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Papers by Rasika Kashikar

IOSR Journal of Dental and Medical Sciences, 2017

Endodontic intervention in necrotic immature permanent teeth is usually a clinical challenge. Wit... more Endodontic intervention in necrotic immature permanent teeth is usually a clinical challenge. With appropriate case selection, regenerative treatment can be effective, providing a desirable outcome. However, there is still no consensus on the optimal disinfection protocol or the method to achieve predictable clinical outcome. This article presents a case report of regenerative treatment in necrotic immature teeth, using mineral trioxide aggregate (MTA) as coronal barriers which led to successfull clinical outcomes.

Cureus, Mar 2, 2023

The separation of an endodontic instrument during a root canal procedure is one of the most commo... more The separation of an endodontic instrument during a root canal procedure is one of the most common endodontic mishaps. Separation of endodontic instruments may block access to the apical portion of the root and hamper the disinfection process. It obstructs the appropriate debridement of the canal apical to the fragment, jeopardizing the treatment's outcome. However, due to the advancements in the methods and armamentarium, the effective retrieval of a separated instrument (SI) from the root canal has become possible. This paper includes a case series of management of separated instruments whereby SI was successfully removed in four cases. The instruments were separated intracanal at various levels in the middle and apical third of maxillary and mandibular molar teeth. The level of separation was located, staging performed, and SI was removed using an ultrasonic device under magnification. Removal of the SI was followed by obturation till the entire working length and subsequent post-endodontic restoration. Patient satisfaction with treatment outcomes in all cases was good. Case evaluation, good armamentarium, adequate knowledge along with good clinical skills and experience aid in the successful retrieval of separated instruments. Removal of the instrument without further damage to radicular dentin is important to maintain the integrity of the tooth.

International journal of health sciences

Beyond the simple perception is often the intricate internal anatomy and a complex root canal sys... more Beyond the simple perception is often the intricate internal anatomy and a complex root canal system. Studies on the anatomy of the root apex are an area of interest to the endodontist. The apical limit of root canal instrumentation and obturation is one of the critical controversial tissues in root canal therapy. Appreciable knowledge of the morphology of the root apex and its variance, ability to interrupt it correctly in an radiographs, and to felt it through tactile sensation during instrumentation are essential for an effective rendering of the treatment of root canals.

Abstract: Endodontic intervention in necrotic immature

The primary aim of endodontic therapy is the long-term retention of a functional tooth by prevent... more The primary aim of endodontic therapy is the long-term retention of a functional tooth by preventing or treating apical periodontitis. However, the outcome of the endodontic treatment is multifactorial such as the quality of the restoration and structural integrity of the tooth after root canal preparation. Dentists need to reassess and recalibrate the endodontic and restorative techniques to best suit the way that they practice today. At the same time, need to preserve essential tooth structure to routinely achieve a 50-year, not a 5-year, successful outcome. Contemporary research efforts are currently directed to better understanding dentin behavior and structure during aging and function. An alternative approach is to minimize structural changes during root canal therapy, which may result in a new strategy that can be labeled “minimally invasive endodontics (MIE).” MIE is desirable in the interest of the patient, and preserving tooth structure requires optical magnification aids ...

1 Professor and Head, Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental C... more 1 Professor and Head, Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College, 2 Professor Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College 3 Associate professor, Department of Oral Medicine and Radiology, Swargiya Dadasaheb Kalmegh Smruti Dental College, Nagpur Maharashtra 4 Post graduate student Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College, 5 Post graduate student, Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College 6 Lecturer, of Conservative Dentistry and Endodontics, Sharad Pawar Dental College

Endodontic intervention in necrotic immature permanent teeth is usually a clinical challenge. Wit... more Endodontic intervention in necrotic immature permanent teeth is usually a clinical challenge. With appropriate case selection, regenerative treatment can be effective, providing a desirable outcome. However, there is still no consensus on the optimal disinfection protocol or the method to achieve predictable clinical outcome. This article presents a case report of regenerative treatment in necrotic immature teeth, using mineral trioxide aggregate (MTA) as coronal barriers which led to successfull clinical outcomes.

Journal of Advanced Medical and Dental Sciences Research, 2016

Bacteria play a primary role in the development of pulp necrosis, periapical pathosis and posttre... more Bacteria play a primary role in the development of pulp necrosis, periapical pathosis and posttreatment disease. Careful removal of vital and necrotic remnants of pulp tissue, debris, microorganisms, and microbial toxins from a root canal system is essential in endodontic treatment. However, debris is difficult to remove effectively using mechanical instrumentation alone. Because the root canal system has a complex and irregular structure. Thus, root canal irrigation needs to be incorporated to enhance debridement. 1 Various studies have proven the effectiveness of chlorhexidine for bacterial reduction in addition to mechanical cleaning and shaping but it must be confined to the root. The apical extrusion of chlorhexidine and other irrigants should be minimized during endodontic treatment so as to reduce the possibility of iatrogenic harm to patients. 2 Irrigation solutions are often delivered with a 30-or 27-G I ABSTRACT: Introduction: We compared the apical extrusion of Chlorhexidine delivered with a 27-G needle, and the EndoVac system (SybronEndo, Orange, CA) during the instrumentation and final irrigation of root canals. Methods: Matched paired single-canal teeth were divided into 2groups. The experimental groups were needle irrigation size #30 (NI30) , and EndoVac size #30 (EV30) Teeth were embedded in 0.2% agarose gel (pH = 7.4) containing 1 mL 0.1% m-Cresol purple (titan media), which changes color at a pH level of 9.0. Root canals were irrigated with Chlorhexidine using 2 different techniques, and the amount of irrigant was controlled. Standardized digital photographs were taken 20 minutes after the first irrigant was used and were analyzed to determine the amount of extrusion (expressed as a percentage of total pixels). Results: The amounts of apical extrusion obtained in the NI30 and EV30, were 50% (10/20), and 10% (2/20), respectively. The EndoVac group showed significantly lower extrusion values than the needle irrigation techniques in terms of the number of teeth and pixels. Conclusion: The risk of apical extrusion is significantly lower with the EndoVac in comparison with the needle irrigation techniques.

IOSR Journal of Dental and Medical Sciences, 2017

IOSR Journal of Dental and Medical Sciences, 2017

Endodontic intervention in necrotic immature permanent teeth is usually a clinical challenge. Wit... more Endodontic intervention in necrotic immature permanent teeth is usually a clinical challenge. With appropriate case selection, regenerative treatment can be effective, providing a desirable outcome. However, there is still no consensus on the optimal disinfection protocol or the method to achieve predictable clinical outcome. This article presents a case report of regenerative treatment in necrotic immature teeth, using mineral trioxide aggregate (MTA) as coronal barriers which led to successfull clinical outcomes.

Cureus, Mar 2, 2023

The separation of an endodontic instrument during a root canal procedure is one of the most commo... more The separation of an endodontic instrument during a root canal procedure is one of the most common endodontic mishaps. Separation of endodontic instruments may block access to the apical portion of the root and hamper the disinfection process. It obstructs the appropriate debridement of the canal apical to the fragment, jeopardizing the treatment's outcome. However, due to the advancements in the methods and armamentarium, the effective retrieval of a separated instrument (SI) from the root canal has become possible. This paper includes a case series of management of separated instruments whereby SI was successfully removed in four cases. The instruments were separated intracanal at various levels in the middle and apical third of maxillary and mandibular molar teeth. The level of separation was located, staging performed, and SI was removed using an ultrasonic device under magnification. Removal of the SI was followed by obturation till the entire working length and subsequent post-endodontic restoration. Patient satisfaction with treatment outcomes in all cases was good. Case evaluation, good armamentarium, adequate knowledge along with good clinical skills and experience aid in the successful retrieval of separated instruments. Removal of the instrument without further damage to radicular dentin is important to maintain the integrity of the tooth.

International journal of health sciences

Beyond the simple perception is often the intricate internal anatomy and a complex root canal sys... more Beyond the simple perception is often the intricate internal anatomy and a complex root canal system. Studies on the anatomy of the root apex are an area of interest to the endodontist. The apical limit of root canal instrumentation and obturation is one of the critical controversial tissues in root canal therapy. Appreciable knowledge of the morphology of the root apex and its variance, ability to interrupt it correctly in an radiographs, and to felt it through tactile sensation during instrumentation are essential for an effective rendering of the treatment of root canals.

Abstract: Endodontic intervention in necrotic immature

The primary aim of endodontic therapy is the long-term retention of a functional tooth by prevent... more The primary aim of endodontic therapy is the long-term retention of a functional tooth by preventing or treating apical periodontitis. However, the outcome of the endodontic treatment is multifactorial such as the quality of the restoration and structural integrity of the tooth after root canal preparation. Dentists need to reassess and recalibrate the endodontic and restorative techniques to best suit the way that they practice today. At the same time, need to preserve essential tooth structure to routinely achieve a 50-year, not a 5-year, successful outcome. Contemporary research efforts are currently directed to better understanding dentin behavior and structure during aging and function. An alternative approach is to minimize structural changes during root canal therapy, which may result in a new strategy that can be labeled “minimally invasive endodontics (MIE).” MIE is desirable in the interest of the patient, and preserving tooth structure requires optical magnification aids ...

1 Professor and Head, Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental C... more 1 Professor and Head, Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College, 2 Professor Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College 3 Associate professor, Department of Oral Medicine and Radiology, Swargiya Dadasaheb Kalmegh Smruti Dental College, Nagpur Maharashtra 4 Post graduate student Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College, 5 Post graduate student, Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College 6 Lecturer, of Conservative Dentistry and Endodontics, Sharad Pawar Dental College

Endodontic intervention in necrotic immature permanent teeth is usually a clinical challenge. Wit... more Endodontic intervention in necrotic immature permanent teeth is usually a clinical challenge. With appropriate case selection, regenerative treatment can be effective, providing a desirable outcome. However, there is still no consensus on the optimal disinfection protocol or the method to achieve predictable clinical outcome. This article presents a case report of regenerative treatment in necrotic immature teeth, using mineral trioxide aggregate (MTA) as coronal barriers which led to successfull clinical outcomes.

Journal of Advanced Medical and Dental Sciences Research, 2016

Bacteria play a primary role in the development of pulp necrosis, periapical pathosis and posttre... more Bacteria play a primary role in the development of pulp necrosis, periapical pathosis and posttreatment disease. Careful removal of vital and necrotic remnants of pulp tissue, debris, microorganisms, and microbial toxins from a root canal system is essential in endodontic treatment. However, debris is difficult to remove effectively using mechanical instrumentation alone. Because the root canal system has a complex and irregular structure. Thus, root canal irrigation needs to be incorporated to enhance debridement. 1 Various studies have proven the effectiveness of chlorhexidine for bacterial reduction in addition to mechanical cleaning and shaping but it must be confined to the root. The apical extrusion of chlorhexidine and other irrigants should be minimized during endodontic treatment so as to reduce the possibility of iatrogenic harm to patients. 2 Irrigation solutions are often delivered with a 30-or 27-G I ABSTRACT: Introduction: We compared the apical extrusion of Chlorhexidine delivered with a 27-G needle, and the EndoVac system (SybronEndo, Orange, CA) during the instrumentation and final irrigation of root canals. Methods: Matched paired single-canal teeth were divided into 2groups. The experimental groups were needle irrigation size #30 (NI30) , and EndoVac size #30 (EV30) Teeth were embedded in 0.2% agarose gel (pH = 7.4) containing 1 mL 0.1% m-Cresol purple (titan media), which changes color at a pH level of 9.0. Root canals were irrigated with Chlorhexidine using 2 different techniques, and the amount of irrigant was controlled. Standardized digital photographs were taken 20 minutes after the first irrigant was used and were analyzed to determine the amount of extrusion (expressed as a percentage of total pixels). Results: The amounts of apical extrusion obtained in the NI30 and EV30, were 50% (10/20), and 10% (2/20), respectively. The EndoVac group showed significantly lower extrusion values than the needle irrigation techniques in terms of the number of teeth and pixels. Conclusion: The risk of apical extrusion is significantly lower with the EndoVac in comparison with the needle irrigation techniques.

IOSR Journal of Dental and Medical Sciences, 2017