Restorative Dentistry & Endodontics

Jung-Min Lee

2 Articles

Surgical endodontic management of infected lateral canals of maxillary incisors: Ji-Hyun Jang, Jung-Min Lee, Jin-Kyu Yi, Sung-Baik Choi, Sang-Hyuk Park; Restor Dent Endod 2015;40(1):79-84. Published online October 10, 2014; DOI: https://doi.org/10.5395/rde.2015.40.1.79

This case report presents surgical endodontic management outcomes of maxillary incisors that were infected via the lateral canals. Two cases are presented in which endodontically-treated maxillary central incisors had sustained lateral canal infections. A surgical endodontic treatment was performed on both teeth. Flap elevation revealed vertical bone destruction along the root surface and infected lateral canals, and microscopy revealed that the lateral canals were the origin of the lesions. After the infected lateral canals were surgically managed, both teeth were asymptomatic and labial fistulas were resolved. There were no clinical or radiographic signs of surgical endodontic management failure at follow-up visits. This case report highlights the clinical significance and surgical endodontic management of infected lateral canal of maxillary incisor. It is important to be aware of root canal anatomy variability in maxillary incisors. Maxillary central incisors infected via the lateral canal can be successfully managed by surgical endodontic treatment.

Citations

Citations to this article as recorded by

Expert consensus on difficulty assessment of endodontic therapy
Dingming Huang, Xiaoyan Wang, Jingping Liang, Junqi Ling, Zhuan Bian, Qing Yu, Benxiang Hou, Xinmei Chen, Jiyao Li, Ling Ye, Lei Cheng, Xin Xu, Tao Hu, Hongkun Wu, Bin Guo, Qin Su, Zhi Chen, Lihong Qiu, Wenxia Chen, Xi Wei, Zhengwei Huang, Jinhua Yu, Zhen
International Journal of Oral Science.2024;[Epub] CrossRef
Surgical endodontic treatment of maxillary incisors: Case report
Moazzy I. Almansour
Clinical Case Reports.2023;[Epub] CrossRef
Resective and Regenerative Approach for an Unresolved Periapical Lesion: A Surgical Case Report With 24-Month Follow-Up
Anchu R Thomas, Melwin Mathew, Sunil K Nettemu, Anoop Mayya
Cureus.2023;[Epub] CrossRef
An in vitro endodontic model to quantify the accessory canal filling potential of the vertical and lateral condensation techniques
Thomas Gerhard Wolf, Louisa Willems, Benjamín Briseño‐Marroquín
Australian Endodontic Journal.2021; 47(2): 245. CrossRef
Application of a new system for classifying root and canal anatomy in studies involving micro‐computed tomography and cone beam computed tomography: Explanation and elaboration
H. M. A. Ahmed, N. Ibrahim, N. S. Mohamad, P. Nambiar, R. F. Muhammad, M. Yusoff, P. M. H. Dummer
International Endodontic Journal.2021; 54(7): 1056. CrossRef
German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey
Jonas Conrad, Jan Retelsdorf, Sameh Attia, Christof Dörfer, Mohamed Mekhemar
International Journal of Environmental Research and Public Health.2020; 17(20): 7447. CrossRef
Surgical management of an accessory canal in a maxillary premolar: a case report
Hee-Jin Kim, Mi-Kyung Yu, Kwang-Won Lee, Kyung-San Min
Restorative Dentistry & Endodontics.2019;[Epub] CrossRef
A new system for classifying accessory canal morphology
H. M. A. Ahmed, P. Neelakantan, P. M. H. Dummer
International Endodontic Journal.2018; 51(2): 164. CrossRef
Effects of antimicrobial photodynamic therapy and surgical endodontic treatment on the bacterial load reduction and periapical lesion healing. Three years follow up
Aguinaldo S. Garcez, Julio G. Arantes-Neto, Debora P. Sellera, Eduardo Rodrigues Fregnani
Photodiagnosis and Photodynamic Therapy.2015; 12(4): 575. CrossRef

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THE EFFECT OF SMEAR LAYER TREATMENT ON THE MICROLEAKAGE: Jung-Min Lee, Sang-Hyuk Park, Gi-Woon Choi; J Korean Acad Conserv Dent 2006;31(5):378-389. Published online January 14, 2006; DOI: https://doi.org/10.5395/JKACD.2006.31.5.378

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Abstract

The purpose of this study was to compare the sealing ability of root canal obturation with or without the treatment of smear layer. Eighty extracted human teeth with one canal were selected. Instrumentation was performed with crown-down technique. After instrumentation, root canals of the NaOCl group and NaOCl-6 group were irrigated with 3% NaOCl. EDTA group and EDTA-6 group were irrigated with 17% EDTA. Then all teeth were obturated using continuous wave obturation technique.

NaOCl group and EDTA group were immersed in methylene blue solution for 84hours. NaOCl-6 group and EDTA-6 group were immersed in methylene blue solution for 6months. The teeth were sectioned at 1.5 mm (Level 1), 3.0 mm (Level 2) and 4.5 mm (Level 3) from the root apex. The length of dye-penetrated interface and the circumferential length of canal at each level were measured using Sigma-Scan Pro 5.0.

The mean leakage ratio was decreased cervically.

NaOCl group showed higher mean leakage ratio than EDTA group at each level. But there was significant difference at level 1 only (p < 0.05).

NaOCl-6 group showed higher mean leakage ratio than EDTA-6 group at each level. But there was significant difference at level 1 only (p < 0.05).

NaOCl-6 group showed higher mean leakage ratio than NaOCl group at each level. But there was significant difference at level 1 only (p < 0.05).

EDTA-6 group showed higher mean leakage ratio than EDTA group at each level. But there was no significant difference.

In NaOCl group and NaOCl-6 group, scanning electron micrographs of tooth sections generally covered with smear layer. In EDTA group and EDTA-6 group, tooth sections showing the penetration of sealers to opened dentinal tubules. The results suggest that removal of smear layer was effective to reduce the apical microleakage of the root canal.

Citations

Citations to this article as recorded by

Effect of soft chelating irrigation on the sealing ability of GP/AH Plus root fillings
Yi-Suk Yu, Tae-Gun Kim, Kwang-Won Lee, Mi-Kyung Yu
Journal of Korean Academy of Conservative Dentistry.2009; 34(6): 484. CrossRef
The effect of MTAD as a final root canal irrigants on the coronal bacterial leakage of obturated root canals
Tae Woo Kim, Seok Woo Chang, Dong Sung Park
Journal of Korean Academy of Conservative Dentistry.2008; 33(4): 397. CrossRef

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