Objective: To investigate the causes and the treatment of endodontic interappointment emergencies.
Methods: An analysis were made for 55 teeth with endodontic interappointment emergencies. The root canals were sealed with dexamethasone and metronidazole,and filled with Vitapex add gutta-percha point after one week. An evaluation of curative effect was made after following up one year.
Results: The total incidence of endodontic interappointment emergencies was 12.59%(55/437). There was significant difference between pulpitis and pulp necrosis or apicitis(P<0.01). There was significant difference between anterior teeth and posterior teeth (P<0.01). The success rate was 92.7% after following up one year.
Conclusion: The cause of endodontic interappointment emergencies was related to pulp status and tooth location,etc. The treatment that sealed the root canals with dexamethasone and metronidazole and filled with Vitapex add gutta-percha point is of availability.
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J Conserv Dent Endod
February 2025
Endodontist, M and M Dental Art Studio, Vodadara, Gujarat, India.
Aim: The purpose of the study was to clinically evaluate interappointment flare-ups, on placing (neem), garlic ( L.), Triphala, and calcium hydroxide (CH) as an intracanal medicament (ICM), using Verbal Rating Scale (VRS) in a patient with a primary endodontic lesion.
Methodology: Two hundred and forty patients indicated for root canal therapy were divided into two main groups as single-rooted teeth and multirooted teeth.
Heliyon
July 2024
Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, 600077, India.
Inter-appointment pain (IAP) is a subtype of postoperative pain which occurs between endodontic appointments. It may begin within a few hours after the first appointment and may continue for several days. Apart from mechanical instrumentation and thorough irrigation, intracanal medicaments play a central role in the disinfection of root canals and thus decreasing IAP.
View Article and Find Full Text PDFJ Endod
October 2024
Postgraduate Program in Dentistry, University of Grande Rio (UNIGRANRIO), Rio de Janeiro, Brazil.
Dens invaginatus is a developmental dental anomaly that can predispose the tooth to pulp and periradicular disease. Management of this condition can be challenging because of anatomic and microbiologic issues. This case report describes the regenerative endodontic treatment using a strategic antimicrobial protocol for management of an immature maxillary lateral incisor with type-II dens invaginatus associated with apical periodontitis in a 13-year-old patient.
View Article and Find Full Text PDFShanghai Kou Qiang Yi Xue
April 2024
Department of Stomatology, Qingdao Hiser Hospital Affiliated of Qingdao University(Qingdao Traditional Chinese Medicine Hospital). Qingdao 266011, Shandong Province, China. E-mail:
Purpose: To explore the clinical effect of ultrasonic irrigation combined with chlorhexidine in root canal treatment of pulpitis.
Methods: A total of 120 patients with pulpitis treated with root canal therapy were randomly divided into a study group (n=60, 72 affected teeth) and a control group (n=60, 70 affected teeth). During root canal preparation, the study group was treated with chlorhexidine combined with ultrasonic irrigation, while the control group was treated with chlorhexidine conventional irrigation.
Clin Oral Investig
June 2024
Department of Endodontics, Faculty of Dentistry, Dokuz Eylül University, İzmir, Turkey.
Objectives: This randomized clinical trial aimed to compare the effect of intracanal medicaments on the incidence of postoperative pain and flare-up with posttreatment apical periodontitis (PTAP) of retreatment cases.
Materials And Methods: One hundred twenty patients diagnosed with PTAP with single-rooted teeth with single-canal without spontaneous pain or swellings were included and randomly divided into three groups according to the intracanal medicament used. Intracanal medicaments were placed into the root canals following the removal of previous root canal fillings and re-instrumentation.
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