scholarly journals Retrieval of Separated Instrument using Ultrasonics in a Permanent Mandibular Second Molar: A Case Report

2014 ◽  
Vol 4 (1) ◽  
pp. 41-45
Author(s):  
Vanitha Shenoy ◽  
Rithima Sokhi

ABSTRACT Clinicians are frequently challenged by endodontically treated teeth that have obstructions, such as hard impenetrable pastes, separated instruments, silver points or posts in their root canals. Intracanal separation of endodontic instruments may hinder cleaning and shaping procedures within the root canal system, with a potential impact on the outcome of treatment. Broken instruments usually prevent access to the apex and the prognosis of teeth with broken instruments in the canals may be lower than for normal ones. The prognosis of these cases mainly depends on the preoperative condition of the periapical tissues. For these reasons, an attempt to remove broken instruments should be undertaken in every case. Ultrasonics have often been advocated for the removal of broken instruments because the ultrasonic tips or endosonic files may be used deep in the root canal system. Furthermore, the use of an ultrasonic endodontic device is not restricted by the position of the fragment in the root canal or the tooth involved. This case report elaborates on retrieval of broken instrument lodged in the coronal third of the root canal using ultrasonics and dental operating microscope. How to cite this article Sokhi R, Sumanthini MV, Shenoy V. Retrieval of Separated Instrument using Ultrasonics in a Permanent Mandibular Second Molar: A Case Report. J Contemp Dent 2014;4(1):41-45.

2018 ◽  
Vol 2 (6) ◽  
pp. 131-132
Author(s):  
Anil K Tomer ◽  
Akankshita Behera ◽  
Nitish Mittal ◽  
Nutan Indwar

During endodontic diagnosis multirooted teeth morphologically, shows variable root canal system . This case report explains the anatomical variations of root and root canals. Here it is shown that a single canal is present in mandibular second molar. Therefore we should be aware that a single canal can also be present in mandibular molar.


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

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)


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).


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.


2020 ◽  
Vol 18 (1) ◽  
pp. 27-30
Author(s):  
S. N. Razumova ◽  
A. S. Brago ◽  
Haydar Barakat ◽  
L. M. Khaskhanova ◽  
R. M. Bragunova

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.


Author(s):  
Pardeep Mahajan ◽  
Ruma Grover ◽  
Shikha Baghi Bhandari ◽  
Prashant Monga ◽  
Vanita Keshav

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.


2018 ◽  
Vol 1 (1) ◽  
pp. 01-02
Author(s):  
Mohammed M Alhajj ◽  
Tahmineh Artin ◽  
Ndia Khalifarena

Foreign bodies in root canals are rarely seen, and usually objects are accidently lodged and broken in root canals by the patients themselves. The occurrence of a foreign body, such as a metal screw, staple pin, sewing needle, pencil lead, bead or toothpick in the root canal system, makes the eradication of microorganisms impossible. Due to difficulties of eradicating microorganisms, foreign bodies may become sources of infection. These objects must be removed. This case report describes a rare clinical case in which a sewing needle, inserted into the root canal by the patient, was removed the orthograde approach with the aid of ultrasonic devices.


2021 ◽  
pp. 66-68
Author(s):  
Shivangi Shreya ◽  
C.K. Wang

Variations of root canal systems need not always be in the form of extra canals. Clinicians should be aware that there is a possibility of existence of fewer numbers of roots and root canals than normal, which presents varied canal anatomy and poses a challenge to the clinician's expertise. This case report deals with the management of an unusual case of C-shaped canal in mandibular second molar. Cone-beam computed tomography (CBCT) was employed to conrm the extension of the unusual anatomy. 3-D Obturation done with the help of thermoplastic obturation unit.


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