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Chen X, Liu SQ, Wang XX, Liu W, Zhou X, Wang X. Effect of Orthodontic Treatment on the Outcomes of Endodontically Treated Teeth: a CBCT analysis. J Endod 2024:S0099-2399(24)00282-6. [PMID: 38763483 DOI: 10.1016/j.joen.2024.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Revised: 04/22/2024] [Accepted: 05/03/2024] [Indexed: 05/21/2024]
Abstract
INTRODUCTION Objective: Often there is the need of moving endodontically treated teeth. Orthodontic movement may have no effect on the prognosis of teeth with root canal treatment (RCT). To verify this subject, we evaluated the effect of orthodontic movement on the prognosis of RCT teeth using cone-beam computed tomography (CBCT) and further explored the influence of orthodontic movement on the prognosis of RCT teeth with and without apical periodontitis (AP). MATERIALS AND METHODS This retrospective study was conducted by evaluating 169 RCT teeth of 100 patients who had undergone fixed orthodontic treatment. AP was assessed and classified using the CBCT periapical index. Univariate analysis of RCT outcome was performed for the total RCT group, RCT without AP group and RCT with AP group. Multivariate logistic regression was performed for the total RCT group and RCT without AP group, respectively, but not for the RCT with AP group. Variables related to the prognosis of RCT were included, such as age, gender, tooth position, RCT quality, coronal restoration quality, periodontal condition, orthodontic traction distance, and orthodontic rotation angle. RESULTS The orthodontic traction distance and rotation angle were not significantly correlated to the RCT outcomes, regardless of the presence of AP. Among the total RCT group, teeth with unqualified RCT (OR = 3.42, P = 0.004) and inadequate coronal restoration (OR = 4.40, P = 0.031) had a lower success rate. Of the 97 RCT teeth without AP, unqualified RCT was a risk factor for treatment failure (OR = 3.55, P = 0.041). Of the 72 RCT teeth with AP, the univariate analysis showed that RCT quality were significantly related to the outcome (p = 0.042). CONCLUSION Orthodontic movement had no effect on the prognosis of RCT teeth regardless of the presence of AP.
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Affiliation(s)
- Xue Chen
- Department of Stomatology, Peking University Third Hospital, Beijing, China
| | - Shao-Qing Liu
- Department of Stomatology, Peking University Third Hospital, Beijing, China
| | - Xiao-Xiao Wang
- Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, China
| | - Wei Liu
- Department of Stomatology, Peking University Third Hospital, Beijing, China
| | - Xin Zhou
- Department of Stomatology, Peking University Third Hospital, Beijing, China
| | - Xiao Wang
- Department of Stomatology, Peking University Third Hospital, Beijing, China;.
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de Oliveira Neto RS, Souza TDM, Rosa SJ, Vivan RR, Alcalde MP, Honório HM, Duarte MAH. Biological response to endodontic treatment in one versus two-visit: a systematic review and meta-analysis of animal studies. Clin Oral Investig 2024; 28:173. [PMID: 38407663 DOI: 10.1007/s00784-024-05571-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Accepted: 02/20/2024] [Indexed: 02/27/2024]
Abstract
OBJECTIVES To perform a systematic review of animal studies that compared the histopathological characteristics between teeth with apical periodontitis after endodontic treatment in one or two visits. MATERIALS AND METHODS This systematic review was registered on the International Prospective Register of Systematic Reviews (PROSPERO) - CRD42022340849. Studies were collected from PubMed/MEDLINE, LILACS, EMBASE, Livivo, SciELO, Web of Science, Scopus, and Cochrane Library and manual and gray literature searches. Animal studies that evaluated histological characteristics after endodontic treatment of teeth with apical periodontitis in one or two visits were included. Risk of bias analysis of the included studies was performed using the Systematic Review Centre for Laboratory Animal Experimentation (SYRCLE) tool. Data synthesis of the included studies with quantitative data was performed, and meta-analysis was conducted with the Comprehensive Meta-Analysis software, using the random effects model and odds ratio (OR). RESULTS Eighteen studies met the inclusion criteria (Kappa = 0.891). Meta-analyses indicated values in inflammatory infiltrate intensity with effect size of 5.5% (95% CI: 0.020-0.148; p < 0.001), periodontal ligament thickness: 25.6% (95% CI: 0.134-0.487; p < 0.001), dentin resorption: 13% (95% CI: 0.015-1.141; p = 0.066), cementum resorption: 7.1% (95% CI: 0.015-0.325; p = 0.001), bone resorption: 1.4% (95% CI: 0.002-0.130; p < 0.001), mineralized tissue resorption: 42.8% (95% CI: 0.110-1.671; p = 0.222), biological apical sealing: 13.1% (95% CI: 0.055-0.314; p < 0.001), and presence of microorganisms: 10.3% (95% CI: 0.014-0.747; p = 0.025). CONCLUSIONS When considering animal studies, the two-visit endodontic treatment, using calcium hydroxide-based intracanal medication, resulted in better biological repair characteristics. CLINICAL RELEVANCE A two-visit endodontic treatment with calcium hydroxide-based intracanal medication yields superior histopathological outcomes.
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Affiliation(s)
- Raimundo Sales de Oliveira Neto
- Department of Operative Dentistry, Endodontics, and Dental Materials, Bauru School of Dentistry, University of São Paulo, Vila Universitária, Al. Octávio Pinheiro Brizolla 9-75, SP, Bauru, CEP: 17012-901, Brazil.
| | - Thais de Moraes Souza
- Department of Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo - USP, Bauru, Brazil
| | - Stefani Jovedi Rosa
- Department of Operative Dentistry, Endodontics, and Dental Materials, Bauru School of Dentistry, University of São Paulo, Vila Universitária, Al. Octávio Pinheiro Brizolla 9-75, SP, Bauru, CEP: 17012-901, Brazil
| | - Rodrigo Ricci Vivan
- Department of Operative Dentistry, Endodontics, and Dental Materials, Bauru School of Dentistry, University of São Paulo, Vila Universitária, Al. Octávio Pinheiro Brizolla 9-75, SP, Bauru, CEP: 17012-901, Brazil
| | - Murilo Priori Alcalde
- Department of Operative Dentistry, Endodontics, and Dental Materials, Bauru School of Dentistry, University of São Paulo, Vila Universitária, Al. Octávio Pinheiro Brizolla 9-75, SP, Bauru, CEP: 17012-901, Brazil
| | - Heitor Marques Honório
- Department of Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo - USP, Bauru, Brazil
| | - Marco Antonio Hungaro Duarte
- Department of Operative Dentistry, Endodontics, and Dental Materials, Bauru School of Dentistry, University of São Paulo, Vila Universitária, Al. Octávio Pinheiro Brizolla 9-75, SP, Bauru, CEP: 17012-901, Brazil
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ABDIN ARMF, AL-TAYYAN MH. Methodologies used for testing the sealability of endodontic temporary fillings in vitro: A narrative review. Saudi Dent J 2023; 35:769-779. [PMID: 38025591 PMCID: PMC10658378 DOI: 10.1016/j.sdentj.2023.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Revised: 06/21/2023] [Accepted: 07/02/2023] [Indexed: 12/01/2023] Open
Abstract
Introduction The ability of the temporary filling to seal endodontic access cavities may be crucial for the success of endodontic treatment. Numerous in vitro studies have investigated the sealability of the temporary fillings used in endodontic treatments. However, in vitro sealability studies have been criticized for their inconsistent results and questionable clinical relevance. Some journals have imposed moratoriums on publishing such studies to encourage researchers to test their validity and clinical relevance. Since the implementation of this moratorium, little progress has been made in this field. To further encourage researchers to investigate the reliability of these studies, this review presents an overview of the methodologies of studies that examine the ability of temporary filling materials to seal the endodontic access cavity in vitro and discusses the criticisms of these studies in detail. Materials and Methods PubMed, Scopus, and Embase electronic databases were searched to identify studies that tested in vitro the ability of temporary filling materials to seal endodontic access cavities. Only original articles published in English between 01/01/1970 and 28/02/2022 were included. Results The search yielded 551 results. After removing duplicates and excluding studies that did not meet the inclusion criteria, 94 studies were included in this review. Conclusion Although clinical studies may be the best way to test the performance of temporary fillings, the ethical importance of conducting preliminary in vitro studies is undeniable. It seems that questioning the reliability of in vitro sealability studies is not based on sufficient scientific evidence and that the inconsistencies in the results of these studies may be due to differences in the methodological and clinically relevant variables between them, rather than due to their unreliability.
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Affiliation(s)
- Abdul Rahman MF ABDIN
- Department of Operative Dentistry and Endodontics, Faculty of Dentistry, Damascus University, Damascus, Syria
| | - Mouhammad H AL-TAYYAN
- Department of Operative Dentistry and Endodontics, Faculty of Dentistry, Damascus University, Damascus, Syria
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Winkler A, Adler P, Ludwig J, Hofmann N, Soliman S, Krastl G, Krug R. Endodontic Outcome of Root Canal Treatment Using Different Obturation Techniques: A Clinical Study. Dent J (Basel) 2023; 11:200. [PMID: 37623296 PMCID: PMC10453118 DOI: 10.3390/dj11080200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Revised: 07/24/2023] [Accepted: 08/17/2023] [Indexed: 08/26/2023] Open
Abstract
OBJECTIVE To evaluate the clinical outcome of root canal treatment by obturation technique, root canal filling quality, and tooth- and patient-related variables. METHODS This clinical study investigated the endodontic outcome of 114 teeth treated between the years 2009 and 2012. Three different obturation methods were used: (1) adhesive obturation using the continuous wave of condensation technique with Resilon® (CWR), (2) matching-taper single-cone technique with gutta-percha and AH Plus® (SCGP), and (3) matching-taper single-cone technique with gutta-percha and GuttaFlow® (SCGF). Pre- and postoperative periapical radiographs were performed to detect the presence of endodontic lesions (PAI classification) and to assess the quality of both the obturation and the restoration. Tooth- and patient-related data were collected. RESULTS The overall endodontic success rate was 75.4% after a mean observation period of 6.3 years. There were no significant correlations between the type or overall quality of obturation and the treatment outcome. Teeth with preoperative lesions had the highest odds ratio (factor of 4.98) for endodontic failure. Tooth- and patient-related variables had no significant effect on endodontic outcome. CONCLUSIONS The preoperative periapical status of teeth requiring endodontic treatment was a substantial prognostic factor for endodontic outcome, whereas the type of obturation material or technique did not affect it.
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Affiliation(s)
- Alexander Winkler
- Center of Dental Traumatology, Department of Conservative Dentistry and Periodontology, University Hospital Würzburg (UKW), Pleicherwall 2, 97070 Würzburg, Germany; (J.L.); (N.H.); (S.S.); (G.K.); (R.K.)
| | - Philipp Adler
- Department of Cranio-Maxillofacial Surgery, University Hospital Münster, Albert-Schweitzer-Campus 1, Gebäude W 30, 48149 Münster, Germany;
| | - Julia Ludwig
- Center of Dental Traumatology, Department of Conservative Dentistry and Periodontology, University Hospital Würzburg (UKW), Pleicherwall 2, 97070 Würzburg, Germany; (J.L.); (N.H.); (S.S.); (G.K.); (R.K.)
| | - Norbert Hofmann
- Center of Dental Traumatology, Department of Conservative Dentistry and Periodontology, University Hospital Würzburg (UKW), Pleicherwall 2, 97070 Würzburg, Germany; (J.L.); (N.H.); (S.S.); (G.K.); (R.K.)
| | - Sebastian Soliman
- Center of Dental Traumatology, Department of Conservative Dentistry and Periodontology, University Hospital Würzburg (UKW), Pleicherwall 2, 97070 Würzburg, Germany; (J.L.); (N.H.); (S.S.); (G.K.); (R.K.)
| | - Gabriel Krastl
- Center of Dental Traumatology, Department of Conservative Dentistry and Periodontology, University Hospital Würzburg (UKW), Pleicherwall 2, 97070 Würzburg, Germany; (J.L.); (N.H.); (S.S.); (G.K.); (R.K.)
| | - Ralf Krug
- Center of Dental Traumatology, Department of Conservative Dentistry and Periodontology, University Hospital Würzburg (UKW), Pleicherwall 2, 97070 Würzburg, Germany; (J.L.); (N.H.); (S.S.); (G.K.); (R.K.)
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Baseri M, Radmand F, Milani AS, Gavgani LF, Salehnia F, Dianat O. The effect of periapical lesion size on the success rate of different endodontic treatments: a systematic review and meta-analysis. Evid Based Dent 2023; 24:43. [PMID: 36890256 DOI: 10.1038/s41432-023-00851-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 07/01/2022] [Indexed: 03/10/2023]
Abstract
INTRODUCTION This systematic review evaluated the effect of periapical lesion (PL) size on the success rate of different endodontic treatments, including root canal treatment (RCT), non-surgical retreatment (NSR), and apical surgery (AS). METHODS Cohorts and randomized controlled trials investigating the outcomes of endodontic treatment of permanent teeth with PL and its size were identified electronically through Web of Science, MEDLINE, Scopus, and Embase databases. Two reviewers independently conducted the study selection, data extraction, and critical appraisal process. The quality of the included studies was evaluated using the Newcastle-Ottawa Scale and the 11-item Critical Appraisal Skills Program checklist for randomized controlled trials. The success rates of the endodontic treatments (small lesions and large lesions) were estimated using the rate ratios (RRs) with an associated 95% confidence interval (CI). RESULTS Out of 44 included studies, 42 were cohort, and 2 were randomized controlled trials. Thirty-two studies had poor quality. For the meta-analysis, five studies in RCT, 4 in NSR, and 3 in AS were considered. The RR of the endodontic treatment success in PLs was 1.04 in RCT (95% CI, 0.99-1.07), 1.11 in NSR (95% CI, 0.99-1.24), and 1.06 in AS (95% CI, 0.97-1.16). Only sub-group analysis of long-term follow-up of RCT showed a significantly higher success rate in small lesions than in large lesions. CONCLUSIONS Considering the quality of studies and variation in outcomes and size classification, our meta-analysis demonstrated that the PL size had no significant effect on the success rate of different endodontic treatments.
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Affiliation(s)
- Milad Baseri
- Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Faraz Radmand
- Dental and Periodontal Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Amin Salem Milani
- Associate Professor of Endodontics, Endodontic Department, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Leili Faraji Gavgani
- Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
- Research Center for Evidence-Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Fatemeh Salehnia
- Research Center for Evidence-Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Omid Dianat
- Department of Advanced Oral Sciences and Therapeutics, School of Dentistry, University of Maryland, Baltimore, MD, USA
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de Araújo LP, da Rosa WLDO, Gobbo LB, da Silva TA, de Almeida JFA, Ferraz CCR. Global research trends on photodynamic therapy in endodontics: A bibliometric analysis. Photodiagnosis Photodyn Ther 2022; 40:103039. [PMID: 35907620 DOI: 10.1016/j.pdpdt.2022.103039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 07/25/2022] [Accepted: 07/26/2022] [Indexed: 12/14/2022]
Abstract
BACKGROUND Photodynamic therapy (PDT) is an adjunctive treatment that aims to inactivate microorganisms through an oxidative reaction produced by irradiating a photosensitizing agent. The quest for improved root canal disinfection has sought supplementary methods when performing chemomechanical procedures. From this perspective, PDT protocols were proposed as an auxiliary approach in endodontics. Thus, the aim of this study was to investigate publication metrics and research trends related to this scope. METHODS This review is reported in accordance with the PRISMA 2020 recommendations. Two blinded and independent reviewers systematically searched five electronic databases until December 2021. The acquired bibliometric parameters were analyzed through descriptive statistics and graphical mappings with VOSViewer software. RESULTS The search retrieved 342 studies from 84 journals originating from 33 countries. About 85% of the included studies were published over the last decade. Most of the available evidence is laboratory-based (74.5%), and the main clinical outcomes evaluated were microbiological load reduction and postoperative pain. Mayram Pourhajibagher is the researcher with the most publications as the first author (n = 16). Tehran University of Medical Sciences carried out the highest number of studies (n = 29), and Photodiagnosis and Photodynamic Therapy is the journal that most published on the theme (n = 111). CONCLUSIONS This bibliometric analysis mapped and discussed the scientific progress and publication metrics in PDT in endodontic research. Additionally, future perspectives were highlighted and should focus on discovering new photosensitizer agents, standardizing optimal photoactivation protocols, and conducting more clinical-oriented research.
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Affiliation(s)
- Lucas Peixoto de Araújo
- Department of Restorative Dentistry, Division of Endodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Avenue Limeira 901, Piracicaba, SP 13144-018, Brazil
| | | | - Leandro Bueno Gobbo
- Department of Restorative Dentistry, Division of Endodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Avenue Limeira 901, Piracicaba, SP 13144-018, Brazil
| | - Tamares Andrade da Silva
- Department of Restorative Dentistry, Division of Endodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Avenue Limeira 901, Piracicaba, SP 13144-018, Brazil
| | - José Flávio Affonso de Almeida
- Department of Restorative Dentistry, Division of Endodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Avenue Limeira 901, Piracicaba, SP 13144-018, Brazil
| | - Caio Cezar Randi Ferraz
- Department of Restorative Dentistry, Division of Endodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Avenue Limeira 901, Piracicaba, SP 13144-018, Brazil.
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Kirkevang LL, El Karim IA, Duncan HF, Nagendrababu V, Kruse C. Outcomes reporting in systematic reviews on non-surgical root canal treatment: A scoping review for the development of a core outcome set. Int Endod J 2022; 55:1128-1164. [PMID: 35969087 DOI: 10.1111/iej.13812] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 08/08/2022] [Accepted: 08/08/2022] [Indexed: 01/07/2023]
Abstract
BACKGROUND Studies related to non-surgical root canal treatment are amongst the most frequently performed clinical studies in endodontics. However, heterogeneity in reporting outcomes and lack of standardization is a significant challenge to evidence synthesis and guideline development. OBJECTIVES The aims of the present scoping review were to (a) identify outcomes reported in systematic reviews evaluating non-surgical root canal treatment; (b) identify how and when the reported outcomes were measured; (c) assess possible selective reporting bias in the included studies. The information obtained in this study should inform the development of a core outcome set (COS) for non-surgical root canal treatment. METHODOLOGY Structured literature searches were performed to identify systematic reviews on non-surgical root canal treatments published in English between January 1990 and December 2020. Two reviewers undertook study selection and data extraction. Outcomes were categorized according to a healthcare taxonomy into five core areas (survival, clinical/physiological changes, life impact, resource use, and adverse events). The outcome measurement tools and length of follow-up were recorded. RESULTS Seventy-five systematic reviews were included, of which 40 included meta-analyses. Most reviews reported on physiological and clinical outcomes, primarily pain and/or radiographic assessment of periapical status, and a variety of measurement tools and scales were used. Few reviews focused on tooth survival, life impact, resources, and adverse events. The heterogeneity amongst the reviews was large on all parameters. Less than 40% of the reviews assessed the risk of selective reporting. DISCUSSION Overall aims of the included reviews were highly heterogenic; thus, outcomes and how they were measured also varied considerably. Patient-centred outcomes and the use of resources were rarely reported on. CONCLUSIONS Most studies reported on physiological and clinical outcomes, in particular pain and/or radiographic healing. Measurement tools, scales, thresholds, and follow-up periods varied greatly within each outcome, making comparison across studies complicated. Less than 40% of the reviews assessed risk of selective reporting; thus, selective bias could not be ruled out. The presented information on reported outcomes, measurement tools and scales, and length of follow-up may guide the planning of future research and inform the development of a COS for non-surgical root canal treatment.
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Affiliation(s)
| | - Ikhlas A El Karim
- School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK
| | - Henry Fergus Duncan
- Division of Restorative Dentistry & Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland
| | - Venkateshbabu Nagendrababu
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, UAE
| | - Casper Kruse
- Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
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El Karim I, Duncan HF, Cushley S, Nagendrababu V, Kirkevang LL, Kruse C, Chong BS, Shah PK, Lappin MJ, McLister C, Lundy FT, Clarke M. Establishing a Core Outcome Set for Endodontic Treatment modalities. Int Endod J 2022; 55:696-699. [PMID: 35692086 DOI: 10.1111/iej.13749] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Affiliation(s)
- Ikhlas El Karim
- School of Medicine, Dentistry and Biomedical Sciences, Queen's University, Belfast, UK
| | - Henry F Duncan
- Division of Restorative Dentistry and Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland
| | - Siobhan Cushley
- School of Medicine, Dentistry and Biomedical Sciences, Queen's University, Belfast, UK
| | - Venkateshbabu Nagendrababu
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, UAE
| | | | - Casper Kruse
- Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
| | - Bun San Chong
- Institute of Dentistry, Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Pratik Kamalkant Shah
- Institute of Dentistry, Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Mark J Lappin
- School of Medicine, Dentistry and Biomedical Sciences, Queen's University, Belfast, UK
| | - Conor McLister
- School of Medicine, Dentistry and Biomedical Sciences, Queen's University, Belfast, UK
| | - Fionnuala T Lundy
- School of Medicine, Dentistry and Biomedical Sciences, Queen's University, Belfast, UK
| | - Mike Clarke
- School of Medicine, Dentistry and Biomedical Sciences, Queen's University, Belfast, UK
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Patel S, Puri T, Mannocci F, Bakhsh AA. The outcome of endodontic treatment using an enhanced infection protocol in specialist practice. Br Dent J 2022; 232:805-811. [PMID: 35689064 DOI: 10.1038/s41415-022-4339-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Accepted: 11/05/2021] [Indexed: 11/09/2022]
Abstract
Objectives This study aims to determine the outcome of primary root canal treatment with specific enhanced infection control protocol. The secondary aim was to compare percentages of successful outcomes in this study with a previous study undertaken by the same operator using both periapical radiograph (PR) and cone beam computed tomography (CBCT).Materials and methods Root canal treatment of 110 teeth in 95 patients carried out by a single operator using an enhanced infection control procedure (disinfection of gutta percha before obturation, changing of gloves after each intraoperative radiograph and also before the start of the root canal obturation). PR and CBCT scans of 94 teeth in 87 patients were assessed 12 months after completion of primary root canal treatment and compared with their respective pre-treatment (diagnostic) PR and CBCT scans. Healing was assessed by a consensus panel consisting of two calibrated examiners. Comparison of the PR and CBCT images for 'healed' and/or 'healing' outcomes was performed using McNemar's test.Results The 'healed' rate (absence of periapical radiolucency) was 89.4% using PR and 78.7% for CBCT (p <0.046). This rate increased to 95.7% for PR and 92.6% for CBCT when the 'healing' group (reduced size of periapical radiolucency) was included (p <0.046).Conclusion The frequent changing of gloves during the course of endodontic treatment and disinfection of gutta percha points before obturation, together with the use of contemporary rotary files, resulted in a high success rate of primary root canal treatment compared to similar clinical studies conducted previously.
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Affiliation(s)
- Shanon Patel
- Centre for Oral, Clinical and Translational Sciences, Faculty of Dentistry, Oral and Craniofacial Sciences, King´s College London, London, UK; Specialist Practice, London, UK.
| | - Taranpreet Puri
- Centre for Oral, Clinical and Translational Sciences, Faculty of Dentistry, Oral and Craniofacial Sciences, King´s College London, London, UK
| | - Francesco Mannocci
- Centre for Oral, Clinical and Translational Sciences, Faculty of Dentistry, Oral and Craniofacial Sciences, King´s College London, London, UK
| | - Abdulaziz A Bakhsh
- Centre for Oral, Clinical and Translational Sciences, Faculty of Dentistry, Oral and Craniofacial Sciences, King´s College London, London, UK; Department of Restorative Dentistry, Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia
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Burns LE, Kim J, Wu Y, Alzwaideh R, McGowan R, Sigurdsson A. Outcomes of Primary Root Canal Therapy: An updated Systematic Review of Longitudinal Clinical Studies Published between 2003 and 2020. Int Endod J 2022; 55:714-731. [PMID: 35334111 PMCID: PMC9322405 DOI: 10.1111/iej.13736] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 02/17/2022] [Accepted: 03/22/2022] [Indexed: 12/04/2022]
Abstract
Background A comprehensive effort to evaluate outcomes of primary root canal therapy (RCT) between 1966 and 2002 was published by Ng et al. (2007, International Endodontic Journal, 40, 921; 2008, International Endodontic Journal, 41, 6). Changes in endodontic materials and treatment methods warrant an updated analysis of outcomes. Objectives This study aimed to (1) quantify the success rates of primary RCT published between 2003 and 2020; and (2) investigate the influence of some characteristics known/suspected to be associated with treatment outcomes. Methods An electronic search was performed in the following databases (01‐01‐2003 to 12‐31‐2020): Pubmed, Embase, CINHAL, Cochrane and Web of Science. Included study designs were longitudinal clinical studies (randomized control trials, cohort studies, retrospective observational studies). Studies with at least twelve‐months of post‐operative review and success rates based on clinical and radiographic criteria were analysed. The terms ‘strict’ (complete resolution of periapical lesion) or ‘loose’ (reduction in size of existing periapical lesion) were used to describe the outcome criteria. Weighted, pooled success rates were calculated. Random effects meta‐regression models were used to investigate potential sources of statistical heterogeneity. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach was used to evaluate for quality assessment of the included studies. Results Forty‐two studies were included in the review. Meta‐analyses showed that the weighted pooled success rates were estimated to be 92.6% (95% CI: 90.5%–94.8%) under ‘loose criteria’ and 82.0% (95% CI: 79.3%–84.8%) under ‘strict’ criteria. The most significant areas of study heterogeneity were year of publication and qualification of operator. The majority (64.29%) of studies were considered to be of low quality of evidence. Discussion Biological factors continue to have the most significant impact on RCT outcomes. The technological method of instrumentation had no significant effect. The quality of evidence was based primarily on study design and only randomized control trials were considered to be ‘high’ quality of evidence. Conclusions The reported success rates show improvement over time. Weighted success rates for studies with a minimum of four‐years follow‐up had better outcomes, compared to those with less than four years, when ‘strict criteria’ were used. Registration PROSPERO database (CRD42021226311).
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Affiliation(s)
- L E Burns
- New York University College of Dentistry, Department of Endodontics, New York
| | - J Kim
- New York University College of Dentistry, Department of Endodontics, New York
| | - Y Wu
- New York University Langone Health, Department of Population Health, Division of Biostatistics, New York
| | - R Alzwaideh
- New York University College of Dentistry, Department of Endodontics, New York
| | - R McGowan
- New York University, Health Sciences Library
| | - A Sigurdsson
- New York University College of Dentistry, Department of Endodontics, New York
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11
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Endodontic procedural errors: Analysis of images from cone beam computed tomography. FORENSIC IMAGING 2022. [DOI: 10.1016/j.fri.2022.200493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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12
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Meire MA, van der Waal SV. A critical analysis of research methods and experimental models to study intracanal medicaments. Int Endod J 2022; 55 Suppl 2:330-345. [PMID: 35100452 DOI: 10.1111/iej.13694] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2021] [Accepted: 01/26/2022] [Indexed: 12/01/2022]
Abstract
In order to ensure predictable decontamination of the root canal system, chemo-mechanical preparation of the root canal space is sometimes supplemented with the use of intracanal medication. As microbial control of the root canal space is fundamental to the resolution of apical periodontitis, root canal disinfection strategies haven been researched intensively. The use of intracanal medication as a supplementary step to the chemo-mechanical preparation of the root canal space is one of them. Because of the costs and limitations of clinical research it is relevant and common practice to first evaluate alternative or new root canal disinfection modalities in laboratory studies. This involves the simulation of a root canal infection in a laboratory model, on which different disinfection strategies can be tested. When modelling the infected root canal, different levels of infection can be discriminated: suspended bacteria, microbial biofilms and infected dentine. This review describes the experimental models associated with these infection levels and critically appraises their value and methodological details. Suggestions for relevant research methods and experimental models are given, as well as some good practices for laboratory-based microbiological studies.
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Affiliation(s)
- M A Meire
- Department of Oral Health Sciences, Section of Endodontology, Ghent University, Ghent, Belgium
| | - S V van der Waal
- Department of Endodontology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
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13
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AlAnazi YS, AlQahtani MAS, Al Zahrani SAK, AlMusallam MA, AlDosari RA, AlShahrani MO, Al Qarni TA, Al Mutairi MS, AlQahtani SA. Impact of Endodontic Treatment and Coronal Restoration on Endodontically Treated Teeth’s Periapical State; A Systematic Review. PHARMACOPHORE 2022. [DOI: 10.51847/vwrgtjjyyo] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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14
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Ríos-Osorio N, Muñoz-Alvear HD, Jiménez-Castellanos FA, Quijano-Guauque S, Jiménez-Peña O, García-Perdomo HA, Caviedes-Bucheli J. Association between cigarette smoking and the prevalence of post-endodontic periapical pathology: a systematic review and meta-analysis. Restor Dent Endod 2022; 47:e27. [PMID: 36090507 PMCID: PMC9436652 DOI: 10.5395/rde.2022.47.e27] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 11/07/2021] [Accepted: 11/12/2021] [Indexed: 11/11/2022] Open
Affiliation(s)
- Néstor Ríos-Osorio
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Bogotá, Colombia
| | | | | | - Sara Quijano-Guauque
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Bogotá, Colombia
| | - Oscar Jiménez-Peña
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Bogotá, Colombia
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15
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Mujawar A, Hegde V, Srilatha S. A retrospective three-dimensional assessment of the prevalence of apical periodontitis and quality of root canal treatment in Mid-West Indian population. J Conserv Dent 2021; 24:184-189. [PMID: 34759587 PMCID: PMC8562839 DOI: 10.4103/jcd.jcd_44_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2021] [Revised: 06/07/2021] [Accepted: 06/18/2021] [Indexed: 11/04/2022] Open
Abstract
Introduction This study aims to report a retrospective observation of the prevalence of apical periodontitis (AP) and quality of root canal treatment in cone-beam computed tomography (CBCT) scans among the Mid-West Indian population. Materials and Methods A total of 1229 CBCT scans were obtained across different CBCT centers in western India. After the exclusion criteria, those that were included were divided into broadly two groups - those that were filled and those that were unfilled. Various parameters were taken into account such as AP, length of the root canal filled, and coronal filling. Results There were a significantly higher percentage of nonfilled canals. Poor filling quality, inadequate coronal restoration, and also missed extra canal were significantly associated with AP. Both males and females showed higher presence of AP in the nonfilled teeth than filled ones (X2 - Chi square value M = 612.156, P < 0.00001, X2 F = 1032.9092, P < 0.00001). Conclusion (1) The inadequacy of the filling of the root length was a contributory factor to the higher prevalence of AP among the study population. (2) The density of the filling and the quality of the coronal filling also significantly affected the successful outcome of the root canal treatment.
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Affiliation(s)
- Asiya Mujawar
- Department of Conservative Dentistry and Endodontics, M.A. Rangoonwala Dental College and Research Centre, Pune, Maharashtra, India
| | - Vivek Hegde
- M.A. Rangoonwala College of Dental Sciences and Research Center, Pune, Maharashtra, India
| | - S Srilatha
- Department of Conservative Dentistry and Endodontics, M.A. Rangoonwala Dental College and Research Centre, Pune, Maharashtra, India
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16
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Azarpazhooh A, Sgro A, Cardoso E, Elbarbary M, Laghapour Lighvan N, Badewy R, Malkhassian G, Jafarzadeh H, Bakhtiar H, Khazaei S, Oren A, Gerbig M, He H, Kishen A, Shah PS. A Scoping Review of 4 Decades of Outcomes in Nonsurgical Root Canal Treatment, Nonsurgical Retreatment, and Apexification Studies-Part 2: Outcome Measures. J Endod 2021; 48:29-39. [PMID: 34688793 DOI: 10.1016/j.joen.2021.09.019] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Accepted: 09/20/2021] [Indexed: 12/31/2022]
Abstract
INTRODUCTION Inconsistencies in the definitions of endodontic outcome terminology jeopardize evaluations of proposed interventions and patient care quality. This scoping review aimed to provide groundwork to develop a set of basic outcomes in endodontics. METHODS We performed a comprehensive literature search for randomized controlled trials, cohort studies, case-control studies, and case series (≥10 patients) published after 1980 with patients ≥10 years of age with any preoperative pulpal and periapical diagnosis in permanent teeth requiring nonsurgical root canal treatment, retreatment, or apexification. Abstracted data on outcome assessment methods, assessors, and domains were reported after univariate and bivariate analyses. RESULTS Treatment outcomes were evaluated radiographically (88%) or clinically (73%). Although 2-dimensional radiography exceeded 3-dimensional radiography, the use of the latter has increased since 2010, mostly for nonsurgical retreatments. Of 19 identified outcomes, 5 were most frequent: success (168 studies, 40%), radiographic healing (128 studies, 30%), survival (of an asymptomatic tooth [48 studies, 12%] or of a procedure code in administrative databases [31 studies, 7%]), pain assessment (14 studies, 3%), and quality of life (11 studies, 3%). Clinician-centered outcomes have been most frequently studied since the 1980s (71%), in academic settings (76%), and using a prospective design (45%). Patient-centered outcomes were reported in 19% of studies before 2010 and 30% since 2010. They were more common among retrospective studies (49%). CONCLUSIONS Patient-centered outcome measures are lacking in endodontic studies. The state of available research can provide a baseline for the development of a core outcome set in endodontics, which should represent the important patient-centered outcomes in conjunction with well-validated clinician-centered outcomes.
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Affiliation(s)
- Amir Azarpazhooh
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; Mount Sinai Hospital, Toronto, Ontario, Canada.
| | - Adam Sgro
- Mount Sinai Hospital, Toronto, Ontario, Canada
| | - Elaine Cardoso
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; Mount Sinai Hospital, Toronto, Ontario, Canada
| | - Mohamed Elbarbary
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | | | - Rana Badewy
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - Gevik Malkhassian
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - Hamid Jafarzadeh
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - Hengameh Bakhtiar
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - Saber Khazaei
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - Ariel Oren
- Mount Sinai Hospital, Toronto, Ontario, Canada
| | - Madeline Gerbig
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - Helen He
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - Anil Kishen
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; Mount Sinai Hospital, Toronto, Ontario, Canada
| | - Prakesh S Shah
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; Mount Sinai Hospital, Toronto, Ontario, Canada
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17
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Suciu I, Dimitriu B, Ciocardel M, Chirila M, Amza O, Scarlatescu S, Preoteasa C, Grigorie M, Voiculeanu M. Evaluation of the sealer/gutta-percha ratio on sets of root section surfaces of some extracted teeth sealed using the cold lateral condensation technique. J Med Life 2021; 14:337-346. [PMID: 34377199 PMCID: PMC8321605 DOI: 10.25122/jml-2021-0102] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Accepted: 05/27/2021] [Indexed: 11/23/2022] Open
Abstract
Canal filling must be well adapted to the walls of the root canal to prevent bacterial infiltration. Endodontic seals play an essential role in ensuring tightness, without which the canal filling would suffer infiltrations. This study aimed to evaluate the areas occupied by the two components of the canal filling, as well as the sealer/gutta-percha ratio in the root canals of the maxillary central incisors after their filling using the cold lateral condensation technique with gutta-percha. Thirty extracted upper central incisors were rotatably prepared with ProTaper Universal up to F3 and sealed using the cold lateral condensation technique with gutta-percha. After setting the sealer, the roots of the teeth were sectioned perpendicularly to 1 (L1), 3 (L3), 6 (L6), and 8 (L8) mm from the apex. The surface of the sections was analyzed with a Leica EZ4D stereomicroscope and photographed at two magnification orders: 10x and 25x. The areas corresponding to the gutta-percha, sealer, gaps, and root canal were expressed in pixels using the ImageJ software, version 1.50i. The difference in the representation of sealer areas, gutta-percha and voids was statistically significantly different for all four sections analyzed. The best adaptation of the canal obturation was observed in L1 and L3. The gutta-percha area was statistically significantly higher than that of the sealer for the L1, L3, and L6 levels, while the sealer/gutta-percha ratio recorded the lowest value at the L3 level (0, 30) and the highest at its L8 (0.70) level, without registering statistically significant differences regarding the area at the four analyzed levels. The voids were mostly absent or recorded a minimal percentage area (<1%). Cold lateral condensation of gutta-percha has led to a good adaptation of gutta-percha to the root canal wall, with a small amount of sealer, especially to the sections made at 3 mm from the apex. Given the limitations of this study, we noted that the voids were few – observed in the 6 and 8 mm sections – and were negligible in many cases.
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Affiliation(s)
- Ioana Suciu
- Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Bogdan Dimitriu
- Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Mihai Ciocardel
- Department of Geology, Petroleum-Gas University of Ploiesti, Ploiesti, Romania
| | - Mihaela Chirila
- Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Oana Amza
- Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Sinziana Scarlatescu
- Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Cristina Preoteasa
- Department of Geology, Petroleum-Gas University of Ploiesti, Ploiesti, Romania
| | - Mihaela Grigorie
- Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Monica Voiculeanu
- Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
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18
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Higuchi N, Hayashi JI, Fujita M, Iwamura Y, Sasaki Y, Goto R, Ohno T, Nishida E, Yamamoto G, Kikuchi T, Mitani A, Fukuda M. Photodynamic Inactivation of an Endodontic Bacteria Using Diode Laser and Indocyanine Green-Loaded Nanosphere. Int J Mol Sci 2021; 22:ijms22168384. [PMID: 34445089 PMCID: PMC8395049 DOI: 10.3390/ijms22168384] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2021] [Revised: 07/22/2021] [Accepted: 07/30/2021] [Indexed: 11/30/2022] Open
Abstract
Apical periodontitis, an inflammatory lesion causing bone resorption around the apex of teeth, is treated by eradicating infectious bacteria from the root canal. However, it has a high recurrence rate and often requires retreatment. We investigated the bactericidal effect of antimicrobial photodynamic therapy (aPDT)/photodynamic antimicrobial chemotherapy (PACT) using indocyanine green (ICG)-loaded nanospheres coated with chitosan and a diode laser on a biofilm of Enterococcus faecalis, a pathogen of refractory apical periodontitis. Biofilm of E. faecalis was cultured in a porcine infected root canal model. ICG solution was injected into the root canal, which was then irradiated with a laser (810 nm wavelength) from outside the root canal. The bactericidal effect was evaluated by colony counts and scanning electron microscopy. The result of the colony counts showed a maximum 1.89 log reduction after irradiation at 2.1 W for 5 min. The temperature rise during aPDT/PACT was confirmed to be within a safe range. Furthermore, the light energy transmittance through the root was at a peak approximately 1 min after the start of irradiation, indicating that most of the ICG in the root canal was consumed. This study shows that aPDT/PACT can suppress E. faecalis in infected root canals with high efficiency.
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Affiliation(s)
- Naoya Higuchi
- Department of Endodontics, School of Dentistry, Aichi Gakuin University, Nagoya 464-8651, Aichi, Japan; (N.H.); (M.F.)
| | - Jun-ichiro Hayashi
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya 464-8651, Aichi, Japan; (Y.I.); (Y.S.); (R.G.); (T.O.); (E.N.); (G.Y.); (T.K.); (A.M.); (M.F.)
- Correspondence:
| | - Masanori Fujita
- Department of Endodontics, School of Dentistry, Aichi Gakuin University, Nagoya 464-8651, Aichi, Japan; (N.H.); (M.F.)
| | - Yuki Iwamura
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya 464-8651, Aichi, Japan; (Y.I.); (Y.S.); (R.G.); (T.O.); (E.N.); (G.Y.); (T.K.); (A.M.); (M.F.)
| | - Yasuyuki Sasaki
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya 464-8651, Aichi, Japan; (Y.I.); (Y.S.); (R.G.); (T.O.); (E.N.); (G.Y.); (T.K.); (A.M.); (M.F.)
| | - Ryoma Goto
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya 464-8651, Aichi, Japan; (Y.I.); (Y.S.); (R.G.); (T.O.); (E.N.); (G.Y.); (T.K.); (A.M.); (M.F.)
| | - Tasuku Ohno
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya 464-8651, Aichi, Japan; (Y.I.); (Y.S.); (R.G.); (T.O.); (E.N.); (G.Y.); (T.K.); (A.M.); (M.F.)
| | - Eisaku Nishida
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya 464-8651, Aichi, Japan; (Y.I.); (Y.S.); (R.G.); (T.O.); (E.N.); (G.Y.); (T.K.); (A.M.); (M.F.)
| | - Genta Yamamoto
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya 464-8651, Aichi, Japan; (Y.I.); (Y.S.); (R.G.); (T.O.); (E.N.); (G.Y.); (T.K.); (A.M.); (M.F.)
| | - Takeshi Kikuchi
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya 464-8651, Aichi, Japan; (Y.I.); (Y.S.); (R.G.); (T.O.); (E.N.); (G.Y.); (T.K.); (A.M.); (M.F.)
| | - Akio Mitani
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya 464-8651, Aichi, Japan; (Y.I.); (Y.S.); (R.G.); (T.O.); (E.N.); (G.Y.); (T.K.); (A.M.); (M.F.)
| | - Mitsuo Fukuda
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya 464-8651, Aichi, Japan; (Y.I.); (Y.S.); (R.G.); (T.O.); (E.N.); (G.Y.); (T.K.); (A.M.); (M.F.)
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Long-Term Follow-Up of Nonsurgical Endodontic Treatments Performed by One Specialist: A Retrospective Cohort Study about Tooth Survival and Treatment Success. Int J Dent 2020; 2020:8855612. [PMID: 33299417 PMCID: PMC7704179 DOI: 10.1155/2020/8855612] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2020] [Revised: 10/16/2020] [Accepted: 11/11/2020] [Indexed: 12/17/2022] Open
Abstract
Background The main aim of the retrospective cohort study was to evaluate tooth survival after the endodontic treatment over a period of more than 20 years. Moreover, success of the treatment and the correlation between baseline parameters and the outcomes were analyzed, and causes were recorded. Materials and Methods Clinical records (including radiographs) of subjects treated with endodontic procedures (both primary and secondary (nonsurgical retreatment)) were collected and analyzed, covering a period of up to 29 years. Type of the treatment, technique, adequacy of treatment performed, presence of baseline radiolucency, and symptoms at baseline were recorded. Moreover, failure (presence of radiolucency 2 years after treatment) and tooth extraction data and causes of them were recorded. Outcomes were explored by using survival analysis (Kaplan-Meier estimates and survival table analysis) and regression analysis (Cox regression). Results A total of 2,679 endodontically treated teeth were included in the analysis. After 20 years from the treatment, the cumulative survival rate for primary and secondary treatments was 84.10% (80.99%-87.21%) and 89.79% (86.68%-92.90%), respectively. No differences were found between primary and secondary treatments or with regard to the technique adopted. The presence of periapical radiolucency was correlated to higher odds of tooth extraction. Conclusions Despite the limitations of the study, we can assume that the proportion of retained endodontically treated teeth was significantly high over a long-term period.
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20
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Azim AA, Alquria T, Wang HH, Piasecki L. Management of Root Fenestration Using Buccal Decortication and Guided Tissue Regeneration: A Case Report and 3-dimensional Analysis. J Endod 2020; 47:125-132. [PMID: 32976916 DOI: 10.1016/j.joen.2020.09.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 08/23/2020] [Accepted: 09/16/2020] [Indexed: 10/23/2022]
Abstract
The management of patients with apical fenestration and clinical symptoms has always been limited to apical root resection and placement of the root tip within the bony crypt. This result would often present resolution of clinical symptoms based on a few case studies. In this case report, we present a case in which apical resection alone did not resolve the patient's discomfort; on the contrary, it resulted in further bone loss and persistence of clinical symptoms. A corrective surgery was performed with the use of guided bone regeneration in conjunction with decortication of the cortical plate to induce bleeding. The patient symptoms resolved within a few weeks after the surgery, and the follow-up scan showed apical root coverage. Three-dimensional analysis was performed to compare the bony changes between the 2 surgeries and showed a significant amount of bone gain of around 200 mm3 and a 2-mm linear bone gain opposite the distobuccal root. The case presents a conservative approach to manage root fenestration of the buccal plate without further compromising the root apex.
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Affiliation(s)
- Adham A Azim
- School of Dental Medicine, University at Buffalo, Buffalo, New York.
| | - Theeb Alquria
- School of Dental Medicine, University at Buffalo, Buffalo, New York
| | - Howard H Wang
- School of Dental Medicine, University at Buffalo, Buffalo, New York
| | - Lucila Piasecki
- School of Dental Medicine, University at Buffalo, Buffalo, New York
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21
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Outcome of Root Canal Treatments Provided by Endodontic Postgraduate Students. A Retrospective Study. J Clin Med 2020; 9:jcm9061994. [PMID: 32630443 PMCID: PMC7355894 DOI: 10.3390/jcm9061994] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Revised: 06/21/2020] [Accepted: 06/23/2020] [Indexed: 12/13/2022] Open
Abstract
The aim of this study was to assess the preoperative, intraoperative, and postoperative factors that influenced complete periapical healing in teeth that underwent primary root canal treatment (RCT), in patients treated by postgraduate students in endodontics. Factors were retrieved and compared with the periapical status during the follow-up visit. Healing was considered as the absence of clinical and radiological symptoms. Variables significantly associated by the chi-squared test were included in a logistic regression model (LRM). Preoperative factors associated with healing were: American Society of Anesthesiology (ASA) status (p = 0.01); the absence of preoperative pain (p = 0.04); positive response to pulp tests; when the RCT cause was caries, pain, abscess, or sinus tract; probing depth <4 mm; the absence of mobility; absence or <4 mm periapical lesion (p < 0.01). In the LRM, the factors included were: absence or <4 mm periapical lesion; probing depths <4 mm; RCT caused by caries, pain, abscess, or sinus tract; the tooth was not a bridge abutment. Postoperative factors were: teeth with direct restoration; teeth that did not act as a support for a fixed prosthetic restoration; the favorable condition of the coronal restoration (p < 0.01). In the LRM, only the status of the coronal restoration was included. Preoperative conditions and the adequate fit of the coronal restoration influenced the outcome of RCT.
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Patel S, Arias A, Whitworth J, Mannocci F. Outcome of endodontic treatment – the elephant in the room. Int Endod J 2020; 53:291-297. [DOI: 10.1111/iej.13238] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Affiliation(s)
- S. Patel
- Endodontic Postgraduate Unit King’s College London Dental Institute London UK
- Specialist Practice London UK
| | - A. Arias
- Department of Conservative Dentistry Complutense University of Madrid Madrid Spain
| | - J. Whitworth
- School of Dental Sciences Newcastle University Newcastle upon Tyne UK
| | - F. Mannocci
- Endodontic Postgraduate Unit King’s College London Dental Institute London UK
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23
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Quality of root canal fillings and prevalence of apical radiolucencies in a German population: a CBCT analysis. Clin Oral Investig 2019; 24:1217-1227. [DOI: 10.1007/s00784-019-02985-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Accepted: 06/20/2019] [Indexed: 12/18/2022]
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24
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Alqerban A, Almanea A, Alkanhal A, Aljarbou F, Almassen M, Fieuws S, Willems G. Impact of orthodontic treatment on the integrity of endodontically treated teeth. Eur J Orthod 2019; 41:238-243. [PMID: 29982467 DOI: 10.1093/ejo/cjy049] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
AIM The purpose of this study was to evaluate the periapical status of endodontically treated teeth and the integrity of endodontic treatment before and after orthodontic treatment. MATERIALS AND METHODS This retrospective study was conducted by evaluating 128 teeth with root canal treatment (RCT). The teeth were obtained from 72 patients (23 males, 49 females) who had undergone fixed orthodontic treatment. Panoramic radiographs were taken and were evaluated before the start and after the completion of orthodontic treatment. Apical periodontitis (AP) was evaluated by the periapical index (PAI) and the probability index (PRI) of periapical bone destruction. Other variables related to the quality of root canal fillings were included, such as RCT quality index, length, and homogeneity, and coronal restoration. RESULTS According to the PRI, the proportion of teeth with periapical bone destruction was significantly higher after orthodontic treatment. Overall, there was no significant change in the PAI scores after orthodontic treatment. However, the quality of the endodontic treatment moderated the change in the PAI score, as well as the change in the PRI. There was no significant increase in PAI and PRI scores after orthodontic treatment for adequately treated teeth. However, the risk for periapical lesions and bone destruction after orthodontic treatment was significantly increased for teeth receiving inadequate endodontic treatment compared with those receiving adequate endodontic treatment. CONCLUSION Increased PAI and PRI after orthodontic treatment correlated with the quality of endodontic treatment.
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Affiliation(s)
- Ali Alqerban
- Department of Preventive Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
| | | | | | - Fahd Aljarbou
- Division of Endodontics, Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | | | - Steffen Fieuws
- Department of Public Health, Interuniversity Institute for Biostatistics and Statistical Bioinformatics, KU Leuven and Universiteit Hasselt, Belgium
| | - Guy Willems
- Department of Oral Health Sciences, KU Leuven Dentistry, University Hospitals Leuven, Belgium
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25
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Torres A, Shaheen E, Lambrechts P, Politis C, Jacobs R. Microguided Endodontics: a case report of a maxillary lateral incisor with pulp canal obliteration and apical periodontitis. Int Endod J 2018; 52:540-549. [DOI: 10.1111/iej.13031] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 10/15/2018] [Indexed: 12/14/2022]
Affiliation(s)
- A. Torres
- Department of Oral Health Sciences; University Hospitals Leuven, Endodontology; KU Leuven; Leuven Belgium
- OMFS IMPATH Research Group; Department of Imaging and Pathology; Faculty of Medicine; KU Leuven; Leuven Belgium
| | - E. Shaheen
- OMFS IMPATH Research Group; Department of Imaging and Pathology; Faculty of Medicine; KU Leuven; Leuven Belgium
- Department of Oral and Maxillofacial Surgery; University Hospitals Leuven; Leuven Belgium
| | - P. Lambrechts
- Department of Oral Health Sciences; University Hospitals Leuven, Endodontology; KU Leuven; Leuven Belgium
| | - C. Politis
- OMFS IMPATH Research Group; Department of Imaging and Pathology; Faculty of Medicine; KU Leuven; Leuven Belgium
- Department of Oral and Maxillofacial Surgery; University Hospitals Leuven; Leuven Belgium
| | - R. Jacobs
- OMFS IMPATH Research Group; Department of Imaging and Pathology; Faculty of Medicine; KU Leuven; Leuven Belgium
- Department of Oral and Maxillofacial Surgery; University Hospitals Leuven; Leuven Belgium
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Aminoshariae A, Kulild JC, Syed A. Cone-beam Computed Tomography Compared with Intraoral Radiographic Lesions in Endodontic Outcome Studies: A Systematic Review. J Endod 2018; 44:1626-1631. [DOI: 10.1016/j.joen.2018.08.006] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2018] [Revised: 07/19/2018] [Accepted: 08/07/2018] [Indexed: 12/23/2022]
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Prati C, Azizi A, Pirani C, Zamparini F, Iacono F, Montebugnoli L, Gandolfi MG. Apical surgery vs apical surgery with simultaneous orthograde retreatment: A prospective cohort clinical study of teeth affected by persistent periapical lesion. GIORNALE ITALIANO DI ENDODONZIA 2018. [DOI: 10.1016/j.gien.2018.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Donovan J. Is Cone-Beam Computed Tomography an Essential Diagnostic Tool for Endodontic Practice? ACTA ACUST UNITED AC 2018. [DOI: 10.15406/jdhodt.2018.09.00322] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Apical periodontitis in southern Estonian population: prevalence and associations with quality of root canal fillings and coronal restorations. BMC Oral Health 2017; 17:147. [PMID: 29233146 PMCID: PMC5727925 DOI: 10.1186/s12903-017-0429-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2017] [Accepted: 11/19/2017] [Indexed: 12/18/2022] Open
Abstract
Background Apical periodontitis (AP) is an inflammatory disease around the apex of a tooth root. Reported prevalence of AP ranges from 27% to 83% while the data about most post-Soviet countries are still missing. Knowing the prevalence of AP within a certain population helps to plan the treatment need and evaluate the success of endodontic interventions. We aimed to collect data about prevalence and determining factors of AP for the first time in Estonia. Methods The cross-sectional study included 6552 patients (age 35.5±19.2 years). Radiographic examination was applied to investigate the prevalence of AP and quality of endodontic treatment. Results AP was diagnosed in 54.7% of subjects. Endodontically treated teeth were present in 58.2% of subjects. Periapical finding was present in 44.6% of endodontically treated and in 30.8% of untreated teeth. Out of 181,495 teeth, 52.7% were intact. AP was diagnosed in 6.3% of teeth, 6.9% of teeth were endodontically treated. Risk factors for AP included caries (OR = 2.30), male gender (OR = 1.44), too short (OR = 1.76) or too long root canal filling (OR = 2.51), root canal filling of low density (OR = 1.61) while not orthodontic appliance. Lower AP risk was associated with restoration of the tooth – filling (OR = 0.45), crown (OR = 0.34) and bridge (OR = 0.33). Conclusions AP is highly prevalent in Southern Estonian population. Most cases are associated with root canal-treated teeth. The overall quality of root canal fillings tends to be low, consistent with the mediocre outcome of treatment. Considerable efforts are required to improve the standards of endodontic treatment. Electronic supplementary material The online version of this article (10.1186/s12903-017-0429-7) contains supplementary material, which is available to authorized users.
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Survival of Endodontically Treated Roots/Teeth Based on Periapical Health and Retention: A 10-year Retrospective Cohort Study. J Endod 2017; 43:2001-2008. [DOI: 10.1016/j.joen.2017.08.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2017] [Revised: 07/12/2017] [Accepted: 08/02/2017] [Indexed: 11/21/2022]
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Nardi C, Calistri L, Pradella S, Desideri I, Lorini C, Colagrande S. Accuracy of Orthopantomography for Apical Periodontitis without Endodontic Treatment. J Endod 2017; 43:1640-1646. [DOI: 10.1016/j.joen.2017.06.020] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2017] [Revised: 06/09/2017] [Accepted: 06/11/2017] [Indexed: 02/08/2023]
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Al-Nuaimi N, Patel S, Davies A, Bakhsh A, Foschi F, Mannocci F. Pooled analysis of 1-year recall data from three root canal treatment outcome studies undertaken using cone beam computed tomography. Int Endod J 2017; 51 Suppl 3:e216-e226. [DOI: 10.1111/iej.12844] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2016] [Accepted: 08/22/2017] [Indexed: 12/24/2022]
Affiliation(s)
- N. Al-Nuaimi
- Department of Conservative Dentistry; King's College London Dental Institute; London UK
- Department of Conservative Dentistry; College of Dentistry; University of Baghdad; Baghdad Iraq
| | - S. Patel
- Department of Conservative Dentistry; King's College London Dental Institute; London UK
- Specialist Practice; London UK
| | - A. Davies
- Department of Conservative Dentistry; King's College London Dental Institute; London UK
| | - A. Bakhsh
- Department of Conservative Dentistry; King's College London Dental Institute; London UK
| | - F. Foschi
- Department of Conservative Dentistry; King's College London Dental Institute; London UK
| | - F. Mannocci
- Department of Conservative Dentistry; King's College London Dental Institute; London UK
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Uncertain Decision-Making in Primary Root Canal Treatment. J Evid Based Dent Pract 2017; 17:205-215. [PMID: 28865817 DOI: 10.1016/j.jebdp.2017.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2016] [Revised: 01/15/2017] [Accepted: 01/16/2017] [Indexed: 11/24/2022]
Abstract
OBJECTIVES A systematic review of literature was conducted to compare the success and survivability of primary root canal interventions. METHODS The Preferred Reporting Items for Systematic Reviews and Meta Analyses protocol was adopted in this study to systematically assess and report systematic reviews related to success or survival or failure rates of primary root canal interventions. MEDLINE and Cochrane Oral Health Library were both searched by using specific search terms to identify relevant literature, until June 2016. The search was augmented by handsearching. Then, the quality of the included systematic reviews was assessed by using the Revised Assessment of Multiple Systematic Reviews (RAMSTAR) protocol. RESULTS Only 9 systematic reviews were identified. The RAMSTAR scores of the included reviews ranged from 43/44 to 29/44. Nevertheless, the later reviews did not provide sufficient evidence or statistically significant evidence to support any of the interventions used during primary root canal treatment. In addition, a number of key steps during primary root canal treatment, such as types of dental files, root canal instrumentation techniques, orthograde obturation materials, and techniques, were not assessed by systematic reviews. CONCLUSION The current status of evidence related to the success and survivability of primary root canal interventions is lacking. This puts dentists under marked degrees of uncertainty. Consequently, patients are potentially exposed to health care risks. It is then essential to develop tailored methods and tools for decision-making under uncertainty to aid both dentists and patients engaged in primary root canal treatment.
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Del Fabbro M, Afrashtehfar KI, Corbella S, El-Kabbaney A, Perondi I, Taschieri S. In Vivo and In Vitro Effectiveness of Rotary Nickel-Titanium vs Manual Stainless Steel Instruments for Root Canal Therapy: Systematic Review and Meta-analysis. J Evid Based Dent Pract 2017; 18:59-69. [PMID: 29478682 DOI: 10.1016/j.jebdp.2017.08.001] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2017] [Revised: 08/05/2017] [Accepted: 08/05/2017] [Indexed: 11/28/2022]
Abstract
INTRODUCTION This systematic review evaluated the effectiveness of nickel-titanium (NiTi) rotary files compared to stainless-steel (SST) hand files. METHODS An electronic search was performed on Medline, EMBASE, CENTRAL and Scopus databases up to February 2016. An additional hand searching was performed in 13 journals. The studies were classified according to study type and the outcome variables. Two reviewers independently applied eligibility criteria, extracted data, and three reviewers independently assessed the quality of the evidence of each included study according to The Cochrane Collaboration's procedures. A meta-analysis was performed whenever it was possible. RESULTS The electronic and hand search strategies yielded 1155 references of studies after removal of duplicates. Four clinical studies (two prospective and two retrospective studies) and 18 in vitro studies (on extracted teeth) were included for the qualitative synthesis after full-text evaluation of the eligible studies. The overall level of methodological quality of the studies included can be considered inadequate. Only one clinical study was judged at low risk of bias, whereas most non-clinical studies had a low risk of bias. Three meta-analyses, based on a very limited number of studies, could be performed. Each meta-analysis contained two studies. Of these, one meta-analysis was based on clinical studies. CONCLUSIONS The results of this systematic review suggested that NiTi rotary instruments were associated with lower canal transportation and apical extrusion when compared to SST hand files, whereas both groups had similar outcomes in terms of success of therapy, amount of residual bacteria, and cleansing ability after treatment. However, due to the limited evidence available, these results should be interpreted with caution. Consequently, more randomized control trials using standardized protocols are needed in order to provide more solid recommendations.
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Affiliation(s)
- Massimo Del Fabbro
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy; Orthopedic Institute Galeazzi IRCCS, University of Milan, Milan, Italy.
| | - Kelvin Ian Afrashtehfar
- Department of Reconstructive Dentistry and Gerodontology, Faculty of Medicine, School of Dental Medicine, University of Bern, Bern, Switzerland; Division of Oral Health and Society Research, Faculty of Dentistry, McGill University, Montreal, Canada; Division of Prosthodontics and Dental Geriatrics, Faculty of Dentistry, University of British Columbia, Vancouver, Canada.
| | - Stefano Corbella
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy; Orthopedic Institute Galeazzi IRCCS, University of Milan, Milan, Italy
| | - Ahmed El-Kabbaney
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy; Conservative Dentistry and Endodontic Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
| | - Isabella Perondi
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy; Orthopedic Institute Galeazzi IRCCS, University of Milan, Milan, Italy
| | - Silvio Taschieri
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy; Orthopedic Institute Galeazzi IRCCS, University of Milan, Milan, Italy
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Wolters WJ, Duncan HF, Tomson PL, Karim IE, McKenna G, Dorri M, Stangvaltaite L, van der Sluis LWM. Minimally invasive endodontics: a new diagnostic system for assessing pulpitis and subsequent treatment needs. Int Endod J 2017; 50:825-829. [DOI: 10.1111/iej.12793] [Citation(s) in RCA: 86] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Affiliation(s)
- W. J. Wolters
- Center of Dentistry and Oral Hygiene; University Medical Center Groningen; Groningen The Netherlands
| | - H. F. Duncan
- Division of Restorative Dentistry & Periodontology; Dublin Dental University Hospital; Trinity College Dublin; Dublin Ireland
| | - P. L. Tomson
- College of Medical & Dental Sciences; The University of Birmingham School of Dentistry; Birmingham UK
| | - I. E. Karim
- Centre for Dentistry; School of Medicine; Dentistry and Biomedical Sciences; Queen's University Belfast; Belfast UK
| | - G. McKenna
- Centre for Public Health; Queens University Belfast; Belfast UK
| | - M. Dorri
- School of Oral and Dental Sciences; Bristol Dental School; Bristol UK
| | - L. Stangvaltaite
- Department of Clinical Dentistry; Faculty of Health Sciences; UiT The Arctic University of Norway; Tromsø Norway
| | - L. W. M. van der Sluis
- Center of Dentistry and Oral Hygiene; University Medical Center Groningen; Groningen The Netherlands
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Angerame D, De Biasi M, Franco V, Bevilacqua L, Castaldo A. A two-year report of a comparative randomized controlled trial on the treatment of upper central incisors with periapical lesions. GIORNALE ITALIANO DI ENDODONZIA 2017. [DOI: 10.1016/j.gien.2017.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Wang ZH, Zhang MM, Wang J, Jiang L, Liang YH. Outcomes of Endodontic Microsurgery Using a Microscope and Mineral Trioxide Aggregate: A Prospective Cohort Study. J Endod 2017; 43:694-698. [DOI: 10.1016/j.joen.2016.12.015] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2016] [Revised: 11/20/2016] [Accepted: 12/10/2016] [Indexed: 10/20/2022]
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Sousa TO, Hassan B, Mirmohammadi H, Shemesh H, Haiter-Neto F. Feasibility of Cone-beam Computed Tomography in Detecting Lateral Canals before and after Root Canal Treatment: An Ex Vivo Study. J Endod 2017; 43:1014-1017. [PMID: 28416319 DOI: 10.1016/j.joen.2017.01.025] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2016] [Revised: 01/04/2017] [Accepted: 01/15/2017] [Indexed: 12/01/2022]
Abstract
INTRODUCTION The study objective was to evaluate the effectiveness of cone-beam computed tomographic (CBCT) imaging for the detection of lateral canals (LCs) in endodontically treated premolars. METHODS Two evaluators classified 80 extracted premolars into 2 groups based on the absence (n = 40) or presence (n = 40) of LCs according to micro-computed tomographic analysis. The extracted teeth were fixated in a human mandible and scanned with CBCT imaging. Subsequently, each tooth was endodontically treated, and CBCT scans were repeated. Three experienced examiners evaluated all images randomly. Receiver operating characteristic curves were compared using the McNemar test, and sensitivity, specificity, positive predictive value, and negative predictive value (NPV) were obtained. RESULTS The area under the receiver operating characteristic curve values were 0.58 and 0.49 before and after root canal treatment, respectively. These values were statistically significantly different (P < .001). Before root canal treatment sensitivity, specificity, positive predictive value, and negative predictive value were 55%, 52%, 55%, and 56%, whereas after root canal treatment the values were 33%, 61%, 46%, and 48%, respectively. CONCLUSIONS LC detection in nontreated teeth presented low accuracy, whereas among treated teeth CBCT imaging showed no efficacy. The results suggest that CBCT imaging is not an effective diagnostic tool for LC detection.
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Affiliation(s)
- Thiago Oliveira Sousa
- Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas, Campinas, São Paulo, Brazil.
| | - Bassam Hassan
- Department of Oral Implantology and Prosthetic Dentistry, Academic Center for Dentistry Amsterdam, University of Amsterdam and VU University, Amsterdam, Netherlands
| | - Hesam Mirmohammadi
- Department of Endodontology, Academic Center for Dentistry Amsterdam, University of Amsterdam and VU University, Amsterdam, Netherlands
| | - Hagay Shemesh
- Department of Endodontology, Academic Center for Dentistry Amsterdam, University of Amsterdam and VU University, Amsterdam, Netherlands
| | - Francisco Haiter-Neto
- Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas, Campinas, São Paulo, Brazil
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Estrela C, Pécora JD, Estrela CR, Guedes OA, Silva BS, Soares CJ, Sousa-Neto MD. Common Operative Procedural Errors and Clinical Factors Associated with Root Canal Treatment. Braz Dent J 2017; 28:179-190. [DOI: 10.1590/0103-6440201702451] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2016] [Accepted: 02/06/2017] [Indexed: 01/23/2023] Open
Abstract
Abstract Operative procedural errors must be well analyzed in order to avoid influence negatively the root canal treatment (RCT) prognosis. The successful RCT prevents tooth loss and avoids pain and apical periodontitis. This review aimed to categorize common operative procedure errors and clinical factors associated with RCT. Based on this, will be approached common errors of procedures within the clinical operative sequence: endodontic treatment planning, pulp and periapical disease diagnosis, anaesthesia, access cavity preparation, isolation with rubber dam, root canal preparation, root canal filling and retreatment, restoration of endodontically treated teeth, postoperative pain, follow up of endodontically treated teeth. The professional must remind that in each phase of RCT an operative error may have adverse implication on prognosis, and these errors characterize risk factors to failure. The knowledge of probable operative procedural errors and its consequences are essentials to avoid future problems to the tooth health.
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Abstract
The primary goal of conventional endodontic treatment is prevention and/or elimination of apical periodontitis for both mature permanent teeth and immature teeth with an open apex. Besides these goals, the objectives of endodontic treatment of immature teeth include preservation of pulp vitality and often further root maturation. Robust criteria for outcome assessment are an essential determinant for any measure of treatment success for both mature and immature teeth.
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Affiliation(s)
- Nadia Chugal
- Section of Endodontics, UCLA School of Dentistry, CHS A3-075, 10833 Le Conte Avenue, Los Angeles, CA 90095-1668, USA.
| | - Sanjay M Mallya
- Section of Oral and Maxillofacial Radiology, UCLA School of Dentistry, CHS 53-068B, Los Angeles, CA 90095-1668, USA
| | - Bill Kahler
- School of Dentistry, The University of Queensland Oral Health Centre, 288 Herston Road, Corner Bramston Terrace & Herston Road, Herston, Queensland 4006, Australia
| | - Louis M Lin
- Department of Endodontics, New York University College of Dentistry, 345 East 24th Street, New York, NY 10010, USA
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A Comparative Chemical Study of Calcium Silicate-Containing and Epoxy Resin-Based Root Canal Sealers. BIOMED RESEARCH INTERNATIONAL 2016; 2016:9808432. [PMID: 28097154 PMCID: PMC5206425 DOI: 10.1155/2016/9808432] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/07/2016] [Accepted: 10/24/2016] [Indexed: 11/17/2022]
Abstract
Objective. The present study assessed the chemical elements in two novel calcium silicate-containing root canal sealers, BioRoot RCS and Well-Root ST, compared to a calcium silicate-containing root canal sealer that has been on the market for several years, MTA Fillapex, and epoxy resin-based sealer AHPlus. Material and Methods. The sealers were mixed and manipulated according to the manufacturers' instructions. Twelve cylindrical molds (inner diameter 4 mm; height 3 mm) were placed on a glass petri dish and packed with the materials. The dish was transferred to an incubator. After 72 h the molds were examined by scanning electron microscopy and energy dispersive X-ray microanalysis. Results. BioRoot RCS and Well-Root ST had high peaks of calcium, zirconium, oxygen, carbon, silicon, and chlorine. Well-Root ST also had sodium, magnesium, aluminum, and titanium peaks. MTA Fillapex and AHPlus had carbon, oxygen, calcium, titanium, and bismuth peaks. A silicon peak was also observed for MTA Fillapex, and zirconium and tungsten peaks for AHPlus. Conclusion. BioRoot RSC had the highest degree of purity. The clinical implication of metals contained in the other sealers needs to be investigated.
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Ahn HR, Moon YM, Hong SO, Seo MS. Healing outcomes of root canal treatment for C-shaped mandibular second molars: a retrospective analysis. Restor Dent Endod 2016; 41:262-270. [PMID: 27847747 PMCID: PMC5107427 DOI: 10.5395/rde.2016.41.4.262] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2016] [Accepted: 06/28/2016] [Indexed: 11/12/2022] Open
Abstract
Objectives This study aimed to evaluate the healing rate of non-surgical endodontic treatment between C-shaped and non-C-shaped mandibular second molars. Materials and Methods Clinical records and radiological images of patients who had undergone endodontic treatment on mandibular second molars between 2007 and 2014 were screened. The periapical index scoring system was applied to compare healing outcomes. Information about preoperative and postoperative factors as well as the demographic data of the patients was acquired and evaluated using chi-square and multinomial logistic regression tests. Results The total healing rate was 68.4%. Healing rates for the mandibular second molar were 70.9% in C-shaped canals (n = 79) and 66.6% in non-C-shaped ones (n = 117). The difference was not statistically significant. Conclusions The presence of a C-shaped canal in the mandibular second molar did not have a significantly negative effect on healing after treatment. Instead, proper pulpal diagnosis and final restoration were indicated as having significantly greater influence on the healing outcomes of C-shaped and non-C-shaped canals, respectively.
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Affiliation(s)
- Hye-Ra Ahn
- Department of Conservative Dentistry, Wonkwang University Daejeon Dental Hospital, Daejeon, Korea
| | - Young-Mi Moon
- Department of Conservative Dentistry, Wonkwang University Daejeon Dental Hospital, Daejeon, Korea
| | - Sung-Ok Hong
- Department of Conservative Dentistry, Wonkwang University Sanbon Dental Hospital, Gunpo, Korea
| | - Min-Seock Seo
- Department of Conservative Dentistry, Wonkwang University Daejeon Dental Hospital, Daejeon, Korea
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Eliyas S, Briggs PFA, Harris IR, Newton JT, Gallagher JE. Development of quality measurement instruments for root canal treatment. Int Endod J 2016; 50:652-666. [DOI: 10.1111/iej.12679] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2016] [Accepted: 07/13/2016] [Indexed: 11/28/2022]
Affiliation(s)
- S. Eliyas
- Population and Patient Health Division; King's College London Dental Institute; London
- St George's University Hospitals NHS Foundation Trust; London
| | | | - I. R. Harris
- Sheffield Teaching Hospitals NHS Foundation Trust; Sheffield UK
| | - J. T. Newton
- Population and Patient Health Division; King's College London Dental Institute; London
| | - J. E. Gallagher
- Population and Patient Health Division; King's College London Dental Institute; London
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Çiçek E, Özsezer-Demiryürek E, Özerol-Keskin NB, Murat N. Comparison of treatment choices among endodontists, postgraduate students, undergraduate students and general dentists for endodontically treated teeth. Int Dent J 2016; 66:201-7. [DOI: 10.1111/idj.12222] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
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Angerame D, De Biasi M, Franco V, Bevilacqua L, Castaldo A. Upper central incisors with periapical lesions treated with two integrated endodontic systems: a six-month randomized controlled trial. GIORNALE ITALIANO DI ENDODONZIA 2016. [DOI: 10.1016/j.gien.2016.04.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Shakiba B, Hamedy R, Pak JG, Barbizam JV, Ogawa R, White SN. Influence of increased patient age on longitudinal outcomes of root canal treatment: a systematic review. Gerodontology 2016; 34:101-109. [PMID: 27198169 DOI: 10.1111/ger.12231] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2016] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To conduct a systematic review of longitudinal endodontic outcomes in elders. BACKGROUND Negative opinions about the prognosis of non-surgical root canal treatment (NSRCT) in elders affect decisions made by patients and dentists. Patient, caregiver and dentist attitudes and behaviours may interact to decrease the provision of NSRCT. Critical examination of the available evidence through systematic review could provide objective data to assist patients, caregivers, healthcare providers and third-party payers in making decisions about the efficacy of NSRCT in elders and provide a robust foundation for the health promotion of NSRCT in elders. METHODS Inclusion/exclusion criteria were used for defined searches in MEDLINE and Cochrane CENTRAL. Title lists were scanned, and abstracts read to determine utility; articles meeting inclusion/exclusion criteria were analysed. Data were extracted and compiled into a table of evidence. RESULTS Defined searching produced 3605 titles; 24 articles were included, nine prospective and 15 retrospective. Overall study quality was good. Patient samples mostly represented modern populations from countries with very high human development indices. Over 17 430 teeth were included. Meta-analysis was not attempted due to heterogeneity in reporting. All 24 included papers demonstrated that increased patient age did not decrease the success or survival rates of NSRCT. CONCLUSIONS This systematic review of longitudinal NSRCT outcomes demonstrated that increased patient age did not decrease the success of NSRCT. Patient age is not a prognostic factor for NSRCT. Age should not be considered by dentists or patients when making NSRCT decisions.
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Affiliation(s)
| | - Reza Hamedy
- School of Dentistry, UCLA, Los Angeles, CA, USA
| | | | | | - Rikke Ogawa
- School of Dentistry, UCLA, Los Angeles, CA, USA
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Kanagasingam S, Hussaini HM, Soo I, Baharin S, Ashar A, Patel S. Accuracy of single and parallax film and digital periapical radiographs in diagnosing apical periodontitis - a cadaver study. Int Endod J 2016; 50:427-436. [DOI: 10.1111/iej.12651] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2014] [Accepted: 04/07/2016] [Indexed: 10/22/2022]
Affiliation(s)
- S. Kanagasingam
- Department of Operative Dentistry; Faculty of Dentistry; Universiti Kebangsaan Malaysia; Kuala Lumpur Malaysia
| | - H. M. Hussaini
- Department of Oral Diagnostic and Surgical Sciences; School of Dentistry; University of Otago; Dunedin New Zealand
| | - I. Soo
- Department of Operative Dentistry; Faculty of Dentistry; Universiti Kebangsaan Malaysia; Kuala Lumpur Malaysia
| | - S. Baharin
- Department of Operative Dentistry; Faculty of Dentistry; Universiti Kebangsaan Malaysia; Kuala Lumpur Malaysia
| | - A. Ashar
- Department of Operative Dentistry; Faculty of Dentistry; Universiti Kebangsaan Malaysia; Kuala Lumpur Malaysia
| | - S. Patel
- Department of Operative Dentistry; Faculty of Dentistry; Universiti Kebangsaan Malaysia; Kuala Lumpur Malaysia
- Department of Endodontology; King's College Dental Institute; London UK
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Gill GS, Bhuyan AC, Kalita C, Das L, Kataki R, Bhuyan D. Single Versus Multi-visit Endodontic Treatment of Teeth with Apical Periodontitis: An in vivo Study with 1-year Evaluation. Ann Med Health Sci Res 2016; 6:19-26. [PMID: 27144072 PMCID: PMC4849111 DOI: 10.4103/2141-9248.180265] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Background: Apical periodontitis (AP) is one of the most prevalent diseases of the teeth. Treatment of AP is based on the removal of the cause, i.e., bacteria from the root canals. Achievement of adequate bacterial eradication in one appointment treatment remains a controversy. Aim: This prospective study was conducted with the objective to compare the periapical healing of teeth with AP treated in (a) single visit versus (b) two visits, either with or without Vitapex as an intracanal medicament. Subjects and Methods: Patients were selected randomly from the Department of Conservative Dentistry and Endodontics. Forty-three patients (81 teeth) met the inclusion criteria, i.e., AP (both symptomatic and asymptomatic) visible radiographically size ≥2 mm × 2 mm, not suffering from any immune-compromising disease, age between 16 and 65 years and tooth not accessed previously. Patients were randomly divided into three groups, i.e., single-visit group (Group 1), multi-visit group without any intracanal medicament (Group 2), and multi-visit group with Vitapex as interim intracanal medicament (Group 3). Comparison was done radiographically using periapical index (PAI). The primary outcome measure was the change in periapical radiolucency after 1 year assessed by PAI scores. The Mann-Whitney U-test was used to evaluate differences between groups at baseline (immediate postoperative) and at the 12-month follow-up evaluation. Change in PAI score for each group from baseline to 12-month follow-up evaluation was tested with the Wilcoxon signed rank test. The secondary outcome measures, proportion of teeth in each group that could be considered improved (decreased PAI score) or healed (PAI <2), were assessed with the Chi-square test. Results: No statistically significant difference in periapical healing was found between three groups. Conclusion: After 1-year evaluation, no difference in periapical healing was found between single-visit treatment and multi-visit treatment groups with the given sample size.
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Affiliation(s)
- G S Gill
- Department of Conservative Dentistry and Endodontics, JCD Dental College, Sirsa, Haryana, India
| | - A C Bhuyan
- Department of Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, Assam, India
| | - C Kalita
- Department of Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, Assam, India
| | - L Das
- Department of Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, Assam, India
| | - R Kataki
- Department of Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, Assam, India
| | - D Bhuyan
- Department of Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, Assam, India
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Estrela C, Holland R, Estrela CRDA, Alencar AHG, Sousa-Neto MD, Pécora JD. Characterization of successful root canal treatment. Braz Dent J 2016; 25:3-11. [PMID: 24789284 DOI: 10.1590/0103-6440201302356] [Citation(s) in RCA: 129] [Impact Index Per Article: 16.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2013] [Accepted: 11/11/2013] [Indexed: 12/13/2022] Open
Abstract
Knowing the outcome of root canal treatment (RCT) is determinant to substantiate the clinical decision making process, especially when RCT is weighed against the extraction of natural teeth or replacement by prosthetic elements. The ideal scenario in all clinical situations should combine healing/prevention of disease (apical periodontitis) and the functional retention of the tooth. Understanding the risk factors associated with endodontic failure is a key factor to increase the chances of success. The logical action is to reverse the existing disease, which requires intervention to neutralize the bacterial invasion and disrupt the bacterial biofilm within the complex anatomy. Success is more predictable when the immune host defenses are favorable. However, success has different meanings to the dentist, to the patient and to the tooth itself. The life of an endodontically treated tooth depends on the accuracy of the diagnosis and planning, excellence of disinfection, instrumentation and filling procedures (antimicrobial strategies, root canal shaping and coronal and apical seal) and finally the rehabilitation management. The interpretation of constant or intermittent pain and/or discomfort associated with apical periodontitis (AP) in endodontically treated tooth may be suggestive of endodontic failure. The success features of RCT, namely absence of pain, regression of AP, tight seal of canal and coronal spaces, and recovery of tooth function, must be reevaluated over time. In case of doubt between success and failure, cone beam computed tomography (CBCT) could be indicated for detection and precise localization of AP. The possibility of map reading on CBCT images characterizes the real multidimensional structure, providing accurate information on the presence, absence or regression of AP. The survival of an endodontically treated tooth implies understanding the biological and mechanical outcomes as multifactorial events over the individual's life span. The objective of this review of literature is to discuss relevant factors associated with patient's health, tooth and dentist that could account for a successful RCT.
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Affiliation(s)
- Carlos Estrela
- Department of Stomatologic Sciences, School of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil
| | - Roberto Holland
- Department of Restorative Dentistry, School of Dentistry, Univ Estadual Paulista, Araçatuba, SP, Brazil
| | | | | | - Manoel Damião Sousa-Neto
- Department of Stomatologic Sciences, School of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil
| | - Jesus Djalma Pécora
- Department of Stomatologic Sciences, School of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil
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