scholarly journals Ledermix Pulp treatment in a permanent molar: A case report

2014 ◽  
Vol 4 (1) ◽  
pp. 31-37
Author(s):  
Fahd AA Karima ◽  
Asma Sultana ◽  
Tazdik G Chowdhury ◽  
Md Samsul Alam ◽  
Mohammed Wahiduzzaman
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Carious Lesion ◽  
Clinical Procedures ◽  
Main Complaint ◽  
Permanent Molar ◽  
Indirect Pulp Treatment ◽  
Patient Reported ◽  
Pulp Vitality ◽  
Pulp Treatment

This case report describes the Indirect Pulp Treatment (IPT) of deep carious lesion in a permanent molar with Ledemix. A 18 years old male patient reported discomfort associated with thermal stimulation on the mandibular right first permanent molar. Radiographically revealed a deep buccal carious lesion, very close to the pulp. periapical radiolucency and periodontal space thickening was absent. Pulp sensitivity was confirmed by thermal pulp vitality tests. Based on the main complaint and the clinical and radiographic examinations, the treatment plan was established to preserve pulp vitality. Clinical procedures consisted of removing the infected dentin and lining the caries-affected dentin with ledermix cement, the tooth was restored with composite cement. After 12 month follow-up, no clinical or radiographic pathological findings were found. DOI: http://dx.doi.org/10.3329/updcj.v4i1.21164 Update Dent. Coll. j: 2014; 4 (1): 31-37

scholarly journals Indirect pulp treatment in a permanent molar: case reort of 4-year follow-up

2009 ◽  
Vol 17 (1) ◽  
pp. 70-74 ◽  
Author(s):  
Ticiane Cestari Fagundes ◽  
Terezinha Jesus Esteves Barata ◽  
Anuradha Prakki ◽  
Eduardo Bresciani ◽  
José Carlos Pereira
Keyword(s):  
Permanent Molar ◽  
Indirect Pulp Treatment ◽  
Pulp Treatment

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 Proteção da vitalidade dentino-pulpar em odontopediatria: uma revisão de literatura

2020 ◽  
Vol 61 (2) ◽  
pp. 113-121
Author(s):  
Ana Gabriela Bausen ◽  
Geovana Lougon Moulin ◽  
Karen Cassano ◽  
Ana Luiza Peres Baldiotti ◽  
Angela Scarparo
Keyword(s):  
Mechanical Properties ◽  
Dental Caries ◽  
Primary Teeth ◽  
Therapeutic Potential ◽  
Protective Material ◽  
Advantages And Disadvantages ◽  
Indirect Pulp Treatment ◽  
Oral Environment ◽  
Pulp Vitality ◽  
Pulp Treatment

Dentin and pulp are considered interdependent substrates, known as the dentin-pulp complex. In front of injuries such as caries and trauma, this complex should be protected with restorative materials considered to be protective agents. An ideal material should have properties such as biocompatibility, be antimicrobial, be insoluble in the oral environment, be thermal and electrically insulating, have therapeutic potential, and adequate mechanical properties. As these characteristics are not found in all materials, the dentist must know the advantages and disadvantages of those that are available. This study aimed to perform a critical review of the indirect materials indicated for the protection of dentin-pulp vitality (PDPV) to ensure the success of indirect pulp treatment in primary teeth. A search was carried out in books, theses, dissertations, monographs, printed articles and databases, PubMed, SciELO, and MEDLINE. According to the literature, the success in protecting the dentin-pulp vitality is achieved through an excellent marginal seal, preventing bacterial infiltration in the dentin and controlling the progression of caries. Further clinical studies are needed to evaluate other outcomes after indirect pulp treatment. There isn’t a material that has all the desired characteristics for PDPV, and recent studies show that the key to PDPV isn’t found in the protective material, but in the restorations marginal sealing, enabling the inactivation of the progression of dental caries.

scholarly journals Endodontic Treatment of a Mandibular Second Premolar with Type IV Wiene’s Root Canal: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Noushad Matavan Chalil ◽  
Shravan Kini ◽  
Sunil Jose ◽  
Arun Narayanan ◽  
Shahnas Salahudeen ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Clinical Management ◽  
Periodontal Ligament ◽  
Endodontic Treatment ◽  
Carious Lesion ◽  
Anatomic Variations ◽  
Type Iv ◽  
Patient Reported ◽  
Pulp Exposure

This case report describes an endodontic treatment of a mandibular second premolar with type IV root canal. A 26-year-old male patient reported pain in right mandibular second premolar. Clinical examination showed a large carious lesion with pulp exposure. Radiographs showed minimal periapical changes and slight widening of periodontal ligament space. Mandibular second premolars usually have one canal. The mandibular second premolar may present large number of anatomic variations. The clinician should be aware of the configuration of the pulp system. This case presents the diagnosis and clinical management of a mandibular second premolar with two distinct canals in the apical third of root (Type IV Wiene’s canal configuration), drawing particular attention to tactile examination of all the canal walls and obturating it with calamus 3D obturation system.

scholarly journals A Clinical Case Report of a Potential Acute Allergic Reaction with Titanium Dental Implant

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Ali Robaian Alqahtani ◽  
Khalid Gufran ◽  
Fred Silva ◽  
Mateus Garcia Rocha ◽  
Jia Chang
Keyword(s):  
Case Report ◽  
Allergic Reaction ◽  
Dental Implant ◽  
Treatment Plan ◽  
Titanium Implant ◽  
Rapid Onset ◽  
Burning Sensation ◽  
Implant Placement ◽  
Patient Reported ◽  
Implant Treatment

Titanium hypersensitivity is rare, but it may exist among patients who need dental implant treatment. It could contribute to mild or severe peri-implant tissue hypersensitivity reactions and affect patients’ oral and general health according to some clinical reports. In extreme cases, it may lead to implant failure or extraction. In this case report, a 64-year-old Caucasian female patient received a titanium implant placement on #5. Right after the implant placement, she reported the symptoms of pain, eczema, and slight extraoral swelling, along with significant burning sensation occurring intra- and extraorally. The symptoms were not released after the systemic intervention of antibiotics for six days. On retrieving her medical history, the patient reported a previous allergic reaction to jewelry-like earrings in her childhood. The diagnosis of titanium hypersensitivity was made based on the rapid onset of symptoms and her metal allergy history. Therefore, the dental implant was removed after diagnosis, and a bone allograft was used to preserve the alveolar bone volume. Immediately after implant extraction, the swelling and burning sensation were receded. A complete recovery was achieved three weeks later. The dimension of the alveolar ridge bone was found well maintained in 10 weeks follow-up visit. Conclusion. Rapid onset of peri-implant gingival swelling may indicate a hypersensitivity to titanium implant in the clinic. For patients with a history of allergy to jewelry, the hypersensitivity tests to titanium alloy such as patch test or lymphocyte transformation test should be recommended as part of the dental implant treatment plan.

scholarly journals Treatment of non-carious lesions: Diagnosis, restorative materials and techniques

2018 ◽  
Vol 17 ◽  
pp. 1-12
Author(s):  
Caroline Mathias ◽  
Laura Nobre Ferraz ◽  
Débora Alves Nunes Leite Lima ◽  
Giselle Maria Marchi
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Adhesive System ◽  
Potassium Nitrate ◽  
Dentin Hypersensitivity ◽  
Cervical Lesions ◽  
Restorative Treatment ◽  
Contact Points ◽  
Patient Reported ◽  
One Year

Management of non-carious cervical lesions (NCCLs) still is a challenge in clinical practice. The diagnosis is the key to treat these lesions successfully. Aim/Case report: Therefore, the aim of this case report is to describe the diagnosis and treatment of generalized abfraction lesions associated to abrasion lesions of a 43 years old patient and to discuss considerations about the technique and materials to be used appropriately. After the diagnosis, a treatment plan with preventive and restorative approach was elaborated. The occlusal adjustment was performed to distribute the contact points and the patient was instructed in relation to tooth brushing habits. It was also recommended that the patient use a dentifrice with potassium nitrate for the control of sensitivity. For lesions over 1mm deep, the restorative treatment was performed using the self-etching adhesive system and nanohybrid composite by the stratification technique. Unsatisfactory restorations have been replaced. Occlusal splint was done and the patient was instructed to use the device every day overnight. One year after treatment, follow-up was performed. The appearance of new NCCLs was not observed. There was no progression of lesions smaller than 1 mm. There was no loss of restorations. All restorations were fully satisfactory and the patient reported absence of dentin hypersensitivity. Conclusion: The treatment performed besides being aesthetically satisfactory after 1 year resulted in the control of the disease, preventing the appearance of new lesions and guaranteeing a better quality of life to the patient.

Aesthetic Crown Lengthening for Gummy Smile Treatment Related to Altered Passive Eruption: A Case Report

2020 ◽  
Vol 23 (2) ◽  
pp. 28-33
Author(s):  
Indira Apriantika ◽  
Agung Krismariono
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Patient Treatment ◽  
Treatment Results ◽  
Dental Hospital ◽  
Proper Diagnosis ◽  
The Aesthetic ◽  
Smile Aesthetics ◽  
Crown Lengthening ◽  
Gummy Smile

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.

Managing the Transition to Edentulousness Using Partial Transitional Dentures for First Time Prosthodontic Patients: Addressing Unrealistic Expectations – A Case Report

2017 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Case Report ◽  
Treatment Outcomes ◽  
Treatment Planning ◽  
Clinical Relevance ◽  
Treatment Plan ◽  
Sequential Treatment ◽  
Aesthetic Result ◽  
Abutment Teeth ◽  
First Time ◽  
Unrealistic Expectations

Aim: The aim of this report is to describe the management of a prosthodontic patient expressing unrealistic expectations with respect to the transition to edentulousness. Objectives: To outline (1) the diagnosis and explicit expectations of the patient on presentation (2) considerations made during treatment planning to address the wishes of the first time prosthodontic patient (3) a sequential treatment plan utilizing transitional partial removable dentures to manage the change to edentulousness (4) functional and aesthetic result achieved. Results: Delivery of immediate removable partial dentures retaining key abutment teeth in upper and lower arches was a viable prosthodontic solution in the transition to edentulousness of a patient expecting unrealistic treatment outcomes. Conclusions: Addressing impractical expectations and devising a treatment plan amenable to both clinician and patient is difficult. Strategies to manage these wishes in prosthodontic dentistry can include transitional partial dentures. Clinical relevance: Practitioners who encounter similar situations may consider this report valuable.

Cirurgia de aumento de coroa clínica e confecção de facetas diretas em resina composta orientadas por mock-up.

2020 ◽  
Vol 12 (45) ◽  
pp. 24-33
Author(s):  
Fábio Shiniti Mizutani ◽  
Atila de Freitas ◽  
Adriano Sapata ◽  
Claudio Sato
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Treatment Plan ◽  
Diagnostic Information ◽  
Good Treatment ◽  
Restorative Dentistry ◽  
Laboratory Technician ◽  
Crown Length ◽  
Anterior Teeth ◽  
Anterior Posterior

Keeping in mind the final result is the basis of any type of treatment, especially those in which the morphology, size and proportion of the anterior teeth will be changed. This is where a good treatment plan based on a diagnostic wax-up tested with a mock-up and approved by the patient becomes crucial. This case report aims to exemplify how to transfer the diagnostic information to the patient’s mouth and direct it not only to the restorative dentistry, but also to the surgeon when performing the crown length. Diagnostic waxing was performed by the laboratory technician, obeying anterior posterior incisal and gingival criteria and curvatures, which were transported to an aesthetic guide through mock up to mark the surgical points. Then, surgery to increase the clinical crown with bone access and after healing, direct venners in composite resin also guided by waxing. In conclusion, a workflow can be established using the wax-up / mock-up that serves as a guide for the periodontist in the approach to surgical lengthening of the crown and for the rehabilitator who uses it to produce changes in the shape of dental dimensions .

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