scholarly journals LSTR 3 Mix MP Therapy and Conventional Root Canal Therapy: A comparative Clinical & Radiological Study for The treatment outcome of Irreversible Pulpitis In Permanent Tooth

2019 ◽  
Vol 9 (2) ◽  
pp. 20-26
Author(s):  
Shiren Sultana ◽  
Shamima Afroz ◽  
Fahd AA Karim ◽  
Nushrat Saki ◽  
Md Abdul Hannan Sheikh ◽  
...  
Keyword(s):  
Root Canal ◽  
Therapy Group ◽  
Permanent Tooth ◽  
Radiographic Examination ◽  
Root Canal Therapy ◽  
Radiographic Findings ◽  
Group I ◽  
Clinical And Radiological Outcome ◽  
Irreversible Pulpitis ◽  
Observation Period

Background: LSTR therapy is considered as one of the most widely accepted clinical procedure for the treatment of permanent tooth with irreversible pulpitis with minimum destruction of tooth tissue Objective: To evaluate the clinical and radiographic findings of permanent tooth with irreversible pulpitis by LSTR 3Mix MP therapy and compare with conventional root canal therapy. Methods: According to inclusion and exclusion criteria, a total of 40 teeth were enrolled in this study, out of which 20 teeth treated with LSTR 3Mix MP Therapy, (Group-I) and the remaining 20 teeth treated with conventional root canal therapy (Group-2). Clinical and radiological Follow up examinations were performed at 3, 6- and 12-months interval to investigate the incidence of postoperative pain, tenderness to percussion, swelling and periodical radiolucency, collected date was analyzed by using Statistical package for Social Science (SPSS) version 17. Statistical analysis was performed by Chisquare test to assess the difference between the clinical outcome of Group 1 and 2; a value of P<0.05 was considered as statistically significant. Results: At 3 months observation period, LSTR and Conventional root canal therapy showed 100% success rate in treating teeth with irreversible pulpits; neither pain nor any tenderness on percussion or post-operative swelling was observed. Radiographic examination also revealed no sign of radiolucent area. At 6 and 12 months following the completion of the treatment, except in one case in each observation period, there results were similar to that of 3 months. One LSTR (5%) and one conventional (5%) therapy reported pain, tenderness on percussion and swelling with peripical lesion. There were no statistical differences between the two groups (p>0.05). Conclusions: It can be concluded that LSTR 3 Mix MP Therapy proved to be effective in treating teeth with irreversible pulpitis; with similar clinical and radiological outcome to conventional root canal treatment within one-year observation period. Update Dent. Coll. j: 2019; 9 (2): 20-26

scholarly journals BiodentineTM Full Pulpotomy in Mature Permanent Teeth with Irreversible Pulpitis and Apical Periodontitis

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 720
Author(s):  
Xuan Vinh Tran ◽  
Lan Thi Quynh Ngo ◽  
Tchilalo Boukpessi
Keyword(s):  
Root Canal ◽  
Periodontal Ligament ◽  
Clinical Signs ◽  
Apical Periodontitis ◽  
Permanent Teeth ◽  
Definitive Treatment ◽  
Capping Agent ◽  
Root Canal Therapy ◽  
Pulp Capping ◽  
Irreversible Pulpitis

Vital pulp therapy, including direct pulp capping and partial and full pulpotomy, is primarily indicated for immature or mature permanent teeth with reversible pulpitis. Mature permanent teeth with irreversible pulpitis are frequently treated with root canal therapy. This report presents two cases of full pulpotomy using BiodentineTM in mature permanent teeth with irreversible pulpitis and acute apical periodontitis. The periapical radiograph illustrated a deep carious lesion extended to the pulp with apical radiolucency lesion or widened periodontal ligament space. Full pulpotomy with a tricalcium silicate-based cement was chosen as the definitive treatment. After decayed tissue excavation under a rubber dam, the exposed pulp tissue was amputated to the level of the canal orifice with a new sterile bur. BiodentineTM was applied as the pulp capping agent after hemostasis was obtained and for temporary restoration. The clinical signs disappeared quickly after the treatment. After one month, the coronal part of the temporary restoration was removed, and a composite resin was placed over the capping agent as a final restoration. At two-year follow-ups, the teeth were asymptomatic. Radiographs showed healing of the periapical lesion and periodontal ligament. BiodentineTM full pulpotomy of mature permanent teeth with irreversible pulpitis and apical periodontitis can be an alternative option to root canal therapy.

scholarly journals Endodontic treatment of mandibular canine with two canals

2020 ◽  
Vol 11 (2) ◽  
pp. 183-187
Author(s):  
Dajana Nogo-Živanović ◽  
Dragan Ivanović ◽  
Tanja Ivanović ◽  
Marina Radanović ◽  
Biljana Vasiljević ◽  
...  
Keyword(s):  
Root Canal ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Canal System ◽  
Root Canal Therapy ◽  
Case Presentation ◽  
Morphological Variations ◽  
Root Canals ◽  
Mandibular Canine ◽  
Low Incidence

Introduction. Success in endodontic treatment depends upon the clinician's knowledge and ability to recognize and diagnose the presence of anatomical and morphological variations of the root and canal system. Mandibular canines are usually recognized as having one root and one root canal. In spite of the low incidence of mandibular canines with one root and two canals, their appearance should not be neglected due to the fact that the presence of a second canal in these teeth leads to difficulties in endodontic treatment. The aim of this case report is to describe mandibular canine with two root canals. Case presentation. 45-year-old patient presented for medical care due to the pain in a lower right canine. Clinical and radiographic examination revealed composite filling and caries with periapical radiolucent area and sensitivity to percussion in the mandibular right canine. By careful evaluation of the diagnostic radiology, it was observed that the mandibular canine had two canals. The patient was diagnosed with acute apical periodontitis and root canal therapy was given following the standard protocols. Conclusion. Although the prevalence of two canals in mandibular canine is low, the clinician should always be mindful of variations in the number of canals for appropriate therapeutic management.

scholarly journals Effectiveness of Single Dose Premedication of Piroxicam and Prednisolone on Post Endodontic Pain in One Visit Root Canal Treatment: A Randomized Trial

2021 ◽  
Author(s):  
ANUM TANWIR ◽  
SHAHBAZ AHMED ◽  
HIRA AKHTAR ◽  
UMAIR WAHID ◽  
MARIA SHAKOOR ◽  
...  
Keyword(s):  
Single Dose ◽  
Pain Intensity ◽  
Root Canal ◽  
Trial Registration ◽  
Root Canal Treatment ◽  
Repeated Measure ◽  
Control Group ◽  
Time Interval ◽  
Group I ◽  
Irreversible Pulpitis

Abstract BACKGROUNDMany approaches have been investigated for pain relief after root canal procedure. In this study we compare the effectiveness of premedication drugs, given single dose Piroxicam and Prednisolone separately to evaluate post endodontic pain at different time intervals (24, 48, 72 and 96 hours) using visual analog scale (VAS) after single visit root canal treatment.METHODSTotal number of 120 patients identified with symptomatic irreversible pulpitis were made part of this research after signing informed consent. The pain intensity levels were marked through the use of VAS scale before the commencement of treatment. The participants were randomly placed in three groups (n=40) Group I: Control, Group II: Piroxicam (20 mg) and Group III: Prednisolone (20 mg). The drugs were administered thirty minutes before endodontic procedure was initiated. Root canal procedure was carried out followed by placement of provisional restoration on a single appointment. The patients were advised to continue marking their pain intensity levels after 24, 48, 72 and 96 hours using VAS. All patients were called for follow up after 4 days for clinical evaluation and placement of permanent restoration. The effectiveness of each drug over different time interval was studied employing repeated measure ANOVA. The significance level was considered p-value <0.05.RESULTSAdministration of pre-medication drug therapy with Piroxicam and Prednisolone was able to successfully alleviate post-endodontic pain. However, the long term effectiveness (96 hours) of both drugs to reduce post-endodontic pain was observed to be statistically insignificant.CONCLUSIONPre-medication with either single dose Piroxicam and Prednisolone was found to be effective against post-endodontic pain, in patients presenting with symptomatic irreversible pulpitis.TRIAL REGISTRATION: This single blinded, randomized clinical trial [registration no. NCT04124822(11/10/2019)] was performed in Operative Dentistry department of Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences.

scholarly journals Comparative Evaluation of Calcium Hydroxide and Zinc Oxide Eugenol as Root Canal Filling Materials for Primary Molars: A Clinical and Radiographic Study

2011 ◽  
Vol 2 (3) ◽  
pp. 231-236 ◽  
Author(s):  
Shikha Dogra
Keyword(s):  
Zinc Oxide ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Primary Teeth ◽  
Radiographic Examination ◽  
Filling Material ◽  
Root Canal Filling ◽  
Zinc Oxide Eugenol ◽  
Group I ◽  
Group Ii

ABSTRACT Aim The purpose of this study is to compare the efficacy of calcium hydroxide and zinc oxide eugenol as a root canal filling material in primary teeth using endodontic pressure syringe system. Materials and methods A total of 40 primary mandibular molars were selected and divided into two groups-group I (calcium hydroxide was used as root canal filling material) and group II (zinc oxide eugenol used as canal filling material). Clinical review was undertaken at 1, 3, 6 and 9 months interval for evaluating pain, tenderness, mobility and any other sign of pathology. Radiographic examination was done at interval of 3, 6 and 9 months for the evaluation of any change in the radiolucency around the apices and inter-radicular space. Resorption of root and filling material was also assessed. Results Reduction in the clinical symptoms were noted in both groups (p < 0.01). All the 20 cases in group I demonstrated a decrease in size of radiolucency. However in group II, an increase in radiolucency was observed in 2 teeth at 3 months radiographic examination. Further no decrease in the size of radiolucency was noticed at subsequent follow-up visits. Complete resorption of overfilled material was observed at the 3 months radiographic examination for group I whereas partial resorption of overfilled material was seen at 6 months radiographic examination for group II. Conclusion The findings of the present study indicate that calcium hydroxide could be used exclusively or as an alternative to zinc oxide eugenol as a root canal filling material for the primary teeth.

Assessment of Correlation between Clinical Parameters and Pulp Canal Pathogens in Endodontic Pathologies: A Microbiological Study

2016 ◽  
Vol 17 (8) ◽  
pp. 654-658 ◽  
Author(s):  
Vinisha Pandey ◽  
Isha Choudhary ◽  
Vipin Kumar ◽  
Prashant Tripathi ◽  
Abhinav Misra ◽  
...  
Keyword(s):  
Root Canal ◽  
Positive Association ◽  
Signs And Symptoms ◽  
Cultural Analysis ◽  
Clinical Parameters ◽  
Strong Positive Correlation ◽  
Root Canal Therapy ◽  
Positive Correlation ◽  
Microbiological Study ◽  
Group I

ABSTRACT Introduction Success and failure of root canal therapy is largely dependent on the clinician and the patient. Once the tooth is restored into its functional and esthetic place, the root canal therapy is considered to be complete. It is a well-known fact that root canal space acts as a rich reservoir for microorganisms. Past studies show that root canal harbors an array of different microorganisms. Streptococcus mitis and Enterococcus faecalis have been found to be the most prevalent microorganisms isolated from the infected pulp canal space. Hence, we evaluated the association of endodontic signs and symptoms with root canal pathogens. Materials and methods A total of 120 patients were selected for the study and divided broadly into two groups: Group I containing patients with primary infection and group II containing patients in which retreatment was required. Both groups contained 60 patients each. Clinical parameters recorded for the study are pain, tenderness on percussion, swelling, periapical radiolucency on radiographic analysis, caries, sinus formation, and tooth mobility. After assessment, opening, and initial filing, sterile paper points were inserted into the root canal space for collection of microbiological sample, which was further send to laboratory for cultural analysis. All the results were analyzed by Statistical Package for the Social Sciences (SPSS) software. Student's t-test and Fisher's exact test were used to evaluate the level of significance. Results While comparing the mean age of the patients in the two groups, no significant association was seen. Statistically significant results were obtained while comparing the association between pain and S. mitis. Positive correlation was seen on comparing the association between tenderness on percussion and E. faecalis. Also, a positive association was seen between periapical radiolucency and S. mitis. Conclusion Strong positive correlation exists between S. mitis and E. faecalis and endodontic signs and symptoms. Clinical significance Sound knowledge regarding the association of microbes of root canal and specific endodontic signs and symptoms could help therapeutic management of root canal infections effectively. How to cite this article Pandey V, Choudhary I, Kumar V, Tripathi P, Misra A, Bagde H. Assessment of Correlation between Clinical Parameters and Pulp Canal Pathogens in Endodontic Pathologies: A Microbiological Study. J Contemp Dent Pract 2016;17(8):654-658.

Assessment of Postoperative Pain Using Different Root Canal Irrigants in Mandibular Molars with Symptomatic Irreversible Pulpitis: An Observational Study

2019 ◽  
Vol 10 (1) ◽  
pp. 49-52
Author(s):  
Shafait Ullah Khateeb ◽  
Youssef A. Algarni ◽  
Suheel Manzoor Baba ◽  
Shugufta Mir ◽  
Ashfaq Yaqoob ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Root Canal ◽  
Cavity Preparation ◽  
Mandibular Molars ◽  
Root Canal Irrigants ◽  
Group I ◽  
Group Ii ◽  
The Difference ◽  
Canal Shaping ◽  
Irreversible Pulpitis

Background: The present study was conducted to assess postoperative pain using different root canal irrigants in mandibular molars with symptomatic irreversible pulpitis. Materials and methods: The present study was conducted on 84 patients (40 males and 44 females) having 126 mandibular molars with symptomatic irreversible pulpitis. In all molars, access cavity preparation was done and the root canal shaping procedures were performed according to the manufacturer’s instructions for each instrument system. Teeth were divided into 2 groups. In Group I, the 5.25% sodium hypochlorite (NaOCl) solution was used as an irrigating solution. In Group II, the 2% chlorhexidine gluconate (CHX) was used as an irrigating solution. A visual analog scale (VAS) was used to assess postobturation pain on the 1st, 3rd, and 7th days. Results: There were 40 males and 44 females in the present study. In Group I, the 5.25% NaOCl solution was used as an irrigating solution. In Group II, the 2% CHX was used as an irrigating solution. Each group had 63 teeth. VAS was 9 in Group I and 8 in Group II on Day 1; 5 and 3 in Groups I and II, respectively, on Day 3; and 3 and 1 on Day 7 in Groups I and II, respectively. The difference was significant ( P < .05). Conclusions: There were excellent results obtained with the 2% CHX solution as compared with the 5.25% NaOCl solution. Group II exhibited less VAS than Group I.

Revascularization Induced Maturogenesis of Non-Vital Immature Permanent Tooth Using Platelet-Rich-Fibrin: A Case Report

2016 ◽  
Vol 40 (1) ◽  
pp. 26-30 ◽  
Author(s):  
N B Nagaveni ◽  
Sidhant Pathak ◽  
P Poornima ◽  
Jooie S Joshi
Keyword(s):  
Root Canal ◽  
Blood Clot ◽  
Autologous Blood ◽  
Permanent Tooth ◽  
Radiographic Examination ◽  
Radiographic Evaluation ◽  
Platelet Rich Fibrin ◽  
Novel Method ◽  
Prospective Trials ◽  
Revascularization Therapy

The aim of this report is to describe a novel method of revascularization therapy done in a non-vital, immature permanent tooth using Platelet-rich fibrin (PRF),in a recently developed scaffold material to overcome limitations associated with the traditional method of revascularization using natural blood clot. PRF prepared from autologous blood was placed in the root canal and patient was followed up regularly at one, three, six, nine and 12 months for detailed clinical and radiographic evaluation. At 12 months, radiographic examination revealed root elongation, root end closure, continued thickening of the root dentinal walls, obliteration of root canal space, and normal periradicular anatomy. However, more long term prospective trials and histological studies are highly needed before to testify PRF a panacea for the regenerative endodontic therapy in children.

scholarly journals Case Report: Photo-activated oral disinfection in regenerative endodontics

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1519
Author(s):  
Al-Shaimaa Abdel Hafiz Abdel Rahim ◽  
Fatma Abdelgawad ◽  
Ahmed M. Abd Alsamed ◽  
Dalia Mohamed Moheb ◽  
Norhan Abdel Wahab El-Dokky
Keyword(s):  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Permanent Tooth ◽  
Clinical Findings ◽  
Radiographic Examination ◽  
Sodium Hypochlorite Solution ◽  
Regenerative Endodontics ◽  
Root Canal Disinfection ◽  
Edta Solution

Background: Root canal disinfection is considered critical for achieving successful regenerative endodontic procedures. Photo-activated oral disinfection is a novel disinfection method that can help to achieve the goal of regenerative endodontics. This article reports the clinical and radiographic results after single visit regenerative endodontics using photo-activated oral disinfection. Methods: An 8.5-year-old girl complained of fractured upper right central incisor. Pulp necrosis was diagnosed on the basis of clinical findings. The root canal was irrigated with sodium hypochlorite solution (1.5%) followed by saline. Then, the canal was dried with paper points. A combination of a photosensitizer solution and low power laser light were applied. EDTA solution was used as a final irrigant. Bleeding was induced, followed by placement of collagen resorbable matrix and white mineral trioxide aggregate. Two days later, the tooth was sealed and restored with permanent filling. Results: Clinical findings revealed no pain on percussion or palpation tests. Radiographic examination revealed an increase in root length, an increase of apical root thickness and apical closure at the 12-month follow-up period. Conclusion: Regenerative endodontics using photo-activated oral disinfection achieved successful outcomes in the necrotic immature permanent tooth.

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