Factors affecting the periapical healing process of endodontically treated teeth

Abstract

Tissue repair is an essential process that reestablishes tissue integrity and regular function. Nevertheless, different therapeutic factors and clinical conditions may interfere in this process of periapical healing. This review aims to discuss the important therapeutic factors associated with the clinical protocol used during root canal treatment and to highlight the systemic conditions associated with the periapical healing process of endodontically treated teeth. The antibacterial strategies indicated in the conventional treatment of an inflamed and infected pulp and the modulation of the host's immune response may assist in tissue repair, if wound healing has been hindered by infection. Systemic conditions, such as diabetes mellitus and hypertension, can also inhibit wound healing. The success of root canal treatment is affected by the correct choice of clinical protocol. These factors are dependent on the sanitization process (instrumentation, irrigant solution, irrigating strategies, and intracanal dressing), the apical limit of the root canal preparation and obturation, and the quality of the sealer. The challenges affecting the healing process of endodontically treated teeth include control of the inflammation of pulp or infectious processes and simultaneous neutralization of unpredictable provocations to the periapical tissue. Along with these factors, one must understand the local and general clinical conditions (systemic health of the patient) that affect the outcome of root canal treatment prediction.

Association between diabetes and the outcome of root canal treatment in adults: an umbrella review

“…After excluding studies during the initial phase, 12 reviews were included for full-text assessment. A further eight reviews were excluded during the second phase (fulltext reading) because seven of them were narrative reviews, not systematic (Fouad 2003, Segura-Egea et al 2012, 2015, Lima et al 2013, Sasaki et al 2016, Holland et al 2017) and one systematic review (Khalighinejad et al 2016) did not address the aim of the current umbrella review. Finally, four systematic reviews were included (Segura-Egea et al…”

Assessment of Cleaning Effect of Irrigation Time Using 5.25% Sodium Hypochlorite and Aspiration with Endovac

“…Complex root anatomy determines the difficulty of this treatment. The endodontic space has, alongside the root canal, accessory channels, lateral channels, dentinal tubules, apical delta, and is now called an endodontic system [1][2][3][4].…”

Proses penyembuhan lesi periapikal pada radiografi periapikal menggunakan Software Image J

“…Sifat biologis pada Ca(OH) 2 dan sifat antimikrobanya dapat memperbaiki jaringan dan merupakan bahan medikamen yang baik. 17 Tabel 5 menunjukkan hasil penelitian rata-rata pada saat diagnosis yaitu 11,89±4,80%, 15,64±5,37% saat pengisian, dan 21,84±7,42% saat kontrol. Peningkatan densitas yang dilihat pada radiograf periapikal menggunakan software ImageJ pada tahapan perawatan endodontik memperlihatkan adanya penyembuhan.…”