Volume 1, Issue 2, December 2018

Feb 06

Comparative aspects in manufacturing the metal framework of RPD. Case management

Sorana Baciu 1, Sandru Dan 2, Robert Kadar 3, Alexandru Grecu 1, Marius Manole 1, Ondine Lucaciu 1
1 Faculty of Dental Medicine, Iuliu Hațieganu University, Cluj-Napoca, Romania
2 Sandru Dan Dental Laboratory, Turda, Romania
3 Robert Kadar Dental Laboratory, Turda, Romania

Removable partial dentures are rarely used due to their complexity and difficult specific clinical and lab steps in the treatment of the patient with class I and II Kennedy edentulism. In the present study through two clinical cases, it was shown that both the clinical and lab steps and the manufacturing cost of these types of prosthetic reconstructions could be reduced. For this purpose, new techniques in manufacturing the wax pattern of the removable part of the RPD have been developed in order to facilitate the lab steps and to gain time. This technique is easier, less time consuming and cheaper than classical techniques, and probably equal in term of precision than other more recent techniques.

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This entry was posted in Case report, Volume 1, Issue 2, December 2018 on February 6, 2019
Feb 06

The importance of periodontal plastic surgery as a pre-orthodontic procedure

Alin Alexandru Odor 1, Marius Maris 2, Edwin Sever Bechir 3
1 Faculty of Dental Medicine, Ovidius University of Constanța, Romania
2 Faculty of Dental Medicine, Titu Maiorescu University Bucharest, Romania
3 Faculty of Dental Medicine, University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, Romania

The development of new orthodontic appliances has encouraged a growing number of adults to benefit from treatment. The goal of preventive mucogingival surgery is to increase soft tissue coverage before the start of the orthodontic treatment. The aim of this case report is to present the clinical outcomes of periodontal plastic microsurgery technique as a pre-orthodontic procedure in a 28 years-old female patient with gingival recessions in quadrant II and thin gingival biotype.
After a session of prophylaxis and the cervical lesion’s treatment, a bilaminar technique with coronally advanced envelope flap was performed. The connective tissue grafts were sutured over the denuded root surfaces with resorbable sutures. The sutures were removed after two weeks postop and the healing was uneventful. The results have been maintained during the orthodontic treatment and no dentin hypersensitivity was reported after the periodontal plastic surgery.
In conclusion, this procedure represents a predictive treatment of recessions and can minimize further recessions and exposure of the roots during the orthodontic forces.

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This entry was posted in Case report, Volume 1, Issue 2, December 2018 on February 6, 2019
Feb 06

Bone reconstruction in severe defects of the mandibular residual ridge in oral surgery

Alexandru Daniel Referendaru 1, Monica Raluca Comăneanu 1, Ștefania Iancu 1, Claudia Florina Andreescu 1, Horia Mihail Barbu 1
1 Faculty of Dental Medicine, Titu Maiorescu University Bucharest, Romania

Dental implants placement is often limited by the anatomy of the alveolar bone. Patients often lose their teeth due to alveolar bone resorption, tooth extraction, trauma thus making it difficult to place implants in an optimal prosthetic position. The loss of width of the residual alveolar ridge that is needed to place implants often needs a remodeling of the lost dimensions.
This case reports the successful management of such a patient where the placement of implants possible by autogenous bone block graft techniques obtained from the external oblique line of the mandible with predictable osseointegration and implant stability.

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This entry was posted in Case report, Volume 1, Issue 2, December 2018 on February 6, 2019
Feb 06

Management of implant fracture: a clinical report

Horia Mihail Barbu 1, Claudia Florina Andreescu 1, Doina Lucia Ghergic 1
1 Faculty of Dental Medicine, University Titu Maiorescu Bucharest, Romania

Implant fracture is a rare complication of dental implant treatment, but this complication represents failure of treatment. A case of fracture of an endosseous dental implant occurring in a middle-age woman, 18 months after placement is reported. The implant replaced the mandibular first premolar in a four-unit bridge supported by two implants. The treatment plan consist of placement of additional implants simultaneous with removal of the fractured implant and reconstruction of bone loss. The bone collected from implant placement and implant removal was used to regenerate surgical site.

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This entry was posted in Case report, Volume 1, Issue 2, December 2018 on February 6, 2019
Feb 06

The option for prosthetic treatment determined by social and economic factors

Andreea Mariana Bănățeanu 1, Barbu Alexandru 2, Farah Bechir 3, Claudia Florina Andreescu 1
1 Faculty of Dental Medicine, Titu Maiorescu University, Bucharest, Romania
2 Private practice
3 Faculty of Dental Medicine, University of Medicine, Pharmacy, Science and Techology of Targu Mures, Targu Mures, Romania

Fixed mixed restorations are frequently realized in prosthodontics. The purpose of the study was to analyze comparatively the frequency in realization of fixed prosthetic restorations, represented by metal-polymeric and porcelain fused to metal bridges, in private practice, in patients living in rural and urban area.
95 patients, 42 of rural and 53 of urban area were selected for this study. The selected clinical cases were compared after the achievement of prosthetic restoration (metal-polymeric and porcelain fused to metal bridges), to determine the causes of choosing of the type of prosthetic treatment plane. The selected patients received 114 fixed mixed restorations, represented by 70 metal-polymer (FMMP) and 44 porcelain-fused-to-metal (PFM) bridges. The distribution of FMMP restorations were 59 for patients of rural area and 11 for the patients of urban area. All 44 PFM restorations were achieved for the patients of urban area.
In some situations, the adopted prosthetic treatment plan may represent a compromise solution in terms of the optimal resolution of the case, due to the local or general particularities of patients, or due to the objective/financial factors.

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This entry was posted in Original paper, Volume 1, Issue 2, December 2018 on February 6, 2019
Feb 06

Removal of definitive root canal obturation using three different tehniques

Andrea-Csinszka Kovács- Ivácson 1, Mihai Pop 1, Monica Monea 1, Mónika Kovács 1
1 Faculty of Dental Medicine, University of Medicine and Pharmacy of Tirgu Mures, Romania

Introduction: In the course of time many tehniques were recommended for the removal of the root canal filling with different efficiency, time- and work exaction. The aim of this study was to evaluate the efficiency of three different methods used for guttapercha cone and sealer removal during dezobturation. Materials and methods: 63 extracted incisors after root canal preparation were filled using sealer and gutta-percha cones. After 1 week the obturation was removed using three different techniques. Teeth were sectioned to estimate the efficiency of the techniques. Preparation time was also measured. Statistical analysis was performed, at a value of p<0.05. Results: Visual analysis showed a more efficient cleaning of obturation when ProTaper files were used, although statistical analysis showed no differences between hand files, hand and rotary file combination and ProTaper files efficiency. ProTaper files dezobturated the canals in shortest time. Conclusion: ProTaper are recommended for root canal filling removal.

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This entry was posted in Original paper, Volume 1, Issue 2, December 2018 on February 6, 2019
Feb 06

The use of triple antibiotic paste and blood clot for revascularization and regeneration of the pulp in endodontics

Marius Mihai Togoe 1, Marius Manole 2, Sorana Florica Baciu 2, Cosmin Sinescu 1, Meda Lavinia Negrutiu 1
1 Faculty of Dental Medicine, Victor Babes University of Medicine and Pharmacy from Timisoara, Romania
2 Faculty of Dental Medicine, Iuliu Hațieganu University, Cluj-Napoca, Romania

Objective: The main reason of the present study is to analyse the methods and protocols that have been discovered and used until now in endodontic therapy for a necrotic tooth with or without immature root.
Methods: An electronic search was done in ResearchGate and PubMed using terms about revascularization and regeneration in endodontics between 2004 and 2018. Every clinical trial was read and selected based on the most interesting cases no regardless of the results.
Results: Thirty publications are noted in this research that used triple antibiotic paste consisting of metronidazole, ciprofloxacin, and minocycline as an intracanal medicament. All canals were irrigated with sodium hypochlorite 2.25% or higher and in no case were they mechanically instrumented. In 93% of the relevant studies, mineral trioxide aggregate was used as an intracanal coronal barrier.
Conclusions: Modern endodontic therapy on immature teeth with immature apex and necrotic pulp has achieved excellent results using antibiotic paste and blood clotting without any mechanical instrumentation.

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This entry was posted in Original paper, Volume 1, Issue 2, December 2018 on February 6, 2019
Feb 06

Success or survival

Horia Mihail Barbu 1
1 Titu Maiorescu University, Bucharest, Romania

The dental patient with his pathology, his needs and his demands represents the point of departure for the research and innovations in dentistry. He is the most important recipient of the clinical advancement and innovations achieved through medical science. This journal is meant to provide the scientific content and peer-reviewed research to improve clinical outcome, as well as treatment planning options, in order to enhance success of dental treatment [1].

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This entry was posted in Editorial, Volume 1, Issue 2, December 2018 on February 6, 2019