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AIM orPURPOSE: To compareoutcomesoftwoendodontic treatments ofthetoothwithcellulitisofodontogenicorigin. MATERIALS andMETHOD: The studywasconductedfrom April 2021toJuly2022.Forty-onepatientswithcervicofacial cellulitis ofendodonticoriginattheserousstagewere enrolled. Patientswereallocatedbyconcealmentallocation to twogroups.Group1:thetoothclosurewasperformedwith placement of a medication based on calcium hydroxide. Group2: the tooth was left open for 48 hours then cleaning and closing with the same intersession medication. Antibiotics were prescribed during 10 days for the two groups. Postoperative pain using visual analogue scale, general health and swelling were assessed. RESULTS: 23 men and 18 women were included. The mean age was 39.4 § 2.08 years. The mean value of pain was 6,55§ 0,40 for the Goup 1 and 6,68§0,47 for the Group 2. After 2 days, there was no statistical difference between the two groups regarding values of VAS (4,68 §0,35 for the group 1 and 4,84§ 0
VisiterSatisfactory restoration in a patient with a partially edentulous situation can be challenging especially when bilateral posterior segment of teeth is missing. Combined prosthesis still have a good place as a treatment option for partially edentulous Kennedy's class I conditions especially when implants are contraindicated for one reason or another. With proper case selection and treatment plan, precision attachments system can be used to improve retention and esthetics. The purpose of this article was to describe a case of a patient with extended Kennedy's class I condition, which was prosthetically restored by a combined prosthesis using a extracoronal precision attachment. Keywords: Combined prosthesis; extra coronal attachments, kennedy_Applegate class I, esthetics
VisiterBackground/Aim: Association of a supra-radicular attachment with a removable partial denture on a metal framework is a therapeutic solution that may overcome the biomechanical and aesthetic challenges associated with extensive edentulism. The objective of this article is to describe, through a clinical case report rehabilitation of a partially edentulous patient with a partial removable denture using a supra-radicular attachment and to illustrate the advantages and disadvantages of this prosthetic device. Case Report: A 43-year-old, female patient in good general health, was addressed to the removable partial denture department at the Monastir Dental Medicine Clinic. The prosthetic decision was to fabricate, in the maxillary arch a metal framework with a radicular post equipped with an axial attachment at tooth 15, and a metal framework RPD replacing the missing teeth. In the mandibular arch, a metal framework RPD was planned with an evolving design considering the poor pr
VisiterBackground. The fabrication of immediate removable partial dentures (RPDs) is characterized by the integration of digital technologies that enhance precision and efficiency in prosthodontic care. The application of a full digital workflow in this context is increasingly recognized for its potential to address both functional and esthetic needs of patients. The estimated prevalence of immediate RPDs in clinical practice is rising, yet literature exploring their digital fabrication remains limited. To our knowledge, this case report presents one of the first instances of utilizing a comprehensive digital approach for the creation of immediate RPDs, highlighting its benefits in patient outcomes. Case report. A 62-year-old male patient with maxillary anterior incisors mobility opted for immediate RPD treatment due to functional pain and esthetic concerns. Intraoral scanning was employed for impression taking and occlusion registration, generating Standard Tessellation Language file
VisiterAbstract The treatment of partial edentulism associated with severe tooth wear constitutes a real challenge for the dentist. The combined prosthesis remains a preferred solution to harmonize occlusion curves and restore oral functions. The use of attachments as a means of retention optimizes the aesthetic result and guarantees the psychological integration of the prosthesis. This therapeutic approach requires knowledge and skills on the part of the prosthodontist and the dental technician as well as a rigorous prosthetic study. This type of prosthesis is an effective solution to the biomechanical problems related to bilateral terminal edentulism, restoring occlusal functions and ensuring an aesthetic appearance that is often appreciated by patients as the clasp are replaced with invisible attachments and the morphology of the teeth is improved by the fixed prosthesis. This article presents the treatment steps with combined prostheses in a bruxism patient with generalized dental wear.
VisiterBackground Endodontic therapy in pediatric dentistry is a challenging procedure, especially for special needs, uncooperative, and very young patients. A new conservative approach which is the non-instrumental endodontic treatment (NIET) has been developed to simplify the management of primary teeth requiring pulpectomy. This review aimed to compare the efficiency of NIET and conventional endodontic treatment in primary teeth. Methods Electronic databases including MEDLINE (via PubMed), Cochrane Library (CENTRAL), and Scopus without restrictions on publication year or publication language were searched. Only randomized clinical trials reporting clinical and radiographical outcomes of NIET and conventional pulpectomy on primary teeth were considered eligible. Two reviewers extracted the data according to the PRISMA statement and assessed the bias risk using the revised Cochrane risk-of-bias tool and a meta-analysis was performed. Results From 3322 screened articles, seven artic
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