Sunday, February 17, 2019

Essay --

In the present case scenario, 19year old patient with top side severance of 10 with 1.5mm of tooth structure remaining. However, the nature of physique (vital or nonvital), history of pain, If whatever cornmeal mush exposure - time spent with exposed flesh, diameter of the pulp exposure and number of tooth walls remaining are not discussed. These factors are considered as key elements in the diagnosis and treatment plan. However within the peculiar(a) findings, the present case can be diagnosed as complicated pourboire switching 10 with pulp exposure involving enamel and dentin gaolbreak. The victory rate in vital pulp therapy of carious lesion has been reported in the range of 72.9-92.9%. However, further studies of high quality need to be conducted to estimate the factors influencing the treatment outcome. 1 The classic Toronto study shown 92%, 93% of succeeder in endodontically treated teeth without periapical radiolucency.2,3 The outcome of non surgical endodntic th erapy reported a conquest rate of 86-93%. 4 It is seen that the success rate of pulp therapy is predictably inferior to the nonsurgical endodontic therapy. Also failure of pulp therapy payable to persistent bacterial infection, leaky restoration has severe painful condition. Treating failed pulp therapy is further much than complex and difficult as there is constricting of pulp chamber receivable to calcification.5 Hence in this case, endodontic therapy 10 was planned. The primary aim of RCT is to chemomechanical preparation of root canal spaces fol woefuled by obturating with hearty, which is chemically inert and provides hermetic seal. Guttapercha is one of the oldest obturating naturals and is considered still as gold standard. However, guttapercha has shown pitiable seal and presence of voids when lateral ... ...build-up material, which is formed after cementation of the post. Composites, being more esthetic material gives favourable outcome. It is well bonded to the tooth through micromechanical retention creating a monobloc effect. However, microleakage, secondary caries factors should be considered.Resin luting cements played a major role in the modern dentistry. High compressive and tensile strength, low dissolution, adhesive mechanism and high esthetic qualities have made the material of choice in luting cements.13,14All Ceramic crowns has shown increased erupt resistance and improved esthetics. Hence, the material of choice in the current clinical case. How ever the type of material with ceramic has not shown whatever satisfying difference.Every treatment plan should be based on the updated clinical evidence at highest level for the long term success of the therapy. seek -- In the present case scenario, 19year old patient with crown fracture of 10 with 1.5mm of tooth structure remaining. However, the nature of pulp (vital or nonvital), history of pain, If any pulp exposure - time spent with exposed pulp, diameter of t he pulp exposure and number of tooth walls remaining are not discussed. These factors are considered as key elements in the diagnosis and treatment plan. However within the hold in findings, the present case can be diagnosed as complicated crown fracture 10 with pulp exposure involving enamel and dentin fracture. The success rate in vital pulp therapy of carious lesion has been reported in the range of 72.9-92.9%. However, further studies of high quality need to be conducted to appraise the factors influencing the treatment outcome. 1 The classic Toronto study shown 92%, 93% of success in endodontically treated teeth without periapical radiolucency.2,3 The outcome of non surgical endodntic therapy reported a success rate of 86-93%. 4 It is seen that the success rate of pulp therapy is predictably inferior to the nonsurgical endodontic therapy. Also failure of pulp therapy due to persistent bacterial infection, leaky restoration has severe painful condition. Treating failed pulp therapy is further more complex and difficult as there is narrowing of pulp chamber due to calcification.5 Hence in this case, endodontic therapy 10 was planned. The primary aim of RCT is to chemomechanical preparation of root canal spaces followed by obturating with material, which is chemically inert and provides hermetic seal. Guttapercha is one of the oldest obturating materials and is considered still as gold standard. However, guttapercha has shown miserable seal and presence of voids when lateral ... ...build-up material, which is formed after cementation of the post. Composites, being more esthetic material gives favourable outcome. It is well bonded to the tooth through micromechanical retention creating a monobloc effect. However, microleakage, secondary caries factors should be considered.Resin luting cements played a major role in the modern dentistry. High compressive and tensile strength, low dissolution, adhesive mechanism and high esthetic qualities have made the m aterial of choice in luting cements.13,14All Ceramic crowns has shown increased fracture resistance and improved esthetics. Hence, the material of choice in the current clinical case. How ever the type of material with ceramic has not shown any evidentiary difference.Every treatment plan should be based on the updated clinical evidence at highest level for the long term success of the therapy.

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