The aim of the present study was to evaluate the marginal adaptation of two bioceramic root end filling materials in root end preparation done with diamond points and ultrasonics under scanning electron microscope.: 56 single rooted extracted human teeth were collected and decoronated to create a standardized length of 14mm and were then endodontically treated. The treated tooth were resected 3mm from the apex at 90 degree angle to long axis of the tooth.The samples were then randomly divided into two groups, group I and group II of 28 samples each. Group I and group II were further divided into subgroup A and subgroup B of 14 samples each. Root end preparations in subgroup A of both the groups were done using ultrasonic tips and in subgroup B of both the groups root end preparations were done using diamond points and In Group I all the root end preparation were filled with MTA(Angelus) and in group II with Biodentine.The apical portions of the roots were then sectioned to obtain 1mm thick transversal sections, scanning electron microscopy was used to determine the adaptations of the root end filling materials with the dentin. Two way Anova and Tukeys Multiple Posthoc test was used for statistical data analysis.: Lowest mean marginal gap of 0.46 micron meter seen with Group II (a) and highest marginal gap of 0.83micron meter seen with Group I (b), which were statistically significant (P<0.05).: Biodentine group, root end preparation done using ultrasonics showed best marginal adaptation than all the other tested groups.
Management of maxillary first molar with aberrant anatomy is a endodontic challenge, careful observation of periapical radiograph is a must to ensure clinical success. CBCT should be used for knowing canal architecture properly and to avoid any perforations. In this case report endodontic therapy of left maxillary first molar was done after careful analysis of CBCT images and perforation repair was done using MTA.
Pulp stones are nodular, calcified masses commonly appearing in the coronal pulp and occasionally extending in radicular pulp. Retrieval of pulp stones remains a challenge for the endodontist as complete cleaning and shaping of root canal system is the bases for successful endodontic therapy. The aim of this case report is to show the retrieval of long pulp stones measuring 14 and 9.5 mm by utilizing synergistic effect of ultrasonics and sodium hypochlorite from the palatal roots of maxillary molars. Such case has not been reported in the literature so far.
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