医学
牙体牙髓科
根管
牙科
锥束ct
牙髓(牙)
盖髓
触诊
射线照相术
口腔正畸科
计算机断层摄影术
外科
作者
Durga Bhavani Panithini,GirijaS Sajjan,Niraj Kinariwala,UmaDevi Medicharla,Madhu Varma K,Meghana Kallepalli
标识
DOI:10.4103/jcd.jcd_506_22
摘要
Dental trauma results in various complications and poses an enigma to the practitioner. Calcific metamorphosis is one of the sequelae of trauma. A female patient of 35 years visited the specialty clinic of endodontics for the management of a discolored tooth. Clinically, discolored 21 was observed with no pain on palpation and percussion. The pulp sensibility test revealed a negative response. Radiographic examination revealed pulp canal obliteration with an apical radiolucency of Peri Apical Index (PAI 4). The tooth was diagnosed as necrotic pulp with asymptomatic apical periodontitis. Attempt to negotiate the canal under a Dental Operating Microscope (LABOMED, Los Angeles, CA, USA) and ultrasonics (Satelec, Acteon, France) was futile. Cone-beam computed tomography image revealed a patent canal in the apical third. Using real-time guided endodontics with a dynamic navigation system (Navident, ClaroNav, Toronto, ON, Canada), the protocol of plan, trace, and place was followed, and successful canal negotiation was achieved. After radiographic confirmation, root canal treatment was completed.
科研通智能强力驱动
Strongly Powered by AbleSci AI