IN VIVO ANALYSIS OF SOME KEY CHARACTERISTICS OF THE APICAL ZONE IN TEETH WITH CHRONIC APICAL PERIODONTITIS.
Journal Title: Journal of IMAB - Annual Proceeding (Scientific Papers) - Year 2014, Vol 20, Issue 5
Abstract
Introduction: The pathogenesis of internal and external resorptive processes in the dental tissues and those of the periapical zone is not fully understood, but the main purpose, either in teeth with internal resorption or in teeth with periapical lesions, is decontamination of the endodontic space and subsequent three-dimensional obturation in order to isolate periapical and oral tissues and prevent reinfection. Purpose: The aim of this article is to analyze in vivo some key characteristics of the apical zone in teeth with chronic apical periodontitis. Material and Methods: To facilitate the clinical protocol after the radiographic analysis and assessment of patency, the working lengths of 153 root canals (n = 153) in 106 teeth were determined. The clinical widths of the apical narrowing were measured by using the last instrument (ISO 0.02 tapered file), which can move freely through the apical narrowing after electrometric determination of the working length (Raypex 5 /VDW, Germany/). Results and Discussion: Determination of working width and working length is important for realizing the first stage of decontamination – maximum instrumentation of the endodontic space and choice of a clinical protocol. The classification of root canals in a particular group according to the relative patency or lysed apical opening is important for the selection of obturation technique, which is essential for reducing the microleakage in the zone. Conclusion: Since the target of this work were teeth with CAP, in the majority of the cases with clinical findings of root canals with preexisting filling, radicular pins, obliteration, separated canal instruments, perforations at different levels, via falsa or thresholds, the access to the apical zone was not subjected to a closely observed instrumental clinical protocol. In the treatment of each case, however, the clinical principles of modern endodontic treatment were closely observed.
Authors and Affiliations
Angela Gusiyska
Keywords
Related Articles
- EP ID EP89075
- DOI 10.5272/jimab.2014205.638
- Views 125
- Downloads 0
LOW ENERGY LASERS IN THE MANAGEMENT OF TRAUMATIC ULCERS IN ORAL MUCOSA – METHODS OF APPLICATION
Introduction: Traumatic ulcers in the oral mucosa are extremely painful and can cause severe troubles in talking and eating. Their treatment can be quite prolonged. The present paper aimed at exploring the therapeutic po...
SOME PHARMACOLOGIC TREATMENT OPTIONS IN LATER- LIFE ANXIETY DISORDERS
Most recommendations for treatment of anxiety in later life are based on evidence, derived from studies of younger populations. An important challenge is the high psychic and physical comorbidity of primary anxiety...
MINIMALLY INVASIVE OPEN THYROIDECTOMY IN THYROID CANCER WITH COEXISTENT HASHIMOTO THYROIDITIS
One of the minimally invasive thyroidectomy challenges is the application of this technique in the surgical treatment of thyroid cancer. The use of minimally invasive open approach in co-existence of thyroid cancer with...
DEONTOLOGICAL PROBLEMS OF CLINICAL TOXICOLOGY IN BULGARIA, CONNECTED TO COMMUNICATION DIFFICULTIES, DURING THE DECADE 2000-2010
The specificity of clinical toxicology has always raised many deontological, medico ethical and legal problems, mainly connected to communication barriers, leading to distortion or total disappearance of the ability of t...
PREMEDICATION PROTOCOLS IN DENTAL PRACTICE IN NON-ALLERGIC PATIENTS.
The aim is to present some of the most prescribed premedication schemes prior to an upcoming dental analgesia in non-allergic patients. These schemes we would like to be proved as “standard protocols” in dental practice...