[A new type of stopping device for the instruments in general use in root canal therapy].
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This paper reviews the evidence that coronal leakage of root canals may lead to failure of root-canal therapy. The causes of coronal leakage and methods by which this leakage may be prevented are described.
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This case report concerns a 9-year-old girl who had a horizontal root fracture of her maxillary left central incisor and had root canal therapy performed by her family dentist immediately after the injury. Because of the incomplete canal obturation, the root canal filling material was removed, and calcium hydroxide therapy was initiated. Healing at the fracture site occurred, with hard tissue forming between the root segments. The coronal segment of the root was then obturated with gutta-percha. The patient later had orthodontic treatment with some movement of the coronal segment. Six-year post-treatment follow-up shows apparent clinical and radiographic success. This case illustrates the potential for repair of a horizontal root fracture after endodontic retreatment of the coronal segment and long-term splinting.
A technique for the isolation of a posterior tooth with large distogingival caries and which needed endodontic therapy is described. To ensure a perfect seal, avoiding contamination or infiltration of the chemicals used for irrigation during the root canal therapy, a direct resin temporary restoration was done before placing the rubber dam as required for endodontic treatment.
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