The Experts below are selected from a list of 1959 Experts worldwide ranked by ideXlab platform
Antonis Chaniotis - One of the best experts on this subject based on the ideXlab platform.
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the use of a single step regenerative approach for the treatment of a replanted Mandibular Central Incisor with severe resorption
International Endodontic Journal, 2016Co-Authors: Antonis ChaniotisAbstract:Aim To report the clinical and radiographic treatment outcome of an immature replanted Mandibular Incisor with severe inflammatory external root resorption following a single-step regenerative approach. Summary A 7-year-old female patient was referred 1 week following an extrusion injury to her Mandibular Central Incisor (tooth 31). There was a history of a 6 months previous avulsion injury to the same tooth, which had been replanted after 20 min of extra-oral time. On clinical examination, all teeth were asymptomatic and there was an arch wire splint placed on the Mandibular Incisors. Radiographic examination revealed severe inflammatory external root resorption of tooth 31. A diagnosis of necrotic pulp and asymptomatic apical periodontitis was made. Under local anaesthesia and rubber dam isolation, an access cavity was prepared. The canal was irrigated using 6% NaOCl solution delivered through the EndoVac negative pressure irrigation system (Endo Vac, Axis/SybronEndo, Coppell, TX, USA). A 17% EDTA solution was used for 5 min followed by a final rinse of sterile water. The periapical tissues were probed using a K-file, and bleeding was induced. A blood clot was allowed to form filling the entire canal. A thick plug of MTA was placed in direct contact with the blood clot. The tooth was restored with composite resin. All procedures were performed in a single visit. The splint was removed 2 weeks later. Recall examination after 24 months revealed healthy soft tissues with normal periodontal probing and mobility. The 24 months radiographic evaluation revealed healing of the severe inflammatory external root resorption and continuous root development/dentine wall thickening of the apical third. No signs of ankylosis or significant discoloration was present.
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The use of a single‐step regenerative approach for the treatment of a replanted Mandibular Central Incisor with severe resorption
International endodontic journal, 2015Co-Authors: Antonis ChaniotisAbstract:Aim To report the clinical and radiographic treatment outcome of an immature replanted Mandibular Incisor with severe inflammatory external root resorption following a single-step regenerative approach. Summary A 7-year-old female patient was referred 1 week following an extrusion injury to her Mandibular Central Incisor (tooth 31). There was a history of a 6 months previous avulsion injury to the same tooth, which had been replanted after 20 min of extra-oral time. On clinical examination, all teeth were asymptomatic and there was an arch wire splint placed on the Mandibular Incisors. Radiographic examination revealed severe inflammatory external root resorption of tooth 31. A diagnosis of necrotic pulp and asymptomatic apical periodontitis was made. Under local anaesthesia and rubber dam isolation, an access cavity was prepared. The canal was irrigated using 6% NaOCl solution delivered through the EndoVac negative pressure irrigation system (Endo Vac, Axis/SybronEndo, Coppell, TX, USA). A 17% EDTA solution was used for 5 min followed by a final rinse of sterile water. The periapical tissues were probed using a K-file, and bleeding was induced. A blood clot was allowed to form filling the entire canal. A thick plug of MTA was placed in direct contact with the blood clot. The tooth was restored with composite resin. All procedures were performed in a single visit. The splint was removed 2 weeks later. Recall examination after 24 months revealed healthy soft tissues with normal periodontal probing and mobility. The 24 months radiographic evaluation revealed healing of the severe inflammatory external root resorption and continuous root development/dentine wall thickening of the apical third. No signs of ankylosis or significant discoloration was present.
Xin Wei - One of the best experts on this subject based on the ideXlab platform.
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combined therapy for a rare case of type iii dens invaginatus in a Mandibular Central Incisor with a periapical lesion a case report
Journal of Endodontics, 2017Co-Authors: Ping Zhang, Xin WeiAbstract:Type III dens invaginatus has a complex root canal structure that poses a greater challenge when endodontic treatment is necessary. Type III dens invaginatus rarely affects Mandibular Central Incisors. In this case, we reported a combined therapy of type III dens invaginatus in a Mandibular Central Incisor with a periapical lesion. Cone-beam computed tomographic (CBCT) imaging was used in the diagnosis and management of the unusual anatomy of dens invaginatus. First, the hard tissue of the dens invaginatus was removed using a dental operating microscope. The root canal was then prepared with a nickel-titanium instrument and filled with mineral trioxide aggregate and gutta-percha. Subsequently, a surgical treatment was performed using a dental operating microscope because the patient still had an apical infection after root canal treatment and the periapical lesion was not fully healed. In addition, the patient had requested a quick and thorough treatment for personal reasons. The granulomatous soft tissue was then curetted under local anesthesia followed by a surgical retrograde approach to negotiate and obturate the apical patent portion of the invagination. The bone window was filled with BonaGraft (YHJ Science and Trade, Beijing, China) and covered with a collagen membrane. The use of CBCT imaging and a dental operating microscope was important for ensuring a predictable outcome in this case.
Ping Zhang - One of the best experts on this subject based on the ideXlab platform.
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combined therapy for a rare case of type iii dens invaginatus in a Mandibular Central Incisor with a periapical lesion a case report
Journal of Endodontics, 2017Co-Authors: Ping Zhang, Xin WeiAbstract:Type III dens invaginatus has a complex root canal structure that poses a greater challenge when endodontic treatment is necessary. Type III dens invaginatus rarely affects Mandibular Central Incisors. In this case, we reported a combined therapy of type III dens invaginatus in a Mandibular Central Incisor with a periapical lesion. Cone-beam computed tomographic (CBCT) imaging was used in the diagnosis and management of the unusual anatomy of dens invaginatus. First, the hard tissue of the dens invaginatus was removed using a dental operating microscope. The root canal was then prepared with a nickel-titanium instrument and filled with mineral trioxide aggregate and gutta-percha. Subsequently, a surgical treatment was performed using a dental operating microscope because the patient still had an apical infection after root canal treatment and the periapical lesion was not fully healed. In addition, the patient had requested a quick and thorough treatment for personal reasons. The granulomatous soft tissue was then curetted under local anesthesia followed by a surgical retrograde approach to negotiate and obturate the apical patent portion of the invagination. The bone window was filled with BonaGraft (YHJ Science and Trade, Beijing, China) and covered with a collagen membrane. The use of CBCT imaging and a dental operating microscope was important for ensuring a predictable outcome in this case.
A K Negi - One of the best experts on this subject based on the ideXlab platform.
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endodontic management of Mandibular Central Incisor fused to a supernumerary tooth associated with a talon cusp a case report
International Endodontic Journal, 2012Co-Authors: G S Sachdeva, D Malhotra, L T Sachdeva, N Sharma, A K NegiAbstract:Sachdeva GS, Malhotra D, Sachdeva LT, Sharma N, Negi A. Endodontic management of Mandibular Central Incisor fused to a supernumerary tooth associated with a talon cusp: a case report. International Endodontic Journal, 45, 590–596, 2012. Abstract Aim To report the successful non-surgical endodontic management of a Mandibular Central Incisor fused to a supernumerary tooth associated with a talon cusp. Summary Fusion and gemination are developmental anomalies of teeth that may require endodontic treatment. In this article, a case of successful endodontic management of a permanent Mandibular right Central Incisor fused to its supernumerary counterpart associated with a talon cusp is reported. The incidence of fusion in Mandibular anteriors is rare. A search of the literature failed to reveal any reports on the fusion of a permanent Mandibular Central Incisor with its supernumerary counterpart associated with a talon cusp. Successful non-surgical endodontic management of a case is reported. Key learning points • Fused and geminated teeth requiring endodontic treatment present diagnostic and technical challenges. • An exact differentiation between fusion and gemination may not be critically important for treatment. • The use of an operating microscope for detection of additional root canal orifices in complicated cases is recommended.
G S Sachdeva - One of the best experts on this subject based on the ideXlab platform.
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endodontic management of Mandibular Central Incisor fused to a supernumerary tooth associated with a talon cusp a case report
International Endodontic Journal, 2012Co-Authors: G S Sachdeva, D Malhotra, L T Sachdeva, N Sharma, A K NegiAbstract:Sachdeva GS, Malhotra D, Sachdeva LT, Sharma N, Negi A. Endodontic management of Mandibular Central Incisor fused to a supernumerary tooth associated with a talon cusp: a case report. International Endodontic Journal, 45, 590–596, 2012. Abstract Aim To report the successful non-surgical endodontic management of a Mandibular Central Incisor fused to a supernumerary tooth associated with a talon cusp. Summary Fusion and gemination are developmental anomalies of teeth that may require endodontic treatment. In this article, a case of successful endodontic management of a permanent Mandibular right Central Incisor fused to its supernumerary counterpart associated with a talon cusp is reported. The incidence of fusion in Mandibular anteriors is rare. A search of the literature failed to reveal any reports on the fusion of a permanent Mandibular Central Incisor with its supernumerary counterpart associated with a talon cusp. Successful non-surgical endodontic management of a case is reported. Key learning points • Fused and geminated teeth requiring endodontic treatment present diagnostic and technical challenges. • An exact differentiation between fusion and gemination may not be critically important for treatment. • The use of an operating microscope for detection of additional root canal orifices in complicated cases is recommended.