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Articles 1 - 30 of 408
Full-Text Articles in Dentistry
Contents Of Vol. 31, No.1, April 2024, Yuniardini Septorini Wimardhani
Contents Of Vol. 31, No.1, April 2024, Yuniardini Septorini Wimardhani
Journal of Dentistry Indonesia
This is the Cover and the Contents of the Vol. 31 No. 1 2024
Effect Of Taper And Pitch On Nickle-Titanium File With Variable Cross Section To Its Cyclic Fatigue (In Silico Study), Yustika Chrysandra, Tunjung Nugraheni, Wignyo Hadriyanto
Effect Of Taper And Pitch On Nickle-Titanium File With Variable Cross Section To Its Cyclic Fatigue (In Silico Study), Yustika Chrysandra, Tunjung Nugraheni, Wignyo Hadriyanto
Journal of Dentistry Indonesia
The geometric design of an endodontic file includes cross-sectional shape, taper, and pitch. NiTi endodontic files of OneCurve (MicroMega) are made of two variations of cross-sectional shape, that is, double-s shaped and triple helix. Various kinds of modifications were made to increase the resistance of the NiTi endodontic files from fracture. Cyclic fatigue is the most common factor that causes a fracture of the endodontic file. Objective: The purpose of this study was to obtain a NiTi endodontic file design that has the best cyclic resistance value based on its taper size and number of pitch. Methods: This …
Epidemiology Of Bruxism And Temporomandibular Joint Disorders (Tmd) In Iranian Adults: A Cross-Sectional Study, Parviz Amini, Maryam Sharifi, Reyhane Aftabi, Fatemeh Jahanimoghadam, Hamidreza Jahanimoghadam
Epidemiology Of Bruxism And Temporomandibular Joint Disorders (Tmd) In Iranian Adults: A Cross-Sectional Study, Parviz Amini, Maryam Sharifi, Reyhane Aftabi, Fatemeh Jahanimoghadam, Hamidreza Jahanimoghadam
Journal of Dentistry Indonesia
Objective: The prevalence of bruxism in the literature has been reported differently. The aim of this study was to assess the prevalence of bruxism in patients aged 25–40 who were referred to Kerman Dental School. Methods: This analytical descriptive cross-sectional study was performed on 320 patients referred to the Department of Oral Medicine of Kerman Dentistry Faculty in the age range of 25 to 40 years old. The prevalence of bruxism as well as TMJ disorders were evaluated. Data were collected in a questionnaire and entered into SPSS version 24. Analyzing was done by a chi-square test at …
Guiding Our Implants: Using Dynamic Surgical Guidance To Maximize Predictability, Shane Endres Dds, Ma, Ryan Schure Dds, Msc, Frcd
Guiding Our Implants: Using Dynamic Surgical Guidance To Maximize Predictability, Shane Endres Dds, Ma, Ryan Schure Dds, Msc, Frcd
The New York State Dental Journal
Dynamic surgical guidance (DSG) is a recent advance in implant dentistry, used in an effort to maximize the efficiency and predictability of implant surgeries. A study, conducted by Navigate Surgical Technologies using the Inliant system, was undertaken in Toronto, Canada to analyze the success and accuracy of this technology. Twenty-three implants placed in twenty-two subjects were examined. The results showed that implant placement using Inliant was extremely accurate when compared to the pre-surgical plan. Additionally, there were no significant errors or deviations in implant placement. The study concluded with the Food and Drug Administration of the United States granting safety …
Dentists And Oral Surgeons Beware: Some Suggested Ibuprofen-Based Pain Regimens May Result In Severe Adverse Outcomes In Older Persons, Arthur H. Friedlander Dmd, Ida K. Friedlander Rn, Rsn, Ms, Soraya De A. Berti-Couto Dds, Phd, Paulo H. Couto-Souza Dds, Phd
Dentists And Oral Surgeons Beware: Some Suggested Ibuprofen-Based Pain Regimens May Result In Severe Adverse Outcomes In Older Persons, Arthur H. Friedlander Dmd, Ida K. Friedlander Rn, Rsn, Ms, Soraya De A. Berti-Couto Dds, Phd, Paulo H. Couto-Souza Dds, Phd
The New York State Dental Journal
The origins of the current “opioid epidemic” sweeping America with its consequent overdose related deaths has resulted in numerous publications accusing the dental profession of excessively prescribing narcotic analgesics leading to the initial addictive episode. These allusions have prompted the national organization representing New York States’ almost 600 oral and maxillofacial surgeons to develop and promulgate in its official journal , a position paper detailing a non-narcotic pain management regimen to alleviate post operative discomfort. However, their pronouncement suggests prescribing a maximum daily dosage of ibuprofen which has previously been documented as causing myocardial infarction and stroke in vulnerable older …
Clinical, Radiographic And Biochemical Evaluation Of One-Piece Vs Two-Piece Single Implants After 5 Years Of Functional Loading, Ippolito Caputo
Clinical, Radiographic And Biochemical Evaluation Of One-Piece Vs Two-Piece Single Implants After 5 Years Of Functional Loading, Ippolito Caputo
Annual Research Symposium
The aim of this study was to compare the clinical and radiographic conditions and the expression of proinflammatory cytokines in peri-implant crevicular fluid (PICF) of two-piece/bone level (TP/BL) versus one-piece/tissue level (OP/TL) single implants with a laser-microgrooved collar after at least 5 years of functional loading.
Influence Of Abutments Surface (Machined Vs. Laser-Microgrooved) In Soft-Tissue Response During One Year Of Function: Clinical And Biochemical Outcomes Of A Rct With Split-Mouth Design, Elisa Maccari
Annual Research Symposium
To evaluate peri-implant soft tissue behaviour around machined vs laser-microgrooved implants/healing/prosthetic abutments during 1 year of function by assessing IL-6, IL-1b and MMP-8 levels in peri-implant crevicular fluid (PICF).
Development Of A Portable And Rapid Decalcification Device For Oral Hard Tissue Specimens, Upasana Das, Vijayalakshmi Bhat, Taniya Feroz, Sowmya Sv, Dominic Augustine
Development Of A Portable And Rapid Decalcification Device For Oral Hard Tissue Specimens, Upasana Das, Vijayalakshmi Bhat, Taniya Feroz, Sowmya Sv, Dominic Augustine
Annual Research Symposium
Decalcification is a routinely carried out procedure by oral pathologists, as the lesions involving the pulp can only be seen and identified through decalcified sections. The present methods involve usage of chemical agents, either with inorganic acids which dissolves the calcium to form soluble calcium salts or with chelating agents. Even though the chelating agents preserve the tissue morphology and show excellent microscopic picture, it has less diagnostic efficacy, as the time taken for it to decalcify the specimens is considerably high. It becomes important for us to develop a decalcification technique which will be faster and will maintain the …
Comparative Evaluation Of Bone Thickness In Infrazygomatic Crest Region For Optimal Insertion Of Bone Screws : A Cbct Study, Kavya Mp
Annual Research Symposium
Infrazygomatic crest (IZC) is a palpable bony ridge running between the alveolar ridge and the zygomatic process of maxilla. IZC bone dimension is an important factor in the safety and stability of bone screws. IZC thickness depends on the site of insertion, angulation and height from the occlusal plane. This study embarks on a comprehensive Cone Beam Computed Tomography (CBCT) exploration, to assess infra zygomatic Crest bone thickness.
Treatment Of Craniofacial Problems With Stem Cells In Dentistry, Melanie Katz, Mahsa Sadri, George Dresser, Noor Sulaiman, Amir Mohajeri, Connor Schwartz, Man Hung
Treatment Of Craniofacial Problems With Stem Cells In Dentistry, Melanie Katz, Mahsa Sadri, George Dresser, Noor Sulaiman, Amir Mohajeri, Connor Schwartz, Man Hung
Annual Research Symposium
To focus on regenerative capabilities and self-renewal abilities of stem cells on bone and tissue regeneration
Dentofacial Effects Of Radiotherapy On Pediatric Population With Retinoblastoma, Kristi Truong
Dentofacial Effects Of Radiotherapy On Pediatric Population With Retinoblastoma, Kristi Truong
Annual Research Symposium
This literature review investigates the dentofacial consequences of radiotherapy in young patients with retinoblastoma by referencing current research. In addition, the management and rehabilitation of the dentofacial abnormalities, highlighting orthodontic, surgical, and prosthetic approaches, is examined. By understanding the changes of dentofacial development due to retinoblastoma treatment, effective management techniques can be implemented to resolve significant issues, relating to dental and skeletal relationship and facial appearance.
Geranylgeraniol (Ggoh), Incorporated Into A Bone Cement Pellet Promotes Osteoclast Function And Healing In A Model Of Medication-Related Osteonecrosis Of The Jaw, George J Feldman, David Young, Theresa Freeman, Lauren Israel, Daniel Taub, Robert Diecidue
Geranylgeraniol (Ggoh), Incorporated Into A Bone Cement Pellet Promotes Osteoclast Function And Healing In A Model Of Medication-Related Osteonecrosis Of The Jaw, George J Feldman, David Young, Theresa Freeman, Lauren Israel, Daniel Taub, Robert Diecidue
Department of Oral and Maxillofacial Surgery Faculty Papers
INTRODUCTION: There is no cause -based treatment for Medication-Related Osteonecrosis of the Jaw (MRONJ). MRONJ is a morbid condition including exposed, infected bone and mandibular fractures in osteoporotic individuals and metastatic cancers patients treated with nitrogen containing bisphosphonates (NBP). NBPs inhibit farnesyl diphosphate synthase (FDPS) in the mevalonate pathway, depriving osteoclasts and other bone cells of small GTPases necessary for their function and survival. We test the hypothesis that geranylgeraniol (GGOH),a metabolite downstream of FDPS, when incorporated into a bone cement pellet, enhances osteoclast function and promotes local bone healing in
METHODS:
RESULTS: The release of GGOH from bone cement …
Oral Focal Mucinosis: A Case Report, Hala El-Kammar Dr, Yara Youssef, Bassant Mahmoud Moustafa, Iman M. Mostafa, Noha Adel Hassanine, Adham Fahmy, Rami Guiha Dr.
Oral Focal Mucinosis: A Case Report, Hala El-Kammar Dr, Yara Youssef, Bassant Mahmoud Moustafa, Iman M. Mostafa, Noha Adel Hassanine, Adham Fahmy, Rami Guiha Dr.
Future Dental Journal
Oral focal mucinosis is a rare lesion with less than 60 cases reported in English literature so far, to the best of our knowledge. It is considered to be the oral counterpart of cutaneous focal mucinosis and/or cutaneous myxoid cyst. Histopathologically, Oral focal mucinosis is demonsterates a well-circumscribed area of myxomatous connective tissue containing mucinous material, surrounded by denser collagenous connective tissue. We present a case of Oral focal mucinosis occurring on the buccal gingiva of the lower jaw.
Implant Site Preparation Using Conventional Drilling Technique Versus Magnetic Malleting Technique (Randomized Clinical Study)., Tamer Bahaa Negidah, Ahmed Farid Shehab Prof, Hussein Hatem, Sara Zakaria Fanous, Mostafa Azab
Implant Site Preparation Using Conventional Drilling Technique Versus Magnetic Malleting Technique (Randomized Clinical Study)., Tamer Bahaa Negidah, Ahmed Farid Shehab Prof, Hussein Hatem, Sara Zakaria Fanous, Mostafa Azab
Future Dental Journal
Background The purpose of our current study is to determine whether using a Magnetic Mallet during oral and implant surgical procedures is more effective than using traditional instruments with regard to complication rate, tissue healing, and surgical results (primary stability and crestal bone loss). According to a number of writers, a Magnetic Mallet can be utilized for implant insertion, ridge expansion, sinus lifts, tooth extractions, and implant site preparation.
So, this study was conducted to ascertain whether using a Magnetic Mallet Throughout the process of oral and surgical implant operations is effective and to assume on whether it might help …
Stability Of Immediately Placed And Delayed Implants Using Resonance Frequency Analysis (Rfa). A Systematic Review, Sara H. Younis, Catherine I. Radana, Doha M. Galal, Heba K. Abdul-Fattah, John A. Labib
Stability Of Immediately Placed And Delayed Implants Using Resonance Frequency Analysis (Rfa). A Systematic Review, Sara H. Younis, Catherine I. Radana, Doha M. Galal, Heba K. Abdul-Fattah, John A. Labib
Future Dental Journal
Objectives: The aim of the present Systematic Review was to compare between immediate and delayed dental implant placement using resonance frequency analysis specifically Implant Stability Quotients (ISQ).
Search methods: Search was performed in two databases (PubMed and Cochrane Library) till March 2023. Randomized clinical trials (RCTs) were included and measurements of ISQ at time of placement and time of loading were recorded. We excluded papers discussing bone grafting, orthodontic treatment and implant surface treatment.
Results: Results were above ISQ threshold value of 65, with no significant difference between immediate and delayed implants. However, Immediate placement showed shorter treatment time and …
Anatomical Analysis Of Inferior Alveolar Nerve Relation To Mandibular Posterior Teeth Using Cone Beam Computed Tomography: A Retrospective Radiographic Analysis Study, Shehabeldin Mohamed Saber Prof.Dr.
Anatomical Analysis Of Inferior Alveolar Nerve Relation To Mandibular Posterior Teeth Using Cone Beam Computed Tomography: A Retrospective Radiographic Analysis Study, Shehabeldin Mohamed Saber Prof.Dr.
Dentistry
Introduction: Cone beam computed tomography (CBCT) is reliable in the assessment of structures related to teeth. The assessment of the inferior alveolar neurovascular (IAN) bundle location using CBCT is considered one of its prime uses in different mandibular surgeries. Methodology: Retrospective CBCT data of patients presented to the institute were assessed to measure relations of IAN. Measurements were taken to assess the bone thickness adjacent to IAN, the superior-inferior dimension between the canal and the teeth, and the dimension between the canal and the inferior border of the mandible. Results: Out of the 170 patients the root apices nearest to …
Evaluation Of Soft And Hard Tissue Changes Around Guided Immediate Implants In The Esthetic Area With Immediate Temporization: A Prospective Clinical And Radiographic Pilot Study., Pierre Lahoud, Elie Bou Assi, Abdallah Menhall, Lara Nasr, Christian Makary
Evaluation Of Soft And Hard Tissue Changes Around Guided Immediate Implants In The Esthetic Area With Immediate Temporization: A Prospective Clinical And Radiographic Pilot Study., Pierre Lahoud, Elie Bou Assi, Abdallah Menhall, Lara Nasr, Christian Makary
International Arab Journal of Dentistry
Purpose: This study aimed to assess soft and hard tissue changes occurring 6 and 12 months after guided implant placement into extraction sockets and immediate temporization in the esthetic zone.
Materials and Methods: Eight patients requiring single immediate implant placement in the anterior mandible or maxilla were included in this study. Atraumatic extractions were performed using ultrasonic instruments and implants were placed into extraction sockets following digitally guided surgery. Gap between implants and buccal bone plate was filled with allogeneic bone substitutes. Implants were immediately temporized with pre-prepared PMMA crowns. Cone Beam Computed Tomography and digital impressions were done pre-operatively, …
The Effect Of Several Electric Cigarette Puffs On Nanohybrid Composite Resin Surface Roughness, Alvi Rizqi Amaliyah, Haris Budi Widodo, Irfan Dwiandhono
The Effect Of Several Electric Cigarette Puffs On Nanohybrid Composite Resin Surface Roughness, Alvi Rizqi Amaliyah, Haris Budi Widodo, Irfan Dwiandhono
Journal of Dentistry Indonesia
Nanohybrid composite resin is a dental restorative material comprising micro and nano-sized fillers. When accompanied by smoking habits, it can alter the surface roughness of composite resin. Objective: This study aimed to determine the effect of several electric cigarette (e-cigarette) puffs on the surface roughness of nanohybrid composite resin. Methods: This study was conducted in the experimental laboratory with a pretest-posttest control group design using 48 nanohybrid composite resin specimens divided into six groups. Subsequently, the experimental groups were exposed to 75, 150, 225, 300, and 450 puffs of e-cigarette, and the control group was given artificial saliva …
Elastic Recovery Properties Of Alginate Impression Materials Based On Red Algae Kappaphycus Alvarezii, Didin Erma Indahyani, Izzata Barid, Nafisah Nafisah, Depi Praharani, Agus Sumono, Niken Probosari, Sulistiyani Sulistiyani
Elastic Recovery Properties Of Alginate Impression Materials Based On Red Algae Kappaphycus Alvarezii, Didin Erma Indahyani, Izzata Barid, Nafisah Nafisah, Depi Praharani, Agus Sumono, Niken Probosari, Sulistiyani Sulistiyani
Journal of Dentistry Indonesia
Alginate impression materials in dentistry are used to form details of the oral cavity organs. The alginate content in the impression material functions to form a gel. One source of alginate is algae. Objective: This study aims to determine the recovery elasticity and setting time of alginate impression materials made from red algae K. alvarezii. Methods: The sodium alginate in the composition of this alginate impression material was extracted from red algae K. alvarezii. The alginate impression material was tested for setting time and recovery elasticity and compared with commercial impression material (Hygedent®). Results: The elastic …
Clinically Effective Regenerative Therapy For Primary Endodontic Lesions With Secondary Periodontal Lesions: A Case Report, Martina Amalia, Budi Budi, Iceu Estu Kurmaena, Nevi Yanti, Hesty Nurcahyanti, Aini Hariyani Nasution
Clinically Effective Regenerative Therapy For Primary Endodontic Lesions With Secondary Periodontal Lesions: A Case Report, Martina Amalia, Budi Budi, Iceu Estu Kurmaena, Nevi Yanti, Hesty Nurcahyanti, Aini Hariyani Nasution
Journal of Dentistry Indonesia
The diagnosis and prognosis of teeth with endo-perio lesions present a major challenge for dentists. Proper diagnosis is critical in determining treatment and the long-term prognosis. However, treating complex endodontic and periodontal lesions is one of the most common challenges in current clinical practice. The coexistence of pulpal and periodontal tissue damage may complicate diagnosis and further influence dental prognosis. This article consists of a case report evaluating the efficacy of xenografts and resorbable membrane pericardium in treating bifurcation lesions associated with periodontal lesions of the left mandibular first molar. A 22-year-old female patient was referred by conservative dentistry with …
Contents Vol 30 No 3 2023, Dr. Yuniardini Septorini Septorini Wimardhani
Contents Vol 30 No 3 2023, Dr. Yuniardini Septorini Septorini Wimardhani
Journal of Dentistry Indonesia
This is the content of Vol. 30 number 3 2023.
Management Of Ankyloglossia In A Non-Syndromic Patient Using A Super Pulsed Laser: A Life-Changing Treatment- A Case Report, Urfi Jawed, Afaf Zia, Ramniwas Kumawat, Afshan Bey, Maahin Mahmood
Management Of Ankyloglossia In A Non-Syndromic Patient Using A Super Pulsed Laser: A Life-Changing Treatment- A Case Report, Urfi Jawed, Afaf Zia, Ramniwas Kumawat, Afshan Bey, Maahin Mahmood
Journal of Dentistry Indonesia
Objective: Ankyloglossia affects a person’s overall well-being and life, from malnutrition due to poor feeding and mechanical problems to psychological stress and low self-esteem, thus affecting social life. This case reports the use of non-scalpel techniques, such as a super pulsed laser, to manage ankyloglossia in a non-syndromic patient suffering from speech incompetence and restricted tongue mobility and highlights its advantages over other conventional techniques. Case Report: A 17-year-old male patient presented with a complaint of restricted tongue mobility, due to which he could not pronounce certain words clearly. As the patient was apprehensive about the use of …
Enigmatic Cervicofacial Actinomycosis Post Radiotherapy - A Case Report, Amanda Phoon Nguyen
Enigmatic Cervicofacial Actinomycosis Post Radiotherapy - A Case Report, Amanda Phoon Nguyen
Journal of Dentistry Indonesia
Although thought to be uncommon, it is believed that cervicofacial actinomycosis is underreported due to frequent misdiagnosis. It has been called the “most misdiagnosed disease by experienced clinicians”. A wide range of dental procedures or trauma, including tooth eruption, may precipitate actinomycosis by enabling microorganisms to penetrate the deeper tissue layers via an entry point. This infective disease is significant due to its potentially aggressive and locally destructive nature. This case describes a patient diagnosed with cervicofacial actinomycosis. Her history prior to this was significant for proliferative verrucous leukoplakia, and T4aN0M0 (AJCC 7th Edition) squamous cell carcinoma of the right …
Comparison And Assessment Of Design, Handling Characteristics, And Efficacy Of Hand Instruments In Calculus Removal, Mohan Kumar Pasupuleti, Krishna Ganesh, Gautami S Penmetsa, Boddeda Anusha, Haripriya Narukurthi, Kommina Mouna Sahith
Comparison And Assessment Of Design, Handling Characteristics, And Efficacy Of Hand Instruments In Calculus Removal, Mohan Kumar Pasupuleti, Krishna Ganesh, Gautami S Penmetsa, Boddeda Anusha, Haripriya Narukurthi, Kommina Mouna Sahith
Journal of Dentistry Indonesia
Objective: primary objective of periodontal therapy is to remove supra and subgingival deposits from the tooth surface to stop disease progression. The purpose of the study is to address the instrument selection and its efficacy in calculus removal. Methods: A total of 50 subjects who fulfilled the criteria were included in the study. Participants were subjected to a complete periodontal examination, and the responses from 50 dental house surgeons were compared based on the instrument design, handling characteristics, and efficacy of calculus removal by using two sets of instruments. Results: The LM instrument was rated as best …
Evaluation Of Trabecular Bone Around The Impacted Maxillary Canine On Cbct Images By Fractal Analysis, Zeynep Betül Arslan, Berrin Çelik
Evaluation Of Trabecular Bone Around The Impacted Maxillary Canine On Cbct Images By Fractal Analysis, Zeynep Betül Arslan, Berrin Çelik
Journal of Dentistry Indonesia
Objective: The aim of this study was to evaluate the position, angulation and surrounding trabecular bone structure of a unilateral impacted maxillary canine (IMC) tooth using fractal analysis. Methods: Cone beam computed tomography images of 50 patients (38 female, 12 male) with unilateral IMC were selected for this retrospective study. A 25x25 pixel region of interest (ROI) was selected in the trabecular bone between the premolars on the impacted and non-impacted side and fractal analysis was conducted. The angulation of unilateral impacted canines was measured and the position was categorized as vestibular, intra-alveolar and palatal. Results: Of …
Evaluation Of Morphologic And Morphometric Characteristics Of The Mental Foramen And Anterior Loop In A Turkish Subpopulation Using Cone Beam Computed Tomography, Fatma Büşra Doğan, Faruk Akgünlü
Evaluation Of Morphologic And Morphometric Characteristics Of The Mental Foramen And Anterior Loop In A Turkish Subpopulation Using Cone Beam Computed Tomography, Fatma Büşra Doğan, Faruk Akgünlü
Journal of Dentistry Indonesia
Objective: Before a surgical intervention in the mandibular interforaminal area, it is important to have a full understanding of the anatomy of the mandibular anterior segment. The evaluation of anatomical structures, variations and pathologies is performed with radiological imaging methods. Today, cone beam computed tomography (CBCT) is an imaging method which offers all the features necessary for this. In addition to its importance in surgical applications, it is also valuable in terms of anatomical studies thanks to the reliability of its measurements and the fact that it allows for a three-dimensional evaluation. The mental foramen and anterior loop are …
Negative Pressure Wound Therapy For Complex Oral Wounds, Mykaihla Sternick, James Gates, Allen Champion, Andrew Yampolsky
Negative Pressure Wound Therapy For Complex Oral Wounds, Mykaihla Sternick, James Gates, Allen Champion, Andrew Yampolsky
Department of Oral and Maxillofacial Surgery Faculty Papers
Negative pressure wound therapy provides a nonsurgical treatment option for many types of complex wounds. This therapy utilizes the vacuum-assisted closure device, which decreases air pressure, removes fluid that accumulates within the wound, and aids to facilitate changes that promote healing. Despite the increased use of negative pressure wound therapy in the head and neck region, there is substantially less data available on the management of transoral vacuum-assisted wound closure. Herein, we present a case of a novel approach for the creation and use of a transoral wound vac for a patient with a refractory orocutaneous wound in the setting …
A Modified Oral Health Care Index To Perform Cost-Utility Analysis Is Essential, Nighat Naveed, Fahad Umer
A Modified Oral Health Care Index To Perform Cost-Utility Analysis Is Essential, Nighat Naveed, Fahad Umer
Section of Dental-Oral Maxillofacial Surgery
No abstract provided.
Endodontic Therapy, Crown Amputation, And Soft Tissue Advancement To Treat A Hopeless Tooth, Timothy Daws Dds, Thomas Bolten Dds, Md
Endodontic Therapy, Crown Amputation, And Soft Tissue Advancement To Treat A Hopeless Tooth, Timothy Daws Dds, Thomas Bolten Dds, Md
The Journal of the Michigan Dental Association
Managing patients with a history of intravenous bisphosphonates and antiresorptive medications poses challenges in clinical decision-making. Extractions are generally discouraged in these patients due to the risk of medication-related osteonecrosis of the jaw (MRONJ). This case study presents an 89-year-old female with metastatic breast cancer on Xgeva, facing a non-restorable tooth (#30). A collaborative approach involving the general dentist, endodontist, and oral surgeon employed endodontic therapy, crown amputation, and soft tissue advancement, avoiding extraction. The technique, akin to coronectomy, mitigates MRONJ risk by preserving bone integrity. Follow-up assessments indicate successful treatment without complications, highlighting the efficacy of this approach in …