Root canal treatment on the complex case using ultrasonics: a case report

Wibowo, L.H. and Elline, E. and Fibryanto, E. and Prahasti, A.E. and Zulkifly, Dinie Qurratuaini (2024) Root canal treatment on the complex case using ultrasonics: a case report. In: Quality Improvement in Dental and Medical Knowledge, Research, Skills and Ethics Facing Global Challenges. CRC Press, London, pp. 230-235. ISBN 978-1-032-51441-3

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Abstract

This is a complex case involving the management of a tooth with pulp stone and an S-shaped canal configuration. The pulp stone is a type of pulp calcification with prevalence of up to 50%. They can be found in either coronal, radicular, or both pulpal regions: and their presence may cause difficulty during access cavity. S-shaped canals may involve several curvatures, with maximal curvature in the apical third. These double-curved canals are usually identified radiographically in a mesiodistal direction. Mostly, S-shaped canals are found in maxillary lateral incisors, canines and premolars, and mandibular molars. A 27-year-old female presented with spontaneous pain for approximately two months. Clinical examination showed leaking existing temporary restorations on teeth #11 and #12. The radiographic examination showed that teeth #11 and #12 had fractures involving the pulp, with an S-shaped canal configuration on tooth 12 and pulp stones on tooth #11. The diagnoses for both teeth were irreversible pulpitis. Following the access cavity on tooth #11, the pulp stone was removed using ET8D ultrasonic tip. Meanwhile, for tooth #12, an S-shaped canal was encountered at the apical third, and stripping occurred at the inner curvature confirmed on the radiograph. Single-visit endodontic treatment was performed prior to direct composite restoration. Removal of pulp stone poses a challenge to the clinician during access cavity, while thorough cleaning and shaping of an S-shaped canal require high operator skill. A proper armamentarium as well as the usage of magnification is of paramount importance to avoid iatrogenic damages such as stripping/ledging of the root canal system.

Item Type:	Book Chapter
Subjects:	R Medicine > RK Dentistry
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Dentistry > Department of Restorative Dentistry Kulliyyah of Dentistry
Depositing User:	DR DINIE QURRATUAINI ZULKIFLY
Date Deposited:	13 Mar 2024 16:16
Last Modified:	13 Mar 2024 16:16
URI:	http://irep.iium.edu.my/id/eprint/111207

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