2018, Number 5
Mul Med 2018; 22 (5)
Milanés SY, Espinosa MNM, Téllez VYL
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ABSTRACTIntroduction: during the endodontic treatment there is the possibility that accidents and complications occur so the professional must have the utmost care and concentration, as well as a solid base of knowledge and good clinical management during the endodontic procedure.
Objective: to determine the effectiveness of the surgical treatment of a false root canal in a tooth with an unfavourable prognosis.
Clinical case: we present the case of a 31-year-old patient with a history of pulpal necrosis in year 21, who underwent pulporradicular treatment approximately 3 years ago. The patient comes to consultation with a fistulous process at the level of the middle third of the tooth and crown dyschromia. X-rays showed the presence of a false duct at the level of the third cervical root. A surgical technique was performed, retrograde obturation of the false canal with silver amalgam and retreatment of the main canal. Then applied the technique of activated hydrogen peroxide with heat combined with sodium perborate for rejection, favourable results were obtained.
Conclusions: the applied technique offers to extend the therapeutic arsenal of the stomatologist for the conservation of dental units destined to be lost by the criteria of conventional treatment.