Characterization of successful root canal treatment
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/0103-6440201302356 http://hdl.handle.net/11449/171477 |
Resumo: | Knowing the outcome of root canal treatment (RCT) is determinant to substantiate the clinical decision making process, especially when RCT is weighed against the extraction of natural teeth or replacement by prosthetic elements. The ideal scenario in all clinical situations should combine healing/prevention of disease (apical periodontitis) and the functional retention of the tooth. Understanding the risk factors associated with endodontic failure is a key factor to increase the chances of success. The logical action is to reverse the existing disease, which requires intervention to neutralize the bacterial invasion and disrupt the bacterial biofilm within the complex anatomy. Success is more predictable when the immune host defenses are favorable. However, success has different meanings to the dentist, to the patient and to the tooth itself. The life of an endodontically treated tooth depends on the accuracy of the diagnosis and planning, excellence of disinfection, instrumentation and filling procedures (antimicrobial strategies, root canal shaping and coronal and apical seal) and finally the rehabilitation management. The interpretation of constant or intermittent pain and/or discomfort associated with apical periodontitis (AP) in endodontically treated tooth may be suggestive of endodontic failure. The success features of RCT, namely absence of pain, regression of AP, tight seal of canal and coronal spaces, and recovery of tooth function, must be reevaluated over time. In case of doubt between success and failure, cone beam computed tomography (CBCT) could be indicated for detection and precise localization of AP. The possibility of map reading on CBCT images characterizes the real multidimensional structure, providing accurate information on the presence, absence or regression of AP. The survival of an endodontically treated tooth implies understanding the biological and mechanical outcomes as multifactorial events over the individual's life span. The objective of this review of literature is to discuss relevant factors associated with patient's health, tooth and dentist that could account for a successful RCT. |
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Characterization of successful root canal treatmentApical periodontitisFailureHealingOutcomeSuccessKnowing the outcome of root canal treatment (RCT) is determinant to substantiate the clinical decision making process, especially when RCT is weighed against the extraction of natural teeth or replacement by prosthetic elements. The ideal scenario in all clinical situations should combine healing/prevention of disease (apical periodontitis) and the functional retention of the tooth. Understanding the risk factors associated with endodontic failure is a key factor to increase the chances of success. The logical action is to reverse the existing disease, which requires intervention to neutralize the bacterial invasion and disrupt the bacterial biofilm within the complex anatomy. Success is more predictable when the immune host defenses are favorable. However, success has different meanings to the dentist, to the patient and to the tooth itself. The life of an endodontically treated tooth depends on the accuracy of the diagnosis and planning, excellence of disinfection, instrumentation and filling procedures (antimicrobial strategies, root canal shaping and coronal and apical seal) and finally the rehabilitation management. The interpretation of constant or intermittent pain and/or discomfort associated with apical periodontitis (AP) in endodontically treated tooth may be suggestive of endodontic failure. The success features of RCT, namely absence of pain, regression of AP, tight seal of canal and coronal spaces, and recovery of tooth function, must be reevaluated over time. In case of doubt between success and failure, cone beam computed tomography (CBCT) could be indicated for detection and precise localization of AP. The possibility of map reading on CBCT images characterizes the real multidimensional structure, providing accurate information on the presence, absence or regression of AP. The survival of an endodontically treated tooth implies understanding the biological and mechanical outcomes as multifactorial events over the individual's life span. The objective of this review of literature is to discuss relevant factors associated with patient's health, tooth and dentist that could account for a successful RCT.Department of Stomatologic Sciences, School of Dentistry, UFG - Federal University of Goiás, Goiânia, GODepartment of Restorative Dentistry, School of Dentistry, UNESP - Univ Estadual Paulista, Araçatuba, SPDepartment of Endodontics, School of Dentistry, University of Cuiabá, Cuiabá, MTDepartment of Restorative Dentistry, School of Dentistry, UNESP - Univ Estadual Paulista, Araçatuba, SPUniversidade Federal de Goiás (UFG)Universidade Estadual Paulista (Unesp)Estrela, CarlosHolland, Roberto [UNESP]de Araújo Estrela, Cyntia RodriguesAlencar, Ana Helena GonçalvesSousa-Neto, Manoel DamiãoPécora, Jesus Djalma2018-12-11T16:55:29Z2018-12-11T16:55:29Z2014-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article3-11application/pdfhttp://dx.doi.org/10.1590/0103-6440201302356Brazilian Dental Journal, v. 25, n. 1, p. 3-11, 2014.1806-47600103-6440http://hdl.handle.net/11449/17147710.1590/0103-6440201302356S0103-644020140001000032-s2.0-84893007733S0103-64402014000100003.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBrazilian Dental Journal0,476info:eu-repo/semantics/openAccess2023-12-01T06:12:57Zoai:repositorio.unesp.br:11449/171477Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-12-01T06:12:57Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Characterization of successful root canal treatment |
title |
Characterization of successful root canal treatment |
spellingShingle |
Characterization of successful root canal treatment Estrela, Carlos Apical periodontitis Failure Healing Outcome Success |
title_short |
Characterization of successful root canal treatment |
title_full |
Characterization of successful root canal treatment |
title_fullStr |
Characterization of successful root canal treatment |
title_full_unstemmed |
Characterization of successful root canal treatment |
title_sort |
Characterization of successful root canal treatment |
author |
Estrela, Carlos |
author_facet |
Estrela, Carlos Holland, Roberto [UNESP] de Araújo Estrela, Cyntia Rodrigues Alencar, Ana Helena Gonçalves Sousa-Neto, Manoel Damião Pécora, Jesus Djalma |
author_role |
author |
author2 |
Holland, Roberto [UNESP] de Araújo Estrela, Cyntia Rodrigues Alencar, Ana Helena Gonçalves Sousa-Neto, Manoel Damião Pécora, Jesus Djalma |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de Goiás (UFG) Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Estrela, Carlos Holland, Roberto [UNESP] de Araújo Estrela, Cyntia Rodrigues Alencar, Ana Helena Gonçalves Sousa-Neto, Manoel Damião Pécora, Jesus Djalma |
dc.subject.por.fl_str_mv |
Apical periodontitis Failure Healing Outcome Success |
topic |
Apical periodontitis Failure Healing Outcome Success |
description |
Knowing the outcome of root canal treatment (RCT) is determinant to substantiate the clinical decision making process, especially when RCT is weighed against the extraction of natural teeth or replacement by prosthetic elements. The ideal scenario in all clinical situations should combine healing/prevention of disease (apical periodontitis) and the functional retention of the tooth. Understanding the risk factors associated with endodontic failure is a key factor to increase the chances of success. The logical action is to reverse the existing disease, which requires intervention to neutralize the bacterial invasion and disrupt the bacterial biofilm within the complex anatomy. Success is more predictable when the immune host defenses are favorable. However, success has different meanings to the dentist, to the patient and to the tooth itself. The life of an endodontically treated tooth depends on the accuracy of the diagnosis and planning, excellence of disinfection, instrumentation and filling procedures (antimicrobial strategies, root canal shaping and coronal and apical seal) and finally the rehabilitation management. The interpretation of constant or intermittent pain and/or discomfort associated with apical periodontitis (AP) in endodontically treated tooth may be suggestive of endodontic failure. The success features of RCT, namely absence of pain, regression of AP, tight seal of canal and coronal spaces, and recovery of tooth function, must be reevaluated over time. In case of doubt between success and failure, cone beam computed tomography (CBCT) could be indicated for detection and precise localization of AP. The possibility of map reading on CBCT images characterizes the real multidimensional structure, providing accurate information on the presence, absence or regression of AP. The survival of an endodontically treated tooth implies understanding the biological and mechanical outcomes as multifactorial events over the individual's life span. The objective of this review of literature is to discuss relevant factors associated with patient's health, tooth and dentist that could account for a successful RCT. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-01-01 2018-12-11T16:55:29Z 2018-12-11T16:55:29Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/0103-6440201302356 Brazilian Dental Journal, v. 25, n. 1, p. 3-11, 2014. 1806-4760 0103-6440 http://hdl.handle.net/11449/171477 10.1590/0103-6440201302356 S0103-64402014000100003 2-s2.0-84893007733 S0103-64402014000100003.pdf |
url |
http://dx.doi.org/10.1590/0103-6440201302356 http://hdl.handle.net/11449/171477 |
identifier_str_mv |
Brazilian Dental Journal, v. 25, n. 1, p. 3-11, 2014. 1806-4760 0103-6440 10.1590/0103-6440201302356 S0103-64402014000100003 2-s2.0-84893007733 S0103-64402014000100003.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Brazilian Dental Journal 0,476 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
3-11 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1799965129524117504 |