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Related Concept Videos

Teeth01:15

Teeth

The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin and...
Tooth Anatomy01:21

Tooth Anatomy

The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.

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Development of a Direct Pulp-capping Model for the Evaluation of Pulpal Wound Healing and Reparative Dentin Formation in Mice
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Management Options and Outcomes for Root-Filled Teeth That Have a Periapical Radiolucency.

Jordan Samuel Blum1

  • 1The University of Melbourne, Melbourne, Victoria, Australia.

Australian Endodontic Journal : the Journal of the Australian Society of Endodontology Inc
|March 28, 2025
PubMed
Summary

Post-treatment endodontic disease (PTED) presents as a radiolucency in root-filled teeth. Management options include reassessment, retreatment, or extraction.

Keywords:
apical periodontitisapical surgeryendodontic retreatmentpersistent diseasetreatment planning

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Area of Science:

  • Endodontology
  • Oral and Maxillofacial Surgery

Background:

  • Post-treatment endodontic disease (PTED) is characterized by periapical radiolucency in previously root-filled teeth.
  • Lesions are considered PTED when healing cannot be assumed.

Purpose of the Study:

  • To provide a current, clinically relevant summary of PTED management options.
  • To emphasize etiology, case selection, and outcomes for informed clinical decision-making.

Main Methods:

  • Literature review and synthesis of current clinical guidelines and research.
  • Focus on differential diagnosis and treatment planning for PTED.

Main Results:

  • Identified three primary management pathways: observation, endodontic retreatment (nonsurgical/surgical), and extraction.
  • Highlighted the importance of accurate diagnosis and patient-specific factors in selecting the optimal approach.

Conclusions:

  • Effective management of PTED requires careful consideration of etiology and case selection.
  • Clinicians can utilize this information to guide patients toward appropriate treatment decisions, optimizing outcomes.