@article{KrugVollandReichetal.2020, author = {Krug, Ralf and Volland, Julian and Reich, Sebastian and Soliman, Sebastian and Connert, Thomas and Krastl, Gabriel}, title = {Guided endodontic treatment of multiple teeth with dentin dysplasia: a case report}, series = {Head \& Face Medicine}, volume = {16}, journal = {Head \& Face Medicine}, doi = {10.1186/s13005-020-00240-4}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-230271}, year = {2020}, abstract = {Background To report the outcome of guided endodontic treatment (GET) of a case of dentin dysplasia with pulp canal calcification (PCC) and apical periodontitis based on the use of a 3D-printed template designed by merging cone-beam computed tomography (CBCT) and surface scan data. Case presentation A 12-year old female with radicular dentin dysplasia type I (DD-1) presented for endodontic treatment. Radiography revealed PCC in all teeth and apical radiolucency in seven teeth (12, 15, 26, 31, 32, 36 and 46). Tooth 36 had the most acute symptoms and was thus treated first by conventional access cavity preparation and root canal detection. Despite meticulous technique, the distal and mesiolingual canals were perforated. The perforations were immediately repaired with mineral trioxide aggregate, and the decision was made to switch to guided endodontic treatment for the remaining 6 teeth. CBCT and intraoral surface scans were acquired and matched using coDiagnostix planning software (Dental Wings Inc.), the respective drill positions for root canal location were determined, and templates were virtually designed and 3D-printed. The template was positioned on the respective tooth, and a customized drill was used to penetrate the calcified part of the root canal and perform minimally invasive access cavity preparation up to the apical region. All root canals were rapidly and successfully located with the templates. At 1-year follow-up, clear signs of apical healing were present in all treated teeth. Conclusions In patients with dentin dysplasia, conventional endodontic therapy is challenging. GET considerably facilitates the root canal treatment of teeth affected by dentin dysplasia.}, language = {en} } @article{MagniLeontievSolimanetal.2022, author = {Magni, Eva and Leontiev, Wadim and Soliman, Sebastian and Dettwiler, Christian and Klein, Christian and Krastl, Gabriel and Weiger, Roland and Connert, Thomas}, title = {Accuracy of the fluorescence-aided identification technique (FIT) for detecting residual composite remnants after trauma splint removal — a laboratory study}, series = {Applied Sciences}, volume = {12}, journal = {Applied Sciences}, number = {19}, issn = {2076-3417}, doi = {10.3390/app121910054}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-290252}, year = {2022}, abstract = {Distinguishing composite remnants from tooth structure after trauma splint removal can be challenging. This study aimed to compare the Fluorescence-aided Identification Technique (FIT) with conventional light illumination (CONV) in terms of accuracy and time required for the detection of composite remnants after trauma splint removal. Ten bovine tooth models containing anterior teeth from 12 to 22 with composite remnants after trauma splint removal were used. These models were examined by 10 students and 10 general dentists. Each examiner assessed the 10 models using CONV or FIT three times with an interval of 2 weeks each using a prototype fluorescence-inducing headlamp with a spectral bandwidth of (405 ± 7) nm for FIT and a dental unit lamp for CONV. The examiners charted the location of identified composite remnants, and the procedure time needed for each method was recorded. Statistical analysis was performed with R 3.2.2 software with a significance level of α = 5\%. FIT was more accurate and less time-consuming than CONV (p < 0.001). There were no significant differences between dentists and students concerning accuracy (CONV: p = 0.26; FIT: p = 0.73). Students performed FIT significantly faster than the dentists (p < 0.001). FIT is a quick and reliable method of identifying composite remnants after trauma splint removal.}, language = {en} }