scholarly journals FREQUENT PROCEDURAL ERRORS AND STRUCTURAL COMPLICATIONS ON ENDODONTICAL TREATED TEETH

2021 ◽  
Vol 67 (2) ◽  
pp. 101-106
Author(s):  
Sanziana Adina Scarlatescu ◽  
◽  
Irina Gheorghiu ◽  
George Nicola ◽  
Andrei O. Al Aloul ◽  
...  
Keyword(s):  
Root Canal ◽  
Technological Progress ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Canal System ◽  
Root Canals ◽  
Hard Tissues ◽  
Root Canal System

The objectives of root canal treatment are to prevent the apical parodontitis, to heal the acute or cronic apical periodontits and to maintain the results, keeping the teeth on the arch in a functional stage. Thus, accuratelly elimination of soft and hard tissues (cleaning and shaping of the root canal system), disinfection and complete, homogeneous and tridimensional filling of the root canal system are very important to successful endodontic treatment. Modern concepts in endodontic treatment rely on technological progress and therefore many cases are successfully fulfilled, but the practitioner may be put in front of procedural erorrs both during and after endodontic treatment. Apical blockage, ledging, zipping, stripping, perforations in the floor of the pulp canal chamber or root canals perforations are the most common errors, but in many clinical situations they can be prevented and even surpassed once happened.

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.

scholarly journals Management of Six Root Canals in Mandibular First Molar

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Claudio Maniglia-Ferreira ◽  
Fabio de Almeida Gomes ◽  
Bruno Carvalho Sousa
Keyword(s):  
Root Canal ◽  
Clinical Case ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Canal System ◽  
Root Canals ◽  
Abnormal Morphology ◽  
Root Canal System ◽  
Mandibular First Molar

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.

scholarly journals Assessment of the results of endodontic treatment of teeth

2020 ◽  
Vol 18 (1) ◽  
pp. 27-30
Author(s):  
S. N. Razumova ◽  
A. S. Brago ◽  
Haydar Barakat ◽  
L. M. Khaskhanova ◽  
R. M. Bragunova
Keyword(s):  
Root Canal ◽  
Endodontic Treatment ◽  
Canal System ◽  
High Quality ◽  
Endodontically Treated Teeth ◽  
Root Canals ◽  
Mandibular Molars ◽  
Dental Patient ◽  
Manual Skills ◽  
Root Canal System

The success of endodontic treatment depends on many factors. The most important of them are the knowledge and manual skills of the dentist.Materials and methods. We analyzed the condition of teeth after endodontic treatment in 300 patients aged 20 to 70 years. Were studied 300 images of CBCT, the number of treated teeth and the number of cases of unsuccessful endodontic treatment was analyzed.Results. According to CBCT data, high-quality obturation of the root canal system was observed in 1335 (75%) endodontically treated teeth. The reasons for successful endodontic treatment are under-sealing of the root canal (16%), removal of material beyond the apex (5.6%), and missed root canals (3.4%).Conclusion. Clinical dental patient examination revealed that maxillary and mandibular molars most often undergo endodontic treatment.

Significance of the Coronal Pulp Chamber Floor Anatomy in the Human Dentition: A Narrative Review

Dental Update ◽  
2021 ◽  
Vol 48 (1) ◽  
pp. 58-61
Author(s):  
Ajinkya M Pawar ◽  
Shishir Singh
Keyword(s):  
Root Canal ◽  
Microbial Control ◽  
Root Canal Treatment ◽  
Pulp Chamber ◽  
Canal System ◽  
Root Canals ◽  
Complex Anatomy ◽  
Treatment Knowledge ◽  
Root Canal System ◽  
Chamber Floor

In root canal treatment, the foundation on which all surgical procedures are performed is a thorough knowledge of the anatomy of the pulp chamber and the root canal system. The endodontic triad comprises biomechanical preparation, microbial control and complete obturation of the root canal space. Knowledge of the pulp chamber floor anatomy is important in locating the numbers and orifices of root canals present within the tooth being root canal treated. This is particularly important while treating teeth that are heavily restored, mal-positioned, or calcified. The current review attempts to explain the complex anatomy of the pulp chamber floor and its significance in root canal treatment. CPD/Clinical Relevance: To allow the location of all root canal orifices in the pulp chamber and to perform successful root canal treatment, knowledge of pulp chamber floor anatomy is essential. The clinician should consider that, as the external morphology of the tooth varies in individuals, so does the internal morphology.

scholarly journals Endodontic therapy of a mandibular premolar with three root canals: Two case reports

2010 ◽  
Vol 57 (3) ◽  
pp. 163-169
Author(s):  
Jugoslav Ilic ◽  
Mirjana Vujaskovic ◽  
Ruzica Nedeljkovic
Keyword(s):  
Root Canal ◽  
Case Reports ◽  
Accurate Diagnosis ◽  
Endodontic Treatment ◽  
Canal System ◽  
Therapeutic Challenge ◽  
Root Canals ◽  
Root Canal System ◽  
Preoperative Radiograph ◽  
Canal Morphology

The most important requirements for successful endodontic treatment are accurate diagnosis and good knowledge of canal morphology. A mandibular second premolars rarely have more than one root and one root canal. Data from the literature indicate low percentage of a mandibular premolars with three or more root canals. Unusual morphology of the root canal system is diagnostic and therapeutic challenge. It is very important to analyze preoperative radiograph and to explore thoroughly the entrance of the root canal. The aim of this study was to present two patients who had lower second premolars with three canals that required endodontic therapy.

scholarly journals Removal of Gutta-Percha from the Root Canals using Three Different Rotary Files

2013 ◽  
Vol 01 (03) ◽  
pp. 159-162
Author(s):  
Harleen Gill ◽  
Ajay Chhabra ◽  
Varun Jindal ◽  
Ankur Vats ◽  
Gurkirat Grewal
Keyword(s):  
Root Canal ◽  
Root Canal Treatment ◽  
Canal System ◽  
Root Canals ◽  
Gutta Percha ◽  
Rotary Instruments ◽  
Debris Removal ◽  
Ah Plus ◽  
Root Canal System ◽  
Endodontic Retreatment

AbstractIn case of failed root canal treatment endodontic retreatment of the root canal system is necessary. The aim of the present study was to compare the gutta-percha removal with Protaper retreatment files (Dentsply Maillefer, Ballaigues, Switzerland), K3 (SybronEndo) and Hero Shapers (MicroMega, Besancon, France). Method: Thirty freshly extracted human single rooted teeth were prepared with ProTaper rotary instruments up to file F3 andfilled with 30 # GP cones and AH plus sealer. The teeth were then stored for 1 week. The teeth were divide into 3 retreatment groups (n=10). The gutta-percha was removed using Protaper retreatment files, K3 and Hero Shapers. Teeth were then evaluated using radiographs. Results: Comparing the ratio between clean canals Protaper and K3 showed better debris removal as compared to Hero shaper. But no significance difference was found.

scholarly journals A Case of Unusual Anatomy in Second Mandibular Molar with Four Canals

2008 ◽  
Vol 02 (03) ◽  
pp. 217-219 ◽  
Author(s):  
C. Maniglia-Ferreira ◽  
Fábio de Almeida-Gomesa ◽  
Bruno Carvalho de Sousa ◽  
Carla Cabral dos Santos Acioli Lins ◽  
Roberto Alves dos Santos
Keyword(s):  
Root Canal ◽  
Root Canal Treatment ◽  
Canal System ◽  
Anatomical Features ◽  
Second Molar ◽  
Root Canals ◽  
Mandibular Molar ◽  
Canal Systems ◽  
Mandibular Second Molar ◽  
Root Canal System

ABSTRACTSuccess in root canal treatment is achieved after thought cleaning and shaping followed by the complete obturation of root canal system. Such treatment may be performed in root canal systems that do not comply with the normal anatomical features described in standard textbooks. This article describes the conventional root canal treatment on an unusual mandibular second molar with four root-canals. (Eur J Dent 2008;2:217-219)

scholarly journals Root Canal Treatment of Mandibular Second Premolar with Three Separate Roots and Canals Using Spiral Computed Tomographic

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
V. P. Hariharavel ◽  
A. Ashok Kumar ◽  
C. Ganesh ◽  
Sankar Annamalai ◽  
Kavitha Ramar ◽  
...  
Keyword(s):  
Root Canal ◽  
Unusual Case ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Spiral Computed ◽  
Canal System ◽  
Radiological Anatomy ◽  
Computed Tomographic ◽  
Internal Morphology ◽  
Root Canal System

Anatomic and internal morphology of a root canal system is more complex and differs for each individual tooth of which mandibular premolars have earned the reputation for having aberrant anatomy. The occurrence of three canals with three separate foramina in mandibular second premolars is very rare. A wider knowledge on both clinical and radiological anatomy especially spiral computed tomographic is absolutely essential for the success of endodontic treatment. These teeth may require skillful and special root canal special shaping and obturating techniques. This paper reports an unusual case of a mandibular second premolar with atypical canal pattern that was successfully treated endodontically.

scholarly journals COMPARATIVE STUDY OF ANTIBACTERIAL ACTIVITY OF PHOTOACTIVATED DISINFECTION WITH FOTOSAN AND STANDARD ENDODONTIC TREATMENT

2021 ◽  
Vol 27 (2) ◽  
pp. 3712-3717
Author(s):  
Tzvetelina Gueorgieva ◽  
◽  
Raina Gergova ◽  
Keyword(s):  
Antibacterial Activity ◽  
Root Canal ◽  
Antimicrobial Effect ◽  
Complete Removal ◽  
Endodontic Treatment ◽  
Sodium Hypochlorite Solution ◽  
Canal System ◽  
Root Canals ◽  
Microbiological Sample ◽  
Root Canal System

Introduction: The purpose of endodontic treatment is to eliminate the bacterial infection in the root canal system and allow healing of apical periodontitis. Sometimes the anatomical complexity of the root canal system makes complete removal of bacteria almost impossible even if the conventional methods of chemo-mechanical debridement are performed strictly according to the protocol. So additional methods of root canal disinfection can be applied such as photoactivated disinfection (PAD). Purpose: The aim of our study was to compare the antibacterial activity of PAD with FotoSan, and conventional endodontic therapy in the treatment of infected root canals. Materials and methods: The study involved 36 teeth of patients who are diagnosed with pulp necrosis or with the periapical chronic periodontitis and require endodontic treatment and divided into two groups of 18 teeth each. The first microbiological sample was taken by placing a sterile paper point in the root canal, after endodontic access cavity preparation. All root canals are prepared by Protaper Universal rotary instruments (Maillefer Instruments SA, Ballaigues, Switzerland). In the first group, the disinfection of the root canals was made with photoactivated disinfection with FotoSan. In the second group was performed the endodontic treatment with the standard protocol of irrigation - 2.5% sodium hypochlorite solution and 17% EDTA. After that, the root canals are dried with sterile points, and a second microbiological sample is taken. Results: In all compared pairs, there was no significantly different effect regarding the number of microorganisms. Conclusions; The disinfection with NaOCl has the strongest antimicrobial effect in this study. Second place is occupied by PAD with FotoSan. We believe that the established antimicrobial effect of PAD make the method appropriate as complementary to routine endodontic treatment.

scholarly journals Application of High-Power Diode Laser and Photodynamic Therapy in Endodontic Treatment - Review of the Literature

2015 ◽  
Vol 19 (2) ◽  
pp. 71-74 ◽  
Author(s):  
Dejan Marković ◽  
Dragana Rakašević ◽  
Dijana Trišić
Keyword(s):  
Photodynamic Therapy ◽  
High Power ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Canal System ◽  
Root Canals ◽  
Treatment Review ◽  
Root Canal System ◽  
Power Diode ◽  
High Power Diode Laser

SUMMARYLasers have found important role in clinical application, science and scientific research. The aim of this review is to focus on using soft tissue laser in endodontic treatments.The main goal of endodontic treatment is elimination of pathogenic microorganisms from root canal system. Laser light has the ability to reach parts of the tissue and areas where classical techniques and instruments cannot. New approaches to disinfecting root canals have been proposed recently, which include the use of high-power diode lasers, as well as disinfection of the root canal by using photodynamic therapy. A research is necessary to define a precise protocol for high-power laser and photodynamic therapy in treatment of the root canal system.

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