2018, Number 1
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Rev ADM 2018; 75 (1)
Localized root canal deviation with CBCT. Case report
Palacios SAI, Rosas AR, Guízar MJM
Language: Spanish
References: 24
Page: 45-49
PDF size: 389.41 Kb.
ABSTRACT
Cone-beam (CBCT) tomography is more often used in endodontics, to improve diagnosis and treatment planification. In the present study we were able to detect a deviation of the root canal and perforation during the colocation of a poste, which wasn’t possible with conventional radiograph. The endodontic treatment was guided with cone-beam and was executed under microscope; help out with ultrasonic tips to remove the previous obturation materials (gutta-percha and post) to also detect the original tract and to clean and desinfect the original root canal. Iatrogenic perforations cause poor prognosis of the endodontic treatments. CBCT is a tool that allows observing three-dimensional the root canals; which facilitates the diagnosis and treatment planning.
REFERENCES
Molven O, Halse A, Fristad I, MacDonald-Jankowski D. Periapical changes following root canal treatment observed 20-27 years postoperatively. Int Endod J. 2002; 35 (9): 784-790.
Azim AA, Griggs JA, Huang GT. The Tennessee study: factors affecting treatment outcome and healing time following nonsurgical root canal treatment. Int Endod J. 2016; 49 (1): 6-16.
Nair PN, Sjögren U, Krey G, Kahnberg KE, Sundqvist G. Intraradicular bacteria and fungi in root-filled, asymptomatic human teeth with therapy-resistant periapical lesions: a long-term light and electron microscopic follow-up study. J Endod. 1990; 16 (12): 580-588.
Haapasalo M, Shen Y, Ricucci D. Reasons for persistent and emerging post-treatment endodontic disease. Endod Topics. 2011; 18 (1): 31-50.
Torabinejad M, Corr R, Handysides R, Shabahang S. Outcomes of nonsurgical retreatment and endodontic surgery: a systematic review. J Endod. 2009; 35 (7): 930-937.
Salehrabi R, Rotstein I. Epidemiologic Evaluation of the outcomes of Orthograde Endodontic Retreatment. J Endod. 2010; 36 (5): 790-792.
American Association of Endodontists. Glossary of Endodontic Terms, 8th ed. Chicago: American Association of Endodontists; 2012. [Accessed 29 December of 2013]. Available at: http://pages.nxtbook.com/nxtbooks/aae/endodonticglossary/offline/aae_endodonticglossary.pdf
Farzaneh M, Abitbol S, Lawrence HP, Friedman S; Toronto Study. Treatment outcome in endodontics the Toronto study. Phase II: initial treatment. J Endod. 2004; 30 (5): 302-309.
Tsesis I, Fuss ZV. Diagnosis and treatment of accidental root perforations. Endod Topics. 2006; 13 (1): 95-107.
Kvinnsland I, Oswald RJ, Halse A, Gronningsaeter AG. A clinical and roentgenological study of 55 cases of root perforation. Int Endod J. 1989; 22 (2): 75-84.
Touré B, Faye B, Kane AW, Lo CM, Niang B, Boucher Y. Analysis of reasons for extraction of endodontically treated teeth: a prospective study. J Endod. 2011; 37 (11): 1512-1515.
Koh ET, McDonald F, Pitt Ford TR, Torabinejad M. Cellular response to mineral trioxide aggregate. J Endod. 1998; 24 (8): 543-547.
Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone-beam computed tomography in endodontics: a review. Int Endod J. 2015; 48 (1): 3-15.
AAE Consensus Conference Recommended Diagnostic Terminology. J Endod. 2009; 35: 1634.
Peters OA, Peters CI. Cleaning and shaping of the root canal system. Mosby Inc. 2006; pp. 290-357.
Peters OA, Peters CI, Schönenberger K, Barbakow F. ProTaper rotary root canal preparation: effects of canal anatomy on final shape analysed by micro CT. Int Endod J. 2003; 36 (2): 86-92.
Seltzer S, Sinai I, August D. Periodontal effects of root perforations before and during endodontic procedures. J Dent Res. 1970; 49 (2): 332-339.
Sinai IH. Endodontic perforations: their prognosis and treatment. J Am Dent Assoc. 1977; 95 (1): 90-95.
Nair MK, Nair UP. Digital and advanced imaging in endodontics: a review. J Endod. 2007; 33 (1): 1-6.
Patel S, Dawood A, Whaites E, Pitt Ford T. New dimensions in endodontic imaging: part 1. Conventional and alternative radiographic systems. Int Endod J. 2009; 42 (6): 447-662.
Torabinejad M, Hong CU, McDonald F, PittFord TR. Physical and chemical properties of a new root-end filling material. J Endod. 1995; 21 (7): 349-353.
Holland R, Filho JA, de Souza V, Nery MJ, Bernabé PF, Junior ED. Mineral trioxide aggregate repair of lateral root perforations. J Endod. 2001; 27 (4): 281-284.
Lee SJ, Monsef M, Torabinejad M. Sealing ability of a mineral trioxide aggregate for repair of lateral perforations. J Endod. 1993; 19 (11): 541-544.
Torabinejad M, Watson TF, PittFord TR. Sealing ability of mineral trioxide aggregated when used as root end filling material. J Endod. 1993; 19 (12): 591-595.