Management of discolored tissues after endodontic treatment in direct composite reconstructions

2020 ◽  
Vol 18 (1) ◽  
pp. 59-64
Author(s):  
D. Pisuk
Keyword(s):  
Clinical Case ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Endodontic Treatment ◽  
Anterior Maxilla ◽  
Tooth Discoloration ◽  
Causative Factors ◽  
Direct Restoration ◽  
Maxillary Incisors ◽  
Blue Gum

Internal tooth discoloration is a problem in aesthetic restorations in the anterior maxilla, which requires analysis of many causative factors, assessment of restoration possibilities, as well as aesthetics of soft tissues, including the position of the lips with regards to a smile and the often encountered blue gum zenith. This article presents a clinical case in which an aesthetic direct restoration of the maxillary incisors was performed as an alternative to prosthodontic treatment after drawing up a treatment plan and determining indications.

scholarly journals Optimizing Anterior Implant Esthetics With a Vascularized Interpositional Periosteal Connective Tissue Graft for Ridge Augmentation: A Case Report

2018 ◽  
Vol 44 (4) ◽  
pp. 267-276
Author(s):  
Cimara Fortes Ferreira ◽  
Edival de Magalhães Barreto ◽  
Barbara Zini
Keyword(s):  
Connective Tissue ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Class Iii ◽  
Anterior Maxilla ◽  
Ridge Augmentation ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Close Cooperation

Achieving excellence in anterior rehabilitations requires close cooperation between the periodontist and the prosthodontist. Many techniques can be used to restore the lost alveolar hard and soft tissues. The more severe the peri-implant defect, the higher the challenge and lower the predictability of the procedure. The present case consists of Seibert Class III with malaligned implants in the esthetic zone resolved with a cost-modified treatment plan to reestablish esthetics in the anterior maxilla using a rotated palatal flap. The vascularized interpositional periosteal connective tissue graft was effective in augmenting the soft tissue in the esthetic zone and remained stable over a 2-year period. Additional long-term clinical studies are necessary to support these results.

Regenerative Endodontic Treatment versus Apical Plug in Immature Teeth: Three-Year Follow-Up

2016 ◽  
Vol 40 (5) ◽  
pp. 356-360 ◽  
Author(s):  
Saeed Asgary ◽  
Mahta Fazlyab ◽  
Ali Nosrat
Keyword(s):  
Endodontic Treatment ◽  
Treatment Protocols ◽  
Anterior Maxilla ◽  
Periapical Lesions ◽  
Cem Cement ◽  
Immature Teeth ◽  
Tooth Discoloration ◽  
History Of ◽  
The Right ◽  
Regenerative Endodontic Treatment

This report compares and evaluates the treatment outcomes of regenerative endodontic treatment and apical plug as two accepted treatment protocols in a pair of necrotic immature maxillary central incisors of a 12-year old female. The patient was referred complaining of a dull pain and swelling in her upper lip area. She had a history of trauma to the anterior maxilla two years earlier. Both teeth were clinically diagnosed with pulp necrosis and periapical radiographs revealed that separate periapical radiolucent lesions surrounded the immature apices of both teeth. The left and right incisors were treated with apical plug and regenerative endodontic treatment, respectively, using calcium-enriched mixture (CEM) cement. The patient was followed-up for three years. During this period, both teeth were clinically asymptomatic and showed complete radiographic healing of the periapical lesions. The right central incisor showed root development. No tooth discoloration was evident. Apexification by apical plug placement and pulp regeneration are both reliable treatments for immature non-vital teeth. In order to choose the right treatment the advantages of either technique should be weighed against its drawbacks. CEM cement can be successfully applied for both purposes. This biomaterial causes less discoloration of the tooth.

Reabsorção externa inflamatória após luxação intrusiva dentária – conduta clínica de tratamento tardio

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
Keyword(s):  
Clinical Picture ◽  
Root Canal ◽  
Clinical Case ◽  
Root Resorption ◽  
Treatment Plan ◽  
Root Surface ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Dental Office

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.

scholarly journals Current opportunities of primary endodontic treatment of chronic apical periodontitis with endo-perio origin

2021 ◽  
Vol 19 (4) ◽  
pp. 338-342
Author(s):  
I. V. Kornetova ◽  
A. V. Mitronin ◽  
I. M. Rabinovich
Keyword(s):  
Clinical Practice ◽  
Final Stage ◽  
Clinical Case ◽  
Treatment Plan ◽  
Apical Periodontitis ◽  
Endodontic Treatment ◽  
Controversial Issue ◽  
Comprehensive Treatment ◽  
High Quality ◽  
Successful Result

Primary endodontic treatment of chronic apical periodontitis caused by primary perio lesion, a frequent case in the dental clinical practice. This situation is a dilemma when drawing up a comprehensive treatment plan for a patient, taking into account the pathogenesis of the disease. Extracting or saving a tooth is still a controversial issue for dental surgeons and therapists. To obtain a successful result, it is necessary to carry out high-quality endodontic and periodontal treatment. This article represents a clinical case of primary endodontic treatment of tooth 1.7 with endo-perio lesion. At the final stage, the final result of the treatment is presented in 2 weeks. This article will help dentists acquire additional knowledge necessary for making decisions and choosing treatment tactics in difficult clinical situations.

scholarly journals THE PROSTHODONTIC TREATMENT OF THE MANDIBLE EDENTULOUSNESS. CLINICAL CASE

2021 ◽  
pp. 140-146
Author(s):  
B. L. Pelekhan ◽  
M. M. Rozhko ◽  
L. I. Pelekhan
Keyword(s):  
Dental Implants ◽  
Clinical Case ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Dental Prosthesis ◽  
Main Task ◽  
Early Loading ◽  
Removable Dental Prosthesis ◽  
The Future ◽  
Prosthesis Fixation

The article presents a clinical case of the prosthodontic treatment of the mandible edentulousness. Edentulousness is a widespread pathology that depends on the social and economic situation in the country, the demographic situation, the level of dental care and prevention organization. The current worldwide trend of population aging leads to an increase in the number of the elderly, and this number is expected to increase in the future. According to the WHO, today about 600 million people are people over 60, and this number will have doubled by 2030 and will constitute 2 billion in 2050 mostly in developed countries. The situation in Ukraine is not better. Functional and aesthetic rehabilitation of patients with edentulousness requires a comprehensive approach to the prosthodontic treatment planning. Complete removable laminar dentures on the mandible have a number of disadvantages. Insufficient fixation, stabilization, diction problems, aesthetic problems, decreased self-esteem of the patient are among the key ones. Modern protocols of the prosthodontic treatment require the manufacture of dental prostheses based on intraosseous dental implants. Complete dentures based on intraosseous dental implants have a number of advantages over the fixed dentures. Compensation for deficient bone support of the facial soft tissues occurs by means of the basis. Patients’ possibility to remove a secondary restoration by themselves lead to proper hygiene of the oral cavity and peri-implant area in particular. The clinical research conducted by S. Wolfart (2016) showed the possibility of fixed/removable dental prosthesis fixation in 14-31 days (early loading) after the surgical stage of implantation provided that 4-6 intraosseous dental implants were installed. The maximum mobilization of the patient to comply with the recommendations and prescriptions is the main task considering the limited postoperative period before the dental prosthesis fixation. Our publication describes the treatment of a patient born in 1967, who was diagnosed with a mandible complete absence of teeth. Diagnosis, examination and treatment were performed on the basis of the Department of Dentistry Postgraduate Education of Ivano-Frankivsk National Medical University. The described prosthodontic treatment plan involves the manufacture of a complete denture with bar system based on four intraosseous dental implants according to the early loading protocol in a patient with primary treatment of mandible edentulousness. The choice of treatment plan was based on the results of past medical history, the patient’s disease, basic and additional methods of examination, analysis of individual indications and contraindications and readiness for the selected treatment plan. This treatment protocol has its advantages over the protocol of manufacturing a fixed prosthesis based on intraosseous dental implants such as a higher level of proprioceptive sensations, increased level of hygiene, lower complexity of clinical and laboratory stages, affordability. The term of clinical and laboratory stages of manufacturing (from the surgical stage of implant treatment to the fixation of the dental prosthesis) constituted 16 days. Additional opportunities for success in clinical and laboratory stages of treatment, the accuracy of manufacture and minimization of complications in the future were created as a result of the combination of digital and analog treatment methods in dental prosthesis manufacturing.

An Ayurvedic Visual Rehabilitation In Lebers Congenital Amaurosis - Prospective Case Study

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Vidhyasri M ◽  
Dr. S. M. Pasha
Keyword(s):  
Marked Improvement ◽  
Clinical Case ◽  
Treatment Plan ◽  
Visual Disability ◽  
Visual Rehabilitation ◽  
Potential Risks ◽  
The Subject ◽  
Slow Frequency

Introduction: This is the case report of child who was diagnosed with LCA reported with complaints of large-amplitude, slow-frequency, roving nystagmus, frequent tendency to press on his eyes, enopthalmos, with completely normal ophthalmoscopic examination with normal appearing optic nerve and retina and has a non recordable ERG; considering this condition under the lines of Vataja Nanatmaja Vyadhi treatment was structured to render effective visual rehabilitation which showed marked results. Methods: 4 years old male child who was diagnosed with lebers congenital amaurosis was brought by his parents to Eye OPD, GAMC, Bengaluru. The presentation of this case includes bibliographic review of the subject, presentation of a clinical case and description of the importance of Ayurvedic prespective of handling of these patients. Results: The child showed improvement in fixing for light and also nystagmus showed marked improvement and there were considerable behavioural changes observed. Discussion: It is important to deepen the environment of the disease to know the possible implications in Ayurvedic management, recognize the magnitude of visual disability that our patient presents for the establishment of the treatment plan and provide an integral care of excellence in an interdisciplinary way in favor of visual rehabilitation of our patients and also help to restore quality of life with no potential risks of side effects.

scholarly journals Autologous Graft in the Anterior Maxilla—A Case Report

2021 ◽  
Vol 5 (1) ◽  
pp. 36
Author(s):  
Rodolfo Vaz ◽  
Pedro Gameiro ◽  
Pedro Sottomayor ◽  
Bernardo Saldanha ◽  
Pedro Rodrigues
Keyword(s):  
Bone Regeneration ◽  
Gold Standard ◽  
Treatment Plan ◽  
Previous History ◽  
Guided Bone Regeneration ◽  
Bone Thickness ◽  
Anterior Maxilla ◽  
Patient Morbidity ◽  
History Of ◽  
Palatal Bone

A 44-year-old male patient was referred to the Egas Moniz Dental Clinic, with a previous history of failed bone regeneration, resulting in a reduced buccal-palatal bone thickness and aesthetic compromise of the gingival margin of the anterior maxilla. Since the use of autologous bone is considered the “gold-standard” in guided bone regeneration, the treatment plan consisted of an autologous mental graft into the maxilla, with a simultaneous guided bone regeneration with a xenograft and absorbable membrane. This allowed a predictable volumetric bone regeneration with low patient morbidity and posterior fixed rehabilitation.

scholarly journals Idiopathic Multifocal Osteolysis: Case of Surgical Treatment

2015 ◽  
Vol 22 (3) ◽  
pp. 78-83
Author(s):  
A. P Pozdeev ◽  
E. A Zakhar’yan ◽  
D. S Buklaev ◽  
I. N Krasnogorskiy ◽  
T. F Zubairov
Keyword(s):  
Clinical Case ◽  
Soft Tissues ◽  
Weight Bearing ◽  
Lymphatic Vessels ◽  
Bisphosphonate Therapy ◽  
Surgical Interventions ◽  
Massive Osteolysis ◽  
Thin Walls ◽  
Idiopathic Osteolysis ◽  
Tubular Bones

Idiopathic osteolysis is a rare disorder characterized by spontaneous, massive and progressive resorption of bone tissue. Massive osteolysis results from proliferation of blood and lymphatic vessels with thin walls, resembling capillaries, in the bone and surrounding soft tissues. Literature review on this problem and clinical case of a patient successfully operated on using the technique elaborated at our clinic are presented. Surgical interventions enabled to achieve the restoration of tubular bones integrity and ensured conditions for independent patient’s movement. Possibility of the performance of reconstructive surgical interventions for the restoration of limb weight bearing ability that is reasonable to combine with bisphosphonate therapy.

scholarly journals Application of the damage control principles and the use of a local negative pressure system for the prevention of infectious complications in a patient with traumatic separation of the upper limb and massive damage to soft tissues

2020 ◽  
Vol 6 (4) ◽  
pp. 22-25
Author(s):  
I. M. Batyrshin ◽  
M. I. Kizyavka ◽  
D. S. Sklizkov ◽  
Yu. S. Ostroumova ◽  
E. P. Mikhelson ◽  
...  
Keyword(s):  
Upper Limb ◽  
Successful Treatment ◽  
Negative Pressure ◽  
Clinical Case ◽  
Soft Tissues ◽  
Damage Control ◽  
Infectious Complications ◽  
Pressure System

The article presents a clinical case of the successful treatment of a patient with traumatic separation of the upper limb and massive damage to the soft tissues of the upper shoulder and chest. The effectiveness of applying the damage control principles and the method of local negative pressure for the prevention of local and systemic infectious complications is emphasized.

scholarly journals Prosthodontic Rehabilitation of a Patient with Subtotal Maxillectomy using a Hollow Bulb Obturator

2012 ◽  
Vol 2 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Gita Rani ◽  
Amarjeet Gambhir
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Clinical Case ◽  
Soft Tissues ◽  
Prosthetic Reconstruction ◽  
Maxillary Defect ◽  
Hollow Bulb Obturator

ABSTRACT Successful prosthetic reconstruction of hemimaxillectomy defects is a challenging procedure that requires multidisciplinary expertize to achieve acceptable function, speech and esthetics. Rehabilitation of an acquired maxillary defect improves the quality of life for the patient as close to normal as possible. Obturation of the defect depends on its volume and position of remaining hard and soft tissues, to be utilized for retention, stability and support for the prosthesis. The prosthesis should be simple to handle, easy to maintain, biocompatible, light in weight and convenient for future adjustments. This case report describes a clinical case of subtotal maxillectomy, which was successfully rehabilitated with a hollow bulb obturator. How to cite this article Rani G, Gambhir A. Prosthodontic Rehabilitation of a Patient with Subtotal Maxillectomy using a Hollow Bulb Obturator. Int J Prosthodont Restor Dent 2012; 2(1):24-28.

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