scholarly journals Diagnosis and root canal treatment in a mandibular premolar with three canals

2009 ◽  
Vol 20 (5) ◽  
pp. 424-427 ◽  
Author(s):  
Lanuce Rosa Soares ◽  
Marcos Arruda ◽  
Marcos Pôrto de Arruda ◽  
Andréa Leão Rangel ◽  
Edson Takano ◽  
...  
Keyword(s):  
Correct Diagnosis ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Single Session ◽  
Pulp Chamber ◽  
Therapy Failure ◽  
Occlusal Caries ◽  
Gutta Percha ◽  
Probable Diagnosis

This paper presents a case report of a left mandibular second premolar with three canals and three different apical foramina. A 39-year-old male patient presented to our clinic with pain in the mandibular left second premolar. Initially, pain was caused by cold stimulus and later was spontaneously. The intraoral clinical examination revealed a fractured amalgam restoration with occlusal caries. Percussion and cold (Endo-Frost) tests were positive. The radiographic examination showed the presence of two roots. The probable diagnosis was an acute pulpitis. After access cavity, it was observed remaining roof of the pulp chamber and mild bleeding in the tooth lingual area, indicating the possible presence of a third canal. The endodontic treatment was completed in a single session using Root ZX apex locator and K3 NiTi rotary system with surgical diameter corresponding to a .02/45 file in the three canals and irrigation with 1% sodium hypochlorite. The canals were obtured with gutta-percha cones and Sealer 26 using the lateral condensation technique. After 1 year of follow-up, the tooth was asymptomatic and periapical repair was observed radiographically. Internal alterations should be considered during the endodontic treatment of mandibular second premolars. The correct diagnosis of these alterations by the analysis of preoperative radiographs can help the location of two or more canals, thereby avoiding root therapy failure.

scholarly journals Management of Inflammatory Internal Root Resorption with Biodentine and Thermoplasticised Gutta-Percha

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Girish Umashetty ◽  
Upendra Hoshing ◽  
Suvarna Patil ◽  
Nishant Ajgaonkar
Keyword(s):  
Inflammatory Process ◽  
Clinical Case ◽  
Root Resorption ◽  
Radiographic Examination ◽  
Rare Occurrence ◽  
Comprehensive Understanding ◽  
Gutta Percha ◽  
Slow Progression ◽  
Radiolucent Lesion

Internal root resorption is a chronic inflammatory process initiated within the pulp space with the loss of dentin. This condition demands a comprehensive understanding of the pathologic process, so as to identify the cause and arrest the resorptive phenomena. It is a rare occurrence, asymptomatic, with slow progression, detected through routine radiographic examination, where it appears as a radiolucent lesion. This paper reports a clinical case of inflammatory internal root resorption in the premolar tooth. Because it is asymptomatic, internal root resorption needs an early diagnosis in order to institute the endodontic treatment before the process compromises the remaining mineralized structures of the tooth. Biodentine was used to reinforce the weaker structures in the root. Thermoplasticised gutta-percha was used to completely obturate the defect. Ten-month follow-up showed arrest of internal root resorption.

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 Evolutionary Leap in Endodontics. Case report

2021 ◽  
Vol 10 (3) ◽  
pp. e44110313538
Author(s):  
Jose Maurício Paradella de Camargo ◽  
Rafael Verardino de Camargo ◽  
Luciano Tavares Angelo Cintra ◽  
Flávio Duarte Faria ◽  
Alberto Consolaro ◽  
...  
Keyword(s):  
Conventional Technique ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Risk Of Fracture ◽  
Root Canals ◽  
Gutta Percha ◽  
Ah Plus ◽  
Niti Instruments ◽  
Antiseptic Solutions ◽  
Reduced Risk

The Leap protocol combines the newest and most active association of reciprocal-rotary instrumentation, aluminum insert ultrasonic, and diode laser. The reciprocal-rotary technique consists of Niti instruments used in different motions depending on the stage of the treatment and promotes the balanced cutting effectiveness and reduced risk of fracture files. Moreover, it creates a centered and tapered shape. The aluminum tip for the ultrasonic unit delivers agitation, emulsification, and cavitation of antiseptic solutions that improve the cleaning. The dye and laser use cause the ablation and final disinfection. This paper describes the case of a patient with asymptomatic apical periodontitis in an upper first right molar submitted to endodontic treatment performed with Leap protocol. After conventional procedures, the root canals were prepared by using reciprocal-rotary instrumentation techniques. Between each file a new solution was placed and activated with the ultrasonic handpiece. At the end of instrumentation, the root canals were aspirated, dried with paper points, the indocyanine dye was placed into the root canals and, DaVinci laser was used for 30 seconds. The gutta-percha cones matching the final Niti file were used coated with AH Plus sealer. A periapical radiograph was taken to verify obturation and its anatomical complexity. Six months after the procedure, the patient was asymptomatic, and the radiographic examination showed healthy periradicular tissues. It is concluded that the use of Leap protocol in conventional endodontic treatment was effective, suggesting that this therapy may provide additional benefits to patients when compared to the conventional technique.

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 Decompression of a Large Periapical Lesion: A Case Report of 4-Year Follow-Up

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Claudio Maniglia-Ferreira ◽  
Fabio de Almeida Gomes ◽  
Marcelo de Morais Vitoriano ◽  
Francisco de Assis Silva Lima
Keyword(s):  
Case Report ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Periodontal Tissues ◽  
Periapical Granuloma ◽  
Extensive Lesion ◽  
Radiolucent Lesion ◽  
Root Canal System

This case report described the endodontic treatment and decompression of an extensive lesion in the anterior region of the mandible, detected during clinical and radiographic examination, in a patient with a complaint of slight tenderness to palpation in the area of mandibular right lateral incisor and canine. These teeth had been accessed without proper clinical evaluation, and their pulp tissues were exposed. The periodontal tissues were healthy, with no signs of inflammation or fistula. On radiographic examination, a radiolucent lesion with well-defined borders was seen extending from the distal root of mandibular left second premolar to the mesial root of mandibular right second premolar. Central and lateral mandibular left incisors were unresponsive to thermal pulp testing and exhibited coronal discoloration, consistent with a diagnosis of pulp necrosis. Due to persistent discharge from the root canal system during endodontic procedures despite application of intracanal medicament (calcium hydroxide paste), the decision was made to biopsy and decompress the lesion and conclude endodontic treatment. Histopathologic examination revealed a periapical granuloma. After endodontic treatment of the involved teeth, at 4-year clinical and radiographic follow-up, the affected region was almost completely repaired.

scholarly journals Clinical and radiographic evaluation of overfillings during endodontic treatment

2019 ◽  
Author(s):  
Guilherme Fantini Ferreira ◽  
Brenda Paula Figueiredo de Almeida Gomes ◽  
Jessica Rodrigues Ramos ◽  
Eloá Cristina Bícego Pereira
Keyword(s):  
Undergraduate Students ◽  
Three Dimensional ◽  
Endodontic Treatment ◽  
Radiographic Evaluation ◽  
Filling Material ◽  
Gutta Percha ◽  
Periapical Healing ◽  
The Mean ◽  
Mean Time

Traditional endodontic teaching defines overfills as extending the endodontic filling material either laterally or vertically into the attachment apparatus. It could be either a surplus after three-dimensional obturation, which is accepted; or an overextension of gutta-percha, which is related as one of the cause of endodontic failure. The aim of this study was to evaluate clinically and radiographically the periapical status of the cases of overfilling during the endodontic treatment performed by undergraduate students of the Piracicaba Dental School. The mean time between the date of root-filling and the follow-up appointment was 9.48 ± 2.40 months, and complete resorption of the endodontic sealing was observed in 55.5% (11/18) of the cases, occurring in 9.69 ± 2.58 months. It was concluded that clinical and radiographic periapical healing also occurs in teeth with overfilling.

scholarly journals Outcome of Endodontic Treatment of Teeth Filled Using Lateral Condensation versus Vertical Compaction (Schilder's Technique)

2006 ◽  
Vol 7 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Jamal A. Aqrabawi
Keyword(s):  
Success Rate ◽  
Endodontic Treatment ◽  
Single Session ◽  
Treatment Results ◽  
Chi Square ◽  
Periapical Lesions ◽  
Gutta Percha ◽  
Significant Difference ◽  
Chi Square Analysis ◽  
Radiographic Investigation

Abstract The purpose of this prospective clinical and radiographic investigation was to assess the treatment results following endodontic therapy of teeth filled with lateral condensation versus teeth filled with vertical compaction of warm gutta-percha. A total of 290 patients were treated using the standardized step-back technique for canal preparation, which were filled with either lateral condensation or vertical compaction in one single session. Five years later, the treatment results were assessed clinically and radiographically and related to the type of the obturation technique using Chi-square analysis. Of the 340 teeth that were reexamined, 160 teeth were filled with lateral condensation, and 180 teeth were filled with vertical condensation. The results showed a significantly higher success rate for the vertical compaction versus the lateral condensation technique of teeth presented with preoperative periapical lesions P<0.04. Regardless of the preoperative periapical status of the teeth, no statistically significant difference was found between the two techniques. The overall success rate of both filling techniques was 80.3%. Citation Aqrabawi JA. Outcome of Endodontic Treatment of Teeth Filled Using Lateral Condensation versus Vertical Compaction (Schilder's Technique). J Contemp Dent Pract 2006 February;(7)1:017-024.

scholarly journals Regenerative Endodontic Treatment of an Infected Immature Dens Invaginatus with the Aid of Cone-Beam Computed Tomography

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Işıl Kaya-Büyükbayram ◽  
Şerife Özalp ◽  
Emre Aytugar ◽  
Seda Aydemir
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Endodontic Treatment ◽  
Cone Beam ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Type Iii ◽  
Regenerative Endodontic Treatment ◽  
Dens Invaginatus

Dens invaginatus is a developmental anomaly that results in an enamel-lined cavity intruding into the crown or root before the mineralization phase. This report presents regenerative endodontic treatment of a necrotic immature tooth with Oehler’s type III dens invaginatus of a nine-year-old female patient. A diagnosis of dens invaginatus (Oehler’s type III) and a large periapical lesion was established with the aid of cone-beam computed tomography (CBCT). In the presented case contrary to the classic revascularization protocol, mechanical instrumentation was performed which apparently did not interfere with the regeneration process. After mechanical instrumentation of the invaginated canal by manual K-files, the invaginated canal space was disinfected by triple antibiotic paste followed by blood clot induction from the periapical tissues and the placement of mineral trioxide aggregate. At one-year follow-up, the tooth remained clinically asymptomatic. Radiographic examination revealed complete healing of the periapical lesion. At the 20-month follow-up, the radiographic examination also showed that the open apex was closed and the walls of the root canal were thickened.

scholarly journals Laparoscopic Unroofing and Aspiration-Sclerotherapy in the Management of Symptomatic Simple Renal Cysts

2006 ◽  
Vol 6 ◽  
pp. 2296-2301 ◽  
Author(s):  
Serdar Arisan ◽  
Ayhan Dalkilinc ◽  
Turhan Caskurlu ◽  
Nurettin Cem Sonmez ◽  
Soner Guney ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Cyst Wall ◽  
Open Surgery ◽  
Renal Cysts ◽  
Recurrent Pain ◽  
Single Session ◽  
Therapy Failure ◽  
Laparoscopic Unroofing ◽  
Better Than

Simple renal cysts are quite common in adults with an incidence that increases with age. Sclerosant treatment is very common, but the recurrence rate is high. Results are still under investigation for laparoscopic approaches and their long follow-up periods. Between 1998 and 2004, 21 patients were diagnosed with symptomatic renal cysts in our clinics. Initially, all patients underwent aspiration-sclerotherapy with 95% ethanol, the most common sclerosant, under ultrasound, fluoroscopy, or CT guidance. For those with sclerosant therapy failure, the laparoscopic unroofing method was used. Like open surgery, laparoscopic unroofing of the cyst appears to be effective by not only removing part of the cyst wall, but more importantly, by providing adequate drainage of the cyst. After sclerotherapy, 71% of the patients had recurrent pain and cyst on follow-up (at mean 14 months). This group of patients was cured with the laparoscopic unroofing method and there is still no recurrence.We emphasize the unroofing method as better than single session sclerotherapy. And also, laparoscopic unroofing of the cyst is more predictable and has better results than sclerotherapy aspiration.

scholarly journals Non-surgical removal of dens invaginatus in maxillary lateral incisor using CBCT: Two-year follow-up case report

Open Medicine ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 767-771
Author(s):  
Babita Pradhan ◽  
Yuan Gao ◽  
Libang He ◽  
Jiyao Li
Keyword(s):  
Three Dimensional ◽  
Sinus Tract ◽  
Radiographic Examination ◽  
Surgical Removal ◽  
Computed Tomographic ◽  
Gutta Percha ◽  
Dimensional Reconstruction ◽  
Maxillary Lateral Incisor ◽  
Dens Invaginatus

AbstractA 14-year female presented with an atypical looking tooth #7 with a sinus tract on tooth #8. A gutta-percha point inserted into the sinus tract confirmed the affected tooth #7. A radiographic examination of tooth showed a lateral radiolucency with respect to tooth #7. Cone-beam computed tomographic imaging was done for the three-dimensional reconstruction analysis. Dens invaginatus (Oehler’s type III) with pulp necrosis and chronic apical periodontitis was the definitive diagnosis. Use of the dental operating microscope and ultrasonics helped in the removal of the invaginated structure. At the two year follow-up, no clinical and radiographic evidence of infection was observed.

Sign in / Sign up

Export Citation Format

Share Document