scholarly journals Non-Vital Teeth Management with Periapical lesion by Conventional Root Canal Treatment – A Clinical and Radiological Evaluation

Author(s):  
Aditya Shinde ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 10-13
Author(s):  
Md Abdul Hannan Sheikh ◽  
Eyad Al Khalifa ◽  
Mozammal Hossain ◽  
Md Faruk Hossain ◽  
Nazneen Karim ◽  
...  

In this study, 120 teeth having periradicular pathosis were treated with single visit root canal treatment and then obturated with either calcium hydroxide containing sealer or mineral trioxide aggregate based sealer. The healing of periradicular pathosis was examined at 3, 6, and 12 months by clinical and radiological evaluation. Collected data were analyzed with standard statistical methods by using SPSS version- 20. The results showed that at 3 and 6 months, the differences between calcium hydroxide containing sealer or mineral trioxide aggregate based sealer were not statistically significant. However, the healing capability of periapical radiolucency at 12 months between two groups was statistically significant (P=0.03). The final outcome of the clinical and radiological investigation showed successful results of 96.6% and 98.1% in calcium hydroxide and mineral trioxide aggregate group, respectively. In conclusion, both calcium hydroxide and mineral trioxide aggregate based sealers are almost equally effective in single visit root canal therapy for the management of periradicular pathosis. Update Dent. Coll. j: 2020; 10 (2): 10-13


2020 ◽  
Vol 2 ◽  
pp. 120-123
Author(s):  
Munish Singla ◽  
Iyana Garg ◽  
Vandana Goyal ◽  
Harleen Kaur ◽  
Litik Mittal

Sterilization of root canal space is foremost for the success of the endodontic treatment which is usually carried out with intracanal irrigants and medicaments. Triple antibiotic paste (metronidazole, ciprofloxacin, and minocycline) is used to achieve sterilization and healing of periradicular area. In the present case report, the triple antibiotic paste was used for non-surgical management of periapical lesion for 3 weeks. After 3 weeks, the tooth became asymptomatic that was then obturated. Hence, it is confirmed that conventional root canal treatment, along with intracanal medicaments (triple antibiotic paste), can non-surgically manage the periapical lesions and further promotes healing.


Author(s):  
Ronaldo Araújo Souza ◽  
Fernando Gavazza ◽  
João Da Costa Pinto Dantas ◽  
Maurício Lago ◽  
Suely Colombo

Complexity of root canal treatment is well recognized, however some specific situations are still more difficult, such as treatment of apical third with accentuated curvature. Nevertheless, recent techniques of instrumentation and obturation brought new persperctives and became a determinant factor for successful treatment. Through the treatment of a maxillary left lateral incisor, with accentuated apical curvature, pulpal necrosis and periapical lesion through manual instrumentation and lateral condensation technique of root canal filling, this article is aimed to discuss whether these recent techniques of instrumentation and obturation of root canal are actually determinant factors for the success in endodontic treatment.


2016 ◽  
Vol 1 (1) ◽  
pp. 46
Author(s):  
Asri Riany Putri ◽  
Diatri Nari Ratih

Gigi premolar maksila merupakan gigi yang mendapat tekanan pengunyahan besar dan rentan mengalami fraktur terutama setelah dilakukan perawatan saluran akar (PSA). Gigi yang telah dilakukan PSA akan menjadi sangat rapuh dan rentan fraktur karena telah kehilangan kelembaban dan banyak jaringan kerasnya. Gigi premolar juga mendapat tekanan pengunyahan yang besar karena bentuk dan letaknya yang lebih dekat dengan aksis horizontal transversal. Penggunaan parallel self-threading dowel dan mahkota penuh porselen fusi metal akan mendistribusikan beban pengunyahan keseluruh bagian akar dan meningkatkan ketahanannya terhadap fraktur. Tujuan laporan kasus ini adalah untuk menunjukkan keberhasilan penggunaan parallel self-threading dowel dengan mahkota penuh porselen fusi metal sebagai restorasi pasca PSA pada gigi premolar kedua maksila nekrosis pulpa dengan lesi periapikal. Pasien wanita berusia 30 tahun dirujuk untuk PSA pada gigi premolar kedua kanan maksila nekrosis pulpa dengan lesi periapikal. Pasien merasakan sakit saat gigi digunakan untuk makan. Perkusi dan palpasi positif namun mobilitas normal. Pemeriksaan radiografik menunjukkan gambaran radiopak yang telah mengenai ruang pulpa dan radiolusensi pada periapikal gigi. PSA dan restorasi mahkota penuh dilakukan dengan parallel self-threading dowel. Parallel self-threading dowel dan mahkota penuh PFM sebagai restorasi akhir menunjukkan keberhasilan perawatan pada gigi premolar kedua maksila pasca PSA. ABSTRACT: Porcelain Fused to Metal Crown with Parallel Self-Threading Dowel Post Root Canal Treatment On Maxillary Premolar. Maxillary premolar teeth have great chewing forces and prone to fracture, especially after root canal treatment (RCT). Teeth that have RCT done will be very brittle and fracture prone because it has lost moisture and lost most of its hard tissue. Premolars also receive great chewing forces because its shape and location are closer to the horizontal transverse axis. The use of parallel self-threading dowel and full porcelain fused to metal crowns will distribute the load of mastication throughout the roots and improve resistance to fracture. The aim of this case report was to demonstrate the success of the use of parallel self-threading dowel with full porcelain fused to metal crown restoration aftera RCT on maxillary second premolar with pulp necrosis and periapical lesion. A 30-year-old female patient was referred for RCT on the maxillary right second premolar with pulp necrosis and periapical lesion. Patient felt pain when the tooth was used to eat. There was tenderness to percussion and palpation but the mobility was normal. A radiographic examination showed radiopaque image that entered pulp chamber and periapical radiolucency on tooth. RCT and full crown restoration with parallel self-threading dowel had been performed. Parallel self-threading dowel and full porcelain fused to metal crown as the final restoration after RCT on the maxillary second premolar showed a successful treatment outcome.


2008 ◽  
Vol 50 (1) ◽  
pp. 107-111 ◽  
Author(s):  
Janir A. Soares ◽  
Manoel Brito-Júnior ◽  
Frank F. Silveira ◽  
Eduardo Nunes ◽  
Suelleng M. C. Santos

2020 ◽  
Vol 33 (1) ◽  
pp. 25-30
Author(s):  
Md Ismail Hossain ◽  
Monira Parveen ◽  
Md Nahid Khurram Choudhury ◽  
Tasnim Wakia ◽  
Farid Uddin ◽  
...  

Background: Root canal Therapy is one of the procedures for the management of nonvital tooth with periapical lesion. The principle of this therapy is the complete sterilization of the total pulp canal space thereby healing of the periradicular lesion. Objectives: This experimental study assessed the clinical and radiological outcome of root canal treatment for nonsurgical management of nonvital teeth with periapical lesion. Materials and Methods: A total number of 40 infected teeth with periapical lesion were treated by conventional root canal treatment. Irritants from the root canal system was removed by mechanical instrumentation( Crown down Technique), chemical irrigation with NaOCL and by using Calcium Hydroxide as intracanal medicaments and fluid tight obturation both apically and coronally resulting repairs of inflamed periradicular tissues. The protocol for follow up examination will be 3, 6 and 12 months post operatively. At the time of follow up examination a standard follow up chart will be maintained. Results: Among 40 cases 32 cases could be treated as acceptable as their responses were good both clinically and radiologically and 5 patients came back with some complications among them 3 cases were uncertain and 2 cases were unacceptable. Conclusion: It was concluded that conventional root canal treatment reduced clinical signs and symptoms successfully in teeth with periapical lesion and radiologically. TAJ 2020; 33(1): 25-30


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