scholarly journals CONSERVATIVE TREATMENT OF A TOOTH WITH INCOMPLETE ROOT DEVELOPMENT AND A LARGE PERIAPICAL LESION - A CASE REPORT

2021 ◽  
Vol 27 (2) ◽  
pp. 3747-3751
Author(s):  
Krasimir Hristov ◽  
◽  
Nataliya Gateva ◽  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Treatment Plan ◽  
Osteolytic Lesion ◽  
Apical Part ◽  
Pediatric Dentistry ◽  
Permanent Tooth ◽  
Periapical Lesion ◽  
Regenerative Endodontics ◽  
Working Length

Background: Regenerative endodontic procedures have become increasingly popular in recent years. This paper reports the use of regenerative endodontics in the treatment of a large cyst-like inflammatory periapical lesion in an immature permanent tooth. Case report: A 12-year-old boy with a submucosal abscess in the upper jaw visited the Department of Pediatric Dentistry. Previous injury in the area was reported. The X-ray showed a well-defined large osteolytic lesion engaging the apical part of the root. The initial treatment plan included creation of MTA plug and apical surgery. Throughout the treatment course, the patient skipped his appointments and returned 8 months later. The initial working length couldn't be reached, and a hard barrier was present in the middle portion of the root canal. The CBCT showed that the size of the lesion had decreased significantly. Bone-like tissue with a density similar to surrounding spongiosis was observed in the root canal. There was no change in the contour and length of the root walls. Conclusion: Regenerative endodontics could be successfully used in the treatment of some immature permanent with necrotic pulp and large periapical lesions.

Joubert Plus Syndrome with Self-Mutilation: A Case report

2017 ◽  
Vol 41 (1) ◽  
pp. 66-69 ◽  
Author(s):  
Yousr N Mowafy ◽  
Nadia A Wahba ◽  
Aly A Sharaf
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Treatment Plan ◽  
Rare Condition ◽  
Joubert Syndrome ◽  
Pediatric Dentistry ◽  
Lower Lip ◽  
Molar Tooth Sign ◽  
Self Mutilation ◽  
Dismal Prognosis

Background: Joubert syndrome is a very rare condition with dismal prognosis. It is characterized by several abnormalities including molar tooth sign on MRI. When coupled with mega cisterna magna- a feature of the Dandy Walker syndrome- it is categorized as Joubert plus syndrome. Case report: A 16 month old male child with Joubert syndrome was referred to the Pediatric Dentistry Department Clinic, Faculty of Dentistry Alexandria University, complaining of severe tongue and lower lip injury due to self-mutilation. He required multiple teeth extractions under general anesthesia to prevent further tongue and lip mutilation. Conclusion: Joubert plus syndrome is a very rare occurring condition. Because self-mutilation is sometimes fatal, a treatment plan tailored to each patient's need is mandatory. A multidisciplinary approach is recommended.

scholarly journals Pulp Revascularisation of a Non-Vital Immature Young Permanent Tooth - A Case Report and Literature Review

2021 ◽  
Vol 10 (11) ◽  
pp. 845-848
Author(s):  
Tanvi Sanjay Satpute ◽  
Jayeeta Sidharth Verma ◽  
Jimish Rajiv Shah ◽  
Aditya Kiran Shinde
Keyword(s):  
Case Report ◽  
Root Development ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Signs And Symptoms ◽  
Permanent Tooth ◽  
Duration Of Treatment ◽  
Pulp Tissue ◽  
Dental Tissues ◽  
Immature Teeth

Traumatic injuries to an immature permanent tooth may result in cessation of dentin deposition and root maturation. Novel revascularisation endodontic procedure (REP) has been considered as an option for treatment of immature teeth with damaged pulp tissue. The continuous development of the root and the root canal has been recognised as a major advantage of this technique over traditional apexification approach. Traditional apexification procedures may resolve pathology but have not been able to prove tooth survival due to absence of continued root development and risk of root fracture. A successful REP results in resolution of signs and symptoms of pathology, radiographic signs of healing, proof of continued root development as well as presence of pulp vitality due to the regeneration of pulp tissue in the root canal. Currently, repair rather than true regeneration of the ‘pulp-dentine complex’ is achieved and further root maturation is variable. According to Glossary of Endodontic terms published by American Association of Endodontists, REP’s are biologically based procedures designed to physiologically replace damaged tooth structures, including dentin and root structures, as well as cells of the pulp-dentin complex.1,2 Apexification treatment has been a routine procedure to treat and preserve such teeth for many decades.3 Apexification is the process by which a suitable environment is created within the root canal and periapical tissue to allow for the formation of a calcific barrier across the open apex. Calcium hydroxide [Ca(OH)2] has been the material of choice for apexification as Frank reported its capacity to induce physiological closure of immature pulpless teeth in 1966.4 However, this technique has several disadvantages, including the unpredictability of apical barrier formation and the long duration of treatment, which often requires multiple visits.5 A retrospective study by Jeruphuaan et al.6 has shown a higher survival rate with regenerative endodontic treatment when compared to both mineral trioxide aggregate (MTA) and Ca(OH)2 apexification. The first evidence of regeneration of dental tissues was in 1932 by G.L. Feldman, who showed evidence of regeneration of dental pulp under certain optimal biological conditions.7 In 1971, a pioneer study in regenerative endodontics conducted by Nygaard-Ostby concluded that bleeding induced within a vital or necrotic canal led to resolution of signs and symptoms of necrotic cases and in certain cases, apical closure.8 According to Windley et al. (2005), the successful revascularisation of immature teeth with apical periodontitis is mainly dependent upon: 1. Canal disinfection 2. Scaffold placement in the canal for the growing tissues 3. Bacteria-tight sealing of the access opening.9 The purpose of this case report is to illustrate the outcome of a revascularisation endodontic procedure in a non-vital immature young permanent central incisor.

scholarly journals Aesthetic management of complete calcific metamorphosis: a case report

2018 ◽  
Vol 6 (11) ◽  
pp. 3782
Author(s):  
Mona Tariq AlDaiji ◽  
Laila Alsahaly
Keyword(s):  
Case Report ◽  
Informed Consent ◽  
Conservative Treatment ◽  
Root Canal ◽  
Treatment Plan ◽  
Signs And Symptoms ◽  
Informed Consent Form ◽  
Treatment Procedures ◽  
Financial Issues

Calcific metamorphosis teeth are a great challenge to the clinician. Its diagnosis and treatment procedures are of utmost importance in providing the best treatment. Understanding the mechanism behind the discoloration of teeth is the key to get the best treatment. Internal bleaching is one conservative treatment for complete calcific metamorphosis in certain conditions, where signs and symptoms of periapicalpathosis are absent. The present paper involves a case study of 36 years old Saudi woman who faced an injury 20 years ago and presented with yellow discoloration. The patient was thoroughly informed regarding the case; all the plan options were discussed with her prior implementation. Treatment plan comprised of internal bleaching without any endodontic root canal treatment. Vital bleaching is comparatively expensive and was not chosen since the patient had financial issues. The internal bleaching proved a more economic option for her. The patient signed an informed consent form after considering all the details of the procedure.

scholarly journals C-shaped canal configuration in lower molar - Case report

2015 ◽  
Vol 18 (2) ◽  
pp. 115
Author(s):  
Lauren Grandi Dos Santos ◽  
Amanda Nunes Gallas ◽  
Josué Martos ◽  
Luiz Fernando Machado Silveira
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Anatomical Variation ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Second Molar ◽  
Gutta Percha ◽  
Mandibular Second Molar ◽  
Lower Molar

The C-shape configuration in molars it’s an anatomical variation that difficult the diagnosis and treatment. The aim of this study was to report a case of C-shape endodontic configuration in mandibular second molar. The radiographic examination of one patient revealed the extent of caries in the mesial aspect of mandibular second molar, without the presence of periapical lesion and was clinically noted the C-shape configuration of the root canal, extending from the mesiobuccal to the distal canal. Endodontic therapy was performed and after the root canal obturation with gutta-percha cones and endodontic cement the tooth was restored. We conclude that the anatomical condition in C-shape, although it brings many difficulties for the endodontic treatment, does not preclude the tooth rehabilitation.

scholarly journals Perawatan apeksifikasi pada gigi permanen muda insisivus pertama kiri atas yang non-vital Apexification treatment of non-vital young permanent left central insicivus

2012 ◽  
Vol 11 (2) ◽  
pp. 119
Author(s):  
Jenny Krisnawaty ◽  
Moch. Richata Fadil ◽  
Endang Sukartini ◽  
Milly Armilia
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Normal Range ◽  
Strong Base ◽  
Imperfect Shape

Imperfect young permanent teeth caused by caries or trauma could become necrotic before it’s growth anddevelopment completed, thus causes imperfect shape of the root canal and an opened apex. Difficulty in treatment ofroot canal caused by the absence of apical stop, that makes obturation cannot be accomplished because fillingmaterials will be pushed to periapex. The purpose of this case report was to report the treatment of anterior teethwhich diagnosed as necrotic with apexification. The material filling is calcium hydroxide with strong base natureand give antimicrobacterial effect and tissue liquefaction. The result of the treatment was closure of the apex, thetissue surrounding tooth is in normal range or that absence of radiolusency which is a sign of healing at theperiapical.The conclusion is young permanent tooth which experienced pulp necrotic can be treated withapexification treatment

scholarly journals Non-surgical management of periapical lesions with triple antibiotic paste: A case reports

2020 ◽  
Vol 2 ◽  
pp. 120-123
Author(s):  
Munish Singla ◽  
Iyana Garg ◽  
Vandana Goyal ◽  
Harleen Kaur ◽  
Litik Mittal
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Root Canal ◽  
Case Reports ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Periapical Lesion ◽  
Present Case Report ◽  
Periapical Lesions ◽  
Triple Antibiotic Paste

Sterilization of root canal space is foremost for the success of the endodontic treatment which is usually carried out with intracanal irrigants and medicaments. Triple antibiotic paste (metronidazole, ciprofloxacin, and minocycline) is used to achieve sterilization and healing of periradicular area. In the present case report, the triple antibiotic paste was used for non-surgical management of periapical lesion for 3 weeks. After 3 weeks, the tooth became asymptomatic that was then obturated. Hence, it is confirmed that conventional root canal treatment, along with intracanal medicaments (triple antibiotic paste), can non-surgically manage the periapical lesions and further promotes healing.

scholarly journals Surgical Management of Mandibular Central Incisors with Dumbbell Shaped Periapical Lesion: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Roopadevi Garlapati ◽  
Bhuvan Shome Venigalla ◽  
Jayaprakash D. Patil ◽  
Thumu Jayaprakash ◽  
C. H. Krishna Chaitanya ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Male Patient ◽  
Root Canal ◽  
Alveolar Bone ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Traumatic Injuries ◽  
Cystic Changes ◽  
One Year

Dental traumatic injuries may affect the teeth and alveolar bone directly or indirectly. Pulpal necrosis and chronic and apical periodontitis with cystic changes are the most common sequelae of the dental traumatic injuries, if the teeth are not treated immediately. This case report focuses on the conventional and surgical management of mandibular central incisors. A twenty-four-year-old male patient presented with pain in the mandibular central incisors. Radiographic examination revealed mandibular central incisors with dumbbell shaped periapical lesion. After root canal treatment, parendodontic surgery was performed for mandibular central incisors. After one-year recall examination, the teeth were asymptomatic and periapical lesion had healed.

scholarly journals Dens Evaginatus: A Problem-Based Approach

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
A. Ayer ◽  
M. Vikram ◽  
P. Suwal
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Composite Resin ◽  
Treatment Plan ◽  
Developmental Anomaly ◽  
Pulp Chamber ◽  
Anterior Teeth ◽  
Triple Antibiotic Paste ◽  
Sensitivity Tests ◽  
Culture And Sensitivity

Dens evaginatus is an uncommon developmental anomaly of human dentition characterized by the presence of tubercle on the occlusal surface of mandibular premolars and lingual surface of anterior teeth. Due to occlusal trauma this tubercle tends to fracture thus exposing the pathway to the pulp chamber of teeth. This case report is about the presentation of dens evaginatus in mandibular premolars bilaterally; among them tooth 44 was associated with chronic apical periodontitis. Fractured tubercle of three premolars was sealed with composite resin. Root canal treatment was performed with tooth 44. Routine endodontic treatment did not result in remission of infection. Therefore, culture and sensitivity tests were performed to identify the cause and modify treatment plan accordingly. Triple antibiotic paste was used as an intracanal medicament to disinfect the root canal that resulted in remission of infection.

scholarly journals Endodontic Perforation Closure by Five Mineral Oxides Silicate-Based Cement with/without Collagen Sponge Matrix

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Talal Al-Nahlawi ◽  
Maisour Ala Rachi ◽  
Amjad Abu Hasna
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Treatment Plan ◽  
Complete Healing ◽  
Collagen Sponge ◽  
Radiographic Examination ◽  
Periodontal Tissues ◽  
Mineral Oxides ◽  
Root Canal Retreatment ◽  
Sponge Matrix

Endodontic perforations are common accidents that occasionally happen as a result of misuse or difficult anatomy of some teeth; it may lead to teeth loss unless a good management is provided. Bioceramic (silicate-based) cements like mineral trioxide aggregate have a big role in management of such accidents. This case report aimed to evaluate the ability of five mineral oxides cement “5MO” in sealing two root canal perforations (furcation and postdrill perforations) and inducing clinical and radiographic healing in the periodontal tissues with/without the use of collagen sponge matrix. A 58-year-old healthy female was referred to our dental office complaining of severe pain in the upper left premolars’ region. Periapical radiographic examination revealed unsatisfactory root canal treatment of the teeth #24 and #25 with a furcation perforation and a postdrill perforation, respectively. Cone-beam computed tomography “CBCT” scans confirmed the findings of the periapical radiography and revealed the presence of radiolucent lesions surrounding the apex of both teeth #24 and #25. The treatment plan was a nonsurgical root canal retreatment by endodontic access through the full-ceramic crowns. After three years of follow-up, CBCT scans revealed a complete healing and bone formation on both premolars. This case report indicates the use of 5MO cement for endodontic perforations management.

scholarly journals Establishing Apical Patency: To be or not to be?

2017 ◽  
Vol 18 (4) ◽  
pp. 326-329 ◽  
Author(s):  
Hamid Jafarzadeh ◽  
Zahed Mohammadi ◽  
Sousan Shalavi ◽  
Jun-Ichiro Kinoshita
Keyword(s):  
Root Canal ◽  
Animal Studies ◽  
Detrimental Effect ◽  
Apical Part ◽  
Endodontic Treatment ◽  
Root Canal Preparation ◽  
Apical Constriction ◽  
Apical Portion ◽  
Gutta Percha ◽  
Working Length

ABSTRACT Introduction The apical portion of the root canal is very complex and challenging during endodontic treatment. Root canal preparation and obturation to the apical constriction may provide the best prognosis. Incomplete debridement, foramen transportation, and inadequate seal in the apical portion are considered to be responsible for treatment failure. The technique “apical patency” is considered as a way for maintaining the apical part the free of the debris by recapitulation, using a small K-file through the area of the apical foramen. This term was firstly proposed by Buchanan. In this technique, the smallest diameter file is set 1 mm longer than working length and recapitulated after each instrument to prevent packing of debris in the apical part. Apical patency has been found to be effective in achieving an apical seal with gutta-percha. Teeth prepared with a step back method and with maintained apical patency may show less leakage when obturated with cold lateral condensation technique. Data regarding the effect of apical patency on the healing of periapical tissue are very scarce, and it has been shown that the patency file has detrimental effect on the healing of periapical tissues in animal studies. However, using patency file in endodontic treatment is controversial and further studies are needed. The purpose of this article is to review the effect of using a patency file on the extrusion of root canal contents, the apical seal, postoperative pain, and healing of periapical tissues. Furthermore, the effect of establishing patency on reaching irrigation solutions to the apical portion of the canal and prognosis of root canal treatment are discussed. Clinical significance How to cite this article Mohammadi Z, Jafarzadeh H, Shalavi S, Kinoshita J-I. Establishing Apical Patency: To be or not to be? J Contemp Dent Pract 2017;18(4):326-329.

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