scholarly journals Root Canal Treatment of Mandibular Second Premolar with Three Separate Roots and Canals Using Spiral Computed Tomographic

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
V. P. Hariharavel ◽  
A. Ashok Kumar ◽  
C. Ganesh ◽  
Sankar Annamalai ◽  
Kavitha Ramar ◽  
...  
Keyword(s):  
Root Canal ◽  
Unusual Case ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Spiral Computed ◽  
Canal System ◽  
Radiological Anatomy ◽  
Computed Tomographic ◽  
Internal Morphology ◽  
Root Canal System

Anatomic and internal morphology of a root canal system is more complex and differs for each individual tooth of which mandibular premolars have earned the reputation for having aberrant anatomy. The occurrence of three canals with three separate foramina in mandibular second premolars is very rare. A wider knowledge on both clinical and radiological anatomy especially spiral computed tomographic is absolutely essential for the success of endodontic treatment. These teeth may require skillful and special root canal special shaping and obturating techniques. This paper reports an unusual case of a mandibular second premolar with atypical canal pattern that was successfully treated endodontically.

scholarly journals FREQUENT PROCEDURAL ERRORS AND STRUCTURAL COMPLICATIONS ON ENDODONTICAL TREATED TEETH

2021 ◽  
Vol 67 (2) ◽  
pp. 101-106
Author(s):  
Sanziana Adina Scarlatescu ◽  
◽  
Irina Gheorghiu ◽  
George Nicola ◽  
Andrei O. Al Aloul ◽  
...  
Keyword(s):  
Root Canal ◽  
Technological Progress ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Canal System ◽  
Root Canals ◽  
Hard Tissues ◽  
Root Canal System

The objectives of root canal treatment are to prevent the apical parodontitis, to heal the acute or cronic apical periodontits and to maintain the results, keeping the teeth on the arch in a functional stage. Thus, accuratelly elimination of soft and hard tissues (cleaning and shaping of the root canal system), disinfection and complete, homogeneous and tridimensional filling of the root canal system are very important to successful endodontic treatment. Modern concepts in endodontic treatment rely on technological progress and therefore many cases are successfully fulfilled, but the practitioner may be put in front of procedural erorrs both during and after endodontic treatment. Apical blockage, ledging, zipping, stripping, perforations in the floor of the pulp canal chamber or root canals perforations are the most common errors, but in many clinical situations they can be prevented and even surpassed once happened.

scholarly journals Management of Mandibular Lateral Incisor with Two Roots: a Case Report

2016 ◽  
Vol 5 (1) ◽  
pp. 1093 ◽  
Author(s):  
Pardeep Mahajan ◽  
Ruma Grover ◽  
Shikha Baghi Bhandari ◽  
Prashant Monga ◽  
Vanita Keshav
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Lateral Incisor ◽  
Successful Outcome ◽  
Filling Material ◽  
Canal System ◽  
Root Canals ◽  
Root Canal System

Successful outcome of endodontic treatment depends on the identification of all root canals which in turn guarantee complete extirpation of pulp tissue, proper chemo-mechanical cleaning and shaping and three dimensional obturation of the root canal system with an inert filling material. However endodontic treatment can fail for many reasons, such as diagnostic errors, persistence of the infection in the root canal system, errors in debridement and shaping of the root canal systems, instrument fractures, poor restorations and extra roots or canals if not detected are the reasons for failure. Undetected extra roots or root canals have been considered as a major reason for failure of root canal treatment. Many of the challenges faced during root canal treatment may be directly attributed to an inadequate understanding of the canal morphology of teeth. A broad knowledge of both the external and internal anatomy of teeth is of great importance for adequate endodontic treatment. We present a case report of 2 roots in mandibular lateral incisor.

scholarly journals Management of Six Root Canals in Mandibular First Molar

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Claudio Maniglia-Ferreira ◽  
Fabio de Almeida Gomes ◽  
Bruno Carvalho Sousa
Keyword(s):  
Root Canal ◽  
Clinical Case ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Canal System ◽  
Root Canals ◽  
Abnormal Morphology ◽  
Root Canal System ◽  
Mandibular First Molar

Success in root canal treatment is achieved after thorough cleaning, shaping, and obturation of the root canal system. This clinical case describes conventional root canal treatment of an unusual mandibular first molar with six root canals. The prognosis for endodontic treatment in teeth with abnormal morphology is unfavorable if the clinician fails to recognize extra root canals.

scholarly journals Nonsurgical Management of Periapical Lesion in Mandibular Incisors with 2 Canals - A Case Report

2021 ◽  
Vol 10 (30) ◽  
pp. 2331-2333
Author(s):  
Shelly Sharma ◽  
Anshul Arora ◽  
Mandeep S. Grewal ◽  
Mamta Singla ◽  
Lakshita Singh
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Anatomical Variation ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Canal System ◽  
Root Canal System ◽  
Mandibular Incisors

In-depth knowledge of the root canal system is a major prerequisite for successful endodontic treatment.1 The major aim of endodontic treatment is the eradication of infection and prevention of reinfection in canal. However endodontic treatment may fail because of incomplete knowledge about the anatomical variation of root canals. Most of the times the canal remains untreated because of the inability of the dentist to recognize its presence. For good prognosis of the root canal treatment, proper exploration, complete debridement, biomechanical preparation, and filling of root canal system must be done. Therefore, a dentist must be familiar with all the various possible canal configurations.2 Many times, failure of endodontic treatment may occur because the morphological variation of the tooth unfavourably affects the treatment. Pulpal inflammation can occur as a result of many factors like dental caries or trauma which causes tissue necrosis. Periapical tissue eradication develops in response to microbial accumulation and infiltration of their by-products in the periradicular tissues and activates host's immune reaction.3 The following case report presents the non-surgical management of mandibular central and lateral incisors, with each having two separate canals which join together to form a single canal just before exiting the apical foramen. Before starting root canal treatment, a careful radiographic examination should be done to detect the morphological variations in root canal anatomy. This paper describes two clinical cases of mandibular incisors with or without periapical lesion having two canals.

scholarly journals Knowledge and Practices Assessment of Decontamination during Root Canal Treatment in Saudi Arabia

2021 ◽  
Vol 6 (01) ◽  
pp. 25-29
Author(s):  
Necdet Adanir ◽  
Hassan Alkhalaf ◽  
Maram H. Alanazi ◽  
Asma S. Alghamdi ◽  
Abdullah A. Aljami ◽  
...  
Keyword(s):  
Root Canal ◽  
Cross Sectional Study ◽  
Root Canal Treatment ◽  
Canal System ◽  
Cross Sectional ◽  
Rubber Dam ◽  
Infected Root ◽  
Treatment Data ◽  
Root Canal System ◽  
Partial Isolation

Introduction: Bacteria play a crucial role in the pathogenesis of pulpal and periradicular pathoses. For example: Apical periodontitis is an inflammation of dental periapical tissues developed as a response to colonization of microorganisms in root canal system. The elimination of microbial species from the infected root canal system necessitates a strict aseptic condition for Instrumentation, disinfection and inter appointment medication. Enterococcus faecalis and Candida albicans had been commonly associated organisms in treatment-resistant infections. Methods: This was an observational cross-sectional study based on web-survey questionnaires developed by the authors with high confidence. The sample size was 304 estimated using the Qualtrics calculator with a confidence level of 95% and a margin of error of 5%. The questionnaire is divided into sections, regarding endodontic practice include endodontic education , years of experience , used of rubber dam or no and how to used irrigant solution whoever Sodium hypochlorite (NaOCl), Chlorhexidine, chelating agents (EDTA) or (MTAD) and reasons of every irrigant that prevents during root canal treatment. Data were collected using Google forms and prepared for analysis using Microsoft Excel. Statistical analysis was performed using the SPSS software. Results: A total of 304 participants responded, 44.1% dental interns, 39.5% General Dentist, 9.9% Endodontist, 6.3% other dental specialty. the Probable reasons that prevent them using rubber dam during root canal treatment are: 5.9% due to difficulty to apply, 9.2% due to lack of materials, 5.3% because it is a time-consuming, 1.6% said that other isolation methods are enough (partial isolation), 3.9% because of multiple reason combined together. 48.7% they always use rubber dam, so they did not choose any of the previous reasons. Conclusion: In conclusion, we identify and understand, most of the participants “always using rubber dam” during root canal treatment and the most common reasons was time consumption that prevented dentist from using rubber. In this study majority of participants preferred NaOCl 81.9% and 7.1% don’t use it.

Restorative dentistry 4: endodontics

2014 ◽  
pp. 325-350
Author(s):  
David A. Mitchell ◽  
Laura Mitchell ◽  
Lorna McCaul
Keyword(s):  
Treatment Outcomes ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Restorative Dentistry ◽  
Root Canal Preparation ◽  
Canal System ◽  
Root Canal Obturation ◽  
Root Canal System ◽  
Pulp Vitality

Contents. Preserving pulp vitality. The root canal system. Root canal treatment—rationale. Root canal treatment—instruments. Root canal treatment—materials. Root canal preparation—1. Root canal preparation—2. Common errors in canal preparation. Root canal obturation. Some endodontic problems and their management. Restoration of the root-treated tooth. Treatment outcomes.

scholarly journals Inspection of the Microbiota in Endodontic Lesions

2019 ◽  
Vol 7 (2) ◽  
pp. 47 ◽  
Author(s):  
Mario Dioguardi ◽  
Giovanni Di Gioia ◽  
Gaetano Illuzzi ◽  
Claudia Arena ◽  
Vito Carlo Alberto Caponio ◽  
...  
Keyword(s):  
Enterococcus Faecalis ◽  
Root Canal ◽  
Scientific Literature ◽  
Bacterial Species ◽  
Primary Objective ◽  
Endodontic Treatment ◽  
Canal System ◽  
Resistant Species ◽  
Carious Lesions ◽  
Root Canal System

The primary objective of endodontic therapy is to create a biologically acceptable environment within the root canal system that allows for the healing and maintenance of the health of the peri-radicular tissue. Bacteria are one of the main causes of pulp problems, and they have different methods of penetrating and invading the endodontic space such as through carious lesions, traumatic pulp exposures, and fractures. The types of bacteria found range from facultative anaerobes to aerobes, up to the most resistant species able to survive in nutrient-free environments; the bacterial species Enterococcus faecalis belongs to this last group. Enterococcus faecalis is considered one of the main causes of recurring apical periodontal lesions following endodontic treatment, with persistent lesions occurring even after re-treatment. The review presented in this paper was performed in accordance with the PRISMA protocol and covers articles from the related scientific literature that were sourced from PubMed, Scopus, and Google Scholar using the following terms as keywords: “endodontic treatment”, “endodontic bacteria”, “microbial endodontic”, and “endodontic failure”. Only the articles considered most relevant for the purposes of this paper were read in full and taken into consideration for the following review. The results show that Enterococcus faecalis, Actinomycetes, and Propionibacterium propionicum are the species most frequently involved in persistent radicular and extra-radicular infections.

scholarly journals Association of type of file fracture and method of removal in a university setting

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1761-1765
Author(s):  
Preethi Mariona ◽  
Delphine Priscilla Antony S ◽  
Sreedevi Dharman
Keyword(s):  
Root Canal ◽  
Fracture Incidence ◽  
Common Method ◽  
Root Canal Treatment ◽  
Canal System ◽  
Chi Square ◽  
Chi Square Test ◽  
Root Canal System ◽  
University Setting

Some mishaps tend to occur during treatment in the root canal system, for example, file fractures. The challenge of the removal depends on the type of file fractured and the method which is used to remove it, generally it is decided based on the level of the fracture. Any file can fracture inside the root canal which is based on the curvature, anatomy. Specific techniques and measures have been employed to remove this file from the root canal system. The aim of the study is to find the association of file fracture with the method of removal. The details of all patients who underwent a root canal treatment where noted and the details of 16 patients with file fractures during the procedure were shortlisted. The type of file fractures was analyzed, such as K files, rotary files, H files, other instruments. The method of removal was usually ultrasonic, mechanical, manual or combination of any of the above. Excel tabulation was done and imported to SPSS for results. Chi-square test performed. The most common and used file to fracture in the root canal system was rotary files which had a fracture incidence of 31% and most common method used to retrieve was using ultrasonic of an incidence of 37.5. Chi-square test shows p>0.05, which is statistically not significant. The study concludes that rotary files fracture the most and the method used to retrieve them was mechanical, but as a whole, the most common method used was ultrasonic.

scholarly journals Assessment of the results of endodontic treatment of teeth

2020 ◽  
Vol 18 (1) ◽  
pp. 27-30
Author(s):  
S. N. Razumova ◽  
A. S. Brago ◽  
Haydar Barakat ◽  
L. M. Khaskhanova ◽  
R. M. Bragunova
Keyword(s):  
Root Canal ◽  
Endodontic Treatment ◽  
Canal System ◽  
High Quality ◽  
Endodontically Treated Teeth ◽  
Root Canals ◽  
Mandibular Molars ◽  
Dental Patient ◽  
Manual Skills ◽  
Root Canal System

The success of endodontic treatment depends on many factors. The most important of them are the knowledge and manual skills of the dentist.Materials and methods. We analyzed the condition of teeth after endodontic treatment in 300 patients aged 20 to 70 years. Were studied 300 images of CBCT, the number of treated teeth and the number of cases of unsuccessful endodontic treatment was analyzed.Results. According to CBCT data, high-quality obturation of the root canal system was observed in 1335 (75%) endodontically treated teeth. The reasons for successful endodontic treatment are under-sealing of the root canal (16%), removal of material beyond the apex (5.6%), and missed root canals (3.4%).Conclusion. Clinical dental patient examination revealed that maxillary and mandibular molars most often undergo endodontic treatment.

scholarly journals Endodontic Management of an Unusual Maxillary First Molar with a Single Buccal Root

2014 ◽  
Vol 15 (3) ◽  
pp. 367-371 ◽  
Author(s):  
Gurudutt Nayak ◽  
Surya Dahiya ◽  
Inderpreet Singh ◽  
Faiz Hasan Mohammad
Keyword(s):  
Root Canal ◽  
Unusual Case ◽  
Canal System ◽  
Root Canals ◽  
Dental Practitioners ◽  
Root Canal Morphology ◽  
Root Canal System ◽  
The Common ◽  
Tooth Removal ◽  
Clinical Article

ABSTRACT Aim The aim of this clinical article is to describe the unusual anatomy that was detected in a maxillary first molar during routine endodontic treatment. Background Variation in root and root canal morphology especially in multirooted teeth presents a constant challenge for a clinician in their detection and management. The literature is replete with cases that have extra canal or root but cases with fused root and fewer numbers of canals are sparse. Case description This case report describes the endodontic management of one such unusual case of maxillary first molar presenting with a single fused buccal and a palatal root. The confirmatory diagnosis of this morphologic aberration was done with the help of spiral computerized tomography, which revealed that the contralateral tooth also had a similar morphology. Conclusion Dental practitioners should always be aware of the fact that abnormalities need not be in form of extra roots or root canals; anomalies can also be in form of fewer number of roots or root canals. Clinical significance A thorough knowledge of the complexities and variations of the root canal system would help in avoiding some of the common iatrogenic access opening errors like perforations and excessive tooth removal caused during the search for the missing or extracanal. How to cite this article Nayak G, Dahiya S, Singh I, Mohammad FH. Endodontic Management of an Unusual Maxillary First Molar with a Single Buccal Root. J Contemp Dent Pract 2014;15(3):367-371.

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