scholarly journals Infection and microleakage the caused of endodontic failure

2008 ◽  
Vol 20 (1) ◽  
Author(s):  
Kurniasri Amas Achiar ◽  
Gantini Subrata
Keyword(s):  
Treatment Failure ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Pulp Tissue ◽  
Root Canal Filling ◽  
Root Canal Irrigants ◽  
The Mean ◽  
Apical Area ◽  
Temporary Filling

The success of endodontic treatment depends on the quality of endodontic treatment and the final restoration. The mean reason for endodontic treatment failure is usually microleakage. That is why it becomes one of the priorities for dental research to prevent microleakage. Infection during the root canal treatment can be prevented. First, by employing strict aseptic clinical techniques follows by cleaning all bacteria and preoperative necrotic pulp-tissue remnants from the root canal. Irrigants are essential in this phase. The shaping of the canal is also an important prerequisite for endodontic success. Removal of the smear layer can enhance seal ability. Second, obturation of the root canal should leave the tooth in the most biological inert condition possible, and it must prevent reinfection as well as the growth of any microorganisms remaining in the canal. The application of an antibacterial dressing between appointments is absolutely necessary or the root canal has to be obturated at the first appointment in order to deprive the microorganisms of nutrients and space to multiply. The temporary filling must be at least 3.5 mm thick. Failure occurs because of missed canals, iatrogenic events and radicular fractures have to be avoided. At the end, clinicians have to confirm that the root canal is cleaned and hermetically obturated because hermetic root canal filling will prevent the leakage of an irritant to the apical area.

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

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.

scholarly journals Technical Quality of Endodontic Treatment Performed by Underperforming Undergraduate Dental Students

2021 ◽  
pp. 276-282
Author(s):  
Abeer A. Mokeem Saleh ◽  
Hadeel Y. Edrees
Keyword(s):  
Undergraduate Students ◽  
Root Canal ◽  
Descriptive Analysis ◽  
Root Apex ◽  
Dental Students ◽  
Endodontic Treatment ◽  
Technical Quality ◽  
Root Canal Filling ◽  
Underperforming Students

Objectives: This study aimed to evaluate the technical quality of root canal treatment performed by fifth-year underperforming students, in the extra sessions of the 2018–2019 academic year. Methods: Periapical radiographs of teeth endodontically treated by underperforming undergraduate students at King Abdulaziz University Faculty of Dentistry, were collected. The quality of obturation was evaluated radiographically in relation to the length of obturation to root apex, homogeneity and density of obturation, root canal tapering, and incidence of mishaps (such as perforation, ledge, missed canal, separated instruments). The data were subjected to descriptive analysis. Results: The periapical radiographs of 70 treated teeth showed acceptable length, filling density and root canal taper in 96 (80%),50 (41.7%) and 66 (55%) root canals, respectively. Only four teeth were subjected to mishaps. Conclusion: Under the circumstances of this study, the quality of endodontic treatment performed by underperforming students at the extra session was low. More studies are needed to address the student underperformance source and hence amend the quality of root canal filling. 

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

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.

scholarly journals Incidence and quality of root canal fillings in undergraduate dental students

2019 ◽  
Vol 67 ◽  
Author(s):  
Beethoven Estevão COSTA ◽  
Giovanna Morais de LIMA ◽  
Stéphanie Quadros TONELLI ◽  
Eduardo NUNES ◽  
Frank Ferreira SILVEIRA
Keyword(s):  
Root Canal ◽  
Dental Students ◽  
Endodontic Treatment ◽  
High Quality ◽  
Root Canal Filling ◽  
Periapical Lesions ◽  
Root Canals ◽  
Low Prevalence

ABSTRACT Objective: The purpose of this study was to evaluate the incidence of endodontic treatment and the quality of root canal fillings in Brazilian undergraduate dental students. The study was similar those conducted 10, 20, 30, and 40 years earlier. Methods: A total of 407 undergraduate dental students were evaluated by using questionnaires to identify endodontic treatments, with each treatment being radiographed for the analysis of the presence of a periapical radiolucency and the quality of the root canal filling. Results: Forty root canal fillings were found: 32 (80%) completely filled, seven (17.5%) incompletely filled, and one (2.5%) overfilled. Conclusion: This study showed a low prevalence of endodontic treatment in dentistry students, and the evaluated root canals that were filled were high quality, with few cases suggesting periapical lesions.

scholarly journals Quality of Endodontic Treatment and Prevalence of Apical Radiolucencies in a Bulgarian Subpopulation: a CBCT Analysis

Folia Medica ◽  
2021 ◽  
Vol 63 (1) ◽  
pp. 81-87
Author(s):  
Teodora Karteva ◽  
Neshka A. Manchorova-Veleva ◽  
Ekaterina Karteva ◽  
Donka Keskinova ◽  
Petya Kanazirska ◽  
...  
Keyword(s):  
Root Canal ◽  
Scoring Systems ◽  
Diagnostic Techniques ◽  
Poor Quality ◽  
Endodontic Treatment ◽  
Endodontically Treated Teeth ◽  
Root Canal Filling ◽  
Periapical Disease ◽  
Cbct Analysis

Introduction: The advent of Cone Beam Computed Tomography (CBCT) in endodontics has enhanced the diagnosis of periapical radiolucencies and the assessment of endodontically treated teeth.&nbsp; Aim: The purpose of this study was to assess the prevalence of periapical radiolucencies in a Bulgarian subpopulation and the quality of previous endodontic treatment using CBCT scans. Materials and methods: This study included 2795 roots from 160 Large FOV CBCT which were evaluated by two independent examiners using two scoring systems: CBCT-PAI and PESS.&nbsp; Results: The inter-examiner agreement spanned from strong to almost perfect (0.892 and 0.983). The prevalence of periapical lesions according to the two scoring systems was 23.1% and 12.9 %, respectively. The prevalence of endodontically treated teeth was high (34.1%). Sixty-five percent of them presented with signs of periapical radiolucencies, while only 1.4% of all non-treated roots had a periapical lesion. A significant association between periapical disease, poor quality of the root canal filling and inadequate coronal seal was found (p<0.001).&nbsp; Conclusions: The prevalence of periapical disease in endodontically-treated teeth in the Bulgarian subpopulation was high. Poor qual-ity of the root canal filling and inadequate coronal seal were assessed as prognostic determinants of treatment failure. CBCT techniques can augment conventional diagnostic techniques in the field of endodontics.&nbsp;

scholarly journals Endodontic treatment failure caused by arsen utilization as the devitalization material

2008 ◽  
Vol 20 (2) ◽  
Author(s):  
Endang Sukartini ◽  
Kurniasri Darliana
Keyword(s):  
Treatment Failure ◽  
Toxic Effect ◽  
Arsenic Trioxide ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Gingival Tissue ◽  
Pulp Tissue

Root canal treatment diagnoses as pulpitis irreversible can be treated in a non-vital condition with devitalization material. Arsenic is one of devitalization material that used in inflammatory pulp tissue before it is going to endodontic treatment. The long-term use of it or the leak of using this arsenic can cause the toxic effect of the pulp tissue. The case is going to report is about the damage of gingival tissue and alveolar that caused by the uncarefullness using of arsenic. Inappropriate arsenic applications cause the leak that able to spread to gingival tissue and will become necrosis. Now a day, the using of arsenic begin to leave because of the toxicity sad effect. This report is going to report how much the damage using arsenic trioxide (As2O3) and the effort from the leakness.

scholarly journals Persistence of bacteria and its role in endodontic treatment failure

2021 ◽  
Author(s):  
Maha Ali Abdulwahab ◽  
Dalia Mansour Almotairi ◽  
Bander Faisal Aldawish ◽  
Sultan Rashed Alluqmani ◽  
Abdulmajeed Abdulhadi Dajam ◽  
...  
Keyword(s):  
Treatment Failure ◽  
Virulence Factors ◽  
Root Canal ◽  
Bacterial Infections ◽  
Potential Role ◽  
Endodontic Treatment ◽  
Bacterial Persistence ◽  
Root Canal Filling ◽  
Area Of Interest

Bacterial persistence has been reported to play critical roles in endodontic treatment failure, which attribute to deficient root canal filling and inadequate chemomechanical preparation. The persistence of bacteria to the different eradication approaches during endodontic treatment has been an area of interest in the field of dentistry due to the different roles by which these bacteria might impact endodontic treatment and can even lead to treatment failure. The present investigation provides evidence regarding the persistence of bacteria and its role in the failure of endodontic treatment. At first, we provided an overview of the potential role that bacterial infections might play in endodontic treatment and how the outcomes can be potentially impacted. Then, we discussed the virulence factors that help the different organisms to persist against the different eradication approaches, which can finally lead to the development of endodontic treatment failure. Our findings show that E. faecalis is the most prevalent bacteria causing endodontic treatment failure. However, many studies have reported that other bacteria and pathogens might also be prevalent and exceed the rate of E. faecalis. This indicates the importance of detecting appropriate biofilms to adequately eradicate the underlying pathogens and enhance the treatment and prognostic outcomes.

scholarly journals CAUSES OF ROOT CANAL TREATMENT FAILURE

2021 ◽  
pp. 42-44
Author(s):  
Nadia Rasool ◽  
Sneha Mariam Lal ◽  
S Vidhyadhara Shetty
Keyword(s):  
Treatment Failure ◽  
Root Canal ◽  
Clinical Symptoms ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Root Canal Filling ◽  
Dental Practitioners ◽  
Common Causes ◽  
Conservative Dentistry ◽  
The Common

The aim of this study was to determine different causes of endodontic treatment failure in patients who approached our Department of Conservative Dentistry and Endodontics for re- treatment.This study included one hundred fifty patients of both genders with different post endodontic treatment complaints.Clinical and radio- graphic examination was used to confirm treatment failure. The most common clinical symptoms were tenderness, tenderness and pain, or swelling (72%, 29.3% and 22.7% respectively). The common causes of endodontic treatment failure were poorly filled (40%), under filled (34.7%) and no root canal filling (17.3%).Root canal failure due to overfilling was 5.3%.Most of these failed cases were either treated by internees (House officers) in the teaching institutes (34.7%) or general dental practitioners (57.3%).

scholarly journals Status of Endodontic Treatment and the Correlations to the Quality of Root Canal Filling and Coronal Restoration

2016 ◽  
Vol 17 (10) ◽  
pp. 830-836 ◽  
Author(s):  
Alex Semenoff-Segundo ◽  
Milton C Kuga ◽  
Mateus R Tonetto ◽  
Fabio M Pedro ◽  
ATC Marques ◽  
...  
Keyword(s):  
Root Canal ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Endodontic Treatment ◽  
Root Canal Filling ◽  
Cross Sectional ◽  
Treatment Frequency ◽  
Significance Level ◽  
Significant Difference

ABSTRACT Introduction This cross-sectional study evaluated the prevalence and quality of root canal treatment in 1,977 digital radiological files. Materials and methods Data were statistically analyzed using descriptive analysis, and the chi-square test was performed with a 5% significance level. Results The mean age of the study population was 34.9 years. The endodontic treatment frequency was 6.14%, significantly higher in premolars. Adequate endodontic treatment was observed in 39.7% of analyzed cases. Molars were significantly more frequent with regard to inadequate filling quality. In 47.6% of cases, the filling's apical limit was classified as adequate, and there was a higher incidence of molars that were inadequate. Restorations were classified as adequate in 79.0% of cases, and molars were responsible for the highest frequency of inadequate restorations. The frequency of teeth with endodontic treatment that showed no periapical changes was 47.7%. There was no significant difference in the presence of periapical change according to gender. An increased presence of periapical change was observed with increasing age. The periapical lesions were observed in 45% of cases and related to inadequate filling quality. The apical limit was considered inadequate and related to periapical changes in 42% of cases. Periapical changes were present in 52% of cases, regardless of the quality of the filling and apical limit. Such changes were present in 42% of cases with adequate coronal restoration. Conclusion It can be concluded that apical periodontitis (AP) is associated with the quality of endodontic treatment. The coronal restoration affects significantly the success rate of endodontic treatment. Clinical significance The quality of the root filling and coronal restoration is closely related to periapical health. How to cite this article Pedro FM, Marques ATC, Pereira TM, Bandeca MC, Lima SNL, Kuga MC, Tonetto MR, Semenoff- Segundo A, Borges AH. Status of Endodontic Treatment and the Correlations to the Quality of Root Canal Filling and Coronal Restoration. J Contemp Dent Pract 2016;17(10):830-836.

Evaluation of Quality of Root Canal Fillings Performed by Undergraduate Students of a Brazilian University / Avaliação da qualidade da obturação do canal radicular realizada por estudantes de graduação de uma Universidade brasileira

2021 ◽  
Vol 4 (5) ◽  
pp. 18964-18975
Author(s):  
Ana Lia Campos Fritz ◽  
Francisco Carlos Ribeiro ◽  
Juliana Machado Barroso Xavier ◽  
Claudia Mendonça Reis ◽  
Cristina Demuner ◽  
...  
Keyword(s):  
Statistical Analysis ◽  
Undergraduate Students ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Chi Square ◽  
Root Canal Filling ◽  
Significance Level ◽  
Tooth Type ◽  
Chi Square Tests

The aim of this study was to evaluate the quality of root canal filling performed by undergraduate students at the Federal University of Espirito Santo (UFES). A total of 368 periapical radiographs of endodontic treatment performed by undergraduate students between 2012 and 2014 was assessment. The quality of root canal filling was based on two criteria: length of root canal filling and adequate density of the obturation. Root canal fillings were considered adequate if had no voids and were located at 0-2 mm below the radiographic apex. Statistical analysis was conducted using chi-square tests, with a 5% significance level. In 93.8% of the cases the root canal filling was considered adequate. The density of the obturation was considered inadequate in 3% of the cases. When the length of root canal filling was observed, 1.2% of cases were considered as over-filled and 2.2% were considered under-filled. Non-significant differences were observed among the tooth type (incisive, canines and pre-molars) and the quality of root canal filling. Most of root canal filling performed by undergraduate students at the UFES were considered adequate, regardless of tooth type.

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