scholarly journals Pulp Stone—An Endodontic Challenge: Successful Retrieval of Exceptionally Long Pulp Stones measuring 14 and 9.5 mm from the Palatal Roots of Maxillary Molars

2012 ◽  
Vol 13 (5) ◽  
pp. 719-722 ◽  
Author(s):  
Anand Patil ◽  
Lalita G Nanjannawar ◽  
Girish S Nanjannawar ◽  
Hemanth Vagarali ◽  
Bharath Prathasarathy

ABSTRACT Pulp stones are nodular, calcified masses commonly appearing in the coronal pulp and occasionally extending in radicular pulp. Retrieval of pulp stones remains a challenge for the endodontist as complete cleaning and shaping of root canal system is the bases for successful endodontic therapy. The aim of this case report is to show the retrieval of long pulp stones measuring 14 and 9.5 mm by utilizing synergistic effect of ultrasonics and sodium hypochlorite from the palatal roots of maxillary molars. Such case has not been reported in the literature so far. How to cite this article Nanjannawar GS, Vagarali H, Nanjannawar LG, Prathasarathy B, Patil A, Bhandi S. Pulp Stone—An Endodontic Challenge: Successful Retrieval of Exceptionally Long Pulp Stones measuring 14 and 9.5 mm from the Palatal Roots of Maxillary Molars. J Contemp Dent Pract 2012;13(5):719-722.

Author(s):  
Girish Nanjannawar ◽  
Saquib Mulla ◽  
Divya Gupta ◽  
Sharad Kamat

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).


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.


2018 ◽  
Vol 6 (2) ◽  
pp. 76-78
Author(s):  
Manisha Nepal ◽  
Vanita Gautam ◽  
Snigdha Shubham ◽  
Rupam Tripathi ◽  
Rinku Sah

The aim of this article is to show different anatomic complexities of the root canal system related to maxillary molars. Maxillary molars are presumed to have only three roots with three canals but this is not always the case, it might present with different variations. Some of the anatomical variations such as, mesiobuccal2 (MB2) canals in maxillary 1st and 2nd molars, two rooted maxillary 1st and 2nd molar, one rooted maxillary 2nd molar, C-shaped upper 2nd molar and maxillary 2nd molar with extra palatal root are reported in this case series. Hence, in treating each tooth every dentist must keep foresight that complex anatomy occurs often enough to be considered normal and manage them accordingly.


2022 ◽  
Vol 12 (2) ◽  
pp. 891
Author(s):  
Roberto De Santis ◽  
Flavia Iaculli ◽  
Vincenzo Lodato ◽  
Vito Gallicchio ◽  
Michele Simeone ◽  
...  

Background: Enhancement of the temperature of sodium hypochlorite (NaOCl) solution would increase its cleaning potential and decontamination of the root canal system. Therefore, the aim of the present in vitro investigation was to compare the efficacy of different methods of NaOCl heating by evaluating the temperature profiles developed at different levels of the root canal system. Methods: Five thermocouples were applied at different levels of the root canal system of extracted human premolars. NaOCl solution was heated according to two methods: extraoral heating (50 °C, 60 °C, and 70 °C) using a magnetic hotplate heater and intracanal heating by F-06, XF-30/04, and ML-12 pluggers at 100 °C, 150 °C, and 180 °C. Results: The extraoral heating method was ineffective to produce a significant temperature increase at the root apex. Comparable results were obtained using the intracanal heating method through the ML-12 plugger that showed slightly better results only when set at 180 °C. On the other hand, negligible differences were observed in terms of temperature maintenance at several levels of the root between the F-06 and XF-30/04 pluggers, even though the time intervals were higher in case of XF-30/04. Conclusions: The intracanal heating method provided a better temperature persistence in the middle third of the root canal system. Conversely, extraoral heating was ineffective to produce a significant temperature increase at the apex of the root. Comparable results were obtained even using the ML-12 plugger.


2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Sirisha Gundam ◽  
Radhika Maddu ◽  
Sindhura Reddy Gurram

It is imperative that the clinician should have comprehensive knowledge about the normal anatomy and its variations of the teeth as the deviations from the usual are very common. An increased awareness of unusual anatomy and a better understanding of the root canal system guide the clinician in accurate diagnosis and treatment of such variations in order to achieve a successful endodontic outcome. The maxillary first molar has been shown to have a wide variation in respect to the number of canals specifically noted in the mesiobuccal root. The current case report shows the successful management of a maxillary molar in which the mesiobuccal root had three canals.


2020 ◽  
Vol 37 (1) ◽  
pp. 35-40
Author(s):  
Laura Sasser

Pulp debridement and disinfection in the pulp cavity is a critical step in achieving a successful root canal therapy. Microorganisms remaining in the root canal system after endodontic treatment are a main cause of root canal failure. The challenges faced in endodontic disinfection include the complex anatomy of the root canal system, the existence of a biofilm within the root canal, and the creation of a problematic smear layer during instrumentation of the canal. Historically, sodium hypochlorite and ethylenediaminetetraacetic acid have been utilized as irrigants and still remain as the most effective disinfectants due to their synergistic abilities to eradicate microorganisms, dissolve necrotic debris, and remove the smear layer and biofilm. This article addresses challenges in endodontic disinfection, objectives of endodontic irrigants, properties of an ideal irrigant, currently used irrigants, and irrigant delivery systems utilized in veterinary dentistry.


2020 ◽  
Vol 9 (4) ◽  
pp. 59-63
Author(s):  
Shalini Kanagasingam ◽  
Igor R. Blum

Sodium hypochlorite is considered the most widely used irrigant in endodontics as it exhibits effective antimicrobial activity and has potent tissue-dissolving ability. Whilst it is considered safe when used within the confines of the root canal system, it can cause serious complications when inadvertent periradicular extrusion occurs. This article outlines the complications of sodium hypochlorite extrusion and reviews the appropriate management based on the contemporary evidence. Preventive measures are suggested and the relevant medico-legal considerations are outlined.


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