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At least 19 recordsLinked to original sources

Clinical and radiographic study of pulpectomy and root canal therapy.

A clinical and radiographic reexamination of 2,459 roots 2-7 years after initial pulpectomy or root canal therapy is presented. The overall success rate, which was 53%, was not affected by the sex or age of the patient, or by the jaw in which the tooth was situated. The tooth group, however, had a significant influence on the success rate, the worst results being obtained for incisors and especially the mandibular central and maxillary lateral incisors. The prognosis was clearly better for the pulpectomies than for the root canal therapy. Mortal pulpectomy was found to succeed more often than vital. The presence of a primary periapical rarefaction worsened the success rate. The success rate was lower for the teeth in which a posttreatment prosthetic crown had been fitted. Fillings which went beyond the apex had a significantly lower success rate than those which nearly or exactly reached the apex.

Adolescent

Pulpectomy procedure for deciduous teeth with severe pulpal necrosis.

Pulpectomies of deciduous teeth with severe pulpal necrosis should be considered as a possible treatment plan. Systemic and dental criteria have been devised to help the clinician to select cases in which successful results may be produced. A clinical success occurs when the pulpectomized tooth is painless, is firm in its alveolar socket, and is without a fistulous tract. Radiographically, any radiolucent area should be resolving with six months, and no pathologic root resorption should be observed. Research should determine whether pulpectomies may be done on children with severe systemic disease and should determine long-term consequences of underfilled and overfilled pulpectomies.

Dental Pulp Capping

Tissue reactions following apical plugging of the root canal with dentin chips in monkey teeth subjected to pulpectomy.

The tissue reaction following apical plugging of the root canal with dentin chips in monkey teeth subjected to pulpectomy was studied. The reaction was characterized by formation of a cementum-like tissue onto the chips, often walling off the root canal as well as accessory and lateral canals. Twenty-two of twenty-four teeth were rated as successful 95 days after pulpectomy. In the control groups, in which apical plugging of the canal with dentin chips was not attempted, ten of twenty-one teeth were rated as successful at this observation time. In six of the ten successfully treated teeth in these groups a dentin chip plug had been made, although care had been taken to avoid this. It is suggested that a plug of dentin chips is well tolerated by the tissues and may present an effective barrier in the apical part of the root canal, facilitating the accomplishment of a well-condensed, tightly sealing root filling.

Animals

Human pulpectomy: incidence of postoperative pain using two different intracanal dressings.

A clinical study using vital maxillary central incisors was performed to evaluate the incidence of postoperative pain after pulpectomy and dressing with a corticosteroid-antibiotic preparation or a calcium-hydroxide paste. Sixty teeth from 45 patients were prepared and dressed on the first visit and re-evaluated 7 days later. No difference was observed in the incidence of postoperative pain between the two groups.

Adolescent

Surgical repair of tusk injury (pulpectomy) in an adult, male forest elephant (Loxodonta cyclotis).

A 15-year-old male forest elephant housed in a zoo sustained a fracture of the right tusk that was 10 cm inside the cheek pouch, thus exposing the tusk canal. Treatment of the cavity by packing, topical application of antibiotics, and administration of various antiseptic preparations failed; however, the tusk grew. To treat the infected, growing tusks's root canal or pulp, surgery--comparable to a pulpectomy in man--was performed with successful results.

Animals

Tissue formation in the root canal after total pulpectomy and partial root filling.

In twenty human teeth, total removal of the pulp was attempted, and the root canal was filled 2 to 4 mm. short of the foramen in the same sitting. The root filling consisted of gutta-percha points and Kloroperka N-ö as a sealer. The teeth were extracted after observation periods of 2, 6, and 10 months and committed to histologic examination. Microscopic evaluation demonstrated that after 2 months, the space in the canal between the root filling and the foramen was occupied by connective tissue slightly inflamed in the area adjacent to the root filling. After 6 and 10 months the entire space contained a fully developed cell-rich fibrous tissue, and only a few lymphocytes were observed adjacent to the root filling material.

Adult

Endodontic treatment of primary teeth.

Endodontic treatment of primary teeth is undertaken by indirect pulp capping, direct pulp capping, formocresol pulpotomy and pulpectomy. The same treatment principles apply to both primary and permanent teeth with infected or necrotic pulps. The main differences are the use of formocresol for root canal medication and a resorbably zinc-oxide and eugenol paste for root canal obturation.

Child

Use of acid cleanser in endodontic therapy.

The use of a 50percent citric acid cleanser in root canals after pulpectomy produced well-cleaned surfaces as shown by scanning electron microscopy. Compared with other cleaning agents, this cleanser provided improved penetration of rosin into the dentinal tubules and better wall adaptation of gutta-percha. No contraindication has been encountered in clinical practice. Application of the cleanser directly to the exposed pulp resulted in satisfactory destruction similar to the results obtained with strong acids.

Chloroform

[Decisive factors in the indication for pulp and peridontal treatment].

The explanation of the goal of pulp-periodontium treatment is followed by guidelines concerning the indication for the methods of pulp preservation (indirect capping, direct capping, pulpitis treatment by means of anaesthetics), of partial pulp preservation (vital amputation) and for pulpectomy (vital and non-vital techniques). The different passages of the paper terminate with conclusions for practice.

Administration, Topical