Any injury to the pulp during its development lead to cessation of dentin formation and root growth. Status of the pulp and root development are the decisive factors in the treatment approach. Various treatment options include surgery with rood end sealing, apexification using calcium hydroxide ,placement of apical plug and regenerative endodontic procedures to induce apexogenesis. This study describes the treatment of an immature permanent tooth which was treated with regenerative approach using 3% NaOCl and 17% ethylenediaminetetraacetic acid as irrigants,and then medicated with triple antibiotic paste, after that platelet rich fibrin (PRF) and Biodentine were place in the canal. On follow up at 3 ,6,12 months healing of periapical lesion, dentinal thickening, and apical closure were evident. So, PRF can be used for the treatment of immature permanent teeth with periapical lesion, as part of a regenerative endodontic procedures.
Acute apical abscess is most common dental disease. It is formed when the infection from root canal travel to the periapical tissues followed by the formation of pus. A clinician must have a thorough idea about the management and regimens that is best given to treat the disease. The purpose of this article was to describe the endodontic management of an Acute Apical Abscess in an 21 year-old girl. The patient presented inflammation of extraoral tissues
The root canal system presents a complex anatomy. It is a myriad complex of canals and their various portals of exits. The maxillary first molar is an important tooth in the arch and is of prime functional importance. In maximum cases, the maxillary first molar shows presence of three canals viz. mesiobuccal, distobuccal and palatal canal. At times, there may be presence of four or five canals. These extra canals may be present as a second mesiobuccal canal, a second distobuccal canal or an extra canal in the palatal root. These canals are often missed by the clinician. Their identification has benefitted from technological innovations like microscopes and ultrasonics that have enabled easy identification of the orifices of these canals. This case report presents a case of root canal treatment of maxillary first molar with four canals.
C-shaped canal variation is commonly seen in mandibular second molars. Extra canals is not always a variation in root canals. Radiograph is a must for the identification of single canal. Thorough idea of the proper anatomy of root canals is utmost important to diagnose the variations.
During endodontic diagnosis multirooted teeth morphologically, shows variable root canal system . This case report explains the anatomical variations of root and root canals. Here it is shown that a single canal is present in mandibular second molar. Therefore we should be aware that a single canal can also be present in mandibular molar.
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