Next Article in Journal
Mandibular Jaw Movement and Masticatory Muscle Activity during Dynamic Trunk Exercise
Previous Article in Journal
Periodontal Health and Systemic Conditions
Case Report

Surgical Sealing of Laterally Localized Accessory Root Canal with Resin Containing S-PRG Filler in Combination with Non-Surgical Endodontic Treatment: A Case Report

1
Department of Biological Endodontics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
2
Department of Periodontology and Endodontology, Tohoku University Graduate School of Dentistry, Sendai 980-8575, Japan
3
Department of Oral and Maxillofacial Radiology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
*
Author to whom correspondence should be addressed.
Dent. J. 2020, 8(4), 131; https://doi.org/10.3390/dj8040131
Received: 6 October 2020 / Revised: 16 November 2020 / Accepted: 18 November 2020 / Published: 20 November 2020
(This article belongs to the Section Dental Materials)
The spread of root canal infection to surrounding periodontal tissue through accessory root canals reduces the success rate of endodontic treatment. In this case, cone-beam computed tomography revealed a lesion (4 mm from the apex) resulting from an accessory root canal of the maxillary left central incisor. First, non-surgical endodontic treatment was conducted but the sinus tract remained. Surgical preparation of the root cavity was then conducted to remove potentially infected dentin surrounding the accessory root canal. The cavity was filled and the foramen was sealed with resin containing bioactive surface pre-reacted glass (S-PRG) filler. The photopolymerized resin was then contoured and polished. In combination with subsequent supportive non-surgical endodontic treatment, a good clinical outcome with the disappearance of the sinus tract and clinical symptoms such as discomfort and pressure pain and the regeneration of the alveolar bone hanging over the cavity was obtained. In this case, the good clinical outcome may have been due to the dentin-adhesive property and durability of the pre-adhesive system and composite resin. The better biocompatibility of S-PRG fillers presumably facilitated periodontal tissue healing. View Full-Text
Keywords: accessory canal; endodontic surgery; maxillary incisor accessory canal; endodontic surgery; maxillary incisor
Show Figures

Figure 1

MDPI and ACS Style

Hirata-Tsuchiya, S.; Suzuki, S.; Nakamoto, T.; Kakimoto, N.; Yamada, S.; Shiba, H. Surgical Sealing of Laterally Localized Accessory Root Canal with Resin Containing S-PRG Filler in Combination with Non-Surgical Endodontic Treatment: A Case Report. Dent. J. 2020, 8, 131. https://doi.org/10.3390/dj8040131

AMA Style

Hirata-Tsuchiya S, Suzuki S, Nakamoto T, Kakimoto N, Yamada S, Shiba H. Surgical Sealing of Laterally Localized Accessory Root Canal with Resin Containing S-PRG Filler in Combination with Non-Surgical Endodontic Treatment: A Case Report. Dentistry Journal. 2020; 8(4):131. https://doi.org/10.3390/dj8040131

Chicago/Turabian Style

Hirata-Tsuchiya, Shizu, Shigeki Suzuki, Takashi Nakamoto, Naoya Kakimoto, Satoru Yamada, and Hideki Shiba. 2020. "Surgical Sealing of Laterally Localized Accessory Root Canal with Resin Containing S-PRG Filler in Combination with Non-Surgical Endodontic Treatment: A Case Report" Dentistry Journal 8, no. 4: 131. https://doi.org/10.3390/dj8040131

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop