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 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 Endodontic Management of Maxillary Second Molar Tooth with a Single Root and Single Canal

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Neelam Mittal ◽  
Vijay Parashar ◽  
Prasad Suresh Patel
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Molar Tooth ◽  
Comprehensive Understanding ◽  
Second Molar ◽  
Single Root ◽  
Maxillary Molar ◽  
Root Canal Morphology ◽  
Canal Morphology

Comprehensive understanding of variations in the root canal morphology of a maxillary molar is useful for performing successful endodontic treatment in such cases. This case report describes endodontic management of a case with such aberrant root canal morphology of a maxillary second molar having a single root and single canal.

scholarly journals Endodontic treatment of lower anterior teeth with multiple canals

2011 ◽  
Vol 58 (3) ◽  
pp. 168-173
Author(s):  
Mirjana Vujaskovic ◽  
Nikola Stojanovic ◽  
Goran Vujaskovic
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Clinical Finding ◽  
Endodontic Treatment ◽  
Lateral Incisor ◽  
Tooth Structure ◽  
Gutta Percha ◽  
Anterior Teeth ◽  
Root Canal Morphology ◽  
Canal Morphology

Introduction. Knowledge of root canal morphology is one of the main prerequisites for successful endodontic treatment. We present the case of a patient with multiple canals in lower anterior teeth which were treated endodontically. Case Report. To a 45-year-old patient endodontic treatment was applied on lower left lateral incisor, lower right central and lateral incisor and lower right canine. These teeth were previously prepared for prosthetic crowns. All involved teeth had two canals which were not visible on the primary radiographs. Gracility of remaining tooth structure and canals and the presence of two canals in each tooth required additional radiographs for verification of multiple canals. Careful biomechanical instrumentation and irrigation with use of lubrication due to narrow canals was performed. The canals were obturated with gutta-percha using lateral compaction technique and Acroseal (Septodont) paste. On the control checkup after eight months, the patient was asymptomatic, while clinical finding was normal. Conclusion. Complexity of presented case was even more significant because these teeth were prepared to support prosthetic superstructure and crowns, and every ?forgotten? canal is an iatrogenic error.

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.

Astounding Root Canal Anatomy of A Manibular Second Molar – A Case Report

2011 ◽  
Vol 3 (9) ◽  
pp. 417-418
Author(s):  
Dr Veerendra M Uppin ◽  
◽  
Dr Priyanka Sarangi ◽  
Dr Sukanta Kumar Satapathy
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Second Molar ◽  
Root Canal Anatomy

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 Inferior alveolar nerve paraesthesia after overfilling into the mandibular canal, confirmed by cone-beam computed tomography: a case report

2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Claudemir de Souza Júnior ◽  
Ricardo Machado ◽  
Renee Ashley Batts ◽  
Lucas da Fonseca Roberti Garcia
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Inferior Alveolar Nerve ◽  
Mandibular Canal ◽  
Cone Beam ◽  
Filling Material ◽  
Mandibular Molar ◽  
Patient Reported

The filling material should be restricted to the root canal, and not extend to the periradicular tissues. Overextension occurs when there is an overflow of gutta-percha and sealer, whereas overfilling refers to the overflow only of sealer beyond the apical foramen. Both may cause several negative clinical consequences. Nevertheless, an accurate diagnosis of where they occurred cannot always be performed by conventional radiographic examination, because of the two-dimensional aspect of the image. This paper describes a clinical case of labiomandibular paraesthesia after overfilling into the mandibular canal (MC), as diagnosed by cone-beam computed tomography (CBCT), later used to perform the treatment planning. A 34-year-old Caucasian female patient sought a private dental clinic complaining of pain in the right mandibular posterior region. After taking the anamnesis and performing clinical and radiographic exams, the patient was diagnosed with pulp necrosis in the second right mandibular molar, and underwent root canal treatment. The final radiography showed overextension or overfilling, probably into the MC. About 2 hours after the procedure, the patient reported paraesthesia of her lower right lip and chin. A CBCT confirmed a small overfilling into the MC. For this reason, vitamin B12 was prescribed as the first treatment option. After 7 days, the patient reported a significant decrease in paraesthesia, and was completely normal after 15 days. This case report shows that CBCT is an effective radiographic diagnostic tool that can be used as an alternative in clinical cases of labiomandibular paraesthesia caused by overextension or overfilling.   Keywords Endodontic treatment; Overfilling; Paraesthesia; Conebeam computed tomography.

scholarly journals APEXIFICATION WITH BIODENTINE - A CASE REPORT

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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