Abstract :
Introduction: There are cases in the endodontic treatment which are a real challenge. There are teeth with different anatomies of the root canals of different teeth and their treatment. There are most of the cases which are sevely carious and has lost more than 50% of the tooth structure. Patients usually lose their teeth because these problems.
Purpose: The aim of this study is to investigate several cases with different root canal anatomies like in open apex with blunderbuss canals in maxillary central incisors or mandibular premolar and molars with severly decayed crown tooth structures and their management.
Materials and Methods: one case with severly decayed lower mandibular premolar i.e 45, one case of maxillary first molar with severly decayed crown structure i.e 16, a case of severly decayed mandibular first molar i.e 36, Three Cases of maxillary central incisors with immature open apex and blunderbuss canals w.r.t 21.
Results: Results are observed after several years. In performing a root canal treatment on such teeth, one should appreciate the complexity of the root canal system, canal obliteration and configuration, and the potential for regenerating the original anatomy of the tooth either Endodontic or Post Endodontic.
Conclusions: Knowledge of the phenomenon of the complexity of the root canal system, canal obliteration and configuration, and the potential for regenerating tooth anatomies with the help of rebond fibres, MTA and Composite restorations, this will improve the medical practice of the general dental practitioner.
Keyword :
Complexities, Ribbond fibers, Apexification, MTA