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Resinifying therapy in endodontics. A clinical and radiological evaluation
Summary
Resinifying therapy demonstrated an 84.1% success rate in treating posterior teeth with periapical lesions and pulp exposure. This endodontic treatment showed significant reduction in radiolucency over nine months.
Area of Science:
- Endodontics
- Restorative Dentistry
Background:
- Periapical lesions and pulp exposure in posterior teeth pose significant clinical challenges.
- Traditional root canal therapy may have limitations in specific cases.
Purpose of the Study:
- To evaluate the efficacy of resinifying therapy for posterior teeth with periapical lesions and pulp exposure.
- To assess the clinical and radiological outcomes of resinifying therapy over a nine-month period.
Main Methods:
- Twenty-one posterior teeth with periapical radiolucencies or pulp exposure were treated with resinifying therapy.
- Clinical assessments included pain on percussion, swelling, and sinus formation.
- Radiological assessments evaluated the decrease in periapical radiolucency at three, six, and nine months.
Main Results:
- A clinical success rate of 84.1% was observed after nine months.
- Mean reduction in periapical radiolucency was 2.1 mm at 3 months, 4.0 mm at 6 months, and 5.8 mm at 9 months.
- One tooth required retreatment due to sinus formation at three months.
Conclusions:
- Resinifying therapy is a viable treatment option for posterior teeth with large periapical areas and vital teeth with pulp exposure.
- This therapy can be effectively completed in a single visit, offering a promising alternative in endodontic treatment.
