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Alrahabi, Mothanna, Muhammad Sohail Zafar, and Necdet Adanir. "Aspects of Clinical Malpractice in Endodontics." European Journal of Dentistry 13, no. 03 (July 2019): 450–58. http://dx.doi.org/10.1055/s-0039-1700767.
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AbstractThe clinical dentistry and endodontic procedures involve very technique-sensitive procedures, therefore exposing the operator to risks of causes not only damage to patients but also leads to malpractice. Among various disciplines of dentistry, endodontics-related cases witness the most frequently filed malpractice claims. This is due to the fact that the endodontic treatment procedures involve operative and surgical procedures, using a variety of medicaments and techniques. The endodontic procedural errors can be preoperative errors (such as incorrect diagnosis and misinterpretation), intraoperative errors including root canal and pulp chamber perforations, ledge formation leading to apical transportation or zipping, hypochlorite accidents, and fracture of instruments. More critically, failure to use rubber dam may result in inhalation or ingestion of endodontic instruments. Under such circumstances, the endodontist may have to face legal consequences. Due to the increased healthcare load and patients’ awareness, it is important to know the legal ramifications of adverse effects, failed restorations, or other complications, to avoid any legal ramifications of endodontic procedures and associated techniques. Therefore, precautions must be taken to prevent any postsurgical complications, patient complaints, and/or failures. For this purpose, the operator must consider ethical principles and adhere strictly to the standards of healthcare while performing the diagnosis and treatment. A referral toward a specialist or consultant endodontist is always an appreciable option and should be considered in the best interest of the patient. The aim of the article is to highlight various aspects of malpractice in clinical endodontics, and associated materials and challenges. In addition, commonly occurring operating errors during endodontic treatment, possible consequences, precautions, and management have been discussed.
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Faizarani, Maria, and Diani Prisinda. "Pre endodontik build-up dengan teknik canal projection pada gigi insisif lateral rahang atas disertai kerusakan mahkota yang sangat luasPre endodontic build-up with canal projection technique on maxillary lateral incisors with extensive crown damage." Jurnal Kedokteran Gigi Universitas Padjadjaran 33, no. 2 (August 31, 2021): 101. http://dx.doi.org/10.24198/jkg.v33i2.29521.
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Pendahuluan: Gigi dengan kerusakan mahkota yang sangat luas sering menimbulkan masalah dalam perawatan endodontik seperti kesulitan dalam penempatan klem rubber dam sehingga isolasi yang kurang memadai serta kemungkinan terjadinya kebocoran koronal yang mengakibatkan risiko kegagalan perawatan endodontik. Gigi dengan keadaan tersebut membutuhkan restorasi sementara pre endodontic agar dapat dilakukan isolasi yang memadai, penempatan klem yang efektif selama perawatan dan pemulihan estetik sementara selama perawatan saluran akar. Tujuan laporan kasus ini untuk menjelaskan pembuatan pre endodontic build-up menggunakan alat tip plastik sekali pakai selama perawatan saluran akar pada gigi insisif rahang atas dengan kerusakan mahkota yang sangat luas. Laporan kasus: Pasien perempuan berusia 53 tahun datang ke Klinik Konservasi Gigi RSGM Unpad dengan keluhan gigi seri rahang atas kiri patah saat makan. Gigi tersebut pernah dirawat saluran akar satu tahun yang lalu namun tidak selesai. Pemeriksaan klinis menunjukkan kehilangan mahkota sampai batas servikal, dan terdapat gambaran radiolusen yang difus di area periapikal. Diagnosis berdasarkan American Association of Endodontics (AAE) adalah previously initiated therapy disertai periodontitis apikalis asimptomatik. Pembuatan pre endodontic build-up dengan teknik canal projection dilakukan untuk mendapatkan isolasi sekaligus sebagai restorasi sementara dan dilanjutkan dengan perawatan saluran akar dan pembuatan mahkota all porcelain dengan fiber post. Simpulan: Pembuatan pre endodontic build-up menggunakan teknik canal projection berhasil dilakukan selama perawatan saluran akar gigi insisif lateral kiri atas dengan kerusakan mahkota yang sangat luas. Pre endodontic build-up dengan teknik canal projection pada kasus ini dapat memberikan isolasi yang memadai, memudahkan penempatan klem rubber dam serta memberikan pemulihan estetik yang baik selama periode antar kunjungan. ABSTRACTIntroduction: Extensive crown damage often causes problems in endodontic treatment, such as difficulty placing rubber dam clamps, resulting in inadequate isolation and the possibility of coronal leakage, which results in treatment failure risk. This condition requires pre-endodontic temporary restorations to provide adequate isolation, effective clamping during treatment, and temporary aesthetic restoration during root canal treatment. The purpose of this case report was to describe the fabrication of a pre-endodontic build-up using a disposable plastic tip device during root canal treatment of a maxillary incisor with extensive crown damage. Case report: A 53-year-old female patient came to the Conservative Dentistry Clinic of Universitas Padjadjaran Dental Hospital to complain of a fractured left maxillary incisor that occurred while eating. The tooth had a root canal treatment one year prior but was not completed. Clinical examination revealed crown loss to the cervical margin and a diffuse radiolucent appearance in the periapical area. According to the American Association of Endodontics (AAE), the diagnosis was previously initiated therapy with asymptomatic apical periodontitis. Therefore, the pre-endodontic build-up using the canal projection technique was performed to obtain isolation and temporary restoration, continued with root canal treatment and the manufacture of an all-porcelain crown with fibre post. Conclusions: The pre-endodontic build-up with canal projection technique has been successfully performed during root canal treatment of the maxillary left lateral incisor with extensive crown damage. Pre-endodontic build-up with canal projection technique can provide adequate isolation, facilitate the placement of rubber dam clamps, and provide good aesthetic recovery during the period between visits.
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Neskovic, Jelena, and Slavoljub Zivkovic. "Possibilities of endodontic therapy of endodonic-periodontal lesions." Srpski arhiv za celokupno lekarstvo 137, no. 7-8 (2009): 351–56. http://dx.doi.org/10.2298/sarh0908351n.
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Intoduction. Endoperiodontal lesions are frequent in clinical practice and may require complex therapy. It is very important to determine differential diagnosis and the origin of the lesion, because the treatment plan is based on aetiology and stadium of the development of the lesion. Objective. The aim of this clinical study was to analyze the efficacy of endodontic treatment in different types of endodontic- periodontal lesions. Methods. Thirty patients and 42 teeth with diagnosed endoperiodontal lesions were included in the study and divided in two groups. Vital pulp therapy was applied to 18 vital teeth where the diagnosis was perio-endodontic lesions. The therapy of infected canal system was applied to 24 teeth with endodontic- periodontal or combined lesions. Standard endodontic procedure consisted of cleaning and shaping of the root canal system and between sessions filling with calcium-hydroxide paste. Obturation was made by lateral compact of the guttapercha and Apexit paste. Efficiency was evaluated clinically and radiographically three, six and twelve months later. Results. Radiographic and clinical follow-up showed a significant radiographic improvement and absence of subjective symptoms in a very high percentage of the treated vital and avital teeth. The results of this study showed that in the observation period of 12 months endodontic therapy was successful in 88.89% of vital teeth, and in the group of avital teeth the percentage was 91.67%. Conclusion. Endodontic treatment of the endoperiodontal lesions was sufficient and it was the basic condition to achieve a complete healing of endodontic-periodontal lesions. Such therapy ensures significant improvement or even complete healing of both types of lesions, of endodontic and periodontal origin.
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Emily, Peter. "Endodontic Diagnosis in Dogs." Veterinary Clinics of North America: Small Animal Practice 28, no. 5 (September 1998): 1189–202. http://dx.doi.org/10.1016/s0195-5616(98)50109-x.
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Swathi U B, Pradeep S, and Delphine Priscilla Antony S. "Knowledge, attitude and practice based survey among dentists regarding the usage of CBCT in endodontics." International Journal of Research in Pharmaceutical Sciences 11, SPL3 (October 21, 2020): 1651–58. http://dx.doi.org/10.26452/ijrps.v11ispl3.3491.
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Cone Beam Computed Tomography is a diagnostic imaging modality that provides high quality, accurate three dimensional (3D) representations. CBCT in endodontics not only gives a three dimensional evaluation of the region of interest but also an appropriate resolution of images that help give a detailed analysis of the tooth and the surrounding alveolar anatomy. It aids in deciding the treatment plan in various fields of dentistry. CBCT has been proved as an essential diagnostic aid for endodontic practice. Since the use of ionizing radiation involves the patient’s and clinician’s safety, adequate knowledge about the appropriate usage of CBCT usage should be considered as a necessity. In endodontics, CBCT is a useful tool that helps in the diagnosis of apical periodontitis, resorptions, perforations, root canal morphology, traumatic injuries, voids. This survey was conducted among dentists. Online google forms were distributed of which 307 participants took part in the survey and the questionnaire contained 19 multiple choice questions, based on the demographic data, knowledge, attitude, practice regarding usage of CBCT in endodontics. On analysing the response to the questionnaire, it was found that the participants have overall good knowledge and were well versed regarding usage CBCT for endodontic procedures. This survey provides the reader with a clearer understanding of the appropriate and unwarranted usage of CBCT for endodontic practice. CBCT can be a powerful tool for endodontic diagnosis as well as in treatment planning and follow up.
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Sinha, DakshitaJoy, ShashiPrabha Tyagi, Radhika Verma, and UdaiPratap Singh. "New vistas in endodontic diagnosis." Saudi Endodontic Journal 2, no. 2 (2012): 85. http://dx.doi.org/10.4103/1658-5984.108158.
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Prasanth Dhanapal, T., Noble Joy Manayanipuram, and Anuja Anna Cherian. "Radiation Safety: Endodontic Perspective." Conservative Dentistry and Endodontic Journal 2, no. 1 (2017): 8–11. http://dx.doi.org/10.5005/jp-journals-10048-0017.
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ABSTRACT Endodontists belong to the category of specialist dentists who depend much on dental radiography. Starting from the stage of disease diagnosis, radiography is of much importance in different stages of endodontic therapy, and further on radiographic evaluation is a tool for assessment of endodontic treatment. There is a heavy dependency on dental radiography in some form or other in the speciality of endodontics. As is the case with any ionizing radiation, radiation hazard is a phenomenon that matters a lot to this group of dental professionals. There needs to be a change in our attitude toward radiation safety measures, as many of our professional colleagues are seen much not to be bothered about the cumulative outcomes of radiation hazard, which can create havoc in our professional and personal lives. This article outlines the potential hazards that can happen by routine radiographic utilization in endodontic setup and tries to highlight the measures that need to be taken to mitigate the negative effects. How to cite this article Manayanipuram NJ, Dhanapal P, George L, Charlie KM, Cherian AA. Radiation Safety: Endodontic Perspective. Cons Dent Endod J 2017;2(1):8-11.
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Lo Giudice, R., F. Nicita, F. Puleio, A. Alibrandi, G. Cervino, A. S. Lizio, and G. Pantaleo. "Accuracy of Periapical Radiography and CBCT in Endodontic Evaluation." International Journal of Dentistry 2018 (October 16, 2018): 1–7. http://dx.doi.org/10.1155/2018/2514243.
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Introduction. A radiological evaluation is essential in endodontics, for diagnostic purposes, planning and execution of the treatment, and evaluation of the success of therapy. The periapical radiography is nowadays the main radiographic investigations used but presents some limits as 3D anatomic alteration, geometric compression, and possible anatomical structures overlapping that can obscure the area of interest. CBCT (cone beam computed tomography) in endodontics allows a detailed assessment of the teeth and surrounding alveolar anatomy for endodontic diagnosis, treatment planning, and follow-up. Objective. The purpose of this study was to evaluate the accuracy of CBCT in comparison with conventional intraoral radiographs used in endodontic procedures. Materials and Methods. Statistical analysis was performed on 101 patients with previous endodontic treatments with the relative radiographic documentation (preoperative, postoperative, and follow-up intraoral X-ray) that had underwent at CBCT screening for surgical reasons. The CBCT scans were evaluated independently by two operators and compared with the corresponding periapical images. Results. Our analysis shows that the two radiological investigations statistically agree in 100% of cases in the group of patients without any endodontic sign. In the group of patients with an endodontic pathology, detected with CBCT, endodontic under extended treatments (30.6%), MB2 canals in nontreated maxillary molars (20.7%), second canals in nontreated mandibular incisors (9%), root fractures (2.7%), and root resorption (2.7%) were not always visible in intraoral X-ray. Otherwise, positivity in the intraoral X-ray was always confirmed in CBCT. A radiolucent area was detected in CBCT exam in 46%, while the intraoral X-ray exam was positive only in 18%. Conclusions. Our study shows that some important radiological signs acquired using CBCT are not always visible in periapical X-ray. Furthermore, CBCT is considered as a II level exam and could be used to solve diagnostic questions, essential to a proper management of the endodontic problems.
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Gonçalves, Gabriela Sumie Yaguinuma, Tayna Natsumi Takakura, Anderson Catelan, Rosalinda Tanuri Zaninotto Venturim, Carolina dos Santos Santinoni, and Christine Men Martins. "Tratar ou extrair? Tratamento de lesão endoperiodontal, um relato de caso clínico." ARCHIVES OF HEALTH INVESTIGATION 9, no. 6 (April 20, 2020): 535–40. http://dx.doi.org/10.21270/archi.v9i6.4814.
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Introdução: Lesões endoperiodontais são lesões originadas de produtos inflamatórios encontrados tanto em periodonto quanto em polpa. Tais lesões podem se originar devido a uma infecção pulpar ou periodontal. Visando o prognóstico favorável, é imprescindível o conhecimento da etiologia, realização do correto diagnóstico e elaboração do plano de tratamento que envolve o tratamento endodôntico precedido do tratamento periodontal. Objetivo: O propósito do presente trabalho foi de relatar um caso clínico de lesão endoperiodontal e o tratamento realizado. Relato de caso clínico: Paciente gênero feminino, 51 anos, compareceu à clínica com uma fístula na região do dente 46, procedeu-se com exame radiográfico, rastreamento de fístula, testes endodônticos e avaliação periodontal. Foi diagnosticada lesão endoperiodontal. Executou-se, então, o tratamento endodôntico em sessões múltiplas, utilizando hidróxido de cálcio como medicação intracanal e o tratamento periodontal concomitante; finalizou-se endodontia obturando-se os canais radiculares. Conclusão: Observou-se, no controle, que a associação de tratamentos foi eficaz e houve melhora significativa do quadro, constatando-se silêncio clínico e sucesso do tratamento. Realizar o tratamento conservador a despeito da exodontia foi a melhor escolha para a paciente.
Descritores: Endodontia; Periodontia; Polpa Dentária; Periodonto.
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Sulaeman, Mey Amalia Fitriani, and Irmaleny Satifil. "Modifikasi mahkota metal porselen pada restorasi paska perawatan endodontik gigi premolar atas kananModification of porcelain metal crowns in post-endodontic restoration in upper right premolar teeth." Jurnal Kedokteran Gigi Universitas Padjadjaran 32, no. 3 (February 28, 2021): 157. http://dx.doi.org/10.24198/jkg.v32i3.27337.
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Pendahuluan: Gigi yang telah dirawat endodontik dapat mengalami perubahan baik secara makro maupun mikrostruktur, sehingga menjadikannya lebih rentan terhadap fraktur. Restorasi gigi yang telah dirawat endodontik perlu mempertimbangkan sisa jaringan yang tersedia agar restorasi dapat bertahan lama. Tujuan laporan kasus ini untuk memaparkan bahwa restorasi modifikasi mahkota metal porselen dapat menjadi alternatif pilihan pada gigi pasca perawatan endodontik. Laporan kasus: Wanita berusia 43 tahun dirujuk dari departemen prostodonti untuk dilakukan perawatan saluran akar pada gigi premolar atas kanan. Pemeriksaan klinis menunjukan gigi 14 dengan sisa tambalan komposit dan hilangnya dinding palatal. Tes vitalitas tidak berespon, pada pemeriksaan perkusi, tekan dan palpasi memberikan hasil negatif. Pemeriksaan radiografis memperlihatkan saluran akar yang telah terisi gutta-percha yang inadekuat. Diagnosis untuk gigi 14 adalah previously treated tooth. Perawatan endodontik ulang dilakukan dan dipersiapkan untuk restorasi akhir berupa mahkota penuh dengan pasak fiber. Berdasarkan rencana perawatan dari departemen prostodonti, mahkota penuh dibuat dengan bahan metal porselen modifikasi bahan metal pada permukaan oklusal karena pasien mengalami bruksisme dan sedang dalam perawatan menggunakan splin oklusal. Simpulan: Modifikasi mahkota metal porselen pada gigi pertama rahang atas paska perawatan endodontik merupakan alternatif pilihan terbaik dan memberikan hasil yang memuaskan.Kata kunci: Mahkota metal porselen, restorasi, gigi paska perawatan endodontik. ABSTRACTIntroduction: Endodontically-treated teeth can change both macro and microstructure, making them more susceptible to fracture. Restorations of endodontically-treated teeth need to consider the remaining tissue available, thus makes the restoration last longer. This case report was aimed to demonstrate that modified porcelain metal crown restoration could become a choice in post-endodontic teeth treatment. Case report: A 43-year-old woman was referred from the prosthodontics department for her maxillary right premolar root canal treatment. Clinical examination revealed that tooth 14 with remaining composite filling and loss of the palatal wall. The vitality test did not respond. On percussion examination, pressure and palpation gave negative results. Radiographical examination showed a root canal filled with insufficient gutta-percha. The diagnosis for tooth 14 was previously treated tooth. Re-endodontic treatment was performed and prepared for the final restoration of a full crown with fibre posts. According to the prosthodontics department’s treatment plan, the full crown was made of metal modified porcelain for the occlusal surface because the patient had bruxism and was being treated with occlusal splints. Conclusion: Modification of porcelain metal crown on the maxillary first premolar after endodontic treatment is the best alternative and gives satisfactory results.Keywords: Porcelain metal crown, restoration, post-endodontic dental treatment.
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Lačević, Amela, Edina Vranić, and Irfan Zulić. "Etiological findings in endodontic-periodontal infections." Bosnian Journal of Basic Medical Sciences 4, no. 1 (February 20, 2004): 57–61. http://dx.doi.org/10.17305/bjbms.2004.3464.
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The endodontium and periodontium are closely related and disease of one may lead to secondary disease in the other. The differential diagnosis of endodontic and periodontal disease is of vital importance, so that the appropriate treatment can be done. Microorganisms play a primary role in endodontic and periodontal infections. The magnitude of the host response will be directly proportional to the virulence and the number of microbial cells present. Tissue damage caused by bacteria is mediated by either direct or indirect mechanisms. Direct harmful effects caused by bacteria involve their products, such as enzymes (collagenase, hyaluronidase, condroitinase, acid phosphatase), exotoxins and metabolites (bytrate, propionate, ammonium polyamines, sulphured compounds). In addition, bacterial components such as peptidoglycan, teichoic acid, fimbriae, outer membrane proteins, capsule, and lypopolysaccharide, stimulate the development of host immune reaction capable of causing severe tissue destruction.
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Bueno, Mike R., Carlos Estrela, Brunno C. Azevedo, and Anibal Diogenes. "Development of a New Cone-Beam Computed Tomography Software for Endodontic Diagnosis." Brazilian Dental Journal 29, no. 6 (December 2018): 517–29. http://dx.doi.org/10.1590/0103-6440201802455.
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Abstract Cone-beam computed tomography (CBCT) has promoted changes in approaches in Endodontics, and enhanced decision-making in complex clinical cases. Despite the technological advancements in CBCT hardware, the interpretation of the acquired images is still compromised by viewing software packages that often have limited navigational tools and lack adequate filters to overcome some challenges of the CBCT technology such as artefacts. This study reviews the current limitations of CBCT and the potential of a new CBCT software package (e-Vol DX, CDT- Brazil) to overcome these aspects and support diagnosing, planning and managing of endodontic cases. This imaging method provide high resolution images due to submillimeter voxel sizes, dynamic multi-plane imaging navigation and ability to change the volume parameters such as slice thickness and slice intervals and data correction applying imaging filters and manipulating brightness and contrast. The main differences between e-Vol DX and other software packages are: compatibility with all current CBCT scanners with the capacity to export DICOM Data, a more comprehensive brightness and contrast library, as other applications, in which adjustments are limited, do not usually support all the DICOM dynamic range features; Custom slice thickness adjustment, often limited and pre-defined in other applications; Custom Sharpening adjustment, often limited in other applications; advanced noise reduction algorithm that enhances image quality; preset imaging filters, dedicated endodontic volume rendering filters with the ability to zoom the image over 1000x (3D reconstructions) without loss of resolution and automatic imaging parameters customization for better standardization and opportunities for research; capture screen resolution of 192 dpi, with a 384 dpi option, in contrast to the 96 dpi of most similar applications. This new CBCT software package may support decision-making for the treatment of complex endodontic cases and improve diagnosis and treatment results. Effective improvement of image quality favors the rational prescription and interpretation of CBCT scans.
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Mahajan, Vaani, Harleen Kaur, Munish Singla, Rupinder Bansal, and Litik Mittal. "Nasopalatine duct cyst: A jigsaw puzzle." IP Indian Journal of Conservative and Endodontics 6, no. 3 (September 15, 2021): 185–88. http://dx.doi.org/10.18231/j.ijce.2021.040.
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For the success of endodontic treatment outcome, diagnosis plays a very important role. Endodontic diagnosis is similar to a jigsaw puzzle which cannot be made from a single isolated piece of information. Radiography plays a vital role in diagnosing dental diseases. Overcoming the major disadvantage of two dimensional imaging of superimposing the dento-alveolar structures, 3 dimensional images by Cone Beam Computed Tomography is of great help. It is very common that when radiographs show a superimposition of the incisive foramen over the apex of maxillary central incisors, mimicking apical periodontitis, unnecessary endodontic treatment or retreatment may be prescribed. Diseases of non endodontic origin that affect the tooth apex, such as Nasopalatine duct cyst, should be included in the differential diagnosis. In the present case report the role of CBCT in diagnosis is being discussed.
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Lima, Sandy Rabelo, Denise Hélen Imaculada Pereira de Oliveira, Francisca Damares da Silva Mesquita, Eduardo José Guerra Seabra, Patrícia Bittencourt Dutra dos Santos, and Fernando José de Oliveira Nóbrega. "Importance of cone beam computed tomography in the diagnosis of root perforation: a case report." Research, Society and Development 10, no. 2 (February 14, 2021): e25010211320. http://dx.doi.org/10.33448/rsd-v10i2.11320.
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Endodontic perforations are defined as a iatrogenic mechanical communication between the root canal and supporting periodontal tissues. Dental imaging techniques are essential for satisfactory detection of these conditions. The purpose of this study was to describe the clinical case of a patient diagnosed with endo-periodontal cystic lesion by endodontic perforation by cone beam computed tomography (CBCT). A 67-year-old female patient who required oral rehabilitation treatment with an implant-supported denture in the posterior mandible was seen at the Dental Clinic of the State University of Rio Grande do Norte (UERN). Based on the data collected during clinical examination, complementary tests were requested for assessment of his overall dental condition. Periapical radiography revealed the presence of a lesion in the apex of tooth 22, which was associated with an endodontic lesion. CBCT showed a lateral lesion caused by root perforation suffered during prior endodontic treatment. After histopathological analysis, the diagnosis was a radicular cyst. This study highlights the importance of CBCT imaging for establishment of the correct diagnosis, treatment planning, and prevention of complications.
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Hurzhii, O. V., and S. V. Kolomiiets. "СOMPLICATIONS OF ENDODONTIC TREATMENT: PECULIARITIES OF CLINICAL SIGNS, DIAGNOSIS." Ukrainian Dental Almanac, no. 1 (March 21, 2018): 68–71. http://dx.doi.org/10.31718/2409-0255.1.2018.16.
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Endodontic lesions take leading positions in the structure of modern dentistry. General areas of the displacement of filling material or instruments because of the poor quality of endodontic treatment have been established, and the features of clinicoroentgenological and neurological manifestations of the complications of endodontic dentistry have also been determined.
Due to the poor quality of endodontic treatment, general areas of the displacement of filling material or instruments have been identified, they are the mandibular canal, the maxillary sinus and periapical bone tissue.
We have performed the examination of 32 patients with various complications after endodontic treatment during 2017 to 2018.
The majority of patients were adults – 28(87,5%), over the age of 60 – 4(12,5%), there were 84,4% females and 15,6% males within the group.
The patients were divided into 3 groups according to localization of foreign bodies: the first group contained patients with foreign bodies present in the area of mandibular canal – 5(15,6%); the patients represented by the material in the maxillary sinus cavity made up the second group – 9(28,1%); the group of patients whose material was localized behind the tooth apex in the bone tissue included 18(56,2%)persons. The greatest number of complications after endodontic therapy was observed during the treatment of molars– 67,9%.
Duration of disease (from the end of endodontic treatment to the hour of addressing the clinic) varied from 1 to 6 months.
For the purpose of identification, the foreign material localization along with traditional clinic examination, which includes complaints analysis, anamnesis data, estimation of general health status and local manifestations of the disease, the dental intraoral X-ray, plain roentgenography and computed tomography of the bones of the jaws were performed. Assessment of the tissues sensitivity was conducted by the method of comparative palpation of the skin and mucosa at the areas of innervation of the trigeminal nerve branches.
As a result of the investigation we have determined that regardless of exact localization of the foreign material, surgical complications after endodontic treatment were always accompanied with pain syndrome of different intensity, reduction of sensitivity during the placement of the filling material in the area of mandibular canal (extra- or intracanal), signs of inflammation development (bounded or generalized adjacently to mucosa of maxillary sinus) or persistent pain syndrome during displacement of filling material into the bone tissue behind the tooth apex.
To specify areas and borders of the localization of the foreign body, the findings of the roentgenological investigations, in particular computed tomography, were critical.
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Scarfe, William C., Martin D. Levin, David Gane, and Allan G. Farman. "Use of Cone Beam Computed Tomography in Endodontics." International Journal of Dentistry 2009 (2009): 1–20. http://dx.doi.org/10.1155/2009/634567.
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Cone Beam Computed Tomography (CBCT) is a diagnostic imaging modality that provides high-quality, accurate three-dimensional (3D) representations of the osseous elements of the maxillofacial skeleton. CBCT systems are available that provide small field of view images at low dose with sufficient spatial resolution for applications in endodontic diagnosis, treatment guidance, and posttreatment evaluation. This article provides a literature review and pictorial demonstration of CBCT as an imaging adjunct for endodontics.
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Johns, DextonAntony, and Surendran Vidyanath. "Proper diagnosis the pathway to endodontic success." Journal of Cranio-Maxillary Diseases 3, no. 2 (2014): 176. http://dx.doi.org/10.4103/2278-9588.138256.
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Mohapatra, Swagatika. "Diagnosis and Management of Endodontic-Periodontal Lesions." Indian Journal of Public Health Research & Development 10, no. 11 (2019): 1319. http://dx.doi.org/10.5958/0976-5506.2019.03707.0.
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Jain, Vaibhav, Buggaveeti P. Kumar, T. Sai Krishna, Shrikant Parakh, P. Hari Kiran, and Aastha Tiwari. "Recent Advances in Endodontic Diagnosis: A Review." International Journal of Preventive and Clinical Dental Research 4, no. 4 (2017): 300–303. http://dx.doi.org/10.5005/jp-journals-10052-0130.
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Read, Jason K., Scott B. McClanahan, Asma A. Khan, Scott Lunos, and Walter R. Bowles. "Effect of Ibuprofen on Masking Endodontic Diagnosis." Journal of Endodontics 40, no. 8 (August 2014): 1058–62. http://dx.doi.org/10.1016/j.joen.2014.05.004.
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Chang, Kuang-min, and Louis M. Lin. "Diagnosis of an advanced endodontic/periodontic lesion." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 84, no. 1 (July 1997): 79–81. http://dx.doi.org/10.1016/s1079-2104(97)90300-0.
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Sarkissian, Ani, and Ashley Nga Le. "Fiber Optic Fluorescence Microprobe for Endodontic Diagnosis." Journal of Dental Education 69, no. 6 (June 2005): 633–38. http://dx.doi.org/10.1002/j.0022-0337.2005.69.6.tb03946.x.
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Oliveira, Priscila de Andrade Cruz, Ademir Franco, Luciana Butini Oliveira, Carlos Augusto Souza Lima, José Luiz Cintra Junqueira, Mariana Rosa Merendi Lopes Cavalette, and Anne Caroline Costa Oenning. "Cone-beam computed tomography in Endodontics: an exploratory research of the main clinical applications." Research, Society and Development 10, no. 1 (January 22, 2021): e42910111842. http://dx.doi.org/10.33448/rsd-v10i1.11842.
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This study revisited three oral radiology centers (ORC) and screened the main clinical indications that justified the request for cone-beam computed tomography (CBCT) examination in Endodontics. The databases of three ORCs were searched for requests of CBCT exams taken for Endodontic purposes over the last two years. The extracted data consisted of the total number of CBCT exams, the clinical indication in the endodontic field that justified the CBCT exam, the outcome of each exam (from the report of Oral Radiologists), and demographic data of the patients. From the total CBCT exams (n = 4,583), nearly 13% (n = 611) were taken for Endodontic purposes. Most of the clinical indications were related to root fractures (65%) and periapical lesions/disease (24.1%). Radiologists’ reports hypothesized more often toward periapical lesion/disease (70.5%), root fracture (51.4%) and accidents/complications (25.2%). Some clinical indications significantly varied based on age. In particular, post-traumatic imaging and the investigation of root resorption were more common in young patients, while the prevalence of exams for the investigation of pulpal calcifications and root fractures increased with age. More interestingly, there was a significant disagreement between the clinical indication that justified the CBCT examinations and the outcomes retrieved from radiologists’ reports (p < 0.005). This study illustrates the broad spectrum of CBCT applications for the diagnosis, treatment planning and follow-up in Endodontics. Attention is necessary to the disagreements between clinical indications and imaging outcomes, especially because certain conditions in the routine Endodontics are only visible with the aid of advanced tools.
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Ramos-Perez, Flávia Maria de Moraes, Andréa dos Anjos Pontual, Talita Ribeiro Tenório de França, Maria Luiza dos Anjos Pontual, Ricardo Villar Beltrão, and Danyel Elias da Cruz Perez. "Mixed Periapical Lesion: An Atypical Radicular Cyst with Extensive Calcifications." Brazilian Dental Journal 25, no. 5 (October 2014): 447–50. http://dx.doi.org/10.1590/0103-6440201300235.
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The radicular cyst is an inflammatory odontogenic cyst of endodontic origin. Radiographically, the lesion appears as a periapical radiolucent image. This report describes a very rare case of a mixed periapical radiographic image diagnosed as a radicular cyst. A 37-year-old female patient presented a mixed, well-circumscribed image located in the periapical region of the left maxillary central incisor, which presented unsatisfactory endodontic treatment. Microscopic examination revealed a cavity lined by non-keratinized squamous epithelium and extensive calcifications in the cystic lumen and lining epithelium. Diagnosis of radicular cyst with extensive calcifications was established. Endodontic retreatment was performed and no radiographic signs of recurrence were observed 18 months after treatment. Although very rare, a radicular cyst should be considered in the differential diagnosis of a mixed periapical image associated to teeth with pulp necrosis.
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Abulhamayel, Abdulkader Abdulelah, Khalid Abdulbaqi Alsulami, Ali Nasser Alshehri, Abdullah Hussain Alasmari, Faisal Ramadan Alzahrani, Majid Abdulkader Altayeb, Abdullah Ibrahim Almane, et al. "Role of laser application in endodontic treatment: a review of literature." International Journal Of Community Medicine And Public Health 8, no. 7 (June 25, 2021): 3646. http://dx.doi.org/10.18203/2394-6040.ijcmph20212308.
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Many applications have been previously reported that laser is used in the field of endodontics. It is used in pulp diagnosis, shaping and disinfection of the root canal, endodontic surgeries, modifying the dentin structures, pulpotomy and pulp capping. Our present study aims to review some applications of laser used in the field of endodontics. According to the evidence from current studies in the literature, vital pulp therapeutic approaches for pulpotomy can significantly lead to efficacious and bloodless outcomes by using laser for the following processes: Coagulation, vaporization, and sealing of the blood vessels with potentially sterile minute wounds with no complications. Many advantages have been previously reported for using laser within endodontic surgical procedures, such as coagulation, sterilization, selective absorption, precision, lower rates of complications as inflammation and edema, getting clean, well-sealed surgical wounds, enhanced disinfection characteristics, reduced painful sensations, decreased required sutures due to better hemostasis, and reduced bleeding. On the other hand, applying some laser modalities might not be adequately efficacious according to previous studies in the literature. We recommend that further human prospective to conduct investigations for further validation of the current evidence.
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Lokhande, Pravin R., Sethuraman Balaguru, and G. Deenadayalan. "A Review of Contemporary Fatigue Analysis and Biomaterials Studies in Endodontics." Materials Science Forum 969 (August 2019): 193–98. http://dx.doi.org/10.4028/www.scientific.net/msf.969.193.
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The objective of this review article is to review literature on fatigue analysis and biomaterials studies in Endodontics. The nitinol and gutta-percha are widely used biomaterials in the Endodontic fields. The nitinol is used to manufacture the Endodontic files which are used for preparation of the root canal. The preparation of the root canal consist of removal of dead tissue, substrates and debris from the decayed root canal. During the preparation of root canal shaping of the root canal is done to develop the perfectly prepared cavity. The gutta-percha is used to fill the prepared cavity. The nitinol and gutta-percha are important contributing biomaterial for success of root canal treatment. This review article has been reviewed contemporary studies on nitinol and gutta-percha biomaterials. For the success of root canal treatment the fatigue of Endodontic file and three dimensional filling of root canal are two important aspect. The Endodontic files during the cleaning and shaping of the canal gets subjected to torsion fatigue failure or cyclic fatigue failure. The past studies lacks the exact knowledge about these failures as well as analysis approaches to be followed for correct diagnosis. This review article helps to overcome this difficulties. Moreover, the fatigue factors are discussed so that researcher can get little idea about failure point of the nitinol rotary files. The review consist of A contemporary review of nitinol alloy studies, A review of fatigue failure diagnosis, A contemporary review of gutta-percha quality assessment techniques studies, A novel approach for fatigue analysis of nitinol file and A novel approach for quality assessment of gutta-percha etc.
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Raharjo, Gunawan, and Pribadi Santosa. "Perawatan Saluran Akar Satu Kunjungan disertai Restorasi Resin Komposit dengan Pasak Parallel Self-Threading Gigi Molar Kedua Kanan Mandibula Pulpitis Ireversibel." Majalah Kedokteran Gigi Klinik 1, no. 1 (June 29, 2016): 63. http://dx.doi.org/10.22146/mkgk.11923.
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Perawatan saluran akar (PSA) satu kunjungan merupakan perawatan saluran akar dengan prinsip triad endodontik (cleaning and shaping, medikasi dan obturasi saluran akar) diselesaikan dalam satu kali kunjungan. Keuntungan perawatan adalah memperkecil risiko kontaminasi mikroorganisme dalam saluran akar antar kunjungan, menghemat waktu perawatan karena tidak dilakukan penggantian medikasi intrakanal tetapi tanpa mengurangi kualitas hasil perawatan. Pulpitis ireversibel merupakan salah satu indikasi perawatan saluran akar satu kunjungan. Gigi posterior pasca PSA dengan kehilangan jaringan sehat yang tidak terlalu banyak dapat dilakukan restorasi menggunakan bahan resin komposit dengan penguat pasak parallel self-threading. Tujuan laporan kasus ini untuk menunjukkan keberhasilan perawatan saluran satu kunjungan pada kasus pulpitis ireversibel dan restorasi akhir menggunakan resin komposit yang diperkuat pasak parallel self-threading. Pasien laki-laki 47 tahun dilakukan perawatan saluran akar pada gigi molar kedua kanan mandibula dengan diagnosa pulpitis ireversibel. Pada pemeriksaan radiograf terlihat kavitas yang melibatkan pulpa dan tidak terdapat area radiolusen pada daerah periapikal. Kasus ini dilakukan PSA satu kunjungan dilanjutkan restorasi resin komposit dengan penguat pasak parallel self-threading pada kunjungan berikutnya. Perawatan saluran akar satu kunjungan disertai restorasi resin komposit dengan penguat pasak parallel self-threading berhasil dilakukan pada kasus pulpitis ireversibel pada gigi molar kedua kanan mandibula. Abstract: One Visit Endodontic Followed with Parallel Self Threading Dowel Reinforced Composite Resin Restoration on The Irreversible Pulpitis of Mandibular Right Second Molar. One visit endodontic root canal treatment (RCT) which endodontic triad (cleaning and shaping, medication, and obturation of the root canal) were completed in one visit. The advantages treatment is to minimize the risk of microorganisms contamination in the root canal, that saves time. In this treatment there is no intracanal medication replacement without reducing the quality of treatment. Irreversible pulpitis is one of one visit endodontic’s indications. Parallel self-threading dowel reinforced composite resin can be performed at minimal destruction post endodontically treated posterior teeth. The purpose of this case report is to demonstrate the irreversible pulpitis were treated by one visit root canal treatment successfully and its restorations with parallel self-threading dowel reinforced composite resin. Male patients 47years old who diagnosed irreversible pulpitis was treated by one visit root canal treatment on the mandibular right second molars. The radiographs image showed cavity involving to the pulp and there was no radiolucent area in the periapical region. Endodontic treatment was done by one visit root canal treatment and followed with composite resin restoration with parallel self-threading dowel. One visit endodontic followed with restored using composite resin material that reinforced by parallel self-threading dowel successfully performed on the mandibular right second molar with irreversible pulpitis diagnosis.
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Sonde, Nargis, and Malcolm Edwards. "Perio-Endo Lesions: A Guide to Diagnosis and Clinical Management." Primary Dental Journal 9, no. 4 (November 23, 2020): 45–51. http://dx.doi.org/10.1177/2050168420963305.
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Dentists are likely to encounter lesions that have both periodontal and endodontic aetiological components; the so called ‘perio-endo lesions’. A thorough examination with appropriate investigations remains pivotal to diagnosing a perio-endo lesion. Correct diagnosis of such lesions is therefore important as it enables the most suitable clinical management to be treatment planned. It is still recommended that for the treatment of perio-endo lesions, initial endodontic therapy is completed.
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Karapanou, Virginia. "Endodontic management of an impacted premolar." Journal of Clinical Pediatric Dentistry 29, no. 4 (July 1, 2005): 293–98. http://dx.doi.org/10.17796/jcpd.29.4.2h1234j426p8qh21.
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This report demonstrates a simple endodontic solution to an interdisciplinary case of a patient with multiple gene deficiencies. An adolescent patient presented with an impacted premolar that could not be extracted due to high-risk conditions. A suspicious degree of radiolucency around the crown was clinically diagnosed as dentigerous cyst. The treatment dilemma and implementation are discussed. This case report offers a different treatment option for impacted teeth when significant differential diagnosis of a pericoronal lesion dictates treatment.
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Garg, Amit Kumar, Vijay R. Mantri, and Neha Agrawal. "Endodontic Management of Mesiobuccal-2 Canal in Four-Rooted and Five-Canalled Mandibular Third Molar." Journal of Contemporary Dental Practice 15, no. 3 (2014): 363–66. http://dx.doi.org/10.5005/jp-journals-10024-1544.
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ABSTRACT Aim A case of unusual root morphology is presented to demonstrate anatomic variations in mandibular third molar. Background The most common configuration of mandibular third molar is two roots and three canals; however they may have many different combinations. Endodontic treatment was performed in mandibular third molar having aberrant anatomy. Case description Four root canal orifices were located with the aid of dental operating microscope (DOM) and three separate roots were diagnosed with radiographs. Spiral computed tomography (SCT) showed the presence of an extra canal and extra root, indicating a rare anatomic configuration. Looking for additional canals and roots are important part of successful endodontics, as the knowledge of their existence enable clinicians to treat a case successfully that otherwise might end in failure. Conclusion The use of DOM and SCT in this case greatly contributed toward making a confirmatory diagnosis and successful endodontic treatment of four-rooted and five-canalled mandibular third molar. Clinical significance Variation in root canal anatomy is very common. Knowledge of these variations is very essential for successful root canal outcome, inability to do so can lead to missed canals and failures. Hence, thorough knowledge of root canal anatomy and advances in diagnostic aids are essential. How to cite this article Garg AK, Bhardwaj A, Mantri VR, Agrawal N. Endodontic Management of Mesiobuccal-2 Canal in Four-Rooted and Five-Canalled Mandibular Third Molar. J Contemp Dent Pract 2014;15(3):363-366.
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Halkai, Kiran, Rahul Halkai, Mithra N. Hegde, Sapna S., and Narender Reddy M. "SPIRAL CT A SEARCH ENGINE FOR DIAGNOSING MULTIPLE CANALS - A RARE CASE REPORT." Journal of Health and Allied Sciences NU 04, no. 01 (March 2014): 131–34. http://dx.doi.org/10.1055/s-0040-1703751.
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Abstract:Successful treatment of any case mainly depends on proper diagnosis; this is particularly true when we are doing an endodontic treatment. Internal anatomy of root canal system varies a lot and predisposes to inadequate root canal preparation and should be recognized before or during treatment. Proper knowledge of these anatomical variations and proper diagnosis are of paramost important. As the routine diagnostic aids, radiograph is a two dimensional representation of a three dimensional object where the internal anatomy of the tooth cannot be appreciated properly. Spiral computed tomography (SCT) has got an advantage as it gives a 3 dimensional image of a given object. We present an interesting case of multiple canals in all the teeth except incisors in a single patient which was diagnosed with the aid of Dental CT and its potential role, this diagnostic method can help in the field of endodontics
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Tonetto, Mateus Rodrigues, Marcelo Ferrarezi de Andrade, Matheus Coelho Bandéca, Milton Carlos Kuga, Katia Cristina Keine, Kamila Figueiredo Pereira, Miriam Graziele Magro, Ana Carolina Soares Diniz, Marina Oliveira Gonçalves Galoza, and Yolanda Benedita Abadia Martins de Barros. "Differential Diagnosis and Treatment Proposal for Acute Endodontic Infection." Journal of Contemporary Dental Practice 16, no. 12 (2015): 977–83. http://dx.doi.org/10.5005/jp-journals-10024-1791.
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ABSTRACT The objective of this study was to describe the main lesions that simulate clinically and propose a treatment protocol for acute endodontic infection. Signs and clinical symptoms of periodontal abscess, gingival abscess, odontoma, herpes simplex, pericoronitis, acute pulpitis and necrotizing ulcerative gingivitis/periodontitis (NUG/NUP) were described and compared with acute endodontic infections. A treatment protocol was described by optimizing the procedures in access cavity, microbial decontamination and detoxification of the root canal, apical debridement, intracanal and systemic medication and surgical drainage procedures. The convenience of the use of 5.25% sodium hypochlorite, root canal instrumentation using a crown-down technique, intracanal medication with 2% chlorhexidine or triple antibiotic paste and the convenience of the use of antibiotics, analgesics, and surgical drainage to solve cases of acute dentoalveolar abscess was discussed. How to cite this article Keine KC, Kuga MC, Pereira KF, Diniz ACS, Tonetto MR, Galoza MOG, Magro MG, de Barros YBAM, Bandéca MC, de Andrade MF. Differential Diagnosis and Treatment Proposal for Acute Endodontic Infection. J Contemp Dent Pract 2015;16(12):977-983.
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Sumidarti, Andi, and Wahyuni S. Dwiandhany. "Management pain and anxiety in endodontic treatment." Journal of Dentomaxillofacial Science 2, no. 1 (April 1, 2017): 4. http://dx.doi.org/10.15562/jdmfs.v2i1.462.
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Objective : Dental pain is a common symptom that most often causes patient to seek dentist. A survey conducted by the American Association of Endodontics revealed that more than half patients who come to dentist have experienced pain, which originate from the teeth or of the surrounding tissue, can causes difficulties in handling, also the anxiety of the patient. Understanding the pain experienced by patient will help dentist to determine when to make an action. Most patient being fear with pain, so they delay to get treatment from dentist, and lead to the development of further infection and inflammation. The aim of this paper is to improve the understanding of pharmacology and procedures for pain and anxiety management in endodontic treatment. So, it is important to determine accurate diagnosis, management and drug administration.
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FAVA, L. R. G., and P. M. H. DUMMER. "Periapical radiographic techniques during endodontic diagnosis and treatment." International Endodontic Journal 30, no. 4 (July 1997): 250–61. http://dx.doi.org/10.1111/j.1365-2591.1997.tb00705.x.
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Fouad, AF, and JA Burleson. "Effectiveness of an endodontic diagnosis computer simulation program." Journal of Dental Education 61, no. 3 (March 1997): 289–95. http://dx.doi.org/10.1002/j.0022-0337.1997.61.3.tb03119.x.
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FAVA, L. R. G., and P. M. H. DUMMER. "Periapical radiographic techniques during endodontic diagnosis and treatment." International Endodontic Journal 30, no. 4 (October 30, 2003): 250–61. http://dx.doi.org/10.1046/j.1365-2591.1997.00078.x.
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Linn, Jack L. "The Role Of Spiral C.T. In Endodontic Diagnosis." Australian Endodontic Journal 26, no. 1 (April 2000): 27–29. http://dx.doi.org/10.1111/j.1747-4477.2000.tb00147.x.
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Caplan, Dan. "Pulse Oximetry: A Potential Aid in Endodontic Diagnosis?" Journal of Evidence Based Dental Practice 10, no. 2 (June 2010): 125–26. http://dx.doi.org/10.1016/j.jebdp.2010.02.011.
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Pasha, Shiraz, Bathula Vimala Chaitanya, and Kusum Valli Somisetty. "Cone Beam Computed Tomographic Evaluation and Diagnosis of Mandibular First Molar with 6 Canals." Case Reports in Dentistry 2016 (2016): 1–4. http://dx.doi.org/10.1155/2016/1016985.
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Root canal treatment of tooth with aberrant root canal morphology is very challenging. So thorough knowledge of both the external and internal anatomy of teeth is an important aspect of root canal treatment. With the advancement in technology it is imperative to use modern diagnostic tools such as magnification devices, CBCT, microscopes, and RVG to confirm the presence of these aberrant configurations. However, in everyday endodontic practice, clinicians have to treat teeth with atypical configurations for root canal treatment to be successful. This case report presents the management of a mandibular first molar with six root canals, four in mesial and two in distal root, and also emphasizes the use and importance of Cone Beam Computed Tomography (CBCT) as a diagnostic tool in endodontics.
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Sidiropoulos, Konstantinos, Konstantina Roussou, Lambros Intzes, and Nikolaos Economides. "Guided Tissue Regeneration in Surgical Endodontic Treatment: Case Report and Literature Review." Balkan Journal of Dental Medicine 23, no. 2 (July 1, 2019): 102–7. http://dx.doi.org/10.2478/bjdm-2019-0019.
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Summary Background/Aim: Guided tissue regeneration is widely used in endodontic surgery. The aim is to aid in the healing process and bone regeneration and provide more successful and predictable outcomes. Case report: This case report describes the successful treatment of an endodontic-periodontal lesion (with primary endodontic involvement), including root canal retreatment and endodontic surgery with the use of GTR (collagen absorbable membrane-xenogeneic bone graft). CBCT examination was used to aid in diagnosis and in the follow-up examination after two years to provide additional confirmation of the healing process. An extensive literature review was undertaken focusing on clinical studies that assessing the added benefit of GTR in surgical endodontics. The clinical and radiographic examinations showed uneventful healing and the reconstruction of the buccal plate and periapical area. The patient remained asymptomatic throughout the entire two years period after surgical intervention. A literature review concluded that lesion type, lesion size and the selection of the biomaterial are important factors that influence the outcome of GTR in comparison control groups. A favorable outcome was found in cases of large periapical lesions (>10mm), through-through lesions and with the use of an absorbable membrane, with or without a bone graft. Conclusions: GTR is thought to provide an added benefit in bone regeneration and the healing process in specific cases. The outcomes in the case report are consistent with the conclusions of literature review.
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Chaya, Megafuri, and Opik Taofik Hidayat. "Penatalaksanaan diskolorisasi gigi pasca perawatan endodontik dengan teknik walking bleachManagement of post-endodontic tooth discolouration with the walking bleach technique." Jurnal Kedokteran Gigi Universitas Padjadjaran 32, no. 3 (February 28, 2021): 98. http://dx.doi.org/10.24198/jkg.v32i3.25996.
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Pendahuluan: Diskolorisasi gigi setelah perawatan endodontik dapat disebabkan oleh bahan pengisi saluran akar. Bahan endodontik yang tertinggal di dalam kamar pulpa akan menginfiltrasi tubulus dentin sehingga menyebabkan pewarnaan. Diskolorisasi intrinsik akibat bahan pengisi saluran akar seringkali terlihat pada sepertiga servikal gigi yang telah dirawat endodontik. Walking bleach merupakan teknik bleaching internal yang digunakan pada kasus diskolorasi pasca perawatan endodontik. Tujuan laporan kasus ini adalah memaparkan tentang penatalaksanaan diskolorisasi gigi pasca perawatan saluran akar dengan teknik walking bleach. Laporan kasus: Pasien perempuan berusia 20 tahun datang ke RSGM Unpad dengan keluhan gigi depan atas kiri berwarna kecoklatan dan mengganggu penampilan. Pemeriksaan klinis menunjukkan gigi 21 terdapat tumpatan komposit pada mesiobukal disertai diskolorisasi intrinsik dengan warna kecoklatan tampak dominan pada daerah servikal. Hasil tes vitalitas, perkusi dan palpasi negatif. Pemeriksaan radiologis menunjukkan gambaran radiopak menyerupai bahan pengisi saluran akar dari kamar pulpa hingga 2/3 panjang saluran akar. Diagnosis pada kasus ini adalah Previously Treated gigi 21. Perawatan ulang saluran akar dilakukan dan diikuti prosedur bleaching internal dengan teknik walking bleach. Gutta-percha dihilangkan 3 mm di bawah orifice kemudian dibuat barrier semen glass ionomer. Pasta H2O2 35% diletakkan diatas barrier lalu ditutup tumpatan glass ionomer. Setelah 1 minggu didapatkan warna yang sesuai, kalsium hidroksida diaplikasikan pada kamar pulpa. Gigi direstorasi dengan resin komposit 2 minggu kemudian. Aplikasi pasta H2O2 35% dengan teknik walking bleach terbukti dapat mengembalikan warna gigi tersebut. Simpulan: Teknik walking bleach merupakan salah satu pilihan perawatan yang dapat mengatasi diskolorisasi intrinsik pada gigi non vital pasca perawatan endodontik secara efektif.Kata kunci: Diskolorisasi intrinsik, bleaching internal, teknik walking bleach. ABSTRACTIntroduction: Tooth discolouration post-endodontic treatment can be caused by root canal filling materials. The endodontic material left in the pulp chamber will infiltrate the dentinal tubules, thus causing staining. Intrinsic discolouration due to root canal filling is frequently seen in an endodontically-treated third cervical. Walking bleach is an internal bleaching technique used in post endodontic discolouration cases. The purpose of this case report was to describe the management of post-endodontic root canal discolouration with the walking bleach technique. Case report: A 20-year-old female patient came to Universitas Padjadjaran Dental Hospital (RSGM Unpad) with complaints that her maxillary anterior left teeth were brownish and disturbing her appearance. Clinical examination showed that tooth 21 had a mesiobuccal composite fill with intrinsic discolouration, in which the brownish colour was appearing predominantly in the cervical area. Vitality, percussion and palpation test results were negative. Radiological examination showed a radiopaque image resembling a root canal filling material from the pulp chamber to two-thirds of the root canal length. The diagnosis was previously treated tooth. Root canal re-treatment was carried out and followed by an internal bleaching procedure using the walking bleach technique. The gutta-percha was removed 3 mm below the orifice, and a glass ionomer cement barrier was made. 35% H2O2 paste was placed above the barrier and then covered with a glass ionomer spill. After one week of obtaining the appropriate colour, calcium hydroxide was applied to the pulp chamber. The tooth was restored with composite resin two weeks after. The application of 35% H2O2 paste using the walking bleach technique was proven to be able to restore the teeth colour. Conclusion: The walking bleach technique is one treatment option that can effectively treat intrinsic discolouration of non-vital teeth post-endodontic treatment.Keywords: Intrinsic discolouration, internal bleaching, walking bleach technique.
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Rehman Khattak, Shakeel Ur, Ruqayya Sana, Yasir Khattak, Faiz Alam, and Muhammad Zain Khan. "Factors Associated with Endodontic Flare-Ups." Journal of Gandhara Medical and Dental Science 2, no. 2 (March 1, 2016): 14–20. http://dx.doi.org/10.37762/jgmds.2-2.51.
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OBJECTIVE:The objective of the current study was to determine the frequency and factors of endodontic flare-ups and to compare the post obturation pain in single visit and multi visit root canal therapy, at the department of operative dentistry Sardar Begum Dental College (SBDC), Peshawar.MATERIALS AND METHODS:It was a cross sectional study, carried out at the department of operative dentistry, Sardar Begum Dental College, Peshawar. A total sample of 200 subjects was studied. Treatment protocols were standardized and, after taking informed consent endodontic procedure was carried out. Chi-square test was used to explore the relationship between endodontic flare ups with study variables.RESULTS:Our sample consisted of 54% females and 46% males. Frequency of endodontic flare ups was experienced by 48% subjects.96.2% had used antibiotics, Endodontic flare ups was found to be significantly associated with gender, preoperative diagnosis ,preoperative pain and medication while it was not found to be associated with any other variable studied.CONCLUSION:It was concluded that prevalence of post preparation pain during root canal treatment was high and significantly affected by pre-operative pain, preoperative diagnosis and medication. However, careful selection and adherence to the basic principles of endodontic therapy may reduce the occurrence of flare ups.
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Perlea, Paula, Cristina Coralia Nistor, Alexandru Andrei Iliescu, and Mihaela Jana Ţuculină. "Endodontic treatment of apical inflammatory root resorption." Romanian Journal of Stomatology 61, no. 1 (March 31, 2015): 49–54. http://dx.doi.org/10.37897/rjs.2015.1.9.
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Apical inflammatory root resorptions are frequently the result of long lasting chronical inflammation. Untreated, these situations can lead to loss of hard tissue and even the loss of the tooth. The management of these lesions consists of multi-visit canal treatment, with calcium-hydroxide as interappointment dressing and application of MTA. Single-visit treatment may be also an option. Our clinical cases show the importance of correct diagnosis of the apical inflammatory progressive root resorptions and the evaluation of the outcome of the endodontic treatment due to the use of cone-beam computing tomography (CBCT). The treatments proved to be successful. Although some of the root canal filling seem to be incomplete on radiographs, because of the oblique defect and the roots remained short, the functionality of the teeth could be preserved. Precise information influences the diagnosis and the treatment planning decision.
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Warrier, Shreehari. "Nonsurgical Management of Endodontic Perforation at Molar Furcation Region." International Journal of Experimental Dental Science 3, no. 2 (2014): 117–19. http://dx.doi.org/10.5005/jp-journals-10029-1085.
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ABSTRACT The periodontal ligament and root canal system have a common developmental, anatomic and functional relationship and theoretically an infection originating in one tissue can affect the other also. The simultaneous existence of endodontic and inflammatory periodontal lesions is a clinician's nightmare as it can complicate the diagnosis and an accurate diagnosis may be particularly difficult when a sinus tract originating from the endodontic lesion drains along the periodontal ligament space, mimicking periodontal disease. Thorough diagnostic testing to confirm pulp necrosis or periodontal disease becomes critical when attempting to diagnose the specific disease entity accurately and then deliver suitable treatment. A blanket diagnosis for any such lesions regardless of primary etiology can prove to be a disaster. A case report of an iatrogenic endodontic perforation of the pulp chamber at the region of molar furcation and managed by nonsurgical therapy is presented in this paper. How to cite this article Warrier S. Nonsurgical Management of Endodontic Perforation at Molar Furcation Region. Int J Experiment Dent Sci 2014;3(2):117-119.
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Wadekar, Swati Ishwar, Dipali Yogesh Shah, Jimish Rajiv Shah, and Kinjal Mahesh Gathani. "Endodontic Management of a Three-rooted Mandibular First Premolar associated with Taurodontism." Journal of Operative Dentistry & Endodontics 1, no. 2 (2016): 90–92. http://dx.doi.org/10.5005/jp-journals-10047-0019.
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ABSTRACT Introduction Taurodontism is a morpho-anatomic variation in tooth anatomy that rarely affects mandibular premolars. Literature is replete with mandibular first premolars presenting atypical additional root canals, but concurrent presence of three roots and taurodontism is exceptional. Materials and methods This case report describes the successful endodontic diagnosis and management of a rare case of taurodontism in a mandibular first premolar with chronic apical periodontitis. Cone beam computed tomography (CBCT) facilitated the diagnosis of three roots and root canals associated with concurrent taurodontism. The taurodont premolar required exceptional and diligent care in each segment of endodontic treatment for the complex root canal system. Results Taurodontism-affected premolars present with challenges in endodontic therapy as they have apically displaced pulp chambers with limited width. Cone beam computed tomography and dental operating microscope can facilitate evaluation for teeth with such complex anatomy and their successful endodontic management. How to cite this article Wadekar SI, Shah DY, Shah JR, Gathani KM. Endodontic Management of a Three-rooted Mandibular First Premolar associated with Taurodontism. J Oper Dent Endod 2016;1(2):90-92.
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Alquthami, Hind, Abdulaziz M. Almalik, Faisal F. Alzahrani, and Lana Badawi. "Successful Management of Teeth with Different Types of Endodontic-Periodontal Lesions." Case Reports in Dentistry 2018 (May 29, 2018): 1–7. http://dx.doi.org/10.1155/2018/7084245.
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Endodontic-periodontal diseases often present great challenges to the clinician in their diagnosis, management, and prognosis. Understanding the disease process through cause-and-effect relationships between the pulp and supporting periodontal tissues with the aid of rational classifications leads to successful treatment outcomes. In this report, we present several treatment modalities in patients with different endodontic-periodontal lesions. A modification to the new endodontic-periodontic classification, Al-Fouzan’s classification, was also added. The first case was classified as retrograde periodontal disease (i.e., primary endodontic lesion with drainage through the periodontal ligament). The second case was diagnosed as an iatrogenic periodontal lesion caused by root perforation. The third case was diagnosed as an iatrogenic periodontal lesion caused by tooth trauma due to orthodontic treatment. The first two cases were managed with a nonsurgical approach, whereas the third case was managed with nonsurgical and surgical approaches. All patients showed complete healing of soft and hard tissue lesions. A thorough understanding of the disease history and the patient’s signs and symptoms, complete examination with full investigation, and the use of a systematic step-by-step approach in the management of such challenging endodontic-periodontal lesions with regular recall visits were very useful and successful.
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Chougule, Amruta R., M. Kundabala, Rayapudi P. Mohan, and Neeta Shetty. "Cone-beam Computed Tomography: A Resolution to Paradoxical Judgments in Endodontic Diagnosis." World Journal of Dentistry 7, no. 2 (2016): 100–106. http://dx.doi.org/10.5005/jp-journals-10015-1374.
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ABSTRACT Recently, various diagnostic tools have emerged with a view to enhance endodontic treatment. Cone-beam computed tomography (CBCT) is presented as a new endodontic tool. The narrow field CBCT reduces the negative effects of anatomic noise, geometric distortion, and technique sensitivity observed on two-dimensional images. It can be used to identify canal morphology, numbers of canals, and relative positioning even in the presence of calcific metamorphosis (CM) and dystrophic calcifications. Calcific metamorphosis is characterized by the deposition of hard tissue within the pulp canal space. Most of the literature advices the treatment of CM through observation and periodic examination. Thus, it is imperative for the clinician to identify calcified canals preoperatively for conservative treatment approach. This case series illustrates about the versatility of CBCT over the conventional radiology for detecting calcified canals. How to cite this article Chougule AR, Kundabala M, Mohan RP, Shetty N. Cone-beam Computed Tomography: A Resolution to Paradoxical Judgments in Endodontic Diagnosis. World J Dent 2016;7(2):100-106.
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Alfawaz, Yasser. "Management of an Endodontic-periodontal Lesion caused by Iatrogenic Restoration." World Journal of Dentistry 8, no. 3 (2017): 239–46. http://dx.doi.org/10.5005/jp-journals-10015.
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ABSTRACT Aim This clinical case report demonstrates the successful management of a complex endodontic-periodontal iatrogenic lesion following a critical evaluation and decision-making process with interdisciplinary treatment strategies. Background Defective dental restorations can affect the periodontal and endodontic health of the teeth. Case report An endodontic-periodontal lesion that resulted from a faulty restoration in a 30-year-old male patient is reported. The management of the case is done through periodontal and endodontic treatment. The detailed method of managing of this type of cases is discussed. Conclusion In conclusion, the use of a systematic diagnosis process will help in the identification and treatment of iatrogenic endodontic-periodontal lesions. Clinical significance The correct management of endodontic-periodontal lesions can impede the loss of the involved teeth. How to cite this article Alfawaz Y. Management of an Endodontic-periodontal Lesion caused by Iatrogenic Restoration. World J Dent 2017;8(3):239-246.
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Alfawaz, Yasser. "Management of an Endodontic-periodontal Lesion caused by Iatrogenic Restoration." World Journal of Dentistry 8, no. 3 (2017): 239–46. http://dx.doi.org/10.5005/jp-journals-10015.
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ABSTRACT Aim This clinical case report demonstrates the successful management of a complex endodontic-periodontal iatrogenic lesion following a critical evaluation and decision-making process with interdisciplinary treatment strategies. Background Defective dental restorations can affect the periodontal and endodontic health of the teeth. Case report An endodontic-periodontal lesion that resulted from a faulty restoration in a 30-year-old male patient is reported. The management of the case is done through periodontal and endodontic treatment. The detailed method of managing of this type of cases is discussed. Conclusion In conclusion, the use of a systematic diagnosis process will help in the identification and treatment of iatrogenic endodontic-periodontal lesions. Clinical significance The correct management of endodontic-periodontal lesions can impede the loss of the involved teeth. How to cite this article Alfawaz Y. Management of an Endodontic-periodontal Lesion caused by Iatrogenic Restoration. World J Dent 2017;8(3):239-246.
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Al-Fouzan, Khalid S. "A New Classification of Endodontic-Periodontal Lesions." International Journal of Dentistry 2014 (2014): 1–5. http://dx.doi.org/10.1155/2014/919173.
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The interrelationship between periodontal and endodontic disease has always aroused confusion, queries, and controversy. Differentiating between a periodontal and an endodontic problem can be difficult. A symptomatic tooth may have pain of periodontal and/or pulpal origin. The nature of that pain is often the first clue in determining the etiology of such a problem. Radiographic and clinical evaluation can help clarify the nature of the problem. In some cases, the influence of pulpal pathology may cause the periodontal involvement and vice versa. The simultaneous existence of pulpal problems and inflammatory periodontal disease can complicate diagnosis and treatment planning. An endo-perio lesion can have a varied pathogenesis which ranges from simple to relatively complex one. The differential diagnosis of endodontic and periodontal diseases can sometimes be difficult, but it is of vital importance to make a correct diagnosis for providing the appropriate treatment. This paper aims to discuss a modified clinical classification to be considered for accurately diagnosing and treating endo-perio lesion.