scholarly journals Accidental Injection of EDTA Instead of Anesthesia Solution during Root Canal Treatment: Case Report

2021 ◽  
Vol 25 (3) ◽  
pp. 183-187
Author(s):  
Mehmet Eskibağlar ◽  
Sadullah Kaya ◽  
Güney Mustafa Yüzer ◽  
Ridvan Güler ◽  
Gizem Akin Tartuk
Keyword(s):  
Case Report ◽  
Injection Site ◽  
Buccal Mucosa ◽  
Root Canal ◽  
Severe Pain ◽  
Root Canal Treatment ◽  
Edta Solution ◽  
Mucoperiosteal Flap ◽  
Anesthetic Solution ◽  
Irrigation Solution

Summary Background/Aim: Many irrigation solutions are used during root canal treatment. It is unacceptable to confuse irrigation solutions with anesthetic solution and inadvertently inject the patient. After such an error, local and systemic serious complications can be seen in the patient. The purpose of this case report is to show how careless use of etilendiamin tetraacedic acid (EDTA) can result in important complications, and offer some treatment methods for curing symptoms resulting from such complications. Case Report: A 17% EDTA solution, was inadvertently injected in the buccal mucosa of a 20-year-old male during routine root canal treatment. Severe pain, bleeding and mucosal swelling occurred shortly after the injection. Irrigation with saline was performed by sliding the mucoperiosteal flap at the injection site. Then the flap was sutured primary. At the control one week later, there were no areas of necrosis in the patient, but ecchymosis occurred. Decalcified areas were not detected in dental volumetric tomography examination. Conclusions: The dentists must apply the precautions of EDTA irrigation solution during the root canal treatment and manage the treatment of this clinical complication.

scholarly journals Pembersihan sealer dalam saluran akar pada kasus retreatment non-bedah Gigi 11 menggunakan cairan irigan dengan aktivasi sonicCleansing of the root canal sealer in the case of non-surgical retreatments of tooth 11 using liquid irrigant with sonic activation

2018 ◽  
Vol 30 (3) ◽  
pp. 175
Author(s):  
Yolanda Yolanda ◽  
Irmaleny Irmaleny
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Treatment Plan ◽  
Colour Change ◽  
Root Canal Treatment ◽  
Filling Material ◽  
Root Canal Sealer ◽  
Edta Solution ◽  
Sonic Activation

Pendahuluan: Kegagalan perawatan saluran akar dapat menyebabkan terjadinya infeksi ulang. Retreatment non-bedah merupakan salah satu perawatan yang dapat dilakukan untuk menangani infeksi ulang. Pada perawatan retreatment seluruh bahan pengisi saluran akar termasuk gutaperca dan sealer harus dihilangkan seluruhnya. Salah satu teknik untuk membersihkan sealer di dalam saluran akar adalah dengan menggunakan cairan irigasi dan aktivasi sonik. Laporan kasus ini bertujuan untuk mendeskripsikan tatalaksana pembersihan sealer pada saluran akar pada kasus retreatment gigi 11 menggunakan irigan dan aktivitas sonik. Laporan kasus: Pasien laki-laki umur 25 tahun datang ke bagian Konservasi Gigi RSGM Unpad mengeluhkan gigi depan rahang atas sakit sejak satu minggu sebelumnya, berubah warna, dan pernah dirawat saluran akar. Pasien ingin giginya dirawat dan diperbaiki penampilannya. Pemeriksaan klinis menunjukkan vitalitas gigi negatif. Pemeriksaan radiologis menunjukkan terdapat gambaran radiopak pada saluran akar menyerupai bahan pengisi, dan terdapat pelebaran membran periodontal. Rencana perawatan adalah retreatment gigi 11 dengan follow up internal bleaching dan restorasi komposit kelas IV. Perawatan dilakukan dengan irigasi menggunakankan larutan EDTA dan surfaktan (Smearclear, SybronEndo) yang diaktifasi menggunakan EndoActivator (Dentsply). Simpulan: Pembersihan sealer dari saluran akar dilakukan dengan penggunaan EDTA dengan surfaktan yang diaktivasi menggunakan aktivasi sonik pada kasus retreatment gigi 11.Kata kunci: EDTA, surfaktan, aktivasi sonik, non-surgical retreatment, sealer saluran akar. ABSTRACT            Introduction: The failure of root canal treatment can causes re-infection. Non-surgical retreatment is one of the procedures can be done to deal with the re-infection. All root canal fillers including the gutta-percha and sealers must be removed entirely. One technique for cleaning the root canal sealers is by using liquid irrigation and sonic activation. This case report was aimed to describe the management of cleansing the root canal sealer in the case of non-surgical retreatment of tooth 11 using liquid irrigant with sonic activation. Case report: A 25-years-old male patient came to the Department of Conservative Dentistry of the Faculty of Dentistry Universitas Padjadjaran Dental Hospital with a chief complaint of soreness in his maxillary front teeth prior week, with a colour change, and had been treated with a root canal treatment. The patient wanted his tooth to be treated and had an appearance improvement. Clinical examination indicated the negative vitality of the tooth. Radiological examination showed that there was a radiopaque image on the root canal resembling a filling material, and there was also a widening periodontal membrane. The treatment plan was retreatment of tooth 11 with the follow-up of internal bleaching and class IV composite restorations. The treatment was performed by irrigation using an EDTA solution and surfactant (SmearClear™ SybronEndo) which was activated using an EndoActivator® (Dentsply). Conclusion: Cleansing of the root canal sealer in the case of non-surgical retreatments of tooth 11 was carried out using an EDTA solution and surfactants, activated using the sonic activation.Keywords: EDTA, surfactant, sonic activation, non-surgical retreatment, root canal sealer.

Root Canal Treatment of A Maxillary Canine With Two Root Canals: a Case Report

2012 ◽  
Vol 2 (8) ◽  
pp. 406-407
Author(s):  
Dr. Ramta Bansal ◽  
◽  
Dr. Aditya Jain ◽  
Dr. Ramta Bansal
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Maxillary Canine ◽  
Root Canals

Retrieval of fractured Endodontic Instrument under dental operating microscope using ultrasonic tips : A Case Report

2020 ◽  
Vol 11 (3) ◽  
pp. 3316-3321
Author(s):  
Samrudhi Khatod ◽  
Anuja Ikhar ◽  
Pradnya Nikhade ◽  
Manoj chandak
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Fracture Resistance ◽  
Root Canal Treatment ◽  
Operating Microscope ◽  
Severe Loss ◽  
Mechanical Procedure ◽  
Root Dentin ◽  
Fracture Level

A Patient came with the complaint of pain in the lower right back region of the jaw. Root canal treatment was planned. While preparing for the bio-mechanical procedure, the Hand pro taper fractured in the apical third. Iatrogenic occurred as a result of the fracture of the endodontic instrument. Retrieval of the fractured instrument was planned to complete the cleaning and shaping of the canal. The removal of the fractured instrument was planned to be done under the Dental Operating Microscope. The use of an operating microscope enhanced the illumination and the magnification of the instrument. This illumination and magnification helped in the precision of removal. The ultrasonic tip enabled to reach of the fractured instrument in the canal and loosen the dentin around the fractured instrument. It allowed easy retrieval of the fractured instrument. During the retrieval procedure, the fractured instrument was bypassed before the use of the ultrasonic tip. After the removal of the fractured instrument, cleaning and shaping were completed, followed by obturation, definitive restoration, and prosthesis. As the removal of the fractured instrument enabled complete cleaning and shaping, it improved the prognosis of the case. When the endodontic instrument gets fractured, it should be analyzed over the radiograph to assess the fracture level, the anatomy of the root canal, size of the fractured instrument, check accessibility, stage of fracture, etc. If all the above criteria are met with the removal of the instrument only then, replacement should be tried. Otherwise, it may lead to a severe loss of root dentin, decreasing fracture resistance of the root.

scholarly journals Intentional Replantation – The novel technique for the management of separated instrument in apical third of tooth: A case report

2022 ◽  
Vol 7 (4) ◽  
pp. 250-253
Author(s):  
Harshal V Basatwar ◽  
Balaji S Kapse ◽  
Pradnya S Nagmode ◽  
Sharmika B Chechare ◽  
Aniruddha G Mundhe ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Tooth Extraction ◽  
Treatment Approach ◽  
Root Canal Treatment ◽  
The Novel ◽  
Second Molar ◽  
Novel Technique ◽  
Mandibular Second Molar

Intentional replantation is a procedure in which an intentional tooth extraction is performed followed by reinsertion of the extracted tooth into its own alveolus. In this article, intentional replantation is described and discussed as a treatment approach for failed root canal treatment with broken instrument periapically in mandibular second molar.

scholarly journals Unusual histological presentation of a residual cyst: A case report

2021 ◽  
Vol 6 (2) ◽  
pp. 117-119
Author(s):  
Sanpreet Singh Sachdev ◽  
Amol Dubey ◽  
Parmeet Singh Banga ◽  
Akshat Shetty
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Cystic Lesions ◽  
Present Case Report ◽  
Source Of Infection ◽  
Appropriate Treatment ◽  
Inflammatory Changes

Cystic lesions of jaws are fairly common of which radicular cysts that form as a result of inflammatory changes associated with a non-vital pulp are most frequent. The removal of source of infection by either root canal treatment or extraction of the involved tooth leads to resolution of inflammatory cysts. However, infrequently, certain lesions may persist even after appropriate treatment which are termed as ‘residual cysts’. Although residual cysts are histopathologically indistinguishable from radicular cysts, certain changes may occur owing to removal of the aggravating stimulus which may lead to a varied histopathological picture. The present case report comprises of a residual cyst with a relatively unusual histopathological presentation.

The intriguing tale of an iatrogenic perforation

2017 ◽  
Vol 9 (2) ◽  
pp. 30-34
Author(s):  
H Murali ◽  
Suchetha A ◽  
Shamina Bawa ◽  
Apoorva S M ◽  
Lakshmi P
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Root Canal ◽  
Management Strategy ◽  
Graft Material ◽  
Full Thickness ◽  
Canine Tooth ◽  
Maxillary Canine ◽  
Iatrogenic Perforation ◽  
Mucoperiosteal Flap

INTRODUCTION: Iatrogenic perforations are one of the most exasperating complications of root canal treatment. The prognosis of the root with iatrogenic perforation depends on the location and the procedures undertaken to manage the problem. This case report gives an account of a lateral perforation on a canine tooth and the management strategy under the circumstances. It also gives an overview of some of possible approaches to prevent iatrogenic perforations. METHODS: A right maxillary canine which had an iatrogenic perforation was carefully re-treated and the defect in the bone was exposed using a full thickness mucoperiosteal flap and packed with bone graft material A clinical re-evaluation was done at the end of 3 months. RESULTS: After 3 months the tooth was asymptomatic. There was no tenderness on palpation and on percussion. CONCLUSION: A thorough knowledge of the anatomy of the tooth, combined with the use of appropriate techniques can help in reducing the complications that may occur during endodontic therapy. However, if a problem does occur, a scrupulous management would help in salvaging the involved tooth.

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 Using Composite Resin Inclined Plane for the Repositioning of a Laterally Luxated Primary Incisor: A Case Report

2011 ◽  
Vol 05 (01) ◽  
pp. 117-120 ◽  
Author(s):  
Volkan Arikan ◽  
Saziye Sari
Keyword(s):  
Case Report ◽  
Time Delay ◽  
Root Canal ◽  
Composite Resin ◽  
Root Canal Treatment ◽  
Effective Alternative ◽  
Central Incisor ◽  
Inclined Plane

ABSTRACTThis case report describes the repositioning of a laterally luxated primary central incisor with occlusal interference, using a composite inclined plane. The patient was a 4-year-old girl who applied to our clinic three days after the injury. Because of the time delay between injury and presentation, it was not possible to reposition the tooth with pressure. Following a root-canal treatment, an inclined plane was prepared on the lower primary incisors, using composite resin. The tooth was repositioned in two weeks, and the inclined plane was then removed. After 1 year of follow-up, the treatment was found to be successful, both clinically and radiographically. The use of a composite inclined plane, accompanied by careful follow-up, is an effective alternative to extraction for laterally luxated primary incisors with occlusal interference. (Eur J Dent 2011;5:117-120)

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