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

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), 2024. Published by Science Publishing Group

Keywords

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

References
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[21] Bhaskar SN. Nonsurgical resolution of radicular cysts. Oral Surg Oral Med Oral Pathol 1972; 34: 458–68.
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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
  • Department of Conservative Dentistry and Endodontics, Dental Unit, Rajshahi Medical College, Rajshahi, Bangladesh

  • Department of Pathology, Jessore Medical College, Jessore, Bangladesh

  • Endodontist, Private Practice, Dhaka, Bangladesh

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

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