scholarly journals Accidental nasal fossa perforation during endodontic treatment - Case report

2021 ◽  
Vol 10 (5) ◽  
pp. e8010514645
Author(s):  
Kim Henderson Carmo Ribeiro ◽  
Neylla Teixeira Sena ◽  
Joel Motta Junior ◽  
Marcia Raquel Costa Lima Braga ◽  
Ana Carolyna Becher Roseno ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Root Canal ◽  
Nasal Fossa ◽  
Operating Microscope ◽  
Central Incisor ◽  
Canal System ◽  
Nasal Floor ◽  
Root Canal System ◽  
The Right

Fracture of an endodontic instrument within the root canal system can occur due to incorrect use of instruments, and clinicians are confronted with a few removal options when considering this situation. The purpose of this article is to present the removal of a fractured endodontic file from the periapical region of the right upper central incisor, that caused a nasal floor perforation and otorhinolaryngological symptoms, with the aid of a dental operating microscope (DOM) and cone bean computed tomography (CBCT). Success was achieved when the fragment was visible and removed from the nasal fossa. The standardized techniques of removal or bypassing fracture file were not effective, and success was obtained with the aid of CBCT that made possible the visualization of the broken file inside the nasal fossa.

scholarly journals Management of upper central incisor with large periapical inflammatory cyst and persistent fistula: Case report

2021 ◽  
Vol 10 (8) ◽  
pp. e19410817332
Author(s):  
Soraia de Fátima Carvalho Souza ◽  
Susilena Arouche Costa ◽  
Arianna Helena Marques Cavalcante ◽  
Aretha Lorena Fonseca Cantanhede Carneiro ◽  
Tetis Serejo Sauáia ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Histopathological Examination ◽  
Treatment Success ◽  
Complete Healing ◽  
Filling Material ◽  
Central Incisor ◽  
Canal System ◽  
Root Canal Filling ◽  
Root Canal System

The objective of this case report was to describe the retreatment of an immature upper right central incisor in a 20-year-old female patient after unsuccessful endodontic treatment, who had probable clinical-radiographic diagnosis of a large periapical inflammatory cyst and persistent fistula. After removing the root canal filling material, disinfection of the root canal system, and successive intracanal medication changes over 60 days, the fistula remained active. Therefore, parendodontic surgery was performed. The root canal system was obturated, the periapical cyst was surgically enucleated, and retro-obturation with mineral trioxide aggregate was performed. We used the guided tissue regeneration technique with a xenograft and resorbable membrane. On histopathological examination, we observed bacterial colonies present in the lumen of the cystic lesion. Clinical evaluation, periapical radiograph, and cone-beam tomography confirmed complete healing of the periapical area of the affected tooth. The treatment success was verified by periapical healing over a follow-up period of 21 months.

scholarly journals Utilizing the GentleWave® System for Debridement of Undetected Apical Anatomy

2018 ◽  
Vol 19 (3) ◽  
pp. 345-351
Author(s):  
Michael W Ford
Keyword(s):  
Case Report ◽  
Clinical Significance ◽  
Root Canal ◽  
Continuous Wave ◽  
Canal System ◽  
Complex Anatomy ◽  
Maxillary Molar ◽  
Root Canal System ◽  
A New Technique ◽  
The Right

ABSTRACT Aim and background Debriding and disinfecting complex anatomies within the root canal system pose a major challenge during root canal therapy. Even with current chemomechanical techniques, debris and bacterial remnants are commonly left behind, which are generally believed to increase the risk of endodontic failure. This case details the use of a new technique to debride complex apical anatomy in a maxillary molar. Case report A 48-year-old female presented to the clinic with a chief complaint of increasing pain in her tooth. Clinical examination of the right first maxillary molar (#3) revealed moderate sensitivity to percussion and mild sensitivity to palpation. A pulpal diagnosis of symptomatic irreversible pulpitis and a periapical diagnosis of symptomatic apical periodontitis were made. Mechanical instrumentation was performed using rotary file size #25/.04 for the mesiobuccal and distobuccal canals and size #25/.06 for the palatal canal to create a fluid path and enable obturation of the root canal system following the GentleWave® Procedure. The GentleWave Procedure was completed using Multisonic Ultracleaning™ for complete debridement and disinfection of the root canal system. The tooth was obturated using a warm vertical continuous wave obturation technique. Postoperative radiographs revealed complex anatomy within the apical third that was undetected both during pre-operative radiography and mechanical instrumentation. The palatal canal exhibited a complex apical delta with multiple points of exit, and the mesiobuccal canal revealed an undetected lateral canal within the apical third that had a separate and distinct egress. Conclusion and clinical significance It is important for the clinician to debride and disinfect complex anatomy within the root canal system to reduce the risk of endodontic failure. This case report highlights the clinical significance of utilizing the GentleWave Procedure for detecting complex apical anatomy during endodontic therapy. How to cite this article Ford MW. Utilizing the GentleWave® System for Debridement of Undetected Apical Anatomy. J Contemp Dent Pract 2018;19(3):345-351.

scholarly journals Retrieval of Separated Instrument using Ultrasonics in a Permanent Mandibular Second Molar: A Case Report

2014 ◽  
Vol 4 (1) ◽  
pp. 41-45
Author(s):  
Vanitha Shenoy ◽  
Rithima Sokhi
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Operating Microscope ◽  
Canal System ◽  
Endodontically Treated Teeth ◽  
Second Molar ◽  
Root Canals ◽  
Mandibular Second Molar ◽  
Root Canal System ◽  
Potential Impact

ABSTRACT Clinicians are frequently challenged by endodontically treated teeth that have obstructions, such as hard impenetrable pastes, separated instruments, silver points or posts in their root canals. Intracanal separation of endodontic instruments may hinder cleaning and shaping procedures within the root canal system, with a potential impact on the outcome of treatment. Broken instruments usually prevent access to the apex and the prognosis of teeth with broken instruments in the canals may be lower than for normal ones. The prognosis of these cases mainly depends on the preoperative condition of the periapical tissues. For these reasons, an attempt to remove broken instruments should be undertaken in every case. Ultrasonics have often been advocated for the removal of broken instruments because the ultrasonic tips or endosonic files may be used deep in the root canal system. Furthermore, the use of an ultrasonic endodontic device is not restricted by the position of the fragment in the root canal or the tooth involved. This case report elaborates on retrieval of broken instrument lodged in the coronal third of the root canal using ultrasonics and dental operating microscope. How to cite this article Sokhi R, Sumanthini MV, Shenoy V. Retrieval of Separated Instrument using Ultrasonics in a Permanent Mandibular Second Molar: A Case Report. J Contemp Dent 2014;4(1):41-45.

scholarly journals Endodontic Retreatment of a Mandibular Second Premolar with Four Roots and Four Canals: A Case Report

2020 ◽  
Author(s):  
Girish Nanjannawar ◽  
Saquib Mulla ◽  
Divya Gupta ◽  
Sharad Kamat
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Accurate Diagnosis ◽  
Clinical Implications ◽  
Canal System ◽  
Root Canals ◽  
Single Root ◽  
Comprehensive Knowledge ◽  
Root Canal System ◽  
Endodontic Retreatment

It is a well-recognised fact that incomplete cleaning, shaping and obturation of root canals will lead to endodontic failure. Mandibular second premolars usually have a single root and a single root canal. The presence of four separate roots and four root canals is quite rare. Hence, a comprehensive knowledge about the normal canal configuration along with its variations becomes an indispensable pre-requisite to achieve the success of endodontic treatment. Authors hereby present a case of a 26-year-old male patient and describe its succesful treatment of the mandibular second premolar with four roots and four root canals. The clinical implications of this paper aim at establishing an accurate diagnosis of the root canal system using diagnostic aids such as angulated radiographs and making use of advanced endodontic instruments for successful retreatment of endodontic therapy (C+ files and NiTi rotary endodontic instruments).

scholarly journals Perforation Repair Using Biodentine:A Nobel Approach

2017 ◽  
Vol 6 (2) ◽  
pp. 1558
Author(s):  
Mridusmita Mukherjee ◽  
Krutika Shekhawat
Keyword(s):  
Treatment Outcome ◽  
Case Report ◽  
Root Canal ◽  
Filling Material ◽  
Restorative Material ◽  
Canal System ◽  
Microbial Invasion ◽  
Retrograde Filling ◽  
Root Canal System ◽  
The Many

Root perforations are one of the many consequences of compromised endodontic procedure. It not only poses a significant problem in treatment outcome but also greatly affects the prognosis if not repaired in time. If it occurs, it allows microbial invasion and inflammation in the non-invated area of operation. So, choice of restorative material should be such that it closes the pathway of communication between the root canal system and its associated tissues. It should possess all the good qualities of an ideal orthograde or retrograde filling material. The following note describes a case report of a young boy with failed root canal treatment performed earlier with its steps of management.

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 Analysis of root canal system of maxillary first and second molars and their correlations by cone beam computed tomography

2020 ◽  
Vol 119 (5) ◽  
pp. 968-973 ◽  
Author(s):  
Li-Ting Tzeng ◽  
Mei-Chi Chang ◽  
Shu-Hui Chang ◽  
Chih-Chia Huang ◽  
Yi-Jane Chen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Cone Beam ◽  
Canal System ◽  
Root Canal System

scholarly journals Endodontic Management of Dilacerated Maxillary Central Incisor fused to a Supernumerary Tooth using Cone Beam Computed Tomography: An Unusual Clinical Presentation

2017 ◽  
Vol 18 (6) ◽  
pp. 522-526 ◽  
Author(s):  
Thilla S Vinothkumar ◽  
Deivanayagam Kandaswamy ◽  
Ganesh Arathi ◽  
Sathishkumar Ramkumar ◽  
Gnanasekaran Felsypremila
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Clinical Presentation ◽  
Cone Beam ◽  
Operating Microscope ◽  
Central Incisor ◽  
Supernumerary Tooth ◽  
Maxillary Central Incisor ◽  
Root Canals

ABSTRACT Aim The purpose of this report is to present a case of endodontic management of a dilacerated maxillary central incisor fused to supernumerary tooth unusually appearing as a labial tubercle using cone beam computed tomography (CBCT) as a diagnostic aid. Background Anterior teeth are commonly encountered with aberrant anatomical variations in the crown, number of roots, and root canals. Fusion is an infrequent developmental abnormality in shape of the tooth caused by the union of two adjacent tooth germs. A complete knowledge of such complex anatomies is mandatory for a successful root canal treatment. It highlights the endodontic and restorative approach in the functional and esthetic rehabilitation of the involved tooth. Case report Three-dimensional imaging using CBCT was used in this case to differentiate single labial canal and palatal C-shaped canal. The endodontic treatment was performed with the aid of dental operating microscope, and the root canals were obturated with a combination of single cone, carrier based, and cold flowable gutta-percha obturation system. The tooth remained asymptomatic without reinfection and symptoms of failure for 18 months. Conclusion Cone beam computed tomography is indispensable in treatment planning for cases where the radiographs cannot reveal useful information regarding the root canal shape. Postobturation CBCT has helped in avoiding further retreatment of the tooth, which otherwise is a challenging task. Clinical significance The use of sophisticated equipment, such as dental operating microscope and CBCT has helped in accurate diagnosis and treatment planning of fused central incisor respectively. How to cite this article Vinothkumar TS, Kandaswamy D, Arathi G, Ramkumar S, Felsypremila G. Endodontic Management of Dilacerated Maxillary Central Incisor fused to a Supernumerary Tooth using Cone Beam Computed Tomography: An Unusual Clinical Presentation. J Contemp Dent Pract 2017;18(6):522-526.

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