scholarly journals Better outcome in pulpotomy on primary molar with Biodentine

2016 ◽  
Vol 5 (2) ◽  
pp. 57-62
Author(s):  
Asma Sultana ◽  
Fahd AA Karim ◽  
Md Abdul Hannan Sheikh ◽  
Mohammad Wahiduzzaman ◽  
Md Shamsul Alam ◽  
...  

Aim: The primary objective of any pulp therapy is to maintain the integrity and health of a tooth and its supporting tissue as well as to maintain arch length and space maintenance. The aim of this case is to a probate and popularizes the technique of vital pulpotomy in primary teeth with biodentin.Update Dent. Coll. j: 2015; 5 (2): 57-62

Author(s):  
David A. Mitchell ◽  
Laura Mitchell ◽  
Lorna McCaul

Contents. Principal sources and further reading. The child patient. Treatment planning for children. The anxious child. The child with toothache. Abnormalities of tooth eruption and exfoliation. Abnormalities of tooth number. Abnormalities of tooth structure. Abnormalities of tooth form. Abnormalities of tooth colour. Anatomy of primary teeth (& relevance to cavity design). Extraction versus restoration of primary teeth. Local analgesia for children. Restoration of carious primary teeth. Plastic restoration in primary molars. Stainless steel crowns. Class III, IV, and V in primary teeth. Severe early childhood caries. Primary molar pulp therapy. Pulp therapy techniques. Dental trauma. Safeguarding children. Injuries to primary teeth. Injuries to permanent teeth—crown fractures. Root fractures. Luxation, subluxation, intrusion, and extrusion. Splinting. Management of the avulsed tooth. Pulpal sequelae following trauma. Management of missing incisors. Common childhood ailments affecting the mouth. Sugar-free medications.


2021 ◽  
pp. 37-38
Author(s):  
Kapil Gandhi ◽  
Ritika Ahuja Malhotra ◽  
Sharon Jaiswal ◽  
Shabana Alam ◽  
Babita Jangra ◽  
...  

Lesion sterilization and tissue repair (LSTR) treatment is very effective in disinfecting the root canal using triple antibiotic mixed in a suitable vehicle. This report is highlighting a case where LSTR therapy was done using triple antibiotic paste in primary molar showing peri-radicular pathosis and root resorption. On one-year follow-up, the tooth was asymptomatic with reduction in peri-radicular pathosis and root resorption. Thus, LSTR can be successful for nonvital pulp therapy in primary teeth with peri-radicular pathosis and root resorption. And also, LSTR therapy can be used as an alternative option to extraction in treating primary teeth with peri-radicular pathosis.


2020 ◽  
Vol 9 (1) ◽  
pp. 3
Author(s):  
Masakazu Hamada ◽  
Rena Okawa ◽  
Saaya Matayoshi ◽  
Yuko Ogaya ◽  
Ryota Nomura ◽  
...  

Hypophosphatasia (HPP) is a rare genetic disorder; affected patients may experience early exfoliation of primary teeth, especially anterior teeth. However, there have been few reports regarding longitudinal follow-up for primary teeth, especially posterior teeth, until their replacement with permanent teeth. Here, we describe a patient with HPP who underwent follow-up from 1 to 9 years of age. A 14-month-old boy was referred to our hospital with the chief complaint of early loss of primary anterior teeth. He was diagnosed with odonto-type HPP by his pediatrician, due to low serum alkaline phosphatase concentration and early exfoliation of primary teeth with bone hypomineralization. The patient experienced exfoliation of three additional primary anterior teeth by 4 years and 1 month of age. Partial dentures were applied for space maintenance; there were no problems regarding subsequent replacement with permanent teeth in the anterior region. However, the primary mandibular right first molar appeared to be submerged when the patient was 8 years and 3 months of age; the severity of submergence was greater when the patient was 9 years of age. The affected primary molar was considered to be ankylosed; it was extracted when the patient was 9 years and 4 months of age. Histopathological analysis of the tooth revealed disturbed cementum formation, which is a typical characteristic of teeth in patients with HPP. On the basis of these findings, we hypothesize that the disturbed cementum formation could lead to susceptibility to early exfoliation of anterior teeth, as well as occurrence of ankylosis involving posterior teeth.


Author(s):  
F. S. Ayupova ◽  
S. N. Alekseenko ◽  
V. Ya. Zobenko ◽  
T. V. Gayvoronskaya

Relevance. To study the incidence of different types of resorption of multirooted primary teeth, to specify indications for deciduous molar extraction to prevent eruption abnormalities of permanent posterior teeth in mixed dentition.Materials and methods. Root resorption of 375 multirooted primary teeth (166 first primary molars and 209 second primary molars) was studied on panoramic X-rays of 60 children (30 girls and 30 boys) aged between 7 and 15. Illustrated classification by T.F. Vinogradova (1967) improved by authors was used to determine type and degree of root resorption of multi-rooted primary teeth. Received data were described with absolute values of number of cases and percentage. Chi-square was used to detect differences in sign incidence rate between groups, p<0.05 was considered statistically significant.Results. There were no statistically significant gender differences (p>0,05) in type and degree of root resorption of multirooted primary teeth. Type A resorption prevailed and constituted 53.3% of all primary molars. Disturbances in root resorption of multirooted primary teeth in mixed dentition were related to health condition of primary teeth. Transition of even resorption to unven was considered a risk factor of delayed eruption and aberrant position of permanent teeth, and indication for extraction of a primary molar in question. Conclusions. 1) Even root resorption (type A) was detected in 53.3% of primary molars in mixed dentition by orthopantomography. 2) Transition from even resorption of primary molar roots to uneven resorption was associated with eruption deviations and delayed premolar eruption. 3) Timely extraction of primary molars with uneven root resorption facilitated correct eruption of premolars and increased effectiveness of secondary prevention of malocclusion in children.


2000 ◽  
Vol 24 (4) ◽  
pp. 269-272 ◽  
Author(s):  
Hamijeta Ibricevic ◽  
Qumasha Al-Jame

Seventy primary molar teeth, carious exposed, symptom free, without any sign of root resorption in children aged from 3 to 6 years (main age 4.3yr) were treated with conventional pulpotomy procedures. Ferric sulfate 15.5% solution (applied for 15 second for 35 teeth) and formocresol solution (five minute procedure of Buckley's formula for next 35 teeth) have been used as pulpotomy agents. In both groups, pulp stumps were covered with zinc-oxide eugenol paste. Permanent restorations were stainless steel crowns. Clinical check up was every three-months and radiographic follow-up time was six and twenty months after treatment. Our results within this period revealed 100% clinical success rate in both groups. Radiographic success rate was in both groups 97.2%, while in 2.8% cases has shown internal root resorption. On the basis of these results, we can recommend ferric sulfate as a pulpotomy agent in primary teeth in substitution for formocresol at the moment.


2017 ◽  
Vol 18 (1) ◽  
pp. 34-38
Author(s):  
Mojtaba Abdollahi ◽  
Masoumeh Ebrahimi ◽  
Alireza Sarraf Shirazi ◽  
Faraneh Abdolhoseinpour

ABSTRACT Introduction One of the possible mechanisms for the gradual destruction of bond strength in dentin-resin interface, could be due to the demineralized unstable collagen matrix. Use of protease inhibitors, such as tannic acid (TA) could prevent destruction of collagen fibers. The aim of this study was to compare the TA effect on bond strength of etch and rinse and self-etch adhesive systems in the dentin of primary teeth. Materials and methods This in vitro study was done on 40 extracted primary molar teeth. The teeth were sectioned in the mesiodistal direction, and enamel of buccal and lingual surfaces was removed. Samples were randomly divided into four groups: Single bond (SB) + TA, SB, Clearfil SE Bond (CSB) + TA, and CSB. Then, Z250 and Clearfil AP-X composites were cured on the surfaces of SB and CSB groups respectively. After that, all samples were divided into aging and non-aging groups. For 3 months, samples were placed under 1,000 thermal cycles in aging group. Subsequently, the shear bond strengths of all groups were measured by the International testing machine, and failure mode was evaluated by an optical stereomicroscope. Data were analyzed with paired t-test and independent t-test. Results Tannic acid induced a significant reduction in the immediate bond strength of adhesive SB. Meanwhile, TA had no significant effect on shear bond strength of the CSB system. Conclusion Based on our findings, use of TA is not recommended with SB and CSB adhesives on primary teeth. Clinical significance Tannic acid may not be considered in resin restorations of primary teeth. How to cite this article Ebrahimi M, Sarraf Shirazi A, Abdolhoseinpour F, Abdollahi M. Effect of Tannic Acid on Bond Strength of Etch and Rinse and Self-etch Adhesive Systems in Dentin of Primary Teeth. J Contemp Dent Pract 2017;18(1):34-38.


2021 ◽  
Author(s):  
Burcu Duman ◽  
Salih Doğan

Abstract BackgroundSurface roughness is one of the main factors affecting bacterial adhesion, biofilm growth, plaque formation and coloration on the tooth surface. Improper polishing may increase roughness or not contribute to a reduction in roughness while removing biofilms on tooth surfaces. The aim of this study is to examine the effects of different polishing pastes applied to the enamel of primary teeth on the surface roughness through AFM, which enables a more detailed examination of the measurements, and to evaluate the roughness changes created by the paste on the surface. MethodsIn the present study, in order to compare polishing made using Septodent Détartrine, Kerr Cleanic, Shofu Mersaage Regular under the recommendations of the companies in addition to the application of pumice with a rubber brush, a total of 88 samples with 22 samples in each group were created using 88 primary molar teeth. Before and after polishing, roughness measurements and visualizations were performed with atomic force microscopy (AFM). After polishing, Ra (average roughness) values, which express the surface roughness of the re-scanned samples, were calculated so that the samples were the same as the first scanning. For statistical analysis, Shapiro-Wilk normality test and generalized linear models tests were applied and p <0.05 was considered as statistically significantResultsIn the groups; while there was no significant difference in terms of roughness values ​​(Ra) within the group (p> 0.05), a statistically significant reduction in roughness (Ra) was observed on the sample surfaces after polishing in all groups compared to the baseline (p <0.05). According to the data obtained; all polishing methods used in the treatment of primary tooth discoloration can reduce the plaque formation and thus the amount of recoloring by reducing the surface roughness at a similar level.ConclusionAccordingly, it has been observed that the current polishing pastes do not provide a significant advantage over the traditional polishing method (polishing brush with pumice) in terms of surface roughness in removing discoloration in primary teeth.


2015 ◽  
Vol 39 (5) ◽  
pp. 447-451
Author(s):  
C Nagarathna ◽  
BS Shakuntala ◽  
I Jaiganesh

Objective: Assessing the pulp status plays a vital role in diagnosis and treatment planning in dentistry especially in children, who may not be able to verbalize their dental symptoms. Pulp sensibility test is used as a valuable investigation to evaluate the state of pulp. The aim of this study is to assess the efficiency and reliability of thermal and electrical pulp tests in primary teeth and to rule out the anxiety level involved in each tests. Study design: 30 children aged between 6 to 8 years with carious primary molar teeth in need of conservative pulp therapy were included in this study. 3 tests at random were employed on each tooth which includes cold, heat, electrical pulp test. The sensitivity, specificity, positive predictive value and negative predictive value were evaluated based on the clinical visual examination on access opening and the accuracy for each test was calculated. The Facial Image Scale (FIS) was used to assess the state of dental anxiety in children due to these pulp sensibility tests. Results: The highest accuracy rate was calculated for EPT (0.814) followed by cold test (0.777) and heat test (0.759). Conclusion: No significant association was found between the accuracy of all the three tests. (P value &gt; 0.05). Cold test is the most reliable test due to its simplicity and ease to perform. (FIS -1.53).


2001 ◽  
Vol 25 (1) ◽  
pp. 35-39
Author(s):  
Maria José de Carvalho Rocha ◽  
Mariane Cardoso ◽  
Joeci de Oliveira

A four-year-old child was presented to the Pediatric Dentistry Clinic of the Federal University, 21 days after an incident in which canine first and second primary molar teeth were avulsed, due to a trauma to the face. This was confirmed on radiological examination. The clinical examinations showed that tissues were normal. A removable space-maintaining dental-mucosa supported appliance was made in acrylic resin to replace the three missing teeth. After a period of eight months, the tissues were preserved, the device is helping the child to eat, to speak, and preserving the appearance of the patient. Radiograph examinations have shown that the first molar tooth and canine, first pre molar and second pre molar teeth are erupting normally. Trauma in primary dentition can cause psychological,morphological and functional problems. In the presented case the treatment was planned to recuperate the function and to avoid problems from the premature loss of primary teeth.


2018 ◽  
Vol 42 (1) ◽  
pp. 21-26 ◽  
Author(s):  
Attiguppe Ramasetty Prabhakar ◽  
Kratika Dixit ◽  
OS Raju

Objective: PTFE tape, which is commonly used as plumber's tape is an inorganic, non-fibrous, ribbon like material. The aim of this study was to evaluate PTFE tape as endodontic spacer material and to compare it with commonly used spacer material that is cotton, in primary teeth. Study Design: Seventeen children undergoing pulpectomy of lower second primary molar bilaterally were included in the study. Cotton and PTFE tape were placed as spacers on each side randomly. Samples were taken from the access cavity at baseline and after seven days to check for microbial leakage. Spacer materials were also checked for microbial contamination. Results: The results revealed that there was a significant increase in the bacterial colony count after seven days in cotton group. The access cavities were also positive for microbial leakage in the cotton group where the spacers showed positive growth. In PTFE group only two samples showed microbial contamination of spacer and out of two only one sample showed contamination of access cavity along with spacer. Conclusion: Within the limitations of this study, it can be concluded that PTFE tape performed better than cotton as endodontic spacer material. Thus, PTFE tape can be recommended as an endodontic spacer material as an alternative to cotton in primary teeth.


Sign in / Sign up

Export Citation Format

Share Document