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Acta stomatologica Croatica, Vol.45 No.3 September 2011. -

Morphological aberrations in teeth present challenges to root-canal treatment. In such cases, an awareness of the possible anatomical variations is essential to localize and successfully treat the entire root-canal system. The purpose of this case report was to describe a nonsurgical treatment of a maxillary left first premolar with gemination. A 20-year-old female patient was referred for endodontic

treatment of her maxillary left first premolar. Based on the clinical and radiographic examination, pulp necrosis and chronic apical periodontitis and a geminated tooth were diagnosed. The root canals were instrumented using the ProTaper Universal™ rotary system up to F3 and F4 instruments, respectively, for the buccal and palatal root canals. The root canals were dried with sterile paper points and filled with ProTaper gutta-percha points and AH Plus Sealer using a cold lateral condensation technique. At the 12-month follow-up, the tooth was asymptomatic and there was no radiolucency around the apical region. Even in a tooth with extremely complex root canal morphology, a conventional endodontic treatment without surgical intervention can result in adequate healing without any complications.

Root Canal Therapy; Dental Pulp Necrosis; Periapical Granuloma; Gemination; Bicuspid

Autor: Carlos M Aguiar - ; Federal University of Pernambuco, Brazil Andréa C Câmara - ; Federal University of Pernambuco, Brazil

Fuente: http://hrcak.srce.hr/


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