50 years old Caucasian patient came to our office seeking dental treatment, chief complaint is to improve the smile appearance and change the not good looking front old crowns. On examination: extra oral smile line is average; midline canting to the mesial, intraoral exposed metal margins on tooth number 11, both number 11 and number 21 is not in the right length and width ration tooth number 12 has an old leaked composite restoration over an access cavity post endodontics treatment to the same tooth. Investigation: Peri-apical x-ray was made for both teeth number 11 and number 21and it showed inadequate root canal treatment on tooth number 11 and tooth number 12 was root canal treated, Diagnostic cast for both upper and lower arches and Diagnostic wax for teeth number 11 and number 21 has been performed. Treatment Plan: Scaling and polishing of all the teeth in the upper and lower arches mockup was made out from the wax for teeth number 11 and number 21 using temporary crown and bridge material. root canal re-treatment to tooth number 11 and tooth canal treatment to tooth number 21 replace oldPFM crowns on tooth number 11 and tooth number 21 with new full ceramic crowns replace old composite restoration on number 12 followup appointment. Clinical Tips • Plan your treatment and treat you plan • communication with the patient is very important at each step of the treatment • careful diagnosis and analysis is a more determinant of the successful treatment
The results indicated that there is moderate level of knowledge and attitude among Jordanian parents towards early orthodontic treatment for their children. The study showed that there is a significant difference in parent’s knowledge towards early orthodontic treatment due to education level. According to the results, the study recommended that parents should make an early orthodontic examination when their children reach the age of 5-7 years, and conduct early orthodontic treatment if they need. The study also recommended the need to increase the awareness of the importance of early orthodontic treatment in Jordan and to include orthodontic in health insurance contracts for companies in Jordan.
Background; Restoration of endodontically treated teeth with extensive coronal loss has always followed a strict protocol, with the fabrication of total crowns supported on metal cores and/or glass fiber posts, it was believed that this procedure would provide better reinforcement of the remaining dental structure. With the advent of adhesive dentistry moreover, the appearance of ceramics that had high strength and were capable of being acid etched (such as those reinforced with leucite or lithium), made it possible to restore posterior teeth, especially molars, without cores and intraradicular posts, this restoration called Endocrown which is a total porcelain crown fixed to a devitalized tooth, which is anchored to the internal portion of pulp chamber and cavity margins, thus obtaining macromechanical retention (provided by the pulpal walls) and microretention (by using adhesive cementation).
