Evaluation of single visit endodontic treatment and non-surgical retreatment with foraminal enlargment of teeth with apical periodontitis ?

Marcelle Louise Sposito Bourreau, Marcos Roberto dos Santos Frozoni, Marília Jesus Batista de Brito Mota, Alexandre Augusto Zaia, Carolina Oliveira de Lima, Maíra do Prado, Adriana de Jesus Soares

Abstract


Aim: To evaluate the root canal treatment (RCT) and non-surgical root canal retreatment (NSRCR), associated with foraminal enlargement, performed on a single-visit. Material and Methods: 125 teeth with apical periodontitis and follow-up period ranging from 6 to 12 months were included. The success was considered by the absence of signs and symptoms and complete or incomplete periapical repair. Logistic regression analyses were used to identify factors associated with the repair (p<0.05). Results: RCT showed 71.58% of complete healing and 23.16% of acceptable healing. NSRCR showed 80% of complete healing and 20% of acceptable healing. Age, gender, type of treatment and preoperative pain were not statistically significant for the healing process (p > 0.05). Premolars showed the greatest chance of periapical repair. Pulp Canal Sealer showed a greater chance of periapical repair when compared to Sealapex (p<0.05). Conclusion: RCT and NSRCR using a foraminal enlargement protocol provided a favorable prognosis of periapical healing.

Keywords


Periapical periodontitis; Root canal preparation; Tooth apex.

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DOI: http://dx.doi.org/10.18363/rbo.v76.2019.e1484

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