scholarly journals A Paradigm upswing towards the conservative rejuvention of an traumatized tooth: A Case report

2021 ◽  
Vol 6 (2) ◽  
pp. 109-113
Author(s):  
Sujith Ramachandra ◽  
D R Balaji ◽  
Samrat R Magaravalli ◽  
Purushothama Rangaswamy ◽  
Kavitha Govindappa
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Tricalcium Silicate ◽  
Central Incisor ◽  
Radiographic Outcome ◽  
Prosthetic Rehabilitation ◽  
Delayed Treatment ◽  
Bioactive Properties ◽  
Increased Risk ◽  
Root Fractures

Traditionally, calcium hydroxide was the material of choice for apexification technique. However, the disadvantages of this technique includes delayed treatment, improper apical seal and increased risk of root fractures. Research for improved biocompatible materials resulted in evolving of higher characteristic materials such as Biodentine, a tricalcium silicate cement that possesses good handling and bioactive properties. This report describes the case of a 13-year-old boy who had traumatised his upper right central incisor which stunted the growth of root leaving it with open apex. The treatment of apexification with Biodentine and PRF as matrix was done. Prosthetic rehabilitation of endocrown fabricated with Lithium disilicate ceramic was delivered. Follow-ups were performed at 3, 6 and 12 month. The promising clinical and radiographic outcome in this case demonstrated that Biodentine may be an successful alternative to the conventional apexification materials and endocrown can be a conservative alternative to post and cores in such cases.

scholarly journals Conservative Management of the Horizontal Root Fracture in the Middle Third using Fiber Post as an Intraradicular Splint

2020 ◽  
Vol 8 (C) ◽  
pp. 146-150
Author(s):  
Sneha Dhruvkumar Vaswani ◽  
Sathish Abraham ◽  
Harshal Balasaheb Najan ◽  
Rohini Ramesh Karad
Keyword(s):  
Case Report ◽  
Glass Fibre ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Central Incisor ◽  
Fiber Post ◽  
Root Fracture ◽  
Root Fractures ◽  
Horizontal Root Fracture

BACKGROUND: Root fractures are uncommon injuries in permanent teeth and account for only 0.5–7% of dental trauma. It occurs more frequently in fully erupted permanent teeth, in which the completely formed root with closed apices is solidly supported in the bone and periodontium. This may lead to complex consequences due to the combined damage to the pulp, dentine, cementum, bone, and periodontium. They are transverse to oblique in direction and result from a horizontal impact. Their incidence is more in the middle third of the root than at the cervical and apical thirds. CASE REPORT: This paper describes a case of complicated horizontal root fracture at the middle third of the maxillary right central incisor. After receiving an endodontic treatment, the fractured root fragments of the maxillary right central incisors were united with the help of a glass fibre post. Eventually, the incisor was restored with a zirconia crown. CONCLUSION: Follow-up after a year revealed a well-stabilized assembly of the root fragments and the post.  

scholarly journals Apical root-end filling with tricalcium silicate-based cement in a patient with diabetes mellitus: A case report

2016 ◽  
Vol 73 (12) ◽  
pp. 1173-1177
Author(s):  
Vladimir Biocanin ◽  
Marija Milic ◽  
Milan Vucetic ◽  
Miljana Bacevic ◽  
Dina Vasovic ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Case Report ◽  
Peripheral Neuropathy ◽  
Tricalcium Silicate ◽  
Systemic Diseases ◽  
Central Incisor ◽  
Suitable Material ◽  
Type 2 Dm ◽  
Patient Reported

Introduction. The material used for root-end filling has to be biocompatible with adjacent periapical tissue and to stimulate its regenerative processes. Tricalcium silicate cement (TSC), as a new dental material, shows good sealing properties with dentin, high compression strengths and better marginal adaptation than commonly used root-end filling materials. Although optimal postoperative healing of periapical tissues is mainly influenced by characteristics of end-root material used, it could sometimes be affected by the influence of systemic diseases, such as diabetes mellitus (DM). Case report. We presented apical healing of the upper central incisor, retrofilled with TSC, in a diabetic patient (type 2 DM) with peripheral neuropathy. Standard root-end resection of upper central incisor was accompanied by retropreparation using ultrasonic retrotips to the depth of 3 mm and retrofilling with TSC. Post-operatively, the surgical wound healed uneventfully. However, the patient reported undefined dull pain in the operated area that could possibly be attributed to undiagnosed intraoral diabetic peripheral neuropathy, what was evaluated clinically. Conclusion. Although TSC presents a suitable material for apical root-end filling in the treatment of chronic periradicular lesions a possible presence of systemic diseases, like type 2 DM, has to be considered in the treatment outcome estimation.

scholarly journals Endodontic Treatment with MTA in a Tooth with Open Apex-A Case Report

2013 ◽  
Vol 01 (02) ◽  
pp. 118-120
Author(s):  
Ruchi Singla ◽  
Jagat Bhushan ◽  
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Sodium Hypochlorite ◽  
Root Canal ◽  
Sodium Hypochlorite Solution ◽  
Filling Material ◽  
Central Incisor ◽  
Root Canal Filling ◽  
Hypochlorite Solution ◽  
Multiple Visit

AbstractThis case report describes the treatment of a tooth with necrotic pulp and open apex (maxillary left central incisor). In this conventional multiple-visit apexification with calcium hydroxide was replaced with a simple two step apical barrier techinique using MTA. The treatment involved mild debridement of the dentinal walls with K files and repeated irrigation with sodium hypochlorite solution, followed by calcium hydroxide dressing for 1 week and lastly creating an apical plug with MTA. The objective of the treatment was to provide an apical stop for the root canal filling material.

scholarly journals Mineral Trioxide Aggregate Apexification in a Nonvital Immature Central Incisor Tooth using an Internal Matrix

2014 ◽  
Vol 4 (2) ◽  
pp. 113-117
Author(s):  
Mohit A Bodhwani
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Mineral Trioxide Aggregate ◽  
Central Incisor ◽  
Incisor Tooth ◽  
Immense Potential ◽  
Better Than

ABSTRACT Apexification is a method to induce a calcified barrier in a root with an open apex or the continued apical development of an incomplete root in teeth with necrotic pulp. Mineral trioxide aggregate (MTA) has shown immense potential as an apical plug to induce apexification. It is better than the traditionally used calcium hydroxide as it completes the procedure more quickly and effectively. The following case report stresses on the need of an internal matrix to avoid unwanted extrusion of MTA in the periapical tissues. The internal matrix used in this case report is calcium hydroxide. How to cite this article Bodhwani MA, Shenoy VU, Sumanthini MV. Mineral Trioxide Aggregate Apexification in a Nonvital Immature Central Incisor Tooth using an Internal Matrix. J Contemp Dent 2014;4(2):113-117.

CLINICAL CHALLENGES FOR ANESTHESIOLOGIST FACING PATIENT WITH ACROMEGALY. CASE REPORT

2020 ◽  
Vol 30 (3) ◽  
pp. 56-59
Author(s):  
Jūratė Gudaitytė ◽  
Justina Jermolajevaitė ◽  
Martynas Judickas
Keyword(s):  
Atrial Fibrillation ◽  
Case Report ◽  
General Population ◽  
Metabolic Disorders ◽  
Upper Airway ◽  
Cardiovascular Complications ◽  
Case Presentation ◽  
Increased Risk ◽  
Fluid Regulation ◽  
Class Iv

Background and objectives: Acromegaly is endocri­nal disorder which results in changes involving ge­neral appearance as well as upper airway abnorma­lities, cardiovascular and metabolic disorders which can aggravate the anesthesia and can lead to compli­cations. We aim to discuss the challenges for anesthe­siologist that occurs facing patient with acromegaly and are necessary to investigate before performing any kind of intervention. Case Presentation: 79 years old male patient presen­ted the hospital with recently diagnosed acromegaly for rectal prolapse surgery. From anamnesis he had NYHAIII with cardiomyopathy, atrial fibrillation and arterial hypertension, also multiple old compressive fractures Th10 – L5. He was graded with Mallam­pati score IV and ASA class IV. The complemen­tary examinations were made to assess the possible complications. In induction of general anesthesia the intubation was performed using fibro- bronchoscope and anesthesia went without complications except hypotension which was managed. After surgery the patient was leaded to the postoperative room for furt­her monitoring. Discussion and Conclusion: Acromegalic patients have an increased risk of difficulty during anesthe­sia compared to general population due to difficult intubation, cardiovascular complications , OSA , alte­ration in intraoperative glucose intolerance and fluid regulation. Therefore profound investigation and as­sessment are necessary to predict and prepare for possible difficulties in the surgery room.

COMPLEX PROSTHETIC REHABILITATION OF THE PATIENT WITH MALIGNANT TUMOR OF OROPHARYNGEAL REGION DURING ANTITUMOR TREATMENT: CASE REPORT

2019 ◽  
Vol 65 (2) ◽  
pp. 287-293
Author(s):  
Yekaterina Izhnina ◽  
Yekaterina Kochurova ◽  
Natalya Lapina ◽  
Karina Seferyan
Keyword(s):  
Case Report ◽  
Malignant Tumor ◽  
Methodological Approach ◽  
Difficult Problem ◽  
Prosthetic Rehabilitation ◽  
Anatomic Structure

Treatment of patients with malignant tumor of oropharyngeal region is a difficult problem due to the last detection of diseases and complex anatomic structure, despite the emergence new and improvement methods of the treatment of cancer of oropharyngeal region. Complex rehabilitation of this patients presents great difficulties due to the disturbance of breath, swallowing, speech, and the lack of a single methodological approach to treatment. It is needs to improve the effectiveness of prosthetic care for patients with malignant tumor of oropharyngeal region.

scholarly journals Paliperidone induced neutropenia in first episode psychosis: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Natalie Martos ◽  
William Hall ◽  
Alicia Marhefka ◽  
Thomas W. Sedlak ◽  
Frederick C. Nucifora
Keyword(s):  
Adverse Effect ◽  
Case Report ◽  
The United States ◽  
First Episode Psychosis ◽  
Potential Adverse Effect ◽  
Severe Neutropenia ◽  
First Episode ◽  
Antipsychotic Medications ◽  
Increased Risk ◽  
Episode Psychosis

Abstract Background Neutropenia, a decrease in total number of neutrophils below 1500/mm3 and particularly severe neutropenia, defined as neutrophils less than 500/mm3, is a potential adverse effect of antipsychotic medications that can lead to increased risk of infections and death. However, much of the attention on the potential adverse effect is centered exclusively on clozapine, which remains the only antipsychotic medication in the United States requiring standardized monitoring of blood work. We demonstrate here that paliperidone can also cause neutropenia and therefore clinicians should be aware of this possibility especially during initiation of treatment. Case presentation The following report presents the case of a 23-year-old African American male with first episode psychosis who developed neutropenia after initiation of paliperidone. Neutropenia resolved after discontinuation of paliperidone and initiation of an alternative antipsychotic, haloperidol. Conclusions This case report demonstrates an example of paliperidone induced neutropenia which resolved with a switch to haloperidol. We conclude that when initiating paliperidone, clinicians should be more aware of the risk of neutropenia. Moreover, neutropenia may be a more common and overlooked issue in patients on antipsychotic medications other than clozapine and increased awareness of comparative risk across antipsychotics could help direct treatment.

scholarly journals Shallow Water Diving-Associated Alveolar Hemorrhage in an Active Duty Sailor: A Case Report

2021 ◽  
Author(s):  
Brannon L Inman ◽  
Rachel E Bridwell ◽  
Amber Cibrario ◽  
Sarah Goss ◽  
Joshua J Oliver
Keyword(s):  
Case Report ◽  
Lung Injury ◽  
Active Duty ◽  
Service Members ◽  
Breath Hold ◽  
Common Complication ◽  
Special Operations ◽  
Increased Risk ◽  
History Of ◽  
And Function

ABSTRACT Breath-hold diving is a common practice as a part of military dive training. An association between prior lung injury and a propensity for lung barotrauma may have the potential to impact mission readiness for combat divers, Pararescue, Combat Controllers, Army Engineer divers, and various units in Naval Special Warfare and Special Operations. Barotrauma is a common complication of diving, typically occurring at depths greater than 30 m (98.4 ft). Individuals with abnormal lung anatomy or function may be at increased risk of barotrauma at shallower depths than those with healthy lungs, rendering these service members unfit for certain missions. We describe the case of a 25-year-old male, with a remote history of polytrauma and resultant pulmonary pleural adhesions, whose dive training was complicated by lung barotrauma at shallow depths. In missions or training utilizing breath-hold diving, the association with secondary alterations in lung or thoracic anatomy and function may limit which service members can safely participate.

scholarly journals Porcelain laminate veneer management for a discolored central incisor with total root replacement resorption: A case report

2021 ◽  
Vol 9 (8) ◽  
Author(s):  
Mohamed Alessa ◽  
Raed Almanea ◽  
Emad Alhazzani ◽  
Abdullah Alsirhani
Keyword(s):  
Case Report ◽  
Central Incisor ◽  
Porcelain Laminate Veneer
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