alexa Periapical Healing of a Mandibular Molar with Middle Me
ISSN: 2376-032X

JBR Journal of Interdisciplinary Medicine and Dental Science
Open Access

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Case Report

Periapical Healing of a Mandibular Molar with Middle Mesial Canal: A Case Report

Stacey M Woo*

Woo Dental Corporation, Anaheim, California, USA

*Corresponding Author:
Stacey M Woo
Woo Dental Corporation, Anaheim
California, USA, 92808
Tel: 530-428-5443
Fax: 949-305-5201
E-mail: [email protected]

Received Date: February 20, 2017; Accepted Date: February 28, 2017; Published Date: March 07, 2017

Citation: Woo SM (2017) Periapical Healing of a Mandibular Molar with Middle Mesial Canal: A Case Report. J Interdiscipl Med Dent Sci 5: 209. doi:10.4172/2376-032X.1000209

Copyright: © 2017 Woo SM. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Introduction: Complex root canal anatomies challenge the limits of our skills, techniques, and abilities to clean the root canal system and achieve a successful endodontic outcome. Background: The following case report depicts a first mandibular molar indicated for root canal treatment after diagnosis of pulpal necrosis and asymptomatic apical periodontitis due to caries. Pre-operative radiographic analysis revealed two distinct periapical lesions and a Periapical Index (PAI) Score of 3. Methods: The tooth was accessed for root canal treatment and instrumented to a final apical size of #20. Additional cleaning and disinfection were performed utilizing the GentleWave® System. After the GentleWave® Procedure, the tooth was obturated with gutta-percha and an epoxy resin based sealer by warm vertical condensation and thermoplasticized gutta-percha backfill. Post-operative radiographs revealed a middle mesial canal not previously visualized during instrumentation or prior to performing the GentleWave Procedure. The newly located, uninstrumented, middle mesial canal was filled with sealer. Results: Recall was performed over a 9-month period. Both clinical and radiographic assessments showed complete healing, no clinical signs or symptoms, and a PAI score of 1 at the 9-month recall. This case illustrates healing after root canal treatment utilizing minimal instrumentation and the GentleWave Procedure, suggesting that GentleWave Procedure can clean and disinfect complex root canal anatomy.


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