scholarly journals Management of calcified canal in the traumatised maxillary central incisor using magnification

2021 ◽  
Vol 8 (2) ◽  
pp. 98-101
Author(s):  
Praveen Kumar ◽  
Neelam Mittal ◽  
Vijay Parashar ◽  
Tarun Kumar

The primary objective of root canal treatment is complete cleaning and shaping of all root canals so that microorganism and debris are removed from the root canal that result in hermetic seal of root canal space. The endodontic treatment of every tooth poses some endodontic challenges which have to be carefully managed by proper clinical and radiographic evaluation before treatment. The teeth with partial or complete obliteration of pulp canal results in endodontic challenge due to difficulty in negotiation of canal orifice. It is always important to take necessary precautions while locating canal orifice to apex, otherwise it will result in iatrogenic errors including perforation and separation of instrument. This present case describes the successful location and management of calcified canal in maxillary central incisor with proper knowledge of internal anatomy, thorough radiographic assessment and canal orifice locating instrument such as c+ files under microscope.

2013 ◽  
Vol 14 (2) ◽  
pp. 345-347 ◽  
Author(s):  
Hamid Jafarzadeh ◽  
Amir Maghsoudlou ◽  
Maryam Forghani

ABSTRACT Aim This clinical report presents a rare case of maxillary central incisor with two separate roots. Background Unusual morphology of the roots and root canals may exist in any tooth. Recognition of the dental anatomy and its variations is necessary for successful endodontic therapy. It is well known that maxillary incisors are usually single-rooted teeth. Case report The root canals were instrumented with conventional hand files and Gates Glidden and obturated by using the lateral technique. Recall radiograph after 1 year shows the healing process of the preoperative apical periodontitis. Conclusion and clinical significance Clinicians should be aware of unexpected root canal morphology when performing root canal therapy. The present case demonstrated the importance of accurate preoperative radiograph and adequate access preparation. How to cite this article Maghsoudlou A, Jafarzadeh H, Forghani M. Endodontic Treatment of a Maxillary Central Incisor with Two Roots. J Contemp Dent Pract 2013;14(2):345-347.


2017 ◽  
Vol 18 (6) ◽  
pp. 522-526 ◽  
Author(s):  
Thilla S Vinothkumar ◽  
Deivanayagam Kandaswamy ◽  
Ganesh Arathi ◽  
Sathishkumar Ramkumar ◽  
Gnanasekaran Felsypremila

ABSTRACT Aim The purpose of this report is to present a case of endodontic management of a dilacerated maxillary central incisor fused to supernumerary tooth unusually appearing as a labial tubercle using cone beam computed tomography (CBCT) as a diagnostic aid. Background Anterior teeth are commonly encountered with aberrant anatomical variations in the crown, number of roots, and root canals. Fusion is an infrequent developmental abnormality in shape of the tooth caused by the union of two adjacent tooth germs. A complete knowledge of such complex anatomies is mandatory for a successful root canal treatment. It highlights the endodontic and restorative approach in the functional and esthetic rehabilitation of the involved tooth. Case report Three-dimensional imaging using CBCT was used in this case to differentiate single labial canal and palatal C-shaped canal. The endodontic treatment was performed with the aid of dental operating microscope, and the root canals were obturated with a combination of single cone, carrier based, and cold flowable gutta-percha obturation system. The tooth remained asymptomatic without reinfection and symptoms of failure for 18 months. Conclusion Cone beam computed tomography is indispensable in treatment planning for cases where the radiographs cannot reveal useful information regarding the root canal shape. Postobturation CBCT has helped in avoiding further retreatment of the tooth, which otherwise is a challenging task. Clinical significance The use of sophisticated equipment, such as dental operating microscope and CBCT has helped in accurate diagnosis and treatment planning of fused central incisor respectively. How to cite this article Vinothkumar TS, Kandaswamy D, Arathi G, Ramkumar S, Felsypremila G. Endodontic Management of Dilacerated Maxillary Central Incisor fused to a Supernumerary Tooth using Cone Beam Computed Tomography: An Unusual Clinical Presentation. J Contemp Dent Pract 2017;18(6):522-526.


2019 ◽  
Vol 9 (1) ◽  
pp. 42-45
Author(s):  
Fahd AA Karim ◽  
Kazi Hossain Mahmud ◽  
Asma Sultana ◽  
Shirin Sultana Chawdhari ◽  
Moktadir Hossain ◽  
...  

A 15 year old boy was presented with pain in his upper anterior teeth. On clinical examination both the maxillary central incisor revealed slight discoloration and fracture of the crown. Radiographic evaluation revealed open apex of the left central incisor and apex of the right central incisor was fully developed. Apexification with MTA apical plug was carried out in left central incisor and conventional root canal treatment was done in right central incisor. In two months follow up both the tooth were clinically and radiographically asymptomatic and the healing of the apical area of the left central incisor was continued. These finding suggests that MTA can induce formation of apical barrier in the case of non-vital tooth with open apex. Update Dent. Coll. j: 2019; 9 (1): 42-45


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Sarang Sharma ◽  
Shibani Grover ◽  
Vivek Sharma ◽  
Dhirendra Srivastava ◽  
Meenu Mittal

Traumatic injuries to the primary dentition are quite common. When primary teeth are subjected to trauma, force transmission and/or invasion of the underlying tooth germs lying in close proximity can result in a variety of disturbances in the permanent successors. Few of these disturbances include hypoplasia, dilaceration, or alteration in the eruption sequence and pattern. Dilaceration is defined as an angulation or sharp bend or curve in the linear relationship of the crown of a tooth to its root. A rare case of maxillary left central incisor having crown dilaceration and Vertucci’s type II canal configuration with symptomatic periapical periodontitis is reported. Cone beam computed tomography was used for better understanding of the anomaly and complicated root canal morphology. The tooth was successfully managed by nonsurgical root canal therapy and restoration with resin composite to restore esthetics.


2021 ◽  
Vol Volume 14 ◽  
pp. 419-423
Author(s):  
Baize Zhang ◽  
Junhui Wang ◽  
Zhifei Zhou ◽  
Xin Ge ◽  
Geng Cheng ◽  
...  

1970 ◽  
Vol 6 (4) ◽  
pp. 497-501
Author(s):  
A Parolia ◽  
M Kundabala ◽  
N Shetty ◽  
ST Manuel

This case report describes delayed replantation of an avulsed maxillary central incisor in a 17-year-old male patient following an injury on fall one day earlier. Avulsed maxillary right permanent central incisor was replanted back into the socket after extra-oral root canal treatment. One year follow up showed validity of treatment, with no evidence of resorption in the replanted tooth. Key words: Replantation, Maxillary central incisor, Resorption doi: 10.3126/kumj.v6i4.1742     Kathmandu University Medical Journal (2008), Vol. 6, No. 4, Issue 24, 497-501     


1989 ◽  
Vol 15 (4) ◽  
pp. 161-163 ◽  
Author(s):  
Tamaki Hosomi ◽  
Masataka Yoshikawa ◽  
Masahiro Yaoi ◽  
Yoshio Sakiyama ◽  
Tadao Toda

Sign in / Sign up

Export Citation Format

Share Document