scholarly journals Endodontic treatment of the young permanent teeth

2004 ◽  
Vol 51 (4) ◽  
pp. 203-206
Author(s):  
Smiljana Aleksandrov

Pulp treatment in the young permanent teeth represents significant problem in peadiatric dentistry. The aim of this paper was to present the course of endodontic treatment of a young permanent tooth and success after 26 years. Upper right central incisor remained functional following thorough endodontic therapy, temporary root canal filling with calciumhydroxide and final root obturation. After 26 years from the beginning and completion of endodontic treatment, the tooth is still in normal funciton.

2018 ◽  
Vol 14 (3-4) ◽  
pp. 90-94
Author(s):  
O.M. Plyska ◽  
О.І. Ostapko

Relevance. In children, post-traumatic complications in the teeth with incomplete formation of the root often lead to stopping the development of the root and premature loss of teeth. The instability of the results of endodontic treatment with calcium hydroxide preparations leads to the search for new treatments. Materials based on tricalcium phosphate ceramics attract attention because they contribute to the regeneration of bone tissue. Objective: to evaluate the effectiveness of endodontic treatment of post-traumatic periodontitis of permanent teeth with incomplete root formation using bioceramics based on biological hydroxyapatite "Osteopatite ceramic" brand "OK 015". Materials and methods. In children aged 9-15 years, 17 permanent teeth with post-traumatic complications were treated. In 12 cases, this was chronic granulating periodontitis. For a prolonged temporary obturation of root canals, a paste was used, which was prepared by mixing metronidazole and "OK 015" granules. The treatment was monitored every other day, 2 weeks, 1, 3, 6, 9, 12 months. Permanent root canal filling was performed after apexification. Results. In the early stages of the observation of complications of treatment was not observed. 3 months after treatment, bone structure regeneration was activated, in 1 tooth – apexification. After 6 months, the positive dynamics of bone regeneration was observed in 100 % of children. X-ray reconstruction of bone tissue was confirmed in 35,3 % of cases, apexification occurred in 41,2 %. After 9 months, bone resection was observed in 59 % of cases, apexification – in 64 % of the teeth. After 12 months, bone tissue recovery occurred in 76,5 % of cases, in 94 % – apexification. Thus, the rate of apexification is ahead of the processes of reparative osteogenesis. The formation of a mineralized barrier is not always accompanied by a complete restoration of the structure of the periapical bone. Conclusion. Material based on biological hydroxyapatite "Osteoapatite ceramic" brand "OK 015" for temporary obturation of the root canal promotes apexification and regeneration of bone tissue in the periapical region in the process of endodontic treatment of permanent teeth with unformed root in children.


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.


2020 ◽  
Vol 23 (1) ◽  
Author(s):  
Julia Machado Saporiti ◽  
Andressa Gomes ◽  
Melissa Feres Damian ◽  
Nadia De Souza Ferreira

Objective: The aim of this study was evaluate radiographically prevalence of apical periodontitis (AP) in endodontically treated teeth (ETT) and relate with demographic factors, quality of endodontic treatment and coronal restoration. Material and methods: Data were collected from dental records wich contained full-mouth radiographic series. In ETT, arch, dental group and presence of AP were evaluated. Quality of root canal filling, presence and quality of coronal restoration and type of restorative material were also collected. Data were evaluated using descriptive statistics and Chi-square Test. Results: Of 70 patients included in the final sample, the majority were female (54.3%) and age ranged from 13 to 77 years (47.14 ± 13.18). Of 1,333 teeth evaluated, 73 (5.4%) had endodontic treatment, being the majority maxillary (74%) and anterior teeth (52.1%). Of teeth without endodontic treatment, 320 (25.4%) had AP. Failure rate was high (52.8%) and quality of root canal filling and coronal restoration were considered inadequate in majority cases (58.3% and 47.7%, respectively). Dental group had a statistically significant relationship with presence of AP in ETT, being more frequent in anterior teeth (p = 0.019). Conclusion: It was concluded that prevalence of AP in ETT was high and dental group was the factor that most influenced prevalence of AP in ETT.KeywordsApical periodontitis; Radiography; Root canal filling.


2016 ◽  
Vol 10 (01) ◽  
pp. 144-147 ◽  
Author(s):  
Sadia Tabassum ◽  
Farhan Raza Khan

ABSTRACTInappropriate mechanical debridement, persistence of bacteria in the canals and apex, poor obturation quality, over and under extension of the root canal filling, and coronal leakage are some of the commonly attributable causes of failure. Despite the high success rate of endodontic treatment, failures do occur in a large number of cases and most of the times can be attributed to the already stated causes. With an ever increasing number of endodontic treatments being done each day, it has become imperative to avoid or minimize the most fundamental of reasons leading to endodontic failure. This paper reviews the most common causes of endodontic failure along with radiographic examples.


2013 ◽  
Vol 24 (6) ◽  
pp. 591-598 ◽  
Author(s):  
Euridsse Sulemane Amade ◽  
Veridiana Resende Novais ◽  
Marina Guimaraes Roscoe ◽  
Fabiane Maria Ferreira Azevedo ◽  
Aline Aredes Bicalho ◽  
...  

This study investigated the effects of endodontic treatment procedures and different post systems rehabilitation steps on the strain and temperature rise on apical and cervical root dentin regions. Twenty-one extracted human canine teeth had two strain gages attached to the distal root surface and two thermocouples attached to the mesial root surface (cervical and apical). The strain and temperature rise were recorded during the following procedures: root canal preparation, final rinse and drying, root canal filling and canal relief. Then the teeth were divided into three groups (n=7), according to the type of post system: CPC, cast post and core; FGP, fiberglass post; and PSP, prefabricated steel post. Data continued to be recorded during the post space preparation, post modeling (only for CPC), post trying and post cementation. Data were subjected to a two-way ANOVA followed by Tukey's test (α=0.05). The post-space preparation caused the highest temperature rise (4.0-14.9 °C) and the highest strain in the apical region during irrespective of post type. The resin cement light-activation resulted in significant temperature increases in the cervical region for all of the groups. The canal relief and the post-space preparation produced highest temperature rises. The CPC post modeling resulted in higher root strain level similarly the level of post preparation. The PSP resulted in highest strain during post trying and post cementation.


Author(s):  
Abeer A. Mokeem Saleh ◽  
Hadeel Y. Edrees

Objectives: This study aimed to evaluate the technical quality of root canal treatment performed by fifth-year underperforming students, in the extra sessions of the 2018–2019 academic year. Methods: Periapical radiographs of teeth endodontically treated by underperforming undergraduate students at King Abdulaziz University Faculty of Dentistry, were collected. The quality of obturation was evaluated radiographically in relation to the length of obturation to root apex, homogeneity and density of obturation, root canal tapering, and incidence of mishaps (such as perforation, ledge, missed canal, separated instruments). The data were subjected to descriptive analysis. Results: The periapical radiographs of 70 treated teeth showed acceptable length, filling density and root canal taper in 96 (80%),50 (41.7%) and 66 (55%) root canals, respectively. Only four teeth were subjected to mishaps. Conclusion: Under the circumstances of this study, the quality of endodontic treatment performed by underperforming students at the extra session was low. More studies are needed to address the student underperformance source and hence amend the quality of root canal filling. 


2020 ◽  
Vol 18 (1) ◽  
pp. 47-52
Author(s):  
M. V. Berkhman

Internal resorption is a separate category of diseases of hard tissues of teeth, characterized by the loss of dentine as a result of activation and activity of osteoclasts. The article discuss issues concerning etiology, the prevalence of internal resorption, its diagnosis, emphasise the contribution of computed tomography in the diagnosis and prediction of treatment success, clinical decisions and therapeutic treatment of this disease. Describe modern endodontic treatment methods, including the use of magnification, ultrasound in endodontic treatment, the use of certain materials for temporary and permanent root canal filling. Under these conditions, the prognosis of conservative treatment of internal resorption of dental hard tissues is improved, even if there is a perforation of the walls of the tooth cavity.


2012 ◽  
Vol 11 (2) ◽  
pp. 119
Author(s):  
Jenny Krisnawaty ◽  
Moch. Richata Fadil ◽  
Endang Sukartini ◽  
Milly Armilia

Imperfect young permanent teeth caused by caries or trauma could become necrotic before it’s growth anddevelopment completed, thus causes imperfect shape of the root canal and an opened apex. Difficulty in treatment ofroot canal caused by the absence of apical stop, that makes obturation cannot be accomplished because fillingmaterials will be pushed to periapex. The purpose of this case report was to report the treatment of anterior teethwhich diagnosed as necrotic with apexification. The material filling is calcium hydroxide with strong base natureand give antimicrobacterial effect and tissue liquefaction. The result of the treatment was closure of the apex, thetissue surrounding tooth is in normal range or that absence of radiolusency which is a sign of healing at theperiapical.The conclusion is young permanent tooth which experienced pulp necrotic can be treated withapexification treatment


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 ◽  
...  

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.


2011 ◽  
Vol 58 (3) ◽  
pp. 139-146
Author(s):  
Ljiljana Kulic ◽  
Dajana Nogo-Zivanovic ◽  
Jelena Krunic ◽  
Mirjana Vujaskovic ◽  
Nikola Stojanovic

Introduction. The main goal of obturation is prevention of reinfection of the root canal system and consequently appearance of periapical lesion. Epidemiological studies have confirmed high prevalence of periapical lesions in endodontically treated teeth with inadequate root canal fillings. The aim of this study was to assess the quality of root canal fillings in teeth treated at students? practical sessions. Iatrogenic errors during endodontic interventions were also assessed. Methods. Two hundred dental records of the patients treated by students in the study program Dentistry at the School of Medicine in Foca during the academic year 2010/2011 were randomly chosen. The length and homogeneity of the fillings or the presence of iatrogenic errors were recorded. A root canal filling was considered adequate if it had correct length and homogeneity in the absence of iatrogenic errors. Two students? curricula V1 and V2 were evaluated for the treatment outcome. Results. Out of 128 endodontically treated teeth, adequate length of the canal filling to the physiological apex was observed in 57% of teeth, homogeneity in 78.9%, while both of these criteria were satisfied in 66 teeth (51.6%). Better quality of root canal fillings was achieved by students of the study curricula V2 and the difference between these two programs was significant (p<0.05). Better quality of root canal fillings in both study programs was recorded for incisors and canines as compared to premolars. Conclusion. The quality of endodontic treatment performed by students was considered adequate in 51.6% of cases. The type of curriculum for endodontic course had a significant impact on the quality of endodontic treatment performed by students.


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