Endodontic treatment of traumatized teeth with chronic periapical lesions using antibiotic paste and mineral trioxide aggregate obturation - a preliminary study
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Introduction/Objective The purpose of this study was to assess effectiveness of endodontic root canal procedures in traumatized permanent teeth with necrotic pulps and chronic periapical lesions after definitive obturation with mineral trioxide aggregate (MTA) products. Adobe Photoshop CS (San Jose, CA, USA) image-analysis software was used for healing assessment. Methods Twenty-seven traumatized single-rooted permanent teeth diagnosed with necrotic pulps and chronic periapical lesions were treated with non-surgical procedure using a tri-antibiotic paste and calcium hydroxide as intra-canal medication. Definitive obturation was performed with ProRoot MTA (Dentsply Tulsa Dental Specialties, Tulsa, OK, USA) or MTA+ Cerkamed (Cerkamed, Stalowa Wola, Poland). Control follow-ups were done three, six, 12, and 24 months following the completion of treatment. Results The positive clinical outcome was recorded in 24 (88.9%) cases, while radiographic success was present in 26 (96.3%) cases. A st...atistically significant decrease in the sizes of periapical lesions was consistently observed at follow-up periods (p < 0.001). There was no statistically significant difference between the two tested MTA materials (p > 0.05). Conclusion The MTA products were effective for the root canal obturation and appeared to contribute to the significant reduction or complete regression of periapical lesions in teeth treated. The presented procedure may be proposed for everyday clinical practice. © 2019, Serbia Medical Society. All rights reserved.
Keywords:
calcium hydroxide / chronic periapical lesions / dental injuries / MTASource:
Srpski arhiv za celokupno lekarstvo, 2019, 147, 5-6, 270-275Funding / projects:
- Chemical and structural designing of nanomaterials for application in medicine and tissue engineering (RS-172026)
DOI: 10.2298/SARH180301018C
ISSN: 0370-8179
WoS: 000480440900001
Scopus: 2-s2.0-85070710264
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VinčaTY - JOUR AU - Ćetenović, Bojana AU - Marković, Dejan Lj. AU - Gutmann, James AU - Perić, Tamara AU - Jokanović, Vukoman R. PY - 2019 UR - https://vinar.vin.bg.ac.rs/handle/123456789/8455 AB - Introduction/Objective The purpose of this study was to assess effectiveness of endodontic root canal procedures in traumatized permanent teeth with necrotic pulps and chronic periapical lesions after definitive obturation with mineral trioxide aggregate (MTA) products. Adobe Photoshop CS (San Jose, CA, USA) image-analysis software was used for healing assessment. Methods Twenty-seven traumatized single-rooted permanent teeth diagnosed with necrotic pulps and chronic periapical lesions were treated with non-surgical procedure using a tri-antibiotic paste and calcium hydroxide as intra-canal medication. Definitive obturation was performed with ProRoot MTA (Dentsply Tulsa Dental Specialties, Tulsa, OK, USA) or MTA+ Cerkamed (Cerkamed, Stalowa Wola, Poland). Control follow-ups were done three, six, 12, and 24 months following the completion of treatment. Results The positive clinical outcome was recorded in 24 (88.9%) cases, while radiographic success was present in 26 (96.3%) cases. A statistically significant decrease in the sizes of periapical lesions was consistently observed at follow-up periods (p < 0.001). There was no statistically significant difference between the two tested MTA materials (p > 0.05). Conclusion The MTA products were effective for the root canal obturation and appeared to contribute to the significant reduction or complete regression of periapical lesions in teeth treated. The presented procedure may be proposed for everyday clinical practice. © 2019, Serbia Medical Society. All rights reserved. T2 - Srpski arhiv za celokupno lekarstvo T1 - Endodontic treatment of traumatized teeth with chronic periapical lesions using antibiotic paste and mineral trioxide aggregate obturation - a preliminary study VL - 147 IS - 5-6 SP - 270 EP - 275 DO - 10.2298/SARH180301018C ER -
@article{ author = "Ćetenović, Bojana and Marković, Dejan Lj. and Gutmann, James and Perić, Tamara and Jokanović, Vukoman R.", year = "2019", abstract = "Introduction/Objective The purpose of this study was to assess effectiveness of endodontic root canal procedures in traumatized permanent teeth with necrotic pulps and chronic periapical lesions after definitive obturation with mineral trioxide aggregate (MTA) products. Adobe Photoshop CS (San Jose, CA, USA) image-analysis software was used for healing assessment. Methods Twenty-seven traumatized single-rooted permanent teeth diagnosed with necrotic pulps and chronic periapical lesions were treated with non-surgical procedure using a tri-antibiotic paste and calcium hydroxide as intra-canal medication. Definitive obturation was performed with ProRoot MTA (Dentsply Tulsa Dental Specialties, Tulsa, OK, USA) or MTA+ Cerkamed (Cerkamed, Stalowa Wola, Poland). Control follow-ups were done three, six, 12, and 24 months following the completion of treatment. Results The positive clinical outcome was recorded in 24 (88.9%) cases, while radiographic success was present in 26 (96.3%) cases. A statistically significant decrease in the sizes of periapical lesions was consistently observed at follow-up periods (p < 0.001). There was no statistically significant difference between the two tested MTA materials (p > 0.05). Conclusion The MTA products were effective for the root canal obturation and appeared to contribute to the significant reduction or complete regression of periapical lesions in teeth treated. The presented procedure may be proposed for everyday clinical practice. © 2019, Serbia Medical Society. All rights reserved.", journal = "Srpski arhiv za celokupno lekarstvo", title = "Endodontic treatment of traumatized teeth with chronic periapical lesions using antibiotic paste and mineral trioxide aggregate obturation - a preliminary study", volume = "147", number = "5-6", pages = "270-275", doi = "10.2298/SARH180301018C" }
Ćetenović, B., Marković, D. Lj., Gutmann, J., Perić, T.,& Jokanović, V. R.. (2019). Endodontic treatment of traumatized teeth with chronic periapical lesions using antibiotic paste and mineral trioxide aggregate obturation - a preliminary study. in Srpski arhiv za celokupno lekarstvo, 147(5-6), 270-275. https://doi.org/10.2298/SARH180301018C
Ćetenović B, Marković DL, Gutmann J, Perić T, Jokanović VR. Endodontic treatment of traumatized teeth with chronic periapical lesions using antibiotic paste and mineral trioxide aggregate obturation - a preliminary study. in Srpski arhiv za celokupno lekarstvo. 2019;147(5-6):270-275. doi:10.2298/SARH180301018C .
Ćetenović, Bojana, Marković, Dejan Lj., Gutmann, James, Perić, Tamara, Jokanović, Vukoman R., "Endodontic treatment of traumatized teeth with chronic periapical lesions using antibiotic paste and mineral trioxide aggregate obturation - a preliminary study" in Srpski arhiv za celokupno lekarstvo, 147, no. 5-6 (2019):270-275, https://doi.org/10.2298/SARH180301018C . .