Endodontic treatment in tooth with pulp necrosis and periapical lesion with Reciproc Blue and XP-Endo Finisher instruments: case report

Detalhes bibliográficos
Autor(a) principal: Louzada, Lidiane Mendes
Data de Publicação: 2021
Outros Autores: Alves-Silva, Esdras Gabriel, Lemos, Beatriz Isabel Nogueira, Barbos-Ribeiro, Marlos, Nogueira, Aline Vitória de Souza, Gomes, Brenda Paula Figueiredo de Almeida, Arruda-Vasconcelos, Rodrigo
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/20823
Resumo: The objective of the endodontic treatment is to prevento r eliminate apical periodontitis by means of cleaning, shaping and filling the root canals. Chemomechanical preparation is recognized as one of the most important step for microbial reduction within the root canals. In order to overcome anatomical challenges, especially in cases of curvatures, novel heat treatments to endodontic instrument alloys have been proposed to increase its flexibility. The aim of the present clinical case report is to describe the endodontic procedures performed with Reciproc Blue and XP-Endo Finisher files in an upper lateral incisor with pulp necrosis and presence of periapical lesion. Male patient was referred to the Postgraduate Clinic of the Piracicaba Dental School - UNICAMP seeking endodontic treatment. The clinical examination revealed negative response to the pulp sensitivity cold testing. Radiographically, the presence of restoration on the mesial surface and the presence of periapical lesion were observed. Endodontic treatment was undertaken under magnification by using an operating microscope. After local anesthesia and cavity access, endodontic treatment was performed using Reciproc Blue instruments, with the crown-down technique. Patency and foraminal enlargement were performed. The instrumentation level was determined at 1 mm beyond the apical foramen. 2% chlorhexidine gel was used as auxiliary chemical substance and sterile saline solution as an irrigating solution. At the end of the chemical-mechanical preparation, final rinse was performed with 3mL of 17% EDTA, under agitation with the XP-Endo Finisher instrument for 1 minute. Then, the root canal was filled using the single cone technique using medium gutta-percha and endodontic cement (Endomethasone). The gutta-percha cut was performed with a thermoplasticizer instrument, 2 mm below the cementoenamel junction. Coronary sealing was performed by placing coltosol at the entrance of the root canals, followed by the insertion of light-curing composite resin using the incremental technique.
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spelling Endodontic treatment in tooth with pulp necrosis and periapical lesion with Reciproc Blue and XP-Endo Finisher instruments: case reportTratamiento endodóntico de diente con necrosis pulpar y lesión periapical con instrumentos Reciproc Blue y XP-Endo Finisher: reporte de casoTratamento endodôntico de dente com necrose pulpar e lesão periapical com instrumentos Reciproc Blue e XP-Endo Finisher: relato de caso clínicoEndodontiaInfecção endodôntica primáriaOdontologia.EndodonciaNecrosis de la pulpa dentalOdontología.EndodonticsDentistryPrimary endodontic infection.The objective of the endodontic treatment is to prevento r eliminate apical periodontitis by means of cleaning, shaping and filling the root canals. Chemomechanical preparation is recognized as one of the most important step for microbial reduction within the root canals. In order to overcome anatomical challenges, especially in cases of curvatures, novel heat treatments to endodontic instrument alloys have been proposed to increase its flexibility. The aim of the present clinical case report is to describe the endodontic procedures performed with Reciproc Blue and XP-Endo Finisher files in an upper lateral incisor with pulp necrosis and presence of periapical lesion. Male patient was referred to the Postgraduate Clinic of the Piracicaba Dental School - UNICAMP seeking endodontic treatment. The clinical examination revealed negative response to the pulp sensitivity cold testing. Radiographically, the presence of restoration on the mesial surface and the presence of periapical lesion were observed. Endodontic treatment was undertaken under magnification by using an operating microscope. After local anesthesia and cavity access, endodontic treatment was performed using Reciproc Blue instruments, with the crown-down technique. Patency and foraminal enlargement were performed. The instrumentation level was determined at 1 mm beyond the apical foramen. 2% chlorhexidine gel was used as auxiliary chemical substance and sterile saline solution as an irrigating solution. At the end of the chemical-mechanical preparation, final rinse was performed with 3mL of 17% EDTA, under agitation with the XP-Endo Finisher instrument for 1 minute. Then, the root canal was filled using the single cone technique using medium gutta-percha and endodontic cement (Endomethasone). The gutta-percha cut was performed with a thermoplasticizer instrument, 2 mm below the cementoenamel junction. Coronary sealing was performed by placing coltosol at the entrance of the root canals, followed by the insertion of light-curing composite resin using the incremental technique.El objetivo del tratamiento de endodoncia es prevenir la eliminación de la periodontitis apical mediante la limpieza, modelado y relleno de los conductos radiculares. La preparación quimiomecánica se reconoce como uno de los pasos más importantes para la reducción microbiana dentro de los conductos radiculares. Con el fin de superar los desafíos anatómicos, especialmente en casos de curvaturas, se han propuesto nuevos tratamientos térmicos para aleaciones de instrumentos de endodoncia para aumentar su flexibilidad. El objetivo del presente caso clínico es describir los procedimientos endodónticos realizados con limas Reciproc Blue y XP-Endo Finisher en un incisivo lateral superior con necrosis pulpar y presencia de lesión periapical. Un paciente de sexo masculino fue remitido a la Clínica de Posgrado de la Facultad de Odontología de Piracicaba - UNICAMP en busca de tratamiento endodóntico. El examen clínico reveló una respuesta negativa a la prueba de sensibilidad pulpar al frío. Radiográficamente se observó la presencia de restauración en la superficie mesial y la presencia de lesión periapical. El tratamiento de endodoncia se llevó a cabo con aumento mediante el uso de un microscopio quirúrgico. Después de la anestesia local y el acceso a la cavidad, se realizó el tratamiento endodóntico con instrumentos Reciproc Blue, con la técnica de corona hacia abajo. Se realizó permeabilidad y agrandamiento foraminal. El nivel de instrumentación se determinó a 1 mm más allá del agujero apical. Se utilizó gel de clorhexidina al 2% como sustancia química auxiliar y solución salina estéril como solución de irrigación. Al final de la preparación químico-mecánica, se realizó el enjuague final con 3 mL de EDTA al 17%, bajo agitación con el instrumento XP-Endo Finisher durante 1 minuto. A continuación, se rellenó el conducto radicular mediante la técnica de cono único con gutapercha mediana y cemento endodóntico (endometasona). El corte de gutapercha se realizó con un instrumento termoplastificante, 2 mm por debajo de la unión cementoonamel. El sellado coronario se realizó colocando coltosol en la entrada de los conductos radiculares, seguido de la inserción de un composite fotopolimerizable mediante la técnica incremental.O objetivo do tratamento endodôntico é prevenir ou eliminar a periodontite apical através da limpeza, modelagem e obturação do sistema de canais radiculares. O preparo químico-mecânico é a etapa do tratamento endodôntico com maior capacidade de promover a redução de microrganismos presente no interior dos canais radiculares. Com o objetivo de superar desafios anatômicos, especialmente casos com curvaturas, novos tratamentos térmicos às ligas dos instrumentos endodônticos têm sido propostos para aumento da flexibilidade. O objetivo do presente relato de caso clínico é descrever os procedimentos endodônticos realizados com Reciproc Blue e XP-Endo Finisher em um incisivo lateral superior com necrose pulpar e presença de lesão periapical. Paciente do sexo masculino foi encaminhado à clínica de Pós-Graduação da Faculdade de Odontologia de Piracicaba – UNICAMP com necessidade de tratamento endodôntico. O exame clínico relevou resposta negativa ao teste de sensibilidade pulpar ao frio. Radiograficamente foi observado presença de restauração na face mesial e presença de lesão periapical. O tratamento endodôntico foi realizado sob magnificação através de microscópio operatório. Após anestesia local e abertura coronária, o tratamento endodôntico foi realizado utilizando instrumentos Reciproc Blue, com a técnica de desinfecção coroa-ápice. Foi realizada a patência e ampliação foraminal. O nível de instrumentação foi determinado em 1 mm além do forame apical. A substância química auxiliar empregada foi a clorexidina a 2% gel e solução salina estéril como solução irrigadora. Ao final do preparo químico-mecânico foi realizada a irrigação final com 3mL de EDTA 17%, sob agitação do instrumento XP-Endo Finisher por 1 minuto. Em seguida, o canal radicular foi obturado através da técnica de cone único utilizando guta-percha médium e cimento endodôntico (Endomethasone). O corte da guta-percha foi realizado com instrumento termoplastificador, 2 mm abaixo da junção amelo-cementária. O selamento coronário foi realizado com a colocação de coltosol na entrada dos canais radiculares, seguido da inserção da resina composta fotopolimerizável pela técnica incremental.Research, Society and Development2021-10-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2082310.33448/rsd-v10i13.20823Research, Society and Development; Vol. 10 No. 13; e406101320823Research, Society and Development; Vol. 10 Núm. 13; e406101320823Research, Society and Development; v. 10 n. 13; e4061013208232525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/20823/19038Copyright (c) 2021 Lidiane Mendes Louzada; Esdras Gabriel Alves-Silva; Beatriz Isabel Nogueira Lemos; Marlos Barbos-Ribeiro; Aline Vitória de Souza Nogueira; Brenda Paula Figueiredo de Almeida Gomes; Rodrigo Arruda-Vasconceloshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLouzada, Lidiane Mendes Alves-Silva, Esdras Gabriel Lemos, Beatriz Isabel Nogueira Barbos-Ribeiro, MarlosNogueira, Aline Vitória de Souza Gomes, Brenda Paula Figueiredo de Almeida Arruda-Vasconcelos, Rodrigo2021-11-21T18:26:28Zoai:ojs.pkp.sfu.ca:article/20823Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:40:21.551094Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Endodontic treatment in tooth with pulp necrosis and periapical lesion with Reciproc Blue and XP-Endo Finisher instruments: case report
Tratamiento endodóntico de diente con necrosis pulpar y lesión periapical con instrumentos Reciproc Blue y XP-Endo Finisher: reporte de caso
Tratamento endodôntico de dente com necrose pulpar e lesão periapical com instrumentos Reciproc Blue e XP-Endo Finisher: relato de caso clínico
title Endodontic treatment in tooth with pulp necrosis and periapical lesion with Reciproc Blue and XP-Endo Finisher instruments: case report
spellingShingle Endodontic treatment in tooth with pulp necrosis and periapical lesion with Reciproc Blue and XP-Endo Finisher instruments: case report
Louzada, Lidiane Mendes
Endodontia
Infecção endodôntica primária
Odontologia.
Endodoncia
Necrosis de la pulpa dental
Odontología.
Endodontics
Dentistry
Primary endodontic infection.
title_short Endodontic treatment in tooth with pulp necrosis and periapical lesion with Reciproc Blue and XP-Endo Finisher instruments: case report
title_full Endodontic treatment in tooth with pulp necrosis and periapical lesion with Reciproc Blue and XP-Endo Finisher instruments: case report
title_fullStr Endodontic treatment in tooth with pulp necrosis and periapical lesion with Reciproc Blue and XP-Endo Finisher instruments: case report
title_full_unstemmed Endodontic treatment in tooth with pulp necrosis and periapical lesion with Reciproc Blue and XP-Endo Finisher instruments: case report
title_sort Endodontic treatment in tooth with pulp necrosis and periapical lesion with Reciproc Blue and XP-Endo Finisher instruments: case report
author Louzada, Lidiane Mendes
author_facet Louzada, Lidiane Mendes
Alves-Silva, Esdras Gabriel
Lemos, Beatriz Isabel Nogueira
Barbos-Ribeiro, Marlos
Nogueira, Aline Vitória de Souza
Gomes, Brenda Paula Figueiredo de Almeida
Arruda-Vasconcelos, Rodrigo
author_role author
author2 Alves-Silva, Esdras Gabriel
Lemos, Beatriz Isabel Nogueira
Barbos-Ribeiro, Marlos
Nogueira, Aline Vitória de Souza
Gomes, Brenda Paula Figueiredo de Almeida
Arruda-Vasconcelos, Rodrigo
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Louzada, Lidiane Mendes
Alves-Silva, Esdras Gabriel
Lemos, Beatriz Isabel Nogueira
Barbos-Ribeiro, Marlos
Nogueira, Aline Vitória de Souza
Gomes, Brenda Paula Figueiredo de Almeida
Arruda-Vasconcelos, Rodrigo
dc.subject.por.fl_str_mv Endodontia
Infecção endodôntica primária
Odontologia.
Endodoncia
Necrosis de la pulpa dental
Odontología.
Endodontics
Dentistry
Primary endodontic infection.
topic Endodontia
Infecção endodôntica primária
Odontologia.
Endodoncia
Necrosis de la pulpa dental
Odontología.
Endodontics
Dentistry
Primary endodontic infection.
description The objective of the endodontic treatment is to prevento r eliminate apical periodontitis by means of cleaning, shaping and filling the root canals. Chemomechanical preparation is recognized as one of the most important step for microbial reduction within the root canals. In order to overcome anatomical challenges, especially in cases of curvatures, novel heat treatments to endodontic instrument alloys have been proposed to increase its flexibility. The aim of the present clinical case report is to describe the endodontic procedures performed with Reciproc Blue and XP-Endo Finisher files in an upper lateral incisor with pulp necrosis and presence of periapical lesion. Male patient was referred to the Postgraduate Clinic of the Piracicaba Dental School - UNICAMP seeking endodontic treatment. The clinical examination revealed negative response to the pulp sensitivity cold testing. Radiographically, the presence of restoration on the mesial surface and the presence of periapical lesion were observed. Endodontic treatment was undertaken under magnification by using an operating microscope. After local anesthesia and cavity access, endodontic treatment was performed using Reciproc Blue instruments, with the crown-down technique. Patency and foraminal enlargement were performed. The instrumentation level was determined at 1 mm beyond the apical foramen. 2% chlorhexidine gel was used as auxiliary chemical substance and sterile saline solution as an irrigating solution. At the end of the chemical-mechanical preparation, final rinse was performed with 3mL of 17% EDTA, under agitation with the XP-Endo Finisher instrument for 1 minute. Then, the root canal was filled using the single cone technique using medium gutta-percha and endodontic cement (Endomethasone). The gutta-percha cut was performed with a thermoplasticizer instrument, 2 mm below the cementoenamel junction. Coronary sealing was performed by placing coltosol at the entrance of the root canals, followed by the insertion of light-curing composite resin using the incremental technique.
publishDate 2021
dc.date.none.fl_str_mv 2021-10-17
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dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/20823
10.33448/rsd-v10i13.20823
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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. 13; e406101320823
Research, Society and Development; Vol. 10 Núm. 13; e406101320823
Research, Society and Development; v. 10 n. 13; e406101320823
2525-3409
reponame:Research, Society and Development
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