Preference and Usage of Intracanal Medicaments during Endodontic Treatment - A Retrospective Study

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3583 ◽  
Author(s):  
Andreas Bartols ◽  
Bernt-Peter Robra ◽  
Winfried Walther

Background Reciproc instruments are the only contemporary root canal instruments where glide path preparation is no longer strictly demanded by the manufacturer. As the complete preparation of root canals is associated with success in endodontic treatment we wanted to assess the ability and find predictors for Reciproc instruments to reach full working length (RFWL) in root canals of maxillary molars in primary root canal treatment (1°RCTx) and retreatment (2°RCTx) cases. Methods This retrospective study evaluated 255 endodontic treatment cases of maxillary molars. 180 were 1°RCTx and 75 2°RCTx. All root canals were prepared with Reciproc instruments. The groups were compared and in a binary logistic regression model predictors for RFWL were evaluated. Results A total of 926 root canals were treated with Reciproc without glide path preparation. This was possible in 885 canals (95.6%). In 1°RCTx cases 625 of 649 (96.3%) canals were RFWL and in 2°RCTx cases 260 of 277 (93.9%). In second and third mesiobuccal canals (MB2/3) 90 out of 101 (89.1%) were RFWL with Reciproc in 1°RCTx and in the 2°RCTx treatment group 49 out of 51 cases (96.1%). In mesio-buccal (MB1) canals “2°RCTx” was identified as negative predictor for RFWL (OR 0.24 (CI [0.08–0.77])). In MB2/3 canals full working length was reached less often (OR 0.04 (CI [0.01–0.31])) if the tooth was constricted and more often if MB2/3 and MB1 canals were convergent (OR 4.60 (CI [1.07–19.61])). Discussion Using Reciproc instruments, the vast majority of root canals in primary treatment and retreatment cases can be prepared without glide path preparation.


2014 ◽  
Vol 26 (9) ◽  
pp. 992-995 ◽  
Author(s):  
Fanny López-Martínez ◽  
Gerardo Gómez Moreno ◽  
Patricia Olivares-Ponce ◽  
David Eduardo Jaramillo ◽  
José Eduardo Maté Sánchez de Val ◽  
...  

Author(s):  
Gayur Gafurovich Ashurov ◽  
S. M Karimov ◽  
Sh. D Mukhidinov

Beside 78 patients with endoperiapical pathology at the age from 20 to 50 years and senior organized retrospective study result of endodontic treatment of 87 teeth having 96 centers of periapical destruction. Patients were divided into 3 groups in depending of periapical resorbtion’s diameter: I group - 45 patients, beside which discovered centers periapical destruction by diameter from 1 before 3 mm; II group - 19 patients with centre of periapical bone resorbtion by diameter from 3 before 5 mm; III group - 14 patients with periapical centre destruction by diameter more than 5 mm.


2019 ◽  
Author(s):  
Thera Van Den Munckhof ◽  
Shanon Patel ◽  
Alix Davies ◽  
Erwin Berkhout ◽  
Federico Foschi ◽  
...  

Abstract Background: To investigate the changes of Schneider membrane thickness by CBCT pre and post root canal treatment, retreatment and pulp capping procedures. Methods: This retrospective study was conducted on CBCT scans of a patient population of Guy’s Hospital NHS Foundation Trust, London. Three groups of patients were studied: Group 1 consisted of patients referred for primary endodontic treatment; Group 2 for endodontic retreatment; Group 3 for indirect pulp capping procedures (serving as a control group). Follow up scans were carried out 1 year after treatment. Measurements were carried out on CBCT scans and data were analysed statistically by Wilcoxon Signed Rank Test. Linear regression was used to assess predictive parameters for membrane thickness. Results: A statistically significant reduction of the Schneider membrane thickness was observed one year after endodontic treatment and retreatment (P<0.05) but no significant reduction was observed after pulp capping procedures. Linear regression showed that age and gender were significant predictors influencing the Schneider membrane thickness. Conclusions: Within the limitations of this retrospective study, following root canal treatment and re-treatment a Schneiderian membrane thickness reduction occurred at 1-year follow-up. The removal of odontogenic infection following endodontic treatment may help reducing the thickness of the Schneider membrane. Trial registration: Ethical approval and registration were granted by the NRES London Bridge and Dulwich Research Ethics Committee. TRN NCT03055975


Author(s):  
Musab Hamed Saeed ◽  
Karrar Mohammed Hassan Hadi ◽  
Sarmad Basil Al-Chalabi ◽  
Zaid Mohammed Hassan Hadi ◽  
Mawada Hassan

Background: The internal anatomy is a complex system and root canal morphology varies between teeth, especially in maxillary second premolars. Objective: The purpose of this present study is to identify the variations in root and root canal morphology of the upper second premolar. Methods: A retrospective study on 197 maxillary second premolars, which have had an endodontic treatment in Ajman University in the Academic Year 2018/2019. Intraoral periapical (IOPA) radiograph was reviewed for identifying the number of root canals. Results: The incidence of two canals in the maxillary second premolars was very high 78.7%, and the internal anatomy is complex and highly variable. Conclusion: A straightforward message to the clinicians to be careful in their evaluation and to take care whenever an upper maxillary second premolar is to be treated endodontically.


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