Shear bond strengths of different adhesive systems to white mineral trioxide aggregate.

This study was conducted to compare the shear bond strengths of different adhesive systems to White Mineral Trioxide Aggregate (WMTA). To this end, 40 cylindrical acrylic blocks with a hole in the middle measuring 4 mm diameter x 2 mm height were prepared. The hole was filled with WMTA, and the specimens were allocated into four groups: Group 1--Prime & Bond NT; Group 2--AdheSE; Group 3--Xeno III; and Group 4--Adper Prompt L-Pop. In each group, a different adhesive system and a compomer (Dyract AP) were applied over WMTA. Shear bond strengths were measured using a universal testing machine, and then the data were subjected to one-way ANOVA and Scheffé's post hoc test (p<0.05). Significantly lowest shear bond strength value was obtained with Adper Prompt L-Pop, whereas Prime & Bond NT revealed higher shear bond strength than the others (p<0.05). In conclusion, an etch-and-rinse adhesive system--which exhibited significantly higher shear bond strength than self-etch adhesive systems--could be a preferred choice when placing compomer materials upon WMTA.

Orthodontic extrusion of a traumatically intruded permanent incisor: a case report with a 5-year follow up.

This report presents a case of intrusive luxation of the immature left maxillary central incisor in an 8-year-old girl. Initially, it was decided to allow the intruded tooth to spontaneous re-erupt because it had open apices. After 12 weeks of monitoring for spontaneous re-eruption, there was no clinical evidence of its occurrence. Therefore, orthodontic extrusion was initiated. The intruded tooth was repositioned with a fixed multibracketed appliance. Twenty weeks after the beginning of orthodontic extrusion, the position of the intruded maxillary central incisor was restored to its original position before its displacement occurred. After 5 years, no clinical or radiographic pathology was detected and obliteration of the pulp canal of the intruded tooth was observed radiographically.

Horizontal root fracture followed for 6 years.

Intra-alveolar root fractures in permanent teeth are uncommon injuries among dental traumas. Generally, the principles of treating horizontal root fractures of permanent teeth are repositioning and fixation. The present paper reports 6-years follow up of two horizontally root-fractured teeth that were healed with calcified tissue. Both of the teeth were clinically and radiographically symptomless and showed complete pulp canal obliterations.

Spontaneous re-eruption of intruded permanent incisors: five case reports.

This report presents 5 cases of intrusive luxation in immature permanent central incisors. The intruded incisors, with careful monitoring, were allowed to spontaneously re-erupt, which avoided the need to reposition the tooth either orthodontically or surgically. All of the teeth re-erupted spontaneously in a few months. The root development continued in all of the cases and all pulps remained vital. There were no other signs of pulpal and/or periapical pathology. It can be concluded that intruded immature permanent teeth can spontaneously re-erupt, conserve their vitality, and continue their root development without any surgical or orthodontic management.

The effect of sodium hypochlorite application on the success of calcium hydroxide pulpotomy in primary teeth.

OBJECTIVE: The aim of this study was to evaluate the effects of 3% sodium hypochlorite (NaOCl) used as a hemostatic agent on the outcome of calcium hydroxide pulpotomies of primary teeth. STUDY DESIGN: A total of 18 primary molars with advanced caries and root resorption of approximately half the root length were randomly placed into 2 groups. Conventional calcium hydroxide pulpotomies were performed on teeth in both groups; however, a cotton pellet saturated with 3% sodium hypochlorite was applied to teeth in the treatment group for 30 seconds before the pulpotomy to control hemorrhage. After the extraction of the teeth, they were examined histologically. RESULTS: In the histologic evaluation it was found that none of the specimens in the control group showed necrosis and 1 specimen in the treatment group showed partial necrosis. CONCLUSION: It was found that the use of 3% NaOCl as a hemostatic agent had no effect on the outcome of calcium hydroxide pulpotomies with the given concentration and timing of the NaOCl treatment and the given observation period.

Evaluation of various root canal filling materials in primary molar pulpectomies: an in vivo study.

PURPOSE: To evaluate the clinical and radiographic success of zinc oxide-eugenol (ZOE), Calcicur, Sealapex and Vitapex in primary molar pulpectomies. METHODS: 80 primary molars, showing signs of pulpal and/or periapical involvement, with no abnormal mobility, were selected from 76 children aged between 4-9 years-old, free from systemic disease. Radiographic evaluation was done to exclude teeth showing internal or pathological external root resorption and/or inadequate bone support. The selected teeth (20 in each group) were randomly treated with ZOE, Sealapex, Calcicur and Vitapex. The procedure involved primarily a one-visit pulpectomy. The teeth were evaluated clinically and radiographically every 2 months for a period of 18 months. RESULTS: In the ZOE group, all pulpectomies were successful. In the Sealapex group, two pulpectomies and in the Calcicur group, four pulpectomies showed complete resorption of the material in the root canal. Although re-treatment was performed, those teeth had to be removed due to pathological root resorption. In the Vitapex group, although six pulpectomies showed resorption of the filling material within the canals, this had no effect on the clinical and radiographical success of the treatment.

The prevalence of traumatic injuries treated in the pedodontic clinic of Ankara University, Turkey, during 18 months.

The purpose of this study was to evaluate the type and prevalence of dental injuries referred to Ankara University, School of Dentistry, Department of Pedodontics, Turkey. One hundred and forty-seven patients with 234 traumatized teeth presented during 18-month interval. Of the 147 patients, 85 were boys and 62 were girls. The most frequent trauma occurred in the age of 11 years. The maxillary central incisors were found to be the most affected tooth in both primary and permanent dentition injuries. The maxillary arch is involved in a higher percentage of trauma cases (95.72%). The most common cause of injuries are falls (67.34%). In the primary dentition, the most common type of injury is extrusive luxation (38.23%) and in the permanent dentition, it is fracture of enamel-dentin without pulpal involvement (50.5%). From 147 patients, only 82 presented to our clinic within 1 h and 10 days after the injury time. It reveals that there is a need to inform the public of what they should do in cases of dental trauma, and how important it is to contact a dentist immediately.