scholarly journals Microbiological analysis of root canal space prepared for prosthetic intracanal posts

2021 ◽  
Vol 10 (2) ◽  
pp. 56-61
Author(s):  
Mauricio Aguirre ◽  
Eduardo Antunes Bortoluzzi ◽  
José Carlos Rivas Gutiérrez ◽  
Ronaldo Souza Ferreira Silva ◽  
Karina Maria Salvatore Freitas ◽  
...  

The aim of the study was to microbiologically analyze the root canal space prepared for prosthetic intracanal posts. Thus, a 2% chlorhexidine solution was used after the intraradicular preparation of ten teeth with endodontic treatment performed for prosthetic purposes and pulp vitality history. Two collections were performed for microbiological analysis: one before the use of the studied solution, showing positive microbiological culture in all cases; and another, after application for 3 minutes of 2% chlorhexidine solution. The results showed the effectiveness of the solution in nine of ten cases, presenting negative results in microbial culture.

2021 ◽  
Vol 32 (3) ◽  
pp. 157
Author(s):  
Mey Amalia Fitriani Sulaeman ◽  
Irmaleny Satifil

Pendahuluan: Gigi yang telah dirawat endodontik dapat mengalami perubahan baik secara makro maupun mikrostruktur, sehingga menjadikannya lebih rentan terhadap fraktur. Restorasi gigi yang telah dirawat endodontik perlu mempertimbangkan sisa jaringan yang tersedia agar restorasi dapat bertahan lama. Tujuan laporan kasus ini untuk memaparkan bahwa restorasi modifikasi mahkota metal porselen dapat menjadi alternatif pilihan pada gigi pasca perawatan endodontik. Laporan kasus: Wanita berusia 43 tahun dirujuk dari departemen prostodonti untuk dilakukan perawatan saluran akar pada gigi premolar atas kanan. Pemeriksaan klinis menunjukan gigi 14 dengan sisa tambalan komposit dan hilangnya dinding palatal. Tes vitalitas tidak berespon, pada pemeriksaan perkusi, tekan dan palpasi memberikan hasil negatif. Pemeriksaan radiografis memperlihatkan saluran akar yang telah terisi gutta-percha yang inadekuat. Diagnosis untuk gigi 14 adalah previously treated tooth. Perawatan endodontik ulang dilakukan dan dipersiapkan untuk restorasi akhir berupa mahkota penuh dengan pasak fiber. Berdasarkan rencana perawatan dari departemen prostodonti, mahkota penuh dibuat dengan bahan metal porselen modifikasi bahan metal pada permukaan oklusal karena pasien mengalami bruksisme dan sedang dalam perawatan menggunakan splin oklusal. Simpulan: Modifikasi mahkota metal porselen pada gigi pertama rahang atas paska perawatan endodontik merupakan alternatif pilihan terbaik dan memberikan hasil yang memuaskan.Kata kunci: Mahkota metal porselen, restorasi, gigi paska perawatan endodontik. ABSTRACTIntroduction: Endodontically-treated teeth can change both macro and microstructure, making them more susceptible to fracture. Restorations of endodontically-treated teeth need to consider the remaining tissue available, thus makes the restoration last longer. This case report was aimed to demonstrate that modified porcelain metal crown restoration could become a choice in post-endodontic teeth treatment. Case report: A 43-year-old woman was referred from the prosthodontics department for her maxillary right premolar root canal treatment. Clinical examination revealed that tooth 14 with remaining composite filling and loss of the palatal wall. The vitality test did not respond. On percussion examination, pressure and palpation gave negative results. Radiographical examination showed a root canal filled with insufficient gutta-percha. The diagnosis for tooth 14 was previously treated tooth. Re-endodontic treatment was performed and prepared for the final restoration of a full crown with fibre posts. According to the prosthodontics department’s treatment plan, the full crown was made of metal modified porcelain for the occlusal surface because the patient had bruxism and was being treated with occlusal splints. Conclusion: Modification of porcelain metal crown on the maxillary first premolar after endodontic treatment is the best alternative and gives satisfactory results.Keywords: Porcelain metal crown, restoration, post-endodontic dental treatment.


2007 ◽  
Vol 27 (2) ◽  
pp. 85-88
Author(s):  
Léslie M. Domingues-Falqueiro ◽  
Jonathan Ferreira ◽  
Fernanda M. Lopes ◽  
Agnes Tymoszczenko ◽  
Marco A. Gioso

During endodontic therapy (pulpectomy, root canal debridement and root canal filling) microbiological management is a major concern. Bacteria present in dentine tubules, apical foramina and apical delta are causally related to failure of the procedure. Studies have shown that during single session endodontic treatment bacteria remain within dental structures. The aim of the present study was to evaluate endodontic treatment performed as two sessions, using temporary endodontic dressing materials for different periods in four groups of experimental dogs. A total of 80 roots of second and third upper premolar teeth and second, third and fourth lower premolar teeth were divided into four groups. The pulp chamber was opened with burrs and the pulp exposed for 60 days to induce pulpal inflammation and necrosis. Groups II, III and IV were treated with calcium hydroxide plus camphorated paramono-chlorophenol (PMCC) for 7, 15 and 30 days, respectively. In all groups, the root canals were filled with zinc oxide-eugenol and gutta-percha cones. Clinical and radiographical measurements were performed every 2 weeks. After 60 days a small block section containing the teeth, surrounding periapical tissues and the periodontium was removed for histological and microbiological study. Histological analysis revealed intense inflammatory response in all groups. Microbiological analysis showed microbial reduction inversely proportional to the period of time that the intracanal temporary medicament was left in place.


2020 ◽  
Vol 1 (12) ◽  
pp. 40-42
Author(s):  
F. Yu. Daurova ◽  
D. I. Tomaeva ◽  
S. V. Podkopaeva ◽  
Yu. A. Taptun

Relevance: the reason for the development of complications in endodontic treatment is poor-quality instrumental treatment root canals.Aims: a study of the animicrobial action and clinical efficacy of high-frequency monopolar diathermocoagulation in the treatment of chronic forms of pulpitis.Materials and methods: 102 patients with various chronic forms of pulpitis were divided into three groups of 34 patients each. In the first two groups, high-frequency monopolar diathermocoagulation was used in endodontic treatment in different modes. In the third group, endodontic treatment was carried out without the use of diathermocoagulation (comparison group). The root canal microflora in chronic pulpitis in vivo was studied twice-before and after diathermocoagulation.Results: it was established that high-frequency monopolar diathermocoagulation in the effect mode is 3, power is 4 (4.1 W) and effect is 4, power is 4 (5.4 W) with an exposure time of 3 seconds, it has a pronounced antibacterial effect on all presented pathogenic microflora obtained from the root canals of the teeth.


2010 ◽  
Vol 9 (1) ◽  
pp. 63
Author(s):  
Indrya Kirana Mattulada

Bacteria and their products play a fundamental role in the initiation, propagation andpersistence of pulpal and periradicular diseases. Consequently one of the major goalsof endodontic treament is to eliminate all bacteria from the root canal space.Elimination of microorganism from infected root canal is a complicated task.Numerous measures have been described to reduce the numbers of root canalmicroorganism, including the use of various instrumentation techniques, irrigationregimens, and intracanal medication. In endodontic treatment, there are severalmedicament used traditionally. They are phenolic, aldehyde, halogen, calciumhydroxide, and antibiotic. The aim of this paper is to discuss about indication,contraindication and effect of each medicament.


2017 ◽  
Vol 5 (2) ◽  
pp. 89 ◽  
Author(s):  
Mazen Doumani ◽  
Adnan Habib ◽  
Nashwan Qaid ◽  
Saleem Abdulrab ◽  
Ahmad Reda Bashnakli ◽  
...  

Endodontics is a profession based on the work with other people so several factors should be considered during clinical decision-making process.Objective: The aim of this study was to evaluate the knowledge and awareness of patients in a sample of Saudi population regarding endodontic treatment.Methods: multiple-choice questionnaire regarding knowledge and awareness of root canal treatment distributed to 227 patients, the questionnaire comprised questions ranged from personal and social details to specific questions about endodontic treatment; the analysis of data was performed using methods of descriptive statistics.Results: The results shown that the strong spontaneous toothache was the most impact factor of the need for endodontic treatment in (53%) of respondents, (29%) of subjects do not know anything about root canal treatment, (47%) of respondents indicated that the pain was the most important concern associated with the root canal treatment.Conclusion: Toothache is the greatest motivation of patient to refer the dentist, and pain is the more important patients’ concerns associated with root canal treatment, knowledge and awareness of patients regarding root canal treatment is different among races and populations.


PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3583 ◽  
Author(s):  
Andreas Bartols ◽  
Bernt-Peter Robra ◽  
Winfried Walther

Background Reciproc instruments are the only contemporary root canal instruments where glide path preparation is no longer strictly demanded by the manufacturer. As the complete preparation of root canals is associated with success in endodontic treatment we wanted to assess the ability and find predictors for Reciproc instruments to reach full working length (RFWL) in root canals of maxillary molars in primary root canal treatment (1°RCTx) and retreatment (2°RCTx) cases. Methods This retrospective study evaluated 255 endodontic treatment cases of maxillary molars. 180 were 1°RCTx and 75 2°RCTx. All root canals were prepared with Reciproc instruments. The groups were compared and in a binary logistic regression model predictors for RFWL were evaluated. Results A total of 926 root canals were treated with Reciproc without glide path preparation. This was possible in 885 canals (95.6%). In 1°RCTx cases 625 of 649 (96.3%) canals were RFWL and in 2°RCTx cases 260 of 277 (93.9%). In second and third mesiobuccal canals (MB2/3) 90 out of 101 (89.1%) were RFWL with Reciproc in 1°RCTx and in the 2°RCTx treatment group 49 out of 51 cases (96.1%). In mesio-buccal (MB1) canals “2°RCTx” was identified as negative predictor for RFWL (OR 0.24 (CI [0.08–0.77])). In MB2/3 canals full working length was reached less often (OR 0.04 (CI [0.01–0.31])) if the tooth was constricted and more often if MB2/3 and MB1 canals were convergent (OR 4.60 (CI [1.07–19.61])). Discussion Using Reciproc instruments, the vast majority of root canals in primary treatment and retreatment cases can be prepared without glide path preparation.


2008 ◽  
Vol 23 (4) ◽  
pp. 275-281 ◽  
Author(s):  
M. Sakamoto ◽  
J. F. Siqueira Jr ◽  
I. N. Rôças ◽  
Y. Benno

2013 ◽  
Vol 5 (2) ◽  
pp. 3-5
Author(s):  
R.S. Bassvanna ◽  
Chitra Gohil

ABSTRACT Management of non vital teeth with open apices isa challenge to the dental practitioners. In this clinical scenario, it is difficult to maintain the obturating material confine within the root canal without encroaching into periapical area. These kinds of cases cannot be managed by conventional endodontic treatment, and treatment of such cases with calcium hydroxide may take longer time for apical closure. But with this new material called BIODENTINE (Septodont) same treatment can be done in single visit with predictable result. Hence this case report present the use ofbiodentine to form an apical plug in open apex followed by complete root canal obturation using thermoplasticized guttapercha.


2020 ◽  
Vol 10 (2) ◽  
pp. 10-13
Author(s):  
Md Abdul Hannan Sheikh ◽  
Eyad Al Khalifa ◽  
Mozammal Hossain ◽  
Md Faruk Hossain ◽  
Nazneen Karim ◽  
...  

In this study, 120 teeth having periradicular pathosis were treated with single visit root canal treatment and then obturated with either calcium hydroxide containing sealer or mineral trioxide aggregate based sealer. The healing of periradicular pathosis was examined at 3, 6, and 12 months by clinical and radiological evaluation. Collected data were analyzed with standard statistical methods by using SPSS version- 20. The results showed that at 3 and 6 months, the differences between calcium hydroxide containing sealer or mineral trioxide aggregate based sealer were not statistically significant. However, the healing capability of periapical radiolucency at 12 months between two groups was statistically significant (P=0.03). The final outcome of the clinical and radiological investigation showed successful results of 96.6% and 98.1% in calcium hydroxide and mineral trioxide aggregate group, respectively. In conclusion, both calcium hydroxide and mineral trioxide aggregate based sealers are almost equally effective in single visit root canal therapy for the management of periradicular pathosis. Update Dent. Coll. j: 2020; 10 (2): 10-13


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