Developmental disturbance of a mandibular central incisor following trauma to the primary predecessor.

When a primary tooth sustains a traumatic injury, development of the permanent tooth can be disturbed, leading to various malformations. This case report details the 7-year follow-up of a developmental anomaly of a central mandibular incisor in a 10-year-old Japanese girl with a history of dental trauma that had occurred at age 4. The trauma had resulted in unusual crown dilaceration in the permanent successor, which exhibited a discoloured and abnormal crown morphology.

Current strategy for successful periradicular surgery.

Periradicular surgery is often used as a last resort to save an endodontically treated tooth with a persistent periapical lesion. The introduction of surgical microscopes, ultrasonics, and compatible root-end filling materials has made periradicular surgery a much more predictable treatment. The advantages of modern periradicular surgery include easier identification of root apices, smaller osteotomines, shallower resection angles, and tight sealing within the prepared root-end cavity.

Esthetic and endodontic management of a deep crown-root fracture of a maxillary central incisor.

Treatment of trauma to anterior teeth should aim at preserving the affected teeth so as to restore function and esthetic appearance. Recently, patients have come to expect adequate esthetics immediately after trauma. In the present case, a deep crown-root fracture compromised the pulp and extended subgingivally on the palatal aspect.

Endodontic treatment of a maxillary lateral incisor with a perforating internal resorption by using cone beam computed tomography as a diagnostic aid: a case report.

This case report presents the endodontic treatment of a maxillary right lateral incisor with a perforating internal resorption in a 50-year-old woman. Radiographically, internal resorption appears as a fairly uniform, radiolucent enlargement of the pulp canal and distortion of the original root canal outline. The use of cone beam computed tomography can help the clinician in making a confirmatory diagnosis and determining the treatment plan before undertaking the actual treatment.

Effect of canal taper and plugger size on warm gutta-percha obturation of lateral depressions.

This study used transparent epoxy-resin root canal models to evaluate different main root canal tapers and various methods of vertical compaction for warm gutta-percha obturation of lateral depressions. The root canal models had straight main root canals with three tapers and four lateral depressions at right angles to the main root canal, 1.0 mm and 3.

Ultrasonic irrigation of a maxillary lateral incisor with perforation of the apical third of the root.

We describe the successful use of a combination of nonsurgical root canal treatment and ultrasonic irrigation for collaborative management of a maxillary left lateral incisor with perforation of the apical third of the root. During the endodontic treatment procedure, the ultrasonically activated tip was used for intracanal irrigation. The area of perforation in the apical third of the root and the main root canal space were obturated with gutta-percha and root canal sealer, using a lateral condensation method.

Endodontic treatment of bilateral dens evaginatus premolars with large periapical lesions.

Dens evaginatus is a developmental anomaly characterized by the presence of an accessory cusp composed of enamel and dentine, usually containing pulp tissue. This condition is clinically important because of fracture or wear of the tubercle, which can frequently lead to the major complication of pulp necrosis and periapical infection. Treatment varies according to pulp condition, tubercle integrity, and stage of root development.

Use of a crown fragment to establish favorable temporary crown.

This case describes the esthetic management of a fractured tooth at first visit and its subsequent treatments to restore the esthetics and function. Patients expect adequate esthetics immediately after the first appointment. In addition, they require that esthetics is maintained throughout the definitive treatment phase as well.

Scanning electron microscopic study of dentinal pulpal walls in relation to age and tooth area.

A study was conducted to observe the surface morphological changes of human dentinal pulpal walls in specific areas of the tooth at various ages. Thirty-two extracted human non-carious teeth with single root canals were used. The teeth were divided longitudinally in the bucco-lingual plane and prepared for scanning electron microscopy (SEM).

Long-term observation of endodontic surgical intervention to treat root perforation and apical periodontitis: a case report of an amalgam-restored tooth.

A case of crestal root perforation and periapical lesion in a maxillary left lateral incisor is reported. Teeth with root perforation present technical difficulties in their clinical management because of their complex defects. In the present case, surgical endodontic treatment was chosen.