The first consideration in these cases is whether the root is completely formed or not (complete vs. incomplete rhizogenesis). Management of teeth with incomplete rhizogenesis will require a series of procedures in order to allow the root formation or an apical barrier against which the obturation is performed.
The second consideration is determining the pulp vitality status, which will determine if apexogenesis or apexification will take place.
In the following clinical case, the patient presented to our practice with crown fractures of teeth # 8 and # 9, involving enamel, dentin and pulp.
Medical and dental history were reviewed, and thorough clinical and radiographic exams were performed.
Since the roots were completely formed, endodontic therapy was the treatment of choice for both teeth. Root canal treatments were completed on teeth # 8 and #9 and both were temporarily restored with composites. Final restoration with crowns will be done by referring General Dentist.
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ReplyDeleteA root canal is the space between the tooth and the root. This canal consists of the pulp chamber which is a branch or tissue like structure situated in the center of the tooth. It contains blood vessels and nerve branches. It is when these nerve branches; essentially the pulp chamber that gets affected, that the procedure has to be adopted.
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