Polyethylene fiber tape used as a post and core in decayed primary anterior teeth: a treatment option

2002 ◽  
Vol 26 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Clarissa Lopes Vieira ◽  
Cecília Cláudia Costa Ribeiro
Keyword(s):  
Treatment Option ◽  
Primary Teeth ◽  
Early Loss ◽  
Anterior Teeth ◽  
Polyethylene Fiber ◽  
Post And Core

The early loss of the anterior primary teeth can cause problems in phonation, development of the maxilla and is related to deleterious habits. This case presents the clinical sequence of rehabilitation of upper anterior primary teeth, where endodontic treatments were done. This was followed by the construction of root post using polyethylene ribbon fibers and the fabrication of crowns composed of resin.

scholarly journals Restoration of Primary Anterior Teeth with Glass Fiber-Reinforced Post and Core: 3-Year Follow-Up Case Report

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Salah Afraa ◽  
Hashim Raghad ◽  
Khalid Ayam ◽  
Hamid Aeshah
Keyword(s):  
Glass Fiber ◽  
Primary Teeth ◽  
Pediatric Dentistry ◽  
Endodontic Treatment ◽  
Fiber Reinforced ◽  
Anterior Teeth ◽  
Glass Fiber Reinforced ◽  
Post And Core ◽  
Maxillary Incisors

Background. Esthetic appearance of primary anterior teeth is one of the major demands in the dental field. Destructed anterior primary teeth due to caries is considered a major issue due to the difficulty in regaining the esthetic crowns and attaching them until the normal exfoliation time. There have been many attempts and tools used to attach the composite crowns to the treated canals of primary anterior teeth. The study evaluates endodontic treatment for destructed primary maxillary incisors with a glass fiber-reinforced post as a retentive tool to hold the esthetic composite crowns until the normal exfoliation time of primary incisors. Case Presentation. A four-year-old child attending a dental clinic complained of pain of maxillary incisors. Dental examination showed irreversible pulpitis of four maxillary incisors indicated for root canal treatment and crown placement. Endodontic treatment was carried out, and a glass fiber-reinforced post was used to get successful retention for the composite crowns. Follow-up was carried out for 3 years. The 3 crowns were retained successfully until replaced by permanent incisors. One crown fell during the treatment course. Conclusion. Retention of primary teeth is one of the challenges in pediatric dentistry. Restoration of primary decayed incisors is important for child medical, physical, and psychological conditions. A glass fiber-reinforced post and core is a strong retentive tool for composite crown retention for primary incisors. This procedure opens the door for a strong tool to retain composite crowns for a long time. The glass fiber-reinforced post and core is a strong retentive tool for composite crown retention for primary incisors.

scholarly journals Aesthetic-Functional Fixed Appliance as Treatment of Premature Loss of primary Anterior Teeth

2019 ◽  
Vol 21 (5) ◽  
pp. 454-458
Author(s):  
Priscila Vieira Da Silva ◽  
Juliana Severino Lupinetti Noberto ◽  
Ariane Barbosa Rodrigues Del Papa ◽  
Cíntia Aparecida Damo Simões ◽  
Sandrine Bittencourt Berger ◽  
...  
Keyword(s):  
Clinical Examination ◽  
Primary Teeth ◽  
Treatment Plan ◽  
Pediatric Dentistry ◽  
Posterior Teeth ◽  
Early Loss ◽  
Anterior Teeth ◽  
First Case ◽  
Space Maintainer ◽  
Fixed Space

Abstract The early loss of anterior primary teeth is frequent in the pediatric dentistry clinic and it is associated with extensive caries or dental trauma. The purpose of this study was to report two cases of aesthetic-functional rehabilitation due to early loss of anterior primary teeth, with the aid of fixed space maintainers of the tube-bar type. In the first case, a 4-year-old female child referred for dental treatment is reported. During clinical examination, several restorations in the posterior teeth and absent upper anterior teeth were observed. The treatment plan consisted of installing a tube-bar type upper fixed space maintainer, considering the ease of installation and adaptation for young children. The second case reports a 5-year-old male patient with the main complaint of dental caries. Clinical examination revealed extensive coronary destruction in the upper central incisors, as well as in the posterior teeth that presented carious lesions in several teeth. For the case planning, it was determined the need for  the posterior teeth restorations and the exodontia of the anterior dental remnants. After oral rehabilitation, an aesthetic-functional space maintainer of the tube-bar type was made and installed. In both cases, prosthetic rehabilitation was fundamental to maintain the space until the eruption of the permanent successors, avoiding future damages, as well as to restore the children's self-esteem and introversion  behavior. Keywords: Deciduous. Space maintenance. Mouth rehabilitation.  Resumo A perda precoce dos dentes decíduos anteriores é frequente na clínica odontopediátrica e está associada a processos de cáries extensas ou traumas dentários. O objetivo do presente estudo foi relatar dois casos clínicos de reabilitação estético-funcional após perda precoce de dentes decíduos anteriores, com auxílio de mantenedores de espaço fixo do tipo tubo-barra. O primeiro caso refere-se a uma criança do sexo feminino, quatro anos de idade, encaminhada para atendimento odontológico. Durante exame clínico, observou-se restaurações nos dentes posteriores e ausência dos dentes anteriores superiores. O plano de tratamento consistiu na instalação de um mantenedor de espaço fixo superior do tipo tubo-barra, levando em consideração a facilidade de instalação e adaptação para crianças com pouca idade. O segundo caso reporta um paciente de sexo masculino, cinco anos de idade, tendo como queixa principal a presença de cáries dentárias. Ao exame clínico, foi notado extensas destruições coronárias nos incisivos centrais superiores, assim como nos dentes posteriores. Para o planejamento do caso, determinou-se a necessidade de restaurações dos dentes posteriores e as exodontia dos remanescentes dentários anteriores. Após adequação do meio bucal foi confeccionado e instalado um mantenedor de espaço estético-funcional do tipo tubo-barra. Em ambos os casos, a reabilitação protética foi fundamental para a manutenção do espaço até a irrupção dos sucessores permanentes, evitando prejuízos futuros, devolvendo a autoestima e a mudança do comportamento de introversão das crianças.  Palavras-chave: Dente decíduo. Reabilitação bucal. Mantenedor de espaço em ortodontia.

An in Vivo Comparison of Antimicrobial Efficacy of Sodium Hypochlorite and Biopure MTAD™ against Enterococcus Faecalis in Primary Teeth: A qPCR Study

2014 ◽  
Vol 39 (1) ◽  
pp. 30-34 ◽  
Author(s):  
SG Tulsani ◽  
N Chikkanarasaiah ◽  
S Bethur
Keyword(s):  
Root Canal ◽  
Primary Teeth ◽  
Antimicrobial Efficacy ◽  
Permanent Teeth ◽  
Control Group ◽  
Statistical Significant Difference ◽  
Anterior Teeth ◽  
Significant Difference ◽  
Root Canal Irrigant

Objectives: Biopure MTAD™, a new root canal irrigant has shown promising results against the most common resistant microorganism, E. faecalis, in permanent teeth. However, there is lack of studies comparing its antimicrobial effectiveness with NaOCl in primary teeth. The purpose of this study was to compare the in vivo antimicrobial efficacy of NaOCl 2.5% and Biopure MTAD™ against E. faecalis in primary teeth. Study design: Forty non vital single rooted primary maxillary anterior teeth of children aged 4-8 years, were irrigated either with NaOCl 2.5% (n=15), Biopure MTAD™ (n=15) and 0.9% Saline (n=10, control group). Paper point samples were collected at baseline (S1) and after chemomechanical preparation (S2) during the pulpectomy procedure. The presence of E. faecalis in S1 & S2 was evaluated using Real time Polymerase Chain Reaction. Results: Statistical significant difference was found in the antimicrobial efficacy of NaOCl 2.5 % and BioPure MTAD™ when compared to saline (p>0.05). However, no statistical significant difference was found between the efficacies of both the irrigants. Conclusions: NaOCl 2.5% and BioPure MTAD™, both irrigants are equally efficient against E. faecalis in necrotic primary anterior teeth. MTAD is a promising irrigant, however clinical studies are required to establish it as ideal root canal irrigant in clinical practice.

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 Reattachment of anterior teeth fragments – An unconventional treatment option to regain what is lost: Report of two cases

2019 ◽  
Vol 12 (2) ◽  
pp. 170
Author(s):  
VishnuPratap Singh Rathore ◽  
KarkalaVenkappa Kishan ◽  
Dexter Brave ◽  
MargiSandip Kumar Parikh
Keyword(s):  
Treatment Option ◽  
Anterior Teeth

scholarly journals Traumatic Dental Injury—An Enigma for Adolescents: A Series of Case Reports

2012 ◽  
Vol 2012 ◽  
pp. 1-5
Author(s):  
Akash Krishna ◽  
Manjunath Hampanna Malur ◽  
D. V. Swapna ◽  
Shiny Benjamin ◽  
Chris A. Deepak
Keyword(s):  
Therapeutic Approach ◽  
Case Reports ◽  
Permanent Dentition ◽  
Fiber Reinforced ◽  
Dental Injury ◽  
Frequent Type ◽  
Anterior Teeth ◽  
Tooth Fracture ◽  
Post And Core ◽  
Natural Tooth

Coronal fractures of permanent dentition are the most frequent type of dental injury. Fractured anterior teeth are usually treated with conventional post and core and crown techniques, after being treated endodontically. If the original tooth fragment is retained following fracture, the natural tooth structures can be reattached using adhesive protocols. Fiber-reinforced post makes the reattachment of the crown esthetically possible with minimal preparation and reduces the possibility of tooth fracture during function. This paper presents the therapeutic approach of reattachment of crown fragment to the tooth at the cervical and middle third levels.

scholarly journals Hydration and Dehydration Periods of Crown Fragments Prior to Reattachment

2012 ◽  
Vol 37 (5) ◽  
pp. 501-508 ◽  
Author(s):  
F Shirani ◽  
MR Malekipour ◽  
V Sakhaei Manesh ◽  
F Aghaei
Keyword(s):  
Analysis Of Variance ◽  
Treatment Option ◽  
Strength Test ◽  
Traumatic Injuries ◽  
Lingual Side ◽  
Anterior Teeth ◽  
Wet Storage ◽  
Minute Period ◽  
The Mean ◽  
Hydration And Dehydration

SUMMARY Introduction Tooth fragment bonding is an excellent treatment option in dealing with traumatic injuries of the anterior teeth. Rewetting the tooth fragment has been shown to increase restoration durability. The present study examined the effect various dry and wet storage periods had on the reattached fragment's bond to the tooth. Materials and Methods One hundred and eight human mandibular incisors were fractured and assigned to undergo a dehydration period of 30 minutes, six hours, 24 hours, or three days before the rewetting procedure. After fracturing the teeth and drying the fragments, each of the specimens was assigned to one of the three main groups (A, B, or C) intended to evaluate the effect of different rehydration periods. Groups A and B underwent a 30-minute and a 24-hour rewetting period, respectively. Group C served as a control (without a rewetting stage). Tooth fragments were then reattached and prepared for the strength test. Force was applied on the lingual side of the tooth at a 1 mm/min rate until failure. Results The mean loads (N) required to fracture the restored teeth were as follows: 204.43 ± 33.48 N, 322.59 ± 34.62 N, and 253.25 ± 29.05 N for groups A, B, and C, respectively. Two-way analysis of variance (p<0.05) showed that rehydration and dehydration periods as well as their interaction caused significant differences in the strength of the final restoration. Multiple comparison tests showed that, in general, significant differences were not seen among different dehydration times prior to the rewetting stage (p>0.05), except in the case of the 30-minute dehydrated specimens (p<0.05). Conclusion Compared to a 30-minute period, a 24-hour rehydration of the tooth fragment before treatment seems to salvage enough moisture to result in an increase in reattachment strength.

Zirconia Crowns for Rehabilitation of Decayed Primary Incisors: An Esthetic Alternative

2014 ◽  
Vol 39 (1) ◽  
pp. 18-22 ◽  
Author(s):  
G Ashima ◽  
K Bhatia Sarabjot ◽  
K Gauba ◽  
HC Mittal
Keyword(s):  
Present Article ◽  
Primary Teeth ◽  
Treatment Alternative ◽  
Promising Alternative ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Very Young Children ◽  
Zirconia Crowns ◽  
Pediatric Dentists ◽  
Good Retention

Esthetic management of extensively decayed primary maxillary anterior teeth requiring full coronal coverage restoration is usually challenging to the pediatric dentists especially in very young children. Many esthetic options have been tried over the years each having its own advantages, disadvantages and associated technical, functional or esthetic limitations. Zirconia crowns have provided a treatment alternative to address the esthetic concerns and ease of placement of extra-coronal restorations on primary anterior teeth. The present article presents a case where grossly decayed maxillary primary incisors were restored esthetically and functionally with readymade zirconia crowns (ZIRKIZ, HASS Corp; Korea). After endodontic treatment the decayed teeth were restored with zirconia crowns. Over a 30 months period, the crowns have demonstrated good retention and esthetic results. Dealing with esthetic needs in children with extensive loss of tooth structure, using Zirconia crowns would be practical and successful. The treatment described is simple and effective and represents a promising alternative for rehabilitation of decayed primary teeth.

Effects of eugenol and non-eugenol endodontic fillers on short post retention, in primary anterior teeth: an in vitro study

2005 ◽  
Vol 29 (3) ◽  
pp. 211-214 ◽  
Author(s):  
Fabiana Teixeira Alves ◽  
Ricardo de Sousa Vieira
Keyword(s):  
Tensile Strength ◽  
Statistical Analysis ◽  
Bond Strength ◽  
Calcium Hydroxide ◽  
Primary Teeth ◽  
In Vitro Study ◽  
Filling Material ◽  
Filling Materials ◽  
Anterior Teeth

The aim of this study was to measure in vitro the tensile bond strength of short composite posts in anterior primary teeth filled with calcium hydroxide and eugenol-based endodontic filling materials. Means of tensile strength ranged from 2.66 to 3.56MPa. Statistical analysis (ANOVA) revealed that there were no statistically significant differences between the groups. It was concluded that the type of filling material used in the endodontic treatment did not interfere with the tensile strength.

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