RESUMEN
Immature teeth with necrotic pulp and large periapical lesions are difficult to treat via conventional endodontic therapy. However, they can be treated with calcium hydroxide and mineral trioxide aggregate (MTA). This article reports the case of a nonvital tooth with a periapical lesion and an open apex that was treated with a single-visit MTA apical plug. A radiographic evaluation taken 6 months post-treatment showed a decrease in the periapical lesion; at 1 year, complete healing was visible.
Asunto(s)
Incisivo/patología , Ápice del Diente/patología , Diente no Vital/terapia , Compuestos de Aluminio/uso terapéutico , Compuestos de Calcio/uso terapéutico , Combinación de Medicamentos , Femenino , Humanos , Incisivo/diagnóstico por imagen , Óxidos/uso terapéutico , Materiales de Obturación del Conducto Radicular/uso terapéutico , Silicatos/uso terapéutico , Ápice del Diente/diagnóstico por imagen , Diente no Vital/diagnóstico por imagen , Diente no Vital/patología , Adulto JovenRESUMEN
INTRODUCTION: The complexity of the root canal system of maxillary molars presents a constant challenge in the diagnosis and treatment of these teeth. This case report describes the importance of a surgical operating microscope and cone-beam computed tomographic (CBCT) imaging. METHODS: Root canal treatment of a left maxillary first molar with 3 roots and 7 canals was successfully performed. Seven canals were identified with the help of a surgical operating microscope and CBCT imaging. CBCT images also confirmed the 3 roots and 7 canals in the right maxillary first molar. RESULTS: CBCT images confirmed a type IV canal pattern in the distal and palatal root, whereas the mesial root had a type VIII canal pattern. CONCLUSIONS: The use of a surgical operating microscope and CBCT imaging helps the clinician to diagnose unusual anatomy of a tooth and facilitate successful endodontic treatment.
Asunto(s)
Tomografía Computarizada de Haz Cónico/métodos , Cavidad Pulpar/anomalías , Diente Molar/anomalías , Adulto , Cavidad Pulpar/diagnóstico por imagen , Estudios de Seguimiento , Gutapercha/uso terapéutico , Humanos , Masculino , Maxilar/diagnóstico por imagen , Microcirugia/instrumentación , Diente Molar/diagnóstico por imagen , Periodontitis Periapical/diagnóstico por imagen , Materiales de Obturación del Conducto Radicular/uso terapéutico , Irrigantes del Conducto Radicular/uso terapéutico , Preparación del Conducto Radicular/instrumentación , Preparación del Conducto Radicular/métodos , Odontalgia/diagnóstico por imagenRESUMEN
Discolouration of teeth, especially the anteriores, can result in considerably cosmetic impairment in person. Combine effects of intrinsic and extrinsic colour determines the appearance of teeth. Whitening of teeth with bleaching is a more conservative therapeutic method than full crowns, veneers or composite restorations which is more invasive and expensive. Among bleaching techniques, in office bleaching with carbamide peroxide provide superior aesthetic result in short period of time with no adverse effects. This paper presents case series of tooth discolouration in non-vital tooth which was successfully bleached using 35 % carbamide peroxide. After 1 year follow up the prognosis was good with no reversal of tooth discolouration. This case report allows the better understanding of the concept of nonvital tooth bleaching with carbamide peroxide which gives a non-invasive alternative for aesthetic purpose in preserving the natural tooth structure.