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At least 235 records · Page 13Linked to original sources

Preliminary report on the effect of Nd: YAG laser irradiation on canine tooth pulps.

OBJECTIVE: To study the effects of Nd: YAG laser irradiation on the canine tooth pulps. METHODS: The crown pulp of dog was exposed and excised by ND: YAG laser irradiation. Histopathological examination was used to check changes of the tissues in root canal and periodontium. RESULTS: The pulp of the crown could be successfully excised by Nd: YAG laser without harmful changes in either root canal or periodontal tissues. CONCLUSION: This study may provide an experimental basis for the clinical possibility of crown pulp excision by using Nd: YAG laser irradiation.

Aluminum Silicates↗

Trauma to the primary and young permanent dentitions.

It is the responsibility of the dentist to stay current on the latest techniques available to treat traumatic injuries. The charts included provide most of the potential emergency treatment possibilities, recommended follow-up treatment, and final treatment outcomes essential to providing the best care for our child patients. It is also the responsibility of the dentist to use evidence-based research when adopting treatment protocols. It is not appropriate to use anecdotal or single case studies as a basis for adopting treatment protocols. It is very difficult in this area of trauma to come up with good scientific research with adequate sample sizes and long-term data. Dr. J.O. Andreasen has excellent compiled long-term research on trauma. His books, Essentials of Traumatic Injuries to the Teeth and An Atlas of Replantation and Transplantation of Teeth are two very good books for any clinical practice.

Child↗

Treatment of teeth with open apices using mineral trioxide aggregate.

Injuries to the dentition may ultimately result in the interruption of root development. If the pulp remains vital following trauma, this state should be maintained and root-end closure should be induced by apexogenesis. When the pulp is necrotic, the placement of an apical barrier can be utilized as an alternative to establish an environment that facilitates the closure of the apical opening. This article demonstrates the use of mineral trioxide aggregate as an apical barrier material for root-end closure in the permanent teeth of three patients.

Aluminum Compounds↗

Developmental changes of mandibular permanent canines and premolars in early mixed dentition.

This study investigated the developmental changes of mandibular permanent canines and premolars in early mixed dentition using panoramic radiographs. Positions of cusps and root apices of the teeth relative to the inferior border of mandible were evaluated. The developmental stages of the teeth were divided into three stages. There were few changes in the inclination of the three teeth. The permanent canine began to erupt before stage 2 and the second premolar began to erupt after stage 2. The distance between the inferior border of the mandible and apices of the three teeth was almost fixed in early mixed dentition.

Alveolar Process↗

The avulsed tooth--the best implant.

Successful management of the avulsed tooth begins at the accident site. Correct first-aid care followed by proper management in the dental surgery will significantly improve the prognosis for the avulsed tooth. The major aim following avulsion is the prevention of further damage to the periodontal ligament and, if possible, the maintenance of pulp vascularity. Studies have indicated that variables such as the extra-oral period, the storage medium and the stage of root development of the avulsed tooth significantly influence the final outcome. Endodontic therapy and chemical conditioning of the root surface after an extended extra-oral period has the potential to delay the resorptive processes of a replanted tooth.

Dental Pulp↗

Bonding to root canal: structural characteristics of the substrate.

PURPOSE: To evaluate in vitro the dentin morphology in root canals in terms of tubule orientation, density and increase in surface area after etching. MATERIALS AND METHODS: Thirty anterior teeth were divided in 3 groups at random: the samples of Group 1 were used to study tubular morphology in SEM. Groups 2 and 3 samples were etched with 32% phosphoric acid. The teeth in Group 2 were examined by SEM without further treatment. The samples in Group 3 were treated with a bonding system and fiber posts were luted into the canal. These teeth were then processed for evaluation of hybrid layer formation and resin tags in dentin tubules. The observations were made according to location in the root dentin, tubule density was estimated, and the increase in area available for bonding after etching was calculated. RESULTS: The observations revealed variability in tubule density and orientation within different areas of any one sample. Statistically significant differences in the density of tubules were found depending on location. The dentin surface area available for bonding increased by 202% after etching in the cervical third, 156% in the middle third, and 113% in the apical third of the root dentin. Group 3 samples showed that the thickness of the hybrid layer depended on the density of tubules. In the sectors with a low density of tubules, the hybrid layer was significantly thinner than in areas with a higher density of tubules. The increase in dentin surface area might be responsible for the enhanced bond strength after acid etching, but not all areas exhibited equal responses to etching.

Acid Etching, Dental↗

Partial bifurcation and webbed root of mandibular second premolar--an uncommon variation.

An eleven year old girl reported to J. S. S. Dental College with spontaneous pain in the left mandibular region. On examination, left mandibular second premolar was found to be hypoplastic and grossly destroyed. On radiographic evaluation, an uncommon variation of bifurcation at the apical one third of the root was seen while the contralateral tooth was normal. Treatment planning included extraction of the tooth and evaluation of the morphodifferentiation which showed a webbed appearance in the bifurcated root contrary to the radiographic finding. This webbed appearance could be due to hypomineralisation due to trauma to the developing roots from the infection of its predecessors.

Bicuspid↗

Generalized odontodysplasia--a case report.

Odontodysplasia is a relatively uncommon condition that can affect both primary and permanent dentition. It is characterized by defective formation of both enamel and dentin, with enlarged pulp chambers and root canals with open apices. It is usually a localised condition where one or few teeth may be involved. Sometimes, an entire quadrant or more than one quadrant may be involved but generalized involvement is extremely rare. An interesting case of a generalized odontodysplasia affecting both primary and permanent dentition in an eight year old girl is presented here.

Child↗

Outcomes for root-fractured permanent incisors: a retrospective study.

PURPOSE: The objective of this study was to assess the outcomes for treated root-fractured permanent incisors with respect to pulp vitality, root tissue union, and tooth survival and to examine the effects of clinical and radiographic parameters and rigid splinting on the outcome. METHODS: Eighty-four teeth were identified and data extracted from case notes prior to transfer to an SPSS data base for analysis. The odds ratios for each factor were calculated and the significance of differences was determined. Tooth loss and relevant risk variables were examined using Cox's regression model and Kaplan-Meyer survival curves. RESULTS: Fourteen (17%) had fractures in the apical third, 47 (56%) in the middle third, and 23 (27%) in the coronal (gingival) third. Twenty-four (29%) also had crown fractures involving enamel and dentine. Crown fractures were identified as significant risk factors for pulp vitality. Loss of pulp vitality, horizontal displacement, and extrusive displacement of the coronal fragment were significant risk factors for hard root tissue union. Survival was poorest with gingival third fractures with 14 (61%) of these teeth being lost. Splinting rigidly had no significant effect on pulp vitality and type of root tissue healing. CONCLUSIONS: Loss of pulp vitality was significantly associated with enamel-dentine crown fracture. Hard root tissue union was significantly affected by pulp necrosis and luxation of the coronal fragment. Survival was poorest for root fractures within the gingival third of the root. Splinting with rigid fixation had no significant effect on pulp vitality and type of root tissue union.

Adolescent↗

Avulsion and replantation.

The reported incidence of tooth avulsion ranges from 1% to 11% of all traumatic injuries to the permanent dentition. The maxillary central incisor is the most frequently avulsed tooth in the permanent dentition, and the most frequently involved age group is 7-10 years. This article reviews the present day knowledge on avulsion and replantation of permanent teeth. Treatment objectives are explained, and clinical management outside and inside the dental office are discussed. Detailed treatment protocols are provided considering the extraoral time and the degree of apical closure.

Anti-Bacterial Agents↗

Cvek pulpotomy: report of a case with five-year follow-up.

Partial pulpotomy (Cvek pulpotomy) is the treatment of choice for injured permanent incisor teeth with exposed vital pulp tissue and immature apices. This treatment preserves pulpal function, thus allowing continued root development. The present report describes the case of a permanent incisor with incomplete root end closure that underwent a Cvek pulpotomy, with subsequent apical closure. Five years post pulp therapy, the tooth remained symptom free.

Calcium Hydroxide↗

Management of Class III crown fractures in the permanent dentition.

Management of Class III crown fractures in the permanent dentition can be both challenging and rewarding for practitioners. Several of the techniques described require further investigation to determine clinical efficacy based on scientific research. In addition to evidence-based protocols, treatment outcomes will continue to be related to the technical proficiency of the dentist, including diagnostic acumen and appropriate treatment planning decisions. A treatment planning decision paradigm, as described in this article for management of Class III fractures to permanent teeth, is summarized in Table 1.

Clinical Protocols↗

Abfraction: 3D analysis by means of the finite element method.

OBJECTIVE: Tooth deflections under functional loads are considered to be the etiologic factor of noncarious cervical lesions. There are several studies on the materials used to restore these lesions; however, there are few discussing this phenomenon's etiology from a biomechanic point of view. This study was undertaken to evaluate tooth behavior when forces were applied from different directions. METHOD AND MATERIALS: A 3D finite element model of a maxillary central incisor was designed. A distributed force of 1.5 N was applied on the palatal side of the crown in five stages, with varying directions progressing from tipping to intrusion. Two separate approaches (displacement and stress) were considered to evaluate the cervical area from a stress perspective. RESULTS: The displacement approach resulted in a curved path when compared to a straight line connecting the apical and incisal areas. The maximum deflections were in the cementoenamel junction area. The same area was shown to undergo the maximum of von Mises stress and stress intensity. Patterns of the von Mises stress when evaluated in a mesiodistal direction were in complete agreement with the shape of the cervical lesions (except for the application of the intrusive force, which rules out its effect in producing such lesions). CONCLUSION: Force applications, except for intrusive force, can produce increases in the von Mises stress and tooth deflections that can answer the question of the etiology of noncarious cervical lesions. The highest amounts of deflection and von Mises stress were produced by the 45-degree force application.

Computer Simulation↗