CONVENTIONAL ENDODONTIC TREATMENT OF A C-SHAPED LOWER SECOND MOLAR, USING PRO-DESIGN M FILES, ALLIED TO PERFORATION CLOSURE WITH BIOACTIVE CEMENT: CASE REPORT
DOI:
https://doi.org/10.47820/recima21.v4i8.3945Keywords:
pulp tissue is responsible for the vitality of the dentalAbstract
The pulp tissue is responsible for the vitality of the dental pulp, it is found inside the root canals system, and it can undergo changes, which may lead to the need for an endodontic intervention. These canals may have anatomical variations, which make the process of cleaning, formatting, and three-dimensional filling even more difficult. Among them, there is the so-called “C-shaped canal”, a connection between two or more canals, which creates great difficulty in the instrumentation process and provides a greater propensity for iatrogenic injuries. The aim of this study was to report the diagnosis and treatment of a lower molar #37 with asymptomatic apical periodontitis, which had a C-shaped root canal. Patient, female, 23 years old, attended the Teaching Clinic of the Instituto Nacional de Ensino Superior e Pós-Graduação Padre Gervásio – Inapós, complaining of sensitivity in the left mandibular region. On clinical examination, extensive restoration was observed on tooth 37. On radiographic examination, a periapical lesion could be observed around the apex of the element in question. Necropulpectomy was performed on the same, using pro-design M files, during which there was a lateral perforation, treated with bioactive cement mineral trioxide aggregate (MTA).
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