ABSTRACT
AIM: Efficiency assessment of Granulotec (PD) endodontic sealer for root canal permanent obturation in patients with apical granuloma basing on clinical and radiological data. MATERIAL AND METHODS: Endodontic treatment of 35 teeth with apical granuloma was performed in 22 patients with root canal obturation by means of lateral condensation with Granulotec sealer. Bone remodeling in periapical area has been estimated in 1, 3, 6 and 8 months with PAI index. RESULTS: Endodontic post-operative pain has been observed in 5 (14.3%) cases of 35, pain duration varied 1 to 5 days, NSAIDs use hasn't been required. During observation period 2 teeth have been excluded from the test group (one case of periapical abscess with sinus tract and one case periapical abscess without sinus tract). In the end of observation period complete bone remodeling was observed in 30 cases, the periapical lesion size significant reduction was achieved in 2 cases, periapical lesion stabilization - in 1 case. The overall success rate was 91.4%. The mean PAI value decreased from 4.2±0.2 to 1.4±0.2. CONCLUSION: The Granulotec (PD) use for one visit chronic apical periodontitis treatment allows achieving positive results with low complications risk.
Subject(s)
Periapical Abscess , Periapical Periodontitis , Pit and Fissure Sealants , Root Canal Obturation , Humans , Periapical Periodontitis/therapy , Pit and Fissure Sealants/therapeutic use , Radiography , Root Canal TherapyABSTRACT
The reaction of pulp vessels to various adhesive systems was studied: qualitative and quantitative characteristics of pulse curves reflecting the pulp blood filling were studied. Study of the reaction of pulp vessels showed that acetone-containing adhesive systems immediately caused a constrictive reaction, while use of an acetone-free adhesive system led to the minimum changes in the functions of pulp vessels.