Analysis Of Posterior Teeth Receiving Crowns Following Root Canal Treatment - Retrospective Study

Background and Objectives: Symptomatic irreversible pulpitis in permanent mature teeth is a common indication for nonsurgical root canal treatment (NSRCT), but contemporary studies have reported on vital pulp therapy (VPT) applied in such teeth as a less invasive treatment. This systematic review assessed the outcomes of VPT, including partial and full pulpotomy performed with hydraulic calcium silicate cements (HCSCs) in permanent mature posterior teeth diagnosed with symptomatic irreversible pulpitis. Materials and Methods: The PRISMA guidelines were followed. The search strategy included PubMed®, EMBASE, Cochrane library and grey literature electronic databases. The quality assessment of the identified studies followed the Cochrane Collaboration Risk of Bias, ROBINS-I and Newcastle–Ottawa Scale tools. Results: The search of primary databases identified 142 articles, of which 9 randomized controlled trials and 3 prospective cohort studies were selected for review. The risk-of-bias was assessed as ‘high’ or ‘serious’, ‘fair’, and ‘low’ for three, seven and two articles, respectively. One to five years after VPT using HCSCs, the success rates mostly ranged from 78 to 90%. Based on two articles, the outcomes of the VPT and NSRCT were comparable at one and five years. Despite the necessity for the intra-operative pulp assessment in VPT procedures, the majority of the studies did not fully report on this step or on the time needed to achieve hemostasis. Small sample sizes, of under 23 teeth, were reported in three studies. Conclusions: The reviewed 12 articles reported favorable outcomes of the VPT performed with HCSCs in permanent mature posterior teeth with symptomatic irreversible pulpitis, with radiographic success in the range of 81 to 90%. Two articles suggested comparable outcomes of the VPT and root canal treatment. Universal case selection and outcome criteria needs to be established for VPT when considered as an alternative to NSRCT. This evidence supports the need for further research comparing longer-term outcomes of both of the treatment modalities.

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Supplementary techniques for pain control during root canal treatment of lower posterior teeth with irreversible pulpitis: A systematic review and meta-analysis

Australian Endodontic Journal ◽

10.1111/aej.12212 ◽

2017 ◽

Vol 44 (1) ◽

pp. 14-25 ◽

Cited By ~ 11

Author(s):

Pinpana Tupyota ◽

Pattama Chailertvanitkul ◽

Malinee Laopaiboon ◽

Chetta Ngamjarus ◽

Paul V. Abbott ◽

...

Keyword(s):

Systematic Review ◽

Root Canal ◽

Pain Control ◽

Meta Analysis ◽

Root Canal Treatment ◽

Posterior Teeth ◽

Irreversible Pulpitis

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The outcome of root canal treatment. A retrospective study within the armed forces (Royal Air Force)

BDJ ◽

10.1038/sj.bdj.4800907a ◽

2001 ◽

Vol 190 (3) ◽

pp. 140-144 ◽

Cited By ~ 12

Author(s):

J. Peak ◽

S. Hayes ◽

S. Bryant ◽

P. Dummer

Keyword(s):

Retrospective Study ◽

Air Force ◽

Root Canal ◽

Armed Forces ◽

Root Canal Treatment ◽

Royal Air Force

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Dentists and Dental Intern’s Preferences of Root Canal Treatment with Restoration Versus Extraction then Implant-Supported Crown Treatment Plan

The Open Dentistry Journal ◽

10.2174/1874210601913010093 ◽

2019 ◽

Vol 13 (1) ◽

pp. 93-100

Author(s):

Mohammad Alwadani ◽

Mohammed H. Mashyakhy ◽

Amr Jali ◽

Arwa O. Hakami ◽

Ahmed Areshi ◽

...

Keyword(s):

Surgical Treatment ◽

Root Canal ◽

Online Survey ◽

Treatment Plan ◽

Healing Process ◽

Root Canal Treatment ◽

Treatment Modalities ◽

Periodic Review ◽

Posterior Teeth ◽

Anterior Teeth

Objectives: The intent of this study was to evaluate and compare the preferences and treatment choices between dentists and dental interns with regard to the following different treatment modalities: Root Canal Treatment (RCT) with restoration versus extraction with Implant-Supported Crown (ISC) or surgical treatment in relation to the given case scenarios. Methods: The questionnaire was presented as an online survey with a case scenario. The total number of the respondents were 165. The four clinical case scenarios included an anterior and posterior tooth having apical periodontitis, with and without previous RCT. The treatment options were as follows: RCT with restoration, extraction then implant, and surgical treatment. Results: A total of 165 dentists and dental interns were included in this study. A hundred and three 62.4% respondents were dentists, 60; 36.3% were males and 105; 63.7% were females. Most of the respondents graduated from the College of Dentistry, Jazan University (93.9%). The highest percentages and numbers for Anterior Teeth (AT) were selected in related to the RCT and restorations in the four scenarios among gender, dentists, and interns, with no considerable differences. A high percentage of RCT and restoration option was recorded for Posterior Teeth (PT) with no previous restoration and around 50% for the same treatment modality to posterior teeth with previous restorations. For Future Planning Postgraduate Studies (FPPS), it was obvious that most of the selected specialties agreed with the RCT and restorations choice. Conclusion: All dentists and interns in both genders preferred RCT with restorations over extraction, and then ISC in the AT with and without previous RCTs. In the PT with no previous RCT, the participants agreed that RCT with restorations is superior to other choices. Among the FPPS, the respondents demonstrated an absolute agreement to RCT and restorations as a treatment of choice for different scenarios. Clinical Significance: Dentists should preserve the natural teeth by RCT with restoration as the first treatment choice followed by other choices. The nonsurgical approach should always be adopted as a routine measure in PA lesions of endodontic origin. Conservative orthograde endodontic therapy demonstrates favorable outcomes with a regular periodic review and assessment of the healing process of PA lesions.

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KERUSAKAN TULANG PADA KASUS ENDODONTIK-PERIODONTAL

Jurnal Ilmiah dan Teknologi Kedokteran Gigi ◽

10.32509/jitekgi.v17i1.1438 ◽

2021 ◽

Vol 17 (1) ◽

pp. 43-48

Author(s):

Natalina - Natalina

Keyword(s):

Tissue Regeneration ◽

Granulation Tissue ◽

Root Canal ◽

Alveolar Bone ◽

Bone Defects ◽

Sinus Tract ◽

Guided Tissue Regeneration ◽

Root Canal Treatment ◽

Posterior Teeth ◽

Anterior Teeth

Latar belakang. Masalah pulpa dan periodontal menyebabkan lebih dari 50% kehilangan gigi. Kasus pada laporan kasus ini merupakan lesi primer endodontik dan lesi sekunder periodontal dan secara klinis terdapat sinus tract. Kondisi ini merupakan kasus yang secara kolaborasi dikerjakan oleh bidang konservasi gigi dan bidang periodonsia untukmemdapatkan hasil yang maksimal. Kasus. Terdapat tiga kasus lesi endodonti-periodontal, dua merupakan kasus (gigi 21 dan 37) yang setelah beberapa tahun dilakukan perawatan saluran akar (PSA) mengalami pembentukan sinus tract, dan satu kasus (gigi 47) yang setelah PSA namun tidak memeperlihatkan perbaikan sinus tract yang terbentuk di gingiva. Tindakan bedah flap periodontal dilakukan untuk mencari penyebab, menghilangkan jaringan granulasi, dan memperbaiki kerusakan tulang alveolar yang terjadi. Seluruh kasus terlihat terdapat kerusakan tulang anguler di daerah furkasi pada gigi posterior (37 dan 47), dan daerah interdental pada gigi anterior (21); satu kasus (gigi 21) mengalami fenestrasi di fasial. Defek tulang anguler dan daerah fenestrasi setelah dibersihkan dari jaringan granulasi yang terinfeksi, diisi dengan graf tulang dan ditutup oleh membran pericardium sebagai guided tissue regeneration (GTR), kemudian dijahit. Kontrol 14 hari setelah tindakan bedah, sinus tract telah hilang dan warna gingiva normal. Kesimpulan. Lesi endodontik-periodontal yang memperlihatkan sinus tract yang persisten setelah perawatan saluran akar merupakan indikasi adanya kerusakan periodontal yang kompleks. Defek periodontal kompleks bisa diperbaiki dengan tindakan bedah regeneratif.Kata kunci. Lesi endodontik-periodontal, sinus tract, defek tulang anguler, fenestrasi Abstract Background. Dental pulp and periodontal problems account for more than 50% of tooth loss. The cases in this case report were primary endodontic lesions and secondary periodontal lesions and clinically contained a sinus tract. This report is a collaborative carried out by the conservative dentistry and periodontics to obtain maximum results. Case. There were three cases of endodontic-periodontal lesions, two were cases (teeth 21 and 37) where after several years of root canal treatment had sinus tract formation, and one case (tooth 47) after endodontic treatment but did not show any improvement in the sinus tract in the gingiva. Periodontal flap surgery is performed to find the cause, remove the granulation tissue, and repair the alveolar bone damage that has occurred. All cases showed angular bone defects in the furcation areas of the posterior teeth (37 and 47), and the interdental areas of the anterior teeth (21); one case (tooth 21) had facial fenestration. Angular bone defects and areas of fenestration after cleaning of infected granulation tissue, filled with bone graft and covered by pericardial membrane as guided tissue regeneration (GTR), then sutured. Control 14 days after surgery, the sinus tract was gone and the gingival color was normal. Conclusion. Endodontic-periodontal lesions showing persistent sinus tracts after root canal treatment are indicated of complex periodontal damage. Complex periodontal defects can be corrected with regenerative surgery.Keywords. endodontic-periodontal lesions, sinus tract, angular bone defect, fenestration

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Schneiderian membrane thickness variation following endodontic procedures: a retrospective Cone Beam Computed Tomography study

10.21203/rs.2.17937/v1 ◽

2019 ◽

Author(s):

Thera Van Den Munckhof ◽

Shanon Patel ◽

Alix Davies ◽

Erwin Berkhout ◽

Federico Foschi ◽

...

Keyword(s):

Retrospective Study ◽

Linear Regression ◽

Root Canal ◽

Endodontic Treatment ◽

Root Canal Treatment ◽

Thickness Variation ◽

Membrane Thickness ◽

Schneiderian Membrane ◽

Pulp Capping

Abstract Background: To investigate the changes of Schneider membrane thickness by CBCT pre and post root canal treatment, retreatment and pulp capping procedures. Methods: This retrospective study was conducted on CBCT scans of a patient population of Guy’s Hospital NHS Foundation Trust, London. Three groups of patients were studied: Group 1 consisted of patients referred for primary endodontic treatment; Group 2 for endodontic retreatment; Group 3 for indirect pulp capping procedures (serving as a control group). Follow up scans were carried out 1 year after treatment. Measurements were carried out on CBCT scans and data were analysed statistically by Wilcoxon Signed Rank Test. Linear regression was used to assess predictive parameters for membrane thickness. Results: A statistically significant reduction of the Schneider membrane thickness was observed one year after endodontic treatment and retreatment (P<0.05) but no significant reduction was observed after pulp capping procedures. Linear regression showed that age and gender were significant predictors influencing the Schneider membrane thickness. Conclusions: Within the limitations of this retrospective study, following root canal treatment and re-treatment a Schneiderian membrane thickness reduction occurred at 1-year follow-up. The removal of odontogenic infection following endodontic treatment may help reducing the thickness of the Schneider membrane. Trial registration: Ethical approval and registration were granted by the NRES London Bridge and Dulwich Research Ethics Committee. TRN NCT03055975

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Comparative analysis of various obturation techniques in mandibular molars: A retrospective clinical outcome study

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl3.2909 ◽

2020 ◽

Vol 11 (SPL3) ◽

pp. 172-178

Author(s):

Swathi U B ◽

Sindhu Ramesh ◽

Delphine Priscilla Antony

Keyword(s):

Retrospective Study ◽

Root Canal ◽

Time Frame ◽

Permanent Tooth ◽

Primary Objective ◽

Root Canal Treatment ◽

Primary Tooth ◽

Mandibular Molars ◽

Significant Difference ◽

Single Cone

The primary objective of root canal treatment is the ability to remove irritants, to clean, shape and fill the root canal system three-dimensionally and prevent recontamination from bacterial irritants. Various Obturation techniques used for filling the root canals include lateral condensation, vertical compression, and thermoplastic gutta-percha techniques. The retrospective study aimed to evaluate the various obturation techniques used in mandibular molars. For this retrospective study data collection was based on patient records of Saveetha Dental College, Chennai and consisted of a total of 1903 cases evaluated based on the obturation technique within the time frame of 10th June 2019 to 1st March 2020. In this study, the obturation technique was evaluated based on the patients age, gender, procedure and based on the tooth in which obturation was done. Inclusion criteria consisted of the tooth that underwent endodontic treatment in patients within the age group of 18 to 60 yrs, a tooth with irreversible pulpal disease or chronic apical periodontitis, permanent tooth and mandibular molars. Exclusion criteria consisted of patients above 60 years, primary tooth, teeth in which root canal treatment was not undertaken, teeth with the presence of huge periapical lesions, severely calcified canals etc., severe periodontal disease, teeth apart from mandibular molars. All the values were then statistically analysed. In this study, 1930 patients (848 are females, and 1055 were males with a mean age of 24 years) were included. It was observed in this retrospective study that there was a significant difference between the various types of obturation technique used in mandibular molars. Matched single cone obturation technique was the preferred technique of obturation in the majority of the cases (62.4%). Single cone obturation technique has advantages over other techniques of obturation due to the fewer stress forces implied apically, thereby preventing an excess of sealer extrusion.

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Endodontic and Restorative Treatment Patterns of Pulpally Involved Immature Permanent Posterior Teeth

International Journal of Dentistry ◽

10.1155/2018/2178535 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Ebtissam M. Al-Madi ◽

Samar A. Al Saleh ◽

Sundus M. Bukhary ◽

Maha M. Al-Ghofaily

Keyword(s):

Root Canal ◽

Dental Treatment ◽

Insurance Coverage ◽

Treatment Patterns ◽

Root Canal Treatment ◽

Permanent Teeth ◽

Posterior Teeth ◽

Restorative Treatment ◽

Mandibular Molar ◽

Treatment Data

Objective. The study aims at investigating the treatment patterns for young permanent posterior teeth with pulp involvement. Materials and Methods. A random sample of 1793 dental records of patients aged 6–18 years old who had received dental treatment was investigated. 663 permanent posterior treated teeth had pulp involvement. Demographic and treatment data were gathered from patients’ records. Results. Prevalence of young permanent teeth with pulp involvement was 36.9%. Treatments received significantly increased as patients’ age increased (P=0.001). The first mandibular molar had the most pulp involvement among all teeth (43.89%). Temporary restoration was the most received restoration (59%). The most common pulpal diagnosis, leading to treatment, was irreversible pulpitis (43.04%). Only 19.8% of treated teeth received completed root canal treatment. Conclusion. There is a high percentage of children and adolescents with immature permanent posterior teeth with pulp involvement. Similarly, a variety of treatment patterns is present, with a small percentage of completed root canal treatment. Clinical Relevance. The study has identified the need to provide guidelines to provide high-quality root canal treatments for young permanent posterior teeth that have pulpal involvement. Only 21.8% of root canal treatments were completed, while 24% of teeth were extracted, and 59% of patients received temporary restorative treatments. This suggests that there might be several factors that might prevent completion of the dental treatment, such as patient preference, insurance coverage, or dentist capability. These factors and guidelines for patient care should be investigated and resolved.

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