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JOURNAL OF ENDOOONT~CS
Copyright9 1986 by The AmehcanAssociationofEndodontists
Printed in U.S.A.
MOL. 12, NO. 7, JULY 1986
evaluation of root canal debridement comparing conventional instrumentation and ultrasonic instrumentation, found that canals debrided by the ultrasonic technique were significantly cleaner at all canal levels studied. This was supported by a scanning electron microscopic study which reported that canals instrumented
by ultrasonics were significantly cleaner than those
instrumented conventionally (8).
Obturation of canals with internal resorption has been
achieved with semisolid materials, with the warm guttapercha method being used most frequently (9). Yee et
al. (10) studied the obturation of root canals using
injection-molded thermoplasticized gutta-percha in
1977. He found that the injection-molded technique
leads to a seal comparable to that of conventional
techniques. Torabinejad et al. (11), in a scanning electron microscopic study, further supported this finding.
Marlin et al. (12), in a preliminary report, described
clinical success rates comparable to the rate achieved
with conventional gutta-percha obturation techniques.
The purpose of this article is to report two cases of
internal resorption that were treated with ultrasonics
and injection-molded thermoplasticized gutta-percha.
CASE 1
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Journal of Endodontics
317
the paste, and the canal was sealed with Cavit and the
crown was replaced (Fig. 5).
The patient was seen 7 wk later, at which time a
radiograph was made and the crown removed to check
the condition of the Ca(OH)2. The sinus tract over tooth
7 had disappeared and the Ca(OH)2 was dry. The
radiograph showed that some of the Ca(OH)2 had been
absorbed on the mesial surface. It was decided to
replace the crown without changing the Ca(OH)2.
Six months after the initial appointment, the Ca(OH)2
dressing was removed. Paper points showed the canal
to be dry. The Neosono-D (American Medical & Dental
Corp., Cherry Hill, NJ) was used to check for leakage
from the resorbed area on the mesial surface of the
root. This was accomplished by bending the tip of a
#15 file and gently exploring the perforated area while
connected to the Neosono-D. The digital read-out indicated leakage present from the perforation even though
a slight resistance was felt. Ca(OH)2 was repacked into
the canal and the crown was replaced.
The patient returned 4 months later, at which time
the crown was removed and the Ca(OH)2 taken out.
Paper points again were dry and use of the NeosonoD indicated minor leakage from the mesial surface. It
was decided to obturate the canal at this visit. Obtur-
318
Journal of Endodontics
also to act as a lubricant for the gutta-percha. Longterm follow-up is necessary to determine endodontic
Success.
SUMMARY
Two cases were presented involving internal root
resorption. A new treatment modality involving ultrasonics and injection-molded thermoplasticized guttapercha was described.
We are grateful to our late father, James A. Stamos, for his enthusiasm and
support in our endeavors. We wish to thank Kathryn Scheets for her assistance
in preparation of this article.
Dr. David Stamos is currently a second-year endodontic graduate student
at Marquette University School of Dentistry. Dr. Daniel Stamos is a recent
graduate and is currently in private practice in Kansas City North, MO.
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