Sidhartha S P Behera

Diagnosis, treatment planning & management of patient undergoing orthodontic therapy with blunderbuss canal’s in relation to one or multiple tooth requires a precise scientific approach based on sound principles. Interdisciplinary therapy integrates individual disciplines to function as a comprehensive unit providing consistent and predictable treatment results. A thorough logical diagnostic approach and treatment planning must be executed by each member of endodontic-orthodontic team when an esthetic and healthy makeover of a patient’s dentition is planned. Precise communication is important to provide patients with desired results. This case report presents one such approach for diagnosis, treatment planning & management of patient undergoing orthodontic therapy with blunderbuss canal’s in relation to one or multiple tooth. After careful clinical and radiographic evaluation, the patient was diagnosed with Angle’s Class I malocclusion with spacing in maxillary and mandibular arch, and blunderbuss canal’s irt 35&45. The treatment consisted of initial endodontic approach by starting treatment irt 35 and 45, followed by fixed orthodontic approach using passive self-ligating bracket system and by-passing the endodontically treated tooth. Regular followup to observe apexogenesis and continuous evaluation of the case is being done.   Keywords : Blunderbuss Canal,Apexogenesis,Endodontic therapy,Platelet­rich fibrin,Bone regeneration,MTA,Self ligation,

The aim of this report is to discuss a case about a failed root canal treated upper right lateral incisor presented with chronic periapical pathology with extruded guttapercha. Apicoectomy involves surgical management of a tooth with a periapical lesion, which cannot be resolved by routine endodontic treatment. The goal of apical surgery is to prevent leakage of bacteria and their byproducts from the root canal system into peri-radicular tissue.With the advancements in magnification, armamentaria and materials, the success rate of treatment outgrows. Hence, present study describes a case of retreatment successfully treated by endodontic periapical surgery. Keywords: Periapical lesion, Apicoectomy, MTA.

The triad of endodontics is incomplete without the vital step of obturation. The success of an endodontically treated tooth vastly relies upon achieving a “fluid tight seal” carrying out an obturation adequately and accurately. Choosing a particular technique among several obturation techniques available is based upon the anatomy of the root canal and achieving certain objectives specific to each case. The two basic obturation procedures are lateral condensation and warm vertical compaction. There has been an advent of newer devices and techniques, such as those which employ heat and vibration for condensation and compaction of the obturating material, dramatically transforming the practice of endodontics and making success of an obturation more predictable. This article briefly covers the obturating materials and the techniques used for obturation along with their present status in today’s endodontic practice. Keywords: Guttapercha, Obturation, Obturation technique, Obturating material.

The COVID-19 pandemic has turned to be a huge international challenge. Being the part of dental care, we hold responsibilities both to the dental staff and our patients so that the cross infection of virus can be avoided. Since dentists mainly have to work inside the oral cavity, the whole dental team, staff and the technician are at the highest risk of getting affected by the virus. Not only they are at risk of getting infected but at the same time they can potentially transmit the virus. According to latest studies, the presence of virus in salivary secretion of many symptomatic as well as asymptomatic patients, the dental professionals especially Endodontist are at the greatest life threatening situation if they do not follow proper guidelines such as sterilization at their workplace. Till today no medicine manufacturing companies have come up with the proper treatment or vaccines which can protect dentist from contracting with the virus. In this pandemic situation, the general practicing dentist and the Endodontist must provide only emergency treatments so as to relieve pressure and pain. As this COVID continues, it is the responsibility of health care workers to come up with more definitive treatment plans that to stick on to just palliative care. This article aims to bring latest updates on treatment considerations in clinical practice in general. However, the article also includes the guidelines to be followed by the endodontist so as to limit the cross infection but at the same time relieve patient from dental pain or any dental disease. Keywords: Pandemic, Global emergency, COVID- 19, Sterilization, Endodontist, Infection control, Patient management.

The oral environment is highly altered when a removable dental prosthesis is inserted. This further causes adverse effects on the integrity of the oral tissues. A rough surface on a denture may cause mechanical irritation resulting in a mucosal reaction, surface irregularities or porosities may result in accumulation of microbial plaque on the dentures, sometimes the constituents of the dental materials itself may induce an allergic reaction. A constant pressure on the bony ridge results in residual ridge resorption. Wearing complete denture significantly alter the masticatory function, indirectly resulting in nutritional deficiency. The sequelae of wearing complete denture reaction may be a direct or an indirect one. Keywords: Mucosal reaction, Mechanical irritation, Resorption, Sequelae.