Multidisciplinary Management and Pulp Vitality Preservation of a Tooth With Extensive Iatrogenic Furcal Root Perforation and Biologic Width Violation

2020 ◽  
Vol 45 (2) ◽  
pp. 117-122
Author(s):  
D Angerame ◽  
M De Biasi ◽  
V Franco ◽  
L Generali
Keyword(s):  
Multidisciplinary Approach ◽  
Composite Resin ◽  
Multidisciplinary Treatment ◽  
Mineral Trioxide Aggregate ◽  
Restorative Material ◽  
Thermal Test ◽  
Pulp Vitality ◽  
Biologic Width ◽  
To Receive ◽  
Crown Lengthening

SUMMARY This article describes the case of a vital molar tooth with a vast furcal iatrogenic root perforation and biologic width violation, which was successfully managed by a multidisciplinary approach aimed at preserving pulp vitality. The root perforation was cleaned and then sealed with mineral trioxide aggregate, which was positioned onto the pulp at the canal orifices. After one month, the patient was not reporting symptoms, and the tooth was positively responding to the thermal test. The tooth was orthodontically extruded, subjected to minimally invasive crown lengthening, and prepared to receive a full-crown restoration. Radiotransparent composite resin was chosen as a permanent restorative material to better monitor possible endodontic complications at the coronal level. The patient's tooth was followed up for eight years uneventfully. The present case is an example of the possibility to subject a root-repaired tooth with fully formed apices to conservative yet complex multidisciplinary treatment while maintaining pulp vitality.

scholarly journals Integrated clinical treatment of external cervical resorption: Case report

2021 ◽  
Vol 10 (5) ◽  
pp. e54410515340
Author(s):  
Cássio Messias Beija Flor Figueiredo ◽  
Leonardo Raniel Figueiredo ◽  
Luy de Abreu Costa ◽  
Paulo Koji Hara Sonoda ◽  
Julliana Cariry Palhano Freire ◽  
...  
Keyword(s):  
Root Resorption ◽  
Composite Resin ◽  
Clinical Signs ◽  
Root Surface ◽  
Radiographic Examination ◽  
Vitality Test ◽  
Pulp Vitality ◽  
Biologic Width ◽  
Clinical Conditions ◽  
Labial Surface

External cervical resorption (ECR) has an inflammatory nature and the proximity to the gingival sulcus favors contamination and progression of the lesion. Change in crown color, inflammation of the marginal gingiva or even the presence of secretion in the gingival sulcus are the main clinical signs. Being an asymptomatic lesion, it can be neglected and its progression can jeopardize the tooth involved. This report describes the treatment of a patient who presented two teeth with ECR. On clinical examination, the crown of tooth 17 showed a pinkish translucency on the occlusal surface. On tooth 12, this spot was dark and located in the cervical third of the labial surface of the crown. Both the teeth were asymptomatic, and the radiographic examination showed an image comparable with root resorption in the cervical third of the crown.  On tooth 17, the middle and cervical third of the crown was compromised and the pulp vitality test was negative. The treatment for the case was extraction. A tomographic examination of tooth 12 demonstrated pulpal involvement and biologic width violation. The vitality test was positive. After endodontic treatment, the tooth was extruded by 4 mm, the resorbed area was exposed and restored with composite resin. A 39-month clinical and radiographic control showed integrity of the root surface and the periodontium. It was found that early diagnosis influences the prognosis of treatment considering the speed of progression of resorption. It emphasizes the importance of clinical and radiographic control of the clinical conditions that predispose to ECR.

scholarly journals Multidisciplinary Approach for the Treatment of Extensive External Cervical Resorption After Dental Trauma

2013 ◽  
Vol 38 (4) ◽  
pp. 349-357
Author(s):  
TP Alves ◽  
TRC Soares ◽  
SC Barreto ◽  
H Fried ◽  
GDS Pereira ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Resin Composite ◽  
Multidisciplinary Treatment ◽  
Dental Trauma ◽  
Periapical Lesion ◽  
Composite Forming ◽  
Tooth Number ◽  
Dentoalveolar Trauma ◽  
Crown Lengthening

SUMMARY External cervical resorption (ECR) is a sequela of dentoalveolar trauma that may cause functional, esthetic, and psychologic alterations. The aim of this study was to report a successful multidisciplinary treatment approach performed in a 12-year-old patient who presented with posttraumatic ECR associated with extensive opened cavity, pulp necrosis, and periapical lesion of tooth number 9, with an initial unfavorable prognosis. Crown lengthening was done to enable restoration of vestibular surface with resin composite, forming a barrier that allowed endodontic treatment. Afterwards, a prefabricated fiberglass post was cemented and esthetic restoration was performed using the adhesive technique and direct composite veneer. Reconstructive periodontal surgery was performed to correct irregular gingival contour. After treatment and successive follow-up sessions, it was concluded that although the tooth had been indicated for extraction, low invasive direct techniques were effective to recover function and esthetics and to maintain the tooth in the oral cavity.

scholarly journals Multidisciplinary Treatment Approach in a Patient with History of Nasopharyngeal Carcinoma

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Atacan Yavuz ◽  
Ömer Birkan Ağralı ◽  
Zeynep Lale Çalışkan ◽  
Dilek Türkaydın ◽  
Atilla Sertgöz ◽  
...  
Keyword(s):  
Nasopharyngeal Carcinoma ◽  
Multidisciplinary Approach ◽  
Dental Treatment ◽  
Treatment Approach ◽  
Multidisciplinary Treatment ◽  
Preventative Care ◽  
Self Confidence ◽  
Dental Hospital ◽  
History Of

Radiotherapy in NPC patients has side effects on the dentition, which affects quality of life dramatically. This case report presents multidisciplinary dental treatment approach in a 17-year-old male patient with a history of nasopharyngeal carcinoma (NPC), which was treated with chemotherapy and radiotherapy. The adolescent patient applied to dental hospital 4 years after the radiotherapy with aesthetic and functional problems on dentition affecting psychological, social, and physical aspects of his life. The dentition of the patient demonstrated the severe destruction as a devastating side effect of radiotherapy. With a successful multidisciplinary approach, our patient’s aesthetics, function, and self-confidence were obtained. Well-established procedures, which include preventative care and maintenance, can reduce the duration and expenses of the treatment and help in challenging the life-long complications of radiotherapy.

Extensive Facial Clefting in a Patient with Goltz Syndrome: Multidisciplinary Treatment of a Previously Unreported Association

2002 ◽  
Vol 39 (4) ◽  
pp. 469-473 ◽  
Author(s):  
Jeffrey A. Ascherman ◽  
Sean L. Knowles ◽  
Kenneth C. Troutman
Keyword(s):  
Musculoskeletal System ◽  
Multidisciplinary Approach ◽  
Multidisciplinary Treatment ◽  
Severe Form ◽  
Female Infant ◽  
Craniofacial Abnormalities ◽  
Multisystem Disorder ◽  
Facial Region ◽  
Facial Cleft ◽  
Goltz Syndrome

Objective Goltz syndrome is a rare, X-linked dominant, multisystem disorder found almost exclusively in female patients. Although the cutaneous features predominate in most reports, characteristic abnormalities are also frequently present in the musculoskeletal system and facial region. We report a female infant born with a severe form of Goltz syndrome that included an extremely wide facial cleft, an abnormality not previously reported in a patient with this disorder. Her management demonstrates the advantages of a multidisciplinary approach to effectively care for patients with severe craniofacial abnormalities.

Lessons identified from the 2017 Manchester and London terrorism incidents. Part two: the reception and definitive care (hospital) phases

2018 ◽  
Vol 166 (2) ◽  
pp. 115-119 ◽  
Author(s):  
Paul Hunt
Keyword(s):  
Multidisciplinary Approach ◽  
Large City ◽  
Care Hospital ◽  
Effective Response ◽  
Severe Burns ◽  
Clinical Support ◽  
Specialist Services ◽  
Serious Injuries ◽  
To Receive ◽  
Network Organisation

The provision of medical care during the reception and definitive care phases of a terrorist incident will likely take place in designated receiving hospitals such as Major Trauma Centres. There is a need for an enhanced capability in such units to receive, initially manage and hold casualties with more serious injuries. Also, even less severely injured casualties may require significant time and clinical input such as risk management in potential bloodborne viruses.The distribution of casualties from the incident scene requires advance consideration of the injury pattern and regional network organisation of specialist services, such as maxillofacial, neurosurgery or severe burns care. Paediatric centres are also more sparsely distributed and often only in large city networks which represents a significant challenge for planners and responders in other regions. An effective response relies on a coordinated multidisciplinary approach including emergency and front-of-house teams, surgical, medical and clinical support services.

scholarly journals Microleakage of Nanofilled Composite Resin Restorative Material

2011 ◽  
Vol 02 (03) ◽  
pp. 329-334 ◽  
Author(s):  
Ibrahim Hamouda ◽  
Hagag abd Elkader ◽  
Manal F. Badawi
Keyword(s):  
Composite Resin ◽  
Restorative Material

scholarly journals THE COMPARISON OF RESIN-BASED COMPOSITES PHYSICAL PROPERTIES BETWEEN BULK-FILL TECHNIQUE AND INCREMENTAL TECHNIQUE

2021 ◽  
Vol 6 (1) ◽  
pp. 85
Author(s):  
Rahmi Khairani Aulia
Keyword(s):  
Physical Properties ◽  
Composite Resin ◽  
Color Stability ◽  
Composite Resins ◽  
Shrinkage Stress ◽  
Restorative Material ◽  
Polymerization Shrinkage ◽  
Advantages And Disadvantages ◽  
Restoration Technique ◽  
Restoration Failure

ABSTRACT:Composite resins are currently the most popular restorative material in dentistry. This is due to good aesthetics and maximum conservation ability. Behind these advantages, there are disbenefits of composite resin materials, such as polymerization shrinkage, which can lead to restoration failure. Various attempts have been investigated to reduce the shrinkage incidence of composite resins, one of which is the technique of placing the restorative material into the cavity. The restoration filling technique is recognized as a significant factor in shrinkage stress. By using a special filling technique, the polymerization shrinkage damage stress can be reduced. There are several techniques in performing composite resin fillings, including bulk and incremental techniques. These techniques have their respective advantages and disadvantages. The aim of this literature review was to compare the physical properties of composite resin restorations with bulk filling and incremental techniques. Physical properties that being studied include polymerization shrinkage, stress shrinkage, degree of conversion, bonding strength, water resorption, color stability, and temperature increase. Comparing the two techniques, composite resin with incremental filling technique has superior physical properties compared to bulk technique. From the comparison of the two techniques, the composite resin with incremental filling technique has superior physical properties compared to the bulk technique, especially in higher conversion which causes lower shrinkage stress. This situation makes the incremental technique provide better bond strength, water resorption, color stability, and lower temperature rise.Keywords: Bulk, Composite Resin, Incremental,  Physical Properties, Restoration, Restoration Technique

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