scholarly journals Conventional Endodontic Retreatment of Persistent Pain on Previously Treated Tooth in an Elderly Patient: A Case Report

2021 ◽  
Vol 55 (8) ◽  
Author(s):  
Nina Dhaniar ◽  
Hermawan Adi Praja ◽  
Ratih Mahanani Santoso ◽  
Cendranata Wibawa Ongkowijoyo ◽  
Widya Saraswati
Keyword(s):  
Elderly Patient ◽  
Root Canal ◽  
Persistent Pain ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Favorable Result ◽  
Root Canal Retreatment ◽  
Previously Treated ◽  
Endodontic Retreatment

Clinical evaluation for a successful root canal treatment is assessed by various criteria, which are clinical, histopathological, and radiographical criteria. Therefore, failure of endodontic treatment can be described as a recurrence of clinical symptoms, with the presence of a periapical radiolucency or both. Failure factors in the treatment are frequently related to persistent infection. Conventional endodontic retreatment is indicated for symptomatic previously treated teeth or asymptomatic teeth with inadequately done initial endodontic treatment to avoid potential recurrence. Endodontic retreatment in elderly patients is a great challenge because the clinician has to reassure both the physical and psychological factors of the patient to determine whether to save a tooth or perform an extraction. Some difficulties may also be found in root canal retreatment, including finding the root canal hole or root canal blockage found in parts of the root canal that have not been repaired in the previous treatment. A 60-year-old female patient came with the chief complaint of recurrent pain, and subjective discomfort in the maxillary left central incisor. The patient had anxiety about the dental treatment. The tooth had a history of root canal treatment four months ago. The clinical examination showed a positive response to the percussion test. The radiographical analysis showed a root canal underfilling, 2-3 mm short of length from the apex. The tooth was diagnosed as a previously treated tooth with symptomatic apical periodontitis. Endodontic retreatment was performed based on the patient’s clinical condition and consent, followed by composite restoration. The clinical and radiographic re-evaluation after four weeks of follow-up revealed an excellent condition. This favorable result showed that a conventional retreatment plan of persistent pain on the previously treated tooth in an elderly patient led to progressive healing, and a longer follow-up was advised.

Nonsurgical Endodontik Retreatment of Maxillary First Premolar

DENTA ◽  
2017 ◽  
Vol 11 (1) ◽  
pp. 88
Author(s):  
Yongki Hadinata W ◽  
Karlina Samadi
Keyword(s):  
Root Canal ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
First Choice ◽  
Periapical Abscess ◽  
Dental Hospital ◽  
Conservative Dentistry ◽  
Previously Treated ◽  
Endodontic Retreatment

<p><strong><em>Background :</em></strong><em> There are some factors can cause endodontic failure such as inadequate in cleaning or shaping step, non hermetic obturation, or poor restoration, which can cause bacteria multiply. <strong>Purpose :</strong> To report the management of endodontic failure with nonsurgical treatment. <strong>Case :</strong> 46-year-old woman came to Airlangga Dental Hospital Conservative Dentistry Department to treat her upper right tooth which show symptomatic pain in the last 2 weeks. The tooth has been treated and crowned with porcelain fused to metal about 10 years ago. Clinical examination show the presence of fistula on premolar buccal gingiva, react to percussion.  Radiographic examination show not hermetic obturation in one root canal and radiolucency in the periapical area. The diagnosis for maxillary first premolar is previously treated tooth with chronic periapical abscess.. <strong>Treatment :</strong> Crown and post was removed from the tooth, and endodontic retreatment was done. Follow up 6 months after the retreatment show no reaction to percussion, and radiographic examination show no enlargement periapical lesion. <strong>Conclusion :</strong> Nonsurgical endodontic retreatment always become the first choice to resolve endodontic failure for previously treated tooth.</em></p><p><strong><em>Keywords :</em></strong><em> endodontic failure, maxillary first premolar, nonsurgical endodontic retreatment</em></p><p><strong><em>Correspondence:</em></strong><em> Yongki Hadinata W., drg. PPDGS Ilmu Konservasi Gigi Fakultas Kedokteran Gigi Universitas Airlangga, Surabaya. Jl. Mayjen. Prof. Dr. Moestopo No. 47, Surabaya.</em></p>

scholarly journals Schneiderian membrane thickness variation following endodontic procedures: a retrospective Cone Beam Computed Tomography study

2019 ◽  
Author(s):  
Thera Van Den Munckhof ◽  
Shanon Patel ◽  
Alix Davies ◽  
Erwin Berkhout ◽  
Federico Foschi ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Linear Regression ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Thickness Variation ◽  
Membrane Thickness ◽  
Schneiderian Membrane ◽  
Pulp Capping

Abstract Background: To investigate the changes of Schneider membrane thickness by CBCT pre and post root canal treatment, retreatment and pulp capping procedures. Methods: This retrospective study was conducted on CBCT scans of a patient population of Guy’s Hospital NHS Foundation Trust, London. Three groups of patients were studied: Group 1 consisted of patients referred for primary endodontic treatment; Group 2 for endodontic retreatment; Group 3 for indirect pulp capping procedures (serving as a control group). Follow up scans were carried out 1 year after treatment. Measurements were carried out on CBCT scans and data were analysed statistically by Wilcoxon Signed Rank Test. Linear regression was used to assess predictive parameters for membrane thickness. Results: A statistically significant reduction of the Schneider membrane thickness was observed one year after endodontic treatment and retreatment (P<0.05) but no significant reduction was observed after pulp capping procedures. Linear regression showed that age and gender were significant predictors influencing the Schneider membrane thickness. Conclusions: Within the limitations of this retrospective study, following root canal treatment and re-treatment a Schneiderian membrane thickness reduction occurred at 1-year follow-up. The removal of odontogenic infection following endodontic treatment may help reducing the thickness of the Schneider membrane. Trial registration: Ethical approval and registration were granted by the NRES London Bridge and Dulwich Research Ethics Committee. TRN NCT03055975

Endodontic Treatment of Two Maxillary Incisors with Dens Invaginatus

2019 ◽  
Author(s):  
Guenther Stoeckl
Keyword(s):  
Root Canal ◽  
Signs And Symptoms ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Maxillary Incisors ◽  
Canal Morphology ◽  
Dens Invaginatus

Endodontic treatment of two maxillaryincisors with dens invaginatus is reported. Invaginated teeth present technical difficulties with respect to their management because of complicated canal morphology. This case was treated by conventional root canal treatment. The signs and symptoms ceased after the treatment. At follow up examination after 18 and 20 month the teeth were asymptomatic and radiographically showed sound periodontal and periapical tissue.

scholarly journals Apical Surgery: Therapeutic Option for Endodontic Failure

2018 ◽  
Vol 20 (3) ◽  
pp. 185
Author(s):  
Paulo Otávio Carmo Souza ◽  
Carolina Ferrari Piloni de Oliveira ◽  
Iussif Mamede-Neto ◽  
Amin De Macedo Mamede Sulaimen ◽  
Pedro Luís Alves de Lima ◽  
...  
Keyword(s):  
Root Canal ◽  
Therapeutic Option ◽  
Treatment Plan ◽  
Tomographic Images ◽  
Apical Surgery ◽  
Root Canal Retreatment ◽  
Periapical Granuloma ◽  
History Of ◽  
Endodontic Retreatment

AbstractThe aim of this study is present a surgical solution of the case of endodontic root canal failure caused by overfilling, with a history of endodontic retreatment and aesthetic rehabilitation with porcelain veneers. Patient C.F.P.L, 50 years old, female, was looking for treatment complaining of pain. Previous endodontic treatment was reported on tooth 11, and root canal retreatment after 6 months due to the persistence of painful symptomatology. Later, the patient carried out aesthetic rehabilitation with porcelain veneers, and approximately 6 months later the vitro pain related to the tooth 11 occurred again. Radiographic and tomographic images showed obturation of the root canal of the tooth 11 associated with diffuse hypodense area in the periapical region, with overextended endodontic material. The probable clinical diagnosis was symptomatic traumatic apical periodontitis, and apical surgery was proposed as treatment plan. After infiltrative anesthesia, a Newmann incision and split flap were performed, followed by osteotomy with micro-chisel and curettage of the lesion. An apicectomy was performed with Zecrya drill, followed by retro cavity with diamond ultrasonic tip and retrograde obturation with white MTA. After 2 years of follow-up bone neoformation and absence of symptomatology were observed, tooth in function and preservation of aesthetic rehabilitation harmony. Apical surgery is a therapeutic alternative with favorable prognosis for the treatment of endodontic failure, provided that it is correctly indicated and with a wellexecuted surgical protocol.Keywords: Apicectomy. Periapical Periodontitis. Periapical Granuloma. ResumoO objetivo deste estudo é apresentar a resolução cirúrgica de um caso de insucesso endodôntico ocasionado pela sobre obturação do canal radicular, com histórico de retratamento endodôntico e reabilitação estética com facetas cerâmicas. Paciente C.F.P.L, 50 anos, gênero feminino, procurou atendimento odontológico queixando-se de dor. Foi relatado tratamento endodôntico prévio no dente 11, e retratamento do canal radicular após 6 meses devido à persistência de sintomatologia dolorosa. Posteriormente, a paciente passou por reabilitação estética com facetas cerâmicas e, aproximadamente 6 meses após, houve o reaparecimento de dor espontânea relacionada ao dente 11. As imagens radiográficas e tomográficas revelaram obturação do canal radicular do dente 11 associado à área hipodensa difusa na região periapical, com extravasamento de material obturador. O diagnóstico clínico provável foi de periodontite apical sintomática traumática, e plano de tratamento proposto uma cirurgia parendodôntica. Posterior a anestesia infiltrativa, realizou-se incisão do tipo Newmann e retalho dividido, seguido de osteotomia com micro cinzel e curetagen da lesão. A apicectomia foi realizada com broca Zecrya, seguida da confecção da retrocavidade com ponta ultrassônica diamantada e obturação retrógrada com MTA branco. Após 2 anos de proservação foi observada neoformação óssea e ausência de sintomatologia, dente em função e preservação da harmonia da reabilitação estética. A cirurgia parendodôntica é uma alternativa terapêutica com prognóstico favorável para o tratamento do insucesso endodôntico, desde que corretamente indicada e com protocolo cirúrgico bem executado.Palavras-chave: Apicectomia. Periodontite Periapical. Granuloma Periapical.

Type 2 Dens Invaginatus in a Maxillary Lateral Incisor: A Case Report of a Conventional Endodontic Treatment

2008 ◽  
Vol 33 (2) ◽  
pp. 103-106 ◽  
Author(s):  
C Aguiar ◽  
J P Ferreira ◽  
A Câmara ◽  
J de Figueiredo
Keyword(s):  
Root Canal ◽  
Treatment Options ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Lateral Incisor ◽  
Maxillary Lateral Incisor ◽  
Rare Malformation ◽  
Dens Invaginatus

Dens invaginatus is a rare malformation of the teeth resulting from the invagination of the tooth crown before biological mineralization occurs. In most cases, the thin or incomplete enamel lining of the invagination cannot prevent the entry of bacteria into the pulp, which leads to pulp necrosis with an eventual periapical inflammatory response. The treatment options include preventive sealing or filling of the invagination,root canal treatment, endodontic apical surgery and extraction. The root canal treatment of such teeth is often complicated because of their anatomical complexity. This case describes a successful non-surgical endodontic treatment of a maxillary lateral incisor with type 2 dens invaginatus with a large periradicular lesion. At follow-up examinations after 6 and 12-months, the tooth was asymptomatic and the healed lesion was evident radiographically.

Persistent Apical Periodontitis: Bacterial Taxonomic Analysis and Treatment Through Intentional Replantation

2020 ◽  
Author(s):  
Fernando Eduardo Coria-Valdiosera
Keyword(s):  
Antibiotic Therapy ◽  
Root Canal ◽  
Resistance Mechanisms ◽  
Apical Periodontitis ◽  
Infectious Process ◽  
Identification Of Bacteria ◽  
The Right ◽  
Apical Lesions ◽  
Endodontic Retreatment

Introduction: The microorganisms own different resistance mechanisms that allow them to resist the chemo-mechanical cleanliness of root canal and antibiotic therapies causing the persistence of apical lesions. Methods: This clinical case describes a male patient diagnosed with pulp necrosis in the right lower central incisor due to trauma, which developed apical periodontitis manifesting itself extra orally. Root canal treatment along with antibiotic therapy was performed, but because the infectious process persisted, endodontic retreatment and a new antibiotic therapy were carried out, however, the clinical evolution was not favorable. For this reason, the intentional replantation was chosen as the outright treatment, performing apicectomy and curettage of the periapical lesion, from which the isolation and taxonomic study of microorganisms were carried out, with the respective antibiogram. Results: In the 10-day clinical follow-up, the extraoral infectious process disappeared almost completely and 6 months later, a complete repair of the bone tissue was observed on the tomography. Conclusion: A better understanding of the persistence of apical periodontitis was achieved by taxonomic identification of bacteria and the intentional replantation allowed to remove the apical biofilm gaining an excellent wound healing.

scholarly journals Correction to: A 12-month follow-up of primary and secondary root canal treatment in teeth obturated with a hydraulic sealer

2021 ◽  
Author(s):  
Giulia Bardini ◽  
Laura Casula ◽  
Emanuele Ambu ◽  
Davide Musu ◽  
Montse Mercadè ◽  
...  
Keyword(s):  
Root Canal ◽  
Root Canal Treatment ◽  
Secondary Root

scholarly journals Radicular Perforation Repair with Mineral Trioxide Aggregate: A Case Report with 10-Year Follow-up

2016 ◽  
Vol 10 (1) ◽  
pp. 733-738 ◽  
Author(s):  
Leopoldo Cosme-Silva ◽  
Breno Carnevalli ◽  
Vivien Thiemy Sakai ◽  
Naiana Viana Viola ◽  
Leon Franco de Carvalho ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Root Canal Filling ◽  
Second Molar ◽  
Iatrogenic Perforation ◽  
Iatrogenic Complications ◽  
Root Canal Retreatment

Background: Iatrogenic complications such as accidental perforation of the root or the floor of the pulp chamber may occur. Case Report: Patient was referred for root canal retreatment of the mandibular left second molar with periapical lesion evidenced through radiographic examination. During post removal, iatrogenic perforation occurred at the mesial face of the distal root. After clinical localization of the perforation and bleeding control, MTA was applied. In a second appointment, the root canal filling was removed and the chemical-surgical retreatment of the canals was performed, followed by the obturation with gutta-percha and sealer. Patient returned after three days reporting no pain. After 6 months, 3, 7 and 10 years of follow-up. Conclusion: Absence of pain, normal periodontal probing and lack of radiolucent area at the region of perforation and the periapices were detected, which evidenced the successful repair of the tooth.

scholarly journals Patients’ awareness and knowledge of the root canal treatment in Saudi population: survey-based research

2017 ◽  
Vol 5 (2) ◽  
pp. 89 ◽  
Author(s):  
Mazen Doumani ◽  
Adnan Habib ◽  
Nashwan Qaid ◽  
Saleem Abdulrab ◽  
Ahmad Reda Bashnakli ◽  
...  
Keyword(s):  
Root Canal ◽  
Population Survey ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Saudi Population ◽  
Important Concern ◽  
Treatment Knowledge ◽  
Multiple Choice Questionnaire

Endodontics is a profession based on the work with other people so several factors should be considered during clinical decision-making process.Objective: The aim of this study was to evaluate the knowledge and awareness of patients in a sample of Saudi population regarding endodontic treatment.Methods: multiple-choice questionnaire regarding knowledge and awareness of root canal treatment distributed to 227 patients, the questionnaire comprised questions ranged from personal and social details to specific questions about endodontic treatment; the analysis of data was performed using methods of descriptive statistics.Results: The results shown that the strong spontaneous toothache was the most impact factor of the need for endodontic treatment in (53%) of respondents, (29%) of subjects do not know anything about root canal treatment, (47%) of respondents indicated that the pain was the most important concern associated with the root canal treatment.Conclusion: Toothache is the greatest motivation of patient to refer the dentist, and pain is the more important patients’ concerns associated with root canal treatment, knowledge and awareness of patients regarding root canal treatment is different among races and populations.

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