ABSTRACT
Endodontics is the least forgiving branch of dentistry in terms of success or failure. Therefore, re-treatment has become a significant part of today’s endodontic practice. There is a growing evidence showing the presence of fungi especially Candida albicans in root canals of obturated teeth in which endodontic treatment has failed. It has been demonstrated that Candida species are resistant to some medications used in endodontics. The aim of this study was to examine the in-vitro susceptibility of Candida albicans to materials used in endodontics such as mineral trioxide aggregate (MTA), Calcium hydroxide Ca(OH)2/camphorated paramonochlorophenol (CMCP) /glycerine and chlorhexidine (CHX). MTA and CHX are effective anti-fungal agents each with 67% anti fungal activity while Ca(OH)2/CMCP showed 33% anti-fungal activity.
ABSTRACT
Based on clinical observation that gingival recession may occur during orthodontic therapy involving sites that have an “insufficient” zone of gingiva, it is suggested that grafting procedure to be adapted to increase the gingival dimensions preceding the initiation of the orthodontic therapy. But once it is created, should be solved in appropriate way. We report a case treated for post-orthodontic gingival recession. The procedure involved the utilization of subepithelial connective tissue graft (SCTG) combined with coronally advanced flap procedure. At the post-operative follow-up visits the success of the surgical approach was confirmed by the absence of bleeding to probing and periodontal pockets as well as presence of gingival tissue with normal color, texture and contouring. After 12 months of follow-up, the clinical conditions were better than immediate post-operative result with satisfactory root coverage and periodontal health by the process known as creeping attachment. An excellent esthetical outcome was achieved and the patient was satisfied with case resolution.