Browsing by Author "Moodley, Tashia"

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    An in-vitro study of a modified bioactive orthodontic cement
    (University of the Western Cape, 2017) Moodley, Tashia; Geerts, Greta
    Introduction: Demineralization of the enamel surface adjacent to bonded orthodontic brackets during treatment is an ongoing drawback, especially when manifested as white spot lesions. Enamel demineralization is initiated by organic acids produced mainly by Streptococcus mutans. A favourable substitute is the development of orthodontic bonding agents with antibacterial or microbial properties. Chitosan is an interesting candidate in this respect. Thus, the rationale of this study was to incorporate chitosan into an orthodontic cement to create a novel orthodontic cement and assess whether the incorporation of chitosan to an existing orthodontic cement would affect its biological and physical properties.
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    Management of necrotic pulp of immature permanent incisor tooth: A regenerative endodontic treatment protocol: case report
    (SADA, 2017) Moodley, Desigar S.; Peck, Craig; Moodley, Tashia; Patel, Naren
    It is possible that a paradigm shift may be in the offing in the approach to treatment of immature teeth with necrotic pulp, away from traditional apexification procedures and to a biologically-based endodontic protocol intended to produce regeneration, based on the deliberate introduction of bleeding into the canal space to provide a scaffold and allow the ingress of stem cells. Methods: A patient presented with a maxillary right central incisor tooth with an open apex and periapical radiolucency. The tooth was irrigated with sodium hypochlorite and then dressed with tri-antibiotic paste consisting of ciprofloxacin, metronidazole and amoxicillin. At a subsequent visit a blood clot was produced in the canal by irritating periapical tissues and the canal then sealed with mineral trioxide aggregate and glass ionomer cement. Results: The patient was pain free, the draining sinus was resolved in two weeks, root maturation continued and apical closure occurred after two months. The tooth became responsive to cold pulp vitality testing. Conclusions: Continued root growth invoked by regenerative endodontics may reduce the risks of fracture and premature tooth loss otherwise associated with traditional CaOH2 apexification procedures. Randomised, prospective clinical trials and long term studies are required before the technique becomes standard practice.
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    Management of necrotic pulp of immature permanent incisor tooth: A regenerative endodontic treatment protocol: case report
    (South African Dental Association, 2017) Moodley, Desi; Patel, Naren; Peck, Craig; Moodley, Tashia
    It is possible that a paradigm shift may be in the offing in the approach to treatment of immature teeth with necrotic pulp, away from traditional apexification procedures and to a biologically-based endodontic protocol intended to produce regeneration, based on the deliberate introduction of bleeding into the canal space to provide a scaffold and allow the ingress of stem cells. METHODS: A patient presented with a maxillary right central incisor tooth with an open apex and periapical radiolucency. The tooth was irrigated with sodium hypochlorite and then dressed with tri-antibiotic paste consisting of ciprofloxacin, metronidazole and amoxicillin. At a subsequent visit a blood clot was produced in the canal by irritating periapical tissues and the canal then sealed with mineral trioxide aggregate and glass ionomer cement. RESULTS: The patient was pain free, the draining sinus was resolved in two weeks, root maturation continued and apical closure occurred after two months. The tooth became responsive to cold pulp vitality testing. CONCLUSIONS: Continued root growth invoked by regenerative endodontics may reduce the risks of fracture and premature tooth loss otherwise associated with traditional CaOH2 apexification procedures. Randomised, prospective clinical trials and long term studies are required before the technique becomes standard practice.