scholarly journals Nonsurgical Clinical Management of Periapical Lesions Using Calcium Hydroxide-Iodoform-Silicon-Oil Paste

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Qusai Al Khasawnah ◽  
Fathi Hassan ◽  
Deeksha Malhan ◽  
Markus Engelhardt ◽  
Diaa Eldin S. Daghma ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Tooth Extraction ◽  
Rating Scale ◽  
Complete Healing ◽  
Permanent Teeth ◽  
Slow Phase ◽  
Rapid Phase ◽  
Periapical Lesions ◽  
Silicon Oil

Background. The study aim is to avoid tooth extraction by nonsurgical treatment of periapical lesion. It assesses healing progress in response to calcium hydroxide-iodoform-silicon oil paste (CHISP). Numeric Pain Rating Scale was used to validate the approach. Furthermore, CHISP was used to treat cystic lesions secondary to posttraumatic avulsion of permanent teeth. Materials and Methods. Over 200 patients with radicular cysts were treated with CHISP through the root canal. Radiographs were used to verify lesion size and position, ensure correct delivery to the site, and monitor the progress of bone healing in the lesion area. Ten males and 10 females were randomly selected for statistical assessment. Results. No severe pain, complications, or failure in cyst healing was reported. Complete healing was achieved in an average of 75 days. Furthermore, healing of radicular cyst secondary to posttraumatic tooth avulsion was successful. Conclusion. CHISP indicated an antiseptic effect, which enhanced and shortened healing time of periapical lesions. The less invasive procedure avoids tooth extraction and reduces bone resorption. Cyst management with CHISP can remedy failed root canal treatments. The results show a bone regenerative capacity of CHISP suggested in first rapid phase and a second slow phase.

scholarly journals Perawatan apeksifikasi pada gigi permanen muda insisivus pertama kiri atas yang non-vital Apexification treatment of non-vital young permanent left central insicivus

2012 ◽  
Vol 11 (2) ◽  
pp. 119
Author(s):  
Jenny Krisnawaty ◽  
Moch. Richata Fadil ◽  
Endang Sukartini ◽  
Milly Armilia
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Normal Range ◽  
Strong Base ◽  
Imperfect Shape

Imperfect young permanent teeth caused by caries or trauma could become necrotic before it’s growth anddevelopment completed, thus causes imperfect shape of the root canal and an opened apex. Difficulty in treatment ofroot canal caused by the absence of apical stop, that makes obturation cannot be accomplished because fillingmaterials will be pushed to periapex. The purpose of this case report was to report the treatment of anterior teethwhich diagnosed as necrotic with apexification. The material filling is calcium hydroxide with strong base natureand give antimicrobacterial effect and tissue liquefaction. The result of the treatment was closure of the apex, thetissue surrounding tooth is in normal range or that absence of radiolusency which is a sign of healing at theperiapical.The conclusion is young permanent tooth which experienced pulp necrotic can be treated withapexification treatment

scholarly journals A Cross-Sectional Study on the Preference of Root Canal Sealers Among Pediatric Dentists For Obturating Permanent Teeth

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 226-232
Author(s):  
Lakshmi Lakshmanan ◽  
Subramanian EMG ◽  
Ganesh Jeevanandan ◽  
Mebin George Mathew
Keyword(s):  
Zinc Oxide ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Cross Sectional Study ◽  
Permanent Teeth ◽  
Cross Sectional ◽  
Zinc Oxide Eugenol ◽  
Significant Difference ◽  
Pediatric Dentists ◽  
Root Canal Sealers

Utilisation of root canal sealers to perform obturation procedures is an endorsed method in endodontics and has an indispensable role in the success of treatment. The objective of this study was to explore the pediatric dentists’ preference for root canal sealers for obturating permanent teeth. 360 permanent teeth with gutta-percha obturation done by pediatric dentists were analyzed for the study. The variety of root canal sealers that are utilised for obturating the permanent teeth by pediatric dentists were assessed. The data were obtained from a patient management software. Chi-square test was performed. Out of the 360 permanent teeth, 186 teeth were obturated using resin-based sealers, 101 teeth using zinc oxide eugenol-based sealers and 73 teeth were obturated using calcium hydroxide-based sealers, with statistically significant difference between the three materials (P<0.05). Based on the findings of the present study, resin sealers followed by zinc oxide eugenol sealers and calcium hydroxide sealers were more preferred by pediatric dentists for root canal therapy in permanent teeth. 

scholarly journals Apical third enlargement of the root canal and its relationship with the repair of periapical lesions

2012 ◽  
Vol 06 (04) ◽  
pp. 385-388 ◽  
Author(s):  
Ronaldo Araújo Souza ◽  
João Costa Pinto Dantas ◽  
Paula Maciel Brandão ◽  
Suely Colombo ◽  
Maurício Lago ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Undergraduate Students ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Exact Test ◽  
Periapical Lesions ◽  
Group I ◽  
Group Ii ◽  
Determinant Factor

ABSTRACTObjective: The purpose of this study was to evaluate if the apical third enlargement of root canal is the determinant factor for the repair of periapical lesions in endodontic treatment.Methods: Eighty upper and lower incisors, canines and premolars with periapical lesions were randomly divided in 2 groups and were treated by undergraduate students. Canals were instrumented with up to 3 files in group I (n = 40) and up to 4 files in group II (n = 40) 1 mm short of the apex and were filled with a calcium hydroxide dressing. After removing calcium hydroxide 14 days later, both groups were filled using the lateral condensation technique. In the 2-year follow-up, a few patients did not return, and some cases did not present conditions for accurate comparisons. Therefore, only 43 patients (24 in group I and 19 in group II) presented conditions for radiographic comparisons. Data were statistically analyzed using Fisher's exact test.Results: Comparison of the initial and follow-up radiographs showed that 22 out of 24 (91.67%) patients in group I and 17 out of 19 patients (89.47%) in group II showed repair. Statistical analysis revealed no significant differences between the groups (P>.05).Conclusion: The results of this study show that the apical third enlargement did not alter the outcome of endodontic treatment of teeth with periapical lesion performed by undergraduate students. (Eur J Dent 2012;6:385-388)

scholarly journals Intra-canal medication containing silver nanoparticle versus calcium hydroxide in reducing postoperative pain: A randomized clinical trial

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1949
Author(s):  
Fatma El Zahraa El Abbasy ◽  
Salsabyl Ibrahim ◽  
Olfat Shaker ◽  
Geraldine Ahmed
Keyword(s):  
Silver Nanoparticles ◽  
Postoperative Pain ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Rating Scale ◽  
Treatment Success ◽  
Pain Scores ◽  
Mechanical Preparation ◽  
Significant Difference ◽  
Micro Organisms

Background: Pain of endodontic origin can be annoying for patients and endodontist. Pain relief is more important to the patient than treatment success. Numerous factors such as over instrumentation, over filling, debris extrusion can cause postoperative pain. However, bacteria found in the root canal space is the most important factor. Therefore mechanical preparation is an important step in elimination of micro-organisms from the root canal. It has been reported that micro-organisms can still survive inside the root canal even after mechanical preparation. Hence, the use of intra-canal medicaments in between visits for reduction of bacteria inside the root canal space has been recommended. The aim of this study was to assess the ability of silver nanoparticles versus calcium hydroxide used as intra-canal medication in reducing pain in necrotic teeth with apical periodontitis. Methods: Thirty-four participants were randomly divided into 2 groups, 17 in each group according to intra-canal medication used silver nanoparticles and calcium hydroxide (AgNPs and Ca(OH)2). Each patient was given pain scale chart numerical rating scale (NRS) in order to record his/her pain level before any intervention followed by placement of intra-canal medicament for 1 week. Postoperative pain was recorded at 4, 12, 24, 48 hours. Results: Pre-operatively; there was no statistically significant difference between mean pain scores in the two groups. After 4, 12 as well as 24 hours, Ca(OH)2 group showed statistically significantly higher mean pain score than AgNPs group. After 48 hours; there was no statistically significant difference between mean pain scores in the two groups. Conclusions: There was a statistically significant difference in postoperative pain following 4, 12, and 24 hours where AgNPs group resulted in reduction of pain more than Ca(OH)2 group. At 48 hours, there was no statistically significant difference. Trial registration: PACTR PACTR201602001444180 26/01/2016

scholarly journals A comparative clinical study of bioceramic and calcium hydroxide based root canal sealer in the treatment of non-vital permanent tooth with periapical lesion

2021 ◽  
Vol 11 (2) ◽  
pp. 26-31
Author(s):  
Farzana Hoque Tanmi ◽  
Md Abdul Hannan Sheikh ◽  
Mozammal Hossain ◽  
SM Abdul Quader ◽  
Salahuddin Ahmed ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Standard Procedure ◽  
Lesion Size ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Periapical Lesion ◽  
Root Canal Sealer ◽  
Anterior Teeth ◽  
Short Period

Introduction: The use of Bioceramic sealer in the obduration of the root canal system has been expected by many of the previous studies. However, the clinical outcome has not yet been established. Objective: To compare the effectiveness of bioceramic and calcium hydroxide based root canal sealer in treatment of non-vital permanent teeth with periapical lesion (Periapical periodontitis). Materials and Methods: A total 100 mature permanent anterior teeth were selected after clinical and radiological examination which had non-vital pulp with periapical lesion. Clinically pulp vitality test, palpation and percussion test was performed maintaining standard procedure. Following cavity preparation and biomechanical preparation, each canal was obturated either with bioceramic (Endosequence BC) or calcium hydroxide based sealer  (Sealapex, Kerr). All participants were evaluated immediately after obturation, at  3 and 6 months for the assessment of change in size of periapical lesion, condition of periodontal ligament space, lamina dura and incidence of post-operative pain, swelling. Statistical analysis was performed using Chi- square(X2) test and t-test. A value of p<0.05 was considered as statistically significant. Results: Bioceramic was more effective in reducing the lesion size than that of calcium hydroxide. At 6 months, the mean lesion size was reduced from 3.52±0.7 to 1.30±0.462 mm in Bioceramics and from 3.48±1.07 to 1.58± 0.498 mm in sealapex treated teeth.. Furthermore, 98% of bioceramic treated teeth and 94% of sealapex treated teeth showed absence of swelling. The differences between two groups were statistically significant (p<0.05). Conclusion: In this short period of study, Bioceramics based sealer seems to be more effective than calcium hydroxide based sealer in repair of periapical lesions of the nonvital teeth. Update Dent. Coll. j: 2021; 11(2): 26-31

scholarly journals Endodontic treatment of traumatized teeth with chronic periapical lesions using antibiotic paste and mineral trioxide aggregate obturation - a preliminary study

2019 ◽  
Vol 147 (5-6) ◽  
pp. 270-275
Author(s):  
Bojana Cetenovic ◽  
Dejan Markovic ◽  
James Gutmann ◽  
Tamara Peric ◽  
Vukoman Jokanovic
Keyword(s):  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Complete Regression ◽  
San Jose ◽  
Periapical Lesions ◽  
Significant Difference ◽  
Preliminary Study ◽  
Healing Assessment

Introduction/Objective. The purpose of this study was to assess effectiveness of endodontic root canal procedures in traumatized permanent teeth with necrotic pulps and chronic periapical lesions after definitive obturation with mineral trioxide aggregate (MTA) products. Adobe Photoshop CS (San Jose, CA, USA) image-analysis software was used for healing assessment. Methods. Twenty-seven traumatized single-rooted permanent teeth diagnosed with necrotic pulps and chronic periapical lesions were treated with non-surgical procedure using a tri-antibiotic paste and calcium hydroxide as intra-canal medication. Definitive obturation was performed with ProRoot MTA (Dentsply Tulsa Dental Specialties, Tulsa, OK, USA) or MTA+ Cerkamed (Cerkamed, Stalowa Wola, Poland). Control follow-ups were done three, six, 12, and 24 months following the completion of treatment. Results. The positive clinical outcome was recorded in 24 (88.9%) cases, while radiographic success was present in 26 (96.3%) cases. A statistically significant decrease in the sizes of periapical lesions was consistently observed at follow-up periods (p < 0.001). There was no statistically significant difference between the two tested MTA materials (p > 0.05). Conclusion. The MTA products were effective for the root canal obturation and appeared to contribute to the significant reduction or complete regression of periapical lesions in teeth treated. The presented procedure may be proposed for everyday clinical practice.

scholarly journals Non Surgical Management of Large Periapical Lesions of Endodontic Origin: A Case Series

2014 ◽  
Vol 8 (3) ◽  
pp. 172-175 ◽  
Author(s):  
A Gupta ◽  
V Goyal ◽  
S Bala ◽  
J Duhan ◽  
S Hans
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Tissue Repair ◽  
Antibacterial Properties ◽  
Case Series ◽  
Tissue Formation ◽  
Canal System ◽  
Periapical Lesions ◽  
Root Canal System ◽  
Total Elimination

ABSTRACT The success of root canal treatment is based on total elimination of root canal content, thorough cleaning, shaping and obturation of root canal system. Calcium hydroxide is recommended as intra-canal medicament because of its antibacterial properties, tissue dissolving ability, inhibition of tooth resorption and indication of tissue repair by hard tissue formation. The present case series highlights the use of calcium hydroxide as an inter appointment endodontic dressing for management of large periapical radiolucency and periodically reviewed. Thus the non surgical healing of large periapical lesions provided favourable clinical and radiographic response.

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