scholarly journals Preservation the Pulp Activity of the Involved Teeth in Jaw Cyst: an Observational Study

Author(s):  
Gang Niu ◽  
Qing-ling Li ◽  
Yong-gang Tang ◽  
Jing-jing Lv ◽  
Li-song Lin ◽  
...  

Abstract Background: Jaw cyst is the most common disease of the oral and maxillofacial region. In addition to the pathogenic tooth, the roots of some teeth are often located in the cavity of the cystic capsule. Whether these involved teeth require root canal therapy and apicoectomy is still inconclusive. In the present study, we aimed to preserve the pulp activity of involved teeth in jaw cyst by improved operation.Methods: In our improved surgical method, the root canal therapy was not performed on the involved teeth, and no apical excision was performed during the operation. 63 involved teeth in 20 cases of jaw cyst treated by our department were selected between September 2015 and October 2017. The involved teeth were diagnosed by X-ray, CBCT, and a pulp vitality test before surgery. We observed the pulps' activity in the involved teeth and the efficacy of surgery for 12-36 months.Results: Electrical activity test of 63 involved teeth pulp in 20 patients with jaw cyst was normal or insensitively before operation. The involved teeth were preserved by improved surgical method. After 12-36 months’ follow-up, the pulp activity of 53 involved teeth (84.1%) were preserved, whereas 10 teeth (15.9%) showed adverse symptoms such as redness and swelling in the apical area, fistula, and pain. These symptoms resolved after postoperative root canal therapy. Chewing function was restored well. There was no recurrence and the bone cavity gradually reduced and finally disappeared, and bone density returned to normal after long term follow-up.Conclusion: Our results showed that to preserve the activity of the involved teeth for the treatment of jaw cyst by performing an improved operation method was effective.

2020 ◽  
Author(s):  
Gang Niu ◽  
Qing-ling Li ◽  
Yong-gang Tang ◽  
Jing-jing Lv ◽  
Li-song Lin ◽  
...  

Abstract Background To assess the efficacy of modified surgery in the preservation of tooth pulp affected by jaw cyst. Methods Fifty-four impacted teeth in 16 cases of jaw cyst treated by our department were selected between September 2015 and October 2016. We observed the pulps' activity in the involved teeth and the efficacy of surgery. Results Out of 54 impacted teeth in 16 patients, after 12-24 months’ follow-up,45 affected teeth recovered well, whereas nine teeth showed adverse symptoms such as redness and swelling in the apical area, fistula, and pain. These symptoms resolved after postoperative root canal therapy. Chewing function was restored well. The bone cavity gradually reduced and finally disappeared, and bone density returned to normal after long-term follow-up. ConclusionPreservation of the involved tooth pulp for the treatment of jaw cyst by performing an improved operation method was effective.


Author(s):  
Ceren Çimen ◽  
Burcu Nihan Yüksel ◽  
Nurhan Özalp

Traumatic dental injuries are particularly common in school-age children and often occur in the anterior region. Process management of cases is possible with alternative treatments according to the root development levels. This case series is aimed to present the treatment and 2-year follow-up of permanent anterior teeth with traumatic dental injuries. Case 1: An 8-year-old patient, who had a bicycle accident 20 days earlier, was diagnosed with extrusion of #31. Due to late admission to the clinic, no repositioning procedure was applied to the tooth. Regenerative endodontic treatment was performed. During the radiological follow-up, the apex was closed in the 12th month; however, it was observed that obliteration started in the root canal at the 24th month. The case is still being followed up at regular intervals. Case 2: A 13-year-old patient, who had a traffic accident 3 days prior, was diagnosed with subluxation in #11, and a root fracture was detected in the apical third of #21. In #21, root canal treatment was applied to the coronal part of the fragments. After the diagnosis of pulp necrosis in #11 in the 2nd month of the follow-up period, root canal filling was applied. During the follow-up period, no pathology was detected and no granulation tissue was formed between the fragments in #21. In traumatic dental injuries, long-term follow-up, well-timed endodontic treatments, and material selection play an important role in success. With regenerative endodontic treatment, successful results can be obtained even in treatments applied in late-admitted patients.


2021 ◽  
Vol 46 ◽  
Author(s):  
Vito Antonio Malagnino ◽  
Alfio Pappalardo ◽  
Gianluca Plotino ◽  
Teocrito Carlesi

2010 ◽  
Vol 20 (3) ◽  
pp. 207-213 ◽  
Author(s):  
MOTI MOSKOVITZ ◽  
DANA YAHAV ◽  
NILI TICKOTSKY ◽  
GIDEON HOLAN

2017 ◽  
Vol 34 (4) ◽  
pp. 268-278
Author(s):  
Rocco E. Mele ◽  
Anthony Caiafa ◽  
Gregori M. Kurtzman

Dental implants have become an option for replacement of lost canine teeth in cats. Although cats appear to manage well after a canine extraction, complications such as lip entrapment can occur after maxillary canine tooth extraction. Even cats with a complicated crown fracture of the maxillary canine tooth that have had root canal therapy can develop lip entrapment. This can lead to painful lip ulcers and potential need for further dental treatment. Canine tooth replacement with a dental implant and prosthodontic crown is, in the authors’ experience, a predictable option that can be offered to clients who would like to replace a lost canine tooth. This report will discuss 2 long-term cases of maxillary canines replaced by dental implants/crowns.


2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
C. M. L. She ◽  
G. S. P. Cheung ◽  
C. F. Zhang

This case study reports the successful treatment of an immature upper premolar with periapical pathosis and sinus tract using revascularization technique. Clinical and radiographic examination demonstrated the recovery of vitality, continued root development, and periapical healing at the 7-month follow-up. In addition, severe calcification of the canal was noted at the 36-month follow-up. At the 66-month follow-up, cone-beam computed tomography (CBCT) revealed complete periapical healing, apical closure, increase in root length and thickness of dentin, and severe calcification of the root canal. Even though the nature of tissue within the root canal is unknown, revascularization appears to give good clinical and radiographic success. This case report highlights that severe calcification of the canal is one of the long-term outcomes of revascularized root canals.


2019 ◽  
Vol 42 ◽  
Author(s):  
John P. A. Ioannidis

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.


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