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[Clinical prospects of passive ultrasonic disinfection in endodontic practice].

The article analyzes the literature on the clinical significance of passive ultrasonic irrigation (PUI). as a method of increasing the effectiveness of disinfection of the root canal system. The relevance of using PUI in the treatment of complex anatomical forms of root canals is substantiated. The physicohydrodynamic mechanism of action of PUI, which is based on acoustic streaming and cavitation, is discussed. This mechanism enhances the antimicrobial effect of irrigation solutions. Special attention is paid to the specifics of the use of various solutions - sodium hypochlorite, ethylenediami

Oral dirofilariasis mimicking endodontic failure: a case report.

BACKGROUND: Oral dirofilariasis is a rare parasitic infection that can mimic common dental pathologies. This report presents a unique case where dirofilariasis was mistaken for an acute apical abscess, highlighting diagnostic challenges and the importance of interdisciplinary collaboration. CASE PRESENTATION: A 47-year-old male presented with a persistent, painless swelling in the maxillary anterior region (tooth 11). Initial history and radiographic examinations suggested an acute apical abscess following inadequate root canal treatment. However, during surgical exploration, a live nematode w

Clinicopathological characterization of 2,238 endodontic and nonendodontic periapical lesions.

AIM: To determine the clinicopathological features of 2,238 endodontic and non-endodontic periapical lesions (PLs) retrieved from a database of an oral and maxillofacial pathology laboratory. MATERIALS AND METHODS: This retrospective cross-sectional study analyzed 12,441 histopathological records registered between 1956 and 2019. Of these, 2,238 cases diagnosed as PLs were selected. The lesions were classified as endodontic or non-endodontic, and clinicopathological variables, including microscopic diagnosis, sex, age, anatomical location, and lesion size, were evaluated. RESULTS: During the

Endodontic Microsurgery of Mandibular Molars with an Autonomous Robotic System.

Minimally invasive osteotomy and precise root-end resection are key factors in endodontic microsurgery (EMS), particularly in the mandibular … her validation in clinical trials with extended follow-ups to assess its potential role in surgical endodontics.

Endodontic Reapproach in a Tooth With External Resorption: Case Report.

INTRODUCTION: Endodontists face various challenges, and some factors are associated with endodontic treatment failure, such as the presence of resistant microorganisms resulting from inefficient disinfection and nonadhesive coronary sealing. The quality of the execution of the operative protocols, cautious irrigation, and the presence of a hermetic seal from the crown to the apex lead to successful endodontic retreatment. METHODS: This descriptive cross-sectional study approached a female patient, aged 30 years. The data obtained from the literature were collected from PubMed, SciELO, and Goo

Survival and Success Rate of Restoration Post Endodontic Treatment.

INTRODUCTION: Dental restoration following endodontic treatment aims to restore tooth function, aesthetics, and strength compromised by caries or trauma. Loss of tooth structure post-treatment can reduce strength by up to 60%, increasing fracture risk. Restoration choice depends on remaining tooth structure, coronal sealing, retention, and occlusal factors. Direct restorations suit minimal damage, while indirect options like crowns or endocrowns address significant structural loss. OBJECTIVE: To evaluate the durability and success of post-endodontic restorations through a scoping review focus

Endodontic Surgery Management of a Large Periradicular Actinomycosis Lesion.

A 22-year-old female patient consulted the Odontology Department of the Mohammed V Military Hospital in Rabat, Morocco, for a recurrent abscess in relation to the left maxillary central incisor (#21). The dental history of the tooth began with necrosis following trauma a few years before. A conventional endodontic root canal treatment was performed, but several infectious episodes occurred, treated only with antibiotics. The radiographic examination showed an adequate root filling and a large apical lesion in Tooth #21. Tooth #21 was diagnosed as chronic apical periodontitis. After orthograde

Survivability of endodontically treated cracked tooth: A systematic review.

BACKGROUND: Literature evidence describes various treatment protocols that have been employed for the effectiveness in improving survival and addressing associated symptoms of cracked teeth. OBJECTIVE: This systematic review investigates the survivability of endodontically treated cracked teeth and associated assessments, focusing on various treatment protocols. METHODS: The PRISMA guidelines were utilised for guiding the article selection framework of this review. A comprehensive search of relevant literature was conducted in May 2023 across various databases, and studies meeting the inclus

Patterns of Antibiotic Prescription in Endodontic Therapy in the Republic of Croatia.

In response to the global trend of decreasing antibiotic usage, this study aimed to evaluate the nature and frequency of antibiotic prescriptions in conjunction with endodontic therapy in Croatia and to assess the attitudes of Croatian dental practitioners towards the endodontic treatment of patients susceptible to bacterial endocarditis. A survey questionnaire was sent to all dental practitioners in Croatia, achieving a response rate of 27%. The most frequently prescribed antibiotic was penicillin with clavulanic acid (63.4%), while standalone penicillin was less prevalent (18.6%). For patien

Comparative Study of Different Irrigation Protocols in Endodontic Treatment.

BACKGROUND: Irrigation is ideal in endodontic treatment as it helps in the removal of bacteria, softening of the organic structure, and then evacuation of debris in the root canal. MATERIALS AND METHODS: This in vitro study involved 60 extracted single-rooted human teeth, randomly assigned to three groups (n = 20) based on the irrigation protocol used: The three tested products were Group A, sodium hypochlorite 5. 25%; Group B, Chlorhexidine 2%; and finally, Group C, EDTA 17%. Both groups rated equal in terms of the root canal preparation they were put through. A microbiological technique, de

Endodontic Microsurgery With an Autonomous Robotic System: A Clinical Report.

INTRODUCTION: Endodontic microsurgery (EMS) requires minimally invasive osteotomy and accurate root-end resection, which can be challenging in many instances. Evidence suggests that autonomous robotic systems can significantly enhance the precision of dental implantation. The aim of this case report is to introduce a novel EMS technique that employs robot-guided osteotomy and root resection procedures. METHODS: A 59-year-old man was diagnosed with previously treated, symptomatic apical periodontitis in the mandibular left first molar. Patient data were used to integrate a digital model into p

[Advances in the application of the bony window technique in endodontic microsurgery].

The bony window technique refers to cutting the intact bone plate to form a bone window and a free bone block to get access to lesions under the bone. At the end of the surgery, the dislocated bony lid needs to be repositioned to its original position. In endodontic microsurgery, compared with conventional osteotomy, the bony window technique has the advantages of improving the view of surgery and operability, reducing postoperative bone defects, promoting bone healing, and maintaining the integrity of the jaw outline. Accurate positioning and preparation of the bony window are important prere

Treating apical fenestration in a previously endodontically treated tooth.

Apical fenestration is a defect in the alveolar cortical plate, exposing the root without involving the alveolar bone margin, often linked to trauma, periodontal disease, and orthodontic treatment, leading to symptoms such as pain and abscesses from endodontic infections. This case report describes managing a mucosal fenestration in an endodontically treated tooth with nonsurgical root canal therapy and periodontal surgery. A 44-year-old male presented with mucosal fenestration and pain in the upper front jaw due to trauma and an inadequately treated root canal. Examination revealed an ill-fit

Latest Concepts in Endodontic and Periodontal Management of Diabetic Patients.

The close interrelationship between chronic oral and dental inflammatory diseases, such as periodontal and apical abscesses (AA), with the patient's systemic condition, is one of the most interesting topics of study common between dentists and the medical staff. Chronic apical periodontitis and periodontal diseases are chronic infections of the oral cavity in which similar Gram-negative anaerobic microbiota are found and in both infectious diseases increased local inflammatory mediators, levels may influence overall systemic conditions. One of the most important systemic diseases linked to per

Cementoblastoma Mimicking Pathology of Endodontic Origin: A Case Report.

Interdisciplinary care in the management of complex pathology is critical to ensure patients receive predictable, evidence-based treatment. The authors report the unique case of a healthy 38-year-old female patient who presented to a private endodontics practice with a radiopaque lesion associated with the root of tooth No. 20. The patient experienced mild and occasional palpation tenderness associated with the tooth. Extraoral examination and intraoral soft tissues presented without any abnormalities. Intraoral radiographs revealed a radiopacity overlying the apex of tooth No. 20. A cone-beam…

Endodontic retreatment decision-making: The influence of the framing effect.

OBJECTIVE: The aim of this study was to explore the influence of a framing effect in retreatment decision-making of a root-filled tooth with asymptomatic apical periodontitis (AP). METHOD: Two variants of a questionnaire were created in which the factual information about a root filled with AP was identical. The options in the first variant were framed in favor to wait and see (FW) and those in the other variant were framed in favor of retreatment (FR) Two hundred and forty-eight volunteers were by chance given one of the two versions and were asked to choose between having retreatment or to

Is Etiology a Key Factor for Regenerative Endodontic Treatment Outcomes?

INTRODUCTION: This study aimed to evaluate treatment outcomes of regenerative endodontic treatment (RET) in nonvital immature permanent teeth due to developmental malformation and trauma, and to analyze the influence of etiology on the prognosis. METHODS: Fifty-five cases were included and divided into a malformation group (n = 33) and a trauma group (n = 22). Treatment outcomes were classified as healed, healing, and failure. Root development was evaluated in terms of root morphology and the percentage changes in root length, root width, and apical diameter during a follow-up period of 12-85

Последние достижения в области эндодонтического диагностирования и современных планов лечения

В целом, для достижения успеха в области эндодонтики необходимо проявлять осторожность и совершенство на всех этапах лечения [...]

Совпадение в аннотации оригинала
Generally, to achieve success in endodontics, it is essential to perform all stages of treatment with cautiousness and excellence [...]

Comparative antimicrobial activity of four different endodontic sealers.

Dental cements are widely used in the clinical routine, specifically for root canal sealing. Within this context, it is expected that these materials present antimicrobial activity, since it would help in the prevention of apical and periapical infections. The present study aimed to comparatively verify the antimicrobial activity of four dental cements against microorganisms that are routinely isolated from endodontic infections. Reference strains of Enterococcus faecalis, Candida albicans and Escherichia coli were submitted to the agar diffusion test and to modified direct contact test using

Ingestion and surgical retrieval of an endodontic file: a case report.

Ingestions and aspirations of foreign bodies are rare, but do occasionally occur during dental treatment. Although reports exist, few include photos demonstrating the extensive surgical intervention that may be necessary to manage such events. Perhaps this lack of visualization, and associated lack of awareness, is one of the reasons some clinicians still provide non-surgical root canal therapy (NSRCT) without a rubber dam. This case report outlines the medical treatment of a 30-year-old male who initially presented to a general dentist's office (not associated with the authors) for NSRCT of t