INTENTIONAL REPLANTATION- A VIABLE SOLUTION FOR INSTRUMENT SEPARATION: A CASE REPORT

2021 ◽  
pp. 24-26
Author(s):  
P Karunakar ◽  
M.S. Rangareddy ◽  
B.Sravan Kumar ◽  
B.S Karteek ◽  
Mohammed Aamer Khan

The fracture of an endodontic instrument is an obstacle in the completion of successful endodontic therapy. Non-surgical re-treatment and surgical endodontics are not always viable solutions. The various methods of re-treatment for a separated instrument include le bypass, le retrieval or the surgical method of Apicoectomy. However, the mode of treatment also depends on the position of the separated instrument in the tooth, the anatomy of the tooth and also the root. In certain cases, le bypass or retrieval is not advocated. In such cases, other options for re-treatment are needed to be considered. Intentional replantation is a treatment option considered by many as a procedure of last resort when non-surgical and surgical endodontics is contraindicated. This procedure is often indicated where the separated instrument is at or beyond the apex. The case report discussed in this paper presentation demonstrates the procedure of intentional replantation as a viable solution where other retreatment procedures are not possible.

2017 ◽  
Vol 17 (2) ◽  
pp. 558-561 ◽  
Author(s):  
Juyoung Ryu ◽  
Kangwook Lee ◽  
Changmug Joe ◽  
JongCheon Joo ◽  
Namhun Lee ◽  
...  

Hyperthermia, which is a noninvasive treatment that causes tumor cells to become heated and that works in synergy with anticancer drugs and radiation therapy, is emerging as a promising treatment for patients with cancer. The purpose of this study is to report the efficacy of hyperthermia combined with chemotherapy (gemcitabine/cisplatin) for the treatment of a patient with unresectable cholangiocarcinoma. A 54-year-old man was diagnosed as hilar cholangiocarcinoma (Klatskin tumor) and was administered neoadjuvant and preoperative radiation with chemotherapy. However, because the treatment with radiation and chemotherapy was not successful, he decided to undergo hyperthermia combined with chemotherapy as a second treatment option. He was suffering from fatigue, dyspepsia, epigastralgia, and jaundice. Hyperthermia combined with chemotherapy was administered 32 times over a period of 4 months. The patient experienced no critical complications, and the patient’s condition improved, with the carbohydrate antigen 19-9 (CA 19-9) and the total bilirubin levels being relatively lowered. In addition, the computed tomography scan showed that the cholangiocarcinoma had not progressed. In conclusion, this case report suggests radiofrequency hyperthermia combined with chemotherapy may be a promising treatment option for patients with unresectable cholangiocarcinoma.


2018 ◽  
Vol 23 (4) ◽  
pp. 79-87
Author(s):  
Renato Barcellos Rédua ◽  
Paulo César Barbosa Rédua

ABSTRACT Hypodontia is the most prevalent craniofacial malformation in mankind. It may present a wide variety of manifestations and, depending on the number and location of missing teeth, it may affect the esthetics, mastication, speech and occlusal balance. This paper discusses the therapeutic approaches to solve this condition, describing a case report with hypodontia of one mandibular lateral incisor, which treatment option included space closure at the region of hypodontia associated with composite resin restorations in the mandibular central incisors. The three-year follow-up after treatment revealed occlusal stability, adequate intercuspation in Class I relationship and excellent micro and macroesthetics.


2005 ◽  
Vol 29 (4) ◽  
pp. 293-298 ◽  
Author(s):  
Virginia Karapanou

This report demonstrates a simple endodontic solution to an interdisciplinary case of a patient with multiple gene deficiencies. An adolescent patient presented with an impacted premolar that could not be extracted due to high-risk conditions. A suspicious degree of radiolucency around the crown was clinically diagnosed as dentigerous cyst. The treatment dilemma and implementation are discussed. This case report offers a different treatment option for impacted teeth when significant differential diagnosis of a pericoronal lesion dictates treatment.


2020 ◽  
Vol 11 (1) ◽  
pp. 70-72 ◽  
Author(s):  
Markus Rossmann ◽  
Christian Ansorge ◽  
Christian Lausmann ◽  
Eduardo M. Suero ◽  
Thorsten Gehrke ◽  
...  

2010 ◽  
Vol 8 (1) ◽  
Author(s):  
Christoforos Kosmidis ◽  
Christoforos Efthimiadis ◽  
Georgios Anthimidis ◽  
Kalliopi Vasiliadou ◽  
Ioanna Tzeveleki ◽  
...  

RSBO ◽  
2017 ◽  
Vol 1 (1) ◽  
pp. 50
Author(s):  
Keith Jimmy Gonçalves ◽  
Gabrielle Gobbo Agnoletto ◽  
Leonardo Fernandes Da Cunha ◽  
Carmen Mueller Storrer ◽  
Tatiana Miranda Deliberador

Introduction: Today, the appreciation of aesthetic dentistry by society brought to the search for materials and techniques that improve the appearance of smile, which is essential in maintaining physical and mental health of the patient. Objective: This study aimed to report a case of gummy smile involving Periodontics and Restorative Dentistry. Case report: This case, despite other possible alternatives, was solved through periodontal surgery (clinical crown augmentation associated with osteotomy) and indirect restorations with porcelain crowns. Conclusion: In our experience this procedure is safe, predictable, with minimal risks or side effects, and it is a treatment option for these cases.


2021 ◽  
pp. 29-30
Author(s):  
Deepika Sharma ◽  
Tarun Gaur ◽  
Karunakaran Keshav

With the advancement in the dental implant treatment, many new innovative improvements have been developed in the designs and components of implants. These improvements helps to handle the compromising situations where sometimes the good treatment option can become more challenging. One of the such grueling condition is implant placement in the anterior maxilla where dentist has to fulll both aesthetic and functional demand. Many aesthetic failures of implant have been reported in the literature in the anterior maxilla. One of them is placing implant in sites with deciency of facial bone thickness which sometimes resulted in malposition of implant. This case report discusses about the prosthodontic correction of malpositioned implant in the anterior maxilla by using castable abutment. The use of castable abutment is concluded as successful treatment option for complex misaligned and malposed single dental implant.


2012 ◽  
Vol 3 (1) ◽  
pp. 53 ◽  
Author(s):  
Amit Bali ◽  
Deepika Bali ◽  
Nageshwar Iyer ◽  
Ashutosh Sharma

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