{"id":889,"date":"2018-07-26T19:32:58","date_gmt":"2018-07-26T19:32:58","guid":{"rendered":"https:\/\/endostlaurent.com\/?p=889\/"},"modified":"2018-08-06T18:25:10","modified_gmt":"2018-08-06T18:25:10","slug":"curved-root","status":"publish","type":"post","link":"https:\/\/endostlaurent.com\/en\/2018\/07\/26\/curved-root\/","title":{"rendered":"Curved Root"},"content":{"rendered":"<h3 style=\"text-align: center;\"><em>A case study by Dr. Chafic Safi, Centre Endodontique St-Laurent<\/em><\/h3>\n<p class=\"p1\"><span class=\"s1\">A 22 year-old patient presented to our clinic with the following main complaint:<\/span><\/p>\n<p class=\"p1\" style=\"text-align: center;\"><span class=\"s1\"><i>&#8220;A piece of my tooth broke while eating almonds.&#8221;<\/i><\/span><\/p>\n<h2><\/h2>\n<p>&nbsp;<\/p>\n<h2 class=\"title left\">CLINICAL AND RADIOLOGICAL ANALYSIS &#8211; Tooth 16<\/h2>\n<p class=\"p2\"><span class=\"s1\">Clinical examination demonstrates a complicated fracture (fracture of enamel and dentin with pulpal exposure) <\/span><span class=\"s1\">and caries. The tooth responded normally to cold test and percussion. Probing and mobility were normal.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">The radiological examination demonstrates the extent of the fracture. The mesial and distal roots\u00a0<\/span><span class=\"s1\">were severely curved. The X-rays also show long roots.<\/span><\/p>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-1 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 100%;\n\t\t\t}\n\t\t\t#gallery-1 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-1' class='gallery galleryid-889 gallery-columns-1 gallery-size-medium'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-08-04-at-4.24.02-PM-1.png'><img loading=\"lazy\" decoding=\"async\" width=\"251\" height=\"300\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-08-04-at-4.24.02-PM-1-251x300.png\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-08-04-at-4.24.02-PM-1-251x300.png 251w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-08-04-at-4.24.02-PM-1.png 577w\" sizes=\"(max-width: 251px) 100vw, 251px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<p>&nbsp;<\/p>\n<h3 class=\"p4\"><span class=\"s1\"><b>Diagnosis<\/b><\/span><\/h3>\n<p class=\"p4\"><span class=\"s1\"><strong>Normal pulp<\/strong> and <strong>normal periapical tissues.<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<h2 class=\"title left\">TREATMENT<\/h2>\n<p class=\"p3\"><span class=\"s1\">The treatment options offered to the patient were:<\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Root Canal Treatment.<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Extraction<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3 class=\"p5\"><span class=\"s1\"><b>Treatment selection<\/b><\/span><\/h3>\n<p class=\"p3\"><span class=\"s1\">The patient wanted to save his tooth and consented to do the root canal treatment.<\/span><\/p>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-2 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-2 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 100%;\n\t\t\t}\n\t\t\t#gallery-2 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-2 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-2' class='gallery galleryid-889 gallery-columns-1 gallery-size-medium'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-07-26-at-3.00.14-PM-e1532632962758.png'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"110\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-07-26-at-3.00.14-PM-300x110.png\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-07-26-at-3.00.14-PM-300x110.png 300w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-07-26-at-3.00.14-PM-768x282.png 768w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-07-26-at-3.00.14-PM-1024x377.png 1024w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-07-26-at-3.00.14-PM-e1532632962758.png 1433w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<h5 class=\"p1\" style=\"text-align: center;\"><span class=\"s1\"><b>From left to right: 1- Pre-Operative X-ray. 2- MB &amp; DB film check. 3- Cone Fit. 4- Final X-ray\u00a0<\/b><\/span><\/h5>\n<h3 class=\"p5\"><span class=\"s1\"><b>Potential complications<\/b><\/span><\/h3>\n<p class=\"p3\"><span class=\"s1\">The following potential complications were discussed with the patient:<\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Perforation especially at the level of curvature<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">File separation<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Ledge and blockage of the canals<\/span><\/li>\n<\/ul>\n<h3><\/h3>\n<h3><span class=\"s1\"><b>Execution<\/b><\/span><\/h3>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Working lengths were found with #6 hand files and confirmed with # 10 hand files<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">A glide path was created using Scout Files<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Instrumentation with XP-3D Shaper and Finisher files<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Root canal filling with Bioceramic Sealer using cold hydraulic condensation<\/span><\/li>\n<\/ul>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-3 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-3 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 100%;\n\t\t\t}\n\t\t\t#gallery-3 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-3 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-3' class='gallery galleryid-889 gallery-columns-1 gallery-size-medium'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-08-06-at-2.23.16-PM-1.png'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"185\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-08-06-at-2.23.16-PM-1-300x185.png\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-08-06-at-2.23.16-PM-1-300x185.png 300w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-08-06-at-2.23.16-PM-1.png 676w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<p>&nbsp;<\/p>\n<p class=\"p3\"><span class=\"s2\"><b>The 4 canals were 25mm in length.\u00a0<\/b><\/span><\/p>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-4 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-4 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 100%;\n\t\t\t}\n\t\t\t#gallery-4 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-4 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-4' class='gallery galleryid-889 gallery-columns-1 gallery-size-medium'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-07-26-at-3.05.28-PM.png'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"128\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-07-26-at-3.05.28-PM-300x128.png\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-07-26-at-3.05.28-PM-300x128.png 300w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-07-26-at-3.05.28-PM-768x326.png 768w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-07-26-at-3.05.28-PM-1024x435.png 1024w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/07\/Screen-Shot-2018-07-26-at-3.05.28-PM.png 1235w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<h5 class=\"p1\" style=\"text-align: center;\"><span class=\"s1\"><b>From left to right: 1- Final X-Ray. 2- Angulated view. 3- Clinical picture\u00a0<\/b><\/span><\/h5>\n<p>&nbsp;<\/p>\n<h2 class=\"title left\">More Information<\/h2>\n<p class=\"p3\"><span class=\"s1\"><b>How to manage curved root<\/b><\/span><\/p>\n<ul class=\"ul1\">\n<li class=\"li4\"><span class=\"s1\">Ensure adequate access cavity<\/span><\/li>\n<li class=\"li4\"><span class=\"s1\">Ensure proper glide path<\/span><\/li>\n<li class=\"li4\"><span class=\"s1\">Gradual taper increase- Start with 2% then increase to 4%<\/span><\/li>\n<li class=\"li4\"><span class=\"s1\">Gradual file size increase- Start with #6 hand files then increase to #8, #10 etc\u2026<\/span><\/li>\n<li class=\"li4\"><span class=\"s1\">Use<span class=\"Apple-converted-space\">\u00a0 <\/span>\u2018\u2019 Scout Files \u2018\u2019 or \u2018\u2019 Path Files \u2018\u2019 for gradual increase in taper and apical diameter<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>A case study by Dr. Chafic Safi, Centre Endodontique St-Laurent A 22 year-old patient presented to our clinic with the following main complaint: &#8220;A piece&hellip;<\/p>\n","protected":false},"author":4,"featured_media":895,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[44],"tags":[58,57,12],"class_list":["post-889","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-etude-de-cas-case-study-en","tag-case-studies","tag-dental-clinic","tag-root-canal"],"acf":[],"_links":{"self":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/posts\/889"}],"collection":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/comments?post=889"}],"version-history":[{"count":0,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/posts\/889\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/media\/895"}],"wp:attachment":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/media?parent=889"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/categories?post=889"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/tags?post=889"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}