Introduction. This paper describes a case of bone augmentation with combination of Platelet-Rich Fibrin (PRF) and β-TCP for treatment of chronic periapical cyst. The case was followed for 12 months. Methods. Patient presented with chronic periapical lesion in maxillary anterior teeth with history of trauma 8 years back. Radiographically, a periapical cyst was seen in relation to maxillary left central and lateral incisors. Conventional endodontic treatment was started. Since it was not successful, apical surgery was performed. Bone augmentation was done using PRF in combination with β-TCP bone graft to achieve faster healing of the periapical region. Regular followups at 3, 6, 9, and 12 months were done. Results. Healing was uneventful. Follow-up examinations revealed progressive, significant, and predictable clinical and radiographic bone regeneration/healing without any clinical symptoms. Conclusions. Combined use of PRF and β-TCP for bone augmentation in treatment of periapical defects is a potential treatment alternative for faster healing than using these biomaterials alone.
SummaryWhen gag refl ex becomes abnormally active, it poses diffi culty for the prosthodontists, as it hinders the process of fi xed partial denture construction beginning with tooth preparation till impression making. In this case-report, the authors used a nerve block technique which is popular among anaesthetist and otolaryngologist, but is being applied in the fi eld of prosthodontics for the fi rst time, to tide over the diffi culty.
Aim:The aim of this in vivo study was to compare the accuracy of Root ZX and Raypex 5 in detecting minor diameter in human permanent single-rooted teeth.Materials and Methods:Thirty-one patients with completely formed single-rooted permanent teeth indicated for extraction were selected for the study. Crown was flattened for stable reference point and access cavity prepared. Working length was determined with both apex locators. A 15 K file adjusted to that reading was placed in the root canal and stabilized with cement. The tooth was then extracted atraumatically. Following extraction apical 4 mm of root was shaved. The position of the minor diameter in relation to the anatomic apex was recorded for each tooth under stereomicroscope at ×10. The efficiency of two electronic apex locators to determine the minor diameter was statistically analyzed using paired sample t-test.Results:The minor diameter was located within the limits of ±0.5 mm in 96.6% of the samples with the Root ZX and 93.2% of the samples with Raypex 5. The paired sample t-test showed no significant difference.Conclusion:On analyzing the results of our study it can be concluded that Raypex 5 was as effective as Root ZX in determining the minor diameter.
Coronal fractures of permanent dentition are the most frequent type of dental injury. Fractured anterior teeth are usually treated with conventional post and core and crown techniques, after being treated endodontically. If the original tooth fragment is retained following fracture, the natural tooth structures can be reattached using adhesive protocols. Fiber-reinforced post makes the reattachment of the crown esthetically possible with minimal preparation and reduces the possibility of tooth fracture during function. This paper presents the therapeutic approach of reattachment of crown fragment to the tooth at the cervical and middle third levels.
Objects and object complexes in 3D, as well as those in 2D, have many possible representations. Among them skeletal representations have special advantages and some limitations. For the special form of skeletal representation called “s-reps,” these advantages include strong suitability for representing slabular object populations and statistical applications on these populations. Accomplishing these statistical applications is best if one recognizes that s-reps live on a curved shape space. Here we will lay out the definition of s-reps, their advantages and limitations, their mathematical properties, methods for fitting s-reps to single- and multi-object boundaries, methods for measuring the statistics of these object and multi-object representations, and examples of such applications involving statistics. While the basic theory, ideas, and programs for the methods are described in this paper and while many applications with evaluations have been produced, there remain many interesting open opportunities for research on comparisons to other shape representations, new areas of application and further methodological developments, many of which are explicitly discussed here.
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