scholarly journals OPEN PERFORATION OF MAXILLA ALVEOLAR SPROUT, PERFORATION OF THE TOOTH CAVITY BOTTOM AT ENDODONTIC TREATMENT OF THE FIRST MOLAR ON MAXILLA (CLINICAL CASE)

2018 ◽  
pp. 88-90
Author(s):  
T.P. Skripnikova ◽  
Т.А. Khmil ◽  
S.V. Bilous

The paper presents a clinical issue of multiple doctor’s errors when he/she performs endodontic treatment. Injection needle defects that caused perforation in the bone tissue of the alveolar process, partial preparation of the tooth cavity, loss of the cheek, medial root canal, perforation of the bottom of the tooth cavity were revealed. As a result, errors caused complications. A corresponding medical-prophylactic complex was completed with a successful result.

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.


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.


2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Claudio Maniglia-Ferreira ◽  
Fabio de Almeida Gomes ◽  
Bruno Carvalho Sousa

Success in root canal treatment is achieved after thorough cleaning, shaping, and obturation of the root canal system. This clinical case describes conventional root canal treatment of an unusual mandibular first molar with six root canals. The prognosis for endodontic treatment in teeth with abnormal morphology is unfavorable if the clinician fails to recognize extra root canals.


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.


2016 ◽  
Vol 19 (2) ◽  
pp. 111
Author(s):  
Francisco Roosivelt Assis De Araújo ◽  
Fredson Marcio Acris De Carvalho ◽  
André Augusto Franco Marques ◽  
Emílio Carlos Sponchiado Júnior ◽  
Lucas Da Fonseca Roberti Garcia

<p class="Default">Several factors influence the cleaning and shaping capacity of instrumentation techniques, such as internal resorption areas. Internal root resorption contributes to failure of endodontic treatment, since debris may remain attached to dentine walls, and the instruments are not able to completely remove them. This paper reports a clinical case of endodontic treatment of a tooth with internal root resorption using a hybrid instrumentation technique. After clinical and radiographic examinations, pulp necrosis with periapical lesion, and the presence of an internal root resorption were diagnosed. Biomechanical preparation began with glide path creation with sizes 15 and 20 K-type files. Apical third instrumentation was performed with rotary ProFile files #25.04 up to #35.04, followed by root canal filling. The case was followed-up for twelve months. Progressive bone repair was observed radiographically. Despite the presence of internal root resorption, the results achieved with the hybrid technique suggest effectiveness in this clinical case solution.</p><p><strong>Keywords:<em> </em></strong>Dental Pulp Cavity; Endodontics; Root canal therapy.</p>


reportaendo ◽  
2014 ◽  
Vol 1 (1) ◽  
Author(s):  
VANESSA MONTESINOS RIVERA

La anatomía radicular difiere entre los grupos dentales. El conocimiento de la morfología tanto interna como externa y sus posibles variaciones, pueden mejorar la tasa de éxito en la terapia endodóntica. Los molares inferiores son piezas dentales que presentan habitualmente dos raíces; una mesial y otra distal. Informes de casos clínicos con una raíz adicional han sido reportados. Estas raíces supernumerarias Radix Entomolaris (situados en lingual) y Radix Paramolaris (situados en vestibular), a pesar de presentarse en baja frecuencia, se consideran verdaderos desafíos dentro de la endodoncia.El presente artículo se centra en las características morfológicas de estas macro-estructuras desde el punto de vista clínico y radiográfico. Root canal anatomy differs between dental groups. The knowledge of internal and external morphology and their variations, could improve the rate of success of  he endodontic treatment. Mandibular molars are teeth that usually have two roots, one mesial and one distal. Clinical case reports with additional root, have been reported.These supernumerary roots, Entomolaris Radix (located in lingual) and Radix Paramolaris (located in vestibular), despite of being present with low frequency, represent real challenges in endodontics. This article focuses on the morphological characteristics of these macro-structures from a clinical and radiographic point of view.


2020 ◽  
Vol 12 (45) ◽  
pp. 113-117
Author(s):  
Caroline Felipe Magalhães Girelli ◽  
Thaís da Silva Alves ◽  
Betina Maria de Lima Oliveira ◽  
Mariane Floriano Lopes Santos Lacerda ◽  
Carolina Oliveira de Lima

External inflammatory root resorption (EIRR) is one of the consequences of pulp necroses caused by intrusive dislocation (ID). The objective of the study was to report a clinical case of ID associated with EIRR, which was submitted to late endodontic treatment. Patient came to the dental office five months after a trauma with a clinical picture of intrusive dislocation of tooth 21 associated with pulp necrosis, but without symptoms. Radiographic examination showed an image compatible with EIRR along root surface. The treatment plan was to undergo endodontic treatment with calcium hydroxide changes which occurred monthly for 8 months. When EIRR stopped, the root canal was filled. After clinical and radiographic follow up for 5 years, there was an involution of the damage caused by the clastic activity resulting from the resorptive process, characterizing the success of the instituted therapy.


2021 ◽  
Vol 19 (4) ◽  
pp. 338-342
Author(s):  
I. V. Kornetova ◽  
A. V. Mitronin ◽  
I. M. Rabinovich

Primary endodontic treatment of chronic apical periodontitis caused by primary perio lesion, a frequent case in the dental clinical practice. This situation is a dilemma when drawing up a comprehensive treatment plan for a patient, taking into account the pathogenesis of the disease. Extracting or saving a tooth is still a controversial issue for dental surgeons and therapists. To obtain a successful result, it is necessary to carry out high-quality endodontic and periodontal treatment. This article represents a clinical case of primary endodontic treatment of tooth 1.7 with endo-perio lesion. At the final stage, the final result of the treatment is presented in 2 weeks. This article will help dentists acquire additional knowledge necessary for making decisions and choosing treatment tactics in difficult clinical situations.


2021 ◽  
Vol 19 (2) ◽  
pp. 117-120
Author(s):  
E. V. Vusataya ◽  
R. G. Pomogalov

Successful and predictable endodontic treatment requires knowledge of root canal anatomy and morphology variations. In cases where X-ray images do not help to clarify the anatomy of the root canals, it is recommended to use magnifying devices. The second premolar of the lower jaw is one of the most diffcult teeth for endodontic treatment due to variations in internal morphology, additional root canals, apical deltas, and lateral canals. Diagnostic radiographs in different projections are important for getting an idea of the number of existing root canals. The purpose of root canal treatment is to clean the root canal of pathogenic microbes and infected pulp, prevent the formation of toxic products, and protect the periapical tissue. The presence of root canal variability increases the complexity of endodontic treatment. The complex anatomy of the root canals, the presence of additional channels, unnoticed by the dentist, can cause the failure of endodontic treatment.


2012 ◽  
Vol 13 (6) ◽  
pp. 902-904 ◽  
Author(s):  
Prashant P Moogi ◽  
Reshma S Hegde ◽  
BR Prashanth ◽  
G Vinay Kumar ◽  
Nandini Biradar

ABSTRACT In majority of cases, mandibular canines have one root and one root canal, although 15% may have two canals. Literature report shows incidence of two-rooted canine as low as 1.7%. This article reports a clinical case of endodontic treatment of mandibular canine with two roots and two canals. How to cite this article Moogi PP, Hegde RS, Prashanth BR, Kumar GV, Biradar N. Endodontic Treatment of Mandibular Canine with Two Roots and Two Canals. J Contemp Dent Pract 2012;13(6):902-904.


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