ABSTRACT
Background and Objectives: Conventionally, stainless steel crown (SSC) is the preferred material for the restoration of pulpotomized primary molars. However, in situations where stainless steel cannot be used necessity for other restorative material arises. Aim: The aim of this study is to assess the microleakage of several coronal seal materials in pulpotomized primary molars- in vitro. Methodology: Seventy-five primary molars were prepared with proximo-occlusal cavities. Restoration was done with Zinc oxide eugenol cement, SSC, composite resin, resin-modified glass-ionomer cement (GIC), and amalgam. Microleakage was assessed using dye penetration technique with stereomicroscope and scanning electron microscope. Statistical Analysis and Results: The Kruskal-Wallis and Mann-Whitney tests were used to statistically analyze the results. Conclusion: With regard to this present study composite resin and resin-modified GIC offers a good alternative for SSC.
ABSTRACT
Trauma to front tooth is one of the disturbing conditions for children and parents. The treatment strategies used to treat the immature young dentition are important for the long-term prognosis of teeth and should aim at preserving pulp vitality to secure tooth maturation and root development. This article describes a case of trauma to upper front tooth with open apex. The patient was treated with vital pulp therapy with mineral trioxide aggregate to induce apexogenesis.
ABSTRACT
AIM: To discuss about the possible treatment modalities of supernumerary tooth in place of a impacted permanent tooth. BACKGROUND: Numerical anomaly with an excessive number of teeth are termed as supernumerary teeth. CASE DESCRIPTION: This paper describes a case with erupted supernumerary tooth in the place of missing left maxillary central incisor. Radiographically the left maxillary central incisor was impacted below the root of the supernumerary tooth with an additional impacted supernumerary tooth in relation to the right maxillary central incisor. CONCLUSION: A multidisciplinary approach is required in managing the supernumerary teeth. When orthodontic extrusion of the impacted permanent tooth is not possible the possibilities of retaining the supernumerary tooth should be considered. CLINICAL SIGNIFICANCE: This paper describes about the treatment of supernumerary tooth erupted in the place of missing left maxillary central incisor not amenable for orthodontic extrusion. HOW TO CITE THIS ARTICLE: Thomas J, Harris A, Hedge S, Morgan G, Prabha EA, Rinu. Alternative Management of Impacted Permanent Central Incisor. Int J Clin Pediatr Dent, 2018;11(6):529-531.
ABSTRACT
Endodontic treatment in primary teeth can be challenging and time consuming, especially during canal preparation, which is considered one of the most important steps in root canal therapy. The conventional instrumentation technique for primary teeth remains the "gold-standard" over hand instrumentation, which makes procedures much more time consuming and adversely affects both clinicians and patients. Recently nickel-titanium (Ni-Ti) rotary files have been developed for use in pediatric endodontics. Using rotary instruments for primary tooth pulpectomies is cost effective and results in fills that are consistently uniform and predictable. This article reviews the use of nickel-titanium rotary files as root canal instrumentation in primary teeth. The pulpectomy technique is described here according to different authors and the advantages and disadvantages of using rotary files are discussed.
ABSTRACT
Lichen planus (LP) is a chronic mucocutaneous disease widely recognized in adults, but uncommon in children. The purpose of this paper is to report two cases of LP in children. The diagnosis was made based on clinical and histopathological findings. The treatment consisted of antifungal and multivitamin therapy. Regression of lesions was observed. The patients are still under follow-up. Although LP is uncommon in children, it is necessary to have adequate knowledge about this condition for proper diagnosis and treatment.
ABSTRACT
A 12-year-old boy reported to the clinic with a history of trauma, whereas playing 1 day before. On examination it was noted that the patient had an avulsed tooth in relation to 11, Class III fracture in relation to 12 and Class II fracture in relation to 21. The avulsed tooth was brought by the patient wrapped in a newspaper. Although the tooth was in highly unfavorable storage condition, it was decided to reimplant the teeth since the patient was young and to relieve him from psychological, cosmetic and functional trauma. Now after 24 months, the tooth is, functional, firm and free of symptoms with minimal signs of resorption. Even though the long-term prognosis is uncertain, this treatment technique has proven to be an advantage for the patient in this growing period by maintaining the esthetics, by maintaining the height of alveolar bone and making the provision of an aesthetically acceptable permanent restoration at a later age if prognosis becomes poor.
