Nerve Injury from Overfilled Calcium Hydroxide Root Canal Filling Paste for Maxillary Lateral Incisor Endodontic Treatment

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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Evaluation of Antimicrobial Efficacy of Various Root Canal Filling Materials Used in Primary Teeth: A Microbiological Study

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.31.3.t73r4061424j2578 ◽

2007 ◽

Vol 31 (3) ◽

pp. 193-198 ◽

Cited By ~ 11

Author(s):

S Reddy ◽

Y Ramakrishna

Keyword(s):

Zinc Oxide ◽

Calcium Hydroxide ◽

Root Canal ◽

Primary Teeth ◽

Endodontic Treatment ◽

Root Canal Filling ◽

Primary Molar ◽

Filling Materials ◽

Root Canal Filling Materials ◽

Antimicrobial Effectiveness

The primary goal of endodontic treatment in primary teeth is to eliminate infection, and to retain the tooth in a functional state until their normal exfoliation time without endangering the permanent dentition or the general health of the child. The complexity of the pulp canal system in primary teeth presents a discerning problem for chemo-mechanical preparation. One of the factors determining the success of endodontic treatment in infected primary teeth is the sealing material that should encompass among other factors a potent bactericidal effect and the capacity to resorb along with the roots of primary teeth. This study evaluated the antimicrobial effectiveness of 5 root canal filling materials and a negative control agent against 23 strains of bacteria isolated from infected root canals of primary molar teeth and 3 non standard bacterial strains using agar diffusion assay. The materials were Zinc oxide and Eugenol (ZOE), Zinc oxide-Eugenol and Formocresol (ZOE+FC), Calcium hydroxide and sterile water (CAOH+H2O), Zinc oxide and Camphorated phenol (ZO+CP), Calcium hydroxide and Iodoform (Metapex) and Vaseline (Control). All the materials except Vaseline showed varied antimicrobial activity against the test bacteria. The zones of inhibition were ranked into 4 inhibition categories based on the proportional distribution of the data. All the 26 bacterial isolates were classified under 4 groups based on Aerobic/Anaerobic and Gram positive/Gram negative. Statistical analysis was carried out to compare the antimicrobial effectiveness between materials tested with each of the bacterial groupings. ZOE+FC produced strong inhibition against most bacteria when compared to ZOE, ZO+CP and CAOH+H2O. Metapex and Vaseline were found to be non inhibitory

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TRATAMENTO ENDODÔNTICO DE INCISIVO LATERAL SUPERIOR COM CURVATURA APICAL ACENTUADA E LESÃO PERIAPICAL: RELATO DE CASO

Journal of Dentistry & Public Health ◽

10.17267/2596-3368dentistry.v7i1.788 ◽

2016 ◽

Vol 7 (1) ◽

Author(s):

Ronaldo Araújo Souza ◽

Fernando Gavazza ◽

João Da Costa Pinto Dantas ◽

Maurício Lago ◽

Suely Colombo

Keyword(s):

Successful Treatment ◽

Root Canal ◽

Endodontic Treatment ◽

Root Canal Treatment ◽

Lateral Incisor ◽

Periapical Lesion ◽

Root Canal Filling ◽

Determinant Factors ◽

Determinant Factor

Complexity of root canal treatment is well recognized, however some specific situations are still more difficult, such as treatment of apical third with accentuated curvature. Nevertheless, recent techniques of instrumentation and obturation brought new persperctives and became a determinant factor for successful treatment. Through the treatment of a maxillary left lateral incisor, with accentuated apical curvature, pulpal necrosis and periapical lesion through manual instrumentation and lateral condensation technique of root canal filling, this article is aimed to discuss whether these recent techniques of instrumentation and obturation of root canal are actually determinant factors for the success in endodontic treatment.

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Endodontic treatment of apical inflammatory root resorption

Romanian Journal of Stomatology ◽

10.37897/rjs.2015.1.9 ◽

2015 ◽

Vol 61 (1) ◽

pp. 49-54

Author(s):

Paula Perlea ◽

◽

Cristina Coralia Nistor ◽

Alexandru Andrei Iliescu ◽

Mihaela Jana Ţuculină ◽

...

Keyword(s):

Calcium Hydroxide ◽

Root Canal ◽

Root Resorption ◽

Correct Diagnosis ◽

Endodontic Treatment ◽

Cone Beam ◽

Hard Tissue ◽

Root Canal Filling ◽

Precise Information ◽

Planning Decision

Apical inflammatory root resorptions are frequently the result of long lasting chronical inflammation. Untreated, these situations can lead to loss of hard tissue and even the loss of the tooth. The management of these lesions consists of multi-visit canal treatment, with calcium-hydroxide as interappointment dressing and application of MTA. Single-visit treatment may be also an option. Our clinical cases show the importance of correct diagnosis of the apical inflammatory progressive root resorptions and the evaluation of the outcome of the endodontic treatment due to the use of cone-beam computing tomography (CBCT). The treatments proved to be successful. Although some of the root canal filling seem to be incomplete on radiographs, because of the oblique defect and the roots remained short, the functionality of the teeth could be preserved. Precise information influences the diagnosis and the treatment planning decision.

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Perawatan Ulang Saluran Akar Insisivus Lateralis Kiri Maksila dengan Medikamen Kalsium Hidroksida-Chlorhexidine

Majalah Kedokteran Gigi Indonesia ◽

10.22146/majkedgiind.8342 ◽

2013 ◽

Vol 20 (1) ◽

pp. 52

Author(s):

Ni Gusti Ayu Ariani ◽

Wignyo Hadriyanto

Keyword(s):

Calcium Hydroxide ◽

Root Canal ◽

Antibacterial Properties ◽

Root Canal Treatment ◽

Lateral Incisor ◽

Radiographic Evaluation ◽

Periapical Lesion ◽

Bacterial Endotoxins ◽

Infected Root ◽

Maxillary Lateral Incisor

Banyak faktor yang menyebabkan kegagalan terapi endodontik antara lain pembersihan dan membentuk saluran akar yang tidak sempurna dan obturasi tidak hermetis sehingga menyebabkan kurangnya kemampuan untuk menghilangkan mikroorganisme yang ada. Saluran akar yang terinfeksi membutuhkan suatu medikamen untuk menunjang keberhasilan dalam perawatan saluran akar.Kalsium hidroksida merupakan salah satu bahan medikamen yang efektif karena memiliki sifat antibakteri dengan spektrum luas, pH tinggi, biokompatibilitas baik, mampu menetralkan endotoksin bakteri, memiliki sifat toksik yang paling rendah, serta menstimulasi pembentukan jaringan keras. Tujuan laporan kasus untuk menunjukan keberhasilan perawatan ulang saluran akar gigi insisivus lateralis kiri maksila dengan lesi periapikal menggunakan medikamen kalsium hidroksida- chlorhexidine. Pasien wanita umur 53 tahun, gigi insisivus lateralis kiri maksila dengan lesi periapikal.Radiografi tampak obturasi kurang hermetis dan radiolusen daerah periapikal. Perawatan ulang saluran akar,diikuti pemasangan pasak fiber frefabricated dan restorasi porselin fuse metal.Keseimpulan setelah evaluasi setelah enam bulan pasca perawatan ulang saluran akar, radiografi menunjukan radiolusen mengecil dan gigi dapat berfungsi dengan normal.Re-Treatment of Root Canal of Maxillary Left Lateral Incisor with Calcium Hydroxide-Chlorhexidine Medicament. There are many factors that cause failure of endodontic therapy. For instances, incomplete cleaning and shaping of root canal and inadequate obturation that results in difficulty to remove the microorganisms. Infected root canal requires a medicament for the success of the root canal treatment. Calcium hydroxide is one of the effective ingredients as medicament because it has broad spectrum antibacterial properties, high pH, good biocompatibility, and it is able to neutralize bacterial endotoxins, decrease tissue toxicity, and stimulate the formation of hard tissue. The purpose of this case report is to show the success of root canal treatment of the left maxillary lateral incisor with periapical lesions using calcium hydroxide-chlorhexidine medicaments. The patient was a woman aged 53, complaining about her left maxillary lateral incisor with periapical lesion. Based on the radiographic evaluation, there was less hermetic obturation and a radiolucent in the periapical. Root canal re-treatment was continued with fiber prefabricated post and porcelain fused to metal crown. After six months of evaluation and endodontic retreatment, it is found that there is a decrease of radiolucency periapical lesion, and her teeth are able to function normally.

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Type 2 Dens Invaginatus in a Maxillary Lateral Incisor: A Case Report of a Conventional Endodontic Treatment

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.33.2.d2k2368275n06682 ◽

2008 ◽

Vol 33 (2) ◽

pp. 103-106 ◽

Cited By ~ 1

Author(s):

C Aguiar ◽

J P Ferreira ◽

A Câmara ◽

J de Figueiredo

Keyword(s):

Root Canal ◽

Treatment Options ◽

Endodontic Treatment ◽

Root Canal Treatment ◽

Lateral Incisor ◽

Maxillary Lateral Incisor ◽

Rare Malformation ◽

Dens Invaginatus

Dens invaginatus is a rare malformation of the teeth resulting from the invagination of the tooth crown before biological mineralization occurs. In most cases, the thin or incomplete enamel lining of the invagination cannot prevent the entry of bacteria into the pulp, which leads to pulp necrosis with an eventual periapical inflammatory response. The treatment options include preventive sealing or filling of the invagination,root canal treatment, endodontic apical surgery and extraction. The root canal treatment of such teeth is often complicated because of their anatomical complexity. This case describes a successful non-surgical endodontic treatment of a maxillary lateral incisor with type 2 dens invaginatus with a large periradicular lesion. At follow-up examinations after 6 and 12-months, the tooth was asymptomatic and the healed lesion was evident radiographically.

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Severe root resorption of fractured maxillary lateral incisor following endodontic treatment and orthodontic extrusion

Dental Traumatology ◽

10.1111/j.1600-9657.1987.tb00635.x ◽

1987 ◽

Vol 3 (5) ◽

pp. 263-267 ◽

Cited By ~ 3

Author(s):

Jon Artun ◽

Hilde M. Aa. Aamdal

Keyword(s):

Root Resorption ◽

Endodontic Treatment ◽

Lateral Incisor ◽

Maxillary Lateral Incisor ◽

Orthodontic Extrusion

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APEXIFICATION WITH BIODENTINE - A CASE REPORT

CODS Journal of Dentistry ◽

10.5005/cods-5-2-3 ◽

2013 ◽

Vol 5 (2) ◽

pp. 3-5

Author(s):

R.S. Bassvanna ◽

Chitra Gohil

Keyword(s):

Case Report ◽

Calcium Hydroxide ◽

Root Canal ◽

Endodontic Treatment ◽

Clinical Scenario ◽

Root Canal Obturation ◽

Single Visit ◽

Dental Practitioners ◽

New Material ◽

Open Apices

ABSTRACT Management of non vital teeth with open apices isa challenge to the dental practitioners. In this clinical scenario, it is difficult to maintain the obturating material confine within the root canal without encroaching into periapical area. These kinds of cases cannot be managed by conventional endodontic treatment, and treatment of such cases with calcium hydroxide may take longer time for apical closure. But with this new material called BIODENTINE (Septodont) same treatment can be done in single visit with predictable result. Hence this case report present the use ofbiodentine to form an apical plug in open apex followed by complete root canal obturation using thermoplasticized guttapercha.

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Management of periradicular pathosis by single visit endodontic treatment using calcium hydroxide and mineral trioxide aggregate based sealer

Update Dental College Journal ◽

10.3329/updcj.v10i2.50174 ◽

2020 ◽

Vol 10 (2) ◽

pp. 10-13

Author(s):

Md Abdul Hannan Sheikh ◽

Eyad Al Khalifa ◽

Mozammal Hossain ◽

Md Faruk Hossain ◽

Nazneen Karim ◽

...

Keyword(s):

Calcium Hydroxide ◽

Statistical Methods ◽

Root Canal ◽

Mineral Trioxide Aggregate ◽

Endodontic Treatment ◽

Root Canal Treatment ◽

Radiological Evaluation ◽

Root Canal Therapy ◽

Radiological Investigation ◽

Single Visit

In this study, 120 teeth having periradicular pathosis were treated with single visit root canal treatment and then obturated with either calcium hydroxide containing sealer or mineral trioxide aggregate based sealer. The healing of periradicular pathosis was examined at 3, 6, and 12 months by clinical and radiological evaluation. Collected data were analyzed with standard statistical methods by using SPSS version- 20. The results showed that at 3 and 6 months, the differences between calcium hydroxide containing sealer or mineral trioxide aggregate based sealer were not statistically significant. However, the healing capability of periapical radiolucency at 12 months between two groups was statistically significant (P=0.03). The final outcome of the clinical and radiological investigation showed successful results of 96.6% and 98.1% in calcium hydroxide and mineral trioxide aggregate group, respectively. In conclusion, both calcium hydroxide and mineral trioxide aggregate based sealers are almost equally effective in single visit root canal therapy for the management of periradicular pathosis. Update Dent. Coll. j: 2020; 10 (2): 10-13

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