Article
Dentistry, Oral Surgery & Medicine
H. Bradley, A. Dutta, R. Philpott
Summary: This study describes two cases of X-linked hypophosphatemia patients presenting with spontaneous signs of pulpal necrosis in multiple intact teeth. The patients had abnormal root canal morphology, such as wide canals and open apices, which presented challenges during root canal treatment. However, with appropriate treatment protocols, including apexification procedures, successful management of these cases was achieved with favorable outcomes demonstrated up to a follow-up of 4.5 years.
INTERNATIONAL ENDODONTIC JOURNAL
(2021)
Review
Medicine, Research & Experimental
Meiwei Liu, Yan Zhang, Pei Sun, Yanya Qiao, Keqing Pan
Summary: This study reported a rare anatomical configuration with six root canals in the mandibular right first molar, detected during endodontic treatment using a dental operating microscope and confirmed with CBCT images. The magnification of the microscope and improvement in CBCT diagnostic technology play a crucial role in detecting additional canals.
EXPERIMENTAL AND THERAPEUTIC MEDICINE
(2022)
Article
Medicine, General & Internal
Khaled Al-Manei, Kholod Khalil Al-Manei
Summary: This case report highlights the successful nonsurgical endodontic management of a mandibular first premolar with a history of failed apicoectomy, using mineral trioxide aggregate and cone-beam computed tomography.
CLINICAL CASE REPORTS
(2021)
Article
Medicine, General & Internal
Radhika Gupta, Aditya Patel, Pradnya P. Nikhade, Manoj Chandak, Anuja Ikhar
Summary: This case report explores the challenges faced by dental professionals in managing immature non-vital teeth with an open apex. It discusses the application of mineral trioxide aggregate (MTA) to create an apical plug in an open apex and the subsequent reinforcement of the weakened root using glass fiber post and core build-up to manage the Ellis class IV fracture.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Article
Dentistry, Oral Surgery & Medicine
Qian Wu
Summary: This case report describes the successful application of autologous blood clots obtained from the maxillary alveolar bone in regenerative endodontic procedures. The results show that these blood clots have the potential to manage periapical lesions. However, further clinical trials are needed to validate the feasibility of this method.
CLINICAL ORAL INVESTIGATIONS
(2023)
Article
Medicine, General & Internal
Ye-Qing Yang, Bu-Ling Wu, Jun-Kai Zeng, Chong Jiang, Ming Chen
Summary: Pulp revascularization showed favorable results in treating adult patients with chronic periapical periodontitis with immature roots and open apices.
WORLD JOURNAL OF CLINICAL CASES
(2022)
Article
Dentistry, Oral Surgery & Medicine
Yang Zhou, Ye Tao
Summary: This case report describes the endodontic treatment of a maxillary first molar with a protostylid, which led to apical periodontitis. The treatment was successful and the patient showed significant improvement.
Article
Medicine, Research & Experimental
Payal Chaudhari, Madhulika Chandak, Manoj Chandak, Swayangprabha Sarangi, Akshay Jaiswal, Aditya Patel
Summary: Treating teeth with an open apex requires caution and diligence, as the apical obturation grade directly affects the prognosis of endodontic treatment. Regenerative endodontic therapy is now recommended over calcium hydroxide treatment for apexogenesis due to its advantages. This report presents a case of regenerative endodontic treatment in an immature permanent tooth and evaluates the effectiveness of a PRF-based regenerative protocol. After 1 year of follow-up, the tooth exhibited no symptoms and the apical area showed successful healing.
Article
Dentistry, Oral Surgery & Medicine
Gustavo S. Chaves, Lucas R. Capeletti, Juliano G. Miguel, Marco Antonio Z. Loureiro, Emmanuel J. N. L. Silva, Daniel A. Decurcio
Summary: One challenge in apical surgery in mandibular molars is the thick buccal cortical bone plate, which can cause access errors and damage to healthy tissue. This study reports a novel simplified workflow for apical surgery using a surgical guide planned with only CBCT, eliminating the need for 3D oral scanning.
JOURNAL OF ENDODONTICS
(2022)
Article
Health Care Sciences & Services
Kapil R. R. Jadhav, Cinnamon L. L. VanPutte, Polymnia Tsotsis
Summary: Most mandibular second molars have one or two roots, but there can be variations in root number and morphology. A rare case of an 18-year-old male with a mandibular second molar having three roots - two mesial and one distal - was presented. Radiographs revealed three different canals in separate roots, each with independent exits. Recognizing these variations is crucial for successful endodontic treatment.
Article
Medicine, General & Internal
Peet J. van Der Vyver, Martin Vorster, Glynn Dale Buchanan
Summary: Dens evaginatus is a rare dental anomaly that occurs on mandibular premolar teeth. It is difficult to diagnose and manage, and often involves immature apices, requiring complex endodontic treatment approaches.
CLINICAL CASE REPORTS
(2023)
Article
Dentistry, Oral Surgery & Medicine
Mohammad Sabeti, Kory Golchert, Mahmoud Torabinejad
Summary: Regenerative endodontic procedures aim to restore root development and vitality in certain teeth, although true regeneration of the pulp-dentin complex has not been achieved in most studies. An animal model study demonstrated successful regeneration of the normal pulp-dentin complex in immature teeth through a specific procedure, suggesting potential for further research and improvements in regenerative endodontics.
JOURNAL OF ENDODONTICS
(2021)
Article
Dentistry, Oral Surgery & Medicine
Marcos Coelho Santiago, Michel Mattar Altoe, Caroline Piske de Azevedo Mohamed, Laudimar Alves de Oliveira, Loise Pedrosa Salles
Summary: This study presents a Computer-Aided-Design and Manufacturing (CAD-CAM) workflow for the guided endodontic treatment of calcified root canals in mandibular molars. The use of personalized templates with an open design concept allows for direct visualization of the operative field, reducing the risk of root perforation. This innovative technique provides a secure and efficient approach for accessing and treating obliterated root canals within limited mouth opening.
Article
Dentistry, Oral Surgery & Medicine
Yuxuan Liu, Bing Fan
Summary: Teeth are more prone to fracture after root canal therapy due to loss of dental hard tissue. To minimize tissue removal and maintain fracture strength, the conservative endodontic cavity (CEC) was proposed. The CEC only removes tissue necessary for accessing the canals, showing higher fracture resistance compared to traditional endodontic cavity (TEC).
JOURNAL OF ENDODONTICS
(2021)
Article
Dentistry, Oral Surgery & Medicine
Yaqian Lu, Yawen Liu, Yuhua Xiong, Nan Geng, Feng He, Chao Sun, Jin Li, Yongchun Gu
Summary: The study aimed to establish an effective method for locating and negotiating the lingual canal in mandibular first premolars with two canals during root canal preparation. By using different steps, the success rate of accessing and treating the lingual canals was 86%.