scholarly journals Endodontic Management of a Severely Dilacerated Mandibular Third Molar: Case Report and Clinical Considerations

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Suraj Arora ◽  
Gurdeep Singh Gill ◽  
Priyanka Setia ◽  
Anshad Mohamed Abdulla ◽  
Ganapathy Sivadas ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Third Molar ◽  
Advanced Technology ◽  
Root Canal Treatment ◽  
Third Molars ◽  
Limited Access ◽  
Mandibular Third Molar ◽  
Single Cone ◽  
Clinical Considerations

This article aims at providing an insight to the clinical modifications required for the endodontic management of severely dilacerated mandibular third molar. A 35-year-old patient was referred for the root canal treatment of the mandibular left third molar. An intraoral periapical radiograph revealed a severe curvature in both the canals. A wide trapezoidal access was prepared following the use of intermediate-sized files for apical preparation. Owing to increased flexibility, Hero Shaper NITI files were used for the biomechanical preparation and single cone obturation was carried out. Third molars owing to their most posterior location-limited access coupled with a severe curvature pose utmost clinical challenges require meticulous skill, advanced technology, and patience to achieve success.

scholarly journals Managing Curvatures in an Atypical Mandibular Third Molar: “Radix Paramolaris”

2022 ◽  
Vol 9 (1) ◽  
pp. 65-68
Author(s):  
Sachin Gupta ◽  
Shikha Jaiswal ◽  
Rudhra Koul
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Crucial Role ◽  
Third Molar ◽  
Root Canal Treatment ◽  
Activation Technique ◽  
Third Molars ◽  
Morphological Variations ◽  
Root Canals ◽  
Mandibular Third Molar

Third molars are known for morphological variations and atypical anatomy. Although these teeth pose difficulty in root canal treatment due to limited accessibility however, retaining third molars has gained importance in the present scenario due to their crucial role in serving as an abutment or in auto transplantation cases. This case report presents a case of Radix Paramolaris in mandibular third molar with severe curvatures of root canals in different planes and discusses its management with controlled memory files and tactile-controlled activation technique. Keywords: Radix Paramolaris, Curved canals, Controlled memory files, Tactile-controlled activation technique.

Why Is Mandibular Third Molar Coronectomy Successful Without Concurrent Root Canal Treatment?

2020 ◽  
Vol 78 (10) ◽  
pp. e68
Author(s):  
R.N. Nishimoto ◽  
A.T. Moshman ◽  
T.B. Dodson ◽  
O.R. Beirne
Keyword(s):  
Root Canal ◽  
Third Molar ◽  
Root Canal Treatment ◽  
Mandibular Third Molar

scholarly journals Restorasi Fiber Reinforced Composite Pada Gigi Premolar Pertama Kanan Mandibula Pasca Perawatan Saluran Akar

2013 ◽  
Vol 20 (1) ◽  
pp. 65
Author(s):  
Intan Dhamayanti ◽  
Tunjung Nugraheni
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Reinforced Composite ◽  
Single Cone ◽  
Endodontically Treated Tooth ◽  
Mandibular First Premolar ◽  
Composite Restoration

Gigi yang telah dilakukan perawatan saluran akar membutuhkan restorasi yang tepat untuk mencegah terjadinya fraktur. Restorasi menggunakan fiber reinforced composite (FRC) memiliki resistensi yang tinggi terhadap fraktur dan estetiknya memuaskan. Laporan kasus ini bertujuan melaporkan restorasi menggunakan FRC pada gigi premolar pertama kanan mandibula pasca perawatan saluran akar. Pada kasus ini, pasien wanita 35 tahun, gigi premolar pertama kanan mandibula mengalami nekrosis pulpa. Untuk mengatasi kasus ini dilakukan perawatan saluran akar dengan metode crown down dan obturasi dengan single cone. Restorasi menggunakan FRC dibuat sebagai restorasi akhir. Kesimpulan penanganan kasus, restorasi menggunakan FRC dapat menjadi pilihan restorasi pada gigi premolar pertama kanan mandibula pasca perawatan saluran akar.Fiber Reinforced Composite Restoration on Right Mandibular First Premolar Tooth after Root Canal Treatment. Endodontically treated tooth requires precise restoration that can prevent fracture. Restoration using fiber reinforced composite (FRC) has high resistance to the fracture and aesthetical satisfaction. This case report aims to describe the restoration using FRC on right mandibular first premolar tooth after root canal treatment. In this case, the patient was a 35 year-old woman who suffered from pulp necrosis on her right mandibular first premolar tooth. To treat this case, root canal treatment with crown down method and single cone’s obturation was done. Restoration using FRC is made as the final restoration. From treatment, it can be concluded that restoration using FRC can be an option for restoration of right mandibular first premolar tooth after root canal treatment

scholarly journals Pengambilan Lentulo Patah Pada Perawatan Saluran Akar Gigi Molar Satu Kiri Bawah Nekrosis Pulpa

2013 ◽  
Vol 20 (1) ◽  
pp. 78
Author(s):  
Muhammad Syafri ◽  
Tunjung Nugraheni
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Composite Resin ◽  
Root Canal Treatment ◽  
Root Canal Preparation ◽  
Rotary Tool ◽  
Single Cone ◽  
Successful Removal ◽  
Irreversible Pulpitis ◽  
Good Access

Selama prosedur preparasi saluran akar, kemungkinan patahnya instrumen selalu ada. Saat ini instrumen yang patah dapat dikeluarkan dengan menggunakan alat ultrasonik seperti jarum Miller yang dihubungkan dengan tip ultrasonik endo, selain itu diperlukan juga akses dan visibilitas yang baik sehingga memudahkan operator untuk mengeluarkan instrumen yang patah tersebut. Tujuan laporan kasus ini adalah untuk melaporkan keberhasilan pengambilan  lentulo patah di dalam saluran akar menggunakan jarum miller yang dihubungkan dengan tip ultrasonik endo dikombinasikan dengan hedstroem no 25. Dalam makalah ini dilaporkan satu kasus perawatan saluran akar gigi molar satu kiri bawah pulpitis irreversibel pada pasien wanita 20 tahun, namun terjadi patah lentulo saat pengaplikasian bahan sterilisasi saluran akar. Pengambilan lentulo berhasil dilakukan pada kunjungan kedua dengan menggunakan jarum miller yang dihubungkan dengan tip ultrasonik endo serta hedstroem file no 25. Visibilitas didapatkan dengan melakukan coronal flaring menggunakan heroshaper dari mikro mega yang dihubungkan dengan alat rotary. Setelah 1 minggu, gigi diobturasi dengan teknik single cone pada saluran akar distal dan teknik kondensasi lateral pada saluran akar mesiobukal dan mesiolingual. Pada kunjungan berikutnya, gigi direstorasi dengan resin komposit disertai pasak dentatus screw. Setelah 2 bulan diamati secara radiografis dan klinis, tidak ada keluhan dari pasien.Broken Lentulo Removal During Root Canal Treatment On The First Molar Mandible Sinistra With Pulp Necrosis. During root canal preparation procedure, there is always potential for instrument breakage. Nowadays, broken instruments can be removed using ultrasonic instruments such as a needle miller connected to endo ultrasonic tip, but it needs good access and visibility in order to make it easier for the operator to remove the broken instruments. The aim of this case report is to present the successful removal of a broken lentulo left in a root canal by using smooth broach connected to a ultrasonic endo tip combined with an hedstroem file no 25. This paper reports a case of molar root canal treatment of the lower left irreversible pulpitis in 20 year-old female patient, but the incident of broken lentulo occured while applying root canal medicament. The effort to remove lentulo was successful on the second visits using a needle miller connected to endo ultrasonic tip and headstrom file no 25. Visibility was obtained by using a coronal flaring of micro mega hero shaper associated with the rotary tool. In the following week, the teeth was obturated with single cone technique on the distal root canal applying the lateral condensation technique on mesiolingual and mesiobuccal root canal. In the next visit, the teeth were restored with composite resin with dowel dentatus screw. After 2 months of being observed radiographically and clinically, there is no more complaint from the patient

scholarly journals Restorasi Resin Komposit Menggunakan Pasak Tapered Self Threading Pada Molar Ketiga Kiri Mandibula

2013 ◽  
Vol 20 (1) ◽  
pp. 58
Author(s):  
Ellen Krisanti ◽  
Tri Endra Untara
Keyword(s):  
Root Canal ◽  
Composite Resin ◽  
Treatment Plan ◽  
Third Molar ◽  
Root Canal Treatment ◽  
Mandibular Third Molar ◽  
Composite Resin Restoration ◽  
Therapy Option ◽  
Root Canal Morphology ◽  
Complex Variation

Morfologi saluran akar gigi molar mandibula ketiga memiliki variasi yang lebih kompleks dibandingkan gigi molar lainnya.   Pada gigi molar ketiga sering dilakukan pencabutan, namun dalam keadaan tertentu gigi molar ketiga dapat dipertahankan. Perawatan saluran akar satu kunjungan merupakan pilihan untuk terapi kasus ini. Tujuan laporan kasus ini untuk memperlihatkan keberhasilan dari perawatan saluran akar satu kunjungan pada gigi molar ketiga nekrosis pulpa disertai restorasi resin komposit dengan pasak tapered self theading. Pasien wanita 20 tahun datang ke RSGM Prof Soedomo FKG UGM dengan keluhan sakit saat pengunyahan pada gigi molar ketiga dan positif pada perkusi. Gambaran radiografis menunjukkan restorasi yang tidak sempurna, terdapat celah antara kavitas dengan restorasi. Rencana perawatan pada kasus ini, perawatan saluran akar satu kunjungan dan resin komposit dengan pasak tapered self threading sebagai restorasi akhir. Kesimpulan dari perawatan saluran akar satu kunjungan memiliki rekontaminasi mikroorganisme yang lebih kecil dibandingkan dengan multi kunjungan sehingga menjamin keberhasilan perawatannya. Restorasi resin komposit secara direkdengan pasak tapered self threadingmerupakan restorasi alternatif pasca perawatan endodontikkarena lebih cepat dan kuat.Composite Resin Restoration Using Tapered Self Threading Poston Left Mandibular Third Molar. Root canal morphology of mandibular third molar has more complex variation than the other molars. In third molar, the extraction teeth are often executed; however, the third molar can be maintained in other conditions. One visit root canal treatment is a therapy option for this case. The purpose of this case report is to show the success of one visit root canal treatment in third molar with pulp necrosis by restoring the composite resin through tapered self-treading post. A 20 year-old female patient who came to the Prof Soedomo RSGM, FKG UGM complained about the pain when chewing food on her third molar and positive in percussion. The radiographs showed that there was an incomplete restoration. There was a gap between cavities with restoration. The treatment plan for this case was one visit root canal treatment and composite resin with tapered self-threading post as final restoration. From the case, it can concluded that one visit root canal treatment results in a smaller chance for microorganism recontamination than the multi-visit in order to ensure the success of the treatment. Direct composite resin restoration with tapered self-threading dowel is an alternative restoration after endodontic treatment because it works out faster and more retentive.

scholarly journals Endodontic Management of a Three Rooted Mandibular Third Molar with a Dilacerated Distal Root and Close Approximation to the Inferior Alveolar Canal: A Case Report

2017 ◽  
Vol 7 (2) ◽  
pp. 42
Author(s):  
Wael Waheed Sharawy ◽  
Hany Mohamed Aly Ahmed
Keyword(s):  
Case Report ◽  
Third Molar ◽  
Anatomical Variations ◽  
Endodontic Treatment ◽  
Third Molars ◽  
Close Approximation ◽  
Mandibular Third Molar ◽  
Inferior Alveolar Canal ◽  
Mandibular Third Molars ◽  
Treatment Procedures

Aim: A thorough understanding of root and canal anatomical variations is essential for achieving successful endodontic treatment. Literature continues to demonstrate complex root and canal anatomical variations in mandibular third molars which are sometimes in close approximation to the inferior alveolar canal. Methodology: A 26-year-old male patient was referred for endodontic treatment of a three-rooted mandibular third molar with a dilacerated distal root and close approximation to the inferior alveolar canal. A cone beam computed tomography was performed to assess the root and canal anatomical variations together with the inferior alveolar canal. Conventional endodontic treatment was performed using a rotary nickel-titanium file system, and the canals were then obturated using a cold lateral condensation technique. Results: The endodontic treatment procedures were performed successfully and in the follow-up visit, the tooth was asymptomatic. Conclusions: Despite limited accessibility and challenges during root canal treatment procedures, retaining every functional component of the dental arch, including mandibular third molars, is an essential goal of contemporary dental practice.  How to cite this article: Sharawy WW, Ahmed HMA. Endodontic management of a three rooted mandibular third molar with a dilacerated distal root and close approximation to the inferior alveolar canal: A case report. Int Dent Res 2017;7:42-45.

Comment on “Why Is Mandibular Third Molar Coronectomy Successful Without Concurrent Root Canal Treatment?”

2021 ◽  
Author(s):  
Nadeena Sri Swarnagupta Jayasuriya ◽  
Sakuntha Ratnapreya ◽  
Kanchana Kapugama ◽  
R. M. Sumudu Himesha B Medawela
Keyword(s):  
Root Canal ◽  
Third Molar ◽  
Root Canal Treatment ◽  
Mandibular Third Molar

scholarly journals Concrescence of permanent maxillary second and third molars: case report of non-surgical root canal treatment

2012 ◽  
Vol 54 (1) ◽  
pp. 133-136 ◽  
Author(s):  
Denise Foran ◽  
Takashi Komabayashi ◽  
Louis M. Lin
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Third Molars

Why Is Mandibular Third Molar Coronectomy Successful Without Concurrent Root Canal Treatment?

2020 ◽  
Vol 78 (11) ◽  
pp. 1886-1891 ◽  
Author(s):  
Rodney N. Nishimoto ◽  
Andrew T. Moshman ◽  
Thomas B. Dodson ◽  
O. Ross Beirne
Keyword(s):  
Root Canal ◽  
Third Molar ◽  
Root Canal Treatment ◽  
Mandibular Third Molar

scholarly journals A stereomicroscopic in-vitro study to investigate the root canal morphology of mandibular third molars using clearing technique

2015 ◽  
Vol 3 (1) ◽  
pp. 567
Author(s):  
Salwa Zafar ◽  
Sameena Tabassum ◽  
Sumit Sabharwal ◽  
Vivek Kumar Rai ◽  
Arun Srinivasan ◽  
...  
Keyword(s):  
Root Canal ◽  
Third Molar ◽  
Blue Dye ◽  
Type I ◽  
Third Molars ◽  
Mandibular Third Molar ◽  
Clearing Technique ◽  
Root Canal Morphology ◽  
Mandibular Third Molars ◽  
Canal Morphology

AIM: To analyse the root canal morphology of mandibular third molars using clearing technique. MATERIAL AND METHODS: Ninety permanent extracted mandibular third molar teeth were collected based on inclusion and exclusion criteria. Teeth were then decalcified and were made transparent Methylene Blue Dye was injected to color the pulp space. These teeth were then observed under sterio Microscope and root canal systems were identified according to Vertucci's Classification. RESULTS: The most common anatomical morphology found was having two roots. Overall type I Vertucci’s configuration was the most common pattern of canals. Other canal patterns that were found included type II, III, IV and V. In this study no canal of type VI, VII or VIII were found. CONCLUSION: The morphological variations in root patterns and canal configuration of mandibular third molar should be given consideration for successful endodontic treatment.

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