Definition and endodontic treatment of dilacerated canals: a survey of Diplomates of the American Board of Endodontics

J Contemp Dent Pract. 2011 Jan 1;12(1):8-13. doi: 10.5005/jp-journals-10024-1002.

Abstract

Aim: To gather data from Diplomates of the American Board of Endodontics regarding treatment of dilacerated canals.

Materials and methods: A questionnaire addressing definition, endodontic treatment procedures and prognosis was constructed and distributed via e-mail to 708 Diplomates of the American Board of Endodontics. Data from 150 respondents, a 21% response rate, were collected by using a Web-based interface. For statistical analysis, Chi-square tests were used.

Results: More than 25% of respondents believed that a dilacerated root should have a curvature > 40°. One-visit treatment is the best therapeutic approach and transportation is the most likely complication in preparation of these canals. A crown-down technique, watch-winding motion and a master apical file # 25 are the best choices for preparation of these canals. Any warm obturation technique is preferred over lateral compaction by most respondents.

Conclusion: A crown-down technique for root canal preparation and a thermoplastic obturation technique are recommended for canals whose curvature is more than 40°. The prognosis of the treatment of these canals is judged not lower than normal canals.

Clinical significance: Crown-down technique and thermoplastic obturation are recommended for dilacerated canals.

MeSH terms

  • Calcium Hydroxide / administration & dosage
  • Dental Pulp Cavity / abnormalities*
  • Dental Pulp Cavity / diagnostic imaging
  • Dental Pulp Cavity / injuries
  • Endodontics*
  • Equipment Design
  • Equipment Failure
  • Humans
  • Internet
  • Odontometry / instrumentation
  • Prognosis
  • Radiography, Bitewing
  • Root Canal Filling Materials / therapeutic use
  • Root Canal Obturation / methods
  • Root Canal Preparation / adverse effects
  • Root Canal Preparation / instrumentation
  • Root Canal Preparation / methods
  • Root Canal Therapy / methods*
  • Specialty Boards*
  • Surveys and Questionnaires
  • Terminology as Topic
  • Tooth Apex / diagnostic imaging
  • Tooth Apex / pathology
  • United States

Substances

  • Root Canal Filling Materials
  • Calcium Hydroxide