scholarly journals Perforation Repair Using Biodentine:A Nobel Approach

2017 ◽  
Vol 6 (2) ◽  
pp. 1558
Author(s):  
Mridusmita Mukherjee ◽  
Krutika Shekhawat

Root perforations are one of the many consequences of compromised endodontic procedure. It not only poses a significant problem in treatment outcome but also greatly affects the prognosis if not repaired in time. If it occurs, it allows microbial invasion and inflammation in the non-invated area of operation. So, choice of restorative material should be such that it closes the pathway of communication between the root canal system and its associated tissues. It should possess all the good qualities of an ideal orthograde or retrograde filling material. The following note describes a case report of a young boy with failed root canal treatment performed earlier with its steps of management.

2021 ◽  
Vol 10 (8) ◽  
pp. e19410817332
Author(s):  
Soraia de Fátima Carvalho Souza ◽  
Susilena Arouche Costa ◽  
Arianna Helena Marques Cavalcante ◽  
Aretha Lorena Fonseca Cantanhede Carneiro ◽  
Tetis Serejo Sauáia ◽  
...  

The objective of this case report was to describe the retreatment of an immature upper right central incisor in a 20-year-old female patient after unsuccessful endodontic treatment, who had probable clinical-radiographic diagnosis of a large periapical inflammatory cyst and persistent fistula. After removing the root canal filling material, disinfection of the root canal system, and successive intracanal medication changes over 60 days, the fistula remained active. Therefore, parendodontic surgery was performed. The root canal system was obturated, the periapical cyst was surgically enucleated, and retro-obturation with mineral trioxide aggregate was performed. We used the guided tissue regeneration technique with a xenograft and resorbable membrane. On histopathological examination, we observed bacterial colonies present in the lumen of the cystic lesion. Clinical evaluation, periapical radiograph, and cone-beam tomography confirmed complete healing of the periapical area of the affected tooth. The treatment success was verified by periapical healing over a follow-up period of 21 months.


Author(s):  
Pardeep Mahajan ◽  
Ruma Grover ◽  
Shikha Baghi Bhandari ◽  
Prashant Monga ◽  
Vanita Keshav

Successful outcome of endodontic treatment depends on the identification of all root canals which in turn guarantee complete extirpation of pulp tissue, proper chemo-mechanical cleaning and shaping and three dimensional obturation of the root canal system with an inert filling material. However endodontic treatment can fail for many reasons, such as diagnostic errors, persistence of the infection in the root canal system, errors in debridement and shaping of the root canal systems, instrument fractures, poor restorations and extra roots or canals if not detected are the reasons for failure. Undetected extra roots or root canals have been considered as a major reason for failure of root canal treatment. Many of the challenges faced during root canal treatment may be directly attributed to an inadequate understanding of the canal morphology of teeth. A broad knowledge of both the external and internal anatomy of teeth is of great importance for adequate endodontic treatment. We present a case report of 2 roots in mandibular lateral incisor.


2010 ◽  
Vol 04 (04) ◽  
pp. 468-474 ◽  
Author(s):  
Tahsin Yildirim ◽  
Nimet Gencoglu

Pulpal and periradicular pathosis are the result of microbial, mechanical, or chemical invasion. Microorganisms are the main irritants of pulpal and periapical tissues. The goal of the obturation is to obtain a fluid-tight seal of the root canal system from its coronal aspect through its apical extent to preserve from the irritants.. Root apices have morphological irregularities in teeth with periapical lesions. Therefore, it is more difficult to produce hermetically apical stop with conventional guttapercha obturation techniques. This case report describes the treatment and six years follow-up of the teeth with large periapical lesion using MTA as apical filling material. (Eur J Dent 2010;4:468- 474)


Author(s):  
Girish Nanjannawar ◽  
Saquib Mulla ◽  
Divya Gupta ◽  
Sharad Kamat

It is a well-recognised fact that incomplete cleaning, shaping and obturation of root canals will lead to endodontic failure. Mandibular second premolars usually have a single root and a single root canal. The presence of four separate roots and four root canals is quite rare. Hence, a comprehensive knowledge about the normal canal configuration along with its variations becomes an indispensable pre-requisite to achieve the success of endodontic treatment. Authors hereby present a case of a 26-year-old male patient and describe its succesful treatment of the mandibular second premolar with four roots and four root canals. The clinical implications of this paper aim at establishing an accurate diagnosis of the root canal system using diagnostic aids such as angulated radiographs and making use of advanced endodontic instruments for successful retreatment of endodontic therapy (C+ files and NiTi rotary endodontic instruments).


2019 ◽  
Vol 10 (2) ◽  
pp. 179-182
Author(s):  
Mario Buonvivere ◽  
Matteo Buonvivere

The proper knowledge of the root canal system anatomy is crucial to perform successful endodontic treatments. Maxillary lateral incisors usually have a single root. However, aberrant canal configurations of this tooth have been reported in the literature. The clinician should be aware of the difficulties arising from this more complex root canal anatomy and should be able to manage them. A rare case of a maxillary lateral incisor with three root canals is presented in this article; the challenge of diagnosis and treatment in similar situations is also discussed.


2020 ◽  
Vol 08 (01) ◽  
pp. 32-34
Author(s):  
Nisha Garg ◽  
Garima Sahni ◽  
Ajay Chhabra ◽  
Shabnam Negi

AbstractEach tooth in the permanent dentition presents with extensive variation in the anatomy of root, along with variation in the number of canals in individual roots. The existence of accessory canals should be considered in all teeth since failure to clean and fill them can have poor impact on prognosis. Thus, it is extremely important for a clinician to keep abreast with the complete assessment of the anatomy and morphology of root canal system for a favorable treatment outcome. Mandibular premolars often present with a variation in anatomy and, thus, considered as a perplexity to the endodontist. This article reports clinical cases of bifurcated canals in mandibular first premolars.


2012 ◽  
Vol 13 (5) ◽  
pp. 719-722 ◽  
Author(s):  
Anand Patil ◽  
Lalita G Nanjannawar ◽  
Girish S Nanjannawar ◽  
Hemanth Vagarali ◽  
Bharath Prathasarathy

ABSTRACT Pulp stones are nodular, calcified masses commonly appearing in the coronal pulp and occasionally extending in radicular pulp. Retrieval of pulp stones remains a challenge for the endodontist as complete cleaning and shaping of root canal system is the bases for successful endodontic therapy. The aim of this case report is to show the retrieval of long pulp stones measuring 14 and 9.5 mm by utilizing synergistic effect of ultrasonics and sodium hypochlorite from the palatal roots of maxillary molars. Such case has not been reported in the literature so far. How to cite this article Nanjannawar GS, Vagarali H, Nanjannawar LG, Prathasarathy B, Patil A, Bhandi S. Pulp Stone—An Endodontic Challenge: Successful Retrieval of Exceptionally Long Pulp Stones measuring 14 and 9.5 mm from the Palatal Roots of Maxillary Molars. J Contemp Dent Pract 2012;13(5):719-722.


2020 ◽  
pp. 36-38
Author(s):  
Snigdho Das

Removal of vital and necrotic remnants of pulp tissues, microorganisms, and microbial toxins from the root canal system is warranted for ensuing successful treatment outcome. Irrigation plays a major role in achieving the same. The last few years have seen a spurt in technological advances in various irrigant activation devices. This article meticulously reviews the various irrigant agitation systems available, which assists in complete disinfection of the complex root canal system.


2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Sirisha Gundam ◽  
Radhika Maddu ◽  
Sindhura Reddy Gurram

It is imperative that the clinician should have comprehensive knowledge about the normal anatomy and its variations of the teeth as the deviations from the usual are very common. An increased awareness of unusual anatomy and a better understanding of the root canal system guide the clinician in accurate diagnosis and treatment of such variations in order to achieve a successful endodontic outcome. The maxillary first molar has been shown to have a wide variation in respect to the number of canals specifically noted in the mesiobuccal root. The current case report shows the successful management of a maxillary molar in which the mesiobuccal root had three canals.


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