• Title/Summary/Keyword: tooth loss

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Survival rates against fracture of endodontically treated posterior teeth restored with full-coverage crowns or resin composite restorations: a systematic review

  • Suksaphar, Warattama;Banomyong, Danuchit;Jirathanyanatt, Titalee;Ngoenwiwatkul, Yaowaluk
    • Restorative Dentistry and Endodontics
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    • v.42 no.3
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    • pp.157-167
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    • 2017
  • This systematic review aims to summarize the current clinical studies that investigated survival rates against fracture of endodontically treated posterior teeth restored with crowns or resin composite restorations. Literature search were performed using keywords. Publications from 1980 to 2016 were searched in PubMed, ScienceDirect, ISI Web of SCIENCE, MEDLINE, and SCOPUS. Included studies were selected based on inclusion and exclusion criteria. Three clinical studies were included: 1 randomized controlled trial and 1 prospective and 1 retrospective cohort studies. Pooled survival rates ranged from 94%-100% and 91.9%-100% for crowns and resin composite, respectively. The majority of teeth had no more than 3 surface loss of tooth structure. The studies included were heterogeneous, and were not appropriate for further meta-analysis. Current evidence suggested that the survival rates against the fracture of endodontically treated posterior teeth restored with crowns or resin composites were not significantly different in the teeth with minimum to moderate loss of tooth structure.

Management of large class II lesions in molars: how to restore and when to perform surgical crown lengthening?

  • Dablanca-Blanco, Ana Belen;Blanco-Carrion, Juan;Martin-Biedma, Benjamin;Varela-Patino, Purificacion;Bello-Castro, Alba;Castelo-Baz, Pablo
    • Restorative Dentistry and Endodontics
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    • v.42 no.3
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    • pp.240-252
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    • 2017
  • The restoration of endodontic tooth is always a challenge for the clinician, not only due to excessive loss of tooth structure but also invasion of the biological width due to large decayed lesions. In this paper, the 7 most common clinical scenarios in molars with class II lesions ever deeper were examined. This includes both the type of restoration (direct or indirect) and the management of the cavity margin, such as the need for deep margin elevation (DME) or crown lengthening. It is necessary to have the DME when the healthy tooth remnant is in the sulcus or at the epithelium level. For caries that reaches the connective tissue or the bone crest, crown lengthening is required. Endocrowns are a good treatment option in the endodontically treated tooth when the loss of structure is advanced.

A Preview of the Valid Natural Tooth Implantation(NTI) Related with Periodontal Diseases

  • Chang, Sang-Kohn
    • Proceedings of the KACD Conference
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    • 2002.11a
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    • pp.721-721
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    • 2002
  • For about half a century. dental implants made of titanium have developed as a method of restoration for the tooth loss. In these days. the titanium implants seem to be considered as the alternative for the conventional prosthodontics. But its hard to say that the titanium implants are superior to the treatments that preserve the natural tooth. As this is a general opinion among dentists. the implant will not be able to be the alternative for all the prosthetic treatments. Clinically, there are many causes for extracting tooth. The severe destruction of the tooth structure or periodontal diseases leads to inevitable tooth extraction. When the complete cure is doubtful because of narrow intraoral visibility and improper accessibility in approaching to the tooth and periodontal lesion, we. clinicians often inevitably extract tooth. Passive treatments like conventional restoration, curettage or surgical flap cant be the perfect treatments for the tooth that has subgingival root caries or severe periodontal diseases involved furcation. Many clinicians might have been forced to pull out the relatively healthy tooth by the difficulties of approaching to the lesions and poor prognosis. Though the intentional tooth replantation is performed sometimes. as it doesnt have enough scientific foundation. it has not been considered as a popular treatment method yet. I have been felt keenly the necessity of positive tooth preservation, so I have been attempting the treatment that has new concept. calling Natural Tooth Implantation (NTI) clinically. NTI differs from the tooth replantation in the goal for the treatment and biological healing process. Now. I confirm that NT! is a very positive and valid method of tooth preservation. Like you can get from the name. NTI is the dental implant procedure using natural teeth and similar to the healing process of the titanium implants in many aspects. I have been using biocompatible composite resin. DRM. with NTI and got affirmative clinical results from that. So I would like to introduce.roduce.

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Full mouth rehabilitation of an asthma patient with severe tooth wear and occlusion disharmony (심한 마모 및 교합 부조화를 가진 천식 환자의 전악 수복 증례)

  • Jo, Yu-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.4
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    • pp.225-230
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    • 2022
  • Objectives: Patients with excessive tooth wear should first be diagnosed for the etiology of the tooth wear. Causes of tooth wear include bruxism, clenching, and taking medications for systemic diseases. After identifying the cause of tooth attrition, the final prosthesis should be restored with an appropriate vertical dimension. Methods: A 79-year-old man with worn out teeth desired a whole dental treatment. He was on medications for high blood pressure and asthma. The treatment proceeded with a consultation with a medical doctor. The medications for asthma evoked multiple teeth wear and a loss of the vertical dimension. After recovery of 3 mm of vertical dimension, 2 months of evaluation was followed by an interim prosthesis. Results: The increased vertical dimension caused no problem in function and esthetics, and the final restoration was performed with a full monolithic zirconia crown. Group function, adequate anterior guidance, and the occlusal plane were determined. Conclusions: After the final restoration, the patient was both esthetically and functionally satisfied, and a night guard splint was delivered to prevent prosthesis fracture. The patient was informed about the potential tooth wear associated with asthma drugs and educated to visit the clinic regularly.

REPLANTATION OF TOOTH WITH INTRA-ALVEOLAR TRANSVERSE CROWN & ROOT FRACTURE (Intra-alveolar transverse crown & root fx.가 있는 치아의 replantation을 통한 수복의 임상 증례 보고)

  • Hong, Soo-Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.23 no.4
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    • pp.968-974
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    • 1996
  • Intra-alveolar transverse crown & root fx. provokes many problems in treatment. Conventionally, extraction of the injured tooth and its prosthodontic restoration has been the treatment of choice. Though orthodontic extrusion could be an alternative treatment, there would be a situation it's inadequate to apply. Loss of natural tooth would be a psychological damage to the patient, of course. This report describes a replantation method of tooth in case of intra-alveolar transverse crown & root fracture. The fractured tooth was extracted, rotated, then replanted. Fixation and esthetic restoration was done. And then endodontic treatment was followed. Continuing follow-up of its function and endodontic status is required.

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Single-tooth implant restoration with alveolar bone augmentation in the maxillary anterior tooth region: a case report

  • Lee, Seon-Ki
    • International Journal of Oral Biology
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    • v.46 no.4
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    • pp.200-207
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    • 2021
  • In case of gingival recession and alveolar bone defects due to tooth loss for a long period of time in a single tooth in the maxillary anterior region, it is not easy to obtain aesthetic results with a single implant prosthesis. For aesthetic restoration, it is important to preserve hard and soft tissues through alveolar bone augmentation as well as restore harmony with adjacent teeth and soft tissues by placing the implant in an ideal location. In this case, an implant was placed using guided bone regeneration and a connective tissue graft simultaneously with immediate implantation after extraction from the maxillary anterior region where only residual root was left for a long period of time.

Clinical evaluation of ridge augmentation using autogenous tooth bone graft material: case series study

  • Lee, Ji-Young;Kim, Young-Kyun;Yi, Yang-Jin;Choi, Joon-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.39 no.4
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    • pp.156-160
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    • 2013
  • Objectives: Interest in bone graft material has increased with regard to restoration in cases of bone defect around the implant. Autogenous tooth bone graft material was developed and commercialized in 2008. In this study, we evaluated the results of vertical and horizontal ridge augmentation with autogenous tooth bone graft material. Materials and Methods: This study targeted patients who had vertical or horizontal ridge augmentation using AutoBT from March 2009 to April 2010. We evaluated the age and gender of the subject patients, implant stability, adjunctive surgery, additional bone graft material and barrier membrane, post-operative complication, implant survival rate, and crestal bone loss. Results: We performed vertical and horizontal ridge augmentation using powder- or block-type autogenous tooth bone graft material, and implant placement was performed on nine patients (male: 7, female: 2). The average age of patients was $49.88{\pm}12.98$ years, and the post-operative follow-up period was $35{\pm}5.31$ months. Post-operative complications included wound dehiscence (one case), hematoma (one case), and implant osseointegration failure (one case; survival rate: 96%); however, there were no complications related to bone graft material, such as infection. Average marginal bone loss after one-year loading was $0.12{\pm}0.19$ mm. Therefore, excellent clinical results can be said to have been obtained. Conclusion: Excellent clinical results can be said to have been obtained with vertical and horizontal ridge augmentation using autogenous tooth bone graft material.

Sudden sensorineural hearing loss after third molar extraction: Case report and literature review (제 3대구치 발치 후 발생한 돌발성 난청: 증례보고 및 문헌 고찰)

  • Kim, Hyung Ki;Kim, Il-hyung;Ku, Jeong-Kui;Noh, Min-Ho
    • The Journal of the Korean dental association
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    • v.58 no.7
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    • pp.404-411
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    • 2020
  • This study reports the unusual complications of 22-year-old male who presented with sudden hearing loss after the right mandibular third molar extraction under local anesthesia with 3.6 ml of 2 % lidocaine. Total 8.75 mg of oral dexamethasone for 1 week immediately after extraction was prescribed in department of oral and maxillofacial surgery but hearing did not improve after 1 week. As referral to otolaryngology, total 600 mg of oral methylon and hyperbaric oxygen therapies were operated for 2 weeks. The hearing of patient was improved at 6 weeks after extraction but tinnitus was persisted even after 12 months. The reason and treatment were discussed with literature review, searching with the keywords ['hearing loss' AND ('dental' OR 'tooth extraction'OR'teeth extraction')] in PubMed and Google scholar at October 2019. Total five cases were reported after tooth extraction with local anesthesia. The sudden hearing loss could be associated with local anesthesia containing vasoconstrictors. Early steroid (extensive medication and intra-tympanic injection) and hyperbaric oxygen therapies were recommended within 2 weeks. As a proper treatment, hearing could be improved but other additional symptoms, such as tinnitus, dizziness, might be remained.

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A COMPARATIVE STUDY ON THE WEAR RESISTANCE OF POLYMERIC VENEERING MATERIALS (치관 전장용 레진의 내마모성에 대한 비교연구)

  • Youn, Soo-Sun;Lee, Sun-Hyung;Yang, Jae-Ho;Chang, Wan-Shik
    • The Journal of Korean Academy of Prosthodontics
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    • v.24 no.1
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    • pp.33-43
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    • 1986
  • The purpose of this study was to compare the wear resistance of heat pressure-cured microcomposite(SR-Isosit-N), photo-cured microcomposite(Dentalcolor), unfilled heat-cured resin(Thermojel) and that of human enmel. Specimens were made with specially designed die and finally polished with #3,000 diamond paste. After 100,000 strokes of tooth brushing at electric tooth-brushing machine, mean thickness loss of each specimen was measured by using surface profile and integration. The results were as follows 1. Mean thickness loss were $84.3{\pm}27.3{\mu}m$ in unfiled heat-cured resin, $9.4{\pm}2.5{\mu}m$ in photocured microcomposite, $7.6{\pm}2.1{\mu}m$ in heat.pressure-cured microcomposite and $0.97{\pm}0.42{\mu}m$ in enamel. 2. Heat.pressure-cured microcomposite and photo-cured microcomposite had no difference in mean thickness loss(p>0.05). 3. Unfilled resin and microcomposite had much differences in mean thickness loss (p<0.005). 4. ha resins used in this experiment had too much mean thickness loss as compared with enamel (p<0.005).

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Orthodontic Treatment of a Child with Short Root Anomaly : a Case Report (Short root anomaly (SRA) 환아의 교정적 처치 증례)

  • Lee, Jeongeun;Lee, Jewoo;Shin, Gayoung;An, Soyoun;Song, Jihyun;Ra, Jiyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.4
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    • pp.319-326
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    • 2015
  • Short root anomaly (SRA) is very rare, but can be problematic for physicians because patients with SRA are more vulnerable to root resorption with orthodontic forces. During the mixed dentition period, it may be difficult to diagnose generalized SRA. This article reports the treatment of an orthodontic patient with SRA at the early mixed dentition stage. Despite local tooth loss, a relatively favorable outcome was obtained without excessive root resorption. Ultimately, orthodontic therapy is possible for patients with generalized SRA, but precautions should be taken to avoid complications, such as tooth loss or root resorption.