Effects of instrumentation, irrigation and dressing with calcium hydroxide on infection in pulpless teeth with periapical bone lesions

Peters, L. B.; Winkelhoff, AJ Van; Buijs, JF; Pr, Wesselink

doi:10.1046/j.0143-2885.2001.00447.x

Cited by 231 publications

(238 citation statements)

References 29 publications

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“…Of these, six analyzed periapical repair, [14][15][16][17][18][19] four microbiological control, 17,[20][21][22] and eight postobturation pain. [23][24][25][26][27][28][29][30] Table 1 describes the characteristics of the studies related to periapical repair and microbiological control.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis

Almeida¹,

Chaves²,

Souza³

et al. 2017

The Journal of Contemporary Dental Practice

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Introduction: Endodontic therapy is a specialized procedure more demanded by patients within public oral health care in the country. Then, single-visit endodontic therapy may offer advantages to the health care services, to the professionals, and to the patients by reducing access barriers. Materials and methods:A meta-analysis was done and the variables evaluated were periapical repair, microbiological control, and postobturation pain in randomized clinical trials (RCTs) involving endodontic treatment of nonvital teeth at single-or multiple visits.Results: About 17 RCTs were included. There were no differences found in periapical repair or microbiological control in single-and multiple-visit therapy. Single-visit endodontic therapy resulted in 21% less postobturation pain (relative risks = 0.79; 95%, confidence interval: 0.66-0.94). Conclusion:There was less postobturation pain in the single-visit endodontic therapy group. In the public dental care, this analysis favors the adoption of this one therapy because it will be possible to increase the patient access and the supply of this therapy. Clinical significance:It is possible to get a better cost-effectiveness for the patients and the health care service. This is very important because the reduction of the cost to the patient allows it to become a complete treatment. The health service, in turn, is able to be better used, with a greater supply of this service.

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Section: Resultsmentioning

confidence: 99%

“…The studies reported times of 15 minutes, 17,21 2 hours, 22 and 24 hours. 20 (3) The type of culture medium must be mentioned -anaerobic and aerobic 17,20,21 or only anaerobic.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis

Almeida¹,

Chaves²,

Souza³

et al. 2017

The Journal of Contemporary Dental Practice

View full text Add to dashboard Cite

show abstract

“…Although there is no consensus regarding the endodontic protocol for primary teeth, recent studies have demonstrated the importance of using an intra-canal medicament between sessions in order to decrease the microbial contamination of root canals (16). Similarly, clinical research found that smear layer removal from symptomatic teeth with pulp necrosis is associated with a higher success rate for endodontic therapy (3).…”

Section: Discussionmentioning

confidence: 99%

Survival and Factors Associated with Failure of Pulpectomies Performed in Primary Teeth by Dental Students

et al. 2016

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Although endodontic treatment is widely recommended for compromised dental pulp, there is no information regarding the factors associated with failures in primary teeth. The aim of this study was to evaluate the survival and factors associated with failure of pulpectomies performed in primary teeth by dental students. The sample comprised patients treated at a University Dental Service and required endodontic treatment in primary teeth. The study investigated treatment-related variables and patient factors potentially associated with treatment failure. Pulpectomy survival was analyzed by Kaplan-Meier estimator followed by log-rank test (p<0.05). The analysis included 81 pulpectomies performed in 62 children (5.6±1.5 years). The survival reached 62.9% up to 12 months follow-up. Most failures occurred in the first 3 months (p<0.001). Teeth with carious lesions at the start of treatment presented more failures than those with restorations or history of trauma (p=0.002). The survival of endodontically treated teeth restored with composite was higher than the ones filled with GIC (p=0.006). Pulpectomy performed in two or more sessions resulted in more failures (p=0.028). Patients presenting gingivitis had more failures in the endodontic treatment (p=0.022). The failures of root canal treatment in primary teeth were more prone to occur in a short time and when the treatment was performed in teeth presenting carious lesions. The use of composite instead of GIC increased the survival of pulpectomies. Repeated sessions for endodontic treatment and lack of oral hygiene habits had a negative effect on the results.

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“…Posteriormente, el conducto fue obturado con un apósito de hidróxido de calcio en pasta, Calcifar -P (Eufar ® ) (Figura 2 y 3). [21][22][23][24][25][26][27][28][29][30][31][32][33] Figura 2. Estimación de la longitud de trabajo en 20 mm.…”

Section: Tratamiento Del Conducto Radicularunclassified

Tratamiento De Una Reabsorción Externa Inflamatoria Con Trióxido De Mineral Agregado: Reporte De Un Caso

Arquez

2009

UstaSalud

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RESUMENPaciente masculino de 9 años de edad, sin antecedentes médicos que contribuyan al caso. En el examen clínico y radiográfico se observó una extensa y progresiva reabsorción radicular externa inflamatoria, una extensa lesión periapical, una bolsa periodontal y movilidad dentaria grado 2 a nivel del 21. Cinco meses atrás, el paciente sufrió trauma dental (avulsión), ese incisivo, fue mantenido en condiciones secas (envuelto en un pañuelo), reimplantado, reposicionado y ferulizado por odontólogo general dos horas después del trauma. Seguido a la preparación biomecánica se realizaron recambios de hidróxido de calcio cada cuatro semanas durante 6 meses; las características clínico patológicas mostraron una resolución parcial del proceso (disminución de la lesión periapical, pero persistía la pérdida ósea, la reabsorción radicular externa, la movilidad dentaria grado 2; y el defecto periodontal). Se decidió obturar completamente el conducto radicular con MTA blanco, los exámenes radiográficos seis meses después mostraron cambios en la densidad -trabeculado del hueso alveolar y la lámina ósea alrededor de la superficie radicular, no fue encontrada bolsa periodontal, la movilidad del diente fue considerada normal (grado 1), con subsecuente detención del proceso de reabsorción. Radiografías a los 24-48-54 meses mostraron una adecuada reparación de la reabsorción. Clínicamente el diente fue asintomático. El propósito de este artículo es reportar la reparación y detención de una extensa reabsorción radicular externa inflamatoria mediante el uso de MTA. TREATMENT OF AN EXTERNAL INFLAMMATORY RESORPTION WITH MINERAL TRIOXIDE AGGREGATE: A CASE REPORT ABSTRACTA 9-year old male, the patient`s medical histories were all noncontributory. A clinical and radiographic examination revealed an extensive and progressive external inflamatory, extensive periapical lesion, periodontal pocket, grade II mobility at level of the 21 Five months behind the patient suffered dental trauma (avulsion) , that incisive, was stored under dry conditions (wrapped in a handkerchief), replanted ,repositioned and splinted by general dentist 2 hours after trauma. Following biomechanical preparation, a dressing of calcium hydroxide was applied and replaced every 4 weeks over a period of 6 months; The clinical-pathological picture demonstrated partial resolution (decrease of periapical lesion, but it persisted: the loss of bony, the external root resorption, the grade II mobility, and the defect periodontal) decides to filling the root canal completely with MTA white, The radiographic examinations 6 mouth after revealed changes in the density -trabeculade of the alveolar bone, and the lamina bony around the root surface, no periodontal pocket was found, the mobility tooth was considered normal (grade I), with subsequent arrest of the process resorptive. Radiographs at 24, 48, 54 months showed adequate repair of the resorption. Clinically, the tooth was asymptomatic. The aim of this article is report the repair and arrest of an extensive external inflam...

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Effects of instrumentation, irrigation and dressing with calcium hydroxide on infection in pulpless teeth with periapical bone lesions

Cited by 231 publications

References 29 publications

Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis

Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis

Survival and Factors Associated with Failure of Pulpectomies Performed in Primary Teeth by Dental Students

Tratamiento De Una Reabsorción Externa Inflamatoria Con Trióxido De Mineral Agregado: Reporte De Un Caso

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