ASSESSMENT OF ENDODONTIC IRRIGANTS USED IN THE MANAGEMENT OF OPEN APEX CASES - A RETROSPECTIVE STUDY
DOI:
https://doi.org/10.61841/48pm3354Keywords:
Endodontic irrigants, immature teeth, non vital teeth, open apexAbstract
Normal physiological root end closure plays a significant role in the development of the tooth. When this normal physiological root end closure does not occur, it leads to incomplete root end closure where the walls of radicular dentine are parallel to each other. In the field of endodontics, these cases are termed as open apex cases. Open apex cases are mostly having a history of trauma associated previously. Open apex cases are a challenge to deal with in the field of endodontics, as after trauma without the formation of a complete root or without the closure of the apical barrier, the infection caused due to pulpal necrosis. The following study deals with the association between the various kinds of endodontic irrigants used in the management of open apex cases. This university-based study involved the collection of data from the hospital-based records; 86000 patient case records were assessed. After analyzing the data of 43 patients who had undergone treatment, 55 open apex cases were analyzed. The data was compiled and tabulated in Microsoft Excel and exported to IBM SPSS 20. Data was represented through frequency distribution tables, and chi-square tests were performed to compare the various endodontic irrigants used for the management of open apex cases. The maximum number of open cases was reported in the age group of 11-20 years (48.84%). Prevalence of open apex was higher in males (63.72%). The maximum number of open apex cases are seen in 11 & 21 (74.55%), and the least is 36.46 (1.82%). Association between teeth with open apex and the irrigants used revealed that most commonly used irrigant was saline and there was no statistical significant difference between the types of irrigants used in the management of open apex cases
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References
[1] Bashetty, K. and Hegde, J. (2010) ‘Comparison of 2% chlorhexidine and 5.25% sodium hypochlorite
‘Irrigating solutions on postoperative pain: a randomized clinical trial,’ Indian journal of dental research:
official publication of Indian Society for Dental Research, 21(4), pp. 523–527.
[2] Blaney, T. D., Hartwell, G. R. and Bellizzi, R. (1982) ‘Endodontic management of a fused tooth: a case
report,’ Journal of Endodontia, 8(5), pp. 227–230.
[3] Bosch-Aranda, M. L. et al. (2012) ‘Complications following an accidental sodium hypochlorite extrusion:
A report of two case’s, Journal of clinical and experimental dentistry, 4(3), pp. e194–8.
[4] Goldman, L. B. et al. (1981) ‘The efficacy of several irrigating solutions for endodontics: a scanning
electron microscopic study,’ Oral surgery, oral medicine, and oral pathology, 52(2), pp. 197–204.
[5] Harlamb, S. C. (2016) ‘Management of incompletely developed teeth requiring root canal treatment,’
Australian Dental Journal, 61 Suppl 1, pp. 95–106.
[6] Janani, K., Ajitha, P. and Sandhya, R. (2020). ‘Improved quality of life in patients with dentin
hypersensitivity,’ Saudi Endodontic Journal, 10, p. 81.
[7] Janani, K., Palanivelu, A. and Sandhya, R. (2020). ‘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, 23(1), p. 8.
[8] Jose, J., P., A., and Subbaiyan, H. (2020) ‘Different Treatment Modalities followed by Dental Practitioners
for Ellis Class 2 Fracture—A Questionnaire-based Survey,’ The Open Dentistry Journal, pp. 59–65. doi:
10.2174/1874210602014010059.
[9] Kumar, D. and Delphine Priscilla Antony, S. (2018) ‘Calcified Canal and Negotiation-A Review’,
Research Journal of Pharmacy and Technology, p. 3727. doi: 10.5958/0974-360x.2018.00683.2.
[10] Manohar, M. P. and Sharma, S. (2018) ‘A survey of the knowledge, attitude, and awareness about the
principal choice of intracanal medicaments among the general dental practitioners and nonendodontic
specialists’, Indian journal of dental research: official publication of Indian Society for Dental Research,
29(6), pp. 716–720.
[11] Martinho, F. C. et al. (2011) ‘Antigenicity of Primary Endodontic Infection against Macrophages by the
Levels of PGE2 Production,’ Journal of Endodontics, 37(5), pp. 602–607.
[12] Mohammadi, Z., Shalavi, S. and Jafarzadeh, H. (2013) ‘Ethylenediaminetetraacetic acid in endodontics,’
European journal of dentistry, 7(Suppl 1), pp. S135–S142.
[13] Nandakumar, M. and Nasim, I. (2018) ‘Comparative evaluation of grape seed and cranberry extracts in
preventing enamel erosion: An optical emission spectrometric analysis,’ Journal of Conservative Dentistry:
JCD, 21(5), pp. 516–520.
[14] Nasim, I. et al. (2018) ‘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, p. 510. doi: 10.4103/jcd.jcd_51_18.
[15] Noor, S. S. S. E., S Syed Shihaab and Pradeep (2016), ‘Chlorhexidine: Its properties and effects,’ Research
Journal of Pharmacy and Technology, p. 1755. doi: 10.5958/0974-360x.2016.00353.x.
[16] Rafter, M. (2005) ‘Apexification: a review’, Dental traumatology: official publication of International
Association for Dental Traumatology, 21(1), pp. 1–8.
[17] Rajendran, R. et al. (2019) ‘Comparative Evaluation of Remineralizing Potential of a Paste Containing
Bioactive Glass and a Topical Cream Containing Casein Phosphopeptide-Amorphous Calcium Phosphate:
An in Vitro Stud’y, Pesquisa Brasileira em Odontopediatria e Clínica Integrada, pp. 1–10. doi:
10.4034/pboci.2019.191.61.
[18] Raldi, D. P. et al. (2009) ‘Treatment options for teeth with open apices and apical periodontitis,’ Journal ,
75(8), pp. 591–596.
[19] Ramamoorthi, S., Nivedhitha, M. S. and Divyanand, M. J. (2015). ‘Comparative evaluation of postoperative
pain after using endodontic needle and EndoActivator during root canal irrigation: A randomised controlled
trial,’ Australian Endodontic Journal: The Journal of the Australian Society of Endodontology Inc., 41(2), pp.
78–87.
[20] Ramanathan, S. and Solete, P. (2015) ‘Cone-beam Computed Tomography Evaluation of Root Canal
Preparation using Various Rotary Instruments: An in vitro Study,’ The Journal of Contemporary Dental
Practice, pp. 869–872. doi: 10.5005/jp-journals-10024-1773.
[21] Ravinthar, K. and Jayalakshmi (2018) ‘Recent Advancements in Laminates and Veneers in Dentistry’,
Research Journal of Pharmacy and Technology, p. 785. doi: 10.5958/0974-360x.2018.00148.8.
[22] Ridenour, S. et al. (2001) ‘Anesthetic efficacy of a combination of hyaluronidase and lidocaine with
epinephrine in inferior alveolar nerve blocks,’ Anesthesia progress, 48(1), pp. 9–15.
[23] R, R., Rajakeerthi, R. and Ms, N. (2019) ‘Natural Product as the Storage medium for an Avulsed Tooth—A
Systematic Review,’ Cumhuriyet Dental Journal, 22(2), pp. 249–256.
[24] Shuping, G. B. et al. (2000) ‘Reduction of intracanal bacteria using nickel-titanium rotary instrumentation
and various medication’s, Journal of Endodontia, 26(12), pp. 751–755.
[25] Siddique, R. et al. (2019) ‘Qualitative and quantitative analysis of precipitate formation following
interaction of chlorhexidine with sodium hypochlorite, neem, and tulsi’, Journal of conservative dentistry:
JCD, 22(1), pp. 40–47.
[26] Teja, K. V. and Ramesh, S. (2019) ‘Shape optimal and clean more,’ Saudi Endodontic Journal. Medknow
Publications and Media Pvt. Ltd., 9(3), p. 235.
[27] Teja, K. V., Ramesh, S. and Priya, V. (2018) ‘Regulation of matrix metalloproteinase-3 gene expression in
inflammation: A molecular study,’ Journal of Conservative Dentistry: JCD, 21(6), pp. 592–596.
[28] Torabinejad, M. and Turman, M. (2011) ‘Revitalization of tooth with necrotic pulp and open apex by using
platelet-rich plasma: a case report,’ Journal of Endodontia, 37(2), pp. 265–268.
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