ABSTRACT
Background/Purpose. To evaluate and compare the marginal leakage and shear bond strength between conventional and Papacarie techniques of caries removal in primary molars. Materials and Methods. Sixty freshly extracted human carious primary molars were randomly divided into two groups: group I-caries removal by conventional method and group II-caries removal using Papacarie. After bonded restorations, both groups were further randomly subdivided into four subgroups for marginal leakage and shear bond strength evaluation. Results. Papacarie treated teeth (46.70%) showed less marginal leakage when compared to conventionally treated teeth (86.70%) for caries removal. The mean shear bond strength was found more in Papacarie treated teeth (12.91 MPa) than in those treated conventionally (9.64 MPa) for caries removal. Conclusion. Papacarie showed less marginal leakage and more shear bond strength when compared to those treated conventionally for caries removal.
ABSTRACT
INTRODUCTION: Cleidocranial dysplasia is a rare congenital defect of autosomal dominant inheritance caused by mutations in the Cbfa1 gene, also called Runx2, located on the short arm of chromosome 6. It primarily affects bones which undergo intramembranous ossification. This condition is of clinical significance to dentistry due to the involvement of the facial bones, altered eruption patterns and multiple supernumerary teeth. CASE PRESENTATION: Our patient, a 15-year-old Indian girl, presented with the typical features of prolonged retention of deciduous dentition and delayed eruption of permanent teeth, that is, mandibular prognathism along with other skeletal abnormalities like shrugged shoulder and the absence of clavicles. A multidisciplinary approach was followed, comprising orthodontic, surgical and pedodontic teams for management. CONCLUSION: Successful treatment of such a case lies in a holistic approach that takes care of all aspects, including the primary pathology, the deformity itself and even the psychological angle.
