Indian Journal of Public Health Research & Development

Geethapriya Nagarajan ¹, Subbiya Arunajatesan ², Selvakumar Gold Pearlin Mary Newbegin ¹, Venkatesh Alagarsamy ³

Affiliations
1 Reader, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamil Nadu, IN
2 Professor & Head, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamil Nadu, IN
3 Professor, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamil Nadu, IN

Abstract

Calcific metamorphosis is the obliteration of pulp canal space due to trauma or injury. Hemorrhage and blood clot formation in the pulp after injury is a nidus for calcification if the pulp still remains vital. Calcification replaces the cellular components of the pulp. Teeth with pulp canal obliteration prove to be a challenge to endodontic treatment. This case report describes the successful management of a tooth with calcified canal and perforation with six months follow up.

Keywords

Pulp Canal Obliteration, Perforation, Root Canal Treatment.

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Geethapriya Nagarajan ¹, Parthasarathy Rajasekar ², Selvakumar Gold Pearlin Mary Newbegin ¹, Venkatesh Alagarsamy ³

Affiliations
1 Reader, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN
2 Final Year PG Student, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN
3 Professor, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN

Abstract

Platelet Rich Fibrin consists of an autologous leukocyte-platelet-rich fibrin matrix, composed of a tetra molecular structure, with platelets, leukocytes and stem cells within it, which acts as a biodegradable scaffold that favors microvascularization and is able to guide epithelial cell migration to its surface. This case report describes about the management of large periapical lesions with surgical approach and PRF placement and a non-surgical approach.

Keywords

Platelet Rich Fibrin, Leukocytes, Scaffold.

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Subbiya Arunajatesan ¹, Sophreniaa Wesly ², Tamilselvi Ramachandran ³, Selvakumar Gold Pearlin Mary Newbegin ⁴

Affiliations
1 Professor & Head, Department of Conservative Dentistry and Endodontics Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN
2 Final Year PG Student, Department of Conservative Dentistry and Endodontics Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN
3 Reader, Department of Conservative Dentistry and Endodontics Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN
4 Reader, Department of Conservative Dentistry and Endodontics Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu

Abstract

The Endodontic treatment of a mandibular molar with third ischolar_main can be diagnostically and technically challenging. The location of the extra canal and the curvature in its course to the apex can pose difficulty in the management of radices. This case report discusses endodontic treatment of three mandibular first molars with radix. Awareness of unusual ischolar_main canal morphology and the modifications in the management protocol can contribute to the successful outcome of endodontic treatment.

Keywords

Radix Entomolaris, Radix Paramolaris, mandibular molar.

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