Abstract: This clinical report demonstrates the successful dental crown treatment for a 39-year-old female patient with a fractured posterior lower right second molar wearing a removable partial prosthesis and refusing to make a new one. The patient's preference for a new dental crown on her lower right second molar was respected, and an intraoral scanner (IOS) was employed to capture the fractured abutment's anatomy, which also serves as part of her removable denture. Following abutment preparation, a second IOS scan recorded the modified abutment. A temporary crown of the abutment was fabricated and secured to protect the prepared abutment. Comprehensive data, including an intraoral scan with an existing removable denture file, an intraoral scan without a removable denture, an intraoral scan of an unprepared abutment file, an intraoral scan of prepared abutment, and a digital photo of shade selection were transmitted to the dental laboratory. Utilizing computer-aided design/computer-aided manufacturing technology, a new dental crown compatible with the existing removable prosthesis was created. After fitting the new crown, occlusion, aesthetics, function, and attachment assessments were conducted to ensure optimal results. Subsequent follow-ups confirmed the patient's satisfaction with the functionality, aesthetics, and fit of her removable partial denture with the new dental crown.
Abstract: This clinical report demonstrates the successful dental crown treatment for a 39-year-old female patient with a fractured posterior lower right second molar wearing a removable partial prosthesis and refusing to make a new one. The patient's preference for a new dental crown on her lower right second molar was respected, and an intraoral scanner (I...Show More
Abstract: Tooth replantation is an operation in which the lost teeth due to various reasons are treated and replanted in the alveolar socket. The key lies in the regeneration of the alveolar blood vessels and the regeneration of the alveolar bone. Fluoride has been proved to be a substance that promotes the growth of bone cells and has been widely used worldwide. Fluorine is a rare element that mixes with bone minerals during the osteogenic phase. It is a known non hormonal factor that can affect bone formation and has a bidirectional regulatory effect on bone formation. Long term low doses can promote bone formation, while high doses can cause osteoporosis or osteosclerosis. Osteocalcin can regulate bone metabolism, maintain normal bone calcification, inhibit cartilage calcification and irregular crystal precipitation. The mechanism of action of fluoride is that fluoride can stimulate osteoblasts to secrete osteocalcin, allowing more hydroxyapatite crystals to combine with it and precipitate in the bone matrix. Therefore, an appropriate concentration of fluoride solution can promote bone remodeling of alveolar bone and dentin. Through the effect of fluorine on bone cells, fluoride can be applied to tooth replantation surgery in order to improve the success rate of surgery. It was found that fluoride can regulate bone formation by stimulating the proliferation and differentiation of immature osteoblasts, ultimately affecting tooth replantation.
Abstract: Tooth replantation is an operation in which the lost teeth due to various reasons are treated and replanted in the alveolar socket. The key lies in the regeneration of the alveolar blood vessels and the regeneration of the alveolar bone. Fluoride has been proved to be a substance that promotes the growth of bone cells and has been widely used world...Show More
Abstract: Due to the distinct anatomical characteristics of deciduous teeth, they are particularly susceptible to apical periodontitis when afflicted by deep caries or other endodontic diseases. Conventional, root canal therapy (RCT) has served as the standard treatment protocol all the time by the most pediatric dentists. However, researchers try to find another possible alternative mothods because of its some drawbacks. Hence this report introduces a groundbreaking therapeutic modality - inflammatory vital pulp therapy (IVPT) - which has proven effective in treating apical periodontitis in a deciduous molar. The objective of this study was to assess the practicality and efficacy of IVPT in managing apical periodontitis in deciduous teeth. Through rigorous patient examination and evaluation, IVPT was adopted as the treatment plan, followed by meticulous long-term follow-up observations. The outcomes revealed remarkable clinical improvements, with the periapical lesion healing seamlessly without any complications. Notably, the development of the permanent tooth embryo remained undisturbed and progressed as expected. In summary, this study validates the efficacy of IVPT in treating apical periodontitis in deciduous teeth, opening a new avenue for the management of deciduous tooth diseases. The clinical utilization of this method is anticipated to enhance treatment experiences and prognostic outcomes for patients with deciduous tooth pathologies.
Abstract: Due to the distinct anatomical characteristics of deciduous teeth, they are particularly susceptible to apical periodontitis when afflicted by deep caries or other endodontic diseases. Conventional, root canal therapy (RCT) has served as the standard treatment protocol all the time by the most pediatric dentists. However, researchers try to find an...Show More