Treatment modalities of palatal impacted canines

Introduction: The orthodontic treatment of impacted maxillary canine remains a challenge to today’s clinicians. The treatment of this clinical entity usually involves surgical exposure of the impacted tooth, followed by orthodontic traction to guide and align it into the dental arch. The impacted palatal canine requires a combination of both treatment modalities: orthodontic management and oral surgical treatment. Two types of approach are commonly used: simple exposure, or exposure with bracketing at the time of oral surgery procedure. Bracketing is a well-established and effective method of managing the impacted canine though it has been criticized for increasing the operating time and being a more technique-sensitive procedure.Aim: The aim was to compare the outcome and complication rate for each type of procedure.Material and method: In this study 20 treated patients with both palatal impacted canines were included, one at which the ectopic tooth was surgically exposed alone and the other where an orthodontic bracket was bonded to facilitate early traction, and the flap replaced.Results: In 30 per cent of all cases exposed and bracketed a second surgical intervention was required, compared with 15 per cent in the simple exposure group.Conclusion: Bracketing, though effective, is a more costly and time-consuming procedure, and it is suggested that simple exposure provides an equally efficient and predictable method of managing the palatal impacted canine with obvious clinical and financial benefits

Laser analgesic during orthodontic therapy

Introduction: Most of the patients feel pain 4 hours after the arch applying, gaining the highest level after 24 hours and its lowering in the next few days. Literature reports show that the fear of pain is a very important reason for discouraging the patient to agree for this kind of orthodontic treatment The aim of this study was to evaluate the effectiveness of the biostimulative laser treatment in pain reduction in patients with fixed orthodontic appliances. Materials and methods. Fifteen patients were treated with low energy level biostimulative diode laser, used 2 minutes per quadrant immediately after placement of fixed orthodontic appliances and in the following four days. The control group of 15 patients received analgesic therapy for period of five days. The pain was assessed subjectively as strong, medium or no pain. The pain disappeared in 20% of the subjects in the examined group after the first day, while in 60% and 26.6% of the subjects medium and isolated pain was still present at day 2 and 3, respectively. Results. The pain disappeared in all the patients treated with laser at day 5. In the control group, strong pain was present in all the subjects the first day, decreasing to 60% of strong pain and 20% medium pain the second day. After day three, the control group demonstrated medium localized pain in 40% of the cases, which dropped to 26.6% after the fourth day, suggesting delayed pain reduction, compared to the laser treated group. Conclusion. Our results suggest that the low energy laser treatment can successfully be used for pain reduction during the initial discomfort period after placing fixed orthodontic appliances

Use of antifibrinolytic mouthwash solution in anticoagulated oral surgery patients

Introduction:The ordinary treatment of anticoagulated patients includes the interruption of anticoagulant therapy for oral surgery interventions to prevent hemorrhage. However, this practice may logically increase the risk of a potentially life-threatening thromboembolism, so this issue is still controversial. The aim of the study was to evaluate the antifibrinolitic mouthwash solution (tranexamic acid) as a local haemostatic modality after oral surgery interventions. Methods:To realize the aim 100 individuals who received oral anticoagulants were included. Oral surgery interventions were performed with a reduction in the level of anticoagulant therapy in the first group. Oral surgery interventions were realized in the second group with no change in the level of anticoagulant therapy and with usage the tranexamic acid. After the interventions the surgical field was irrigated with a 5% solution of tranexamic acid in the treatment group whose oral anticoagulants had not been discontinued (second group) and with a placebo solution in the examined for whom the anticoagulant therapy was reduced (first group). Patients were instructed to rinse their mouths with 10 ml of the assigned solution. Results:The analysis showed that there was no significant difference between the two treatment groups in the bleeding incidence after oral surgery interventions. Conclusion: The anticoagulant treatment does not need to be withdrawn before the oral surgery provided that the local antifibrinolytic therapy is instituted

Компарација на физичките и хемиските карактеристики на материјали за директно прекривање на пулпата

Цел на оваа студија беше да се оценат биолошките и физичките својства на TheraCal, Biodentine I Calcimol. По подготовка на TheraCal, Biodentine I Calcimol го анализиравме ослободувањето на калциумови и хидроксилни јони за период од 24 цаса, 7 и 14 дена. Сите испитувани материјали ослободуваат калциумови и хидроксилни јони за време на испитуваниот период. Способноста на Theracal i Biodentine I Calcimol да ослободуваат калциумови јони за одреден период може да го стимулираат создавањето на апаитни кристали како и формирање на нов дентин