دورية أكاديمية
Methodological Approach to the Endodontic Treatment of First Premolars with Three Root Canals: Two Case Reports.
| العنوان: | Methodological Approach to the Endodontic Treatment of First Premolars with Three Root Canals: Two Case Reports. |
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| المؤلفون: | Balthazard R; Department of Conservative Dentistry, Faculty of Dentistry, Vandoeuvre-lès-Nancy, France, Phone: +33 621 093 852, e-mail: remy.balthazard@univ-lorraine.fr., Corne P; Department of Prosthodontics, Faculty of Dentistry, Vandoeuvre-lès-Nancy, France., Vincent M; Department of Conservative Dentistry, Faculty of Dentistry, Vandoeuvre-lès-Nancy, France., Mortier E; Department of Conservative Dentistry, Faculty of Dentistry, Vandoeuvre-lès-Nancy, France. |
| المصدر: | The journal of contemporary dental practice [J Contemp Dent Pract] 2019 Feb 01; Vol. 20 (2), pp. 263-269. Date of Electronic Publication: 2019 Feb 01. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Jaypee Brothers Medical Publishers Country of Publication: India NLM ID: 101090552 Publication Model: Electronic Cited Medium: Internet ISSN: 1526-3711 (Electronic) Linking ISSN: 15263711 NLM ISO Abbreviation: J Contemp Dent Pract Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2011- : [New Delhi] : Jaypee Brothers Medical Publishers Original Publication: [Cincinnati, OH] : Procter & Gamble Co., [1999- |
| مواضيع طبية MeSH: | Dental Pulp Cavity* , Mandible*, Adult ; Bicuspid ; Humans ; Male ; Maxilla ; Middle Aged ; Root Canal Therapy |
| مستخلص: | Aim: The aim of this article was to promote a methodology in the endodontic management of complex premolars with multiple root canals Background: The success of endodontic treatment depends on a meticulous clinical and radiographic analysis, the creation of a suitable access cavity and chemical and mechanical preparation, followed by three-dimensional filling of the entire root canal system. Consequently, it is essential to look for the presence of additional root canals to prevent endodontic treatment failure Case description: Two cases are presented. The first case concerned a 50-year-old male patient of North African origin who consulted in the context of a global prosthetic restoration including endodontic treatment of the maxillary left first premolar (tooth no. 24). The second case concerned a 29-year-old male patient of North African origin who was referred to us by his primary care practitioner in an urgent context of pain and infection present for two weeks (tooth no. 44). In both cases, it was the in-depth radiographic analysis, combined with manual exploration under the surgical micro- scope, that led to the relatively rare identification of a third root canal. Shaping, disinfection and three-dimensional filling of the entire root canal system were then performed in accordance with widely validated protocols. Conclusion: The maxillary and mandibular premolars, due to their highly variable root canal system configuration and a number of root canals and roots, appear to be teeth for which treatment is potentially complex. The acuteness of digital-tactile sense and the advent of 3D imaging and optical aids optimize the treatment of all the root canals of a tooth Clinical significance: These case reports demonstrate the importance of clinical and radiographic inspections to guide practitioners in the search for additional root canals in premolars and promote a methodological approach. |
| فهرسة مساهمة: | Keywords: Additional root canals; Mandibular first premolar; Maxillary first premolar Root canal treatment. |
| تواريخ الأحداث: | Date Created: 20190507 Date Completed: 20191029 Latest Revision: 20191029 |
| رمز التحديث: | 20221213 |
| PMID: | 31058645 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1526-3711 |
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