scholarly journals Retrospective Assessment of Healing Outcome of Endodontic Treatment for Mandibular Molars with C-shaped Root Canal

2017 ◽  
Vol 18 (7) ◽  
pp. 591-595
Author(s):  
Kishore Kumar Majety ◽  
Basanta Kumar Choudhury ◽  
Anika Bansal ◽  
Achla Sethi ◽  
Jaina Panjabi
Keyword(s):  
Root Canal ◽  
Healing Process ◽  
Complete Healing ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Pulp Tissue ◽  
Root Canal Therapy ◽  
Root Canals ◽  
Mandibular Molars ◽  
Retrospective Assessment

ABSTRACT Introduction A thorough knowledge of the anatomic morphology of the root canal system is necessary for the long-term success of the root canal therapy. The occurrence of C-shaped root canal configuration is one such variation. Achievement of favorable prognosis after commencing root canal therapy in such teeth is one of the challenges imposed on the endodontist. Hence, we evaluated the healing occurring after endodontic therapy in patients with C-shaped root canals in mandibular molars. Materials and methods The present study was conducted in the Department of Conservative Dentistry of the institution and included assessment of all the patients who underwent root canal treatment of the mandibular first and second molars. Endodontic therapy was performed in all the cases by experienced endodontist. Final postoperative radiographs were taken. Recording of the data of the personal and clinical details of a total of 250 patients was done. All the clinical and radiographic details of the patients, such as tooth location in the jaw, presence or absence of C-shaped canals, status of the pulp tissue, presence or absence of the fractures, and other details of the patients were recorded. Radiographic and clinical examination of the tooth of the patients was done during the baseline visit and further during the follow-up visits. The presence of C-shaped root canals was confirmed using the radiographs. Periapical index (PI) scoring system was used. Categories defined for enlisting the healing after the root canal treatment with the assessment of the PI score. All the results were analyzed by Statistical Package for the Social Sciences software. Results Vital pulp tissue was encountered in majority of the cases. C-shaped root canal configuration was observed in 40% of the cases included in the present study. After completion of the endodontic therapy, complete crown placement was done in only 22% of the cases. In cases of vital teeth with C-shaped root canals configuration, most of the teeth showed complete healing. Significant results were obtained while comparing the complete coverage crown parameter in relation to the healing process in teeth with C-shaped root canals. Conclusion In the present study, no significant effect of the C-shaped root canal configuration was found on the healing rate of the endodontic therapy in mandibular molars. Clinical significance Meticulous endodontic therapy with special techniques should be done while preparing teeth with C-shaped root canals. How to cite this article Bansal A, Parihar AS, Sethi A, Majety KK, Panjabi J, Choudhary BK. Retrospective Assessment of Healing Outcome of Endodontic Treatment for Mandibular Molars with C-shaped Root Canal. J Contemp Dent Pract 2017;18(7):591-595.

scholarly journals Endodontic Treatment of a Maxillary Central Incisor with Two Roots

2013 ◽  
Vol 14 (2) ◽  
pp. 345-347 ◽  
Author(s):  
Hamid Jafarzadeh ◽  
Amir Maghsoudlou ◽  
Maryam Forghani
Keyword(s):  
Root Canal ◽  
Healing Process ◽  
Endodontic Treatment ◽  
Clinical Report ◽  
Central Incisor ◽  
Root Canal Therapy ◽  
Maxillary Central Incisor ◽  
Root Canals ◽  
Dental Anatomy ◽  
Root Canal Morphology

ABSTRACT Aim This clinical report presents a rare case of maxillary central incisor with two separate roots. Background Unusual morphology of the roots and root canals may exist in any tooth. Recognition of the dental anatomy and its variations is necessary for successful endodontic therapy. It is well known that maxillary incisors are usually single-rooted teeth. Case report The root canals were instrumented with conventional hand files and Gates Glidden and obturated by using the lateral technique. Recall radiograph after 1 year shows the healing process of the preoperative apical periodontitis. Conclusion and clinical significance Clinicians should be aware of unexpected root canal morphology when performing root canal therapy. The present case demonstrated the importance of accurate preoperative radiograph and adequate access preparation. How to cite this article Maghsoudlou A, Jafarzadeh H, Forghani M. Endodontic Treatment of a Maxillary Central Incisor with Two Roots. J Contemp Dent Pract 2013;14(2):345-347.

scholarly journals A Successful Individual Endodontic Treatment of Severely Curved Root Canals in Mandibular Second Molars: A Case Report

2021 ◽  
Author(s):  
Laijun Xu ◽  
jianying zhang ◽  
zihua huang ◽  
xiangzhu wang
Keyword(s):  
Root Canal ◽  
Three Dimensional ◽  
Complete Healing ◽  
Endodontic Treatment ◽  
Second Molar ◽  
Root Canals ◽  
Mandibular Molars ◽  
Complex Anatomy ◽  
Mandibular Second Molar ◽  
Curved Root Canals

Abstract Background and Overview The incidence rate of severely curved root canals in mandibular molars is low, and the root canal treatment of mandibular molars with this aberrant canal anatomy may be visibly and technically challenging. Case Description A 26-year-old Chinese female patient presented with intermittent and occlusal pain in the left mandibular second molar. The patient had undergone caries for filling restoration before endodontic consultation. With the aid of cone beam computed tomography (CBCT), a large periapical radiolucency was observed, and curved root canals in a mandibular second molar were confirmed, depicting a severe and curved distolingual root. Nonsurgical treatments, including novel individual preparation skills and techniques and the use of bioceramic materials as an apical barrier, were performed, and complete healing of the periapical lesion and a satisfactory effect were achieved. Conclusions and Practical implications A case of a severely curved root canal in a mandibular second molar was successfully treated and reported herein. The complex anatomy of the tooth and the postoperative effect were also evaluated via the three-dimensional (3D) reconstruction of CBCT images, which accurately identified the aberrant canal morphology. Furthermore, new devices and biomaterial applications combined with novel synthesis techniques can increase the success rate of intractable endodontic treatment.

scholarly journals Management of periradicular pathosis by single visit endodontic treatment using calcium hydroxide and mineral trioxide aggregate based sealer

2020 ◽  
Vol 10 (2) ◽  
pp. 10-13
Author(s):  
Md Abdul Hannan Sheikh ◽  
Eyad Al Khalifa ◽  
Mozammal Hossain ◽  
Md Faruk Hossain ◽  
Nazneen Karim ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Statistical Methods ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Radiological Evaluation ◽  
Root Canal Therapy ◽  
Radiological Investigation ◽  
Single Visit

In this study, 120 teeth having periradicular pathosis were treated with single visit root canal treatment and then obturated with either calcium hydroxide containing sealer or mineral trioxide aggregate based sealer. The healing of periradicular pathosis was examined at 3, 6, and 12 months by clinical and radiological evaluation. Collected data were analyzed with standard statistical methods by using SPSS version- 20. The results showed that at 3 and 6 months, the differences between calcium hydroxide containing sealer or mineral trioxide aggregate based sealer were not statistically significant. However, the healing capability of periapical radiolucency at 12 months between two groups was statistically significant (P=0.03). The final outcome of the clinical and radiological investigation showed successful results of 96.6% and 98.1% in calcium hydroxide and mineral trioxide aggregate group, respectively. In conclusion, both calcium hydroxide and mineral trioxide aggregate based sealers are almost equally effective in single visit root canal therapy for the management of periradicular pathosis. Update Dent. Coll. j: 2020; 10 (2): 10-13

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 Endodontic treatment of mandibular canine with two canals

2020 ◽  
Vol 11 (2) ◽  
pp. 183-187
Author(s):  
Dajana Nogo-Živanović ◽  
Dragan Ivanović ◽  
Tanja Ivanović ◽  
Marina Radanović ◽  
Biljana Vasiljević ◽  
...  
Keyword(s):  
Root Canal ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Canal System ◽  
Root Canal Therapy ◽  
Case Presentation ◽  
Morphological Variations ◽  
Root Canals ◽  
Mandibular Canine ◽  
Low Incidence

Introduction. Success in endodontic treatment depends upon the clinician's knowledge and ability to recognize and diagnose the presence of anatomical and morphological variations of the root and canal system. Mandibular canines are usually recognized as having one root and one root canal. In spite of the low incidence of mandibular canines with one root and two canals, their appearance should not be neglected due to the fact that the presence of a second canal in these teeth leads to difficulties in endodontic treatment. The aim of this case report is to describe mandibular canine with two root canals. Case presentation. 45-year-old patient presented for medical care due to the pain in a lower right canine. Clinical and radiographic examination revealed composite filling and caries with periapical radiolucent area and sensitivity to percussion in the mandibular right canine. By careful evaluation of the diagnostic radiology, it was observed that the mandibular canine had two canals. The patient was diagnosed with acute apical periodontitis and root canal therapy was given following the standard protocols. Conclusion. Although the prevalence of two canals in mandibular canine is low, the clinician should always be mindful of variations in the number of canals for appropriate therapeutic management.

scholarly journals Knowledge and Awareness of root canal therapy for population in Saudi Arabia: A questionnaire-based study

2018 ◽  
Vol 5 (2) ◽  
pp. 3560-3564 ◽  
Author(s):  
Zeeshan H Ahamed ◽  
Abdulaziz Alwakeel ◽  
Abdulelah Alrshedan ◽  
Fahad Altimsah
Keyword(s):  
Saudi Arabia ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Saudi Population ◽  
Root Canal Therapy ◽  
Cross Sectional ◽  
The Past

Objective: The present study was planned with an aim to evaluate the knowledge and awareness regarding root canal treatment in a sample of Saudi population. Material and methods: A cross-sectional questionnaire-based survey was conducted among a sample of participants in the Saudi population. Participants were asked questions to assess their knowledge about endodontic treatment. Results: A total of 568 patients (343 males and 225 females) participated in the study. When the patient’s responses were analyzed regarding endodontic treatment, it was found that 68.55 % of participants had a good experience of root canal treatment in the past. 27.9% of the respondents describe their knowledge of root canal treatment as average. Spontaneous toothache was considered the most important factor to seek endodontic treatment in majority (40.1%) of the participants and 86.6% of the participants preferred a specialist to undergo a root canal treatment. Conclusion: Pain associated with root canal treatment was the most important factor that dithered the surveyed participants from root canal treatment. The results of the survey reveal an improvement of knowledge and awareness of patients about root canal treatment

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.

scholarly journals Root canal therapy of a maxillary first molar with five root canals: case report

2006 ◽  
Vol 17 (1) ◽  
pp. 75-78 ◽  
Author(s):  
Amauri Favieri ◽  
Fabiana Gama Benevides de Barros ◽  
Luís Claudio Campos
Keyword(s):  
Case Report ◽  
Case Management ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Successful Completion ◽  
Root Canal Therapy ◽  
Root Canals

This paper reports the case of a maxillary left first molar that presented three root canals in the mesiobuccal root. Root canal therapy and case management are described. Features like wide crown access, adequate illumination and use of exploring files where important for successful completion of the endodontic treatment.

scholarly journals Independent and Confluent Middle Mesial Root Canals in Mandibular First Molars: A Report of Four Cases

2012 ◽  
Vol 2012 ◽  
pp. 1-6
Author(s):  
Mohanavelu Deepalakshmi ◽  
Chellasamy Savarimala Karumaran ◽  
Revathi Miglani ◽  
Rajamani Indira
Keyword(s):  
Root Canal ◽  
Low Frequency ◽  
Anatomical Variations ◽  
Endodontic Treatment ◽  
Root Canals ◽  
Mandibular Molars ◽  
Root Canal Anatomy ◽  
Mandibular First Molar

Mandibular molars demonstrate considerable variations with respect to number of roots and root canals. The possibility of additional root canals should be considered even in teeth with a low frequency of abnormal root canal anatomy. This paper discusses the endodontic management of the rare anatomical complexity middle mesial canals in mandibular first molar and also serves to remind the clinicians that such anatomical variations should be taken into account during the endodontic treatment of the mandibular molars.

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