scholarly journals Use of mineral trioxide aggregate for retreatment of a tooth with large periapical lesion, wide-open apices and vertical root fracture

2018 ◽  
pp. bcr-2018-227627
Author(s):  
Pragya Pandey ◽  
Tanya Nandkeoliar ◽  
Rhythm Bains ◽  
Diksha Singh
Keyword(s):  
Clinical Signs ◽  
Mineral Trioxide Aggregate ◽  
Signs And Symptoms ◽  
Fracture Line ◽  
Autogenous Bone ◽  
Periapical Lesion ◽  
Vertical Root Fracture ◽  
Periapical Lesions ◽  
Retrograde Filling ◽  
Clinical Signs And Symptoms

Chronic periapical lesions in necrotic teeth with open apex are difficult to manage. The situation becomes more complex if the tooth has a fracture line. This case report describes the management of a traumatised tooth that had already undergone unsuccessful endodontic treatment with a large periapical lesion and open apex along with a fracture line in the root. An attempt was made to save the tooth by using mineral trioxide aggregate (MTA) cement for orthograde filling, retrograde filling and also for sealing of the fracture line. Moreover, the bone defect was filled with autogenous bone harvested from the external oblique ridge. MTA, a bioactive tricalcium silicate cement, has been used in treating complex endodontic cases as it shows promising potential by inducing the biological mechanisms necessary for repair of involved teeth. A 1-year follow-up showed progressive healing as evident by radiographs and lack of any clinical signs and symptoms.

From Endodontic Therapy to Regenerative Endodontics: New Wine in Old Bottles

2020 ◽  
Vol 15 ◽  
Author(s):  
Ghee Seong Lim ◽  
Mang Chek Wey ◽  
Noor Hayati Azami ◽  
Nora Sakina Mohd Noor ◽  
May Nak Lau ◽  
...  
Keyword(s):  
Stem Cells ◽  
Root Canal ◽  
Case Reports ◽  
Clinical Signs ◽  
Mineral Trioxide Aggregate ◽  
Signs And Symptoms ◽  
Regenerative Endodontics ◽  
Immature Teeth ◽  
Clinical Signs And Symptoms ◽  
The 1960S

: The concept of regenerative endodontics wherein one can replace damaged pulp structures and recuperate the functionality in erstwhile necrotic and infected root canal systems has been a cutting-edge technology. Though the notion started as early as the 1960s even before the discovery of stem cells and regenerative medicine, it was in the 2000s, this procedure gained momentum. Ever since then, researchers continue to discover its essential benefit to immature teeth and its ability to overcome the caveats of endodontic therapy which is commonly known as root canal treatment. Further, through this therapy, one can redevelop root even in immature teeth with necrotic pulps which overall helps in maintaining skeletal and dental development. Past literature indicates that regenerative endodontic procedures seem to be successful especially when compared with other conventional techniques such as Mineral Trioxide Aggregate apexification. Besides, many clinicians have begun to apply regenerative endodontic procedures to mature teeth in adult patients with several clinical case reports that have shown complete resolution of signs and symptoms of pulp necrosis. Generally, three most desirable outcomes anticipated by clinicians from this procedure namely resolution of clinical signs and symptoms, root maturation and redevelopment of neurogenesis process. Despite this, whether these objectives and true regeneration of the pulp/dentin complex are achieved is still a question mark. Following the discovery that regenerative endodontics indeed is a stem cell-based treatment, addressing the fundamental issue surrounding stem cells might assist in achieving all identified clinical outcomes, while favoring tissue formation that closely resembles pulp-dentin complex.

Evaluation of LSTR 3 Mix MP Therapy for Healing of Periapical Pathosis of Nonvital Teeth

2020 ◽  
Vol 33 (2) ◽  
pp. 76-84
Author(s):  
Md Ismail Hossain ◽  
Md Nahid Khurram Choudhury ◽  
Md Shamsul Alam ◽  
Shahnaz Sultana Beauty ◽  
Farid Uddin
Keyword(s):  
Glass Ionomer Cement ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Periapical Lesion ◽  
Pulp Chamber ◽  
Uncertain Outcome ◽  
Clinical And Radiological Outcome ◽  
Clinical Signs And Symptoms ◽  
Ionomer Cement

Context: LSTR 3 Mix MP therapy is one of the procedures for the management of nonvital tooth with periapical lesion. The principle of this therapy is the complete sterilization of the total pulp canal space, thereby healing of the periradicular lesion.  Objectives: To assess the clinical and radiological outcome of ‘Lesion sterilization and Tissue Repair’ (LSTR) for endodontic treatment of nonvital teeth with periapical lesion.  Materials and Methods: This descriptive, observational study allocated 40 nonvital teeth with periapical lesion treated by LSTR 3 Mix MP Therapy. In study subjects, a mixture of Metronidazole, Ciprofloxacin and Minocycline (3 Mix) in a proportion of 1:1:1 in ointment (Macrogol mixed with propylene glycol: MP) was placed at the orifice of the root canal or the bottom of pulp chamber after gaining access in the pulp chamber and removal of necrotic pulp, then sealed with Glass Ionomer cement and further reinforced by composite resin. The protocols for follow up examination were 3, 6 and 12 months post operatively. At the time of follow up examination a standard follow up chart was maintained.  Results: Out of 40 cases, in 29 cases had good responses both clinically and radiologically and 8 patients came back with some complications. Out of these 8 patients, 6 patients had uncertain outcome and in 2 patients it was unacceptable.  Conclusion: LSTR 3 mix MP therapy reduced clinical signs and symptoms successfully in teeth with periapical lesion and radiological improvement of the periapical index was also noted. TAJ 2020; 33(2): 76-84

Evaluation of Conventional Root Canal Treatment for Healing of Periapical Pathosis of Nonvital Teeth

2020 ◽  
Vol 33 (1) ◽  
pp. 25-30
Author(s):  
Md Ismail Hossain ◽  
Monira Parveen ◽  
Md Nahid Khurram Choudhury ◽  
Tasnim Wakia ◽  
Farid Uddin ◽  
...  
Keyword(s):  
Root Canal ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Root Canal Treatment ◽  
Periapical Lesion ◽  
Nonsurgical Management ◽  
Clinical And Radiological Outcome ◽  
Root Canal System ◽  
Clinical Signs And Symptoms

Background: Root canal Therapy is one of the procedures for the management of nonvital tooth with periapical lesion. The principle of this therapy is the complete sterilization of the total pulp canal space thereby healing of the periradicular lesion. Objectives: This experimental study assessed the clinical and radiological outcome of root canal treatment for nonsurgical management of nonvital teeth with periapical lesion. Materials and Methods: A total number of 40 infected teeth with periapical lesion were treated by conventional root canal treatment. Irritants from the root canal system was removed by mechanical instrumentation( Crown down Technique), chemical irrigation with NaOCL and by using Calcium Hydroxide as intracanal medicaments and fluid tight obturation both apically and coronally resulting repairs of inflamed periradicular tissues. The protocol for follow up examination will be 3, 6 and 12 months post operatively. At the time of follow up examination a standard follow up chart will be maintained. Results: Among 40 cases 32 cases could be treated as acceptable as their responses were good both clinically and radiologically and 5 patients came back with some complications among them 3 cases were uncertain and 2 cases were unacceptable. Conclusion: It was concluded that conventional root canal treatment reduced clinical signs and symptoms successfully in teeth with periapical lesion and radiologically. TAJ 2020; 33(1): 25-30

DOUBLE SEAL TECHNIQUE IN THE MANAGEMENT OF VERTICAL ROOT FRACTURE

2021 ◽  
pp. 14-15
Author(s):  
Sindhuja Panthangi ◽  
Harikumar Vemisetty ◽  
Jayaprada Reddy ◽  
Jaya Nagendra Krishna ◽  
Rajani Rajani ◽  
...  
Keyword(s):  
Treatment Option ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Endodontically Treated Teeth ◽  
Root Fracture ◽  
Vertical Root Fracture ◽  
Alternative Treatment Option ◽  
Clinical Signs And Symptoms ◽  
One Year ◽  
Type Of Fracture

Vertical root fracture (VRF) is one of the common etiologies for tooth loss . The usual treatment option for this clinical scenario is extraction. The incidence of this type of fracture is higher in an endodontically treated teeth compared to a non endodontically treated tooth. As this type of fracture usually does not present with any specic clinical signs and symptoms , it is usually difcult to diagnose and depends on the endodontist's expertise . The aim of this case report is to suggest an alternative treatment option in conserving the tooth with vertical root fracture of a tooth that did not undergo any root canal treatment by using novel calcium silicate based cement and reinforcement with owable composite with a successful one year follow up.

scholarly journals Dementia and Major Neurocognitive Disorders: Some Lessons Learned One Century after the first Alois Alzheimer’s Clinical Notes

Geriatrics ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 5
Author(s):  
Donatella Rita Petretto ◽  
Gian Pietro Carrogu ◽  
Luca Gaviano ◽  
Lorenzo Pili ◽  
Roberto Pili
Keyword(s):  
Young Woman ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Neurocognitive Disorders ◽  
Lessons Learned ◽  
Alzheimer Dementia ◽  
Clinical Notes ◽  
Alois Alzheimer ◽  
Clinical Signs And Symptoms

Over 100 years ago, Alois Alzheimer presented the clinical signs and symptoms of what has been later called “Alzheimer Dementia” in a young woman whose name was Augustine Deter [...]

scholarly journals Correction to: Levoketoconazole improves clinical signs and symptoms and patient-reported outcomes in patients with Cushing’s syndrome

Pituitary ◽  
2020 ◽  
Author(s):  
Eliza B. Geer ◽  
Roberto Salvatori ◽  
Atanaska Elenkova ◽  
Maria Fleseriu ◽  
Rosario Pivonello ◽  
...  
Keyword(s):  
Cushing’S Syndrome ◽  
Patient Reported Outcomes ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Cushing's Syndrome ◽  
Original Version ◽  
Patient Reported ◽  
Author Group ◽  
Clinical Signs And Symptoms

The original version of the article unfortunately contained an error in the first name and the surname of one of the authors in the author group. The last author name was incorrectly published as ‘F. Pecori Giraldi’ and the corrected name is ‘Francesca Pecori Giraldi’ (First name: Francesca; Surname: Pecori Giraldi).

scholarly journals A 38-year demographic study of central and peripheral giant cell granulomas of the jaws

2016 ◽  
Vol 15 (2) ◽  
pp. 220-223 ◽  
Author(s):  
Shadi Saghafi ◽  
Reza Zare-Mahmoodabadi ◽  
Narges Ghazi ◽  
Mohammad Zargari
Keyword(s):  
Giant Cell ◽  
Medical Science ◽  
Age Distribution ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Posterior Maxilla ◽  
Frequent Site ◽  
Male Patients ◽  
Clinical Signs And Symptoms ◽  
Anterior Mandible

Objective: The purpose of this study was to retrospectively analyze the demographic characteristics of patients with central giant cell granulomas (CGCGs) and peripheral giant cell granulomas (PGCGs) in Iranian population.Methods: The data were obtained from records of 1019 patients with CGCG and PGCG of the jaws referred to our department between 1972 and 2010. This 38-year retrospective study was based on existing data. Information regarding age distribution, gender, location of the lesion and clinical signs and symptoms was documented. Results: A total of 1019 patients were affected GCGLs including 435 CGCGs and 584 PGCGs during the study. The mean age was 28.91 ± 18.16. PGCGs and CGCGs had a peak of occurrence in the first and second decade of life respectively. A female predominance was shown in CGCG cases (57.70%), whereas PGCGs were more frequent in males (50.85%). Five hundred and ninety-eight cases of all giant cell lesions (58.7 %) occurred in the mandible. Posterior mandible was the most frequent site for both CGCG and PGCG cases. The second most common site for PGCG was posterior maxilla (21%), whereas anterior mandible was involved in CGCG (19.45%). The majority of patients were asymptomatic. Conclusions: In contrast to most of previous studies PGCGs occur more common in the first decade and also more frequently in male patients. Although the CGCGs share some histopathologic similarities with PGCGs, differences in demographic features may be observed in different populations which may help in the diagnosis and management of these lesions.Bangladesh Journal of Medical Science Vol.15(2) 2016 p.220-223

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