Objective: This retrospective study aimed to evaluate the clinical outcomes of the apical plug performed using MTA with or without collagen sponge in immature anterior maxillary teeth with necrotic pulp. Study design: The study included apical obturation of 20 upper incisor teeth from 18 patients and outcomes of 12-month follow-up. The teeth were divided into 2 groups with 10 cases in each group according to the apexification protocol (Group 1; apical plug with MTA, Group 2; collagen sponge and apical plug with MTA). The artificial apical barrier, approximately 4-mm-thick, was created with MTA in each group. Based on clinical and radiographic criteria, the outcome was assessed using the periapical index (PAI) by 2 calibrated investigators. Results: In this study, 3 of the 6 teeth (50%) in Group 1 and 5 of the 8 teeth (62.5%) in Group 2 healed at the 12-month follow-up. However, there was no statistically significant difference between the groups at the post-treatment follow-up times. Conclusion: The use of collagen as an apical matrix prior to the MTA plug can be suggested due to favorable clinical outcomes.
Hallermann-Streiff syndrome (HSS) is a rare oculomandibulofacial discephaly with hypotrichosis that occurs as a sporadic mutation. It is characterized by abnormal findings especially in head and face. Dental anomalies occur in 50-80% of the patients. In this case report, facial-oral findings and the existing dental anomalies of the syndrome in a 6-year-old male patient diagnosed with HSS were identified. Dental rehabilitation and a 12-month follow-up of the patient were reported. Each case presented with this rare syndrome may contribute to the literature to determine the prognosis of the disease and to take protective and preventive measures.
This study aimed to evaluate the fracture resistance of teeth restored with conventional, bulk-fill, and fiber-reinforced composite materials regarding intact teeth. Standard cavities were prepared on 70 sound third molar teeth. The teeth were randomly divided into six groups: intact teeth, conventional Bis-GMA based composite, fiber-reinforced composite, Bis-GMA based bulk-fill composite, ormocer based bulk-fill composite, glass containing resin-based bulk-fill composite. The data was obtained by a Universal Testing Machine and analyzed statistically. Fracture resistance of the teeth restored with conventional composite was significantly lower than the other groups (p<0.05). The teeth restored with fiber-reinforced composite showed the highest fracture resistance; however, there were no statistically significant differences between intact teeth and teeth restored with fiber-reinforced composite, Bis-GMA based bulk-fill composite, and glass containing resin-based bulk-fill composite (p>0.05). The obtained data showed that restoring teeth with bulk-fill and fiber-reinforced composites could be recommended in Class II cavities.
Objective: This study evaluated the microtensile bond strength (μTBS) of ion-releasing restorative materials to sound and caries-affected dentin (CAD). Study design: 60 teeth were randomly divided into 2 groups (sound dentin, CAD) and 5 subgroups of 6 samples each: conventional glass ionomer cement (GIC), resin-modified GIC (RMGIC), glass hybrid reinforced GIC (EQ), giomer (BII), and bioactive restorative material (ACT). μTBS analyses were performed and data were analyzed statistically. Results: The ACT group bonded to sound dentin and the BII group bonded to CAD showed the highest μTBS (p<0.05). The GIC, RMGIC, and ACT groups, showed significantly lower μTBS when bonded to CAD compared with sound dentin (p<0.05). However, in the BII group, there were no statistically significant differences between the samples bonded to sound and CAD (p>0.05). All groups except EQ that bonded to sound dentin showed predominantly adhesive failure. Conclusion: The use of the giomer can be recommended due to its more stable bond durability.
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