Negotiating the Turns: An Endodontic Management of Curved Canals of Mandibular Third Molar– A Case Report
Journal Title: Scholars Journal of Dental Sciences - Year 2018, Vol 5, Issue 4
Abstract
Abstract: The aim of quality endodontic therapy has remained as it is since its establishment. Total removal of pulpal tissues with effective cleaning and shaping, followed by three dimensional obturation and coronal seal, will satisfy both mechanical and biological objectives [1]. As an endodontist, we need to appreciate each of these steps and know that our treatment’s success is dictated by the weakest element of our procedure. An insight of canal anatomy, coronal flaring, pre-curving of all the hand files and use of gradually increasing in number of files facilitates easy negotiation of canal curvature and preserving the shape without any iatrogenic errors. Initiating the treatment without gaining the knowledge of anatomy of canal can lead to apical zips, perforations, canal blockages or instrument separation – which can leave the canal unprepared and lead to continued pathology compromising the outcome of treatment. A thorough assessment of preoperative radiographs coupled with careful approach yielded into a safe and a successful endodontic treatment of such teeth.
Authors and Affiliations
Jigar Parmar, Kailash Attur, Vivek Solanki, Riza Mansuri
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