scholarly journals Case Report: Photo-activated oral disinfection in regenerative endodontics

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1519
Author(s):  
Al-Shaimaa Abdel Hafiz Abdel Rahim ◽  
Fatma Abdelgawad ◽  
Ahmed M. Abd Alsamed ◽  
Dalia Mohamed Moheb ◽  
Norhan Abdel Wahab El-Dokky
Keyword(s):  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Permanent Tooth ◽  
Clinical Findings ◽  
Radiographic Examination ◽  
Sodium Hypochlorite Solution ◽  
Regenerative Endodontics ◽  
Root Canal Disinfection ◽  
Edta Solution

Background: Root canal disinfection is considered critical for achieving successful regenerative endodontic procedures. Photo-activated oral disinfection is a novel disinfection method that can help to achieve the goal of regenerative endodontics. This article reports the clinical and radiographic results after single visit regenerative endodontics using photo-activated oral disinfection. Methods: An 8.5-year-old girl complained of fractured upper right central incisor. Pulp necrosis was diagnosed on the basis of clinical findings. The root canal was irrigated with sodium hypochlorite solution (1.5%) followed by saline. Then, the canal was dried with paper points. A combination of a photosensitizer solution and low power laser light were applied. EDTA solution was used as a final irrigant. Bleeding was induced, followed by placement of collagen resorbable matrix and white mineral trioxide aggregate. Two days later, the tooth was sealed and restored with permanent filling. Results: Clinical findings revealed no pain on percussion or palpation tests. Radiographic examination revealed an increase in root length, an increase of apical root thickness and apical closure at the 12-month follow-up period. Conclusion: Regenerative endodontics using photo-activated oral disinfection achieved successful outcomes in the necrotic immature permanent tooth.

scholarly journals Case Report: Single visit photo-activated disinfection in regenerative endodontics

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1519
Author(s):  
Al-Shaimaa Abdel Hafiz Abdel Rahim ◽  
Fatma Abdelgawad ◽  
Ahmed M. Abd Alsamed ◽  
Dalia Mohamed Moheb ◽  
Norhan Abdel Wahab El-Dokky
Keyword(s):  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Permanent Tooth ◽  
Clinical Findings ◽  
Radiographic Examination ◽  
Sodium Hypochlorite Solution ◽  
Single Visit ◽  
Regenerative Endodontics ◽  
Root Canal Disinfection

Background: Root canal disinfection is considered critical for achieving successful regenerative endodontic procedures. Photo-activated disinfection is a novel disinfection method that can help to achieve the goal of regenerative endodontics. This article reports the clinical and radiographic results after single visit regenerative endodontics using photo-activated disinfection. Methods: An 8.5-year-old girl complained of fractured upper right central incisor. Pulp necrosis was diagnosed on the basis of clinical findings. The root canal was irrigated with sodium hypochlorite solution (1.5%) followed by saline. Then, the canal was dried with paper points. A combination of a photosensitizer solution and low power laser light were applied. EDTA solution was used as a final irrigant. Bleeding was induced, followed by placement of collagen resorbable matrix and white mineral trioxide aggregate. Two days later, the tooth was sealed and restored with permanent filling. Results: Clinical findings revealed no pain on percussion or palpation tests. Radiographic examination revealed an increase in root length, an increase of apical root thickness and apical closure at the 12-month follow-up period. Conclusion: Regenerative endodontics using photo-activated disinfection achieved successful outcomes in the necrotic immature permanent tooth.

scholarly journals Radicular Perforation Repair with Mineral Trioxide Aggregate: A Case Report with 10-Year Follow-up

2016 ◽  
Vol 10 (1) ◽  
pp. 733-738 ◽  
Author(s):  
Leopoldo Cosme-Silva ◽  
Breno Carnevalli ◽  
Vivien Thiemy Sakai ◽  
Naiana Viana Viola ◽  
Leon Franco de Carvalho ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Root Canal Filling ◽  
Second Molar ◽  
Iatrogenic Perforation ◽  
Iatrogenic Complications ◽  
Root Canal Retreatment

Background: Iatrogenic complications such as accidental perforation of the root or the floor of the pulp chamber may occur. Case Report: Patient was referred for root canal retreatment of the mandibular left second molar with periapical lesion evidenced through radiographic examination. During post removal, iatrogenic perforation occurred at the mesial face of the distal root. After clinical localization of the perforation and bleeding control, MTA was applied. In a second appointment, the root canal filling was removed and the chemical-surgical retreatment of the canals was performed, followed by the obturation with gutta-percha and sealer. Patient returned after three days reporting no pain. After 6 months, 3, 7 and 10 years of follow-up. Conclusion: Absence of pain, normal periodontal probing and lack of radiolucent area at the region of perforation and the periapices were detected, which evidenced the successful repair of the tooth.

Nonsurgical Endodontik Retreatment of Maxillary First Premolar

DENTA ◽  
2017 ◽  
Vol 11 (1) ◽  
pp. 88
Author(s):  
Yongki Hadinata W ◽  
Karlina Samadi
Keyword(s):  
Root Canal ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
First Choice ◽  
Periapical Abscess ◽  
Dental Hospital ◽  
Conservative Dentistry ◽  
Previously Treated ◽  
Endodontic Retreatment

<p><strong><em>Background :</em></strong><em> There are some factors can cause endodontic failure such as inadequate in cleaning or shaping step, non hermetic obturation, or poor restoration, which can cause bacteria multiply. <strong>Purpose :</strong> To report the management of endodontic failure with nonsurgical treatment. <strong>Case :</strong> 46-year-old woman came to Airlangga Dental Hospital Conservative Dentistry Department to treat her upper right tooth which show symptomatic pain in the last 2 weeks. The tooth has been treated and crowned with porcelain fused to metal about 10 years ago. Clinical examination show the presence of fistula on premolar buccal gingiva, react to percussion.  Radiographic examination show not hermetic obturation in one root canal and radiolucency in the periapical area. The diagnosis for maxillary first premolar is previously treated tooth with chronic periapical abscess.. <strong>Treatment :</strong> Crown and post was removed from the tooth, and endodontic retreatment was done. Follow up 6 months after the retreatment show no reaction to percussion, and radiographic examination show no enlargement periapical lesion. <strong>Conclusion :</strong> Nonsurgical endodontic retreatment always become the first choice to resolve endodontic failure for previously treated tooth.</em></p><p><strong><em>Keywords :</em></strong><em> endodontic failure, maxillary first premolar, nonsurgical endodontic retreatment</em></p><p><strong><em>Correspondence:</em></strong><em> Yongki Hadinata W., drg. PPDGS Ilmu Konservasi Gigi Fakultas Kedokteran Gigi Universitas Airlangga, Surabaya. Jl. Mayjen. Prof. Dr. Moestopo No. 47, Surabaya.</em></p>

scholarly journals Comparison of Medicaments Used in Regenerative Endodontics in Terms of Dentin Microhardness and Adhesion of Mineral in Terms of Dentin Microhardness and Adhesion of Mineral Trioxide Aggregate Trioxide Aggregat

2020 ◽  
Vol 27 (3) ◽  
Author(s):  
Esma Saricam ◽  
◽  
Neslihan Bulak ◽  
Esra Özyurt ◽  
Suat Özcan ◽  
...  
Keyword(s):  
Bond Strength ◽  
Clavulanic Acid ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Significance Level ◽  
Regenerative Endodontics ◽  
Significant Difference ◽  
Amoxicillin Clavulanic Acid ◽  
Root Canal Dentin ◽  
Push Out

Eliminating microorganisms in the root canal system is important for the success of regenerative endodontics. Objective: This study evaluated the effects of different antibiotic pastes used for regenerative endodontic procedures on dentin microhardness and the push-out bond strength of mineral trioxide aggregate (MTA) to root canal dentin. Methods: Sixty-four maxillary central incisors were instrumented and randomly divided into the following four groups (n = 16) for medicament treatment: triple antibiotic paste, amoxicillin+clavulanic acid, cefaclor, and control (no dressing). After 21 days, two root segments were obtained by sectioning the roots horizontally for push-out and microhardness evaluations. MTA was placed into the root canal of the sectioned segment for the push-out test. In the microhardness evaluation, three indentations were made at 500 and 1,000 μm from the canal lumen. The arithmetic mean was then calculated for each distance. ANOVA with post hoc Scheffe test and t test were used for the statistical analyses. The significance level was set at p < 0.05. Results: No significant difference was found between the groups in terms of push-out bond strength (p > 0.05). Cefaclor and amoxicillin+clavulanic acid reduced the microhardness values of the dentin at 500 μm (p < 0.05) while cefaclor had the lowest value at 1,000 μm (p < 0.05). Conclusion: Cefaclor reduced the microhardness value more than the other medicaments did at a depth of 1,000 μm. The pastes provided similar adhesion of MTA.

scholarly journals LSTR 3 Mix MP Therapy and Conventional Root Canal Therapy: A comparative Clinical & Radiological Study for The treatment outcome of Irreversible Pulpitis In Permanent Tooth

2019 ◽  
Vol 9 (2) ◽  
pp. 20-26
Author(s):  
Shiren Sultana ◽  
Shamima Afroz ◽  
Fahd AA Karim ◽  
Nushrat Saki ◽  
Md Abdul Hannan Sheikh ◽  
...  
Keyword(s):  
Root Canal ◽  
Therapy Group ◽  
Permanent Tooth ◽  
Radiographic Examination ◽  
Root Canal Therapy ◽  
Radiographic Findings ◽  
Group I ◽  
Clinical And Radiological Outcome ◽  
Irreversible Pulpitis ◽  
Observation Period

Background: LSTR therapy is considered as one of the most widely accepted clinical procedure for the treatment of permanent tooth with irreversible pulpitis with minimum destruction of tooth tissue Objective: To evaluate the clinical and radiographic findings of permanent tooth with irreversible pulpitis by LSTR 3Mix MP therapy and compare with conventional root canal therapy. Methods: According to inclusion and exclusion criteria, a total of 40 teeth were enrolled in this study, out of which 20 teeth treated with LSTR 3Mix MP Therapy, (Group-I) and the remaining 20 teeth treated with conventional root canal therapy (Group-2). Clinical and radiological Follow up examinations were performed at 3, 6- and 12-months interval to investigate the incidence of postoperative pain, tenderness to percussion, swelling and periodical radiolucency, collected date was analyzed by using Statistical package for Social Science (SPSS) version 17. Statistical analysis was performed by Chisquare test to assess the difference between the clinical outcome of Group 1 and 2; a value of P<0.05 was considered as statistically significant. Results: At 3 months observation period, LSTR and Conventional root canal therapy showed 100% success rate in treating teeth with irreversible pulpits; neither pain nor any tenderness on percussion or post-operative swelling was observed. Radiographic examination also revealed no sign of radiolucent area. At 6 and 12 months following the completion of the treatment, except in one case in each observation period, there results were similar to that of 3 months. One LSTR (5%) and one conventional (5%) therapy reported pain, tenderness on percussion and swelling with peripical lesion. There were no statistical differences between the two groups (p>0.05). Conclusions: It can be concluded that LSTR 3 Mix MP Therapy proved to be effective in treating teeth with irreversible pulpitis; with similar clinical and radiological outcome to conventional root canal treatment within one-year observation period. Update Dent. Coll. j: 2019; 9 (2): 20-26

scholarly journals Clinical and Radiographic Evaluation of Mineral Trioxide Aggregate Pulpotomy in Permanent Teeth

2016 ◽  
Vol 04 (03) ◽  
pp. 183-188
Author(s):  
Neha Verma ◽  
Avninder Kaur ◽  
Shivesh Acharya ◽  
Sunila Sharma
Keyword(s):  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Root Canal Treatment ◽  
Permanent Teeth ◽  
Radiographic Evaluation ◽  
Future Research ◽  
Standard Protocol ◽  
Radiographic Outcome ◽  
Irreversible Pulpitis

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.

scholarly journals Pulp Revascularisation of a Non-Vital Immature Young Permanent Tooth - A Case Report and Literature Review

2021 ◽  
Vol 10 (11) ◽  
pp. 845-848
Author(s):  
Tanvi Sanjay Satpute ◽  
Jayeeta Sidharth Verma ◽  
Jimish Rajiv Shah ◽  
Aditya Kiran Shinde
Keyword(s):  
Case Report ◽  
Root Development ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Signs And Symptoms ◽  
Permanent Tooth ◽  
Duration Of Treatment ◽  
Pulp Tissue ◽  
Dental Tissues ◽  
Immature Teeth

Traumatic injuries to an immature permanent tooth may result in cessation of dentin deposition and root maturation. Novel revascularisation endodontic procedure (REP) has been considered as an option for treatment of immature teeth with damaged pulp tissue. The continuous development of the root and the root canal has been recognised as a major advantage of this technique over traditional apexification approach. Traditional apexification procedures may resolve pathology but have not been able to prove tooth survival due to absence of continued root development and risk of root fracture. A successful REP results in resolution of signs and symptoms of pathology, radiographic signs of healing, proof of continued root development as well as presence of pulp vitality due to the regeneration of pulp tissue in the root canal. Currently, repair rather than true regeneration of the ‘pulp-dentine complex’ is achieved and further root maturation is variable. According to Glossary of Endodontic terms published by American Association of Endodontists, REP’s are biologically based procedures designed to physiologically replace damaged tooth structures, including dentin and root structures, as well as cells of the pulp-dentin complex.1,2 Apexification treatment has been a routine procedure to treat and preserve such teeth for many decades.3 Apexification is the process by which a suitable environment is created within the root canal and periapical tissue to allow for the formation of a calcific barrier across the open apex. Calcium hydroxide [Ca(OH)2] has been the material of choice for apexification as Frank reported its capacity to induce physiological closure of immature pulpless teeth in 1966.4 However, this technique has several disadvantages, including the unpredictability of apical barrier formation and the long duration of treatment, which often requires multiple visits.5 A retrospective study by Jeruphuaan et al.6 has shown a higher survival rate with regenerative endodontic treatment when compared to both mineral trioxide aggregate (MTA) and Ca(OH)2 apexification. The first evidence of regeneration of dental tissues was in 1932 by G.L. Feldman, who showed evidence of regeneration of dental pulp under certain optimal biological conditions.7 In 1971, a pioneer study in regenerative endodontics conducted by Nygaard-Ostby concluded that bleeding induced within a vital or necrotic canal led to resolution of signs and symptoms of necrotic cases and in certain cases, apical closure.8 According to Windley et al. (2005), the successful revascularisation of immature teeth with apical periodontitis is mainly dependent upon: 1. Canal disinfection 2. Scaffold placement in the canal for the growing tissues 3. Bacteria-tight sealing of the access opening.9 The purpose of this case report is to illustrate the outcome of a revascularisation endodontic procedure in a non-vital immature young permanent central incisor.

scholarly journals Late endodontic treatment of a tooth with extrusive dislocation and invasive cervical resorption: a clinical case report

2021 ◽  
Vol 10 (12) ◽  
pp. e139101220061
Author(s):  
Ana Paula Fernandes Ribeiro ◽  
Julia Guerra de Andrade ◽  
Heitor César Maia ◽  
Caroline Loureiro ◽  
Gladiston Willian Lobo Rodrigues ◽  
...  
Keyword(s):  
Root Canal ◽  
Clinical Case ◽  
Glass Ionomer Cement ◽  
Sinus Tract ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Root Canal Filling ◽  
Recurrent Sinus

This study aims to report the clinical case of a 16 years-old male patient, who attended a private office reporting that at an accident suffered at the age of 10 years-old, which caused extrusive dislocation in both teeth 11 and 21. At that time, the teeth were repositioned, without an adequate follow-up. Upon physical and radiographic examination, the following features were observed: presence of recurrent sinus tract on the vestibular surface, area of ​​external cervical resorption, and a periapical lesion on tooth 21. Endodontic treatments (necropulpectomy) were performed on teeth 11 and 21, with the placement of a root canal dressing of calcium hydroxide and subsequent root canal filling. In addition, soft tissue flap folding was performed to treat the resorption area and to seal it with glass ionomer cement. A 7 months follow-up radiograph shows stabilization in the process of the tooth resorption and remission of the periapical lesion. In conclusion, the endodontic treatment with intracanal medication, and the sealing of the resorption area were successful to preserve the traumatized tooth. In addition, it is noteworthy that following up with the patient after the trauma episode is essential to monitor the pulp vitality of the tooth involved.

scholarly journals Guided Tissue Regeneration Principle with Inserts of PerioGlas in Endodontic Surgery: Two Case Reports

2013 ◽  
Vol 3 (2) ◽  
pp. 72-77
Author(s):  
Sattyam V Wankhade ◽  
Jyoti Lokade ◽  
Monaj Chandak ◽  
Anuja Lanjewar
Keyword(s):  
Tissue Regeneration ◽  
Root Canal ◽  
Case Reports ◽  
Healing Process ◽  
Clinical Signs ◽  
Guided Tissue Regeneration ◽  
Radiographic Examination ◽  
Endodontic Surgery ◽  
Source Of Infection

ABSTRACT Most periapical radiolucent lesions associated with infections of the root canal system heal uneventfully after endodontic treatment. However, some cases may require periradicular surgery in order to remove pathologic tissue from the periapical region and simultaneously eliminate any source of infection that could not be removed by orthograde root canal treatment. With an adequate technique, surgery can address these issues, although it may be insufficient in some situations. This report describes the healing process after surgery in two cases with a 12 months follow-up. In these cases, apicoectomy was followed by retrograde sealing with Super EBA (Harry J. Bosworth Company, Illinois, USA). The bone defect was filled with PerioGlas (NovaBone, Austin, TX, USA) and covered with a resorbable Guidor membrane (Sunstar, Foster Ave, Chicago, USA). No intraoperative or postoperative complications were observed. After 24 months of follow-up, the patient showed no clinical signs or symptoms associated with the lesion and radiographic examination showed progressive resolution of radiolucency. How to cite this article Lokade J, Wankhade S, Chandak M, Lanjewar A. Guided Tissue Regeneration Principle with Inserts of PerioGlas in Endodontic Surgery: Two Case Reports. Int J Prosthodont Restor Dent 2013;3(2):72-77.

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