General dentistry最新文献_第7页

Giving the pulp another chance: a case report of vital pulp therapy retreatment. 再给牙髓一次机会：活髓疗法再治疗病例报告。

General dentistry Pub Date : 2024-07-01

Hataichanok Machareonsap, Papimon Chompu-Inwai, Nattakan Chaipattanawan, Chanika Manmontri

{"title":"Giving the pulp another chance: a case report of vital pulp therapy retreatment.","authors":"Hataichanok Machareonsap, Papimon Chompu-Inwai, Nattakan Chaipattanawan, Chanika Manmontri","doi":"","DOIUrl":"","url":null,"abstract":"Vital pulp therapy (VPT) has been increasingly advocated due to its advantages in preserving tooth vitality. While VPT is often successful, failures can occur, and traditional root canal therapy is often recommended following VPT failure. This case report provides an example of successful preservation of tooth vitality using coronal pulpotomy (CP), a more invasive type of VPT, after failure of partial pulpotomy (PP) that had been performed in a healthy 10-year-old boy. A mandibular right first molar with a diagnosis of reversible pulpitis was initially treated with PP, which included the use of tricalcium silicate cement as a pulp dressing and a resin-modified glass ionomer cement base, followed by placement of a composite resin restoration. The restoration dislodged after 34 months without complaints from the patient or radiographically detectable lesions. A stainless steel crown was placed on the tooth; however, 15 months after crown placement, the patient returned with symptoms in the treated tooth. The tooth was diagnosed with irreversible pulpitis and asymptomatic apical periodontitis but responded positively to cold testing, and the pulp appeared clinically vital upon direct inspection. The tooth was re-treated with CP, including the use of mineral trioxide aggregate as a dressing material, and examination 21 months posttreatment revealed successful resolution of the periapical lesion. When a tooth remains vital, a more invasive type of VPT may be an alternative to root canal therapy for treating failures in more conservatively treated teeth. Moreover, regular periodic recalls are essential for ensuring tooth survival and early detection of problems (ie, restoration failure) that may worsen treatment outcomes.","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"72 4","pages":"16-22"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141436725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tetracycline staining of the dentition: a review of the literature and report of a clinical case. 牙齿的四环素染色：文献综述和临床病例报告。

General dentistry Pub Date : 2024-05-01

Paulo G Warmling, Júlia Soares Arruda Zanandrea, Taynara Santos Goulart, Lucas Fonesca Roberti Garcia, Josiane de Almeida

{"title":"Tetracycline staining of the dentition: a review of the literature and report of a clinical case.","authors":"Paulo G Warmling, Júlia Soares Arruda Zanandrea, Taynara Santos Goulart, Lucas Fonesca Roberti Garcia, Josiane de Almeida","doi":"","DOIUrl":"","url":null,"abstract":"The present article reviews the literature regarding tetracycline staining of the dentition and its esthetic management. A total of 49 articles were identified in the initial search, and 22 articles met the eligibility criteria of this narrative literature review. Tetracycline staining results from its use in children between the ages of 6 months and 6 years, when tooth crowns are formed; the effects are dependent on the dosage, duration of treatment, stage of tooth mineralization, and activity of the mineralization process. Tooth bleaching is always the first treatment option for low-grade cases of tetracycline staining. Restorative procedures are indicated for severe staining. The article also describes the treatment of severe staining affecting the maxillary anterior dentition of a 48-year-old man who reported the systemic administration of tetracycline during childhood. Direct composite resin laminate veneers were proposed to achieve immediate, highly esthetic restorations. A combination of different resinous materials in different shades was applied to meet the needs of the patient. The use of direct composite resin laminate veneers satisfied the functional and esthetic demands of the patient at a lower cost than ceramic materials.","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"72 3","pages":"42-48"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tongue prosthesis after total glossectomy: a case report. 全舌切除术后的舌假体：病例报告。

General dentistry Pub Date : 2024-05-01

Victor Alves Nascimento, Jovâ Alves Oliveira, Amanda Rosa de Oliveira, Maira Foresti Vieira Munhoz, Marcela Filié Haddad

{"title":"Tongue prosthesis after total glossectomy: a case report.","authors":"Victor Alves Nascimento, Jovâ Alves Oliveira, Amanda Rosa de Oliveira, Maira Foresti Vieira Munhoz, Marcela Filié Haddad","doi":"","DOIUrl":"","url":null,"abstract":"Squamous cell carcinoma (SCC) is the type of cancer that most frequently affects the oral cavity, mainly in men older than 50 years of age. Treatment for oral SCC often involves surgical excision of the affected margins, resulting in mutilation that affects the patient's quality of life. The objective of this case report is to describe the prosthetic treatment of a 56-year-old man who underwent total glossectomy, resulting in speech and swallowing difficulties. The proposed treatment was a tongue prosthesis retained by orthodontic clasps on the mandibular first molars. After maxillary and mandibular complete-arch impressions were performed and casts were prepared for prosthetic planning, an acrylic resin plate and 3 tongue prototypes were fabricated. Esthetic and functional tests were carried out, and 2 tongue models (1 for speech and 1 for eating) were selected for acrylization, finishing, and polishing. After placement of the prostheses, the patient was referred for follow-up with a speech therapist to improve his adaptation with the prostheses. The patient was satisfied with the prostheses and able to perform the functions of chewing, swallowing, and speech production, which helped in his social reintegration and improved his quality of life.","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"72 3","pages":"56-60"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevention of common issues with overdentures and all-on-X hybrids: lessons learned from 30 years of implant prosthetics, part 1. 预防覆盖式义齿和全 X 上混合义齿的常见问题：从 30 年种植修复中汲取的经验教训，第一部分。

General dentistry Pub Date : 2024-05-01

Samuel M Strong

引用次数: 0

Atypical healing of an endodontic lesion following emergency treatment: a case report. 紧急治疗后牙髓病变的非典型愈合：一份病例报告。

General dentistry Pub Date : 2024-05-01

Saeed Asgary, Bita Talebzadeh

{"title":"Atypical healing of an endodontic lesion following emergency treatment: a case report.","authors":"Saeed Asgary, Bita Talebzadeh","doi":"","DOIUrl":"","url":null,"abstract":"This case report examines the atypical healing of an endodontic lesion without standard endodontic treatment, influenced by the patient's failure to attend treatment appointments. A 50-year-old woman with no notable medical history presented with a deep carious lesion on her mandibular right first molar, accompanied by localized pain. Citing forgetfulness as a reason, the patient missed her initially scheduled root canal treatment, necessitating an emergency intervention. The emergency treatment included access cavity preparation, irrigation with 5.25% sodium hypochlorite solution, application of a modified triple antibiotic paste (equal parts penicillin G, metronidazole, and ciprofloxacin), and temporary restoration with amalgam. A large apical lesion was detected in immediate postoperative radiographs. However, the patient failed to return for definitive endodontic treatment, due to a lack of symptoms and time for treatment. Follow-up examinations 1 and 5 years after emergency treatment disclosed gradual healing of the lesion, culminating in the establishment of a normal periodontal ligament. This case underscores the potential efficacy of a modified triple antibiotic paste and highlights the importance of a well-sealed coronal restoration in promoting the healing of endodontic lesions, even in the absence of pulpectomy and conventional root canal therapy. Additional research is needed to understand the mechanisms behind such healing events.","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"72 3","pages":"67-69"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction. 更正。

General dentistry Pub Date : 2024-05-01

引用次数: 0

Implicit bias and dentistry. 隐性偏见与牙科。

General dentistry Pub Date : 2024-05-01

Larry N Williams

引用次数: 0

Preparing for and managing medical emergencies in the dental office. 在牙科诊室准备和处理医疗紧急情况。

General dentistry Pub Date : 2024-05-01

Richard P Gangwisch, Henry W Ferguson

引用次数: 0