Prognosis of Healing in Treated Teeth with Endodontic Infections

Intentional Replantation as a Starting Approach for a Multidisciplinary Treatment of a Mandibular Second Molar: A Case Report

“…The number of periodontal pockets (≥6 mm) and patient age (>40 years old) comprise key pre-operative aspects that may jeopardize the success of the IR procedure [ 16 ]. Contrastingly, peri-operative factors enhancing IR success include atraumatic extraction methods, the use of piezoelectric systems for root resection and preparation, cellular and acellular cement preservation, extraoral handling time ≤ 15 min, bioactive root-end filling material, and the use of magnification [ 6 , 10 , 12 , 17 , 18 , 19 ]. These highlight the importance of performing IR in light of modern microsurgical endodontics principles as requirements for a favorable prognosis [ 1 , 6 , 20 ].…”

“…A previous study reported that healing occurred 1.7 times more frequently when teeth were replanted within 15 min [ 12 ]. During extraoral handling, periodontal ligament cells experience an interruption in blood supply and dehydration, with long extraoral periods leading to cell viability decreases and periodontal healing impairment [ 6 , 10 , 19 ]. In fact, extraoral working times longer than 15 min have been associated with a higher incidence of postoperative complications, thus underlining the need for adequate surgical planning [ 2 , 10 , 12 ].…”

Analysis Of Enterococcus Faecalis, Staphylococcus Aureus, And Candida Albicans In Cast Metal Cores

“…41 Además, la literatura reporta que solo unas pocas células viables de microorganismos capaces de establecerse después de realizar los tratamientos endodónticos es suficiente para generar el fracaso. 42 Aunque los microorganismos S. aureus y C. albicans no se identificaron en los núcleos colados analizados, Ensinas et al los reportaron en su análisis microbiológico. 39 Esto puede deberse a que los materiales analizados en este estudio no estuvieron en contacto con S. aureus y C. albicans o que otros tipos de microorganismos pudieron causar su inhibición.…”

“…41 In addition, the literature reports that just a few viable cells of microorganisms capable of settling after endodontic treatment is sufficient to produce failure. 42 While S. aureus and C. albicans were not identified in the cast cores analyzed, Ensinas et al reported them in their microbiological analysis. 39 This may be due to the fact that the materials analyzed in this study were not in contact with S. aureus and C. albicans, or other types of microorganisms could cause their inhibition.…”