scholarly journals Why not to treat the tooth canal to solve external root resorptions? Here are the principles!

2016 ◽  
Vol 21 (6) ◽  
pp. 20-25 ◽  
Author(s):  
Alberto Consolaro ◽  
Graziella Bittencourt
Keyword(s):  
Root Canal ◽  
Periodontal Ligament ◽  
Therapeutic Approach ◽  
Microbial Contamination ◽  
Endodontic Treatment ◽  
Tooth Resorption ◽  
Microbial Products ◽  
External Part ◽  
Periapical Inflammation

ABSTRACT This paper aims at exposing the foundations or reasons why, in cases of external tooth resorption, including those of orthodontic origin, one should not perform a root canal to treat it. That should be done only to teeth with contamination or pulp necrosis, to remove the periapical inflammation induced by microbial products. When facing cases of external tooth resorption, one's conduct must always respect the following sequence of steps: first of all, identifying the cause accurately; then, planning the therapeutic approach and, finally, adopting the conducts in a very well-founded way. The situations in which endodontic treatment is recommended for tooth resorptions are those when there are: a) pulp necrosis with microbial contamination, b) aseptic pulp necrosis, c) developing calcific metamorphosis of the pulp and d) diagnosis of internal resorption. It is not possible, through the pulp, to control the resorption process that is taking place in the external part, after all, the causes are acting in the periodontal ligament. There is no evidence that justifies applying endodontic treatment, by means of root canal, to control external resorption processes, when the pulp shows vitality.

scholarly journals Definition and Endodontic Treatment of Dilacerated Canals: A Survey of Diplomates of the American Board of Endodontics

2011 ◽  
Vol 12 (1) ◽  
pp. 8-13 ◽  
Author(s):  
Nafiseh Dastmalchi ◽  
Zeinab Kazemi ◽  
Siroos Hashemi ◽  
Ove A Peters ◽  
Hamid Jafarzadeh
Keyword(s):  
Statistical Analysis ◽  
Root Canal ◽  
Therapeutic Approach ◽  
Response Rate ◽  
Endodontic Treatment ◽  
Root Canal Preparation ◽  
Chi Square ◽  
Web Based ◽  
Treatment Procedures ◽  
E Mail

ABSTRACT Aim To gather data from Diplomates of the American Board of Endodontics regarding treatment of dilacerated canals. Materials and methods A questionnaire addressing definition, endodontic treatment procedures and prognosis was constructed and distributed via e-mail to 708 Diplomates of the American Board of Endodontics. Data from 150 respondents, a 21% response rate, were collected by using a Web-based interface. For statistical analysis, Chi-square tests were used. Results More than 25% of respondents believed that a dilacerated root should have a curvature > 40°. One-visit treatment is the best therapeutic approach and transportation is the most likely complication in preparation of these canals. A crown-down technique, watch-winding motion and a master apical file # 25 are the best choices for preparation of these canals. Any warm obturation technique is preferred over lateral compaction by most respondents. Conclusion A crown-down technique for root canal preparation and a thermoplastic obturation technique are recommended for canals whose curvature is more than 40°. The prognosis of the treatment of these canals is judged not lower than normal canals. Clinical significance Crown-down technique and thermoplastic obturation are recommended for dilacerated canals. How to cite this article Dastmalchi N, Kazemi Z, Hashemi S Peters OA, Jafarzadeh H. Definition and Endodontic Treatment of Dilacerated Canals: A Survey of Diplomates of the American Board of Endodontics. J Contemp Dent Pract 2011;12(1):8-13.

scholarly journals Rare Periodontal Ligament Drainage for Periapical Inflammation of an Adjacent Tooth: A Case Report and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Hongmei Guo ◽  
Wei Lu ◽  
Qianqian Han ◽  
Shubo Li ◽  
Pishan Yang
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Root Canal ◽  
Periodontal Ligament ◽  
Review Of The Literature ◽  
Endodontic Surgery ◽  
Periapical Cyst ◽  
First Time ◽  
Periodontal Healing ◽  
Periapical Inflammation

Aim. To report a case with an unusual drainage route of periapical inflammation exiting through the gingival sulcus of an adjacent vital tooth and review probable factors determining the diversity of the discharge routes of periapical inflammation.Summary. An 18-year-old male patient presented with periodontal abscess of tooth 46, which was found to be caused by a periapical cyst with an acute abscess of tooth 45. During endodontic surgery, a rarely reported drainage route for periapical inflammation via the gingival sulcus of an adjacent vital tooth was observed for the first time. Complete periodontal healing of the deep pocket of tooth 46 and hiding of the periapical cyst of tooth 45 followed after root canal treatment and periapical surgery with Bio-Oss Collagen implantation on tooth 45. The drainage routes of periapical inflammation are multivariate and the diversity of drainage pathways of periapical inflammation is mainly related to factors such as gravity, barriers against inflammation, and the causative tooth itself.

scholarly journals Endodontic Treatment of a Mandibular Second Premolar with Type IV Wiene’s Root Canal: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Noushad Matavan Chalil ◽  
Shravan Kini ◽  
Sunil Jose ◽  
Arun Narayanan ◽  
Shahnas Salahudeen ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Clinical Management ◽  
Periodontal Ligament ◽  
Endodontic Treatment ◽  
Carious Lesion ◽  
Anatomic Variations ◽  
Type Iv ◽  
Patient Reported ◽  
Pulp Exposure

This case report describes an endodontic treatment of a mandibular second premolar with type IV root canal. A 26-year-old male patient reported pain in right mandibular second premolar. Clinical examination showed a large carious lesion with pulp exposure. Radiographs showed minimal periapical changes and slight widening of periodontal ligament space. Mandibular second premolars usually have one canal. The mandibular second premolar may present large number of anatomic variations. The clinician should be aware of the configuration of the pulp system. This case presents the diagnosis and clinical management of a mandibular second premolar with two distinct canals in the apical third of root (Type IV Wiene’s canal configuration), drawing particular attention to tactile examination of all the canal walls and obturating it with calamus 3D obturation system.

Endodontic Treatment Including Apexification in a Chow Chow with a Necrotic Immature Mandibular Canine Tooth

1998 ◽  
Vol 15 (1) ◽  
pp. 21-25
Author(s):  
Ph. Hennet
Keyword(s):  
Bone Resorption ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Tissue Formation ◽  
Canine Tooth ◽  
Calcified Tissue ◽  
Mandibular Canine ◽  
Periapical Inflammation

A necrotic immature mandibular, canine tooth in a two year-old, male, intact Chow Chow was endodontically treated. This tooth had an open apex, wide root canal, thin dentinal walls, and there was periapical bone resorption. An apexification procedure was used to induce apical closure by calcified tissue formation, with resolution of the periapical inflammation.

Аpplying of high-frequency monopolar diathermocoagulation in the treatment of chronic pulpitis

2020 ◽  
Vol 1 (12) ◽  
pp. 40-42
Author(s):  
F. Yu. Daurova ◽  
D. I. Tomaeva ◽  
S. V. Podkopaeva ◽  
Yu. A. Taptun
Keyword(s):  
Root Canal ◽  
High Frequency ◽  
Antibacterial Effect ◽  
Comparison Group ◽  
Poor Quality ◽  
Endodontic Treatment ◽  
Root Canals ◽  
The Third ◽  
Before And After

Relevance: the reason for the development of complications in endodontic treatment is poor-quality instrumental treatment root canals.Aims: a study of the animicrobial action and clinical efficacy of high-frequency monopolar diathermocoagulation in the treatment of chronic forms of pulpitis.Materials and methods: 102 patients with various chronic forms of pulpitis were divided into three groups of 34 patients each. In the first two groups, high-frequency monopolar diathermocoagulation was used in endodontic treatment in different modes. In the third group, endodontic treatment was carried out without the use of diathermocoagulation (comparison group). The root canal microflora in chronic pulpitis in vivo was studied twice-before and after diathermocoagulation.Results: it was established that high-frequency monopolar diathermocoagulation in the effect mode is 3, power is 4 (4.1 W) and effect is 4, power is 4 (5.4 W) with an exposure time of 3 seconds, it has a pronounced antibacterial effect on all presented pathogenic microflora obtained from the root canals of the teeth.

Pemilihan medikamen intrakanal antar kunjungan yang rasional

2010 ◽  
Vol 9 (1) ◽  
pp. 63
Author(s):  
Indrya Kirana Mattulada
Keyword(s):  
Root Canal ◽  
Endodontic Treatment ◽  
Infected Root ◽  
Infected Root Canal

Bacteria and their products play a fundamental role in the initiation, propagation andpersistence of pulpal and periradicular diseases. Consequently one of the major goalsof endodontic treament is to eliminate all bacteria from the root canal space.Elimination of microorganism from infected root canal is a complicated task.Numerous measures have been described to reduce the numbers of root canalmicroorganism, including the use of various instrumentation techniques, irrigationregimens, and intracanal medication. In endodontic treatment, there are severalmedicament used traditionally. They are phenolic, aldehyde, halogen, calciumhydroxide, and antibiotic. The aim of this paper is to discuss about indication,contraindication and effect of each medicament.

scholarly journals BiodentineTM Full Pulpotomy in Mature Permanent Teeth with Irreversible Pulpitis and Apical Periodontitis

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 720
Author(s):  
Xuan Vinh Tran ◽  
Lan Thi Quynh Ngo ◽  
Tchilalo Boukpessi
Keyword(s):  
Root Canal ◽  
Periodontal Ligament ◽  
Clinical Signs ◽  
Apical Periodontitis ◽  
Permanent Teeth ◽  
Definitive Treatment ◽  
Capping Agent ◽  
Root Canal Therapy ◽  
Pulp Capping ◽  
Irreversible Pulpitis

Vital pulp therapy, including direct pulp capping and partial and full pulpotomy, is primarily indicated for immature or mature permanent teeth with reversible pulpitis. Mature permanent teeth with irreversible pulpitis are frequently treated with root canal therapy. This report presents two cases of full pulpotomy using BiodentineTM in mature permanent teeth with irreversible pulpitis and acute apical periodontitis. The periapical radiograph illustrated a deep carious lesion extended to the pulp with apical radiolucency lesion or widened periodontal ligament space. Full pulpotomy with a tricalcium silicate-based cement was chosen as the definitive treatment. After decayed tissue excavation under a rubber dam, the exposed pulp tissue was amputated to the level of the canal orifice with a new sterile bur. BiodentineTM was applied as the pulp capping agent after hemostasis was obtained and for temporary restoration. The clinical signs disappeared quickly after the treatment. After one month, the coronal part of the temporary restoration was removed, and a composite resin was placed over the capping agent as a final restoration. At two-year follow-ups, the teeth were asymptomatic. Radiographs showed healing of the periapical lesion and periodontal ligament. BiodentineTM full pulpotomy of mature permanent teeth with irreversible pulpitis and apical periodontitis can be an alternative option to root canal therapy.

scholarly journals Patients’ awareness and knowledge of the root canal treatment in Saudi population: survey-based research

2017 ◽  
Vol 5 (2) ◽  
pp. 89 ◽  
Author(s):  
Mazen Doumani ◽  
Adnan Habib ◽  
Nashwan Qaid ◽  
Saleem Abdulrab ◽  
Ahmad Reda Bashnakli ◽  
...  
Keyword(s):  
Root Canal ◽  
Population Survey ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Saudi Population ◽  
Important Concern ◽  
Treatment Knowledge ◽  
Multiple Choice Questionnaire

Endodontics is a profession based on the work with other people so several factors should be considered during clinical decision-making process.Objective: The aim of this study was to evaluate the knowledge and awareness of patients in a sample of Saudi population regarding endodontic treatment.Methods: multiple-choice questionnaire regarding knowledge and awareness of root canal treatment distributed to 227 patients, the questionnaire comprised questions ranged from personal and social details to specific questions about endodontic treatment; the analysis of data was performed using methods of descriptive statistics.Results: The results shown that the strong spontaneous toothache was the most impact factor of the need for endodontic treatment in (53%) of respondents, (29%) of subjects do not know anything about root canal treatment, (47%) of respondents indicated that the pain was the most important concern associated with the root canal treatment.Conclusion: Toothache is the greatest motivation of patient to refer the dentist, and pain is the more important patients’ concerns associated with root canal treatment, knowledge and awareness of patients regarding root canal treatment is different among races and populations.

scholarly journals The ability of Reciproc instruments to reach full working length without glide path preparation: a clinical retrospective study

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3583 ◽  
Author(s):  
Andreas Bartols ◽  
Bernt-Peter Robra ◽  
Winfried Walther
Keyword(s):  
Retrospective Study ◽  
Root Canal ◽  
Primary Root ◽  
Primary Treatment ◽  
Endodontic Treatment ◽  
Binary Logistic Regression Model ◽  
Root Canals ◽  
Maxillary Molars ◽  
Glide Path ◽  
Working Length

Background Reciproc instruments are the only contemporary root canal instruments where glide path preparation is no longer strictly demanded by the manufacturer. As the complete preparation of root canals is associated with success in endodontic treatment we wanted to assess the ability and find predictors for Reciproc instruments to reach full working length (RFWL) in root canals of maxillary molars in primary root canal treatment (1°RCTx) and retreatment (2°RCTx) cases. Methods This retrospective study evaluated 255 endodontic treatment cases of maxillary molars. 180 were 1°RCTx and 75 2°RCTx. All root canals were prepared with Reciproc instruments. The groups were compared and in a binary logistic regression model predictors for RFWL were evaluated. Results A total of 926 root canals were treated with Reciproc without glide path preparation. This was possible in 885 canals (95.6%). In 1°RCTx cases 625 of 649 (96.3%) canals were RFWL and in 2°RCTx cases 260 of 277 (93.9%). In second and third mesiobuccal canals (MB2/3) 90 out of 101 (89.1%) were RFWL with Reciproc in 1°RCTx and in the 2°RCTx treatment group 49 out of 51 cases (96.1%). In mesio-buccal (MB1) canals “2°RCTx” was identified as negative predictor for RFWL (OR 0.24 (CI [0.08–0.77])). In MB2/3 canals full working length was reached less often (OR 0.04 (CI [0.01–0.31])) if the tooth was constricted and more often if MB2/3 and MB1 canals were convergent (OR 4.60 (CI [1.07–19.61])). Discussion Using Reciproc instruments, the vast majority of root canals in primary treatment and retreatment cases can be prepared without glide path preparation.

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