Nonsurgical Management of a Central Incisor with severe Internal Resorption and an Immature Apex

2017 ◽  
Vol 2 (1) ◽  
pp. 12-15
Author(s):  
Deepak Dinesh ◽  
George Chacko ◽  
Ganesh Chitharanjan
Keyword(s):  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Single Step ◽  
Central Incisor ◽  
Pathologic Process ◽  
Nonsurgical Management ◽  
Gutta Percha ◽  
Clinical Challenge ◽  
Root Canal Anatomy ◽  
Clinical Presentations

ABSTRACT Resorption is a pathologic process that always confuses the dentists with its varied etiologic factors and clinical presentations. Resorption can be classified into internal and external. Internal resorption lesions are notoriously difficult to manage because of their irregular and aberrant root canal anatomy. Immature apexes also possess a similar clinical challenge because of the absence of an apical stop. This article describes the nonsurgical management of a central incisor with severe internal resorption and an immature apex utilizing single-step mineral trioxide aggregate apexification along with injectable gutta-percha obturation. How to cite this article Dinesh D, Chacko G, Chitharanjan G. Nonsurgical Management of a Central Incisor with severe Internal Resorption and an Immature Apex. Cons Dent Endod J 2017;2(1):12-15.

Pink Spot – Literature Review and Case Report

2016 ◽  
Vol 40 (5) ◽  
pp. 353-355 ◽  
Author(s):  
Roy Petel ◽  
Anna Fuks
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Literature Review ◽  
Diagnosis And Treatment ◽  
Rare Occurrence ◽  
Central Incisor ◽  
Successful Management ◽  
Pathologic Process ◽  
Clinical Presentations ◽  
Subsequent Loss

Background: Pink spots in teeth were first described by Mummery in 1920, and were related to resorption. Resorption is a pathologic process that often eludes the clinician with its varied etiologic factors and diverse clinical presentations. Resorption can be generally classified as internal and external resorption. Internal resorption has been described as a rare occurrence as compared to external resorption. Case report: This article describes a pink spot that was diagnosed as a progressing resorption process. Early diagnosis enabled a successful management of the lesion. Conclusion: Early diagnosis and treatment of an internal resorption, clinically seen as a pink spot, in a primary central incisor may prevent its fast progress and subsequent loss.

scholarly journals Comparison of apical sealing ability of resected mineral trioxide aggregate, gutta-percha and a resin-based root canal filling material (resilon)

2011 ◽  
Vol 10 (51) ◽  
pp. 10516-10519
Author(s):  
Froughreyhani Mohammad ◽  
Salem Milani Amin ◽  
Rahimi Saeed ◽  
Shakouie Sahar ◽  
Fateh Somaieh
Keyword(s):  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Filling Material ◽  
Root Canal Filling ◽  
Gutta Percha ◽  
Sealing Ability

scholarly journals A Method for retrieving Endodontic or Atypical Nonendodontic separated Instruments from the Root Canal: A Report of Two Cases

2014 ◽  
Vol 15 (6) ◽  
pp. 770-774 ◽  
Author(s):  
Renato de Toledo Leonardo ◽  
Milton Carlos Kuga ◽  
Katia Cristina Keine ◽  
Andrea Abi Rached Dantas ◽  
Gisele Faria ◽  
...  
Keyword(s):  
Root Canal ◽  
Low Cost ◽  
Clinical Report ◽  
Central Incisor ◽  
Invasive Procedures ◽  
Simple Method ◽  
Gutta Percha ◽  
Turning Motion ◽  
Cervical Preparation ◽  
Treatment Prognosis

ABSTRACT Aim This clinical report presents a new method for retrieving separated instruments from the root canal with minimally invasive procedures. Background The presence of separated instrument in root canal may interfere in the endodontic treatment prognosis. There are several recommended methods to retrieve separated instruments, but some are difficult in clinically practice. Case report This study describes two cases of separated instrument removal from the root canal using a stainless-steel prepared needle associated with a K-file. Case 1 presented a fractured gutta-percha condenser within the mandibular second premolar, it was separated during incorrect intracanal medication calcium hydroxide placement. Case 2 had a fractured sewing needle within the upper central incisor that the patient used to remove food debris from the root canal. After cervical preparation, the fractured instruments were fitted inside a prepared needle and then an endodontic instrument (#25 K-file) was adapted with clockwise turning motion between the needle inner wall and the fragment. Conclusion The endodontic or atypical nonendodontic separated instrument may be easily pull on of the root canal using a single and low cost device. Clinical significance The methods for retrieving separated instruments from root canal are difficult and destructive procedures. The present case describes a simple method to solve this problem. How to cite this article do Carmo Monteiro JC, Kuga MC, Dantas AAR, Jordão-Basso KCF, Keine KC, Ruchaya PJ, Faria G, de Toledo Leonardo R. A Method for retrieving Endodontic or Atypical Nonendodontic separated Instruments from the Root Canal: A Report of Two Cases. J Contemp Dent Pract 2014;15(6):770-774.

scholarly journals Nonsurgical Endodontic Retreatment of Advanced Inflammatory External Root Resorption Using Mineral Trioxide Aggregate Obturation

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Shivani Utneja ◽  
Gaurav Garg ◽  
Shipra Arora ◽  
Sangeeta Talwar
Keyword(s):  
Root Canal ◽  
Root Resorption ◽  
Clinical Symptoms ◽  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Apical Region ◽  
Central Incisor ◽  
Root Canal Filling ◽  
Maxillary Central Incisor ◽  
External Root Resorption

Inflammatory external root resorption is one of the major complications after traumatic dental injury. In this case report, we describe treatment of a maxillary central incisor affected by severe, perforating external root resorption. An 18-year-old patient presented with a previously traumatized, root-filled maxillary central incisor associated with pain and sinus tract. Radiographic examination revealed periradicular lesion involving pathologic resorption of the apical region of the root and lateral root surface both mesially and distally. After removal of the root canal filling, the tooth was disinfected with intracanal triple antibiotic paste for 2 weeks. The antibiotic dressing was then removed, and the entire root canal was filled with mineral trioxide aggregate. The endodontic access cavity was restored with composite resin. After 18 months, significant osseous healing of the periradicular region and lateral periodontium had occurred with arrest of external root resorption, and no clinical symptoms were apparent.

Inadvertent MTA Extrusion in an Immature Traumatized Permanent Incisor

2010 ◽  
Vol 35 (2) ◽  
pp. 145-148 ◽  
Author(s):  
Bahar Tezel ◽  
Serdar Uysal ◽  
Melek Turgut ◽  
Zafer Cehreli
Keyword(s):  
Surgical Approach ◽  
Root Canal ◽  
Clinical Symptoms ◽  
Mineral Trioxide Aggregate ◽  
Central Incisor ◽  
Periapical Lesion ◽  
Radiographic Outcome ◽  
Successful Management

This report describes the 24-month clinical and radiographic outcome of an unintentionally extruded mineral trioxide aggregate (MTA) apical plug. A 9 year old boy presented with a previously traumatized, immature central incisor; associated with a large periradicular lesion. During placement of MTA in the treatment of wide open apex, the material was inadvertently extruded into the periapical region upon a sudden movement of the child. No intervention was made, except for obturation of the remaining root canal two weeks later. The radiographic follow up at 12 and 24 months confirmed successful management through the non surgical approach, as evidenced by advanced healing of the periapical lesion and regeneration of the periradicular tissue in the absence of clinical symptoms.

scholarly journals Efficacy and Cytotoxicity of Binary Mixtures as Root Canal Filling Solvents

Materials ◽  
2020 ◽  
Vol 13 (14) ◽  
pp. 3237
Author(s):  
Inês Ferreira ◽  
Liliana Grenho ◽  
Pedro Gomes ◽  
Ana Cristina Braga ◽  
Maria Helena Fernandes ◽  
...  
Keyword(s):  
Root Canal ◽  
Mechanical Analysis ◽  
Single Step ◽  
Solvent Mixtures ◽  
Root Canal Filling ◽  
Orange Oil ◽  
Gutta Percha ◽  
Step Procedure ◽  
Ah Plus ◽  
New Compounds

Objectives: This study reports the efficacy of two solvent mixtures on the dissolution of gutta-percha and AH Plus sealer, together with the cytotoxicity. Methods: Methyl ethyl ketone (MEK), orange oil, tetrachloroethylene, MEK/tetrachloroethylene (1:1), MEK/orange oil (1:1), and chloroform (control) were tested. Twelve groups (n = 15) of standardized stainless-steel molds filled with softened gutta-percha cones and twelve (n = 15) filled with AH Plus were immersed in the corresponding mixture or individual solvent, in an ultrasonic bath, for either 2 or 5 min. The effect of the solvents was assessed qualitatively by a topographical analysis (scanning electron microscopy) and chemical analysis (Fourier transform infrared spectroscopy), and quantitatively by a weight loss and viscoelastic property (dynamic mechanical analysis) evaluation. The cytotoxicity was assessed on MG63 human osteoblastic cells. Results: The mixtures did not show the formation of new compounds. Both presented significantly higher efficacies compared to their individual solvents, suggesting a synergistic effect. Their dissolution efficacy was similar to that of chloroform, showing high cytocompatibility. Conclusions: The proposed strategy, incorporating ultrasound agitation and profiting from the synergy of adequate solvents, might enhance root canal cleanliness allowing a single-step procedure to dissolve gutta-percha and the sealer remnants, while assuring cytocompatibility with the periapical tissues.

scholarly journals Comparison of root canal filling quality by mineral trioxide aggregate and gutta percha cones/AH plus sealer

2016 ◽  
Vol 35 (4) ◽  
pp. 644-650 ◽  
Author(s):  
Wonkyung JHO ◽  
Jeong-Won PARK ◽  
Euiseong KIM ◽  
Minju SONG ◽  
Deok-Gyu SEO ◽  
...  
Keyword(s):  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Root Canal Filling ◽  
Gutta Percha ◽  
Ah Plus

scholarly journals Management of Traumatic Inflammatory External Root Resorption

2019 ◽  
Vol 15 (1) ◽  
pp. 71-74
Author(s):  
Shikha Bantawa ◽  
Navin Agrawal ◽  
Mannu Vikram ◽  
Vimmi Singh ◽  
Ashok Ayer ◽  
...  
Keyword(s):  
Root Canal ◽  
Root Resorption ◽  
Clinical Symptoms ◽  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Apical Region ◽  
Dental Tissue ◽  
Root Canal Filling ◽  
Gutta Percha ◽  
External Root Resorption

Inflammatory external  root resorption is one of the major complications after traumatic dental injury. It is characterized by the loss of mineralized dental tissue which may, ultimately, result in loss of the tooth.    However, with appropriate treatment, prognosis for these teeth may be greatly improved, by preventing or arresting resorption. This is a case report of an 18-year-old male patient presented with root canal treated maxillary central incisors associated with pain; with history of trauma. Radiographic examination revealed periradicular lesion and associated pathologic resorption of the apical region of the root with respect to 11 and calcification of the root canal with inadequate obturation with respect to 21. After removal of the root canal filling, 11 was disinfected with intracanal double antibiotic paste. After 2 weeks, antibiotic dressing was removed, and apical third was sealed with mineral trioxide aggregate (MTA). Canal was obturated with custom-fit gutta-percha and accessory cones with AH plus sealer and restoration was done with composite resin. Retreatment was also done with respect to 21 and obturated with custom-fit gutta-percha. Both teeth were restored with E-max crown. No clinical symptoms were apparent, significant osseous healing of the periradicular region was observed with arrest of external root resorption with respect to 11 and no periapical changes were apparent with respect to 21 on subsequent  follow-up.

scholarly journals Nonsurgical Management of Apical Root Perforation Using Mineral Trioxide Aggregate

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Omar Alzahrani ◽  
Faisal Alghamdi
Keyword(s):  
Success Rate ◽  
Mineral Trioxide Aggregate ◽  
Apical Part ◽  
Success Rates ◽  
Nonsurgical Management ◽  
Gutta Percha ◽  
Tissue Healing ◽  
Root Canal Retreatment ◽  
One Year ◽  
The One

This study illustrates a conservative approach to nonsurgical management of apical root perforation in maxillary first molars. A patient was referred for retreatment of a maxillary left first molar. Her chief complaint was dull pain while biting in her maxillary left first molar. Periapical radiography showed radiolucency related to the mesiobuccal root and overextended gutta-percha through a perforation in the apical part of the distobuccal root. A CBCT scan was acquired and revealed the location and size of the apical perforation. The clinical examination showed that the tooth has been endodontically treated and the canals were filled, tender to percussion and palpation. Thus, the nonsurgical root canal retreatment was done and the perforation site was repaired by using mineral trioxide aggregate (MTA). At the one-year follow-up, after the management of apical root perforation, we observed periapical tissue healing and no pain due to percussion and palpation, without any clinical/radiological signs or symptoms. The prognosis of this case has a higher success rate with the development of new materials such as MTA. The MTA not only can seal the site of the perforation but also has the ability to induce calcification. Many factors can contribute to the success rate of perforated cases, including time, size, and location of the perforation. With the use of this material and good tools like a microscope, there are those with having higher chances of repair and eventually higher success rates.

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