Bilateral Maxillary Paramolars and Endodontic Therapy: A Rare Case Report

Supernumerary paramolars are a rare anomaly of the maxillofacial complex. They are more common in the maxilla than the mandible. This article reports a rare case of bilateral maxillary paramolars, their complications and management

Etiology of tooth discoloration- a review

Discoloration of the tooth can erode the sparkle from a smile. In the management of patients with discolored tooth, knowledge of the mechanisms behind tooth discoloration is of relevance as it can influence the treatment plan. In certain instances it may even have an effect on the outcome of the treatment. A grasp of the pathological process involved in tooth staining will also allow the dental practitioner to explain to the patient the exact nature of the condition. An overview of the etiology and the clinical appearance of tooth discoloration are discussed in this review

The retreatment of a mandibular second premolar with unusual canal

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Etiology of tooth discoloration- a review

Discoloration of the tooth can erode the sparkle from a smile. In the management of patients with discolored tooth, knowledge of the mechanisms behind tooth discoloration is of relevance as it can influence the treatment plan. In certain instances it may even have an effect on the outcome of the treatment. A grasp of the pathological process involved in tooth staining will also allow the dental practitioner to explain to the patient the exact nature of the condition. An overview of the etiology and the clinical appearance of tooth discoloration are discussed in this review.Key words: Etiology, extrinsic discoloration, intrinsic discoloratio

Immediate reattachment of fractured tooth segment using dual cure resin

Crown fracture of maxillary anterior teeth is frequent dental injuries for which patients seek immediate dental treatment. Immediate reattachment of the intact fractured tooth segment is a therapeutic choice in such cases. This case report presents one of the best methods used for reattachment, which is an ultraconservative technique. It allows the restoration of original tooth contour, colour and aesthetics. Key words: Crown Fracture, Aesthetics, Dual cure resins The maxillary central incisors are the teeth most susceptible to fractures caused by direct trauma such as contact sports, road accidents and falls. Aesthetic rehabilitation of crown fractures of the maxillary anterior is one of the greatest challenges to the dentist. The present generation is very conscious about their appearance and demand for immediate treatment and aesthetic rehabilitation. The conventional approach for rehabilitation of fractured anterior teet

Case Note Delayed replantation: Can it be a success?

This case report describes delayed replantation of an avulsed maxillary central incisor in a 17-year-old male patient following an injury on fall one day earlier. Avulsed maxillary right permanent central incisor was replanted back into the socket after extra-oral root canal treatment. One year follow up showed validity of treatment, with no evidence of resorption in the replanted tooth. Key words: Replantation, Maxillary central incisor, Resorption Traumatic injuries are frequent these days. Surveys indicate that traumatic dental injuries in children and adolescents are common problems, and several studies have shown that the prevalence of these injuries is increasing1. Andreasen & Andreasen2 predicted that the incidence of these injuries may eventually surpass the incidence of dental caries. Avulsion accounts for 0.5–16 % of traumatic injuries in the permanent dentition3. Avulsion of permanent teet

Three rooted, four canalled mandibular first molar (Radix Entomolaris)

A mandibular first molar with two distal roots is an interesting example of anatomic variation. This paper describes case reports of mandibular first molar with three roots (one mesial and two distal) and four canals (two in mesial and one in each distobuccal and distolingual root). The canals were shaped with protaper rotary files and irrigated with 5.25% sodium hyochlorite, 0.2 %w/v of chlorhexidine gluconate and normal saline as the final irrigant. The canals were then obturated with gutta- percha and AH plus sealer. These case reports show an anatomic variation of internal morphology of the tooth and points out the importance of searching for additional canals. Key words: Mandibular first molar, two distal roots, four canals For root canal treatment to be successful, it is necessary to locate all root canals, debride them thoroughly and seal them completely with an inert root filling material. Unfilled canals remain a nidus for infection and can compromise treatment outcome. A clinician should be aware of the internal morphology of permanent teeth and the possible variations whic