ENDODONTIC TREATMENT OF UPPER RIGHT PREMOLAR WITH THREE ROOTS CARRIED OUT AT THE LEAGUE OF ENDODONTICS CLINIC (LAEND) OF UNINASSAU CARUARU- PE- REPORT OF CASE

• DOI: https://doi.org/10.22533/at.ed.15943224250310

• Palavras-chave: Endodontics; Premolar; Anatomical Variation.

• Keywords: Endodontics; Premolar; Anatomical Variation.

• Abstract:

  Endodontics is a specialty of dentistry that is related to the treatment of physiological, pathological manifestations or damages that affect the dental pulp and periapical tissues (FERREIRA,2022). Endodontics maintains its accuracy through mechanical chemical preparation, which is responsible for cleaning, expanding and disinfecting the SCR and established through irrigating solutions, instrumentation with files, drills and physical actions of irrigation, aspiration and flooding. (Portela et al. 2011 and Aguiar et al. 2021). Anatomical knowledge is essential, since variations in the anatomy and number of canals of tooth groups are very common (PEREIRA, et el. 2012). The present work reports the endodontic treatment of a right upper first premolar with three canals and three distinct roots. The patient was seen at the Uninassau Caruaru-PE Endodontics League clinic (LAEND). At first, the students, due to lack of experience, did not clinically or radiographically identify the anatomical variation. After the discovery of the three roots, access to the canals was redone in order to facilitate visibility and management during treatment. The suggested clinical radiographic diagnosis was Pulp Necrosis with Chronic Periapical Reaction. It was proposed for the treatment plan to carry out the chemical mechanical preparation (PQM) at the beginning with manual stainless-steel instruments with the aid of the contra-angle reducer with reciprocating movements and gates glidden drills and then with rotary instruments and obturated using the single cone technique and thermoplasticized with Mc Spadden instruments. Treatment was proposed in two sessions. Between the two consultations, pure Calen and Ibuprofen 600mg twice a day for 3 days were used in case of pain. In the second session, the patient did not complain of pain and thus, the filling was performed using the thermoplastic technique and the tooth was restored.