Priyanka

Abstract

Intentional replantation is done in cases of endodontic failures where conventional forms of treatment options either fail or become impossible. It involves the removal of the offended tooth, execution of extra oral apicoectomy followed by its reinsertion into the socket. The present case report discussed in this paper presentation demonstrates a scenario where a right maxillary second molar had an iatrogenic perforation in the middle third of distal root. The decision of intentional replantation was made for its repair but unfortunately, the tooth underwent fracture in the course of extraction. The procedure was still performed with a reduced distal root length. Fortunately, a favourable outcome was observed after 1 year of follow up. However, for recording the long term survival, the patient is kept on follow-up.   Keywords: Alternative to implant, Retro-seal, MTA, Intentional replantation, Root end resection, Extraction

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Abstract

Maxillary midline diastema is a frequently occurring malocclusion found to be a common aesthetic complaint of patients. It occurs due to of multifactorial etiology such as labial frenum, microdontia, and oral habits such as thumb sucking, Tongue thrusting, or Dental malformations. Proper technique and materials for successful treatment are grounded on time and the patient's physical, psychological, and economical conditions. The use of Direct composite resin restoration in diastema closure permits the dentist and patients to gain complete control of the above-mentioned and recreation of an aesthetic natural smile. The case report describes a case of midline diastema closure using direct composite resin restoration. The patient was recalled for follow-up for 1 year. No discoloration, sensitivity, line of demarcation, or fracture lines were seen. Therefore, midline diastema closure using direct composite resin restoration is considered highly aesthetic, and durable and could fulfill the aesthetic need of the patient in the present case. Keywords: Diastema, Direct Composite Restoration, Aesthetic, Direct Resin Bonding

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