“Vertical Root Fracture”-A Dilemma Revisited
Total Page:16
File Type:pdf, Size:1020Kb

Load more
Recommended publications
-
Minimum Intervention Oral Healthcare Delivery – Is There Consensus?
UPFRONT EDITORIAL Minimum intervention oral healthcare delivery – is there consensus? Aviit Banerjee, Guest Editor BDJ Minimum Intervention Themed Issue and Professor of Cariology & Operative Dentistry; Hon. Consultant, Restorative Dentistry; Head of Department, Conservative & MI Dentistry; Faculty of Dentistry, Oral & Craniofacial Sciences, King’s College London, Guy’s Dental Hospital, London, SE1 9RT, UK. The BDJ Upfront section includes editorials, letters, news, book reviews and interviews. Please direct your correspondence to the News Editor, Kate Quinlan at [email protected]. Press releases or articles may be edited, and should include a colour photograph if possible. irstly, I’d like to take this opportunity in the BDJ, so increasing their exposure to a dependent on longitudinal susceptibility to ofer all BDJ readers my sincere best wider audience. He agreed and hey presto, in assessments).1 wishes in what has been a trying 2020 so 2012 and 2013 in BDJ volumes 213 and 214, Ffar. At the beginning of a new decade, heralded they were published and proved to be of real Four years later, I was again delighted and by many as a fresh chance for humanity to interest and inspiration to the readership. honoured this time to coordinate, co-author embrace and nurture all that is positive in Suitably enthused, in 2013, Stephen then and present the frst MI-themed BDJ issue as global and local society, we fnd ourselves kindly invited me to author an editorial its guest editor, commissioning a selection of having to re-adjust radically, both personally opinion piece introducing and outlining high quality manuscripts from national and and professionally in such unusual times, to the concept of prevention-based minimum- international renowned professionals and dear a new ‘norm’ and there is still much to evolve intervention oral care (MIOC) provision colleagues with an acknowledged expertise in in this regard. -
Posterior Inlay and Onlay
Ministry of Higher Education and Scientific Research University of Baghdad College of Dentistry Posterior Inlay and Onlay A Project Submitted to the Council of the College of Dentistry at the University of Baghdad Department of Conservative Dentistry in Partial Fulfillment of the Requirements for the B.D.S. Degree By Ibrahim Nabil Aziz Supervised by Dr. Ala’a Jawad B.D.S., M.Sc. 2018 A.D. 1439 A.H. Dedication This work is dedicated to my family, to my friend (Modar Abbas) for their great support and for always believing in me. Thank you from all my heart. Ibrahim Certification of the Supervisor I certify that this thesis entitled “Posterior Inlay and Onlay” was prepared by Ibrahim Nabil Aziz under my supervision at the College of Dentistry/ University of Baghdad in partial fulfilment of the requirements for the for the B.D.S. Degree. Signature Dr. Ala’a Jawad B.D.S., M.Sc. (The supervisor) Acknowledgement Thanks and praise to Allah the Almighty for inspiring and giving me the strength, willingness and patience to complete this work. My deepest gratitude and sincere appreciation to Prof. Dr. Hussain F. Al-Huwaizi, Dean of the College of Dentistry, University of Baghdad, for his kind care and continuous support for the postgraduate students. I would like to thank Prof. Dr. Nidhal H. Ghaib, Assistant Dean for Scientific Affairs, for her advice and support. My sincere appreciation and thankfulness to Prof. Dr. Adel Frahan, Chairman of the Conservative Dentistry Department, University of Baghdad, for his keen interest, help, scientific support and encouragement. -
Incidence of Vertical Root Fracture at the Apical Third of the Root Canal
Incidence of Vertical Root Fracture at the Apical Third of the Root Canal System after Preparation with Newer NiTi Rotary Files and Hand Files at Different Working Lengths A Thesis Presented to the Faculty of Tufts University School of Dental Medicine in Partial Fulfillment of the Requirements for the Degree of Master of Science in Dental Research by Afnan Abdulmajeed 04/2018 i © 2018 Afnan Abdulmajeed ii Thesis Committee Thesis Advisor Robert Amato D.M.D Professor and Chair Department of Endodontics Tufts University School of Dental Medicine Committee Members Gerard Kugel, D.M.D, MS, PhD Professor Department of Prosthodontics & Operative Dentistry Associate Dean for Research Tufts University School of Dental Medicine Britta Magnuson D.M.D Assistant Professor Department of Diagnostic Sciences Tufts University School of Dental Medicine Matthew Finkelman, PhD Associate Professor and Director Division of Biostatistics and Experimental Design, Department of Public Health and Community Service Tufts University School of Dental Medicine iii Abstract Introduction Vertical root fracture (VRF) is considered one of the most unfavorable complications in root canal treatment which may lead to tooth extraction. The aim of the study was to compare the incidence of generation of dentinal defects in the apical third of human extracted teeth after canal preparations with new rotary files (Vortex blue rotary file and HyFlex CM file) at different instrumentation lengths after hand filing vs. hand filing only (K-Flexofile). At different levels, the assessment of the defects was evaluated using a stereomicroscope using a cold light source. Materials and Methods One hundred and twenty anterior teeth (maxillary and mandibular) were mounted in resin blocks with simulated periodontal ligaments after examination and exclusion of cracked teeth. -
Treatment Planning in Conservative Dentistry
Dental Science - Review Article Treatment planning in conservative dentistry Andamuthu Sivakumar, Vinod Thangaswamy1, Vaiyapuri Ravi Department of ABSTRACT Conservative Dentistry A patient attending for treatment of a restorative nature may present for a variety of reasons. The success is and Endodontics, built upon careful history taking coupled with a logical progression to diagnosis of the problem that has been Vivekanandha Dental College for Women, presented. Each stage follows on from the preceding one. A fitting treatment plan should be formulated and Tiruchengodu, 1Oral and should involve a holistic approach to what is required. Maxillofacial Surgery, JKKN Dental College and Hospital, Kumarapal Ayam, India Address for correspondence: Dr. Andamuthu Sivakumar, E-mail: tirupurdental@gmail. com Received : 01-12-11 Review completed : 02-01-12 Accepted : 26-01-12 KEY WORDS: Diagnosis, history, holistic, restorative, treatment plan he purpose of dental treatment is to respond to a patient’s understanding of the disease processes and their relationship T needs. Each patient, however, is as unique as a fingerprint. to each other. Fundamental is that the diagnosed lesion be Treatment therefore should be highly individualized for the considered in context with its host, the patient, and the total patient as well as the disease.[1] environment to which it is subjected. Careful weighing of all information will lead to an authoritative opinion regarding Treatment Planning treatment. So, a sound treatment plan [Table 1] depends on thorough patient evaluation, dentist expertise, understanding 1. It is a carefully sequenced series of services designed to the indications and contraindications, and prediction of eliminate or control etiologic factor.[2] patient’s response to treatment. -
Asepsis in Operative Dentistry and Endodontics
International Journal of Public Health Science (IJPHS) Vol.3, No.1, March 2014, pp. 1~6 ISSN: 2252-8806 1 Asepsis in Operative Dentistry and Endodontics Priyanka Sriraman, Prasanna Neelakantan Saveetha Dental College, Saveetha University, Chennai, India Article Info ABSTRACT Article history: Operative (conservative) dentistry and endodontics are specialties of dentistry where the operator is exposed to various infectious agents either via Received Dec 6, 2013 contact with infected tissues, fluids or aerosol. The potential for cross Revised Jan 20, 2014 infection to happen at the dental office is great and every dentist must have a Accepted Feb 26, 2014 thorough knowledge of the concepts of sterilization and disinfection. Disposables should be used wherever possible. Furthermore, the water supply to the dental chair units and water outlets can house biofilms of Keyword: microbes and should be considered as possible sources of infection. This review discusses the importance of following strict aseptic protocols from the Disinfection perspective of operative dentistry and endodontics. Sterilization Cross infection Prions Barrier Copyright © 2014 Institute of Advanced Engineering and Science. Biofilms All rights reserved. Infection control Corresponding Author: Prasanna Neelakantan, Department of Conservative Dentistry and Endodontics, Saveetha University, 162 Poonamallee High Road, Velappanchavadi, Chennai - 600077, Tamil Nadu, India. Email; [email protected] 1. INTRODUCTION Dental professionals are exposed to a variety of micro-organisms present in the blood and saliva of patients, making infection control an issue of utmost importance. Asepsis is the state of being free from disease causing contaminants such as bacteria, viruses, fungi, parasites in addition to preventing contact with micro-organisms. The main goal of infection control is either to reduce or eliminate the chances of microbes getting transferred between the patients, doctors and the dental auxiliaries. -
Apicoectomy of Maxillary Anterior Teeth Through a Piezoelectric Bony-Window Osteotomy: Two Case Reports Introducing a New Technique to Preserve Cortical Bone
Case report ISSN 2234-7658 (print) / ISSN 2234-7666 (online) https://doi.org/10.5395/rde.2016.41.4.310 Apicoectomy of maxillary anterior teeth through a piezoelectric bony-window osteotomy: two case reports introducing a new technique to preserve cortical bone Viola Hirsch1,2, Meetu Two case reports describing a new technique of creating a repositionable piezoelectric R. Kohli1*, Syngcuk bony window osteotomy during apicoectomy in order to preserve bone and act as an 1 autologous graft for the surgical site are described. Endodontic microsurgery of anterior Kim teeth with an intact cortical plate and large periapical lesion generally involves removal of a significant amount of healthy bone in order to enucleate the diseased 1 Department of Endodontics, tissue and manage root ends. In the reported cases, apicoectomy was performed on the University of Pennsylvania School of Dental Medicine, Philadelphia, lateral incisors of two patients. A piezoelectric device was used to create and elevate PA, USA a bony window at the surgical site, instead of drilling and destroying bone while 2Private Practice, Munich, Germany making an osteotomy with conventional burs. Routine microsurgical procedures - lesion enucleation, root-end resection, and filling - were carried out through this window preparation. The bony window was repositioned to the original site and the soft tissue sutured. The cases were re-evaluated clinically and radiographically after a period of 12 - 24 months. At follow-up, radiographic healing was observed. No additional grafting material was needed despite the extent of the lesions. The indication for this procedure is when teeth present with an intact or near-intact buccal cortical plate and a large apical lesion to preserve the bone and use it as an autologous graft. -
Diagnosis and Treatment of Endodontically Treated Teeth With
Case Report/Clinical Techniques Diagnosis and Treatment of Endodontically Treated Teeth with Vertical Root Fracture: Three Case Reports with Two-year Follow-up Senem Yigit Ozer,€ DDS, PhD,* Gulten€ Unl€ u,€ DDS, PhD,† and Yalc¸ın Deger, DDS, PhD‡ Abstract Introduction: Vertical root fracture (VRF) is an impor- vertical root fracture (VRF) manifests as a complete or incomplete fracture line tant threat to the tooth’s prognosis during and after Aextending obliquely or longitudinally through the enamel and dentin of an root canal treatment. Often the detection of these frac- endodontically treated root. VRFs usually result in extraction of the affected tooth tures occurs years later by using conventional periapical (1). Major iatrogenic and pathologic risk factors for VRFs include excessive root canal radiographs. However, recent studies have addressed preparation, overzealous lateral and vertical compaction forces during root canal the benefits of computed tomography to diagnose these filling, moisture loss in pulpless teeth, overpreparation of post space, excessive pres- problems earlier. Accurately diagnosed VRFs have been sure during post placement, and compromised tooth integrity as a result of large treated by extraction of teeth, with minimal damage to carious lesions or trauma (2). Whereas a multi-rooted tooth with VRF can be conserved the periodontal ligament, extraoral bonding of fractured by resecting the involved root, a single-rooted tooth usually has a poor prognosis, segments with an adhesive resin cement, and inten- leading to extraction in 11%–20% of cases (3). tional replantation of teeth after reconstruction. Although several methods have been used to preserve vertically fractured teeth, no Methods: The 3 case reports presented here describe specific treatment modality has been established (4–9). -
Aesthetic Replacement of a Vertically Fractured Anterior Tooth Using the Natural Tooth As a Pontic : a Case Report
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 14, Issue 10 Ver. II (Oct. 2015), PP 04-09 www.iosrjournals.org Aesthetic replacement of a vertically fractured anterior tooth using the natural tooth as a pontic : a Case Report Dr Ankita Gupta1, Dr Sunita Garg2 1,2(Department of Conservative Dentistry & Endodontics , Government Dental College & Hospital, Ahmedabad, Gujarat University, India) Abstract: Teeth with vertical root fractures (VRF) have complete or incomplete fractures that begin in the root and extend toward the occlusal surface. The most common causes of VRFsare trauma, inadequate endodontic treatment, iatrogenic causes, for e.g. excessive canal shaping, excessive restorative procedures, excessive forces of lateral condensation of obturation, etc. Diagnosis is difficult but invariably, treatment is extraction of the tooth/root. The sudden loss of an anterior tooth due to aforementioned reasons can be psychologically and socially damaging to the patient. This paper describes the immediate replacement of an endodontically treatedvertically fractured left central incisor with the natural tooth crown as a ponticusing composite resin. This technique allows the abutment teeth to be conserved with minimal or no preparation, and thus, keeps the technique reversible. Also, it can be completed chair-side, thereby avoiding laboratory costs. Hence, it canbe used as an interimprosthesis to prevent psychological trauma to the patient. Keywords: cone beam computed tomography, natural crown pontic, vertical root fracture, wire-composite splinting, I. Introduction According to the American Association of Endodontists, “A vertical root fracture(VRF) is a longitudinally oriented fracture of the root that originates from the apex and propagates to the coronal part [1].” Vertical root fractures represent about 2 to 5% of crown/root fractures, with the greatest incidence occurring in endodontically treated teeth [2]. -
International Association of Dental Traumatology Istanbul, Turkey June 19-21, 2014
18th Meeting of the International Association of Dental Traumatology Istanbul, Turkey June 19-21, 2014 International Association of Dental Traumatology 4425 Cass Street, Suite A San Diego, CA 92109 Tel: 1 (858) 272-1018 Fax: 1 (858) 272-7687 Email: [email protected] Web Site: www.iadt-dentaltrauma.org Page 1 y Table of Contents Page Supporting Organizations ............................................................ 3 Welcome Letter ............................................................................. 4 Sponsors / Exhibitors ................................................................... 5 Officers / Directors / Committees ................................................. 6 Military Museum Map..................................................................... 7 Conference Overview .................................................................... 8 Social Events, Elective Tours and Activities .......................... 9-12 Program Moderators.................................................................... 13 Program Schedule .................................................................. 14-15 Research Lecture Presentations ........................................... 16-19 Invited Speakers ..................................................................... 20-28 Abstracts ............................................................................... 29-160 Ednodontics & Periodontal Aspects Case Posters ........................................................................ 29-65 Research Posters................................................................. -
Quality Resource Guide
Second Edition Quality Resource Guide Diagnosing and Managing the Cracked Tooth Part 2: Vertical Root Fractures Author Acknowledgements Educational Objectives LEIF K. BAKLAND, DDS Following this unit of instruction, the practitioner should be able to: EMERITUS Professor 1. Differentiate vertical root fractures from other dental fractures. TORY SILVESTRIN, DDS MSD MSHPE Associate Professor, Chair and 2. Recognize the usual symptoms of vertical root fractures. Advanced Program Director 3. Describe methods for diagnosing vertical root fractures. Loma Linda University School of Dentistry Department of Endodontics 4. Recognize the risk factors associated with vertical root fractures. Loma Linda, California 5. Describe treatment options for vertical root fractures. Drs. Bakland and Silvestrin have no 6. Evaluate the prognoses for vertical root fractures. relevant financial relationships to disclose. MetLife designates this activity for 1.5 continuing education credits for the review of this Quality Resource Guide and successful completion of the post test. The following commentary highlights fundamental and commonly accepted practices on the subject matter. The information is intended as a general overview and is for educational purposes only. This information does not constitute legal advice, which can only be provided by an attorney. © 2020 MetLife Services and Solutions, LLC. All materials subject to this copyright may be photocopied for the noncommercial purpose of scientific or educational advancement. Originally published April 2017. Updated and revised March 2020. Expiration date: March 2023. The content of this Guide is subject to change as new scientific information becomes available. Address comments or questions to: Cancellation/Refund Policy: MetLife is an ADA CERP Recognized Provider. [email protected] Any participant who is not 100% satisfied with this course Accepted Program Provider FAGD/MAGD Credit 11/01/16 - 12/31/20. -
Surgical Management of Failed Root Canal Treatment
Case Report DOI: 10.18231/2395-499X.2017.0052 Surgical management of failed root canal treatment Anil Dhingra1, Mayuri Kumari2,*, Bharatendu Kawatra3 1Professor & HOD, 2PG Student, 3Professor, Dept. of Conservative Dentistry and Endodontics, Seema Dental College and Hospital, Rishikesh, Uttarakhand *Corresponding Author: Email: [email protected] Introduction Case Report Periapical lesion is a local response of bone around A 23-year-old male patient presented to the the apex of tooth that develops after the necrosis of the Department of Conservative Dentistry and Endodontics, pulp tissue or extensive periodontal disease. The Seema dental college and hospital with the complaint of successful treatment of periapical inflammatory lesion pain in relation to the maxillary left anterior region. On depends on the reduction and elimination of the diagnosis patient gave history of root canal treatment offending organism. Root canal therapy, periapical i.r.t 21 and 22 twice in last six month. On clinical surgery, or extraction of the tooth might be the examination, there was grade I mobility in maxillary treatment alternatives.(1) left centraland lateral incisor.On radiographic Periapical surgery or Root end resection involves examination revealed a well-defined periapical the surgical management of a tooth with a periapical radiolucency of about 1.2 × 1.0 cm around the apices of lesion which cannot be resolved by conventional maxillary left central and lateral incisors.Both theteeth endodontic treatment (root canal therapy or endodontic tested responsive to thermal and electric pulp testing. retreatment). It includes the curettage of all periapical There was only mild tenderness to percussion and soft tissues and sometimes application of different palpation. -
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.