15 Scalpel Blade #2/4 Molt Curette 'Apical Clearing' Concept

Total Page:16

File Type:pdf, Size:1020Kb

15 Scalpel Blade #2/4 Molt Curette 'Apical Clearing' Concept ENGLISH #12 blade #15 blade|#15 scalpel blade #2/4 Molt curette ‘apical clearing’ concept ‘horizontal scrub’ technique ‘monoblock’ concept 0-degree bevel angle root resection 0-degree bevel root resection 1: 5 diluted formocresol 12-blade carbide bur 12-fluted finishing bur 18-gauge needle 3-0 silk suture for traction 30-flute tungsten-carbide composite-resin finishing-bur 30-gauge ultra-short needle 34/35 Jaquette and Mini-Jaquette scalers 37% phosphoric acid solution 3-dimensional obturation 45-degree bevel 45-degree bevel incision angle 4-methacryloyloxyethy trimellitate anhydride|4-META 4-walled access cavity 90-degree incision abate abducent nerve aberrant root entities aberrations ability to bond to enamel ability to promote tissue regeneration abnormal abnormal tooth mobility abnormalities abnormalities of dentine abnormally shaped tooth abrade abrasion abrasion defects abrasion resistance|resistance to abrasion abrasion-resistant|resistant to abrasion abrasions abrasive abrasive action abrasive agent abrasive cream abrasive dentifrice abrasive disks abrasive particles abrasive slurries and pastes abrasive system abrasive tools abrasive wear abrasive-impregnated rubber rotary instruments abrasiveness abscess abscessed tooth absorbable absorbable gelatin sponge absorbent paper strips abutment abutment teeth abutment tooth acanthotic acatalasia accelerator accentuated access access bur access cavity access cavity burs access cavity design access cavity preparation access opening access opening closed with a permanent restoration access outline form|access outline |outline of the access cavity access preparation access preparations access technique access to cleaning interproximally and subgingivally access to lingual perforations accessed tooth accessory accessory canal accessory foramina accessory furcation canal accessory gutta-percha cone accessory point|accessory cone accessory root canals accumulate accurate cone fit accurate cone fit apically accurate determination of root canal length acellular afibrillar cementum acetal resin acetaminophen acetylcholine achieve a diagnosis|arrive at a diagnosis aching tooth acid dissolution acid etched acid etching acid pumice method acid-base reaction acid-etch technique acid-etched acid-etched composite resin acid-etched composite restoration acid-etched composite|acid-etch composite acid-etching acid-etching technique acidic acidic APF gels acidic cavity-cleansing products acidic primer-adhesive acidified acidity acid-pumice abrasion technique acidulated acidulated phosphate-fluoride gel acidulated phosphofluoride acoustic microstreaming acquired pellicle formation acquired superficial discoloration acrodynia|pink disease acrylate-phosphate monomer acrylic acrylic acid acrylic denture acrylic denture base acrylic denture base material acrylic denture resin acrylic denture teeth acrylic finishing bur acrylic finishing instruments acrylic free-radical polymerization acrylic liquid acrylic materials acrylic point acrylic polymer base acrylic polymers acrylic powder acrylic relief acrylic resins acrylic stent acrylic surgical stent acrylic teeth acrylic-based dental prosthesis acrylics actinomycosis actinomycotic aggregate actinomycotic colonies action activation activator activator liquid activity acute acute apical abscess acute canal curvature acute manifestations of inflammation acute necrotizing ulcerative gingivitis|Vincent’s infection acute pain acute periapical abscess acute periodontal abscess acute pseudomembranous candidiasis acute pulpitis acute, aching pain acutely inflamed acyclovir cream adapt adaptability adaptation add proximal contacts to a crown addition polymerization addition silicone addition silicone impression material addition silicone-polyether hybrid additional canals additional closing sutures additional investigations adenocarcinoma adenoma sebaceum of the skin adequate adhere adherence adhesion adhesion molecules adhesive adhesive bonding system adhesive capability adhesive cement adhesive dentistry adhesive materials adhesive properties adhesive resin cements adhesive resin layer adhesive resins adhesive restorations adhesive restorative materials adhesive restorative techniques adhesive root filling materials adhesive technique adhesiveness adjacent adjacent teeth adjacent to adjunctive antimicrobial therapy adjunctive treatment adjust the occlusion administer administration admixed admixed amalgam Adson tissue forceps Adson tissue pickup advanced adverse adverse toxic effects of medicaments aerobic bacteria|aerobes aesthetic improvement aesthetic problems|problems of aesthetics aesthetic sculpting surgical procedure aesthetically pleasing affect affected affected area affective afferent afferent nerves afferents afflicted tooth A-fibers agar hydrocolloid impression materials agar impression material agar impressions agar materials age changes agent aggregate aggregates aggressive periodontitis agranulocytosis air abrasion air blast air motor air spray air syringe air-abrasion unit air-water spray alcohol torch aldehydes algesic cytokines alginate alginate binder alginate gel alginate hydrocolloid alginate hydrocolloid impression materials alginate impression alginate impression material alginate powder alginate substitute impression materials|alginate substitutes align alignment alkaline hypochlorites alkaline perborates alkaline phosphatase alkyl silicate all-alloy crown all-alloy restorations all-ceramic all-ceramic bridge all-ceramic crown all-ceramic material all-ceramic restoration allergenic allergenicity alleviate alleviation Allis forcep allodynia alloy alloy composites alloy crowns and bridges alloy crystal structure alloy end product alloy implants alloy substrate alloy substructure alloy-acrylic restoration alloy-ceramic combinations alloy-ceramic restoration all-purpose composites along the long axis alpha-phase gutta percha altered sensation of taste alternating pressure alternating quarter-turn movement of the file alumina alumina ceramic aluminosilicate glass aluminum hydroxide aluminum oxide alveolar abscess alveolar arch length alveolar arteries alveolar atrophy alveolar bone alveolar bone crest alveolar bone destruction alveolar bone height alveolar bone proper alveolar bone resorption alveolar bony crest alveolar contouring alveolar crest|crest of the alveolar ridge alveolar damage alveolar destruction alveolar expansion alveolar fracture|alveolar process fracture alveolar growth alveolar height alveolar mucosa alveolar osteitis alveolar plate alveolar process alveolar ridge alveolar ridge changes alveolar socket alveolar swelling alveologingival alveolus alveoplasty amalgam amalgam alloy amalgam bonding amalgam carrier amalgam core|amalcore|amalcore onlay amalgam intraradicular core for the coronal restoration amalgam margins amalgam overhangs amalgam plugger amalgam restoration amalgam retrograde amalgam retrograde filling amalgam root end filling amalgam scrap amalgam surface amalgam tattoo amalgam well amalgamation amalgamation reaction amalgamator|mixer for amalgam amalgam-generated mercury vapor amalgam-tooth bonding ameloblastic carcinoma ameloblastic secretory phase ameloblastoma ameloblasts amelogenesis imperfecta amenable American Dental Association|ADA amine accelerator amine-accelerated aminopeptidase activity ammonium bifluoride ammonium compounds amorphous amorphous calcium phosphate amorphous ceramic phases amorphous phase amorphous silica glass amount amoxicillin amphipathic drugs amplify amputated anachoresis anaerobes anaerobic anaerobic bacteria anaerobic culturing of root canals anaerobically anaesthesia anaesthetic agent anaesthetic capsule anaesthetic solution anaesthetic technique anaesthetic|anesthetic anaesthetic-vasoconstrictor combination anaesthetic-vasoconstrictor solution anaesthetize analgesia analgesic medications analgesics anaphylactic reaction anastomoses anatase anatomic anatomical apex anatomical apex of the tooth anatomical deviations anatomical factors anatomical redesigning anatomy anatomy of interproximal form anatomy of occlusal form anchor anchorage anchored anchoring sutures ancillary procedure anesthesia anesthetic agent anesthetic armamentarium anesthetic cartridge dispenser system anesthetic delivery system anesthetic gel anesthetic solution anesthetics anesthetize angle angle handpiece angle of curvature|angle of root curvature angle of exit angle of impaction angle of incision|angle of the incision angle of the bevel angle of the resection angle of the roots angled angled bone curette|angled surgical bone curette angled film angled periotome angled projection angled radiograph angled releasing incisions angled resection angular angular bone loss angular changes in the tubules angular cheilitis angulated radiograph angulation angulation of probing angulation of the blade angulation of the film anhydrous dibasic calcium phosphate ankyloglossia ankylosed tooth ankylosis ankylosis-related resorption anodontia anolyte anomalies anomalous root defect anomalous roots antegonial notching anterior anterior area anterior crowns anterior esthetics anterior facial vein anterior gingival tissues anterior implants anterior labial flange of the tray anterior mandible anterior mandibular area anterior middle superior alveolar nerve block|AMSA nerve block anterior nasal spine anterior open bite anterior portion of the mouth anterior ramus anterior release anterior restorations anterior sulcular extent of the incision anterior surgery anterior teeth anterior to anteriorly anterior-strip crowns
Recommended publications
  • Surgical Management of a Separated Endodontic Instrument Using
    Review Article Clinician’s corner Images in Medicine Experimental Research Case Report Miscellaneous Letter to Editor DOI: 10.7860/JCDR/2017/25761.9991 Case Report Postgraduate Education Surgical Management of a Separated Case Series Endodontic Instrument using Second Dentistry Section Generation Platelet Concentrate and Short Communication Hydroxyapatite SL SATHEESH1, SHEFALI JAIN2, atUL CHANDRA BHUYAN3, LEKSHMY S DEVI4 ABSTRACT Fractured endodontic instrument is an unfortunate endodontic mishap which may obstruct thorough cleaning and shaping of the root canals with potential impact on the endodontic prognosis and treatment outcome. When the fractured segment lies apical to canal curvature, overzealous removal of tooth structure is required to gain access to the separated segment which in turn increases the likelihood of root fracture. In infected cases, the stage at which instrument separation occurs is crucial as root canal disinfection is jeopardized. This case report describes the surgical retrieval of a fractured endodontic file from the mesiobuccal canal of mandibular first molar by limited resection of mesial root. Second generation platelet concentrate called Platelet Rich Fibrin (PRF) and nanocrystalline hydroxyapatite and β- tricalcium phosphate bone graft was placed to fill the surgical defect as the combination enhances the regenerative effect of PRF by exerting an osteoconductive effect in the bony defect area. The clinical and radiographic examination after eighteen months revealed complete periapical healing. Keywords: Bone graft, Instrument fracture, Instrument retrieval, Periapical surgery, Platelet rich fibrin CASE REPORT symptomatic. Treatment plan was changed to periapical surgery to A 32-year-old male patient with a chief complaint of dull aching pain retrieve the fractured file from mesiobuccal canal because it was in relation to his mandibular left first molar tooth (# 19) was referred deemed likely that further attempts to remove the file could perforate to Department of Endodontics for retreatment.
    [Show full text]
  • A Case of Periradicular Surgery: Apicoectomy and Obturation of the Apex, a Bold Act
    Locurcio et al. Stomatological Dis Sci 2017;1:76-80 DOI: 10.20517/2573-0002.2016.08 Stomatological Disease and Science www.sdsjournal.com Case Report Open Access A case of periradicular surgery: apicoectomy and obturation of the apex, a bold act Lino Lucio Locurcio1, Rachel Leeson2 1Ashford & St. Peter‘s Hospitals, Ashford TW15 3AA, UK. 2Eastman Dental Hospital, London WC1X 8LD, UK. Correspondence to: Dr. Lino Lucio Locurcio, Ashford & St. Peter’s Hospitals, London Road, Ashford TW15 3AA, UK. E-mail: [email protected] How to cite this article: Locurcio LL, Leeson R. A case of periradicular surgery: apicoectomy and obturation of the apex, a bold act. Stomatological Dis Sci 2017;1:76-80. Dr. Lino Lucio Locurcio has a wide experience in oral surgery, achieved throughout his training experience in Italy. He moved to London for a Master at Eastman Dental Institute in London. In addition, Dr. Locurcio had a fellowship in craniofacial surgery at Great Ormond Street Children Hospital. At the moment he is working in London as oral surgeon and implantologist with a special interest in maxillofacial and skin cancer surgery. Besides his hospital commitments, Dr. Locurcio currently works in a private clinic in Battersea, London. ABSTRACT Article history: This paper reports a case of a recurrent periapical cyst treated with enucleation of the lesion, Received: 08-10-2016 apicoectomy, and root end obturation on a lower left first molar. In the case of conventional Accepted: 21-12-2016 root canal treatment failure, non-surgical retreatment is the preferred option in most of the Published: 29-06-2017 cases.
    [Show full text]
  • Surgical Repair of Root and Tooth Perforations JOHN D
    Endodontic Topics 2005, 11, 152–178 Copyright r Blackwell Munksgaard All rights reserved ENDODONTIC TOPICS 2005 1601-1538 Surgical repair of root and tooth perforations JOHN D. REGAN, DAVID E. WITHERSPOON & DEBORAH M. FOYLE A root perforation is a mechanical or pathological communication formed between the supporting periodontal apparatus of the tooth and the root canal system. Three broad categories of etiological factors exist and these are procedural mishaps, resorption and caries. The diagnosis, management and repair of root perforations require skill and creative thinking. Unfortunately, much of what has been written on the subject of root perforation repair is unsubstantiated and empirical in nature and contributes little to evidence-based support for any specific repair procedure. However, perforation repair frequently provides a very attractive and frequently successful alternative to extraction of the involved tooth. In recent years, the procedure has become more predictable owing to the development of new materials, techniques and procedures. Introduction many perforations has been facilitated by the use of improved magnification and illumination provided by A root perforation is a mechanical or pathological the use of loupes or the surgical operating microscope communication formed between the supporting per- (SOM) (9, 10, 15–28). In practice, however, the iodontal apparatus of the tooth and the root canal indications for surgical correction of root perforations system (1). Perforations result in the destruction of the are being eroded from two directions: on the one hand dentine root wall or floor along with the investing by the improved non-surgical management of perfora- cementum. This communication compromises the tions and on the other by the use of implants.
    [Show full text]
  • Dr Prasad Musale (MDS, MLD)
    Dr Prasad Musale (MDS, MLD) ✤ Graduate from Bharati Vidyapeeth Dental College & Hospital, Pune(1994), Postgraduate from Government Dental College & Hospital, Mumbai(1999) and Masters in Laser Dentistry from Med- ical University of Vienna, Austria(2010) ✤ Teaching experience of 19 years ✤ Core interest in Pediatric Endodontics, Microscopic Pediatric Dentistry, MID and Laser assisted Pediatric Dentistry ✤ Published more than 25 International and National scientific papers ✤ Contributed many chapters in leading Pediatric Dentistry textbooks of authors like Dr Damle and Dr Shobha Tondon. ✤ Invited as Speaker/Faculty for National and international conferences ✤ Director of “Little Ones Big Smiles” Laser and Microscope Integrated Pediatric Dentistry in Pune since 1999 PEDIATRIC ENDODONTICS VITAL AND NON-VITAL PULP THERAPY Dr Prasad Musale (MDS, MLD) Pune,India SCOPE OF PEDIATRIC ENDODONTICS # To understand the developmental and biomedical aspects of primary and permanent pulp # Comprehensive clinical and radiographic diagnosis of the pulp and periradicular lesions # Vital pulp therapy and Nonvital pulp therapy including Regenerative Endodontics # Selective surgical removal of pathological tissues resulting from pulpal pathosis # Intentional replantation and replantation of avulsed teeth # Surgical removal of tooth structure, such as root-end resection and root-end filling; hemisection, and root resection # Bleaching of discolored dentin and enamel # Retreatment of teeth previously treated endodontically # Coronal restorations by means of post
    [Show full text]
  • Treatment Options for the Compromised Tooth: a Decision Guide
    Treatment Options for the Compromised Tooth: A Decision Guide www.aae.org/treatmentoptions Photo by Lindsey Frazier submitted by L. Stephen Buchanan, D.D.S. Root Amputation, Hemisection, Bicuspidization Case One Hemisection of the distal root of tooth #19. PreOp PostOp 13 mo. Recall Case Two* Hemisection of the distal root of tooth #30. PreOp PostOp Clinical Photograph * These images were published in The Color Atlas of Endodontics, Dr. William T. Johnson, p. 162, Copyright Elsevier 2002. Treatment Considerations/Prognosis Favorable Questionable Unfavorable Remaining Coronal Greater than 1.5 mm ferrule 1.0 to 1.5 mm ferrule Less than 1 mm ferrule Tooth Structure Crown Lengthening None needed If required will not Treatment required that compromise the aesthetics will affect the aesthetics or periodontal condition or further compromise the of adjacent teeth osseous tissues (support) of the adjacent teeth Endodontic Treatment Routine endodontic Nonsurgical root canal Canal calcification, complex treatment or not required retreatment required prior canal and root morphology, due to previous treatment to root resection and isolation complicate an ideal endodontic treatment result 2 American Association of Endodontists | www.aae.org Endodontic-Periodontic Lesions Case One Tooth #19 exhibiting probing to the distal apex. Treated in two steps using interim calcium hydroxide. PreOp Calcium Hydroxide PostOp 12 mo. Recall Case Two Tooth #21 exhibiting a wide, but deep probing on the mesial aspect. Treated in two steps using interim calcium hydroxide. PreOp Calcium Hydroxide PostOp 12 mo. Recall Case Three Tooth #19 with an 8 mm probing into furcation. Interim calcium hydroxide used. PreOp PostOp 12 mo.
    [Show full text]
  • Quality Resource Guide
    Second Edition Quality Resource Guide Diagnosing and Managing the Cracked Tooth Part 2: Vertical Root Fractures Author Acknowledgements Educational Objectives LEIF K. BAKLAND, DDS Following this unit of instruction, the practitioner should be able to: EMERITUS Professor 1. Differentiate vertical root fractures from other dental fractures. TORY SILVESTRIN, DDS MSD MSHPE Associate Professor, Chair and 2. Recognize the usual symptoms of vertical root fractures. Advanced Program Director 3. Describe methods for diagnosing vertical root fractures. Loma Linda University School of Dentistry Department of Endodontics 4. Recognize the risk factors associated with vertical root fractures. Loma Linda, California 5. Describe treatment options for vertical root fractures. Drs. Bakland and Silvestrin have no 6. Evaluate the prognoses for vertical root fractures. relevant financial relationships to disclose. MetLife designates this activity for 1.5 continuing education credits for the review of this Quality Resource Guide and successful completion of the post test. The following commentary highlights fundamental and commonly accepted practices on the subject matter. The information is intended as a general overview and is for educational purposes only. This information does not constitute legal advice, which can only be provided by an attorney. © 2020 MetLife Services and Solutions, LLC. All materials subject to this copyright may be photocopied for the noncommercial purpose of scientific or educational advancement. Originally published April 2017. Updated and revised March 2020. Expiration date: March 2023. The content of this Guide is subject to change as new scientific information becomes available. Address comments or questions to: Cancellation/Refund Policy: MetLife is an ADA CERP Recognized Provider. [email protected] Any participant who is not 100% satisfied with this course Accepted Program Provider FAGD/MAGD Credit 11/01/16 - 12/31/20.
    [Show full text]
  • Apicoectomy: an Elucidation to a Hitch
    Case Series http://doi.org/10.18231/j.jds.2019.006 Apicoectomy: An elucidation to a hitch Shashant Avinash1*, Eiti Agrawal2, Iqra Mushtaq3, Anuva Bhandari4, Farheen Khan5, Thangmawizuali6 1-6PG Student, Dept. of Periodontology and Implantology, 1,3Divya Jyoti College of Sciences and Research, Modinagar, Uttar Pradesh, 2,4,5,6I.T.S- Centre for Dental Studies & Research, Muradnagar, Ghaziabad, Uttar Pradesh, India *Corresponding Author: Shashant Avinash Email: [email protected] Abstract Endodontic surgery is a safe and passable alternative when teeth are not responding to traditional endodontic therapy and don’t acquire favourable outcomes. Apicoectomy involves surgical management of a tooth with a periapical lesion which cannot be resolved by routine endodontic treatment. Because the term “apicoectomy” consists of only one aspect of a multifaceted series of surgical procedures, i.e removal of root apex, the terms “periapical surgery” or “periradicular surgery” are more apposite. It must only be applied in specific situations. Endodontic treatment failures can be related to: extra-radicular infections such as periapical actinomycosis; to foreign body reactions that can be caused by endodontic material extrusion; to endogenous cholesterol crystal accumulation in apical tissues and unresolved cystic lesion. Keywords: Apicoectomy, Root resection, Surgery, Tooth. Introduction alveolaris” complicated by a dental abscess in the late years Apical surgery is the standard endodontic surgical procedure of the 19th century as a valid alternative to a dental to maintain a tooth with significant periapical lesion that extraction. Apicoectomy (root resection or root amputation) cannot be treated with conventional endodontic re- signifies the removal of the apices of pulpless teeth in which treatment.
    [Show full text]
  • Case Report Treatment of a Vertical Root Fracture Using Dual-Curing Resin Cement: a Case Report
    Hindawi Publishing Corporation Case Reports in Dentistry Volume 2012, Article ID 985215, 5 pages doi:10.1155/2012/985215 Case Report Treatment of a Vertical Root Fracture Using Dual-Curing Resin Cement: A Case Report Nima Moradi Majd,1, 2 Farshid Akhtari,3 Solmaz Araghi,1 and Hamed Homayouni1 1 Department of Endodontics, Dental School, Qazvin University of Medical Sciences, Qazvin 34157-59811, Iran 2 Iranian Center for Endodontic Research, Dental Research Center, Dental School, Shahid Beheshti University of Medical Sciences, Tehran 19839-63113, Iran 3 Dental Research Center, Shahid Beheshti University of Medical Sciences, Tehran 19839-63113, Iran Correspondence should be addressed to Farshid Akhtari, [email protected] Received 15 October 2012; Accepted 5 December 2012 Academic Editors: M. Feichtinger and A. Kasaj Copyright © 2012 Nima Moradi Majd et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction. Vertical root fracture (VRF) is one of the most frustrating complications of root canal treatment. The prognosis of the root with VRF is poor therefore tooth extraction and root amputation are usually the only treatment options. However, bonding of the fracture line with adhesive resin cement during the intentional replantation procedure was recently suggested as an alternative to tooth extraction. Methods. A vertically fractured left maxillary incisor was carefully extracted, fracture line was treated with adhesive resin cement, a retrograde cavity was produced and filled with calcium-enriched mixture (CEM) cement, and tooth was replanted. Results. After 12 months the tooth was asymptomatic.
    [Show full text]
  • Surgical Endodontics
    Surgical Endodontics Root end resection 1980 Harrison and Todd. The effect of root resection on the sealing property of root canal obturations. - Root resection with a rotary instrument in a high-speed handpiece does not adversely affect the sealing property of well-condensed GP-sealer obturations. (cold lateral condensation) Therefore should you just accept the apicectomy with no retrograde? - as apical seal would not be improved (provided seal is good in the 1st place). If doubt exists a retrofilling should be placed. 1993 Craig and Harrison. Wound healing following demineralization of resected root ends in periradicular surgery Citric acid used to demineralise root ends resulting in more rapid and complete healing than the non-demineralized. Therefore it is proposed that demineralization enhances cementogenesis by removing the smear layer and exposing the collagen fibrils (organic component of resected cementum and dentin). The PDL derived tissue is primarily responsible for dentoalveolar healing and endosteal-derived tissue is responsible for alveolar (osseous) healing. Smear layer may act as a barrier to induction mechanisms for cementum deposition emanating from resected dentine or cementum. Exposure of collagen promotes early adherence of fibrin, fibronectin and reparative cells to the resected root surfaces. Conclusions Demineralisation of resected root ends with citric acid enhances cementogenesis and dentoalveolar healing. Cementum deposition on resected root ends is essential for optimum repair which includes re-formation of a functional PDL between cementum and new bone. Granulation tissue emanating from severed endosteal tissues is primarily responsible for alveolar healing – better with demineraized roots Therefore demineralization of resected root ends should be incorporated into the periapical surgery.
    [Show full text]
  • CASE REPORT Retrograde Instrumentation and Obturation With
    0099-2399/87/1311-0546/$02 00/0 JOURNAL OF ENDODONTICS Prmted m U S.A. Copynght91987 by The American Associationof Endodontists VOL 13, No 11, NOVEMBER1987 CASE REPORT Retrograde Instrumentation and Obturation with New Devices Robert K. Flath, DDS, and M. Lamar Hicks, DDS, MS Two surgical cases are presented in which retro- endodontics has been sparsely reported. The purpose grade instrumentation of the root canal was accom- of this case report is to demonstrate the use of the plished with sonic or ultrasonic instruments. The Cavi-Endo, Endostar 5, and the Obtura for instrumen- canals were obturated from a retrograde direction tation and obturation of the root canal space from a with thermoplasticized gutta-percha and root canal retrograde direction during endodontic surgery. sealer. Success of these treatment approaches is attributed to thorough debridement and satisfactory CASE 1 obturation with equipment only recently available in the marketplace. A 65-yr-old male presented to the endodontic service with a chief complaint of "my upper molar hurts when I bite." Visual examination showed the maxillary right first molar with a large MODFL amalgam onlay resto- The goal of endodontics is to debride and obturate the ration and a separate class V amalgam restoration on root canal system. Although nonsurgical endodontic the palatal root. Although the tooth was tender to therapy routinely achieves a high success rate, endo- percussion, there were no signs of swelling or infection. dontic surgery may be necessary when a nonsurgical The patient responded normally when the maxillary approach is not possible or has failed. Endodontic right first molar and first bicuspid were tested with an surgery offers access to the periradicular area.
    [Show full text]
  • The Preservation of Teeth with Root-Originated Fractures
    Rosen et al. Evidence-Based Endodontics (2018) 3:2 Evidence-Based Endodontics https://doi.org/10.1186/s41121-018-0016-7 REVIEW Open Access The preservation of teeth with root- originated fractures Eyal Rosen1*, Ilan Beitlitum2 and Igor Tsesis1 Abstract Traditionally, when a root-originated fracture (ROF) was diagnosed in an endodontically treated tooth, the tooth was scheduled for extraction. However, modern endodontics offers new treatment options to manage and maintain certain ROF teeth. The decision of whether to extract a ROF tooth and substitute it with a dental implant, or to implement a more conservative management approach by attempting an additional endodontic treatment aimed to preserve the natural tooth, is complicated and multifactorial. The management alternatives of ROF teeth range from a traditional root amputation in multi-rooted teeth to modern endodontic surgical modalities that may enable the preservation of a fractured tooth. This required decision-making process includes prosthetic, periodontal, esthetic, endodontic, and patient value concerns. Keywords: Root-originated fracture, Vertical root fracture, Treatment, Decision-making Introduction complication is associated with a procedural error, and Root-originated fractures (ROFs), traditionally termed some complications may occur even when all proce- “vertical root fractures,” were defined as “a complete or dures were performed adequately (Tsesis et al. 2015; incomplete fracture initiated from the root at any level, Hofer et al. 2000;Angelos2009). Since ROFs appear in usually directed buccolingually” (Rivera and Walton teeth with either poor or good quality RCTs, ROFs 2008), largely based on its anatomical appearances must be considered as a potential complication, not ne- (Tsesis et al.
    [Show full text]
  • Techniques of Root End Preparation for the Successful Peri-Radicular Surgery
    International Journal of Applied Dental Sciences 2016; 2(2): 06-10 ISSN Print: 2394-7489 ISSN Online: 2394-7497 IJADS 2016; 2(2): 06-10 Techniques of root end preparation for the successful © 2016 IJADS peri-radicular surgery: A literature review www.oraljournal.com Received: 02-03-2016 Accepted: 03-03-2016 Dr. Rutika R Naik, Dr. Deshpande M Prashanth Dr. Rutika R Naik BDS, MDS Senior Lecturer, Abstract Dept. of Conservative Dentistry Many approaches to root-end preparation have been advocated, with variations based on access, root & Endodontics, S B Patil Dental anatomy, armamentarium, and surgeon expertise and philosophy. The first is a class I cavity prepared College, Bidar - 585402, down the long axis of the root within the confines of the canal. Second, a class I cavity is prepared Karnataka, India. perpendicular to the root face at an approximated angle of 30-450 to the long axis of the root. Third, a vertical slot-type preparation is prepared perpendicular to the long axis of the root with a channel exiting Dr. Deshpande M Prashanth to the facial or buccal. Fourth, a transverse root slot is prepared from either the proximal surface or the BDS, MDS Reader, Dept. of buccal surface into the root to the depth of the lingual surface of the root canal before the root end Conservative Dentistry & Endodontics, S B Patil Dental resection. And fifth, reverse canal instrumentation is performed with modified root canal files. These College, Bidar - 585402, techniques and their variations will be discussed based upon both literature and clinical documentation. Karnataka, India.
    [Show full text]