[Year:2017] [Month:July-December] [Volume:9] [Number:2] [Pages:1] [Pages No:0 - 0]
DOI: 10.5005/cods-9-2-iv | Open Access | How to cite |
Fixed Partial Denture Failures: A Clinical Survey for Evaluation of the Factors Responsible
[Year:2017] [Month:July-December] [Volume:9] [Number:2] [Pages:5] [Pages No:41 - 45]
Keywords: Biological failure, Esthetic failure, Fixed partial denture failure, Mechanical failure
DOI: 10.5005/jp-journals-10063-0031 | Open Access | How to cite |
Abstract
Aim: Most of the time, the failures are conditions that occur during or after appropriately performed fixed prosthodontics treatment procedures. Reasons for failures in fixed prosthodontics can be divided into biological, mechanical and esthetic factors. The present study was conducted to assess biological, mechanical, and esthetic failure factors among fixed partial dentures (FPDs). Materials and methods: A cross-sectional study was conducted among patients who reported to the Department of Prosthodontics, College of Dental Sciences, Davangere, Karnataka, India with complaints about fixed partial denture. A total of 450 fixed partial denture failures in subjects were assessed. The fixed partial denture was examined for the failure factors (biological, mechanical, and esthetic). The selected subjects underwent a clinical examination and set of a questionnaire about the complaint of the fixed partial denture and further detail clinical examination about the failure factor. Results: Out of 450 fixed partial denture failures, 33.3% of it showed the biological failure, 55.1% showed the mechanical failure and 11.5% showed esthetic failure. The most frequent reason for failure was mechanical factors followed by biological and esthetic failure factors. Conclusion: The caries was the most common biological failure factor, the loss of retention was the most common cause of mechanical failure factor and the unacceptable color match was accounted more when compared to other esthetic failure factors. Clinical significance: By knowing the type of failures, we can plan a proper treatment plan so that the abutment will have a long time prognosis.
[Year:2017] [Month:July-December] [Volume:9] [Number:2] [Pages:4] [Pages No:46 - 49]
Keywords: Endoflas, Obturating materials, Pulpectomy, Zinc oxide eugenol
DOI: 10.5005/jp-journals-10063-0032 | Open Access | How to cite |
Abstract
Introduction: Success of pulp therapy depends on proper biomechanical preparation, disinfection of canal, dryness of canal and acquisition of proper seal by use of ideal obturating material. Though there are many obturating materials available, there is no proper consensus on the best obturating material for primary teeth. Thus the present study was done to compare and evaluate the quality of obturation using zinc oxide eugenol and endoflas with spiral computed tomography (CT). Materials and methods: Thirty single-rooted primary teeth were selected for the study. They were debrided to the determined working length using K files and prepared for obturation. Teeth were later numbered from 1 to 30 and divided into two groups of 15 teeth each. Preobturation volume of two groups was evaluated using spiral CT followed by which group 1 was obturated using zinc oxide eugenol and group 2 with endoflas using rotary lentulospiral. Another scan with CT was done to check postobturated volumes of both groups. The volumetric analysis was done using Advantage work station software for Windows (GE System, Milwaukee). Tukey's post-hoc test, analysis of variance (ANOVA) were used to analyze statistical significance between variable. Results: The mean preobturated volume (POV) of group 1 was 0.00042 ± 0.00001, the mean postobturated volume of group 1 was 0.00039 ± 0.00001 and the mean POV of group 1 was 95.23 ± 0.81. The mean POV of group 2 was 0.00040 ± 0.00001, the mean postobturated volume of group 2 was 0.00038 ± 0.00001 and the mean POV of group 2 was 96.02 ± 0.10. Statistically, the insignificant difference was observed between canals obturated with zinc oxide eugenol and endoflas. Conclusion: It can be concluded that the percentage of the obturated volume of zinc oxide eugenol and endoflas were statistically insignificant.
[Year:2017] [Month:July-December] [Volume:9] [Number:2] [Pages:5] [Pages No:50 - 54]
Keywords: Bilateral permanent lateral incisors, Dens in dente, Preventive protocol
DOI: 10.5005/jp-journals-10063-0033 | Open Access | How to cite |
Abstract
Aim: The aim of this case report is to give a detailed review about the etiology, prevalence, clinical features, radiographic features and treatment of dens in dente along with the presentation of a case report. Background: Dental anomaly is a complex interaction between genetic and environmental factors during the process of dental development. One such commonly seen anomaly is dens in dente which represents as an exaggeration or accentuation of a lingual pit. It is a developmental malformation where the etiology is the alteration in the normal growth pattern of the dental papilla during tooth development, resulting in invagination of the surface of the crown or root before calcification. Case description: A 10-year-old female patient presented to the department, for the routine dental check-up. There was a coincidental diagnosis of a dental anomaly following which a preventive protocol was followed to rescue the teeth from further damage. Conclusion: Early diagnosis and preventive intervention are important to save the teeth from the further carious lesion. Clinical significance: As a pediatric dentist, the knowledge about the malformations and making the right decision for management is important.
Clinical Management of a Pediatric Patient Associated with Thalassemia Major: A Case Report
[Year:2017] [Month:July-December] [Volume:9] [Number:2] [Pages:4] [Pages No:55 - 58]
Keywords: Beta thalassemia major, Clinical management, Extraoral features, Intraoral, Severe early childhood caries
DOI: 10.5005/jp-journals-10063-0034 | Open Access | How to cite |
Abstract
Aim: To discuss a case of beta thalassemia major with its clinical intraoral, extraoral features and radiographic appearances and clinical management. Background: Thalassemia, a hereditary hemolytic anemia disease is the most widely distributed genetic disorder. It occurs due to a defect in the globin chain of hemoglobin. The more severe form, beta thalassemia major, presents with a diverse spectrum of clinical features caused by anemia, bone marrow hyperplasia, and blood transfusions. Case description: Here is a rare case presentation of a 4-yearold male patient suffering from thalassemia major, reported with pain and swelling in the upper front teeth region. The patient was under regular blood transfusion regimen. The patient was diagnosed with having severe early childhood caries and managed with full mouth rehabilitation. Conclusion: Thalassemia is characterized by diverse oral and dental features, a dentist should have complete knowledge of the thalassemia and its complications to treat the dental conditions effectively. Clinical significance: Caregivers of children suffering from systemic illness lacks the incentive to maintain oral health. As a result, children suffer from comorbid conditions such as early childhood caries. Furthermore, the systemic condition also affects their oral health where the necessity for early intervention and conservative management is indispensable.