Evolutionary Leap in Endodontics. Case report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/13538 |
Resumo: | The Leap protocol combines the newest and most active association of reciprocal-rotary instrumentation, aluminum insert ultrasonic, and diode laser. The reciprocal-rotary technique consists of Niti instruments used in different motions depending on the stage of the treatment and promotes the balanced cutting effectiveness and reduced risk of fracture files. Moreover, it creates a centered and tapered shape. The aluminum tip for the ultrasonic unit delivers agitation, emulsification, and cavitation of antiseptic solutions that improve the cleaning. The dye and laser use cause the ablation and final disinfection. This paper describes the case of a patient with asymptomatic apical periodontitis in an upper first right molar submitted to endodontic treatment performed with Leap protocol. After conventional procedures, the root canals were prepared by using reciprocal-rotary instrumentation techniques. Between each file a new solution was placed and activated with the ultrasonic handpiece. At the end of instrumentation, the root canals were aspirated, dried with paper points, the indocyanine dye was placed into the root canals and, DaVinci laser was used for 30 seconds. The gutta-percha cones matching the final Niti file were used coated with AH Plus sealer. A periapical radiograph was taken to verify obturation and its anatomical complexity. Six months after the procedure, the patient was asymptomatic, and the radiographic examination showed healthy periradicular tissues. It is concluded that the use of Leap protocol in conventional endodontic treatment was effective, suggesting that this therapy may provide additional benefits to patients when compared to the conventional technique. |
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Evolutionary Leap in Endodontics. Case reportSalto Evolutivo en Endodoncia. Reporte de un casoSalto Evolutivo em Endodontia. Relato de casoEndodonticsLEAP protocolRoot canal therapy.EndodonciaProtocolo LEAPTratamiento del conducto radicular.EndodontiaProtocolo LEAPTratamento de canal radicular.The Leap protocol combines the newest and most active association of reciprocal-rotary instrumentation, aluminum insert ultrasonic, and diode laser. The reciprocal-rotary technique consists of Niti instruments used in different motions depending on the stage of the treatment and promotes the balanced cutting effectiveness and reduced risk of fracture files. Moreover, it creates a centered and tapered shape. The aluminum tip for the ultrasonic unit delivers agitation, emulsification, and cavitation of antiseptic solutions that improve the cleaning. The dye and laser use cause the ablation and final disinfection. This paper describes the case of a patient with asymptomatic apical periodontitis in an upper first right molar submitted to endodontic treatment performed with Leap protocol. After conventional procedures, the root canals were prepared by using reciprocal-rotary instrumentation techniques. Between each file a new solution was placed and activated with the ultrasonic handpiece. At the end of instrumentation, the root canals were aspirated, dried with paper points, the indocyanine dye was placed into the root canals and, DaVinci laser was used for 30 seconds. The gutta-percha cones matching the final Niti file were used coated with AH Plus sealer. A periapical radiograph was taken to verify obturation and its anatomical complexity. Six months after the procedure, the patient was asymptomatic, and the radiographic examination showed healthy periradicular tissues. It is concluded that the use of Leap protocol in conventional endodontic treatment was effective, suggesting that this therapy may provide additional benefits to patients when compared to the conventional technique.El protocolo Leap combina la asociación más nueva y activa de técnicas de instrumentación rotatoria-recíproca, inserto ultrasónico y láser diodo. La técnica rotación-recíproca consiste en instrumentos Niti utilizados en diferentes movimientos según la etapa del tratamiento y promueve la efectividad de corte equilibrado y reducción del riesgo de fracturas de limas. Además, crea forma centrada y cónica. La punta ultrasónica proporciona agitación, emulsificación y cavitación de soluciones antisépticas que mejoran la limpieza. El uso de tintes y láser, provocan ablación y desinfección. Este trabajo describe un caso clínico con periodontitis apical asintomática en primer molar superior derecho sometido a tratamiento endodóntico realizado con protocolo Leap. Después de procedimientos convencionales, los conductos radiculares se prepararon utilizando técnicas de instrumentación rotatoria-recíproca. Entre cada lima se colocó nueva solución y se activó con la pieza de mano ultrasónica. Al final de la instrumentación, se aspiraron los conductos, se secaron con puntas de papel, se colocó el tinte de indocianina en los conductos y se utilizó láser DaVinci durante 30 segundos. Los conos de gutapercha que coincidían con la lima Niti final se utilizaron recubiertos con el sellador AH Plus. Se tomó radiografía periapical para verificar la obturación y su complejidad anatómica. Seis meses después del procedimiento, la paciente se encontraba asintomática y el examen radiográfico mostró tejidos perirradiculares sanos. Resulta que el uso del protocolo Leap en el tratamiento de endodoncia convencional fue efectivo, lo que sugiere que esta terapia puede brindar beneficios adicionales a los pacientes en comparación con la técnica convencional.O protocolo Leap combina a associação mais recente e ativa de técnicas de instrumentação rotativa-recíproca, inserto ultrassônico e laser de diodo. A técnica rotativa-recíproca consiste em instrumentos Niti utilizados em diferentes movimentos dependendo da fase do tratamento e promove a eficácia de corte equilibrada e redução do risco de fraturas das limas. Além disso, cria uma forma centralizada e afilada. O inserto ultrassônico oferece agitação, emulsificação e cavitação de soluções antissépticas que melhoram a limpeza. O uso do corante e do laser causa a ablação e desinfecção final. Este trabalho descreve um caso clínico com periodontite apical assintomática em primeiro molar superior direito submetido a tratamento endodôntico realizado com protocolo Leap. Após procedimentos convencionais, os canais radiculares foram preparados por meio de técnicas de instrumentação rotatória recíproca. Entre cada lima, nova solução era colocada e ativada com peça de mão ultrassônica. Ao final da instrumentação, os canais radiculares foram aspirados, secos com pontas de papel, o corante indocianina verde colocado nos canais radiculares e o laser DaVinci utilizado por 30 segundos. Os cones de guta-percha correspondentes à lima Niti final foram usados besuntados com o selante AH Plus. Uma radiografia periapical foi realizada para verificar a obturação e sua complexidade anatômica. Seis meses após o procedimento, o paciente estava assintomático, e o exame radiográfico mostrou tecidos periapicais saudáveis. Conclui-se que a utilização do protocolo Leap no tratamento endodôntico convencional foi eficaz, sugerindo que essa terapia pode trazer benefícios adicionais aos pacientes quando comparada à técnica convencional.Research, Society and Development2021-03-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1353810.33448/rsd-v10i3.13538Research, Society and Development; Vol. 10 No. 3; e44110313538Research, Society and Development; Vol. 10 Núm. 3; e44110313538Research, Society and Development; v. 10 n. 3; e441103135382525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/13538/12160Copyright (c) 2021 Jose Maurício Paradella de Camargo ; Rafael Verardino de Camargo ; Luciano Tavares Angelo Cintra; Flávio Duarte Faria ; Alberto Consolaro ; Densen Cao; Renato de Toledo Leonardo https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCamargo , Jose Maurício Paradella de Camargo , Rafael Verardino de Cintra, Luciano Tavares Angelo Faria , Flávio Duarte Consolaro , Alberto Cao, Densen Leonardo , Renato de Toledo 2021-03-28T12:03:35Zoai:ojs.pkp.sfu.ca:article/13538Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:34:51.450207Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Evolutionary Leap in Endodontics. Case report Salto Evolutivo en Endodoncia. Reporte de un caso Salto Evolutivo em Endodontia. Relato de caso |
title |
Evolutionary Leap in Endodontics. Case report |
spellingShingle |
Evolutionary Leap in Endodontics. Case report Camargo , Jose Maurício Paradella de Endodontics LEAP protocol Root canal therapy. Endodoncia Protocolo LEAP Tratamiento del conducto radicular. Endodontia Protocolo LEAP Tratamento de canal radicular. |
title_short |
Evolutionary Leap in Endodontics. Case report |
title_full |
Evolutionary Leap in Endodontics. Case report |
title_fullStr |
Evolutionary Leap in Endodontics. Case report |
title_full_unstemmed |
Evolutionary Leap in Endodontics. Case report |
title_sort |
Evolutionary Leap in Endodontics. Case report |
author |
Camargo , Jose Maurício Paradella de |
author_facet |
Camargo , Jose Maurício Paradella de Camargo , Rafael Verardino de Cintra, Luciano Tavares Angelo Faria , Flávio Duarte Consolaro , Alberto Cao, Densen Leonardo , Renato de Toledo |
author_role |
author |
author2 |
Camargo , Rafael Verardino de Cintra, Luciano Tavares Angelo Faria , Flávio Duarte Consolaro , Alberto Cao, Densen Leonardo , Renato de Toledo |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Camargo , Jose Maurício Paradella de Camargo , Rafael Verardino de Cintra, Luciano Tavares Angelo Faria , Flávio Duarte Consolaro , Alberto Cao, Densen Leonardo , Renato de Toledo |
dc.subject.por.fl_str_mv |
Endodontics LEAP protocol Root canal therapy. Endodoncia Protocolo LEAP Tratamiento del conducto radicular. Endodontia Protocolo LEAP Tratamento de canal radicular. |
topic |
Endodontics LEAP protocol Root canal therapy. Endodoncia Protocolo LEAP Tratamiento del conducto radicular. Endodontia Protocolo LEAP Tratamento de canal radicular. |
description |
The Leap protocol combines the newest and most active association of reciprocal-rotary instrumentation, aluminum insert ultrasonic, and diode laser. The reciprocal-rotary technique consists of Niti instruments used in different motions depending on the stage of the treatment and promotes the balanced cutting effectiveness and reduced risk of fracture files. Moreover, it creates a centered and tapered shape. The aluminum tip for the ultrasonic unit delivers agitation, emulsification, and cavitation of antiseptic solutions that improve the cleaning. The dye and laser use cause the ablation and final disinfection. This paper describes the case of a patient with asymptomatic apical periodontitis in an upper first right molar submitted to endodontic treatment performed with Leap protocol. After conventional procedures, the root canals were prepared by using reciprocal-rotary instrumentation techniques. Between each file a new solution was placed and activated with the ultrasonic handpiece. At the end of instrumentation, the root canals were aspirated, dried with paper points, the indocyanine dye was placed into the root canals and, DaVinci laser was used for 30 seconds. The gutta-percha cones matching the final Niti file were used coated with AH Plus sealer. A periapical radiograph was taken to verify obturation and its anatomical complexity. Six months after the procedure, the patient was asymptomatic, and the radiographic examination showed healthy periradicular tissues. It is concluded that the use of Leap protocol in conventional endodontic treatment was effective, suggesting that this therapy may provide additional benefits to patients when compared to the conventional technique. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-03-21 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/13538 10.33448/rsd-v10i3.13538 |
url |
https://rsdjournal.org/index.php/rsd/article/view/13538 |
identifier_str_mv |
10.33448/rsd-v10i3.13538 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/13538/12160 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 3; e44110313538 Research, Society and Development; Vol. 10 Núm. 3; e44110313538 Research, Society and Development; v. 10 n. 3; e44110313538 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052672576061440 |