Tailor-made endodontic obturator for the management of Blunderbuss canal

Abstract

The complex anatomy of the blunderbuss root canal often poses a major challenge to accomplish adequate obturation for a biological seal. Moreover, the roll-cone, Gutta-percha obturation technique, which is routinely practiced, also results in a mismatch and failure to configure to the canal volume in the absence of an apical barrier. Hence, an attempt has been made to tailor-make a heat polymerized polymethyl methacrylate resin as an endodontic obturator, to match the canal volume, which has been ascertained by Spiral computed tomography and mathematical integration. A one-year follow-up examination has revealed that the tooth is asymptomatic, with the repair of the lesion evident radiographically.

Conservative management of discolored maxillary central incisor with open apex using Mineral Trioxide Aggregate (MTA) apical plug and walking bleach Method: A case report.

“…[15] Now we can calibrate the diameter of open apex in cubic millimeter by CBCT (cone beam computed tomography), Spiral CT (computed tomography), and Ultrasound also confirmed the nature of the periapical tissues. [16] Novel bio regenerative and highly biocompatible material like MTA (calcium silicate) based single-visit apexification can be a better option for open apex cases to achieve a higher success rate in today's scenario. This case report suggested that MTA based one visit apexification with walking bleach is the best conservative procedure of choice which restores the esthetic of the natural tooth for the patient.…”