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International Journal of Anatomical Variations

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Sampath Madhyastha*
 
Department of Anatomy, Faculty of Medicine, Kuwait University, Kuwait, Email: [email protected]
 
*Correspondence: Associate Professor. Sampath Madhyastha, Department of Anatomy, Faculty of Medicine, Kuwait University, Kuwait, Tel: 36304111502, Email: [email protected]

Received Date: Aug 11, 2021 / Accepted Date: Aug 16, 2021 / Published Date: Aug 23, 2021

Citation: Madhyastha S. Molecular Endodontic retreatment of a lower canine associated with a periapical lesion. Int J Anat Var. 2021;14(8):

This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (http://creativecommons.org/licenses/by-nc/4.0/), which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes. For commercial reuse, contact [email protected]

Editorial

The point of the root channel treatment is to accomplish a correct shaping, cleaning and three-dimensional filling of the root canal system. The extreme objective is to dispose of the infected tissue, microorganisms and to fill the complex anatomy of the root trench framework, to permit the mending of a peri-apical injury or to forestall the disease of peri-radicular tissues are or complex physical varieties might prompt inappropriate endodontic treatment, frequently connected with an incomplete end of the tainted tissue, bringing about a treatment failure.

The point of the root channel treatment is to accomplish a correct shaping, cleaning and three-dimensional filling of the root canal system. The extreme objective is to dispose of the infected tissue, microorganisms and to fill the complex anatomy of the root trench framework, to permit the mending of a peri-apical injury or to forestall the disease of peri-radicular tissues are or complex physical varieties might prompt inappropriate endodontic treatment, frequently connected with an incomplete end of the tainted tissue, bringing about a treatment failure.

The lower canine anatomy for the most part presents only one wide waterway related with a single root 7; a variety in a particularly morphological pattern might confuse the treatment. In an example of 830 extracted human mandibular canines contemplated utilizing a clearing technique, 98.3% of these teeth displayed a solitary root, with 92.2% introducing one channel and one foramen. According to Vertucci, in single-established mandibular canines, type II and type III setups might be found in 14% and 3% of the cases, respectively. The type II Vertucci arrangement identifies two waterways what start with free holes and then consolidate (as a rule at or close to the apical third of the root) into a solitary trench with its exceptional foramen; in the type III design a solitary primary channel is parted by a dentinal island, along its way to the pinnacle, into two waterways; finally, these two trenches combine at or close to the summit forming just one foramen.

Different scientists have acted in-vitro studies utilizing sectioning or radiographic techniques: they also revealed that about 15% of singleestablished lower canines how two channels with a couple of foramina. The presence of two-roots and two-trenches in mandibular canines is a more uncommon condition. In an investigation directed by Ouellet, the presence of the subsequent root seemed in proportion of 5% of all teeth included; different writers have reported a significantly lower rate, with a rate of 1.7% of mandibular canines with two roots highlighting two canals late examination surveyed the life structures of two-rooted mandibular canines by utilizing high-goal miniature computed tomography: the discoveries uncovered that root bifurcation occurred in the apical and centre thirds; also, lateral and furcation waterways were seen in 29% and 65% of the samples, respectively. From a clinical perspective, periapical radiographs per-framed at various angulations might be of incredible assistance to discover physical varieties of teeth. The objective of this article is to depict a case report about the endodontic retreatment of a lower canine with a rare two-roots/two-channels setup. The past primary treatment didn’t distinguish the whole channel framework: a symptomatic periodical sore created and drove patient to our dental office.

A 30-year-elderly person went to our clinic revealing severe pain and enlarging situated at the right mandible. After taking proper clinical and dental history, the intra-oral examination was performed and a mucosal edema relating to the apex of teeth 4.2 and 4.3 was found. Nonetheless, clinical tests featured the shortfall of endodontic sickness on the lower sidelong incisor: imperativeness tests were ordinary, no agony at percussion was found and physiological periodontal probing was available. Then again, tooth 4.3 showed a post-endodontic reclamation completed with a metallic screw-type post related with an optional rot and marginal spillage. The canine was difficult at vertical and bucco-lingual percussion tests. The primary symmetrical X-ray examination of the right lower canine showed an apparently correct endodontic treatment: regardless of the filling of the canal seemed satisfactory corresponding to the root length; a wide periapical bone rarefaction was present.

A subsequent X-beam, gotten by Clark’s standard from a mesiodistal projection, unmistakably showed a second lingual root remained unshaped and filled during the past therapy probably, this was the principle issue supporting the apical lesion. A further periodontal assessment prompted the exclusion of an upward root break and additionally different issues at the attachment device. At last a conclusion of intense, symptomatic per apical periodontitis on tooth 4.3 was formulated. After educated assent was gotten from the patient, the endodontic retreatment was booked. Following local anesthesia and elastic dam position, the post-retained restoration and all rotted dentinal tissue were eliminated.

 
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