Restoration techniques of fractured endodontically treated teeth

This literature review aims to discuss and collect evidence about restoration techniques of fractured endodontically treated teeth. According to studies in the literature, root canal treatment and restoration of endodontically treated teeth have been reported as two separate clinical procedures although many aspects of both procedures are similar. Conducting restoration procedures following endodontic treatment has been reported to be so important as the first obturation of the root canal, and it has been reported with many advantages and favorable events, including eradication and minimizing the presence of bacteria and microorganisms, which might induce serious complications to the affected teeth. Additionally, the literature review discusses the technique of interim restorations, which has been reported to have favorable advantages and outcomes. However, it should be noted that the process is temporary and definitive restorations must be conducted later on. Also, this research investigates the different substances that should be used with the modality, and the different approaches that were previously reported to restore mature and immature affected teeth. Finally, evidence shows that amalgam-based restorations are becoming inferior to resin composite-based restorations which are also more superior to the stainless-steel crown-based ones. Unifying the guidelines for clinical practice is encouraged to obtain favorable outcomes. All the detailed techniques are presented and fully discussed within the main text of this research.

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Effect of rotary systems and root canal preparation and dentin crack formation

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20214299 ◽

2021 ◽

Vol 8 (11) ◽

pp. 5578

Author(s):

Abdulkader Abdulelah Abulhamayel ◽

Hamdi Abdullah Altukhays ◽

Hatim Abdullah Alamri ◽

Abdulrahman Ahmad Salem ◽

Jummar Ammar Farrash ◽

...

Keyword(s):

Clinical Practice ◽

Literature Review ◽

Root Canal ◽

Crack Formation ◽

Endodontic Treatment ◽

Current Evidence ◽

Root Canal Preparation ◽

Critical Step ◽

Root Canals ◽

Root Fractures

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.

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Prevalence evaluation of apical periodontitis and its relationship with endodontic and restorative treatment in a community in Southern Brazil

Brazilian Dental Science ◽

10.14295/bds.2020.v23i1.1807 ◽

2020 ◽

Vol 23 (1) ◽

Author(s):

Julia Machado Saporiti ◽

Andressa Gomes ◽

Melissa Feres Damian ◽

Nadia De Souza Ferreira

Keyword(s):

Root Canal ◽

Apical Periodontitis ◽

Endodontic Treatment ◽

Endodontically Treated Teeth ◽

Chi Square ◽

Root Canal Filling ◽

Restorative Treatment ◽

Anterior Teeth ◽

Chi Square Test

Objective: The aim of this study was evaluate radiographically prevalence of apical periodontitis (AP) in endodontically treated teeth (ETT) and relate with demographic factors, quality of endodontic treatment and coronal restoration. Material and methods: Data were collected from dental records wich contained full-mouth radiographic series. In ETT, arch, dental group and presence of AP were evaluated. Quality of root canal filling, presence and quality of coronal restoration and type of restorative material were also collected. Data were evaluated using descriptive statistics and Chi-square Test. Results: Of 70 patients included in the final sample, the majority were female (54.3%) and age ranged from 13 to 77 years (47.14 ± 13.18). Of 1,333 teeth evaluated, 73 (5.4%) had endodontic treatment, being the majority maxillary (74%) and anterior teeth (52.1%). Of teeth without endodontic treatment, 320 (25.4%) had AP. Failure rate was high (52.8%) and quality of root canal filling and coronal restoration were considered inadequate in majority cases (58.3% and 47.7%, respectively). Dental group had a statistically significant relationship with presence of AP in ETT, being more frequent in anterior teeth (p = 0.019). Conclusion: It was concluded that prevalence of AP in ETT was high and dental group was the factor that most influenced prevalence of AP in ETT.KeywordsApical periodontitis; Radiography; Root canal filling.

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Possibility of usage of a homeopathic remedy heparsulfuris in the therapy of endoperiodontal lesion

Stomatoloski glasnik Srbije ◽

10.2298/sgs0202053b ◽

2002 ◽

Vol 49 (1-2) ◽

pp. 53-56

Author(s):

Tatjana Brkanic ◽

Slavoljub Zivkovic

Keyword(s):

Clinical Practice ◽

Calcium Hydroxide ◽

Root Canal ◽

Apical Periodontitis ◽

Endodontic Treatment ◽

Root Canal Preparation ◽

Everyday Clinical Practice ◽

Homeopathic Remedy ◽

Periodontal Tissues

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.

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O Glide Path na Endodontia Contemporânea: Revisão de Literatura / The Glide Path in Contemporary Endodontics: Literature Review

ID on line REVISTA DE PSICOLOGIA ◽

10.14295/idonline.v15i58.3287 ◽

2021 ◽

Vol 15 (58) ◽

pp. 324-333

Author(s):

Danielle Fernandes Oliveira Martins ◽

Maria Clara Santos De Farias ◽

Luiz Roberto Mendes Da Silva

Keyword(s):

Literature Review ◽

Root Canal ◽

Endodontic Treatment ◽

Effective Procedure ◽

Root Canals ◽

Favorable Environment ◽

Glide Path ◽

Initial Preparation ◽

The Creation

Por meio deste estudo é possível analisar que a instrumentação dos canais radiculares após o uso do Glide Path traz inúmeros benefícios, incluindo o melhor deslizamento dos instrumentos, redução do número de fraturas e menor intercorrências intrarradiculares. Além disso, essa preparação inicial do canal radicular com o uso do Glide Path realiza uma desobstrução, criando um “caminho” livre para o melhor deslize dos instrumentos no canal radicular. Os instrumentos possuem características e particularidades que levam ao mesmo objetivo de preparar o conduto para uma segura instrumentação, destaca-se aqui o WaveOne Gold, R-Pilot e o PathFile. É uma técnica que vem sendo difundida e utilizada na endodontia contemporânea com o intuito de realizar um procedimento eficaz.---Abstract: Analyze the use of instruments to prepare the Glide Path and understand how this endodontic instrument brought advantages in instrumentation techniques. This is a literature review with selected articles from the last 10 years, in order to achieve the objectives proposed by the theme. Articles in English and Portuguese were used, with all information pertinent to the topic extracted. Through this study, it is possible to analyze that the instrumentation of root canals after the use of the Glide Path brings numerous benefits, including better sliding of the instruments, reduction in the number of fractures and less intra-radicular complications. In addition, this initial preparation of the root canal using the Glide Path performs clearance, creating a clear “path” for the best glide of the instruments in the root canal. The instruments have characteristics and particularities that lead to the same objective of preparing the conduit for safe instrumentation, the Wave One Gold, R-Pilot and PathFile stand out here. It is a technique that has been disseminated and used in contemporary endodontics with the aim of performing an effective procedure. Through this bibliographical study, it is possible to consider that the use of the Glide Path favors the preparation of the root canal and proves to be effective and safe when used before instrumentation, thus, with the creation of a more favorable environment for instrumentation, the chances of success in endodontic treatment.

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Assessment of the results of endodontic treatment of teeth

Эндодонтия Today ◽

10.36377/1683-2981-2020-18-1-27-30 ◽

2020 ◽

Vol 18 (1) ◽

pp. 27-30

Author(s):

S. N. Razumova ◽

A. S. Brago ◽

Haydar Barakat ◽

L. M. Khaskhanova ◽

R. M. Bragunova

Keyword(s):

Root Canal ◽

Endodontic Treatment ◽

Canal System ◽

High Quality ◽

Endodontically Treated Teeth ◽

Root Canals ◽

Mandibular Molars ◽

Dental Patient ◽

Manual Skills ◽

Root Canal System

The success of endodontic treatment depends on many factors. The most important of them are the knowledge and manual skills of the dentist.Materials and methods. We analyzed the condition of teeth after endodontic treatment in 300 patients aged 20 to 70 years. Were studied 300 images of CBCT, the number of treated teeth and the number of cases of unsuccessful endodontic treatment was analyzed.Results. According to CBCT data, high-quality obturation of the root canal system was observed in 1335 (75%) endodontically treated teeth. The reasons for successful endodontic treatment are under-sealing of the root canal (16%), removal of material beyond the apex (5.6%), and missed root canals (3.4%).Conclusion. Clinical dental patient examination revealed that maxillary and mandibular molars most often undergo endodontic treatment.

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Radiological assessment of the quality of root canal fillings in teeth endodontically treated at students’ practical sessions

Stomatoloski glasnik Srbije ◽

10.2298/sgs1103139k ◽

2011 ◽

Vol 58 (3) ◽

pp. 139-146

Author(s):

Ljiljana Kulic ◽

Dajana Nogo-Zivanovic ◽

Jelena Krunic ◽

Mirjana Vujaskovic ◽

Nikola Stojanovic

Keyword(s):

Root Canal ◽

Epidemiological Studies ◽

Endodontic Treatment ◽

Endodontically Treated Teeth ◽

Root Canal Filling ◽

Study Program ◽

Periapical Lesions ◽

Study Programs ◽

The Difference

Introduction. The main goal of obturation is prevention of reinfection of the root canal system and consequently appearance of periapical lesion. Epidemiological studies have confirmed high prevalence of periapical lesions in endodontically treated teeth with inadequate root canal fillings. The aim of this study was to assess the quality of root canal fillings in teeth treated at students? practical sessions. Iatrogenic errors during endodontic interventions were also assessed. Methods. Two hundred dental records of the patients treated by students in the study program Dentistry at the School of Medicine in Foca during the academic year 2010/2011 were randomly chosen. The length and homogeneity of the fillings or the presence of iatrogenic errors were recorded. A root canal filling was considered adequate if it had correct length and homogeneity in the absence of iatrogenic errors. Two students? curricula V1 and V2 were evaluated for the treatment outcome. Results. Out of 128 endodontically treated teeth, adequate length of the canal filling to the physiological apex was observed in 57% of teeth, homogeneity in 78.9%, while both of these criteria were satisfied in 66 teeth (51.6%). Better quality of root canal fillings was achieved by students of the study curricula V2 and the difference between these two programs was significant (p<0.05). Better quality of root canal fillings in both study programs was recorded for incisors and canines as compared to premolars. Conclusion. The quality of endodontic treatment performed by students was considered adequate in 51.6% of cases. The type of curriculum for endodontic course had a significant impact on the quality of endodontic treatment performed by students.

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Orthodontic movement of endodontically treated teeth

Dental Press Journal of Orthodontics ◽

10.1590/s2176-94512013000400002 ◽

2013 ◽

Vol 18 (4) ◽

pp. 2-7 ◽

Cited By ~ 4

Author(s):

Alberto Consolaro ◽

Renata Bianco Consolaro

Keyword(s):

Clinical Practice ◽

Dental Trauma ◽

Endodontic Treatment ◽

Periapical Lesion ◽

Careful Evaluation ◽

Endodontically Treated Teeth ◽

Orthodontic Movement

Often there is the need of moving teeth endodontically treated or teeth still in endodontic treatment. In order to collaborate with the comprehension and substantiation of the following subjects will be discussed: 1) Orthodontic movement in endodontically treated teeth without periapical lesion, 2) Orthodontic movement in endodontically treated teeth with inflammatory periapical lesion, and 3) Orthodontic movement in teeth endodontically treated due to aseptic pulp necrosis by dental trauma. In practically all situations, endodontically treated teeth to be orthodontically moved must be subjected to a careful evaluation by the endodontist about the conditions, adequate or not, of the endodontic treatment. Then, in this paper it was sought to induce an insight for new clinical researches about the theme that may definitely prove the information obtained by interrelations of information in parallel to clinical practice.

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Comparison of Parental Satisfaction with Three Tooth-Colored Full-Coronal Restorations in Primary Maxillary Incisors

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4628-39.5.423 ◽

2015 ◽

Vol 39 (5) ◽

pp. 423-428 ◽

Cited By ~ 9

Author(s):

A Salami ◽

T Walia ◽

R Bashiri

Keyword(s):

Stainless Steel ◽

Clinical Study ◽

Resin Composite ◽

Parental Satisfaction ◽

Prospective Clinical Study ◽

Restoration Techniques ◽

Maxillary Incisors ◽

Acceptance Levels ◽

One Year ◽

Strip Crown

Objectives: To evaluate and compare the parental satisfaction among resin composite strip crown, preveneered stainless steel crown (PVSSC) and the newly introduced pre-fabricated primary zirconia crown for restoring maxillary primary incisors. Study design: A prospective clinical study on 39 children with carious or traumatized primary maxillary incisors. They were randomly and equally distributed in three groups and received one of the full-coronal restorations. Children were recalled to evaluate and compare parental satisfaction about performance of crowns after one year through a questionnaire. Results: Parents were satisfied with all three tooth colored full-coronal restoration techniques. A significant relationship was found between colour of PVSSC (p=0.003) and durability of resin strip crowns (p=0.009) with the overall parental satisfaction levels. Parents who gave poor ratings in these two variables however rated their overall acceptance levels as being satisfied. Conclusion: Parental overall satisfaction was highest for zirconia primary crowns followed by resin composite strip crowns and lowest satisfaction was reported for pre-veneered SSCs. Parents were least satisfied with durability of resin composite strip crowns and colour of pre-veneered stainless steel crowns. However, this did not affect their overall satisfaction with these crowns.

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Fracture of endodontic instruments - Part 1: Literature review on factors that influence instrument breakage

South African Dental Journal ◽

10.17159/2519-0105/2020/v75no10a4 ◽

2020 ◽

Vol 75 (10) ◽

pp. 553-563

Author(s):

Maheshan Pillay ◽

Martin Vorster ◽

Peet J Van der Vyver

Keyword(s):

Adverse Effect ◽

Literature Review ◽

Root Canal ◽

Nickel Titanium ◽

Endodontic Treatment ◽

Risk Of Fracture ◽

Periapical Lesions ◽

Root Canals ◽

Infected Root ◽

Infected Root Canal

Instrument fracture is a serious complication during endodontic treatment of teeth, having an adverse effect on the outcome of the nickel titanium (NiTi) treatment, especially if the fracture prevents apical access to the infected root canal. Despite the advent of NiTi files, the risk of fracture during the endodontic preparation of root canals, especially in severely curved canals, remains a serious concern. The fracture of NiTi files during preparation may result in a compromised prognosis for the tooth. In the presence of periapical lesions, instrument fracture may reduce the chances of successful healing.

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Endodontic retreatment due to secondary periapical injury: case report

ARCHIVES OF HEALTH INVESTIGATION ◽

10.21270/archi.v9i6.4959 ◽

2020 ◽

Vol 9 (6) ◽

pp. 503-506

Author(s):

Monica Soares de Albuquerque ◽

Armiliana Soares Nascimento ◽

Cácio Lopes Mendes ◽

Leonardo José Rodrigues de Oliveira ◽

Marília de Lima Soares ◽

...

Keyword(s):

Root Canal ◽

Clinical Signs ◽

In Vitro Study ◽

Signs And Symptoms ◽

Endodontic Treatment ◽

Endodontically Treated Teeth ◽

Clinical Signs And Symptoms ◽

Endodontic Retreatment

Pulp diseases commonly happens because of the actions of bacteriological factors and show their characteristic signs and symptoms over the time. With pulp necrosis, a degenerative process starts and when there is no early treatment, it is possible to occur periapical lesions as a result of aggression to the pulp. In cases of periapical secondary lesions, clinical signs and symptoms persist and are related to secondary infection due to persistent bacterial contamination, also to operative factors, inadequate obturation or poor coronary restoration. This study aimed to report a case of endodontic retreatment and clinical and radiographic follow-up for 8 years, of chronic periapical abscess case, in which after retreatment, clinical signs and symptoms are no longer observed and bone neoformation is noticed. Descriptors: Periapical Diseases; Endodontics; Periapical Abscess. Referências Alani AH. Endodontic treatment of bilaterally occurring four-rooted maxillary second molars: case report. J Can Dent Assoc. 2003;69(11):733–35. Slowey RR. Radiographic aids in the detection of extra root canals. Oral Surg Oral Med Oral Pathol 1974;37(5):762-72 Bergenholtz G, Malmcrona E, Milthon R. Endodontic treatment and periapical status I. Radiographic evaluation of the frequency of endodontically treated teeth. Tandl€akartidningen. 1973; 65:64–73 (In Swedish, English summary). Buckley M, Spangberg LS. The prevalence and technical quality of endodontic treatment in an American subpopulation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79(1):92–100. Saunders WP, Saunders EM, Sadiq J, Cruickshank E. Technical standard of root canal treatment in an adult Scottish sub-population. Br Dent J. 1997;182(10):382-86. Segura-Egea JJ, Jimenez-Pinzon A, Poyato-Ferrera M, Velasco-Ortega E, Rios-Santos JV. Periapical status and quality of root fillings and coronal restorations in an adult Spanish population. Int Endod J. 2004;37(8):525-30. Kabak Y, Abbott PV. Prevalence of apical periodontitis and the quality of endodontic treatment in an adult Belarusian population. Int Endod J. 2005;38(4):238-45. Glickman GN. AAE consensus conference on diagnostic terminology: background and perspectives. J Endod. 2009;35:1619. Gutmann JL, Harrison JW. Surgical endodontics: an online study guide. Blackwell Scientific Publications; 1991. Molven O, Halse A, Grung B. Incomplete healing (scar tissue) after periapical surgery - radiographic findings 8 to 12 years after treatment. J Endod. 1996;22(5):264-68. Macedo, IL Retratamento endodôntico: opção terapêutica do insucesso endodôntico. BJHR. 2018;1(2):421-31. Souza VC et al. Tratamento do insucesso endodôntico. Rev Odontol Bras Central. 2018; 27:44-48. Bender IB, Seltzer S, Soltanoff W. Endodontic success – a reappraisal of criteria. Oral Surg Oral Med Oral Pathol. 1966; 22(6):790–802. Rubinstein R A, Kim S. Long-term follow-up of cases considered healed one year after apical microsurgery. J Endod. 2002; 28(5):378-83. Estrela C et al. Characterization of successful root canal treatment. Braz Dent J. 2014; 25(1):3-11 http://dx.doi.org/10.1590/0103-6440201302356 Kaled GH et al. Retratamento endodôntico: análise comparativa da efetividade da remoção da obturação dos canais radiculares realizada por três métodos. RGO, Rev. gaúch. odontol. (Online). 2011;59(1):103-8. Rossi-Fedele G, Ahmed HMA. Assessment of rootcanal filling removal effectiveness using micro–computedtomography: a systematic review. J Endod. 2017;43(4):520-26 Barbosa SV, Burkhard DH, Spanberg LSV. Cytotoxic effects of gutta-percha solvents. J Endod. 1994; 20(1):6-8. Zakariasen KL, Brayton SM, Collinson DM. Efficient and effective root canal retreatment without chloroform. J Canad Dent Assoc. 1990; 56(6):509-12. Pecora JD, Spano JC, Barbin EL. In vitro study on the softening of gutta-percha cones in endodontic retreatment. Brazilian. Braz Dent Journal. 1993; 4(1): 43-7. Scelza MF et al. Comparative SEM evaluation of three solvents used in endodontic retreatment: an ex vivo study. Journal of Applied Oral Science. 2008; 16(1):24-9. Marques da Silva B et al. Effectiveness of ProTaper, D-RaCe, and Mtwo retreatment files with and without supplementary instruments in the removal of root canal filling material. Int Endod J. 2012; 45(10):927-32 Song M1 et al. Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery. J Endod. 2011;37(11):1516-9. Albuquerque MS et al. Sealing Capacity of Bulk-fill Resin in Endodontically Treated Teeth. The Journal of Contemporary Dental Practice. 2019; 20(3): 311-17 Zancan RF, Vivan RR, Lopes MRM et al. Antimicrobial activity and physicochemical properties of calcium hydroxide pastes used as intracanal medication. J Endod. 2016. 42(12):1822-28. Buttler TK, Crawford JJ. The detoxifying effect of varying concentrations of sodium hypochlorite on endotoxins. J Endod. 1982; 8(2):59-66. Foley DB, Weine FS, Hagen JC, deObarrio JJ. Effectiveness of selected irrigants in the elimination of bacteroides meloninogenicus from the root canal system: an in vitro study. J Endod. 1983; 9(6):236-41. Abou-Ran M, Oglesby SW. The effects of temperature, concentration and tissue type on the solvent ability of sodium hypochlorite. J Endod. 1981; 7(8):376-7. Lee JK et al. Physicochemical Properties of Epoxy Resin-Based and Bioceramic-Based Root Canal Sealers. Bioinorg Chem Appl. 2017; 1-8. Kandemir DG, Caliskan MK. A prospective Ramdomized Comparative Study of Cold Lateral Condensation Versus Core/Guta Percha in Teeth with Periapical Lesions. J Endod. 2016; 42(2):206-10 Karaman E, Keskin B, Inan U. Three-year clinical evaluation of class II posterior composite restorations placed with different techniques and flowable composite linings in endodontically treated teeth. Clin Oral Investig. 2017; 21(2):709-16.

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