SavedAdd your journal

Journals / Aurum Journal of Health Sciences / 2020 / Cilt: 2 - Sayı: Supplement 1 (Congress issue)

Selective Retreatment of a Three-Canalled Mandibular Premolar using Cone Beam Computed Tomography: 5-Year Follow-up

Neslihan YILMAZ ÇIRAKOĞLU
Pages
71–77
Publication Date
2020-09-10
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This case report shows that the selective retreatment method can be successfully applied to multi-rooted teeth with symptoms of recurrent infection after root canal treatment.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Root canal retreatment is traditionally considered an “all or none” treatment approach.
📊
Key Findings & Data:However, the use of three-dimensional imaging such as cone-beam computed tomographic imaging allows for a more accurate evaluation of the periapical status of individual roots associated with multi-rooted teeth.
💡
Conclusion & Impact:This case report shows that the selective retreatment method can be successfully applied to multi-rooted teeth with symptoms of recurrent infection after root canal treatment.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Cone beam computed tomography · multi-rooted tooth · reinfection

Abstract

Root canal retreatment is traditionally considered an “all or none” treatment approach. However, the use of three-dimensional imaging such as cone-beam computed tomographic imaging allows for a more accurate evaluation of the periapical status of individual roots associated with multi-rooted teeth. This information has introduced a novel and conservative treatment alternative for previously endodontically treated teeth with multiple roots presenting with post-treatment disease. This new approach is termed selective root retreatment. This case report presents the selective retreatment by using CBCT and 5-year follow-up of the lower second premolar tooth, which has been previously treated with canal treatment but has recurrent infection symptoms. The patient was followed up for 6 months, 1 year and 5 years. At control appointments, the patient was asymptomatic and radiographic evaluation showed that periapical infection had healed. This case report shows that the selective retreatment method can be successfully applied to multi-rooted teeth with symptoms of recurrent infection after root canal treatment.

🔖

Cite This Article

ÇIRAKOĞLU, N. Y. (2020). Selective Retreatment of a Three-Canalled Mandibular Premolar using Cone Beam Computed Tomography: 5-Year Follow-up. Aurum Journal of Health Sciences, Cilt: 2 - Sayı: Supplement 1 (Congress issue), 71–77. https://ajindex.com/articles/825976

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (17)

  1. Aguiar, C., Mendes, D., Camara, A., Figueiredo, J. (2010). Endodontic treatment of a mandibular second premolar with three root canals. J Contemp Dent Pract, 11(2), 078-084.
  2. Barnett, F., Abbott, J., Hartwell, G. (2011). Cone beam-computed tomography in endodontics. Endodontics: colleagues for excellence. Chicago: American Association of Endodontists, 1-7.
  3. Bram, S. M., Fleisher, R. (1991). Endodontic therapy in a mandibular second bicuspid with four canals. J Endod, 17(10), 513-515.
  4. Chan, K., Yew, S. C., Chao, S. Y. (1992). Mandibular premolar with three root canals--two case reports. Int Endod J, 25(5), 261-264.
  5. Cleghorn, B. M., Christie, W. H., Dong, C. C. (2008). Anomalous mandibular premolars: a mandibular first premolar with three roots and a mandibular second premolar with a C-shaped canal system. Int Endod J, 41(11), 1005-1014.
  6. Davis, S., Gluskin, A. H., Livingood, P. M., Chambers, D. W. (2010). Analysis of temperature rise and the use of coolants in the dissipation of ultrasonic heat build-up during post removal. J Endod, 36(11), 1892-1896.
  7. Friedman, S., Abitbol, S., Lawrence, H. P. (2003). Treatment outcome in endodontics: the Toronto Study. Phase 1: initial treatment. J Endod, 29(12), 787-793.
  8. Friedman, S., Mor, C. (2004). The success of endodontic therapy--healing and functionality. J Calif Dent Assoc, 32(6), 493-503.
  9. Lotfi, M., Vosoughhosseini, S., Zand, V., Fatemi, A., Shyezadeh, V., Ranjkesh, B. (2008). A mandibular second premolar with three canals and atypical orifices. J Oral Sci, 50(3), 363-366.
  10. Maggiore, F., Jou, Y. T., Kim, S. (2002). A six-canal maxillary first molar: case report. Int Endod J, 35(5), 486-491.
  11. Nair, P. N. (1999). Cholesterol as an aetiological agent in endodontic failures--a review. Aust Endod J, 25(1), 19-26.
  12. Nair, P. N. (2006). On the causes of persistent apical periodontitis: a review. Int Endod J, 39(4), 249-281.
  13. Nair. P. N., Sjogren, U., Krey, G., Sundqvist, G. (1990). Therapy-resistant foreign body giant cell granuloma at the periapex of a root-filled human tooth. J Endod, 16(12), 589-595.
  14. Nudera, W. J. (2015). Selective root retreatment: a novel approach. J Endod, 41(8), 1382-1388.
  15. Parekh, V., Shah, N., Joshi, H. (2011). Root canal morphology and variations of mandibular premolars by clearing technique: an in vitro study. J Contemp Dent Pract, 12(4), 318-321.
  16. Patel, S. (2009). New dimensions in endodontic imaging: part 2. Cone beam computed tomography. Int Endod J, 42(6), 463-475.
  17. Peters, O. A., Barbakow, F., Pete