scholarly journals Conservative esthetic treatment of a discoloured calcified permanent tooth: five-year clinical evaluation

2013 ◽  
Vol 16 (4) ◽  
pp. 105
Author(s):  
Thaysa Monteiro Ramos ◽  
Thayanne Monteiro Ramos Oliveira ◽  
Cynthia Soares de Azevedo ◽  
Diego Noronha de Gois ◽  
Alaíde Hermínia De Aguiar Oliveira ◽  
...  
Keyword(s):  
Clinical Evaluation ◽  
Conservative Management ◽  
Dental Pulp ◽  
Permanent Tooth ◽  
Tooth Bleaching ◽  
Pulp Chamber ◽  
Anterior Teeth ◽  
Dental Pulp Calcification ◽  
Pulp Calcification

<p><strong>Objective: </strong>Pulp calcification can compromise toothcolor and negatively affect esthetics. Definitivetreatment for discolored anterior teeth withcalcification is usually provided by endodontictreatment with the use of internal and externalbleaching agents, as necessary. This article presentsthe conservative management of a vital tooth withan obliterated pulp chamber that led to changes intooth color. The benefits and limitations of the use ofin-office and home supervised bleaching techniquesare discussed.</p><p>Keywords<br />Tooth bleaching; Dental pulp calcification.</p>

Effects of advanced glycation end products on dental pulp calcification

Oral Diseases ◽  
2021 ◽  
Author(s):  
Keita Sugiyama ◽  
Jiro Miura ◽  
Masato Shimizu ◽  
Aoi Takashima ◽  
Yusuke Matsuda ◽  
...  
Keyword(s):  
Advanced Glycation End Products ◽  
Dental Pulp ◽  
Advanced Glycation ◽  
Dental Pulp Calcification ◽  
Glycation End Products ◽  
End Products ◽  
Pulp Calcification

scholarly journals Permeability of different groups of maxillary teeth after 38% hydrogen peroxide internal bleaching

2009 ◽  
Vol 20 (4) ◽  
pp. 303-306 ◽  
Author(s):  
Lívia Maria Rodrigues ◽  
Luis Pascoal Vansan ◽  
Jesus Djalma Pécora ◽  
Melissa Andréia Marchesan
Keyword(s):  
Hydrogen Peroxide ◽  
Copper Sulfate ◽  
Lateral Incisor ◽  
Tooth Bleaching ◽  
Bleaching Agent ◽  
Pulp Chamber ◽  
Dentin Permeability ◽  
Anterior Teeth ◽  
Significant Difference ◽  
Rubeanic Acid

This study evaluated the influence of internal tooth bleaching with 38% hydrogen peroxide (H2O2) on the permeability of the coronal dentin in maxillary anterior teeth and premolars. Seventy teeth (14 per group) were used: central incisors (CI), lateral incisor (LI), canines (C), first premolars (1PM) and second premolars (2PM). Pulp chamber access and transversal sectioning at 2 mm from the cementoenamel junction were performed and the specimens were divided into 2 groups (n= 7): a) no treatment and b) bleaching with 38% H2O2. The bleaching agent was applied to the buccal surface and to the pulp chamber for 10 min. This procedure was repeated 3 times. The specimens were processed histochemically with copper sulfate and rubeanic acid, sectioned longitudinally, and digitalized in a scanner. The area of stained dentin was measured using Image Tool software. Data were analyzed statistically by ANOVA and Tukey's HSD test (?=0.05). There was statistically significant difference (p<0.001) among the untreated groups, CI (0.23 ± 0.26) having the lowest permeability and LI (10.14 ± 1.89) the highest permeability. Among the bleached groups, dentin permeability was increased in all groups of teeth except for 2PM. It may be concluded that bleaching with 38% H2O2 affected dentin permeability near the pulp chamber in maxillary anterior teeth and in first and second premolars.

Management of trauma to the anterior segment of the maxilla: alveolar fracture and primary incisors crown and root fracture

2021 ◽  
Vol 33 (2) ◽  
pp. 16-20
Author(s):  
Muna S Khalaf ◽  
Bayan S Khalaf ◽  
Shorouq M Abass
Keyword(s):  
Soft Tissue ◽  
Primary Teeth ◽  
Alveolar Bone ◽  
Anterior Segment ◽  
Dental Trauma ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Normal Position ◽  
Anterior Teeth ◽  
The Impact

Background: An injury to both the primary and permanent teeth and the supporting structures is one of the most common dental problems seen in children. Splinting is usually difficult or impossible to perform in the primary dentition (due to diminutive room size and lack of patient cooperation). Healing must, therefore, occur despite mobility at the fracture line, usually resulting in interposition of connective tissue. In some instances, infection will occur in the coronal pulp. The present study reported a case of trauma to the anterior primary teeth and alveolar bone in a four year old child. The trauma has caused fracture to the crowns and roots of the primary anterior teeth. The following case was managed in a procedure that may provide primary teeth subjected to trauma a better chance than extraction with a better prognosis. Case presentation: a 4 and a half year old child was subjected to trauma in anterior segment of maxilla. Suturing of the torn soft tissue was the first step followed by pulpotomy for the left primary lateral incisor. Fixation of the right primary central and lateral incisors was done by acid etch wire fixation. Both clinical and radiographic follow up was carried out for 6.4 years. Results: healing of the soft tissue was observed after one week and completed after two months. Fixation of the teeth continued for ten months. The fracture lines in the roots remained in position. Clinically there was no sign of any pulpal inflammation or necrosis. Radiographically, no signs of infection to the surrounding tissues could be seen, no resorption in the alveolar bone, external or internal resorption of the root did not happen also. After ten months fixation ended and the wire was removed. At that time there was normal resorption of the roots of the primary incisors in relation with the normal development of the permanent incisors. After 3 years both permanent central incisors erupted in their normal position. After 6.4 years all four permanent incisors erupted into occlusion in their normal position. Conclusion: primary teeth with root fractures and severely mobile coronal fragments can be treated by a conservative approach. The severity of the sequels is directly related to the degree of permanent tooth formation (child’s age), type of dental trauma and extent of the impact. Key words: trauma, primary incisors, fractured crown and root

scholarly journals Experimental Pulpitis Treated By Double-Pinhole Drainage

2019 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Dental Pulp ◽  
Control Group ◽  
Pulp Chamber ◽  
Control Groups ◽  
Time Intervals ◽  
Irrigation Methods ◽  
Significant Difference ◽  
And Control ◽  
Experimental Group ◽  
Labial Surface

Objective: To search for a dental pulp preservative method in experimental pulpitis. Methods: 20 rabbits with experimental pulpitis were selected for this study; Teeth were randomly assigned to 2 groups (experimental and control groups) based on the final irrigation methods. In experimental group (double-pinhole drainage), the two pinholes were drilled in middle 1/3 dental cervix of buccal labial surface of tooth; the pinholes were inserted into infant transfusion needles then the two syringes were contacted with them, one for suck, another for irrigation. In control group, pinhole was sealed. Rabbits were executed in 1, 3, 5, 7 day. The inflammation in pulp chamber was assessed after 1, 3, 5, and 7 days. Results: At the 1, 5 day time intervals, control group reported more inflammation than experimental group (P < .05). There was no significant difference between two groups at the other time intervals (P > .05), and in all groups the inflammation decreased over time. Conclusion: Dental pulp can be preserved by double-pinhole drainage efficiently.

scholarly journals Permanent maxillary central incisor and first molar rotations in the mixed dentition in repaired complete unilateral cleft lip and palate and their relationship with absence of teeth in their vicinity

2018 ◽  
Vol 88 (5) ◽  
pp. 567-574
Author(s):  
Sunjay Suri ◽  
Suteeta Disthaporn ◽  
Bruce Ross ◽  
Bryan Tompson ◽  
Diogenes Baena ◽  
...  
Keyword(s):  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Permanent Tooth ◽  
Mixed Dentition ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Anterior Teeth ◽  
Alveolar Bone Grafting

ABSTRACT Objectives: To describe qualitatively and quantitatively the directions and magnitudes of rotations of permanent maxillary central incisors and first molars in the mixed dentition in repaired complete unilateral cleft lip and palate (UCLP) and study their associations with absence of teeth in their vicinity. Materials and Methods: Dental casts and orthodontic records taken prior to orthodontic preparation for alveolar bone grafting of 74 children with repaired UCLP (53 male, 21 female; aged 8.9 ± 1.0 years) were studied. Directions and magnitudes of permanent maxillary central incisor and first molar rotations were recorded. Tooth absence was confirmed from longitudinal radiographic records. Incisor and molar rotations were analyzed in relation to the absence of teeth in their vicinity. Results: Distolabial rotation of the permanent maxillary central incisor was noted in 77.14% on the cleft side, while distopalatal rotation was noted in 82.19% on the noncleft side. Incisor rotation was greater when a permanent tooth was present distal to the cleft side central incisor, in the greater segment. The permanent maxillary first molar showed mesiopalatal rotation, which was greater on the cleft side and when there was absence of one or more teeth in the buccal segment. Conclusions: Presence and absence of teeth were associated with the severity of incisor and molar rotations in UCLP. Crowding of anterior teeth in the greater segment was associated with a greater magnitude of rotation of the cleft side permanent central incisor. Absence of one or more buccal segment teeth was associated with greater magnitude of rotation of the molar.

Management of Complicated Crown Fracture with Biodentine Partial Pulpotomy and Fracture Segment Reattachment

2021 ◽  
Vol 11 (6) ◽  
pp. 152-156
Author(s):  
Vidhi Thakur ◽  
Shweta Mittal ◽  
Ritika Yadav
Keyword(s):  
Case Report ◽  
Key Words ◽  
Conservative Management ◽  
Tooth Structure ◽  
Anterior Teeth

Fracture of maxillary anterior teeth is common in young individuals. Conservative management of complicated crown fractures helps in preservation of tooth structure, vitality and esthetics. This case report describes a conservative technique of managing a case of complicated crown fracture by performing partial pulpotomy with biodentine followed by fracture segment reattachment. Key words: Complicated crown fracture, Partial pulpotomy, Fractured segment reattachment.

scholarly journals Dental anomalies and orthodontic characteristics in patients with pseudohypoparathyroidism

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Jane Hejlesen ◽  
Line Underbjerg ◽  
Hans Gjørup ◽  
Tanja Sikjaer ◽  
Lars Rejnmark ◽  
...  
Keyword(s):  
Root Apex ◽  
Inherited Disease ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Dental Anomalies ◽  
Cross Sectional ◽  
Anterior Teeth ◽  
Adequate Care ◽  
Cross Sectional Design ◽  
Pulp Calcification

Abstract Background Pseudohypoparathyroidism (PHP) is a rare and inherited disease caused by mutations in the GNAS-gene or upstream of the GNAS complex locus. It is characterized by end-organ resistance to PTH, resulting in hypocalcemia and hyperphosphatemia. We aimed to investigate the dental anomalies according to tooth types and the orthodontic characteristics of patients with PHP. Methods Using a cross-sectional design, 29 patients (23 females) with PHP, living in Denmark, were included, and their clinical intraoral photos and radiographs were examined. Results Pulp calcification was found in 76% of the patients. Blunting of root apex was present in 55% and shortening of root in 48% of the examined patients. Blunting and shortening of roots were seen more often in premolars than in other tooth types (pboth < 0.01). Crowding of lower anterior teeth was frequently observed (36%) as well as diastema in the upper arch (25%), midline diastema (18%), and Class III malocclusion (11%). Conclusion In the present study population, the teeth were frequently affected by pulp calcification and/or deviation of the root morphology. Blunting and shortening of root(s) were more often seen in premolars than in other tooth types. Class III malocclusion was relatively prevalent. It is important to pay attention to dental anomalies and occlusion in order to provide adequate care for patients with PHP.

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