Mineral Trioxide Aggregate (MTA) has been used in many endodontic procedures with success. We hypothesized that MTA as a pulpotomy medicament elicits outcomes no different than that of the diluted formocresol (DFC).PURPOSE:The purpose of this study was to compare the outcomes of grey MTA and DFC in primary molar pulpotomies at a teaching institution and a pediatric dental practice.METHODS:At the teaching institution, 206 primary molars of 122 children were enrolled. At 48-months, 20 teeth treated with MTA and 25 teeth treated with DFC, were available for evaluation. At the private practice, dental records of 245 primary molars of 68 patients were available for evaluation.RESULTS:At 48 months, the results from both sites showed a radiographic success rate of 80 percent for DFC and 95 percent for MTA. The odds of radiographic failure were not affected by study sites. The Cox-regression analysis revealed that patient's age at the time of pulpotomy impacted the "hazard of exfoliation." Each year following the completion of DFC or MTA pulpotomy, there is a 4.6-times-more-likely chance for early exfoliation of the pulpotomized tooth.CONCLUSION:Grey MTA is an acceptable alternative for primary molar pulpotomies.
The Stafne bone defect, also known as the Stafne bone cyst, or Stafne bone cavity, is an asymptomatic, static depression of the lingual aspect of the mandible that often appears as a radiolucent area near the angle of the mandible. It noted as an incidental finding during routine dental imaging. The purpose of this article is to present a case that was diagnosed as a Stafne bone defect using Cone Beam Computed Tomography (CBCT). This diagnosis is based on radiographic characteristics, which are described as a well-defined, round to ovoid radiolucent lesion in the lower left mandible, located below the inferior alveolar nerve canal and anterior to the angle of the mandible. Radiographic confirmation should preclude further surgical exploration.
Restorative full-mouth reconstruction dental treatment may be cost prohibitive for many patients. This case report, which involves a male patient who presented with severe attrition, discusses a method for delivering treatment while dispersing its cost over several years. In addition, the article demonstrates how a stable occlusion can be obtained inexpensively. The end result of the segmented treatment remained optimal and esthetic.
