STRENTHENING BY DIVIDING: TREATMENT OF GRADE III FURCATION INVOLVEMENT WITH PLATELET RICH FIBRIN

2021 ◽  
pp. 1-2
Author(s):  
Vasundhara V ◽  
Jeevanandam S ◽  
Harshitha Harshitha ◽  
Arka Das

The modern dentistry has provided opportunity to the patient to increase the longevity of functional dentition. Therapeutic measures may vary in the complexity of the teeth. The treatment may involve combination of restorative dentistry, endodontics, and periodontics


2020 ◽  
pp. 7-8
Author(s):  
Valliammai Rajendran ◽  
David Kadakampally ◽  
Yamini Mannava ◽  
Deepa G Kamath ◽  
Ravalika N Kothuri

Introduction: Teeth with furcation involvement can be maintained in a state of function for a longer period of time if appropriately treated and if the patient is motivated adequately. This report highlights the effect of regenerative and resective therapy in the management of grade III furcation involvement. Observation: A 48 years old male patient was evaluated for furcation involvement with respect to the root canal treated lower right first molar tooth. Grade III furcation involvement was noted for which regenerative therapy was attempted with platelet rich fibrin (PRF) and bone grafts. After 2 years of follow up, the furcation involvement still persisted and patient had a complaint of food lodgement. Hence, resective osseous surgery (tunnel preparation) was done to make the furcation ease for maintaining oral hygiene. Commentary: In cases of periodontal loss, periodontal regenerative therapy must be the first treatment of choice. However, regeneration of grade III furcation involvement is more challenging and very few reports are available in the literature. Conclusion: The selection of cases for regenerative or resective therapy depends on the clinicians’ knowledge and practice. The ultimate goal of periodontal therapy is to provide a dentition that will function in health and comfort for life.







1984 ◽  
Vol 3 (2) ◽  
pp. 107-116 ◽  
Author(s):  
D. Jacobsen ◽  
P.S. Frederichsen ◽  
K.M. Knutsen ◽  
Y. Sørum ◽  
T. Talseth ◽  
...  

1 The clinical course in an unselected group of 1125 consecutively hospitalised self-poisonings was studied during 1 year in Oslo. 2 Mortality was 0.5%, but only 0.3% in those admitted without cardiac and respiratory arrest. Mortality among those in grade IV coma was 4.2%. 3 The deepest comas (grade III or IV) occurred in 25.1% of the admissions with a mean duration of the coma of 5.8 h (range 1-80). 4 Complications occurred in 21.7% of the admissions and 6.9% suffered more than one complication of which the most frequent were respiratory depression (13.5%), hypotension (5.3%), pneumonia (4.4%), and hypothermia (1.6%). The complication rate was highest in poisonings with opiates (60.7%), meprobamate (37.5%) and antihistamines (30.0%). 5 Arrhythmias and respiratory depression were closely associated with poisonings with antidepressants and opiates, respectively. Owing to frequent polydrug overdoses it was difficult to associate other complications with other main toxic agents. 6 Administration of antidotes (20.6%), cuffed intubation (4.4%) and forced alkaline diuresis (3.4%) were the most frequent special therapeutic measures taken. 7 The change in pattern of self-poisonings in Oslo focuses on antidote therapy and intensive care, especially outside hospital, but limits the need for haemodialysis and haemoperfusion which were performed in only 1.0% of the admissions.



Author(s):  
Rebicca Ranjit ◽  
Pratik Manandhar ◽  
Soni Bista

A periodontally compromised tooth with severe furcation involvement may as well be retained of their roots rather than its removal in toto. Bicuspidisation (Premolarisation) is a surgical technique of sectioning mandibular molar roots with their respective crown portions followed by rehabilitation with fixed prosthesis in the individual segments. This not only eliminates furcation involvement but also facilitates effective oral hygiene maintenance. The present case report demonstrates the successful management of grade III furcation involved mandibular molar by bicuspidisation followed by subsequent prosthodontic rehabilitation. It gives a better alternative to salvage a periodontally compromised tooth rather than opting for extraction.



2020 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
MariaAparecida Neves Jardini ◽  
CamilaLopes Ferreira ◽  
Julianade Fátima Pedroso ◽  
VictóriaClara da Silva Lima ◽  
TatianeCaroline de Souza Ramos ◽  
...  


2020 ◽  
Vol 11 (4) ◽  
pp. 332-337
Author(s):  
Saranya Varadarajan ◽  
Thodur Madapusi Balaji ◽  
Raghunathan Jagannathan ◽  
Swaminathan Rajendran ◽  
Lakshmi Priya Sridhar


Author(s):  
B. Van Meerbeek ◽  
L. J. Conn ◽  
E. S. Duke

Restoration of decayed teeth with tooth-colored materials that can be bonded to tooth tissue has been a highly desirable property in restorative dentistry for many years. Advantages of such an adhesive restorative technique over conventional techniques using non-adhesive metal-based restoratives include improved restoration retention with minimal sacrifice of sound tooth tissue for retention purposes, superior adaptation and sealing of the restoration margins in prevention of caries recurrence, improved stress distribution across the tooth-restoration interface throughout the whole tooth, and even reinforcement of weakened tooth structures. The dental adhesive technology is rapidly changing. An efficient resin bond to enamel has already long been achieved. Its bonding mechanism has been fully elucidated and has proven to be a durable and reliable clinical treatment. However, bonding to dentin represents a greater challenge. After the failures of a dentin acid-etch technique in imitation of the enamel phosphoric-acid-etch technique and a bonding procedure based on chemical adhesion, modern dentin adhesives are currently believed to bond to dentin by a micromechanical hybridization process. This process is developed by an initial demineralization of the dentin surface layer with acid etchants exposing a collagen fibril arrangement with interfibrillar microporosities that subsequently become impregnated by low-viscosity monomers. Although the development of such a hybridization process has well been documented in the literature, questions remain with respect to parameters of-primary importance to adhesive efficacy.



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