Healing Kinetics of Periapical Lesions Enhanced by the Apexum Procedure: A Clinical Trial

Metzger, Zvi; Huber, Ronen; Slavescu, Dragos; Dragomirescu, Dan; Tobis, Idan; Better, Hadar

doi:10.1016/j.joen.2008.11.019

Cited by 25 publications

(22 citation statements)

References 21 publications

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“…In this context, it should be realized that the absolute necessity to stay short of the apical constriction when instrumenting root canals of teeth with apical periodontitis is a paradigm which has recently been proven wrong (140).…”

Section: Topical Inter-visit Antiseptics To Be Consideredmentioning

confidence: 99%

Disinfection of the root canal system during root canal re‐treatment

Zehnder¹,

Paqué²

2008

Endodontic Topics

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In this narrative review, the differences between primary root canal treatments and re‐treatments are explored in view of optimal disinfection of the root canal system. A critical appraisal of the literature raises doubt as to whether the microbiota found in re‐treatment cases per se is more resistant to antiseptics than the counterpart found in primary infections. In reality, primary, refractory, and persisting endodontic infections are all biofilm‐related; their microbial composition is dictated by local ecological factors rather than treatment history. Furthermore, their resistance to antimicrobials is most likely similar. The true difficulty in disinfecting root canal systems during re‐treatment cases is to achieve access to the infected areas. Iatrogenic alterations in canal anatomy and the presence of root filling material hamper the diffusion of disinfectants to these target areas. Consequently, cleaning the canal systems of foreign material and creating a canal shape that can properly be disinfected should be the initial aims. Ways of achieving these goals are discussed. Subsequently, the disinfection regimen can be similar to that in primary root canal infections. However, time is a crucial factor in re‐treatments, and thus a multiple‐visit approach is preferable in more complex cases in order to ensure more complete disinfection has been achieved.

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Section: Topical Inter-visit Antiseptics To Be Consideredmentioning

confidence: 99%

Disinfection of the root canal system during root canal re‐treatment

Zehnder¹,

Paqué²

2008

Endodontic Topics

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“…The tissue of the periapical lesion contains all of the elements of the host response, which are stimulated by and directed against the bacteria in the apical part of the infected root canal (Naidorf , Metzger & Abramovitz , Metzger et al . ). Pushing these same bacteria into the lesion is likely to produce an acute immune response, which may be termed a flare‐up.…”

Section: Discussionmentioning

confidence: 97%

Does root canal treatment in necrotic pulp or retreatment cases with periapical lesions require anaesthesia? An in vivo clinical study

et al. 2016

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“…The kinetics of osseous healing after endodontic treatment of teeth with AP is very slow (32), so much so that of all healed teeth, only about half are healed by 1 year after treatment, <90% are healed at 4 years, and about 95% are healed at 6 years (23,24). Thus, obtaining insight into the prognosis of periapical healing is frequently an advantage in clinical practice, particularly when healing after endodontic treatment is a requisite for extensive restorative and prosthetic treatment plans.…”

Section: Discussionmentioning

confidence: 99%