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Taurodontism of deciduous and permanent molars: report of two cases.

Taurodontism is an aberration of teeth that lacks the constriction at the level of the CEJ characterized by elongated pulp chambers and apical displacement of bifurcation or trifurcation of the roots, giving it a rectangular shape. Its occurrence in permanent teeth is common and is quite rare in deciduous dentition. Presented in this article are two cases with taurodontism involving deciduous and permanent molars.

Child↗

Orascopic endodontics: changing the way we "think" about endodontics in the 21st century.

Orascopic endodontics has helped bring visualization to what has literally been a "blind" specialty. The ease of operation and better operating ergonomics of fiber optic instrumentation has allowed the endodontist to identify and treat endodontic etiology more efficiently. The metamorphosis of understanding endodontics from an in vivo perspective is changing the way we "think" about the practice of endodontics. Prior to intracanal visualization, the cognitive process of determining when the canal was ready for obturation was merely an educated guess based on years of in vitro instrumentation research and postoperative follow-up studies.

Aged↗

The role of the microscope in 21st century endodontics: visions of a new frontier.

In endodontics, the microscope is indispensable. Clinicians are discovering that every facet of endodontics is better, safer, and easier. Microscopic endodontics is a new technology that emphasizes visual information, rather than tactile information. The learning curve can be fairly steep, but it is one worth climbing. Future controlled studies should document an improvement of endodontic outcomes. This is becoming more true as dentistry becomes more extensive and expensive, and needs to last longer and longer. The days of "easy cases" are much fewer, even for the general practitioner. Lastly, there is a groundswell conversation, at least in the endodontic community, that the benefits of the microscope are beyond biology. Clinicians experience a greater sense of personal and professional fulfillment because they are not achieving what is "good enough," but aspiring to "what is possible."

Dental Fistula↗

Obliteration of pulp canal space after concussion and subluxation: endodontic considerations.

Concussion and subluxation injuries to permanent teeth lead to obliteration of the pulp canal space in 3% to 11% of cases, depending on the severity of the injury and the developmental stage of the tooth. Obliteration of the pulp canal space may make root canal treatment necessary because of the development of apical periodontitis or for cosmetic reasons. If carefully executed, root canal treatment in teeth with an obliterated pulp canal space is highly successful and may act as a basis for internal bleaching.

Adolescent↗

[Complications of injuries to deciduous teeth].

The traumatisms of the temporary teeth are very frequent. They are bound to the acquirement of the march, to the games, to the sport and to the accidents of the public way. Favoured by the presence one improved proalveoly, they constitute a dental emergency of makes some important risks of complications. Indeed, these traumatisms, in case of belated conference and/or of maladjusted treatment or conducted pain, could induce some complications and have some aesthetic and functional after effects on the dental germ underlying. Some of these complications observed in some patients are stakes in evidence by some iconographic illustrations.

Child, Preschool↗

Novel dental anomalies associated with congenital contractural arachnodactyly: a case report.

Congenital contractural arachnodactyly (CCA) is an inherited disorder of connective tissue similar to Marfan's syndrome. The craniofacial and oral features of a young girl with CCA are described. The patient has the typical features of CCA as well as some additional dental anomalies which have not previously been reported with this syndrome. These include banded pitted enamel hypoplasia and hypomineralization, long, spindly tapered roots, and pulp canal obliteration with multiple pulp stones. Dentists must be aware of the clinical features of a patient's syndrome to determine whether there are implications for dental treatment such as a need for antibiotic prophylaxis. It is important to exclude Marfan's syndrome as a differential diagnosis for CCA because the former has more associated complications and a less favorable prognosis.

Adolescent↗

Find canals faster through basic research.

Achieving access and finding canals are the key first steps in the endodontic procedure. This has always been a time-consuming, qualitative procedure that relies on the dentist's experience and feel. Recent basic research has been published that shows that the anatomic morphological measurements concerning the pulp chamber are very consistent in every tooth. This research points the way to a quantitative, predictable and quick technique for making endodontic access preparations without risk. The research and clinical technique are described in this article.

Dental Pulp↗

Anatomical barriers in endodontics.

Endodontic therapy can be challenging at the diagnostic and technical levels. The more one can advance one's accomplishments, the more that would-be barriers cease to be so. Difficult aspects of tooth isolation and assessment of root integrity can be rendered less problematic by some relatively simple methods. Gaining a clear awareness of the internal layout of a coronal chamber and any possible inclusions can be assisted by use of a modified endodontic explorer. It can be usefully employed to resolve with certainty the common dilemma of whether openings at the base of a molar or maxillary premolar coronal access cavity are exposures in the pulp chamber roof or orifices in the chamber floor. Locating and then gaining full working length entry into partly calcified canals, even when they are not radiographically discernible, remains one of the difficult tasks in endodontic therapy, but methods can be implemented that maximize their successful negotiation and management. The use of fine engine-driven reamers, but absolutely restricted to a reciprocating action handpiece, is described.

Dental Cavity Preparation↗

[Pulp hemorrhage from single accidental trauma in permanent anterior teeth of young patients].

1. Seven cases of pulpal lesions due to accidental trauma in young individuals anterior permanent teeth are studied clinically and histologically. 2. Etiopathogenic concepts of the specific lesions under study are synthesized. 3. Characteristics of the material and utilized methods are established. 4. By means of a detailed description of the cases, the histopathological and clinical qualities are coordinated, formulating commentaries. 5. Synoptic charts of the results obtained are included and the total analysis of all the material studied is completed with a general clinical-histopathological commentary.

Adolescent↗