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1.
Eur Arch Paediatr Dent ; 18(4): 279-285, 2017 Aug.
Article in English | MEDLINE | ID: mdl-28707233

ABSTRACT

BACKGROUND: Cysts are pathological cavities lined by epithelium and supported by connective tissue, containing fluid or semi-fluid substances and presenting developmental or inflammatory origins. CASE REPORT: This study aimed to evaluate a case series of inflammatory follicular cysts in children to clarify their nomenclature, diagnosis, clinical implications and treatment outcomes. Prevalence, aetio-pathogenesis, clinical, radiographic and microscopic findings, treatments and sequelae of this condition were assessed by using the records of patients treated between 2000 and 2015. Data were analysed and presented descriptively. FOLLOW-UP: This was performed periodically for 2 years to monitor lesion regression and complete eruption of impacted permanent teeth. All of the involved permanent teeth erupted naturally. Twelve cases of asymptomatic lesions with volumetric bone expansion were identified through radiographic findings or delayed tooth eruption in patients aged between 8 and 14 years. After establishing the diagnosis of inflammatory follicular cyst, necrotic primary teeth extraction was followed by decompression of the cystic lesions. CONCLUSIONS: The investigated cases were consistent with inflammatory follicular cyst diagnoses. The proposed treatment was considered to be appropriate, that was revealed by the maintenance of the permanent teeth involved during the patients follow-up.


Subject(s)
Follicular Cyst/surgery , Tooth, Deciduous/pathology , Adolescent , Child , Follicular Cyst/diagnosis , Follicular Cyst/pathology , Follow-Up Studies , Humans , Inflammation , Necrosis , Tooth Extraction
2.
Eur Arch Paediatr Dent ; 17(6): 489-494, 2016 Dec.
Article in English | MEDLINE | ID: mdl-27671031

ABSTRACT

BACKGROUND: Furcal perforation consists of a communication between the pulp cavity and the periodontal tissues that can occur accidentally during cavity preparation or root canal instrumentation. This complication may lead to inflammatory reactions and compromise adjacent tissues irreversibly, resulting in the early loss of primary teeth. Perforation sealing with a biocompatible material is necessary to ensure a favourable prognosis. Among different materials, MTA has been employed due to its excellent healing and physical properties. CASE REPORT: The purpose of these case reports was to describe immediate and mediate cases of furcal perforation treatment using MTA in primary molars. In both the cases, after accidental perforation detection, the pulp chamber was cleaned with saline solution to clear off the debris. The wound surface was continuously irrigated with saline solution and a dry sterile cotton pellet was placed on the radicular pulp stumps and perforation area with slight pressure until the bleeding was controlled. The MTA was applied into the perforation and pulp chamber area with the aid of a sterile amalgam carrier. The teeth were restored with resin-modified glass ionomer cement. FOLLOW-UP: Clinical and radiographic follow-up examinations were carried out at 3, 6, 12, 18, and 24 months after perforation sealing. Both the cases remained asymptomatic, presenting no discomfort, mobility, swelling, or fistula after 24-months follow-up. Radiographically, the radiolucent area disappeared as a result of bone formation in the inter-radicular space, showing adjacent tissue preservation. CONCLUSION: Thus, MTA may be considered as an ideal option for conservative treatment of immediate and mediate furcal perforation in primary teeth, once it promoted repair with tooth maintenance in both the cases.


Subject(s)
Aluminum Compounds/therapeutic use , Calcium Compounds/therapeutic use , Dental Pulp Cavity/injuries , Molar/injuries , Oxides/therapeutic use , Root Canal Filling Materials/therapeutic use , Root Canal Irrigants/therapeutic use , Silicates/therapeutic use , Tooth, Deciduous/injuries , Child , Dental Pulp/drug effects , Dental Pulp Cavity/diagnostic imaging , Dental Pulp Cavity/pathology , Drug Combinations , Follow-Up Studies , Glass Ionomer Cements/therapeutic use , Humans , Male , Molar/diagnostic imaging , Molar/pathology , Osteogenesis , Periapical Diseases/etiology , Pulpotomy/adverse effects , Root Canal Therapy/adverse effects , Sodium Chloride/therapeutic use , Tooth Root/drug effects , Tooth Root/injuries , Tooth, Deciduous/diagnostic imaging , Tooth, Deciduous/pathology , Wound Healing
3.
Eur Arch Paediatr Dent ; 16(5): 377-82, 2015 Oct.
Article in English | MEDLINE | ID: mdl-25788172

ABSTRACT

AIM: This was to evaluate the clinical and radiographic outcomes of Portland cement (PC) added to radiopacifying agents in primary molar pulpotomies. METHODS: Thirty primary mandibular molars of children aged between 5 and 9 years were randomly assigned to the following groups: PC; PC with iodoform (PC + CHI(3)); PC with zirconium oxide (PC + ZrO(2)) and treated by pulpotomy technique. Clinical and radiographic follow-up assessments were performed at 6, 12 and 24 months. Statistical analysis was performed by Fisher's exact test (P < 0.05). RESULTS: The clinical and radiographic evaluations showed 100 % success rates, and the results showed no statistically significant difference between groups. CONCLUSIONS: According to this study, PC added to radiopacifying agents exhibited satisfactory clinical and radiographic results in primary molar pulpotomies.


Subject(s)
Contrast Media/chemistry , Dental Cements/therapeutic use , Molar/diagnostic imaging , Pulp Capping and Pulpectomy Agents/therapeutic use , Pulpotomy/methods , Tooth, Deciduous/diagnostic imaging , Aluminum Compounds/chemistry , Aluminum Compounds/therapeutic use , Calcium Compounds/chemistry , Calcium Compounds/therapeutic use , Child , Child, Preschool , Composite Resins/therapeutic use , Dental Cements/chemistry , Female , Follow-Up Studies , Glass Ionomer Cements/therapeutic use , Humans , Hydrocarbons, Iodinated/chemistry , Male , Methylmethacrylates/therapeutic use , Pulp Capping and Pulpectomy Agents/chemistry , Pulpotomy/instrumentation , Radiography, Bitewing , Resin Cements/therapeutic use , Silicates/chemistry , Silicates/therapeutic use , Treatment Outcome , Zinc Oxide-Eugenol Cement/therapeutic use , Zirconium/chemistry
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