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Evaluation of Quality of Endodontic Re-Treatment and Changes in Periapical Status

BACKGROUND: The present study was conducted to assess quality of root canal (RC) filling before and after RC re-treatment. MATERIALS AND METHODS: Two hundred and thirty-eight radiographs of failed endodontic treatment were assessed. The periapical status of the endodontic treatment was evaluated wit...

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Autores principales: Aga, Nausheen, Thakur, Manoj Kumar, Agwan, Muhammad Atif Saleem, Eisa, Muna, Habshi, Amel Yousif, Azeem, Sarah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8375949/
https://www.ncbi.nlm.nih.gov/pubmed/34447114
http://dx.doi.org/10.4103/jpbs.JPBS_814_20
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author Aga, Nausheen
Thakur, Manoj Kumar
Agwan, Muhammad Atif Saleem
Eisa, Muna
Habshi, Amel Yousif
Azeem, Sarah
author_facet Aga, Nausheen
Thakur, Manoj Kumar
Agwan, Muhammad Atif Saleem
Eisa, Muna
Habshi, Amel Yousif
Azeem, Sarah
author_sort Aga, Nausheen
collection PubMed
description BACKGROUND: The present study was conducted to assess quality of root canal (RC) filling before and after RC re-treatment. MATERIALS AND METHODS: Two hundred and thirty-eight radiographs of failed endodontic treatment were assessed. The periapical status of the endodontic treatment was evaluated with periapical index (PAI) scoring system. PAI <3 showed absence and PAI >3 showed presence of periapical lesion. RESULTS: There was a statistically significant increase in scores 1 and 3 and decrease in scores 2, 4, 5, and 6 after treatment (P < 0.05). PAI score >3 was seen in 37% before which decreased to 16% after endodontic retreatment. 34.6% obturation was homogenous and 65.4% was nonhomogenous before endodontic retreatment. After endodontic retreatment, 95.2% became homogenous and 4.8% nonhomogenous. The reason for endodontic failure was furcation in 2%, iatrogenic causes in 3%, loss of coronal seal in 16%, periapical pathology in 25%, and inadequate root filling in 54%. CONCLUSION: There was significant improvement and decrease in size of periapical lesions in re-endodontic cases as compared to primary RC treated teeth.
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spelling pubmed-83759492021-08-25 Evaluation of Quality of Endodontic Re-Treatment and Changes in Periapical Status Aga, Nausheen Thakur, Manoj Kumar Agwan, Muhammad Atif Saleem Eisa, Muna Habshi, Amel Yousif Azeem, Sarah J Pharm Bioallied Sci Original Article BACKGROUND: The present study was conducted to assess quality of root canal (RC) filling before and after RC re-treatment. MATERIALS AND METHODS: Two hundred and thirty-eight radiographs of failed endodontic treatment were assessed. The periapical status of the endodontic treatment was evaluated with periapical index (PAI) scoring system. PAI <3 showed absence and PAI >3 showed presence of periapical lesion. RESULTS: There was a statistically significant increase in scores 1 and 3 and decrease in scores 2, 4, 5, and 6 after treatment (P < 0.05). PAI score >3 was seen in 37% before which decreased to 16% after endodontic retreatment. 34.6% obturation was homogenous and 65.4% was nonhomogenous before endodontic retreatment. After endodontic retreatment, 95.2% became homogenous and 4.8% nonhomogenous. The reason for endodontic failure was furcation in 2%, iatrogenic causes in 3%, loss of coronal seal in 16%, periapical pathology in 25%, and inadequate root filling in 54%. CONCLUSION: There was significant improvement and decrease in size of periapical lesions in re-endodontic cases as compared to primary RC treated teeth. Wolters Kluwer - Medknow 2021-06 2021-06-05 /pmc/articles/PMC8375949/ /pubmed/34447114 http://dx.doi.org/10.4103/jpbs.JPBS_814_20 Text en Copyright: © 2021 Journal of Pharmacy and Bioallied Sciences https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Aga, Nausheen
Thakur, Manoj Kumar
Agwan, Muhammad Atif Saleem
Eisa, Muna
Habshi, Amel Yousif
Azeem, Sarah
Evaluation of Quality of Endodontic Re-Treatment and Changes in Periapical Status
title Evaluation of Quality of Endodontic Re-Treatment and Changes in Periapical Status
title_full Evaluation of Quality of Endodontic Re-Treatment and Changes in Periapical Status
title_fullStr Evaluation of Quality of Endodontic Re-Treatment and Changes in Periapical Status
title_full_unstemmed Evaluation of Quality of Endodontic Re-Treatment and Changes in Periapical Status
title_short Evaluation of Quality of Endodontic Re-Treatment and Changes in Periapical Status
title_sort evaluation of quality of endodontic re-treatment and changes in periapical status
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8375949/
https://www.ncbi.nlm.nih.gov/pubmed/34447114
http://dx.doi.org/10.4103/jpbs.JPBS_814_20
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