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Alam, Sharique
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Dentistry

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Endodontic Management of Mandibular First Molar with Four Roots - A Rare Case Report with Clinical Management Guidelines Shahbaz, Shaikh; Iftekhar, Huma; Alam, Sharique; Shavez, Zehra
Journal of Dentistry Indonesia Vol. 29, No. 1
Publisher : UI Scholars Hub

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Abstract

Mandibular molar is usually two rooted with one mesial and one distal root. Additional roots are rare which requires accurate diagnosis and a methodical and scrupulous endodontic treatment. Objective: This paper aims to report the endodontic management of an unusual case of a mandibular permanent first molar with four roots (two mesial & two distal) and provide a clinical guideline to detect and manage these variant cases. Case report: A 15-year-old boy reported with a deep carious lesion in the lower left first molar (#36). The apical root contour of #36 on an intraoral periapical radiograph taken in different angulations suggested the presence of extra roots. A Spiral Computed Tomographic scan with multiplanar three-dimensional reconstructed images confirmed a fourrooted mandibular molar. Endodontic treatment of #36 was planned based on a diagnosis of pulpal necrosis with symptomatic apical periodontitis. The pulp chamber floor was assiduously explored along the developmental root fusion line (DRFL) to guide a trapezoidal access cavity and expose two mesial and two distal orifices. Conclusion: The present case report highlights the successful endodontic treatment of an atypical four rooted mandibular first molar by following a systematic approach from diagnosis to its clinical management.
Esthetic Management of Maxillary Anteriors with Complicated and Uncomplicated Fractures Using Different Fragment Reattachment Approaches A, Lavanya; Tewari, Rajendra Kumar; Alam, Sharique
Journal of Dentistry Indonesia Vol. 31, No. 2
Publisher : UI Scholars Hub

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Abstract

Appropriate management of anterior tooth fracture restores the function and aesthetics and provides a positive psychological impact for the patient. One of the most conservative approaches for such a restoration is reattachment; if a fracture fragment remains attached to the tooth and is available, as in young patients, immediate reporting helps preserve the vitality and long-term defense mechanism. Objective: This case report provides two cases with varied approaches for the management of complicated and uncomplicated crown fractures using reattachment procedures. Case report: During the clinical examination, the first case described the management of an uncomplicated fracture using the putty index technique. The second case report describes the management of a complicated fracture of the upper central incisor, which invades the biological width using flap elevation and fiber post-cementation. Conclusion: Fragment reattachment is a reliable, conservative, and immediate alternative technique having better retentive and aesthetic values. Tooth fragment reattachment provides dentists with a conservative approach for an aesthetically satisfactory tooth reconstruction.
Co-Authors A, Lavanya Iftekhar, Huma Shahbaz, Shaikh Shavez, Zehra Tewari, Rajendra Kumar