lateral incisors and canines were designed for the wax-up model. In the injectable composite resin technique, the silicone index was used to transfer the wax-up to composite restorations. The highly filled injectable composite resin was injected through the silicone index and light-cured. The restoration required only gentle polishing due to the great precision of the index. Discussion. Post-orthodontic recontouring in the anterior region is mostly done by direct composite restorations because they are cost-effective, minimally invasive, and the procedure is relatively simple. The injectable resin composite technique can be a solution for the same indication since it is less technique sensitive and gives predictable and great esthetic results, mostly without tooth preparation. Conclusion. Management of anterior spacing in adult patients requires a comprehensive approach for optimal esthetic and functional results. In this case, orthodontic treatment was followed by partial veneers on lateral incisors and canines, using the injectable composite resin technique as a simple and predictable solution for minor restorative interventions to solve morphological tooth abnormalities in the esthetic smile zone.
{"title":"Multidisciplinary approach in treatment of spacing: orthodontic treatment and partial veneers using the injectable composite resin technique","authors":"M. Ljubičić, M. Živković","doi":"10.2298/SGS2101039L","DOIUrl":"https://doi.org/10.2298/SGS2101039L","url":null,"abstract":"Introduction. Patients with orthodontic diagnosis of spacing most often\u0000 require a multidisciplinary approach, which includes orthodontic and\u0000 following restorative treatment to enhance the esthetic outcome. The aim of\u0000 this case report is to present management of spacing in the anterior region\u0000 by orthodontic treatment followed by partial veneers using the injectable\u0000 composite resin technique. Case report. In this case, leveling and alignment\u0000 of dental arches and stable occlusion was achieved during orthodontic\u0000 treatment, with the correction of upper and lower incisor inclination and\u0000 closing the diastemas. Intraoral and extraoral esthetic parameters were\u0000 evaluated on the photographs, and partial veneers on lateral incisors and\u0000 canines were designed for the wax-up model. In the injectable composite\u0000 resin technique, the silicone index was used to transfer the wax-up to\u0000 composite restorations. The highly filled injectable composite resin was\u0000 injected through the silicone index and light-cured. The restoration\u0000 required only gentle polishing due to the great precision of the index.\u0000 Discussion. Post-orthodontic recontouring in the anterior region is mostly\u0000 done by direct composite restorations because they are cost-effective,\u0000 minimally invasive, and the procedure is relatively simple. The injectable\u0000 resin composite technique can be a solution for the same indication since it\u0000 is less technique sensitive and gives predictable and great esthetic\u0000 results, mostly without tooth preparation. Conclusion. Management of\u0000 anterior spacing in adult patients requires a comprehensive approach for\u0000 optimal esthetic and functional results. In this case, orthodontic treatment\u0000 was followed by partial veneers on lateral incisors and canines, using the\u0000 injectable composite resin technique as a simple and predictable solution\u0000 for minor restorative interventions to solve morphological tooth\u0000 abnormalities in the esthetic smile zone.","PeriodicalId":180624,"journal":{"name":"Serbian Dental Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125521718","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}
Milica Jovanovic-Medojevic, M. Pelemis, Jelena Neskovic, Marijana Popović-Bajić, D. Stratimirovic, S. Živković
Introduction. The aim of this study was to analyze working surfaces of new hand endodontic instruments and to check possible existence of dirt or defects on working surface that resulted from manufacturing process using SEM. Material and methods. Three sets of new hand instruments: K-File (KF), (18 instruments) (Dentsply Maillefer, Switzerland) and Hedstorm Files (HF), (18 instruments) (SybronEndo Co, USA) were used. Instruments were analyzed by SEM method at 170? magnification while semi-quantitative EDS analysis was used to determine chemical composition of dirt particles. Fisher test (p <