Healing of an Extensive Periradicular Lesion Subsequent to a Proper Endodontic Treatment of a Mandibular First Premolar with Complex Anatomy

Ashraf, Hengameh; Paymanpour, Payam; Bidabadi, Maryam Mojtahed; Hajrezai, Reihaneh

doi:10.1155/2013/972093

Cited by 3 publications

(3 citation statements)

References 27 publications

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“…14,15 However, most of the prior studies have either completely or partially destroyed the tooth during examination or have gained only two-dimensional anatomic information. Moreover, few studies have incorporated information such as ethnic background and sex of the study population, 12,3 which may have critical clinical ramifications for treatment.…”

Section: Discussionmentioning

confidence: 99%

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Morphology of Maxillary First Molars Analyzed by Cone-Beam Computed Tomography among Malaysian: Variations in the Number of Roots and Canals and the Incidence of Fusion

Al-Kadhim¹,

Rajion²,

Malik³

et al. 2017

imjm

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Introduction: A few studies investigated the numerous potential endodontic uses of CBCT, including the examination of root canal morphology and presumed that CBCT was effective for the initial identification of such morphology; moreover CBCT is a reliable method for the detection of the MB2 canal when compared with the gold standard of physical sectioning of the specimen. The aim of this study was to identify the root and canal morphology of the maxillary first molars among Malaysians analysed by cone-beam computed tomography (CBCT) images. Materials and Methods: Maxillary first (n = 421) molars from Malaysian patients (n = 241) of Malay, Chinese and Indians inceptions were examined by two Endodontists using in vivo CBCT methods. The number and configuration of roots, the number of root canals, and the canal configuration according to Vertucci’s classification were determined. Results: Single roots were not found in maxillary first molars. The incidence of fused roots was 1.995% in the first molars between mesiobuccal and distobuccal roots. In (421) 3-rooted maxillary first molars, additional canals were found in 45.6% of the mesiobuccal (MB) roots and 0% of the distobuccal (DB) roots. Bilateral symmetry of the MB roots was found in 82.36% of the first molar. Only one tooth was found to have pulp stone inside the pulp chamber. Conclusions: The root and canal configuration of a Malaysian population showed different features from those of other populations. CBCT scans can enhance the understanding of root canal anatomy, with the potential of improving the outcome of endodontic treatment.

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Section: Discussionmentioning

confidence: 99%

“…Root morphology and properties of human tooth tissues vary among different ethnic Populaces. 2,3 Since the endodontic treatment relies on upon the quality of clinical procedure, knowledge on root canal morphology is instrumental for the accomplishment of the treatment. 3,4 Quantities of studies have been directed for as far back as a…”

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confidence: 99%

Morphology of Maxillary First Molars Analyzed by Cone-Beam Computed Tomography among Malaysian: Variations in the Number of Roots and Canals and the Incidence of Fusion

Al-Kadhim¹,

Rajion²,

Malik³

et al. 2017

imjm

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“…Intracanal placement of calcium hydroxide has been proposed in necrotic cases because of its antimicrobial properties. It has been reported that treatment with calcium hydroxide results in high frequency of periapical healing and some lesions, especially those of younger patients, are significantly reduced or had completely disappeared in only 1-3 months after the treatment (32,33). Calcium hydroxide is proven to assist periapical healing by its antibacterial properties and also by its biological action facilitating osseous repair (34).…”

Section: Methods Using Calcium Hydroxidementioning

confidence: 99%

Conservative management of periapical lesions of endodontic origin - a review of the different techniques

Borisova-Papancheva

Svetlozarova

2018

Scripta Scientifica Medicinae Dentalis

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INTRODUCTION: Periapical lesions of endodontic origin are common pathological conditions affecting the periradicular tissues. Mainly responsible for the initiation and progression of apical periodontitis is the microbial infection of pulpal tissues. There are different conservative techniques that can be applied in order to establish a healing process of periapical lesions of endodontic origin. MATERIALS AND METHODS: We have conducted a research that covers related articles and publications, in order to review the different conservative management treatment techniques for lesions affecting the periradicular tissues. RESULTS: Different non-surgical management techniques have been described, namely: conservative root canal therapy, decompression technique, a method using calcium hydroxide, aspiration-irrigation technique, lesion sterilization and repair therapy, active non-surgical decompression technique, and the apexum procedure. CONCLUSION: All of the described management techniques present with advantages, disadvantages and specific indications that should be taken into consideration when managing the treatment plan of every specific clinical case.

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Analysis of Root Canal Anatomy and Variation in Morphology of Maxillary First Molar Using Various Methods: An In Vitro Study

Algarni¹

2019

World Journal of Dentistry

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Aim: To assess and compare the internal morphology of the maxillary first molar and the incidence of the fourth root canal, especially mesiobuccal (MB2) using three diagnostic methods, clinically with or without dental operating microscopy (DOM) and cone-beam computed tomography (CBCT). Materials and methods: A total of 336 maxillary first molar teeth were examined and distributed into the following groups: group I (n = 112), the teeth were treated by dental interns without any means of magnification. Group II (n = 112), the teeth were treated by an endodontist with the use of the a dental operating microscope (DOM). Group III (n = 112), the CBCT images were selected and examined carefully. Results: The second mesiobuccal root canal within the maxillary first molar was present in groups I, II and III with the incidence of 27%, 46% and 60%, respectively. Conclusion:Within the limitations of this study, it can be concluded that the maxillary first molar teeth showed significant variations of their root canals. CBCT and dental operating microscope significantly facilitated the location and identification of the second root canal of the mesiobuccal root of maxillary first molar. Clinical significance: Knowledge of root canal anatomy is an important factor for a successful endodontic outcome.

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Healing of an Extensive Periradicular Lesion Subsequent to a Proper Endodontic Treatment of a Mandibular First Premolar with Complex Anatomy

Cited by 3 publications

References 27 publications

Morphology of Maxillary First Molars Analyzed by Cone-Beam Computed Tomography among Malaysian: Variations in the Number of Roots and Canals and the Incidence of Fusion

Morphology of Maxillary First Molars Analyzed by Cone-Beam Computed Tomography among Malaysian: Variations in the Number of Roots and Canals and the Incidence of Fusion

Conservative management of periapical lesions of endodontic origin - a review of the different techniques

Analysis of Root Canal Anatomy and Variation in Morphology of Maxillary First Molar Using Various Methods: An In Vitro Study

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