Clinical Application of Direct Radiographic Image in the Repair of Oral Cleft Pulpitis

2021 ◽  
Vol 11 (7) ◽  
pp. 1825-1833
Author(s):  
Rongyu Zheng ◽  
Yueying Du ◽  
Chen Xu ◽  
Yuchen Sun

Cleft pulpitis is a clinically common oral disease. The teeth in the early stage mainly show small cracks. The patient has no obvious discomfort and is difficult to observe with the naked eye. At present, root canal treatment is the main method for clinical treatment of cracked pulpitis, which means that the source of the medullary cavity is removed, and then the root canal is closed by filling with materials. Traditional root canal treatment of cracked pulpitis needs to be divided into multiple times. In order to determine the best clinical effect of root canal treatment for patients with cracked pulpitis, they are treated with different treatment methods. In this article, we selected patients with repaired cleft pulpitis as the research object, all patients underwent radiographic imaging examination, and observed the crown, root, and root canal of the patients, and selected the most appropriate treatment according to the details of the patients. The results show that in the research process, using direct-view radiography can determine the lesion more clearly than traditional X-ray imaging technology, and assist in the completion of tooth root cleaning and treatment and wound treatment at the root of the disease. Its accuracy is improved by 25%. The repair success rate is more than 90%, which is much higher than the traditional method. In terms of bacterial suppression, the use of direct-view radiography can effectively inhibit the proliferation of bacteria. Compared with the traditional control group (107/ml), the concentration of fungi is kept at around 105/mL one month after the repair experiment is completed, which is in line with the oral cavity. This shows that the application of direct-view radiography in oral fixation and restoration has a significant effect, which can improve the success rate of the patient’s operation, and can ensure the curative effect and avoid the occurrence of adverse phenomena.

2005 ◽  
Vol 33 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Moti Moskovitz ◽  
Eid Sammara ◽  
Gideon Holan

2013 ◽  
Vol 2 (1) ◽  
pp. 29-33
Author(s):  
Mahbuba Hossen ◽  
Mazharul Alam Siddique ◽  
Nahid Binte Ansary

This retrospective study was done in the Department of Dentistry, CBMC’B hospital from January’2009 to December’2010. 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


2021 ◽  
Author(s):  
ANUM TANWIR ◽  
SHAHBAZ AHMED ◽  
HIRA AKHTAR ◽  
UMAIR WAHID ◽  
MARIA SHAKOOR ◽  
...  

Abstract BACKGROUNDMany approaches have been investigated for pain relief after root canal procedure. In this study we compare the effectiveness of premedication drugs, given single dose Piroxicam and Prednisolone separately to evaluate post endodontic pain at different time intervals (24, 48, 72 and 96 hours) using visual analog scale (VAS) after single visit root canal treatment.METHODSTotal number of 120 patients identified with symptomatic irreversible pulpitis were made part of this research after signing informed consent. The pain intensity levels were marked through the use of VAS scale before the commencement of treatment. The participants were randomly placed in three groups (n=40) Group I: Control, Group II: Piroxicam (20 mg) and Group III: Prednisolone (20 mg). The drugs were administered thirty minutes before endodontic procedure was initiated. Root canal procedure was carried out followed by placement of provisional restoration on a single appointment. The patients were advised to continue marking their pain intensity levels after 24, 48, 72 and 96 hours using VAS. All patients were called for follow up after 4 days for clinical evaluation and placement of permanent restoration. The effectiveness of each drug over different time interval was studied employing repeated measure ANOVA. The significance level was considered p-value <0.05.RESULTSAdministration of pre-medication drug therapy with Piroxicam and Prednisolone was able to successfully alleviate post-endodontic pain. However, the long term effectiveness (96 hours) of both drugs to reduce post-endodontic pain was observed to be statistically insignificant.CONCLUSIONPre-medication with either single dose Piroxicam and Prednisolone was found to be effective against post-endodontic pain, in patients presenting with symptomatic irreversible pulpitis.TRIAL REGISTRATION: This single blinded, randomized clinical trial [registration no. NCT04124822(11/10/2019)] was performed in Operative Dentistry department of Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences.


2019 ◽  
Vol 26 (12) ◽  
pp. 2162-2168
Author(s):  
Muhammad Qasim ◽  
Omair Anjum ◽  
Omer Yousaf ◽  
Shoaib Khan ◽  
Madiha Pirvani

Objectives: Treatment of asymptomatic necrotic teeth is a common type of occurrence in endodontic practice. Root canal treatment of these teeth sometimes results in pain and /or swelling of varying degree. These severe symptoms upset both the patient and dentist. This study was to compare the effect of prophylactic amoxicillin and placebo in endodontic flare-up in asymptomatic necrotic teeth requiring root canal treatment. This was evaluated by using flare-up index. The influence of age, sex, was compared between flare-up and non-flare-up groups. Using a standardized technique and the same materials eliminated the variability of operator. Study Design: Quasi experimental study. Setting: Department of Operative Dentistry, Lahore Medical and Dental College, Lahore. Period: From January 2018 to December 2018. Material & Methods: 102 patients with asymptomatic necrotic teeth with periapical radiolucency were selected from the Operative Dentistry Department of Lahore Medical and Dental College. Patients were divided into two groups experimental and control, by convenient sampling. One half of the patients were given prophylactic amoxicillin and other half was given placebo one hour before treatment. Results: Flare-up occurred in four of the experimental and seven of the control group patients. Statistical analysis revealed no significant differences between flare-up and non- flare- up patients for age and sex. The data outcome was of qualitative in nature i.e. pain and swelling, they were subjected to Chi-Square test of significance with P value of £0.05. The results demonstrated that 10.8% of the 102 patients had a flare-up. No side effects were observed in the patients who were prescribed amoxicillin. Conclusion: The occurrence of flare-up did not significantly influence by Prophylactic amoxicillin (P= .33).


2017 ◽  
Vol 7 (1) ◽  
pp. 37
Author(s):  
Alvita Wibowo ◽  
Ira Widjiastuti ◽  
Widya Saraswati

Background: Candida albicans is the most resistant fungi in root canals. The existence of Candida albicans after root canal treatment can cause the failure of root canal treatment. The prevalence of this case is 36,7%. Propolis is a resinous substance which has many pharmaceutical and biological effects such as antimicrobial activities. Its active components include flavonoid, saponin, and tannin, have an important role in antimicrobial activities. In this study, antifungal aspect of propolis extract was investigated. Purpose: The aim of this study was to determine the minimum fungicidal concentration (MFC) of propolis extract againts Candida albicans. Methods: This research was a laboratory experimental study. Propolis extract produced by propolis farm from Lawang. The antifungal activity test was performed by colony counting fungi in sabouraud’s dextrose agar (SDA) to determine the value of MFC of propolis extract againts Candida albicans. Result: At the concentration of 72,5%, 73,5%, 74,5%, 75,5%, 76,5%, and 77,5% there are decreases in the number of Candida albicans fungal colonies when compared with positive control group. There are significant differences in each study group (p<0,05). At the concentraion  of 76,5% was not revealed any fungal growth of Candida albicans, it was because the antifungal effect of propolis extract has reached MFC. Conclusion: The minimum fungicidal concentration of propolis extract againts Candida albicans is 76,5%.


2017 ◽  
Vol 7 (3) ◽  
pp. 221-223
Author(s):  
Umme Kulsum

Background: Root canal system, when becomes infected is managed by thorough debridement and specific shaping of the root canal. It is to be followed by a specific type of filling. The ultimate goal of these approaches is to create an environment in which the body’s immune system can produce healing of the apical periodontal attachment apparatus. Thorough debridement and shaping are carried out usually by biomechanical preparation of root canal system along with intracranial medicament. The use of intracanal medicaments is still debatable. This study was designed to evaluate the usefulness of root canal treatment without using any biomedical preparation.Methods: The study was carried out in the Department of Conservative Dentistry and Endodontics, BSMMU, Dhaka July 2003 ……to July 2004. In the present study, 36 cases of endodontically involved infected teeth were treated by conventional root canal treatment without using intracanal medicaments and patients were followed up at 6 and 12 months after root canal treatment.Results: At 6 and 12 months follow up, an overall treatment success was revealed in clinical and radiological findings.Conclusion: It is the biomechanical preparation of the canal which decides the success rate of root canal treatment of infected teeth, not the use or nonuse of intracanal medicament.Birdem Med J 2017; 7(3): 221-223


Materials ◽  
2021 ◽  
Vol 14 (5) ◽  
pp. 1178
Author(s):  
Zhuo Liu ◽  
Xiangli Feng ◽  
Xiangyao Wang ◽  
Shiyuan Yang ◽  
Jing Mao ◽  
...  

Bacterial reinfection and root fracture are the main culprits related to root canal treatment failure. This study aimed to assess the utility of quercetin solution as an adjunctive endodontic irrigant that does not weaken root canal dentin with commitment anti-biofilm activity and bio-safety. Based on a noninvasive dentin infection model, dentin tubules infected with Enterococcus faecalis (E. faecalis) were irrigated with sterile water (control group), and 0, 1, 2, 4 wt% quercetin-containing ethanol solutions. Live and dead bacteria percentages in E. faecalis biofilms were analyzed by confocal laser scanning microscopy (CLSM). Elastic modulus, hydroxyproline release and X-ray photoelectron spectroscopy (XPS) characterization were tested to evaluate the irrigants’ collagen-stabilizing effect. The cytotoxicity was tested by CCK-8 assay. Quercetin increased the proportion of dead bacteria volumes within E. faecalis and improved the flexural strength of dentin compared to control group (p < 0.05). Quercetin-treated dentin matrix had less elasticity loss and hydroxyproline release after collagenase degradation (p < 0.05). Moreover, quercetin solutions revealed an increase in the C-O peak area under both C1s and O1s narrow-scan spectra of XPS characterization, and no cytotoxicity (p > 0.05). Quercetin exhibited anti-biofilm activity, a collagen-stabilizing effect with cytocompatibility, supporting quercetin as a potential candidate for endodontic irrigant.


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