scholarly journals Coronectomy of a lower third molar in combination with vital pulp therapy

2014 ◽  
Vol 08 (03) ◽  
pp. 416-418 ◽  
Author(s):  
Young-Bin Kim ◽  
Woo-Hee Joo ◽  
Kyung-San Min
Keyword(s):  
Case Report ◽  
Dental Materials ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Mineral Trioxide Aggregate ◽  
Pulp Tissue ◽  
Pulp Therapy ◽  
Tertiary Dentin ◽  
Vital Pulp Therapy

ABSTRACTCoronectomy is a procedure that intentionally spares the vital root after removal of the crown of the lower third molar to avoid damage to the inferior alveolar nerve. Vital pulp therapy is one option for managing exposed pulp tissue to reduce the risk of pulpal inflammation or necrosis. Among various dental materials, mineral trioxide aggregate (MTA) has been successfully used for vital pulp therapy. Thus, this case report discusses a coronectomy procedure in combination with vital pulp therapy using MTA. This case also attempts to highlight the formation of tertiary dentin, evidence of successful vital pulp therapy.

Crown Reduction and Vital Pulp Therapy in a Dog With Malocclusion

2018 ◽  
Vol 35 (3) ◽  
pp. 217-220
Author(s):  
Kari Blanchard ◽  
John Koehm
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Pulp Therapy ◽  
Vital Pulp Therapy ◽  
Mandibular Canine

Crown reduction and vital pulp therapy is an accepted treatment for abnormal occlusion resulting in palatal trauma caused by malpositioned mandibular canine teeth in dogs and cats. This article describes use of mineral trioxide aggregate for vital pulp therapy after crown reduction. A list of materials and commonly used equipment is provided.

Decision-Making and Management of Immature Permanent Teeth with Crown Fractures in Small Animals—A Review

2021 ◽  
pp. 089875642110463
Author(s):  
Amalia Zacher ◽  
Sandra Manfra Marretta
Keyword(s):  
Treatment Options ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Small Animals ◽  
Unique Challenge ◽  
Pulp Capping ◽  
Pulp Therapy ◽  
Vital Pulp Therapy ◽  
Pulp Vitality ◽  
And Function

Immature permanent teeth with crown fractures present a unique challenge in human and animal patients. Immature permanent teeth have not yet developed completely, often presenting with thin dentin walls, incomplete apical formation, and increased crown-to-root ratios. Loss of pulp function at this stage has devastating long-term implications for these teeth. Ideally, attempts should be made to preserve pulp vitality in immature permanent teeth to allow for continued dental development. The range of treatment options for vital teeth includes odontoplasty with bonding and sealing +/− restoration, indirect pulp capping, and direct pulp capping/vital pulp therapy. These treatments have long been established in human and veterinary medicine, and cases have been reported in dogs and cats. Apexification using calcium hydroxide is a well-established treatment for nonvital immature teeth. The advent of mineral trioxide aggregate and other bioceramic materials for use in vital pulp therapy and apexification has reduced treatment sessions and improved outcomes. Recent developments in the field of regenerative endodontic therapy further expand treatment options and provide the possibility for continued development of a formerly nonvital tooth. Selecting the appropriate treatment based on the severity of tooth fracture and status of pulp vitality can avoid a lifetime of poor structure and function for the affected tooth. This article provides multiple step-by-step protocols for the management of immature permanent teeth with crown fractures in small animals.

Vital pulp therapy with mineral trioxide aggregate

2005 ◽  
Vol 21 (4) ◽  
pp. 240-243 ◽  
Author(s):  
Bekir Karabucak ◽  
David Li ◽  
Jung Lim ◽  
Mian Iqbal
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Pulp Therapy ◽  
Vital Pulp Therapy

scholarly journals Pulp Revascularisation of a Non-Vital Immature Young Permanent Tooth - A Case Report and Literature Review

2021 ◽  
Vol 10 (11) ◽  
pp. 845-848
Author(s):  
Tanvi Sanjay Satpute ◽  
Jayeeta Sidharth Verma ◽  
Jimish Rajiv Shah ◽  
Aditya Kiran Shinde
Keyword(s):  
Case Report ◽  
Root Development ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Signs And Symptoms ◽  
Permanent Tooth ◽  
Duration Of Treatment ◽  
Pulp Tissue ◽  
Dental Tissues ◽  
Immature Teeth

Traumatic injuries to an immature permanent tooth may result in cessation of dentin deposition and root maturation. Novel revascularisation endodontic procedure (REP) has been considered as an option for treatment of immature teeth with damaged pulp tissue. The continuous development of the root and the root canal has been recognised as a major advantage of this technique over traditional apexification approach. Traditional apexification procedures may resolve pathology but have not been able to prove tooth survival due to absence of continued root development and risk of root fracture. A successful REP results in resolution of signs and symptoms of pathology, radiographic signs of healing, proof of continued root development as well as presence of pulp vitality due to the regeneration of pulp tissue in the root canal. Currently, repair rather than true regeneration of the ‘pulp-dentine complex’ is achieved and further root maturation is variable. According to Glossary of Endodontic terms published by American Association of Endodontists, REP’s are biologically based procedures designed to physiologically replace damaged tooth structures, including dentin and root structures, as well as cells of the pulp-dentin complex.1,2 Apexification treatment has been a routine procedure to treat and preserve such teeth for many decades.3 Apexification is the process by which a suitable environment is created within the root canal and periapical tissue to allow for the formation of a calcific barrier across the open apex. Calcium hydroxide [Ca(OH)2] has been the material of choice for apexification as Frank reported its capacity to induce physiological closure of immature pulpless teeth in 1966.4 However, this technique has several disadvantages, including the unpredictability of apical barrier formation and the long duration of treatment, which often requires multiple visits.5 A retrospective study by Jeruphuaan et al.6 has shown a higher survival rate with regenerative endodontic treatment when compared to both mineral trioxide aggregate (MTA) and Ca(OH)2 apexification. The first evidence of regeneration of dental tissues was in 1932 by G.L. Feldman, who showed evidence of regeneration of dental pulp under certain optimal biological conditions.7 In 1971, a pioneer study in regenerative endodontics conducted by Nygaard-Ostby concluded that bleeding induced within a vital or necrotic canal led to resolution of signs and symptoms of necrotic cases and in certain cases, apical closure.8 According to Windley et al. (2005), the successful revascularisation of immature teeth with apical periodontitis is mainly dependent upon: 1. Canal disinfection 2. Scaffold placement in the canal for the growing tissues 3. Bacteria-tight sealing of the access opening.9 The purpose of this case report is to illustrate the outcome of a revascularisation endodontic procedure in a non-vital immature young permanent central incisor.

scholarly journals Spontaneous remission of the mandibular nerve paresthesia: a case report

2018 ◽  
Vol 7 (1) ◽  
Author(s):  
Ronald Jefferson Martins ◽  
Naiana de Melo Belila ◽  
Mayumi Domingues Kato ◽  
Cléa Adas Saliba Garbin
Keyword(s):  
Case Report ◽  
Correct Diagnosis ◽  
White Male ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Spontaneous Remission ◽  
Complete Recovery ◽  
Nerve Fibers ◽  
Mandibular Nerve ◽  
Transient Loss

Introduction: Paresthesia is usually characterized by a transient loss of sensitivity in the area covered by the affected nerve. Different causes may lead to this occurrence; among them, the injury of nerve structures during the extraction of third molars. The sensitivity recovery depends on the regeneration of the nerve fibers, and in most cases it occurs spontaneously. In some situations, there is a need for a more invasive and expensive treatments to the patient. Objective: The aim of this study was to evaluate the spontaneous remission of the inferior alveolar nerve paresthesia. Case report: We studied a 34 year-old patient, white, male, which presented paresthesia of the inferior alveolar nerve after extraction of the lower right third molar. We chose to wait for the spontaneous return of the sensitivity, which occurred between the first and second postoperative month. Conclusion: The complete recovery of the sensitivity does not occur in all cases, even with the recommended treatments. So the best way to deal with paresthesia is prevention, where the dentist must perform the correct diagnosis with the aid of the necessary additional tests; besides having skill and dexterity in handling the instruments, so that the surgery would be performed safely and without any complications for the patient.Descriptors: Paresthesia; Remission, Spontaneous; Mandibular Nerve.

scholarly journals Dentist-related factors influencing the use of vital pulp therapy: a survey among dental practitioners in China

2019 ◽  
Vol 47 (6) ◽  
pp. 2381-2393
Author(s):  
Mengjie Li ◽  
Xiaoli Hu ◽  
Xiaolan Li ◽  
Shuxiang Lei ◽  
Ming Cai ◽  
...  
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Direct Pulp Capping ◽  
Online Questionnaire ◽  
Related Factors ◽  
Pulp Capping ◽  
Factors Associated ◽  
Pulp Therapy ◽  
Vital Pulp Therapy ◽  
Dental Practitioners

Objective To evaluate dentist-related factors associated with the use of vital pulp therapy (VPT) for the treatment of pulp exposures in permanent teeth. Methods This survey-based study sent an online questionnaire to collect data on the demographics of the respondents, the use of VPT and the choice of materials for VPT, to all members of the Society of Endodontology of Guangdong, China. Results A total 183 of 380 members responded (48.2%). The majority (89.6%; 164 of 183) had performed direct pulp capping (DPC) while 55.2% (101 of 183) had performed partial pulpotomy (PP) at least once. The most-cited reason for not performing VPT was unfamiliarity with the technique. Mineral trioxide aggregate was the most commonly used material for both DPC (67.1%; 110 of 164) and PP (73.3%; 74 of 101). Endodontists, compared with general practitioners, preferred to perform DPC and chose calcium silicate materials (CSMs) for VPT (odds ratios 5.81 and 8.07, respectively). DPC and CSMs for VPT were also favoured more by respondents who had practised for > 5 years. Senior respondents were more likely to use PP. Conclusions Speciality, years of practise and age of dentists influenced the decision making and the choice of materials for VPT. Continuing education is essential to promote the clinical use of VPT.

scholarly journals Multiple unilateral accessory mandibular foramina-a case report

2012 ◽  
Vol 01 (04) ◽  
pp. 190-192
Author(s):  
Anupama Mahajan ◽  
Keyword(s):  
Case Report ◽  
Surgical Procedures ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Mandibular Canal ◽  
Molar Tooth ◽  
Posterior Border ◽  
Mandibular Foramen ◽  
Inner Surface ◽  
Accessory Foramina

AbstractAccessory foramina in the mandible are known to transmit branches of nerves supplying the roots of the teeth. The mandibular foramen is present on the inner surface of the ramus of the mandible which transmits the inferior alveolar nerve. An adult human mandible of unknown sex was found to have multiple mandibular foramina on the medial surface of right ramus. A large accessory mandibular foramen was present anterosuperior to the main mandibular foramen. The dimensions were 6 mm antero posteriorly and 11mm vertically. The dimensions of the mandibular foramen were 9 mm antero posteriorly and 12mm vertically. The distance between two foramina was 20 mm and between the accessory mandibular foramen and apex of lingula was 7 mm. The distance between the posterior border of the accessory mandibular foramen and posterior border of ramus were 15 mm. The accessory mandibular foramen led into a canal which was directed obliquely and joined the mandibular canal at the level of third molar tooth. Two more small mandibular foramina were present one just below the accessory mandibular foramen discussed above and second near the main mandibular foramen. Both of them were of too small size to measure. The accessory mandibular foramen is a rare variation and awareness of its incidence and its position is necessary. The structures passing through it can be compromised during surgical procedures of this area.

scholarly journals Cisto dentígero: diagnóstico e tratamento

2019 ◽  
Vol 7 (11) ◽  
Author(s):  
Rodolfo Pollo Soares ◽  
Aline Reis Stefanini ◽  
André Luis da Silva Fabris ◽  
Paulo Henrique Bortoluzo ◽  
Luciana Estevam Simonato
Keyword(s):  
Case Report ◽  
Rio De Janeiro ◽  
Dentigerous Cyst ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Odontogenic Keratocyst ◽  
Rational Approach ◽  
Differential Expression Pattern ◽  
Dentigerous Cysts ◽  
Belo Horizonte

O cisto dentígero é um cisto odontogênico que é classificado como de desenvolvimento. Normalmente, está relacionado à coroa de um dente incluso, sendo um dos cistos odontogênicos mais frequentes nos ossos gnáticos. Na maioria das vezes é diagnosticado em pacientes entre a segunda e a terceira década de vida, com grande ocorrência em terceiros molares inferiores e caninos superiores. Clinicamente, apresenta evolução lenta, assintomática e pode causar discreta deformidade facial, deslocamento de dentes e alterações de estruturas na região. Radiograficamente, os cistos dentígeros são descritos como lesões radiolúcidas bem delimitadas e uniloculares. Na maioria dos casos, são observados em exames de rotina ou durante a pesquisa da causa da não erupção de um dente permanente. Apesar da singularidade clínica de cada caso, o prognóstico dessa lesão é favorável. O tratamento para o cisto dentígero pode ser a marsupialização em casos de lesões grandes, enucleação com exodontia do dente incluso ou preservação do elemento dental. Este trabalho visa apresentar um caso clínico de cisto dentígero em região posterior de mandíbula, abordando aspectos clínicos, imaginológicos, histopatológicos e terapêuticos, com a finalidade de familiarizar o cirurgião dentista com tal lesão.Descritores: Cisto; Cisto Dentígero; Diagnóstico Bucal.ReferênciasJones TA, Perry RJ, Wake MJ. Marsupialization of a large unilateral mandibular dentigerous cyst in a 6-year-old boy – a case report. Dent Update. 2003;30(10):557-61.Chapelle KOM, Stoelinga PJ, de Wilde PC, Brouns JJ, Voorsmit RA. Rational approach to diagnosis and treatment of ameloblastomas and odontogenic keratocists. Br J Oral Maxilofac Surg. 2004;42(5):381-90.Sampaio RK, Prado R. Cirurgia dos cistos odontogênicos. In: Prado R, Salim M. Cirurgia bucomaxilofacial: diagnóstico e tratamento. Belo Horizonte: Medsi; 2004. p. 365-407.Ustuner E, Fitoz S, Atasoy C, Erden I, Akyar S. Bilateral maxillary dentigerous cysts: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 95(5):632-35.Tsukamoto G, Sasaki A, Akyama T, Ishikawa T, Kishimoto K, Nishiyama A et al. A radiologic analysis of dentigerous cyst and odontogenic keratocysts associated with a mandibular third molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91(6):743-47.Daley TD, Wysocki GP. The small dentigerous cyst. A diagnostic dilemma.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79(1):77-81.Regezi JA, Sciubba JJ. Patologia bucal: correlações clinicopatológicas. Rio de Janeiro: Guanabara Koogan; 2000.Shafer WG, Hine MK, Levy BM. Tratado de patologia bucal. 4. ed. Rio de Janeiro: Guanabara Koogan; 1987.Aziz SR, Pulse C, Dourmas MA, Roser SM. et al. Inferior alveolar nerve paresthesia associated with a mandibular dentigerous cyst. J Oral Maxillofac Surg. 2002;60(4):457-59.Hyomoto M, Kawakami M, Inoue M, Kirita T. Clinical conditions for eruption of maxillary canines and mandibular premolars associated with dentigerous cysts. Am J Orthod Dentofac Orthop. 2003;124(5):515-20.Thosaporn W, Iamaroon A, Pongsiriwet S, Ng KH. A comparative study of epithelial cell proliferation between the odontogênic keratocyst, orthokeratinized odontogenic cyst, dentigerous cyst, and ameloblastoma. Oral Dis. 2004;10(1):22-6.Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia Oral & Maxilofacial. 4.ed. Rio de Janeiro: Guanabara Koogan; 2016.Bajaj MS, Mahindrakar A, Pushker N. Dentigerous cyst in the maxillary sinus: a rare cause of nasolacrimal obstruction. Orbit. 2003;22(4):289-92.Kawamura JY, de Magalhães RP, Sousa SC, Magalhães MH. Management of a large dentigerous cyst occurring in a six-year-old boy. J Clin Pediatr Dent. 2004;28(4):355-57.Motamedi MH, Talesh KT. Management of extensive dentigerous cysts. Br Dent J. 2005;198(4):203-6.Ertas U, Yavuz S. Interesting eruption of 4 teeth associated with a large dentigerous cyst in mandible by only marsupialization. J Oral Maxilofac Surg. 2003;61(6):728-32.Kim SG, Yang BE, OH SH, Min SK, Hong SP, Choi JY. The differential expression pattern of BMP-4 between the dentigerous cystand the odontogenic keratocyst. J Oral Pathol Med. 2005;34(3):178-83.Benn A, Altine M. Dentigerous cyst of infl amatory origin: a cliniopathologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81(2):203-9.Dunsche A, Babendererde O, Luttges J, Springer IN. Dentigerous cyst versus unicystic ameloblastoma – differential diagnosis in routine histology. J Oral Pathol Med. 2003;32(8):486-91.Fortin T, Coudert JL, Francois B, Huet A, Niogret F,Jourlin M et al. Marsupialization of dentigerous cyst associated with foreign body using 3D CT images: a case report. J Clin Pediatr Dent. 1997;22(1):29-33.Martínez-Pérez D, Varela-Morales M. Conservative treatmentof dentigerous  cysts in children: report of four cases. J Oral Maxillofac Surg. 2001;59(3):331-34.Vaz LGM, Rodrigues MTV, Ferreira Júnior O. Cisto dentígero: características clínicas, radiográficas e critérios para o plano de tratamento. RGO. 2010;58(1):127-30.

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