Dental Tribune International
Clinical
Management of iatrogenic pulpal floor perforation in a mandibular molar with MTA and PRF

June 15, 2020

This was a challenging case with the combined issues of a failed root canal therapy and an iatrogenic perforation of the floor of the pulp chamber. Though initially the prognosis could not be evaluated effectively simply because of non-availability of peer-reviewed literature of similar cases for citation, but the case was taken on owing to the patient’s desire to salvage the natural tooth. The importance of magnification and the ergonomic use of the dental operating microscope cannot be more clearly demonstrated than in this case.

Clinical management of maxillary second molar root canal therapy in different anatomical situations

June 8, 2020

Maxillary second molars are always a challenge for root canal therapy. This difficulty is related to the location of the tooth, way back in the maxilla with limited access, and the variety of anatomical situations. In this article, we will focus on some of those anatomical variations and how to handle them.

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The copyCAD

June 2, 2020

Nature has always captivated us with its beauty. Whether it is a landscape, a sunset or the intricate details of a leaf, one marvels at natural aesthetics. The goal of an artist is to copy nature in every medium: painting, sculpture, music, photography. It is easy to see parallels in dentistry. The teeth and soft tissue display details on the macroscopic and microscopic scale that make up all their beauty. Even the smile has characteristics that define what is beautiful and what is not. Like an artist, the dentist and the dental technician use all their combined talents to create lifelike restorations. The secret to imitating nature is in the details of daily practice and hard work.

Immediate loading of a socket shield post-extraction implant with the final CAD/CAM crown

May 11, 2020

Immediate implant placement is a well-recognised and successful treatment option after tooth extraction. Success rates for both immediate and delayed implant techniques are comparable; however, the literature reports that one can expect buccal collapse of the original buccal volume and midfacial recession of at least 1mm after immediate implant placement, possibly worse in thin gingival biotypes.

The role of interdental cleaning for oral health, general health and quality of life

April 17, 2020

Recent research shows that oral health is an essential prerequisite for people’s well-being and quality of life. In order to reach the global goals for oral health, the dental profession has a great responsibility to work with a preventive and health-promoting approach.

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Endodontic follow-up in strongly curved root canals

April 11, 2020

The lasting success of any root canal therapy is always only apparent after long-term observation. In this article, based on a case study, the author demonstrates how a strongly curved canal in the posterior maxilla was prepared using pre-bendable nickel-titanium (NiTi) files, ensuring that a bacteria-proof seal is created that can last for as long as six years after the procedure. Here, the use of a reduced file sequence is just as important as the advantages of a flowable obturation material.

Dentine hypersensitivity experience using toothpaste with added bioglass: A clinical trial

April 8, 2020

In our clinical practices, dentine hypersensitivity (DH) has always been a challenge. Our best approach was to suggest at-home solutions such as sensitivity toothpaste or mouthrinse, but often there was no significant relief experienced by our patients. Last year, we met Richard Whatley, CEO of BioMin Technologies, who gave us some samples of BioMin F toothpaste for provision of relief from DH, and he explained the technology behind the effectiveness of this novel bioactive glass-based toothpaste. The bioglass particles contained in BioMin F toothpaste adhere to dental hard tissue and then slowly dissolve in saliva to release calcium, phosphate and fluoride ions, which precipitate on nucleation sites as fluorapatite crystals to occlude open dentinal tubules.

Shaping a Type V mandibular premolar with VDW.ROTATE

March 30, 2020

Many years ago already, the anatomy of root canals was described as showing variability and being of a complex nature. According to Vertucci, the mandibular first premolar has one canal at the apex in 74.0% of teeth, two canals at the apex in 25.5% and three canals at the apex in 0.5% of teeth.

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