scholarly journals Perawatan Ulang Saluran Akar Insisivus Lateralis Kiri Maksila dengan Medikamen Kalsium Hidroksida-Chlorhexidine

2013 ◽  
Vol 20 (1) ◽  
pp. 52
Author(s):  
Ni Gusti Ayu Ariani ◽  
Wignyo Hadriyanto
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Antibacterial Properties ◽  
Root Canal Treatment ◽  
Lateral Incisor ◽  
Radiographic Evaluation ◽  
Periapical Lesion ◽  
Bacterial Endotoxins ◽  
Infected Root ◽  
Maxillary Lateral Incisor

Banyak faktor yang menyebabkan kegagalan terapi endodontik antara lain pembersihan dan membentuk saluran akar yang tidak sempurna dan obturasi tidak hermetis sehingga menyebabkan kurangnya kemampuan untuk menghilangkan mikroorganisme yang ada. Saluran akar yang terinfeksi membutuhkan suatu medikamen untuk menunjang keberhasilan dalam perawatan saluran akar.Kalsium hidroksida merupakan salah satu bahan medikamen yang efektif karena memiliki sifat antibakteri dengan spektrum luas, pH tinggi, biokompatibilitas baik, mampu menetralkan endotoksin bakteri, memiliki sifat toksik yang paling rendah, serta menstimulasi pembentukan jaringan keras. Tujuan laporan kasus untuk menunjukan keberhasilan perawatan ulang saluran akar gigi insisivus lateralis kiri maksila dengan lesi periapikal menggunakan medikamen kalsium hidroksida- chlorhexidine. Pasien wanita umur 53 tahun, gigi insisivus lateralis kiri maksila dengan lesi periapikal.Radiografi tampak obturasi kurang hermetis dan radiolusen daerah periapikal. Perawatan ulang saluran akar,diikuti pemasangan pasak fiber frefabricated dan restorasi porselin fuse metal.Keseimpulan setelah evaluasi setelah enam bulan pasca perawatan ulang saluran akar, radiografi menunjukan radiolusen mengecil dan gigi dapat berfungsi dengan normal.Re-Treatment of Root Canal of Maxillary Left Lateral Incisor with Calcium Hydroxide-Chlorhexidine Medicament. There are many factors that cause failure of endodontic therapy. For instances, incomplete cleaning and shaping of root canal and inadequate obturation that results in difficulty to remove the microorganisms. Infected root canal requires a medicament for the success of the root canal treatment. Calcium hydroxide is one of the effective ingredients as medicament because it has broad spectrum antibacterial properties, high pH, good biocompatibility, and it is able to neutralize bacterial endotoxins, decrease tissue toxicity, and stimulate the formation of hard tissue. The purpose of this case report is to show the success of root canal treatment of the left maxillary lateral incisor with periapical lesions using calcium hydroxide-chlorhexidine medicaments. The patient was a woman aged 53, complaining about her left maxillary lateral incisor with periapical lesion. Based on the radiographic evaluation, there was less hermetic obturation and a radiolucent in the periapical. Root canal re-treatment was continued with fiber prefabricated post and porcelain fused to metal crown. After six months of evaluation and endodontic retreatment, it is found that there is a decrease of radiolucency periapical lesion, and her teeth are able to function normally.

scholarly journals Antibacterial activity of mixed pineapple peel (Ananas comosus) extract and calcium hydroxide paste against Enterococcus faecalis

2018 ◽  
Vol 51 (1) ◽  
pp. 20
Author(s):  
Intan Fajrin Arsyada ◽  
Devi Rianti ◽  
Elly Munadziroh
Keyword(s):  
Antibacterial Activity ◽  
Calcium Hydroxide ◽  
Enterococcus Faecalis ◽  
Root Canal ◽  
Antibacterial Properties ◽  
Root Canal Treatment ◽  
Ananas Comosus ◽  
Treatment Groups ◽  
Pineapple Peel ◽  
Peel Extract

Background: Enterococcus faecalis (E. faecalis) is the bacteria most commonly resulting from failed root canal treatment. Intracanal medicament is used to enhance the success of root canal treatment. A material widely used for this purpose is calcium hydroxide. However, its ineffectiveness in eliminating E. faecalis requires the addition of other antibacterial substances, such as iodoform which has the disadvantage of having toxic effects on tissues. Pineapple peel has antibacterial properties because it contains chemical compounds, such as flavonoid, saponin, tannin, as well as the enzyme bromelain. Purpose: The aim of the study was to determine the antibacterial activity of a mixture of pineapple peel extract at 6.25% and 12.5% concentrations and calcium hydroxide paste at a ratio of 1:1 compared to100% calcium hydroxide and a mixture of calcium hydroxide and iodoform paste against E. faecalis. Methods: The research was laboratory-based experiment in nature. Sample groups were divided into two control groups (one featuring100% calcium hydroxide paste and a second featuring a mixture of calcium hydroxide and iodoform paste) and two treatment groups (mixture of pineapple peel extract and calcium hydroxide paste in 6.25% and 12.5% concentrations with ratio 1:1). The method was using agar diffusion. The result data were analyzed by One Way Anova test. Results: The highest average of the inhibitory zone occurred in group with a mixture of pineapple peel extract 12.5% and calcium hydroxide paste while the smallest average was that of group with a mixture of calcium hydroxide and iodoform paste. Conclusion: Mixture of pineapple peel extract in 6.25% and 12.5% concentrations and calcium hydroxide paste ratio 1:1 has higher antibacterial activity than paste of 100% calcium hydroxide and mixture of calcium hydroxide and iodoform paste againts E. faecalis.

scholarly journals TRATAMENTO ENDODÔNTICO DE INCISIVO LATERAL SUPERIOR COM CURVATURA APICAL ACENTUADA E LESÃO PERIAPICAL: RELATO DE CASO

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Ronaldo Araújo Souza ◽  
Fernando Gavazza ◽  
João Da Costa Pinto Dantas ◽  
Maurício Lago ◽  
Suely Colombo
Keyword(s):  
Successful Treatment ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Lateral Incisor ◽  
Periapical Lesion ◽  
Root Canal Filling ◽  
Determinant Factors ◽  
Determinant Factor

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.

scholarly journals Resolution of a large periapical lesion in an immature maxillary lateral incisor with the aid of triple antibiotic paste

2021 ◽  
Vol 76 (09) ◽  
pp. 560-564
Author(s):  
Nicoline Potgieter ◽  
Glynn Buchanan
Keyword(s):  
Root Canal ◽  
Root Formation ◽  
Surgical Intervention ◽  
Lateral Incisor ◽  
Permanent Teeth ◽  
Periapical Lesion ◽  
Periapical Lesions ◽  
Triple Antibiotic Paste ◽  
Maxillary Lateral Incisor ◽  
And Control

Apexification procedures are frequently performed on immature permanent teeth with incomplete root formation, open apices and necrotic pulp status with or without  periapical lesions in order to induce a calcific barrier prior to root canal therapy. The elimination and control of infection in the root canal space is critical to the success of these procedures. A healthy 21-year old male presented with pulpal necrosis, a large periapical lesion, incomplete root formation and an open apex on a maxillary right lateral incisor. Triple antibiotic paste was used to achieve antimicrobial control after traditional calcium hydroxide paste medicament failed to resolve the symptoms. Obturation was achieved using MTA and the conventional apexification technique. Excellent healing of the large periapical lesion was achieved without surgical intervention and the 4-year follow-up CBCT demonstrated complete bone fill of the lesion. Clinicians should be aware that alternative antimicrobial medicaments, such as triple antibiotic paste, may be beneficial in situations where conventional medicaments prove unsuccessful. The use of triple antibiotic paste may result in sufficient healing of the periapical lesion to justify placement of an MTA apical barrier without the need for surgical intervention

Type 2 Dens Invaginatus in a Maxillary Lateral Incisor: A Case Report of a Conventional Endodontic Treatment

2008 ◽  
Vol 33 (2) ◽  
pp. 103-106 ◽  
Author(s):  
C Aguiar ◽  
J P Ferreira ◽  
A Câmara ◽  
J de Figueiredo
Keyword(s):  
Root Canal ◽  
Treatment Options ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Lateral Incisor ◽  
Maxillary Lateral Incisor ◽  
Rare Malformation ◽  
Dens Invaginatus

Dens invaginatus is a rare malformation of the teeth resulting from the invagination of the tooth crown before biological mineralization occurs. In most cases, the thin or incomplete enamel lining of the invagination cannot prevent the entry of bacteria into the pulp, which leads to pulp necrosis with an eventual periapical inflammatory response. The treatment options include preventive sealing or filling of the invagination,root canal treatment, endodontic apical surgery and extraction. The root canal treatment of such teeth is often complicated because of their anatomical complexity. This case describes a successful non-surgical endodontic treatment of a maxillary lateral incisor with type 2 dens invaginatus with a large periradicular lesion. At follow-up examinations after 6 and 12-months, the tooth was asymptomatic and the healed lesion was evident radiographically.

scholarly journals Abordagem endodôntica não cirúrgica em extensa lesão periapical: relato de caso

2020 ◽  
Vol 9 (6) ◽  
pp. 513-516
Author(s):  
Mailon Cury Carneiro ◽  
Fernanda Angelio Da Costa ◽  
Paula Gabriela Vieira Chicora ◽  
Marcos Sergio Endo ◽  
Vanessa Cristina Veltrini
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Surgical Management ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Periapical Lesion ◽  
Periapical Lesions ◽  
Periapical Cyst

O objetivo deste trabalho é relatar um caso clínico de uma extensa lesão periapical em maxila, tratada somente por uma abordagem endodôntica não cirúrgica, com expressivo reparo periapical. Paciente do sexo feminino, 52 anos, compareceu à clínica odontológica, com a queixa principal de “cisto crescendo na boca”. Os dentes 13, 14 e 15 apresentavam-se sem vitalidade pulpar. Os exames radiográficos mostraram duas áreas radiolúcidas, uniloculares, envolvendo os ápices dos dentes 13 e 15, ambos sem sinais de intervenção endodôntica. As áreas eram sugestivas de granuloma periapical e cisto periapical inflamatório, respectivamente. Realizou-se tratamento endodôntico dos dentes 13, 14 e 15. Após 11 meses, notou-se regressão significativa da rarefação óssea periapical, não sendo necessária qualquer intervenção cirúrgica. A paciente continuará em proservação até a remissão completa da lesão. O preparo químico-mecânico, associado ao emprego de medicação intracanal, pode ser suficiente para o reparo de lesões periapicais extensas. Sugere-se que o tratamento conservador seja sempre a primeira opção em casos semelhantes, de forma a se evitar cirurgias parendodônticas invasivas desnecessárias. Descritores: Endodontia; Cisto Radicular; Tratamento Conservador. Referências Hammouti J, Chhoul H, Ramdi H. Non-surgical management of large periapical cyst like lesion: case report and litterature review. J Oral Heal Dent Sci. 2019;3(1):1–7. Mitra A, Adhikari C. Management of large periapical lesions by non surgical endodontic approach - two case reports. 2017;2(5):97–104. Al Khasawnah Q, Hassan F, Malhan D, Engelhardt M, Daghma DES, Obidat D, et al. Nonsurgical clinical management of periapical lesions using calcium hydroxide-iodoform-silicon-oil paste. Biomed Res Int. 2018;2018:1-8. Schulz M, von Arx T, Altermatt HJ, Bosshardt D. Histology of periapical lesions obtained during apical surgery. 2009;35(5):634-42. Ramachandran Nair PN, Pajarola G, Schroeder HE. Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81(1):93-102. Gutmann JL, Baumgartner JC, Gluskin AH, Hartwell GR, Walton RE. Identify and define all diagnostic terms for periapical/periradicular health and disease states. JOE. 2009;35(12):1658-74. Antoh M, Hasegawa H, Kawakami T, Kage T, Chino T, Eda S. Hyperkeratosis and atypical proliferation appearing in the lining epithelium of a radicular cyst. Report of a case. J Cranio-Maxillo-Facial Surg. 1983;21(5):210-13. Natkin E, Oswald RJ, Carries LI. The relationship of lesion size to diagnosis, incidence, and treatment of periapical cysts and granulomas. Oral Surg. 1984;57(1):82-94. Rathod DM, Mulay SA. Non-surgical treatment of large periapical lesion using various formulations of calcium hydroxide & nd: yag laser. Int J Curr Res. 2017;9(8):56668-72. Rosenberg PA, Frisbie J, Lee J, Lee K, Frommer H, Kottal S, et al. Evaluation of pathologists (histopathology) and radiologists (cone beam computed tomography) differentiating radicular cysts from granulomas. J Endod. 2010;36(3):423-28. Sant’ana Filho M, Rados PV. Lesões apicais. In: Silveira JOL, Beltrão GC. Exodontia. 1Porto Alegre: Missau; 1998. cap. 22, p. 275-85. Sood N, Maheshwari N, Gothi R, Sood N. Treatment of large periapical cyst like lesion: a noninvasive approach: a report of two cases. Int J Clin Pediatr Dent. 2015;8(2):133-37. Singh U, Nagpal R, Sinha D, Tuhin, Tyagi N. Iodoform based calcium hydroxide paste (metapex):an aid for the healing of chronic periapical lesion. J Adv Res Biol Sci. 2013;6(1):63-7. Dandotikar D, Peddi R, Lakhani B, Lata K, Mathur A, Chowdary UK. Nonsurgical management of a periapical cyst: a case report. J Int Oral Health. 2013;5(3):79-84. Calişkan MK. Prognosis of large cyst-like periapical lesions following nonsurgical root canal treatment: a clinical review. Int Endod J. 2004;37(6):408-16.  Kanmaz F, Altunbaş D, Zan R, Akpınar KE. Nonsurgical endodontic treatment of a large periradicular lesion. Turk Endod J. 2017;2(1):21–4. Öztan MD. Endodontic treatment of teeth associated with a large periapical lesion. Int Endod J. 2002;35(1):73–8. Barroso JAY, Uchimura JYT, Endo MS, Pavan NNO, Queiroz AF. Avaliação in vitro da influência da lima patência na manutenção do comprimento de trabalho. Rev Odontol UNESP. 2017;46(2):72-6. Madhusudhana K, Surada R, Kumar CS, Lavanya A. Non-surgical management of a large periapical lesion: a case report. Ann Essences Dent. 2017;9(2):22-5. Soares J, Santos S, Silveira F, Nunes E. Nonsurgical treatment of extensive cyst-like periapical lesion of endodontic origin. Int Endod J. 2006;39(7):566-75. Mohammadi Z, Shalavi S, Yazdizadeh M. Antimicrobial activity of calcium hydroxide in endodontics: a review. Chonnam Med J. 2013;48(3):133-40. Estrela C, Bammann LL, Pimenta FC, Pécora JD. Control of microorganisms in vitro by calcium hydroxide pastes. Int Endod J. 2001;34(5):341-45. Soares JA, Brito-Júnior M, Silveira FF, Nunes E, Santos SMC. Favorable response of an extensive periapical lesion to root canal treatment. J Oral Sci. 2008;50(1):107-11.

scholarly journals Management of periradicular pathosis by single visit endodontic treatment using calcium hydroxide and mineral trioxide aggregate based sealer

2020 ◽  
Vol 10 (2) ◽  
pp. 10-13
Author(s):  
Md Abdul Hannan Sheikh ◽  
Eyad Al Khalifa ◽  
Mozammal Hossain ◽  
Md Faruk Hossain ◽  
Nazneen Karim ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Statistical Methods ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Radiological Evaluation ◽  
Root Canal Therapy ◽  
Radiological Investigation ◽  
Single Visit

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

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