Endodontic management of a maxillary first premolar with 3 root canal. Case report using cone-beam computed tomography
Endodontics is a branch of dentistry, which consists of treating the dental pulp, being important to make a correct diagnosis, collecting all the signs and symptoms. The upper first premolars present anatomical variations and there are probably failures during said therapy due to ignorance of it. Ac...
| Autores: | , , , , |
|---|---|
| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2022 |
| País: | Ecuador |
| Recursos: | Universidad Central del Ecuador |
| Repositorio: | Revista Odontología |
| Idioma: | español |
| OAI Identifier: | oai:revistadigital.uce.edu.ec:article/3940 |
| Acesso em linha: | https://revistadigital.uce.edu.ec/index.php/odontologia/article/view/3940 |
| Access Level: | acceso abierto |
| Palavra-chave: | Endodoncia Tratamiento del Conducto radicular Diente Premolar Tomografía Endodontics Root Canal therapy Bicuspid Tomography |
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Endodontic management of a maxillary first premolar with 3 root canal. Case report using cone-beam computed tomography Manejo endodóntico de un primer premolar superior con 3 conductos, utilizando tomografía computarizada de cone-beam |
| title |
Endodontic management of a maxillary first premolar with 3 root canal. Case report using cone-beam computed tomography |
| spellingShingle |
Endodontic management of a maxillary first premolar with 3 root canal. Case report using cone-beam computed tomography Tapia Tapia, Gabriela Endodoncia Tratamiento del Conducto radicular Diente Premolar Tomografía Endodontics Root Canal therapy Bicuspid Tomography |
| title_short |
Endodontic management of a maxillary first premolar with 3 root canal. Case report using cone-beam computed tomography |
| title_full |
Endodontic management of a maxillary first premolar with 3 root canal. Case report using cone-beam computed tomography |
| title_fullStr |
Endodontic management of a maxillary first premolar with 3 root canal. Case report using cone-beam computed tomography |
| title_full_unstemmed |
Endodontic management of a maxillary first premolar with 3 root canal. Case report using cone-beam computed tomography |
| title_sort |
Endodontic management of a maxillary first premolar with 3 root canal. Case report using cone-beam computed tomography |
| dc.creator.none.fl_str_mv |
Tapia Tapia, Gabriela Sinchiguano Gallardo, Jeniffer Rodrigues de Freitas-Aznar, Adriana Burgos Ponce, José Duarte da Costa Aznar, Fabio |
| author |
Tapia Tapia, Gabriela |
| author_facet |
Tapia Tapia, Gabriela Sinchiguano Gallardo, Jeniffer Rodrigues de Freitas-Aznar, Adriana Burgos Ponce, José Duarte da Costa Aznar, Fabio |
| author_role |
author |
| author2 |
Sinchiguano Gallardo, Jeniffer Rodrigues de Freitas-Aznar, Adriana Burgos Ponce, José Duarte da Costa Aznar, Fabio |
| author2_role |
author author author author |
| dc.subject.none.fl_str_mv |
Endodoncia Tratamiento del Conducto radicular Diente Premolar Tomografía Endodontics Root Canal therapy Bicuspid Tomography |
| topic |
Endodoncia Tratamiento del Conducto radicular Diente Premolar Tomografía Endodontics Root Canal therapy Bicuspid Tomography |
| description |
Endodontics is a branch of dentistry, which consists of treating the dental pulp, being important to make a correct diagnosis, collecting all the signs and symptoms. The upper first premolars present anatomical variations and there are probably failures during said therapy due to ignorance of it. According to several studies carried out through radiographs, diaphanizations and computed tomography, the upper first premolars can present three roots and three canals which vary from 0.5 to 6%, this anatomical variant being infrequent. To perform root canal treatment of a maxillary first premolar with 3 canals with the help of computed tomography. An 18-year-old male patient attends the FOUCE clinic for root canal treatment. When performing the intraoral exploration of the right maxillary first premolar, it showed coronal loss, negative thermal tests and positive to the vertical percussion test, in periapical radiography unusual anatomy is shown, computed tomography is performed locating 3 ducts: mesio-vestibular duct, disto-vestibular duct and palatine. Subsequently, the bio-chemo-mechanical preparation was carried out with manual protapper files, final irrigation protocol, thus ending with the obturation with the lateral technique. Thanks to the 3D image of the tomography, the mesio-vestibular, disto-vestibular, and palatal ducts will be detected, preventing a possible perforation due to the morphological complexity of this dental organ. Computed tomography is a test used for anatomical variations of dental organs, avoiding mistakes in the diagnosis and location of canals. |
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2022 |
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2022-06-18 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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https://revistadigital.uce.edu.ec/index.php/odontologia/article/view/3940 10.29166/odontologia.vol24.n2.2022-e3940 |
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https://revistadigital.uce.edu.ec/index.php/odontologia/article/view/3940 |
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10.29166/odontologia.vol24.n2.2022-e3940 |
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spa |
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https://revistadigital.uce.edu.ec/index.php/odontologia/article/view/3940/5057 https://revistadigital.uce.edu.ec/index.php/odontologia/article/view/3940/5065 |
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Universidad Central del Ecuador |
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Universidad Central del Ecuador |
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Odontología; Vol. 24 Núm. 2 (2022): Julio - Diciembre; 46-50 1390-9967 10.29166/odontologia.vol24.n2.2022 reponame:Revista Odontología instname:Universidad Central del Ecuador instacron:UCE |
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Endodontic management of a maxillary first premolar with 3 root canal. Case report using cone-beam computed tomographyManejo endodóntico de un primer premolar superior con 3 conductos, utilizando tomografía computarizada de cone-beamTapia Tapia, Gabriela Sinchiguano Gallardo, Jeniffer Rodrigues de Freitas-Aznar, Adriana Burgos Ponce, José Duarte da Costa Aznar, Fabio EndodonciaTratamiento del Conducto radicularDiente PremolarTomografíaEndodonticsRoot Canal therapyBicuspidTomography Endodontics is a branch of dentistry, which consists of treating the dental pulp, being important to make a correct diagnosis, collecting all the signs and symptoms. The upper first premolars present anatomical variations and there are probably failures during said therapy due to ignorance of it. According to several studies carried out through radiographs, diaphanizations and computed tomography, the upper first premolars can present three roots and three canals which vary from 0.5 to 6%, this anatomical variant being infrequent. To perform root canal treatment of a maxillary first premolar with 3 canals with the help of computed tomography. An 18-year-old male patient attends the FOUCE clinic for root canal treatment. When performing the intraoral exploration of the right maxillary first premolar, it showed coronal loss, negative thermal tests and positive to the vertical percussion test, in periapical radiography unusual anatomy is shown, computed tomography is performed locating 3 ducts: mesio-vestibular duct, disto-vestibular duct and palatine. Subsequently, the bio-chemo-mechanical preparation was carried out with manual protapper files, final irrigation protocol, thus ending with the obturation with the lateral technique. Thanks to the 3D image of the tomography, the mesio-vestibular, disto-vestibular, and palatal ducts will be detected, preventing a possible perforation due to the morphological complexity of this dental organ. Computed tomography is a test used for anatomical variations of dental organs, avoiding mistakes in the diagnosis and location of canals. La endodoncia es una rama de la odontología que consiste en realizar un tratamiento a la pulpa dental. Es importante realizar un correcto diagnóstico. Los primeros premolares superiores presentan variaciones anatómicas no muy comunes y probablemente ellas lleven al fracaso del tratamiento. De acuerdo a varios estudios realizados a través de radiografías, diafanizaciones y tomografías computarizadas, los primeros premolares superiores pueden presentar tres raíces y tres conductos los cuales varían de 0,5 a 6%, siendo poco frecuente esta variante anatómica. Realizar el tratamiento de conductos de un primer premolar superior con tres conductos con la ayuda de la tomografía computarizada. Paciente masculino de 18 años, acude a la clínica de la FOUCE para tratamiento de conductos. Al realizar la exploración intraoral del primer premolar maxilar derecho mostró pérdida coronal, pruebas térmicas negativo y positivo a la prueba de percusión vertical, en radiografía periapical se muestra anatomía inusual, se realiza tomografía computarizada localizando tres conductos: conducto mesiovestibular, distovestibular y palatino. Posteriormente se realizó la preparación bio-quimio-mecánica con limas protapper manuales, protocolo de irrigación final terminando así con la obturación con técnica lateral. La imagen 3D de la tomografía logró localizar el conducto mesiovestibular, distovestibular y palatino, impidiendo una posible perforación de este órgano dentario. La tomografía computarizada es un examen utilizado para observar variaciones anatómicas de órganos dentales, evitando cometer errores en el diagnóstico y localización de conductos.Universidad Central del Ecuador2022-06-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/htmlhttps://revistadigital.uce.edu.ec/index.php/odontologia/article/view/394010.29166/odontologia.vol24.n2.2022-e3940Odontología; Vol. 24 Núm. 2 (2022): Julio - Diciembre; 46-501390-996710.29166/odontologia.vol24.n2.2022reponame:Revista Odontologíainstname:Universidad Central del Ecuadorinstacron:UCEspahttps://revistadigital.uce.edu.ec/index.php/odontologia/article/view/3940/5057https://revistadigital.uce.edu.ec/index.php/odontologia/article/view/3940/5065https://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccess2023-08-19T13:51:55Zoai:revistadigital.uce.edu.ec:article/3940Portal de revistashttps://revistadigital.uce.edu.ec/Universidad públicahttps://uce.edu.ec/**Ecuador*1390-99671390-7468opendoar:02023-08-19T13:51:55Revista Odontología - Universidad Central del Ecuadorfalse |
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