DR. RAHUL KUMAR, DEPT OF CONSERVATIVE DENTISTRY & ENDOODONTICS MGM DENTAL COLLEGE AND HOSPITAL, SECTOR -18, KAMOTHE, JUNCTION OF NH4 & SION PANVEL EXPRESSWAY,NAVIMUMBAI, MAHARASHTRA, INDIA 410209
Dr. Rahul Kumar has completed his BDS from Bharati Vidyapeeth Dental College and Hospital, Pune in 2007. Being passionate about Restorative Dentistry he chose Conservative Dentistry & Endodontics for his Masters Degree. He completed his postgraduate degree from the Maharashtra University of Health Sciences {MUHS}, Nashik, in 2011. His great interest in teaching is the reason for him being a full time faculty in MGM Dental College & Hospital, Mumbai. He also has his own exclusive endodontic private practice in Thane. Dr Rahul’s Dentaville is one of the pioneer dental clinic providing single sitting microscopic root canal treatment in mumbai. He is member of American Academy of Esthetic Dentistry & Indian Association of Endodontics and Conservative Dentistry & Indian Dental Association. He has great interest in research. He also has his papers published in various international & national journals including OOOOE & Quintessence journal. He has done great clinical work in the field of microsurgical endodontics & regenerative endodontics. He also has done research on determining the efficiency of various rotary file systems in shaping of root canals.
Abstract: This case report presents successful immediate mandibular third molar autotransplantation to replace the nonrestorable mandibular first molar. In this case, after the extraction of the nonrestorable tooth, the donor molar with incomplete root formation was autotransplanted into the recipient site after the atraumatic extraction. A long-term follow-up of 2 years revealed that the tooth was fixed in its socket without residual inflammation, masticatory function was satisfactory and without discomfort; the tooth was not mobile, no pathologic condition was apparent radiographically, the lamina dura appeared normal and the tooth showed radiographic evidence of root growth, and pulpal regeneration and the depth of the pocket, gingival contour, and gingival color were all normal. The purpose of this case report is to demonstrate the clinical application of autotransplantation as a future option of permanent restoration without implants, orthodontic space closure, or partial denture.
Abstract: Dentists encounter fractured anterior teeth on a regular basis. Various methods have been reported in the literature for rehabilitation of an extremely compromised tooth. This report presents a case where esthetic rehabilitation of a fractured maxillary right central incisor was performed employing a multidisciplinary approach: conventional endodontic treatment followed by orthodontic extrusion and final restoration using a CAD /CAM-fabricated one-piece milled zirconia post and core with a full-coverage zirconia crown.
Abstract: The aim of this study is to present a report of a case where forced orthodontic extrusion and computer-aided design and computer-aided manufacturing (CAD/CAM) technique was used for reconstruction of right maxillary central incisor with grossly destructed crown. Aesthetic rehabilitation of a fractured maxillary right central incisor was performed employing a multidisciplinary approach i.e. conventional endodontic treatment followed by orthodontic extrusion and final restoration using CAD-CAM and one piece milled zirconia post and core with full coverage zirconia crown. After the procedure being completed, periapical radiographs taken at 3 month follow up period demonstrated that the post and core remained well adapted to post space and there was a complete healing of periapical lesion. This technique can provide a complete aesthetic rehabilitation of a grossly destructed tooth without hampering the biological width and thus has a better prognosis.
Abstract: Apexification with calcium hydroxide is associated with certain difficulties, such as longer treatment time, risk of tooth fracture and incomplete calcification of apical bridge. Mineral trioxide aggregate (MTA) is an alternative material that can be used for apexification of open apices due to its biocompatibility, non-mutagenicity, non-neurotoxicity, regenerative abilities, and good sealing properties. This case report demonstrates application of MTA apical plug and anatomic post and core for the reconstruction of maxillary central incisor. The patient was recalled after six months and no complications were noted. Periapical radiographs demonstrated good adaptation of anatomical post and core to post space and the complete healing of the periapical lesion. This new technique is particularly advantageous in teeth which have open apex, root canals that are not round, wide canals and thin radicular dentin. It is also useful for who request in patients fewer visits.
Abstract: It is difficult to take intraoral radiographs in some patients who are intolerable to place the film in their mouth. For these patients, Newman and Friedman recommended a new technique of extraoral film placement. Here we report various cases that diagnostic imaging was performed in patients using the extraoral periapical technique. This technique was used to obtain the radiographs for the patients with severe gag reflex, pediatric dental patients, and patients with restricted mouth opening. This technique can be recommended as an alternative to conventional intraoral periapical technique in cases where intraoral film placement is difficult to achieve.
