EVALUATION OF ABUTMENT TEETH IN FIXED PARTIAL DENTURE- A RETROSPECTIVE ANALYSIS OF THE PATIENT RECORDS
DOI:
https://doi.org/10.61841/kebb4t56Keywords:
Furcation, Maxillary, Molars, Perforation repairAbstract
One of the most frequent iatrogenic mishaps during root canal treatment of posterior teeth is perforation of the pulpal floor during access opening/biomechanical preparation. It leads to an open communication between the root canal system and the supporting tissues of the tooth leading to formation of serous exudates, sinus at the site of perforation if left untreated. The development of different techniques and newer materials has led to success in perforation repairs. The main objective of this study was to evaluate perforation repair in furcal involving maxillary molars in patients under 50 years of age. The current study is an institutional based retrospective study performed over reviewing 86,000 case records. A total of 14 subjects who underwent furcal perforation repair in relation to maxillary molars under 50 years of age were chosen for the study out of 6475 subjects who had undergone root canal treatment in various teeth. Patients with other than perforation repairs and medically compromised were excluded. Once the data was obtained, analysis was done by descriptive and inferential statistics using SPSS by IBM version 20. From this current study, it was found that, out of 14 patients, 9 males (64.29%) and 5 females (35.71%) have undergone perforation repair treatment. Highest incidence of perforation repair was seen in tooth number 26 (42.86%). Patients in the age group of 41-50 years had the highest incidence of perforation repair in relation to maxillary molars. Adequate knowledge, experience and clinical skill enables good management of furcal perforations.
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References
[1] Libfeld H, Rotstein I. Incidence of four-rooted maxillary second molars: Literature review and
radiographic survey of 1,200 teeth. Journal of Endodontics 1989; 15:129–31.
[2] Deveaux E. Maxillary second molar with two palatal roots. Journal of Endodontics 1999; 25:571–3.
[3] Hartwell G, Bellizzi R. Clinical investigation of in vivo endodontically treated mandibular and maxillary
molars. Journal of Endodontics 1982; 8:555–7.
[4] Fuss Z, Trope M. Root perforations: classification and treatment choices based on prognostic factors.
Dental Traumatology 1996; 12:255–64.
[5] Seltzer S, Bender IB, Smith J, Freedman I, Nazimov H. Endodontic failures—An analysis based on
clinical, roentgenographic, and histologic findings. Oral Surgery, Oral Medicine, Oral Pathology
1967; 23:517–30.
[6] Ibarrola JL, Biggs SG, Beeson TJ. Repair of a Large Furcation Perforation: A Four-Year Follow-Up.
Journal of Endodontics 2008; 34:617–9.
[7] Seltzer S, Sinai I, August D. Periodontal Effects of Root Perforations Before and During Endodontic
Procedures. Journal of Dental Research 1970; 49:332–9.
[8] Tsesis I, Fuss Z. Diagnosis and treatment of accidental root perforations. Endodontic Topics 2006; 13:95–107.
[9] Waerhaug J. The furcation problem. Etiology, pathogenesis, diagnosis, therapy and prognosis. Journal of Clinical Periodontology 1980; 7:73–95.
[10] Alghamdi F, Aljahdali E. Comparison of Mineral Trioxide Uggregate, EndoSequence Root Repair Material, and Biodentine Used for Repairing Root Perforations: A Systematic Review. Cumhuriyet Dental
Journal 2019:469–76..
[11] Arens DE, Torabinejad M. Repair of furcal perforations with mineral trioxide aggregate. Oral Surgery,
Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 1996;82:84–8.
[12] Asgary S. Furcal perforation repair using calcium enriched mixture cement. Journal of Conservative
Dentistry 2010;13:156. https://doi.org/10.4103/0972-0707.71650.
[13] Comparative Evaluation of Sealing Ability of ProRoot MTA, Biodentine, and Bone Cement in the Repair
of Furcation Perforation – An In Vitro Study. Indian Journal of Dental Advancements 2019;10.
[14] Vajrabhaya L-O, Korsuwannawong S, Jantarat J, Korre S. Biocompatibility of furcal perforation repair
material using cell culture technique: Ketac Molar versus ProRoot MTA. Oral Surgery, Oral Medicine,
Oral Pathology, Oral Radiology, and Endodontology 2006;102:e48–50.
[15] Samiee M, Eghbal MJ, Parirokh M, Abbas FM, Asgary S. Repair of furcal perforation using a new
endodontic cement. Clinical Oral Investigations 2010;14:653–8.
[16] Kratchman SI. Perforation repair and one-step apexification procedures. Dental Clinics of North America
2004;48:291–307.
[17] Kvinnsland I, Oswald RJ, Halse A, Grønningsæter AG. A clinical and roentgenological study of 55 cases
of root perforation. International Endodontic Journal 1989;22:75–84.
[18] Alhadainy HA, Himel VT, Boyed Lee W, Elbaghdady YM. Use of a hydroxylapatite-based material and
calcium sulfate as artificial floors to repair furcal perforations. Oral Surgery, Oral Medicine, Oral
Pathology, Oral Radiology, and Endodontology 1998;86:723–9.
[19] Kopper PP, Schmidt B, Zaccara I, Só MR, Kuga M, Palma-Dibb R. Influence of operating microscope in
the sealing of cervical perforations. Journal of Conservative Dentistry 2016;19:152.
[20] Bakhtiar H, Mirzaei H, Bagheri MR, Fani N, Mashhadiabbas F, Baghaban Eslaminejad M, et al.
Histologic tissue response to furcation perforation repair using mineral trioxide aggregate or dental pulp
stem cells loaded onto treated dentin matrix or tricalcium phosphate. Clinical Oral Investigations
2017;21:1579–88.
[21] Sanz M, Jepsen K, Eickholz P, Jepsen S. Clinical concepts for regenerative therapy in furcations.
Periodontology 2000 2015;68:308–32.
[22] Ramamoorthi S, Nivedhitha MS, Divyanand MJ. Comparative evaluation of postoperative pain after using
endodontic needle and EndoActivator during root canal irrigation: A randomised controlled trial. Aust
Endod J 2015;41:78–87.
[23] Nasim I, Hussainy S, Thomas T, Ranjan M. Clinical performance of resin-modified glass ionomer cement,
flowable composite, and polyacid-modified resin composite in noncarious cervical lesions: One-year
follow-up. Journal of Conservative Dentistry 2018;21:510.
[24] Janani K, Palanivelu A, Sandhya R. Diagnostic accuracy of dental pulse oximeter with customized sensor
holder, thermal test and electric pulp test for the evaluation of pulp vitality - An in vivo study. Brazilian
Dental Science 2020;23.
[25] Ramanathan S, Solete P. Cone-beam Computed Tomography Evaluation of Root Canal Preparation using
Various Rotary Instruments: An in vitro Study. The Journal of Contemporary Dental Practice
2015;16:869–72.
[26] Siddique R, Sureshbabu NM, Somasundaram J, Jacob B, Selvam D. Qualitative and quantitative analysis
of precipitate formation following interaction of chlorhexidine with sodium hypochlorite, neem, and tulsi.
J Conserv Dent 2019;22:40–7.
[27] Rajendran R, Kunjusankaran RN, Sandhya R, Anilkumar A, Santhosh R, Patil SR. Comparative
Evaluation of Remineralizing Potential of a Paste Containing Bioactive Glass and a Topical Cream
Containing Casein Phosphopeptide-Amorphous Calcium Phosphate: An in Vitro Study. Pesquisa
Brasileira Em Odontopediatria E Clínica Integrada 2019;19:1–10.
[28] Teja KV, Ramesh S, Priya V. Regulation of matrix metalloproteinase-3 gene expression in inflammation:
A molecular study. J Conserv Dent 2018;21:592–6.
[29] Nandakumar M, Nasim I. Comparative evaluation of grape seed and cranberry extracts in preventing
enamel erosion: An optical emission spectrometric analysis. J Conserv Dent 2018;21:516–20.
[30] Jose J, P. A, Subbaiyan H. Different Treatment Modalities followed by Dental Practitioners for Ellis Class
2 Fracture – A Questionnaire-based Survey. The Open Dentistry Journal 2020;14:59–65.
[31] Manohar MP, Sharma S. A survey of the knowledge, attitude, and awareness about the principal choice of
intracanal medicaments among the general dental practitioners and nonendodontic specialists. Indian J
Dent Res 2018; 29:716–20.
[32] R R, Rajakeerthi R, Ms N. Natural Product as the Storage medium for an avulsed tooth – Systematic
Review. Cumhuriyet Dental Journal 2019; 22:249–56.
[33] Kumar D, Delphine Priscilla Antony S. Calcified Canal and Negotiation-A Review. Research Journal of
Pharmacy and Technology 2018; 11:3727.
[34] Ravinthar K, Jayalakshmi. Recent Advancements in Laminates and Veneers in Dentistry. Research
Journal of Pharmacy and Technology 2018;11:785.
[35] Noor SSSE, S Syed Shihaab, Pradeep. Chlorhexidine: Its properties and effects. Research Journal of
Pharmacy and Technology 2016;9:1755.
[36] Farhat Yaasmeen Sadique Basha, Rajeshkumar S, Lakshmi T, Anti-inflammatory activity of Myristica
fragrans extract . Int. J. Res. Pharm. Sci., 2019 ;10(4), 3118-3120 DOI:
https://doi.org/10.26452/ijrps.v10i4.1607
[37] Janani K, Palanivelu A, Sandhya R. Diagnostic accuracy of dental pulse oximeter with customized sensor holder, thermal test and electric pulp test for the evaluation of pulp vitality - An in vivo study. Brazilian Dental Science 2020;23.
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