Internal tooth resorption is a subtle proceeding typically occurring in teeth with a history of trauma, chronic pulpal inflammation, or caries-related issues. It is frequently observed in anterior teeth that are more vulnerable and susceptible to injury, but can also affect posterior teeth, often due to pulp involvement in caries. This case report illustrates the handling of a resorption in the cervical third of the root.
View Article and Find Full Text PDFCast metal restorations have been a cornerstone in restorative dentistry for decades, providing durable and reliable solutions for restoring damaged teeth. This case report explores the evolution of cast metal restoration techniques, highlighting recent advancements and their implications in modern dental practice involving indirect cast metal onlay restoration as a successful treatment option that involves the replacement of the tooth cusp and reinforcement of the tooth through indirect restoration. Historically, cast metal restorations, commonly fabricated from alloys such as gold, have offered superior mechanical properties, biocompatibility, and longevity compared to other materials.
View Article and Find Full Text PDFOwing to their nanoscale dimensions, nanomaterials have special chemical and physical properties that set them apart from their bulk counterparts. The exterior dimensions of a minimum of half of the particles span several nanometers in their size distribution. Silver nanoparticles (AgNPs) are one type of nanomaterial that has been widely used because of their strong antibacterial properties, which can kill bacteria that are resistant to many drugs.
View Article and Find Full Text PDFPerforations, which are artificial contact connections among teeth and supporting tissues, have a substantial impact on the success of root canal therapy, whether caused by iatrogenic or pathological causes. This case report describes a 51-year-old female who had intermittent jaw pain that was diagnosed as perforation and was successfully controlled with endodontic intervention following a referral due to procedural problems. The perforation in the furcation zone of a molar was treated with biodentine, demonstrating its sealing, biocompatibility, and tissue restoration properties.
View Article and Find Full Text PDFThe management of teeth with open apices poses unique challenges in endodontics, requiring effective strategies to promote continued root development and maintain pulp vitality. This abstract explores the utilization of bioactive materials in the treatment of open apices, specifically focusing on their role in achieving optimal outcomes. Bioactive materials, such as Biodentine (Septodont, Saint-Maur-des-Fossés, France), have gained prominence for their favourable physiochemical properties, biocompatibility, and ability to stimulate dentinogenesis.
View Article and Find Full Text PDFIn addition to helping with wound healing, periapical surgery is performed to remove periapical disease. Concentrates of platelets have been applied extensively in endodontics and other fields of regenerative medicine. A periapical inflammatory lesion was found in a 35-year-old male patient who complained of pain in the maxillary anterior region and displayed slight edema in the same area.
View Article and Find Full Text PDFFor endodontic therapy to be successful, the root canal space must be sterilized. This is often done using intracanal irrigants and medications. To accomplish periradicular region sterilization and healing, various intracanal medicaments and irrigation techniques have been researched for better treatment outcomes.
View Article and Find Full Text PDFStrict protocols for evaluating the pulp's preoperative state should be developed, along with a new classification scheme for the different pulp states, as case selection plays a major role in the effectiveness of adult pulpotomy. In this case report, a male patient, age 15, who had a carious lower left first molar underwent pulpotomy. The pulp's initial state was ascertained by pulse oximetry, electric pulp testing (EPT), and cold testing.
View Article and Find Full Text PDFMandibular molars display a wide spectrum of intricate anatomical variations among the Indian population. This case report details the diagnosis and successful endodontic management of a mid-mesial canal in the mandibular first molar tooth, emphasizing the importance of radiographic imaging and meticulous instrumentation. The patient presented with symptoms of irreversible pulpitis that led to accurate relief of symptoms after shaping and cleaning protocols were followed.
View Article and Find Full Text PDFMedian rhomboid glossitis (MRG), also known as posterior midline atrophic candidiasis, is a developmental disorder of the oral cavity. It usually involves the central part of the dorsum surface of the tongue. It is a papillary atrophy that is generally well-defined and symmetrical in presentation.
View Article and Find Full Text PDFBackground: The main purpose of obturation is to achieve a complete three-dimensional sealing of the pulp space to create a tight seal and prevent bacterial movement and its toxins to the periapical tissues. Different approaches and sealants have been developed due to the root canal system's intricacy for ensuring tight adherence. The root canal sealants need to establish a bond between the material and root dentine in order to prevent leakage.
View Article and Find Full Text PDFInstrument separation is one of the most upsetting endodontic errors, and it can occur at any time during root canal surgery. A broken file causes a metallic restriction in the root canal and makes it difficult to clean and shape the instrument effectively, thereby making the prognosis questionable. Hence, such a fragment should be properly retrieved when it becomes difficult to bypass it.
View Article and Find Full Text PDFDental trauma often has tooth discoloration and periapical lesion as its sequelae. Intracoronal bleaching restores the aesthetics, while a retrograde approach is required for non-healing lesions. A patient with discolored teeth, draining sinus, tenderness and a periapical lesion on the radiograph was treated initially with conventional root canal therapy and walking bleach technique.
View Article and Find Full Text PDFPosts have been suggested to strengthen weak endodontically treated teeth against intra-oral forces by transmitting torquing forces within the radicular dentin to supportive tissue along their roots. The case studies that follow show how an interdisciplinary approach was used to use complete veneer crowns after custom cast posts to repair severely damaged treated teeth and restore their appearance and functionality. Coordinated prosthetic and endodontic treatments with careful consideration of the patient's expectations and requirements were crucial for a positive result and patient satisfaction.
View Article and Find Full Text PDFBackground: Ambulatory surgeries are increasing all over. While searching for an ideal anesthetic, the use of lidocaine was linked to a greater rate of transitory neurological symptoms and bupivacaine delays discharge due to a longer duration of motor blockade. 2-chloroprocaine (2CP) with a shorter duration of action is gaining popularity.
View Article and Find Full Text PDFBackground Composite resin has become a material of choice due to its aesthetic potential and durability. It is at a lower cost compared to ceramic restorations. But it has a tendency to shrink during polymerization, leading to the formation of gaps at the margins.
View Article and Find Full Text PDFThe commercially available protein-digesting enzyme bromelain is derived from the pineapple fruit or stem. Bromelain from fruit and stems are produced in different ways and has varied enzyme compositions. "Bromelain" often refers to the "stem bromelain".
View Article and Find Full Text PDFResin composite pre-heating is a novel approach that might improve handling and marginal adaptation of the unset material paste in clinical application. The goal of this review article is to compile all laboratory experiments on resin composite preheating and see how it impacts the mechanical properties of the material. Results have shown that preheating composite resins improves the degree of conversion, stiffness, marginal adaptability, and microhardness.
View Article and Find Full Text PDFContext: Microbial control is of paramount importance in Clinical Endodontics. Therefore, cleaning and disinfection of root canals are essential to achieve endodontic success.
Aims: The purpose of this study is to compare the efficacy of EndoVac irrigation system and conventional needle (30 gauges side venting needle) irrigation for removal of debris from the root canal walls at coronal, middle and apical third by using the scanning electron microscopy (SEM).