Non-Surgical Management of Non-vital Teeth with Periapical Pathosis by Conventional Root Canal Treatment: A Clinical and Radiological Evaluation

Md. Ismail Hossain; Monira Parveen; Tasnim Wakia; Farid Uddin

doi:doi:10.11648/j.ijdm.20150102.11

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Non-Surgical Management of Non-vital Teeth with Periapical Pathosis by Conventional Root Canal Treatment: A Clinical and Radiological Evaluation

Md. Ismail Hossain, Monira Parveen, Tasnim Wakia, Farid Uddin

Published in International Journal of Dental Medicine (Volume 1, Issue 2)

Received: 31 May 2015 Accepted: 12 June 2015 Published: 15 June 2015

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Abstract

Background: Infections of the dental pulp occur as consequence of caries, operative dental procedures and trauma, and involve a mixed, predominantly Gram-negative, anaerobic bacterial flora. Objectives: The study was done to evaluate the success rate of non-surgical management of non-vital teeth with periapical pathosis. Methods: A total number of 40 infected teeth with periapical lesion were treated by Conventional Root Canal Treatment. Irritants from the root canal system was removed by mechanical instrumentation (Crown down Technique), chemical irrigation with NaOCL and by using Calcium Hydroxide as intracanal medicaments and fluid tight obturation both apically and coronally resulting repairs of inflamed periradicular tissues. Depending on the extension of tissue damage repair varies from a simple reduction and resolution of the inflammation to a more complex regeneration involving remodeling of bone, periodontal membrane and cementum. Results: This study present 2 years clinical and radiological follows up period. Among 40 cases 32 cases could be treated as acceptable as their responses were good both clinically and radiologically and 5 patients came back with some complications among them 3 cases were uncertain and 2 cases were unacceptable. Conclusion: This study suggests that Conventional root canal Treatment is an effective procedure for saving teeth with periapical pathosis.

Published in	International Journal of Dental Medicine (Volume 1, Issue 2)
DOI	10.11648/j.ijdm.20150102.11
Page(s)	13-16
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Non-Vital Teeth, Non-Surgical Management, Root Canal Treatment, Radiological Evaluation, Clinical Evaluation

References

[1]	Sundqvist G. Taxonomy, ecology, and pathogenicity of the root canal flora. Oral Surg Oral Med Oral Pathol 1994; 78:522–30.
[2]	Stashenko P. Interrelationship of dental pulp and apical periodontitis. In: Hargreaves KM, Goodis HE, eds. Bender and Seltzer’s dental pulp. Chicago: Quintessence Publishing; 2002. pp. 389–409.
[3]	Bhaskar SN. Periapical lesion-types, incidence and clinical features. Oral Surg Oral Med Oral Pathol 1966; 21: 657–71.
[4]	Lalonde ER. A new rationale for the management of periapical granulomas and cysts. J Endod 1970; 80: 1056–9.
[5]	Caliskan MK. Prognosis of large cyst-like periapical lesions following nonsurgical root canal treatment. Int Endod J 2004; 37: 408–16.
[6]	Zain RB, Roswali N, Ismail K. Radiographic evaluation of lesion sizes of histologically diagnosed periapical cysts and granulomas. Ann Dent 1989; 48: 3–5.
[7]	Nair PNR. New perspectives on radicular cysts: do they heal? IntEndod J 1998; 31: 155–60.
[8]	Simon JHS. Incidence of periapical cysts in relation to the root canal. J Endod 1980; 6: 845–8.
[9]	Leonardo MR, Silveria FF, Silva LA, TanomaruFilho M, Utrilla LS. Calcium hydroxide root canal dressing. Histopathological evaluation of periapical repair at different time periods. Braz Dent J 2002; 13: 17–22.
[10]	Weiger R, Rosendahl R, Löst C. Influence of calcium hydroxide intracanal dressings on the prognosis of teeth with endodontically induced periapical lesions. Int Endod J 2000; 33: 219–26.
[11]	Regan JD, Guttmann JL. Preparation of the root canalsystem. In: Pittford TR, ed. Harty’s endodontics in clinical practice. 5th ed. Edinburgh: Wright, Elsevier Science; 2004.pp. 77–94.
[12]	Kartal N, Yanikolu FC. Root canal morphology of mandibular incisors. J Endod 1992; 18: 562–4.
[13]	Yanagiswa S. Pathologic study of periapical lesions. Periapical granulomas: clinical, histopathologic and immunohistopathologic studies. J Oral Pathol 1980; 9: 288–300.
[14]	Nair PN. Light and electron microscopic studies of root canal flora and periapical lesions. J Endod 1987; 13: 29–39.
[15]	Walton RE, Ardjmand K. Histological evaluation of the presence of bacteria in induced periapical lesions in monkeys. J Endod 1992; 18: 216–27.
[16]	Ricucci D, Pascon EA, Ford TR, Langeland K. Epithelium and bacteria in periapical lesions. Oral Surg Oral Med Oral Pathol 2006; 101: 239–49.
[17]	Torabinejad M, Bakland LK. Immunopathogenesisofchronic periapical lesions. Oral Surg 1978; 46: 685–9.
[18]	Ninomiya J, Nakanishi K, Takemoto T et al. Cellular immuno-competence of infected root canal contents in pathogenesis of periapical lesions. J Endod 1997; 23: 213– 16.
[19]	Nair PN, Sjogren U, Schumacher E, Sundqvist G. Radicular cysts affecting a root-filled human tooth: a long-term posttreatment follow-up. IntEndod J 1993; 26: 225–33.
[20]	Wood NK. Periapical lesions. Dent Clin North Am 1984; 28: 725–66.
[21]	Bhaskar SN. Nonsurgical resolution of radicular cysts. Oral Surg Oral Med Oral Pathol 1972; 34: 458–68.
[22]	Bender IB. A commentary on General Bhaskar’shypothesis.OralSurg Oral Med Oral Pathol 1972; 34: 469–76.
[23]	Seltzer S. Endodontology-biologic considerations in endodontic procedures. 2nd ed. Philadelphia, PA: Lea andFebiger; 1988.
[24]	Esposito JV. Apical violation in periapical area cases – blasphemy or therapy? Dent Clin North Am 1990; 94:171–8.
[25]	Farhad A, Mohammadi Z. Calcium hydroxide: a review. Int Dent J 2005; 55: 293–301.
[26]	Caliskan MK, Türkün M. Periapical repair and apical closure of a pulpless tooth using calcium hydroxide. Oral Surg Oral Med Oral Pathol 1997; 84: 683–6.

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APA Style

Md. Ismail Hossain, Monira Parveen, Tasnim Wakia, Farid Uddin. (2015). Non-Surgical Management of Non-vital Teeth with Periapical Pathosis by Conventional Root Canal Treatment: A Clinical and Radiological Evaluation. International Journal of Dental Medicine, 1(2), 13-16. https://doi.org/10.11648/j.ijdm.20150102.11

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ACS Style

Md. Ismail Hossain; Monira Parveen; Tasnim Wakia; Farid Uddin. Non-Surgical Management of Non-vital Teeth with Periapical Pathosis by Conventional Root Canal Treatment: A Clinical and Radiological Evaluation. Int. J. Dent. Med. 2015, 1(2), 13-16. doi: 10.11648/j.ijdm.20150102.11

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AMA Style

Md. Ismail Hossain, Monira Parveen, Tasnim Wakia, Farid Uddin. Non-Surgical Management of Non-vital Teeth with Periapical Pathosis by Conventional Root Canal Treatment: A Clinical and Radiological Evaluation. Int J Dent Med. 2015;1(2):13-16. doi: 10.11648/j.ijdm.20150102.11

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@article{10.11648/j.ijdm.20150102.11,
  author = {Md. Ismail Hossain and Monira Parveen and Tasnim Wakia and Farid Uddin},
  title = {Non-Surgical Management of Non-vital Teeth with Periapical Pathosis by Conventional Root Canal Treatment: A Clinical and Radiological Evaluation},
  journal = {International Journal of Dental Medicine},
  volume = {1},
  number = {2},
  pages = {13-16},
  doi = {10.11648/j.ijdm.20150102.11},
  url = {https://doi.org/10.11648/j.ijdm.20150102.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijdm.20150102.11},
  abstract = {Background: Infections of the dental pulp occur as consequence of caries, operative dental procedures and trauma, and involve a mixed, predominantly Gram-negative, anaerobic bacterial flora. Objectives: The study was done to evaluate the success rate of non-surgical management of non-vital teeth with periapical pathosis. Methods: A total number of 40 infected teeth with periapical lesion were treated by Conventional Root Canal Treatment. Irritants from the root canal system was removed by mechanical instrumentation (Crown down Technique), chemical irrigation with NaOCL and by using Calcium Hydroxide as intracanal medicaments and fluid tight obturation both apically and coronally resulting repairs of inflamed periradicular tissues. Depending on the extension of tissue damage repair varies from a simple reduction and resolution of the inflammation to a more complex regeneration involving remodeling of bone, periodontal membrane and cementum. Results: This study present 2 years clinical and radiological follows up period. Among 40 cases 32 cases could be treated as acceptable as their responses were good both clinically and radiologically and 5 patients came back with some complications among them 3 cases were uncertain and 2 cases were unacceptable. Conclusion: This study suggests that Conventional root canal Treatment is an effective procedure for saving teeth with periapical pathosis.},
 year = {2015}
}

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TY  - JOUR
T1  - Non-Surgical Management of Non-vital Teeth with Periapical Pathosis by Conventional Root Canal Treatment: A Clinical and Radiological Evaluation
AU  - Md. Ismail Hossain
AU  - Monira Parveen
AU  - Tasnim Wakia
AU  - Farid Uddin
Y1  - 2015/06/15
PY  - 2015
N1  - https://doi.org/10.11648/j.ijdm.20150102.11
DO  - 10.11648/j.ijdm.20150102.11
T2  - International Journal of Dental Medicine
JF  - International Journal of Dental Medicine
JO  - International Journal of Dental Medicine
SP  - 13
EP  - 16
PB  - Science Publishing Group
SN  - 2472-1387
UR  - https://doi.org/10.11648/j.ijdm.20150102.11
AB  - Background: Infections of the dental pulp occur as consequence of caries, operative dental procedures and trauma, and involve a mixed, predominantly Gram-negative, anaerobic bacterial flora. Objectives: The study was done to evaluate the success rate of non-surgical management of non-vital teeth with periapical pathosis. Methods: A total number of 40 infected teeth with periapical lesion were treated by Conventional Root Canal Treatment. Irritants from the root canal system was removed by mechanical instrumentation (Crown down Technique), chemical irrigation with NaOCL and by using Calcium Hydroxide as intracanal medicaments and fluid tight obturation both apically and coronally resulting repairs of inflamed periradicular tissues. Depending on the extension of tissue damage repair varies from a simple reduction and resolution of the inflammation to a more complex regeneration involving remodeling of bone, periodontal membrane and cementum. Results: This study present 2 years clinical and radiological follows up period. Among 40 cases 32 cases could be treated as acceptable as their responses were good both clinically and radiologically and 5 patients came back with some complications among them 3 cases were uncertain and 2 cases were unacceptable. Conclusion: This study suggests that Conventional root canal Treatment is an effective procedure for saving teeth with periapical pathosis.
VL  - 1
IS  - 2
ER  -

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Author Information

Md. Ismail Hossain

Department of Conservative Dentistry and Endodontics, Dental Unit, Rajshahi Medical College, Rajshahi, Bangladesh
Monira Parveen

Department of Pathology, Jessore Medical College, Jessore, Bangladesh
Tasnim Wakia

Endodontist, Private Practice, Dhaka, Bangladesh
Farid Uddin

Department of Conservative Dentistry and Endodontics, Pioneer Dental College, Dhaka, Bangladesh

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APA Style

Md. Ismail Hossain, Monira Parveen, Tasnim Wakia, Farid Uddin. (2015). Non-Surgical Management of Non-vital Teeth with Periapical Pathosis by Conventional Root Canal Treatment: A Clinical and Radiological Evaluation. International Journal of Dental Medicine, 1(2), 13-16. https://doi.org/10.11648/j.ijdm.20150102.11

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ACS Style

Md. Ismail Hossain; Monira Parveen; Tasnim Wakia; Farid Uddin. Non-Surgical Management of Non-vital Teeth with Periapical Pathosis by Conventional Root Canal Treatment: A Clinical and Radiological Evaluation. Int. J. Dent. Med. 2015, 1(2), 13-16. doi: 10.11648/j.ijdm.20150102.11

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AMA Style

Md. Ismail Hossain, Monira Parveen, Tasnim Wakia, Farid Uddin. Non-Surgical Management of Non-vital Teeth with Periapical Pathosis by Conventional Root Canal Treatment: A Clinical and Radiological Evaluation. Int J Dent Med. 2015;1(2):13-16. doi: 10.11648/j.ijdm.20150102.11

Copy | Download

@article{10.11648/j.ijdm.20150102.11,
  author = {Md. Ismail Hossain and Monira Parveen and Tasnim Wakia and Farid Uddin},
  title = {Non-Surgical Management of Non-vital Teeth with Periapical Pathosis by Conventional Root Canal Treatment: A Clinical and Radiological Evaluation},
  journal = {International Journal of Dental Medicine},
  volume = {1},
  number = {2},
  pages = {13-16},
  doi = {10.11648/j.ijdm.20150102.11},
  url = {https://doi.org/10.11648/j.ijdm.20150102.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijdm.20150102.11},
  abstract = {Background: Infections of the dental pulp occur as consequence of caries, operative dental procedures and trauma, and involve a mixed, predominantly Gram-negative, anaerobic bacterial flora. Objectives: The study was done to evaluate the success rate of non-surgical management of non-vital teeth with periapical pathosis. Methods: A total number of 40 infected teeth with periapical lesion were treated by Conventional Root Canal Treatment. Irritants from the root canal system was removed by mechanical instrumentation (Crown down Technique), chemical irrigation with NaOCL and by using Calcium Hydroxide as intracanal medicaments and fluid tight obturation both apically and coronally resulting repairs of inflamed periradicular tissues. Depending on the extension of tissue damage repair varies from a simple reduction and resolution of the inflammation to a more complex regeneration involving remodeling of bone, periodontal membrane and cementum. Results: This study present 2 years clinical and radiological follows up period. Among 40 cases 32 cases could be treated as acceptable as their responses were good both clinically and radiologically and 5 patients came back with some complications among them 3 cases were uncertain and 2 cases were unacceptable. Conclusion: This study suggests that Conventional root canal Treatment is an effective procedure for saving teeth with periapical pathosis.},
 year = {2015}
}

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TY  - JOUR
T1  - Non-Surgical Management of Non-vital Teeth with Periapical Pathosis by Conventional Root Canal Treatment: A Clinical and Radiological Evaluation
AU  - Md. Ismail Hossain
AU  - Monira Parveen
AU  - Tasnim Wakia
AU  - Farid Uddin
Y1  - 2015/06/15
PY  - 2015
N1  - https://doi.org/10.11648/j.ijdm.20150102.11
DO  - 10.11648/j.ijdm.20150102.11
T2  - International Journal of Dental Medicine
JF  - International Journal of Dental Medicine
JO  - International Journal of Dental Medicine
SP  - 13
EP  - 16
PB  - Science Publishing Group
SN  - 2472-1387
UR  - https://doi.org/10.11648/j.ijdm.20150102.11
AB  - Background: Infections of the dental pulp occur as consequence of caries, operative dental procedures and trauma, and involve a mixed, predominantly Gram-negative, anaerobic bacterial flora. Objectives: The study was done to evaluate the success rate of non-surgical management of non-vital teeth with periapical pathosis. Methods: A total number of 40 infected teeth with periapical lesion were treated by Conventional Root Canal Treatment. Irritants from the root canal system was removed by mechanical instrumentation (Crown down Technique), chemical irrigation with NaOCL and by using Calcium Hydroxide as intracanal medicaments and fluid tight obturation both apically and coronally resulting repairs of inflamed periradicular tissues. Depending on the extension of tissue damage repair varies from a simple reduction and resolution of the inflammation to a more complex regeneration involving remodeling of bone, periodontal membrane and cementum. Results: This study present 2 years clinical and radiological follows up period. Among 40 cases 32 cases could be treated as acceptable as their responses were good both clinically and radiologically and 5 patients came back with some complications among them 3 cases were uncertain and 2 cases were unacceptable. Conclusion: This study suggests that Conventional root canal Treatment is an effective procedure for saving teeth with periapical pathosis.
VL  - 1
IS  - 2
ER  -

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