Endodontic treatment tooth with pulp nodule

Pulp nodules are alterations of the pulp tissue, presenting as calcified masses, present in sound teeth, decayed, and even traumatized teeth, usually constituting a radiographic finding. Size and varied ways, come to fully block the pulp chamber, hindering access to root canals. (IN: pulp nodules: clinical and morphological)

Case Study:

History: Male, 28 years. Came to the clinic reporting spontaneous pain and throbbing, localized, with peaks during the night and the touch of cold food.

Radiographically: I watched a radiopaque image, indicative of the prosthetic restoration element 46, close to the pulp chamber, with no visible change in the periapical region. It was initially identified an anatomical change in pulp chamber.

Diagnostic hypothesis: irreversible pulpitis.

Proposed treatment: endodontic treatment in one session.

Use of ultrasound Sonic Jet (Gnatus) ET20 with insert. For removal of the lymph pulp, together with the use of an explorer straight (ODUS)

Use of apex locator, Root ZX II (J Morita).

Instrumentation: Motor X-Mart (Dentsply), system files Easy Pro Design.

Final manual instrumentation: Biomechanical file 40 Distal 35 Mesial.

Hypochlorite solution with 5.25%.

Obturation Technique: Hybrid Tagger Endofill endodontic cement (Dentsply).