Management of Internal Resorption by Laser Disinfection and Thermoplasticised Obturation
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 10
Abstract
Endodontic therapy for teeth diagnosed with irreversible pulpitis has been in use for many years,and continues to be the standard of care in the dental practice. In simple cases, where mechanical instrumentation and chemical irrigation can achieve sufficient cleaning and disinfection, endodontic treatment is reported to be as high as 96% successful. However, in cases where root canal systems are more complex, proper cleaning of the organic debris, removal of smear layer and disinfection, has proven to be a challenge. Long-standing chronic periapical lesions and complex root canal anatomy, examples of which include the presence of isthmus, apical deltas and lateral canals, the predictability of successful endodontic therapy is significantly reduced. Lasers of different wavelengths have been shown to be useful in improving disinfection and smear layer removal in more complicated endodontic cases. In this article, we describe a case of laser-assisted endodontic therapy of a lower premolar exhibiting radiographic evidence of internal resorption and clinical symptoms of irreversible pulpitis. The case was recommended for extraction following endodontic consultation, as there was suspected buccal root perforation.Mechanical instrumentation was performed using Protaper Next Rotary system followed by the diode 940nm laser for deeper disinfection of the dentinal tubules. Thermoplasticized obturation technique was utilized. The protocol was successful and one-year radiographic follow-up is presented as evidence.
Authors and Affiliations
Drisya Soman, Moksha Nayak, V Krishnan
Co-relation between Periodontitis and Cardiovascular Disorders- A Review
The recent focus on the potential link between periodontal and cardiovascular disease (PD and CVD) is part of the larger renewed interest on the role of infection and inflammation in the etiology of atherosclerosis and i...
ASSESSMENT OF KNOWLEDGE OF MEDICAL STUDENTS ABOUT RADIATION EXPOSURES ASSOCIATED WITH RADIOLOGIC DIAGNOSTIC IMAGING TECHNIQUES
Background: Radiation is one of the factors with proven negative adverse effect on human and living beings. Most physicians significantly underestimated doses associated with various imaging modalities. Literature quotes...
Comparative Evaluation of Alterations in Serum Lipid Profile in Patients with Oral Leukoplakia
Background: The alterations in the circulatory cholesterol levels have been found to be associated with etiology of breast cancer and colorectal cancer. However, only a few reports are available on plasma lipid profile i...
ASSESSMENT OF DIFFERENT TESTS FOR IDENTIFICATION OF STAPHYLOCOCCUS AUREUS FROM CLINICAL SAMPLES: A COMPARATIVE STUDY
Background: Staphylococcus aureus is a frequently isolated pathogen and may be cultured early in infancy in cystic fibrosis (CF) patients. Previous reports have shown that a significant number of clinical isolates of met...
Study of ST Segment Resolution after Thrombolysis in Acute Myocardial Infarction- As Predictor of Outcome
Background: Coronary heart disease (CHD) is a major cause of mortality and morbidity all over the world. Acute myocardial infarction is one of the most common diagnoses in hospitalised patients in industrialized countrie...