Healing of periapical lesion after root canal treatment: A case report

Sakly, Emna Hidoussi; Al-Hawwaz, Zahraa M; Zokkar, Neila; Douki, Nabiha

doi:10.18231/j.ijce.2021.049

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…Особую сложность составляет работа в зубах с разрушен-ной апикальной констрикцией [5]. Недостаточная эффективность существующих методов лечения зубов с деструктивными формами периодонтита, недифференцированный подход в работе с имеющимися пломбировочными материалами для обтурации корневых каналов (КК) на постоянной основе, особенно в случаях с разрушенной апикальной кон-стрикцией делают актуальным поиск новых средств реабилитации пациентов с данной патологией [6]. Качественная обтурация КК зубов на постоянной основе является одной из составляющих успеха эндодонтического лечения [7].…”

Section: ведениеunclassified

Assessment of the quality of root canal obturation of teeth with destructive forms of periodontitis using Silpex (SEM studies)

Glinkin,

Glinkina,

Chaikovskaya

et al. 2024

Èndodontiâ today

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AIM. To evaluate the effectiveness of using the material Sealpex with gutta-percha pins using the lateral condensation method for permanent obturation of the root canals of teeth with periapical pathology and pathologically destroyed apical constriction.MATERIAL AND METHODS. The root canals of 94 teeth with destructive forms of periodontitis were filled with Sealpex. Depending on the degree of apical constriction, patients were divided into three groups. Follow-up of patients was carried out for 4 years.RESULTS. Using SEM, in 80% of cases, single micro cracks were detected between the dentin of the root canal wall and the sealer. In the area of wide apical openings, the fit of the material is loose, and it is removed beyond the root apex. The material diffuses into the root dentin. Statistical studies have shown a high percentage of successful treatment of destructive forms of periodontitis with the use of Sealpex.CONCLUSIONS. Endo-sealant extended beyond the apex of the root canal does not mean dense obturation of the apical foramen. The presence of micropores and microcracks in the endosealant can be regarded as evidence of poor sealing of the channel. The use of Sealpex is especially effective when filling teeth of groups, I and II with destructive forms of periodontitis

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Section: ведениеunclassified

Assessment of the quality of root canal obturation of teeth with destructive forms of periodontitis using Silpex (SEM studies)

Glinkin,

Glinkina,

Chaikovskaya

et al. 2024

Èndodontiâ today

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“…Reaksi host terhadap invasi mikroba, dan perkembangannya dapat menjadi lesi periapikal, salah satunya adalah granuloma periapikal. 6 Perawatan granuloma periapikal biasanya dilakukan perawatan saluran akar dengan atau tanpa apikoektomi. Apabila perawatan konvensional inisial tidak berhasil, perawatan ulang endodontik (retreatment) dapat dilakukan untuk menghilangkan/ mengurangi bakteri, dan harus dipertimbangkan sebelum dilakukannya pembedahan pada periapikal.…”

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Perawatan saluran akar periodontitis apikalis kronis pada gigi insisivus lateral maksilaris kiri

Stefani

2023

JKGT

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Background: Root canal treatment is one of the modalities to treat periapical lesions. The success of root canal treatment in periapical lesions can be seen with the patient's chief complaint and the healing of periapical lesions as seen by the radiograph. Objective: This case report aims to demonstrate root canal treatment on a maxillary anterior tooth with periapical lesion. Case report: A 22-year-old female patient came with complaints of a maxillary anterior tooth that had throbbing pain several months ago, after having it filled by a previous dentist, and since then, it has never hurt again. Intra-oral examination of tooth 12 showed composite resin on the mesiopalatal surface. Radiographic findings showed that there was a round radiolucency in the periapical area with a diameter of 4 mm. Root canal treatment was performed based on the diagnosis of chronic apical periodontitis et causa necrotic pulp. Root canal treatment begins with the application of a rubber dam, opens the cavity, explores the root canal, and shapes the root canal. Biomechanical preparation was carried out using Protaper Hand Use with crown down technique, combined with 2.5% NaOCl irrigation. The first visit ends with the disinfection of the root canal using calcium hydroxide. Subsequent treatment was carried out with subjective and objective examination, removal of temporary filling, cleaning of calcium hydroxide, and final irrigation with 2.5% NaOCl, 17% EDTA, and 2% CHX. Obturation was achieved using the vertical condensation technique. The restoration was accomplished at the next visit using composite resin. Conclusion: Root canal treatment on teeth with chronic apical periodontitis was successfully carried out.

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“…Например, к ним относят токсические. Они вызваны действием токсинов микроорганизмов [8]. Происходящие изменения называются дистрофией, некрозом, атрофией и являются общепатологическими категориями.…”

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Dystrophic changes in the teeth and their surrounding tissues in destructive forms of apical periodontitis

Glinkin,

Dzholov,

Shatiev

2023

Èndodontiâ today

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Aim. With the help of pathomorphological studies, to study dystrophic changes that occur in teeth with destructive forms of periodontitis in the acute stage and in the tissues surrounding them.Materials and methods. For morphological study, biopsies of 48 teeth and periapical foci of infection of destructive forms of apical periodontitis in the acute stage were used. The material processed according to generally accepted methods was studied using an Olympus BX-40 light microscope.Results. Dystrophic changes were observed in 9 out of 48 studied teeth, which amounted to 18.75 %. Various manifestations of dystrophy testified to pathomorphological changes in tissues during the chronic course of the disease.Conclusions. Exacerbation of the inflammatory process in destructive periodontitis is accompanied by an autoimmune response of the body. Calcifications indicate changes in tissues. Dystrophy leads to total necrosis of pulp and periodontal tissues. Tissue granulomas with signs of dystrophy, chronic inflammatory process. Accumulation in the tissues of dental granulomas during the period of exacerbation of GAG is uneven, mostly of low and moderate intensity with a predominance of non-sulfated compounds. The body on its own is not able to cope with a long-standing inflammatory process.

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Healing of periapical lesion after root canal treatment: A case report

Cited by 4 publications

References 19 publications

Assessment of the quality of root canal obturation of teeth with destructive forms of periodontitis using Silpex (SEM studies)

Assessment of the quality of root canal obturation of teeth with destructive forms of periodontitis using Silpex (SEM studies)

Perawatan saluran akar periodontitis apikalis kronis pada gigi insisivus lateral maksilaris kiri

Dystrophic changes in the teeth and their surrounding tissues in destructive forms of apical periodontitis

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