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Restoration of primary incisors, which have been severely damaged by extensive caries or trauma, is a difficult task for the pediatric dentist. Primary teeth dictate the physical appearance, and their structural affects leads to loss of esthetics compromised mastication, poor phonetics, development of aberrant habits, neuromuscular imbalance, and d...
Context in source publication
Context 1
... first visit all the active carious lesions were restored with GIC. Gross carious lesions were removed with a no. 330 round carbide steel bur. The pulp chamber was opened & for working length determination Intraoral periapical radiograph was taken, pulp tissue was extirpated using K- files(Mani INC, Tochigi, Japan). After copious irrigation, the root canals were dried using paper points. A thick mix of zinc oxide eugenol paste (Deepak Enterprise, Mumbai, India) was then condensed with hand pluggers (Mani INC, Tochigi, Japan) into the canal (Fig. 2) by careful isolation using cotton rolls and saliva ejectors as teeth under treatment do not had enough crown structure for rubber dam application. Endodontic treatment of 54 and 64 were completed in subsequent visits followed with GIC (Fuji 2, GIC Corp, Tokyo, Japan) restoration and stainless steel crown (Kids crown, Shin Heung, Republic of Korea) (Fig. 3 ...
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Citations
... The remaining inadequate sound tooth structure renders restorations more prone to fractures [6] Over the last few decades, various treatment strategies have been introduced such as, crowns for the coronal restorations, made of polycarbonate, cellulose strip crowns, art glass crowns, as well as veneered stainless steel crowns. Although it was found that in cases with severe carious loss of tooth structure, these restorations could not successfully withstand the occlusal forces [7]. ...
Early childhood caries commonly affects the primary maxillary anterior teeth, in which extensive post- endodontic rehabilitation has always been a challenge. This is due to the small size of the crown, relatively large pulp chambers, and the age of the child. The remaining inadequate sound tooth structure renders restorations more prone to fractures. Among the available treatment modalities which include extraction of the grossly destructed tooth structure, use of semipermanent crowns and intracanal posts, the posts can be used effectively, to restore the lost function and anatomy. They also enhance the quality of the final coronal restoration by providing additional support for retention. The available methods for intracanal reinforcement for anterior teeth include the metal posts fabricated using orthodontic wires, short composite posts fabricated directed in the primary root canal, prefabricated glass fiber posts and posts utilising polyethylene fibers (Ribbond). Recently certain advanced techniques such as the biologic dentin and zirconia have also come into use. The various advantages and disadvantages for these have been summarised in this review along with the standardised clinical protocol for their placement in the primary root canals. Various in-vivo and in-vitro studies have concluded that the glass-fiber short intracanal posts provide the most suitable esthetics, strength, elastic modulus, and resilience. However, further qualitative research is required to certify it as a standard treatment modality.
... Hence, the use of an intracanal post in endodontically treated teeth improves the retention for a longer duration. [9] A variety of materials can be used for this purpose, such as prefabricated metal posts, resin composite, orthodontic wire posts, omega-shaped stainless steel wire posts, and recently, fiber core posts. [6] The use of omega loops provides a quick, inexpensive, and efficient option. ...
Background:
In cases where there is an extensive loss of crown structure, these treatments require intracanal posts placement for retention as occlusal forces make the tooth structure weak and prone to fracture. Thus, restoration of primary anterior teeth, followed by post placement and cementation with pediatric zirconia crowns helps withstand masticatory forces to a greater extent.
Aim:
This in vitro study evaluates the compressive strength of two different post systems in the primary anterior teeth, restored with pediatric zirconia crowns.
Materials and methods:
The present study was an in vitro, experimental, comparative study, with a study sample selected using a convenience sampling method. Forty-five primary anterior teeth were obturated and restored with enhanced omega-shaped loop and reinforced glass-fiber posts were cemented with pediatric zirconia crowns. The compressive strength and the type of fracture were evaluated for each group.
Results:
This study demonstrated that the glass-fiber posts had a higher compressive strength, although omega-shaped posts showed a higher presence of favorable fracture.
Conclusion:
Retentive omega-shaped loops and reinforced glass-fiber posts were both capable of withstanding high fracture loads. The addition of cemented pediatric zirconia crown on decayed primary anterior teeth restored with post systems helped withstand the load to a greater extent.
... Hence, the use of an intracanal post in endodontically treated teeth improves the retention for a longer duration. [9] A variety of materials can be used for this purpose, such as prefabricated metal posts, resin composite, orthodontic wire posts, omega-shaped stainless steel wire posts, and recently, fiber core posts. [6] The use of omega loops provides a quick, inexpensive, and efficient option. ...
Background: Dental caries is one of the most common diseases of childhood, characterized by an increased number of S. mutans in the mouth.
Adaptation of Hippocrates “let food be your medicine” falls true for the probiotic foods. Probiotic bacteria are thought to reduce this infectious
disease. Introduction of live microbial food supplement benets the host and works as an alternative to eradicate the infection.
Aim and Objectives: The aim of this study is to evaluate the levels of Streptococcus mutans in the oral cavity of children, before and after the
consumption of probiotic milk.
Materials and Method: In this cross-sectional study, 50 healthy, school going children, aged between 7-10 years, free from dental caries were
selected. Evaluation was done and followed up for 5 days. Assessment of S. mutans count was done at baseline after one hour and at an intervention
period of 5 days, of the probiotic and plain milk consumption, using blood agar.
Results: A statistically significant reduction in the S. mutans level was seen in children after the probiotic milk consumption.
