In Vitro Microscopic Evaluation of Metal- And Zirconium-Oxide-Based Crowns' Marginal Fit

ABSTRACT Objective To evaluate the marginal adaptation of computer-aided designing and computer-aided machining (CAD/CAM) fabricated cobalt-chromium and zirconium-oxide-based ceramic crowns compared to those produced by a conventional method. Material and Methods The study consists of three groups; 45 crowns fabricated from cobalt-chromium (CAD-CoCr) and 45 crowns manufactured from zirconium CAD/CAM technology (CAD-Z), and 45 control (C) which consists of conventional metal-ceramic crowns. The marginal discrepancies in vertical dimensions were assessed utilizing a microscope in four surfaces (mesial, distal, vestibular, and oral) for each crown. On completion of the microscopic evaluation, multivariate analysis of variance (MANOVA) was used to study the difference in the four surfaces, considered altogether. Two-way ANOVA revealed the effect of three systems used for gap measurements of each landmark. The differences observed were considered significant at p<0.05. Results There were no differences in the four surfaces revealed by АNOVА in the three groups when considered altogether. Two-way ANOVA of each surface discovered no differences among all groups as well. Conclusion The CAD/CAM crowns revealed a comparable and satisfactory marginal adaptation compared to conventional metal-ceramic crowns.

Facial antibioma formation: a case report

Odontogenic infections are associated with a variety of microorganisms. antibiotics are commonly used for the management of various dental infections and have a proven role in decreasing morbidity and mortality caused by infectious diseases. the frequent and over usage of antibiotics has been associated with a number of consequences such as the selection of drug resistant strains, and the formation of antibiomas. antibiomas are characterized by the formation of a localized pathology surrounded by thick fibrous tissues in response to long term antibiotics use. an established antibioma is characterized by a tough fibrous swelling accompanied by painful or painless swelling, intermittent fever and constitutional symptoms. in this article, we are reporting the case of a facial antibioma formed due to prolonged use of antibiotics prescribed for a residual periapical infection following endodontic treatment. in addition, the association of using antibiotics in this context is discussed.

Cone Beam Computed Tomography for Exploring Morphology of Mandibular First Molar.

Aims: The root canals have complex morphology and vary widely among individuals variations. The objective of this research was to analyse the morphology of root canals and existence of extra canals in mandibular first molar in subpopulation of Al-Medina Al-Munawarah. Study Design: Experimental/Analytical. Place and Duration of Study: College of dentistry, Taibah University, Madinah Munawwarrah, Saudi Arabia, 2014. Methodology: This study was conducted using freshly extracted mandibular first molars (n=100). All teeth were examined for morphology of roots, root canals and apical foramen by Cone Beam Computed Tomography (CBCT). The root canals configuration was classified using Vertucci's classification. Results: All mandibular first molars (100%) had two distinct and clearly separated roots. There was a high probability of two canals (92.5%) in mesial root compared to the distal root that contain two canals only in 20% of teeth. There was no occurrence of more than two roots or more than two canals in any of the roots in the selected teeth. The majority of distal roots (80%) had single canal with type I canal configuration followed by type III (10%), type V (7.5%) and type II (2.5%). The mesial roots presented comparatively complex canals configuration. Type I canal configuration was observed in only 7.5% teeth. The incidence of C shaped canals was very low (2.5%). Conclusion: The occurrence of single rooted mandibular first molars as well as supernumerary roots is very unlikely. The incidence of two distinct canals in mesial root is high (>92%), however distal roots mainly represented one canal (80%).