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.

scholarly journals Endodontic and Esthetic Management of a Dilacerated Maxillary Central Incisor Having Two Root Canals Using Cone Beam Computed Tomography as a Diagnostic Aid

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Sarang Sharma ◽  
Shibani Grover ◽  
Vivek Sharma ◽  
Dhirendra Srivastava ◽  
Meenu Mittal
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Resin Composite ◽  
Cone Beam ◽  
Central Incisor ◽  
Force Transmission ◽  
Maxillary Central Incisor ◽  
Root Canals ◽  
Tooth Germs

Traumatic injuries to the primary dentition are quite common. When primary teeth are subjected to trauma, force transmission and/or invasion of the underlying tooth germs lying in close proximity can result in a variety of disturbances in the permanent successors. Few of these disturbances include hypoplasia, dilaceration, or alteration in the eruption sequence and pattern. Dilaceration is defined as an angulation or sharp bend or curve in the linear relationship of the crown of a tooth to its root. A rare case of maxillary left central incisor having crown dilaceration and Vertucci’s type II canal configuration with symptomatic periapical periodontitis is reported. Cone beam computed tomography was used for better understanding of the anomaly and complicated root canal morphology. The tooth was successfully managed by nonsurgical root canal therapy and restoration with resin composite to restore esthetics.

Invasive Cervical Resorption Class III in a Maxillary Central Incisor: Diagnosis and Follow-up by Means of Cone-Beam Computed Tomography

2010 ◽  
Vol 36 (12) ◽  
pp. 2012-2014 ◽  
Author(s):  
Roberto Estevez ◽  
Jose Aranguren ◽  
Alfonso Escorial ◽  
Cesar de Gregorio ◽  
Francisco De La Torre ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Central Incisor ◽  
Class Iii ◽  
Maxillary Central Incisor

scholarly journals Use of Cone Beam Computed Tomography to Identify the Morphology of Maxillary and Mandibular Premolars in Chennai Population

2019 ◽  
Vol 22 (1) ◽  
pp. Process
Author(s):  
Rajamohan Rajakeerthi ◽  
Malli Suresh Babu Nivedhitha
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Treatment Success ◽  
Cone Beam ◽  
Type I ◽  
Root Canals ◽  
Computed Tomographic ◽  
Root Canal Anatomy ◽  
Computed Tomography Scanning

Objective: The complex root canal anatomy is inherently colonised by microbial flora. Endodontic treatment success is always related to adequate disinfection of the root canal space, which ultimately affects the treatment outcome. A thorough understanding of the external and internal root canal anatomy by using adequately imaging modalities is essential before planning any treatment. The aim of this study was to investigate the number and morphology of the root canals of maxillary and mandibular premolars in Chennai population. Material and Methods: Full-size cone-beam computed tomographic images were randomly collected from 100 patients, resulting in a total of 200 first and 200 second maxillary premolars as well as 200 first and 200 second mandibular premolars. All the eight premolars were analysed in single patients, who underwent cone-beam computed tomography scanning during pre-operative assessment (before implant surgery, orthodontic treatment, diagnosis of dental-alveolar trauma or difficult root canal treatment). Total number of roots and root canals, frequency and correlations between men and women were recorded and statistically analysed by using chi-square tests. The root canal configurations were rated according to the Vertucci’s classification. Results: In the maxillary first premolar group (n = 200), 36.3% had 1 root, 56.7% had 2 roots and 7.0% had 3 roots, with most exhibiting a type IV canal configuration. In the maxillary second premolar group (n = 200), 60% had 1 root, 29.8% had 2 roots and 10.2% had 3 roots, with the majority of single-rooted second premolars exhibiting a type I canal configuration. In the mandibular first premolar group (n = 200), 80.5% had 1 root, 9.8% had 2 roots and 5% had 3 roots. In the mandibular second premolar group (n=200), 90.1% had 1 root, 6.4% had 2 roots and 3.5 % had 3 roots, with most exhibiting a type I canal configuration. No statistical correlation was found between number of roots, gender and tooth position. Conclusion: This cone-beam computed tomographic study confirmed previous anatomical and morphological investigations. Therefore, the possibility of additional root canals should be considered when treating premolars. Keywords: Cone-beam computed tomography; Mandibular; Maxillary; Premolar; Root canal; Morphology.

scholarly journals Comparative evaluation of shaping ability of trunatomy and protaper gold files in curved canals using cone?beam computed tomography: An invitro study

2021 ◽  
Vol 6 (2) ◽  
pp. 101-105
Author(s):  
Kadam Krutika Kiran ◽  
Vagarali Hemant ◽  
Pujar Madhu A ◽  
Tamase Aishwarya S ◽  
Sahana Umesh
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Cone Beam ◽  
Human Teeth ◽  
Root Canals ◽  
Before And After ◽  
Canal Transportation ◽  
Group 2 ◽  
Shaping Ability

This study aimed to compare the canal transportation and canal centering ability in the preparation of curved root canals after instrumentation with TruNatomy (TN) (TN; Dentsply Sirona, Maillefer, Ballaigues, Switzerland) and ProTaper Gold (PG) (PG; Dentsply, Tulsa Dental Specialties, Tulsa, OK, USA) files using cone‑beam computed tomography (CBCT). 30 Single rooted extracted human teeth with root curvature ranging from 20-30° according to Schneider’s method were selected. Teeth with any visible cracks or fractures, calcifications, previous root canal treatments were excluded. The teeth were randomly assigned into two groups i.e. Group 1-TN and Group 2-PG (n = 15 each). The teeth were instrumented according to manufacturer’s guidelines for both the groups. Canals were scanned using a CBCT scanner before and after preparation to evaluate the transportation and centering ratio at 3 mm, 5 mm, and 7 mm from the apex. The data analysis was done using SPSS software and the test used was independent sample t test for comparison between the 2 groups.Data obtained suggested that TN group presented lesser canal transportation at the middle third of the root. The PG group showed better centering abitily at apical third of the root canal when both the groups were compared. TN resulted in less transportation than PG at the middle third, and PG showed better centering ability at the apical third. Overall, both systems safely prepared root canals, causing minimal errors.

scholarly journals Evaluation of the Root and Canal Morphology of Maxillary Permanent Molars and the Incidence of the Second Mesiobuccal Root Canal in Greek Population Using Cone-beam Computed Tomography

2015 ◽  
Vol 9 (1) ◽  
pp. 267-272 ◽  
Author(s):  
Georgia E. Nikoloudaki ◽  
Taxiarchis G. Kontogiannis ◽  
Nikolaos P. Kerezoudis
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Greek Population ◽  
Root Canal Treatment ◽  
Cone Beam ◽  
Second Molar ◽  
Root Canals ◽  
Permanent Molars ◽  
Canal Morphology

Objectives: Cone-Beam Computed Tomography is an alternative imaging technique which has been recently introduced in the field of Oral & Maxillofacial Radiology. It has rapidly gained great popularity among clinicians due to its ability to detect lesions and defects of the orofacial region and provide three-dimensional information about them. In the field of Endodontics, CBCT can be a useful tool to reveal tooth morphology irregularities, additional root canals and vertical root fractures. The objective of this study is to evaluate the root and root canal morphology of the maxillary permanent molars in Greek population using Cone-Beam Computed Tomography.Materials and Methods:273 cone-beam computed tomography (CBCT) images were examined. The number of roots and root canals of the first and second maxillary molars were evaluated. Root canal configuration was classified according to Weine’s classification by two independent examiners and statistical analysis was performed.Results:A total of 812 molars (410 first and 402 second ones) were evaluated. The vast majority of both first and second molars had three roots (89.26% and 85.07%, respectively). Most first molars had four canals, while most second molars had three. In the mesiobuccal roots, one foramen was recorded in 80.91% of all teeth. Other rare morphologic variations were also found, such as fusion of a maxillary second molar with a supernumerary tooth.Conclusion:Within the limitations of this study, it can be concluded that more attention should be given to the detection of additional canals during root canal treatment in maxillary permanent molars. Towards this effort, CBCT can provide the clinician with supplemental information about the different root canal configurations for successful Root Canal Treatment.

scholarly journals CBCT-Aided Microscopic and Ultrasonic Treatment for Upper or Middle Thirds Calcified Root Canals

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Ying-Ming Yang ◽  
Bin Guo ◽  
Li-Yang Guo ◽  
Yan Yang ◽  
Xiao Hong ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Great Risk ◽  
Ultrasonic Treatment ◽  
Root Canal ◽  
Three Dimensions ◽  
Cone Beam ◽  
Operating Microscope ◽  
Limited Information ◽  
Root Canals ◽  
Upper Third

Root canal calcification is considered a great challenge during root canal treatment. Although the application of ultrasonic instruments and dental operating microscope (DOM) has advantages, dealing with calcified root canals still suffers a great risk of failure because of limited information about the location, length, and direction of obliteration on periapical radiographs. In this work, a cone-beam computed tomography- (CBCT-) aided method aimed at solving complicated calcified root canals in which conventional approaches could not work was proposed. Thirteen teeth with sixteen calcified canals (12 calcified in the upper third, 4 calcified in the middle third), which cannot be negotiated with conventional methods, were treated with the aid of CBCT. The location of calcification and depth of instrumentation and operating direction were calculated and assessed in three dimensions with ultrasonic instruments under DOM. In all thirteen teeth, canals with upper and middle thirds calcification were treated successfully. Finally, a guideline was proposed to help achieve consistent apical patency in calcified canals.

scholarly journals Assessment of Labial Alveolar Bone Thickness in Maxillary Central Incisor using Cone Beam Computed Tomography

2021 ◽  
Vol 5 (1) ◽  
pp. 2-6
Author(s):  
Shaili Pradhan ◽  
Rejina Shrestha ◽  
Ranjita Shrestha Gorkhali ◽  
Pramod Kumar Koirala
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Alveolar Bone ◽  
Cone Beam ◽  
Central Incisor ◽  
Bone Thickness ◽  
Cross Sectional ◽  
Dental Surgery ◽  
Maxillary Central Incisor ◽  
Significant Difference

Introduction: The maxillary anterior region is becoming a major concern due to its aesthetic relevance. The buccal bone thickness is important for implant placement, orthodontic treatment and restorative treatment. Objective: To assess the thickness of alveolar bone in the maxillary central incisor using cone beam computed tomography (CBCT). Methods: A cross-sectional observational study was conducted at Department of Dental Surgery, Bir Hospital where CBCT of 53 samples from July 2019 till December 2019, the archived CBCT images was assessed retrospectively. The thickness of the labial bone in a direction perpendicular to the outer surface of the tooth root was measured at a distance of 2 mm from the cementoenamel junction (CEJ). The measurement was taken thrice and the mean measurement was considered. Results: The labial alveolar bone thickness in maxillary central incisor was found to be 0.55±0.27 mm at a distance of 2 mm from the CEJ. Only 2 (3.8%) of the samples had an alveolar thickness of >1 mm. No statistically significant difference was found with respect to gender and age. Conclusion: The average thickness of the labial alveolar bone in maxillary central incisor using cone beam computed tomography was found to be thin. 

scholarly journals Analysis of the internal anatomy of mandibular molars using different cone-beam computed tomography protocols

RSBO ◽  
2020 ◽  
Vol 17 (1) ◽  
pp. 12-20
Author(s):  
Flares Baratto-Filho ◽  
Nathaly Dias Morais ◽  
Kauhanna Vianna de Oliveira ◽  
Flávia Sens Fagundes Tomazinho ◽  
Carla Castiglia Gonzaga ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Anatomical Variations ◽  
Cone Beam ◽  
Type I ◽  
Root Canals ◽  
Mandibular Molars ◽  
Type V ◽  
Level Of Agreement

The aim of this study was to analyze the root canal anatomy variations of permanent mandibular molars using three different cone-beam computed tomography (CBCT) protocols. Material and methods: Thirty-five freshly extracted first and second mandibular molars were collected and subjected to three CBCT protocols: i-CAT Classic (ICC); i-CAT Next Generation (ICN), and PreXion 3D (PXD). Images were evaluated by two previously calibrated and experienced endodontists. The morphological root canal configurations were classified according to Vertucci. Data were analyzed for frequency, and the binomial and Kappa tests were then performed (α = 0.05). Results: ICC and ICN were able to diagnose a higher percentage of anatomical variations in the mesial roots. In this same root, Vertucci’s type V was the most prevalent, and in distal was the type I. In comparisons of CBCT techniques for agreement, significant differences in the mesial root canals were found in the following: ICC versus (vs) ICN; ICC vs PXD; and ICN vs PXD (p <0.001). However, there were no statistical differences in the distal root canals (p >0.05). The level of agreement in mesial roots was poor or absent, while in distal was moderate.

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