Pub Date : 1900-01-01DOI: 10.35841/oral-health.3.2.6-10
M. Igarashi, Kayoko Kitajima, K. Arai, T. Satoh
The purpose of this case report was to describe the procedures and prognosis of intracanal adhesive treatment and intentional replantation for maxillary molar with crown/root fracture. The case of a vital tooth with buccal and lingual fragments caused by crown/root fracture was presented. The involved tooth was extracted and stored in balanced salt solution. Following confirmation of the repositioning of two fragments, the fractured surfaces of fragments were cut with a diamond bar until the cementum side remained. Finally, a large cavity was prepared in pulp chamber and the root canals like shell form. For the purpose of reinforcement after adhesion, a U-shaped orthodontic wire was bended which straddles the palatal canal and buccal canal. After drying the cavity wall, the dentin surface was treated with dentin conditioner, and the dual curing composite resin and the wire were filled in the cavity. After apicoectomy and retro filling, the tooth was replanted to original tooth socket. The prognosis was preferable at 1 month later and the tooth was used for an abutment of fixed metal bridge. The tooth still works in the mouth at the 3-year follow-up. Our results showed that intentional replantation after internal adhesive treatment with dual-cure resin and a metal wire is an effective and practical treatment for crown/root fracture of the maxillary molar.
{"title":"Survive for split tooth by intracanal adhesive with intentional replantation.","authors":"M. Igarashi, Kayoko Kitajima, K. Arai, T. Satoh","doi":"10.35841/oral-health.3.2.6-10","DOIUrl":"https://doi.org/10.35841/oral-health.3.2.6-10","url":null,"abstract":"The purpose of this case report was to describe the procedures and prognosis of intracanal adhesive treatment and intentional replantation for maxillary molar with crown/root fracture. The case of a vital tooth with buccal and lingual fragments caused by crown/root fracture was presented. The involved tooth was extracted and stored in balanced salt solution. Following confirmation of the repositioning of two fragments, the fractured surfaces of fragments were cut with a diamond bar until the cementum side remained. Finally, a large cavity was prepared in pulp chamber and the root canals like shell form. For the purpose of reinforcement after adhesion, a U-shaped orthodontic wire was bended which straddles the palatal canal and buccal canal. After drying the cavity wall, the dentin surface was treated with dentin conditioner, and the dual curing composite resin and the wire were filled in the cavity. After apicoectomy and retro filling, the tooth was replanted to original tooth socket. The prognosis was preferable at 1 month later and the tooth was used for an abutment of fixed metal bridge. The tooth still works in the mouth at the 3-year follow-up. Our results showed that intentional replantation after internal adhesive treatment with dual-cure resin and a metal wire is an effective and practical treatment for crown/root fracture of the maxillary molar.","PeriodicalId":338642,"journal":{"name":"Journal of Clinical Dentistry and Oral Health","volume":"108 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":"125096715","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}
Pub Date : 1900-01-01DOI: 10.35841/oral-health.3.2.1-5
F. Piccioli
Introduction: Direct composite restorations in endodontically treated teeth preserve tooth structure. The objective of this study was to evaluate fracture resistance of premolars with MOD preparation and endodontic treatment restored with composite resin and reinforced with fiberglass tape occlusally or interproximally. Methods: N = 33 sound human upper premolars with similar dimensions were selected. The teeth were randomly divided into 3 groups (n=11), with the control group not receiving any endontontic or restorative preparation. The remaining 2 groups were GO: teeth with endodontic treatment, MOD preparation and cusp coverage with fiberglass tape applied to the occlusal surface and GP: teeth with endodontic treatment, MOD preparation without cusp coverage, but fiberglass tape applied mesially and distally to restore the marginal ridges. All 33 teeth were embedded in acrylic resin and underwent fracture strength test in a universal testing machine (0.1 mm/minute) until fracture. The fracture pattern was classified into four types (I, II, III and IV). The fracture resistance values were analyzed using one-way ANOVA (p
{"title":"Fracture resistance of endodontically treated premolars restored with direct fiberglass-reinforced composite in MOD cavities.","authors":"F. Piccioli","doi":"10.35841/oral-health.3.2.1-5","DOIUrl":"https://doi.org/10.35841/oral-health.3.2.1-5","url":null,"abstract":"Introduction: Direct composite restorations in endodontically treated teeth preserve tooth structure. The objective of this study was to evaluate fracture resistance of premolars with MOD preparation and endodontic treatment restored with composite resin and reinforced with fiberglass tape occlusally or interproximally. \u0000Methods: N = 33 sound human upper premolars with similar dimensions were selected. The teeth were randomly divided into 3 groups (n=11), with the control group not receiving any endontontic or restorative preparation. The remaining 2 groups were GO: teeth with endodontic treatment, MOD preparation and cusp coverage with fiberglass tape applied to the occlusal surface and GP: teeth with endodontic treatment, MOD preparation without cusp coverage, but fiberglass tape applied mesially and distally to restore the marginal ridges. All 33 teeth were embedded in acrylic resin and underwent fracture strength test in a universal testing machine (0.1 mm/minute) until fracture. The fracture pattern was classified into four types (I, II, III and IV). The fracture resistance values were analyzed using one-way ANOVA (p","PeriodicalId":338642,"journal":{"name":"Journal of Clinical Dentistry and Oral Health","volume":"37 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":"123524307","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}
Pub Date : 1900-01-01DOI: 10.35841/oral-health.3.1.1-4
Rajesh Murugan Ramach, Ra, Manjula Ws, Kannan Ms, N. Murugan
An adult female patient, age 36 years, with a mild convex profile, operated unilateral cleft lip and palate (UCLP), severe crowded upper anterior, partially edentulous was referred for orthodontic treatment. After a detailed review of her pretreatment records, both surgical and non-surgical treatment plans were presented to the patient, who opted for a non-surgical interdisciplinary approach. Patient’s 3-dimensional malocclusion required decrowding and derotation of upper anterior, periodontal and prosthodontics consultations and treatment. In addition to comprehensive orthodontic therapy, MBT prescription 0.022 × 0.028 “appliances were used to level, align and to establish a Class I relationship. After the orthodontic treatment, a combined periodontal and prosthodontics approach was used to enhance the patients esthetic and functional outcomes. The treatment goals of establishing proper occlusion, normal function, better esthetics, and a stable relationship was achieved. The purpose of this clinical case presentation is to demonstrate that an interdisciplinary treatment approach can significantly improve the transverse and antero-posterior discrepancies and achieve a satisfactory occlusion with a balanced soft tissue profile in adult patients with UCLP.
{"title":"An interdisciplinary treatment approach of a unilateral cleft lip and palate adult: A case report","authors":"Rajesh Murugan Ramach, Ra, Manjula Ws, Kannan Ms, N. Murugan","doi":"10.35841/oral-health.3.1.1-4","DOIUrl":"https://doi.org/10.35841/oral-health.3.1.1-4","url":null,"abstract":"An adult female patient, age 36 years, with a mild convex profile, operated unilateral cleft lip and palate (UCLP), severe crowded upper anterior, partially edentulous was referred for orthodontic treatment. After a detailed review of her pretreatment records, both surgical and non-surgical treatment plans were presented to the patient, who opted for a non-surgical interdisciplinary approach. Patient’s 3-dimensional malocclusion required decrowding and derotation of upper anterior, periodontal and prosthodontics consultations and treatment. In addition to comprehensive orthodontic therapy, MBT prescription 0.022 × 0.028 “appliances were used to level, align and to establish a Class I relationship. After the orthodontic treatment, a combined periodontal and prosthodontics approach was used to enhance the patients esthetic and functional outcomes. The treatment goals of establishing proper occlusion, normal function, better esthetics, and a stable relationship was achieved. The purpose of this clinical case presentation is to demonstrate that an interdisciplinary treatment approach can significantly improve the transverse and antero-posterior discrepancies and achieve a satisfactory occlusion with a balanced soft tissue profile in adult patients with UCLP.","PeriodicalId":338642,"journal":{"name":"Journal of Clinical Dentistry and Oral Health","volume":"260 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":"121144115","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}
Pub Date : 1900-01-01DOI: 10.35841/oral-health.3.1.5-8
J. Nessa
Until now it is well established that fluoride is an important ingredient to combat dental caries, working both systemically and topically. As the action of fluoride is dose-related and it has a cumulative action, it’s over dosage can cause serious toxic effect. Fluorosis is one of the chronic toxic effects of fluoride that appears as a developmental disorder of dental enamel. Fluorosis develops due to multiple and continuous exposures to high concentration of fluoride in low dosage. Therefore, the development of fluorosis is not only dependent on the dose but also greatly reliant on length and timing of fluoride exposure. This paper presented a case of dental fluorosis of a 9 years old girl who had a history of swallowing of toothpaste during tooth brushing when she was younger than 3 years. Clinically fluorosis appears as subsurface hypo mineralization or porosity (mottling enamel) of teeth where usually fine white to chalky opaque to brown discoloration of enamel occur which was typically seen in all of my patient’s permanent teeth (all permanent incisors and all permanent first molars) present at that time in her mouth while all of her deciduous teeth (all deciduous canines and molars) present at that time in her mouth were absolutely sound. Micro-abrasion is one of the procedures to treat the fluorosis teeth. In this case micro-abrasion was performed successfully.
{"title":"The major safeguard for fluorosis using age-appropriate toothpaste","authors":"J. Nessa","doi":"10.35841/oral-health.3.1.5-8","DOIUrl":"https://doi.org/10.35841/oral-health.3.1.5-8","url":null,"abstract":"Until now it is well established that fluoride is an important ingredient to combat dental caries, working both systemically and topically. As the action of fluoride is dose-related and it has a cumulative action, it’s over dosage can cause serious toxic effect. Fluorosis is one of the chronic toxic effects of fluoride that appears as a developmental disorder of dental enamel. Fluorosis develops due to multiple and continuous exposures to high concentration of fluoride in low dosage. Therefore, the development of fluorosis is not only dependent on the dose but also greatly reliant on length and timing of fluoride exposure. This paper presented a case of dental fluorosis of a 9 years old girl who had a history of swallowing of toothpaste during tooth brushing when she was younger than 3 years. Clinically fluorosis appears as subsurface hypo mineralization or porosity (mottling enamel) of teeth where usually fine white to chalky opaque to brown discoloration of enamel occur which was typically seen in all of my patient’s permanent teeth (all permanent incisors and all permanent first molars) present at that time in her mouth while all of her deciduous teeth (all deciduous canines and molars) present at that time in her mouth were absolutely sound. Micro-abrasion is one of the procedures to treat the fluorosis teeth. In this case micro-abrasion was performed successfully.","PeriodicalId":338642,"journal":{"name":"Journal of Clinical Dentistry and Oral Health","volume":"43 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":"122795180","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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