scholarly journals Management of Cracked tooth syndrome: A case Report

2014 ◽  
Vol 4 (1) ◽  
pp. 53-58
Author(s):  
AHM Zakir Hossain Shikdera ◽  
SM Abdul Quader ◽  
Shirin Sultana Chowdhury ◽  
Ferdousi Begum ◽  
Md Nazmul Hasan
Keyword(s):  
Case Report ◽  
Periodontal Disease ◽  
Clinical Diagnosis ◽  
Root Canal ◽  
Signs And Symptoms ◽  
Distinct Type ◽  
Diagnosis And Management ◽  
Proper Diagnosis ◽  
Type Of Fracture ◽  
Over Time

Cracked tooth is a distinct type of longitudinal tooth fracture which occurs very commonly and its diagnosis can be challenging. This type of fracture tends to grow and change over time. Clinical diagnosis is difficult because the signs and symptoms are variable or nonspecific and may even resemble post-treatment disease following root canal treatment or periodontal disease. This variety and unpredictability make the cracked tooth a challenging diagnostic entity. In this paper we present a case of cracked tooth and emphasise on the timely proper diagnosis and management. DOI: http://dx.doi.org/10.3329/updcj.v4i1.21176 Update Dent. Coll. j: 2014; 4 (1): 53-58

scholarly journals Cracked Tooth: A Report of Two Cases and Role of Cone Beam Computed Tomography in Diagnosis

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Pishipati Vinayak Kalyan Chakravarthy ◽  
Lahari Ajay Telang ◽  
Jayashri Nerali ◽  
Ajay Telang
Keyword(s):  
Computed Tomography ◽  
Periodontal Disease ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Signs And Symptoms ◽  
Distinct Type ◽  
Cone Beam ◽  
Type Of Fracture ◽  
Over Time

Cracked tooth is a distinct type of longitudinal tooth fracture which occurs very commonly and its diagnosis can be challenging. This type of fracture tends to grow and change over time. Clinical diagnosis is difficult because the signs and symptoms are variable or nonspecific and may even resemble post-treatment disease following root canal treatment or periodontal disease. This variety and unpredictability make the cracked tooth a challenging diagnostic entity. The use of cone beam computed tomography (CBCT) in diagnosis of complex endodontic cases has been well documented in the literature. In this paper we present two cases of cracked tooth and emphasise on the timely use of cone beam computed tomography as an aid in diagnosis and as a prognostic determinant.

scholarly journals Pulp Revascularisation of a Non-Vital Immature Young Permanent Tooth - A Case Report and Literature Review

2021 ◽  
Vol 10 (11) ◽  
pp. 845-848
Author(s):  
Tanvi Sanjay Satpute ◽  
Jayeeta Sidharth Verma ◽  
Jimish Rajiv Shah ◽  
Aditya Kiran Shinde
Keyword(s):  
Case Report ◽  
Root Development ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Signs And Symptoms ◽  
Permanent Tooth ◽  
Duration Of Treatment ◽  
Pulp Tissue ◽  
Dental Tissues ◽  
Immature Teeth

Traumatic injuries to an immature permanent tooth may result in cessation of dentin deposition and root maturation. Novel revascularisation endodontic procedure (REP) has been considered as an option for treatment of immature teeth with damaged pulp tissue. The continuous development of the root and the root canal has been recognised as a major advantage of this technique over traditional apexification approach. Traditional apexification procedures may resolve pathology but have not been able to prove tooth survival due to absence of continued root development and risk of root fracture. A successful REP results in resolution of signs and symptoms of pathology, radiographic signs of healing, proof of continued root development as well as presence of pulp vitality due to the regeneration of pulp tissue in the root canal. Currently, repair rather than true regeneration of the ‘pulp-dentine complex’ is achieved and further root maturation is variable. According to Glossary of Endodontic terms published by American Association of Endodontists, REP’s are biologically based procedures designed to physiologically replace damaged tooth structures, including dentin and root structures, as well as cells of the pulp-dentin complex.1,2 Apexification treatment has been a routine procedure to treat and preserve such teeth for many decades.3 Apexification is the process by which a suitable environment is created within the root canal and periapical tissue to allow for the formation of a calcific barrier across the open apex. Calcium hydroxide [Ca(OH)2] has been the material of choice for apexification as Frank reported its capacity to induce physiological closure of immature pulpless teeth in 1966.4 However, this technique has several disadvantages, including the unpredictability of apical barrier formation and the long duration of treatment, which often requires multiple visits.5 A retrospective study by Jeruphuaan et al.6 has shown a higher survival rate with regenerative endodontic treatment when compared to both mineral trioxide aggregate (MTA) and Ca(OH)2 apexification. The first evidence of regeneration of dental tissues was in 1932 by G.L. Feldman, who showed evidence of regeneration of dental pulp under certain optimal biological conditions.7 In 1971, a pioneer study in regenerative endodontics conducted by Nygaard-Ostby concluded that bleeding induced within a vital or necrotic canal led to resolution of signs and symptoms of necrotic cases and in certain cases, apical closure.8 According to Windley et al. (2005), the successful revascularisation of immature teeth with apical periodontitis is mainly dependent upon: 1. Canal disinfection 2. Scaffold placement in the canal for the growing tissues 3. Bacteria-tight sealing of the access opening.9 The purpose of this case report is to illustrate the outcome of a revascularisation endodontic procedure in a non-vital immature young permanent central incisor.

scholarly journals Aesthetic management of complete calcific metamorphosis: a case report

2018 ◽  
Vol 6 (11) ◽  
pp. 3782
Author(s):  
Mona Tariq AlDaiji ◽  
Laila Alsahaly
Keyword(s):  
Case Report ◽  
Informed Consent ◽  
Conservative Treatment ◽  
Root Canal ◽  
Treatment Plan ◽  
Signs And Symptoms ◽  
Informed Consent Form ◽  
Treatment Procedures ◽  
Financial Issues

Calcific metamorphosis teeth are a great challenge to the clinician. Its diagnosis and treatment procedures are of utmost importance in providing the best treatment. Understanding the mechanism behind the discoloration of teeth is the key to get the best treatment. Internal bleaching is one conservative treatment for complete calcific metamorphosis in certain conditions, where signs and symptoms of periapicalpathosis are absent. The present paper involves a case study of 36 years old Saudi woman who faced an injury 20 years ago and presented with yellow discoloration. The patient was thoroughly informed regarding the case; all the plan options were discussed with her prior implementation. Treatment plan comprised of internal bleaching without any endodontic root canal treatment. Vital bleaching is comparatively expensive and was not chosen since the patient had financial issues. The internal bleaching proved a more economic option for her. The patient signed an informed consent form after considering all the details of the procedure.

scholarly journals Management of Calcific metamorphosis by conventional Root Canal Treatment. A case report

2020 ◽  
Vol 10 (2) ◽  
pp. 21-25
Author(s):  
Kazi Hossain Mahmud ◽  
Md Ashif Iqbal ◽  
Fida Hasan Talukder
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Traumatic Injury ◽  
Operating Time ◽  
Signs And Symptoms ◽  
Conventional Technique ◽  
Root Canal Treatment ◽  
Spontaneous Pain ◽  
Root Canals ◽  
History Of

The calcified root canals cause many problems during endodontic treatment due to difficulty in canal orifice location, negotiation, preparation as well as consideration of operating time. Most serious problem may arise during any phase of root canal treatment procedure even taking a lot of precaution. Partial or total obliteration of pulpal chamber or root canal space is the most common consequences of a tooth which is exposed to traumatic injury. The most common presentation of such a tooth is complete or partial loss of the pulp space radiographically and discoloration particularly yellow discoloration of the clinical crown. Around 7–27% of teeth having the feature of partial canal calcification shows features of pulp necrosis accompanied by radiographic signs of chronic periapical periodontitis. Very low numbers of teeth( 2-3%) may present with total obliteration of pulp chamber and the root canal system . Teeth with such features is challenging to provide a successful root canal treatment; . In this case report a 21 years old female patient attended with complaints of discoloration , mild spontaneous pain , and several episodes of gingival swelling with history of trauma four years back in her both maxillary central incisors. The case was evaluated clinico radiographically and the diagnosis was a case of calcification both maxillary central incisors. Root canal treatment to manage the calcified canals following conventional technique was planned . After treatment patient was free from subjective and objective signs and symptoms and she was advised for periodic follow-up Update Dent. Coll. j: 2020; 10 (2): 21-25

scholarly journals Primary Solitary Hydatid Cyst of Brain in a 12-Year-Old Boy: A Case Report

2019 ◽  
Author(s):  
Naeem RAVANBAKHSH ◽  
Navid RABIEE ◽  
Jalal AHMADI
Keyword(s):  
Case Report ◽  
Hydatid Cyst ◽  
Unusual Case ◽  
Rare Condition ◽  
Zoonotic Disease ◽  
Organ Involvement ◽  
Diagnosis And Management ◽  
Life Threatening ◽  
Proper Diagnosis ◽  
Intracranial Hydatid Cyst

Hydatidosis is a zoonotic disease caused by Echinococcus parasite that frequently involves liver and lungs. Primary intracranial hydatidosis is a rare condition which can be life threatening if ruptured. Here we report an unusual case of primary intracranial hydatid cyst without any other organ involvement, diagnosed in a 12-year-old boy in Emam Reza hospital, Birjand, Iran in November 2016, in order to focus on the importance of proper diagnosis and management, especially in endemic areas.

scholarly journals Mandibular lateral incisors with vertucci type III root canal configuration- a case report

2021 ◽  
Vol 12 (1) ◽  
pp. 19-20
Author(s):  
Prabhleen Kaur Brar ◽  
Rajdeep Brar ◽  
Saurabh Gupta ◽  
Ramandeep Singh Gambhir
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Permanent Teeth ◽  
Type Iii ◽  
Anterior Teeth ◽  
Different Types ◽  
Proper Diagnosis ◽  
Root Canal System

Background: Variations in the external morphologic features of the teeth occur in individuals and so does the internal morphology of the crown and the root. Mandibular anteriors are known to have aberrant canals. Based on the possible branching of the root canal system, root canal configurations of permanent teeth were divided into eight different types by Vertucci. Aim: This paper presents a rare case of successful endodontic treatment of mandibular lateral incisors with Vertucci type III canal morphology. Methods: Conventional root canal treatment was done for the mandibular anterior teeth. Results: The treatment was successful and the patient was asymptomatic on follow up, suggesting that conventional methods for root canal treatment are sufficient if proper diagnosis of canal anatomy is done. Conclusion: This case report highlights the importance of adequate pre-operative radiograph evaluation to treat any mandibular anterior tooth with variable anatomy.

scholarly journals Delayed diagnosis of congenital hypothyroidism in an adolescent results in avoidable complications: a case report

2017 ◽  
Vol 57 (2) ◽  
pp. 108 ◽  
Author(s):  
Indra Ihsan ◽  
Eka Agustia Rini
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Retrospective Analysis ◽  
Clinical Diagnosis ◽  
Neonatal Period ◽  
Delayed Diagnosis ◽  
Signs And Symptoms ◽  
The Other ◽  
Feeding Difficulties ◽  
Specific Symptoms

Delayed diagnosis of congenital hyporhyroidism (CH) remains a serious problem. A retrospective analysis of 1,000 CH cases in Turkey found a mean age of 49 months at the time of clinical diagnosis. Only 3.1% of cases were diagnosed during the neonatal period and 55.4% were diagnosed after 2 years of age.1 In Cipto Mangunkusumo Hospital, Jakarta, 53% cases were diagnosed at 1-5 years, 3.3% at 6-12 years, and 6.7% after 12 years of age, while the remainder were diagnosed at < 1 year of age.2 The majority of affected children exhibit signs and symptoms that are highly non-specific, as most infants with CH are asymptomatic at birth, and only 5% of cases can be diagnosed based on clinical examination during the first day of life.3 The other factors that contribute to delayed diagnosis are uneducated parents, who do not notice or dismiss the importance of mild/moderate deviations in physical and mental growth, as well as constipation, feeding difficulties, or other vague, non-specific symptoms in infancy. Parents are often unaware of the importance of early diagnosis and commencement of therapy for CH.4

scholarly journals Management of Discolored Failure Root Canal-Treated Upper Lateral Incisor

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Nik Abdul Ghani Nik Rozainah ◽  
Azih Nurul Farah ◽  
Mohmed Isaqali Karobari
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Treatment Failure ◽  
Root Canal ◽  
Signs And Symptoms ◽  
Lateral Incisor ◽  
Radiographic Findings ◽  
Surrounding Soft Tissue ◽  
Tissue Healing ◽  
Main Factors

Root canal treatment failure can be determined based on a patient’s complaint and on the basis of clinical examination and radiographic findings. Most of the signs and symptoms for the failure are pain and discomfort, swelling and sinus formation at the surrounding soft tissue, and discoloration of the subjected tooth. Factors such as mechanical perforation during the procedures, overfilled or underfilled root canal, and missed or unfilled canals are the main factors for the failure outcome. This case report presents a discolored and infected upper lateral incisor which was previously root canal treated. The tooth was successfully managed under nonsurgical and surgical retreatment followed by an internal bleaching and full porcelain veneer. Apical tissue healing and acceptable tooth appearance was observed during a 12-month review.

scholarly journals Mineral Trioxide Aggregate in the Treatment of External Invasive Resorption: A Case Report

2013 ◽  
Vol 01 (03) ◽  
pp. 173-175
Author(s):  
Bhavesh Ahir ◽  
Vaishali Parekh ◽  
Anjali Vats ◽  
Ankur Vats
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Surgical Procedures ◽  
Root Canal ◽  
Orthodontic Treatment ◽  
Root Resorption ◽  
Mineral Trioxide Aggregate ◽  
Signs And Symptoms ◽  
Tooth Structure ◽  
Treatment Regimens

AbstractExternal invasive root resorption may occur as a consequence of trauma, orthodontic treatment, intracoronal bleaching and surgical procedures and may lead to the progressive and destructive loss of tooth structure. Depending on the extent of the resorptive process, different treatment regimens have been proposed. A 20-year-old female patient presented with tooth showing signs and symptoms of pain in 21 with extensive invasive resorption in middle third of root canal. After root canal treatment, The resorption area was chemomechanically debrided using ultrasonic tips and irrigant solution. MTA was used to fill the resorptive defect and the coronal access was temporarily sealed. Radiographs at 3 and 12 months showed adequate repair of the resorption and endodontic success. Clinically, the tooth was asymptomatic and found to be functioning well.

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