Abstract
Knowledge regarding the morphology of the endodontic system is crucial when performing both a treatment and a retreatment which should be both efficient and predictable. The misapprehension regarding the anatomy of the root canals is one of the various issues which might occur during the endodontic treatment, as well as afterwards. The aim of this article is to emphasize, through a clinical case, the failure of a primary endodontic treatment, due to the misapprehension regarding the internal morphology of the inferior incisors, which in turn led to errors in preparing the cavity for endodontic access, to neglect the instrumentation, the lavage and the obturation of the second canal, and finally determining the occurrence of a manifest apical lesion. In order to achieve a good final result, the two canals underwent correct retreatment and tight obturation, after which the patient will be radiologically and/or computertomographical monitored for at least two years.
Highlights
Knowledge regarding the morphology of the endodontic system is crucial when performing both a treatment and a retreatment which should be both efficient and predictable
Antecedentele personale patologice generale nu au fost semnificative, însă din cele locale s-a obţinut informaţia că a suferit un tratament endodontic în urmă cu 10 ani la nivelul dinţilor 3.1, 4.1, 4.2
Există situaţii când este dificil să se identifice pe radiografie existenţa unui canal suplimentar, aşa că inspectarea şi vizualizarea camerei pulpare, încă din etapa tratamentului endodontic iniţial, rămân esenţiale
Summary
Knowledge regarding the morphology of the endodontic system is crucial when performing both a treatment and a retreatment which should be both efficient and predictable. Examenul odontal la acest nivel semnalează modificarea de culoare în roşu a dinţilor 3.1, 4.1 şi 4.2 ce prezintă supracingular la nivelul feţelor orale obturaţii de compozit, semne ale unui tratament endodontic efectuat în antecedente.
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