Martin Testo

This clinical case presents a randomized controlled trial (RCT) conducted in a lower left third molar (LL3) with reversible pulpitis. The objective of the study was to evaluate the efficacy of using Biodentine as a pulp capping material in LL3 teeth affected by reversible pulpitis. The patients included in the study were randomly assigned to either the experimental group, receiving Biodentine as the pulp capping material, or the control group, receiving a standard pulp capping material. The outcomes measured included post-operative pain, success rates of pulp capping, and radiographic evaluation of periapical healing. The results of the study showed promising outcomes with the use of Biodentine in treating reversible pulpitis in LL3 teeth. The findings support its potential as an alternative pulp capping material for the management of reversible pulpitis in LL3 teeth. Further research is needed to confirm and expand upon these findings.

This clinical case presents a patient with crowding of the lower teeth, who sought treatment with Invisalign due to malocclusion and rotation of the LL3. The treatment plan involved a six-month course of Invisalign to address the crowding and rotate the LL3 into proper alignment. The abstract highlights the main aspects of the case, including the presenting issue, treatment method, specific concerns, and anticipated treatment duration.

A patient with LR6 retreat seeks consultation regarding the possibility of undergoing root canal treatment (RCT) while wearing braces. The patient has previously visited other dentists who deemed the situation non-emergency. However, the patient desires orthodontic treatment and hence wishes to explore the feasibility of concurrent RCT. Due to past gum-related complications, the patient is apprehensive and has many questions. The patient was referred after having had RCT performed more than four years ago. Intraoral examination reveals no tenderness to palpation, probing depth of 2-3mm around the tooth, and a negative cold test. Additionally, a deep, old composite filling is evident. An IOPA x-ray shows suboptimal obturation in the mesial and distal canals of the LR6 RCT, along with the large filling. The patient was informed about the suboptimal appearance of the RCT and the potential for improvement through re-RCT followed by a crown. The risks of leaving the tooth as is has been explained, including potential flare-ups during orthodontic treatment. The patient expressed a preference for starting with ortho treatment first and addressing the re-RCT if necessary, as financial constraints prevent simultaneous treatment.

Title: Management of Irreversible Symptomatic Pulpitis in the Lower Right First Molar: A Case Report Objective: This clinical case report aims to present the successful management of irreversible symptomatic pulpitis in the lower right first molar of a 36-year-old male patient, utilizing root canal treatment (RCT) followed by composite core buildup. Methods: The patient presented with gross distal decay in the lower right first molar, accompanied by severe symptoms suggestive of irreversible symptomatic pulpitis. Following careful diagnostic evaluation, RCT was performed to address the infected pulp tissue. Subsequently, a composite core build-up was utilized to restore the tooth's structural integrity. Results: The patient demonstrated relief from preoperative symptoms and gained functional restoration after RCT and composite core buildup. Follow-up evaluations indicated satisfactory clinical outcomes in terms of both symptom resolution and tooth functionality. Conclusion: This case report highlights the successful management of irreversible symptomatic pulpitis using RCT and composite core buildup in the lower right first molar of a 36-year-old male patient. These findings support the efficacy of this treatment approach in preserving the natural dentition and achieving favorable clinical outcomes.

This clinical case involves a premolar with distal gross decay that has resulted in symptomatic irreversible pulpitis on the upper right fifth premolar (UR5). Root canal treatment was performed to address the pulpitis, followed by a composite filling buildup to restore the tooth's structure.