​Dental Management Of Children With Special Health Care Needs

The management of children with health care needs creates hesitation and anxiety among health professionals includingdentists. There has been general agreement that disabled population has a higher prevalence of dental caries, poor oralhygiene, and compromised gingival and periodontal health than healthy population. Oral healthcare professionals requirespecialized knowledge acquired through special training and increased awareness. The purpose of this article is to describethe characteristics of some common developmental disabilities and medically compromised states and the challenges of theseissues present to the oral healthcare professionals.

Intentional Reimplantation: A Report of Two Cases.

Intentional reimplantation is a procedure in which tooth extraction is performed followed by reinsertion of the extracted tooth into its own socket after performing the desired procedure. In this study, two case reports of intentional reimplantation are described and discussed as a treatment approach for broken instrument and a periapical lesion that is very near to mandibular canal in mandibular first molar. The indications for and limitations of intentional reimplantation as well as recommended literature on the subject is discussed. The present article describes two cases of intentional replantation: (1) Mandibular first molar with continuous pus discharge and (2) mandibular first molar with the fractured instrument.

Non-carious Cervical Lesion: A Review Article.

Non-carious cervical lesions are usually described as “tooth substance loss.” Such process includes attrition, abrasion, erosion, abfraction, localized non-hereditary dentinal hypocalcification, localized non-hereditary dentinal hypoplasia, amelogenesis imperfecta, dentinogenesis imperfecta, and tooth trauma. The non-carious cervical lesion is complex lesions in which there is a loss of enamel, dentin, cementum, bone and keratinized attached gingiva. Furthermore, there is gingival crest disharmony, poor emergence profile, loss of identifiable cemento-enamel junction, Miller’s recession class, and dentin/root sensitivity. The treatment of this non-carious lesion includes restorations such as glass-ionomer cement (GIC), composites, and Resin-modified GIC. We can even restore them with porcelain fused metal crowns or full ceramic crowns.

Presence of Mesiobuccal 2 and Mesiobuccal 3 Canal in Maxillary First Molar: An Illusion.

Successful endodontic treatment involves a proper access cavity preparation, biomechanical principles, and three-dimensional obturation. Thus, the clinician should have a through knowledge of anatomy and morphology of the root canal system. Failure in root canal therapy may be due to inability in locating the canal and its proper debridement. The configuration and a number of root canals in the maxillary first molars have been discussed for more than half a century. Maxillary first molars commonly present with three roots and three canals, with a second mesiobuccal canal (MB2) and (MB3). The current case reports describe the presence of extra canals MB2 and MB3 in a maxillary first molar.