THE PROGNOSIS OF ROOT CANAL THERAPY: A 20-YEAR FOLLOW-UP AMBISPECTIVE COHORT STUDY ON 411 PATIENTS WITH 1169 ENDODONTICALLY TREATED TEETH

2021 ◽  
Vol 03 (02) ◽  
pp. 05
Author(s):  
F. Fonzar ◽  
Z. Kalemaj ◽  
R. Fabian Fonzar ◽  
J. Buti ◽  
P. Buttolo ◽  
...  
Keyword(s):  
Cohort Study ◽  
Root Canal ◽  
Root Canal Therapy ◽  
Endodontically Treated Teeth

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

Effect of Different Obturation Techniques on the Prognosis of Endodontic Therapy: A Retrospective Comparative Analysis

2016 ◽  
Vol 17 (7) ◽  
pp. 582-586 ◽  
Author(s):  
Jyoti Sachdeva ◽  
Anurag Sarin ◽  
Ajai Gupta ◽  
Shobhit Sachdeva
Keyword(s):  
Comparative Analysis ◽  
Clinical Significance ◽  
Analysis Of Variance ◽  
Root Canal ◽  
Root Canal Therapy ◽  
Quality Of Treatment ◽  
Significant Difference ◽  
Level Of Significance

ABSTRACT Introduction Success of root canal therapy (RCT) is largely dependent upon the quality of biomechanical preparation and obturation of the pulp canal. Improperly cleaned or shaped root canal, regardless of the type of obturation method and obturating material, cannot lead to the success of endodontic therapy. Hence, we conducted a clinical comparative analysis of two obturating techniques. Materials and methods A total of 140 patients receiving RCT at the department of Endodontic were included in the present study. The average follow-up time for the patients was 29 months (18–38 months). Patients were grouped into two depending on the type of obturating technique used. Evaluation of the clinical and radiographic follow-up records of the patients was done and analysis was made. One-way analysis of variance (ANOVA) was used for assessing the level of significance. Results The average age of the patients undergoing obturation with carrier-based obturation (CO) technique and lateral compaction (LC) technique was 43 and 48 years respectively. While comparing failure and success of the teeth at the time of follow-up, nonsignificant results were obtained. Significant difference was seen, while comparing the presence of voids and type of teeth in which endodontic therapy was performed using different obturating techniques. Conclusion Endodontic therapy done with LC obturating technique or with CO technique shows prognostic difference on the outcome or quality of treatment therapy. Clinical significance Quality of obturation is more important rather than type while performing endodontic therapy for better prognosis. How to cite this article Sarin A, Gupta P, Sachdeva J, Gupta A, Sachdeva S, Nagpal R. Effect of Different Obturation Techniques on the Prognosis of Endodontic Therapy: A Retrospective Comparative Analysis. J Contemp Dent Pract 2016;17(7):582-586.

scholarly journals Three-Year Follow Up of Customized Glass Fiber Esthetic Posts

2011 ◽  
Vol 05 (01) ◽  
pp. 107-112 ◽  
Author(s):  
Rogério Goulart da Costa ◽  
Eduardo Christiano Caregnatto de Morais ◽  
Moira Pedroso Leão ◽  
Márcio José Fraxino Bindo ◽  
Edson Alves Campos ◽  
...  
Keyword(s):  
Glass Fiber ◽  
Root Canal ◽  
Fiber Glass ◽  
Endodontically Treated Teeth ◽  
Core System ◽  
Fiber Posts ◽  
Suitable Treatment ◽  
Glass Fiber Posts ◽  
Post And Core

ABSTRACTCustomized glass fiber posts that is well adjusted into the root canal and have mechanical properties similar to those of dentin may be a suitable treatment for severely compromised endodontically treated teeth. This article reports a 3-year follow up of severely damaged endodontically treated teeth restored with unidirectional fiber glass customized post and core system instead of a conventional fiber post. The fabrication of this glass fiber customized post is a simple technique, providing an increased volume of fibers into the root canal, and an adequate polymerization of the post-core system. Over a three-year period, the treatments demonstrated good clinical and radiographic characteristics, with no fracture or loss of the post and/or crown. This technique can be considered effective, less invasive, and suitable for restore endodontically treated teeth. (Eur J Dent 2011;5:107-112)

scholarly journals Common Operative Procedural Errors and Clinical Factors Associated with Root Canal Treatment

2017 ◽  
Vol 28 (2) ◽  
pp. 179-190 ◽  
Author(s):  
Carlos Estrela ◽  
Jesus Djalma Pécora ◽  
Cyntia R.A. Estrela ◽  
Orlando A. Guedes ◽  
Brunno S.F. Silva ◽  
...  
Keyword(s):  
Root Canal ◽  
Tooth Loss ◽  
Operative Procedure ◽  
Disease Diagnosis ◽  
Root Canal Treatment ◽  
Clinical Factors ◽  
Endodontically Treated Teeth ◽  
Root Canal Filling ◽  
Factors Associated

Abstract Operative procedural errors must be well analyzed in order to avoid influence negatively the root canal treatment (RCT) prognosis. The successful RCT prevents tooth loss and avoids pain and apical periodontitis. This review aimed to categorize common operative procedure errors and clinical factors associated with RCT. Based on this, will be approached common errors of procedures within the clinical operative sequence: endodontic treatment planning, pulp and periapical disease diagnosis, anaesthesia, access cavity preparation, isolation with rubber dam, root canal preparation, root canal filling and retreatment, restoration of endodontically treated teeth, postoperative pain, follow up of endodontically treated teeth. The professional must remind that in each phase of RCT an operative error may have adverse implication on prognosis, and these errors characterize risk factors to failure. The knowledge of probable operative procedural errors and its consequences are essentials to avoid future problems to the tooth health.

scholarly journals Conservative management of periapical cysts – A case series

2021 ◽  
Vol 12 (6) ◽  
pp. 122-125
Author(s):  
Devakumari Shanmugam ◽  
Vijhayapriya Thanasekar ◽  
Nandini Biradar ◽  
Bhavanirekha Natarajan ◽  
Neil Dominic
Keyword(s):  
Bone Formation ◽  
Surgical Management ◽  
Conservative Management ◽  
Root Canal ◽  
Periodontal Ligament ◽  
Case Series ◽  
Root Canal Therapy ◽  
Tooth Mobility ◽  
Surgical Options

Non vital teeth with periapical cysts do not respond to routine root canal therapy alone. Conventional RCT (root canal therapy) should be combined with conservative management of cysts or surgical management. Contemporary options for non-surgical management are repeated intra canal dressing with Ca (OH)2, aspiration and decompression techniques. Repeated intra canal dressing with Ca(OH)2 and Iodoform (Metapex) was advocated in 15 of our patients for a period of eight years from 2011-2019. The healing of the lesions was excellent with respect to bone formation, reestablishment of periodontal ligament and reduction in tooth mobility on follow up of six months to one and a half years. This case series gives insight of successful non-surgical management of periapical cysts. We reiterate the effectiveness of non-surgical management of periapical cysts as it was well observed in our case series. The promising prognosis of non-surgical management of periapical cysts can render the surgical options antediluvian.

scholarly journals Preservation the Pulp Activity of the Involved Teeth in Jaw Cyst: an Observational Study

2021 ◽  
Author(s):  
Gang Niu ◽  
Qing-ling Li ◽  
Yong-gang Tang ◽  
Jing-jing Lv ◽  
Li-song Lin ◽  
...  
Keyword(s):  
Root Canal ◽  
Common Disease ◽  
Root Canal Therapy ◽  
Surgical Method ◽  
Jaw Cyst ◽  
Vitality Test ◽  
Long Term Follow Up ◽  
Oral And Maxillofacial Region

Abstract Background: Jaw cyst is the most common disease of the oral and maxillofacial region. In addition to the pathogenic tooth, the roots of some teeth are often located in the cavity of the cystic capsule. Whether these involved teeth require root canal therapy and apicoectomy is still inconclusive. In the present study, we aimed to preserve the pulp activity of involved teeth in jaw cyst by improved operation.Methods: In our improved surgical method, the root canal therapy was not performed on the involved teeth, and no apical excision was performed during the operation. 63 involved teeth in 20 cases of jaw cyst treated by our department were selected between September 2015 and October 2017. The involved teeth were diagnosed by X-ray, CBCT, and a pulp vitality test before surgery. We observed the pulps' activity in the involved teeth and the efficacy of surgery for 12-36 months.Results: Electrical activity test of 63 involved teeth pulp in 20 patients with jaw cyst was normal or insensitively before operation. The involved teeth were preserved by improved surgical method. After 12-36 months’ follow-up, the pulp activity of 53 involved teeth (84.1%) were preserved, whereas 10 teeth (15.9%) showed adverse symptoms such as redness and swelling in the apical area, fistula, and pain. These symptoms resolved after postoperative root canal therapy. Chewing function was restored well. There was no recurrence and the bone cavity gradually reduced and finally disappeared, and bone density returned to normal after long term follow-up.Conclusion: Our results showed that to preserve the activity of the involved teeth for the treatment of jaw cyst by performing an improved operation method was effective.

scholarly journals The Radiological Assessment of Root Features and Periodontal Structures in Endodontically Treated Teeth Subjected to Forces Generated by Fixed Orthodontic Appliances. A Prospective, Clinical Cohort Study

2021 ◽  
Vol 10 (10) ◽  
pp. 2078
Author(s):  
Katarzyna Pustułka ◽  
Agata Trzcionka ◽  
Arkadiusz Dziedzic ◽  
Dariusz Skaba ◽  
Marta Tanasiewicz
Keyword(s):  
Cohort Study ◽  
Root Canal ◽  
Orthodontic Treatment ◽  
Orthodontic Appliances ◽  
Endodontically Treated Teeth ◽  
Clinical Cohort ◽  
Group I ◽  
Fixed Orthodontic Appliances ◽  
Group Ii ◽  
Orthodontic Forces

The various side effects of orthodontic treatment with fixed orthodontic appliances (FOAs) and their impact on apical and periodontal structures have been widely reported. However, the existing data is not yet conclusive. Aims and objectives: To investigate the status of roots and periodontium in endodontically treated teeth that have undergone orthodontic treatment with the use of FOAs and to evaluate their impact on apical/periodontal structures. Material and methods: The prospective clinical cohort study initially involved 69 participants aged 16–40, without underlying systemic conditions, who received orthodontic treatment with ligatureless FOA systems due to different types of mild and moderate malocclusions. To meet the required criteria, 88 teeth in 34 patients were assessed clinically and radiologically. Participants had at least one tooth treated endodontically while the corresponding tooth from the same anatomical group on the opposite side was vital and intact (a ‘split-mouth’ approach). Four cohorts were allocated: Group IA consisted of 15 teeth, treated utilising the principles of modern endodontics, that were subjected to orthodontic forces no less than six months after completing the root canal obturation. Group I consisted of 13 similarly endodontically treated teeth, which commenced orthodontic treatment at least six months after the completed endodontic therapy. Group II contained 16 teeth treated by conventional endodontic methods and the control group, Group III, contained 44 clinically and radiologically intact teeth (incisors and premolars) with vital and sound dental pulp. The response of apical and periodontal structures to FOAs was determined by data collected from intraoral periapical radiographs taken within the course of five consecutive appointments during the orthodontic treatment. Results: No statistically significant differences were observed in susceptibility to FOA-induced external apical root resorption (EARR) between combined Groups IA + IB and II. An association was, however, demonstrated, between the occurrence of EARR and the degree of expansion of the periodontal ligament (PDL) space, regardless the method of root canal treatment. Cumulative data revealed a positive correlation between the width of the PDL space and the stage of FOA treatment (the third and the fourth appointment). The subtle changes in radiological length of roots have been observed (min 0 mm/max 0.38 mm), particularly between the second and third appointment in Group II (p < 0.05). Conclusions: The standard orthodontic therapy with FOAs is a safe option with predictable outcome for persons who have recently received endodontic therapy. The anterior teeth, predominantly incisors, were more susceptible to minimal EARR than premolars, which suggests that the rate of EARR occurrence may depend upon the original morphology of the apical portion of the root. The use of additional orthodontic forces increases the risk of EARR and is associated with a higher incidence of radiologically detected PDL space widening.

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