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Maxillary fractures

Sami Dogan, Ariel J Raigrodski, Hai Zhang, Lloyd A Mancl
STATEMENT OF PROBLEM: Studies evaluating anterior zirconia-based crowns are limited. PURPOSE: The purpose of this prospective cohort clinical study was to assess the efficacy of zirconia-based anterior maxillary crowns with 0.3-mm customized copings at the cervical third and anatomical design elsewhere for up to 5 years of service. MATERIAL AND METHODS: Eighteen participants who required an anterior maxillary crown (n=20) and who had signed a consent form approved by the University of Washington Health Sciences Center Human Subjects Division were enrolled...
October 17, 2016: Journal of Prosthetic Dentistry
Osman Sabuncuoglu, Mustafa Yasin Irmak
It has been more than 10 years since the proposal of attention deficit/hyperactivity disorder (ADHD) model as an explanatory construct for traumatic dental injuries (TDIs) in children. The aim of this review was to address developments in the study of the issue after 2005 to 2016. A systematic literature search covering the period from 2005 to 2016 was conducted on PubMed, the Cochrane library and Google Scholar using relevant keywords. Fourteen studies exploring the relationship between ADHD and TDIs from 2005 and onwards (including the proposal paper) were identified...
October 17, 2016: Dental Traumatology: Official Publication of International Association for Dental Traumatology
Edna Perez, Linda S Behar-Horenstein, Marcio Guelmann
Children with intellectual and physical disabilities including autism are susceptible to dental trauma as a sequela from falls due to poor muscular coordination. In addition, their altered muscle tonus often results in an open bite with labial flaring of the maxillary incisors and lip incompetence, predisposing these teeth to fractures. This case report describes an alternative approach of restoring a fractured maxillary permanent central incisor with a composite strip crown during surgical repositioning of the periodontium on an autistic patient...
September 1, 2016: Journal of Contemporary Dental Practice
Federico Tirone, Stefano Salzano, Erik Rolando
BACKGROUND: Microdontia of the maxillary anterior teeth occurs quite frequently but is poorly documented. The literature describes several treatment choices, which are often focused on an orthodontic approach rather than a restorative one. The latest trends in restorative dentistry and the new ceramic materials, such as lithium disilicate, allow clinicians to perform esthetic rehabilitations based on microinvasive approaches that are most appropriate for younger patients. SUMMARY: Four patients, all employed in the field of dentistry, presented at our dental practice complaining of diastemata between their maxillary anterior teeth...
2016: International Journal of Esthetic Dentistry
S M Balaji
Ballistic injuries of oral and maxillofacial region are usually fatal due to close propinquity with the vital structures. The severity of injury depends on the caliber of the weapon used and distance from which the patient is shot. The preliminary care of facial ballistic wounds strictly adheres to the basics of trauma resuscitation. Early and appropriate surgical management has proved to be influential on the final outcome and esthetic result. Treatment of facial gunshot wounds should be planned and carried out carefully to avoid esthetic complications...
July 2016: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
Simone Heuberer, Christian Ulm, Konstantin Zauza, Werner Zechner, Georg Watzek, Gabriella Dvorak
PURPOSE: The present prospective pilot study aimed to evaluate the feasibility of Onplants (Onplant Orthodontic System) off label use in the highly atrophic edentulous maxillae of adult patients to avoid bone grafting and conventional dental or zygomatic implants. MATERIAL AND METHODS: Two Onplants were placed subperiosteally in the anterior part of the hard palate in five adult patients presenting a highly atrophic edentulous maxilla, class V or VI, according to Cawood and Howell...
2016: European Journal of Oral Implantology
Murtuza Saifuddin Zhabuawala, Roopa R Nadig, Veena S Pai, Yashwanth Gowda
AIM: To evaluate the fracture resistance in simulated immature teeth that had been backfilled using composite resin and Biodentine after using Biodentine as an apical plug material immediately and after 3 months of aging. MATERIALS AND METHODS: Sixty extracted human maxillary central incisors were simulated in an immature open apex. The roots of all the specimens were then standardized to a length of 10 mm and canals were instrumented to obtain the radicular dentin thickness around 1...
October 2016: Journal of the Indian Society of Pedodontics and Preventive Dentistry
Pallav Mahesh Patni, Pradeep Jain, Mona Jain Patni
INTRODUCTION: The fracture of front teeth is one of the routine presentations of traumatic injuries. The treatment of a fractured tooth involving the pulp includes root canal therapy and post placement followed by core build-up or by the extraction of the fractured tooth if it is not restorable. CASE PRESENTATION: We report a case of an adult male who had traumatized both his maxillary central incisors following a blow experienced during domestic violence. He had lost a fractured fragment of the right central incisor, while the left incisor had complicated fractures with fragments retained attached to the soft tissue...
June 2016: Archives of Trauma Research
R K Tewari, S K Mishra, Ashok Kumar, Amit Kumar Garg, M K Jindal, Harish Juneja
AIM: To examine the clinical and radiographic appearance of teeth with immature apices that were treated by single step procedure using mineral trioxide aggregate (MTA). SUMMARY: Creation of a physiological hard tissue barrier with calcium hydroxide in a nonvital tooth although quite predictable has certain limitations, such as the very long duration of the treatment spread over multiple visits and increased risk of root fracture. Plugging the root canal end with MTA has been advocated as an alternative treatment modality for open apices...
September 2011: International Journal of Clinical Pediatric Dentistry
Y-L Tsai, W-C Liao, C-Y Wang, M-C Chang, S-H Chang, S-F Chang, C-W Chang, Y-D Huang, C-P Chan, J-H Jeng
AIM: To describe the clinical characteristics and radiographic findings of horizontal root fractures (HRF) in posterior teeth without a history of dental trauma. METHODOLOGY: A total 24 patients and 31 HRF cases in 28 posterior teeth were collected from 2006 to 2015. Clinical examinations and radiographic imaging were evaluated. Value of confidence intervals of the proportions were calculated for data presentation. RESULTS: The number of males (54%) was similar to females (46%)...
September 28, 2016: International Endodontic Journal
Dean Vafiadis, Gary Goldstein, David Garber, Anthony Lambrakos, Bj Kowalski
OBJECTIVE: Preserving soft and hard tissues after extraction and implant placement is crucial for anterior esthetics. This technique will show how the information gathered from a cone-beam computed tomography (CBCT) scan of the maxillary left central incisor and an intra-oral digital impression can be merged to fabricate a CAD/CAM crown-root matrix to be used as an immediate provisional restoration that mimics the natural anatomy. CLINICAL CONSIDERATIONS: Due to trauma, a left central incisor appeared to be fractured and was scheduled for extraction and implant placement...
September 27, 2016: Journal of Esthetic and Restorative Dentistry
G T Rocca, P Sedlakova, C M Saratti, R Sedlacek, L Gregor, N Rizcalla, A J Feilzer, I Krejci
OBJECTIVE: To evaluate the influence of different types of modifications with resin on fatigue resistance and failure behavior of CAD-CAM resin nano ceramic (RNC) restorations for maxillary first premolars. METHODS: Sixty standardized resin composite root dies received CAD-CAM RNC endocrowns (n=30) and crowns (n=30) (Lava Ultimate, 3M Espe). Restorations were divided into six groups: full anatomic endocrowns (group A) and crowns (group D), buccal resin veneered endocrowns (group B) and crowns (group E) and buccal resin veneered endocrowns (group C) and crowns (group F) with a central groove resin filling...
September 23, 2016: Dental Materials: Official Publication of the Academy of Dental Materials
Elif Kalyoncuoğlu, Cangül Keskin, İsmail Uzun, Aydın S Bengü, Buğra Guler
This study aimed to evaluate superficial defects and the composition of Reciproc R25 and ProTaper Retreatment file systems (Dentsply Maillefer, Ballaigues, Switzerland) used for retreatment. A total of 100 maxillary incisor teeth were randomly divided into the following two groups: Reciproc R25 (n = 25) and ProTaper Retreatment instrument (n = 75) groups. The nickel-titanium (Ni-Ti) compositions of the files before and after use were analyzed using energy dispersive X-ray spectrophotometry (EDX). Chi-square, Mann-Whitney U, and Kruskal-Wallis tests were used to analyze the data...
2016: Journal of Oral Science
Gustavo De-Deus, Felipe Gonçalves Belladonna, Erick Miranda Souza, Vanessa de Oliveira Alves, Emmanuel João Nogueira Leal Silva, Evaldo Rodrigues, Marco Aurélio Versiani, Carlos Eduardo da Silveira Bueno
INTRODUCTION: Glide path preparation has been recommended as a mandatory clinical step to ensure the safe usage of nickel-titanium (NiTi) rotary instruments. This study aimed to evaluate the effectiveness and fracture rate of 4 pathfinding NiTi rotary instruments in mechanically negotiating moderately curved molar canals. METHODS: Moderately curved maxillary (n = 120) and mandibular (n = 120) molars were randomly distributed into 4 experimental groups (n = 60, 30 maxillary and 30 mandibular molars) according to the instrument used for glide path preparation: ScoutRace 10/...
October 2016: Journal of Endodontics
Sukriti Tiwari, Pradnya Nikhade, Manoj Chandak, C Sudarshan, Priyadarshini Shetty, Naveen K Gupta
INTRODUCTION: Irrigating solutions are used for cleaning and removing dentinal debris, and the other remains from pulpal space during biomechanical preparation. Therefore, we evaluated the impact of various irrigating agents on root fracture at 5-minute time exposure. MATERIALS AND METHODS: We sectioned 60 permanent maxillary premolars with fully formed root structures transversely maintaining the root length of approximately 14 mm. Five study groups were made comprising ethylenediaminetetraacetic acid (EDTA), cetrimide, citric acid, and so on as various irrigating agents...
2016: Journal of Contemporary Dental Practice
Bhavana Gandhi, Swetha Bollineni, Ravi Kumar Janga, Disha Saraswati, Mandava Ramesh Babu
INTRODUCTION: Smear layer removal from the root canal wall involves the use of 17% EDTA and 5.25% sodium hypochlorite, which thereby improves the adhesion of obturating materials to root dentin. But these chemical irrigants have shown to decrease micro hardness, increase roughness, cause erosion and reduce the root dentin fracture toughness. To combat these adverse effects, studies can be focussed on the remineralisation of the erosive root dentin and this novel idea has been utilized in the present study...
August 2016: Journal of Clinical and Diagnostic Research: JCDR
Jozef Mincik, Daniel Urban, Silvia Timkova, Renata Urban
The aim of this study is to compare the effect of various restorative materials on fracture resistance in maxillary premolars. Premolars (n = 64) with no restorations or cracks were selected. MOD cavities were prepared considering the buccolingual width to be equal to half of the intercuspal distance. The specimens were randomly divided into 8 groups, 8 specimens each: group A intact teeth, group B unfilled cavity, group C composite made by oblique layering technique, group D composite with 2 mm cusp coverage, group E bulk-filled posterior composite, group F glass-ionomer, group G amalgam, and group H composite with proximal boxes...
2016: International Journal of Biomaterials
Hadi Mokhtarpour, Reza Eftekhar Ashtiani, Minoo Mahshid, Farhad Tabatabaian, Marzieh Alikhasi
Background. Fracture load of implant-supported restorations is an important factor in clinical success. This study evaluated the effect of two techniques for screw access hole preparation on the fracture load of cement-screw-retained implant-supported zirconia-based crowns. Methods. Thirty similar cement-screw-retained implant-supported zirconia-based maxillary central incisor crowns were evaluated in three groups of 10. Group NH: with no screw access holes for the control; Group HBS: with screw access holes prepared with a machine before zirconia sintering; Group HAS: with screw access holes prepared manually after zirconia sintering...
2016: Journal of Dental Research, Dental Clinics, Dental Prospects
Marijus Leketas, Evelina Vedlugaitė, Ričardas Kubilius
OBJECTIVES: To investigate which treatment of maxillofacial fractures is more effective and what type of complications is the most common after observed treatment. The second aim is to explore relationship between treated facial bone fractures and temporomandibular joint (TMJ) pathology. MATERIAL AND METHODS: Cases with TMJ pathology in Lithuanian University of Health Sciences (LUHS) in the Department of Maxillofacial Surgery (MS) during 2012-2014 were analysed to research the occurrence of TMJ disorders after facial bone fracture treatment...
2016: Stomatologija
Andrezza Lauria, Raquel Correia de Medeiros, Danillo Costa Rodrigues, Fábio Ricardo Loureiro Sato, Roger William Fernandes Moreira
The aim of the present study was to compare prebent and manually-bent plates used in maxillary advancement. The prebent plates were fixed in polyurethane blocks for the linear test and aluminium blocks for the cyclic test, and the manually-bent plates were fixed in polyurethane and aluminium blocks. The linear load tests were done using an Instron(®) 4411 mechanical testing machine and the cyclic test with an Instron(®) E3000 testing machine. The linear mechanical test showed that there was no significant difference between the plates...
September 12, 2016: British Journal of Oral & Maxillofacial Surgery
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