Showing 6 results for Subject: Oral and Maxillofacial
Soheila Darmiani,
Volume 8, Issue 1 (4-2020)
Abstract
- Intrusive luxation often results in severe damage to the tooth, periodontium, and pulp tissue. Furthermore, treatment outcome is often unpredictable due to the presence of numerous injury-related variables affecting the treatment option and prognosis. The current report presents the case of a 14-year-old boy with a 9.0 mm intruded permanent right maxillary central incisor with a closed apex which was treated by orthodontic repositioning and root canal treatment with a favorable prognosis. At the last follow-up visit (30 months after the first treatment session), the tooth was asymptomatic, and radiographic examination showed normal periapical and periodontal appearance.
Soheila Darmiani,
Volume 8, Issue 4 (12-2020)
Abstract
- Pyogenic granuloma (PG) is a common tumor-like growth observed in response to local irritation, trauma, or hormonal disturbances. It is among the frequently encountered oral lesions occurring at the gingiva. Surgical excision and removal of the underlying cause is the preferred method of treatment. Scalpel, cryosurgery, and laser are used in order to remove this lesion. Currently, different lasers are used for the surgery of PG, which include Carbon dioxide; Neodymium-doped yttrium aluminum garnet; Diode; Erbium-doped yttrium aluminum garnet; and Erbium, chromium-doped yttrium, scandium, gallium and garnet. This case report aims to briefly review clinical and radiographic findings of PG along with a detailed discussion on its management through a 980-nm diode laser.
Maryam Dalaei Moghadam, Forough Farahi,
Volume 9, Issue 4 (12-2021)
Abstract
- Autotransplantation is a viable option for treating teeth with severe decay when a donor tooth is available. Our case was a 29-year-old female that her mandibular second molar was non restorable due to extensive root caries. After extraction of mandibular second molar, the mandibular third molar was reimplanted into the recipient site. Root canal therapy was done for the third molar after two weeks.After15 months, clinical and radiographic examination revealed satisfactory outcome with no signs or symptoms suggestive of pathology.
Maryam Dalaei Moghadam, Forough Farahi,
Volume 10, Issue 1 (2-2022)
Abstract
- The treatment of necrotic permanent teeth with immature apices is a daunting challenge. Apexification has been traditionally used to treat immature permanent teeth with lost pulp vitality. This technique promotes the formation of an apical barrier to close the open apex so that filling materials can be confined to the root canal. The authors present a case report of the successful treatment of a traumatized tooth with an open apex that was weakened due to a long-standing infection and thin dentin walls. In this case, we first used a triple antibiotic to disinfect the canal and then placed a calcium-enriched mixture (CEM) cement plug. Follow-up evaluations were performed 15 months after treatment. The CEM-cement appears to be a valid material to obtain periradicular healing in teeth with open apices and necrotic pulps.
Narjes Akbari, Marzieh Mohamadimoghadam, Amir Mohammad Chaji,
Volume 10, Issue 4 (12-2022)
Abstract
- Introduction: Dental surgeries are always associated with pain and swelling for several consecutive days. Recent articles have shown conflicting results in the use of new techniques such as low-power lasers to treat postoperative pain and swelling. This study aimed to evaluate the reduction of pain, swelling, and trismus after surgery of the third molar-impacted tooth after the use of a low-power laser.
- Method: This study was a randomized, single-blind, split-mouth clinical trial involving patients who were referred to the special clinic of Birjand Dental School from December 2021 to June 2021 and required bilateral removal of the occluded third molars. Immediately after surgery, the patient was given a radiation laser with a wavelength of 780 nm and a power of 70 MW for 30 seconds at a dose or power density of 52.5 j/cm2. The extent of swelling and trismus was assessed by measuring the dimensions of the face and the amount of mouth opening as well as the amount of pain on the second and seventh days after surgery. Statistical analysis was performed using the Wilcoxon and Mann–Whitney U test by SPSS (Version 21) at the significant level of (5 %).
- Results: The intensity of pain and swelling decreased significantly over time and the amount of trismus increased significantly during the seventh day compared to the second day (p.value<0.05). The amount of pain on the 7th day after surgery in the group without laser was 1.98±0.26 and the amount of pain in the group with laser was 0.85 ± 0.92 which was not statistically significant between the two groups (value>0.05). The amount of trismus on 7-day was 38.79 ±9.94 and on the side, with laser, it was no significant difference. The distance between the tragus and the corner of the lip on day 7 after surgery was 110.03 ± 5.77 mm and in the laser group was 109.66 ±5.67 mm, no significant difference was observed between the two groups. The distance between the gonium and the outer corner on day 7 after surgery was 98.84 ±7.24 mm in the laser group and 98.21± 6.93 mm in the non-laser group and no significant difference was observed.
- Conclusion: The use of low-power laser reduced the pain, reduce postoperative swelling, and trismus caused by surgery but this reduction was not significant. Therefore, it is suggested that the study method should be changed and the sample size must be increased in further studies.
Maryam Dalaei Moghadam, Najmeh Ebadi,
Volume 11, Issue 1 (11-2022)
Abstract
- This article presents a case of extensive External Root Resorption (ERR) involving the distal root of the left mandibular second molar due to the pressure of wisdom tooth in its neighborhood in a 32 year‑old female patient. Clinical and radiographic examination revealed no pulp in respond to the vitality test, periapical radiolucency in the apical of the mesial root, and root resorption of the distal root. A definite diagnosis of pulpal necrosis with chronic apical periodontitis and ERR of the distal root was made. The tooth was managed by nonsurgical endodontic treatment. One‑year follow‑up revealed satisfactory results clinically and radiographically.
