Monitoring of healing by ultrasound with color power doppler after root canal treatment of maxillary anterior teeth with periapical lesions

Background: This clinical trial aimed to compare the effects of bioceramic sealer and resin-based sealer on the incidence and intensity of postoperative pain. Methods: Patients with anterior teeth or premolars requiring root canal treatment were assigned to group 1 (n = 51). Those with molars requiring treatment were assigned to group 2 (n = 57). In groups 1En and 2En, root canals were obturated with Endoseal MTA using the single-cone technique. In groups 1AH and 2AH, the sealer used was AH Plus with the continuous wave technique. On the day of canal filling, each patient was instructed to indicate their pain intensity over the 7 day postoperative period, at rest and, while biting, using a visual analog scale. Results: There was no significant difference in the incidence or intensity of postoperative pain between the Endoseal MTA and AH Plus groups during the 7 day postoperative period (p > 0.05). Less time was needed to seal the root canals with Endoseal MTA, especially in group 2 (p < 0.05). Conclusions: Endoseal MTA and AH Plus had similar effects on the incidence and intensity of postoperative pain. The obturation time was shorter when using Endoseal MTA compared to AH Plus.

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Digitally Scanned Radiographs versus Conventional Films for Determining Clarity of Periapical Lesions and Quality of Root Canal Treatment

The Scientific World JOURNAL ◽

10.1155/2017/2427060 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5

Author(s):

Kholod Almanei ◽

Rakan Alsulaimani ◽

Sarah Alfadda ◽

Sarah Albabtain ◽

Reem Alsulaimani

Keyword(s):

Root Canal ◽

Digital Images ◽

Root Canal Treatment ◽

Quality Data ◽

Endodontically Treated Teeth ◽

Conventional Radiograph ◽

Diagnostic Quality ◽

X Ray ◽

Periapical Lesions

Aim. To compare digital images of conventional radiographs with the original radiographs for perceived clarity of periapical lesions and the quality of root canal treatment. Materials and Methods. One hundred and four intraoral periapical radiographs of patients with endodontically treated teeth were randomly selected. The radiographs were digitized using an MD300 USB X-ray Reader. The digital images were transferred to an HP laptop. Three evaluators compared each conventional radiograph with the matching digital image. The images were ranked for clarity and assessed for diagnostic quality; data were analyzed using the Reliability Calculation “ReCal.” Results. Both the digital images and conventional films had comparable clarity and diagnostic quality. Results indicated a moderate agreement between the evaluators. Conclusions. Conventional radiographs digitized using an MD300 USB X-ray Reader have similar clarity and diagnostic quality in comparison to the original radiographs.

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Gene Profiles during Root Canal Treatment in Experimental Rat Periapical Lesions

Journal of Endodontics ◽

10.1016/j.joen.2007.04.016 ◽

2007 ◽

Vol 33 (8) ◽

pp. 936-943 ◽

Cited By ~ 17

Author(s):

Zulema Rosalia Arias Martinez ◽

Koji Naruishi ◽

Keisuke Yamashiro ◽

Fumio Myokai ◽

Teruo Yamada ◽

...

Keyword(s):

Root Canal ◽

Root Canal Treatment ◽

Periapical Lesions ◽

Gene Profiles

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Prognosis of large cyst-like periapical lesions following nonsurgical root canal treatment: a clinical review

International Endodontic Journal ◽

10.1111/j.1365-2591.2004.00809.x ◽

2004 ◽

Vol 37 (6) ◽

pp. 408-416 ◽

Cited By ~ 49

Author(s):

M. K. Çalışkan

Keyword(s):

Clinical Review ◽

Root Canal ◽

Root Canal Treatment ◽

Large Cyst ◽

Periapical Lesions

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Effect of Calcium Hydroxide as a Root Canal Dressing Material on Dentin Fracture Strength In Primary Teeth–In Vitro Study

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4628-42.2.11 ◽

2018 ◽

Vol 42 (2) ◽

pp. 146-149

Author(s):

Fadi Said ◽

Moti Moskovitz

Keyword(s):

Calcium Hydroxide ◽

Fracture Strength ◽

Root Canal ◽

Primary Teeth ◽

In Vitro Study ◽

Vitro Study ◽

Root Canal Treatment ◽

Root Canals ◽

Anterior Teeth

Objectives: The aim of the present study was to assess the effect of calcium hydroxide as a root canal dressing material on dentin microtensile fracture strength in human primary teeth in vitro. Study design: Thirty primary anterior teeth with root canals packed with calcium hydroxide were divided into groups of ten and immersed in saline at room temperature for 7, 30 and 90 days. Ten teeth with root canals filled with sterile saline were the control group. Microtensile fracture strength was measured in Mechanical tester Lloyd testing machine. Results: There was a significant difference (P < 0.05) between the fracture strength of the calcium hydroxide-filled teeth after 90 days (19.1 MPa) compared with the control (35.8 MPa). Dentin microtensile fracture strength of the calcium hydroxide-filled teeth decreased at an average of 0.142 MPa per day. Conclusion: Calcium hydroxide placed in root canals for an extended time had a significantly negative effect on root strength. Long-term success of root canal treatment in primary anterior teeth is estimated as 65% with most of the failures result from trauma recurrence. Clinical Relevance: Our results stress the need to evaluate the pros and cons of root canal treatment compared to extractions of non-vital primary incisors.

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Outcome of Root Canal Treatment of Necrotic Teeth with Apical Periodontitis Filled with a Bioceramic-Based Sealer

International Journal of Dentistry ◽

10.1155/2021/8816628 ◽

2021 ◽

Vol 2021 ◽

pp. 1-8

Author(s):

Kawther Bel Haj Salah ◽

Sabra Jaâfoura ◽

Mahdi tlili ◽

Marwa Ben Ameur ◽

Saida Sahtout

Keyword(s):

Treatment Group ◽

Root Canal ◽

Apical Periodontitis ◽

Root Canal Treatment ◽

Inclusion Criteria ◽

Root Canal Filling ◽

Radiographic Findings ◽

Periapical Lesions ◽

Single Cone

Introduction. Apical periodontitis is among the most common pathologies in endodontics. The treatment of apical periodontitis has always been an important occupation in the modern practice of endodontics, and the failure has been associated with nonhermetic root canal filling. With that in mind, bioceramic-based sealers have been incorporated into endodontic practice. The purpose of this study was to evaluate the outcome of nonsurgical root canal treatment (RCT), using a single-cone and Bioroot RCS filling of necrotic teeth with apical periodontitis. Materials and Methods. This follow-up study included patients treated in the department of Restorative Dentistry and Endodontics in the Dental Clinic of Monastir, from January 2018 to December 2019. The study intended to include all adult patients presenting a symptomatic or asymptomatic apical periodontitis. Once the diagnosis was performed, the patients were divided into two groups: a one-session treatment group and a two-session treatment group. All cases were obtured with BioRoot using a single-cone technique with a minimum of a 6-month recall. At 6-month follow-ups, teeth were classified as healed, healing (success), or not healed (failure), based on clinical and radiographic findings. Results. Twelve patients met the inclusion criteria, six patients per group. Seven patients returned for follow-ups. At 6-month follow-ups, the overall success rate was 100%, with 57.1% determined to be “healed” and 42.8% determined to be “healing.” All the PAI scores decreased compared to the baseline situation. Conclusion. The results obtained showed the contribution of BioRoot RCS in the healing of periapical lesions. Accordingly, bioceramic-based sealers seem to optimize the prognosis of root canal treatments.

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Dentists and Dental Intern’s Preferences of Root Canal Treatment with Restoration Versus Extraction then Implant-Supported Crown Treatment Plan

The Open Dentistry Journal ◽

10.2174/1874210601913010093 ◽

2019 ◽

Vol 13 (1) ◽

pp. 93-100

Author(s):

Mohammad Alwadani ◽

Mohammed H. Mashyakhy ◽

Amr Jali ◽

Arwa O. Hakami ◽

Ahmed Areshi ◽

...

Keyword(s):

Surgical Treatment ◽

Root Canal ◽

Online Survey ◽

Treatment Plan ◽

Healing Process ◽

Root Canal Treatment ◽

Treatment Modalities ◽

Periodic Review ◽

Posterior Teeth ◽

Anterior Teeth

Objectives: The intent of this study was to evaluate and compare the preferences and treatment choices between dentists and dental interns with regard to the following different treatment modalities: Root Canal Treatment (RCT) with restoration versus extraction with Implant-Supported Crown (ISC) or surgical treatment in relation to the given case scenarios. Methods: The questionnaire was presented as an online survey with a case scenario. The total number of the respondents were 165. The four clinical case scenarios included an anterior and posterior tooth having apical periodontitis, with and without previous RCT. The treatment options were as follows: RCT with restoration, extraction then implant, and surgical treatment. Results: A total of 165 dentists and dental interns were included in this study. A hundred and three 62.4% respondents were dentists, 60; 36.3% were males and 105; 63.7% were females. Most of the respondents graduated from the College of Dentistry, Jazan University (93.9%). The highest percentages and numbers for Anterior Teeth (AT) were selected in related to the RCT and restorations in the four scenarios among gender, dentists, and interns, with no considerable differences. A high percentage of RCT and restoration option was recorded for Posterior Teeth (PT) with no previous restoration and around 50% for the same treatment modality to posterior teeth with previous restorations. For Future Planning Postgraduate Studies (FPPS), it was obvious that most of the selected specialties agreed with the RCT and restorations choice. Conclusion: All dentists and interns in both genders preferred RCT with restorations over extraction, and then ISC in the AT with and without previous RCTs. In the PT with no previous RCT, the participants agreed that RCT with restorations is superior to other choices. Among the FPPS, the respondents demonstrated an absolute agreement to RCT and restorations as a treatment of choice for different scenarios. Clinical Significance: Dentists should preserve the natural teeth by RCT with restoration as the first treatment choice followed by other choices. The nonsurgical approach should always be adopted as a routine measure in PA lesions of endodontic origin. Conservative orthograde endodontic therapy demonstrates favorable outcomes with a regular periodic review and assessment of the healing process of PA lesions.

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KERUSAKAN TULANG PADA KASUS ENDODONTIK-PERIODONTAL

Jurnal Ilmiah dan Teknologi Kedokteran Gigi ◽

10.32509/jitekgi.v17i1.1438 ◽

2021 ◽

Vol 17 (1) ◽

pp. 43-48

Author(s):

Natalina - Natalina

Keyword(s):

Tissue Regeneration ◽

Granulation Tissue ◽

Root Canal ◽

Alveolar Bone ◽

Bone Defects ◽

Sinus Tract ◽

Guided Tissue Regeneration ◽

Root Canal Treatment ◽

Posterior Teeth ◽

Anterior Teeth

Latar belakang. Masalah pulpa dan periodontal menyebabkan lebih dari 50% kehilangan gigi. Kasus pada laporan kasus ini merupakan lesi primer endodontik dan lesi sekunder periodontal dan secara klinis terdapat sinus tract. Kondisi ini merupakan kasus yang secara kolaborasi dikerjakan oleh bidang konservasi gigi dan bidang periodonsia untukmemdapatkan hasil yang maksimal. Kasus. Terdapat tiga kasus lesi endodonti-periodontal, dua merupakan kasus (gigi 21 dan 37) yang setelah beberapa tahun dilakukan perawatan saluran akar (PSA) mengalami pembentukan sinus tract, dan satu kasus (gigi 47) yang setelah PSA namun tidak memeperlihatkan perbaikan sinus tract yang terbentuk di gingiva. Tindakan bedah flap periodontal dilakukan untuk mencari penyebab, menghilangkan jaringan granulasi, dan memperbaiki kerusakan tulang alveolar yang terjadi. Seluruh kasus terlihat terdapat kerusakan tulang anguler di daerah furkasi pada gigi posterior (37 dan 47), dan daerah interdental pada gigi anterior (21); satu kasus (gigi 21) mengalami fenestrasi di fasial. Defek tulang anguler dan daerah fenestrasi setelah dibersihkan dari jaringan granulasi yang terinfeksi, diisi dengan graf tulang dan ditutup oleh membran pericardium sebagai guided tissue regeneration (GTR), kemudian dijahit. Kontrol 14 hari setelah tindakan bedah, sinus tract telah hilang dan warna gingiva normal. Kesimpulan. Lesi endodontik-periodontal yang memperlihatkan sinus tract yang persisten setelah perawatan saluran akar merupakan indikasi adanya kerusakan periodontal yang kompleks. Defek periodontal kompleks bisa diperbaiki dengan tindakan bedah regeneratif.Kata kunci. Lesi endodontik-periodontal, sinus tract, defek tulang anguler, fenestrasi Abstract Background. Dental pulp and periodontal problems account for more than 50% of tooth loss. The cases in this case report were primary endodontic lesions and secondary periodontal lesions and clinically contained a sinus tract. This report is a collaborative carried out by the conservative dentistry and periodontics to obtain maximum results. Case. There were three cases of endodontic-periodontal lesions, two were cases (teeth 21 and 37) where after several years of root canal treatment had sinus tract formation, and one case (tooth 47) after endodontic treatment but did not show any improvement in the sinus tract in the gingiva. Periodontal flap surgery is performed to find the cause, remove the granulation tissue, and repair the alveolar bone damage that has occurred. All cases showed angular bone defects in the furcation areas of the posterior teeth (37 and 47), and the interdental areas of the anterior teeth (21); one case (tooth 21) had facial fenestration. Angular bone defects and areas of fenestration after cleaning of infected granulation tissue, filled with bone graft and covered by pericardial membrane as guided tissue regeneration (GTR), then sutured. Control 14 days after surgery, the sinus tract was gone and the gingival color was normal. Conclusion. Endodontic-periodontal lesions showing persistent sinus tracts after root canal treatment are indicated of complex periodontal damage. Complex periodontal defects can be corrected with regenerative surgery.Keywords. endodontic-periodontal lesions, sinus tract, angular bone defect, fenestration

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Non-surgical management of periapical lesions with triple antibiotic paste: A case reports

10.25259/aujmsr_23_2020 ◽

2020 ◽

Vol 2 ◽

pp. 120-123

Author(s):

Munish Singla ◽

Iyana Garg ◽

Vandana Goyal ◽

Harleen Kaur ◽

Litik Mittal

Keyword(s):

Case Report ◽

Surgical Management ◽

Root Canal ◽

Case Reports ◽

Endodontic Treatment ◽

Root Canal Treatment ◽

Periapical Lesion ◽

Present Case Report ◽

Periapical Lesions ◽

Triple Antibiotic Paste

Sterilization of root canal space is foremost for the success of the endodontic treatment which is usually carried out with intracanal irrigants and medicaments. Triple antibiotic paste (metronidazole, ciprofloxacin, and minocycline) is used to achieve sterilization and healing of periradicular area. In the present case report, the triple antibiotic paste was used for non-surgical management of periapical lesion for 3 weeks. After 3 weeks, the tooth became asymptomatic that was then obturated. Hence, it is confirmed that conventional root canal treatment, along with intracanal medicaments (triple antibiotic paste), can non-surgically manage the periapical lesions and further promotes healing.

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CROWN DOWN PREPARATION TECHNIQUE WITH LARGE TAPER ENDODONTIC HAND INSTRUMENT

Interdental Jurnal Kedokteran Gigi (IJKG) ◽

10.46862/interdental.v17i1.2075 ◽

2021 ◽

Vol 17 (1) ◽

pp. 41-48

Author(s):

Asri Riany Putri ◽

Keyword(s):

Stainless Steel ◽

Root Canal ◽

Working Time ◽

Root Canal Treatment ◽

Preparation Technique ◽

Root Canal Preparation ◽

Periapical Lesions ◽

Root Canals ◽

Root Canal System ◽

Conventional Stainless Steel

Introduction: Root canal preparation is an important step in root canal treatment. The use of stainless steel K-Files is time-consuming and causes fatigue to patients and operators. The large taper endodontic hand instrument can be used as an option for another preparation instrument. The purpose of this article is to determine the advantages of using large taper endodontic hand instruments as a preparation instrument compared to conventional stainless steel K-Files. Case: The 24-year-old male patient presented with pain in his lower left tooth even though it was not used. Examination of teeth 35, percussion and press (+), palpation (-), CE (-), exploration of root canals with smooth broach (+). There was a radiolucent image in the distal crown that had reached the pulp chamber, radiolucency with a blurred border of 2 mm in diameter at the periapical area, and the dilation of the periodontal ligaments along with the roots. Tooth 35 diagnosis was partial pulp necrosis with periapical lesions. Case Management: Root canal treatment of teeth 35 using hand-used ProTaper with the crown down technique up to F4 WL = 21 mm. Obturation with single cone technique with Endomethasone as a sealer. Discussion: The large taper instrument is very flexible and easily enters narrow and bent root canals, thus it can shorten the working time, reduce the risk of fatigue for patients and operators, improves the cleaning of the root canal system, and consistent root canal formation. The crown down technique used can reduce the risk of preparation errors, prevent debris extrusion and improve obturation quality. Conclusion: Root canal preparation using a large taper endodontic hand instrument can shorten the working time and reduce the risk of fatigue for patients and operators compared to preparations using conventional stainless steel K-File.

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