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Use of Negative Apical Pressure Technique for Removal of Apically Extruded Gutta-percha Fragment

Year 2021, Volume 8, Issue 1, 197 - 200, 30.04.2021
https://doi.org/10.15311/selcukdentj.585714

Abstract

The aim of this case report was to present using negative apical pressure technique for removal of apically extruded gutta-percha during retreatment procedures. A 22 year-old female patient was referred to the clinic with severe pain, swelling, and tenderness to percussion and palpation in the tooth of #26. Periapical radiograph showed previous root canal treatment of tooth #26 with incomplete root canal fillings. During retreatment procedures gutta-percha apically extruded from mesial root canal. The patient was recalled after one day. At the second session, it was observed that the swelling was increased. One of the tips for calcium hydroxide paste application was adjusted to suction of dental unit. Tip was placed into the canal as deep as possible. After a few attempts, apically extruded gutta-percha was removed and the patient was recalled after one day. At one day from the fragment removal, the swelling was decreased. Calcium hydroxide paste was placed into the canals for one week. At the fourth session, the patient was asymptomatic and the treatment was completed at this session.

Keywords: gutta-percha, negative apical pressure, retreatment

References

  • Chugal N, Mallya SM, Kahler B, Lin LM. Endodontic Treatment Outcomes. Dent Clin North Am. 2017;61:59-80.
  • Lin LM, Skribner JE, Gaengler P. Factors associated with endodontic treatment failures. J Endod. 1992;18:625-7.
  • Lin LM, Rosenberg PA, Lin J. Do procedural errors cause endodontic treatment failure? J Am Dent Assoc. 2005;136:187-93; quiz 231.
  • Paik S, Sechrist C, Torabinejad M. Levels of evidence for the outcome of endodontic retreatment. J Endod. 2004;30:745-50.
  • Torabinejad M, Corr R, Handysides R, Shabahang S. Outcomes of nonsurgical retreatment and endodontic surgery: a systematic review. J Endod. 2009;35:930-7.
  • Rechenberg DK, Paque F. Impact of cross-sectional root canal shape on filled canal volume and remaining root filling material after retreatment. Int Endod J. 2013;46:547-55.
  • Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. 1985. J Endod. 2004;30:472-8.
  • Somma F, Cammarota G, Plotino G, Grande NM, Pameijer CH. The effectiveness of manual and mechanical instrumentation for the retreatment of three different root canal filling materials. J Endod. 2008;34:466-9.
  • Kesim B, Ustun Y, Aslan T, Topcuoglu HS, Sahin S, Ulusan O. Efficacy of manual and mechanical instrumentation techniques for removal of overextended root canal filling material. Niger J Clin Pract. 2017;20:761-66.
  • Ruiz-Hubard EE, Gutmann JL, Wagner MJ. A quantitative assessment of canal debris forced periapically during root canal instrumentation using two different techniques. J Endod. 1987;13:554-8.
  • Song M, Kim HC, Lee W, Kim E. Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery. J Endod. 2011;37:1516-9.
  • Tronstad L, Asbjornsen K, Doving L, Pedersen I, Eriksen HM. Influence of coronal restorations on the periapical health of endodontically treated teeth. Endod Dent Traumatol. 2000;16:218-21.
  • Cheung GS. Survival of first-time nonsurgical root canal treatment performed in a dental teaching hospital. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93:596-604.
  • Hoen MM, Pink FE. Contemporary endodontic retreatments: an analysis based on clinical treatment findings. J Endod. 2002;28:834-6.
  • Zhang R, Yang H, Yu X, Wang H, Hu T, Dummer PM. Use of CBCT to identify the morphology of maxillary permanent molar teeth in a Chinese subpopulation. Int Endod J. 2011;44:162-9.

Apikalden Çıkmış Gutta-perka Parçasının Çıkarılması İçin Negatif Apikal Basınç Tekniğinin Kullanımı

Year 2021, Volume 8, Issue 1, 197 - 200, 30.04.2021
https://doi.org/10.15311/selcukdentj.585714

Abstract

Bu vaka raporunun amacı kanal yenileme işlemleri sırasında apikalden çıkmış gutta-perka parçasının çıkarılması için negatif apikal basınç tekniği kullanımını sunmaktır. 22 yaşında kadın hasta kliniğe #26 numaralı dişinde şiddetli ağrı, şişlik ve perküsyon ve palpasyona hassasiyet sebebiyle kliniğe başvurdu. Periaipkal radyograf #26 numaralı dişinde yetersiz doldurulmuş önceden yapılmış kanal tedavisi olduğunu gösterdi. Kanal yenileme işlemleri sırasında, gutta-perka mezial kök kanalının apikalinden çıktı. Hasta bir gün sonra tekrar çağrıldı. İkinci seansta, şiliğin arttığı gözlendi. Kalsiyum hidroksit patını uygulamak için kullanılan uçlarından biri dental ünitin aspiratörüne adapte edildi. Uç kanalda mümkün olduğunca derine yerleştirildi. Birkaç denemeden sonra, apikalden çıkmış gutta-perka çıkarıldı ve hasta bir gün sonra tekrar çağrıldı. Parçanın çıkarılmasından bir gün sonra, şişlik azaldı. Kanallara bir hafta süreyle kalsiyum hidroksit yerleştirildi. Dördüncü seansta, hasta asemptomatikti ve tedavi bu seansta tamamlandı.

Anahtar Kelimeler: gutta-perka, negatif apikal basınç, kanal yenileme

References

  • Chugal N, Mallya SM, Kahler B, Lin LM. Endodontic Treatment Outcomes. Dent Clin North Am. 2017;61:59-80.
  • Lin LM, Skribner JE, Gaengler P. Factors associated with endodontic treatment failures. J Endod. 1992;18:625-7.
  • Lin LM, Rosenberg PA, Lin J. Do procedural errors cause endodontic treatment failure? J Am Dent Assoc. 2005;136:187-93; quiz 231.
  • Paik S, Sechrist C, Torabinejad M. Levels of evidence for the outcome of endodontic retreatment. J Endod. 2004;30:745-50.
  • Torabinejad M, Corr R, Handysides R, Shabahang S. Outcomes of nonsurgical retreatment and endodontic surgery: a systematic review. J Endod. 2009;35:930-7.
  • Rechenberg DK, Paque F. Impact of cross-sectional root canal shape on filled canal volume and remaining root filling material after retreatment. Int Endod J. 2013;46:547-55.
  • Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. 1985. J Endod. 2004;30:472-8.
  • Somma F, Cammarota G, Plotino G, Grande NM, Pameijer CH. The effectiveness of manual and mechanical instrumentation for the retreatment of three different root canal filling materials. J Endod. 2008;34:466-9.
  • Kesim B, Ustun Y, Aslan T, Topcuoglu HS, Sahin S, Ulusan O. Efficacy of manual and mechanical instrumentation techniques for removal of overextended root canal filling material. Niger J Clin Pract. 2017;20:761-66.
  • Ruiz-Hubard EE, Gutmann JL, Wagner MJ. A quantitative assessment of canal debris forced periapically during root canal instrumentation using two different techniques. J Endod. 1987;13:554-8.
  • Song M, Kim HC, Lee W, Kim E. Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery. J Endod. 2011;37:1516-9.
  • Tronstad L, Asbjornsen K, Doving L, Pedersen I, Eriksen HM. Influence of coronal restorations on the periapical health of endodontically treated teeth. Endod Dent Traumatol. 2000;16:218-21.
  • Cheung GS. Survival of first-time nonsurgical root canal treatment performed in a dental teaching hospital. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93:596-604.
  • Hoen MM, Pink FE. Contemporary endodontic retreatments: an analysis based on clinical treatment findings. J Endod. 2002;28:834-6.
  • Zhang R, Yang H, Yu X, Wang H, Hu T, Dummer PM. Use of CBCT to identify the morphology of maxillary permanent molar teeth in a Chinese subpopulation. Int Endod J. 2011;44:162-9.

Details

Primary Language English
Subjects Dental
Journal Section Case Report
Authors

Hakan ARSLAN
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ
0000-0003-4890-1062
Türkiye


Ezgi DOĞANAY YILDIZ (Primary Author)
KIRIKKALE ÜNİVERSİTESİ
0000-0003-4113-7794
Türkiye


Ertuğrul KARATAŞ This is me
0000-0002-8145-8763

Supporting Institution Yok
Project Number YOK
Thanks yok
Publication Date April 30, 2021
Published in Issue Year 2021, Volume 8, Issue 1

Cite

Bibtex @case report { selcukdentj585714, journal = {Selcuk Dental Journal}, eissn = {2148-7529}, address = {Selçuk Üniversitesi Diş Hekimliği Fakültesi Alaeddin Keykubat Kampüsü Selçuklu, Konya}, publisher = {Selcuk University}, year = {2021}, volume = {8}, number = {1}, pages = {197 - 200}, doi = {10.15311/selcukdentj.585714}, title = {Use of Negative Apical Pressure Technique for Removal of Apically Extruded Gutta-percha Fragment}, key = {cite}, author = {Arslan, Hakan and Doğanay Yıldız, Ezgi and Karataş, Ertuğrul} }
APA Arslan, H. , Doğanay Yıldız, E. & Karataş, E. (2021). Use of Negative Apical Pressure Technique for Removal of Apically Extruded Gutta-percha Fragment . Selcuk Dental Journal , 8 (1) , 197-200 . DOI: 10.15311/selcukdentj.585714
MLA Arslan, H. , Doğanay Yıldız, E. , Karataş, E. "Use of Negative Apical Pressure Technique for Removal of Apically Extruded Gutta-percha Fragment" . Selcuk Dental Journal 8 (2021 ): 197-200 <https://dergipark.org.tr/en/pub/selcukdentj/issue/62023/585714>
Chicago Arslan, H. , Doğanay Yıldız, E. , Karataş, E. "Use of Negative Apical Pressure Technique for Removal of Apically Extruded Gutta-percha Fragment". Selcuk Dental Journal 8 (2021 ): 197-200
RIS TY - JOUR T1 - Use of Negative Apical Pressure Technique for Removal of Apically Extruded Gutta-percha Fragment AU - Hakan Arslan , Ezgi Doğanay Yıldız , Ertuğrul Karataş Y1 - 2021 PY - 2021 N1 - doi: 10.15311/selcukdentj.585714 DO - 10.15311/selcukdentj.585714 T2 - Selcuk Dental Journal JF - Journal JO - JOR SP - 197 EP - 200 VL - 8 IS - 1 SN - -2148-7529 M3 - doi: 10.15311/selcukdentj.585714 UR - https://doi.org/10.15311/selcukdentj.585714 Y2 - 2019 ER -
EndNote %0 Selcuk Dental Journal Use of Negative Apical Pressure Technique for Removal of Apically Extruded Gutta-percha Fragment %A Hakan Arslan , Ezgi Doğanay Yıldız , Ertuğrul Karataş %T Use of Negative Apical Pressure Technique for Removal of Apically Extruded Gutta-percha Fragment %D 2021 %J Selcuk Dental Journal %P -2148-7529 %V 8 %N 1 %R doi: 10.15311/selcukdentj.585714 %U 10.15311/selcukdentj.585714
ISNAD Arslan, Hakan , Doğanay Yıldız, Ezgi , Karataş, Ertuğrul . "Use of Negative Apical Pressure Technique for Removal of Apically Extruded Gutta-percha Fragment". Selcuk Dental Journal 8 / 1 (April 2021): 197-200 . https://doi.org/10.15311/selcukdentj.585714
AMA Arslan H. , Doğanay Yıldız E. , Karataş E. Use of Negative Apical Pressure Technique for Removal of Apically Extruded Gutta-percha Fragment. Selcuk Dent J. 2021; 8(1): 197-200.
Vancouver Arslan H. , Doğanay Yıldız E. , Karataş E. Use of Negative Apical Pressure Technique for Removal of Apically Extruded Gutta-percha Fragment. Selcuk Dental Journal. 2021; 8(1): 197-200.
IEEE H. Arslan , E. Doğanay Yıldız and E. Karataş , "Use of Negative Apical Pressure Technique for Removal of Apically Extruded Gutta-percha Fragment", Selcuk Dental Journal, vol. 8, no. 1, pp. 197-200, Apr. 2021, doi:10.15311/selcukdentj.585714