Title: Root canal treatment for a lengthy maxillary canine of 37 mm. Case Report.

Shahad E. Hussain(1), Elhadi M. Awooda(2),


(1) University of Medical Sciences and Technology, Sudan
(2) Faculty of Dentistry, University of Medical Sciences and Technology, Sudan

Abstract

Objective: Very long teeth present challenging in endodontic treatment. It necessitates modification of the instruments and techniques to negotiate the canal and to obturate to the full working length. This case aims to perform root canal treatment (RCT) of a lengthy maxillary canine of 37 mm length.

Methods: A 75-year old man came for a filling of decayed upper front teeth. Radiographically, the right canine showed an abnormality in length. Clinically, it was carious, not tender to percussion, and diagnosed as asymptomatic irreversible pulpitis with normal apical tissues.   Results: This case illustrated the use of hand H-files (ISO) with the removal of the plastic cable and preparation of the canal by push – pull movement and obturation conventionally through vertical and lateral condensation techniques.  CBCT was used to assess treatment outcome. Conclusion: RCT of a very long tooth can be performed by instrument cable removal technique (ICRT) to achieve good quality and better outcomes.

Keywords

CBCT; Endodontic hand H-file; Lengthy Root Canals; maxillary cuspid.

Full Text:

PDF

References

: Vertucci FJ. Root canal morphology and its relationship to endodontic procedures. Endod Topics 2005;10:3–29.

Black GV. Descriptive anatomy of the human teeth. 4th ed. Philadelphia: S. S. White Dental Manufacturing Co., 1902.

Bjorndal AM, Henderson WG, Skidmore AE, Kelner FH. Anatomic measurements of human teeth extracted from males between the ages of 17 and 21 years. Oral Surg 1974;38:791-803.

Weine FS. A Very Long Cuspid!. J Endod 1986;12:80-81.

Booth JM. The longest tooth? Aust Endod News 1988;13:5.

Marashi AH, Gorlin RJ. Radiculomegaly of canines and congenital cataracts – a syndrome? Oral Surg Oral Med Oral Pathol 1990;70:802-3

Venokur PC, Fink HD. Maxillary canine of unusual length. Oral Surg 1976 ;42:137.

Bellizzi R. Endodontic therapy associated with a case of cuspid gigantism. Oral Surg 1982;53:199-202.

James W. Vargo, Gary R. Hartwell. Modified Endodontics for Lengthy Canals. J Endod 1992;18:512-514.

Al-Dahman Yousef H., Al-Hawwas Abdullah Y., Al-Jebaly Asma S. Root canal treatment of a 32-mm length maxillary canine - a case report. International Journal of Contemporary Medical Research 2017;4:2297-2299.

Barletta FB, Grecca FS, Wagner MH, Ferreira R, Lopez FU. Endodontic treatment of a 36-mm long upper cuspid: clinical case report. odonto ciênc. 2010;25:412-416.

Cardoso RM, Vieira TM, Limoeiro, AG, Bastos H, Tomazinho, LF, Albuquerque DS. An alternative technique to Endodontic treatment for long teeth: A case report. Journal of Surgical and Clinical Dentistry 2019;17:8-10.

Iqbal Z, Memon RA. Comparision between radiographic and electronic working length determination in root canal treatment in vivo study. ISRA Medical Journal 2013;5:41-46.

Naulakha D, Agrawal M, Naulakha N. Determination of tooth length variation of maxillary canine. Journal of Nobel Medical College. 2014;3:40-45.

De-Deus G, Reis C, Beznos D, de Abranches AM, Coutinho-Filho T, Paciornik S. Limited ability of three commonly used thermoplasticized gutta-percha techniques in filling oval- shaped canals. J Endod 2008; 34:1401-1405.

Wilkie GJ, Chambers IG. A very large maxillary cuspid. Oral Surg Oral Med Oral Pathol. 1990;70:159-160.

Dimension

Altmetric

PlumX


DOI: https://doi.org/10.20956/jcrdm.v2i2.108

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License. View My Stats