scholarly journals CERVICAL PULPOTOMY IN MATURE PERMANENT TOOTH WITH CARIOUS EXPOSURE: 3-YEAR-FOLLOW UP CASE REPORT

2021 ◽  
Vol 9 (07) ◽  
pp. 830-837
Author(s):  
Doumari Bouchra ◽  
◽  
Drouri Sofia ◽  
El Kharroubi Soukaina ◽  
El Merini Hafsa ◽  
...  
Keyword(s):  
Cost Effective ◽  
Permanent Tooth ◽  
Pulp Tissue ◽  
Permanent Molar ◽  
Mandibular Molar ◽  
Clinical And Radiological Results ◽  
Intact Root ◽  
Irreversible Pulpitis

Objective. The objective of this case study is to manage irreversible pulpitis in a mature permanent molar with a conservative and cost-effective therapy, which is cervical pulpotomy. Summary. A cervical pulpotomy was performed on the second permanent mandibular molar with an irreversible pulpitis in a 30-year-old female patient.Taking the age of the patient and the condition of the underlying pulp tissue into account, cervical pulpotomy was planned to preserve the vitality of the intact root pulps using MTA. Follow-up examinations at 1 month, 3 months, 6 months, 1 year and 3 years revealed positive clinical and radiological results. The high success rate reported in this clinical case also in all systematic reviews for pulpotomy suggests that this procedure can offer an alternative to root canal treatment in teeth with irreversible pulpitis.

scholarly journals Biodentine™ Partial Pulpotomy of a Young Permanent Molar with Signs and Symptoms Indicative of Irreversible Pulpitis and Periapical Lesion: A Case Report of a Five-Year Follow-Up

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
W. Chinadet ◽  
T. Sutharaphan ◽  
P. Chompu-inwai
Keyword(s):  
Signs And Symptoms ◽  
Carious Lesion ◽  
Periapical Lesion ◽  
Pulp Tissue ◽  
Permanent Molar ◽  
Exposure Site ◽  
Patient Reported ◽  
Periapical Healing ◽  
Irreversible Pulpitis

The purpose of this paper was to report the five-year success of Biodentine™ partial pulpotomy in a young permanent molar, with signs and symptoms indicative of irreversible pulpitis and periapical lesion, in a nine-year-old girl. Preoperative clinical examination revealed a large carious lesion of the left mandibular permanent first molar. The patient reported pain on percussion. The tooth responded positively to the electric pulp test and had lingering pain after cold testing. A periapical radiograph showed a deep carious lesion and periapical lesion. Based on the clinical and radiographical examination, the tooth had signs and symptoms indicative of irreversible pulpitis and periapical lesion. During caries removal, pulp exposure occurred, and 2-3 mm in depth of pulp tissue at the exposure site was removed. Haemorrhage was controlled within four minutes with 2.5% sodium hypochlorite-moistened cotton pellets. Biodentine™ was then applied as both a pulp dressing and a temporary restoration. At the following visit, composite resin was placed over the Biodentine™ as a final restoration. During a five-year follow-up, the tooth was asymptomatic, had positive responses to sensibility tests, and had no discolouration. Follow-up radiographs showed a dentine bridge and periapical healing.

scholarly journals Histological Evaluation of Multisonic Technology for Debridement of Vital and Necrotic Pulp Tissues from Human Molar Teeth. An Observational Study

2021 ◽  
Vol 11 (22) ◽  
pp. 11002
Author(s):  
David E. Jaramillo ◽  
Alberto R. Arriola
Keyword(s):  
Observational Study ◽  
Root Canal ◽  
Histological Evaluation ◽  
Canal System ◽  
Pulp Tissue ◽  
Dentinal Tubules ◽  
Mandibular Molar ◽  
Molar Teeth ◽  
Root Canal System ◽  
Irreversible Pulpitis

Background: This study evaluated the efficacy of a multisonic technology for the debridement of vital and necrotic pulp tissues in freshly extracted human mandibular molar teeth. Methods: Twelve teeth with a diagnosis of symptomatic irreversible pulpitis (SIP) and twelve teeth with a diagnosis of pulp necrosis with symptomatic apical periodontitis (SAP) were extracted. The GentleWave® procedure was performed on 10 teeth from each group. Four non-treated teeth served as histologic controls. Histological consecutive 5 µm sections were obtained from the apical, middle, and coronal portion of the canals. The canals were evaluated for the presence of pulpal debris and bacteria. Results: In nine out of the ten specimens with SIP, no pulpal debris was detected in any portion of the canals. In the necrotic pulp group, eight out of the ten specimens had no detectable pulpal debris in any portion of the canal spaces. No bacteria were detected in the main canals, isthmuses, or lateral canals, but were detected deep within the dentinal tubules in 10 specimens. Conclusions: This study demonstrated that the multisonic technology was effective at removing vital and necrotic pulp tissue as well as bacteria from the root canal system, including inaccessible areas.

scholarly journals Management of traumatically intruded permanent tooth with 30-month follow-up: A case report

2020 ◽  
pp. 45-49
Keyword(s):  
Permanent Tooth ◽  
Treatment Session ◽  
Radiographic Examination ◽  
Central Incisor ◽  
Severe Damage ◽  
Pulp Tissue ◽  
Maxillary Central Incisor ◽  
Favorable Prognosis ◽  
Current Report

Intrusive luxation often results in severe damage to the tooth, periodontium, and pulp tissue. Furthermore, treatment outcome is often unpredictable due to the presence of numerous injury-related variables affecting the treatment option and prognosis. The current report presents the case of a 14-year-old boy with a 9.0 mm intruded permanent right maxillary central incisor with a closed apex which was treated by orthodontic repositioning and root canal treatment with a favorable prognosis. At the last follow-up visit (30 months after the first treatment session), the tooth was asymptomatic, and radiographic examination showed normal periapical and periodontal appearance.

Clinical study to evaluate the efficacy of Yavakshara with Varunaadi Kwatha Churna in Mutrashmari w.s.r to Urolithiasis - A Case Study

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Mamatha TS ◽  
Dr. Shankar S. Swamy ◽  
Dr. S. V. Shailaja
Keyword(s):  
Abdominal Pain ◽  
Stone Formation ◽  
Left Kidney ◽  
Modern Science ◽  
Signs And Symptoms ◽  
Cost Effective ◽  
End Of Treatment ◽  
The Right

Mutrashmari is one of the commonest disease of Mutravaha Srotas, Acharya Sushruta described it as one of the Ashta-Mahagadas and considered as Yama because it gives intolerable pain. Charaka mentioned Ashmari as one of Basti Marmashritha Vyadhi. In modern science it is correlated with Urolithiasis. The incidence rate of Calculi varies as per geographical distribution, sex and age. Generally, men are more affected than women in the ratio of 3:1. The highest incidence of Urolithiasis occurs between the ages of 30-50 years. In Ayurveda various conservative medicine are mentioned for the management of Mutrashmari with less side effect, easily available, cost effective and minimum recurrences of stone formation. In this case report 40 years male patient visited OPD of Shalya Tantra with complaint of abdominal pain (radiating pain from loin to groin), nausea and burning micturation. The USG report showed two calculi measuring 6mm and 4 mm seen in the left kidney, no evidence of hydronephrosis, 3 calculi measuring 6mm, 5mm and 4mm are seen in the right kidney, and right kidney shows mild HUN due to calculus measuring 5mm in the VUJ. The patient was treated with Yavakshara 3 Gunja Pramana twice a day with 50ml of Varunaadi Kashaya for a period of 1 month. At the end of treatment and also in follow up period after 15 days patient got relief in signs and symptoms and USG report showed no evidence of calculi in both the kidneys.

scholarly journals Coronal Pulpotomy Technique Analysis as an Alternative to Pulpectomy for Preserving the Tooth Vitality, in the Context of Tissue Regeneration: A Correlated Clinical Study across 4 Adult Permanent Molars

2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Raji Viola Solomon ◽  
Umrana Faizuddin ◽  
Parupalli Karunakar ◽  
Grandhala Deepthi Sarvani ◽  
Sevvana Sree Soumya
Keyword(s):  
Clinical Study ◽  
Permanent Teeth ◽  
Treatment Modalities ◽  
Platelet Concentrates ◽  
Pulp Tissue ◽  
Old Patients ◽  
Clinical And Radiological Outcome ◽  
Permanent Molars ◽  
Irreversible Pulpitis

Aim. (1) The aim of the clinical study revolves around the accurate diagnosis, proper case selection, and the management of acute irreversible pulpitis in permanent molars with closed apices using conservative and economical treatment modalities like vital pulpotomies with regenerative approaches over conventional root canal procedures. (2) To evaluate the use of autologous substances such as platelet concentrates and calcium silicate based materials in promoting the healing and regeneration of the inflamed pulp.Summary. Vital pulpotomy was performed on 5 carious involved, permanent molars diagnosed with acute irreversible pulpitis in 17- to 22-year-old patients. Taking into consideration the patient’s age and the condition of the underlying pulp tissue, PRF pulpotomy was planned in view of preserving the vitality of the intact radicular pulps. Regenerative procedures with second generation blood matrices were chosen to encourage the recovery of the inflamed pulps. The systematic follow-up examinations performed at 3, 6, 9, 12, 18, 22, and 24 months revealed a successful clinical and radiological outcome. Within the limits of the present clinical study and correlating the success across the treated clinical cases, we safely conclude the potential scope of regenerative pulpotomy approaches in acute irreversible pulpitis in adult permanent teeth.

scholarly journals Management of Melasma through Panchakama- A case study

2020 ◽  
Vol 6 (3) ◽  
pp. 135-138
Author(s):  
Poonam Verma ◽  
◽  
Latika ◽  
D Prasanth ◽  
Santoshkumar Bhatted ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Cost Effective ◽  
Medical Treatments ◽  
Cost Effective Treatment ◽  
Negative Impacts ◽  
New Treatments

Introduction. Skin reflects our physiology and emotions too. In present era each and every one desire to have healthy and beautiful skin. Any changes or disease of skin creates apart from physical and psychological and social negative impacts. Hyperpigmentation or melasma is one of the such raised problem in our country as it has significant impact on beauty and appearance. It is more prevalent in women, in an estimated 9:1 ratio compared to men. In addition, there are high expenditures related to medical treatments and procedures whose results do not always meet the expectations of patients. hence it is need of an hour to provide safe and cost effective treatment for the skin disease like melasma. In addition to traditional treatments for melasma, there are also promising new treatments, including topical, oral, and procedural therapies Materials & Methods: It is a Case report on 28 year old female patient diagnosed as a case of Melasama (Vyanga) managed through Ayurveda treatment like Vaman Karma and Ayurveda medication Assessment was made on the basis of significant change in MASI score and quality of life (melas Qol) Observation & Results: Observation was done before treatment after treatment and during follow up The changes computed in Masi score in which degree of pigmentation decline to 10 to 6, quality of life improve 60 to 48. Conclusion: The computed data from the present study shows that Vamana Karma along with Ayurvedic oral Ayurveda medication is effective in the treatment of melasma (Vyanga).

scholarly journals Ayurvedic Approach for Shwitra- A Case Study

2021 ◽  
pp. 36-39
Author(s):  
Shalini ◽  
Chakraborty Subhrajyoti
Keyword(s):  
Skin Pigmentation ◽  
Pernicious Anaemia ◽  
Cost Effective ◽  
Complete Loss ◽  
The Body ◽  
White Patch ◽  
Addison Disease ◽  
Destruction Of Melanocytes

Skin is one of the most important and visible organ of our body. Skin anomalies create physical as well as psychological problems in an individual. Among different variety of Kustha, Shwitra is considered as one of them in the Ayurvedic classics which occur due to vitiation of Tridoshas and Dhatus like Rakta, Mamsa and Meda. Shwitra can be correlated with vitiligo or leucoderma, where it manifest as white patch on the skin due to partial or complete loss of skin pigmentation and causes cosmetic imbalance of the body. Vitiligo is an autoimmune disease and it may be associated with other autoimmune diseases such as pernicious anaemia, addison disease and diabetes mellitus results in destruction of melanocytes thus causing depigmentation. A female patient, aged 36 years suffering from white patches in left forehead region for last 2 years and she was treated with both Sodhan and Shaman Chikitsa for a period of 3 months. Result was assessed from the changes in the size of patch and photographs. Proper written consent was taken from the patient prior to the study. Follow up was done at 1 month interval and after 3 months there was marked improvement seen in patch and colour. The present study indicates different prospective of treatment for Shwitra kustha and it provides cost effective as well as safe treatment of the disease. This study shows a new dimension in the treatment for Shwitra and could be carried out for statistical significant study.

Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel
Keyword(s):  
Case Report ◽  
Therapeutic Intervention ◽  
Intensive Therapy ◽  
Positive Outcome ◽  
Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

Microcirculation of the fingers in Raynaud’s syndrome

2005 ◽  
Vol 44 (01) ◽  
pp. 29-32 ◽  
Author(s):  
I. Garai ◽  
J. Varga ◽  
G. Szücs ◽  
Z. Galajda ◽  
C. András ◽  
...  
Keyword(s):  
Nuclear Medicine ◽  
Quantitative Data ◽  
Cost Effective ◽  
Semiquantitative Analysis ◽  
Perfusion Scintigraphy ◽  
Visual Evaluation ◽  
Raynaud’S Syndrome ◽  
Raynaud's Syndrome ◽  
Primary Form

Summary Aim: We investigated the circulatory characteristics of patients suffering of primary and secondary Raynaud’s syndrome. Patients, methods: We examined 106 patients presenting with the classical symptoms of Raynaud’s syndrom (47 primary, 59 secondary) by hand perfusion scintigraphy developed by our Department of Nuclear Medicine. After visual evaluation we analyzed the images semiquantitatively, using the finger to palm ratio. We statistically compared the patients with primary and those with secondary Raynaud’s syndrome. Results: By visual evaluation we constated regional perfusion disturbances in 42 from 59 patients with secondary Raynaud’s syndrome. However, this was observed in only 3 from 47 patients with the primary form of this disease. This difference was statistically significant (p <0.001). Semiquantitative analysis showed that the finger/palm ratios (FPR) were significantly lower (p <0.05) for the patients with primary Raynaud’s syndrome. No differences in the FPR values concerning sex or right and left side. Conclusion: The hand perfusion scintigraphy with 99mTc-DTPA is a noninvasive, cost effective diagnostic tool, which objectively reflects the global and regional microcirculatory abnormalities of the hands, and provides quantitative data for follow-up.

Sign in / Sign up

Export Citation Format

Share Document