scholarly journals Boon and bane of various Intracanal medicaments in modern endodontics - A review

2020 ◽  
Vol 11 (SPL4) ◽  
Author(s):  
Arjun Hedge ◽  
Ganaraj Shetty ◽  
Akshatha G. Kamath
Keyword(s):  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Tissue Formation ◽  
Hard Tissue ◽  
Root Canal Therapy ◽  
Dentinal Tubules ◽  
Mechanical Preparation ◽  
Micro Organisms

Eradication of the micro-organisms from the root canal is one of the prime concerns for endodontic treatment. This procedure can fail because of the survival of resistant micro-organisms in the dentinal tubules. Non-toxic Intracanal medicaments can destroy bacteria, reduce inflammation, and stimulate hard tissue formation, which can be useful in achieving the success of root canal treatment after the accomplishment of chemo-mechanical preparation. Comprehensive research is essential to identify a suitable intracanal medicament. Therefore, this article aims to give a brief review to the clinicians about the most common Intracanal Medicaments in use that have evolved from the time of inception until the recent years which can be used during the root canal therapy that would fulfil their need & requirement.

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

scholarly journals Retrospective Assessment of Healing Outcome of Endodontic Treatment for Mandibular Molars with C-shaped Root Canal

2017 ◽  
Vol 18 (7) ◽  
pp. 591-595
Author(s):  
Kishore Kumar Majety ◽  
Basanta Kumar Choudhury ◽  
Anika Bansal ◽  
Achla Sethi ◽  
Jaina Panjabi
Keyword(s):  
Root Canal ◽  
Healing Process ◽  
Complete Healing ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Pulp Tissue ◽  
Root Canal Therapy ◽  
Root Canals ◽  
Mandibular Molars ◽  
Retrospective Assessment

ABSTRACT Introduction A thorough knowledge of the anatomic morphology of the root canal system is necessary for the long-term success of the root canal therapy. The occurrence of C-shaped root canal configuration is one such variation. Achievement of favorable prognosis after commencing root canal therapy in such teeth is one of the challenges imposed on the endodontist. Hence, we evaluated the healing occurring after endodontic therapy in patients with C-shaped root canals in mandibular molars. Materials and methods The present study was conducted in the Department of Conservative Dentistry of the institution and included assessment of all the patients who underwent root canal treatment of the mandibular first and second molars. Endodontic therapy was performed in all the cases by experienced endodontist. Final postoperative radiographs were taken. Recording of the data of the personal and clinical details of a total of 250 patients was done. All the clinical and radiographic details of the patients, such as tooth location in the jaw, presence or absence of C-shaped canals, status of the pulp tissue, presence or absence of the fractures, and other details of the patients were recorded. Radiographic and clinical examination of the tooth of the patients was done during the baseline visit and further during the follow-up visits. The presence of C-shaped root canals was confirmed using the radiographs. Periapical index (PI) scoring system was used. Categories defined for enlisting the healing after the root canal treatment with the assessment of the PI score. All the results were analyzed by Statistical Package for the Social Sciences software. Results Vital pulp tissue was encountered in majority of the cases. C-shaped root canal configuration was observed in 40% of the cases included in the present study. After completion of the endodontic therapy, complete crown placement was done in only 22% of the cases. In cases of vital teeth with C-shaped root canals configuration, most of the teeth showed complete healing. Significant results were obtained while comparing the complete coverage crown parameter in relation to the healing process in teeth with C-shaped root canals. Conclusion In the present study, no significant effect of the C-shaped root canal configuration was found on the healing rate of the endodontic therapy in mandibular molars. Clinical significance Meticulous endodontic therapy with special techniques should be done while preparing teeth with C-shaped root canals. How to cite this article Bansal A, Parihar AS, Sethi A, Majety KK, Panjabi J, Choudhary BK. Retrospective Assessment of Healing Outcome of Endodontic Treatment for Mandibular Molars with C-shaped Root Canal. J Contemp Dent Pract 2017;18(7):591-595.

scholarly journals Knowledge and Awareness of root canal therapy for population in Saudi Arabia: A questionnaire-based study

2018 ◽  
Vol 5 (2) ◽  
pp. 3560-3564 ◽  
Author(s):  
Zeeshan H Ahamed ◽  
Abdulaziz Alwakeel ◽  
Abdulelah Alrshedan ◽  
Fahad Altimsah
Keyword(s):  
Saudi Arabia ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Saudi Population ◽  
Root Canal Therapy ◽  
Cross Sectional ◽  
The Past

Objective: The present study was planned with an aim to evaluate the knowledge and awareness regarding root canal treatment in a sample of Saudi population. Material and methods: A cross-sectional questionnaire-based survey was conducted among a sample of participants in the Saudi population. Participants were asked questions to assess their knowledge about endodontic treatment. Results: A total of 568 patients (343 males and 225 females) participated in the study. When the patient’s responses were analyzed regarding endodontic treatment, it was found that 68.55 % of participants had a good experience of root canal treatment in the past. 27.9% of the respondents describe their knowledge of root canal treatment as average. Spontaneous toothache was considered the most important factor to seek endodontic treatment in majority (40.1%) of the participants and 86.6% of the participants preferred a specialist to undergo a root canal treatment. Conclusion: Pain associated with root canal treatment was the most important factor that dithered the surveyed participants from root canal treatment. The results of the survey reveal an improvement of knowledge and awareness of patients about root canal treatment

scholarly journals Treatment of Necrotic Calcified Tooth Using Intentional Replantation Procedure

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Nima Moradi Majd ◽  
Armita Arvin ◽  
Alireza Darvish ◽  
Sareh Aflaki ◽  
Hamed Homayouni
Keyword(s):  
Clinical Sign ◽  
Root Canal ◽  
Root Apex ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Original Position ◽  
Root Canal Therapy ◽  
Cem Cement ◽  
Teeth Extraction

Introduction. If the teeth are impacted by a chronic irritant, the pulp space possibly will undergo calcific changes that may impede access opening during root canal treatment. In such cases that conventional endodontic treatment is impossible or impractical, intentional replantation may be considered as a last solution to preserve the tooth.Methods. After failing to perform conventional root canal therapy for a necrotic calcified right mandibular second premolar, the tooth was gently extracted. The root apex was resected and the root end cavity was prepared and filled with calcium enriched mixture (CEM) cement. Then, the extracted tooth was replanted in its original position.Results. After a year the tooth was asymptomatic, and the size of periapical radiolucency was remarkably reduced and no clinical sign of ankylosis was observed.Conclusion. Intentional replantation of the necrotic calcified teeth could be considered as an alternative to teeth extraction, especially for the single-rooted teeth and when nonsurgical and surgical endodontic procedures seem impossible.

scholarly journals Patients’ awareness and knowledge of the root canal treatment in Saudi population: survey-based research

2017 ◽  
Vol 5 (2) ◽  
pp. 89 ◽  
Author(s):  
Mazen Doumani ◽  
Adnan Habib ◽  
Nashwan Qaid ◽  
Saleem Abdulrab ◽  
Ahmad Reda Bashnakli ◽  
...  
Keyword(s):  
Root Canal ◽  
Population Survey ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Saudi Population ◽  
Important Concern ◽  
Treatment Knowledge ◽  
Multiple Choice Questionnaire

Endodontics is a profession based on the work with other people so several factors should be considered during clinical decision-making process.Objective: The aim of this study was to evaluate the knowledge and awareness of patients in a sample of Saudi population regarding endodontic treatment.Methods: multiple-choice questionnaire regarding knowledge and awareness of root canal treatment distributed to 227 patients, the questionnaire comprised questions ranged from personal and social details to specific questions about endodontic treatment; the analysis of data was performed using methods of descriptive statistics.Results: The results shown that the strong spontaneous toothache was the most impact factor of the need for endodontic treatment in (53%) of respondents, (29%) of subjects do not know anything about root canal treatment, (47%) of respondents indicated that the pain was the most important concern associated with the root canal treatment.Conclusion: Toothache is the greatest motivation of patient to refer the dentist, and pain is the more important patients’ concerns associated with root canal treatment, knowledge and awareness of patients regarding root canal treatment is different among races and populations.

scholarly journals Endodontic Treatment of a Maxillary Central Incisor with Two Roots

2013 ◽  
Vol 14 (2) ◽  
pp. 345-347 ◽  
Author(s):  
Hamid Jafarzadeh ◽  
Amir Maghsoudlou ◽  
Maryam Forghani
Keyword(s):  
Root Canal ◽  
Healing Process ◽  
Endodontic Treatment ◽  
Clinical Report ◽  
Central Incisor ◽  
Root Canal Therapy ◽  
Maxillary Central Incisor ◽  
Root Canals ◽  
Dental Anatomy ◽  
Root Canal Morphology

ABSTRACT Aim This clinical report presents a rare case of maxillary central incisor with two separate roots. Background Unusual morphology of the roots and root canals may exist in any tooth. Recognition of the dental anatomy and its variations is necessary for successful endodontic therapy. It is well known that maxillary incisors are usually single-rooted teeth. Case report The root canals were instrumented with conventional hand files and Gates Glidden and obturated by using the lateral technique. Recall radiograph after 1 year shows the healing process of the preoperative apical periodontitis. Conclusion and clinical significance Clinicians should be aware of unexpected root canal morphology when performing root canal therapy. The present case demonstrated the importance of accurate preoperative radiograph and adequate access preparation. How to cite this article Maghsoudlou A, Jafarzadeh H, Forghani M. Endodontic Treatment of a Maxillary Central Incisor with Two Roots. J Contemp Dent Pract 2013;14(2):345-347.

The Efficiency of Endodontic Retreatment through Direct Crown Access

2017 ◽  
Vol 752 ◽  
pp. 35-40
Author(s):  
Mugur George Popescu ◽  
Diana Marian ◽  
Teodora Ștefănescu ◽  
Aurora Antoniac ◽  
Teodora Eva Lucaciu Lupulescu ◽  
...  
Keyword(s):  
Treatment Failure ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Direct Access ◽  
X Rays ◽  
Root Canal Therapy ◽  
Endodontic Microsurgery ◽  
Previous Therapy ◽  
First Choice ◽  
Endodontic Retreatment

Endodontic retreatment with direct crown access is the main choice in cases of endodontic treatment failure, even if the practitioner`s effort and duration is significantly greater compared with other procedures. The retreatment with crown access repeats root canal treatment through direct access at the level of tooth crown. The objective is to clean up the canal from irritant agents, such as microorganisms, surviving from the previous therapy or passed through afterwards. Thus, a treatment restart is in accordance with the logics of root canal therapy and is preferred at any time if possible. The aim of this study was to observe, over a 4-year span, the efficiency of endodontic retreatment with direct coronary approach. From 2012 to 2016, 148 patients, with ages ranging from 18 to 65 years, were retreated endodontically. All patients were included in a regular monitoring plan of 3 months and 1-year post treatment. X-rays were performed during these observations, assessed with Orstavik criteria (1991), each radiography having assigned a periapical index (PeriApical Index – PAI). In conclusion, this study confirms that first choice of retreatment in case of endodontic treatment failure is restarting of the retreatment with direct crown access (91% success rate), failure of which leads to a surgical approach using endodontic microsurgery techniques.

Successful Use of MTA Fillapex as a Sealant for Feline Root Canal Therapy of 50 Canines in 37 Cats

2020 ◽  
Vol 37 (2) ◽  
pp. 77-87
Author(s):  
Susan Thorne ◽  
Norman Johnston ◽  
Vicki J. Adams
Keyword(s):  
Root Canal ◽  
Root Resorption ◽  
Endodontic Treatment ◽  
Inert Material ◽  
Root Canal Therapy ◽  
Gutta Percha ◽  
Oral Pain ◽  
Single Cone ◽  
Pulp Exposure ◽  
Periapical Disease

Intentional or unintentional pulp exposure of cat canines can lead to periapical disease, osteomyelitis, and oral pain. Root canal therapy (RCT) allows the retention of cat canines with pulp exposure by removing the infected pulp and replacing it with an inert material. This study used MTA Fillapex™ as a root canal sealant with gutta percha single cone obturation in 37 cats (50 canine teeth). Roots were classified as “successful,” “no evidence of failure (NEF),” or “failed” at 6-month radiographic reviews. Therapy was considered “successful” if a preoperative periapical lucency had healed or not formed after treatment and any preoperative external inflammatory root resorption (EIRR) had stabilized without progression. Therapy was categorized as “NEF” if a periapical lucency had remained the same or decreased in size but not completely resolved and any preoperative EIRR had stabilized without progression. “Failed” if a periapical lucency had occurred or increased in size posttreatment or if EIRR had developed or progressed posttreatment. Thirty-two canine teeth (64%) were classified as “successful,” 14 canine teeth (28%) were classified as “NEF,” and 4 canine teeth (8%) were classified as “failed”. The study concluded that RCT using MTA Fillapex as a root canal sealant is a suitable endodontic treatment for fractured cat canines, especially those that are periodontally or endodontically challenged.

scholarly journals An Endodontic Enigma: A Case Report of External Inflammatory Root Resorption-2 years Follow up

2018 ◽  
Vol 10 (1) ◽  
pp. 37-39
Author(s):  
Shahnaz Sultana Beauty ◽  
Shahana Dastagir Sunny ◽  
Md Ali Asgor Moral ◽  
Md Shamsul Alam
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Root Resorption ◽  
Root Structure ◽  
Root Canal Therapy ◽  
Dentinal Tubules ◽  
Living Body ◽  
Subsequent Loss

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

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