Title
In vivo evaluation of apical third enlargements to twice and thrice larger than initial apical binding file in final treatment outcome
Authors
Kranti Rajesh Khadse*, Rana K. Varghese, Malwika Sisodia, Naveen Kumar Gupta, Priyanka Damodhar Ippar & Anushri Arvind Uge
Affiliation
Department of Conservative Dentistry and Endodontics, New Horizon Dental College and Research Institute, Sakri, Bilaspur, Chhattsigarh, India;*Corresponding author
Kranti Rajesh Khadse - E - mail:krkhadse15.kk@ gmail.com
Rana K.Varghese - E - mail:drranavarghese@gmail.com
Malwika Sisodia - E - mail: malwika.sisodia127@gmail.com
Naveen Kumar Gupta - E - mail:naveenguptaa@gmail.com
Priyanka Damodhar Ippar - E - mail:priyankaippar336@gmail.com
Anushri Arvind Uge - E - mail:anushriuge34@gmail.com
Article Type
Research Article
Date
Received September 1, 2024; Revised September 30, 2024; Accepted September 30, 2024, Published September 30, 2024
Abstract
Root canal treatment is a critical procedure in endodontics, aimed at eliminating microorganisms and pathological debris from the root canal system to prevent reinfection and ensure the health of the periradicular tissues. A total of 180 patients with asymptomatic apical periodontitis (PAI score ≥3) were included in this randomized clinical trial. Patients were divided into two main groups, each with three subgroups based on the biomechanical preparation of the canals using different file sizes and tapers. Biomechanical preparation was followed by intracanal medicament placement, and patients were recalled for obturation and final restoration. Postoperative pain was assessed using the Visual Analog Scale (VAS) at 6, 12, 24, 48 and 72 hours post-treatment. Periapical healing was evaluated using the Periapical Index (PAI) at 3,6 and 12 months post-treatment. While larger apical preparation sizes and tapers can enhance periapical healing, excessive enlargement beyond three sizes larger than the IABF does not significantly improve outcomes. Optimal root canal treatment should balance adequate cleaning and disinfection with the preservation of tooth structure.
Keywords
Root canal treatment, apical preparation, postoperative pain, periapical healing & Visual Analog Scale
Citation
Khadse et al. Bioinformation 20(9): 1116-1119 (2024)
Edited by
Vini Mehta
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
