SPLITTING FOR SURVIVAL – A CASE REPORT

Vertical root fractures of endodontically treated teeth are an exasperating complication that often leads to extraction of the tooth. Early detection and management of vertical root fractures, remain a vexing issue that has caused endless anguish for both the patient as well as the dental practitioner. Bicuspidization is a surgical procedure wherein the mesial and distal roots of primarily the mandibular molars are separated with their respective crown segments. This in turn helps the patient maintain effective oral hygiene by using an interdental brush, as it eliminates the presence of a furcation. This article elucidates the treatment procedure of a mandibular molar by biscuspidization.

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Clark’s Technique of Vestibuloplasty - A Case Report

Journal of Nepalese Society of Periodontology and Oral Implantology ◽

10.3126/jnspoi.v4i2.34305 ◽

2020 ◽

Vol 4 (2) ◽

pp. 93-95

Author(s):

Benju Shrestha ◽

Krishna Prasad Lamichhane ◽

Shaili Pradhan ◽

Ranjita Shrestha Gorkhali ◽

Pramod Kumar Koirala

Keyword(s):

Case Report ◽

Oral Hygiene ◽

Surgical Procedure ◽

Gingival Recession ◽

Muscle Attachment ◽

Attached Gingiva

Shallow vestibule can create a barrier in oral hygiene maintenance and can cause gingival recession due to the muscular traction. Inadequate vestibular depth in combination with inadequate attached gingiva is said to cause more food accumulation during mastication. Hence, shallow vestibule impeding with oral hygiene maintenance requires correction. Vestibuloplasty involves surgical procedure for repositioning of mucosa and muscle attachment thereby increasing the vestibular depth. There are various techniques of vestibuloplasty. This case report highlights upon the Clark’s technique of vestibuloplasty for correction of shallow vestibule.

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ENDOCROWN : AN ALTERNATIVE APPROACH FOR RESTORING OF ENDODONTICALLY TREATED TEETH – A CASE REPORT

10.36106/ijsr/1000882 ◽

2020 ◽

pp. 1-4

Author(s):

Alakesh Singha

Keyword(s):

Case Report ◽

Treatment Time ◽

Pulp Chamber ◽

Endodontically Treated Teeth ◽

Promising Alternative ◽

Tooth Structure ◽

Biomechanical Behavior ◽

Restoration Technique ◽

Mandibular Molar ◽

Molar Teeth

Coronal rehabilitation of severely damaged endodontically treated teeth is the most challenging task as there is high risk of failure than vital teeth. Advances in adhesive dentistry have made great contributions to cosmetic & restorative dentistry over the past few decades. Endocrown is indicated for restoration of severely damaged molar, which requires specific restoration technique. This therapy promotes the stability and retention of the indirect restoration, without the need of a cast metal core or reconstruction with intracanal post, thereby reducing the treatment time. Endocrowns are formed from a monoblock containing the coronal portion integrated into the apical projection that fills the pulp chamber space and possibly the root canal ingresses. The major advantage of an endocrown is the use of the tooth structure remnant, particularly the pulp chamber, to promote retention and stability. This case report represents the restorations of severely damage mandibular molar teeth (46) by Endocrown which represented a conservative and aesthetic restorative alternative to full coverage crown. It was found that endocrown restorations could be made following the development of reinforced ceramics that can be acid etched, that have aggregate strength and esthetics, that bond to the dental structure, and that have developed from broader knowledge of the biomechanical behavior of depulped teeth restored with and without intraradicular posts. Clinical studies have shown that the endocrown has functional longevity, and has become a promising alternative in the esthetic and functional recovery of endodontically treated molar teeth.

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Endodontic Treatment of a Mandibular Molar with Radix Paramolaris: A Case Report

Oral Rehabilitation and Dentistry ◽

10.31487/j.ord.2021.01.01 ◽

2021 ◽

pp. 1-4

Author(s):

Ove Peters ◽

Samer Ebeid ◽

Raymond Scott ◽

Shreyas Oza ◽

Julian Shen ◽

...

Keyword(s):

Case Report ◽

Root Canal ◽

Anatomical Variations ◽

Endodontic Treatment ◽

Cone Beam ◽

Mandibular Molars ◽

Mandibular Molar ◽

Root Canal Morphology ◽

Root Canal System ◽

Canal Morphology

Anatomical variations of the root canal system of mandibular molars are common and often present challenges for endodontic treatment. In some cases, an additional root is located in the distolingual, radix entomolaris (RE), or more rarely in the buccal, radix paramolaris (RP). This case report illustrates rare nonsurgical retreatment of the complex root canal morphology of a RP and demonstrates the utility of cone-beam computed tomography (CBCT) and 3D printing in managing such a case. Underscored is the need for clinicians to understand the possible variations of root canal morphology of mandibular molars and the role CBCT imaging can play in addition to periapical radiographs in order to successfully treat a tooth with radix paramolaris.

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Mid Mesial Canal in Mandibular Molars: Two Case Report and A Review of Literature

IRA-International Journal of Applied Sciences (ISSN 2455-4499) ◽

10.21013/jas.v10.n3.p1 ◽

2018 ◽

Vol 10 (3) ◽

pp. 27

Author(s):

Anushka Yadav ◽

Somendra Saraswat ◽

B.R. Adyanthaya ◽

Meetu Mathur

Keyword(s):

Case Report ◽

Root Canal ◽

Clinical Case ◽

Case Reports ◽

Root Canal Treatment ◽

Filling Material ◽

Review Of Literature ◽

Mandibular Molars ◽

Mandibular Molar

<p class="Default">The main objective of root canal treatment is thorough mechanical and chemical cleansing of the entire pulp space followed by complete obturation with an inert filling material. These molars normally have two roots, one mesial and one distal, and their usual canal distribution is two in the mesial root and one or two in the distal root. This clinical case reports and review of literature describes the management of the mandibular molar with three separate mesial canals including middle mesial canal.</p>

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Tooth Multi-Sectioning with the Use of Magnification, for Extraction of a Deeply Impacted Lower Second Molar with Entrapment of the Inferior Alveolar Nerve: Report of a Case

Balkan Journal of Dental Medicine ◽

10.1515/bjdm-2016-0008 ◽

2016 ◽

Vol 20 (1) ◽

pp. 49-53 ◽

Cited By ~ 1

Author(s):

Ioannis Tilaveridis ◽

Stilianos Dalambiras ◽

Maria Lazaridou ◽

Lambros Zouloumis

Keyword(s):

Case Report ◽

Nerve Injury ◽

Inferior Alveolar Nerve ◽

Second Molar ◽

Mandibular Molars ◽

Mandibular Molar ◽

Inferior Alveolar Nerve Injury

SummaryInferior alveolar nerve injury is one of the most serious complications of mandibular molar surgery and may lead to litigation for mal-practice. Entrapment of the inferior alveolar nerve to roots of an impacted mandibular molars is extremely rare. The aim of this case report is to stress the importance of tooth multi-sectioning with the use of magnification for the safe removal of a deeply impacted second molar with entrapment of the inferior alveolar nerve in its proximal root.

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The effectiveness of waist-shaped and straight-shaped interdental brushes in cleaning implant overdenture attachments: a self-controlled clinical trial

Journal of Oral Implantology ◽

10.1563/aaid-joi-d-19-00149 ◽

2020 ◽

Author(s):

Qiuwen Chen ◽

Yanjun Ge ◽

Jinyou Chai ◽

Hailan Feng ◽

Jianzhang Liu ◽

...

Keyword(s):

Clinical Trial ◽

Oral Hygiene ◽

Respiratory Diseases ◽

The Other ◽

Controlled Clinical Trial ◽

Cleaning Procedure ◽

Plaque Removal ◽

Line Angle ◽

Implant Overdenture ◽

Interdental Brush

Elderly patients often find it challenging to remove plaque accumulated on the attachments of implant overdentures (IOD) using conventional cleaning instruments. Further, excessive plaque accumulation can lead to peri-implant diseases and occasionally to respiratory diseases. Therefore, here, we aimed to compare the effectiveness of waist-shaped interdental brushes (WIB) with that of straight-shaped ones (SIB) in plaque removal from the locator attachments of IOD. Twenty participants with two locator attachments retaining mandibular IOD participated in this study. After the baseline cleaning, the participants refrained from oral hygiene maintenance for 3 days. A dentist cleaned one of the attachments using the WIB and the other attachment using the SIB. The pre- and post-cleaning modified plaque index (mPLI) scores were recorded. Following another 3 days free from oral hygiene maintenance, the trained participants repeated the same cleaning procedure using the WIB and SIB. Pre- and post-cleaning mPLI scores were recorded. Regardless of the type of brush used, the post-cleaning mPLI scores were lower than the pre-cleaning ones. After the cleaning procedure, the overall mean mPLI score was lower in the WIB group than in the SIB group. The post-cleaning mPLI scores at the line-angles and on the axial surfaces of the attachments were also lower in the WIB group than in the SIB group. There was no difference in the cleaning effectiveness between the dentist and participants when they used the same type of interdental brush. The WIB was significantly more efficient in plaque removal than the SIB, especially at the line-angle sites.

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Hemisection: A ray of hope for the management of periodontally compromised mandibular molars - A case report and review

International Journal of Medical and Dental Case Reports ◽

10.15713/ins.ijmdcr.89 ◽

2018 ◽

Vol 5 (1) ◽

pp. 1-4

Author(s):

Sourav Chandra ◽

Pratibha Shashikumar ◽

Doiphode Minu Vijay ◽

Bhawna Kumari

Keyword(s):

Case Report ◽

Mandibular Molars

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The multifactorial aetiology of gingival overgrowth: a case report illustrating diagnosis and management

Dental Update ◽

10.12968/denu.2019.46.7.662 ◽

2019 ◽

Vol 46 (7) ◽

pp. 662-671

Author(s):

Rachael Y Jablonski ◽

Bethany Rushworth ◽

Kathryn A Durey

Keyword(s):

Case Report ◽

Renal Transplantation ◽

Vitamin C ◽

Oral Hygiene ◽

Patient Engagement ◽

Surgical Intervention ◽

Gingival Overgrowth ◽

Vitamin C Deficiency ◽

Specialist Services ◽

Detailed Assessment

Gingival overgrowth is the enlargement of gingival tissues and has various underlying aetiological factors. This case report highlights the multifactorial aetiology of gingival overgrowth for a patient who was prescribed an immunosuppressive strategy following renal transplantation, had poor levels of oral hygiene and a diet deficient in fruit and vegetables. The report highlights the importance of a detailed assessment to identify all underlying factors and demonstrates how a referral to the specialist services for gingival overgrowth led to a diagnosis of vitamin C deficiency. It also illustrates how both patient engagement and a conservative cause-related therapy can achieve a satisfactory resolution without any surgical intervention. CPD/Clinical Relevance: This case report highlights the importance of a detailed assessment to diagnose all relevant underlying aetiological factors involved in the development of gingival overgrowth. It also illustrates how both patient engagement and a conservative cause-related therapy can achieve a satisfactory resolution of gingival overgrowth without any surgical intervention.

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