scholarly journals Ferrule Effect pada Manajemen Klinis Crown Lengthening Pasca Perawatan Saluran Akar

2019 ◽  
Vol 7 (1) ◽  
pp. 19-26
Author(s):  
Miftahul Jannah ◽  
Kosno Suprianto

A case of a 27-year-old female patient presented clinically with short clinical crown due to caries and after endodontic treatment on upper right central incisor needs ferrule effect for final endodontic restoration was managed by surgical crown lengthening. To maintain a healthy periodontal-restorative interrelationship, exposure of tooth structure supragingivally becomes necessary which can be achieved by surgical crown lengthening. Biological width measured by comparing clinical and periapical radiograph.The reported case highlights the importance of through examination, proper diagnosis and the multidisciplinary approach.

2016 ◽  
Vol 5 (1) ◽  
pp. 78-82
Author(s):  
Maria LAH de Souza ◽  
Rodrigo V Soares ◽  
Elton G Zenóbio ◽  
Matheus M Pithon ◽  
Dauro Douglas Oliveira

ABSTRACT In this article, a review of the literature regarding the use of selective alveolar corticotomies (SAC) combined with orthodontic treatment was conducted, and the results of its use in a patient with overerupted maxillary 1st molars are described. Adequate intrusion was obtained within a short period of time, the protocol avoided the necessity of removal of sound tooth structure for crown lengthening, endodontic treatment, and full crown prosthetic restorations. Therefore, the obtained results indicate that SAC/orthodontic use is efficient in the intrusion of overerupted 1st molars and suggest its potential use in the treatment of other malocclusions. How to cite this article de Souza MLAH, Soares RV, Zenóbio EG, Pithon MM, Oliveira DD. Intrusion of Overerupted Molars by Corticotomy and Fixed Orthodontic Appliances. Int J Experiment Dent Sci 2016;5(1):78-82.


2008 ◽  
Vol 9 (1) ◽  
pp. 77-83 ◽  
Author(s):  
Emre Ozel ◽  
Alper Cildir ◽  
Yonca Ozel

Abstract Aim The purpose of this case report is to describe the re-attachment of an anterior tooth fragment using a selfetching adhesive. Background Fracture of anterior teeth by trauma is a common problem in children and teenagers due to their active lifestyle. Restoration of these teeth often presents a challenge because of the large pulp in young teeth and open apical foramen depending on the age of the child. New dental adhesive materials offer an alternative solution for the treatment of some anterior tooth fractures. Report A 17-year-old female patient presented for treatment of a fractured maxillary left central incisor. The clinical examination revealed the exposure of dentin, but there was no exposure of the pulp. The patient saved the tooth fragment making it available for re-attachment to the remaining tooth structure. Under local anesthesia and rubber dam isolation the tooth fragment was re-attached using a self-etching adhesive and a microhybrid composite. Summary The re-attached tooth fragment was assessed clinically, radiographically, and using photographs at one, six, 12, 24, and 36 month intervals. The tooth remained vital, and there was no change in the color of the tooth at the three-year recall. Citation Ozel E, Cildir A, Ozel Y. Re-attachment of Anterior Tooth Fragment using a Self-etching Adhesive: A Case Report. J Contemp Dent Pract 2008 January; (9)1:77-083.


2020 ◽  
Vol 10 (3) ◽  
pp. 66-69
Author(s):  
Shyam Kaji Maharjan ◽  
Suraj Ram Bhakta Mathema ◽  
Amina Pradhan ◽  
Supreet Manipal

Introduction: Anterior tooth fracture is the most commonly presenting clinical condition during routine dental practise. Restoration of such tooth is challenging task due to fracture position and amount of remaining coronal tooth structure. Tooth fracture at or below the gingival level usually have a poor prognosis. Treatment options for such clinical conditions range from tooth extraction to prosthodontic rehabilitation with surgical crown lengthening and/or orthodontic extrusion. This clinical report describes a multidisciplinary approach for management of such cases by the orthodontic forced eruption and clinical crown lengthening followed by the final restoration with indirect resin customized post core and crown.


Author(s):  
Daouahi N ◽  
Hadyaoui D ◽  
Nouira Z ◽  
Harzalah B ◽  
Cherif M

A 25 years old female patient presented with hidden smile and was bothered about the color discrepancy between maxillary anterior teeth. She was reporting dental pain in anterior region with mobility in central incisor.


2020 ◽  
Vol 23 (2) ◽  
pp. 28-33
Author(s):  
Indira Apriantika ◽  
Agung Krismariono

A healthy and beautiful smile can affect appearance and confidence. One of the aesthetic problems in dentistry that is often complained of by patients is excessive gingival display (gummy smile). The excessive gingival display can be caused by several factors, one of which is altered passive eruption (APE). One of the treatments to correct gummy smile related to APE is crown lengthening. Crown lengthening can be with bone reduction (gingivectomy with bone reduction) or without bone reduction (gingivectomy). Crown Lengthening with bone reduction is a surgical procedure that aims to maintain the dentogingival complex and to improve smile aesthetics. The purpose of this case report is to determine the crown lengthening with bone reduction (gingivectomy with bone reduction) procedure as a gummy smile treatment related to APE .A23-year-old female patient, came to Dental Hospital of Universitas Airlangga with complaints of her upper gum which not in the same length and the teeth looked short, she considered her smile was less aesthetic. After conducting analyses relating to aesthetics and periodontal tissue, crown lengthening with bone reduction was chosen for this patient treatment. The treatment results are quite good, visible gingival margins that matched the gingival zenith and improved patient's smile profile. APE as the etiology of patient's gummy smile can be corrected. There are no post-surgical complications such as excessive pain and infection. A proper diagnosis, treatment plan, and good techniques can produce a harmonious smile on the patient.


2018 ◽  
Author(s):  
Ingrid Różyło-Kalinowskav ◽  
Karolina Sidor

The purpose of this article was to present a case report of 11–year old female patient with a large osteolytic mandibular lesion which healed after endodontic treatment. The patient was referred for radio diagnostics due to an incidental finding of a large osteolytic lesion of the area of the left lower first and second premolars in the panoramic radiograph taken before orthodontic treatment. CBCT was performed and the patient asked to have teeth 33-35 treated by endodontics before surgery. The patient missed the surgical appointment and when she reappeared several months later, the lesion showed signs of healing thus surgery were aborted. The presented case testifies to the observation that even large osteolytic lesions can heal after endodontic treatment without surgical approach.


2020 ◽  
Vol 8 (9) ◽  
Author(s):  
Martha Gerusa da Silva Lima ◽  
Fabíola Gabriellen Barros Brito ◽  
José Henrique de Araújo Cruz ◽  
Luanna Abílio Diniz Melquíades Medeiros ◽  
Elizandra Silva da Penha ◽  
...  

Introdução: Os pacientes têm exigido cada vez mais da odontologia estética para solucionar casos de desarmonia do sorriso, como alterações de cor, forma e tamanho. Com o avanço dos materiais dentários e aperfeiçoamento das técnicas é possível tratar casos estéticos com mínimos desgastes dentários e ter resultados excelentes. Cabe ao cirurgião-dentista optar por um tratamento que devolva saúde e função além da estética. Objetivo: Realizar reanatomização do sorriso por meio de facetas diretas em resina composta, como também mostrar que é possível alcançar sucesso clínico usando um material mais barato como a resina composta. Relato do caso: Paciente sexo feminino, 22 anos, apresentou-se à Clínica Escola de Odontologia da UFCG buscando melhorar a estética do seu sorriso. O material de escolhido foi resina composto por ser mais viável financeiramente em relação às cerâmicas, ter execução mais simples, necessitar de pouco ou nenhum desgaste e também ser reversível. A técnica usada foi Facetas diretas em resina composta; para realiza-lo foram imprescindíveis etapas pré-operatórias de gengivectomia, clareamento dental, enceramento diagnóstico para posteriormente realizar-se os desgastes. Utilizou-se guia de silicone para nortear os aumentos incisais, condicionamento ácido com ácido fosfórico a 37%, aplicação do sistema adesivo e realização dos incrementos de compósitos com posterior acabamento e polimento. Conclusão: A colaboração da paciente, um bom planejamento do caso, execução adequada da técnica e controle e manutenção periódica, proporcionaram uma estética dentária dentro dos padrões tão valorizados atualmente e aumento da sua autoestima.Descritores: Estética Dentária; Facetas Dentárias; Resinas Compostas.ReferênciasMarcondes R, Pires HCS, Bocutti JH. Lâmina cerâmica unitária sobre substrato escurecido: protocolo clinicolaboratorial com estratifcação em duas camadas. Rev Dental Press Estét. 2012;9(4):28-44.Sakamoto Junior AS, Higashi C, Gomes JC. Substituição de coroas totais metalocerâmicas em incisivos laterais conoides vitais: relato de caso clínico. Rev Dental Press Estét. 2015;12(3):71-83.Pontons-Melo JC. Harmonização do sorriso por meio de procedimentos minimamente invasivos. FGM News. 2013;132-37.Mondelli J. Estética e cosmética: em clínica integrada restauradora. São Paulo: Quintessence; 2003.Baratieri LN. Soluções clínicas: fundamentos e técnicas. Florianópolis: Ponto; 2008.Silva SB. Facetas diretas de resina composta versus facetas indiretas em porcelana [monografia] Florianópolis: ABO-SC; 2005.Queiroga RB. Laminados cerâmicos minimamente invasivos: novas possibilidades. Rev Dental Press Estét. 2012;9(1):34-47.Soares PV, Faria NFB, Cardoso IO, Moura GF, Pereira AG. Multidisciplinary approach for rehabilitation of smile aesthetics with minimally invasive ceramic veneers. J Clin Dent Res. 2017;14(1):68-88.Joiner A, Luo W. Tooth colour and whiteness: A review. J Dent. 2017;  67S:S3-S10.Nash RW. Resurfacing tooth structure with ceramic laminates. Dent Today. 2014; 33(8):68-71.  Dietschi D. Optimizing smile composition and esthetics with resin composites and other conservative esthetic procedures. Eur J Esthet Dent. 2008;3(1):14-29.Almeida RR, Garib D.G, Almeida-Pedrin RR, Almeida MR, Pinzan A, Junqueira MHZ. Diastemas interincisivos centrais superiores: quando e como intervir?. R Dental Press Ortodon Ortop Facial. 2004;9(3):137-56.Lima RBW, Leite JT, França RM, Brito MCT, Uchôa RC, Andrade AKM. Reabilitação estética anterior pela técnica do facetamento – relato de caso. Rev bras ciênc saúde 2013; 17(4):363-70.Frese C, Schiller P, Staehle HJ, Wolff D. Recontouring teeth and closing diastemas with direct composite buildups: A 5-year follow-up. J Dent. 2013;41(11):979-85.Souza SJB, Magalhães D, Silva GR, Soares CJ, Soares PFB, Santos-Filho PCF. Cirurgia plástica periodontal para correção de sorriso gengival associada a restaurações em resina composta: relato de caso clínico. Rev Odontol Bras Central. 2010;19(51):362-66.Ferreira CLB. Fraturas dentárias no sector anterior abordagem estética através de restaurações diretas a resina composta [dissertação]. Porto: Faculdade de Ciências da Saúde Universidade Fernando Pessoa; 2013.Okida RC, Rahal V, Okida DSS. A associação entre dentística e periodontia no tratamento estético com lentes de contato: relato de caso. Rev Odontol Araçatuba. 2015;36(1):59-64.Cruz JHA, Silva RLB, Andrade-Júnior FP, Guênes GMT, Almeida MSC, Medeiros LADM et al. A importância da anatomia e escultura dental para prática de procedimentos clínicos odontológicos. RSC online, 2018;7(1):76-85.Sousa LX, Cruz JHA, Melo WOS, Freire SCP, Ribeiro ED, Freire JCP. Abfração dentária: um enfoque sobre a etiologia e o tratamento restaurador. Arch Health Invest. 2018; 7(2):51-53.


2013 ◽  
Vol 14 (2) ◽  
pp. 345-347 ◽  
Author(s):  
Hamid Jafarzadeh ◽  
Amir Maghsoudlou ◽  
Maryam Forghani

ABSTRACT Aim This clinical report presents a rare case of maxillary central incisor with two separate roots. Background Unusual morphology of the roots and root canals may exist in any tooth. Recognition of the dental anatomy and its variations is necessary for successful endodontic therapy. It is well known that maxillary incisors are usually single-rooted teeth. Case report The root canals were instrumented with conventional hand files and Gates Glidden and obturated by using the lateral technique. Recall radiograph after 1 year shows the healing process of the preoperative apical periodontitis. Conclusion and clinical significance Clinicians should be aware of unexpected root canal morphology when performing root canal therapy. The present case demonstrated the importance of accurate preoperative radiograph and adequate access preparation. How to cite this article Maghsoudlou A, Jafarzadeh H, Forghani M. Endodontic Treatment of a Maxillary Central Incisor with Two Roots. J Contemp Dent Pract 2013;14(2):345-347.


2012 ◽  
Vol 11 (3) ◽  
pp. 187 ◽  
Author(s):  
Besse Tenri Awaru ◽  
Juni Jekti Nugroho

Structure of the anterior teeth after endodontic treatment usually become weak because of the extensive loss of toothstructure. It causes a big problem to an endodontically treatment tooth when considering its restoration, examplereduced strength of the remaining tooth structure. Restoration that covers the tooth crown can be used if aesthetic andfunctional problems factors have been considered. However, composite resins are also often the treatment of choice forthe restoration of endodontically treated tooth. In this literature review, it will be discussed the selection of the properrestoration of the anterior teeth that have been endodontically treated.


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