Endodontic retreatment of mandibular canines with two roots: A report of two cases
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-28902022000200092 |
Resumo: | Abstract Mandibular canines usually have one root with one root canal. However, variations may occur. The present study reports two cases of successful retreatment of two mandibular canines with two roots and two root canals, a rarer configuration. In both cases reported the unsuccessful treatment in the primary endodontic intervention was due to overlooking the lingual root canals, which were identified when periapical radiographs were taken at a mesial angle. Because canals missed during endodontic therapy may lead to periapical periodontitis, it is important to take radiographs from different angles, analyze the pulp chamber floor, and consider the variations in root canal morphologies. After performing the access cavity and observing an isthmus in both cases, the lingual root canals were located and instrumented. Calcium hydroxide dressing was used between appointments, and the root canals were filled with different sealers in each case (epoxy resin-based and bioceramic sealers). The follow-up X-rays taken 18 months later in the first case and 5 months later in the second case suggested normality of the periapical tissues. It is essential to use strategies that enable reaching the whole complexity of the root canal system during the canal cleaning, shaping, disinfection, and filling procedures in order to control the infection and achieve a successful endodontic treatment outcome. |
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Endodontic retreatment of mandibular canines with two roots: A report of two casesAnatomyEndodonticsRoot canal therapyAbstract Mandibular canines usually have one root with one root canal. However, variations may occur. The present study reports two cases of successful retreatment of two mandibular canines with two roots and two root canals, a rarer configuration. In both cases reported the unsuccessful treatment in the primary endodontic intervention was due to overlooking the lingual root canals, which were identified when periapical radiographs were taken at a mesial angle. Because canals missed during endodontic therapy may lead to periapical periodontitis, it is important to take radiographs from different angles, analyze the pulp chamber floor, and consider the variations in root canal morphologies. After performing the access cavity and observing an isthmus in both cases, the lingual root canals were located and instrumented. Calcium hydroxide dressing was used between appointments, and the root canals were filled with different sealers in each case (epoxy resin-based and bioceramic sealers). The follow-up X-rays taken 18 months later in the first case and 5 months later in the second case suggested normality of the periapical tissues. It is essential to use strategies that enable reaching the whole complexity of the root canal system during the canal cleaning, shaping, disinfection, and filling procedures in order to control the infection and achieve a successful endodontic treatment outcome.Sociedade Portuguesa de Estomatologia e Medicina Dentária2022-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-28902022000200092Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial v.63 n.2 2022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-28902022000200092Michelotto,André Luiz da CostaOda,Lisa YurieYamamoto,Ângela Toshie ArakiCavenago,Bruno CavaliniBatista,Antonioinfo:eu-repo/semantics/openAccess2023-07-27T12:30:06ZPortal AgregadorONG |
dc.title.none.fl_str_mv |
Endodontic retreatment of mandibular canines with two roots: A report of two cases |
title |
Endodontic retreatment of mandibular canines with two roots: A report of two cases |
spellingShingle |
Endodontic retreatment of mandibular canines with two roots: A report of two cases Michelotto,André Luiz da Costa Anatomy Endodontics Root canal therapy |
title_short |
Endodontic retreatment of mandibular canines with two roots: A report of two cases |
title_full |
Endodontic retreatment of mandibular canines with two roots: A report of two cases |
title_fullStr |
Endodontic retreatment of mandibular canines with two roots: A report of two cases |
title_full_unstemmed |
Endodontic retreatment of mandibular canines with two roots: A report of two cases |
title_sort |
Endodontic retreatment of mandibular canines with two roots: A report of two cases |
author |
Michelotto,André Luiz da Costa |
author_facet |
Michelotto,André Luiz da Costa Oda,Lisa Yurie Yamamoto,Ângela Toshie Araki Cavenago,Bruno Cavalini Batista,Antonio |
author_role |
author |
author2 |
Oda,Lisa Yurie Yamamoto,Ângela Toshie Araki Cavenago,Bruno Cavalini Batista,Antonio |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Michelotto,André Luiz da Costa Oda,Lisa Yurie Yamamoto,Ângela Toshie Araki Cavenago,Bruno Cavalini Batista,Antonio |
dc.subject.por.fl_str_mv |
Anatomy Endodontics Root canal therapy |
topic |
Anatomy Endodontics Root canal therapy |
description |
Abstract Mandibular canines usually have one root with one root canal. However, variations may occur. The present study reports two cases of successful retreatment of two mandibular canines with two roots and two root canals, a rarer configuration. In both cases reported the unsuccessful treatment in the primary endodontic intervention was due to overlooking the lingual root canals, which were identified when periapical radiographs were taken at a mesial angle. Because canals missed during endodontic therapy may lead to periapical periodontitis, it is important to take radiographs from different angles, analyze the pulp chamber floor, and consider the variations in root canal morphologies. After performing the access cavity and observing an isthmus in both cases, the lingual root canals were located and instrumented. Calcium hydroxide dressing was used between appointments, and the root canals were filled with different sealers in each case (epoxy resin-based and bioceramic sealers). The follow-up X-rays taken 18 months later in the first case and 5 months later in the second case suggested normality of the periapical tissues. It is essential to use strategies that enable reaching the whole complexity of the root canal system during the canal cleaning, shaping, disinfection, and filling procedures in order to control the infection and achieve a successful endodontic treatment outcome. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-28902022000200092 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-28902022000200092 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-28902022000200092 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Estomatologia e Medicina Dentária |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Estomatologia e Medicina Dentária |
dc.source.none.fl_str_mv |
Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial v.63 n.2 2022 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
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repository.mail.fl_str_mv |
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1777304448452788224 |