scholarly journals Treatment of bisphosphonate related osteonecrosis following root canal therapy at the 1-year follow-up: report of two cases

Author(s):  
Rabia Figen Kaptan ◽  
Meric Karapinar Kazandag ◽  
Ufuk Iseri
2018 ◽  
Vol 10 (1) ◽  
pp. 37-39
Author(s):  
Shahnaz Sultana Beauty ◽  
Shahana Dastagir Sunny ◽  
Md Ali Asgor Moral ◽  
Md Shamsul Alam

In dentistry,root resorption is the breakdown or destruction and subsequent loss of the root structure of a tooth caused by living body cells attacking part of the tooth. When the damage extends to the whole tooth is called tooth resorption. Severe root resorption is very difficult to treat and often requires the extraction of teeth. Root canal therapy has been shown to be a verysuccessful means of treating inflammatory resorption. It has been recommended to include a calcium hydroxide paste in the root canal therapy to enhance the success of the treatment out come. Calcitonin has also been suggested as an interim root canal medicament to assist in the inhibition of osteoclastic bone and dentin resorption. Calcitonin penetrates the dentinal tubules in the out word direction, thus exerting a direct effect DOI: http://dx.doi.org/10.3329/cdcj.v10i1.13833 City Dent. Coll. J Volume-10, Number-1, January-2013


2016 ◽  
Vol 17 (7) ◽  
pp. 582-586 ◽  
Author(s):  
Jyoti Sachdeva ◽  
Anurag Sarin ◽  
Ajai Gupta ◽  
Shobhit Sachdeva

ABSTRACT Introduction Success of root canal therapy (RCT) is largely dependent upon the quality of biomechanical preparation and obturation of the pulp canal. Improperly cleaned or shaped root canal, regardless of the type of obturation method and obturating material, cannot lead to the success of endodontic therapy. Hence, we conducted a clinical comparative analysis of two obturating techniques. Materials and methods A total of 140 patients receiving RCT at the department of Endodontic were included in the present study. The average follow-up time for the patients was 29 months (18–38 months). Patients were grouped into two depending on the type of obturating technique used. Evaluation of the clinical and radiographic follow-up records of the patients was done and analysis was made. One-way analysis of variance (ANOVA) was used for assessing the level of significance. Results The average age of the patients undergoing obturation with carrier-based obturation (CO) technique and lateral compaction (LC) technique was 43 and 48 years respectively. While comparing failure and success of the teeth at the time of follow-up, nonsignificant results were obtained. Significant difference was seen, while comparing the presence of voids and type of teeth in which endodontic therapy was performed using different obturating techniques. Conclusion Endodontic therapy done with LC obturating technique or with CO technique shows prognostic difference on the outcome or quality of treatment therapy. Clinical significance Quality of obturation is more important rather than type while performing endodontic therapy for better prognosis. How to cite this article Sarin A, Gupta P, Sachdeva J, Gupta A, Sachdeva S, Nagpal R. Effect of Different Obturation Techniques on the Prognosis of Endodontic Therapy: A Retrospective Comparative Analysis. J Contemp Dent Pract 2016;17(7):582-586.


2021 ◽  
Vol 03 (02) ◽  
pp. 05
Author(s):  
F. Fonzar ◽  
Z. Kalemaj ◽  
R. Fabian Fonzar ◽  
J. Buti ◽  
P. Buttolo ◽  
...  

2021 ◽  
Vol 12 (6) ◽  
pp. 122-125
Author(s):  
Devakumari Shanmugam ◽  
Vijhayapriya Thanasekar ◽  
Nandini Biradar ◽  
Bhavanirekha Natarajan ◽  
Neil Dominic

Non vital teeth with periapical cysts do not respond to routine root canal therapy alone. Conventional RCT (root canal therapy) should be combined with conservative management of cysts or surgical management. Contemporary options for non-surgical management are repeated intra canal dressing with Ca (OH)2, aspiration and decompression techniques. Repeated intra canal dressing with Ca(OH)2 and Iodoform (Metapex) was advocated in 15 of our patients for a period of eight years from 2011-2019. The healing of the lesions was excellent with respect to bone formation, reestablishment of periodontal ligament and reduction in tooth mobility on follow up of six months to one and a half years. This case series gives insight of successful non-surgical management of periapical cysts. We reiterate the effectiveness of non-surgical management of periapical cysts as it was well observed in our case series. The promising prognosis of non-surgical management of periapical cysts can render the surgical options antediluvian.


2021 ◽  
Author(s):  
Gang Niu ◽  
Qing-ling Li ◽  
Yong-gang Tang ◽  
Jing-jing Lv ◽  
Li-song Lin ◽  
...  

Abstract Background: Jaw cyst is the most common disease of the oral and maxillofacial region. In addition to the pathogenic tooth, the roots of some teeth are often located in the cavity of the cystic capsule. Whether these involved teeth require root canal therapy and apicoectomy is still inconclusive. In the present study, we aimed to preserve the pulp activity of involved teeth in jaw cyst by improved operation.Methods: In our improved surgical method, the root canal therapy was not performed on the involved teeth, and no apical excision was performed during the operation. 63 involved teeth in 20 cases of jaw cyst treated by our department were selected between September 2015 and October 2017. The involved teeth were diagnosed by X-ray, CBCT, and a pulp vitality test before surgery. We observed the pulps' activity in the involved teeth and the efficacy of surgery for 12-36 months.Results: Electrical activity test of 63 involved teeth pulp in 20 patients with jaw cyst was normal or insensitively before operation. The involved teeth were preserved by improved surgical method. After 12-36 months’ follow-up, the pulp activity of 53 involved teeth (84.1%) were preserved, whereas 10 teeth (15.9%) showed adverse symptoms such as redness and swelling in the apical area, fistula, and pain. These symptoms resolved after postoperative root canal therapy. Chewing function was restored well. There was no recurrence and the bone cavity gradually reduced and finally disappeared, and bone density returned to normal after long term follow-up.Conclusion: Our results showed that to preserve the activity of the involved teeth for the treatment of jaw cyst by performing an improved operation method was effective.


2021 ◽  
Vol 59 (240) ◽  
Author(s):  
Babita Pradhan ◽  
Yuan Gao ◽  
Yuan Gao ◽  
Tingwei Guo ◽  
Yangpei Cao ◽  
...  

Intracanal separation of nickel titanium files hinders complete shaping, cleaning, and filling of the root canal system and ultimately influences the endodontic treatment outcome. In this case report, we presented a successful broken instrument retrieval from the middle third of the mesiobuccal root canal of tooth #30 with the assistance of cone-beam computed tomograpgy based preoperative computer-assisted simulation, micro-trepan bur and micro-tube from Micro-Retrieve & Repair system and dental operative microscope. The involved tooth was then successfully cleaned, shaped and obturated followed by coronal restoration. At the three-year follow-up, tooth #30 was asymptomatic and functioned well without radiographic changes. The present case provides an example to show the robustness of computer-assisted technology in dental procedures and to show how the combination of advanced techniques can facilitate root canal therapy.


2019 ◽  
Author(s):  
wang shengming ◽  
Fangfang Li ◽  
Zhiqing Luo ◽  
Xiaoqing Hu ◽  
Peng Shao

Abstract Objective To evaluated the outcomes of the teeth avulsed from alveolar bone in accidents for a 1 year follow up when endodontic root canal therapy was performed at different time points. Materials and Methods According to the inclusion criteria, 109 patients diagnosed with teeth avulsion due to accidents were enrolled at base-line and 103 patients finally completed follow-up in this trial. 115 teeth were firstly assigned to two groups according to storage condition. Then they were randomly assigned to one of two groups respectively. The teeth were treated with root canal therapy at different stages. All of patients were recalled at baseline, in the first, third month, sixth month and first year (end of follow-up) for clinical and radiological evaluation. Results 103 patients finally completed follow-up in this trial. As for periodontal healing, cases with before-replantation treatment were significantly more than post-replantation treatment in dry storage. On the contrary, more periodontal healing cases were obtained in ideal storage. In the first year after treatment, there was no difference of success rate between G21 and G22 (P < 0.05). Significant difference was found between G11 and G12 (P < 0.05). Conclusion In clinical practice, root canal therapy should be performed prior to replantation in dry storage condition for more than 60 minutes. In contrast, if not, root canal therapy could be postponed.


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