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1.
Gen Dent ; 57(6): 560-7; quiz 568-9, 595, 679, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19906608

RESUMO

Endodontic diagnosis is the cornerstone of endodontic treatment. Endodontic diagnosis can be likened to a puzzle, where the pieces must be gathered and pieced together before a clinician can see the complete picture. This article discusses how to collect the pieces and fit them together to see the pulpal and periapical diagnosis emerge.


Assuntos
Teste da Polpa Dentária/métodos , Periodontite Periapical/diagnóstico por imagem , Pulpite/diagnóstico por imagem , Adulto , Diagnóstico Diferencial , Feminino , Humanos , Radiografia , Retratamento , Tratamento do Canal Radicular
4.
J Endod ; 43(7): 1093-1096, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28476470

RESUMO

INTRODUCTION: The effect of rheumatoid arthritis (RA) on the healing and pathophyisiology of apical periodontitis is unknown because there is no study in the literature evaluating the association of RA with the prevalence of periapical rarefying osteitis (PAR) and endodontic treatment. Therefore, the goal of this cross-sectional study was to evaluate the prevalence of PAR and root canal treatment in RA patients when compared with controlled individuals. METHODS: Full-mouth radiographs of 131 individuals with RA were examined and compared with 131 controls that were sex and age matched exactly with the diseased group. The total number of teeth, presence or absence of root canal filling, quality of root canal filling, quality of restoration, and periapical status were recorded. RESULTS: Overall, the prevalence of teeth with PAR was 4.0% in the diseased group and 3.5% in the control group (P > .05). The prevalence of root canal-treated teeth was 6.2% in the RA group and 5.6% in the control group (P > .05). Controls have significantly more teeth than those with RA (P = .027). CONCLUSIONS: The prevalence of PAR and endodontic treatment was not significantly different in individuals with RA compared with control patients.


Assuntos
Artrite Reumatoide/complicações , Osteíte/etiologia , Ápice Dentário/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Osteíte/epidemiologia , Periodontite Periapical/etiologia , Periodontite Periapical/patologia , Prevalência , Estudos Retrospectivos , Tratamento do Canal Radicular/estatística & dados numéricos , Dente não Vital/epidemiologia , Dente não Vital/etiologia , Adulto Jovem
5.
J Endod ; 43(2): 231-237, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28132709

RESUMO

INTRODUCTION: There have been many recent technical advances in modern endodontics that have the potential to affect treatment outcomes. Reports on treatment outcomes using contemporary techniques are relatively scarce, especially in the field of nonsurgical retreatment. The purpose of this study was to determine the success of nonsurgical root canal retreatment in molars using contemporary endodontic techniques. METHODS: Sixty-three patients referred for retreatment in first molars were enrolled in the study. The retreatment procedures were performed by endodontic residents using a semistandardized treatment protocol. Patients were followed-up at 6, 12, and 24 months. Treatment outcomes were categorized into healed, healing, or nonhealing based on clinical and radiographic criteria. Healed and healing were considered as successes, and nonhealing was considered a failure. Outcomes were also evaluated using patient-centered criteria that included oral health-related quality of life scores and subjective chewing ability. RESULTS: Fifty-two of the 63 patients were available for final analysis. Five cases (9.6%) were determined to be nonhealing at the last follow-up with new or persistent periapical lesions. Thirty-seven (71.2%) patients had complete resolution of apical periodontitis, and the remaining 10 (19.2%) remained asymptomatic and showed radiographic evidence of healing. Oral health-related quality of life scores and chewing ability improved significantly over time (P < .05), with the biggest increase observed within the first week of treatment completion. CONCLUSIONS: This study showed that endodontic retreatment using contemporary techniques significantly improved patients' quality of life and chewing ability over time, with a success rate of 90.4% after 2 years.


Assuntos
Dente Molar/cirurgia , Assistência Centrada no Paciente , Retratamento/estatística & dados numéricos , Tratamento do Canal Radicular , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Assistência Centrada no Paciente/estatística & dados numéricos , Estudos Prospectivos , Qualidade de Vida , Tratamento do Canal Radicular/efeitos adversos , Tratamento do Canal Radicular/métodos , Tratamento do Canal Radicular/estatística & dados numéricos , Resultado do Tratamento
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