Clinical outcome of the endodontic treatment of teeth with apical periodontitis using an antimicrobial protocol

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
José F SiqueiraJosé C Provenzano

Abstract

This study investigated the long-term (1-4 years) outcome of the endodontic treatment of teeth with apical periodontitis lesions performed by undergraduate students using a defined antimicrobial protocol. Treatment protocol included a crown-down instrumentation technique, apical enlargement to predetermined sizes and apical level, irrigation with 2.5% sodium hypochlorite, and intracanal medication with calcium hydroxide/camphorated paramonochlorophenol (CPMC) paste. The first 100 teeth from patients who returned for follow-up were examined. The outcome was assessed based on radiographic and clinical criteria as healed (success), healing (uncertain), or not healed (failure). Overall results showed that 76% of the teeth healed, 19% were healing, and 5% had not healed. Most healed cases (75%) or failed cases (80%) were already evident at 2 years. Seven cases took 4 years to heal completely. The low failure rate observed in this study reinforces the importance of using an evidence-based antimicrobial strategy during endodontic treatment of teeth with apical periodontitis.

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Citations

Dec 18, 2013·Photomedicine and Laser Surgery·Miguel R MartinsNorbert Gutknecht
Apr 27, 2012·International Journal of Dentistry·Sune DemantLars Bjørndal
Feb 12, 2013·Acta Odontologica Scandinavica·Prasanna NeelakantanJames L Gutmann
Jan 23, 2016·Photodiagnosis and Photodynamic Therapy·Janir Alves SoaresLuiz de Macêdo Farias
Dec 22, 2015·Journal of Endodontics·Gözde Kandemir Demirci, Mehmet Kemal Çalışkan
Dec 15, 2010·Journal of Endodontics·Caroline Alberici MartinsDaniella Serafin Couto Vieira
Oct 20, 2010·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·José F Siqueira
Nov 13, 2014·International Endodontic Journal·A Aminoshariae, J Kulild
Aug 13, 2014·International Endodontic Journal·A Aminoshariae, J C Kulild
Jul 7, 2015·Journal of Dentistry·Gustavo Golgo KunertJosé Antônio Poli de Figueiredo
Dec 3, 2014·Photodiagnosis and Photodynamic Therapy·Prasanna NeelakantanAnil Kishen
Oct 27, 2010·Brazilian Dental Journal·Julio C Machado de OliveiraJosé F Siqueira
Mar 22, 2014·British Dental Journal·J F SiqueiraM Hülsmann
May 9, 2012·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·M S EndoB P F A Gomes
Nov 17, 2016·Restorative Dentistry & Endodontics·Hye-Ra AhnMin-Seock Seo
Feb 3, 2019·Clinical Oral Investigations·Erika LaukkanenAnja K Kotiranta
Jan 26, 2021·Clinical Case Reports·Khaled Al-Manei, Kholod Khalil Al-Manei
Nov 19, 2020·Brazilian Oral Research·Maricel Rosario Cardenas CuellarFlaviana Bombarda de Andrade
Dec 8, 2021·Journal of Materials Science. Materials in Medicine·Flaviana Bombarda de AndradeMarco Antônio Hungaro Duarte

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