scholarly journals Management of Compromised First Permanent Molar with Triple Antibiotic Paste in a 12-year-old Child: A Case Report

2021 ◽  
pp. 15-24
Author(s):  
Sayali A. Deolikar ◽  
Laresh Mistry ◽  
Ashwin Jawdekar
Keyword(s):  
Case Report ◽  
Bone Loss ◽  
Mineral Trioxide Aggregate ◽  
Severe Infection ◽  
Female Child ◽  
Occlusal Caries ◽  
Root Canals ◽  
Permanent Molar ◽  
Gutta Percha ◽  
Triple Antibiotic Paste

In teeth with pulpal and periapical infection, various group of microorganisms are present. Inhibition of the growth of these microorganisms and suppression of their antimicrobial activity play a crucial role in the success of the endodontic management. Triple antibiotic paste has been reported to have an excellent antimicrobial efficacy and it can be useful in management of teeth with severe infection. A 12-year-old female child reported with pain and swelling in relation with a lower left first permanent molar. Clinical examination of the tooth revealed deep occlusal caries and dentoalveolar abscess. Radiographically, the carious lesion was seen involving the pulp with periodontal ligament widening and inter-radicular bone loss was observed (endo-perio lesion). Considering the position of the tooth and its strategic importance, a conservative approach to salvage the tooth using Triple Antibiotic Paste (TAP) as a medicament was employed with complete radiographic healing by 12 weeks. Subsequent obturation using lateral condensation with gutta percha followed by composite restoration and preformed stainless steel crown was performed. This case report focuses on the endodontic management of perforated first permanent molar with compromised periodontal support and significant bone loss TAP as medicament and Mineral Trioxide Aggregate (MTA) as perforation repair material. Based on the results it can be concluded that Triple Anitibiotic Paste (TAP) can be effective in the disinfection and sterilization of the root canals and repair of complex lesions.

Retreatment and Restoration Using Individual Formable Fibre Post and Crown - Case Report

2020 ◽  
Vol 48 ◽  
pp. 15-21
Author(s):  
Rinda Wanodyatama ◽  
Tri Endra Untara ◽  
Tunjung Nugraheni
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Root Canals ◽  
Gutta Percha ◽  
Surgical Methods ◽  
Dental Hospital ◽  
Conservative Dentistry ◽  
One Year ◽  
Endodontic Retreatment

Endodontic retreatment is an attempt to reachieve a healthy periapical after it was previously been carried out an inadequate or reinfected endodontic retreatment that has been filled due to the leakage of apical and coronal. One stage in this retreatment is an uptake of obturasi material using hedstrom file (H-file). The solvent material used in this endodontic retreatment is xylol. Case report. A 22-year-old male patient came to the Clinic of Conservative Dentistry Dental Hospital Prof. Soedomo, Faculty of Dentistry, Gadjah Mada University (UGM) wanted to treat his mandibular second right premolar (45) that has been painful since two months ago. The tooth had root canal treatment one year ago. The pain suddenly appears and disappears as soon as the patient consumes painkillers. Dental preoperative (periapical) radiograph tooth 45 showed a picture of gutta percha root canals and radiolucent images at the tip of the root of the tooth. Diagnosis of tooth 45 is non-vital tooth after root canal treatment accompanied by apical, symptomatic periodontitis. The operator performed a root canal treatment by dismantling the restoration on the occlusal part of tooth 45 and taking gutta percha using a hedstrom file followed by treatment of the root canal, crown lengthening, installation of individual formable fiber post and porcelain fused to metal crown. Conclusion. Retreatment of root canal treatment with non-surgical methods still can be conducted effectively and obtain good results with the final treatment results in smaller lesions in the apical portion of tooth 45.

scholarly journals Maxillary Canine with two roots and two canals: A case report

2021 ◽  
Vol 10 (2) ◽  
pp. e36410212599
Author(s):  
Fausto Rodrigo Victorino ◽  
Isabela Silva Rocha ◽  
Rafael de Oliveira Lazarin ◽  
Marcelo Augusto Seron ◽  
Gustavo Sivieri-Araujo ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Correct Diagnosis ◽  
Anatomical Variations ◽  
Maxillary Canine ◽  
Root Canals ◽  
Gutta Percha ◽  
Ah Plus ◽  
Radiolucent Lesion ◽  
Root Canal System

Introduction: Knowledge of the anatomy and root canal system is of fundamental importance for a successful endodontic treatment. Maxillary canines unusually possess two root canals. Aim: The present study aims to present a maxillary canine with two roots and two canals through a clinical case. Case report: A male patient was referred for the treatment of a root perforation of the tooth 23. Clinical examination revealed the presence of vestibular fistula and mild pain with vertical and horizontal percussion. Through a tomographic examination, the presence of two roots and two root canals was observed in addition to a radiolucent lesion at the middle third of the roots but without perforation in the middle third. Coronary opening and the localization of the vestibular and palatal canals were performed. The root canal length was performed with Romi Apex A-15® foraminal locator and instrumentation was conducted by using Protaper Next® system. Due to the presence of fistula, calcium hydroxide manipulated with propylene glycol was used as intracanal medication for 30 days. After this period, the root canals were filled with gutta-percha and AH Plus® cement and a new tomographic examination was undertaken, which confirmed the complete filling of the root canals and the absence of root perforation. Conclusion: Given the above, endodontic professionals shall be aware of possible anatomical variations and make use of auxiliary resources when appropriate, such as cone beam computed tomography (CBCT), to ensure correct diagnosis and, consequently, a successful root canal treatment.

White MTA as a Material to Seal Iatrogenic Perforation for Furcation Teeth: A Case Report

2019 ◽  
Vol 829 ◽  
pp. 232-240
Author(s):  
Priscilla Daniego Pahlawan ◽  
Rahmi Alma Farah ◽  
Myrna Nurlatifah Zakaria
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Setting Time ◽  
Mineral Trioxide Aggregate ◽  
Radiographic Evaluation ◽  
Suitable Material ◽  
Iatrogenic Perforation ◽  
Root Canals ◽  
Sealing Ability ◽  
Recent Developments

Iatrogenic perforation is a common complication in endodontic treatment or restoration procedure. Recent developments in dentistry have improved tooth perforation prognosis. MTA (Mineral Trioxide Aggregate) is one of the chosen materials to seal tooth perforation. This case report discuss the management of an iatrogenic furcal perforation using White Angelus MTA to seal the furcal perforation on tooth 26 and its final restoration. Furcal perforation accured while removing the calcification in the mesio buccal canal using Protapper Next rotary file after sealing the perforation site, further root canal preparation was carried on, and root canals were medicated by Calcium Hydroxide. After 2 weeks root canal were obturated with Gutta Percha. After one week observation post obturation patient had no complain, and radiographic evaluation show good sealing by MTA. In Conclusion Angelus MTA have good sealing ability marginal adaptation, and the absence of calcium sulfate had reduced the setting time of the material. It is a suitable material to seal iatrogenic furcal perforation due to its biocompatibility, antimicrobial, good sealing ability, and low solubility.

scholarly journals Unusual Root Canal Morphology of the Maxillary Second Molar: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Neslihan Şımşek ◽  
Ali Keleş ◽  
Elçin Tekın Bulut
Keyword(s):  
Case Report ◽  
Endodontic Treatment ◽  
Cone Beam ◽  
Second Molar ◽  
Root Canals ◽  
Gutta Percha ◽  
Rotary Instruments ◽  
Mandibular Molar ◽  
Ah Plus ◽  
Root Canal Morphology

Introduction. This clinical case report presents the successful endodontic treatment of a maxillary second molar that has a mandibular molar-like anatomy with no palatal root and with each of its roots containing two separate root canals. Cone-beam computed tomography (CBCT) was used to confirm this unusual anatomy.Methods. A 34-year-old male patient was referred to the Department of Endodontics at Inonu University’s Faculty of Dentistry because of severe pain in his right maxillary second molar. Clinical and radiographic examinations identified unusual roots and root canals anatomy, and CBCT was planned in order to understand the nature of these variations. Cleaning and shaping procedures were performed using the crown down technique with Sybron Endo (Glendora, CA, USA) rotary instruments, and endodontic treatment was completed with gutta-percha cones and AH Plus resin sealers using the cold lateral compaction technique.Conclusions. The maxillary second molar exhibits aberrations and variations in terms of the numbers and configurations of its roots and root canals, and CBCT can be a useful imaging technique in endodontics.

scholarly journals Comparative Evaluation of Mineral Trioxide Aggregate Obturation Using Four Different Techniques—A Laboratory Study

Materials ◽  
2021 ◽  
Vol 14 (11) ◽  
pp. 3126
Author(s):  
Abhishek Isaac Mathew ◽  
Silvia Chamin Lee ◽  
Giampiero Rossi-Fedele ◽  
George Bogen ◽  
Venkateshbabu Nagendrababu ◽  
...  
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Root Apex ◽  
Nickel Titanium ◽  
Filling Material ◽  
Lower Mass ◽  
Root Canal Filling ◽  
Significance Level ◽  
Root Canals ◽  
Reverse Mode ◽  
Gutta Percha

This study aimed to compare the density of mineral trioxide aggregate (MTA) as a root canal filling material in the apical 5 mm of artificial root canals. Forty transparent acrylic blocks with 30-degree curved canals were instrumented and allocated into four compaction technique groups (n = 10): Lawaty (hand files); gutta-percha (GP) points; auger (nickel–titanium rotary files in reverse mode); and plugger technique. Filled canals were weighed after setting the MTA to calculate difference in mass. Two postoperative radiographs compared radiopacity by measuring luminance variations at 0.5 mm, 1 mm, 2 mm, 3 mm, 4 mm, and 5 mm from the root apex. Obturation time was measured using a digital chronometer. The significance level was set to p < 0.05. The plugger group had a lower mass. Relative luminance was significantly higher for the Lawaty group than the plugger group at all examined apical levels. The relative luminance of the auger and GP groups were significantly higher than the plugger group at depths between 0.5 mm and 2 mm. Relative luminance was highest for the Lawaty technique at all depths between 0.5 mm and 4 mm. The Lawaty technique group was associated with increased obturation time compared with pluggers. Compacting MTA in curved canals with the Lawaty technique has the highest mass and radiopacity but requires more time.

scholarly journals Regenerative Endodontic Treatment of a Maxillary Mature Premolar

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Qingan Xu ◽  
Zhou Li
Keyword(s):  
Case Report ◽  
Blood Clot ◽  
Mineral Trioxide Aggregate ◽  
Endodontic Treatment ◽  
Wall Thickening ◽  
Periapical Lesion ◽  
Root Canals ◽  
Pulp Vitality ◽  
Regenerative Endodontic Treatment

Regenerative endodontic treatment was performed on a mature maxillary premolar diagnosed as chronic pulpitis. The root canals were chemomechanically prepared and placed intracanal medicaments at the first appointment. Then 2 weeks later, a blood clot was created in the canals, over which mineral trioxide aggregate was placed. At 6-month follow-up, cementum-like tissue seemed to be formed in the root canal along with nearly recovered pulp vitality. At 12-month recall, the radiographic results revealed evidence of root wall thickening. At 30-month recall, no periapical lesion was found. This case report indicates that regenerative endodontic treatment for the mature premolar is feasible. More cases are needed for further validation.

scholarly journals APEXIFICATION USING MODIFIED INTERNAL MATRIX CONCEPT

2020 ◽  
Vol 6 (1) ◽  
pp. 60-63
Author(s):  
Rinee Khanna ◽  
Saumya Navit ◽  
Suleman A Khan
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Successful Outcome ◽  
Collagen Membrane ◽  
Apical Region ◽  
Root Canals ◽  
Thin Walls ◽  
Combined Use

Immature roots with necrotic pulps in young permanent teeth are characterized by wide root canals with open apex and thin walls. Treatment of such teeth poses a great challenge. Traditionally such teeth were treated by apexification using calcium hydroxide and more recently by apical barrier technique using MTA apical plug. It is advised to use a resorbable and biocompatible apical matrix in cases involving MTA for careful condensation of the material in the apical region. This case report presents a successful outcome of apexification with the combined use of Mineral Trioxide Aggregate as an apical barrier and collagen membrane as an internal matrix.

scholarly journals Mineral trioxide aggregate for apexification in non-vital teeth with open apices: A case report

2021 ◽  
Vol 9 (2) ◽  
pp. 84-87
Author(s):  
Priya Mendiratta ◽  
Pooja Srivastava ◽  
Bhavna Gupta
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Filling Material ◽  
Cast Metal ◽  
Full Coverage ◽  
Gutta Percha ◽  
Open Apices

Management of immature non-vital teeth poses challenge for the clinician owing to the thin root canal walls and open apices which may show apical divergence. Apexification is the technique of inducing the apical closure with a root end filling material for non-vital immature young permanent teeth. Traditionally, Calcium hydroxide was the material of choice for apexification of immature permanent teeth but introduction of MTA has shown remarkable promise as an alternative to calcium hydroxide. This report presents a case of apexification of anterior two young permanent teeth with open apices using MTA and Gutta percha followed by esthetic build up using cast metal posts and full coverage restorations.

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