ABSTRACT
AIM: To describe the lateral radiographic technique, its use and indication. BACKGROUND: The clinician's difficulty in performing the correct diagnosis for some endodontic situations sometimes leads to a compromised treatment of some teeth. Considering this, an alternative radiographic technique for anterior teeth (lateral radiographic technique - LRT) may be used to help endodontic diagnosis. TECHNIQUE: This technique use a periapical radiographic film or sensor that is placed vertically in the anterior portion of maxilla or mandible and with the beam passing perpendicular to the radiographic film its possible to evaluate the possibility of a fenestration on the buccal cortical bone plate; differentiate overextension and overfilling; indentify root fractures; confirm the presence and location of an instrument in the root canal system; and assess the treatment of root perforations. CONCLUSION: LRT is an easy and cheap technique that can be used to help in anterior teeth diagnosis. CLINICAL SIGNIFICANCE: Considering that LRT is easy to perform and available at low cost, it could be utilized more by clinicians in the dental office in order to quickly assist in diagnosis. As a complimentary radiographic examination for anterior teeth, it could become a useful supplement to aid the clinical practice.
Subject(s)
Cuspid/diagnostic imaging , Incisor/diagnostic imaging , Radiography, Bitewing/methods , Bone Resorption/diagnostic imaging , Dental Pulp Cavity/diagnostic imaging , Dental Pulp Cavity/injuries , Foreign Bodies/diagnostic imaging , Humans , Mandible/diagnostic imaging , Maxilla/diagnostic imaging , Maxillary Diseases/diagnostic imaging , Radiography, Bitewing/instrumentation , Radiography, Dental, Digital/instrumentation , Root Canal Filling Materials/adverse effects , Root Canal Filling Materials/chemistry , Root Canal Preparation/instrumentation , Root Canal Therapy , Tooth Fractures/diagnostic imaging , Tooth Resorption/diagnostic imaging , Tooth Root/diagnostic imaging , Tooth Root/injuries , X-Ray FilmABSTRACT
Furcal perforations are significant iatrogenic complications of endodontic treatment and could lead to endodontic failure. Mineral trioxide aggregate (MTA) has been regarded as an ideal material for perforation repair, retrograde filling, pulp capping, and apexification. This case report describes a furcal perforation in a maxillary first molar, which was repaired using MTA. The tooth was endodontically treated and coronally restored with resin composite. After 2 years, the absence of periradicular radiolucent lesions, pain, and swelling along with functional tooth stability indicated a successful outcome of sealing the perforation using MTA.
