Root Canal Retreatment: 1. Case Assessment and Treatment Planning

Dental Update ◽  
2004 ◽  
Vol 31 (1) ◽  
pp. 34-39 ◽  
Author(s):  
T.R. Pitt Ford ◽  
J.S. Rhodes
Keyword(s):  
Treatment Planning ◽  
Root Canal ◽  
Root Canal Retreatment ◽  
Assessment And Treatment ◽  
Case Assessment

Does the ultrasonic activation of sealer hinder the root canal retreatment?

2021 ◽  
Author(s):  
Ana Paula da Silva Machado ◽  
Antônio Caetano Câncio Couto de Souza ◽  
Tamille Lima Gonçalves ◽  
André Augusto Franco Marques ◽  
Lucas da Fonseca Roberti Garcia ◽  
...  
Keyword(s):  
Root Canal ◽  
Ultrasonic Activation ◽  
Root Canal Retreatment

Fiddly Fives: Management of Impacted Second Premolars

Dental Update ◽  
2021 ◽  
Vol 48 (5) ◽  
pp. 385-392
Author(s):  
Othman Hameed ◽  
Elizabeth Crawford ◽  
Nigel G Taylor
Keyword(s):  
Treatment Planning ◽  
Clinical Relevance ◽  
Treatment Options ◽  
Third Molar ◽  
Maxillary Canine ◽  
The Third ◽  
Topic Knowledge ◽  
Assessment And Treatment ◽  
General Dentists

Second premolars are the third most likely teeth to be affected by impaction after third molar and maxillary canine teeth. Although the presence of an impacted second premolar is relatively common, and is a situation that often presents to general dentists in practice, there is relatively little published regarding this topic. Knowledge of this condition is essential for all those involved with the management of these cases. This article explores the aetiology, assessment and treatment options available to manage this condition, using examples from cases treated within our department. CPD/Clinical Relevance: An understanding of the aetiology, assessment and various treatment options available to manage impacted second premolars will inform better treatment planning.

scholarly journals Radicular Perforation Repair with Mineral Trioxide Aggregate: A Case Report with 10-Year Follow-up

2016 ◽  
Vol 10 (1) ◽  
pp. 733-738 ◽  
Author(s):  
Leopoldo Cosme-Silva ◽  
Breno Carnevalli ◽  
Vivien Thiemy Sakai ◽  
Naiana Viana Viola ◽  
Leon Franco de Carvalho ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Root Canal Filling ◽  
Second Molar ◽  
Iatrogenic Perforation ◽  
Iatrogenic Complications ◽  
Root Canal Retreatment

Background: Iatrogenic complications such as accidental perforation of the root or the floor of the pulp chamber may occur. Case Report: Patient was referred for root canal retreatment of the mandibular left second molar with periapical lesion evidenced through radiographic examination. During post removal, iatrogenic perforation occurred at the mesial face of the distal root. After clinical localization of the perforation and bleeding control, MTA was applied. In a second appointment, the root canal filling was removed and the chemical-surgical retreatment of the canals was performed, followed by the obturation with gutta-percha and sealer. Patient returned after three days reporting no pain. After 6 months, 3, 7 and 10 years of follow-up. Conclusion: Absence of pain, normal periodontal probing and lack of radiolucent area at the region of perforation and the periapices were detected, which evidenced the successful repair of the tooth.

scholarly journals Extrusion of Root Canal Sealer in Periapical Tissues - Report of Two Cases with Different Treatment Management and Literature Review

2017 ◽  
Vol 21 (1) ◽  
pp. 12-18 ◽  
Author(s):  
Athina Dalopoulou ◽  
Nikolaos Economides ◽  
Vasilis Evangelidis
Keyword(s):  
Root Canal ◽  
Clinical Symptoms ◽  
Complete Healing ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Root Canal Sealer ◽  
Treatment Management ◽  
Retrograde Filling ◽  
Root Canal Retreatment ◽  
The Right

Summary Background: Extrusion of root canal sealers may cause damage to the surrounding anatomic structures. Clinical symptoms like pain, swelling and paresthesia or anesthesia may be present. The purpose of this presentation is to describe two cases of root canal sealer penetration into periapical tissues. A different treatment management was followed in each case. Case reports: A 55 year-old man underwent root canal retreatment of the right mandibular first molar tooth due to a periapical lesion. Postoperative periapical radiographs revealed the presence of root canal sealer (AH26) beyond the apex in the distal root in proximity to the mandibular canal. The patient reported pain for the next 7 days. Radiographic examination after 1 year showed complete healing of the periapical area and a small absorption of the root canal sealer. A 42 year-old woman was referred complained of swelling and pain in the area of the right maxillary first incisor. Radiographic examination showed extrusion of root canal sealer in the periapical area associated with a periapical lesion. Surgical intervention was decided upon, which included removal of the sealer, apicoectomy of the tooth and retrograde filling with MTA. After 1 year, complete healing of the area was observed. Conclusion: In conclusion, cases of root canal sealer extrusion, surgical treatment should be decided on only in association with clinical symptoms or with radiographic evidence of increasing periapical lesion.

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