[Clinico-pathological study on the effects of guaiacol and zinc oxide guaiacol to the wounds of pulp and periapical tissues after vital pulpectomy (author's transl)].
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64 teeth with well-fitting post-retained crown were examined radio graphically and clinically and a number of failures were assessed including the peri-apical condition and the quality of root filling. All the teeth were vital and prosthetic was the only reason of endodontic treatment. Results have shown that 25% of the teeth had areas of radiolucency around the root apices. Various criteria parameters were reviewed for possible correlation to the failures. 15 out of the 16 cases of failures could be related to the endodontic therapy procedures: lack of using a rubber dam during the treatment and an unsatisfactory condensed and sealed root filling. Only one case was related to the deviation of post from the line of canal suggest a lateral perforation. To perform a post-retained crown the quality of endodontics must be considered: the operative procedures should be more controlled and enough time should be observed after root canal therapy to ensure its successful.
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Many researchers defended the thesis of eradicating the apical foramen microleakage for a successful root canal treatment. This study has been designed to defect whether microorganisms will grow or not at the empty root canals as a result of the perfect obstruction of the apical foramen with histoacryl of least microleakage retrogradely. The study has been realized on 24 teeth of 6 adult dogs. Histoacryl was used to obstruct the apical foramens and the experimental animals were anesthetized with general anesthesia. Experimental animals were divided into three groups before the operation. At each group, eight teeth of two experimental animals were studied on. Consequently, a great amount of streptococcus kind, lactobacillus and staphylococcus were isolated at the cultures taken from the root canals of 15 days cases. At 30 day cases, peptostreptococus, lacto bacillus and staphylococcus were isolated while at 60 day cases streptococcus pneumonia, and lactobacillus were isolated and evaluated as meaningless.
Recovery after an endodontic treatment can only be assessed clinically, on the basis of symptomatological and radiographic data, for lack of histo-clinical correlations. An anatomicopathological examination of damaged tissues pinpoints the anatomical obstacles and tissular modifications apt to undermine the success of root canal work. The aim of endodontic treatment is to maintain or reinstate an environment conducive to healing through the use of a non-traumatic endodontic technique, followed by functional rehabilitation of the dental organ in its periodontia structures.
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