scholarly journals ACTIVATING TO SUCCESS: A COMPREHENSIVE REVIEW OF IRRIGANT AGITATION DEVICES IN ENDODONTICS

2020 ◽  
pp. 36-38
Author(s):  
Snigdho Das

Removal of vital and necrotic remnants of pulp tissues, microorganisms, and microbial toxins from the root canal system is warranted for ensuing successful treatment outcome. Irrigation plays a major role in achieving the same. The last few years have seen a spurt in technological advances in various irrigant activation devices. This article meticulously reviews the various irrigant agitation systems available, which assists in complete disinfection of the complex root canal system.

2017 ◽  
Vol 6 (2) ◽  
pp. 1558
Author(s):  
Mridusmita Mukherjee ◽  
Krutika Shekhawat

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.


2019 ◽  
Vol 10 (2) ◽  
pp. 179-182
Author(s):  
Mario Buonvivere ◽  
Matteo Buonvivere

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.


2020 ◽  
Vol 08 (01) ◽  
pp. 32-34
Author(s):  
Nisha Garg ◽  
Garima Sahni ◽  
Ajay Chhabra ◽  
Shabnam Negi

AbstractEach tooth in the permanent dentition presents with extensive variation in the anatomy of root, along with variation in the number of canals in individual roots. The existence of accessory canals should be considered in all teeth since failure to clean and fill them can have poor impact on prognosis. Thus, it is extremely important for a clinician to keep abreast with the complete assessment of the anatomy and morphology of root canal system for a favorable treatment outcome. Mandibular premolars often present with a variation in anatomy and, thus, considered as a perplexity to the endodontist. This article reports clinical cases of bifurcated canals in mandibular first premolars.


2015 ◽  
Vol 61 (1) ◽  
pp. 45-48
Author(s):  
Paula Perlea ◽  
◽  
Cristina Nistor ◽  
Alexandru Andrei Iliescu ◽  
Daniel Nistor ◽  
...  

The complex root canal system of maxillary second premolars shows variations among different populations. The aim of this study was to evaluate the root canal morphology of second maxillary premolars in the romanian population. The number of roots, root canals and the root canal configuration were investigated using radiographs in both buccal-oral and mesio-distal incidence. They were categorized using Weine’s classifi cation. Among the 480 teeth, 90.83% had one root and 66.67% one root canal. The frequency of secondary maxillary premolars with two root canals (33.12%) shouldn’t be underestimated. Knowing the variations of the internal root canal morphology of maxillary second premolars in a certain population can lead the clinician to a better approach of the endodontic treatment.


2021 ◽  
Vol 22 (3) ◽  
pp. 231-236
Author(s):  
Nassr AlMaflehi ◽  
Sara Alsubait ◽  
Yara Alshaibani ◽  
Nouf Alshehri ◽  
Noura Alnuwaiser ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Bonny Paul ◽  
Kavita Dube

Complex root canal system with atypical variations is a common finding among mandibular premolars. Endodontic treatment in these teeth may not be successful due to the failure to recognise and treat multiple canals. This paper presents endodontic treatment of a mandibular second premolar with three roots and three canals.


2010 ◽  
Vol 57 (1) ◽  
pp. 21-29
Author(s):  
Jelica Neskovic ◽  
Marija Damjanov ◽  
Slavoljub Zivkovic ◽  
Djurica Grga ◽  
Djuro Koruga ◽  
...  

Introduction. Mechanical instrumentation of the complex root canal system is very demanding procedure which requires use of the various manual and rotary instruments. The aim of this study was to assess the frequency and to verify the possible deformation of the working part of endodontic instruments after their multiple clinical use. Material and Methods. New sets of the manual endodontic instruments (reamers, K-files and Hedstroem) used in routine clinical use (44 instruments) and for root canal instrumentation of extracted teeth (44 instruments) were included in the study. Instrumentation was performed by Step-Back technique and constant irrigation with 0.5% NaOCl solution, 10 ml for each root canal. All the instruments were used 10 times and after use sterilized in a dry sterilizer or autoclave. The working parts of deformed instruments were analyzed using optimagnetic print. Results. The results obtained after clinical use showed deformations of the working part of the reamers in 50%, K-files in 43% and Hedstroem in 66.7% of used instruments. After instrumentation the canal of the extracted teeth, deformations were observed in 87.5% of the reamers, in 50% of the K-files and in 62.5% of Hedstroem files. The difference in frequency of the deformations was not statistically significant. On the instruments used for the preparation the canals of the extracted teeth and sterilized in autoclave, malformations were observed in 86.4%, comparing to the instruments sterilized in a dry sterilizer where malformations of the working part were registered in 59.1% of the cases. That difference was statistically significant (?2=5.250; p=0.072). Conclusion. Multiple use of the manual endodontic instruments in clinical conditions leads to increased frequency of malformations of the working part in all types of manual endodontic instruments.


Author(s):  
Nicholas Longridge ◽  
Pete Clarke ◽  
Raheel Aftab ◽  
Tariq Ali

Endodontics remains a rapidly advancing branch of restorative dentistry. It is highly likely that, by the time this book is published, several new or updated endodontic file systems will have been released. Despite the fairly rapid technological advances that the profession has seen, the key principles of endodontic treatment remain the same: 1. Eliminate microorganisms from the root canal system 2. Prevent reinfection of the root canal system 3. Retain a functional natural tooth. Whilst these principles are easy to discuss, they are consistently diffi­cult to perform, due, in large part, to the complexity of the root canal system. Multiple theories, principles, and approaches have been discussed to help achieve an optimal technical and clinical outcome. However, evi­dence to favour one specific stage or system over another is lacking, and as such, a large degree of operator preference and experience will ultimately influence the treatment planning and technical strategy. Much like baking a cake, endodontic treatment relies upon a series of proced­ural steps to achieve a desirable outcome, which, for the patient, often equates to a functional, pain-free natural tooth. Good- quality magnification remains a key component of an endodontist’s armamentarium, and dental loupes or a dental operating microscope could not be recommended more highly. Key topics include: ● Endodontic case assessment, including root canal anatomy ● Pain management, including local anaesthesia ● Access and canal identification ● Vital pulp therapy, including caries management ● Canal negotiation and instrumentation ● Root canal irrigation ● Root canal obturation ● Restoration of the endodontically treated tooth.


1970 ◽  
Vol 7 (3) ◽  
pp. 298-300
Author(s):  
AEV Pai ◽  
S Gautam ◽  
M Kundabala

Mandibular premolars usually have a single root and canal. Complex root canal system with atypical variations is a common finding among them. Failure to identify such a one can affect the prognosis of endodontic treatment. Apart from knowledge and sophisticated instruments, a good clinical expertise is required in identifying, tracing and treating such a root canal system. This case report is on the retreatment of a left mandibular second premolar (44) having a Vertucci's Type III canal configuration. Inability to identify this canal configuration led to a missed canal, faulty obturation and post treatment apical periodontitis. DOI: 10.3126/kumj.v7i3.2741 Kathmandu University Medical Journal (2009) Vol.7, No.3 Issue 27, 298-300


2019 ◽  
Vol 24 (2) ◽  
pp. 907-914 ◽  
Author(s):  
Juan Pacheco-Yanes ◽  
José C. Provenzano ◽  
Marília F. Marceliano-Alves ◽  
Isbelia Gazzaneo ◽  
Alejandro R. Pérez ◽  
...  

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