Clinical and radiographic outcome of the root canal treatment of infected teeth with associated sinus tract: A retrospective study

Abstract Aim and objective: The aim of the present study was to evaluate clinical and radiographic outcome of MTA as a pulpotomy agent in permanent teeth as an alternative to conventional root canal treatment. Materials and Methods: Ten permanent teeth with symptoms of irreversible pulpitis with vital pulp were selected for the study. MTAPulpotomy procedure was done in all the cases using standard protocol. Teeth were evaluated for various clinical and radiographic parameters at 3, 6, 9 and 12 months of follow up. Results: None of the patients reported any kind of clinical discomfort or radiographic abnormality during the follow up period of 3, 6, 9 and 12 months. All the teeth responded positive on electric pulp test at all successive follow ups. Conclusions: MTA Pulpotomy may be used as an alternative treatment modality to root canal treatment in permanent teeth with irreversible pulpitis, if future research continues to show promising results.

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KERUSAKAN TULANG PADA KASUS ENDODONTIK-PERIODONTAL

Jurnal Ilmiah dan Teknologi Kedokteran Gigi ◽

10.32509/jitekgi.v17i1.1438 ◽

2021 ◽

Vol 17 (1) ◽

pp. 43-48

Author(s):

Natalina - Natalina

Keyword(s):

Tissue Regeneration ◽

Granulation Tissue ◽

Root Canal ◽

Alveolar Bone ◽

Bone Defects ◽

Sinus Tract ◽

Guided Tissue Regeneration ◽

Root Canal Treatment ◽

Posterior Teeth ◽

Anterior Teeth

Latar belakang. Masalah pulpa dan periodontal menyebabkan lebih dari 50% kehilangan gigi. Kasus pada laporan kasus ini merupakan lesi primer endodontik dan lesi sekunder periodontal dan secara klinis terdapat sinus tract. Kondisi ini merupakan kasus yang secara kolaborasi dikerjakan oleh bidang konservasi gigi dan bidang periodonsia untukmemdapatkan hasil yang maksimal. Kasus. Terdapat tiga kasus lesi endodonti-periodontal, dua merupakan kasus (gigi 21 dan 37) yang setelah beberapa tahun dilakukan perawatan saluran akar (PSA) mengalami pembentukan sinus tract, dan satu kasus (gigi 47) yang setelah PSA namun tidak memeperlihatkan perbaikan sinus tract yang terbentuk di gingiva. Tindakan bedah flap periodontal dilakukan untuk mencari penyebab, menghilangkan jaringan granulasi, dan memperbaiki kerusakan tulang alveolar yang terjadi. Seluruh kasus terlihat terdapat kerusakan tulang anguler di daerah furkasi pada gigi posterior (37 dan 47), dan daerah interdental pada gigi anterior (21); satu kasus (gigi 21) mengalami fenestrasi di fasial. Defek tulang anguler dan daerah fenestrasi setelah dibersihkan dari jaringan granulasi yang terinfeksi, diisi dengan graf tulang dan ditutup oleh membran pericardium sebagai guided tissue regeneration (GTR), kemudian dijahit. Kontrol 14 hari setelah tindakan bedah, sinus tract telah hilang dan warna gingiva normal. Kesimpulan. Lesi endodontik-periodontal yang memperlihatkan sinus tract yang persisten setelah perawatan saluran akar merupakan indikasi adanya kerusakan periodontal yang kompleks. Defek periodontal kompleks bisa diperbaiki dengan tindakan bedah regeneratif.Kata kunci. Lesi endodontik-periodontal, sinus tract, defek tulang anguler, fenestrasi Abstract Background. Dental pulp and periodontal problems account for more than 50% of tooth loss. The cases in this case report were primary endodontic lesions and secondary periodontal lesions and clinically contained a sinus tract. This report is a collaborative carried out by the conservative dentistry and periodontics to obtain maximum results. Case. There were three cases of endodontic-periodontal lesions, two were cases (teeth 21 and 37) where after several years of root canal treatment had sinus tract formation, and one case (tooth 47) after endodontic treatment but did not show any improvement in the sinus tract in the gingiva. Periodontal flap surgery is performed to find the cause, remove the granulation tissue, and repair the alveolar bone damage that has occurred. All cases showed angular bone defects in the furcation areas of the posterior teeth (37 and 47), and the interdental areas of the anterior teeth (21); one case (tooth 21) had facial fenestration. Angular bone defects and areas of fenestration after cleaning of infected granulation tissue, filled with bone graft and covered by pericardial membrane as guided tissue regeneration (GTR), then sutured. Control 14 days after surgery, the sinus tract was gone and the gingival color was normal. Conclusion. Endodontic-periodontal lesions showing persistent sinus tracts after root canal treatment are indicated of complex periodontal damage. Complex periodontal defects can be corrected with regenerative surgery.Keywords. endodontic-periodontal lesions, sinus tract, angular bone defect, fenestration

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Schneiderian membrane thickness variation following endodontic procedures: a retrospective Cone Beam Computed Tomography study

10.21203/rs.2.17937/v1 ◽

2019 ◽

Author(s):

Thera Van Den Munckhof ◽

Shanon Patel ◽

Alix Davies ◽

Erwin Berkhout ◽

Federico Foschi ◽

...

Keyword(s):

Retrospective Study ◽

Linear Regression ◽

Root Canal ◽

Endodontic Treatment ◽

Root Canal Treatment ◽

Thickness Variation ◽

Membrane Thickness ◽

Schneiderian Membrane ◽

Pulp Capping

Abstract Background: To investigate the changes of Schneider membrane thickness by CBCT pre and post root canal treatment, retreatment and pulp capping procedures. Methods: This retrospective study was conducted on CBCT scans of a patient population of Guy’s Hospital NHS Foundation Trust, London. Three groups of patients were studied: Group 1 consisted of patients referred for primary endodontic treatment; Group 2 for endodontic retreatment; Group 3 for indirect pulp capping procedures (serving as a control group). Follow up scans were carried out 1 year after treatment. Measurements were carried out on CBCT scans and data were analysed statistically by Wilcoxon Signed Rank Test. Linear regression was used to assess predictive parameters for membrane thickness. Results: A statistically significant reduction of the Schneider membrane thickness was observed one year after endodontic treatment and retreatment (P<0.05) but no significant reduction was observed after pulp capping procedures. Linear regression showed that age and gender were significant predictors influencing the Schneider membrane thickness. Conclusions: Within the limitations of this retrospective study, following root canal treatment and re-treatment a Schneiderian membrane thickness reduction occurred at 1-year follow-up. The removal of odontogenic infection following endodontic treatment may help reducing the thickness of the Schneider membrane. Trial registration: Ethical approval and registration were granted by the NRES London Bridge and Dulwich Research Ethics Committee. TRN NCT03055975

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Comparative analysis of various obturation techniques in mandibular molars: A retrospective clinical outcome study

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl3.2909 ◽

2020 ◽

Vol 11 (SPL3) ◽

pp. 172-178

Author(s):

Swathi U B ◽

Sindhu Ramesh ◽

Delphine Priscilla Antony

Keyword(s):

Retrospective Study ◽

Root Canal ◽

Time Frame ◽

Permanent Tooth ◽

Primary Objective ◽

Root Canal Treatment ◽

Primary Tooth ◽

Mandibular Molars ◽

Significant Difference ◽

Single Cone

The primary objective of root canal treatment is the ability to remove irritants, to clean, shape and fill the root canal system three-dimensionally and prevent recontamination from bacterial irritants. Various Obturation techniques used for filling the root canals include lateral condensation, vertical compression, and thermoplastic gutta-percha techniques. The retrospective study aimed to evaluate the various obturation techniques used in mandibular molars. For this retrospective study data collection was based on patient records of Saveetha Dental College, Chennai and consisted of a total of 1903 cases evaluated based on the obturation technique within the time frame of 10th June 2019 to 1st March 2020. In this study, the obturation technique was evaluated based on the patients age, gender, procedure and based on the tooth in which obturation was done. Inclusion criteria consisted of the tooth that underwent endodontic treatment in patients within the age group of 18 to 60 yrs, a tooth with irreversible pulpal disease or chronic apical periodontitis, permanent tooth and mandibular molars. Exclusion criteria consisted of patients above 60 years, primary tooth, teeth in which root canal treatment was not undertaken, teeth with the presence of huge periapical lesions, severely calcified canals etc., severe periodontal disease, teeth apart from mandibular molars. All the values were then statistically analysed. In this study, 1930 patients (848 are females, and 1055 were males with a mean age of 24 years) were included. It was observed in this retrospective study that there was a significant difference between the various types of obturation technique used in mandibular molars. Matched single cone obturation technique was the preferred technique of obturation in the majority of the cases (62.4%). Single cone obturation technique has advantages over other techniques of obturation due to the fewer stress forces implied apically, thereby preventing an excess of sealer extrusion.

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Radiographic outcome of root canal treatment in general dental practice: tooth type and quality of root filling as prognostic factors

Acta Odontologica Scandinavica ◽

10.1080/00016357.2020.1773531 ◽

2020 ◽

Vol 79 (1) ◽

pp. 37-42

Author(s):

Erika Laukkanen ◽

Miira M. Vehkalahti ◽

Anja K. Kotiranta

Keyword(s):

Prognostic Factors ◽

Root Canal ◽

Root Canal Treatment ◽

Dental Practice ◽

Radiographic Outcome ◽

General Dental Practice ◽

Tooth Type

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Outcomes of Root Canal Treatment: 2 Years Experience in Community Based Medical College, Bangladesh Hospital

Community Based Medical Journal ◽

10.3329/cbmj.v2i1.14178 ◽

2013 ◽

Vol 2 (1) ◽

pp. 29-33

Author(s):

Mahbuba Hossen ◽

Mazharul Alam Siddique ◽

Nahid Binte Ansary

Keyword(s):

Medical Journal ◽

Retrospective Study ◽

Success Rate ◽

Root Canal ◽

Root Canal Treatment ◽

Community Based ◽

Female Ratio ◽

Common Indication ◽

Medical College ◽

Male Female Ratio

This retrospective study was done in the Department of Dentistry, CBMCB hospital from January2009 to December2010. 223 patients who underwent RCT were purposively selected. Male-female ratio was 1:1.4, mean age of patients were 28.4 years. Most common indication of RCT was gross caries 69.95%, common complications were fractured crown 11(57.89%), tenderness 5(26.32%), discharging sinus 2(10.53%). Over all success rate of RCT was 91.48%. DOI: http://dx.doi.org/10.3329/cbmj.v2i1.14178 Community Based Medical Journal Vol.2(1) 2013 29-33

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Comparison of Two Base Materials Regarding Their Effect on Root Canal Treatment Success in Primary Molars with Furcation Lesions

BioMed Research International ◽

10.1155/2016/1429286 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 6

Author(s):

Volkan Arikan ◽

Hayriye Sonmez ◽

Saziye Sari

Keyword(s):

Root Canal ◽

Primary Teeth ◽

Root Resorption ◽

Treatment Success ◽

Base Material ◽

Sinus Tract ◽

Root Canal Treatment ◽

Control Group ◽

Chi Square ◽

Exact Test

Introduction.The aim of this study was to compare MTA with another base material, IRM, which is generally used on pulpal floor after root canal treatment, regarding their effect on the success of root canal treatment of primary teeth with furcation lesions.Materials and Methods.Fifty primary teeth with furcation lesions were divided into 2 groups. Following root canal treatment, the pulpal floor was coated with MTA in the experimental group and with IRM in the control group. Teeth were followed up considering clinical (pain, pathological mobility, tenderness to percussion and palpation, and any soft tissue pathology and sinus tract) and radiographical (pathological root resorption, reduced size or healing of existing lesion, and absence of new lesions at the interradicular or periapical area) criteria for 18 months. For the statistical analysis, Fisher’s exact test and Pearson’s chi-square tests were used and apvalue of <0.05 was considered to be statistically significant.Results.Although there were no statistically significant differences between two groups in terms of treatment success, lesions healed significantly faster in the MTA group.Conclusion.In primary teeth with furcation lesions, usage of MTA on the pulpal floor following root canal treatment can be a better alternative since it induced faster healing.

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