22 months follow-up of deep marginal acquisition with thermacut bur in management of deep subgingival interproximal carious lesions: a case report
Abstract Background Minimally invasive dentistry is now becoming the forefront of restorative dentistry, involving less traumatic treatment protocols, conservation of tooth structure and surrounding tissues, enhancing the long-term survivability of treated teeth, and improving the overall quality of...
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BMC
2025-01-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-024-05326-y |
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| author | Ahmed Khairy Elmorsy Shereen Hafez Ibrahim Hani Mohamed Essam El-Nahass Ahmed El Zohairy |
| author_facet | Ahmed Khairy Elmorsy Shereen Hafez Ibrahim Hani Mohamed Essam El-Nahass Ahmed El Zohairy |
| author_sort | Ahmed Khairy Elmorsy |
| collection | DOAJ |
| description | Abstract Background Minimally invasive dentistry is now becoming the forefront of restorative dentistry, involving less traumatic treatment protocols, conservation of tooth structure and surrounding tissues, enhancing the long-term survivability of treated teeth, and improving the overall quality of life for patients. Objective The current case report was conducted to evaluate acquiring deep subgingival interproximal carious lesions by the mean of thermacut bur gingivectomy, in terms of patient satisfaction through pain evaluation, Bleeding on Probing, Pocket Depth, Crestal Bone Level evaluation, and restoration evaluation using modified USPHS criteria. Material and methods A patient with a deep proximal cavity in the posterior tooth was thoroughly examined and underwent Thermacut Bur Gingivectomy (TBG) after caries removal followed by direct resin composite restoration of the prepared cavity. Patient Satisfaction using a Visual Analogue Scale (VAS) as a primary outcome. Bleeding on Probing (BoP), Probing Depth (PD), and Crestal Bone Level (CBL) as secondary outcomes, and Marginal Integrity using Modified USPHS Criteria as a tertiary outcome, were evaluated at the baseline, immediate post-operative, 6 month, 12 month and 22 month follow-up intervals. Results Thermacut bur gingivectomy revealed minimal immediate post-operative pain, minimal time-consuming procedure, minimal (BoP), appropriate (PD) and no need for extra specialty involvement in the treatment of deep interproximal carious lesions in addition to preservation of the alveolar bone crest with excellent restoration margin at different time intervals. Conclusions Thermacut bur gingivectomy can be considered a valid treatment for managing of deep subgingival interproximal carious lesions in vital teeth. Thermacut bur gingivectomy can be introduced as an easy technique for clinicians in the management of deep subgingival interproximal carious lesions, without the need to refer patients to periodontists and without the need for special devices. |
| format | Article |
| id | doaj-art-a936ada43fb042bd8fa500eeff35d605 |
| institution | Kabale University |
| issn | 1472-6831 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj-art-a936ada43fb042bd8fa500eeff35d6052025-02-09T12:57:18ZengBMCBMC Oral Health1472-68312025-01-0125111110.1186/s12903-024-05326-y22 months follow-up of deep marginal acquisition with thermacut bur in management of deep subgingival interproximal carious lesions: a case reportAhmed Khairy Elmorsy0Shereen Hafez Ibrahim1Hani Mohamed Essam El-Nahass2Ahmed El Zohairy3Faculty of Dentistry, Cairo UniversityProfessor of Conservative Dentistry, Faculty of Dentistry, Cairo UniversityProfessor of Periodontology, Faculty of Dentistry, Cairo UniversityProfessor of Conservative Dentistry, Faculty of Dentistry, Cairo UniversityAbstract Background Minimally invasive dentistry is now becoming the forefront of restorative dentistry, involving less traumatic treatment protocols, conservation of tooth structure and surrounding tissues, enhancing the long-term survivability of treated teeth, and improving the overall quality of life for patients. Objective The current case report was conducted to evaluate acquiring deep subgingival interproximal carious lesions by the mean of thermacut bur gingivectomy, in terms of patient satisfaction through pain evaluation, Bleeding on Probing, Pocket Depth, Crestal Bone Level evaluation, and restoration evaluation using modified USPHS criteria. Material and methods A patient with a deep proximal cavity in the posterior tooth was thoroughly examined and underwent Thermacut Bur Gingivectomy (TBG) after caries removal followed by direct resin composite restoration of the prepared cavity. Patient Satisfaction using a Visual Analogue Scale (VAS) as a primary outcome. Bleeding on Probing (BoP), Probing Depth (PD), and Crestal Bone Level (CBL) as secondary outcomes, and Marginal Integrity using Modified USPHS Criteria as a tertiary outcome, were evaluated at the baseline, immediate post-operative, 6 month, 12 month and 22 month follow-up intervals. Results Thermacut bur gingivectomy revealed minimal immediate post-operative pain, minimal time-consuming procedure, minimal (BoP), appropriate (PD) and no need for extra specialty involvement in the treatment of deep interproximal carious lesions in addition to preservation of the alveolar bone crest with excellent restoration margin at different time intervals. Conclusions Thermacut bur gingivectomy can be considered a valid treatment for managing of deep subgingival interproximal carious lesions in vital teeth. Thermacut bur gingivectomy can be introduced as an easy technique for clinicians in the management of deep subgingival interproximal carious lesions, without the need to refer patients to periodontists and without the need for special devices.https://doi.org/10.1186/s12903-024-05326-yDeep marginal acquisitionThermacut burDeep subgingival interproximal carious lesions |
| spellingShingle | Ahmed Khairy Elmorsy Shereen Hafez Ibrahim Hani Mohamed Essam El-Nahass Ahmed El Zohairy 22 months follow-up of deep marginal acquisition with thermacut bur in management of deep subgingival interproximal carious lesions: a case report BMC Oral Health Deep marginal acquisition Thermacut bur Deep subgingival interproximal carious lesions |
| title | 22 months follow-up of deep marginal acquisition with thermacut bur in management of deep subgingival interproximal carious lesions: a case report |
| title_full | 22 months follow-up of deep marginal acquisition with thermacut bur in management of deep subgingival interproximal carious lesions: a case report |
| title_fullStr | 22 months follow-up of deep marginal acquisition with thermacut bur in management of deep subgingival interproximal carious lesions: a case report |
| title_full_unstemmed | 22 months follow-up of deep marginal acquisition with thermacut bur in management of deep subgingival interproximal carious lesions: a case report |
| title_short | 22 months follow-up of deep marginal acquisition with thermacut bur in management of deep subgingival interproximal carious lesions: a case report |
| title_sort | 22 months follow up of deep marginal acquisition with thermacut bur in management of deep subgingival interproximal carious lesions a case report |
| topic | Deep marginal acquisition Thermacut bur Deep subgingival interproximal carious lesions |
| url | https://doi.org/10.1186/s12903-024-05326-y |
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