Endodontic Management of a Maxillary First Premolar with Necrotic Pulp Due to Extensive Caries: A Case Report Using Rogin Super Flexi Files
Abstract:
This case report presents the endodontic treatment of a maxillary first premolar with two canals and necrotic pulp caused by extensive caries. The patient experienced continuous pain and sensitivity to heat and percussion. Root canal treatment was performed using the Rogin Super Flexi Files, known for their superior flexibility and cutting efficiency. The outcome highlights the importance of proper diagnosis and the use of high-quality instruments in endodontic procedures.
Introduction:
Dental pain caused by pulpal necrosis due to extensive caries is a common presentation in endodontic practice. Accurate diagnosis, appropriate instrumentation, and effective irrigation are essential for successful outcomes. This report describes the treatment of a maxillary first premolar with necrotic pulp using advanced rotary instruments from Rogin.
Patient History and Clinical Examination:
A patient presented with continuous pain localized to the first upper premolar. The pain intensified upon biting and exposure to hot stimuli. Clinical examination and radiographic analysis revealed a severely decayed and structurally compromised tooth with large carious lesions. Percussion testing elicited pain, and the radiograph confirmed pulpal necrosis.
Diagnosis and Treatment Planning:
Based on the clinical findings and radiographic evidence, the diagnosis was necrotic pulp of the maxillary first premolar. Root canal treatment (RCT) was planned for the two canals identified in the tooth.
Procedure:
The access cavity was prepared during the first visit. Canal negotiation began with stainless steel K-files (#10, #15, and #20), followed by the use of the SX opener from Rogin to facilitate coronal flaring. Two separate roots and canals were confirmed using an apex locator and radiographs, with canal lengths measuring approximately 19 mm.
Initial manual preparation was completed up to size 20. Final canal shaping was performed using the Rogin Super Flexi Files Kit to size 25/0.04. These files, made from heat-treated Nickel-Titanium CM wire, provided excellent flexibility for safe navigation of the canal curvature, while the square cross-section ensured effective cutting and debris removal with minimal transportation.
Irrigation and Obturation:
Irrigation was carried out using 5.25% sodium hypochlorite, followed by saline and 17% EDTA. Sodium hypochlorite was activated ultrasonically to enhance debridement efficacy. The canals were then obturated using the warm vertical compaction technique, achieving a dense and three-dimensional fill.
Discussion:
Rogin Super Flexi Files demonstrated exceptional performance in this case, offering both flexibility and efficiency in shaping narrow, curved canals. Their non-cutting tip ensured safety, minimizing the risk of lateral perforation. Over the course of more than 20 complex cases, the Rogin file system has proven to be reliable and effective for clinical use.
Conclusion:
Successful endodontic treatment depends not only on accurate diagnosis but also on the use of high-performance instruments. Rogin’s Super Flexi Files provide a dependable solution for clinicians seeking flexibility, cutting efficiency, and safety. Incorporating such tools into clinical practice enhances both practitioner confidence and patient outcomes.
