Endodontic Treatment of Upper Central Incisor with Pulp Necrosis after Orthodontic Treatment

Abstract

A 42-year-old male patient, brown skin, was referred to a private practice complaining of discoloration of the dental crown. When questioned, he reported that he had been undergoing orthodontic treatment for approximately one and a half years. He did not respond to the sensitivity test with cold. After anamnesis, clinical examination and complementary tests, the case was diagnosed as an element with pulp necrosis. After coronal opening, the root canal was explored and electronic odontometry was performed. After establishing the actual working length, the root canal was prepared with the Solla 70.03 instrument. The foraminal patency, extending 1 mm beyond the exit of the apical foramen, was performed with the Solla Collors 16/02 Glide Path file. The obturation was performed using the single cone technique associated with Bio-C Sealer cement. It is concluded that, with the improvement in the quality of endodontic materials, evolution in dental practices and the introduction of automated equipment, endodontic treatment in one session can be adopted as a routine in the dental office.