Cargando…
Surgical Sealing of Laterally Localized Accessory Root Canal with Resin Containing S-PRG Filler in Combination with Non-Surgical Endodontic Treatment: A Case Report
The spread of root canal infection to surrounding periodontal tissue through accessory root canals reduces the success rate of endodontic treatment. In this case, cone-beam computed tomography revealed a lesion (4 mm from the apex) resulting from an accessory root canal of the maxillary left central...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7712176/ https://www.ncbi.nlm.nih.gov/pubmed/33233579 http://dx.doi.org/10.3390/dj8040131 |
_version_ | 1783618313845211136 |
---|---|
author | Hirata-Tsuchiya, Shizu Suzuki, Shigeki Nakamoto, Takashi Kakimoto, Naoya Yamada, Satoru Shiba, Hideki |
author_facet | Hirata-Tsuchiya, Shizu Suzuki, Shigeki Nakamoto, Takashi Kakimoto, Naoya Yamada, Satoru Shiba, Hideki |
author_sort | Hirata-Tsuchiya, Shizu |
collection | PubMed |
description | The spread of root canal infection to surrounding periodontal tissue through accessory root canals reduces the success rate of endodontic treatment. In this case, cone-beam computed tomography revealed a lesion (4 mm from the apex) resulting from an accessory root canal of the maxillary left central incisor. First, non-surgical endodontic treatment was conducted but the sinus tract remained. Surgical preparation of the root cavity was then conducted to remove potentially infected dentin surrounding the accessory root canal. The cavity was filled and the foramen was sealed with resin containing bioactive surface pre-reacted glass (S-PRG) filler. The photopolymerized resin was then contoured and polished. In combination with subsequent supportive non-surgical endodontic treatment, a good clinical outcome with the disappearance of the sinus tract and clinical symptoms such as discomfort and pressure pain and the regeneration of the alveolar bone hanging over the cavity was obtained. In this case, the good clinical outcome may have been due to the dentin-adhesive property and durability of the pre-adhesive system and composite resin. The better biocompatibility of S-PRG fillers presumably facilitated periodontal tissue healing. |
format | Online Article Text |
id | pubmed-7712176 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-77121762020-12-04 Surgical Sealing of Laterally Localized Accessory Root Canal with Resin Containing S-PRG Filler in Combination with Non-Surgical Endodontic Treatment: A Case Report Hirata-Tsuchiya, Shizu Suzuki, Shigeki Nakamoto, Takashi Kakimoto, Naoya Yamada, Satoru Shiba, Hideki Dent J (Basel) Case Report The spread of root canal infection to surrounding periodontal tissue through accessory root canals reduces the success rate of endodontic treatment. In this case, cone-beam computed tomography revealed a lesion (4 mm from the apex) resulting from an accessory root canal of the maxillary left central incisor. First, non-surgical endodontic treatment was conducted but the sinus tract remained. Surgical preparation of the root cavity was then conducted to remove potentially infected dentin surrounding the accessory root canal. The cavity was filled and the foramen was sealed with resin containing bioactive surface pre-reacted glass (S-PRG) filler. The photopolymerized resin was then contoured and polished. In combination with subsequent supportive non-surgical endodontic treatment, a good clinical outcome with the disappearance of the sinus tract and clinical symptoms such as discomfort and pressure pain and the regeneration of the alveolar bone hanging over the cavity was obtained. In this case, the good clinical outcome may have been due to the dentin-adhesive property and durability of the pre-adhesive system and composite resin. The better biocompatibility of S-PRG fillers presumably facilitated periodontal tissue healing. MDPI 2020-11-20 /pmc/articles/PMC7712176/ /pubmed/33233579 http://dx.doi.org/10.3390/dj8040131 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Hirata-Tsuchiya, Shizu Suzuki, Shigeki Nakamoto, Takashi Kakimoto, Naoya Yamada, Satoru Shiba, Hideki Surgical Sealing of Laterally Localized Accessory Root Canal with Resin Containing S-PRG Filler in Combination with Non-Surgical Endodontic Treatment: A Case Report |
title | Surgical Sealing of Laterally Localized Accessory Root Canal with Resin Containing S-PRG Filler in Combination with Non-Surgical Endodontic Treatment: A Case Report |
title_full | Surgical Sealing of Laterally Localized Accessory Root Canal with Resin Containing S-PRG Filler in Combination with Non-Surgical Endodontic Treatment: A Case Report |
title_fullStr | Surgical Sealing of Laterally Localized Accessory Root Canal with Resin Containing S-PRG Filler in Combination with Non-Surgical Endodontic Treatment: A Case Report |
title_full_unstemmed | Surgical Sealing of Laterally Localized Accessory Root Canal with Resin Containing S-PRG Filler in Combination with Non-Surgical Endodontic Treatment: A Case Report |
title_short | Surgical Sealing of Laterally Localized Accessory Root Canal with Resin Containing S-PRG Filler in Combination with Non-Surgical Endodontic Treatment: A Case Report |
title_sort | surgical sealing of laterally localized accessory root canal with resin containing s-prg filler in combination with non-surgical endodontic treatment: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7712176/ https://www.ncbi.nlm.nih.gov/pubmed/33233579 http://dx.doi.org/10.3390/dj8040131 |
work_keys_str_mv | AT hiratatsuchiyashizu surgicalsealingoflaterallylocalizedaccessoryrootcanalwithresincontainingsprgfillerincombinationwithnonsurgicalendodontictreatmentacasereport AT suzukishigeki surgicalsealingoflaterallylocalizedaccessoryrootcanalwithresincontainingsprgfillerincombinationwithnonsurgicalendodontictreatmentacasereport AT nakamototakashi surgicalsealingoflaterallylocalizedaccessoryrootcanalwithresincontainingsprgfillerincombinationwithnonsurgicalendodontictreatmentacasereport AT kakimotonaoya surgicalsealingoflaterallylocalizedaccessoryrootcanalwithresincontainingsprgfillerincombinationwithnonsurgicalendodontictreatmentacasereport AT yamadasatoru surgicalsealingoflaterallylocalizedaccessoryrootcanalwithresincontainingsprgfillerincombinationwithnonsurgicalendodontictreatmentacasereport AT shibahideki surgicalsealingoflaterallylocalizedaccessoryrootcanalwithresincontainingsprgfillerincombinationwithnonsurgicalendodontictreatmentacasereport |