scholarly journals Management of Discolored Failure Root Canal-Treated Upper Lateral Incisor

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Nik Abdul Ghani Nik Rozainah ◽  
Azih Nurul Farah ◽  
Mohmed Isaqali Karobari
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Treatment Failure ◽  
Root Canal ◽  
Signs And Symptoms ◽  
Lateral Incisor ◽  
Radiographic Findings ◽  
Surrounding Soft Tissue ◽  
Tissue Healing ◽  
Main Factors

Root canal treatment failure can be determined based on a patient’s complaint and on the basis of clinical examination and radiographic findings. Most of the signs and symptoms for the failure are pain and discomfort, swelling and sinus formation at the surrounding soft tissue, and discoloration of the subjected tooth. Factors such as mechanical perforation during the procedures, overfilled or underfilled root canal, and missed or unfilled canals are the main factors for the failure outcome. This case report presents a discolored and infected upper lateral incisor which was previously root canal treated. The tooth was successfully managed under nonsurgical and surgical retreatment followed by an internal bleaching and full porcelain veneer. Apical tissue healing and acceptable tooth appearance was observed during a 12-month review.

scholarly journals Perawatan saluran akar ulang non-bedah gigi insisivus lateral kanan rahang atas pada pasien geriatriNon-surgical root canal re-treatment of maxillary right lateral incisor in geriatric patient

2020 ◽  
Vol 32 (3) ◽  
pp. 232
Author(s):  
Prima Dianiawati Nur Anisa ◽  
Diani Prisinda
Keyword(s):  
Case Report ◽  
Treatment Failure ◽  
Root Canal ◽  
Geriatric Patient ◽  
Treatment Plan ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Lateral Incisor ◽  
The Third ◽  
Gutta Percha

Pendahuluan: Kegagalan perawatan endodontik umumnya terjadi akibat obturasi yang tidak adekuat dan kebocoran pada restorasi akhir. Kegagalan tersebut dapat diatasi dengan perawatan saluran akar ulang. Perawatan tersebut pada pasien geriatri memerlukan berbagai pertimbangan penatalaksanaan sesuai dengan kondisi fisiologis dan sistemik pasien. Tujuan laporan kasus ini untuk menjelaskan perawatan saluran akar ulang non-bedah gigi insisif lateral kanan atas pada pasien geriatri. Laporan kasus: Perempuan berusia 69 tahun datang ke Instalasi Rawat Jalan Spesialistik Konservasi Gigi Rumah Sakit Gigi dan Mulut Universitas Padjadjaran (RSGM Unpad) untuk memperbaiki tambalan gigi atas depan kanan yang pecah dan untuk merawat gigi tersebut karena terasa tidak nyaman saat digunakan untuk mengunyah. Gigi pernah dilakukan perawatan saluran akar dan penambalan sewarna gigi sekitar empat tahun yang lalu. Pemeriksaan intraoral menunjukan perkusi positif pada gigi insisif lateral kanan rahang atas. Pemeriksaan radiografis periapikal memperlihatkan bahan pengisi saluran akar tidak adekuat, pelebaran membran periodontal di sepertiga apikal, serta terputusnya lamina dura di sepertiga apikal. Rencana perawatan adalah perawatan saluran akar ulang non bedah. Perawatan berlangsung dalam enam kali pertemuan singkat, dengan tahapan pengambilan gutta-percha menggunakan file hedstrom, preparasi saluran akar dengan instrumen rotary, obturasi saluran akar dengan gutta-percha serta sealer resin plus dan restorasi akhir veneer direk berbahan komposit. Simpulan: Perawatan saluran akar ulang non-bedah pada gigi insisif lateral kanan atas berhasil dilakukan dengan ditandai hilangnya keluhan pasien, perbaikan pada gambaran radiografis serta gigi dapat berfungsi secara normal. Keberhasilan perawatan dipengaruhi oleh rencana perawatan yang tepat dengan mempertimbangkan faktor etiologi kegagalan perawatan endodontik serta perubahan fisiologis dan kondisi patologis yang terdapat pada pasien.Kata kunci: Perawatan saluran akar ulang, insisif lateral, pasien geriatri. ABSTRACT Introduction: Endodontic treatment failure generally results from inadequate obturation and leakage at the final restoration. This failure can be relieved by re-root canal treatment. Such treatment in geriatric patients requires various management considerations according to the patient’s physiological and systemic conditions. This case report was aimed to describe the non-surgical root canal re-treatment of maxillary right lateral incisor in a geriatric patient. Case report: A 69-years-old woman came to the Conservative Dentistry Specialist Outpatient Unit of the Universitas Padjadjaran Dental Hospital (RSGM Unpad) to repair a broken maxillary right front tooth fill and to treat the tooth due to the uncomfortable feeling each time the mastication was performed. The tooth was treated with root canals and tooth-coloured fillings about four years ago. Intraoral examination revealed positive percussion of the maxillary right lateral incisor. The periapical radiograph showed inadequate root canal filling, dilation of the periodontal membrane in the third apical, and severed lamina dura in the third apical. The treatment plan was non-surgical root canal re-treatment. The treatment took place in six short sessions, with the steps of gutta-percha collection using a Hedstrom file, the root canal preparation with a rotary instrument, and the root canal’s obturation with gutta-percha plus resin sealer and final restoration of a composite direct veneer. Conclusion: Non-surgical root canal treatment of the upper right lateral incisor was successfully performed as indicated by the absence of the patient’s complaints, improvement in the radiographic image, and the teeth’ normal function. The treatment's success is influenced by a proper treatment plan considering the aetiological factors of endodontic treatment failure, the physiological changes, and pathological conditions present in the patient.Keywords: Root canal re-treatment, lateral incisor, geriatric patient.

scholarly journals Spinal Brucellosis: A Case Report and Review of the Literature

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
James M Rizkalla ◽  
Khalid Alhreish ◽  
Ishaq Y Syed
Keyword(s):  
Case Report ◽  
Signs And Symptoms ◽  
Radiographic Findings ◽  
Common Location ◽  
Uncommon Case ◽  
Spine Surgeon ◽  
Patient’S History ◽  
Hispanic Male ◽  
Work Up ◽  
Rare Diagnosis

Introduction: The most common location of infection of brucellosis is the musculoskeletal system. It is estimated that the spine is involved in 2–54% of brucellosis infections, with the lumbar spine most commonly affected. We report an uncommon case of brucellar spondylodiscitis, in addition to the pathology, common presentation, and management of spinal brucellosis through additional literature review. Case Report: A 65-year-old Hispanic male presented to an orthopedic spine surgeon with signs and symptoms concerning for metastatic disease to the spine. Investigation revealed that the patient had the rare diagnosis of brucellar spondylodiscitis. This only became apparent after detailed questioning of the patient’s history revealed his employment within a Mexican meat slaughterhouse and a regular consumer of unpasteurized Mexican cheeses. Conclusion: Although uncommon, brucellosis spondylodiscitis should remain as a differential diagnosis in any patient who presents with back pain and fever. Detailed history taking and thorough physical examination remain vital in the work-up of brucellar spondylodiscitis. Understanding the pathology, radiographic findings, and necessary work-up are essential to properly treat this infection. Keywords: Spine, Brucella, spinal brucellosis, infection, spondylodiscitis, discitis, abscess.

Parosteal Osteogenic Sarcoma of the Mastoid Bone

1997 ◽  
Vol 106 (9) ◽  
pp. 729-732 ◽  
Author(s):  
Daniel R. Seely ◽  
George A. Gates
Keyword(s):  
Surgical Treatment ◽  
Osteogenic Sarcoma ◽  
Signs And Symptoms ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Long Bones ◽  
En Bloc ◽  
Radiographic Findings ◽  
Surrounding Soft Tissue ◽  
Mastoid Bone

Parosteal osteogenic sarcoma (POS) is an uncommon surface bone tumor, most often arising from the metaphyseal end of long bones. Involvement of the cranial bones is rare, with only 1 case of mastoid bone POS previously reported in the literature. Two patients with POS of the mastoid are presented, 1 followed up for 25 years after surgical treatment. The presenting signs and symptoms, as well as distinctive radiographic findings, are discussed. Histologic features are also described. Typically, cranial POS appears as a sessile, densely ossified surface growth with radiating bone spicules that blend with surrounding soft tissue. Treatment is en bloc resection, which is curative in most cases.

scholarly journals AN UNUSUAL INJURY FROM TOOTHBRUSH: A CASE REPORT

2018 ◽  
Vol 6 (1) ◽  
pp. 66-68
Author(s):  
Deepak Yadav ◽  
Shashank Tripathi ◽  
Ravish Mishra ◽  
Laxmi Kandel ◽  
Saurav Karna ◽  
...  
Keyword(s):  
Case Report ◽  
Oral Health ◽  
Soft Tissue ◽  
Surgical Intervention ◽  
Dental Hygiene ◽  
Vital Role ◽  
Poor Oral Hygiene ◽  
Surrounding Soft Tissue ◽  
Inherent Risk ◽  
Unusual Injury

Tooth brush plays a vital role in the maintenance of oral health and dental hygiene. Regular brushing is widely advocated by dental surgeon in terms of decreasing dental caries and periodontal problems. Though, there has been decrease in diseases due to sequale of poor oral hygiene, at the same time there are also inherent risk of accidental trauma to the surrounding soft tissue during the act of brushing, more commonly when handled by children. This paper presents a case report of a penetrating toothbrush trauma embedded in buccal soft tissue which required surgical intervention in a child patientJournal of Universal College of Medical SciencesVol. 6, No. 1, 2018, Page: 66-68 

Maxillary Lateral Incisor with 3 Root Canals: A Case Report

2019 ◽  
Vol 10 (2) ◽  
pp. 179-182
Author(s):  
Mario Buonvivere ◽  
Matteo Buonvivere
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Rare Case ◽  
Lateral Incisor ◽  
Complex Root ◽  
Canal System ◽  
Root Canals ◽  
Single Root ◽  
Maxillary Lateral Incisor ◽  
Root Canal System

The proper knowledge of the root canal system anatomy is crucial to perform successful endodontic treatments. Maxillary lateral incisors usually have a single root. However, aberrant canal configurations of this tooth have been reported in the literature. The clinician should be aware of the difficulties arising from this more complex root canal anatomy and should be able to manage them. A rare case of a maxillary lateral incisor with three root canals is presented in this article; the challenge of diagnosis and treatment in similar situations is also discussed.

A Newly Designed Template Device for Use With the Insertion of Immediately Loaded Implants

2004 ◽  
Vol 30 (5) ◽  
pp. 325-329 ◽  
Author(s):  
Marco A. B. Pontual ◽  
JoséN. O. Freire ◽  
Dircilene C. Souza ◽  
Cimara F. Ferreira ◽  
Marco A. Bianchini ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Bone Loss ◽  
Surgical Procedures ◽  
Therapeutic Approach ◽  
Soft Tissue Healing ◽  
Implant Placement ◽  
Tissue Healing ◽  
Edentulous Mandible ◽  
Fixed Prosthesis

Abstract This article describes a newly designed surgical template that was used to facilitate dental implant placement. The implants were planned to function by loading them immediately. A case report describing the device and the benefits of its use for a patient with an edentulous mandible is presented. Four implants were placed in the anterior region of the mandible to support an immediately fixed prosthesis. Clinical and radiographic analyses were conducted postoperatively to evaluate bone loss and peri-implant soft-tissue healing. The salutary results demonstrated the positive value of this therapeutic approach and presented the advantages of shorter treatment times, fewer patient visits, lower costs, and elimination of secondary surgical procedures.

scholarly journals Pulp Revascularisation of a Non-Vital Immature Young Permanent Tooth - A Case Report and Literature Review

2021 ◽  
Vol 10 (11) ◽  
pp. 845-848
Author(s):  
Tanvi Sanjay Satpute ◽  
Jayeeta Sidharth Verma ◽  
Jimish Rajiv Shah ◽  
Aditya Kiran Shinde
Keyword(s):  
Case Report ◽  
Root Development ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Signs And Symptoms ◽  
Permanent Tooth ◽  
Duration Of Treatment ◽  
Pulp Tissue ◽  
Dental Tissues ◽  
Immature Teeth

Traumatic injuries to an immature permanent tooth may result in cessation of dentin deposition and root maturation. Novel revascularisation endodontic procedure (REP) has been considered as an option for treatment of immature teeth with damaged pulp tissue. The continuous development of the root and the root canal has been recognised as a major advantage of this technique over traditional apexification approach. Traditional apexification procedures may resolve pathology but have not been able to prove tooth survival due to absence of continued root development and risk of root fracture. A successful REP results in resolution of signs and symptoms of pathology, radiographic signs of healing, proof of continued root development as well as presence of pulp vitality due to the regeneration of pulp tissue in the root canal. Currently, repair rather than true regeneration of the ‘pulp-dentine complex’ is achieved and further root maturation is variable. According to Glossary of Endodontic terms published by American Association of Endodontists, REP’s are biologically based procedures designed to physiologically replace damaged tooth structures, including dentin and root structures, as well as cells of the pulp-dentin complex.1,2 Apexification treatment has been a routine procedure to treat and preserve such teeth for many decades.3 Apexification is the process by which a suitable environment is created within the root canal and periapical tissue to allow for the formation of a calcific barrier across the open apex. Calcium hydroxide [Ca(OH)2] has been the material of choice for apexification as Frank reported its capacity to induce physiological closure of immature pulpless teeth in 1966.4 However, this technique has several disadvantages, including the unpredictability of apical barrier formation and the long duration of treatment, which often requires multiple visits.5 A retrospective study by Jeruphuaan et al.6 has shown a higher survival rate with regenerative endodontic treatment when compared to both mineral trioxide aggregate (MTA) and Ca(OH)2 apexification. The first evidence of regeneration of dental tissues was in 1932 by G.L. Feldman, who showed evidence of regeneration of dental pulp under certain optimal biological conditions.7 In 1971, a pioneer study in regenerative endodontics conducted by Nygaard-Ostby concluded that bleeding induced within a vital or necrotic canal led to resolution of signs and symptoms of necrotic cases and in certain cases, apical closure.8 According to Windley et al. (2005), the successful revascularisation of immature teeth with apical periodontitis is mainly dependent upon: 1. Canal disinfection 2. Scaffold placement in the canal for the growing tissues 3. Bacteria-tight sealing of the access opening.9 The purpose of this case report is to illustrate the outcome of a revascularisation endodontic procedure in a non-vital immature young permanent central incisor.

scholarly journals Aesthetic management of complete calcific metamorphosis: a case report

2018 ◽  
Vol 6 (11) ◽  
pp. 3782
Author(s):  
Mona Tariq AlDaiji ◽  
Laila Alsahaly
Keyword(s):  
Case Report ◽  
Informed Consent ◽  
Conservative Treatment ◽  
Root Canal ◽  
Treatment Plan ◽  
Signs And Symptoms ◽  
Informed Consent Form ◽  
Treatment Procedures ◽  
Financial Issues

Calcific metamorphosis teeth are a great challenge to the clinician. Its diagnosis and treatment procedures are of utmost importance in providing the best treatment. Understanding the mechanism behind the discoloration of teeth is the key to get the best treatment. Internal bleaching is one conservative treatment for complete calcific metamorphosis in certain conditions, where signs and symptoms of periapicalpathosis are absent. The present paper involves a case study of 36 years old Saudi woman who faced an injury 20 years ago and presented with yellow discoloration. The patient was thoroughly informed regarding the case; all the plan options were discussed with her prior implementation. Treatment plan comprised of internal bleaching without any endodontic root canal treatment. Vital bleaching is comparatively expensive and was not chosen since the patient had financial issues. The internal bleaching proved a more economic option for her. The patient signed an informed consent form after considering all the details of the procedure.

scholarly journals Endodontic Management of a Maxillary Lateral Incisor fused with Supernumerary Tooth using Spiral Computed Tomography as Diagnostic Aid

2016 ◽  
Vol 7 (4) ◽  
pp. 199-202
Author(s):  
Deepti Dua ◽  
Ankur Dua
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Root Canal ◽  
Spiral Computed Tomography ◽  
Endodontic Treatment ◽  
Lateral Incisor ◽  
Supernumerary Tooth ◽  
Spiral Computed ◽  
Diagnostic Aid ◽  
Maxillary Lateral Incisor

ABSTRACT Fusion is a developmental anomaly in tooth morphology, which may be due to either union of two separate tooth buds or partial splitting of a single tooth bud. A thorough understanding of root canal anatomy is an essential prerequisite for a successful endodontic treatment. This case report describes successful endodontic management of a maxillary left lateral incisor fused with a supernumerary tooth using spiral computed tomography (SCT) as a diagnostic aid. A patient reported with a painless swelling in the maxillary anterior region associated with a fused maxillary lateral incisor. Spiral CT was performed to better understand the complex root canal anatomy. Endodontic treatment was done using methyl trioxide aggregate (MTA) as apical plug and obturation by thermoplasticized gutta-percha. The tooth was completely asymptomatic at 1-year follow-up showing signs of healing. The present case report emphasizes on the importance of three-dimensional (3D) imaging techniques, such as SCT in cases of developmental anomalies having complicated root canal morphology for successful endodontic therapy. How to cite this article Dua D, Dua A, Patil AC. Endodontic Management of a Maxillary Lateral Incisor fused with Supernumerary Tooth using Spiral Computed Tomography as Diagnostic Aid. World J Dent 2016;7(4):199-202.

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