Endodontic Management of Maxillary Premolar Using Metapex And 2% Chlorhexidine As Intracanal Medicaments.
Journal Title: International Journal of Dental Science and Innovative Research (IJDSIR) - Year 2019, Vol 2, Issue 3
Abstract
Repeated failures of Root canal treatment (RCT) teeth make us think for surgical management. This case report presents retreatment of a root canal treated case. Patient reported with history of undergoing root canal treatment twice earlier in which there was a persistent symptom after initial treatment. Initial pre operative Radiovisiograph (RVG) revealed fixed partial denture in relation to 15, 16 and 17 and incomplete obturation with periapical abscess in relation to 15.The teeth were periodontally compromised, access through crown of 15 was planned, Initially Tungsten Carbide burs were used to gain coronal access through crown and post was retrieved through crown with the usage of ultra sonic tips and gutta-percha retrieved by chemo mechanical method. The periapical infection was non surgically managed with metapex and 2% chlorhexidine gel as intra canal medicament in combination for 4 weeks, with weekly change of medicament. With the combination of good aseptic technique and proper disinfection of root canals non surgical retreatment offers positive results. This case report summarises the measures taken to gain access into tooth through crown, importance of combination of medicaments for retreatment.
Authors and Affiliations
Major (Dr) Lakinepally Abishek
Keywords
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