Non-Surgical Endodontics
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EGYPTIAN Vol. 64, 951:962, April, 2018 DENTAL JOURNAL I.S.S.N 0070-9484 Orthodontics, Pediatric and Preventive Dentistry www.eda-egypt.org • Codex : 214/1804 CLINICAL AND RADIOGRAPHIC ASSESSMENT OF PULPOTOMY MATERIALS IN PRIMARY MOLARS Gihan Abuelniel* and Sherif Eltawil* ABSTRACT Aim or purpose: Clinical and radiographic evaluation of four different materials utilized in vital pulpotomy in mandibular primary molars Materials and methods: one hundred and sixty mandibular primary molars in forty children were included as split mouth design. Patients were medically free with an age range from 4-6 years. Inclusion criteria: patients presented with deep carious lesions including the first and second primary molars bilaterally, no evidence of any clinical pathology, mobility and had no tenderness to percussion. Pre-operative radiographs showed no evidence of external or internal root resorption, absence of furcal, periapical radiolucency or widened periodontal ligament space and no more than one-third root resorption detected. The included molars undergone vital pulp therapy and bilaterally randomly divided into four equal groups, group (1) formocresol, group (2) ferric sulphate, group (3) MTA (mineral trioxide aggregate) and group (4) Metapex (calcium hydroxide &iodoform). All treated molars were evaluated both clinically and radiographically for 12 months evaluation period. Data were collected and analysed statistically. Results: It was shown that, at base line, there was no statistically significant difference between clinical as well as radiographic success rates among the four groups. After 3 as well as 6 months, there was a statistically significant difference between clinical and radiographic success rates among the four groups. FS, MTA and Metapex groups showed higher clinical and radiographic success rates than FC group. -
Apexification of Immature Permanent Incisors Using MTA and Calcium Hydroxide- Case Report
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 19, Issue 4 Ser.7 (April. 2020), PP 33-37 www.iosrjournals.org Apexification of Immature Permanent Incisors using MTA and Calcium hydroxide- Case Report Tanu Rajain1, Kesang Tsomu2, Ritu Namdev3 1Post Graduate Trainee 2nd year , Department of Pedodontics and Preventive Dentistry, PGIDS , Rohtak, Haryana. 2Post Graduate Trainee 3rd year , Department of Pedodontics and Preventive Dentistry, PGIDS , Rohtak, Haryana. 3Senior Professor and Head, Department of Pedodontics and Preventive Dentistry, PGIDS , Rohtak, Haryana. Corresponding Author: Dr. Tanu Rajain , Department of Pedodontics and Preventive Dentistry, Pt. B.D. Sharma PGIMS , Rohtak , Haryana- 124001, India. Abstract- In young pediatric patient the endodontic management of immature non vital permanent teeth is a great challenge to dentist. There is difficulty in debridement and obturation as the walls of the root canals are frequently divergent and open apexes are present. Apexification is a technique to generate a calcific barrier in a root with an open apex or the sustained apical development of an incomplete root in teeth with necrotic pulp. The most commonly advocated medicament is calcium hydroxide although recently considerable interest has been expressed in the use of MTA. In this case series both calcium hydroxide and MTA were used successfully for apexification procedure in teeth with open apex. Keywords- Young permanent maxillary incisor, open apex, calcium hydroxide, mineral trioxide aggregate, apexification. ----------------------------------------------------------------------------------------------------------------------------- ---------- Date of Submission: 04-04-2020 Date of Acceptance: 20-04-2020 ----------------------------------------------------------------------------------------------------------------------------- ---------- I. Introduction Dental trauma in the young adolescent patient is most common to the anterior dentition. -
June 2000 Issue the Providers' News 1 To
To: All Providers From: Provider Network Operations Date: June 21, 2000 Please Note: This newsletter contains information pertaining to Arkansas Blue Cross Blue Shield, a mutual insurance company, it’s wholly owned subsidiaries and affiliates (ABCBS). This newsletter does not pertain to Medicare. Medicare policies are outlined in the Medicare Providers’ News bulletins. If you have any questions, please feel free to call (501)378-2307 or (800)827-4814. What’s Inside? "Any five-digit Physician's Current Procedural Terminology (CPT) codes, descriptions, numeric ABCBS Fee Schedule Change 1 modifiers, instructions, guidelines, and other material are copyright 1999 American Medical Association. All Anesthesia Base Units 2 Rights Reserved." Claims Imaging and Eligibility 2 ABCBS Fee Schedule Change Reminder: Effective July 1, 2000 Arkansas Blue Cross Claims Payment Issues 3 Blue Shield is updating the fee schedule used to price professional claims. The update includes changes in the Coronary Artery Intervention 2 Relative Value Units used to calculate the maximum allowances as well as the implementation of Site-Of - CPT Code 99070 2 Service (SOS) pricing. Dental Fee Schedule 2 Under SOS pricing, a given procedure may have different allowances when provided in a setting other Electronic Filing Reminder 2 than the office. Health Advantage Referral Reminder 2 The Place Of Service reported in block 24b on the HCFA 1500 claim form indicates which allowance should be Type of Service Corrections 3 applied. An “11” in this field indicates that the service was delivered in the office setting. Any value other than Attachments “11” in block 24b will result in the application of the SOS A Guide to the HCFA - 1500 Claim Form pricing, if there is an applicable SOS allowance for that (Paper Claims) 7 service. -
Protocol V8, Dated 21 Aug 2017 Page 1 Regenerative Endodontic Therapy
Regenerative Endodontic Therapy (RET) using Antibiotic pastes or Calcium Hydroxide disinfection for the management of immature non-vital permanent teeth in children: A Randomized Controlled Clinical Trial Principal investigator: Dr Tong Huei Jinn Discipline of Orthodontics and Paediatric Dentistry Faculty of Dentistry, National University of Singapore Site Principal Investigator: Dr Lim Wan Yi School Dental Service Health Promotion Board Co-Investigators: Dr Victoria Yu Discipline of Operative Dentistry, Endodontics & Prosthodontics Faculty of Dentistry, National University of Singapore Dr Tang Kok Siew Discipline of Orthodontics and Paediatric Dentistry Faculty of Dentistry, National University of Singapore Dr Ode Wataru Discipline of Operative Dentistry, Endodontics & Prosthodontics Faculty of Dentistry, National University of Singapore Dr Ivan Koh Chee Keong Discipline of Operative Dentistry, Endodontics & Prosthodontics Faculty of Dentistry, National University of Singapore Protocol V8, Dated 21 Aug 2017 Page 1 Dr Eu Oy Chu, BDS, MSc School Dental Service Health Promotion Board Dr Melissa Tan Hui Xian, School Dental Service Health Promotion Board Protocol V8, Dated 21 Aug 2017 Page 2 1.0 Background The management of immature non-vital teeth following trauma or pulpal infection secondary to caries or dental anomalies e.g. fractured dens evaginatus tubercles is a challenge for dentists. Traditionally, the treatment prescribed for immature non-vital teeth is to thoroughly disinfect the root canal system and perform apexification procedures using materials such as Ca(OH)2 or Mineral Trioxide Aggregate (MTA), followed by filling the root canal with gutta-percha. This technique however does not produce increased thickness of dentine or gain in root length to the immature tooth. -
Pulpotomy Treatment for Primary Teeth
2010 National Primary Oral Health Conference October 24-27 Gaylord Palm, Orlando, Florida Pulpotomy treatment for primary teeth Enrique Bimstein Professor of Pediatric Dentistry University of Florida College of Dentistry. Pulpotomy treatment for primary teeth Goal The participants will become familiar with the basic knowledge and procedures required for the performance of the pulpotomy treatment in primary teeth. Pulpotomy treatment for primary teeth Topics Introduction Definition and rationale. Indications and contraindications. Materials and techniques. Pulpotomy technique (clinical procedures). Pulpotomy follow up. Summary and conclusions. Pulpotomy treatment for primary teeth Topics Introduction Definition and rationale. Indications and contraindications. Materials and techniques. Pulpotomy technique (clinical procedures). Pulpotomy follow up. Summary and conclusions. Preservation of the primary teeth until their time of exfoliation is required to: a. Maintain arch length, masticatory function and esthetics. Preservation of the primary teeth until their time of exfoliation is required to: a. Maintain arch length, masticatory function and esthetics. Preservation of the primary teeth until their time of exfoliation is required to: a. Maintain arch length, masticatory function and esthetics. b. Eliminate pain, inflammation and infection. Preservation of the primary teeth until their time of exfoliation is required to: a. Maintain arch length, masticatory function and esthetics. b. Eliminate pain, inflammation and infection. c. Prevent any additional pain or damage to the oral tissues. Despite all the prevention strategies, childhood caries is still a fact that we confront every day in the clinic. The retention of pulpally involved primary teeth until the time of normal exfoliation remains to be a challenge. Primary teeth with cariously exposed vital pulps should be treated with pulp therapies that allow for the normal exfoliation process. -
Different Approaches to the Regeneration of Dental Tissues in Regenerative Endodontics
applied sciences Review Different Approaches to the Regeneration of Dental Tissues in Regenerative Endodontics Anna M. Krupi ´nska 1 , Katarzyna Sko´skiewicz-Malinowska 2 and Tomasz Staniowski 2,* 1 Department of Prosthetic Dentistry, Wroclaw Medical University, 50-367 Wrocław, Poland; [email protected] 2 Department of Conservative Dentistry and Pedodontics, Wroclaw Medical University, 50-367 Wrocław, Poland; [email protected] * Correspondence: [email protected] Abstract: (1) Background: The regenerative procedure has established a new approach to root canal therapy, to preserve the vital pulp of the tooth. This present review aimed to describe and sum up the different approaches to regenerative endodontic treatment conducted in the last 10 years; (2) Methods: A literature search was performed in the PubMed and Cochrane Library electronic databases, supplemented by a manual search. The search strategy included the following terms: “regenerative endodontic protocol”, “regenerative endodontic treatment”, and “regenerative en- dodontics” combined with “pulp revascularization”. Only studies on humans, published in the last 10 years and written in English were included; (3) Results: Three hundred and eighty-six potentially significant articles were identified. After exclusion of duplicates, and meticulous analysis, 36 case reports were selected; (4) Conclusions: The pulp revascularization procedure may bring a favorable outcome, however, the prognosis of regenerative endodontics (RET) is unpredictable. Permanent immature teeth showed greater potential for positive outcomes after the regenerative procedure. Citation: Krupi´nska,A.M.; Further controlled clinical studies are required to fully understand the process of the dentin–pulp Sko´skiewicz-Malinowska,K.; complex regeneration, and the predictability of the procedure. -
Analysis of Clinical Studies Related to Apexification Techniques
Introduction A. Agrafioti, D.G. Giannakoulas*, C.G. Filippatos, E.G. Kontakiotis Teeth with necrotic pulp and open apex bring about several challenges to clinicians due to the lack of natural Department of Endodontics, School of Dentistry, National and apical constriction and the thin root walls that are Kapodistrian University of Athens, Athens, Greece prone to fracture [Trope, 2006, Camp, 2008]. In order *School of Dentistry, National and Kapodistrian University of to confine filling materials into the root canal space and Athens, Athens, Greece prevent overfilling, the placement of an artificial apical barrier and/or the closure of the apex are necessary email: [email protected] before obturation of the root canal system [Trope 2006]. The traditional approach to handle cases with open apex DOI: 10.23804/ejpd.2017.18.04.03 is the multiple-visit apexification treatment with the use of calcium hydroxide (CH) as intracanal medicament [Seltzer, 1988]. The frequency of changes of CH from the root canal constitutes a controversial topic as there are studies Analysis of clinical that propose that a single placement of this medicament is enough to achieve predictable outcomes [Chawla studies related 1986], whereas others claim that multiple replacements of CH could lead to a more rapid formation of a calcified to apexification tissue barrier [Abbot 1998]. The time required for the calcified tissue barrier to form varies from 5 to 20 months techniques [Sheehy and Roberts, 1996] and seems to be influenced by several factors such as opening of the apex, frequency of intracanal medication replacement, age of the patient and the presence of periapical radiolucency [Mackie et al., ABSTRACT 1988; Finucane and Kinirons, 1999; Kleier and Barr, 1991]. -
The Effect of MTA on the Apexification and Periapical Healing of Teeth With
The effect of mineral trioxide aggregate on the apexification and periapical healing of teeth with incomplete root formation W. T. Felippe, M. C. S. Felippe & M. J. C. Rocha School of Dentistry, Federal University of Santa Catarina, Floriano´polis, SC, Brazil Abstract 5 months later, and blocks of the teeth and surrounding tissues were submitted to histological processing. The Felippe WT, Felippe MCS, Rocha MJC. The effect of sections were studied to evaluate seven parameters: mineral trioxide aggregate on the apexification and periapical formation of an apical calcified tissue barrier, level of healing of teeth with incomplete root formation. International barrier formation, inflammatory reaction, bone and root Endodontic Journal, 39, 2–9, 2006. resorption, MTA extrusion, and microorganisms. Results Aim To evaluate the influence of mineral trioxide of experimental groups were analysed by Wilcoxon’s aggregate (MTA) on apexification and periapical heal- nonparametric tests and by the test of proportions. The ing of teeth in dogs with incomplete root formation and critical value of statistical significance was 5%. previously contaminated canals and to verify the Results Significant differences (P < 0.05) were found necessity of employing calcium hydroxide paste before in relation to the position of barrier formation and MTA using MTA. extrusion. The barrier was formed in the interior of the Methodology Twenty premolars from two 6-month canal in 69.2% of roots from MTA group only. In group old dogs were used. After access to the root canals and 2, it was formed beyond the limits of the canal walls in complete removal of the pulp, the canal systems remai- 75% of the roots. -
Summarizing the Applications and Limitations of Cone Beam Computed Tomography – a Review
European Journal of Molecular & Clinical Medicine ISSN 2515-8260 Volume 07, Issue 5, 2020 SUMMARIZING THE APPLICATIONS AND LIMITATIONS OF CONE BEAM COMPUTED TOMOGRAPHY – A REVIEW Running Title: Cone Beam Computed Tomography-a review Arunajatesan Subbiya 1 , G S V Nivashini 2 , Ramachandran Tamilselvi 3 , Dhakshinamoorthy Malarvizhi 4 M.D.S., Professor & Head1, B.D.S., First yr Postgraduate student2, M.D.S, Reader3, M.D.S, Professor 4 , Department of Conservative Dentistry and Endodontics,, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research,, Narayanapuram , Pallikaranai,Chennai -600100. Tamilnadu, India. Corresponding Author: G S V Nivashini., M.D.S., Postgraduate student Address: Department of Conservative dentistry and endodontics, Sree Balaji dental college and hospital, Bharath institute of higher education and research, Narayanapuram, Pallikaranai, Chennai – 600 100 Tamil nadu, India. ABSTRACT Cone Beam Computed Tomography (CBCT) has progressed over 15-20 years from being a technique with great potential to one that has become primary diagnostic investigation. 3D imaging has made complex root canal anatomies more accessible and helps in accurate treatment planning for many endodontic problems. A modification of original cone beam algorithm was developed by Feldkamp et al in 1984[1]. Since then there were significant progress in imaging technique starting from linear to hypocycloidal tomographic movements wherein the centre of rotation remains the same and movement of the equipment becomes more complicated for better resolution. The goal of this article is to summarize theapplications and limitations of CBCT in various clinical scenarios in day to day endodontic practice. Keywords : Radiation, imaging modalities, periapical pathosis, vertical root fractures, regenerative endodontics. -
Single-Visit Apexification Using Calcium Phosphate Cement 1CS Deviprasad, 2G Praveena, 3Manoj C Kuriakose, 4Neethu Rajeev, 5Athira a Hari
CEJ CS Deviprasad et al 10.5005/jp-journals-10048-0012 CASE REPORT Single-visit Apexification using Calcium Phosphate Cement 1CS Deviprasad, 2G Praveena, 3Manoj C Kuriakose, 4Neethu Rajeev, 5Athira A Hari ABSTRACT a search for alternatives, such as artificial apical barrier An immature tooth with pulpal necrosis and periapical pathology techniques, with their potential for more rapid treatment; imposes a great difficulty to the endodontists. Endodontic and regeneration techniques, with their potential for treatment options for such teeth consist of conventional continued tooth development. apexification procedure with and without apical barriers and Artificial apical barrier technique consists of a barrier revascularization. Calcium phosphate is a calcium silicate-based material which is packed into the apical portion of the cement that exhibits physical and chemical properties similar to those described for certain Portland cement derivatives. This root canal against which the obturating material can be article demonstrates the use of calcium phosphates as an apical condensed. Clinicians have tried several materials to form matrix barrier in root end apexification procedure. This case apical barrier in the past. These include calcium hydroxide report presents apexification and follow-up of a case with the powder, calcium hydroxide mixed with different vehicles, use of calcium phosphate as an apical barrier matrix. collagen, tricalcium phosphate, osteogenic protein, bone Keywords: Apexification, Apical barrier, Calcium phosphate growth factor, and oxidized cellulose. cement. Among the various materials used as artificial apical How to cite this article: Deviprasad CS, Praveena G, Kuriakose MC, barrier, mineral trioxide aggregate (MTA) is currently Rajeev N, Hari AA. Single-visit Apexification using Calcium considered as one of the most promising material.4 Min- Phosphate Cement. -
Vital Pulpotomy Vs.Total Pulpectomy
Vital Pulpotomy vs.Total Pulpectomy As I have mentioned several times in past issues of The CUSP, broken teeth are a serious problem that definitely require treatment of some sort. In this item, I will assume that you understand that and I am going to concentrate on treatment planning for these fractured teeth. For now, let us consider the simplest of cases in which a dog has taken the tip off a canine tooth, The pulp is exposed, but there is no damage near or below the gumline and the remaining two thirds of the crown is intact. In cases where the pulp is exposed, there are two main treatment options to consider. The first is extraction. This would achieve the objectives of removing a source of considerable pain as well as a conduit of infection. The other option is endodontic treatment of some type. Endodontic treatment options include total pulpectomy or partial vital pulpotomy. Each option has its advantages and disadvantages, indications and contra-indications. To understand some of these, it is important to know something of dental development and physiology When a permanent tooth is developing within the jaw of a young animal, it is constructed from the outside-in. That is to say, the enamel of the crown is produced early in the process so that the outside dimension of the crown is established early. Once the enamel is formed, the tissue that made it goes dormant and no more enamel can ever be produced for that tooth. On the inside of the tooth is the pulp (blood vessels, nerves, lymphatics and various free cellular elements). -
Restorative Dentistry & Endodontics
pISSN 2234-7658 Vol. 44 · Supplement · November 2019 eISSN 2234-7666 November 8–10, 2019 · Coex, Seoul, Korea Restorative DentistryRestorative & Endodontics Restorative Dentistry & Endodontics Vol. 44 Vol. · Supplement Supplement · November 2019 November The Korean Academy of Conservative Dentistry Academy The Korean The Korean Academy of Conservative Dentistry www.rde.ac Vol. 44 · Supplement · November 2019 Restorative Dentistry & Endodontics November 8–10, 2019 · Coex, Seoul, Korea pISSN: 2234-7658 eISSN: 2234-7666 Aims and Scope Distribution Restorative Dentistry and Endodontics (Restor Dent Endod) is a Restor Dent Endod is not for sale, but is distributed to members peer reviewed and open-access electronic journal providing up- of Korean Academy of Conservative Dentistry and relevant to-date information regarding the research and developments researchers and institutions world-widely on the last day of on new knowledge and innovations pertinent to the field of February, May, August, and November of each year. Full text PDF contemporary clinical operative dentistry, restorative dentistry, files are also available at the official website (https://www.rde. and endodontics. In the field of operative and restorative ac; http://www.kacd.or.kr), KoreaMed Synapse (https://synapse. dentistry, the journal deals with diagnosis, treatment planning, koreamed.org), and PubMed Central. To report a change of treatment concepts and techniques, adhesive dentistry, esthetic mailing address or for further information contact the academy dentistry, tooth whitening, dental materials and implant office through the editorial office listed below. restoration. In the field of endodontics, the journal deals with a variety of topics such as etiology of periapical lesions, outcome Open Access of endodontic treatment, surgical endodontics including Article published in this journal is available free in both print replantation, transplantation and implantation, dental trauma, and electronic form at https://www.rde.ac, https://synapse.