scholarly journals The importance of apical patency and cleaning of the apical foramen on root canal preparation

2006 ◽  
Vol 17 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Ronaldo Araújo Souza

The apical limit of root canal instrumentation has always been a matter of great controversy. Despite the large number of published studies on this subject, a consensus has not yet been reached. In fact, the recent discussion on apical patency and cleaning of the apical foramen, as well as the incorporation of these procedures to the endodontic treatment, seem to have raised even more polemics. It is likely that all this polemics has its roots in the lack of interrelation between the theoretical knowledge of pulp stump and periapical tissues and the real clinical practice. By addressing the most important aspects of this theme, this paper aims to present news concepts about the importance of apical patency and cleaning of the apical foramen during root canal preparation.

2002 ◽  
Vol 49 (1-2) ◽  
pp. 53-56
Author(s):  
Tatjana Brkanic ◽  
Slavoljub Zivkovic

The aim of this paper was to, on the basis of everyday clinical practice analize the effect of a homeopathic remedy, as a complementary remedy in endodontic therapy of endoperiodontal lesions and chronic apical periodontitis and to radiologically check its effect on the flow and speed of reparation of damaged periodontal tissues. Endodontic therapy was done according to the usual protocol for the therapy of infectious canals with root canal preparation, medication with calcium hydroxide points and hermetic obturation with AH-26 paste. During endodontic treatment patients were taking homeophatic remedy Hepar sulfuris per os three times daily. The remedy stimulates the natural defences mechanism of the organism. Radiological follow up after three months period showed obvious reductiont of radiologic radiolucency in periapical region.


Author(s):  
Abdulkader Abdulelah Abulhamayel ◽  
Hamdi Abdullah Altukhays ◽  
Hatim Abdullah Alamri ◽  
Abdulrahman Ahmad Salem ◽  
Jummar Ammar Farrash ◽  
...  

Evidence indicates that root canal preparation is a critical step upon which the prognosis of the endodontic treatment depends. Vertical root fractures can furtherly develop as propagations from the previously formed dentin cracks. Therefore, root canal preparation should be carefully approached with the minimal crack formation and careful dentin removal. Different modalities have been proposed in the literature and rotary systems are most commonly used nowadays. Although the reported efficacy of these modalities is high, evidence shows that they are usually associated with a considerable risk of crack formation. In the present literature review, we have discussed the effects of rotary instrumentation and root canal preparation on dentinal crack formation based on evidence from the different studies in the literature. Our evidence showed that all of the investigated approaches to prepare root canals adequately can result in crack formation. The different rotary instrumentations also showed variable frequencies of developing dentinal cracks, and evidence from some comparative investigations shows that ProTaper modalities are associated with the least frequencies of the events. However, to make a solid conclusion for clinical practice, further research is still needed to validate our current evidence.


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Jalila Dakkaki ◽  
Sofia Drouri ◽  
Sara Dhoum ◽  
Rachida Mayou ◽  
Mouna Jabri

Preclinical practical activities (PPAs) are an important part of undergraduate dental education. They are a type of teaching based on practical learning. As a result, the Department of Conservative Dentistry of the Faculty of Dentistry of Casablanca provides endodontic activity sessions for third-year students; the objective is to develop the students’ manual dexterity and prepare them for clinical practice. During these sessions, students are required to perform the various stages of endodontic treatment from taking preoperative radiographs to root canal filling, including the creation of the access cavity and root canal preparation. At the end of the treatment, the act performed is evaluated in its entirety. This evaluation is very often considered to be the final activity of a teaching course, which makes it possible to assess the knowledge and practical aptitude of each student. This approach allows neither the teacher to objectively evaluate the acts performed nor the student to identify his/her difficulties. Concerned by the pitfalls of the methods of evaluation adopted during these activities, we thought about the development of criterion-referenced evaluation grids in order to remedy the subjectivity of the teacher’s assessment and to enable the student to improve his learning.


2005 ◽  
Vol 52 (4) ◽  
pp. 237-241 ◽  
Author(s):  
Tatjana Brkanic

The aim of this paper was to, on the basis of everyday clinical practice, show and analyse, the crown-down technique of root canal preparation with nickel-titanium rotary instruments. After the diagnosis of irreversible pulp disease on the second lower right molar, endodontic treatment was carried out. Root canal shaping was performed with modified crown-down technique with nickeltitanium rotary files (ProTaper, Meilffer), according to the manufacturer?s recommendations. After root canal preparation, obturation was finished with AH26 and guttapercha points (.06 taper), using the lateral compaction technique.


2014 ◽  
Vol 10 (5) ◽  
pp. 500-504
Author(s):  
G. N. Guseva ◽  
T. V. Pavlova ◽  
I. L. Voronova ◽  
S. M. Chohlunov

Author(s):  
Vinod Singh Thakur ◽  
Pavan Kumar Kankar ◽  
Anand Parey ◽  
Arpit Jain ◽  
Prashant Kumar Jain

The shaping and cleaning of the root canal are very important in root canal treatment. The excessive force and vibration during biomechanical preparation of the root canal may result in failure of the endodontic file. In this study, force and vibration analysis was carried out during root canal preparation. The samples of human extracted (premolar) teeth were provided by the College of Dental Science and Hospital. Endodontic instruments for reciprocating motion, such as the WaveOne Gold file system, had been used for root canal preparation. Force and vibration signals were recorded by dynamometer and accelerometer, respectively. The acquired signals were denoised using the db4 (SWT denoising 1-D) wavelet. Four levels of decomposition were carried out for each signal. The signal denoising technique was used to remove unwanted noise from the acquired signal. FESEM analysis was used to visualize the levels of severity of endodontic files during the cleaning and shaping of the root canal. In most of the cases, the failure occurred due to the improper use of the root canal instrumentation. The optimum amount of force was used to avoid the file failure and provided the proper instrumentation. The curve fitting regression model was used to find the interdependency between force and vibration.


2011 ◽  
Vol 12 (1) ◽  
pp. 8-13 ◽  
Author(s):  
Nafiseh Dastmalchi ◽  
Zeinab Kazemi ◽  
Siroos Hashemi ◽  
Ove A Peters ◽  
Hamid Jafarzadeh

ABSTRACT Aim To gather data from Diplomates of the American Board of Endodontics regarding treatment of dilacerated canals. Materials and methods A questionnaire addressing definition, endodontic treatment procedures and prognosis was constructed and distributed via e-mail to 708 Diplomates of the American Board of Endodontics. Data from 150 respondents, a 21% response rate, were collected by using a Web-based interface. For statistical analysis, Chi-square tests were used. Results More than 25% of respondents believed that a dilacerated root should have a curvature > 40°. One-visit treatment is the best therapeutic approach and transportation is the most likely complication in preparation of these canals. A crown-down technique, watch-winding motion and a master apical file # 25 are the best choices for preparation of these canals. Any warm obturation technique is preferred over lateral compaction by most respondents. Conclusion A crown-down technique for root canal preparation and a thermoplastic obturation technique are recommended for canals whose curvature is more than 40°. The prognosis of the treatment of these canals is judged not lower than normal canals. Clinical significance Crown-down technique and thermoplastic obturation are recommended for dilacerated canals. How to cite this article Dastmalchi N, Kazemi Z, Hashemi S Peters OA, Jafarzadeh H. Definition and Endodontic Treatment of Dilacerated Canals: A Survey of Diplomates of the American Board of Endodontics. J Contemp Dent Pract 2011;12(1):8-13.


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