Papers by Aishvarya Kaushik
PubMed, Nov 1, 2014
The presence of three root canals in the distal root of the mandibular first permanent molars is ... more The presence of three root canals in the distal root of the mandibular first permanent molars is rare; based on in vitro studies its incidence is reported to be between 0.2% and 3%. With the advent of cone beam computed tomography (CBCT) as an adjunctive diagnostic aid, the determination of root canal anatomy in teeth with extra canals and complex canal configurations has become more precise. CBCT provides three dimensional visualization of the pulp canal space, allowing the clinician in determining the spatial relationships of the root canals with each other at various cross sectional levels along the length of the root. The present report discusses the endodontic management of a mandibular first permanent molar with three canals in the distal root, employing CBCT as an adjunctive diagnostic aid to conventional radiography.
Journal of Clinical and Diagnostic Research, 2016
Sciences, for evaluation of the right mandibular second molar. The medical history was non-contri... more Sciences, for evaluation of the right mandibular second molar. The medical history was non-contributory. On clinical examination, extensive caries in tooth 47, buccally erupted third molar in same quadrant and healthy oral soft tissues was found. Considering the poor prognosis of 47, availability of donor tooth and the involved treatment costs of alternative treatment options like implant, autotransplantation of third molar was planned. Clinical [Table/Fig-1a] and radiological [Table/Fig-2a] examinations confirmed the feasibility of the donor and recipient sites. Tooth 47 was extracted in two pieces [Table/Fig-1b&c] under local anaesthesia under aseptic conditions. Buccally erupted third molar extraction [Table/Fig-1d] was done thereafter and placed immediately in extraction socket. There was no need for adaptation or socket preservation due to the smaller size of the wisdom tooth compared to the second molar. Implanted tooth was splinted for 1week. Occlusal adjustments were done after 24 hours. Endodontic treatment was performed under rubber dam (Hygienic Dental Dam, Coltène/ Whaledent Inc., Cuyahoga Falls, USA) after one week. Two canal orifices (mesial and distal) were located with an endodontic explorer (DG-16). The working length was determined with electronic apex locator (J. Morita USA, Inc.: Root ZX II) and confirmed radiographically. Canals were prepared with protaper rotary file system with crown down pressure-less technique. The root canals were copiously irrigated with 5.25% sodium hypochlorite solution (Hyposol, Prevest Denpro Limited, Jammu, India). Intracanal medicament metapex was placed for two weeks. Obturation was performed in next visit with gutta-percha and AH Plus (Dentsply Limited, Surrey, United Kingdom) using a warm vertical condensation technique [Table/Fig-2b]. The patient was recalled for periodic follow-ups. The recall examination after 12 months revealed asymptomatic and healthy periodontal conditions. At this time, the tooth showed no sensitivity to palpation or percussion and the probing depth was normal. No abnormality was detected in radiography [Table/Fig-2c] and the tooth was completely functional [Table/Fig-1e&f].
Saudi Endodontic Journal, 2014
Iatrogenic root perforations, which may have serious implications, occur in approximately 2-12% o... more Iatrogenic root perforations, which may have serious implications, occur in approximately 2-12% of endodontically treated teeth. Successful management of root perforations is dependent on early diagnosis of the defect, location of the perforation, choice of treatment, materials used, host response, and the experience of the practitioner. This report presents the successful management of an iatrogenic perforation in a tooth with radiographic evidence of pulp canal obliteration.
Journal of evolution of medical and dental sciences, Nov 15, 2013
Chronic inflammation of the dental pulp is one of the reasons for cutaneous sinus tract of odonto... more Chronic inflammation of the dental pulp is one of the reasons for cutaneous sinus tract of odontogenic origin. A cutaneous sinus or extra oral sinus from a lesion of endodontic origin is rare as compared to an intra oral sinus and may occur as result of long standing inflammatory process associated with necrotic pulp. Such patients are usually healthy and are unaware of the underlying asymptomatic dental problem. Common clinical presentation in these patients is a papule or nodule located most commonly in the chin, cheek or in submandibular area and this leads them to seek treatment from a general physician or a dermatologist. They may undergo unnecessary multiple biopsies, multiple surgical interventions, multiple antibiotic regimens, and even be subjected to radiation therapy or electrodessication. However more often than not, recurrence of sinus tract takes place because the primary dental etiology is never taken care of. The present article aims to report three cases of cutaneous sinus tracts in the submental area which were treated conservatively by endodontic treatment of the involved teeth.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016
Sciences, for evaluation of the right mandibular second molar. The medical history was non-contri... more Sciences, for evaluation of the right mandibular second molar. The medical history was non-contributory. On clinical examination, extensive caries in tooth 47, buccally erupted third molar in same quadrant and healthy oral soft tissues was found. Considering the poor prognosis of 47, availability of donor tooth and the involved treatment costs of alternative treatment options like implant, autotransplantation of third molar was planned. Clinical [Table/Fig-1a] and radiological [Table/Fig-2a] examinations confirmed the feasibility of the donor and recipient sites. Tooth 47 was extracted in two pieces [Table/Fig-1b&c] under local anaesthesia under aseptic conditions. Buccally erupted third molar extraction [Table/Fig-1d] was done thereafter and placed immediately in extraction socket. There was no need for adaptation or socket preservation due to the smaller size of the wisdom tooth compared to the second molar. Implanted tooth was splinted for 1week. Occlusal adjustments were done after 24 hours. Endodontic treatment was performed under rubber dam (Hygienic Dental Dam, Coltène/ Whaledent Inc., Cuyahoga Falls, USA) after one week. Two canal orifices (mesial and distal) were located with an endodontic explorer (DG-16). The working length was determined with electronic apex locator (J. Morita USA, Inc.: Root ZX II) and confirmed radiographically. Canals were prepared with protaper rotary file system with crown down pressure-less technique. The root canals were copiously irrigated with 5.25% sodium hypochlorite solution (Hyposol, Prevest Denpro Limited, Jammu, India). Intracanal medicament metapex was placed for two weeks. Obturation was performed in next visit with gutta-percha and AH Plus (Dentsply Limited, Surrey, United Kingdom) using a warm vertical condensation technique [Table/Fig-2b]. The patient was recalled for periodic follow-ups. The recall examination after 12 months revealed asymptomatic and healthy periodontal conditions. At this time, the tooth showed no sensitivity to palpation or percussion and the probing depth was normal. No abnormality was detected in radiography [Table/Fig-2c] and the tooth was completely functional [Table/Fig-1e&f].
Dental research journal, 2014
The presence of three root canals in the distal root of the mandibular first permanent molars is ... more The presence of three root canals in the distal root of the mandibular first permanent molars is rare; based on in vitro studies its incidence is reported to be between 0.2% and 3%. With the advent of cone beam computed tomography (CBCT) as an adjunctive diagnostic aid, the determination of root canal anatomy in teeth with extra canals and complex canal configurations has become more precise. CBCT provides three dimensional visualization of the pulp canal space, allowing the clinician in determining the spatial relationships of the root canals with each other at various cross sectional levels along the length of the root. The present report discusses the endodontic management of a mandibular first permanent molar with three canals in the distal root, employing CBCT as an adjunctive diagnostic aid to conventional radiography.
Journal of Evolution of Medical and Dental sciences, 2013
Chronic inflammation of the dental pulp is one of the reasons for cutaneous sinus tract of odonto... more Chronic inflammation of the dental pulp is one of the reasons for cutaneous sinus tract of odontogenic origin. A cutaneous sinus or extra oral sinus from a lesion of endodontic origin is rare as compared to an intra oral sinus and may occur as result of long standing inflammatory process associated with necrotic pulp. Such patients are usually healthy and are unaware of the underlying asymptomatic dental problem. Common clinical presentation in these patients is a papule or nodule located most commonly in the chin, cheek or in submandibular area and this leads them to seek treatment from a general physician or a dermatologist. They may undergo unnecessary multiple biopsies, multiple surgical interventions, multiple antibiotic regimens, and even be subjected to radiation therapy or electrodessication. However more often than not, recurrence of sinus tract takes place because the primary dental etiology is never taken care of. The present article aims to report three cases of cutaneous sinus tracts in the submental area which were treated conservatively by endodontic treatment of the involved teeth.
Saudi Endodontic Journal, 2014
Iatrogenic root perforations, which may have serious implications, occur in approximately 2-12% o... more Iatrogenic root perforations, which may have serious implications, occur in approximately 2-12% of endodontically treated teeth. Successful management of root perforations is dependent on early diagnosis of the defect, location of the perforation, choice of treatment, materials used, host response, and the experience of the practitioner. This report presents the successful management of an iatrogenic perforation in a tooth with radiographic evidence of pulp canal obliteration.
Dental research journal, 2014
The presence of three root canals in the distal root of the mandibular first permanent molars is ... more The presence of three root canals in the distal root of the mandibular first permanent molars is rare; based on in vitro studies its incidence is reported to be between 0.2% and 3%. With the advent of cone beam computed tomography (CBCT) as an adjunctive diagnostic aid, the determination of root canal anatomy in teeth with extra canals and complex canal configurations has become more precise. CBCT provides three dimensional visualization of the pulp canal space, allowing the clinician in determining the spatial relationships of the root canals with each other at various cross sectional levels along the length of the root. The present report discusses the endodontic management of a mandibular first permanent molar with three canals in the distal root, employing CBCT as an adjunctive diagnostic aid to conventional radiography.
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Papers by Aishvarya Kaushik