It was seen that calcium hydroxide and CMCP combination showed the maximum zone of inhibition, and maximum inhibitory effect was seen at 24 hours. The bacteria most susceptible was found to be S. aureus and the least susceptible was E. faecalis. Further clinical studies are required to substantiate these results.
Dens invaginatus (DI) is a malformation of teeth probably resulting from an infolding of the dental papilla during tooth development. DI is classified as type I, II, and III by Oehlers depending on the severity of malformation. The maxillary lateral incisor is the most commonly affected tooth. Structural defects do exist in the depth of the invagination pits, and as a consequence, the early development of caries and the subsequent necrosis of the dental pulp, as well as abscess and cyst formation are clinical implications associated with DI. Occasionally, we can see more than one developmental anomaly occurring in a single tooth. In such cases it becomes important to identify the anomalies and initiate a proper treatment plan for good prognosis. In this paper, an unusual case of DI which clinically presented as a huge talons cusp affecting a mandibular lateral incisor tooth is described. This case report illustrates grinding of the talons cusp followed by nonsurgical endodontic management of dens invaginatus type II with an immature apex and periapical lesions, in which Mineral Trioxide Aggregate (MTA) shows a complete periapical healing with bone formation at the site of the lesions.
One of the leading causes of morbidity among children includes Connective Tissue Disorders (CTD). Early diagnosis and prompt treatment of any CTD would help identify the associated disorders and is beneficial in preventing severe complications at a later age. Non-specific clinical presentations have made it challenging for both medical and dental practitioners in diagnosing and treating CTDs. Oral manifestations of systemic diseases help in the early diagnosis of certain diseases. Hence it is extremely important for dentists to carefully observe the patient complaints and define the diagnosis. The present case report identifies a CTD condition in a 5-year-old patient, with Hereditary sensory autonomic neuropathy type IV (HSAN -IV).
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