Unprepared root canal surface areas: causes, clinical implications, and therapeutic strategies
Abstract: Chemomechanical preparation is intended to clean, disinfect, and shape the root canal. This step is of utmost importance during treatment of infected teeth with apical periodontitis, because treatment outcome depends on how effectively the clinician eliminates bacteria, their products, and...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Pesquisa Odontológica
2018-10-01
|
| Series: | Brazilian Oral Research |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242018000500600&lng=en&tlng=en |
| _version_ | 1818750654095556608 |
|---|---|
| author | José Freitas Siqueira Junior Isabela das Neves Rôças Marília Fagury Marceliano-Alves Alejandro Ron Pérez Domenico Ricucci |
| author_facet | José Freitas Siqueira Junior Isabela das Neves Rôças Marília Fagury Marceliano-Alves Alejandro Ron Pérez Domenico Ricucci |
| author_sort | José Freitas Siqueira Junior |
| collection | DOAJ |
| description | Abstract: Chemomechanical preparation is intended to clean, disinfect, and shape the root canal. This step is of utmost importance during treatment of infected teeth with apical periodontitis, because treatment outcome depends on how effectively the clinician eliminates bacteria, their products, and necrotic tissue that would serve as substrate for bacterial regrowth. Nonetheless, curvatures and complex internal anatomical variations of the root canal system can pose a high degree of difficulty in reaching these goals. In infected teeth, bacteria may persist not only in difficult-to-reach areas such as isthmuses, ramifications, dentinal tubules, and recesses from C-shaped or oval/flattened canals, but also in areas of the main canal wall that remain untouched by instruments. If bacteria withstand chemomechanical procedures, there is an augmented risk for post-treatment apical periodontitis. This article discloses the reasons why some areas remain unprepared by instruments and discusses strategies to circumvent this issue and enhance infection control during endodontic treatment/retreatment of teeth with apical periodontitis. |
| first_indexed | 2024-12-18T04:23:06Z |
| format | Article |
| id | doaj.art-f6f8936f0a9046f383f3567be8848814 |
| institution | Directory Open Access Journal |
| issn | 1807-3107 |
| language | English |
| last_indexed | 2024-12-18T04:23:06Z |
| publishDate | 2018-10-01 |
| publisher | Sociedade Brasileira de Pesquisa Odontológica |
| record_format | Article |
| series | Brazilian Oral Research |
| spelling | doaj.art-f6f8936f0a9046f383f3567be88488142022-12-21T21:21:10ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072018-10-0132suppl 110.1590/1807-3107bor-2018.vol32.0065S1806-83242018000500600Unprepared root canal surface areas: causes, clinical implications, and therapeutic strategiesJosé Freitas Siqueira JuniorIsabela das Neves RôçasMarília Fagury Marceliano-AlvesAlejandro Ron PérezDomenico RicucciAbstract: Chemomechanical preparation is intended to clean, disinfect, and shape the root canal. This step is of utmost importance during treatment of infected teeth with apical periodontitis, because treatment outcome depends on how effectively the clinician eliminates bacteria, their products, and necrotic tissue that would serve as substrate for bacterial regrowth. Nonetheless, curvatures and complex internal anatomical variations of the root canal system can pose a high degree of difficulty in reaching these goals. In infected teeth, bacteria may persist not only in difficult-to-reach areas such as isthmuses, ramifications, dentinal tubules, and recesses from C-shaped or oval/flattened canals, but also in areas of the main canal wall that remain untouched by instruments. If bacteria withstand chemomechanical procedures, there is an augmented risk for post-treatment apical periodontitis. This article discloses the reasons why some areas remain unprepared by instruments and discusses strategies to circumvent this issue and enhance infection control during endodontic treatment/retreatment of teeth with apical periodontitis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242018000500600&lng=en&tlng=enRoot Canal PreparationRoot Canal TherapyTreatment OutcomePeriapical Periodontitis |
| spellingShingle | José Freitas Siqueira Junior Isabela das Neves Rôças Marília Fagury Marceliano-Alves Alejandro Ron Pérez Domenico Ricucci Unprepared root canal surface areas: causes, clinical implications, and therapeutic strategies Brazilian Oral Research Root Canal Preparation Root Canal Therapy Treatment Outcome Periapical Periodontitis |
| title | Unprepared root canal surface areas: causes, clinical implications, and therapeutic strategies |
| title_full | Unprepared root canal surface areas: causes, clinical implications, and therapeutic strategies |
| title_fullStr | Unprepared root canal surface areas: causes, clinical implications, and therapeutic strategies |
| title_full_unstemmed | Unprepared root canal surface areas: causes, clinical implications, and therapeutic strategies |
| title_short | Unprepared root canal surface areas: causes, clinical implications, and therapeutic strategies |
| title_sort | unprepared root canal surface areas causes clinical implications and therapeutic strategies |
| topic | Root Canal Preparation Root Canal Therapy Treatment Outcome Periapical Periodontitis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242018000500600&lng=en&tlng=en |
| work_keys_str_mv | AT josefreitassiqueirajunior unpreparedrootcanalsurfaceareascausesclinicalimplicationsandtherapeuticstrategies AT isabeladasnevesrocas unpreparedrootcanalsurfaceareascausesclinicalimplicationsandtherapeuticstrategies AT mariliafagurymarcelianoalves unpreparedrootcanalsurfaceareascausesclinicalimplicationsandtherapeuticstrategies AT alejandroronperez unpreparedrootcanalsurfaceareascausesclinicalimplicationsandtherapeuticstrategies AT domenicoricucci unpreparedrootcanalsurfaceareascausesclinicalimplicationsandtherapeuticstrategies |