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Root canal treated teeth restoration

Massimo Del Fabbro, Stefano Corbella, Patrick Sequeira-Byron, Igor Tsesis, Eyal Rosen, Alessandra Lolato, Silvio Taschieri
BACKGROUND: When primary root canal therapy fails, periapical lesions can be retreated with or without surgery. Root canal retreatment is a non-surgical procedure that involves removal of root canal filling materials from the tooth, followed by cleaning, shaping and obturating of the canals. Root-end resection is a surgical procedure that involves exposure of the periapical lesion through an osteotomy, surgical removal of the lesion, removal of part of the root-end tip, disinfection and, commonly, retrograde sealing or filling of the apical portion of the remaining root canal...
October 19, 2016: Cochrane Database of Systematic Reviews
Pallav Mahesh Patni, Pradeep Jain, Mona Jain Patni
INTRODUCTION: The fracture of front teeth is one of the routine presentations of traumatic injuries. The treatment of a fractured tooth involving the pulp includes root canal therapy and post placement followed by core build-up or by the extraction of the fractured tooth if it is not restorable. CASE PRESENTATION: We report a case of an adult male who had traumatized both his maxillary central incisors following a blow experienced during domestic violence. He had lost a fractured fragment of the right central incisor, while the left incisor had complicated fractures with fragments retained attached to the soft tissue...
June 2016: Archives of Trauma Research
Tan Firat Eyuboglu, Kezban Olcay, Mutlu Özcan
OBJECTIVES: This study assessed the outcome measures of single-visit root canal retreatments and frequency of periapical complications considering preoperative, intraoperative and postoperative factors. MATERIALS AND METHODS: Between November 2011 and December 2012, in 173 patients, a total of 234 endodontically treated teeth were retreated in a single appointment by one experienced endodontist. Five teeth were extracted and 119 teeth were lost to follow-up yielding to 110 teeth (47 %) to be examined by two calibrated examiners for the outcome of healing (periapical index score-PAI ≤2; no signs or symptoms) or non-healing (presence of apical periodontitis-PAI >2; signs or symptoms)...
September 22, 2016: Clinical Oral Investigations
Naseem Shah
OBJECTIVES: To provide scientific evidence on the outcome of a large number of cases treated by SealBio over the longer follow-up period. MATERIALS AND METHODS: One hundred and thirty-four teeth in 116 patients presenting with pulp and periapical disease were randomly recruited between 2009 and 2014. SealBio was performed, and cases were followed up at regular intervals up to 6-year. RESULTS: Of the total 134 teeth treated, 16 teeth could not be followed up and 9 cases failed (7...
July 2016: Contemporary Clinical Dentistry
Isaac Pratt, Anita Aminoshariae, Thomas A Montagnese, Kristin A Williams, Navid Khalighinejad, Andre Mickel
INTRODUCTION: The purpose of this study was to investigate the effects of factors associated with various coronal restorative modalities after root canal treatment (RCT) on the survival of endodontically treated teeth (ETT) and to assess the effect of time lapse between RCT and crown placement after RCT to form a tooth loss hazard model. METHODS: Computerized analysis was performed for all patients who received posterior RCT from 2008 to 2016 in the graduate endodontic department...
September 10, 2016: Journal of Endodontics
Babita Sangwan, Rahul Rishi, Mukut Seal, Kanav Jain, Pranjali Dutt, Pratim Talukdar
AIMS: The aim of the present study is to compare and assess the fracture resistance of root canal treated teeth with different restorative materials. MATERIALS AND METHODS: The present in vitro study was carried out on seventy-five freshly extracted, noncarious, single-canal human lower-first premolars with similar anatomic characteristics. Teeth were randomly assigned to five groups with 15 teeth being present in each group. Group I is control group (no alteration done), group II is restored with silver amalgam after endodontic therapy, group III is restored with posterior composite after end-odontic therapy, group IV is restored with posterior glass ionomer cement (GIC) after endodontic therapy, and group V is restored with miracle mix after endodontic therapy...
2016: Journal of Contemporary Dental Practice
Miguel Rodrigues Martins, Rita C Lima, Irene Pina-Vaz, Manuel Fontes Carvalho, Norbert Gutknecht
OBJECTIVE AND BACKGROUND: Although several surgical techniques have been reported, no study has yet reported alternative strategies for endodontic treatment of autogenous transplanted teeth. Therefore, the aim of this clinical report is to present the long-term endodontic outcome of a nonvital autogenously transplanted third molar treated with an Er,Cr:YSGG laser and radial firing tips (RFTs). CASE REPORT: Autogenous tooth transplantation can be considered an alternative to restore edentulous areas and, in donor's teeth with complete root formation, root canal treatment should be performed up to 14 days following transplantation...
October 2016: Photomedicine and Laser Surgery
E B Cakici, E Yildirim, F Cakici, A S Erdogan
AIM: The purpose of this study is to use cone-beam computed tomography (CBCT) to describe the prevalence of apical health, the quality of root canal filling, and coronal restorations of endodontically treated teeth in the east Anatolian subpopulation of Turkey. MATERIALS AND METHODS: CBCT scans were taken from 748 patients attending for the 1st time to the clinic at the Oral Diagnosis and Radiology Department at Ataturk University's Faculty of Dentistry in Erzurum, Turkey...
September 2016: Nigerian Journal of Clinical Practice
H W Jiang
The primary goal of modern endodontic therapy is to achieve the long-term retention of a functional tooth by preventing or treating pulpitis or apical periodontitis is. The long-term retention of endodontically treated tooth is correlated with the remaining amount of tooth tissue and the quality of the restoration after root canal filling. In recent years, there has been rapid progress and development in the basic research of endodontic biology, instrument and applied materials, making treatment procedures safer, more accurate, and more efficient...
August 2016: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
Almira Isufi, Gianluca Plotino, Nicola Maria Grande, Pietro Ioppolo, Luca Testarelli, Rossella Bedini, Dina Al-Sudani, Gianluca Gambarini
AIM: To determine and compare the fracture resistance of endodontically treated teeth restored with a bulk fill flowable material (SDR) and a traditional resin composite. METHODS: Thirty maxillary and 30 mandibular first molars were selected based on similar dimensions. After cleaning, shaping and filling of the root canals and adhesive procedures, specimens were assigned to 3 subgroups for each tooth type (n=10): Group A: control group, including intact teeth; Group B: access cavities were restored with a traditional resin composite (EsthetX; Dentsply-Italy, Rome, Italy); Group C: access cavities were restored with a bulk fill flowable composite (SDR; Dentsply-Italy), except 1...
January 2016: Annali di Stomatologia
Armita Rouhani, Majid Akbari, Aida Farhadi-Faz
INTRODUCTION: The aim of this in vitro study was to evaluate the tooth discoloration induced by calcium-enriched mixture (CEM) cement and mineral trioxide aggregate (MTA). METHODS AND MATERIALS: Forty five endodontically treated human maxillary central incisors were selected and divided into three groups (n=15) after removing the coronal 3 mm of the obturating materials. In the MTA group, white MTA plug was placed in pulp chamber and coronal zone of the root canal...
2016: Iranian Endodontic Journal
Guliz Aktas, Hatice Yerlikaya, Kivanc Akca
PURPOSE: To evaluate the effect of different silica-based ceramic materials on the mechanical failure behavior of endocrowns used in the restoration of endodontically treated mandibular molar teeth. MATERIALS AND METHODS: Thirty-six intact mandibular molar teeth extracted because of a loss of periodontal support received root canal treatment. The teeth were prepared with a central cavity to support the endocrowns, replacing the occlusal surface with mesial-lingual-distal walls...
July 28, 2016: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Gamze Topçuoğlu, Hüseyin Sinan Topçuoğlu
This report describes 3 successful single-visit regenerative endodontic therapy cases using platelet-rich plasma (PRP) and Biodentine (Septodont, Saint Maurdes Fossés, France) for 3 immature mandibular molar teeth, all with necrotic pulp, in 2 children aged 8 years and 1 aged 9 years. Three teeth were separately diagnosed as having a necrotic pulp. After preparation of the access cavity under rubber dam isolation, the necrotic pulp was removed, and each canal was irrigated with 2.5% sodium hypochlorite, sterile saline, and 17% EDTA solutions...
September 2016: Journal of Endodontics
Aman Moda, Gyanendra Saroj, Swati Sharma, Basant Gupta
AIMS: The aim of this study was to evaluate the knowledge and awareness among parents and general dental practitioners regarding rehabilitation with full coverage restoration in children following pulp therapy. MATERIALS AND METHODS: A multiple choice questionnaire was given to 1,000 parents and 400 general practitioners in this multicentric trial. The questionnaire assessed their beliefs, knowledge regarding care of primary teeth, assessment of treating children, and knowledge regarding importance of primary teeth...
April 2016: International Journal of Clinical Pediatric Dentistry
K Khalid, S Yousif, A Satti
Forensic Odontology is a vital component of forensic science and one branch involves the application of dental science to the identification of unknown human remains. The aim of this study is to investigate the discriminatory potential for identification of the radiographic morphology of obturated single root canals. Thirty periapical radiographs of patients having endodontic treatment of single rooted canals were selected randomly from the data bank of the digital X- ray system present in the restorative department, University of Science and Technology, Sudan...
2016: Journal of Forensic Odonto-stomatology
Angambakkam Rajasekaran PradeepKumar, Hagay Shemesh, Sundaramurthy Jothilatha, Rangarajan Vijayabharathi, Somasundaram Jayalakshmi, Anil Kishen
INTRODUCTION: The purpose of this study was to examine different patient- and treatment-related factors associated with the time of presentation of vertical root fractures (VRFs) in endodontically treated teeth restored with crowns. METHODS: One hundred ninety-seven root-filled, crowned teeth with no post and suspected of VRFs were included in the study. Patient details with relevance to endodontic treatment and clinical signs/symptoms were documented, and radiographs were taken...
August 2016: Journal of Endodontics
S M Sharath Chandra, Nishtha Agrawal, I Sujatha, K Sivaji
AIMS: The aim of this study is to compare in vitro the fracture resistance of the endodontically treated tooth restored with a novel design Sharonlay, with the two component restorative method, i.e., post with separate onlay, and onlay without post. SUBJECTS AND METHODS: 45 single-rooted mandibular second premolars were taken, and root canal treatment was performed. Teeth were then randomly divided into three groups (n = 15) based on the type of restoration given: Group I - metal onlay with cast post extension (Sharonlay), Group II - metal onlay with prefabricated metal post (Mani post system), Group III - metal onlay over endodontically treated tooth obturated with Gutta-percha (control group)...
May 2016: Journal of Conservative Dentistry: JCD
M Siva Kumar, M Hari Kumar, K Vishalakshi, H Sabitha
Periapical cysts are the most common inflammatory odontogenic cysts arising from untreated dental caries with pulp necrosis and periapical infection. The choice of treatment is often influenced by various factors like size, extension of the lesion, proximity to vital structures, systemic condition and compliance of the patient too. The treatment protocol for management of periapical cysts is still under discussion and options vary from conservative treatment by means of endodontic technique to surgical treatment like decompression or a marsupialisation or even to enucleation...
April 2016: Journal of Clinical and Diagnostic Research: JCDR
P Jonasson, C Lennholm, T Kvist
AIM: Root canal treatment of teeth with necrotic pulps and apical periodontitis may be complicated by limited access to the root canals due to restorations and dystrophic calcifications. The objective of this study was to evaluate retrograde root canal as a primary treatment using a surgical approach as an alternative to conventional orthograde treatment. METHODOLOGY: Patients with apical periodontitis in the anterior region of the maxilla were consecutively recruited to the study over a period of 4 years...
May 9, 2016: International Endodontic Journal
Márk Fráter, András Forster, Ádám Jantyik, Gábor Braunitzer, Katalin Nagy, Simone Grandini
The purpose of this study was to evaluate the reinforcing effect of fibre-reinforced composites (FRC) applied in premolar teeth with different techniques and minimally invasive post space preparation. Fifty extracted and endodontically treated premolar teeth were used. The teeth were divided into five groups (n = 10) depending on the restorative technique (Groups 1-5). Group 1: one single conventional post, Group 2: one main conventional and one collateral post, Group 3: one elastic post, Group 4: one main elastic and one collateral post, and Group 5: individual post formed of elastic posts...
May 6, 2016: Australian Endodontic Journal: the Journal of the Australian Society of Endodontology Inc
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