scholarly journals Perawatan saluran akar ulang non-bedah gigi insisivus lateral kanan rahang atas pada pasien geriatriNon-surgical root canal re-treatment of maxillary right lateral incisor in geriatric patient

2020 ◽  
Vol 32 (3) ◽  
pp. 232
Author(s):  
Prima Dianiawati Nur Anisa ◽  
Diani Prisinda
Keyword(s):  
Case Report ◽  
Treatment Failure ◽  
Root Canal ◽  
Geriatric Patient ◽  
Treatment Plan ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Lateral Incisor ◽  
The Third ◽  
Gutta Percha

Pendahuluan: Kegagalan perawatan endodontik umumnya terjadi akibat obturasi yang tidak adekuat dan kebocoran pada restorasi akhir. Kegagalan tersebut dapat diatasi dengan perawatan saluran akar ulang. Perawatan tersebut pada pasien geriatri memerlukan berbagai pertimbangan penatalaksanaan sesuai dengan kondisi fisiologis dan sistemik pasien. Tujuan laporan kasus ini untuk menjelaskan perawatan saluran akar ulang non-bedah gigi insisif lateral kanan atas pada pasien geriatri. Laporan kasus: Perempuan berusia 69 tahun datang ke Instalasi Rawat Jalan Spesialistik Konservasi Gigi Rumah Sakit Gigi dan Mulut Universitas Padjadjaran (RSGM Unpad) untuk memperbaiki tambalan gigi atas depan kanan yang pecah dan untuk merawat gigi tersebut karena terasa tidak nyaman saat digunakan untuk mengunyah. Gigi pernah dilakukan perawatan saluran akar dan penambalan sewarna gigi sekitar empat tahun yang lalu. Pemeriksaan intraoral menunjukan perkusi positif pada gigi insisif lateral kanan rahang atas. Pemeriksaan radiografis periapikal memperlihatkan bahan pengisi saluran akar tidak adekuat, pelebaran membran periodontal di sepertiga apikal, serta terputusnya lamina dura di sepertiga apikal. Rencana perawatan adalah perawatan saluran akar ulang non bedah. Perawatan berlangsung dalam enam kali pertemuan singkat, dengan tahapan pengambilan gutta-percha menggunakan file hedstrom, preparasi saluran akar dengan instrumen rotary, obturasi saluran akar dengan gutta-percha serta sealer resin plus dan restorasi akhir veneer direk berbahan komposit. Simpulan: Perawatan saluran akar ulang non-bedah pada gigi insisif lateral kanan atas berhasil dilakukan dengan ditandai hilangnya keluhan pasien, perbaikan pada gambaran radiografis serta gigi dapat berfungsi secara normal. Keberhasilan perawatan dipengaruhi oleh rencana perawatan yang tepat dengan mempertimbangkan faktor etiologi kegagalan perawatan endodontik serta perubahan fisiologis dan kondisi patologis yang terdapat pada pasien.Kata kunci: Perawatan saluran akar ulang, insisif lateral, pasien geriatri. ABSTRACT Introduction: Endodontic treatment failure generally results from inadequate obturation and leakage at the final restoration. This failure can be relieved by re-root canal treatment. Such treatment in geriatric patients requires various management considerations according to the patient’s physiological and systemic conditions. This case report was aimed to describe the non-surgical root canal re-treatment of maxillary right lateral incisor in a geriatric patient. Case report: A 69-years-old woman came to the Conservative Dentistry Specialist Outpatient Unit of the Universitas Padjadjaran Dental Hospital (RSGM Unpad) to repair a broken maxillary right front tooth fill and to treat the tooth due to the uncomfortable feeling each time the mastication was performed. The tooth was treated with root canals and tooth-coloured fillings about four years ago. Intraoral examination revealed positive percussion of the maxillary right lateral incisor. The periapical radiograph showed inadequate root canal filling, dilation of the periodontal membrane in the third apical, and severed lamina dura in the third apical. The treatment plan was non-surgical root canal re-treatment. The treatment took place in six short sessions, with the steps of gutta-percha collection using a Hedstrom file, the root canal preparation with a rotary instrument, and the root canal’s obturation with gutta-percha plus resin sealer and final restoration of a composite direct veneer. Conclusion: Non-surgical root canal treatment of the upper right lateral incisor was successfully performed as indicated by the absence of the patient’s complaints, improvement in the radiographic image, and the teeth’ normal function. The treatment's success is influenced by a proper treatment plan considering the aetiological factors of endodontic treatment failure, the physiological changes, and pathological conditions present in the patient.Keywords: Root canal re-treatment, lateral incisor, geriatric patient.

scholarly journals Modifikasi mahkota metal porselen pada restorasi paska perawatan endodontik gigi premolar atas kananModification of porcelain metal crowns in post-endodontic restoration in upper right premolar teeth

2021 ◽  
Vol 32 (3) ◽  
pp. 157
Author(s):  
Mey Amalia Fitriani Sulaeman ◽  
Irmaleny Satifil
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Endodontic Treatment ◽  
Endodontically Treated Teeth ◽  
Negative Results ◽  
Occlusal Splints ◽  
Gutta Percha ◽  
Previously Treated

Pendahuluan: Gigi yang telah dirawat endodontik dapat mengalami perubahan baik secara makro maupun mikrostruktur, sehingga menjadikannya lebih rentan terhadap fraktur. Restorasi gigi yang telah dirawat endodontik perlu mempertimbangkan sisa jaringan yang tersedia agar restorasi dapat bertahan lama. Tujuan laporan kasus ini untuk memaparkan bahwa restorasi modifikasi mahkota metal porselen dapat menjadi alternatif pilihan pada gigi pasca perawatan endodontik. Laporan kasus: Wanita berusia 43 tahun dirujuk dari departemen prostodonti untuk dilakukan perawatan saluran akar pada gigi premolar atas kanan. Pemeriksaan klinis menunjukan gigi 14 dengan sisa tambalan komposit dan hilangnya dinding palatal. Tes vitalitas tidak berespon, pada pemeriksaan perkusi, tekan dan palpasi memberikan hasil negatif. Pemeriksaan radiografis memperlihatkan saluran akar yang telah terisi gutta-percha yang inadekuat. Diagnosis untuk gigi 14 adalah previously treated tooth. Perawatan endodontik ulang dilakukan dan dipersiapkan untuk restorasi akhir berupa mahkota penuh dengan pasak fiber. Berdasarkan rencana perawatan dari departemen prostodonti, mahkota penuh dibuat dengan bahan metal porselen modifikasi bahan metal pada permukaan oklusal karena pasien mengalami bruksisme dan sedang dalam perawatan menggunakan splin oklusal. Simpulan: Modifikasi mahkota metal porselen pada gigi pertama rahang atas paska perawatan endodontik merupakan alternatif pilihan terbaik dan memberikan hasil yang memuaskan.Kata kunci: Mahkota metal porselen, restorasi, gigi paska perawatan endodontik. ABSTRACTIntroduction: Endodontically-treated teeth can change both macro and microstructure, making them more susceptible to fracture. Restorations of endodontically-treated teeth need to consider the remaining tissue available, thus makes the restoration last longer. This case report was aimed to demonstrate that modified porcelain metal crown restoration could become a choice in post-endodontic teeth treatment. Case report: A 43-year-old woman was referred from the prosthodontics department for her maxillary right premolar root canal treatment. Clinical examination revealed that tooth 14 with remaining composite filling and loss of the palatal wall. The vitality test did not respond. On percussion examination, pressure and palpation gave negative results. Radiographical examination showed a root canal filled with insufficient gutta-percha. The diagnosis for tooth 14 was previously treated tooth. Re-endodontic treatment was performed and prepared for the final restoration of a full crown with fibre posts. According to the prosthodontics department’s treatment plan, the full crown was made of metal modified porcelain for the occlusal surface because the patient had bruxism and was being treated with occlusal splints. Conclusion: Modification of porcelain metal crown on the maxillary first premolar after endodontic treatment is the best alternative and gives satisfactory results.Keywords: Porcelain metal crown, restoration, post-endodontic dental treatment.

scholarly journals Endodontic treatment of lower anterior teeth with multiple canals

2011 ◽  
Vol 58 (3) ◽  
pp. 168-173
Author(s):  
Mirjana Vujaskovic ◽  
Nikola Stojanovic ◽  
Goran Vujaskovic
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Clinical Finding ◽  
Endodontic Treatment ◽  
Lateral Incisor ◽  
Tooth Structure ◽  
Gutta Percha ◽  
Anterior Teeth ◽  
Root Canal Morphology ◽  
Canal Morphology

Introduction. Knowledge of root canal morphology is one of the main prerequisites for successful endodontic treatment. We present the case of a patient with multiple canals in lower anterior teeth which were treated endodontically. Case Report. To a 45-year-old patient endodontic treatment was applied on lower left lateral incisor, lower right central and lateral incisor and lower right canine. These teeth were previously prepared for prosthetic crowns. All involved teeth had two canals which were not visible on the primary radiographs. Gracility of remaining tooth structure and canals and the presence of two canals in each tooth required additional radiographs for verification of multiple canals. Careful biomechanical instrumentation and irrigation with use of lubrication due to narrow canals was performed. The canals were obturated with gutta-percha using lateral compaction technique and Acroseal (Septodont) paste. On the control checkup after eight months, the patient was asymptomatic, while clinical finding was normal. Conclusion. Complexity of presented case was even more significant because these teeth were prepared to support prosthetic superstructure and crowns, and every ?forgotten? canal is an iatrogenic error.

scholarly journals Management of Mandibular Lateral Incisor with Two Roots: a Case Report

2016 ◽  
Vol 5 (1) ◽  
pp. 1093 ◽  
Author(s):  
Pardeep Mahajan ◽  
Ruma Grover ◽  
Shikha Baghi Bhandari ◽  
Prashant Monga ◽  
Vanita Keshav
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Lateral Incisor ◽  
Successful Outcome ◽  
Filling Material ◽  
Canal System ◽  
Root Canals ◽  
Root Canal System

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.

Retreatment and Restoration Using Individual Formable Fibre Post and Crown - Case Report

2020 ◽  
Vol 48 ◽  
pp. 15-21
Author(s):  
Rinda Wanodyatama ◽  
Tri Endra Untara ◽  
Tunjung Nugraheni
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Root Canals ◽  
Gutta Percha ◽  
Surgical Methods ◽  
Dental Hospital ◽  
Conservative Dentistry ◽  
One Year ◽  
Endodontic Retreatment

Endodontic retreatment is an attempt to reachieve a healthy periapical after it was previously been carried out an inadequate or reinfected endodontic retreatment that has been filled due to the leakage of apical and coronal. One stage in this retreatment is an uptake of obturasi material using hedstrom file (H-file). The solvent material used in this endodontic retreatment is xylol. Case report. A 22-year-old male patient came to the Clinic of Conservative Dentistry Dental Hospital Prof. Soedomo, Faculty of Dentistry, Gadjah Mada University (UGM) wanted to treat his mandibular second right premolar (45) that has been painful since two months ago. The tooth had root canal treatment one year ago. The pain suddenly appears and disappears as soon as the patient consumes painkillers. Dental preoperative (periapical) radiograph tooth 45 showed a picture of gutta percha root canals and radiolucent images at the tip of the root of the tooth. Diagnosis of tooth 45 is non-vital tooth after root canal treatment accompanied by apical, symptomatic periodontitis. The operator performed a root canal treatment by dismantling the restoration on the occlusal part of tooth 45 and taking gutta percha using a hedstrom file followed by treatment of the root canal, crown lengthening, installation of individual formable fiber post and porcelain fused to metal crown. Conclusion. Retreatment of root canal treatment with non-surgical methods still can be conducted effectively and obtain good results with the final treatment results in smaller lesions in the apical portion of tooth 45.

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 Non-surgical management of periapical lesions with triple antibiotic paste: A case reports

2020 ◽  
Vol 2 ◽  
pp. 120-123
Author(s):  
Munish Singla ◽  
Iyana Garg ◽  
Vandana Goyal ◽  
Harleen Kaur ◽  
Litik Mittal
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Root Canal ◽  
Case Reports ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Periapical Lesion ◽  
Present Case Report ◽  
Periapical Lesions ◽  
Triple Antibiotic Paste

Sterilization of root canal space is foremost for the success of the endodontic treatment which is usually carried out with intracanal irrigants and medicaments. Triple antibiotic paste (metronidazole, ciprofloxacin, and minocycline) is used to achieve sterilization and healing of periradicular area. In the present case report, the triple antibiotic paste was used for non-surgical management of periapical lesion for 3 weeks. After 3 weeks, the tooth became asymptomatic that was then obturated. Hence, it is confirmed that conventional root canal treatment, along with intracanal medicaments (triple antibiotic paste), can non-surgically manage the periapical lesions and further promotes healing.

scholarly journals Endodontic Management of a Maxillary Lateral Incisor fused with Supernumerary Tooth using Spiral Computed Tomography as Diagnostic Aid

2016 ◽  
Vol 7 (4) ◽  
pp. 199-202
Author(s):  
Deepti Dua ◽  
Ankur Dua
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Root Canal ◽  
Spiral Computed Tomography ◽  
Endodontic Treatment ◽  
Lateral Incisor ◽  
Supernumerary Tooth ◽  
Spiral Computed ◽  
Diagnostic Aid ◽  
Maxillary Lateral Incisor

ABSTRACT Fusion is a developmental anomaly in tooth morphology, which may be due to either union of two separate tooth buds or partial splitting of a single tooth bud. A thorough understanding of root canal anatomy is an essential prerequisite for a successful endodontic treatment. This case report describes successful endodontic management of a maxillary left lateral incisor fused with a supernumerary tooth using spiral computed tomography (SCT) as a diagnostic aid. A patient reported with a painless swelling in the maxillary anterior region associated with a fused maxillary lateral incisor. Spiral CT was performed to better understand the complex root canal anatomy. Endodontic treatment was done using methyl trioxide aggregate (MTA) as apical plug and obturation by thermoplasticized gutta-percha. The tooth was completely asymptomatic at 1-year follow-up showing signs of healing. The present case report emphasizes on the importance of three-dimensional (3D) imaging techniques, such as SCT in cases of developmental anomalies having complicated root canal morphology for successful endodontic therapy. How to cite this article Dua D, Dua A, Patil AC. Endodontic Management of a Maxillary Lateral Incisor fused with Supernumerary Tooth using Spiral Computed Tomography as Diagnostic Aid. World J Dent 2016;7(4):199-202.

scholarly journals TRATAMENTO ENDODÔNTICO DE INCISIVO LATERAL SUPERIOR COM CURVATURA APICAL ACENTUADA E LESÃO PERIAPICAL: RELATO DE CASO

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Ronaldo Araújo Souza ◽  
Fernando Gavazza ◽  
João Da Costa Pinto Dantas ◽  
Maurício Lago ◽  
Suely Colombo
Keyword(s):  
Successful Treatment ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Lateral Incisor ◽  
Periapical Lesion ◽  
Root Canal Filling ◽  
Determinant Factors ◽  
Determinant Factor

Complexity of root canal treatment is well recognized, however some specific situations are still more difficult, such as treatment of apical third with accentuated curvature. Nevertheless, recent techniques of instrumentation and obturation brought new persperctives and became a determinant factor for successful treatment. Through the treatment of a maxillary left lateral incisor, with accentuated apical curvature, pulpal necrosis and periapical lesion through manual instrumentation and lateral condensation technique of root canal filling, this article is aimed to discuss whether these recent techniques of instrumentation and obturation of root canal are actually determinant factors for the success in endodontic treatment.

scholarly journals Endodontic management of mandibular canine with two roots and two canals: A case report

2020 ◽  
Author(s):  
Janani Balachandran ◽  
Shruti Kotwal
Keyword(s):  
Case Report ◽  
Key Words ◽  
Root Canal ◽  
Anatomical Variation ◽  
Anatomical Variations ◽  
Morphological Features ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Mandibular Canine ◽  
Treatment Procedures

Root canal treatment in mandibular canine with two canals in one root. The aim is to highlight the anatomical variation in the mandibular canine. This case report is presented to illustrate the anatomical variation in the human mandibular canine. Endodontic treatment may sometimes fail because morphological features of the tooth adversely affect the treatment procedures. Many investigators have reported the anatomical variations associated with the mandibular canines. This paper describes a mandibular canine with one root and two canals. KEY WORDS: Canine, canals, anatomy, two canals, endodontics.

scholarly journals Endodontic treatment failure caused by arsen utilization as the devitalization material

2008 ◽  
Vol 20 (2) ◽  
Author(s):  
Endang Sukartini ◽  
Kurniasri Darliana
Keyword(s):  
Treatment Failure ◽  
Toxic Effect ◽  
Arsenic Trioxide ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Gingival Tissue ◽  
Pulp Tissue

Root canal treatment diagnoses as pulpitis irreversible can be treated in a non-vital condition with devitalization material. Arsenic is one of devitalization material that used in inflammatory pulp tissue before it is going to endodontic treatment. The long-term use of it or the leak of using this arsenic can cause the toxic effect of the pulp tissue. The case is going to report is about the damage of gingival tissue and alveolar that caused by the uncarefullness using of arsenic. Inappropriate arsenic applications cause the leak that able to spread to gingival tissue and will become necrosis. Now a day, the using of arsenic begin to leave because of the toxicity sad effect. This report is going to report how much the damage using arsenic trioxide (As2O3) and the effort from the leakness.

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