[Clinical study on acute periapical periodontitis caused by overfilling]

Area of Science:

• Endodontics
• Dental Radiology
• Oral Pathology

Background:

• Acute periapical periodontitis is a common dental condition.
• Overfilling of root canal filling materials can lead to complications.
• Understanding the impact of different overfilling materials is crucial for treatment outcomes.

Purpose of the Study:

• To investigate the relationship between gutta-percha point or paste overfilling and the severity of acute periapical periodontitis.
• To compare the clinical signs and resolution times associated with gutta-percha point versus paste overfilling.

Main Methods:

• Sixty cases of acute periapical periodontitis with recent gutta-percha point and paste fillings were analyzed.
• Cases were categorized based on whether gutta-percha points or paste overfilled the apex.
• Clinical signs were assessed, and treatment involved material removal and daily medication until resolution.

Main Results:

• Gutta-percha point overfilling (Group A) averaged 1.01 mm (mild) to 1.79 mm (severe) beyond the apex.
• Paste overfilling (Group B) averaged 2.45 mm² (mild) to 8.26 mm² (severe) beyond the apex.
• Group A showed more severe cases (21/34) than Group B (8/26), with resolution in 3.56 days versus 6.19 days for Group B.

Conclusions:

• Increased overfilling correlated with more severe clinical signs of acute periapical periodontitis.
• Gutta-percha point overfilling led to more severe symptoms compared to paste overfilling.
• Resolution time for symptoms caused by gutta-percha point overfilling was shorter.