Karan Bansal

Abstract

An immature tooth with pulpal necrosis and periapical pathology imposes a great difficulty to the endodontist. Endodontic treatment options for such teeth consist of conventional apexification procedure with and without apical barriers. Biodentine is new calcium silicate based cement that exhibits physical and chemical properties similar to those described for certain Portland cement derivatives. This article demonstrates the use of the newer material, Biodentine as an apical matrix barrier in root end apexification procedure. This case report presents apexification and successful healing with the use of Biodentine as an apical barrier matrix. Keywords: Apexification, Apical barrier, Biodentine, Periradicular healing.

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Abstract

An ideal dental repair material should possess certain exclusive properties such as adequate adhesive ability, dimensional stability, biocompatibility, bioactivity etc. Calcium silicate based materials seem to have intrinsic properties suitable for their clinical use, such as good sealing correlated to expansion, and the ability to set in the presence of fluids, bioactivity, the release of ions acting as epigenetic signals, and good biological properties. The introduction of MTA was considered as a major break-through in the history of material science. Biodentine has been recently introduced as the “the first all-in-one, bioactive and biocompatible material for damaged dentin replacement”. This article attempts to compare the properties and clinical applications of MTA and Biodentine. Keywords: Adhesive ability, Biological properties, Calcium silicate, Biodentine, MTA.

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Abstract

Presence of an infantile swallow during childhood and adolescence often leads to tongue thrusting which clinically presents a picture of an anterior open bite with protruted of anterior tooth segment. Tongue thrusting habit is the primary etiological factor in the development of an anterior open bite. Management of such abnormal habit includes removal of the underlying etiology, retraining exercises along with the support of mechanical restrictive orthodontic appliances. Palatal crib or palatal spurs are the most commonly used habit-breaking appliances. This case report discusses a case with anterior open bite caused due to tongue thrusting with dental proclination and spacing which was treated by a fixed tongue appliance in the form of a palatal crib for three months, which was followed up regularly in subsequent months. Keywords: Tongue Thrusting, Anterior open bite, Infant swallow, Protrusion, Palatal crib, Palatal spurs.

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Abstract

Management of patients with traumatic injuries to the teeth is an essential part of the general dentistry. Anterior teeth with intrusion/ fractures that extend subgingivally require a compounded treatment strategy that acknowledges biological, esthetic and functional components. Treatment of such teeth often requires a multi-dimensional approach. However, teeth with intrusion or crown-root fractures with placement below the gingival attachment or alveolar bone crest present rehabilitation difficulty. This case report presents a 10-year-old male who reported with intruded upper right central incisor causing recurrent lip injury. This case report presents an intruded maxillary central incisors tooth and its management using orthodontic extrusion and maintaining the healthy periodontal tissue and alveolar bone. Keywords: Traumatic injuries, Anterior teeth, Multidimensional approach, Rehabilitation difficulties, Orthodontic extrusion.

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