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Endodonic Intervention in Single Session on Patients with Need for Endodontic Treatment

Journal: International Journal of Advanced Engineering Research and Science (Vol.8, No. 5)

Publication Date:

Authors : ;

Page : 403-407

Keywords : Endodontics; dentistry; single session;

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Endodontic treatments have evolved in order to prepare the root canal system to receive an airtight filling of this system and thus preserve the health of the periapical tissues and / or restore it, when affected by injuries. Such goals are achieved through obedience to an appropriate chemical-mechanical preparation of the root canals, followed by filling them. The aim of this study is to perform endodontic intervention in a single session in patients in need of endodontic treatment.Fifty patients were treated at the ITPAC / FAPAC - Porto Nacional multidisciplinary clinic, asymptomatic and in need of treatment or endodontic retreatment. In all cases, anesthesia was performed with 2% lidocaine, absolute isolation, irrigation with 2.5% sodium hypochlorite, preparation of the cervical third with the Logic 25/05 rotary system, confirmation of the working length and foraminal patency with locator foraminal Root Zx, instrumentation of the apical third with Logic 25/05 system, final irrigation with agitated 17% EDTA with 25 IRRS ultrasound insert (VDW Endo Ultrasonic Files, Endodontic Synergy, Munich, Germany) at a frequency of 30 kHz for 20 seconds, connected to a piezoelectric device.After complete chemical-mechanical preparation, the thermoplasticized filling was performed in a single session. Then, coronary rehabilitation with composite resin was performed. Proservations of 1, 3, 6 months were carried out to analyze the regression of the infectious process and repair of the apical third. In the immediate postoperative period, 15% of the patients had spontaneous pain, however the incidence of severe pain , flare-ups, was around 5%. At 6 months, all patients were asymptomatic and without fistulas, however, only 60% had complete resolution of the periapical radiolucent areas. Therefore, in the medium term, endodontic treatment in a single session provided 100% of clinical success, but reduced percentage of radiographic success.

Last modified: 2021-06-25 15:50:50