Objective
This study was done to assess the influence of caries and trauma as two etiological factors of pulp diseases on the success of endodontic revascularization procedures (RET).
Methods
In our study, a sample of 48 permanent, immature teeth of patients (10–16 years old) were selected and equally divided into 2 groups according to the etiology of pulp disease. Both groups received endodontic revascularization protocol (blood clot formation) as per the clinical considerations of the AAE. Patients were followed up for 12 months. Standardized radiographs were assessed for the root length and thickness increase, and the apical diameter decrease.
Results
After the follow-up period, the majority of cases demonstrated periapical healing radiographically. The regenerative ability revealed a significant progressive increase in root length in the caries group than in the trauma group. Both groups showed similar results in regards to the increase in root thickness and the decrease in apical diameter.
Conclusion
Revascularization was successful in both groups, but the regenerative capacity in teeth affected by caries showed better results than in teeth affected by trauma in terms of the increase in root length.
Clinical Relevance
RET could be more successful in immature teeth affected by caries than by trauma.
Introduction: post endodontic pain comprises a consequence to root canal treatment as it is an unpleasant outcome to both patient and the clinician.Aim of this study : to compare the level of post endodontic pain after instrumentation with ProTaper Gold or KontrolFlex systems.Methodology: 70 patients were randomly allocated to two groups 35 patients each. Group A: canals were instrumented using ProTaper Gold system, Group B: canals were instrumented using KontrolFlex system. Patients were asked to record their pain levels after 6h, 12h, 24h and 48h using the visual analogue scale. Data were tabulated and statistically analyzed using Shapiro Wilk test and Kolmogrov Smirnov test.Results: ProTaper Gold was accompanied with significantly less pain after 6h and 12h after which no statistically significant difference was found.
Conclusion:There was a statistically significant difference in the post endodontic pain after 6h and 12h after which no statistically significant difference was found. The pain steadily decreased over time when both systems were used.
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