Histological evaluation of the root apices of failed endodontic cases
Aim: The aim of this histological study was to evaluate the different causes of the failures of the endodontic treatment. Materials and Methods: Adult patients who were referred for endodontic surgery and for whom root-end resection was considered suitable were invited to participate in this study....
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Saudi Endodontic Journal |
| Subjects: | |
| Online Access: | http://www.saudiendodj.com//article.asp?issn=1658-5984;year=2015;volume=5;issue=2;spage=120;epage=124;aulast=Pecora |
| _version_ | 1818579217845059584 |
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| author | Camilla Nicole Pecora Jagan Kumar Baskaradoss Abdullah Al-Sharif Mansour Al-Rejaie Hussein Mokhlis Khalid Al-Fouzan Gabriele E Pecora |
| author_facet | Camilla Nicole Pecora Jagan Kumar Baskaradoss Abdullah Al-Sharif Mansour Al-Rejaie Hussein Mokhlis Khalid Al-Fouzan Gabriele E Pecora |
| author_sort | Camilla Nicole Pecora |
| collection | DOAJ |
| description | Aim: The aim of this histological study was to evaluate the different causes of the failures of the endodontic treatment. Materials and Methods: Adult patients who were referred for endodontic surgery and for whom root-end resection was considered suitable were invited to participate in this study. The inclusion criteria were: (1) Patients aged between 18 and 65 years; (2) teeth with apical periodontitis that was diagnosed radiographically; (3) the tooth could not be adequately and better managed by root-canal retreatment; and (4) the crown of the tooth was adequately restored. One hundred root apices were surgically removed together with the periapical pathological tissue from 92 patients (56 males and 36 women).Histological sectioning was performed on calcified specimens that were embedded in a suitable medium. Results: The causes of endodontic failure identified through histological evaluation were as follows: Presence of bacterial and debris into canals (51%), apex transposition and overfilling (3%), presence of the isthmus (21%), bacterial colonization of root surface (2%), untreated canals (11%), and filling material outside root canal (4%). There was no significant difference between the distribution of teeth and the causes of endodontic failures (P = 0.32). Conclusions: The present study demonstrated that the most common cause of endodontic failure is the insufficient cleaning of the root canal system. It also explores the effectiveness of histological evaluation of the root apex following root-end resection in exploring the causes of endodontic failures. |
| first_indexed | 2024-12-16T06:58:12Z |
| format | Article |
| id | doaj.art-76d30c66a95f470ab32087415ef7d479 |
| institution | Directory Open Access Journal |
| issn | 2320-1495 |
| language | English |
| last_indexed | 2024-12-16T06:58:12Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Endodontic Journal |
| spelling | doaj.art-76d30c66a95f470ab32087415ef7d4792022-12-21T22:40:13ZengWolters Kluwer Medknow PublicationsSaudi Endodontic Journal2320-14952015-01-015212012410.4103/1658-5984.155450Histological evaluation of the root apices of failed endodontic casesCamilla Nicole PecoraJagan Kumar BaskaradossAbdullah Al-SharifMansour Al-RejaieHussein MokhlisKhalid Al-FouzanGabriele E PecoraAim: The aim of this histological study was to evaluate the different causes of the failures of the endodontic treatment. Materials and Methods: Adult patients who were referred for endodontic surgery and for whom root-end resection was considered suitable were invited to participate in this study. The inclusion criteria were: (1) Patients aged between 18 and 65 years; (2) teeth with apical periodontitis that was diagnosed radiographically; (3) the tooth could not be adequately and better managed by root-canal retreatment; and (4) the crown of the tooth was adequately restored. One hundred root apices were surgically removed together with the periapical pathological tissue from 92 patients (56 males and 36 women).Histological sectioning was performed on calcified specimens that were embedded in a suitable medium. Results: The causes of endodontic failure identified through histological evaluation were as follows: Presence of bacterial and debris into canals (51%), apex transposition and overfilling (3%), presence of the isthmus (21%), bacterial colonization of root surface (2%), untreated canals (11%), and filling material outside root canal (4%). There was no significant difference between the distribution of teeth and the causes of endodontic failures (P = 0.32). Conclusions: The present study demonstrated that the most common cause of endodontic failure is the insufficient cleaning of the root canal system. It also explores the effectiveness of histological evaluation of the root apex following root-end resection in exploring the causes of endodontic failures.http://www.saudiendodj.com//article.asp?issn=1658-5984;year=2015;volume=5;issue=2;spage=120;epage=124;aulast=PecoraApical thirdbacteriadebrisendodontic failurehistology |
| spellingShingle | Camilla Nicole Pecora Jagan Kumar Baskaradoss Abdullah Al-Sharif Mansour Al-Rejaie Hussein Mokhlis Khalid Al-Fouzan Gabriele E Pecora Histological evaluation of the root apices of failed endodontic cases Saudi Endodontic Journal Apical third bacteria debris endodontic failure histology |
| title | Histological evaluation of the root apices of failed endodontic cases |
| title_full | Histological evaluation of the root apices of failed endodontic cases |
| title_fullStr | Histological evaluation of the root apices of failed endodontic cases |
| title_full_unstemmed | Histological evaluation of the root apices of failed endodontic cases |
| title_short | Histological evaluation of the root apices of failed endodontic cases |
| title_sort | histological evaluation of the root apices of failed endodontic cases |
| topic | Apical third bacteria debris endodontic failure histology |
| url | http://www.saudiendodj.com//article.asp?issn=1658-5984;year=2015;volume=5;issue=2;spage=120;epage=124;aulast=Pecora |
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