Volume 1, Issue 2, June 2015, Page: 13-16
Non-Surgical Management of Non-vital Teeth with Periapical Pathosis by Conventional Root Canal Treatment: A Clinical and Radiological Evaluation
Md. Ismail Hossain, Department of Conservative Dentistry and Endodontics, Dental Unit, Rajshahi Medical College, Rajshahi, Bangladesh
Monira Parveen, Department of Pathology, Jessore Medical College, Jessore, Bangladesh
Tasnim Wakia, Endodontist, Private Practice, Dhaka, Bangladesh
Farid Uddin, Department of Conservative Dentistry and Endodontics, Pioneer Dental College, Dhaka, Bangladesh
Received: May 31, 2015;       Accepted: Jun. 12, 2015;       Published: Jun. 15, 2015
DOI: 10.11648/j.ijdm.20150102.11      View  4729      Downloads  128
Abstract
Background: Infections of the dental pulp occur as consequence of caries, operative dental procedures and trauma, and involve a mixed, predominantly Gram-negative, anaerobic bacterial flora. Objectives: The study was done to evaluate the success rate of non-surgical management of non-vital teeth with periapical pathosis. Methods: A total number of 40 infected teeth with periapical lesion were treated by Conventional Root Canal Treatment. Irritants from the root canal system was removed by mechanical instrumentation (Crown down Technique), chemical irrigation with NaOCL and by using Calcium Hydroxide as intracanal medicaments and fluid tight obturation both apically and coronally resulting repairs of inflamed periradicular tissues. Depending on the extension of tissue damage repair varies from a simple reduction and resolution of the inflammation to a more complex regeneration involving remodeling of bone, periodontal membrane and cementum. Results: This study present 2 years clinical and radiological follows up period. Among 40 cases 32 cases could be treated as acceptable as their responses were good both clinically and radiologically and 5 patients came back with some complications among them 3 cases were uncertain and 2 cases were unacceptable. Conclusion: This study suggests that Conventional root canal Treatment is an effective procedure for saving teeth with periapical pathosis.
Keywords
Non-Vital Teeth, Non-Surgical Management, Root Canal Treatment, Radiological Evaluation, Clinical Evaluation
To cite this article
Md. Ismail Hossain, Monira Parveen, Tasnim Wakia, Farid Uddin, Non-Surgical Management of Non-vital Teeth with Periapical Pathosis by Conventional Root Canal Treatment: A Clinical and Radiological Evaluation, International Journal of Dental Medicine. Vol. 1, No. 2, 2015, pp. 13-16. doi: 10.11648/j.ijdm.20150102.11
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