Title: Methods of root canal obturation and most common mistakes
Abstract:
Introduction: The modern field of endodontics offers various methods to obturate root canals: central technique, cold lateral condensation (the gold standard), warm vertical condensation and injection technique.
Purpose: Presentation of the various obturation techniques with indications and contraindications, in order to make the correct choice in each individual clinical case and prevent mistakes during obturation.
Materials and methods:
A series of different studies have been analyzed in order to provide an overview of the obturation methods, the requirements towards them, the ideal properties that they need to possess, in order to choose the best obturation method.
The presented clinical case was obturated with cold lateral condensation technique: an 87-year-old patient, an ex-smoker, without systemic diseases. Three teeth of the lower jaw were devitalized and obturated with a diagnosis "devitalisatio pro causa prosthetica". During the obturation have been used "Adseal Plus - Meta" resin based sealer, "Denco" master and “Dentsply Sirona” auxiliary gutta-percha points.
Results: Radiographs taken after obturation show homogeneity up to the very apex with no freshened sealer in the periapical region. After 4 months, I took new radiographs, on which the homogeneity of the obturation is up to the very apex without periapical changes.
Discussion: After a thorough review of the literature, we cannot unambiguously decide which is the best method for obturation - clinicians must be well aware of the advantages and disadvantages.
Conclusion: Correctly selected obturation technique leads to successful endodontic treatment with a minimum number of mistakes.
Audience Take Away:
- This method will be applicable to the audience's daily endodontic practice, particularly to students in dental medicine faculties.
- This abstract can help determine the correct clinical choice of obturation technique based on the current clinical case and prevent the most common obturation mistakes. Also can be an inspiration to other faculty members to expand their research or teaching.
- ?his method is a practical solution, especially in the prevention of an extruded sealer, which guarantees us a homogeneously obturated canal to the very end, without periapical changes in the future.
