• Title/Summary/Keyword: Conservative management

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Conservative approach of a symptomatic carious immature permanent tooth using a tricalcium silicate cement (Biodentine): a case report

  • Villat, Cyril;Grosgogeat, Brigitte;Seux, Dominique;Farge, Pierre
    • Restorative Dentistry and Endodontics
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    • v.38 no.4
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    • pp.258-262
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    • 2013
  • The restorative management of deep carious lesions and the preservation of pulp vitality of immature teeth present real challenges for dental practitioners. New tricalcium silicate cements are of interest in the treatment of such cases. This case describes the immediate management and the follow-up of an extensive carious lesion on an immature second right mandibular premolar. Following anesthesia and rubber dam isolation, the carious lesion was removed and a partial pulpotomy was performed. After obtaining hemostasis, the exposed pulp was covered with a tricalcium silicate cement (Biodentine, Septodont) and a glass ionomer cement (Fuji IX extra, GC Corp.) restoration was placed over the tricalcium silicate cement. A review appointment was arranged after seven days, where the tooth was asymptomatic with the patient reporting no pain during the intervening period. At both 3 and 6 mon follow up, it was noted that the tooth was vital, with normal responses to thermal tests. Radiographic examination of the tooth indicated dentin-bridge formation in the pulp chamber and the continuous root formation. This case report demonstrates a fast tissue response both at the pulpal and root dentin level. The use of tricalcium silicate cement should be considered as a conservative intervention in the treatment of symptomatic immature teeth.

MANAGEMENT OF FIBROUS HYPERPLASIA IN ORAL MUCOSA (구강점막에 발생한 섬유성 과증식의 처치)

  • Ham, Sun-Young;Song, Chang-Kyu;Park, Se-Hee;Kim, Jin-Woo;Cho, Kyung-Mo
    • Restorative Dentistry and Endodontics
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    • v.34 no.4
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    • pp.340-345
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    • 2009
  • There are a number of situations where the oral mucosa can be sucked or pressed to produce relatively banal but clinical distinctive changes. The labial and buccal mucosa and tongue may develop protuberances in areas where a tooth is missing or extra space is present. The mucosa is pressed and sucked into these spaces, thus leading to the development of a fibrous hyperplasia. This case report describes the management of fibrous hyperplasia in oral mucosa. Fibrous hyperplasia can be formed by habitual pressure or suction in oral mucosa. Treatment of fibrous hyperplasia consists of simple excision and, if feasible, elimination of the cause. And habit control is a important factor for preventing recurrence.

The top 10 most-cited articles on the management of fractured instruments: a bibliometric analysis

  • Mishra, Lora;Kim, Hyeon-Cheol;Singh, Naomi Ranjan;Rath, Priti Pragati
    • Restorative Dentistry and Endodontics
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    • v.44 no.1
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    • pp.2.1-2.6
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    • 2019
  • Objectives: The purpose of this research was to identify the top 10 most-cited articles on the management of fractured or broken instruments and to perform a bibliometric analysis thereof. Materials and Methods: Published articles related to fractured instruments were screened from online databases, such as Web of Science, Scopus, PubMed, and ScienceDirect, and highly cited papers, with at least 50 citations since publication, were identified. The most-cited articles were selected and analysed with regard to publication title, authorship, the journal of publication, year, institution, country of origin, article type, and number of citations. Results: The top 10 most-cited articles were from various journals. Most were published in the Journal of Endodontics, followed by the International Endodontic Journal, and Dental Traumatology. The leading countries were Australia, Israel, Switzerland, the USA, and Germany, and the leading institution was the University of Melbourne. The majority of articles among the top 10 articles were clinical research studies (n = 8), followed by a basic research article and a non-systematic review article. Conclusions: This bibliometric analysis revealed interesting information about scientific progress in endodontics regarding fractured instruments. Overall, clinical research studies and basic research articles published in high-impact endodontic journals had the highest citation rates.

Healing after horizontal root fractures: 3 cases with 2-year follow-up

  • Choi, Yoorina;Hong, Sung-Ok;Lee, Seok-Ryun;Min, Kyung-San;Park, Su-Jung
    • Restorative Dentistry and Endodontics
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    • v.39 no.2
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    • pp.126-131
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    • 2014
  • Among dental traumas, horizontal root fractures are relatively uncommon injuries. Proper initial management and periodical evaluation is essential for the successful treatment of a root-fractured tooth. If pulpal necrosis develops, endodontic treatment is indicated, exclusively for the coronal fragment. Fragment diastases exert a great influence on healing at the fracture line and on pulpal necrosis. An adequately treated root-fractured tooth has a good prognosis. This case report describes the treatment and 2-yr follow up of 3 maxillary central incisors, first with horizontal root fracture, second with horizontal root fracture and avulsion, and third with horizontal root fracture and lateral luxation. All three cases were treated with mineral trioxide aggregate (ProRoot, Dentsply). During 2 yr of follow-up evaluation, the root-fractured teeth of the present patients were well retained in the arch, showing periodontal healing, even after endodontic treatment.

Conservation Area Designation Method for Natural Environmental Management in a Rural Local Government (자치단체지역의 자연환경관리를 위한 보전지역 설정)

  • Lee, Gwan-Gyu;Sung, Hyun-Chan;Choi, Jaeyong
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.10 no.5
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    • pp.1-9
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    • 2007
  • Local government with abundant natural resources should consider the nature conservation oriented planning process for the sustainable development. With this regard, the aim of this study is to provide a substantial methodology to support the decision-making process to designate the conservation areas. The objectives of the proposed methodology is to conserve natural resources in the local government's territory through quantitatively assessing the values of the natural resources based on various ecological factors such as topography, flora and fauna. In order to test the usability of the method, Gangneung City in Kangwon-Do is selected considering the latest data availability. Based on the assessment process land use of the subjected city could be categorized into 4 levels of conservative area, conservative level 1 area, conservative level 2 area, and conservative level 3 area. Among them, conservative area and conservative level 1 area could be combined as natural resources conservation area and the others could be regarded as buffer and transitional area. Especially conservation area is surrounded by conservation level 2 area. Conclusively, the GIS methods adopted in this could be the efficient illustrative tool to assess the local natural resource values with the central government established nature-environmental information systems.

Epigenetics: general characteristics and implications for oral health

  • Seo, Ji-Yun;Park, Yoon-Jung;Yi, Young-Ah;Hwang, Ji-Yun;Lee, In-Bog;Cho, Byeong-Hoon;Son, Ho-Hyun;Seo, Deog-Gyu
    • Restorative Dentistry and Endodontics
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    • v.40 no.1
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    • pp.14-22
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    • 2015
  • Genetic information such as DNA sequences has been limited to fully explain mechanisms of gene regulation and disease process. Epigenetic mechanisms, which include DNA methylation, histone modification and non-coding RNAs, can regulate gene expression and affect progression of disease. Although studies focused on epigenetics are being actively investigated in the field of medicine and biology, epigenetics in dental research is at the early stages. However, studies on epigenetics in dentistry deserve attention because epigenetic mechanisms play important roles in gene expression during tooth development and may affect oral diseases. In addition, understanding of epigenetic alteration is important for developing new therapeutic methods. This review article aims to outline the general features of epigenetic mechanisms and describe its future implications in the field of dentistry.

Thermal irritation of teeth during dental treatment procedures

  • Kwon, Su-Jung;Park, Yoon-Jung;Jun, Sang-Ho;Ahn, Jin-Soo;Lee, In-Bog;Cho, Byeong-Hoon;Son, Ho-Hyun;Seo, Deog-Gyu
    • Restorative Dentistry and Endodontics
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    • v.38 no.3
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    • pp.105-112
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    • 2013
  • While it is reasonably well known that certain dental procedures increase the temperature of the tooth's surface, of greater interest is their potential damaging effect on the pulp and tooth-supporting tissues. Previous studies have investigated the responses of the pulp, periodontal ligament, and alveolar bone to thermal irritation and the temperature at which thermal damage is initiated. There are also many in vitro studies that have measured the temperature increase of the pulp and tooth-supporting tissues during restorative and endodontic procedures. This review article provides an overview of studies measuring temperature increases in tooth structures during several restorative and endodontic procedures, and proposes clinical guidelines for reducing potential thermal hazards to the pulp and supporting tissues.

Non-conservative Management of Chylothorax

  • Ahn, Hyo Yeong;I, Hoseok
    • Journal of Chest Surgery
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    • v.54 no.4
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    • pp.325-329
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    • 2021
  • Chylothorax is caused by lymphatic leakage, which can develop after thoracic surgery and is associated with cancer. Although prospective randomized trials have not been performed, radiological interventions have been performed in several cases with persistent chylothorax, adjunct to 2 weeks of conservative management. The success rate of such interventions is diverse due to anatomical variations, although the results are promising. However, in cases of treatment failure after cycles of interventions, a team approach may be necessary to determine whether surgical management is warranted.

Mandibular lateral incisor with four root canals: A unique case of double tooth diagnosed using multidetector computed tomography

  • Gupta, Sunil Kumar;Gupta, Jaya;Acharya, Shashi Rashmi;Ather, Amber
    • Imaging Science in Dentistry
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    • v.43 no.2
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    • pp.123-128
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    • 2013
  • Double tooth is a dental anomaly consequent to fusion of two or more teeth or gemination of a single tooth. This report describes a unique case of double tooth in relation to a mandibular lateral incisor exhibiting the presence of four root canals. The role of conventional radiography and advanced three-dimensional imaging techniques in the better assessment of complex root canal systems and their aid in endodontic management has also been highlighted.

Management of horizontal root fractures by fabrication of canine protected occlusion using composite resin

  • Shin, Joo-Hee;Kim, Ryan Jin-Young
    • Restorative Dentistry and Endodontics
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    • v.37 no.3
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    • pp.180-184
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    • 2012
  • Traumatic injuries of the face often involve root fractures especially in anterior teeth. The prognosis and the treatment of the root fracture depend on the extent of the fracture line, general health and patient compliance. This case report outlines a new conservative trial treatment modality to stabilize the maxillary central incisors with horizontal root fracture on the cervical to middle third by fabricating canine guidance to remove loading on the traumatized maxillary central incisors during eccentric movements and thus inducing spontaneous healing of the fractured line between the fragments. Radiographs after thirty months showed adequate healing with no signs of pathological changes including root resorption, ankylosis or displacement. Long term follow-up revealed that vitality, stability and aesthetics were maintained and the patient was satisfied with the outcome.