Analysis of Root Canal Treated Primary Incisor After Trauma

2012 ◽  
Vol 36 (3) ◽  
pp. 257-262 ◽  
Author(s):  
PN Tannure ◽  
TKS Fidalgo ◽  
R Barcelos ◽  
LG Primo ◽  
LC Maia
Keyword(s):  
Root Canal ◽  
Root Resorption ◽  
Dental Trauma ◽  
Positive Association ◽  
Early Years ◽  
Root Canal Treatment ◽  
Traumatic Injuries ◽  
Periapical Lesions ◽  
Therapy Success

Background: The low number of clinical studies of traumatized teeth submitted to root canal treatment is completely out of proportion to the seriousness that dental trauma imposes on children in early years. Aim. This study evaluates the outcomes of root canal treatment (RCT) in traumatized primary incisors and identifies the predisposing factors associated with therapy success. Methods: This is a retrospective study conducted with all dental records of 704 patients who had one or more teeth with traumatic injuries. Patients with irreversible pulp changes in primary teeth leading to RCT with a 24 month follow-up met the inclusion criteria. Results: Twenty-five maxillary incisors of 17 children were evaluated. The children’s age at the time of therapy ranged from 24 to 72 months (mean 47.3). Pulp necrosis was the most common disorder (84.0%) and pre-operative periapical lesions were observed in 52.0%. Coronal discoloration was found in 48.0%. The roots were filled with ZOE paste (68.0%) or Guedes-Pinto paste (32.0%). Overall RCT success rate was 68.0%. The absence of pre-operative periapical lesions (p = 0.02) and pathological root resorption (p = 0.02) presented positive association with therapy success. Success was not associated to filling paste (p = 0.49), filling extent (p = 0.44), of discoloration (p = 0.39) nor the patients’ age (p = 0.59). Conclusions: RCT was considered successful in 68.0% of the cases at the 24 month follow-up. Failure of RCT in traumatized primary incisors was associated with pre-operatory periapical lesions and pathological root resorption. The filling paste, the filling extent and the patient’s age were unrelated with therapy success.

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

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.

Radiographic outcome of root canal treatment in dogs: 281 teeth in 204 dogs (2001–2018)

2022 ◽  
pp. 1-8
Author(s):  
Da Bin Lee ◽  
Boaz Arzi ◽  
Philip H. Kass ◽  
Frank J. M. Verstraete
Keyword(s):  
Root Canal ◽  
Periodontal Ligament ◽  
Root Resorption ◽  
Dental Materials ◽  
Root Canal Treatment ◽  
Radiographic Outcome ◽  
Reference Limits ◽  
Dental Radiographs ◽  
Medical Record Database

Abstract OBJECTIVE To evaluate the radiographic outcome of root canal treatment (RCT) in dogs and compare outcomes with those reported for a previous study performed at the same institution in 2002. ANIMALS 204 dogs representing 281 teeth that underwent RCT. PROCEDURES The medical record database of a veterinary teaching hospital was searched to identify dogs that underwent RCT between 2001 and 2018. Only dogs that had undergone at least 1 radiographic recheck appointment a minimum of 50 days after RCT were included in the study. Dental radiographs were reviewed. Treatment was considered successful if the periapical periodontal ligament space was within reference limits and preexisting external inflammatory root resorption (EIRR), if present, had stabilized. Treatment was considered to show no evidence of failure (NEF) if preoperative EIRR had stabilized and any preoperative periapical lucency (PAL) remained the same or had decreased in size but had not completely resolved. Treatment was considered to have failed if EIRR or a PAL developed after RCT, if a preoperative PAL increased in size, or if preexisting EIRR progressed. RESULTS Follow-up time ranged from 52 to 3,245 days (mean, 437 days). RCT was classified as successful for 199 (71%) teeth, NEF for 71 (25%) teeth, and failed for 11 (4%) teeth. CONCLUSIONS AND CLINICAL RELEVANCE Results showed that almost 2 decades after RCT outcome in dogs was first evaluated, during which time numerous advances in dental materials and techniques had been made, the success rate of RCT was virtually unchanged.

scholarly journals Root Canal Treatment of Mandibular Second Premolars with Three Root Canals-Report of Four Rare Cases

2020 ◽  
Vol 24 (1) ◽  
pp. 49-52
Author(s):  
Ioannis Molyvdas ◽  
Anna Digka ◽  
Georgios Mikrogeorgis
Keyword(s):  
Root Canal ◽  
Root Canal Treatment ◽  
Periapical Lesions ◽  
Root Canals ◽  
Gutta Percha ◽  
Complex Anatomy ◽  
Present Complex ◽  
Working Length ◽  
Periapical Healing

SummaryBackground/Aim: The aim of root canal treatment is the thorough cleaning, shaping and obturation of the root canals. Variations in root canal anatomy increase the difficulty of the root canal treatment and therefore the possibility of failure. The mandibular premolars often present complex anatomy and the existence of mandibular second premolars with three root canals is very scarce. This report presents the successful endodontic management of four mandibular second premolars with three root canals.Cases Report: In all cases working length was estimated using the working length radiograph and an apex locator. Canal orifices were enlarged with Gates-Glidden drills and manual instrumentation performed with Stainless Steel reamers and Hedstroem files, using either step-back or crown-down technique. Sodium hypochlorite (NaOCl) 2.5% was used as an irrigant. Root canal obturation were then performed using the cold lateral condensation technique with gutta-percha points and Roth’s 801 canal sealer. The cases were scheduled for clinical and radiographic follow-up examination. Clinically in all follow-up examinations the teeth were asymptomatic. For the three cases with periapical lesions, post treatment radiographs, demonstrated periapical healing. Additionally, in the case without periapical lesion, the 9 months recall radiograph revealed healthy periapical conditions.Conclusions: Mandibular premolars should never be underestimated and the clinician should always be alerted for anatomic variations.

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 Correction to: A 12-month follow-up of primary and secondary root canal treatment in teeth obturated with a hydraulic sealer

2021 ◽  
Author(s):  
Giulia Bardini ◽  
Laura Casula ◽  
Emanuele Ambu ◽  
Davide Musu ◽  
Montse Mercadè ◽  
...  
Keyword(s):  
Root Canal ◽  
Root Canal Treatment ◽  
Secondary Root

scholarly journals Using Composite Resin Inclined Plane for the Repositioning of a Laterally Luxated Primary Incisor: A Case Report

2011 ◽  
Vol 05 (01) ◽  
pp. 117-120 ◽  
Author(s):  
Volkan Arikan ◽  
Saziye Sari
Keyword(s):  
Case Report ◽  
Time Delay ◽  
Root Canal ◽  
Composite Resin ◽  
Root Canal Treatment ◽  
Effective Alternative ◽  
Central Incisor ◽  
Inclined Plane

ABSTRACTThis case report describes the repositioning of a laterally luxated primary central incisor with occlusal interference, using a composite inclined plane. The patient was a 4-year-old girl who applied to our clinic three days after the injury. Because of the time delay between injury and presentation, it was not possible to reposition the tooth with pressure. Following a root-canal treatment, an inclined plane was prepared on the lower primary incisors, using composite resin. The tooth was repositioned in two weeks, and the inclined plane was then removed. After 1 year of follow-up, the treatment was found to be successful, both clinically and radiographically. The use of a composite inclined plane, accompanied by careful follow-up, is an effective alternative to extraction for laterally luxated primary incisors with occlusal interference. (Eur J Dent 2011;5:117-120)

scholarly journals Delayed replantation: Can it be a success?

1970 ◽  
Vol 6 (4) ◽  
pp. 497-501
Author(s):  
A Parolia ◽  
M Kundabala ◽  
N Shetty ◽  
ST Manuel
Keyword(s):  
Medical Journal ◽  
Case Report ◽  
Key Words ◽  
Male Patient ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
One Year

This case report describes delayed replantation of an avulsed maxillary central incisor in a 17-year-old male patient following an injury on fall one day earlier. Avulsed maxillary right permanent central incisor was replanted back into the socket after extra-oral root canal treatment. One year follow up showed validity of treatment, with no evidence of resorption in the replanted tooth. Key words: Replantation, Maxillary central incisor, Resorption doi: 10.3126/kumj.v6i4.1742     Kathmandu University Medical Journal (2008), Vol. 6, No. 4, Issue 24, 497-501     

The role of root canal treatment in the management of dental trauma

2017 ◽  
Vol 22 (10) ◽  
pp. 592-599
Author(s):  
Matthew Oxford
Keyword(s):  
Root Canal ◽  
Dental Trauma ◽  
Root Canal Treatment

scholarly journals Dental trauma and itssequelae in deciduous and permanent teeth - Longitudinal study

2019 ◽  
Vol 41 (1) ◽  
pp. 34030
Author(s):  
Graziele Martioli ◽  
Helena Sandrini Venante ◽  
Gabriela Cristina Santin ◽  
Carlos Luiz Fernandes de Salles ◽  
Sandra Mara Maciel ◽  
...  
Keyword(s):  
Root Resorption ◽  
Tissue Injury ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Chi Square ◽  
Elapsed Time ◽  
Chi Square Test ◽  
Type Of Injury

Objective: This study evaluated the prevalence, clinical management and sequelae in deciduous teeth involved and permanent successors in 150 children (256 deciduous teeth. Of these, 63.3% were male, 24-35 months of age at the time of the trauma (37.9%) and the falls (78.1%) represented the major etiological factor. In relation to the type of injury, 24.6% was enamel fracture; 62.5% showed support tissue injury (lateral luxation, 22.3%). In the first and second assessments (T1 and T2), the average follow-up time was 14.5 and 26 months (256 and 131 teeth).We diagnosed clinical and radiographic sequels including discoloration of the crown (T1-15.6; T2-13.7%), inflammatory root resorption (T1-7.0; T2-8.4%); and in permanent successors, enamel hypoplasia (T1-1.2; T2-2.3%), eruption disturbances (T1-2.0; T2-1.5%).The chi-square test evidenced association, in T1, between injuries to the supporting tissues and clinical (p = 0.003) and radiographic (p = 0.004) sequelae in permanent successors; and between clinical sequelae and age at the time of trauma (p = 0.005). In T2, radiological sequelae in deciduous teeth with injuries to the tooth and supporting tissue (p = 0.035); as well as clinical sequelae with elapsed time of trauma in permanent teeth (p = 0.005). It is concluded that the follow-up of traumatized deciduous teeth is essential to prevent sequelae.

Sign in / Sign up

Export Citation Format

Share Document