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Ali Nosrat - One of the best experts on this subject based on the ideXlab platform.

  • non surgical retreatment of Maxillary Lateral Incisor with unusual anatomy a case report and mini review
    iranian endodontic journal, 2017
    Co-Authors: Ashraf Shubbar, Behnam Bolhari, Nooshin Fakhari, Parvin Alemi, Ali Nosrat
    Abstract:

    Knowledge about internal anatomy plays a crucial role in the success of the root canal treatment. Many studies on internal anatomy have repeatedly reported that Maxillary Lateral Incisors have only one canal. The primary aim of this article was to describe successful non-surgical retreatment of a permanent Maxillary Lateral Incisor with two root canals and open apices. The treatment was carried out using dental operating microscope and the canals were obturated with mineral trioxide aggregate (MTA) as an apical plug. A review of literature was also conducted to evaluate the anatomical variations of Maxillary Lateral Incisors.

  • endodontic management of a Maxillary Lateral Incisor with 4 root canals and a dens invaginatus tract
    Journal of Endodontics, 2015
    Co-Authors: Ali Nosrat, Craig S Schneider
    Abstract:

    Dens invaginatus (DI) is associated with complex internal anatomy. This article represents a Maxillary Lateral Incisor with 5 root canals including DI. The treatment was planned and performed using cone-beam computed tomographic (CBCT) imaging. After clinical and radiographic evaluations, tooth #7 was diagnosed with DI and pulp necrosis with symptomatic apical periodontitis. Periapical radiographs of the tooth showed 2 roots and complex internal anatomy. CBCT evaluation revealed tooth #7 had 5 separate canals (4 root canals and 1 DI canal extending through the root to the periodontal ligament), communication between DI and the root canal system, and severe and multiple curvatures of the palatal canals. Root canal treatment was completed in 2 visits. Modified access openings were required to safely treat the dilacerated palatal canals. At the 6-month re-evaluation, the patient reported he had remained asymptomatic and his tooth had remained functional since the treatment was completed. Clinical examination showed tooth #7 had no sensitivity to percussion or palpation, probe depths within normal limits (≤3 mm), and no mobility. Radiographic assessment of the tooth showed significant osseous healing of the preoperative lesion. Three-dimensional imaging is a valuable tool for endodontic management of teeth with complex internal anatomy. Three-dimensional imaging is recommended for evaluating and treatment planning cases with DI.

Mi R Analaliga - One of the best experts on this subject based on the ideXlab platform.

F Cakici - One of the best experts on this subject based on the ideXlab platform.

  • endodontic treatment of a Maxillary Lateral Incisor with vital pulp periradicular lesion and type iii dens invaginatus a case report
    International Endodontic Journal, 2010
    Co-Authors: Ali Keles, F Cakici
    Abstract:

    Keles A, Cakici F. Endodontic treatment of a Maxillary Lateral Incisor with vital pulp, periradicular lesion and type III dens invaginatus: a case report. International Endodontic Journal 43, 608–614, 2010. Abstract Aim  To report the healing of a periradicular lesion and maintaining vitality of the pulp following endodontic treatment of the invaginated canal of a dental invagination. Summary  Dens invaginatus is a developmental malformation resulting from invagination of the tooth crown or root before calcification has occurred. A case of type III dens invaginatus, an invagination that extends from the crown to the apex, in the Maxillary right Lateral Incisor with a healthy pulp and large peri-invagination periodontitis is reported. Non-surgical root canal treatment of the invagination was performed. There appeared to be no communication between the main root canal and the invaginated canal. The invaginated canal was filled by Lateral condensation of gutta-percha and a calcium hydroxide sealer. The final restoration of the tooth was completed using composite, and the tooth was reviewed after 1 and 2 years. Non-surgical root canal treatment of the invagination retained the pulp in a health condition and resulted in resolution of a substantial peri-invagination lesion. Key learning points  •  Even though there are no symptoms, radiography should be performed in teeth that exhibit anatomical differences from the contraLateral tooth. •  Even if there is extensive apical pathology in a tooth with type III dens invaginatus, pulp sensibility tests should be performed. •  Correct diagnosis and treatment planning are fundamental when treating dens invaginatus.

Pelin Guneri - One of the best experts on this subject based on the ideXlab platform.

  • amputation of an extra root with an endodontic lesion in an invaginated vital Maxillary Lateral Incisor a rare case with seven year follow up
    iranian endodontic journal, 2016
    Co-Authors: M K Caliskan, Saeed Asgary, Ugur Kagan Tekin, Pelin Guneri
    Abstract:

    The developmental abnormality of tooth resulting from the infolding of enamel/dentin into the root is called dens invaginatus. Management of such cases is usually challenging due to the morphological complexity of root canal system. This report presents a rare treatment protocol of a clinical case of Oehler's type III dens invaginatus combined with an endodontic lesion in a vital Maxillary Lateral Incisor. Access to the endodontic lesion located between the central and Lateral Incisors was achieved by reflection of a full mucoperiosteal flap. Granulomatous tissue as well as aberrant root was removed and the surface of the root and adjacent coronal region were reshaped. Three years later, the patient was orthodontically treated. Seven years after completion of surgical/orthodontic management, the tooth remained asymptomatic and functional with normal periodontium/vital pulp. Radiographically, the healing of the lesion was observed. Actually, vitality of the invaginated tooth and communication between the invagination and the root canal were the most important factors in determining such minimally invasive treatment protocol. Depending on the anatomy of the root canal system, surgical amputation of an invaginated root can be performed to achieve a successful outcome in Oehler's type III dens invaginatus cases, even though it is associated with apical periodontitis.

K Shoba - One of the best experts on this subject based on the ideXlab platform.