Non-surgical Management of Endodontic Periradicular Pathosis - A Clinical Research

Abstract

Background: In most cases the aetiological factors of periradicular diseases are oral contaminants through the root canal or degenerating pulpal tissues. Therefore, the mere surgical removal of the periapical lesions without proper root canal disinfection and obturation will not result in the healing of the periradicular tissues. On the other hand, traditional surgical technique rather fearful and troublesome job due to various reasons. So successful apical and periapical repair depends on conventional root canal treatment - a non surgical procedure. Crucial to this management and ultimate success is the complete debridement of the root canal system, followed by three-dimensional obturation to seal both the apical foramen and coronal orifice.

Objective: Thus, the purpose of this study was to clinically verify the possibility of management of periradicular pathosis by non-surgical conventional root canal therapy.

Methods: The present study was a prospective observational study carried out in the department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka. Here, 75 cases of eondodontically involved symptomatic non-vital teeth having periradicular pathosis were managed by conventional root canal therapy.

Result: After 18 months follow up with post operative clinical and radiological evaluations, in this study the final outcome was favourable-88%, doubtful-08 %, and failure-04%.

Key words: Endodontics; Periarticular pathosis

DOI: 10.3329/bsmmuj.v1i1.3694

BSMMU J 2008; 1(1): 22-28