Erythema Multiforme: Report of a Case / Eruption and Root Calcification following Root Canal Therapy of a Young Incisor: Report of a Case

Objectives Dental problems occur widely in patients with chronic kidney disease (CKD) and may increase comorbidities. Root canal therapy (RCT) is a common procedure for advanced decayed caries with pulp inflammation and root canals. However, end-stage renal disease (ESRD) patients are considered to have a higher risk of potentially life-threatening infections after treatment and might fail to receive satisfactory dental care such as RCT. We investigated whether appropriate intervention for dental problems had a potential impact among dialysis patients. Design Men and women who began maintenance dialysis (hemodialysis or peritoneal dialysis) between January 1, 2000, and December 31, 2015, in Taiwan (total 12,454 patients) were enrolled in this study. Participants were followed up from the first reported dialysis date to the date of death or end of dialysis by December 31, 2015. Setting Data collection was conducted in Taiwan. Results A total of 2633 and 9821 patients were classified into the RCT and non-RCT groups, respectively. From the data of Taiwan’s National Health Insurance, a total of 5,092,734 teeth received RCT from 2000 to 2015. Then, a total of 12,454 patients were followed within the 16 years, and 4030 patients passed away. The results showed that members of the non-RCT group (34.93%) had a higher mortality rate than those of the RCT group (22.79%; p = 0.001). The multivariate-adjusted hazard ratio for the risk of death was 0.69 (RCT vs. non-RCT; p = 0.001). Conclusions This study suggested that patients who had received RCT had a relatively lower risk of death among dialysis patients. Infectious diseases had a significant role in mortality among dialysis patients with non-RCT. Appropriate interventions for dental problems may increase survival among dialysis patients. Abbreviations: CKD = chronic kidney disease, ESRD = end-stage renal disease, RCT = root canal therapy.

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BiodentineTM Full Pulpotomy in Mature Permanent Teeth with Irreversible Pulpitis and Apical Periodontitis

Healthcare ◽

10.3390/healthcare9060720 ◽

2021 ◽

Vol 9 (6) ◽

pp. 720

Author(s):

Xuan Vinh Tran ◽

Lan Thi Quynh Ngo ◽

Tchilalo Boukpessi

Keyword(s):

Root Canal ◽

Periodontal Ligament ◽

Clinical Signs ◽

Apical Periodontitis ◽

Permanent Teeth ◽

Definitive Treatment ◽

Capping Agent ◽

Root Canal Therapy ◽

Pulp Capping ◽

Irreversible Pulpitis

Vital pulp therapy, including direct pulp capping and partial and full pulpotomy, is primarily indicated for immature or mature permanent teeth with reversible pulpitis. Mature permanent teeth with irreversible pulpitis are frequently treated with root canal therapy. This report presents two cases of full pulpotomy using BiodentineTM in mature permanent teeth with irreversible pulpitis and acute apical periodontitis. The periapical radiograph illustrated a deep carious lesion extended to the pulp with apical radiolucency lesion or widened periodontal ligament space. Full pulpotomy with a tricalcium silicate-based cement was chosen as the definitive treatment. After decayed tissue excavation under a rubber dam, the exposed pulp tissue was amputated to the level of the canal orifice with a new sterile bur. BiodentineTM was applied as the pulp capping agent after hemostasis was obtained and for temporary restoration. The clinical signs disappeared quickly after the treatment. After one month, the coronal part of the temporary restoration was removed, and a composite resin was placed over the capping agent as a final restoration. At two-year follow-ups, the teeth were asymptomatic. Radiographs showed healing of the periapical lesion and periodontal ligament. BiodentineTM full pulpotomy of mature permanent teeth with irreversible pulpitis and apical periodontitis can be an alternative option to root canal therapy.

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IMPLANT OR ROOT CANAL THERAPY: A PROSTHODONTIST'S VIEW

Journal of Esthetic and Restorative Dentistry ◽

10.1111/j.1708-8240.2005.tb00114.x ◽

2005 ◽

Vol 17 (4) ◽

pp. 197-199 ◽

Cited By ~ 10

Author(s):

David A. Felton

Keyword(s):

Root Canal ◽

Root Canal Therapy

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Rational design and fabrication of a β-dicalcium silicate-based multifunctional cement with potential for root canal filling treatment

Journal of Materials Chemistry B ◽

10.1039/c4tb00129j ◽

2014 ◽

Vol 2 (24) ◽

pp. 3830-3838 ◽

Cited By ~ 8

Author(s):

Xianyan Yang ◽

Min Liu ◽

Yu Zhao ◽

Hongyu Jia ◽

Sanzhong Xu ◽

...

Keyword(s):

Root Canal ◽

Rational Design ◽

Biological Properties ◽

Dicalcium Silicate ◽

Root Canal Therapy ◽

Root Canal Filling ◽

Physicochemical And Biological Properties

Gypsum-introduced, CaO-rich dicalcium silicate-based cements exhibit multifunctional physicochemical and biological properties and meet some challenging criteria in root canal therapy.

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