Periapical and Endodontic Status Scale Based on Periapical Bone Lesions and Endodontic Treatment Quality Evaluation Using Cone-beam Computed Tomography

Venskutonis, Tadas; Plotino, Gianluca; Tocci, Luigi; Gambarini, Gianluca; Maminskas, Julius; Juodžbalys, Gintaras

doi:10.1016/j.joen.2014.10.017

Cited by 68 publications

(67 citation statements)

References 30 publications

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“…The newly developed PESS index described in Venskutonis et al (2015) study is complex and different from all other indexes already present in the literature. 6 It permits to evaluate not only the status of periapical tissues, but also endodontic treatment quality.…”

Section: Resultsmentioning

confidence: 92%

“…COPI is composed of three parameters that are related to the characteristics of the periapical lesion: (1) size of the lesion (S), which may be directly related to endodontic treatment outcome results 12,13 ; (2) relationship between root and lesion (R), which is an important pretreatment factor, because the outcome of endodontic lesion treatment on multi-rooted teeth is worse 14,15 ; (3) location of bone destruction (D), which can be related to more complicated endodontic or surgical treatment due to the contact of radiolucency with important anatomical structures or destruction of cortical bone. 6,16,17 ETTI is derived from 4 endodontic treatment assessment explanatory parameters, which are important to the prediction of treatment outcome: (1) length of the root canal filling (L), which is measured in terms of the distance between the apical end of the visible filling material till the radiographic terminus of the root 5,18,19 ; (2) homogeneity of the root canal fillings (H), which is an important factor in judging filling condensation 5,19 ; (3) coronal seal (CS), which may play a role in improving treatment outcome 12,19,20 ; (4) presence of complications/failures (CF) can significantly influence the prognosis. 6,12,19,20 Detailed COPI and ETTI parameters are listed in Tables 2 and 3.…”

Section: Pessmentioning

confidence: 99%

“…6,16,17 ETTI is derived from 4 endodontic treatment assessment explanatory parameters, which are important to the prediction of treatment outcome: (1) length of the root canal filling (L), which is measured in terms of the distance between the apical end of the visible filling material till the radiographic terminus of the root 5,18,19 ; (2) homogeneity of the root canal fillings (H), which is an important factor in judging filling condensation 5,19 ; (3) coronal seal (CS), which may play a role in improving treatment outcome 12,19,20 ; (4) presence of complications/failures (CF) can significantly influence the prognosis. 6,12,19,20 Detailed COPI and ETTI parameters are listed in Tables 2 and 3. Fig.…”

Section: Pessmentioning

confidence: 99%

“…Recently, Venskutonis et al (2015) introduced Periapical and Endodontic Status Scale (PESS) based on periapical bone lesion and endodontic treatment quality evaluation using CBCT. 6 This scale, propose one system to analyze both, periapical pathology with surrounding tissues, and endodontic treatment quality evaluation.…”

Section: Introductionmentioning

confidence: 99%

“…6 This scale, propose one system to analyze both, periapical pathology with surrounding tissues, and endodontic treatment quality evaluation.…”

Section: Introductionmentioning

confidence: 99%

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Periapical tissue evaluation: analysis of existing indexes and application of Periapical and Endodontic Status Scale (PESS) in clinical practice

Venskutonis¹

2016

Giornale Italiano di Endodonzia

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Aim: To compare different indexes used for periapical pathology investigation and to apply them in clinical practice. Methodology: PAI, CBCT-PAI, and PESS indexes were analyzed in detail using existing literature. Two cases were evaluated using CBCT-PAI and PESS index. Results: Utilization of PESS index gives the possibility to see the status and changes in periapical tissue with more details. Also, using ETTI part of the index helps to understand the possible causes (filling length, condensation, and complications) of the disease and exact number of roots involved. Conclusion: PESS index is complex and different from all other indexes already present in the literature. It permits to evaluate not only the status of periapical tissues, but also endodontic treatment quality. Furthermore, the COPI periapical index has prognostic value due to its suggested AP treatment risk degrees. PESS can be used in epidemiological studies and clinical Peer review under responsibility of Società Italiana di Endodonzia.

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Section: Resultsmentioning

confidence: 92%

Section: Pessmentioning

confidence: 99%

Section: Pessmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…6 This scale, propose one system to analyze both, periapical pathology with surrounding tissues, and endodontic treatment quality evaluation.…”

Section: Introductionmentioning

confidence: 99%

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Periapical tissue evaluation: analysis of existing indexes and application of Periapical and Endodontic Status Scale (PESS) in clinical practice

Venskutonis¹

2016

Giornale Italiano di Endodonzia

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Computed Tomography Imaging Devices and Techniques

Versiani¹,

Gambarini²

2022

Endodontic Advances and Evidence‐Based Clinical Guidelines

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The effect of the irrigant activation protocol on postoperative pain in maxillary incisors with asymptomatic apical periodontitis: A three‐arm randomized clinical trial

Abbara,

Akil,

Hamadah

et al. 2023

Clinical & Exp Dental Res

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ObjectivesThis study aimed to compare the effects of three irrigation activation systems (IAS) on postoperative pain (PP) in activating three final irrigants: sodium hypochlorite 5.25%, ethylenediaminetetraacetic acid 17%, and chlorhexidine 2%.Materials and MethodsThis parallel randomized clinical trial included referred patients with asymptomatic large‐sized apical lesion incisors. A standard method was followed in the canal cleaning and shaping for all included patients in the study. Then, the patients were randomly assigned (1:1 allocation) into three groups: G1 (n = 20) with passive ultrasonic irrigation activation; G2 (n = 20) with XP‐Endo Finisher file activation; and G3 (n = 20) with diode laser (810 nm) activation. PP was estimated in all groups using a visual analog scale after 1, 3, 7, and 14 days of treatment. Comparisons between the groups were made using the Kruskal−Wallis test, whereas the Mann−Whitney U test was used in the pairwise comparisons.ResultsSixty patients were followed‐up in this trial. There were significant differences between the groups in terms of PP After 1, 3, and 7 days of treatment (p = 0.002, p = 0.017, and p = 0.006, respectively). On the first day of treatment, G3 showed the lowest PP compared with G1 and G2 (p = 0.007 and p = 0.001, respectively). On the third day of treatment, G3 showed less PP compared with G2 (p = 0.005). On the seventh day of treatment, G2 showed the highest PP compared with G1 and G3 (p = 0.012 and p = 0.003, respectively).ConclusionsThe XP‐Endo Finisher file caused the highest PP level especially in the next day and 3 days of the treatment, whereas the diode laser had the lowest PP level during the first week of treatment. It is noteworthy that PP disappeared completely after 2 weeks of treatment with all three IASs.Trial RegistrationThe trial was registered in the ISRCTN registry (Trial ID: SRCTN99457940).

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Periapical and Endodontic Status Scale Based on Periapical Bone Lesions and Endodontic Treatment Quality Evaluation Using Cone-beam Computed Tomography

Cited by 68 publications

References 30 publications

Periapical tissue evaluation: analysis of existing indexes and application of Periapical and Endodontic Status Scale (PESS) in clinical practice

Periapical tissue evaluation: analysis of existing indexes and application of Periapical and Endodontic Status Scale (PESS) in clinical practice

Computed Tomography Imaging Devices and Techniques

The effect of the irrigant activation protocol on postoperative pain in maxillary incisors with asymptomatic apical periodontitis: A three‐arm randomized clinical trial

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