ENDODONTIC MISHAPS INGLE PDF

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Endodontic Mishaps. Upcoming SlideShare. Like this presentation? Why not share! Endodontic mishaps - Dr. Embed Size px. Start on. Show related SlideShares at end. WordPress Shortcode. Nithin Mathew , Endodontist Follow. Published in: Education. Full Name Comment goes here.

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Introduction Endodontic mishaps or procedural accidents are those unfortunate occurrences that happen during treatment, some owing to inattention given to detail otherwise totally unpredictable. INGLE : Those unfortunate occurrences that happen during treatment, some owing to inattention to detail, others totally unpredictable. Nithin Mathew 5. Procedural accidents during access preparation 2. Ledge formation 2. Creating an artificial canal 3.

Root perforations 4. Separated instruments 5. Other accidents 3. Accidents during obturation 1. Underfilling 2. Overfilling 3. Vertical root fractures 4. Accidents during post space preparation 6Endodontic Mishaps - Dr. Nithin Mathew 6. According to Ingle I. Access related 1. Treating the wrong tooth 2. Missed canals 3. Damage to existing restoration 4. Access cavity perforations 5. Crown fractures II. Instrumentation related 1. Cervical canal perforations 3. Midroot perforations 4.

Apical perforations 5. Separated instruments and foreign objects 6. Canal blockage III. Obturation related 1. Over or underextended root canal fillings 2. Nerve paresthesia 3. Vertical root fractures IV. Miscellaneous 1.

Post space perforation 2. Irrigant related 3. Tissue emphysema 4. Instrument aspiration and ingestion 7Endodontic Mishaps - Dr. Nithin Mathew 7. Incomplete Analgesia II. Access cavity III. Perforations from the pulp chamber IV.

Root Perforations 1. Apical perforations 2. Lateral perforation 3. Post-perforations V. Obliterated root canal VI. Fracture of an instrument VII. Adverse reactions to medicaments 1. Local tissue irritation 2. Neurotoxic reactions 3. Allergic reactions VIII. Overfilling of the root canal IX. Vertical root fractures 8Endodontic Mishaps - Dr. Nithin Mathew 8. Management of a Mishap I. Recognition of a mishap II. Correction of a mishap III.

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Endodontic Mishaps in detail

Before proceeding to endodontic treatment planning, the clinician must ask himself the following questions to avoid falling into one of these complications:. If a clinician asked himself these questions and answer them correctly, and acted upon these answers, many complications would be avoided and never happened. Additional canals in teeth can be missed in occasion. Canals commonly missed are additional canals in mesial root of maxillary molars, distal roots of mandibular molars. Second canal in lower incisors, second canals and bifurcated canals in lower premolars and third canal in upper premolar also can be missed.

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Nonsurgical management of endodontic mishaps in a case of radix entomolaris

Aim: The purpose of this study was to investigate procedural errors occurring during conventional root canal treatment performed by undergraduate students attending two dental schools in Riyadh, Saudi Arabia. The majority of students who made endodontic mishaps were male Most mishaps occurred in the posterior area Conclusion: The frequency of endodontic mishaps occurring at both schools was found to be higher in 4 th year students from KSU, but this dramatically decreased in the 5 th year.

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Anatomic variations can significantly contribute to the incidence of endodontic mishaps. Perforations and separated instruments form the bulk of such mishaps. Furcal perforations are undesired complications of endodontic treatment, which result in the loss of integrity of the root and further destruction of the adjacent periodontal tissues. Mineral trioxide aggregate MTA is a promising material that has been successfully used to repair perforations. This clinical case demonstrates the use of MTA as a repair material for furcal perforation due to an iatrogenic error in radix entomolaris in the mandibular first molar. It also describes the application of ultrasonic technique in the retrieval of separated instrument from the same. Both clinical and radiographic follow-up showed a stable condition without any probing defect, ongoing root resorption, or furcal pathosis.

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