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At least 55 records · Page 3Linked to original sources
PubMed1996

A clinical study of direct pulp capping applied to carious-exposed pulps.

Direct pulp capping of carious-exposed pulp was performed on 44 teeth. We evaluated the success rates of these cases, and analyzed the relationships between the success rates and their clinical findings. Furthermore, we examined the length of time necessary for adequate postoperative follow-up. The success rate in this study was 81.8%. Age of the patients, type of teeth, responses to thermal stimuli and percussion, and the diameter of pulpal exposure had no bearing on the success rate. However, the degree of bleeding on pulpal exposure was related to the success rate (p = 0.042). The success rates of cases in which postoperative follow-up periods were 3 to 18 months were similar (80 to 83%), whereas those with follow-up for 21 months (91.7%) and 24 months (100%) showed higher success rates. These results showed that direct pulp capping was applicable to carious-exposed pulp, and the degree of bleeding is indicative of the prognosis of this treatment. The length of time necessary for adequate postoperative follow-up was suggested to be 21 months.

Adult↗
PubMed1981

The treatment of hypersensitive cervical abrasion cavities using ASPA cement.

This study evaluated the usefulness of the alumino-silicate polyacrylate (ASPA) or glass ionomer cement in the treatment of hypersensitive cervical abrasion cavities. Various methods of treatment of hypersensitive cervical abrasion cavities have been described, and all these methods have their disadvantages. The ASPA cement was used to treat non-carious hypersensitive cervical abrasion cavities in 189 teeth from fifty-eight adult patients. The patients were followed-up for periods ranging from 6-15 months. Of the 189 treated teeth, the ASPA restoration was intact in 163 or 86.2%. Seventeen teeth or 9.0% had partial loss of the restorations and nine or 4.8% had complete loss of restorations. With regard to symptoms, 176 or 93.1% of the treated teeth were no longer sensitive to stimuli from the oral cavity following placement of the ASPA restoration. Of the fifty-eight patients, fifty-two or 89.7% were completely relieved of all symptoms. Of the remaining teeth eleven or 5.8% reported a reduction in the severity of the symptoms. Only one patient, with both restorations lost, reported no improvement. No case of pulpal death was recorded, and there was no evidence of caries at the margin of any of the restorations. The results indicate that the method is effective, and it has some distinct advantages over existing methods of treatment of these cavities.

Adult↗
PubMed1976

Effect of composite resin restorations in monkeys teeth with experimentally induced pulpitis.

The short- and long-term pulpal reactions to composite resin restorations using differenct cavity lining materials have been assessed in monkey teeth with experimentally induced pulpitis. The inflammation was induced by filling cavities with soft human carious dentin and amalgam for 1 week. Healing of the inflammation and formation of reparative dentin was generally found independent of the lining materials used. The long-term response to cavities restored with carious dentin and amalgam was also healing of the primarily induced pulpal inflammation in most instances.

Animals↗
PubMed2000

Managing incomplete tooth fractures.

BACKGROUND: The author presents an evidence-based protocol for the diagnosis and treatment of incomplete tooth fractures. It is designed to help dentists recognize fractures, distinguish between restorable and nonrestorable fractures, and follow a rational approach to treatment. OVERVIEW: An incomplete tooth fracture is a frequently encountered problem that dentists need to assess carefully to arrive at the correct treatment decision. The author presents a review of representative literature corroborating the assertions made in the evidence-based protocol. Treatment approaches are presented for each of two major fracture types. CLINICAL IMPLICATIONS: Dentists need to be aware of the classic symptoms of incomplete tooth fracture, the methods used in formulating a differential diagnosis, criteria for determining pulpal status and restorability, iatrogenic factors involved in the etiology of incomplete fracture, and the consequences of inadequate diagnosis or treatment.

Age Factors↗
PubMed2005

State of the art and science of endodontics.

BACKGROUND: Advances in the art and science of endodontics have facilitated better understanding of disease processes and have led to development of treatment modalities aimed to restore health to the pulp and periradicular tissues. This article presents a summary of both basic and clinical breakthroughs in endodontics. RESULTS: The author indicates that, on the basis of the reviewed literature, pulp and periradicular diseases are primarily microbial. Basic research has led to development of methodologies that have allowed for specific and accurate identification of pathogens that are likely to cause persistent infections. Close examination of clinical data shows that meticulous débridement of the infected root canal system will result in a high probability of successful treatment outcome. Progress in visualization, mechanical and chemical disinfection, and biological seal of portals of entry will improve quality of care further. CONCLUSIONS AND CLINICAL IMPLICATIONS: A better understanding of the pathogenesis of pulp and periradicular diseases, inflammation and healing, as well as of pain pathways, will improve patient care and result in preservation of natural tissues.

Dental Pulp Diseases↗
PubMed2002

Pain experienced by patients during periodontal maintenance treatment.

BACKGROUND: The aims of this study were to assess the degree of pain experienced by patients during probing and debridement and to determine whether the pain responses could be predicted by the patient's age, gender, percentage of sites > or = 4 mm deep, and responses to a questionnaire on dental anxiety. METHODS: Prior to the maintenance procedures, 26 adult patients completed an anxiety questionnaire. Subsequently, measurements of probing depths were performed. The patients activated a tallying device at each probe entry that evoked pain (pain frequency). Pain levels for each quadrant were also assessed with a visual analog scale (VAS). Following probing, the same protocol was repeated during instrumentation (debridement). RESULTS: Most patients showed low pain responses to both probing and instrumentation as evaluated by both methods of measurement. However, using arbitrary thresholds of pain frequency > or = 50% and VAS > or = 40 mm, approximately 15% of the patients had a painful experience. Stepwise multiple regression analyses disclosed that significant portions of the pain levels could be predicted by gender and the patients' answers to 2 of the dental anxiety questions. CONCLUSIONS: Recognition of patients who are likely to experience pain during periodontal treatment can be facilitated by the use of 2 questions on dental anxiety and the VAS response to probing during examination.

Adult↗
PubMed2005

An intrusion injury as an example of interdisciplinary aspects in dental traumatology: a case report.

Traumatic injury to teeth presents a considerable challenge for the practitioner. Very often a variety of oral tissues are involved, such as enamel, dentin, periodontal ligament, alveolar bone, and mucosa. Extraoral lesions are often another focus of attention for the patient and the practitioner. To cover all these various demands and necessities in a proper and adequate manner, a sound knowledge and experience of many different dental fields is needed. This case report presents the treatment of an 8-year-old girl during which surgical, restorative, endodontic, and orthodontic practices cooperated to achieve an adequate rehabilitation of the patient.

Accidental Falls↗