Chronic apical periodontitis (CAP) is one of the most common endodontic diagnosis caused by microbial infection within the root canal system of the affected tooth. Endodontic therapy is one of the possible treatment modalities for CAP, but the prognosis depends on numerous factors. The size of the periapical lesion is always singled out as one of the most significant, as its increase drastically decreases the degree of success of endodontic therapy. Certain periapex radiographic indices (PAI, CBCT-PAI, PESS) are used to evaluate the size and characteristics of the periapical lesion, as well as to monitor the outcome of the implemented therapy. A 30-year-old patient presented with pain caused by an acute exacerbation of CAP on tooth 37. Radiographic analysis revealed the presence of an extensive, diffuse radiolucency in the area of tooth 37. A complete endodontic procedure was performed. One year after, there were clear, radiographic signs of the reduction of the lesion. Findings of periapical radiographic indices indicated the success of therapy as well. The aim of this paper was to present, on one case from clinical practice, complete endodontic therapy protocol of an extensive periapical lesion with symptoms of exacerbation.
{"title":"Root canal treatment of an extensive periapical lesion","authors":"J. Vucetic, Jugoslav Ilić","doi":"10.2298/sgs2204183v","DOIUrl":"https://doi.org/10.2298/sgs2204183v","url":null,"abstract":"Chronic apical periodontitis (CAP) is one of the most common endodontic\u0000 diagnosis caused by microbial infection within the root canal system of the\u0000 affected tooth. Endodontic therapy is one of the possible treatment\u0000 modalities for CAP, but the prognosis depends on numerous factors. The size\u0000 of the periapical lesion is always singled out as one of the most\u0000 significant, as its increase drastically decreases the degree of success of\u0000 endodontic therapy. Certain periapex radiographic indices (PAI, CBCT-PAI,\u0000 PESS) are used to evaluate the size and characteristics of the periapical\u0000 lesion, as well as to monitor the outcome of the implemented therapy. A\u0000 30-year-old patient presented with pain caused by an acute exacerbation of\u0000 CAP on tooth 37. Radiographic analysis revealed the presence of an\u0000 extensive, diffuse radiolucency in the area of tooth 37. A complete\u0000 endodontic procedure was performed. One year after, there were clear,\u0000 radiographic signs of the reduction of the lesion. Findings of periapical\u0000 radiographic indices indicated the success of therapy as well. The aim of\u0000 this paper was to present, on one case from clinical practice, complete\u0000 endodontic therapy protocol of an extensive periapical lesion with symptoms\u0000 of exacerbation.","PeriodicalId":180624,"journal":{"name":"Serbian Dental Journal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131517669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Milica Jovanovic-Medojevic, M. Pelemis, Jelena Neskovic, Marijana Popović-Bajić, D. Stratimirovic, S. Živković
Introduction. The aim of this study was to analyze working surfaces of new hand endodontic instruments and to check possible existence of dirt or defects on working surface that resulted from manufacturing process using SEM. Material and methods. Three sets of new hand instruments: K-File (KF), (18 instruments) (Dentsply Maillefer, Switzerland) and Hedstorm Files (HF), (18 instruments) (SybronEndo Co, USA) were used. Instruments were analyzed by SEM method at 170? magnification while semi-quantitative EDS analysis was used to determine chemical composition of dirt particles. Fisher test (p <