Treatment outcome of young molars obstructed by fractured endodontic instruments: two case reports

Detalhes bibliográficos
Autor(a) principal: Cunha, Thaís Christina
Data de Publicação: 2020
Outros Autores: Matos, Felipe de Souza, Paranhos, Luiz Renato, Moura, Camilla Christian Gomes
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/8537
Resumo: Ultrasonic tips and anatomic finishing files have been used as strategies to improve the cleaning and disinfection of root canals, especially in complex anatomies. These instruments are also subjected to fractures, which can hinder the endodontic treatment and negatively affect the outcome. This article presents two cases of successful management of intracanal-fractured instruments with unfavourable prognosis, emphasizing on treatment protocols and outcomes. Two 14-year-old female patients underwent root canal treatment of teeth 37 (case 1) and 47 (case 2). During the final irrigation protocols, case 1 presented a fractured XP-Clean file within the mesiobuccal canal and within the distal canal in case 2, which also showed fractured E1-Irrisonic tips within the mesiobuccal and distal canals. Non-surgical management and bypassing retained instrument fragments were successful in both cases and they may be considered adequate approaches.
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spelling Treatment outcome of young molars obstructed by fractured endodontic instruments: two case reportsResultado del tratamiento de molares jóvenes obstruidos por instrumental endodóntico fracturado: reporte de dos casosResultado do tratamento de molares jovens obstruídos por instrumentos endodônticos fraturados: relato de dois casosEndodonticsFractured instrumentRoot canal preparationTreatment outcome.EndodonciaInstrumento fracturadoPreparación del conducto radicularResultado del tratamiento.EndodontiaInstrumento fraturadoPreparo de canal radicularResultado do tratamento.Ultrasonic tips and anatomic finishing files have been used as strategies to improve the cleaning and disinfection of root canals, especially in complex anatomies. These instruments are also subjected to fractures, which can hinder the endodontic treatment and negatively affect the outcome. This article presents two cases of successful management of intracanal-fractured instruments with unfavourable prognosis, emphasizing on treatment protocols and outcomes. Two 14-year-old female patients underwent root canal treatment of teeth 37 (case 1) and 47 (case 2). During the final irrigation protocols, case 1 presented a fractured XP-Clean file within the mesiobuccal canal and within the distal canal in case 2, which also showed fractured E1-Irrisonic tips within the mesiobuccal and distal canals. Non-surgical management and bypassing retained instrument fragments were successful in both cases and they may be considered adequate approaches.Las puntas ultrasónicas y las limas de acabado anatómico se han utilizado como estrategias para mejorar la limpieza y desinfección de los conductos radiculares, especialmente en anatomías complejas. Estos instrumentos también están sujetos a fracturas, lo que puede dificultar el tratamiento endodóntico y afectar negativamente el resultado. Este artículo presenta dos casos de manejo exitoso de instrumentos fracturados dentro del conducto radicular, con un pronóstico desfavorable, con énfasis en los protocolos y resultados del tratamiento. Dos pacientes mujeres de 14 años fueron sometidas a tratamiento de conducto 37 (caso 1) y 47 (caso 2). Durante los protocolos finales de irrigación, el caso 1 presentó una lima XP-Clean fracturada dentro del canal mesiovestibular y dentro del canal distal en el caso 2, que también presentaba puntas E1-Irrisonic fracturadas en los canales mesiovestibular y distal. El manejo no quirúrgico y el desvío de fragmentos de los instrumentos retenidos fueron exitosos en ambos casos y pueden considerarse abordajes apropiados.Pontas ultrassônicas e limas anatômicas de acabamento têm sido utilizadas como estratégias para melhorar a limpeza e a desinfecção dos canais radiculares, principalmente em anatomias complexas. Esses instrumentos também estão sujeitos a fraturas, o que pode dificultar o tratamento endodôntico e afetar negativamente o resultado. Este artigo apresenta dois casos de manejo bem-sucedido de instrumentais fraturados dentro do canal radicular, com prognóstico desfavorável, com ênfase em protocolos de tratamento e resultados. Duas pacientes do sexo feminino, de 14 anos, foram submetidas a tratamento de canal dos dentes 37 (caso 1) e 47 (caso 2). Durante os protocolos de irrigação final, o caso 1 apresentou uma lima XP-Clean fraturada dentro do canal mesiovestibular e dentro do canal distal no caso 2, que também apresentava pontas E1-Irrisonic fraturadas nos canais mesiovestibular e distal. O manejo não cirúrgico e o desvio dos fragmentos dos instrumentos retidos foram bem-sucedidos em ambos os casos e podem ser considerados abordagens adequadas.Research, Society and Development2020-09-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/853710.33448/rsd-v9i10.8537Research, Society and Development; Vol. 9 No. 10; e3149108537Research, Society and Development; Vol. 9 Núm. 10; e3149108537Research, Society and Development; v. 9 n. 10; e31491085372525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/8537/7639Copyright (c) 2020 Thaís Christina Cunha; Felipe de Souza Matos; Luiz Renato Paranhos; Camilla Christian Gomes Mourahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCunha, Thaís ChristinaMatos, Felipe de SouzaParanhos, Luiz RenatoMoura, Camilla Christian Gomes2020-10-31T12:03:23Zoai:ojs.pkp.sfu.ca:article/8537Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:30:59.478500Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Treatment outcome of young molars obstructed by fractured endodontic instruments: two case reports
Resultado del tratamiento de molares jóvenes obstruidos por instrumental endodóntico fracturado: reporte de dos casos
Resultado do tratamento de molares jovens obstruídos por instrumentos endodônticos fraturados: relato de dois casos
title Treatment outcome of young molars obstructed by fractured endodontic instruments: two case reports
spellingShingle Treatment outcome of young molars obstructed by fractured endodontic instruments: two case reports
Cunha, Thaís Christina
Endodontics
Fractured instrument
Root canal preparation
Treatment outcome.
Endodoncia
Instrumento fracturado
Preparación del conducto radicular
Resultado del tratamiento.
Endodontia
Instrumento fraturado
Preparo de canal radicular
Resultado do tratamento.
title_short Treatment outcome of young molars obstructed by fractured endodontic instruments: two case reports
title_full Treatment outcome of young molars obstructed by fractured endodontic instruments: two case reports
title_fullStr Treatment outcome of young molars obstructed by fractured endodontic instruments: two case reports
title_full_unstemmed Treatment outcome of young molars obstructed by fractured endodontic instruments: two case reports
title_sort Treatment outcome of young molars obstructed by fractured endodontic instruments: two case reports
author Cunha, Thaís Christina
author_facet Cunha, Thaís Christina
Matos, Felipe de Souza
Paranhos, Luiz Renato
Moura, Camilla Christian Gomes
author_role author
author2 Matos, Felipe de Souza
Paranhos, Luiz Renato
Moura, Camilla Christian Gomes
author2_role author
author
author
dc.contributor.author.fl_str_mv Cunha, Thaís Christina
Matos, Felipe de Souza
Paranhos, Luiz Renato
Moura, Camilla Christian Gomes
dc.subject.por.fl_str_mv Endodontics
Fractured instrument
Root canal preparation
Treatment outcome.
Endodoncia
Instrumento fracturado
Preparación del conducto radicular
Resultado del tratamiento.
Endodontia
Instrumento fraturado
Preparo de canal radicular
Resultado do tratamento.
topic Endodontics
Fractured instrument
Root canal preparation
Treatment outcome.
Endodoncia
Instrumento fracturado
Preparación del conducto radicular
Resultado del tratamiento.
Endodontia
Instrumento fraturado
Preparo de canal radicular
Resultado do tratamento.
description Ultrasonic tips and anatomic finishing files have been used as strategies to improve the cleaning and disinfection of root canals, especially in complex anatomies. These instruments are also subjected to fractures, which can hinder the endodontic treatment and negatively affect the outcome. This article presents two cases of successful management of intracanal-fractured instruments with unfavourable prognosis, emphasizing on treatment protocols and outcomes. Two 14-year-old female patients underwent root canal treatment of teeth 37 (case 1) and 47 (case 2). During the final irrigation protocols, case 1 presented a fractured XP-Clean file within the mesiobuccal canal and within the distal canal in case 2, which also showed fractured E1-Irrisonic tips within the mesiobuccal and distal canals. Non-surgical management and bypassing retained instrument fragments were successful in both cases and they may be considered adequate approaches.
publishDate 2020
dc.date.none.fl_str_mv 2020-09-27
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/8537
10.33448/rsd-v9i10.8537
url https://rsdjournal.org/index.php/rsd/article/view/8537
identifier_str_mv 10.33448/rsd-v9i10.8537
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/8537/7639
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. 9 No. 10; e3149108537
Research, Society and Development; Vol. 9 Núm. 10; e3149108537
Research, Society and Development; v. 9 n. 10; e3149108537
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
_version_ 1797052740698898432

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