Case Study by Dr Nishant

PERIAPICAL
LESION IN MULTIROOTED INCISIOR


By:
Dr. Nishant S. Gandhi


 
CASE HISTORY
-A 27-year old male patient reported to the dental office with complaints of decayed teeth in upper front region of jaw. 
-On clinical examination, upper central and lateral incisors (21,22) appeared decayed.
-Radiograph showed ill-defined radiolucency in relation to 22
The condition was diagnosed as peri-apical infection and treatment plan was endodontic therapy followed by full coverage restoration.

TREATMENT
 
-Inferior alveolar  and lingual nerve block administered.
-Access cavity preparation done.
-Cleaning & shaping of the root canal   was done using No.10 & 15 K-file to the full working length.
-We observed that the central incisor had two roots which is rare.
-It was followed by Protaper rotary shaping files – S1, S2 & finished with F1
-Sodium hypochlorite used as disinfectant of root canal system
-Obturation  done with F1 Protaper guttapercha cones and AH plus sealer
Temporary cementation followed by permanent composite restoration and












TREATMENT
 
-Cleaning & shaping of the root canal    using No.10 & 15 K-file to the full working length.

 
-Followed by Protaper rotary shaping files – S1, S2 & finished with F1

Sodium hypochlorite used as disinfectant of root canal system.
 
-Obturation  done with F1 Protaper gutta percha cones and AH plus sealer

Temporary cementation followed by permanent composite restoration