In the case report presented, three cases of large endodontic lesions, which were the consequences of endodontic treatment failure, were studied. In all cases, a novel combination of triple antibiotics was used to successfully manage and heal the lesions, showing the promising potential of the antibiotic combination in resolving pathosis.
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http://dx.doi.org/10.1002/ccr3.6879 | DOI Listing |
Clin Case Rep
January 2025
Iranian Centre for Endodontic Research, Research Institute of Dental Sciences Shahid Beheshti University of Medical Sciences Tehran Iran.
Internal root resorption (IRR) is a complex and often asymptomatic dental condition that can severely compromise tooth vitality and function. This case report presents the successful management of a perforated large IRR lesion in a 49-year-old female using an ultraconservative approach involving partial pulpectomy (PP) using calcium-enriched mixture (CEM) cement. The patient, initially presenting with an asymptomatic resorptive lesion in her left first premolar, underwent ultraconservative PP following diagnosis via conventional radiography and cone beam computed tomography.
View Article and Find Full Text PDFInt J Clin Pediatr Dent
November 2024
Department of Pediatric and Preventive Dentistry, A B Shetty Memorial Institute of Dental Sciences, NITTE (Deemed to be University), Deralakatte, Mangaluru, Karnataka, India.
Background: This case report examines the efficacy of intentional reimplantation (IR) in endodontics and explores the increased interest driven by recent advancements in regenerative techniques.
Case Presentation: A 14-year-old male patient reported pain in the lower left back tooth (tooth #36). The radiographic assessment revealed a 4 mm × 4 mm periapical cyst.
PLoS One
January 2025
Department of Prosthetic Dental Sciences, Jouf University, Sakaka, KSA Kingdom of Saudi Arabia.
Background And Objectives: Aim of the current study was to assess the perception, preference, and practice of endodontists and restorative dentists at different locations around the world about dental magnification instruments.
Materials And Methods: A multicenter, cross-sectional study was ethically approved from the local committee of bioethics. After thorough literature search, a questionnaire was designed and validated.
Antibiotics (Basel)
November 2024
Department of Restorative Odontology and Endodontics, School of Dental Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Background/objectives: Inexperienced dentists and dental students are especially prone to misdiagnosis, and this represents a huge problem regarding antimicrobial stewardship. We aimed to develop a mobile app for rational antibiotic prescribing in dentistry based on local-systemic symptoms and patient factors, rather than solely on diagnosis, to tackle misdiagnosis.
Methods: The study involved 64 participants, 50 of which were third-year dental students attending a pharmacology course focusing on antimicrobials, comprising lectures and practical sessions without (noAPP group, n = 22) or with (APP group n = 28) the assistance of a mobile application.
The decompression technique can effectively reduce the size of large periapical lesions, minimize tissue damage, and enhance surgical outcomes. This conservative approach allows for better management of extensive lesions, potentially improving patient recovery and decreasing the need for more invasive procedures.
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