Page 53 - MDJ Volume 47 Number 2 ( Jul-Dec 2024)

Abstracts
Keywords: Buccal mucosa, cavernous hemangioma, rare oral into cantilever bridge following extraction of one of the
lesion, vascular tumour abutment teeth while maintaining the aesthetic appearance.
Methodology: A healthy, 49-year-old male patient was
P015 referred by a GDP for management of his periodontal
conditions. Intra-orally patient has localized periodontitis,
Strategies for Optimal Long-term Prognosis in Post- further examination revealed that he has a splinted crown
trauma Endodontic Management of Maxillary Anterior on 22 and 23. 22 has a poor prognosis due to gross
Teeth carious lesion at the crown-root area. After management

Yuen Choong Yow, A. Samsanizah, R. Ratna, S. Saripah of periodontal disease, 22 was atraumatically extracted,
Department of Restorative, Dental Specialist Centre Seremban, Negeri followed by alveolar ridge preservation using alloplastic
Sembilan, Seremban, Malaysia bone grafting material (Ethoss). The tooth structure of
Background: Post-trauma endodontic management plays a 22 within the prosthesis was removed and replaced with
critical role in preserving the vitality, esthetic and function GIC. Case was reviewed after 1 week, 2 weeks, 1 month
of traumatized teeth. The upper anterior teeth are prone and 3 months after the surgery. Results: At 3 months
to trauma due to their prominenta position in the dental review, clinical findings showed a positive outcome
arch. Case Report: This case report illustrates the successful with an improvement of the surrounding mucosa and
post-trauma endodontic management of tooth 11 and 21 adequate preservation of vertical and horizontal contour
in a 21-year-old Malay male patient who experienced a of the alveolar ridge. The cantilever bridge has adequate
luxation injury and complicated crown fracture following function and aesthetically pleasing. Conclusion: In the
a motor vehicle accident (MVA). Initially, the patient aesthetic region, ARP following tooth extraction helps
received immediate treatment at the hospital, where in maintaining both vertical and horizontal dimension of
composite splinting and glass ionomer cement (GIC) the alveolar ridge and indirectly the aesthetic component.
bandaging were applied to stabilize the traumatized teeth. Keywords: Alveolar ridge preservation, bone graft, extraction
Subsequently, the patient was immediately referred to the
Restorative Unit at Pusat Pakar Pergigian Seremban for P017
comprehensive post- trauma endodontic management.
To optimize the treatment outcomes, pulpotomy and Utilizing Platelet-Rich Fibrin for Oroantral Fistula
pulpectomy procedures were performed on tooth 11 and Closure: Insights from a Case Series in a University
21 respectively, followed by direct composite restorations. Teaching Hospital Setting
Regular follow-up was conducted in accordance with
the International Association of Dental Traumatology Alia Binti Mohammed Ghazali, W. C. Ngeow, M. K. Hassan, C. C. Tan
(IADT) guidelines. Conclusion: The findings of this case Department of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry,
Universiti Malaya, Kuala Lumpur, Malaysia
highlight the importance of immediate post- trauma
endodontic management and the significance of proper Introduction: Oroantral communication (OAC) refers to an
follow-up sessions in reducing complications. As a result, abnormal connection or opening between the oral cavity
improving the long-term prognosis of these teeth. and the maxillary sinus that can arise from various dental
procedures, primarily the extraction of maxillary posterior
Keywords: Post-trauma endodontic management, pulpectomy, teeth. If an OAC persists and becomes epithelialized, it
pulpotomy
may develop into an oroantral fistula (OAF), in which it
P016 warrants a more complicated treatment. Untreated OAC
can lead to complications like sinus infections, chronic
Alveolar Ridge Preservation in the Aesthetic Region of sinusitis, and difficulties in eating and speaking. It often
a Modified Splinted Crown: A Case Report requires prompt and effective treatment to close the
communication and prevent further issues. While smaller
Ho Shi Fang, I. Razida, A. K. Henny Zaliyana communications may resolve spontaneously, larger defects
Department of Periodontics, Jalan Gambut, Kuantan Pahang, Malaysia
necessitate surgical intervention to close the fistula and
Introduction: Following tooth extraction, progressive prevent further complications. One emerging treatment
resorption of the alveolar ridge will take place. This may option for the closure of oroantral communications is the
sometimes lead to severe atrophy of the alveolar ridge use of platelet-rich fibrin (PRF). It is a second-generation
and subsequent problems in placing dental prosthesis. platelet concentrate that has demonstrated remarkable
Alveolar ridge preservation (ARP) can be considered to properties in promoting tissue healing and regeneration.
preserve vertical and horizontal dimension of the alveolar In the context of OACs, the application of platelet-rich
ridge following tooth extraction which will aid in future fibrin has been explored as a minimally invasive and
implant placement while preserving aesthetic component effective means of sealing the communication between
in the aesthetic region. Objective: To restore and maintain the oral cavity and maxillary sinus. Case Report: This case
the function of splinted crown which has been converted series report presents three clinical cases where patients

Malaysian Dental Journal ¦ Volume 47 ¦ Issue 2 ¦ July-December 2024 47