International Journal of Health Research and Medico Legal Practice

Lima Das ¹, A. C. Bhuyan ¹, Rubi Kataki ¹, Chandana Kalita ¹

Affiliations
1 Dept. of Conservative Dentistry & Endodontics Regional Dental College, Guwahati, Assam, IN

Abstract

Objective: To identify three dental morphological anomalies of permanent teeth namely Peg Laterals, Dens Evaginatus and Rudimentary third molars in the Adi tribe of Pasighat area of Arunachal Pradesh. Methods: Oral examination for morphological anomalies was done in 156 individuals using a dental mirror and probefor the said anomalies and a questionnaire with details relevant to the study was used during examination. Results: A total of 156 samples were screened and 35% presented with at least one anomaly out of which 31% had one anomaly, 4% had two anomalies and 0% had more than two anomalies. Total number of positive cases (both single and dual) for each of the anomalies was-Peg Laterals 25%, Dens Evaginatus 20% and Rudimentary third molar 4%. One other anomaly, i.e. Cusp of Carabelli not previously considered in this study was found in 22% of the cases. Conclusion: The data obtained from the present study confirms the prevalence of dental anomalies namely, Peg Laterals, Dens Evaginatus, Rudimentary third molars and Cusp of Carabelli in the tribal population of Pasighat similar to other Mongoloid populations of the world.

Keywords

Cusp, Peg Laterals, Dens Evaginatus, Rudimentary Third Molars, Cusp of Carabelli.

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Proxima Bora ¹, Krutika Shekhawat ¹, Rubi Kataki ¹, A. C. Bhuyan ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, Assam, IN

Abstract

Periapical lesions develop as sequelae to pulp disease. It is accepted that all periapical lesions should be initially treated with conservative nonsurgical procedures. It is a general belief that large periapical lesions will not heal by nonsurgical endodontic treatment and needs surgical intervention. Non-surgical or conservative management of large periapical lesions. Endodontic treatment with the placement of calcium hydroxide as intracanal medicament. Enhanced healing of the periapical lesions with successful resolution of signs and symptoms both clinically and radiographically. Non surgical endodontic treatment performed with adequate cleaning and shaping, irrigation, canal disinfection and judicious use of intracanal medicament can result in the regression of large periapical lesions.

Keywords

Healing, Radiolucency, Calcium Hydroxide, Endodontic Treatment.

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Kataki Rubi ¹, Shekhawat Krutika ¹, Bora Proxima ¹, A. C. Bhuyan ¹

Affiliations
1 Department Of Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, Assam, IN

Abstract

Introduction: Odontogenic anomalies of teeth can be encountered frequently in dental practise. Fusion and gemination are developmental dental anomalies leading to eruption of joined elements as double teeth. These anomalies pose a challenge even to the most experienced clinician in treating these teeth. Aim: Aim of this article is to throw light on a case of fused teeth which was esthetically rehabilitated. Method: Endodontic treatment followed by esthetic corrections. Result: Esthetically pleasing result. Conclusion: Its early interceptive treatment can help in avoiding severe pulpal and periodontal complications along with acceptable esthetic result.

Keywords

Developmental, Abnormalities, Esthetics, Twinning.

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Bora Proxima ¹, Kataki Rubi ¹, Shekhawat Krutika ¹, A. C. Bhuyan ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, Assam, IN

Abstract

Introduction: Endodontic failures can be attributed to inadequacies in shaping, cleaning and obturation, iatrogenic events, re-infection of the ischolar_main canal system etc. Nonsurgical endodontic retreatment offers the patient a ray of hope to save a ischolar_main canal treated tooth that would otherwise be destined for extraction. Aim: Nonsurgical endodontic retreatment. Method: Endodontic treatment with calcium hydroxide placement as an intracanal medicament. Result: Healing of the periapical lesions with successful resolution of signs and symptoms both clinically and radiographically. Conclusion: Nonsurgical endodontic retreatment procedures have enormous potential for success if proper guidelines for case selection are followed and the most relevant technologies, best materials and precise techniques are utilized.

Keywords

Iatrogenic, Periapical Lesion, Obturation, Intracanal Medicament.

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Shekhawat Krutika ¹, Kataki Rubi ¹, Bora Proxima ¹, A. C. Bhuyan ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, Assam, IN

Abstract

Introduction: Pulp capping in carious teeth has been considered unpredictable and therefore contraindicated. A recently developed material, mineral trioxide aggregate (MTA), resists bacterial leakage and may provide protection to the pulp, when used in combination with a sealed restoration. Aim: Aim of this case report was to determine the clinical and radiographic success rate of vital pulp therapy with mineral trioxide aggregate (MTA) in human mature permanent molar teeth. Methods: Carious pulpal exposure was treated by direct pulp capping with MTA. Results: After 9 months clinical and radiographic follow-up, it was found that the procedure had successful outcome. Conclusion: Although the results favoured the use of MTA in carious permanent teeth by vital pulp therapy but more studies with larger sample and a longer recall period are needed to justify the use of this novel material for treatment of reversible pulpitis in permanent teeth.

Keywords

Caries, Vital, Remineralization, Preservation.

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Ghosh Epsita ¹, Angami Neingutunuo ¹, A. C. Bhuyan ¹, Kalita Chandana ¹, Kataki Rubi ¹, Ghosh Santanu ²

Affiliations
1 Department of Conservative Dentistry & Endodontics, Regional Dental College, Guwahati, Assam, 781032, IN
2 Tripura Medical College, Hapania, Agartala, West Tripura, IN

Abstract

Introduction: A complete knowledge of ischolar_main canal morphology is a mandatory for the endodontic therapy to be successful. Aim: The purpose of this article is to emphasize on the thorough knowledge of ischolar_main canal anatomy. Methods: This case report describes the endodontic treatment of maxillary lateral incisor with three ischolar_main canals which was confirmed using angulated radiographs(mesial and distal). Results: Maxillary lateral incisor with a three ischolar_main canal configuration rarely reported in the literature. The tooth had one ischolar_main with three ischolar_main canals, one individual canal and two canals crossing at the apical third. This case report describes the successful endodontic retreatment of the maxillary left lateral incisors having combination of vertucci type I & type VII ischolar_main canal morphological system. Conclusion: This case report describes the endodontic treatment of maxillary left lateral incisor with three ischolar_main canals, with emphasis on rate of occurrence of multiple canals, and the importance of their identification and treatment.

Keywords

Endodontic Therapy, Radiograph, Unusual Anatomy.

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