Root Canal Treatment in Maxillary Second Premolar and Maxillary First Molar: Case Report
Keywords:
Root canal treatment,, Pulp necrosis,, Case reportAbstract
Background: The diagnosis of pulp tissue and periapical tissue diseases is both a science and an art, requiring the ability to detect and differentiate the natural variations in these tissues. The primary objective of diagnosis is to define the patient's problem and identify its underlying cause, leading to appropriate treatment.
Objective: To study root canal treatment as a method for managing inflammation of the pulp and periapical tissues. This includes eliminating infections within the root canal through canal enlargement combined with antimicrobial irrigation, as well as preventing reinfection by sealing the root canal. Additionally, the study aims to classify pulp tissue and periapical tissue diseases.
Methodology: This study is based on a case report, utilizing patient history and clinical examination data. The collected information was analyzed and interpreted to achieve an accurate diagnosis and appropriate treatment.
Results: A 32-year-old Thai female patient was referred by a private clinic for root canal treatment. The patient had no symptoms. Upon oral examination and radiographic assessment, she was diagnosed with pulp necrosis with asymptomatic apical periodontitis in teeth #25 and #26. Non-surgical root canal treatment was performed at the Dental Department of Chalong Hospital. The report details the examination, diagnosis, treatment procedures for the second premolar and first molar, and follow-up results at 3 and 6 months. The patient remained asymptomatic, and radiographic images confirmed periapical tissue healing.
Conclusion: Understanding the diagnosis of pulp and periapical tissue diseases and providing appropriate root canal treatment allows patients to preserve their teeth for continued oral function.
References
Berman LH, Hargreaves KM. Cohen S Pathways of the Pulp, 11th edition. St. Louis, Elsevier, 2011.
American Association of Endodontists. Glossary of endodontic terms, 8th edition. Chicago, 2012.
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.
Krasner P, Rankow HJ. Anatomy of the pulp chamber floor. J Endodon, 2004.
Weller RN, Hartwell G. The impact of improved access and searching techniques on detection of the mesiolingual canal in maxillary molars. J Endodon, 1989.
Pettiette MT, Metzger Z, Phillips C, Trope M. Endodontic complications of root canal therapy performed by dental students with stainless-steel K-files and nickel-titanium hand files. J Endodon, 1999.
Torabinejad M, Handysides R, Khademi A, Bakland LK. Clinical implications of the smear layer in endodontics: A review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2002.
Gomes BP, Ferraz CCR, Vianna ME, Berber VB, Teixeira FB, de Souza-Filho FJ. In vitro antimicrobial activity of several concentrations of sodium hypochlorite and chlorhexidine gluconate in the elimination of Enterococcus faecalis. Int Endod J, 2001.
Johnson WT, Noblett WC. Cleaning and Shaping in: Endodontics: Principles and Practice, 4th edition. Saunders, Philadelphia, PA, 2009.
Li GH, Niu LN, Zhang W, Olsen M, De-Deus G, Eid AA, et al. The ability of new obturation Materials to improve the seal of the root canal system: a review. Acta Biomater, 2014.
Wolcott JF, Hicks ML, Himel VT. Evaluation of pigmented intraoffice barriers in endodontically treated teeth. J Endodon, 1999.
Yamauchi S, Shipper G, Buttke T, Yamauchi M, Trope M. Effect of orifice plugs on periapical inflammation in dogs. J Endodon, 2006.
Abramovitz L, Lev R, Fuss Z, Metzger Z. The unpredictability of seal after post space preparation: a fluid transport study. J Endodon, 2001.
Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endodon, 1990.
Amauri Favier, Fabiana Gama Benevide deBARROS, luis Claudio CAMPOS. Root canal therapy of a maxillary first molar with five root canals: Case Report. Braz Dent, 2006.
Bellizi R, Hartwell G. Radiographic evaluation of root canal anatomy of in vivo endodontically treated maxillary premolars. J Endodon, 1985.
Vertucci FJ, Seeling A, Gillis R. Root canal morphology of the human maxillary second premolar. Oral Surg, 1974.
Stropko JJ. Canal morphology of maxillary molars: clinical observations of canal configurations. J Endodon, 1999.
Gorduysus MO, Gorduysus M, Friedman S: Operating microscope improves negotiation of second mesiobuccal canals in maxillary molars. J Endodon, 2001.
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