Revascularization of an Immature Necrotic Mandibular Second Molar Using Calcium Hydroxide: A 3-year Follow Up

SUMMARY This article describes a successful direct pulp capping of a mature symptomatic mandibular second molar in a 14-year-old girl. The patient was referred with sensitivity to cold beverages and pain on chewing on the second left mandibular molar. Clinical examinations revealed extensive coronal caries and sensitivity to percussion. Radiographically, the tooth was mature and had a widened apical periodontal ligament (PDL) and a narrow periapical lesion. The concluding diagnosis was symptomatic irreversible pulpitis with symptomatic apical periodontitis. Treatment included caries removal under rubber dam isolation, capping of exposure sites with calcium-enriched mixture (CEM) cement, and permanent coronal restoration. At three-, 10-, and 15-month follow-up, the tooth was functional, had normal response to cold test, and did not have sensitivity to percussion. The PDL space regained its normal width, and the periapical lesion healed.

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BILATERAL CONGENITALLY MISSING SECOND PREMOLARS IN A GROWING FEMALE PATIENT

International Journal of Advanced Research ◽

10.21474/ijar01/13304 ◽

2021 ◽

Vol 9 (08) ◽

pp. 602-606

Author(s):

Ahmed Hadi Al. Mashni ◽

◽

Saad Dhaifallah Al Silah ◽

Keyword(s):

Management Plan ◽

Third Molars ◽

Distal Half ◽

Second Molar ◽

Space Closure ◽

Rare Case Report ◽

Mandibular Second Molar ◽

To Receive ◽

Congenitally Missing

Purpose- The aim of the current hypothesis is to contemporary a rare case report of congenitally missing bilateral mandibular second premolars in an adolescent patient and describe its management. The second premolars have the utmost incidence of congenital absence, after the third molars. The delinquent resides not in the prevalence of congenitally missing premolars but in the assortment of a management plan that will yield the best outcomes over the prolong period of time. The currenteducation reports a case of a 12-year-old female growing patient with bilaterally congenitally missing second permanent mandibular premolars with supplementary crowding of teeth. The case has been managed using a multiÃƒÂ¢Ã‚Â€Ã‚Â‘specialty methods, in which both deciduous mandibular second molars were sectioned and the distal half retained. The retained half was prepared to receive a full coverage restoration which was contoured as a premolar. The space created was then utilized to correct the crowding by fixed orthodontics. A two year follow up shows retained distal half of the deciduous mandibular second molar with correction of crowding and space closure.

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Pre-eruptive Intra-Coronal Resorption: A report of two cases and review of the literature

European Annals of Dental Sciences ◽

10.52037/eads.2021.0020 ◽

2021 ◽

Author(s):

Michelle Briner Garrido ◽

Joanne Briner Prenafeta ◽

Rohan Jagtap ◽

Christopher D. Matesi ◽

Andres Briner

Keyword(s):

Pediatric Patients ◽

Radiographic Finding ◽

Rare Condition ◽

Review Of The Literature ◽

Variable Depth ◽

Radiographic Findings ◽

Second Molar ◽

Unerupted Tooth ◽

Mandibular Second Molar

Pre-eruptive intracoronary resorption is a rare condition mainly affecting pediatric patients. It is a radiographic finding in the dentin of the crown of an unerupted tooth just below the enamel-dentin junction. It is visualized in radiographs as a radiolucent coronal lesion of variable depth; it is well-defined and located in the dentin adjacent to the amelodentinal limit of an unerupted tooth. Historically, this lesion was misdiagnosed as caries and was misnamed pre-eruptive caries, when in reality they were pre-eruptive intracoronal resorptions. We present two rare cases of pre-eruptive intracoronary resorption in patients that needed radiographs for orthodontic purposes. The Oral & Maxillofacial Radiologist detected the existence of pre-eruptive intracoronary resorption in mandibular second premolars and mandibular second molar. These radiographic findings provided the clinician with the advantage of knowing this condition before teeth eruption, allowing for conservative treatment and periodic radiographic follow-up.

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A Rare Case of Congenital Missing Mandibular Second Molar: Report and Review of Literature

Journal of Dentistry and Oral Sciences ◽

10.37191/mapsci-2582-3736-2(3)-036 ◽

2020 ◽

Author(s):

Deepashri H Kambalimath

Keyword(s):

Tooth Development ◽

Rare Condition ◽

Review Of Literature ◽

Indian Literature ◽

Missing Teeth ◽

Second Molar ◽

The World ◽

Mandibular Second Molar ◽

Sporadic Cases ◽

Genetic And Environmental Factors

Congenital missing permanent second molar is an extremely rare condition. Non syndromic mandibular second molar agenesis associated with other anomalies has occasionally been reported in literature, but isolated sporadic cases are rarely observed. Number of interactions between genetic and environmental factors during the process of tooth development might be the causative etiology for agenesis. This report presents an isolated case of hypodontia with absence of bilateral mandibular second molar agenesis in a healthy 18 year old female patient is presented and literature review on prevalence of most missing teeth with incidence of missing second molar in various regions of the world and in various regions of Indian continent is presented. No such case has been reported in Indian literature so far.

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