A Clinical Study On Management of Mandibular Molar With Large Periapical Abscess And Furcation Involvement : A Conservative Approach.

Treatment of the damaged molar often presents a set of challenges unique to the posterior dentition. Traditional dental treatments continue to be refined to improve the prognosis when treating the posterior dentition. Daily treatment-planning decisions involve consideration of local host factors as well as limitations in specific therapeutic approaches. Objectives: The aim of this article is to present a case report of management of periapical abscess of mandibular right first molar associated with furcation involvement utilizing metapex followed by conventional root canal treatment. Results: Patient was evaluated after filling of canals with metapex every three months for one year. Radiographic examination showed healing of furcation defect as well as resolution of periapical radiolucencies. Clinical evaluation revealed reduction of tooth mobility. Discussion: The case was diagnosed as periapical abscess with furcation involvement. The suggested treatment of periapical abscess with furcation involvement by placement of metapex followed by conventional root canal treatment of the involved tooth could result in complete healing of tooth which was considered hopeless.

Analysis of bite mark evidence.

Bite mark analysis casework strives to connect a biter to the teeth pattern present on an object linked in some way to a crime or event. The general public and some law enforcement may consider any “bite mark” case they develop to be a certainty in the quest to identify the biter. The ability of skin to register sufficient detail of a biter’s teeth is highly variable. Bite mark casework indicates that many bite marks are not well defined in detail and posses distortion due to the physical nature of skin itself. The current opinion is that bite mark can be useful in including or excluding possible suspects and ability to identify only one person as the biter. In mortal combat situations, such as the violence associated with life and death struggles between assailants and victims, the teeth are often used as a weapon. It is well known that assailants in sexual attacks, including sexual homicide, rape and child sexual abuse, often bite their victims as an expression of dominance, rage and animalistic behaviour. The teeth are a significant component of our natural arsenal.