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.

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.

Root Canal Treatment of A Maxillary Canine With Two Root Canals: a Case Report

2012 ◽  
Vol 2 (8) ◽  
pp. 406-407
Author(s):  
Dr. Ramta Bansal ◽  
◽  
Dr. Aditya Jain ◽  
Dr. Ramta Bansal
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Maxillary Canine ◽  
Root Canals

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.

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 Mandibular first premolar with five root canals: a case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ming Zhang ◽  
Jian Xie ◽  
Yan-huang Wang ◽  
Yan Feng
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Three Dimensional ◽  
Root Canal Treatment ◽  
Root Canal Filling ◽  
Posterior Teeth ◽  
Case Presentation ◽  
Root Canals ◽  
First Case ◽  
Mandibular First Premolar

Abstract Background Understanding the anatomical morphology of the root canal is key for successful root canal treatment. The aims of this case presentation are to report a unique case of root canal treatment involving five root canals in the mandibular first premolar and to highlight the importance of variation in root canals of mandibular first premolars in clinical practice. Case presentation A 25-year-old male with intermittent pain in relation to the lower right posterior teeth over 3 weeks was diagnosed with symptomatic pulpitis in tooth #44. Four root canals were found, including mesiobuccal, distobuccal-1, distobuccal-2, and distolingual roots, and the Mtwo rotary system was used for root canal preparation. The four root canals were filled after 2 weeks, when a fifth canal was found, located in the buccal cavity. The fifth canal was confirmed to be the mesiolingual root canal by cone beam computed tomography (CBCT) and was found to be curved. After completion of the root canal filling, CBCT was performed, and a three-dimensional root canal image was reconstructed. After 1 week of observation, the tooth was repaired using composite resin filling. Conclusions This is the first case presentation of a fifth canal of the mandibular first premolar and advances our understanding of variations in the anatomy of the mandibular first premolar. This case report provides a reference for the treatment of mandibular first premolars.

scholarly journals Perawatan saluran akar pada gigi molar pertama kanan mandibula dengan pulpitis ireversibel simtomatikRoot canal treatment of mandibular right first molar with symptomatic irreversible pulpitis

2021 ◽  
Vol 32 (3) ◽  
pp. 127
Author(s):  
Lydiawati Wibisono ◽  
Hendra Dian Adhita Dharsono
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Spontaneous Pain ◽  
Root Canal Filling ◽  
Root Canals ◽  
Pulp Inflammation ◽  
Indirect Composite ◽  
Irreversible Pulpitis

Pendahuluan: Pulpitis ireversibel simtomatik ditandai dengan hipersensitivitas terhadap stimulus termal, yang menyebabkan nyeri spontan atau rasa sakit yang bertahan 30 detik atau lebih setelah stimulus dihilangkan, nyeri yang parah, persisten, dan sulit dilokalisir, dapat menjalar ke telinga, pelipis, mata atau leher. Kondisi pulpa yang terinflamasi tidak dapat kembali pulih dan perawatan saluran akar merupakan pilihan perawatan. Tujuan laporan kasus ini membahas mengenai perawatan saluran akar dengan pulpitis ireversibel simtomatik untuk menghentikan inflamasi pulpa dan mempertahan gigi. Laporan kasus: Pasien laki-laki berusia 35 tahun datang ke klinik dengan keluhan gigi belakang kanan bawah terasa sakit berdenyut sejak 1 minggu yang lalu. Gigi tersebut pernah dilakukan penambalan sementara 4 bulan sebelumnya dan tambalan tersebut patah serta nyeri spontan. Pemeriksaan radiologis gigi 46 menunjukkan gambaran radiolusen pada bagian mahkota hingga mencapai tanduk pulpa, terdapat 2 akar, dengan akar mesial dilaserasi ke arah distal dan akar distal lurus, serta saluran akar yang menghilang pada 2/3 dan 1/3 saluran akar distal dan mesial, tidak terdapat pelebaran membran periodontal, lamina dura normal dan tidak terdapat kelainan periapikal. Gigi 46 dilakukan anestesi lokal, dilanjutkan pembukaan akses dan ekstirpasi pulpa, kemudian preparasi saluran akar menggunakan nikel titanium rotary ProTaper Next® (Maillefer, Switzerland) dengan teknik crown down dan pengisian saluran akar. Restorasi follow up overlay komposit indirek pada gigi 46. Simpulan: Pulpitis ireversibel simtomatik pada gigi molar dengan akar dilaserasi terbukti dapat ditangani dengan perawatan saluran akar yang adekuat, ditandai dengan hilangnya keluhan pada pasien dalam kasus ini.Kata kunci: Pulpitis ireversibel simtomatik, perawatan saluran akar, teknik crown down. ABSTRACTIntroduction: Symptomatic irreversible pulpitis is characterised by hypersensitivity to the thermal stimuli, which causes spontaneous pain that lasts 30 seconds or more after the stimulus removed, severe, persistent and difficult to localise, can radiate to the ears, temples, eyes, or neck. The inflamed pulp does not recover; thus, root canal treatment is the treatment option. This case report was aimed to discuss the root canal treatment for symptomatic irreversible pulpitis to stop the pulp inflammation and preserve the teeth. Case report: A 35-year-old male patient came to the clinic with complaints of pulsating pain in the mandibular right molar since one week prior. The tooth had a temporary filling four months earlier, and the filling was fractured, and the pain was spontaneous. Radiological examination of tooth 46 showed radiolucent images on the crown until the pulp horn, there were found two roots, with mesial roots dilated distally and straight distal roots, and root canals that disappeared in the two-third and one-third of the distal and mesial root canals, no dilation of the periodontal membrane, normal lamina dura and no periapical abnormalities. Tooth 46 was subjected to local anaesthesia, followed by access opening and pulp extirpation, then the root canal preparation was performed using the ProTaper Next® rotary nickel-titanium (Maillefer, Switzerland) with the crown-down technique and root canal filling. Indirect composite overlay follow-up restoration was conducted of tooth 46. Conclusion: Symptomatic irreversible pulpitis in molars with dilacerated roots proved to be manageable with adequate root canal treatment, marked by the loss of the patients’ complaints.Keywords: Symptomatic irreversible pulpitis, root canal treatment, crown-down technique.

scholarly journals PENATALAKSANAAN GIGI PREMOLAR KEDUA MAKSILA DENGAN SALURAN AKAR VERTUCCI TIPE V - laporan Kasus

2014 ◽  
Vol 1 (1) ◽  
pp. 53
Author(s):  
Arlina Nurhapsari
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Careful Examination ◽  
Deep Knowledge ◽  
Root Canals ◽  
Multiple Visit ◽  
Type V

Background: The aim of the case report is to demonstrate the importance of knowing the root canals configuration in the maxillary second premolars. Maxillary second premolars usually have one root canal, however in several cases there is more than one root canal with a variety of configurations. Method: multiple visit root canal treatment with a crown down technique on the maxillary second premolar with unusual root canals configuration which is confirmed using radiograph. Result: Based on radiograph, it was identified Vertucci type V root canal on the maxillary second premolars. After biomechanical preparation, obturation was conducted. When patient controlled, there were not problem and inflammation. Conclusion : This report described and discussed about the possibility of root canals variation on the maxillary second premolars. Careful examination using radiograph and deep knowledge, it is identified by the clinician in treating root canal treatment on that premolars.

scholarly journals Management of Calcific metamorphosis by conventional Root Canal Treatment. A case report

2020 ◽  
Vol 10 (2) ◽  
pp. 21-25
Author(s):  
Kazi Hossain Mahmud ◽  
Md Ashif Iqbal ◽  
Fida Hasan Talukder
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Traumatic Injury ◽  
Operating Time ◽  
Signs And Symptoms ◽  
Conventional Technique ◽  
Root Canal Treatment ◽  
Spontaneous Pain ◽  
Root Canals ◽  
History Of

The calcified root canals cause many problems during endodontic treatment due to difficulty in canal orifice location, negotiation, preparation as well as consideration of operating time. Most serious problem may arise during any phase of root canal treatment procedure even taking a lot of precaution. Partial or total obliteration of pulpal chamber or root canal space is the most common consequences of a tooth which is exposed to traumatic injury. The most common presentation of such a tooth is complete or partial loss of the pulp space radiographically and discoloration particularly yellow discoloration of the clinical crown. Around 7–27% of teeth having the feature of partial canal calcification shows features of pulp necrosis accompanied by radiographic signs of chronic periapical periodontitis. Very low numbers of teeth( 2-3%) may present with total obliteration of pulp chamber and the root canal system . Teeth with such features is challenging to provide a successful root canal treatment; . In this case report a 21 years old female patient attended with complaints of discoloration , mild spontaneous pain , and several episodes of gingival swelling with history of trauma four years back in her both maxillary central incisors. The case was evaluated clinico radiographically and the diagnosis was a case of calcification both maxillary central incisors. Root canal treatment to manage the calcified canals following conventional technique was planned . After treatment patient was free from subjective and objective signs and symptoms and she was advised for periodic follow-up Update Dent. Coll. j: 2020; 10 (2): 21-25

Sign in / Sign up

Export Citation Format

Share Document