Best materials in the treatment of periodontitis

Recently scientists evaluated the healing outcomes of Intermediate Restorative Material (IRM) and mineral trioxide aggregate (MTA) materials as root-end seal of teeth with apical periodontitis. They found that both the methods are effective in the treatment of periodontitis.

Teeth with previous conventional endodontic root-canal treatment may present persistent symptomatic or asymptomatic apical periodontitis. Such teeth could be a subject to periapical surgery using a modern technique with an expected good outcome. However, uninstrumented teeth with a need of conventional endodontic treatment can also benefit from such a surgical procedure. In a long-term perspective the orthograde retreatment of the root filling offers a more favorable outcome, 83% versus 72% for periapical surgeryafter 4-6 years.
treatment of periodontitis

In contrast to that a meta-analysis from Kang et al. revealed a significantly higher success rate for periapical surgery in a short term perspective (less than 4 years) compared to orthograde retreatment, whereas no significant difference could be detected after more than 4 years . Another study has reported a success rate of 62% when performing a revision procedure. Read more..........

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