Journal of Dental Medicine

The aim of the present study was the histological evaluation of Enamel Matrix Derivative (EMD) effectiveness for regeneration of periodontal defects. EMD activates cementum synthesis, PDL and bone during the maturation stage of follicole. In this research, EMD was used in surgical defects of premolar teeth in four adult sheep. Muccoperiosteal flap was reflected in buccal site of teeth. The buccal bone plate was removed from mesial to distal in 4 mm depth. After eliminating the cementum by bur and its etching, EMD was applied on exposed dentine and flap was sutured. In opposite sites of those teeth (control sites) the same process was performed without etching. After 100 days, sheep were sacrificed and histological study through light microscopic was performed on black sections of operation sites. The results showed that in test sites, regeneration of cementum and bone was 62/5% and 42/5-50% respectively. But in control sites regeneration of cementum and bone was 37.5% and 32/5-42/5% respectively. Also the migration of junctional epithelium in control sites was 8-10% more than test sites. The important point is that in test sites, cementum was completely attached to undermining dentine. But, in control sites, the gap between cementum and dentine was visible. As a result, this study suggests that EMD promotes periodontal regeneration, and EMD application is a successful achievement in regenerative periodontal therapy.

Background and Aim: Pulpotomy is one of the routine methods for pulp therapy of primary teeth. At present it is a fact that ideal agent for this has not been discovered. The aim of this study was to compare the clinical and radiographic success rates of electrosurgical pulpotomy versus formocresol pulpotomy in human primary molar teeth.

Materials and Methods: In this clinical trial study, pulpotomy was performed on 68 primary molars in children aged from 5 to 10 years. The teeth were treated using either a conventional formocresol (35 teeth), or electrosurgical technique (33 teeth). Following the pulpotomy procedure, the teeth were evaluated regarding clinical and radiographic success for 3, 6 and 9 months periods. The teeth were evaluated clinically and radiographically for the presence of pain, abscess, fistula, mobility, internal and external resorption and radiolucency. Finally clinical and radiographic data were collected and analyzed with Fisher exact test using P<0.05 as the limit of significance.

Results: After 9 months follow up, the clinical and radiographic success rates for the electrosurgery group were 96% and 84% respectively and for formocresol group, 100% and 96.8% respectively. There were no statistically significant differences between the success rates for the two groups (P>0/05).

Conclusion: Although electrosurgical pulpotomy is a nonpharmacological and easy to use technique, further investigations with longer evaluation periods are suggested.

Background and Aim: A considerable percentage of failure in Endodontic treatments in maxillary molars is attributed to undiscovered second mesiobuccal canal (MB₂).There are different methods for discovering and accessing to this canal. The purpose of this ex vivo study was to compare the detection ability of three methods (direct look, fiberoptic loup and surgical microscope) to find MB₂ after troughing with ultrasonic.

Materials and Methods: In this experimental study, we selected 90 extracted maxillary molars (45 first and 45 second molars) in which after access cavity preparation MB₂ canal was not discovered by direct vision and endodontic explorer. They were divided into 3 groups (n=30). The dentinal shelf between mesiobuccal and palatal canals was eliminated by an endodontic ultrasonic tip (troughing). After that, first group was searched by direct vision, second group by a loup and fiberoptic light and third group by dental operating microscope. Data were analyzed, specificity and sensitivity were calculated.

Results: The results showed that 21%, 61%, and 92% of MB₂ canals after troughing was found by direct vision, fiberoptic loup, and surgical microscope, respectively.

Conclusion: Based on the results of this study, surgical microscope and loup with fiberoptic are preferred methods for discovering MB₂ canal. Troughing with ultrasonic can help find MB₂ canal in all methods.

Surgical and prosthodontic implant complications are often the case of inadvertent improper diagnosis, planning, and placement. These complications always pose a significant challenge in implant dentistry. In this article, it is attempted to depict a new technique in which advanced software program along with newly developed CAD/CAM technology called rapid prototyping will be used. This technology permits graphic and complex 3D implant simulation and then fabrication of computer-generated surgical templates. The best position of implants planned at first by taking into consideration of encased bone density of each implants and then existing occlusion. In this paper, the evolution of Computer Guided Implantology and the many benefits achieved from this very sophisticated technology described as a literature review.

A procedure was explained to fabricate a surgical stent to aid the placement of maxillofacial implants for prosthetic auricular rehabilitation. An impression of the defect was made, and a wax pattern of the missing ear completed and evaluated on the patient. The definitive wax prosthesis was processed in clear acrylic resin. Also an occlusal maxillary splint was fabricated and joined to the acrylic resin ear by using an extraoral acrylic resin bar. Surgical stent provides proper orientation of the acrylic resin ear while remaining attached to the maxillary arch. This surgical stent can also be used for radiographic examination.