scholarly journals Follow Up on Simple (Closed) Extraction of Fractured Maxillary Canine Teeth in Domestic Ferrets (Mustela putorius furo)

2021 ◽  
Vol 8 ◽  
Author(s):  
Pia Kristina Primožič ◽  
Žiga Žagar ◽  
Klemen Šmalc ◽  
Joško Račnik ◽  
Tanja Švara ◽  
...  

Fractured canine teeth (especially maxillary canine teeth) are common in domestic ferrets (Mustela putorius furo). We evaluated (detailed oral/dental and radiographic examination under general anesthesia) 18 domestic ferrets affected by 23 complicated crown fractures of periodontally healthy permanent maxillary canine teeth over a 2-year period. Average age of the ferrets at the time of diagnosis was 2.6 years. Only three teeth were discolored on clinical examination. Out of 23 teeth, 22 were radiographically evaluated. No radiographic evidence of endodontic disease was observed in 11/22 canine teeth. Inflammatory root resorption was observed in 5/22, periapical lucency in 5/22 teeth, apical widening of periodontal ligament space in 6/22 teeth, and failure of the pulp cavity to narrow in 3/22 teeth. All animals were treated by simple (closed) extraction of the affected teeth. Histological examination of eight teeth was performed. Pulp appeared histologically vital in five (3/5 showed no radiographic evidence of endodontic disease), pulpitis was diagnosed in two (both without radiographic evidence of endodontic disease) and pulp necrosis in one case (dental radiographs revealed apical widening of periodontal ligament space and failure of the pulp cavity to narrow). All extraction sites healed uneventfully by the 2-week recheck examination. Long-term follow-up revealed development of post-extraction upper lip entrapment with mandibular canine tooth in eight out of 18 ferrets, which appeared clinically irrelevant. According to clients seven out of 18 ferrets showed an improved quality of life. Simple tooth extractions are warranted in ferrets affected by complicated crown fracture of the periodontally healthy permanent maxillary canine teeth.

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Girish Umashetty ◽  
Upendra Hoshing ◽  
Suvarna Patil ◽  
Nishant Ajgaonkar

Internal root resorption is a chronic inflammatory process initiated within the pulp space with the loss of dentin. This condition demands a comprehensive understanding of the pathologic process, so as to identify the cause and arrest the resorptive phenomena. It is a rare occurrence, asymptomatic, with slow progression, detected through routine radiographic examination, where it appears as a radiolucent lesion. This paper reports a clinical case of inflammatory internal root resorption in the premolar tooth. Because it is asymptomatic, internal root resorption needs an early diagnosis in order to institute the endodontic treatment before the process compromises the remaining mineralized structures of the tooth. Biodentine was used to reinforce the weaker structures in the root. Thermoplasticised gutta-percha was used to completely obturate the defect. Ten-month follow-up showed arrest of internal root resorption.


2015 ◽  
Vol 5 ◽  
pp. 138-143 ◽  
Author(s):  
Harshal N. Suryavanshi ◽  
Vaishali R. Das ◽  
Aashish Deshmukh ◽  
Raj Rai ◽  
Mena Vora

Background and Objectives The average orthodontic treatment time for extraction therapy is 31 months. One of the main disadvantages of orthodontic treatment is time. Alveolar corticotomies have been used in conjunction with orthodontics to reduce the treatment time by increasing the rate of tooth movement. Concerns about the possible risks of corticotomy procedure have led to the modification of this technique. Germeç et al. reported a case treated by their modified corticotomy technique and noted reduced treatment time without any adverse effects on the periodontium and the vitality of teeth with their new conservative corticotomy technique. This study was undertaken to clinically evaluate the efficacy of the aforesaid technique. Materials and Methods A split-mouth study design was carried out to compare the rate of maxillary canine movement with and without modified corticotomy facilitated orthodontic treatment in 10 patients requiring maxillary first premolar extractions. The modified corticotomy procedure was performed on the maxillary arch unilaterally. The upper arch was immediately activated bilaterally after surgical procedure using equal orthodontic forces for retraction of the maxillary canines. The amount of tooth movement was recorded at an interval of every month till the completion of canine retraction. The rate of canine movement on experimental and control site was compared. The patients were followed for 6 months to check the occurrence of undesired effects such as root resorption, periodontal damage and loss of vitality of teeth on the experimental side. Results Higher mean velocity was observed in canines with modified corticotomy facilitated retraction compared to conventionally retracted canines; with the difference in mean velocity between the two groups was found to be clinically significant as well as statistically significant (P < 0.001). Interpretation and Conclusion The results suggested that modified corticotomy technique serves as an effective and safe way to accelerate orthodontic tooth movement, without adversely affecting the periodontium, root resorption, and the vitality of the teeth, as concluded by clinical and radiographic examination.


Author(s):  
Jacobo Giner ◽  
Sergio Villanueva-Saz ◽  
María Magdalena Alcover ◽  
Cristina Riera ◽  
Roser Fisa ◽  
...  

2008 ◽  
Vol 78 (5) ◽  
pp. 778-785 ◽  
Author(s):  
Babak Falahat ◽  
Sune Ericson ◽  
Rozmary Mak D'Amico ◽  
Krister Bjerklin

Abstract Objective: To document the long-term fate of maxillary incisors with resorbed roots after correction of the associated ectopic canines. Materials and Methods: The subjects were recruited from 107 children and adolescents age 9–15 years (mean 12.5 years) at initial registration, with 156 ectopically positioned maxillary canines. The children were referred to the specialist orthodontic clinic for consultation because of the risk of incisor root resorption. Of 51 patients contacted, 16 failed to attend. Eight of the remaining 35 were excluded because their lateral incisors had been extracted, leaving 27 subjects for follow-up registration. At initial consultation, all subjects had undergone radiographic examination, including computed tomography (CT) scans. At the follow-up consultation, the radiographic examination was limited to intraoral films. Results: No resorbed incisor was lost during the 2- to 10-year follow-up period. The resorptive lesions had undergone repair in 13 teeth, remained unchanged in 12 teeth and progressed in 7 teeth. In the 13 teeth exhibiting signs of repair, no resorption was detectable in 11 teeth and minor resorption was detected in 2 lateral incisors. At the initial registration, severe or moderate resorption had been diagnosed in 12 lateral and 5 central incisors, compared with 11 lateral and 6 central incisors at follow-up. In 10 subjects initially diagnosed with resorption of 13 incisors, the lesions were no longer discernible on intraoral radiographs at follow-up. Conclusions: Even in cases of severe resorption, the incisor roots show good long-term healing. Incisors with root resorption can be used in an orthodontic appliance system.


2016 ◽  
Vol 5 (2) ◽  
pp. 78-83 ◽  
Author(s):  
Kreena Pa Tel ◽  
Federico Foschi ◽  
Ioana Pop ◽  
Shanon Patel ◽  
Francesco Mannocci

Intentional replantation consists of purposefully extracting a tooth, correcting the defect and replanting it into its original socket. This case report describes how this technique was used to successfully restore an external cervical resorptive (ECR) lesion. A 22-year-old man was diagnosed with ECR of the mandibular right canine following clinical and radiographic examination. CBCT showed the lesion had been initiated distally and extended circumferentially around the root canal. The nature of the resorptive lesion meant that it was inaccessible to repair conventionally in a predictable manner. This report describes how intentional replantation was used to access and restore the lesion with minimal patient cooperation and postoperative discomfort. At an 18-month recall the tooth was clinically sound with no radiographic evidence of inflammatory or replacement root resorption. Intentional replantation should be considered a viable treatment option when ECR is inaccessible and cannot be restored using conventional techniques.


2008 ◽  
Vol 33 (1) ◽  
pp. 63-66 ◽  
Author(s):  
Dilsah Cogulu ◽  
Enver Yetkiner ◽  
Cemal Akay ◽  
Ozlem Seckin ◽  
Riza Alpoz

Supernumerary teeth are relatively common in the oral cavity and are characterized by an excessive number of teeth. The term "mesiodens" refers to a supernumerary tooth located in the midline of the maxilla between the central incisors. Mesiodens may cause a variety of pathological complications such as impaction of the maxillary central incisors, tooth retention or delayed eruption of the permanent incisors,crowding, eruption within the nasal cavity, formation of diastema, intraoral infection, root anomaly, root resorption of adjacent teeth and cyst formation accompanied by bone destruction. Therefore it is recommended to follow-up with regular radiographic examination. Early diagnosis minimizes treatment needs and prevents associated complications. The present case, followed for 7 years, presented bilateral mesiodens resulting in delayed eruption of the permanent incisors and emphasizes the importance of multidisciplinary management and long-term follow-up.


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Seyed Mohsen Sadeghi ◽  
Samaneh Moradi ◽  
Samaneh Soltani

Background. Avulsion is among the most severe types of dental trauma, which often occurs at young ages and can compromise the long-term prognosis of the traumatized tooth. Case Report. Herein, we report replantation of two avulsed teeth. Our patient was an 11-year-old boy with two avulsed maxillary central incisors due to a bicycle fall 2 months earlier. The patient was referred to us after rigid splinting of his teeth by a surgeon. Long-term calcium hydroxide (CH) therapy was performed for the patient, and after healing of periodontal ligament (PDL), apexification was performed for both teeth followed by root canal therapy. During the 2-year follow-up, both teeth were functional and had no radiographic or clinical evidence of resorption or ankylosis. Conclusion. The reported case highlights the favorably high tissue healing potential following severe dental trauma, given that appropriate treatment is performed. Correct endodontic management can guarantee the long-term prognosis of teeth following severe dental trauma.


2016 ◽  
Vol 27 (4) ◽  
pp. 476-480 ◽  
Author(s):  
Karla de Faria Vasconcelos ◽  
Sergio Lins de-Azevedo-Vaz ◽  
Deborah Queiroz Freitas ◽  
Francisco Haiter-Neto

Abstract This case report aimed to highlight the usefulness of cone beam computed tomography (CBCT) and its post-processing tools for the diagnosis, follow-up and treatment planning of invasive cervical resorption (ICR). A 16-year-old female patient was referred for periapical radiographic examination, which revealed an irregular but well demarcated radiolucency in the mandibular right central incisor. In addition, CBCT scanning was performed to distinguish between ICR and internal root resorption. After the diagnosis of ICR, the patient was advised to return shortly but did so only six years later. At that time, another CBCT scan was performed and CBCT registration and subtraction were done to document lesion progress. These imaging tools were able to show lesion progress and extent clearly and were fundamental for differential diagnosis and treatment decision.


2020 ◽  
Vol 12 (45) ◽  
pp. 113-117
Author(s):  
Caroline Felipe Magalhães Girelli ◽  
Thaís da Silva Alves ◽  
Betina Maria de Lima Oliveira ◽  
Mariane Floriano Lopes Santos Lacerda ◽  
Carolina Oliveira de Lima

External inflammatory root resorption (EIRR) is one of the consequences of pulp necroses caused by intrusive dislocation (ID). The objective of the study was to report a clinical case of ID associated with EIRR, which was submitted to late endodontic treatment. Patient came to the dental office five months after a trauma with a clinical picture of intrusive dislocation of tooth 21 associated with pulp necrosis, but without symptoms. Radiographic examination showed an image compatible with EIRR along root surface. The treatment plan was to undergo endodontic treatment with calcium hydroxide changes which occurred monthly for 8 months. When EIRR stopped, the root canal was filled. After clinical and radiographic follow up for 5 years, there was an involution of the damage caused by the clastic activity resulting from the resorptive process, characterizing the success of the instituted therapy.


Author(s):  
Da Bin Lee ◽  
Boaz Arzi ◽  
Philip H. Kass ◽  
Frank J. M. Verstraete

Abstract OBJECTIVE To evaluate the radiographic outcome of root canal treatment (RCT) in dogs and compare outcomes with those reported for a previous study performed at the same institution in 2002. ANIMALS 204 dogs representing 281 teeth that underwent RCT. PROCEDURES The medical record database of a veterinary teaching hospital was searched to identify dogs that underwent RCT between 2001 and 2018. Only dogs that had undergone at least 1 radiographic recheck appointment a minimum of 50 days after RCT were included in the study. Dental radiographs were reviewed. Treatment was considered successful if the periapical periodontal ligament space was within reference limits and preexisting external inflammatory root resorption (EIRR), if present, had stabilized. Treatment was considered to show no evidence of failure (NEF) if preoperative EIRR had stabilized and any preoperative periapical lucency (PAL) remained the same or had decreased in size but had not completely resolved. Treatment was considered to have failed if EIRR or a PAL developed after RCT, if a preoperative PAL increased in size, or if preexisting EIRR progressed. RESULTS Follow-up time ranged from 52 to 3,245 days (mean, 437 days). RCT was classified as successful for 199 (71%) teeth, NEF for 71 (25%) teeth, and failed for 11 (4%) teeth. CONCLUSIONS AND CLINICAL RELEVANCE Results showed that almost 2 decades after RCT outcome in dogs was first evaluated, during which time numerous advances in dental materials and techniques had been made, the success rate of RCT was virtually unchanged.


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