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Results for “Periapical Tissue”

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At least 541 records · Page 30Linked to original sources
PubMed1980

Periapical response to dentin filings. A pilot study.

Vital maxillary canines of mature cats were intentionally instrumented through the foramen with No. 50 K-files. Dentin chips were packed into the apical opening in one tooth of each animal. In the contralateral tooth a dentin plug was not formed. Both root canals were then filled with gutta-percha. The animals were sacrificed at 3, 5, and 8 months. The results showed quicker healing characterized by minimal inflammation and cementum deposition in the specimens where dentin fillings were packed.

Animals↗
PubMed1981

Epidermoid carcinoma of the gingiva: a possible relationship to PUVA therapy.

A case of squamous cell carcinoma arising in the gingiva of a 30-year-old nonsmoking woman receiving PUVA therapy for vitiligo is reported. There were no typical predisposing factors for oral cancer in the history, other than the latter therapy. Although there are several previous reports of cutaneous carcinoma developing in patients under PUVA therapy, most of such involve development of tumors on skin surfaces exposed to direct ultraviolet radiation either through sunlight or via therapeutic mode.s In this case, there was no direct ultraviolet exposure at the site of carcinoma. We suggest the possibility that, in this case, PUVA may exerted a carcinogenic influence via systemic distribution of ultraviolet-activated psoralens or its metabolites to the gingiva. The possibility of microbial interaction with substances within gingival inflammatory exudate to produce carcinogenic substances is postulated.

Adult↗
PubMed1983

A radiographic evaluation of the periapical status of teeth treated by the gutta-percha-eucapercha endodontic method: a one-year follow-up study of 458 root canals. Part III.

In Part I which appeared two issues previously, the authors discussed the variations in treatment methods of nonsurgical endodontic therapy and in the determination of success and failure. They then reported on the materials and methods used and the radiographic criteria for success and failure in their clinical study of 458 root canals treated by the gutta-percha-eucapercha method. In Part II which appeared in the last issue, the one-year follow-up results were presented. Some of these results differ from previous investigations. For example, better success was found in (1) necrotic cases with areas of pathosis than in necrotic cases without "areas and in (2) overfilled cases than in underfilled cases. In Part III the authors discuss the possible reasons for these and other findings and give some implications for clinical practice.

Biocompatible Materials↗
PubMed1983

Clinical and radiologic re-examination of apicoectomized teeth.

Healing after periapical surgery was studied clinically and radiologically in 108 patients in whom apicoectomy had been performed on 174 teeth. Histologic diagnosis was used to determine healing results; teeth with periapical granuloma tend to heal less successfully than teeth showing inflammation or cysts. Postoperative treatment played an important role in the healing process. In making a prognosis one must include preoperative status (including periodontal status), operating method, and postoperative treatment. The age of the patient also has some influence on healing.

Adolescent↗
PubMed1984

A clinical trial of a rare earth screen/film system in a periapical cassette.

In a clinical trial, a slow rare earth screen/film system (Siemens Titan 2D/Kodak XG) was used to obtain intraoral radiographs at conventional monitoring stages in endodontic treatment. The screen film image proved to be an effective substitute for the direct-exposure Ultraspeed periapical film. The intraoral cassettes, designed and fabricated for the study, were an adaptation of the flexible, vacuum-sealed cassettes used in mammography. It is believed that when a practicable periapical cassette is manufactured, many additional indications for the system are probable. Major reductions in patient exposure of at least 85% to 90% per periapical film would be effected.

Equipment Design↗
PubMed1985

Prophylactic use of penicillin V in teeth with necrotic pulps and asymptomatic periapical radiolucencies.

As a result of (1) clinical experience with flare-ups occurring in teeth with necrotic pulps and asymptomatic periapical radiolucencies and (2) on apparent reduction to the incidence of such flare-ups by the administration of penicillin V at the first sign of swelling, this study on the prophylactic administration of penicillin V in similar cases was undertaken. The subjects were 100 consecutive clinic patients whose teeth had necrotic pulps and asymptomatic periapical radiolucencies. At the initial visit, all teeth were instrumented completely to the radiographic apex, with 0.5% to 2.54% sodium hypochlorite as the irrigant. Sterile, dry cotton pellets and ZOE restorations were used. Alternate patients were given 250 mg of penicillin V and an identical-appearing placebo with instructions to take two tablets every 6 hours for the first 24 hours, followed by one tablet every 6 hours until all tablets were taken. Pain and swelling were graded by the patients on five-point scales, and flare-ups were scored when either pain and/or swelling necessitated an unscheduled emergency visit. Fifteen patients developed flare-ups, with significantly more flare-ups in the placebo group (p less than 0.05). The findings indicate that, in selected cases, prophylactic penicillin can be used to prevent flare-ups.

Dental Pulp Necrosis↗
PubMed1986

Histologic evaluation of a human periapical defect after implantation with tricalcium phosphate.

This case report describes the effect of tricalcium phosphate implantation in the treatment of a chronic periapical abscess. Ceramic implant materials are biocompatible and are currently being used to restore alveolar bone loss resulting from periodontal disease, endodontic infections, and residual alveolar ridge resorption. However, use of such a material in this case led to persistent infection and additional bone destruction. Thus, the use of a ceramic implant material to accelerate periapical bone repair is not recommended in areas where a chronic bacterial infection is present.

Apicoectomy↗
PubMed1986

Estimation of alveolar crest height using routine periapical dental radiographs.

The reproducibility of estimations of the alveolar crest height based on their relationship to two other fixed points on the tooth has been analyzed in a study of 302 routine periapical radiographs of 96 endodontically treated teeth. The radiographs were made at normal recall appointments by use of the extension tube paralleling technique. The various distances between four fixed points on each tooth in any radiographic series were compared by means of a statistical model. The results indicate that, in periodontal follow-up studies, completely standardized projection of the structures onto the film is unnecessary since measurements of the crest height can be related to any suitable fixed measuring standard on the tooth.

Alveolar Process↗
PubMed1988

The laser apicoectomy: endodontic application of the CO2 laser for periapical surgery.

This article describes the development of a surgical technique employing a carbon dioxide laser for endodontic periapical procedures. The advantages of laser application for sterilization and removal of the infected root apex, as well as enhanced hemostasis, are cited. A case in which the "laser apicoectomy" technique was performed successfully for treatment of secondary apical abscess is presented.

Aged↗
PubMed1989

Spatial resolution requirements for digitizing dental radiographs.

A study was performed to determine the appropriate spatial resolution for digitizing and transmitting dental radiographs with the KODAK EKTASCAN, a computer-based digital enhancement and transmission system. Periapical, bitewing, and panoramic radiographs were digitized in three formats representing varying spatial resolution parameters. Eight viewers used a 5-point rating scale to evaluate the detectability of periapical pathosis on the periapical images, of proximal surface caries on the bitewing images, and of various bony abnormalities on the panoramic images. Receiver operating characteristic curves were generated, and the results of the periapical, bitewing and panoramic experiments were presented as trapezoidal and maximum likelihood receiver operating characteristic curve areas. The results of this study indicate that digital images of dental radiographs provide adequate diagnostic accuracy for evaluating the presence of periapical pathosis, proximal surface caries, and specified bony abnormalities. The digitization parameters established for the KODAK EKTASCAN provide a guide for digitizing dental radiographs on other commercially available digital image-processing systems.

Computers↗
PubMed1989

The relationship between radionuclide bone scans and dental examinations.

Bone scans were evaluated in 57 patients referred from the nuclear medicine clinic. Areas of normal and abnormal radiopharmaceutical accumulation in the maxilla and mandible were correlated with a clinical and radiographic dental examination. There was an 80% agreement between the areas of normal and abnormal uptake with the clinical and radiographic findings. This was statistically significant (p less than 0.001). Twenty-one patients had clinical and radiographic dental examinations that were within normal limits and yet had abnormal bone scans. Five of these 21 patients were subsequently seen on an emergency basis for treatment of dental abnormalities. These positive areas on the bone scans may be indicating areas of pathosis not detectable by conventional clinical and radiographic diagnostic techniques.

Adult↗
PubMed1992

Quantitative features of digitized radiographic bone profiles.

The purpose of this investigation was to examine the use of four image features in describing digitized radiographic bony scan lines, or profiles. These features include the mean pixel intensity, I (x); pixel intensity variance, var I (x); mean absolute Fourier transform coefficient, magnitude of F(u); and mean spatial first moment of the absolute Fourier coefficients, M1. In an animal model I (x) and M1 differed significantly while magnitude of F(u) tended to differ significantly between digitized radiographic profiles of osteoporotic (n = 6) and control (n = 6) rabbit humeri. Case examples illustrating the application of this technique to digitized radiographs of human interproximal alveolar bone are presented.

Adult↗