scholarly journals Nonsurgical Root Canal Therapy of Large Cystic Periapical Lesions Using Simple Aspiration and LSTR (Lesion Sterilization and Tissue Repair) Technique: Case Reports and Review

Dentistry ◽  
2015 ◽  
Vol 05 (07) ◽  
Author(s):  
Deepak Tomar Anil Dhingra
Keyword(s):  
Root Canal ◽  
Tissue Repair ◽  
Case Reports ◽  
Root Canal Therapy ◽  
Periapical Lesions ◽  
Repair Technique

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

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.

Nonsurgical Root Canal Therapy of Large Cyst-like Inflammatory Periapical Lesions and Inflammatory Apical Cysts

2009 ◽  
Vol 35 (5) ◽  
pp. 607-615 ◽  
Author(s):  
Louis M. Lin ◽  
Domenico Ricucci ◽  
Jarshen Lin ◽  
Paul A. Rosenberg
Keyword(s):  
Root Canal ◽  
Large Cyst ◽  
Root Canal Therapy ◽  
Periapical Lesions

scholarly journals Non Surgical Management of Large Periapical Lesions of Endodontic Origin: A Case Series

2014 ◽  
Vol 8 (3) ◽  
pp. 172-175 ◽  
Author(s):  
A Gupta ◽  
V Goyal ◽  
S Bala ◽  
J Duhan ◽  
S Hans
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Tissue Repair ◽  
Antibacterial Properties ◽  
Case Series ◽  
Tissue Formation ◽  
Canal System ◽  
Periapical Lesions ◽  
Root Canal System ◽  
Total Elimination

ABSTRACT The success of root canal treatment is based on total elimination of root canal content, thorough cleaning, shaping and obturation of root canal system. Calcium hydroxide is recommended as intra-canal medicament because of its antibacterial properties, tissue dissolving ability, inhibition of tooth resorption and indication of tissue repair by hard tissue formation. The present case series highlights the use of calcium hydroxide as an inter appointment endodontic dressing for management of large periapical radiolucency and periodically reviewed. Thus the non surgical healing of large periapical lesions provided favourable clinical and radiographic response.

scholarly journals LSTR 3mix-MP Important Efficacy Particularly Antibacterial and Periapical Lesions during Conservative Treatment in the Dentistry like RCT and Others Endodontics Management: Case Studies

2019 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Propylene Glycol ◽  
Root Canal ◽  
Tissue Repair ◽  
Recovery Process ◽  
Root Canal Treatment ◽  
Primary Tooth ◽  
Antibacterial Drug ◽  
Periapical Lesions ◽  
Conservative Dentistry ◽  
Tissue Recovery

Local sterilization and tissue repair which generally termed as LSTR, brings a radicular change in the field of conservative dentistry. Efficacy against antibacterial environment and non-surgical healing of periapical lesions much better than calcium hydroxide. LSTR 3Mix-MP, Using an antibacterial drug combination, therapy is a novel caries, pulpal treatment of primary tooth and root canal treatment. LSTR 3Mix-MP aims to eliminate causative bacteria from lesions and after sterilization, the host’s natural tissue recovery process usually the lesions are repaired or resolved. LSTR 3Mix MP where TAP (triple antibiotics paste) such as: Metronidazole, Ciprofloxacin, Minocycline and Vehicle MP Macrogol/polyethylene glycol and propylene glycol used to prepare. TAP has great antibacterial efficacy particularly against enterococci which remains after successful root canal treatment, effective eradication of the causative microorganisms during root canal treatment procedures. Residual infection in Root canal therapy has always been an area of interdermind or vague for a treating dental surgeon. Lesion sterilization and tissue repair (LSTR) therapy is a non-surgical or non-conventional endodontic treatment procedure that involves non-instrumentation or minimal instrumentation followed by placement of a triple antibiotic paste in a medication along with Macrogol and Propylene glycol.

scholarly journals Effect of an 810 nm Diode Laser on the Healing of a Periapical Abscess

2021 ◽  
Vol 12 ◽  
pp. e3-e3
Author(s):  
Fahimeh Anbari ◽  
Mehrnaz Asfia ◽  
Gelareh Forouzani ◽  
Katayoun Talebi Rafsanjan
Keyword(s):  
Diode Laser ◽  
Root Canal ◽  
Surgical Excision ◽  
Root Canal Therapy ◽  
Periapical Lesions ◽  
Root Canals ◽  
Root Canal Disinfection ◽  
Disinfection Process ◽  
Working Length ◽  
Golden Standard

Introduction: The golden standard of the treatment of radicular cysts is mainly root canal therapy or surgical excision with apicectomy. The root canals are usually disinfected by the mechanical and chemical actions of instruments and chemical irrigating solutions respectively. To improve the efficacy of the root canal disinfection process, many techniques have been used and many researchers are still trying to reach the quickest and most convenient way to achieve this goal. Diode lasers have shown antibacterial activity on dentinal tubules, and they can penetrate more than 1000 μm into the dentin. Case Presentation: Our patient was a 25-year-old female with an infraorbital abscess caused by a non-vital maxillary canine with periapical radiolucency. After completing the conventional treatment, the optical fiber was inserted into the canal according to the working length previously measured. An 810 nm diode laser at the output power of 4 W was used to irradiate the root canals, with a 300 μm fiber. The patient was free of pain within a few days. The lesion was resolved in radiographic follow-ups, 3 and 6 months after the root canal treatment. Conclusion: A combination of conventional root canal therapy and an 810 nm diode laser is an effective treatment for non-vital teeth with periapical lesions.

scholarly journals NON-SURGICAL MANAGEMENT OF A LARGE CYSTIC LESION WITH SURGICAL DECOMPRESSION: A CASE REPORT WITH 14 MONTHS FOLLOW UP

2021 ◽  
Vol 9 (02) ◽  
pp. 265-272
Author(s):  
Shwetank Shrivastava ◽  
◽  
Ashish K. Jain ◽  
Rahul D. Rao ◽  
Meenakshi Verma ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Cystic Lesion ◽  
Case Reports ◽  
Root Canal Treatment ◽  
Cystic Lesions ◽  
Saline Irrigation ◽  
Periapical Lesions ◽  
Apical Surgery

The main aim of this case report was to report the clinical efficacy of decompression for treating large periapical lesions. Tooth with large periapical cystic lesions were treated with decompression after root canal treatment. A conventional decompression technique such as aspiration/irrigation technique was used in this case. An 18-G needle with a syringe was used to aspirate the cystic lesion. Two needles were then inserted into the lesion copious saline irrigation was delivered from 1 needle and until clear saline was expressed from the other. Complete enucleation and root-end surgery was not done in the case. Healed lesions or lesions in healing were observed after 14 months. On the basis of the presented case and published case reports regarding large periapical cystic lesions, conservative decompression may be used for certain cases before or in lieu of apical surgery. Decompression enables healing of large, persistent periapical lesions after root canal treatment.

scholarly journals Non-surgical Management of Endodontic Periradicular Pathosis - A Clinical Research

2016 ◽  
Vol 1 (1) ◽  
pp. 22
Author(s):  
Tahmeena Ishrat Ahmed ◽  
Mujibur Rahman Howlader
Keyword(s):  
Root Canal ◽  
Three Dimensional ◽  
Surgical Removal ◽  
Root Canal Therapy ◽  
Periapical Lesions ◽  
Root Canal Disinfection ◽  
Conservative Dentistry ◽  
Root Canal System ◽  
Medical University

<p><strong>Background: </strong>In most cases the aetiological factors of periradicular diseases are oral contaminants through the root canal or degenerating pulpal tissues. Therefore, the mere surgical removal of the periapical lesions without proper root canal disinfection and obturation will not result in the healing of the periradicular tissues. On the other hand, traditional surgical technique rather fearful and troublesome job due to various reasons. So successful apical and periapical repair depends on conventional root canal treatment - a non surgical procedure. Crucial to this management and ultimate success is the complete debridement of the root canal system, followed by three-dimensional obturation to seal both the apical foramen and coronal orifice.</p> <p><strong>Objective</strong>: Thus, the purpose of this study was to clinically verify the possibility of management of periradicular pathosis by non-surgical conventional root canal therapy.</p> <p><strong>Methods: </strong>The present study was a prospective observational study carried out in the department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka. Here, 75 cases of eondodontically involved symptomatic non-vital teeth having periradicular pathosis were managed by conventional root canal therapy.</p> <p><strong>Result: </strong>After 18 months follow up with post operative clinical and radiological evaluations, in this study the final outcome was favourable-88%, doubtful-08 %, and failure-04%.</p> <p><strong>Key words: </strong>Endodontics; Periarticular pathosis</p><p>DOI: 10.3329/bsmmuj.v1i1.3694</p> <p><em>BSMMU J</em> 2008; 1(1): 22-28</p>

scholarly journals Investigation of the Impact of Endodontic Therapy on Survival among Dialysis Patients in Taiwan: A Nationwide Population-Based Cohort Study

2021 ◽  
Vol 18 (1) ◽  
pp. 326
Author(s):  
Chih-Chien Chiu ◽  
Ya-Chieh Chang ◽  
Ren-Yeong Huang ◽  
Jenq-Shyong Chan ◽  
Chi-Hsiang Chung ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Root Canal ◽  
Dialysis Patients ◽  
Root Canal Therapy ◽  
Risk Of Death ◽  
Stage Renal Disease ◽  
End Stage

Objectives Dental problems occur widely in patients with chronic kidney disease (CKD) and may increase comorbidities. Root canal therapy (RCT) is a common procedure for advanced decayed caries with pulp inflammation and root canals. However, end-stage renal disease (ESRD) patients are considered to have a higher risk of potentially life-threatening infections after treatment and might fail to receive satisfactory dental care such as RCT. We investigated whether appropriate intervention for dental problems had a potential impact among dialysis patients. Design Men and women who began maintenance dialysis (hemodialysis or peritoneal dialysis) between January 1, 2000, and December 31, 2015, in Taiwan (total 12,454 patients) were enrolled in this study. Participants were followed up from the first reported dialysis date to the date of death or end of dialysis by December 31, 2015. Setting Data collection was conducted in Taiwan. Results A total of 2633 and 9821 patients were classified into the RCT and non-RCT groups, respectively. From the data of Taiwan’s National Health Insurance, a total of 5,092,734 teeth received RCT from 2000 to 2015. Then, a total of 12,454 patients were followed within the 16 years, and 4030 patients passed away. The results showed that members of the non-RCT group (34.93%) had a higher mortality rate than those of the RCT group (22.79%; p = 0.001). The multivariate-adjusted hazard ratio for the risk of death was 0.69 (RCT vs. non-RCT; p = 0.001). Conclusions This study suggested that patients who had received RCT had a relatively lower risk of death among dialysis patients. Infectious diseases had a significant role in mortality among dialysis patients with non-RCT. Appropriate interventions for dental problems may increase survival among dialysis patients. Abbreviations: CKD = chronic kidney disease, ESRD = end-stage renal disease, RCT = root canal therapy.

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.

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