scholarly journals C-shaped canal configuration in lower molar - Case report

2015 ◽  
Vol 18 (2) ◽  
pp. 115
Author(s):  
Lauren Grandi Dos Santos ◽  
Amanda Nunes Gallas ◽  
Josué Martos ◽  
Luiz Fernando Machado Silveira
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Anatomical Variation ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Second Molar ◽  
Gutta Percha ◽  
Mandibular Second Molar ◽  
Lower Molar

The C-shape configuration in molars it’s an anatomical variation that difficult the diagnosis and treatment. The aim of this study was to report a case of C-shape endodontic configuration in mandibular second molar. The radiographic examination of one patient revealed the extent of caries in the mesial aspect of mandibular second molar, without the presence of periapical lesion and was clinically noted the C-shape configuration of the root canal, extending from the mesiobuccal to the distal canal. Endodontic therapy was performed and after the root canal obturation with gutta-percha cones and endodontic cement the tooth was restored. We conclude that the anatomical condition in C-shape, although it brings many difficulties for the endodontic treatment, does not preclude the tooth rehabilitation.

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 Case report. Endodontic treatment of lower molar in a patient with paraesthesia of inferior alveolar nerve – A Case Report

2017 ◽  
Vol 64 (1) ◽  
pp. 41-47
Author(s):  
Milica Jovanović-Medojević ◽  
Jelena Nešković
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Inferior Alveolar Nerve ◽  
Endodontic Treatment ◽  
Second Molar ◽  
Tooth Structure ◽  
Close Proximity ◽  
Complex Procedure ◽  
Neurosensory Dysfunction ◽  
Lower Molar

Summary Root canal (endodontic) treatment is demanding and complex procedure. A variety of difficulties can occur in different phases of endodontic procedure. Complex anatomorphological tooth structure, curved canals, close proximity of lower molars and premolars to inferior alveolar nerve make endodontic treatment even more challenging. During endodontic treatment, an inferior alveolar nerve may become traumatized and symptoms may vary from mild neurosensory dysfunction to a complete loss of sensation in the innervation area of damaged nerve. The aim of this paper is to present a clinical case of endodontic treatment of lower second molar with C-shaped root canal in a patient with paraesthesia of inferior alveolar nerve due to endodontic origin.

scholarly journals Endodontic treatment of maxillary second molar with two roots: A case report

2020 ◽  
Vol 11 (1) ◽  
pp. 86-89
Author(s):  
Dajana Nogo-Živanović ◽  
Dragan Ivanović ◽  
Tanja Ivanović ◽  
Ivana Simić
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Cavity Preparation ◽  
Second Molar ◽  
Root Canals ◽  
Gutta Percha ◽  
Maxillary Molar ◽  
Preoperative Diagnostic ◽  
Root Canal System

Introduction. The success of endodontic treatment depends on the adequate biomechanical preparation and obturation of the entire root canal system. The untreated or poorly debrided/obturated root canals are among the most frequent causes of endodontic treatment failure. The endodontic treatment of maxillary molar has the highest failure rates due to the complexity of their root canal anatomy. The aim of the study is to present the endodontic treatment of maxillary second molar with two roots and two canals. Case report. The clinical case report presents the endodontic treatment of maxillary second molar with two roots and two canals in a patient, aged 32 years. After the analysis of preoperative diagnostic radiograph, opening the pulp chamber and access cavity preparation, two canal orifices were localized. After the biomechanical preparation, root canals were obturated with the Gutta-percha points and sealer during the same visit. Conclusion. Although maxillary second molar most commonly varies in terms of the number of root canals in the buccal roots, less common variations in anatomical and morphological traits, such as the presence of two roots and two canals, should be considered during endodontic treatment.

scholarly journals Endodontic Management of Hypercementosis in Conjunction with Asymptomatic Apical Periodontitis: A Case Report

2019 ◽  
Vol 13 (1) ◽  
pp. 296-300
Author(s):  
Gabriela E.I. Heredia ◽  
Santiago H.M. Morales ◽  
Juan C.M. Niño ◽  
James L. Gutmann
Keyword(s):  
Case Report ◽  
Surgical Approach ◽  
Root Canal ◽  
Apical Periodontitis ◽  
Periapical Lesion ◽  
Dental Cementum ◽  
Second Molar ◽  
Benign Pathology ◽  
Mandibular Second Molar ◽  
Inflammatory Tissue

Introduction: Hypercementosis is characterized by an excessive deposit of dental cementum. While it is considered a benign pathology, it can sometimes be associated with a chronic pulpal or periapical infection. Furthermore, its management is complex, because establishing an accurate apical limit for a root canal procedure is not always possible. Methods: When a periapical lesion is present, a conservative, surgical approach to remove the inflammatory tissue from the periapical lesion can be considered as a treatment option. Conclusion: This paper reports on the management of a tooth with hypercementosis accompanied by an asymptomatic apical periodontitis affecting a left mandibular second molar.

scholarly journals Removal of fractured endodontic NiTi file in the apical third of the root canal using an alternative approach. A case report

2021 ◽  
Vol 10 (3) ◽  
pp. e13810313097
Author(s):  
Caroline Loureiro ◽  
Flávia Alfredo Plazza ◽  
Rogério de Castilho Jacinto ◽  
Luciano Tavares Angelo Cintra ◽  
João Eduardo Gomes-Filho
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Cost Effective ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Hypodermic Needle ◽  
Periapical Lesion ◽  
Clinical Routine ◽  
Cost Effective Method ◽  
Alternative Approach

This case report presents an alternative approach for the removal of a fractured endodontic instrument from the apical third of the root canal. A 52-years-old female patient was referred for specialized endodontic treatment of the maxillary left first molar due to the presence of a periapical lesion and root canal calcification. After clinical and radiographic examination, the calcification was confirmed. During biomechanical preparation, the fracture of a size 25/.06 NiTi reciprocating file (ProDesign R) occurred in the apical third of the palatine canal. The patient was informed about the complication and agreed with the attempt to remove the fragment. Firstly, a slight wear of the dentinal walls around the fragment was made using ultrasonic inserts under magnification. Then, a customized extractor was made using a hypodermic needle and a handling file whose mechanism is similar to the removal method previously described by Masserann. For this, the hypodermic needle was inserted in the root canal and the handling file was adapted in the needle lumen, with the function of fixing the fragment and removing it from the canal through the opposite movement performed by the fractured file. After associating the technique with a hypodermic needle and using ultrasound and an operating microscope to perform the procedure, the fragment was successfully removed. The association of techniques to remove fragments using only items already present in the endodontic arsenal can eliminate the need for surgical treatment and improve the prognosis of endodontic treatment through a safe, simple and cost-effective method that can be performed in the endodontic clinical routine.

scholarly journals Radicular Perforation Repair with Mineral Trioxide Aggregate: A Case Report with 10-Year Follow-up

2016 ◽  
Vol 10 (1) ◽  
pp. 733-738 ◽  
Author(s):  
Leopoldo Cosme-Silva ◽  
Breno Carnevalli ◽  
Vivien Thiemy Sakai ◽  
Naiana Viana Viola ◽  
Leon Franco de Carvalho ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Root Canal Filling ◽  
Second Molar ◽  
Iatrogenic Perforation ◽  
Iatrogenic Complications ◽  
Root Canal Retreatment

Background: Iatrogenic complications such as accidental perforation of the root or the floor of the pulp chamber may occur. Case Report: Patient was referred for root canal retreatment of the mandibular left second molar with periapical lesion evidenced through radiographic examination. During post removal, iatrogenic perforation occurred at the mesial face of the distal root. After clinical localization of the perforation and bleeding control, MTA was applied. In a second appointment, the root canal filling was removed and the chemical-surgical retreatment of the canals was performed, followed by the obturation with gutta-percha and sealer. Patient returned after three days reporting no pain. After 6 months, 3, 7 and 10 years of follow-up. Conclusion: Absence of pain, normal periodontal probing and lack of radiolucent area at the region of perforation and the periapices were detected, which evidenced the successful repair of the tooth.

scholarly journals Intentional Replantation – The novel technique for the management of separated instrument in apical third of tooth: A case report

2022 ◽  
Vol 7 (4) ◽  
pp. 250-253
Author(s):  
Harshal V Basatwar ◽  
Balaji S Kapse ◽  
Pradnya S Nagmode ◽  
Sharmika B Chechare ◽  
Aniruddha G Mundhe ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Tooth Extraction ◽  
Treatment Approach ◽  
Root Canal Treatment ◽  
The Novel ◽  
Second Molar ◽  
Novel Technique ◽  
Mandibular Second Molar

Intentional replantation is a procedure in which an intentional tooth extraction is performed followed by reinsertion of the extracted tooth into its own alveolus. In this article, intentional replantation is described and discussed as a treatment approach for failed root canal treatment with broken instrument periapically in mandibular second molar.

scholarly journals Late endodontic treatment of a tooth with extrusive dislocation and invasive cervical resorption: a clinical case report

2021 ◽  
Vol 10 (12) ◽  
pp. e139101220061
Author(s):  
Ana Paula Fernandes Ribeiro ◽  
Julia Guerra de Andrade ◽  
Heitor César Maia ◽  
Caroline Loureiro ◽  
Gladiston Willian Lobo Rodrigues ◽  
...  
Keyword(s):  
Root Canal ◽  
Clinical Case ◽  
Glass Ionomer Cement ◽  
Sinus Tract ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Root Canal Filling ◽  
Recurrent Sinus

This study aims to report the clinical case of a 16 years-old male patient, who attended a private office reporting that at an accident suffered at the age of 10 years-old, which caused extrusive dislocation in both teeth 11 and 21. At that time, the teeth were repositioned, without an adequate follow-up. Upon physical and radiographic examination, the following features were observed: presence of recurrent sinus tract on the vestibular surface, area of ​​external cervical resorption, and a periapical lesion on tooth 21. Endodontic treatments (necropulpectomy) were performed on teeth 11 and 21, with the placement of a root canal dressing of calcium hydroxide and subsequent root canal filling. In addition, soft tissue flap folding was performed to treat the resorption area and to seal it with glass ionomer cement. A 7 months follow-up radiograph shows stabilization in the process of the tooth resorption and remission of the periapical lesion. In conclusion, the endodontic treatment with intracanal medication, and the sealing of the resorption area were successful to preserve the traumatized tooth. In addition, it is noteworthy that following up with the patient after the trauma episode is essential to monitor the pulp vitality of the tooth involved.

scholarly journals Non-surgical management of periapical lesions with triple antibiotic paste: A case reports

2020 ◽  
Vol 2 ◽  
pp. 120-123
Author(s):  
Munish Singla ◽  
Iyana Garg ◽  
Vandana Goyal ◽  
Harleen Kaur ◽  
Litik Mittal
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Root Canal ◽  
Case Reports ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Periapical Lesion ◽  
Present Case Report ◽  
Periapical Lesions ◽  
Triple Antibiotic Paste

Sterilization of root canal space is foremost for the success of the endodontic treatment which is usually carried out with intracanal irrigants and medicaments. Triple antibiotic paste (metronidazole, ciprofloxacin, and minocycline) is used to achieve sterilization and healing of periradicular area. In the present case report, the triple antibiotic paste was used for non-surgical management of periapical lesion for 3 weeks. After 3 weeks, the tooth became asymptomatic that was then obturated. Hence, it is confirmed that conventional root canal treatment, along with intracanal medicaments (triple antibiotic paste), can non-surgically manage the periapical lesions and further promotes healing.

Sign in / Sign up

Export Citation Format

Share Document