scholarly journals Salvation of severely fractured anterior tooth: An orthodontic approach

2016 ◽  
Vol 11 (4) ◽  
pp. 35-38
Author(s):  
Ashok Ayer ◽  
Rajesh Gyawali ◽  
Bahusan Bhattarai ◽  
Pramita Suwal

Restoration of severely fractured teeth presents a challenge to the endodontist and may require an interdisciplinary approach for proper management. When the available crown structure is less, orthodontic forced extrusion is the option where the coronal root structure is exposed for proper restoration. This report describes the management of severely fractured maxillary right lateral incisor with extensive loss of coronal structure and fracture line extending below gingival margin. Endodontic treatment of the fractured tooth was followed by controlled orthodontic extrusion to expose fracture margin and providing sufficient coronal tooth structure to support the prosthesis. Orthodontic extrusion may be considered as a viable option for the salvation of fractured anterior teeth.Journal of College of Medical Sciences-Nepal, Vol.11(4) 2015: 35-38

2015 ◽  
Vol 4 (1) ◽  
pp. 69-71
Author(s):  
Dinesh Kumar Saini ◽  
Virender Singh Legha

ABSTRACT An endodontically treated anterior tooth requires extracoronal restoration when the tooth structure is weakened or lost due to caries, endodontic treatment, placement of previous restorations and/or is discolored. The reduced tooth structure makes retention of extracoronal restoration difficult. The purpose of post is to provide retention for the core restoration, which replaces lost coronal structure. This article describes restoration of mutilated maxillary central incisors by using cast post and core, followed with porcelain fused to metal restorations. How to cite this article Legha VS, Saini DK, Kumar KVA. Esthetic Rehabilitation of Mutilated Anterior Teeth with Custom Cast Post and Core Porcelain-Fused-to-Metal Crowns. Int J Experiment Dent Sci 2015;4(1):69-71.


2011 ◽  
Vol 1 (1) ◽  
pp. 60-62
Author(s):  
Sandhya Shrestha ◽  
Rabindra M Shrestha ◽  
Marisha Dahal

Post endodontic restoration in cases of grossly destructed teeth are difficult as the available tooth structure is less, margins are subgingival and of compromised prognosis because the restoration might encroach upon the periodontium affecting its status to deteriorate. Interdisciplinary approach using forced eruption or Orthodontic extrusion along with minimal surgical crown lengthening can give adequate supragingival tooth surface for proper restoration and protect its root support from getting violated. This is the case report of an unsalvageable tooth that is restored to satisfactory functional and esthetic restoration utilizing interdisciplinary approach.


2014 ◽  
Vol 4 (2) ◽  
pp. 51-55
Author(s):  
Nisha Acharya ◽  
Praveen Singh Samant ◽  
Vanita Gautam ◽  
Ourvind Singh ◽  
Hemanta Halwai

The management of patients with traumatic injuries to their dentition poses a serious challenge in everyday general dental practice. For the rehabilitation of the complicated subgingival crown fracture of anterior teeth, multidisciplinary approach is often indicated. A combination of endodontic, orthodontic, periodontal and prosthodontic approach may be required. Orthodontic or periodontal intervention becomes an integral part for the exposure of the sound tooth structure of fractured anterior teeth with fracture line extending subgingivally. The aim of this paper is to discuss the immediate endodontic management followed by orthodontic extrusion of traumatized upper anterior teeth with fracture at the subgingival level. In order to expose the sound tooth structure for prosthodonticintervention, orthodontic extrusion was performed after endodontic treatment. To avoid extraction of the involved teeth, the multidisciplinary approach was adopted and finally the teeth were restored prosthodontically. The final result was esthetically pleasant and periodontically sound. 


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Afsaneh Dehnad ◽  
Maryam Jalali ◽  
Saeed Shahabi ◽  
Parviz Mojgani ◽  
Shoaleh Bigdeli

Abstract Background Supportive co-teaching (SCT) is the practice of employing two or more experts whose knowledge and experiences are needed simultaneously to make a connection across different disciplines in a classroom. Although this interdisciplinary approach seems to be beneficial, there are many features which need further examination. This study was conducted to systematically review studies addressing the use of this approach and learners’ views on SCT in medical sciences. Methods We searched for the studies addressing students’ views on SCT in medical sciences from January1st 2000 to June 31st, 2019. All the studies, both quantitative and qualitative published in English language, investigating the students’ views on SCT, in non-clinical courses in the setting of medical sciences were included. We searched electronic databases of PubMed, Scopus, Embase, Web of Science, WHO Global Health Library, Health Systems Evidence, and ERIC with the keywords and phrases related to the topic which were: “co-teaching”, “team teaching”, “collaborative teaching”, “peer-to-peer co-teaching”, “partnership teaching”, and“ teacher collaboration”. Results By the initial search, 9806 studies were found and after deletion of duplicates and screening, 111 remained for selection. Upon the independent review by two researchers, we were able to discern 12 studies eligible to be included for data extraction. All the studies reported positive views of the students towards SCT although some identified concerns and drawbacks. The students stated that they could better perceive the relationship between basic and clinical sciences, were more engaged in the learning process, and their learning experience was optimized in a course directed by SCT. Conclusion Overall, the students showed positive views of this approach of teaching, and their grades indicated they learned better than expected. However, mismatch and lack of coordination between instructors would make the class distracting, confusing and even disturbing. Further studies investigating different variables related to teachers and students in SCT classes are suggested.


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.


BDJ ◽  
2019 ◽  
Vol 226 (10) ◽  
pp. 789-793 ◽  
Author(s):  
Thomas Dietrich ◽  
Ralf Krug ◽  
Gabriel Krastl ◽  
Phillip L. Tomson

Abstract Surgical extrusion is a recognised treatment option for teeth that have insufficient coronal tooth structure remaining due to deep caries, resorption or traumatic injury. However, the technique has not been widely adopted, arguably because extraction of a severely compromised tooth may be difficult to achieve in a gentle and predictable way. In this paper, we present our novel approach to surgical extrusion and subsequent management of teeth using a vertical extraction system (Benex), which has become the method of choice in the authors' practice for many teeth that would otherwise be deemed unrestorable. We describe the clinical procedure in detail and discuss the advantages and disadvantages compared to alternative approaches, including surgical crown lengthening and orthodontic extrusion.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2926-2931
Author(s):  
Deepika Masurkar ◽  
Priyanka Jaiswal ◽  
Diksha Agrawal

Crown lengthening is a surgical procedure designed to increase the extent of the supragingival tooth structure, so that the clinician can restore the tooth. Crown lengthening procedure is done to maintain normal biologic width and increase crown length for retention of prosthesis. Various techniques have been proposed to perform CLP, such as gingivectomy, undisplaced flap with or without osseous reduction, apically repositioned flap with or without bone reduction, and orthodontic forced eruption with or without fibrotomy. Selection of one of this CLP technique depends upon esthetics, clinical ratio of crown to root, structure of root, location of furcation, position of tooth and the capacity of the tooth to be restored. This case report illustrate two different methods of doing crown lengthening procedure the selection of case depends upon various soft tissue and hard tissue parameters. Owing to the various advantages, disadvantages and associated limitation with different methods, we opted for surgical CLP with scalpel method. Uneventful healing was observed in both our cases. No post-operative complications was observed in both cases. Thus to conclude success rate of CLP is high but appropriate selection of case is required. In our case report both the methods of CLP shows significant result in increasing the crown length and maintaining the biological width.


Author(s):  
Sadhana A Raina ◽  
Priyanka Khode ◽  
Manjusha M Warhadpande

ABSTRACT The loss of anterior tooth can be hurtful to the patient both psychologically and socially. In adolescent patients, temporary replacement of teeth can minimize these concerns. Many approaches have been described for this temporary replacement. Adhesively luted, fiber-reinforced retained fixed partial denture (FPD) can be a clinical alternative for the replacement of missing anterior tooth in selective situations. This is an innovative alternative to conventional metal, ceramic restoration. It is especially useful for patients who cannot afford high cost of FPD and cannot devote much time (number of sittings) for the treatment. The main advantage of fiber-reinforced composite fixed prosthesis is conservative cutting of tooth. Structure and chairside fabrication of the bridge using acrylic tooth are less expensive for the patients. The purpose of this clinical study is to evaluate the clinical usefulness of the fiber-reinforced composite FPD. This report describes the clinical treatment of patients using fiber-reinforced composite. How to cite this article Raina SA, Khode P, Warhadpande MM. Conservative Approach for replacing missing Tooth using Glass Fiber-reinforced Composite. Int J Prosthodont Restor Dent 2016;6(2):47-49.


2020 ◽  
Vol 2 (1) ◽  
pp. 60-71
Author(s):  
Prisca A Gobo

This article suggests religion as a viable option for sustainable development in Africa. The focus will be on the three major religions in Africa, namely, African Traditional Religion (ATR), Islam and Christianity. The crux of this paper is on the areas of strength and similarities in the three religions which could foster development. Approaching this topic from within the African and African diasporic context, the nexus between the religions will be established. We will be historical in our interrogation of facts. By analysing the different historical sources and adherents of these religions, proper interpretation would be given to this topic using the interdisciplinary approach to historical writing. Conclusions would be drawn after careful examination of the facts which would clearly indicate that religion could aid sustainable development in more ways than one.


2013 ◽  
Vol 2 (1) ◽  
pp. 77-80 ◽  
Author(s):  
P Joshi

Rehabilitation becomes more challenging with the partial edentulism where bilateral segment is found missing. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This case report describes the rehabilitation of a 65-year old female patient with multiple missing teeth and severe loss of tooth structure. The maxillary arch was restored with fixed partial dentures and the mandibular arch using porcelain fused to metal crowns and removable prosthodontics. Nepal Journal of Medical Sciences | Volume 02 | Number 01 | Jan-Jun 2013 | Page 77-80 DOI: http://dx.doi.org/10.3126/njms.v2i1.7658


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