Clinical outcome of the endodontic treatment of teeth with apical periodontitis using an antimicrobial protocol
| Autor: | José C. Provenzano, Isabela N. Rôças, J. F. Siqueira, Fernanda N. S. J. Riche |
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| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Treatment protocol Sodium Hypochlorite Rubber Dams Dental Plaque Dentistry Calcium Hydroxide Root Canal Filling Materials chemistry.chemical_compound Clinical Protocols Root Canal Obturation Dental Pulp Necrosis medicine Humans Dental Restoration Failure General Dentistry Periodontitis Root Canal Irrigants biology ENDODONTIC PROCEDURES business.industry Follow up studies Gutta-percha Antimicrobial biology.organism_classification medicine.disease Camphor Root Canal Therapy Surgery Drug Combinations stomatognathic diseases Treatment Outcome Otorhinolaryngology chemistry Sodium hypochlorite Anti-Infective Agents Local Gutta-Percha Oral Surgery business Bismuth Periapical Periodontitis Root Canal Preparation Chlorophenols Follow-Up Studies |
| Zdroj: | Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 106:757-762 |
| ISSN: | 1079-2104 |
| DOI: | 10.1016/j.tripleo.2008.06.007 |
| Popis: | Objective. This study investigated the long-term (1-4 years) outcome of the endodontic treatment of teeth with apical periodontitis lesions performed by undergraduate students using a defined antimicrobial protocol. Study design. Treatment protocol included a crown-down instrumentation technique, apical enlargement to predetermined sizes and apical level, irrigation with 2.5% sodium hypochlorite, and intracanal medication with calcium hydroxide/camphorated paramonochlorophenol (CPMC) paste. The first 100 teeth from patients who returned for follow-up were examined. The outcome was assessed based on radiographic and clinical criteria as healed (success), healing (uncertain), or not healed (failure). Results. Overall results showed that 76% of the teeth healed, 19% were healing, and 5% had not healed. Most healed cases (75%) or failed cases (80%) were already evident at 2 years. Seven cases took 4 years to heal completely. Conclusions. The low failure rate observed in this study reinforces the importance of using an evidence-based antimicrobial strategy during endodontic treatment of teeth with apical periodontitis. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:757-62) |
| Databáze: | OpenAIRE |
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