Endodontic treatment of severely curved root canals – A case series
Downloads
Background: It is not uncommon for a dentist to encounter endodontic cases of severely curved root canals.Performing endodontic treatment on severely curved root canals can be a daunting task due to the notable risk of creating an iatrogenic error including ledge, perforation, or even instrument separation. Therefore, radiograph image analysis, proper endodontic treatment planning, selection of appropriate instruments and technique is essential to ensure success in endodontic treatment of severely curved root canals. Purpose: This case series aims to elaborate the instruments and technique to safely negotiate, clean, shape, and seal root canals with severe curvature. Cases: Three patients came to Universitas Airlangga Dental Hospital due to a severe toothache. After anamnesis and examination, diagnosis was established, and endodontic treatment was deemed necessary. During radiographic image analysis, it is visible that the root canal had a severe curvature. Case Managements: Access opening was performed to allow a straight-line access, orifices were preflared, root canals were negotiated, and glide path was established. Then, shaping, cleaning, and sealing can be performed conveniently until the root canal terminus. Subsequently, coronal restoration was fabricated to restore function and esthetics. Conclusion: With proper knowledge, case analysis, appropriate instruments and techniques, severely curved root canals can be safely and predictably negotiated, cleaned, shaped, and sealed.
Downloads
American Association of Endodontics. Treatment standards. Chicago; 2020. p. 1–26. web: https://www.aae.org/specialty/wp-content/uploads/sites/2/2018/04/TreatmentStandards_Whitepaper.pdf
Gupta V, Grewal MS, Arya A, Arora A, Goel A. Reaching the depths through three-dimensional irrigation – A review. J Evol Med Dent Sci. 2021; 10(6): 381–6. doi: https://doi.org/10.14260/jemds/2021/84
Estrela C, Pécora JD, Estrela CRA, Guedes OA, Silva BSF, Soares CJ, Sousa-Neto MD. Common operative procedural errors and clinical factors associated with root canal treatment. Braz Dent J. 2017; 28(2): 179–90. doi: https://doi.org/10.1590/0103-6440201702451
Hartmann RC, Fensterseifer M, Peters OA, de Figueiredo JAP, Gomes MS, Rossi"Fedele G. Methods for measurement of root canal curvature: a systematic and critical review. Int Endod J. 2019; 52(2): 169–80. doi: https://doi.org/10.1111/iej.12996
Chaniotis A, Ordinola-Zapata R. Present status and future directions: Management of curved and calcified root canals. Int Endod J. 2022; 55(S3): 656–84. doi: https://doi.org/10.1111/iej.13685
Glickman GN, Schweitzer JL. Endodontic diagnosis. American Association of Endodontists. 2013. p. 1–6. web: https://www.aae.org/specialty/wp-content/uploads/sites/2/2017/07/endodonticdiagnosisfall2013.pdf
Silva EJNL, De"Deus G, Souza EM, Belladonna FG, Cavalcante DM, Simíµes"Carvalho M, Versiani MA. Present status and future directions – Minimal endodontic access cavities. Int Endod J. 2022; 55(S3): 531–87. doi: https://doi.org/10.1111/iej.13696
Ruddle CJ. Shaping complex canals: Clinical strategy and technique. Dentistry Today. Advanced Endodontics; 2014. p. 1–8. web: https://www.endoruddle.com/tc2pdfs/show/231
Plotino G, Nagendrababu V, Bukiet F, Grande NM, Veettil SK, De-Deus G, Aly Ahmed HM. Influence of negotiation, glide path, and preflaring procedures on root canal shaping-terminology, basic concepts, and a systematic review. J Endod. 2020; 46(6): 707–29. doi: https://doi.org/10.1016/j.joen.2020.01.023
Buchanan LS. Negotiating around anatomic impediments: Tactile clues, bypass techniques, procedural flow. 2012. Available from: https://us.dental-tribune.com/news/negotiating-around-anatomic-impediments-tactile-clues-bypass-techniques-procedural-flow/.
Topbas C, Adiguzel O. Endodontic irrigation solutions: a review. Int Dent Res. 2017; 7(3): 54. doi: https://doi.org/10.5577/intdentres.2017.vol7.no3.2
Cassim I, van der Vyver PJ. The importance of glide path preparation in endodontics: a consideration of instruments and literature. SADJ. 2013; 68(7): 322–7. pubmed: http://www.ncbi.nlm.nih.gov/pubmed/24133951
Hartmann RC, Peters OA, de Figueiredo JAP, Rossi-Fedele G. Association of manual or engine-driven glide path preparation with canal centring and apical transportation: a systematic review. Int Endod J. 2018; 51(11): 1239–52. doi: https://doi.org/10.1111/iej.12943
Ongkowijoyo CW, Soetojo A. Common endodontic treatment challenge in an elderly patient: Negotiating root canal impediments. Acta Med Philipp. 2019; 53(6): 501–5. doi: https://doi.org/10.47895/amp.v53i6.676
Alghamdi N. Endodontic management of type I maxillary first molar with two palatal roots using cone-beam computed tomography. Dent J. 2024; 57(1): 1–3. doi: https://doi.org/10.20473/j.djmkg.v57.i1.p1-3
Peeters HH, Judith ET, Suardita K, Mooduto L. Visualization of bubbles generation of electrical-driven EndoActivator tips during solutions activation in a root canal model and a modified extracted tooth: A pilot study. Dent J. 2022; 55(2): 71–5. doi: https://doi.org/10.20473/j.djmkg.v55.i2.p71-75
Iswati R, Farmasyanti CA, Ayub A, Kuijpers-Jagtman AM, Alhasyimi AA. Interdisciplinary management of Class III malocclusion with cleft lip and palate. Dent J. 2023; 56(1): 7–12. doi: https://doi.org/10.20473/j.djmkg.v56.i1.p7-12
Rahmatillah R, Erlita I, Maglenda B. Effect of different final irrigation solutions on push-out bond strength of root canal filling material. Dent J. 2020; 53(4): 181–6. doi: https://doi.org/10.20473/j.djmkg.v53.i4.p181-186
Ordinola-Zapata R, Noblett WC, Perez-Ron A, Ye Z, Vera J. Present status and future directions of intracanal medicaments. Int Endod J. 2022; 55(Suppl 3): 613–36. doi: https://doi.org/10.1111/iej.13731
Siqueira Junior JF, Rí´ças I das N, Marceliano-Alves MF, Pérez AR, Ricucci D. Unprepared root canal surface areas: Causes, clinical implications, and therapeutic strategies. Braz Oral Res. 2018; 32: 1–19. doi: https://doi.org/10.1590/1807-3107bor-2018.vol32.0065
Sampoerno G, Zubaidah N, Salsabilla W. Endodontic flare-up incidence in pulp necrosis in Universitas Airlangga Dental Hospital (RSKGMP Universitas Airlangga). Conserv Dent J. 2022; 12(1): 6–11. doi: https://doi.org/10.20473/cdj.v12i1.2022.6-11
Copyright (c) 2024 Dental Journal
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
- Every manuscript submitted to must observe the policy and terms set by the Dental Journal (Majalah Kedokteran Gigi).
- Publication rights to manuscript content published by the Dental Journal (Majalah Kedokteran Gigi) is owned by the journal with the consent and approval of the author(s) concerned.
- Full texts of electronically published manuscripts can be accessed free of charge and used according to the license shown below.
- The Dental Journal (Majalah Kedokteran Gigi) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License
