Tratamento Endodôntico De Incisivo Lateral Superior Com Curvatura Apical Acentuada E Lesão Periapical: Relato De Caso

Abstract

Complexity of root canal treatment is well recognized, however some specific situations are still more difficult, such as treatment of apical third with accentuated curvature. Nevertheless, recent techniques of instrumentation and obturation brought new persperctives and became a determinant factor for successful treatment. Through the treatment of a maxillary left lateral incisor, with accentuated apical curvature, pulpal necrosis and periapical lesion through manual instrumentation and lateral condensation technique of root canal filling, this article is aimed to discuss whether these recent techniques of instrumentation and obturation of root canal are actually determinant factors for the success in endodontic treatment.

Dentistry and Veterinary Medicine a Necessary Dialogue to Expand the Possibilities of Action

“…The choice of endodontic treatment takes into account issues such as pulp vitality, stage of tooth development, previous treatments and severity of periapical lesions. The stages of human and veterinary endodontic treatment follow the same steps: surgical canal access, canal exploration, sequential limb instrumentation and constant irrigation, drying of the conduits, obturation with gutta percha and sealant cements, always performing radiographic monitoring between stages [12,[29][30][31]. It should be emphasized that when the tooth fracture is expressive and there is a need to reproduce a large amount of structure, with the purpose of restoring not only shape but also function, the fabrication of metal prostheses becomes the most indicated, due to its greater resistance and the fact that aesthetic is a secondary concern [28,29].…”