ABSTRACT
Background: Clinical examination revealed large periapical lesion. Patient was referred for endodontic treatment of right mandibular first and second molars before planed cystectomy. The aim of this case report is to present the clinical approach to preserve healthy pulp tissue by combining nonsurgical root canal treatment and vital pulp therapy for mature mandibular molar. Methods: A minimally invasive endodontic therapy treatment with combination of nonsurgical root canal treatment and vital pulp therapy was performed. Osteotomies around wisdom teeth were performed, wisdom teeth extracted, and cyst was removed. Results: At the 19 months follow-up appointment patient had no complaints, radiographically full regeneration of periapical bone was observed. Conclusions: A minimally invasive endodontic therapy treatment with combination of nonsurgical root canal treatment and vital pulp therapy for mature mandibular molar before a planned cystectomy could be considered as a treatment option showing good long-term results.
ABSTRACT
Background and Objectives An accurate determination of the pulp status is relevant for a proper endodontic diagnosis. Objectives: The aim was to develop a universal pulse oximeter probe holder for measuring the oxygen saturation and to evaluate the use of pulse oximetry as a test for pulp vitality, by comparing the levels of oxygen saturation in the index finger and in the healthy dental pulp. Materials and Methods The universal holder was designed with software and printed with a 3D printer. The study was carried out on 128 healthy teeth. They were divided into eight groups according to tooth type. Ten root canal treated teeth served as a negative control group. For each patient, a pulse oximeter was first applied on the tooth followed by the index finger. The significance level (α) was set at 0.05. Results: The developed and manufactured universal pulse oximeter probe holder was suitable to measure the pulp vitality of all types of teeth. The handle allowed for holding the pulse oximeter on the tooth in parallel, firmly and securely. Significantly higher oxygen saturation was observed in the index finger (97.22%) compared to the dental pulp (93.17%) (p < 0.001). No correlation was observed between the maxillary teeth and index finger oxygen saturation values (r = 0.05, p = 0.72), whereas, between the mandibular teeth and index finger, a positive correlation was detected (r = 0.29, p = 0.02). There were no significant differences in the pulp oxygen saturation values between different teeth groups. Conclusion: The newly developed universal pulse oximeter probe holder is an effective device for pulp vitality testing.
Subject(s)
Dental Pulp , Oximetry , Oxygen , Dental Care , Fingers , Humans , IncisorABSTRACT
OBJECTIVE: The purpose of this study was to systematically review the literature concerning the quality of life of patients with temporomandibular joint disorder. MATERIAL AND METHODS: Systematic review was performed with the information contained in international databases: PubMed and Google Scholar. Keywords and their combinations were used to find relevant articles and publications concerning the subject. RESULTS: A total of 320 publications were initially retrieved. After further examination 12 articles were selected due to their relevance to inclusion criteria and were included in the systematic review. The selected 12 articles published between year 2006 and 2016. CONCLUSION: In this systematic review it was found that there is a direct correlation between temporomandibular disorders and lower quality of life. Out of questionnaires used for identification of patient satisfaction SF-36 and OHIP-14 were most popular in these studies. Statistical analysis of studies mentioned lead us to believe that psychological and physical ailments caused by TMD result in lower quality of life in patients.
