A 15 year old boy was presented with pain in his upper anterior teeth. On clinical examination both the maxillary central incisor revealed slight discoloration and fracture of the crown. Radiographic evaluation revealed open apex of the left central incisor and apex of the right central incisor was fully developed. Apexification with MTA apical plug was carried out in left central incisor and conventional root canal treatment was done in right central incisor. In two months follow up both the tooth were clinically and radiographically asymptomatic and the healing of the apical area of the left central incisor was continued. These finding suggests that MTA can induce formation of apical barrier in the case of non-vital tooth with open apex.
Update Dent. Coll. j: 2019; 9 (1): 42-45
Aim:The primary objective of any pulp therapy is to maintain the integrity and health of a tooth and its supporting tissue as well as to maintain arch length and space maintenance. The aim of this case is to a probate and popularizes the technique of vital pulpotomy in primary teeth with biodentin.
This case report describes a case of avulsed left maxillary central incisor tooth which was replanted in the dental office. The tooth was gently rinsed of any debris and placed in normal saline during the examination and preparation of the replantation socket. The tooth was replanted and functionally splinted. The following week the tooth was opened for pulp extirpation and placement of calcium hydroxide. Two weeks later, the root canal was filled with gutta-percha and zinc oxide eugenol sealer, and the access cavity was restored with a bonded composite restoration; the splint was removed. Two year clinical and radiological follow up of the case showed ankylosis and infraocclusion of the replanted toothUpdate Dent. Coll. j: 2015; 5 (1): 30-34
In appearance related society that we live in , the younger adolescent patient caneasily become self conscious if their teeth are different to others. A common from of microdontia which affect the maxillary lateral incisor is known as "peg lateral". Treatment approach has to be case specific and depends on the condition of primary predecessor, number of missing teeth, status of occlusion and patient preference.This clinical report describes the treatment of both sided peg-shaped lateral incisors that were restored with resin composite laminate veneers. The aim of the treatment is to close the diastema and restore the contours of the tooth. These simple procedures may be a cost -effective treatment alternative to restore the esthetics of these teeth and may prove particularly growing patients before more definitive restorations can be considered.
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