Using an operating microscope to re-treat an inferior premolar with two canals
This report aims to present a clinical case of endodontic re-treatment performed on a left inferior premolar with two canals of difficult localization. The importance of anatomical knowledge and the use of an operating microscope, especially in complex reintervention are discussed. An endodontic re-treatment was performed on element 34, which had a prosthetic restoration and vestibular fistula. In clinical examination, it was observed a negative result to the sensitization test and a positive result to vertical percussion test. After all the obturating material was removed, an operating microscope was requested to assess a possible fracture or the presence of another canal. It was noticed the presence of another canal that was treated and obturated as the existing canal. After 12 months, a new radiographic exam was performed, whose result was found asymptomatic and radiographically normal. In complex peculiar anatomy cases, the operating microscope is vital for the localization of extra canal to guarantee treatment success.
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Faculdade São Leopoldo Mandic
2014
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oai:scielo:S1981-863720140004004312019-08-06Using an operating microscope to re-treat an inferior premolar with two canalsSANTOS,Janaína FernandesALMEIDA,Gustavo MoreiraMARQUES,Eduardo FernandesBUENO,Carlos Eduardo da Silveira Endodontics Microscopy Premolar tooth This report aims to present a clinical case of endodontic re-treatment performed on a left inferior premolar with two canals of difficult localization. The importance of anatomical knowledge and the use of an operating microscope, especially in complex reintervention are discussed. An endodontic re-treatment was performed on element 34, which had a prosthetic restoration and vestibular fistula. In clinical examination, it was observed a negative result to the sensitization test and a positive result to vertical percussion test. After all the obturating material was removed, an operating microscope was requested to assess a possible fracture or the presence of another canal. It was noticed the presence of another canal that was treated and obturated as the existing canal. After 12 months, a new radiographic exam was performed, whose result was found asymptomatic and radiographically normal. In complex peculiar anatomy cases, the operating microscope is vital for the localization of extra canal to guarantee treatment success.info:eu-repo/semantics/openAccessFaculdade São Leopoldo MandicRGO - Revista Gaúcha de Odontologia v.62 n.4 20142014-12-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372014000400431en10.1590/1981-8637201400040000122107 |
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SANTOS,Janaína Fernandes ALMEIDA,Gustavo Moreira MARQUES,Eduardo Fernandes BUENO,Carlos Eduardo da Silveira |
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SANTOS,Janaína Fernandes ALMEIDA,Gustavo Moreira MARQUES,Eduardo Fernandes BUENO,Carlos Eduardo da Silveira Using an operating microscope to re-treat an inferior premolar with two canals |
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SANTOS,Janaína Fernandes ALMEIDA,Gustavo Moreira MARQUES,Eduardo Fernandes BUENO,Carlos Eduardo da Silveira |
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SANTOS,Janaína Fernandes |
title |
Using an operating microscope to re-treat an inferior premolar with two canals |
title_short |
Using an operating microscope to re-treat an inferior premolar with two canals |
title_full |
Using an operating microscope to re-treat an inferior premolar with two canals |
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Using an operating microscope to re-treat an inferior premolar with two canals |
title_full_unstemmed |
Using an operating microscope to re-treat an inferior premolar with two canals |
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using an operating microscope to re-treat an inferior premolar with two canals |
description |
This report aims to present a clinical case of endodontic re-treatment performed on a left inferior premolar with two canals of difficult localization. The importance of anatomical knowledge and the use of an operating microscope, especially in complex reintervention are discussed. An endodontic re-treatment was performed on element 34, which had a prosthetic restoration and vestibular fistula. In clinical examination, it was observed a negative result to the sensitization test and a positive result to vertical percussion test. After all the obturating material was removed, an operating microscope was requested to assess a possible fracture or the presence of another canal. It was noticed the presence of another canal that was treated and obturated as the existing canal. After 12 months, a new radiographic exam was performed, whose result was found asymptomatic and radiographically normal. In complex peculiar anatomy cases, the operating microscope is vital for the localization of extra canal to guarantee treatment success. |
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Faculdade São Leopoldo Mandic |
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2014 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372014000400431 |
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