The purpose of this report is to present the case of a patient wherein apexification of an immature permanent maxillary left central incisor tooth was induced by the Metapex paste (Calcium hydroxide and Iodoform). It has been reported in the literature of dentistry that apexification treatment in teeth with open apex is more than 40 years old. Apexification procedures had been carried out in different ways using various techniques and materials. Regardless of the type of materials used for apexification method by different authors, apexification procedures appear to be the most subtle and accepted clinical practice in non-vital young permanent teeth. In our case, radiographic examination showed the start of apical closure 6 months after the completion of the treatment protocol. The growth of root end and complete apical closure was confirmed 16 months after the treatment, indicating the implausible potential of Metapex to induce apical growth and closure in young permanent tooth with periapical lesion.
Interceptive orthodontics in mixed dentition period of children is practiced to prevent the severity of incurred malocclusion at an incipient juncture of life. Identifying malocclusion at a very early phase and diagnosing it at right age can help the pediatric dentists to achieve stability as far as the treatment is concerned. Mesiodens is a common type of supernumerary tooth which is found commonly in the incisor region of oral cavity. This anomalous occurrence can lead to varied complications like unerupted teeth, displaced teeth etc. This case report deciphers a case of mesiodens causing anterior teeth malocclusion and its management by 2 x 4 Orthodontic appliance.
This review article throws a light on the background of theoretical and clinical aspects of apicoectomy procedure. Apicoectomy is also known as root resection, which means amputation of the apex of the root and is considered as a part of peiradicular surgery. The periradicular surgery is a standard oral surgical procedure which includes surgical treatment of area surrounding root and is done when conventional root canal treatment does not suffice the infection. This procedure includes three important steps to eliminate persistent endodontic pathogens: surgical debridement of pathological periradicular tissue, root-end resection (apicoectomy), and retrograde root canal obturation (root-end filling). There is a plethora of literature on the clinical studies and case reports on apicoectomy procedure; our review adds an imperative segment to this standard protocol used in pediatric endodontics and the objective is to give the reader an acquaintance about apical surgery with latest updates.
Segmental Orthodontics is an essential twig of Pediatric Orthodontics being practiced nowadays in growing children in mixed dentition worldwide. Early interception of malocclusion either involves full arch or a segment of arch to be treated for malocclusion; and when a segment is used, it is calculated as ‘Segmental Orthodontics’. It’s a simplified approach in interceptive orthodontics as it involves only a segment of few teeth which is more children friendly. The present case report displays derotation of maxillary central incisors in a male child with simplified segmental orthodontics in mixed dentition period. The results obtained were satisfactory and rapid. Therefore, this technique can be widely applied to treat such type of mixed dentition malocclusions.
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