scholarly journals Cone Beam Computed Tomography Evaluation of the Periapical Status of Nonvital Tooth with Open Apex Obturated with Mineral Trioxide Aggregate: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Vijay Shekhar ◽  
K. Shashikala
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Mineral Trioxide Aggregate ◽  
Endodontic Treatment ◽  
Cone Beam ◽  
Periapical Lesion ◽  
Dental Practitioners ◽  
Periapical Healing ◽  
Radiographic Followup

Management of a tooth with open apex is a challenge to the dental practitioners. Evaluation of the periapical healing is required in such cases by radiographic techniques. The objective of this paper was to assess the healing of a periapical lesion in a non-vital tooth with open apex treated with mineral trioxide aggregate (MTA) obturation using cone beam computed tomography (CBCT). The endodontic treatment of a fractured non-vital discolored maxillary left lateral incisor with an open apex was done with MTA obturation. The clinical and radiographic followup done regularly showed that the tooth was clinically asymptomatic and that the size of the periapical lesion observed by intraoral periapical (IOPA) radiographs and CBCT was decreased remarkably after two years. CBCT and IOPA radiographs were found to be useful radiographic tools to assess the healing of a large periapical lesion in a non-vital tooth with open apex managed by MTA obturation.

scholarly journals Cone beam-computed tomography as an indispensable tool in the management of radiculous premolar: a case report

2016 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Shristhi Sharma ◽  
Ananth Raghav Sharma ◽  
Vivek Kumar Rai ◽  
Ronak Choudhary
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Anatomical Variations ◽  
Endodontic Treatment ◽  
Cone Beam ◽  
Internal Anatomy ◽  
Indispensable Tool ◽  
Rule Out

Background: Internal anatomy of maxillary first premolars is particularly multifaceted on account of the variation in number of roots and canal configuration. Maxillary first premolars with 3 roots are called as small molar or “radiculous” because of their similar anatomy to the maxillary first molars. The most demanding step in endodontic treatment is identification and proper access to pulp canals of certain teeth with atypical canal configurations. Methods of identification of such premolars can be by various aides.Case Presentation: The present case describes the application of Cone Beam-Computed Tomography in the diagnosis of extra root with extra canal in a three rooted maxillary right first premolar.Conclusions: Proper knowledge of the anatomical variations is a must for an endodontist to make a treatment successful. Utilizing the latest technology along with the traditional concepts can surely rule out the inaccuracy in the treatment involved in such cases.

scholarly journals Endodontic Treatment of Bilateral Maxillary First Premolars with Three Roots Using CBCT: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Sujatha Gopal ◽  
Gijo John ◽  
K. Pavan Kumar ◽  
Swarna Latha ◽  
Suma Latha ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Endodontic Treatment ◽  
Cone Beam ◽  
Rare Occurrence ◽  
Internal Anatomy ◽  
Tooth Structure ◽  
Determining Factors

One of the determining factors for the success of endodontic therapy is understanding the morphological anatomy of the tooth structure and its variants in relation to its template anatomy. The internal anatomy of maxillary first premolars is particularly complex due to their variation in number of roots and canal configuration. However, the bilateral presence of three roots in a maxillary first premolar is of rare occurrence. This case report describes the unusual anatomy bilaterally detected in maxillary first premolars using Cone-Beam Computed Tomography.

scholarly journals Conservative Management of a Maxillary Lateral Incisor with an Apical Third Root Perforation: A Case Report Apical Third Root Perforation: A Case Report

2020 ◽  
Vol 27 (3) ◽  
Author(s):  
Nurul Astrina Damayanti ◽  
◽  
Dian Natalina Fuddjiantari ◽  
Tri Endra Untara ◽  
Yulita Kristanti ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Conservative Management ◽  
Mineral Trioxide Aggregate ◽  
Lateral Incisor ◽  
Cone Beam ◽  
Tissue Destruction ◽  
Maxillary Lateral Incisor ◽  
Treatment Objective

Perforation is one of iatrogenic factors responsible for endodontic failure. Root canal perforation can occur at the cervical, mid-root, or apical levels. Non-surgical (conservative) perforation repair offers less tissue destruction and easy isolation during treatment. Objective: To explain the management of apical third root perforation using the conservative technique. Case Report: This case report describes a 29-year-old patient who came for management of right maxillary lateral incisor with apical third root perforation on the labial aspect. The location of apical third root perforation was evaluated using cone beam computed tomography (CBCT). Root perforation was sealed using mineral trioxide aggregate (MTA). MTA was applied in conservative technique with hand filling. MTA was dispensed into the original canal while maintaining the patency of the perforated canal, followed by dispensed of MTA into the perforated canal. Conclusion: Root perforation should be identified as soon as possible and could be easily examined using CBCT. Non-surgical root perforation treatment is recommended in intact periodontal attachment and in absence of inherent complication. Repairing the root perforation promote the proper healing of the periapical tissue and increase the success rate of retreatment.

Endodontic Management of a Rare Anatomic Variation of Radix Entomolaris in Mandibular First and Second Molar using Cone-beam Computed Tomography as a Diagnostic Aid

2017 ◽  
Vol 7 (1) ◽  
pp. 30-33
Author(s):  
Mahesh P Singh ◽  
Rizwan Qureshi ◽  
Santosh K Singh ◽  
Kriti Sharma
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Anatomic Variation ◽  
Endodontic Treatment ◽  
Cone Beam ◽  
Noninvasive Technique ◽  
Diagnostic Aid ◽  
Second Molar ◽  
Anatomic Variant

ABSTRACT Radix entomolaris (RE) is the presence of an extra root in the lingual aspect of the mandibular molars. This is a rare anatomic variant, prevalence of which ranges between 5.96 and 6.67% in the Indian population. For a successful endodontic management, detection of these extra roots is important. In conventional radiography, these extra roots tend to be overlapped; thus, cone- beam computed tomography (CBCT) provides a noninvasive technique to study the internal and external anatomy and aids in proper detection. The endodontic treatment of RE requires some modifications in the endodontic treatment as compared with the common two-rooted anatomic variant. This article presents a clinical case report of successful detection and endodontic man- agement of mandibular first and second molar with extralingual root using CBCT as a diagnostic tool. This case report involves the endodontic treatment and presence of extra roots in both the mandibular first molar and second molar simultaneously in a single patient of Indian origin, which is a rare finding and has not been reported in endodontic literature till date. How to cite this article Qureshi R, Agarwal M, Singh MP, Singh SK, Sharma K. Endodontic Management of a Rare Ana- tomic Variation of Radix Entomolaris in Mandibular First and Second Molar using Cone-beam Computed Tomography as a Diagnostic Aid. Int J Prosthodont Restor Dent 2017;7(1):30-33.

scholarly journals Regenerative Endodontic Treatment of an Infected Immature Dens Invaginatus with the Aid of Cone-Beam Computed Tomography

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Işıl Kaya-Büyükbayram ◽  
Şerife Özalp ◽  
Emre Aytugar ◽  
Seda Aydemir
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Endodontic Treatment ◽  
Cone Beam ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Type Iii ◽  
Regenerative Endodontic Treatment ◽  
Dens Invaginatus

Dens invaginatus is a developmental anomaly that results in an enamel-lined cavity intruding into the crown or root before the mineralization phase. This report presents regenerative endodontic treatment of a necrotic immature tooth with Oehler’s type III dens invaginatus of a nine-year-old female patient. A diagnosis of dens invaginatus (Oehler’s type III) and a large periapical lesion was established with the aid of cone-beam computed tomography (CBCT). In the presented case contrary to the classic revascularization protocol, mechanical instrumentation was performed which apparently did not interfere with the regeneration process. After mechanical instrumentation of the invaginated canal by manual K-files, the invaginated canal space was disinfected by triple antibiotic paste followed by blood clot induction from the periapical tissues and the placement of mineral trioxide aggregate. At one-year follow-up, the tooth remained clinically asymptomatic. Radiographic examination revealed complete healing of the periapical lesion. At the 20-month follow-up, the radiographic examination also showed that the open apex was closed and the walls of the root canal were thickened.

Sign in / Sign up

Export Citation Format

Share Document