Filling paste extruded from primary root canal remains for extended period: Two case reports

Background Reciproc instruments are the only contemporary root canal instruments where glide path preparation is no longer strictly demanded by the manufacturer. As the complete preparation of root canals is associated with success in endodontic treatment we wanted to assess the ability and find predictors for Reciproc instruments to reach full working length (RFWL) in root canals of maxillary molars in primary root canal treatment (1°RCTx) and retreatment (2°RCTx) cases. Methods This retrospective study evaluated 255 endodontic treatment cases of maxillary molars. 180 were 1°RCTx and 75 2°RCTx. All root canals were prepared with Reciproc instruments. The groups were compared and in a binary logistic regression model predictors for RFWL were evaluated. Results A total of 926 root canals were treated with Reciproc without glide path preparation. This was possible in 885 canals (95.6%). In 1°RCTx cases 625 of 649 (96.3%) canals were RFWL and in 2°RCTx cases 260 of 277 (93.9%). In second and third mesiobuccal canals (MB2/3) 90 out of 101 (89.1%) were RFWL with Reciproc in 1°RCTx and in the 2°RCTx treatment group 49 out of 51 cases (96.1%). In mesio-buccal (MB1) canals “2°RCTx” was identified as negative predictor for RFWL (OR 0.24 (CI [0.08–0.77])). In MB2/3 canals full working length was reached less often (OR 0.04 (CI [0.01–0.31])) if the tooth was constricted and more often if MB2/3 and MB1 canals were convergent (OR 4.60 (CI [1.07–19.61])). Discussion Using Reciproc instruments, the vast majority of root canals in primary treatment and retreatment cases can be prepared without glide path preparation.

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Management of a non-vital immature tooth using MTA as an apical plug: Two case reports

Journal of Chitwan Medical College ◽

10.3126/jcmc.v5i1.12574 ◽

2015 ◽

Vol 5 (1) ◽

pp. 41-46

Author(s):

S Wagle ◽

N Joshi ◽

K Prajapati

Keyword(s):

Root Canal ◽

Case Reports ◽

Mineral Trioxide Aggregate ◽

Canal System ◽

Immature Teeth ◽

Open Apices ◽

Root Canal System

MTA appears to be a valid option for apexification with its main advantage being, the speed at which the treatment can be completed. A major problem in performing endodontics in immature teeth with necrotic pulp and wide open apices is obtaining an optimal seal of the root-canal system. Mineral Trioxide Aggregate (MTA), has been proposed as a potential material to create an apical plug at the end of the root-canal system, thus preventing the extrusion of filling materials.DOI: http://dx.doi.org/10.3126/jcmc.v5i1.12574

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Unusual root canal anatomy in maxillary second molars: two case reports

Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology ◽

10.1016/j.tripleo.2007.07.014 ◽

2007 ◽

Vol 104 (6) ◽

pp. e61-e65 ◽

Cited By ~ 10

Author(s):

Su-Jung Shin ◽

Jeong-Won Park ◽

Jeong-Kyu Lee ◽

Sun-Woong Hwang

Keyword(s):

Root Canal ◽

Case Reports ◽

Root Canal Anatomy

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Treatment of anatomic canal variations in premolar teeth: Five case reports

International Dental Research ◽

10.5577/intdentres.2021.vol11.suppl1.41 ◽

2021 ◽

Vol 11 (Suppl. 1) ◽

pp. 279-284

Author(s):

Emre Bodrumlu ◽

Esma Dinger

Keyword(s):

Root Canal ◽

Native Speakers ◽

Case Reports ◽

Anatomical Variations ◽

Root Canal Treatment ◽

Root Canals ◽

Treatment Indications ◽

Native Speakers Of English ◽

Root Canal Morphology ◽

Root Canal Instrumentation

Aim: The aim of this case report is to present a series of anatomical variations and endodontic treatments in four two-canal mandibular premolar teeth and three rooted three-canal maxillary second premolar teeth with root canal treatment indications identified via clinical and radiographic examinations. The success of root canal treatment is achieved with a thoroughly examined root canal morphology that has been accurately determined radiographically and clinically before adequate shaping, irrigation, and hermetic filling procedures. Root canals that are not found or not adequately disinfected can cause root canal treatment failure and complications, such as pain, swelling, or persistent fistula, also known as flare-up, after treatment. Canal variations in the teeth were detected via periapical radiographs during the root canal instrumentation stage. Methodology: The endodontic treatments of four two-canal mandibular premolar teeth and one triple-rooted three-canal maxillary second premolar with root canal treatment indications were described. Conclusion: To achieve full success in root canal treatment, anatomical variations should be examined in detail before and during treatment, and treatment should be completed with appropriate techniques. How to cite this article: Dinger E, Bodrumlu E. Treatment of anatomic canal variations in premolar teeth: Five case reports. Int Dent Res 2021;11(Suppl.1):279-84. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.41 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

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Effect of Different Concentrations of Sodium Hypochlorite on Outcome of Primary Root Canal Treatment: A Randomized Controlled Trial

Journal of Endodontics ◽

10.1016/j.joen.2019.01.003 ◽

2019 ◽

Vol 45 (4) ◽

pp. 357-363 ◽

Cited By ~ 14

Author(s):

Neha Verma ◽

Pankaj Sangwan ◽

Sanjay Tewari ◽

Jigyasa Duhan

Keyword(s):

Randomized Controlled Trial ◽

Sodium Hypochlorite ◽

Root Canal ◽

Controlled Trial ◽

Primary Root ◽

Root Canal Treatment ◽

Randomized Controlled

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Impact of Rolandic Epilepsy on Language, Cognitive, and Behavioral Functioning in Children: A Review

Journal of Pediatric Epilepsy ◽

10.1055/s-0039-1677717 ◽

2018 ◽

Vol 07 (04) ◽

pp. 123-135

Author(s):

Angie Premchand ◽

Wim Tops

Keyword(s):

Language Impairment ◽

Semantic Processing ◽

Case Reports ◽

Age At Onset ◽

Extended Period ◽

Receptive Language ◽

Clinical Aspects ◽

Childhood Epilepsy ◽

Rolandic Epilepsy ◽

Online Library

AbstractThe objective of this narrative review was to investigate how the clinical aspects, such as age-at-onset, epilepsy duration, centrotemporal spikes, spike location, and seizure frequency, affect various domains of language, cognition, and behavior in children with benign childhood epilepsy. Data were collected using various research databases, including Wiley Online Library, PubMed Central, Elsevier ClinicalKey, and Springer Complete Journals. Keywords such as “Benign Childhood Epilepsy” or “BECTS and language impairment” were used among other terms. Case reports, meta-analyses, and reviews were excluded. Children with benign childhood epilepsy are mainly impaired in semantic processing (receptive language), working memory, attention/inhibitory control, complex visuospatial skills, and social skills. Functional magnetic resonance imaging reveals not only structural abnormalities, but also alterations in language, sensorimotor, attentional, and social networks, suggesting long-term consequences. It so seems that the occurrence of centrotemporal spikes (with or without seizures), especially at a young age (below 6 years) and for an extended period of time, is the most meaningful contributor to the language, cognitive, and behavioral deficits in benign childhood epilepsy with centrotemporal spikes (BECTS), while the distribution of centrotemporal spikes (left, right, bilateral) seems of only little significance.

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Clinical features and endodontic treatment of two-rooted mandibular canines: Report of four cases

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1410592s ◽

2014 ◽

Vol 142 (9-10) ◽

pp. 592-596 ◽

Cited By ~ 2

Author(s):

Igor Stojanac ◽

Milica Premovic ◽

Milan Drobac ◽

Bojana Ramic ◽

Ljubomir Petrovic

Keyword(s):

Root Canal ◽

Case Reports ◽

Anatomical Variation ◽

Anatomical Variations ◽

Endodontic Treatment ◽

Careful Examination ◽

Root Canals ◽

Working Length ◽

Canal Systems ◽

Root Canal Morphology

Introduction. Predictable endodontic treatment depends on the dentist?s knowledge about root canal morphology and its possible anatomic variations. The majority of mandibular canines have one root and root canal, but 15% may have two canals and a smaller number may have two distinct roots. The following clinical reports describe endodontic treatment of mandibular canines with two roots and two root canals. Outline of Cases. Four clinical case reports are presented to exemplify anatomical variation in the human mandibular canine. Detailed analysis of the preoperative radiographs and careful examination of the pulp chamber floor detected the presence of two root canal orifices in all canines. Working length was determined with an electronic apex locator and biomechanical preparation was carried out by using engine driven BioRaCe Ni-Ti rotary instruments in a crown-down manner, followed by copious irrigation with 1% sodium hypochlorite. Definitive obturation was performed using cold lateral condensation with gutta-percha cones and Top Seal paste. The treatment outcome was evaluated using postoperative radiographs. Conclusion. Endodontists should be aware of anatomical variations of the treated teeth, and should never presume that canal systems are simple.

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