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The case report describes a multidisciplinary approach using orthodontic forced eruption to facilitate prosthetic restoration of a maxillary permanent lateral incisor and canine with poor restorability for a young patient. Restoration after orthodontic eruption presents a more conservative treatment choice in young patients compared with prosthetic restoration after extraction. On examination, the patient had root stumps in the region of 22 and 23. We decided to treat the patient by orthodontic extrusion followed by endodontic post and core. The case was treated with the help of 19 gauge wire and gold posts.
ABSTRACT
INTRODUCTION: Biomechanical preparation has gotten easier over time with the development of nickel-titanium (NiTi) rotary instruments. Despite their benefits, research has shown that these files frequently result in microcracks in the root canal dentin, which can fracture the roots. Such mishaps should be prevented, as they compromise the integrity of the root and reduce the long-term survival of endodontically treated teeth. MATERIALS AND METHODS: This study was conducted at Government Dental College and Hospital, Patiala, Punjab, India. Eighty permanent mandibular premolar teeth were included. All the roots were inspected for any pre-existing cracks or craze lines under a stereomicroscope. The teeth were decoronated and then divided into four groups (n = 20): Group I: TruNatomy, Group II: Neoendo Flex, Group III: ProTaper Gold, and Group IV: 2Shape. The samples were instrumented according to the group to which they belonged. The roots were then sectioned horizontally at 3 mm and 6 mm from the apex and examined under a stereomicroscope at 40x for the presence of microcracks. RESULTS: The data were analyzed using the IBM SPSS Statistics for Windows, version 26 (released 2019; IBM Corp., Armonk, New York, United States). A chi-square test was applied, and the level of significance was set at p < 0.05. The highest incidence of microcracks was associated with ProTaper Gold (65%), followed by Neoendo Flex (45%), TruNatomy (20%), and 2Shape (20%). CONCLUSION: All rotary instruments resulted in dentinal damage. ProTaper Gold exhibited the highest frequency of dentin cracks. TruNatomy and 2Shape exhibited satisfactory results with minimal crack formation.
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CONTEXT: Problematic eating behavior pattern prevalent in children can be a potential risk factor for Early Childhood Caries (ECC). Pediatric dentist must be vigilant to enquire about eating behavior pattern and guide parents comprehensively. AIM: The aim of this study is to find the association between problematic ECC among 36-71-month-old children. SETTING AND DESIGN: A cross-sectional study was conducted in 2000 children from both the sex and various socioeconomic backgrounds. METHODS: A questionnaire was made to assess the personal information and problematic eating behavior of the child using Children's Eating Behavior Questionnaire (CEBQ) which was filled by parents. Clinical examinations were performed on the date of questionnaire collection and caries diagnosis was done in the dentition status part of "WHO oral health assessment form 2013." STATISTICAL ANALYSIS USED: The software used for the statistical analysis was SPSS (Statistical Package for the Social Sciences) software version 16.0. RESULTS: The prevalence of ECC in the study sample was 42.6%. Out of eight domains into which problematic eating behavior was divided, domains Emotional Overeating (EOE), Satiety Responsiveness (SR), Slowness of Eating (SE), Desire to Drink, Food Fussiness, and Emotional Under eating were significantly associated with ECC. CONCLUSION: There is a positive correlation between problematic eating behavior and ECC; such behavior should be recognized at early stages and interrupted so that the risk of developing caries in permanent dentition could be prevented.
Subject(s)
Child Behavior , Dental Caries Susceptibility , Child , Child, Preschool , Cross-Sectional Studies , Feeding Behavior , Humans , Surveys and QuestionnairesABSTRACT
OBJECTIVE: To measure fluoride release and recharge ability of restorative materials in deionised water, artificial saliva and lactic acid. MATERIALS AND METHODS: Pellets were prepared from GC2, Ketac N100 and Beautifil II. Each pellets were individually immersed in 10 ml deionised water, artificial saliva or lactic acid as per respective subgroup for 24 h and then elutes were collected. Specimens were reimmersed in respective container. Fluoride released was analysed after 24 h, 7(th) and 15(th) day. On 15(th) day all specimens were exposed to 1.23% APF gel and fluoride release in respective solution was measured on 16(th), 22(nd), 30(th) day. RESULT: Fluoride release was more after 24 h for all materials in all media then decrease gradually. GC2 shows more fluoride release than Ketac N100 at 24 hours and on 7(th) day but onwards Ketac N100 released significantly more fluoride. Beautifil II showed least fluoride release at all measured intervals in all media. Order of fluoride release in media was lactic acid > deionised water > artificial saliva for all materials. CONCLUSION: GICs are smart material which release more fluoride when environment become more acidic and also show tendency to recharge which helps clinically in caries risk children.
