scholarly journals Single visit apexification technique by root end barrier formation with MTA

2015 ◽  
Vol 5 (1) ◽  
pp. 21-25
Author(s):  
Tazdik G Chowdhury ◽  
SM Abdul Quader ◽  
Tasnim A Jannat ◽  
Shirin Sultana Chowdhury ◽  
KM Rowank Jahan ◽  
...  
Keyword(s):  
Root Canal ◽  
Paediatric Dentistry ◽  
Lateral Incisor ◽  
Periapical Lesion ◽  
Canal System ◽  
Single Visit ◽  
Barrier Formation ◽  
Root Canal System ◽  
One Year

Aim: To seal with Mineral trioxide aggragate(MTA) and make a sizeable communication between the root canal system and the periradicular tissue and provide a barrier because of lack of apical constriction.Summary: A 9 year old girl who had met with trauma about six years ago, before she visited department of Paediatric Dentistry , Update Dental College,Dhaka,Bangladesh for the treatment of mandibular right lateral incisor. The case was diagnosed as necrosis of pulp with open apex. After proper isolation access opening and biomechanical preparation was performed with 1mm short of the radiographic apex and calcium hydroxideused as intra canal medicament. After 15 days MTA was placed in the canal till a barrier of 4mm was achieved. Later obturation was done using lateral condensation technique.Size of the periapical lesion was almost decreased after one year of follow up. Followup was done after 1 month, 6 months and 1 year later.Update Dent. Coll. j: 2015; 5 (1): 21-25

scholarly journals Use of Mineral Trioxide Aggregate in the Treatment of Large Periapical Lesions: Reports of Three Cases

2010 ◽  
Vol 04 (04) ◽  
pp. 468-474 ◽  
Author(s):  
Tahsin Yildirim ◽  
Nimet Gencoglu
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Filling Material ◽  
Periapical Lesion ◽  
Canal System ◽  
Periapical Lesions ◽  
Root Canal System ◽  
Root Apices

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)

Maxillary Lateral Incisor with 3 Root Canals: A Case Report

2019 ◽  
Vol 10 (2) ◽  
pp. 179-182
Author(s):  
Mario Buonvivere ◽  
Matteo Buonvivere
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Rare Case ◽  
Lateral Incisor ◽  
Complex Root ◽  
Canal System ◽  
Root Canals ◽  
Single Root ◽  
Maxillary Lateral Incisor ◽  
Root Canal System

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.

scholarly journals Nonsurgical Retreatment of Lower Incisor with Apical Lesion

2014 ◽  
Vol 3 (2) ◽  
pp. 98-102
Author(s):  
Alberto Dagna
Keyword(s):  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Canal System ◽  
Lower Incisor ◽  
Endodontic Surgery ◽  
Gutta Percha ◽  
First Choice ◽  
Root Canal System ◽  
The Right

ABSTRACT Orthograde retreatment is the first choice to manage an endodontic failure, because surgical approach not always eliminates from the root canal all those microorganisms that caused the failure. Endodontic surgery is commonly performed, when the root canal space is no longer accessible as a result of the presence coronal obstacles. But this case report demonstrates that the attempt to removal of prosthetic crown and post allows to create the right access and then to perform an adequate shaping, cleansing and sealing of the root canal system, even if the chronic periapical pathology induced an initial apical resorption. When the apical diameter is increased, perfect obturation with gutta-percha is not possible, and the apical sealing can be managed with mineral trioxide aggregate (MTA). Follow-up intraoral periapical radiograph at 20 months shows adequate repair of the periapical rarefaction. How to cite this article Dagna A, Saini R. Nonsurgical Retreatment of Lower Incisor with Apical Lesion. Int J Experiment Dent Sci 2014;3(2):98-102.

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.

Management of a Type III Dens Invaginatus using a Combination Surgical and Non-surgical Endodontic Therapy: A Case Report

2009 ◽  
Vol 10 (5) ◽  
pp. 82-87 ◽  
Author(s):  
Mithra N. Hegde ◽  
Aditya Shetty ◽  
Rekha Sagar
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Complete Removal ◽  
Lateral Incisor ◽  
Canal System ◽  
Pulp Tissue ◽  
Type Iii ◽  
Attached Gingiva ◽  
Root Canal System ◽  
Dens Invaginatus

Abstract Aim The aim of this report is to present a case of Type III dens invaginatus in a maxillary lateral incisor with a periapical lesion and its successful treatment using a combination of surgical and non-surgical therapy. Background The morphology of the root canal system is unique for individual teeth. A precise understanding of the morphology is very important for a successful root canal treatment. Dens invaginatus is a rare dental anomaly that can give rise to many complex anatomical forms. The complete removal of the diseased pulp tissue can be a challenge for clinicians due to the complexity of internal canal anatomy and may require either non-surgical endodontic therapy alone or that therapy may have to be combined with surgical endodontics to achieve an adequate sealing of the root canal system. Case Report A 22-year-old male presented for evaluation of a recurrent painless sinus tract in the attached gingiva adjacent to the maxillary right lateral incisor. The tooth responded negatively to vitality tests while the right central incisor responded normally. Clinically an anatomical malformation in the crown was detected in the form of an abnormal bulbous contour of the tooth in the palatal region above the cingulum. Radiograph evaluation confirmed the presence of dens invaginatus and a periapical radiolucent lesion. The patient received combined nonsurgical and surgical endodontic therapy to achieve a favorable outcome. Summary Complications presented by Type III dens invaginatus and acute periapical abscess necessitated the use of combined non-surgical and surgical endodontic therapy to attain a favorable seal of the root canal. The prognosis at a six-month post-treatment evaluation appeared to be good. Clinical Significance Dens invaginatus requires an early diagnosis and treatment. It may result in radicular and periapical pathosis requiring a combined non-surgical and surgical endodontic approach to treatment. Citation Hegde MN, Shetty A, Sagar R. Management of a Type III Dens Invaginatus using a Combination Surgical and Non-surgical Endodontic Therapy: A Case Report. J Contemp Dent Pract [Internet]. 2009 Sept; 10(5). Available from: http://www.thejcdp.com/journal/view/ management-of-a-type-iii-dens-invaginatususinga- combination-surgical-and-.

scholarly journals Success Rate of Root Canal Treatment by Conventional Root Canal Therapy Without Using Intracanal Medicament in Infected Canals

2017 ◽  
Vol 7 (3) ◽  
pp. 221-223
Author(s):  
Umme Kulsum
Keyword(s):  
Success Rate ◽  
Root Canal ◽  
Treatment Success ◽  
The Body ◽  
Root Canal Treatment ◽  
Canal System ◽  
Conservative Dentistry ◽  
Root Canal System ◽  
Thorough Debridement

Background: Root canal system, when becomes infected is managed by thorough debridement and specific shaping of the root canal. It is to be followed by a specific type of filling. The ultimate goal of these approaches is to create an environment in which the body’s immune system can produce healing of the apical periodontal attachment apparatus. Thorough debridement and shaping are carried out usually by biomechanical preparation of root canal system along with intracranial medicament. The use of intracanal medicaments is still debatable. This study was designed to evaluate the usefulness of root canal treatment without using any biomedical preparation.Methods: The study was carried out in the Department of Conservative Dentistry and Endodontics, BSMMU, Dhaka July 2003 ……to July 2004. In the present study, 36 cases of endodontically involved infected teeth were treated by conventional root canal treatment without using intracanal medicaments and patients were followed up at 6 and 12 months after root canal treatment.Results: At 6 and 12 months follow up, an overall treatment success was revealed in clinical and radiological findings.Conclusion: It is the biomechanical preparation of the canal which decides the success rate of root canal treatment of infected teeth, not the use or nonuse of intracanal medicament.Birdem Med J 2017; 7(3): 221-223

Controversies in Endodontics

2004 ◽  
Vol 15 (2) ◽  
pp. 99-114 ◽  
Author(s):  
G. Bergenholtz ◽  
L. Spångberg
Keyword(s):  
Root Canal ◽  
Randomized Clinical Trials ◽  
Canal System ◽  
Efficient Treatment ◽  
Scientific Methods ◽  
Root Canals ◽  
Infectious Origin ◽  
Infected Root ◽  
Root Canal System

Diseases of the dental pulp often have an infectious origin, and treatments are aimed to control infections of the root canal system. Endodontic treatment principles originally evolved on the basis of trial and error, and only in recent decades have scientific methods been adopted to support clinical strategies. Yet, relevant research on the disease processes, their diagnoses, and efficient treatment are rare in the endodontic literature. Hence, the advancement of biologically based knowledge significant to clinical endodontics has been slow. Therefore, many differences of opinion still prevail in this field of dentistry. This review highlights and analyzes the background of some of the more heavily debated issues in recent years. Specifically, it deals with disagreements regarding the clinical management of pulpal exposures by caries in the adult dentition, definitions of success and failure of endodontic therapy, and causes of and measures to control infections of the root canal system. Clearly, a most apparent gap in the published endodontic literature is the lack of randomized clinical trials that address the more significant controversial matters relating to the management of pulpal wounds, medication, and the number of appointments required for the treatment of infected root canals. However, trials in endodontics require extremely long follow-up periods if valid conclusions are to be generated. Therefore, it is not to be expected that there will be rapid solutions to these issues in the foreseeable future.

scholarly journals Single visit endodontics

2021 ◽  
Vol 6 (3) ◽  
pp. 147-151
Author(s):  
R. Geethanjali
Keyword(s):  
Root Canal ◽  
Three Dimensional ◽  
Endodontic Treatment ◽  
Canal System ◽  
Single Visit ◽  
Mechanical Preparation ◽  
Root Canal System

A successful endodontic treatment depends upon localization, proper chemo mechanical preparation of the root canal system, debridement, shaping, disinfection, and three-dimensional obturation of canal system. To achieve this, endodontic therapy used to be performed in multiple visits for complete disinfection of the canals in other words for the better success of endodontic therapy.1

scholarly journals Microbial distribution in the root canal system after periapical lesion induction using different methods

2008 ◽  
Vol 19 (2) ◽  
pp. 124-129 ◽  
Author(s):  
Juliane Maria Guerreiro Tanomaru ◽  
Mario Roberto Leonardo ◽  
Mário Tanomaru-Filho ◽  
Léa Assed Bezerra da Silva ◽  
Izabel Yoko Ito
Keyword(s):  
Root Canal ◽  
Similar Distribution ◽  
Periapical Lesion ◽  
Canal System ◽  
Chi Square ◽  
Significance Level ◽  
Root Canals ◽  
Microbial Distribution ◽  
Chi Square Test ◽  
Root Canal System

The aim of this study was to evaluate the microbial distribution in the root canal system after periapical lesion induction in dogs' teeth using different methods. Fifty-two root canals were assigned to 4 groups (n=13). Groups I and II: root canals were exposed to the oral cavity for 180 days; groups III and IV: root canals were exposed for 7 days and then the coronal openings were sealed for 53 days. The root apices of groups I and III were perforated, while those of groups II and IV remained intact. After the experimental periods, the animals were euthanized and the anatomic pieces containing the roots were processed and stained with the Brown & Brenn method to assess the presence and distribution of microorganisms. The incidence of microorganisms at different sites of the roots and periapical lesions was analyzed statistically by the chi-square test at 5% significance level. All groups presented microorganisms in the entire root canal system. A larger number of microorganisms was observed on the root canal walls, apical delta and dentinal tubules (p<0.05), followed by cementum and cemental resorption areas. In spite of the different periods of exposure to the oral environment, the methods used for induction of periapical periodontitis yielded similar distribution of microorganisms in the root canal system.

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