The purpose of this study is to compare the clinical and radiographic evaluation of single visit and multivisit endodontic treatment of teeth with periapical radiolucency.
Material and Method:A comparative study was carried out in 60 patients ranged from 18 to 50 years who fulfilled the criteria.Single rooted teeth of patients with vertuccis type I canal configuration and teeth with radiographic evidence of periapical pathology (periapical index (PAI ≥ 3) and pulpal necrosis. The teeth were obturated in single visit and multiple visit and evaluated radiographically for periapical healing.Results: Clinical symptoms were rare during the follow-up period. All the teeth exhibited successful clinical (i.e. for spontaneous pain, presence of sinus tract, swelling, mobility, periodontal probing depths, Tenderness on percussion) outcome at one year follow up. Both groups showed improved healing at the end of 12 months, although the percentage of healed teeth were more in those obturated in multiple visit.
Conclusion:There was no statistically significant difference in radiographic evidence of periapical healing between one-visit and two-visit group at 12 months follow-up.
A
bstract
Understanding the diversity of root canal systems and their anatomical/morphological variations helps in achieving improved outcomes of root canal treatment. The outcome of endodontic treatment depends on a thorough knowledge of dental anatomy and its variations. Maxillary central incisor with two roots is a rare entity, so a complete clinical and radiological examination is important before initiating the treatment. Recently, three-dimensional (3D) radiography has improved the diagnosis and treatment planning in endodontics. So, the current report describes the endodontic and periodontal surgical management of traumatized discolored maxillary central incisors with two separated roots and root canals identified by two-dimensional (2D) and 3D radiographic examination.
How to cite this article
Prasad P, Galani M, Nawal RR,
et al.
Three-dimensional Assessment of Two-rooted Maxillary Central Incisor with Labiogingival Groove: Endodontic and Periodontal Surgical Management. Int J Clin Pediatr Dent 2023;16(3):528-533.
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