Classification of Longitudinal Tooth Fractures
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National Standardized Dental Claim Utilization Review Criteria
NATIONAL STANDARDIZED DENTAL CLAIM UTILIZATION REVIEW CRITERIA Revised: 4/1/2017 The following Dental Clinical Policies, Dental Coverage Guidelines, and dental criteria are designed to provide guidance for the adjudication of claims or prior authorization requests by the clinical dental consultant. The consultant should use these guidelines in conjunction with clinical judgment and any unique circumstances that accompany a request for coverage. Specific plan coverage, exclusions or limitations may supersede these criteria. For reference, criteria approved by the Clinical Policy and Technology Committee are provided. These represent clinical guidelines that are evidence-based. Please Note: Links to the specific Dental Clinical Policies and Dental Coverage Guidelines are embedded in this document. Additionally, for notices of new and updated Dental Clinical Policies and Coverage Guidelines or for a full listing of Dental Clinical Policies and Coverage Guidelines, refer to UnitedHealthcareOnline.com > Tools & Resources > Policies, Protocols and Guides > Dental Clinical Policies & Coverage Guidelines. CLAIM UR CRITERIA / DENTAL CLINICAL POLICY / DENTAL PROCEDURE DOCUMENTATION COVERAGE GUIDELINE DIAGNOSTIC Clinical Oral Evaluations Documentation in member record that includes all services performed D0120–D0191 for the code submitted Pre-Diagnostic Services Documentation in member record that includes all services performed D0190 screening of a patient for the code submitted. D0191 assessment of a patient Diagnostic Imaging Documentation in the member record. Diagnostic, clear, readable Criteria for codes D0364–D0368, D0380–D0386, D0391–D0395: images, dated with member name. Image capture with interpretation Cone beam computed tomography (CBCT) is unproven and not medically D0210–D0371 necessary for routine dental applications. There is insufficient evidence that CBCT is beneficial for use in routine dental Image Capture only applications. -
Diagnosis and Treatment of Periodontal Emergencies
PERIODONTAL Dr. Nazli Rabienejad DDS,MSc; Periodontist Assistant professor of Hamadan Dentistry faculty viral shedding may begin 5–6 days before the appearance of the first symptoms. Pre symptomatic carriers are difficult to identify viral load is shown to be the highest at the time of symptom onset any person who enters may be a potential source of transmission Dr. Nazli Rabienejad 3 Dr. Nazli Rabienejad 4 Dr. Nazli Rabienejad 5 انتقال حین درمان های دندانپزشکی دراپلت بزاقی دراپلت تنفسی آئروسل Dr. Nazli Rabienejad موارد اورژانس و ضروری در ارائه خدمات دندانپزشکی در شرایط همه گیری کووید19- تسکین درد کنترل خونریزی بیمار خطر برای کنترل عفونت سﻻمتی Dr. Nazli Rabienejad 7 Dr. Nazli Rabienejad Dr. Nazli Rabienejad Dr. Nazli Rabienejad PERIODONTAL EMERGENCIES 1. Pericoronitis 2. Periodontal and gingival abscess 3. Chemical and physical injuries 4. Acute herpetic gingivostomatitis 5. Necrotizing ulcerative gingivitis 6. Cracked tooth syndrome 7. Periodontic and endodontic problems 8. Dentine hypersensitivity Dr. Nazli Rabienejad 11 Classification of Abscesses • marginal gingival and interdental tissues gingival abscess • periodontal pocket periodontal abscess • crown of a partially erupted tooth. Pericoronal abscess Dr. Nazli Rabienejad 12 Pericoronal Abscess (pericoronitis) • Most common periodontal emergency • inflammation of the soft tissue operculum, which covers a partially erupted tooth. • most often observed around the mandibular third molars Dr. Nazli Rabienejad 13 The clinical picture of pericoronitis • red, swollen, possibly suppurative lesion that is extremely painful to touch. • Swelling of the cheek at the angle of jaw, partial trismus, and radiating pain to ear and systemic complications such as fever, leukocytosis and general malaise are common findings. -
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. -
SAID 2010 Literature Review (Articles from 2009)
2010 Literature Review (SAID’s Search of Dental Literature Published in Calendar Year 2009*) SAID Special Care Advocates in Dentistry Recent journal articles related to oral health care for people with mental and physical disabilities. Search Program = PubMed Database = Medline Journal Subset = Dental Publication Timeframe = Calendar Year 2009* Language = English SAID Search-Term Results 6,552 Initial Selection Results = 521 articles Final Selected Results = 151 articles Compiled by Robert G. Henry, DMD, MPH *NOTE: The American Dental Association is responsible for entering journal articles into the National Library of Medicine database; however, some articles are not entered in a timely manner. Some articles are entered years after they were published and some are never entered. 1 SAID Search-Terms Employed: 1. Mental retardation 21. Protective devices 2. Mental deficiency 22. Conscious sedation 3. Mental disorders 23. Analgesia 4. Mental health 24. Anesthesia 5. Mental illness 25. Dental anxiety 6. Dental care for disabled 26. Nitrous oxide 7. Dental care for chronically ill 27. Gingival hyperplasia 8. Self-mutilation 28. Gingival hypertrophy 9. Disabled 29. Glossectomy 10. Behavior management 30. Sialorrhea 11. Behavior modification 31. Bruxism 12. Behavior therapy 32. Deglutition disorders 13. Cognitive therapy 33. Community dentistry 14. Down syndrome 34. State dentistry 15. Cerebral palsy 35. Gagging 16. Epilepsy 36. Substance abuse 17. Enteral nutrition 37. Syndromes 18. Physical restraint 38. Tooth brushing 19. Immobilization 39. Pharmaceutical preparations 20. Pediatric dentistry 40. Public health dentistry Program: EndNote X3 used to organize search and provide abstract. Copyright 2009 Thomson Reuters, Version X3 for Windows. Categories and Highlights: A. Mental Issues (1-5) F. -
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................................................................. -
A Case of Suspected Temporomandibular Disorder and Cracked Tooth
A CASE OF SUSPECTED TEMPOROMANDIBULAR DISORDER AND CRACKED TOOTH Takashi Ishii, DDS, PhD1 A patient referred with a suspected temporomandibular disorder was exam- ined. Initial temporomandibular symptoms and pain subsided with normal dental treatment. However, over time, the patient began to develop trigeminal neuralgia-like symptoms. Typical symptoms appeared after about 1 year, and trigeminal neuralgia was eventually diagnosed. Surgery was performed at a neurosurgery department, leading to recovery. The initial symptoms in this case were pre-trigeminal neuralgia, the precursor to trigeminal neuralgia. INT J MICRODENT 2015;6:90–93 INTRODUCTION CASE REPORT In order to diagnose myofascial toothache, a non-odontogenic Patient: 60-year-old male toothache that appears as re- ferred myofascial pain of the mas- • Main complaint: left tempo- seter muscle,1 or toothache due romandibular joint noise, spon- to cracked tooth syndrome,2, 3 taneous pain of left mandibular which includes cracked teeth and molars is an odontogenic toothache, the • Medical history: The patient pathologies of these conditions had been attending an ortho- must be properly understood. It pedic surgery department for a is not possible to diagnose an un- cervical vertebral disc herniation known condition. for approximately 1 year. He had A case is reported in which both also received laser treatment the patient himself and the refer- for left temporomandibular joint ring doctor suspected temporo- noise, but there was no change. mandibular disorder. Since the He was prescribed neurotropin pain was not well characterized, and celecoxib by the orthopedic a mixed condition of myofascial surgery department. toothache and odontogenic tooth- • Family history: Nothing of note. -
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. -
Sensitive Teeth Causes & Treatment Options
SENSITIVE TEETH CAUSES & TREATMENT OPTIONS TEETHMATE™ DESENSITIZER The future is now… create hydroxyapatite HAVING SENSITIVE TEETH SENSITIVITY CAN HAVE VARIOUS CAUSES, AND THERE ARE DIFFERENT TREATMENT OPTIONS IS A POPULATION-WIDE The conditions for dentin sensitivity are that the dentin There are many treatment strategies and even more must be exposed and the tubules must be open on both products that are used to eliminate dentin sensitivity. the oral and the pulpal sides. Patients suffering from However, today there is unfortunately still no universally dentin sensitivity describe the pain sensation as a severe, accepted treatment method. The many variables, the PROBLEM sharp, usually short-term pain in the tooth. placebo effect, and the many treatment methods get Holland et al.1 characterise dentin sensitivity as a short, in the way of the design of studies4. In most cases, the sharp pain resulting from exposed dentin in response to treatment of dentin sensitivity starts with the application various stimuli. These stimuli are typically thermal, i.e. by of desensitizing toothpaste. After this or simultaneously, evaporation, tactile, i.e. by osmosis or chemically, or not the treatment can be supplemented with one or more And something every practice has to deal with due to any other form of dental pathological defect. treatment options5. Patients with dentin sensitivity may react to air blown But what exactly do we mean by sensitive teeth? How many from the air-syringe or to scratching with a probe on the PREVALENCE patients report to dental practices with this problem and is this tooth surface. Of course, it is essential to rule out possible According to several publications6 7 8 9 10, dentin sensitivity figure in line with the prevalence? What are the different causes causes of the pain other than dentin sensitivity. -
NEW CLASSIFICATION of PERIODONTAL and PERI-IMPLANT DISEASES Guest Editors: Mariano Sanz and Panos N
Scientific journal of the Period I, Year V, n.º 15 Sociedad Española de Periodoncia Editor: Ion Zabalegui 2019 / 15 International Edition periodonciaclínica NEW CLASSIFICATION OF PERIODONTAL AND PERI-IMPLANT DISEASES Guest editors: Mariano Sanz and Panos N. Papapanou ADVERTISING Presentation ANTONIO BUJALDÓN, PRESIDENT OF SEPA 2019-2022 THIS IS THE FIRST EDITORIAL of Periodoncia Clínica of the Before ending this editorial, it is essential to dedicate some SEPA presidential mandate for 2019-2022. It is a huge honour lines of recognition and thanks to the active and committed SEPA to start with a monographic issue on the New Classification members involved with Periodoncia Clínica over the four years that of Periodontal and Peri-implant Diseases, fruit of the work of have passed since the creation of this informative publication, which the World Workshop held in 2017 by the American Academy has consolidated a style and friendly way of strengthening and of Periodontology (AAP) and the European Federation of facilitating professional access to knowledge, under the values of Periodontology (EFP), to which SEPA is proud to belong as one of its rigour, innovation, and excellence that are the hallmarks of SEPA. most dynamic members. Ion Zabalegui, editor of Periodoncia Clínica, together with The rejoicing increases by having the brilliant collaboration as associate editors Laurence Adriaens, Andrés Pascual, and Jorge guest editors of Panos N. Papapanou and Mariano Sanz, the latter Serrano, deserve a display of immense gratitude from all SEPA -
Clinicalpractice
Clinical P RACTIC E Overview of Complications Secondary to Tongue and Lip Piercings Contact Author Léo-François Maheu-Robert, DMD; Elisoa Andrian, PhD; Daniel Grenier, PhD Dr. Grenier Email: Daniel.Grenier@ greb.ulaval.ca ABSTRACT In recent years, intraoral and perioral piercings have grown in popularity among teen- agers and young adults. This is of concern to dental and medical professionals because of the risks and complications for oral, dental and general health. The risks and compli- cations associated with tongue and lip piercings range from abnormal tooth wear and cracked tooth syndrome to gingival recession and systemic infections. In this report, we provide an overview of possible problems associated with oral piercings that may be encountered by dentists. For citation purposes, the electronic version is the definitive version of this article: www.cda-adc.ca/jcda/vol-73/issue-4/327.html ody piercing is a cultural practice or In this article, we present a brief review tradition in various civilizations dating of the current literature on potential compli- Bback to antiquity. In recent years, body cations and adverse consequences of tongue piercing has become increasingly fashionable and lip piercings. Our objective is to provide for purely esthetic reasons, and the practice a general overview of possible problems that cuts across all sectors of society. The emer- may be encountered by dentists. In addition, gence of oral piercing, especially among young we highlight the urgent need for dentists and adults, is of concern to dental and medical doctors to inform target patients of the risks professionals because of the risks and com- associated with oral piercings.