Pulpectomy in a Primary Tooth with Gemination: A Case Report

Developmental anomalies may affect the number and morphodifferentiation of teeth. Development of two teeth from one tooth bud gives rise to gemination. Geminated teeth with caries may lead to pulpal pathologies for which extraction may be a preferred treatment. We report a case of geminated maxillary carious primary incisor treated with pulpectomy in a five year-old child.

A critique on Materials for Orthodontic Aligners through sustainable Manufacturing

Materials will play an important role in any manufacturing sector. Additive manufacturing is the one of the most Emerging Manufacturing technology which is adding a sustainable dimension to Human life by using bio medical dental aligners in orthodontics. The new presentation of Sustainable manufacturing is upsetting endodontist, furthermore, it is in any event, it is applied to dental treatment of poor alignment of teeth and jaws. Exact, customized, Detachable aligners are an appropriate option in contrast to ordinary orthodontic machines, offering a more agreeable furthermore, and productive answer for patients Simultaneously, Detachable Clips are created by a thermoset’s interaction utilizing different sorts of thermoset elements. The Elastomer system modifies the Characteristics of the element, and the intra oral climate moreover changes the characteristic of an unmistakable clip, influencing execution of the element. The current audit recommends the appropriateness of Additive manufactured aligners is better than that of thermoset made aligners due to earlier expanded precision, load obstruction, and lower twisting. It is a general steadier approach to produce an aligner where sub millimetre developments can have an effect in treatment result. Direct 3D printing addresses an intricate strategy to command the density of the aligner and in this manner has superior capacity to command the power angle that are utilized to create teeth development. There is presently no other endorsed material available that can make this.

Obturation Techniques in Primary Teeth using Endoflas as Obturation Material – A Systematic Review

A pulpectomy is the treatment of choice for pulpally involved primary teeth. Pulp therapy prevents the premature loss of primary teeth which could result in loss of arch length, an altered pathway of the eruption of primary teeth, development of aberrant habits. It also restores the dentition to a functional state. Endoflas is a newer obturation material which has a proven clinical success rate. There are various obturation techniques available in the literature. The systematic review aimed to extract and systematically identify the existing literature, which compares different obturation techniques used in the root canal treatment of primary teeth using endoflas as obturation material. The search was done using the MeSH terms and keyword search in the electronic databases, including PubMed, Cochrane, LILAC, Sigle, Science Direct and Google scholar. A total of 13 articles were chosen after the initial screening of the title. Then based on the inclusion and exclusion criteria and the availability of the full texts, a total of 3 articles were included. This systematic review concludes that there is a need to update the existing literature to find out the beat ideal obturation technique which can provide void-free and ideal obturation of the root canal of the primary teeth using Endoflas.

Hypophosphatasia mimicking hypoxic–ischaemic encephalopathy: early recognition and management

BackgroundHypophosphatasia (HPP) is a rare inherited disorder affecting bone and teeth development. Perinatal HPP is the most severe form and associated with a high mortality. Features include respiratory distress, skeletal abnormalities and low alkaline phosphatase (ALP) activity.CaseA baby boy developed respiratory distress, hypotonia and seizures within an hour of birth. Blood gas showed mixed acidosis and abnormal base deficit. Hypoxic–ischaemic encephalopathy (HIE) was suspected and managed with therapeutic hypothermia. Subsequent investigations identified low ALP activity and abnormal bone mineralisation, leading to a diagnosis of HPP. On day 5 of life, enzyme replacement therapy (ERT) was commenced, its first use via direct NHS England funding since UK licensing in 2017.ConclusionsEarly hypotonia is an atypical presentation for perinatal HPP. Combined with acidosis and encephalopathy, it can clinically mimic HIE. Early recognition of biochemical and radiological features of HPP is essential for rapid diagnosis and timely initiation of life-saving ERT.

Az igazságügyi fogorvosszakértés múltja, jelene és jövője

Forensic dentistry dates back more than 200 years. Yet Oscar Amoedo, a Cuban-born dentist, is considered the father of forensic dentistry. He emphasized the dentists’ role in humans’ identification and laid down the general principles of dental identification in his dissertation in 1989. Dental experts must have interdisciplinary knowledge to do his or her job. From the teeth development through the type of materials of various restorations and the appearance of specific diseases, he/she has to consider the entire oral cavity. As it happens today, for the last 60-70 years too, the victim’s dentist testified the positive match by the dental identification. Nowadays, there are available plaster models, paper or digital based patient records, x-rays to support forensic dentistry. In the future, digital technology will make identification even faster and more accurate, and based on the patients’ 3D digital models, CBCT images, or palate samples, artificial intelligence (AI) guided computers will be making identifications even without any human assistance.

Resolution of a fluorosis case through the association of minimally invasive techniques

Color changes may interfere with smile balance and they represent a clinical challenge to dentists. Dental fluorosis originates from intrinsic factors and it is a disorder of enamel formation during the phase of teeth development, resulting in the change of enamel color. This clinical case report aimed to present the resolution of a case of dental fluorosis through the association of minimally invasive techniques, namely microabrasion and tooth bleaching. A 27-year-old male patient sought the dental clinic of the School of Dentistry of Piracicaba (FOP - UNICAMP, Brazil) presenting striped and symmetrical white stains and generalized chromogenic biofilm. After anamnesis and clinical examination, the patient was diagnosed with fluorosis stains. Initially, adequacy of the oral environment was performed with prophylaxis and supragingival scraping. Then, the enamel microabrasion technique was performed with 6% hydrochloric acid associated with silicon carbide (Whiteness RM - FGM) and supervised at-home bleaching was performed with 16% carbamide peroxide (Whiteness Simple 16% - FGM). In conclusion, the treatment performed reestablished the aesthetics and harmony of smile color with minimally invasive procedures without causing tooth sensitivity.