This article presents a clinical case involving a necrotic molar with apical periodontitis (AP) that was successfully treated with appropriate root canal therapy. As supported by dental literature and clinical experience, in most cases of AP a favorable outcome can be achieved when the root canal system is properly cleaned, shaped, and obturated, followed by placement of a well-sealed restoration. The high success rate is directly related to the quality of the clinical procedure. Therefore, clinicians must implement evidence-based strategies, utilize effective techniques, and select high-quality materials to consistently deliver optimal results for patients.
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Diagnostics (Basel)
February 2025
Department of Diagnostic Sciences, Oral and Maxillofacial Radiology, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Periodontal disease is a prevalent inflammatory condition affecting the supporting structures of teeth, with radiographic bone loss (RBL) being a critical diagnostic marker. The accurate and consistent evaluation of RBL is essential for the staging and grading of periodontitis, as outlined by the 2017 AAP/EFP Classification. Advanced tools such as deep learning (DL) technology, including Denti.
View Article and Find Full Text PDFInt J Implant Dent
March 2025
Clinic of Conservative and Preventive Dentistry, Division for Periodontology and Peri-Implant Diseases, Center for Dental Medicine, University of Zurich, Zurich, Switzerland.
Objectives: To retrospectively assess the potential impact of biological and host factors on radiographic bone loss following tissue-level implant placement and prosthetic rehabilitation.
Methods: The University database was reviewed to identify patients treated with tissue-level implants between 2006 and 2020 at the University of Zurich, Switzerland. The study included patients who received screw-retained implant rehabilitations in the posterior area without simultaneous hard- or soft-tissue augmentations and had a follow-up period of at least 12 months.
Clin Oral Investig
March 2025
Endodontic Clinical Section, Dental School, Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Objectives: The study evaluated previously-endodontically-treated premolars affected by periapical lesions and/or secondary caries requiring a multidisciplinary decision between (non-surgical) retreatment or extraction and implant replacement over an 8-year minimum follow-up.
Materials And Methods: The decision-making was performed among a pool of patients attending a University Dental School. All patients presented at least one failing previously endodontically treated premolar.
Int Endod J
March 2025
Department of Oral Microbiology and Immunology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
Aim: This study investigated the correlation between microbiota of caries-free enamel and caries-affected dentine biofilms and that of root canals with primary apical periodontitis, by using an Illumina MiSeq platform.
Methodology: Biofilm from caries-free enamel surface (Biofilm-C) or caries-affected dentine (Biofilm-E) and root canal paper point samples (Canal) were collected from 31 teeth with primary apical periodontitis. Microbial composition was analysed by amplicon sequencing that targeted the V3-V4 region of 16S rRNA gene.
Background And Objective: There are still many controversies about the factors influencing maxillary sinus cysts and their clinical management. This study aims to construct a prediction model of maxillary sinus cyst and explore its clustering pattern by cone beam computerized tomography (CBCT) technique and machine learning (ML) method to provide a theoretical basis for the prevention and clinical management of maxillary sinus cyst.
Methods: In this study, 6000 CBCT images of maxillary sinus from 3093 patients were evaluated to document the possible influencing factors of maxillary sinus cysts, including gender, age, odontogenic factors, and anatomical factors.
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