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At least 163 records · Page 9Linked to original sources
PubMed1998

Nonsurgical root canal therapy treatment with apparent indications for root-end surgery.

The recent introduction of the surgical microscope to the practice of endodontics, especially for surgery, has allowed clearer visualization of the periapex during root-end resection and filling. However, despite this and other technologic advances, it has not been demonstrated that in the absence of thorough canal debridement the success rate of periapical surgery has improved over the 50% to 60% demonstrated in most long-term prognosis studies. Therefore it remains important to fully instrument and obturate the root canal system with conventional therapy before surgery is considered; this considerably improves the long-term prognosis. Each of the case reports in this article involves a situation in which conventional treatment was performed when a surgical approach might have been considered as the treatment of choice. Surgery should not be considered to be the primary treatment when root canal treatment or retreatment may be readily achieved. Indeed, the operating microscope and other technical aids will probably allow more cases to be treated and retreated conventionally that might otherwise have required surgical intervention.

Adolescent↗
PubMed1980

Systemic distribution of N2 paste containing 14C paraformaldehyde following root canal therapy in dogs.

Using rubber-dam isolation and an aseptic and standardized endodontic technique, root canal therapy was performed on the right and left fourth mandibular premolars in four dogs. Each tooth was obturated with N2 paste containing 6.5 percent 14C paraformaldehyde. In each dog at 1 hour, 1, 7, 14, and 28 days, blood was drawn and biopsy specimens were taken of the adjacent lymph nodes, liver, and kidney. At 28 days, the animals were killed, and the experimental and adjacent tissues were processes for light microscopy. Histologic examination demonstrated that particles of the paste placed in the root canal were present in pulp, periapical, and periodontal tissues remote from the original site in the root canal. In addition, 14C-labeled paraformaldehyde which was contained in the N2 paste was found in blood, regional lymph nodes, kidney, and liver. The amount of radioactivity in all the body organs decreased with time.

Animals↗
PubMed1993

Factors influencing the success of conventional root canal therapy--a five-year retrospective study.

This retrospective study on the outcome of conventional root canal therapy was carried out on patients attending the Eastman Dental Hospital between 1970 and 1982. A minimum follow-up period of 5 years was required for patients to be included in the survey. The characteristics of the resulting sample group, the techniques for canal preparation and obturation and the obturating materials used were analysed. The type of obturating material used had no demonstrable effect on success rate but sex, age, preoperative vitality and periapical pathology were associated with significantly differing success rates. Technique also influenced success rate; the method of canal preparation and the position of the apical seal relative to the radiographic apex were both found to be significant. The overall success rate was 84.29%, representing 692 of 821 teeth included in the survey.

Adolescent↗
PubMed2001

A comparative evaluation of sealing ability of restorative materials used for coronal sealing after root canal therapy.

In the past few years the importance of coronal seal following root canal therapy has been emphasised. Adhesive restorative materials have been used, considering their good bond strength and their sealing ability. In this study, the sealing ability of resin modified glass ionomer has been compared with composite resin used with fifth generation bonding agent (in vitro), using methylene blue dye penetration method. Resin modified glass ionomer showed greater leakage than composite resin, although it was not statistically significant. Further studies are needed to asses the sealing efficacy in clinical situations.

Composite Resins↗
PubMed2007

Damage to the inferior alveolar nerve as the result of root canal therapy.

BACKGROUND: Endodontic treatment of mandibular molar teeth has the potential to damage the inferior alveolar nerve via direct trauma, pressure or neurotoxicity. METHODS: The author reviewed all cases of involvement of the inferior alveolar nerve resulting from root canal therapy in patients seen in a tertiary referral center during an eight-year period (1998 through 2005). The author had encouraged practitioners to refer patients immediately to a university clinic. RESULTS: The author saw 61 patients during the eight-year period. Eight patients were asymptomatic and received no treatment. Forty-two patients exhibited only mild symptoms or were seen more than three months after undergoing root canal therapy, and they received no surgical treatment. Only 10 percent of these patients experienced any resolution of symptoms. Eleven patients underwent surgical exploration. Five of these patients underwent exploration and received treatment within 48 hours, and all recovered completely. The remaining six patients underwent surgical exploration and received treatment between 10 days and three months after receiving endodontic therapy. Of these patients, four experienced partial recovery and two experienced no recovery at all. CONCLUSIONS: Early surgical exploration and débridement may reverse the side effects of endodontic treatment on the inferior alveolar nerve. CLINICAL IMPLICATIONS: If the radiograph obtained after endodontic therapy shows sealant in the inferior alveolar canal, then immediate referral to an oral and maxillofacial surgeon is indicated if the patient has continued symptoms of paresthesia or pain once the local anesthetic should have worn off. Immediate surgical exploration and débridement may provide satisfactory results.

Debridement↗