Esthetic and biologic mode of reattaching incisor fracture fragment utilizing glass fiber post.

Trauma to the anterior teeth affects the esthetic and psychological well-being of the patient. Advancement in the adhesive dentistry has facilitated the restoration of the coronal tooth fractures by minimally invasive procedures when the original tooth fragment is available. Reattachment of fractured fragment offers immediate treatment with improved preponderant aesthetics and restoration of function. Here, we describe a case of complicated fracture of the maxillary left immature permanent central incisor, which was treated endodontically followed by esthetic reattachment of the fractured fragment using the glass fiber post. Functional demands and esthetic considerations of the patient were fully met with this biologic mode of fragment reattachment.

'Triplication' defect in deciduous teeth: an unusual odontogenic anomaly.

Developmental odontogenic anomalies can occur in primary as well as in permanent dentition leading to morphological variations in shape, size and structure and numerical variations such as hypodontia. The most commonly reported odontogenic anomaly in primary dentition is conjoined teeth. Conjoined teeth can be due to fusion or gemination. Relevant clinical and radiographic evaluation is a must to differentiate between the two. Occurrence of double fusion as an anomaly may not be infrequent, but triple fusion is a rare odontogenic anomaly. We report a case of a 7.5-year-old girl who clinically had a large crown due to triple fusion in her dentition, between two normal primary teeth and a supernumerary tooth. This paper gives a brief insight into the incidence, associated quandaries and diagnosis and treatment modalities of a triple fusion.

Evaluation of the effect of three supplementary oral hygiene measures on salivary mutans streptococci levels in children: A randomized comparative clinical trial.

OBJECTIVE: The aim of this study was to evaluate and compare the effect of tongue scraping, tongue brushing, and saturated saline on salivary MS levels. MATERIALS AND METHODS: A single-blinded, randomized, parallel group clinical trial was conducted in children aged 9-12 years. Total sample of 45 subjects were randomly assigned to three groups, that is, Group A, Group B, and Group C comprised of 15 each. Group A, Group B, and Group C were asked to do tongue scraping, tongue brushing and saturated saline rinsing twice daily, respectively for 21 days. Saliva samples, collected from the subjects on the baseline, 7(th) day and 21(st) day, were inoculated on mitis salivarius bacitracin agar and incubated at 37°C for 48 h. The mean streptococcal colony forming counts were enumerated. The data were subjected to statistical analysis using Wilcoxon signed rank sum test for intragroup comparisons and Mann-Whitney U-test for intergroup comparisons. RESULTS: Intragroup comparisons showed statistically significant reduction in MS levels (P < 0.01). However, the intergroup comparisons showed no statistically significant difference (P > 0.05). CONCLUSION: The oral hygiene measures evaluated proved equal efficacy in reducing the colony counts. Hence, there is a need to emphasize the importance of incorporating supplementary oral hygiene measures in daily oral care.

Bizarre cause for avulsion of permanent maxillary lateral incisor tooth.

A 9-year-old boy presented with a missing upper front tooth after an accident involving kite flying. Diagnosis of avulsion of the upper right lateral incisor (22) was made after examination of his socket as well as by radiological investigations. A removable partial denture was given for the aesthetic purpose. The patient is under follow-up. The present case illustrates the management of avulsion.

Modified Nance palatal arch appliance for anterior tooth replacement.

The following case report presents a new and an innovative technique for the postextraction replacement of maxillary central incisors using the natural teeth as pontics. The novel appliance fabricated fully satisfied the demands of the adolescent patient for a fixed prosthetic, while fulfilling the aesthetic and functional requirements presented by the case.