scholarly journals “Improving endodontic treatment of chronic apical periodontitis with the use of depo of ipexpress and physiotherapy method of fluctuorization”.

2020 ◽  
Vol 3 (9) ◽  
pp. 224-228
Author(s):  
H. H. Hоjiev ◽  
N.N.Xabibova
Keyword(s):  
Clinical Practice ◽  
Dental Treatment ◽  
Endodontic Treatment ◽  
Canal System ◽  
High Quality ◽  
X Ray ◽  
Root Canals ◽  
Unsuccessful Treatment ◽  
Root Canal System ◽  
Modern Technologies

In recent years, our country has seen positive trends in improving the effectiveness of endodontic dental treatment due to the introduction of modern technologies that allow predicting the results of dental treatment. However, in clinical practice, the number of unsuccessful treatment outcomes for caries complications has not decreased. It is known that the key to the effectiveness of endodontic treatment is the "three whales": cleaning, sterilization and obturation of the root canal system. However, at each stage of endodontic treatment, a significant number of errors are obtained. Thus, according to x-ray examination, it was found that only in 13.4% of cases the root canals were filled satisfactorily. But even with high-quality obturation, in 5-8% of cases, there is inflammation in the periodontium.

scholarly journals Assessment of the results of endodontic treatment of teeth

2020 ◽  
Vol 18 (1) ◽  
pp. 27-30
Author(s):  
S. N. Razumova ◽  
A. S. Brago ◽  
Haydar Barakat ◽  
L. M. Khaskhanova ◽  
R. M. Bragunova
Keyword(s):  
Root Canal ◽  
Endodontic Treatment ◽  
Canal System ◽  
High Quality ◽  
Endodontically Treated Teeth ◽  
Root Canals ◽  
Mandibular Molars ◽  
Dental Patient ◽  
Manual Skills ◽  
Root Canal System

The success of endodontic treatment depends on many factors. The most important of them are the knowledge and manual skills of the dentist.Materials and methods. We analyzed the condition of teeth after endodontic treatment in 300 patients aged 20 to 70 years. Were studied 300 images of CBCT, the number of treated teeth and the number of cases of unsuccessful endodontic treatment was analyzed.Results. According to CBCT data, high-quality obturation of the root canal system was observed in 1335 (75%) endodontically treated teeth. The reasons for successful endodontic treatment are under-sealing of the root canal (16%), removal of material beyond the apex (5.6%), and missed root canals (3.4%).Conclusion. Clinical dental patient examination revealed that maxillary and mandibular molars most often undergo endodontic treatment.

Modern aspects of internal canal disinfection in treatment of complicated forms of caries

2021 ◽  
Vol 43 (3-4) ◽  
pp. 79-82
Author(s):  
O. V. Patalakha ◽  
◽  
S .I. Boitsaniuk ◽  
Keyword(s):  
Drug Treatment ◽  
Root Canal ◽  
Antimicrobial Agents ◽  
Dental Treatment ◽  
Periodontal Diseases ◽  
Endodontic Treatment ◽  
Long Term Results ◽  
Canal System ◽  
High Quality ◽  
Root Canal System

The widespread prevalence of pulp and periodontal diseases indicates the need for continuous improvement of the method of endodontic treatment and determines the relevance of the development of new methods of complex therapy. The primary etiologic agents of apical periodontitis are microorganisms and their by-products that have invaded the pulpal space and established multispecies biofilm communities in the root canal system. Biofilms are involved in all stages of root canal infection and can be found on root canal walls, in dentinal tubules, and on extraradicular surfaces. The success of endodontic dental treatment is determined by careful mechanical processing using modern instruments, drug treatment and subsequent three-dimensional hermetic obturation of the root canal. Only a high-quality and optimal solution to the three problems allows you to achieve high-quality long-term results of treatment. Instrumentation disrupts biofilms which colonize infected soft and hard tissues and provides access for irrigation and exposure to antimicrobial solutions for disinfection of the root canal system. Disinfection is achieved by the use of both antimicrobial agents and the mechanical flushing action of irrigation, with the goal being the disruption, displacement and removal of pulpal remnants, microorganisms, metabolic byproducts, debris and the smear layer created during instrumentation. The multistage, duration and laboriousness of drug treatment of root canals makes it not always effective, which can subsequently cause unsuccessful endodontic treatment. A practicing dentist should be able to rationally and efficiently utilize standard disinfection protocols in the irrigation and medication of root canal spaces.

A CLINICAL EXAMPLE OF THE USE OF A HYDROKINETIC LASER WATERLASE IPLUS WITH A WAVELENGTH OF 2780 NM IN THE TREATMENT OF PURULENT PULPITIS

2021 ◽  
pp. 214-219
Author(s):  
Polevaya A.V. ◽  
Borisova E.G. ◽  
Polevaya L.P.
Keyword(s):  
Endodontic Treatment ◽  
Long Term Results ◽  
Canal System ◽  
Treatment Protocols ◽  
X Ray ◽  
Root Canals ◽  
Periodontal Tissues ◽  
Irrigation Solution ◽  
Root Canal System

The article presents a clinical example demonstrating the tactics of using the hydrokinetic Er, Cr:YSGG laser Waterlase Iplus with a wavelength of 2780 nm in the treatment of purulent pulpitis. The authors were faced with the task of showing the elimination of microorganisms in the treatment of purulent pulpitis, as well as the long-term results of endodontic treatment, using a specific clinical example. Objective is to describe the clinical features and effectiveness of the use of the hydrokinetic Er, Cr:YSGG Waterlase Iplus laser with a wavelength of 2780 nm in the treatment of purulent pulpitis. The patient was treated in one visit, aqua destillata was used with irrigation solution, the root canals of the teeth were sterilized with a hydrokinetic Er, Cr:YSGG laser Waterlase Iplus with a wavelength of 2780 nm with the parameters: power-1.5 W, frequency-40 Hz, air-35%, water-25%. Bacteriological examination after mechanical and laser treatment showed antibacterial decontamination of the root canal system of the tooth. According to the X-ray examination, 6 months after the treatment, there was no inflammatory process in the periodontal tissues. The use of a hydrokinetic Er, Cr: YSGG laser with a wavelength of 2780 nm in the treatment of complicated forms of dental caries is a reliable alternative to traditional endodontic treatment protocols, allowing you to reduce the amount of irrigation solutions used, intra-channel pastes, as well as initiate faster rehabilitation of patients after treatment.

scholarly journals FREQUENT PROCEDURAL ERRORS AND STRUCTURAL COMPLICATIONS ON ENDODONTICAL TREATED TEETH

2021 ◽  
Vol 67 (2) ◽  
pp. 101-106
Author(s):  
Sanziana Adina Scarlatescu ◽  
◽  
Irina Gheorghiu ◽  
George Nicola ◽  
Andrei O. Al Aloul ◽  
...  
Keyword(s):  
Root Canal ◽  
Technological Progress ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Canal System ◽  
Root Canals ◽  
Hard Tissues ◽  
Root Canal System

The objectives of root canal treatment are to prevent the apical parodontitis, to heal the acute or cronic apical periodontits and to maintain the results, keeping the teeth on the arch in a functional stage. Thus, accuratelly elimination of soft and hard tissues (cleaning and shaping of the root canal system), disinfection and complete, homogeneous and tridimensional filling of the root canal system are very important to successful endodontic treatment. Modern concepts in endodontic treatment rely on technological progress and therefore many cases are successfully fulfilled, but the practitioner may be put in front of procedural erorrs both during and after endodontic treatment. Apical blockage, ledging, zipping, stripping, perforations in the floor of the pulp canal chamber or root canals perforations are the most common errors, but in many clinical situations they can be prevented and even surpassed once happened.

scholarly journals Endodontic therapy of a mandibular premolar with three root canals: Two case reports

2010 ◽  
Vol 57 (3) ◽  
pp. 163-169
Author(s):  
Jugoslav Ilic ◽  
Mirjana Vujaskovic ◽  
Ruzica Nedeljkovic
Keyword(s):  
Root Canal ◽  
Case Reports ◽  
Accurate Diagnosis ◽  
Endodontic Treatment ◽  
Canal System ◽  
Therapeutic Challenge ◽  
Root Canals ◽  
Root Canal System ◽  
Preoperative Radiograph ◽  
Canal Morphology

The most important requirements for successful endodontic treatment are accurate diagnosis and good knowledge of canal morphology. A mandibular second premolars rarely have more than one root and one root canal. Data from the literature indicate low percentage of a mandibular premolars with three or more root canals. Unusual morphology of the root canal system is diagnostic and therapeutic challenge. It is very important to analyze preoperative radiograph and to explore thoroughly the entrance of the root canal. The aim of this study was to present two patients who had lower second premolars with three canals that required endodontic therapy.

scholarly journals Management of Mandibular Lateral Incisor with Two Roots: a Case Report

2016 ◽  
Vol 5 (1) ◽  
pp. 1093 ◽  
Author(s):  
Pardeep Mahajan ◽  
Ruma Grover ◽  
Shikha Baghi Bhandari ◽  
Prashant Monga ◽  
Vanita Keshav
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Lateral Incisor ◽  
Successful Outcome ◽  
Filling Material ◽  
Canal System ◽  
Root Canals ◽  
Root Canal System

Successful outcome of endodontic treatment depends on the identification of all root canals which in turn guarantee complete extirpation of pulp tissue, proper chemo-mechanical cleaning and shaping and three dimensional obturation of the root canal system with an inert filling material. However endodontic treatment can fail for many reasons, such as diagnostic errors, persistence of the infection in the root canal system, errors in debridement and shaping of the root canal systems, instrument fractures, poor restorations and extra roots or canals if not detected are the reasons for failure. Undetected extra roots or root canals have been considered as a major reason for failure of root canal treatment. Many of the challenges faced during root canal treatment may be directly attributed to an inadequate understanding of the canal morphology of teeth. A broad knowledge of both the external and internal anatomy of teeth is of great importance for adequate endodontic treatment. We present a case report of 2 roots in mandibular lateral incisor.

scholarly journals Prevalence of Three-Rooted Mandibular First Molars among Indians Using SCT

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Amit Kumar Garg ◽  
Rajendra Kumar Tewari ◽  
Neha Agrawal
Keyword(s):  
Treatment Failure ◽  
Root Canal ◽  
Dental Treatment ◽  
Endodontic Treatment ◽  
Root Canals ◽  
Significant Difference ◽  
High Prevalence ◽  
Root Canal System ◽  
The Right ◽  
Mandibular First Molar

Undetected extra roots or root canals are a major reason for failure of endodontic treatment. Failure to recognize an extra distolingual (DL) root in mandibular first molar may lead to incomplete debridement of the root canal system and eventually treatment failure. Therefore, it is crucial that atypical anatomy is identified before and during dental treatment. Spiral computed tomography (SCT) images can show 3D images, and therefore much detail can be used when traditional methods prevent adequate endodontic treatment. The overall incidence of DL roots on the mandibular first molars was 6.40% for all patients and 5.00% for all teeth, respectively. The occurrence of DL roots on the right side and on the left side showed a statistically significant difference. The bilateral incidence of symmetrical distribution of DL roots was 56.25%. The DL root canal orifice was separated from DB canal orifice by2.79±0.34 mm, from the MB canal orifice by4.23±0.81 mm, and from the ML canal orifice by3.29±0.52 mm. The high prevalence of the DL root in permanent mandibular first molars among the Indian population by using SCT and estimations of the interorifice distance of such teeth might be useful for successful endodontic treatments.

scholarly journals Management of Six Root Canals in Mandibular First Molar

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Claudio Maniglia-Ferreira ◽  
Fabio de Almeida Gomes ◽  
Bruno Carvalho Sousa
Keyword(s):  
Root Canal ◽  
Clinical Case ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Canal System ◽  
Root Canals ◽  
Abnormal Morphology ◽  
Root Canal System ◽  
Mandibular First Molar

Success in root canal treatment is achieved after thorough cleaning, shaping, and obturation of the root canal system. This clinical case describes conventional root canal treatment of an unusual mandibular first molar with six root canals. The prognosis for endodontic treatment in teeth with abnormal morphology is unfavorable if the clinician fails to recognize extra root canals.

scholarly journals Determination of indications for the choice of the preparation method of the root canal system with rotation and reciprocation instruments

2020 ◽  
Vol 18 (1) ◽  
pp. 21-26
Author(s):  
I. V. Pyatkova ◽  
L. Yu. Orekhova ◽  
T. V. Porkhun ◽  
A. V. Silin
Keyword(s):  
Root Canal ◽  
Dental Treatment ◽  
Endodontic Treatment ◽  
Root Canal Preparation ◽  
Canal System ◽  
Cross Sectional ◽  
Root Canal System ◽  
Sectional Shape

Compliance with the algorithms of endodontic treatment in most cases ensures the quality of treatment. However, real, long-term and sometimes immediate results that occur in clinical practice are not always successful. In general, the main reason for the unfavorable outcome of dental treatment is an incomplete sanitation of the root canal system. Modern publications by J. F. Siqueira, I. N. Rocas, and D. Ricucci (2019) note that many issues of endodontic treatment are unresolved. It follows that improving the quality of endodontic treatment is still relevant.Aim. To compare two systems of instruments for root canal preparation with different types of rotation.Materials and methods. To identify a tool that will increase the efficiency of root canal preparation, taking into account their anatomy using CBCT, 24 teeth were removed, taken according to orthodontic or pristidintic indications, without previous endodontic treatment. Among them there were 2 incisors, 1 canine, 6 premolars, 15 molars. In total, 60 canals were examined.Results. The shape changes throughout the canal, turning into a round, oval, slit-like, complementing the configuration by the isthmuses between the canals in 13.3% of cases. WaveOne Gold showed a change in cross-sectional shape after preparation, while ProTaper Universal retained a rounded section of 6.67% after preparation of the slit-like channels.Conclusion. Identified priority technique of root canal preparation, allowing to reduce the number of instruments and, as a consequence, the possibility of technological failures in the root canal to reduce machining of the mouth of the channel, retaining dentine playing a major role in the further prosthesis and positive prediction of remote results.

scholarly journals COMPARATIVE STUDY OF ANTIBACTERIAL ACTIVITY OF PHOTOACTIVATED DISINFECTION WITH FOTOSAN AND STANDARD ENDODONTIC TREATMENT

2021 ◽  
Vol 27 (2) ◽  
pp. 3712-3717
Author(s):  
Tzvetelina Gueorgieva ◽  
◽  
Raina Gergova ◽  
Keyword(s):  
Antibacterial Activity ◽  
Root Canal ◽  
Antimicrobial Effect ◽  
Complete Removal ◽  
Endodontic Treatment ◽  
Sodium Hypochlorite Solution ◽  
Canal System ◽  
Root Canals ◽  
Microbiological Sample ◽  
Root Canal System

Introduction: The purpose of endodontic treatment is to eliminate the bacterial infection in the root canal system and allow healing of apical periodontitis. Sometimes the anatomical complexity of the root canal system makes complete removal of bacteria almost impossible even if the conventional methods of chemo-mechanical debridement are performed strictly according to the protocol. So additional methods of root canal disinfection can be applied such as photoactivated disinfection (PAD). Purpose: The aim of our study was to compare the antibacterial activity of PAD with FotoSan, and conventional endodontic therapy in the treatment of infected root canals. Materials and methods: The study involved 36 teeth of patients who are diagnosed with pulp necrosis or with the periapical chronic periodontitis and require endodontic treatment and divided into two groups of 18 teeth each. The first microbiological sample was taken by placing a sterile paper point in the root canal, after endodontic access cavity preparation. All root canals are prepared by Protaper Universal rotary instruments (Maillefer Instruments SA, Ballaigues, Switzerland). In the first group, the disinfection of the root canals was made with photoactivated disinfection with FotoSan. In the second group was performed the endodontic treatment with the standard protocol of irrigation - 2.5% sodium hypochlorite solution and 17% EDTA. After that, the root canals are dried with sterile points, and a second microbiological sample is taken. Results: In all compared pairs, there was no significantly different effect regarding the number of microorganisms. Conclusions; The disinfection with NaOCl has the strongest antimicrobial effect in this study. Second place is occupied by PAD with FotoSan. We believe that the established antimicrobial effect of PAD make the method appropriate as complementary to routine endodontic treatment.

Sign in / Sign up

Export Citation Format

Share Document