RESUMEN
It is imperative that the clinician should have comprehensive knowledge about the normal anatomy and its variations of the teeth as the deviations from the usual are very common. An increased awareness of unusual anatomy and a better understanding of the root canal system guide the clinician in accurate diagnosis and treatment of such variations in order to achieve a successful endodontic outcome. The maxillary first molar has been shown to have a wide variation in respect to the number of canals specifically noted in the mesiobuccal root. The current case report shows the successful management of a maxillary molar in which the mesiobuccal root had three canals.
RESUMEN
AIM: The present study compares the marginal adaption of Mineral Trioxide Aggregate (MTA), Glass Ionomer Cement (GIC) and Intermediate Restorative Material (IRM) as root-end filling materials in extracted human teeth using Scanning Electron Microscope (SEM). MATERIALS AND METHODS: Thirty single rooted human teeth were obturated with Gutta-percha after cleaning and shaping. Apical 3 mm of roots were resected and retrofilled with MTA, GIC and IRM. One millimeter transverse section of the retrofilled area was used to study the marginal adaptation of the restorative material with the dentin. Mounted specimens were examined using SEM at approximately 15 Kv and 10(-6) Torr under high vacuum condition. At 2000 X magnification, the gap size at the material-tooth interface was recorded at 2 points in microns. STATISTICAL ANALYSIS: One way ANOVA Analysis of the data from the experimental group was carried out with gap size as the dependent variable, and material as independent variable. RESULTS: The lowest mean value of gap size was recorded in MTA group (0.722 ± 0.438 µm) and the largest mean gap in GIC group (1.778 ± 0.697 µm). CONCLUSION: MTA showed least gap size when compared to IRM and GIC suggesting a better marginal adaptation.
RESUMEN
BACKGROUND: Proton pump inhibitors are used in endodontic disinfection of root canals for elimination of enterococcus faecalis. This invivo study on Wistner Rats is carried out to determine antimicrobial efficacy of proton pump inhibitor in combination with sodium hypochlorite & Mixture of Isomer of tetracycline, acid and detergent (MTAD) against E. Faecalis Materials & Methods: Periapical lesions were induced on the 30 Incisor teeth of 30 male Wistner rats (10per group). After 28 days, root canals of each tooth were instrumented to 35# k file, during the process of instrumentation canals were irrigated with their respective irrigation solutions. Group-1: 2% CHX + 5.2% NaOCL, Group-2: MTAD(Dentsply Tulsa Dental, Tulsa, OK) + 5.2% NaOCL, Group-3: 8.5% Omeprazole (Dr Reddy's labs private limited - Hyderabad) + 5.2% NaOCL. Microbiological samples were collected by using #35 sterilized paper points after 28 days of inducing periapical lesions, Sample (S1) was collected before instrumentation and Sample (S2) was collected after instrumentation and Irrigation data were subjected to analysis of variance, followed by Newman Keuls Post Hoc test. RESULTS: Microbiological Analysis revealed significant decrease of colony forming units from S1 to S2 Samples in all the 3 groups. CONCLUSION: Our data showed that association of Omeprazole with NaOCL showed a superior antibacterial efficacy against Enterococcus faecalis in comparision with other irrigants. Key words: Sodium Hypochlorite, Chlorhexidine, Gluconate, MTAD, Omeprazole.
RESUMEN
A variety of treatment modalities, from removable partial dentures, fixed prosthesis to implant placement can be used for replacement of missing teeth. Anterior diastema closure is one of the most challenging tasks; it is appreciable that restorative approach is the fastest, simplest and most predictable. This case report presents a successfully accomplished closure of diastema in mandibular anterior teeth, and splinting of the adjacent teeth which were grade II mobile. This present treatment modality offers a conservative, aesthetic and non-invasive treatment which can be considered as a long-lasting treatment.