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  • Author: Adina Coșarcă x
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Coșarcă Adina, Păcurar Mariana, Petrovan Cecilia and Ormenișan Alina

Abstract

Aim: The aim of this study was to compare the periodontal status of impacted canines after 5 years following completion of the combined surgical and orthodontic treatment. Materials and methods: We examined 20 labially impacted canines and 20 palatally impacted canines at 5 years after the end of treatment. We assessed the periodontal status of these teeth. Results: Different outcomes were found regarding the probing depth and the amount of keratinized gingiva in the two mentioned groups of teeth. Conclusions: The assessed periodontal indices may signal the appearance of a periodontal disease around the teeth that were surgically and orthodontically treated

Open access

Alina Ormenișan, Alina Iacob, Daniel Szava, Balint Bogozi and Adina Coșarcă

Abstract

Introduction: The imaging method of cone beam is an improved, extremely accurate computed tomography applicable in the whole field of dentistry. Due to its ability to locate the exact position of the impacted teeth, CBCT software has an important role in the management of difficult cases of impacted third molar. In some situations, the lower third molar is quite near to the inferior alveolar nerve that the surgical extraction can present a high risk of post-operative sensitive impairs of the skin and mucosa of the lower lip and chin on the same side. Presentation of case series: Our study tried to assess the contribution of CBCT in the pre-operative evaluation and further treatment of patients with impacted third molars in mandibular bone with high risk of inferior alveolar nerve injury. The paper presents three clinical cases showing positive signs on standard OPG, which exhibit indicators of a potential contact between the inferior alveolar nerve and the impacted lower third molars. For an improved exploration Dental CT Scan, DICOM image acquisition program, and 3D reconstruction with a special software were used. Conclusions: The study showed that compared with panoramic radiography, CBCT improve the evaluation of the surgical risk and allow a more accurate planning of surgery.

Open access

Coșarcă Adina-Simona, Păcurar Mariana, Nagy-Bota Monica-Cristina and Ormenișan Alina

Abstract

Aim: The aim of this study was to perform a clinical and statistical research on permanent impacted canine patients among those with dental impaction referred to and treated at the Oral and Maxillo-Facial Surgery Clinic of Tîrgu Mureș, over a four years period (2009-2012). Materials and methods: The study included 858 patients having dental impaction, and upon clinical records, different parameters, like frequency, gender, age, quadrant involvement, patient residence, associated complications, referring specialist and type of treatment, related to canine impaction, were assessed. Results: The study revealed: about 10% frequency of canine impaction among dental impactions; more frequent in women, in the first quadrant (tooth 13); most cases diagnosed between the age of 10-19 years; patients under 20 were referred by an orthodontist, those over 20 by a dentist; surgical exposure was more often performed than odontectomy. Conclusions: Canine impaction is the second-most frequent dental impaction in dental arch after third molars; it occurs especially in women. Due to its important role, canine recovery within dental arch is a goal to be achieved, whenever possible. Therefore, diagnose and treatment of canine impaction requires an interdisciplinary approach (surgical and orthodontic)

Open access

Fulop Emoke, Coşarcă Adina, Păcurar Mariana, Ormenişan Alina, Monea Adriana, R Grigoraş and Mocan Simona

Abstract

Aim. The purpose of this study was to evaluate the morphological aspects of dental follicles associated with impacted teeth and the immunoexpression of Ki 67 and p53, in the remaining epithelium from impacted third molars and canines. Another aspect was to identify the transformation of the remaining epithelium within the odontogenic lesions.

Material and method. We included in the study a number of 100 dental follicles, of which only 62 met the inclusion criteria. The immunohistochemical reactions were carried out in the Immunohistochemistry Lab at the Department of Histology of the University of Medicine and Pharmacy of Târgu Mureş. We counted 100 cells from the remaining epithelial islands from which we determined the percentage of labeled cells for both markers. After this all data were subjected to a statistical analysis.

Results. Out of the 62 specimens 44 were from females and 28 from males. Positive results were obtained for the two markers but not for all cases. We have also found a positive correlation regarding the immunolabeling of the two markers (p=0.002 in canines, p=0.0001 in molars). Median values for ki67 were statistically significantly higher than the values for p53 for both types of dental follicles.

Conclusions. Both markers were expressed in the remaining epithelial islands. The stronger expression of Ki67 in the follicles of impacted molars can demonstrate the higher frequency of odontogenic cysts in this area.

Open access

Monica-Cristina (Nagy-Bota) Muica, Mariana Păcurar, Manuela (Chibelean) Cireș-Marginean, Anamaria Jurcă, Adina Simona (Coșarcă) Lup and Tudor A

Abstract

Objective: Given the high frequency of dental anomalies of position and the lack of preventive measures of surveillance and monitoring of the eruption of permanent teeth, the aim of this study is to evaluate the frequency of dental anomalies of position in children.

Material and methods: We conducted a retrospective longitudinal study in the 2006-2012 period. Data were collected from the medical records and orthopantomography x-rays of 408 patients (230 female and 178 male) who presented to the Pedodontics-Orthodontics Clinic in Tîrgu Mureș. After applying the exclusion criteria, 77 patients remained in the study.

Results: From the 77 patients, 57 had dental inclusions, 15 presented ectopic teeth, dental rotations have been observed in 2 patients, and midline diastema in 5 patients. Regarding sex distribution, there was a higher frequency of dental inclusions in women (39) than men (38). The frequency of dental inclusions, regarding dental groups, in a descending order was: maxillary canine, mandibular second premolar, mandibular canine, maxillary second premolar, mandibular first premolar, maxillary first premolar, maxillary lateral incisor, maxillary central incisor and maxillary and mandibular first molars. The frequency of dental inclusions in the dental support area had the highest rate in the 12-14 years age group.

Conclusions: From all the studied dental anomalies, dental inclusions presented the highest frequency. Regarding the dental support area, most cases of dental inclusion were observed in the 12-14 years age group.