Clinical Relevance
Enamel microabrasion is an effective first-line esthetic treatment for the removal of tooth stains due to fluorosis, with an improvement in the appearance of teeth that is associated with a high level of patient acceptance.
This article aims to present about the restorative strategies to be adopted for the management of root canal-treated traumatized maxillary incisors incorporating the contemporary minimal invasive options. Each root canal-treated tooth poses a unique challenge to be addressed in an individual manner. This presentation highlights the restorative assessment and technique to be adopted for restoring the root canal-treated maxillary incisor.
Aim:
The primary aim of this clinical trial was to observe the clinical success in conservative management of symptomatic deep proximal caries in permanent molar teeth with two treatment pulpotomy with Biodentine and indirect pulp capping with calcium hydroxide.
Materials and Methods:
A total of 71 patients who reported to department for the management of symptomatic proximal deep carious lesions in molar teeth participated in the trial. Posttreatment clinical success at 18 months was defined as asymptomatic teeth positively responding to cold pulp sensibility test (only in indirect pulp capping) and absence of periapical infection. Chi-squared test and Kaplan–Meier survival analysis were done.
Results:
Chi-squared test revealed no significant association between pulp status and posttreatment follow-up in both the treatment groups. Kaplan–Meier survival analysis showed mean survival of pulpotomy procedure for moderate and ambiguous pulp as 66.16 and 67.77 weeks, respectively, with no significant difference for two different pulp statuses. In indirect pulp capping procedure, there was significant difference (P = 0.038) (Log-rank Mantel-Cox) between the two pulp status category with moderate pulpitis having mean survival period of 69.27 weeks and ambiguous pulp with 42.83 weeks.
Conclusion:
Pulpotomy with Biodentine yielded better results than compared to indirect pulp capping.
Objective: Esthetic management of stained fluorotic teeth mainly depends on clinical presentation of the
condition. Clinical presentation of fluorotic teeth is varied and clinician must be able to appreciate this and
choose the appropriate treatment option.
Clinical Considerations: Contemporary esthetic procedures allow these teeth to be restored to have
appearance similar to normal healthy teeth in the most minimalistic invasive manner. This case report aims
to highlight the three-treatment combination for esthetic correction of fluorotic teeth. Also, inform about
the advantages, drawbacks of various treatment choices and apprise the clinician of the appropriate esthetic
conservative management protocol for dental fluorosis with diverse clinical appearance.
Conclusion: The combination of microabrasion, dentist supervised at-home bleaching and resin infiltration
is the most minimalistic invasive treatment option for changing the appearance of stained fluorotic teeth to
normal healthy teeth.
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