scholarly journals Lingual bonded retainers: A case series of complications and resolutions

2020 ◽  
Vol 10 ◽  
pp. 3-11
Author(s):  
Tae-Kyung Kim ◽  
Seung-Hak Baek
Keyword(s):  
Case Series ◽  
Gingival Recession ◽  
Black Triangle ◽  
Anterior Teeth ◽  
Combined Use ◽  
Management Of Complications ◽  
Bonding Failure ◽  
Transfer Method ◽  
Transverse Position ◽  
Bonded Retainers

Objective: The objective of the study was to describe the types, causes, and recommendations for the prevention/ management of complications related with lingual bonded retainers (LBRs) during the retention period. Materials and Methods: The retention protocol was a combined use of the LBRs made from 0.0175 multistrand wire and bonded on the maxillary and mandibular anterior teeth by DuraLay resin transfer method and a removable retainer at both arches for nighttime wear. Nine cases, which did not show bonding failure or fracture of LBR, were described to explain the complications including unexpected tooth movements and gingival problems. Results: The types of complications were spacing, loss of alignment, change in transverse position, angulation or torque of the crown, gingival recession, and black triangle. There are three possible causes for these complications: (1) Active force generated by LBR, which was not passively fabricated or bonded, (2) deformation of LBR induced by heavy biting force or traumatic occlusion, and (3) untwisting force of strand in round flexible multistrand wire. These complications can be prevented or managed by (1) fabrication of LBR on a working model to make it passive, (2) use of a jig to position LBR during bonding to avoid deformation by finger pressure, (3) supplemental use of a removable retainer for nighttime wear, (4) early detection of bonding failure, deformation, or fracture of LBR, and (5) immediate removal of LBR and use of a new removable retainer for resolution of complications. Conclusion: Clinicians should check the existence of these complications from the start of retention and inform the patient of the possibility of retreatment.

The Bonded Mandibular Lingual Retainer

1986 ◽  
Vol 13 (3) ◽  
pp. 159-163 ◽  
Author(s):  
Shabbir T. Adenwalla ◽  
Fereidoon Attarzadeh
Keyword(s):  
Orthodontic Treatment ◽  
Anterior Teeth ◽  
Lingual Retainer ◽  
Bonded Retainers

The lower fixed retainer from cuspid to cuspid has been one of the commonly used methods of retention at the end of the orthodontic treatment. Orthodontists mostly use the lingual wire soldered to cuspid bands for the fixed lower retainer. With the advent of the new effective bonding materials many orthodontists prefer to use cuspid-to-cuspid/biscuspid-to-biscuspid bonded retainers to obtain optimal retention of lower anterior teeth both functionally and aesthetically. After experimenting with a variety of previous methods, such as the use of rubber bands, elastic threads, cotton pliers, ligature wires and silastic trays for the accurate placement and immobilization of a lower lingual retainer during the bonding, we have found that the use of two 1 to 1½ inch pieces of 0·016 inch wires tack welded to lingual wire gives the best results. It is more accurate, simple, inexpensive and designed to save the orthodontist chair time.

scholarly journals Palatal Harvesting Technique Modification for Better Control of the Connective Tissue Graft Dimensions

2013 ◽  
Vol 24 (6) ◽  
pp. 565-568 ◽  
Author(s):  
Danilo Maeda Reino ◽  
Arthur Belem Novaes Jr. ◽  
Marcio Fernando de Moraes Grisi ◽  
Luciana Prado Maia ◽  
Sergio Luis Scombatti de Souza
Keyword(s):  
Connective Tissue ◽  
Donor Site ◽  
Case Series ◽  
Gingival Recession ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Partial Thickness ◽  
Harvesting Technique ◽  
Subepithelial Connective Tissue Graft ◽  
Graft Thickness

Subepithelial connective tissue graft (SCTG) has been extensively used for a variety of clinical applications. However, the surgical procedure may not allow control of graft thickness. The purpose of this case series is to illustrate a modification to the single incision palatal harvesting technique in order to control the SCTG thickness without increasing patient discomfort. Fifty cases from thirty systemically and periodontally healthy patients with at least one multiple gingival recession were treated with coronally advanced flaps combined with a SCTG. The palatal area served as the donor site, from where a single perpendicular incision was made to obtain a full thickness flap. Next, 1-2 mm of the flap was elevated and dissected to obtain a partial thickness flap. The graft remained attached to the full-partial thickness flap. After determining the desired SCTG thickness, the graft was harvested from the palatal flap. The patients healed uneventfully at 7 days postoperatively and primary closure was obtained for all palatal donor sites. The SCTG length and width varied depending on the needs of each case, but the SCTG thickness was well controlled with only 0.24 mm standard deviation. The suggested modification granted control of the SCTG dimensions and achieved complete wound closure within a week.

scholarly journals Orthodontic Forced Eruption of Permanent Anterior Teeth with Subgingival Fractures: A Systematic Review

2021 ◽  
Vol 18 (23) ◽  
pp. 12580
Author(s):  
Elisabeth Reichardt ◽  
Ralf Krug ◽  
Michael M. Bornstein ◽  
Jürgen Tomasch ◽  
Carlalberta Verna ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Alveolar Bone ◽  
Root Resorption ◽  
Statistical Significance ◽  
Case Series ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Cochrane Library ◽  
Anterior Teeth ◽  
Forced Eruption

(1) Background: To assess orthodontic forced eruption (OFE) as a pre-restorative procedure for non-restorable permanent teeth with subgingival dental hard tissue defects after dental trauma. (2) Methods: A systematic electronic search of three databases, namely, MEDLINE, Cochrane Library, and EMBASE, revealed a total of 2757 eligible publications. Randomized controlled clinical trials (RCT), retro- and prospective clinical studies, or case series (with a minimum of three patients) were reviewed. (3) Results: Thirteen full-text papers were included: one RCT, one prospective clinical trial, two retrospective cohort studies, and nine case series. Within case series, statistical significance between age and cause of fracture (p < 0.03) was determined. The mean extrusion rate of OFE was 1.5 mm a week within a four to six weeks treatment period followed by retention. Three OFE protocols for maxillary single teeth are available: 1. OFE without migration of gingiva and alveolar bone, 2. OFE with gingival migration and slight alveolar bone migration, and 3. OFE with migration of both gingiva and alveolar bone. (4) Conclusions: The current state of the evidence suggests that OFE is a feasible pre-treatment option for non-restorable permanent teeth. OFE can promote the migration of tooth surrounding hard and soft tissues in the esthetic zone. Root resorption does not seem to be a relevant side effect of OFE.

AESTHETIC AMELIORATION OF GINGIVAL RECESSION BY MODIFIED CORONALLY ADVANCED FLAP PROCEDURE: A 6 MONTHS FOLLOW-UP INTERVENTIONAL STUDY

2021 ◽  
pp. 78-80
Author(s):  
Namburi Rajesh ◽  
Rajendran Poornima
Keyword(s):  
Gingival Recession ◽  
Class I ◽  
Clinical Parameters ◽  
Pocket Depth ◽  
Coronally Advanced Flap ◽  
Probing Pocket Depth ◽  
Anterior Teeth ◽  
Flap Procedure ◽  
Attached Gingiva

Background:In recent times, aesthetics has become a major reason for the patients to seek the dentist. Gingival recession of the anterior teeth leads to long tooth appearance thereby hampering the aesthetics. The aim of the present study is to assess the efciency of modied coronally advanced ap (MCAF) technique in combination with platelet-rich brin (PRF) for recession coverage of Miller's class I and II cases. Materials and method: 10 patients with Miller's class I or class II gingiva were treated by modied coronally advanced ap (MCAF) technique in combination with platelet-rich brin (PRF). The clinical parameters such as gingival index (GI), bleeding on probing (BOP), probing pocket depth (PPD), clinical attachment level (CAL), width of attached gingiva (WAG), thickness of attached gingiva (TAG) and the height of gingival recession (HGR) were recorded at baseline, 3 months and 6 months follow-up visits. Results: All the clinical parameters showed signicant improvement at 3 months and 6 months post-operatively when compared with the baseline values. The results obtained during the initial follow-up visit remained stable over a period of 6 months. Conclusion: MCAF is a foreseeable technique to achieve gingival recession coverage. Additionally, the use of PRF enables in improved WAG and TAG due to the release of growth factors.

scholarly journals Esthetic and endodontic management of anterior teeth with impacted foreign objects in the root canals: A case series

Endodontology ◽  
2016 ◽  
Vol 28 (1) ◽  
pp. 50
Author(s):  
Dipanshu Kumar ◽  
Aparna Singh ◽  
Nidhi Agarwal ◽  
AsibAhmad Rizvi ◽  
Ashish Anand
Keyword(s):  
Case Series ◽  
Root Canals ◽  
Foreign Objects ◽  
Anterior Teeth

scholarly journals Gingival mask for conservative management of gingival recession: A case report

2021 ◽  
Vol 4 (1) ◽  
pp. 57-60
Author(s):  
SK Chaudhary ◽  
H Agrawal ◽  
R Dhakal ◽  
A Yadav
Keyword(s):  
Patient Satisfaction ◽  
Case Report ◽  
Periodontal Disease ◽  
Gingival Recession ◽  
Surgical Reconstruction ◽  
Black Triangle ◽  
Self Confidence ◽  
The Face ◽  
Severe Destruction

Smile is the jewel of the face, which not only enhances the beauty of the person but also influences self-confidence. Dental esthetic is composed of white and pink component. The long-term periodontal disease results in the destruction of the pink component leading to gingival recession in some cases, which results in elongated tooth with black triangle and unesthetic smile. When severe destruction is present in the maxillary anterior region surgical reconstruction is unpredictable. This destruction can be masked with a prosthesis like gingival mask after the control of periodontal disease. This case report describes the use of the gingival mask as a conservative treatment modality for recession, achieving optimum esthetics and patient satisfaction.

scholarly journals Whitening of a Non-Vital Tooth with Walking Bleach Technique: A Case Series

2021 ◽  
Vol 5 (2) ◽  
pp. CR1-CR5
Author(s):  
Deepika ◽  
Muhammad Mutiur Rahman ◽  
Ajay Kumar Nagpal
Keyword(s):  
Hydrogen Peroxide ◽  
Case Series ◽  
Sodium Perborate ◽  
Endodontically Treated Teeth ◽  
Efficient Treatment ◽  
Chemical Substances ◽  
Significant Aspect ◽  
Oxidizing Agents ◽  
Anterior Teeth ◽  
Tooth Discoloration

A significant aspect of cosmetic dentistry is the treatment of tooth discoloration. Discoloration of non-vital anterior teeth can cause significant esthetic concern and requires efficient treatment. Discoloration of teeth can be extrinsic or intrinsic or a combination of both based on etiology, appearance, localization, and severity. Walking bleach involves the use of chemical substances like sodium perborate or hydrogen peroxide which in contact with the tooth release oxidizing agents that diffuse through the enamel and dentin and oxidize the pigments responsible for discoloration. This article aims at presenting a case series on the walking bleach method performed on discolored endodontically treated teeth associated with superior esthetic outcomes.

scholarly journals Treatment Management With Long Term Follow-Up In Late-Admitted Traumatized Permanent Incisors: Case Series

2021 ◽  
Author(s):  
Ceren Çimen ◽  
Burcu Nihan Yüksel ◽  
Nurhan Özalp
Keyword(s):  
Root Canal ◽  
Case Series ◽  
Endodontic Treatment ◽  
Anterior Teeth ◽  
Long Term Follow Up ◽  
Traumatic Dental Injuries ◽  
Dental Injuries ◽  
Regenerative Endodontic Treatment

Traumatic dental injuries are particularly common in school-age children and often occur in the anterior region. Process management of cases is possible with alternative treatments according to the root development levels. This case series is aimed to present the treatment and 2-year follow-up of permanent anterior teeth with traumatic dental injuries. Case 1: An 8-year-old patient, who had a bicycle accident 20 days earlier, was diagnosed with extrusion of #31. Due to late admission to the clinic, no repositioning procedure was applied to the tooth. Regenerative endodontic treatment was performed. During the radiological follow-up, the apex was closed in the 12th month; however, it was observed that obliteration started in the root canal at the 24th month. The case is still being followed up at regular intervals. Case 2: A 13-year-old patient, who had a traffic accident 3 days prior, was diagnosed with subluxation in #11, and a root fracture was detected in the apical third of #21. In #21, root canal treatment was applied to the coronal part of the fragments. After the diagnosis of pulp necrosis in #11 in the 2nd month of the follow-up period, root canal filling was applied. During the follow-up period, no pathology was detected and no granulation tissue was formed between the fragments in #21. In traumatic dental injuries, long-term follow-up, well-timed endodontic treatments, and material selection play an important role in success. With regenerative endodontic treatment, successful results can be obtained even in treatments applied in late-admitted patients.

Sign in / Sign up

Export Citation Format

Share Document