Introduction: Reinfection of root canal treated tooth leads to endodontic failure. In such case surgical endodontic therapy is the treatment of choice which provides obturation of radicular space with 3-dimensional sealing.Objective: To evaluate and compare the sealing ability of Mineral trioxide aggregate (MTA) with Glass ionomer cement (GIC) and Super EBA (Epoxybenzoic acid) root-end filling materials.Materials & Method: 94 extracted single rooted upper anterior teeth were selected for root canal preparation and obturation. Root were apically resected 3 mm; and 3 mm deep Class-I root-end cavities were prepared. Teeth were randomly distributed into 3 groups comprising 30 teeth in each group. Group-1 was retrofilled with MTA, Group-2 with GIC and Group-3 with Super EBA. 2 positive and 2 negative control teeth were instrumented and obturated but not filled on root-end cavity. In experimental groups and positive control group the whole surface of teeth except 3 mm adjacent to resected area were covered with twocoats of nail polish but in negative control group whole surface of teeth were covered, dried, immersed in 1% methylene blue for 72 hours. Each root was sectioned labio-lingually to the long axis of root. Depth of dye penetration was evaluated by 10x stereo-microscope.Result: MTA retrograde filling showed the best hermetic seal property whereas, few GIC and Super EBA samples showed microleakage in retrograde filling. GIC showed better sealing ability than Super EBA. Conclusion: MTA has potential to provide better hermetic-seal than GIC and Super EBA as root-end filling material.
Prosthodontic rehabilitation is indicated to restore function, esthetics and phonetics. The prosthetic options for rehabilitation of partial edentulism include removable partial dentures (RPD), over dentures, and implant supported prosthesis. Any tooth replacement should be performed by a detailed evaluation of the existing dental situation and functional condition of the patient. Besides, the risks, benefits and costs of the selected treatment modality should be discussed with the patient. Choice of prosthetic treatment modality is mainly determined by the patient’s needs and expectations, social and economic aspects, educational level, as well as the general health status, oral functional benefits, esthetics, prognosis of the remaining teeth and patient motivation to maintain oral hygiene. This clinical report describes rehabilitation of a partially edentulous patient with maxillary cast partial denture (CPD) and mandibular tooth supported over denture.
With the advancement in science and technology, Immediate implant placement has become a widely used and well accepted alternative to traditional treatment protocols. Post extraction implant placement in multicoated molar area is challenging. The primary stability in molar areas is achieved by engaging the interradicular bone but slipping of osteotomy drill to mesial or distal root socket during implant bed preparation is the main problem in post extraction immediate implant placement. Use of surgical guide, pre- extractive interradicular implant bed preparation and the combination of both these techniques has been used to overcome the problem related to immediate implant placement at molar sites. This paper presents an alternative approach in immediate Implant placement in multi rooted molar area that uses the anatomy and morphology of roots in guiding the osteotomy to provide an ideal3-dimensional implant positioning.
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