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 Failure of endodontic treatment: The usual suspects

2016 ◽  
Vol 10 (01) ◽  
pp. 144-147 ◽  
Author(s):  
Sadia Tabassum ◽  
Farhan Raza Khan
Keyword(s):  
Success Rate ◽  
Root Canal ◽  
Endodontic Treatment ◽  
High Success Rate ◽  
Root Canal Filling ◽  
Common Causes ◽  
The Times ◽  
Causes Of Failure

ABSTRACTInappropriate mechanical debridement, persistence of bacteria in the canals and apex, poor obturation quality, over and under extension of the root canal filling, and coronal leakage are some of the commonly attributable causes of failure. Despite the high success rate of endodontic treatment, failures do occur in a large number of cases and most of the times can be attributed to the already stated causes. With an ever increasing number of endodontic treatments being done each day, it has become imperative to avoid or minimize the most fundamental of reasons leading to endodontic failure. This paper reviews the most common causes of endodontic failure along with radiographic examples.

scholarly journals TRATAMENTO ENDODÔNTICO DE INCISIVO LATERAL SUPERIOR COM CURVATURA APICAL ACENTUADA E LESÃO PERIAPICAL: RELATO DE CASO

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Ronaldo Araújo Souza ◽  
Fernando Gavazza ◽  
João Da Costa Pinto Dantas ◽  
Maurício Lago ◽  
Suely Colombo
Keyword(s):  
Successful Treatment ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Lateral Incisor ◽  
Periapical Lesion ◽  
Root Canal Filling ◽  
Determinant Factors ◽  
Determinant Factor

Complexity of root canal treatment is well recognized, however some specific situations are still more difficult, such as treatment of apical third with accentuated curvature. Nevertheless, recent techniques of instrumentation and obturation brought new persperctives and became a determinant factor for successful treatment. Through the treatment of a maxillary left lateral incisor, with accentuated apical curvature, pulpal necrosis and periapical lesion through manual instrumentation and lateral condensation technique of root canal filling, this article is aimed to discuss whether these recent techniques of instrumentation and obturation of root canal are actually determinant factors for the success in endodontic treatment.

EVALUATION OF ENDODONTIC TREATMENT OUTCOMES OF VERTICAL CONDENSATION TECHNIQUE USING TOUCH’N HEAT DEVICE

2018 ◽  
Vol 8 (5) ◽  
pp. 7-13
Author(s):  
Dao Hoang Anh ◽  
Nhung Nguyen Thi Thu
Keyword(s):  
Treatment Outcomes ◽  
Root Canal ◽  
Clinical Symptoms ◽  
Three Dimensional ◽  
Endodontic Treatment ◽  
Initial Assessment ◽  
Radiographic Evaluation ◽  
Root Canal Filling ◽  
Root Canals ◽  
Radiographic Outcomes

Background: One of the key factors in successful endodontic therapy is to adequately fill the root canals. Vertical condensation technique is regarded as a high probability of three-dimensional filling of root canal space which is required to achieve long-term success. Aim: To evaluate the endodontic treatment outcomes of vertical condensation technique using Touch’N Heat device. Subjects and methods: A prospective, descriptive study was conducted across two hospitals in Hue city from 11/2016 to 5/2017. All teeth were instrumented by manual Protaper files and obturated by the vertical condensation technique with Touch’N Heat device. The radiographic evaluation for initial assessment of obturation quality was performed. Evaluation of endodontic treatment outcomes in terms of clinical symptoms and radiographic assessment were recorded after 3-month follow-up. Results: A sample of 30 patients (with 39 incisors) from 13 to 73 years old was recruited. The principal reasons for visiting were pain (30.8%), decay (20.5%) or trauma (20.5%). Most patients seeked treatment at chronic stage of diseases with chronic pulpitis (38.4%) and chronic periapical periodontitis (30.8%). In radiographical quality of obturation, there were 27 (69.3%) fulllength obturated teeth, 8 (20.5%) overfilled teeth (sealer). The percentage of homogeneity of root canal filling was 82.1%. Over 82% patients (25 patients with 32 teeth) presented after there-months followup. Clinical assessment yeiled 30 (93.7%) “adequate” teeth, 2 (6.3%) “poor” teeth. Refer to radiographical assessment, the teeth were defined as “success”, “questionable” and “failure” (29 teeth (90.6%), 3 teeth (9.4%) and zero, respectively). Conclusions: The vertical condensation using Touch’N Heat device ensure the full-length obturation, high homogenetious root canal filling, and sucessful prognosis in clinical and radiographic outcomes. Key words: vertical condensation,Touch’N Heat, endodontic outcomes

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 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 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 SURVEY OF MATERIALS, METHODS EMPLOYED, AND ATTITUDES TOWARDS INTERNATIONAL ENDODONTIC TREATMENT PROTOCOL STANDARDS BY GENERAL DENTAL PRACTITIONERS IN LITHUANIA. DOES AGE MATTER?

2017 ◽  
Vol 27 (3) ◽  
pp. 94-102
Author(s):  
Linas Vaitkus ◽  
Miglė Mackevičiūtė ◽  
Eduardas Kelbauskas
Keyword(s):  
Root Canal ◽  
Treatment Protocol ◽  
Endodontic Treatment ◽  
X Rays ◽  
Treatment Standards ◽  
Root Canal Filling ◽  
Root Canal Irrigation ◽  
Dental Practitioners ◽  
Younger Generation ◽  
General Dentists

Aim.To acquire statistical data concerning the materials, methods, and approaches used by general dentists in Lithuania, when treating teeth endodontically, while comparing said data with set treatment standards of undergraduate education to determine if practitioners’ years of experience had influence on aforementioned factors. Materials and Methods. In total, 350 surveys were dispersed among four major Lithuanian cities (Vilnius, Kaunas, Klaipeda, Utena) to bring forth data. These questionnaires included questions concerning the participant’s gender, experience in dentistry in years, materials and methods used, etc. Statistical analysis of the data was performed using SPSS 22.0 (Statistical Package for Social Science 22 for Windows) Results. From the total, 134 (38.3%) surveys were returned for analysis. Only those surveys were analyzed which were fully filled and were from general dentists, who were performing endodontic treatment to their patients (109 or 31.1%). Respondents who did not qualify to the set forth criteria were automatically removed from further analysis. 77.6% of younger dentists (10 years or less in the field) preferred to use a rubber dam as an isolation material while only 30.6% of older generation specialists (more than 10 years in the field) performed endodontic treatment with it. Step back technique was more popular to use for younger generation dentists while NiTi rotary system and Crown down (hand files) technique for the more experienced clinicians. Almost all respondents used K-files in root canal treatment, while the most popular time to take dental X-rays was detrmined to be before treatment and after root canal filling. Cold lateral condensation technique for root canal filling was the most popular choice, while the sealer type most often used was zinc oxide eugenol. Most commonly used root canal irrigation was sodium hypochlorite. Conclusions. From the statistics brought forth from this study, it is apparent that younger generation of dentists follow the endodontic treatment regulations somewhat closer than the older generation, but not in all aspects of treatment.

scholarly journals Evaluation Grids for Endodontics Preclinical Practical Activities

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Jalila Dakkaki ◽  
Sofia Drouri ◽  
Sara Dhoum ◽  
Rachida Mayou ◽  
Mouna Jabri
Keyword(s):  
Clinical Practice ◽  
Root Canal ◽  
Dental Education ◽  
Manual Dexterity ◽  
Endodontic Treatment ◽  
Root Canal Preparation ◽  
Root Canal Filling ◽  
Methods Of Evaluation ◽  
Conservative Dentistry ◽  
Criterion Referenced

Preclinical practical activities (PPAs) are an important part of undergraduate dental education. They are a type of teaching based on practical learning. As a result, the Department of Conservative Dentistry of the Faculty of Dentistry of Casablanca provides endodontic activity sessions for third-year students; the objective is to develop the students’ manual dexterity and prepare them for clinical practice. During these sessions, students are required to perform the various stages of endodontic treatment from taking preoperative radiographs to root canal filling, including the creation of the access cavity and root canal preparation. At the end of the treatment, the act performed is evaluated in its entirety. This evaluation is very often considered to be the final activity of a teaching course, which makes it possible to assess the knowledge and practical aptitude of each student. This approach allows neither the teacher to objectively evaluate the acts performed nor the student to identify his/her difficulties. Concerned by the pitfalls of the methods of evaluation adopted during these activities, we thought about the development of criterion-referenced evaluation grids in order to remedy the subjectivity of the teacher’s assessment and to enable the student to improve his learning.

scholarly journals Perawatan saluran akar ulang non-bedah gigi insisivus lateral kanan rahang atas pada pasien geriatriNon-surgical root canal re-treatment of maxillary right lateral incisor in geriatric patient

2020 ◽  
Vol 32 (3) ◽  
pp. 232
Author(s):  
Prima Dianiawati Nur Anisa ◽  
Diani Prisinda
Keyword(s):  
Case Report ◽  
Treatment Failure ◽  
Root Canal ◽  
Geriatric Patient ◽  
Treatment Plan ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Lateral Incisor ◽  
The Third ◽  
Gutta Percha

Pendahuluan: Kegagalan perawatan endodontik umumnya terjadi akibat obturasi yang tidak adekuat dan kebocoran pada restorasi akhir. Kegagalan tersebut dapat diatasi dengan perawatan saluran akar ulang. Perawatan tersebut pada pasien geriatri memerlukan berbagai pertimbangan penatalaksanaan sesuai dengan kondisi fisiologis dan sistemik pasien. Tujuan laporan kasus ini untuk menjelaskan perawatan saluran akar ulang non-bedah gigi insisif lateral kanan atas pada pasien geriatri. Laporan kasus: Perempuan berusia 69 tahun datang ke Instalasi Rawat Jalan Spesialistik Konservasi Gigi Rumah Sakit Gigi dan Mulut Universitas Padjadjaran (RSGM Unpad) untuk memperbaiki tambalan gigi atas depan kanan yang pecah dan untuk merawat gigi tersebut karena terasa tidak nyaman saat digunakan untuk mengunyah. Gigi pernah dilakukan perawatan saluran akar dan penambalan sewarna gigi sekitar empat tahun yang lalu. Pemeriksaan intraoral menunjukan perkusi positif pada gigi insisif lateral kanan rahang atas. Pemeriksaan radiografis periapikal memperlihatkan bahan pengisi saluran akar tidak adekuat, pelebaran membran periodontal di sepertiga apikal, serta terputusnya lamina dura di sepertiga apikal. Rencana perawatan adalah perawatan saluran akar ulang non bedah. Perawatan berlangsung dalam enam kali pertemuan singkat, dengan tahapan pengambilan gutta-percha menggunakan file hedstrom, preparasi saluran akar dengan instrumen rotary, obturasi saluran akar dengan gutta-percha serta sealer resin plus dan restorasi akhir veneer direk berbahan komposit. Simpulan: Perawatan saluran akar ulang non-bedah pada gigi insisif lateral kanan atas berhasil dilakukan dengan ditandai hilangnya keluhan pasien, perbaikan pada gambaran radiografis serta gigi dapat berfungsi secara normal. Keberhasilan perawatan dipengaruhi oleh rencana perawatan yang tepat dengan mempertimbangkan faktor etiologi kegagalan perawatan endodontik serta perubahan fisiologis dan kondisi patologis yang terdapat pada pasien.Kata kunci: Perawatan saluran akar ulang, insisif lateral, pasien geriatri. ABSTRACT Introduction: Endodontic treatment failure generally results from inadequate obturation and leakage at the final restoration. This failure can be relieved by re-root canal treatment. Such treatment in geriatric patients requires various management considerations according to the patient’s physiological and systemic conditions. This case report was aimed to describe the non-surgical root canal re-treatment of maxillary right lateral incisor in a geriatric patient. Case report: A 69-years-old woman came to the Conservative Dentistry Specialist Outpatient Unit of the Universitas Padjadjaran Dental Hospital (RSGM Unpad) to repair a broken maxillary right front tooth fill and to treat the tooth due to the uncomfortable feeling each time the mastication was performed. The tooth was treated with root canals and tooth-coloured fillings about four years ago. Intraoral examination revealed positive percussion of the maxillary right lateral incisor. The periapical radiograph showed inadequate root canal filling, dilation of the periodontal membrane in the third apical, and severed lamina dura in the third apical. The treatment plan was non-surgical root canal re-treatment. The treatment took place in six short sessions, with the steps of gutta-percha collection using a Hedstrom file, the root canal preparation with a rotary instrument, and the root canal’s obturation with gutta-percha plus resin sealer and final restoration of a composite direct veneer. Conclusion: Non-surgical root canal treatment of the upper right lateral incisor was successfully performed as indicated by the absence of the patient’s complaints, improvement in the radiographic image, and the teeth’ normal function. The treatment's success is influenced by a proper treatment plan considering the aetiological factors of endodontic treatment failure, the physiological changes, and pathological conditions present in the patient.Keywords: Root canal re-treatment, lateral incisor, geriatric patient.

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