Outcome of endodontic treatment – the elephant in the room

Patel, Shanon; Arias, Ana; Whitworth, JM; Mannocci, Francesco

doi:10.1111/iej.13238

Cited by 13 publications

(7 citation statements)

References 48 publications

(50 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This may highlight that a surrogate measure of reduction of apical radiolucency (loose criteria) may be more relevant moving forward (Patel et al . 2020). It is important that outcome measures relate to resolution of disease rather than the technology (e.g.…”

Section: Methodsmentioning

confidence: 99%

“…Outcome has traditionally been assessed using 2-D planar radiography; however, with the advent of new imaging modalities such as CBCT possessing increased sensitivity (Kruse et al 2019) compared with conventional radiography the likelihood of attaining complete healing has reduced particularly at early time-points (Patel et al 2012). This may highlight that a surrogate measure of reduction of apical radiolucency (loose criteria) may be more relevant moving forward (Patel et al 2020). It is important that outcome measures relate to resolution of disease rather than the technology (e.g.…”

Section: Clinical Outcome Measures To Be Ranked For Importancementioning

confidence: 99%

“…A recent focus on the development of patient-reported or centred-outcomes (Neelakantan et al 2020), allied with new diagnostic modalities such as cone-beam computed tomography (CBCT) have highlighted the need to consider appropriate outcome measures to assess the effectiveness of endodontic treatment (Patel et al 2020). Relevant outcomes are particularly pertinent when writing recommendations or undertaking systematic analysis of the literature in order to assist clinical guideline development using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) framework (Guyatt et al 2008, Guyatt et al 2011, Loos & Needleman 2020, Sanz et al 2020.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcome measures to assess the effectiveness of endodontic treatment for pulpitis and apical periodontitis for use in the development of European Society of Endodontology (ESE) S3 level clinical practice guidelines: a protocol

et al. 2021

View full text Add to dashboard Cite

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Clinical Outcome Measures To Be Ranked For Importancementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Outcome measures to assess the effectiveness of endodontic treatment for pulpitis and apical periodontitis for use in the development of European Society of Endodontology (ESE) S3 level clinical practice guidelines: a protocol

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The different techniques can generate some root defects, although endodontic treatment systems have been constantly enhanced over time. [ 1 2 3 ] The different endodontic systems used optimize root canal instrumentation and shaping, filling procedures, and clinical time. [ 4 5 ] However, these systems may lead to tooth structure removal and higher mechanical load on the root canal, thereby affecting tooth integrity.…”

Section: Introductionmentioning

confidence: 99%

Dentinal microcracks induced by endodontic procedures: A scientometric and bibliometric analysis

et al. 2022

View full text Add to dashboard Cite

Background: Due to the large number of publications relating the occurrence of dental microcracks to endodontic procedures, this bibliometric study evaluated the scientific pattern and trends in literature and provided an overview of scientific production in this context. Aim: To analyze, quantify, and characterize the scientific production and trends of published articles evaluating dentinal microcracks formation after endodontic treatment procedures between 2010 and 2020 using bibliometric indicators. Materials and Methods: Published articles were found by the search in the Medline (PubMed) and Scopus database using the combination of the following keywords: Dentinal crack OR Dentinal Microcrack OR Crack formation OR Dentin Defect AND Endodontic treatment OR Root canal preparation OR Canal Preparation OR Root canal treatment OR endodontic procedures. The search was also conducted in the Journal of Endodontics and International Endodontic Journal. After inclusion and exclusion criteria application, data from all studies included were collected. Results: Among the 556 results after the search, 45 studies were included and analyzed in this bibliometry. No trend was observed in terms of the increasing number of articles over time. Most of them used an in vitro design, compared the effect of different endodontic techniques/systems for root canal instrumentation on dentinal microcracks formation, and were conducted in Turkey, Brazil, and India. Journal of Endodontics and International Endodontic Journal were the main journals with a higher number of articles published. Interestingly, studies conducted with some funding did not lead to higher citation numbers. Moreover, a relevant proportion of studies did not consider the inclusion of control groups, baseline evaluation, or statistical analysis. Micro-CT was the main technique used to evaluate microcrack presence. Conclusion: Microcrack formation after the use of different endodontic techniques/systems has been constantly evaluated in the literature. There is a pattern of methodologies used, which may explain the concentration of these studies in specific journals and countries.

show abstract

“…An increase in the prevalence of apical periodontitis has been recently reported worldwide, in endodontically treated teeth 1 . These findings raise concerns about the quality of restorative and endodontic treatment provided to the populations 2 . To overcome post-treatment disease, non-surgical endodontic retreatment is considered a reliable therapeutic, and is thus the first clinical option 3 .…”

Section: Introductionmentioning

confidence: 99%

Supplementary solvent irrigation efficacy on filling remnants removal comparing XP-endo Finisher R vs IrriSafe

Ferreira

Babo

Braga

et al. 2021

Sci Rep

View full text Add to dashboard Cite

This study aimed to compare the efficacy of XP-endo Finisher R and IrriSafe, with a solvent mixture of Methyl ethyl ketone/Tetrachloroethylene (MEK/TCE), in the removal of root filling residues. Twenty-four human mandibular incisors were pair-matched by micro-computed tomography according to volume and aspect ratio. After retreatment, specimens were allocated to two experimental groups (n = 12), according to the supplementary instrument used. The volume of residual filling material after each irrigating step and the time for retreatment was calculated. Statistical analyses were carried out using Mann–Whitney test, with a significance level of 5%. The volume of initial root canal filling material between the groups was similar (p > 0.05). With the final irrigation protocol (NaOCl and EDTA) the volume of the filling remnants decreased significantly (p < 0.05) with no differences between IrriSafe or XP-endo Finisher R (p > 0.05). The additional solvent mixture MEK/TCE increased the efficiency of filling materials reduction, regardless of the agitating instruments employed, IrriSafe or XP-endo Finisher R (p < 0.05). There was no difference between the two groups regarding the time (p = 0.149). Both supplementary instruments were effective in the reduction of filling remnants. The additional step with a solvent mixture of MEK/TCE enabled a total recovery of patency and the achievement of cleaner canals, independently of the agitation instrument.

show abstract

Outcome of endodontic treatment – the elephant in the room

Cited by 13 publications

References 48 publications

Outcome measures to assess the effectiveness of endodontic treatment for pulpitis and apical periodontitis for use in the development of European Society of Endodontology (ESE) S3 level clinical practice guidelines: a protocol

Outcome measures to assess the effectiveness of endodontic treatment for pulpitis and apical periodontitis for use in the development of European Society of Endodontology (ESE) S3 level clinical practice guidelines: a protocol

Dentinal microcracks induced by endodontic procedures: A scientometric and bibliometric analysis

Supplementary solvent irrigation efficacy on filling remnants removal comparing XP-endo Finisher R vs IrriSafe

Contact Info

Product

Resources

About