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Related Experiment Videos

Incomplete calcium hydroxide removal from the root canal: a case report

D Ricucci1, K Langeland

  • 1Department of Restorative Dentistry and Endodontology, School of Dental Medicine, University of Connecticut Health Centre, Farmington, USA.

International Endodontic Journal
|May 20, 1998
PubMed
Summary
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Incomplete removal of calcium hydroxide (Ca(OH)2) intracanal dressing led to root canal treatment failure. Retreatment and proper obturation resulted in complete periradicular bone healing.

Area of Science:

  • Endodontics
  • Dental Materials Science
  • Regenerative Endodontics

Background:

  • Calcium hydroxide (Ca(OH)2) is a common intracanal medicament used in root canal therapy.
  • Incomplete removal of Ca(OH)2 can lead to treatment failure and complications.
  • Understanding the long-term effects of residual intracanal medicaments is crucial for successful endodontic outcomes.

Observation:

  • A case of endodontic treatment failure in a maxillary central incisor was observed.
  • The failure was attributed to incomplete mechanical removal of a Ca(OH)2 intracanal dressing.
  • Subsequent resorption of the Ca(OH)2 from the apical root canal portion was noted.

Findings:

  • Retreatment, including thorough canal cleaning and permanent obturation with cold gutta-percha and sealer, was performed 4 years after initial treatment failure.

Related Experiment Videos

  • Histopathological and microbiological evidence suggests mechanisms for treatment failure and healing.
  • Follow-up examination revealed complete periradicular bone healing, with evidence of lamina dura formation.
  • Implications:

    • This case highlights the importance of meticulous mechanical cleaning during root canal retreatment.
    • Complete removal of intracanal medicaments like Ca(OH)2 is essential to prevent long-term complications.
    • Successful retreatment can lead to complete healing and restoration of periradicular tissues, emphasizing the predictability of endodontic therapy when performed correctly.