| ||
|
Effect of intracanal medication with calcium hydroxide and 1%
chlorhexidine in endodontic retreatment cases with periapical lesions: an
in vivo study.
Ercan E, Dalli M, Duulgergil CT, Yaman F. Department of Operative Dentistry, School of Dentistry, Kirikkale University, Kirikkale, Turkey. BACKGROUND/PURPOSE: Calcium hydroxide (Ca(OH)(2)) has been widely used as an intracanal medicament for endodontic retreatment, but very few studies used both Ca(OH)(2) and 1% chlorhexidine (CHX) as intracanal medicaments. The purpose of this study was to assess the in vivo effectiveness of a combination of Ca(OH)(2) and 1% CHX as intracanal medicaments in endodontic retreatment cases with periapical lesions. METHODS: Previous cases of endodontically treated teeth with periapical pathosis in 70 patients (36 men and 34 women, age range 18-60 years) were included. Of these teeth, 59 had received root canal treatment and 11 had been subjected to previous apical surgery, indicating endodontic failure. Following the routine procedures, including canal reshaping and irrigation with 2% CHX, a canal medication material containing Ca(OH)(2) powder and a 1% CHX solution was placed into the root canals. Over a 6-week period, the intracanal medication was periodically changed until the teeth became asymptomatic. Patients were recalled at 3-month intervals for radiographic and clinical examination. RESULTS: Our clinical and radiographic assessment of retreatment cases showed complete healing in 41 (64%) teeth, incomplete healing in 9 (14%) teeth, and failure in 14 (22%) teeth. For complete healing teeth, the healing time varied from 6 to 36 months. The size of the periapical lesions and previous surgical treatment had no influence on the prognosis. CONCLUSION: Our results suggest that a combination of Ca(OH)(2) and 1% CHX can be successfully used as intracanal medicament for disinfection in endodontic retreatment cases with periapical lesions. |
||
|
Most frequently visited and
popular pages in Dental India site Visitors to Dental India site this week
from 160
countries | ||
|
Patients who have never had sensitivity can first experience it
in response to whitening treatments, whether they are chair-side or at-home procedures, gels or strips. In
fact, 75% of whitening patients may be affected. The
ensitivity can occur during and after treatments, with all teeth
being the consequences of these affected . . .sensitivities can
go farther than discomfort.
Tooth sensitivity caused by tooth whitening usually occurs at
the gum-line on the vulnerable root surface, and we will see a
person with this problem subconsciously neglecting this area with
disastrous results
Be aware that 20 years ago, we had a great Prevention movement,
and today it has been replaced by Cosmetic Dentistry.
A great smile is highly beneficial, desirable - but if it is
only for a while ? what then? It has been said that unless
corrective dentistry is preceded by your mastering ideal oral hygiene,
cosmetic dentistry is like building a fine mansion on a marsh.
Basic in preventing gum disease and tooth decay is
immaculate oral hygiene. It was the foundation of our
practice.We gave our patients hands-on brushing and
flossing instruction ? The Bass Technique - Jerome
Mittelman, DDS, FAPM | ||
