TY - JOUR
T1 - Endodontic treatment of severely curved root canals – A case series
AU - Rosselle, Veronica Regina
AU - Ongkowijoyo, Cendranata Wibawa
AU - Setyabudi,
N1 - Publisher Copyright:
Copyright © 2024 Dental Journal (Majalah Kedokteran Gigi)
PY - 2024
Y1 - 2024
N2 - Background: It is not uncommon for a dentist to encounter endodontic cases of severely curved root canals. Performing endodontic treatment on severely curved root canals can be a daunting task due to the notable risk of creating an iatrogenic error including a ledge, perforation, or even instrument separation. Therefore, radiograph image analysis, proper endodontic treatment planning, and selection of appropriate instruments and techniques are essential to ensure success in the endodontic treatment of severely curved root canals. Purpose: This case series aims to elaborate on the instruments and techniques necessary to safely negotiate, clean, shape, and seal root canals with severe curvature. Cases: Three patients came to Universitas Airlangga Dental Hospital due to severe toothaches. After anamnesis and examination, diagnosis was established, and endodontic treatments were deemed necessary. Severe curvatures were visible in the root canals during radiographic image analysis. Case Management: Access openings were performed to allow straight-line access, orifices were preflared, root canals were negotiated, and glide paths were established. Then, shaping, cleaning, and sealing could be performed conveniently into the root canal terminus. Subsequently, coronal restorations were fabricated to restore function and esthetics. Conclusion: With proper knowledge, case analysis, and appropriate instruments and techniques, severely curved root canals can be safely and accurately negotiated, cleaned, shaped, and sealed.
AB - Background: It is not uncommon for a dentist to encounter endodontic cases of severely curved root canals. Performing endodontic treatment on severely curved root canals can be a daunting task due to the notable risk of creating an iatrogenic error including a ledge, perforation, or even instrument separation. Therefore, radiograph image analysis, proper endodontic treatment planning, and selection of appropriate instruments and techniques are essential to ensure success in the endodontic treatment of severely curved root canals. Purpose: This case series aims to elaborate on the instruments and techniques necessary to safely negotiate, clean, shape, and seal root canals with severe curvature. Cases: Three patients came to Universitas Airlangga Dental Hospital due to severe toothaches. After anamnesis and examination, diagnosis was established, and endodontic treatments were deemed necessary. Severe curvatures were visible in the root canals during radiographic image analysis. Case Management: Access openings were performed to allow straight-line access, orifices were preflared, root canals were negotiated, and glide paths were established. Then, shaping, cleaning, and sealing could be performed conveniently into the root canal terminus. Subsequently, coronal restorations were fabricated to restore function and esthetics. Conclusion: With proper knowledge, case analysis, and appropriate instruments and techniques, severely curved root canals can be safely and accurately negotiated, cleaned, shaped, and sealed.
KW - glide path
KW - negotiation
KW - root canal curvature
UR - http://www.scopus.com/inward/record.url?scp=85194196939&partnerID=8YFLogxK
U2 - 10.20473/J.DJMKG.V57.I2.P145-151
DO - 10.20473/J.DJMKG.V57.I2.P145-151
M3 - Article
AN - SCOPUS:85194196939
SN - 1978-3728
VL - 57
SP - 145
EP - 151
JO - Dental Journal
JF - Dental Journal
IS - 2
ER -