Treatment of Apical Periodontitis - a new approach

[OtakuHD11]

I am a final year student to...in Romania.Here we are allowed to work on patients under direct supervision and working on RCT i have learned:1. a correct and complete treatment does wonders:) 2.upper molars are bitches to treat 3.if tooth has periapical lesions RTC, if tooth has periapical and periodontal L then RTC+scaling and root planing, if one root can be treated then hemisection..and save the other root 4.extraction for the patients that are uncooperative:)) u know what i mean

[AnchorageDentist]

Wow, this reminds me of the bad old days of Dental School.

[SimonSilkword]

I fail to see the point in risking any more instrument fractures by rotating NiTi-filaments at 8000rpm periapically - for what purpose? Liquifying and sucking out a granuloma under massive pain instead of counting on a succesful endodontic elemination of its source and letting nature do the rest, seems a little bit overdoing it. That's an "Attaboy" to our US-collegues! Greetings from Germany

[reppait]

what happens if the periapical lesion is not a granuloma ? How can you be sure it's a granuloma and not something else ? I mean it could be dangerous ...

[123valid]

this look really painful

[falappa1977]

No point! Apical lesions are inflammatory and resolve after accurate RCT. The risk is definitely not worth the risk.

[e30m3drift]

would it less expensive to just get ur tooth pulled out ?

[sachifernando532]

@e30m3drift : Im a final year dental student in australia. From my limited experience and understanding removing the tooth then cleaning out the empty socket gives a more predictable result. Root canal treatment is costly, and theres so much more procedural error and complications from it. A root canal is the last step before tooth needs to go out.

[e30m3drift]

@sachifernando532

ok thanks :)

[casial]

@sachifernando532 You gotta be kidding me - do they seriously teach you this in Australia? Yes, RCT is by no means easy, but most of the time it works for many years. I'm from Czechia and I'm forced to do RCT really cheaply (~50AUD per root canal) - yet it is working, periapical lesions are healing and I wasn't forced to pull out single tooth I've treated in years. Buy Reciproc (WaveOne), RCTs are easier with them and keep studying. For god sake I hope not all australian dentists share your POV

[7410n0]

JOE lol

[Marmalade000000]

This guy must be from Minnesota, you can hear that straight "o" of his when he says "alone"

[marcoversiani]

The big problem of endodontics is not located at the apical lesion...this is only a inflammatory tissue responsible for the apical healing after a root canal treatment. See...our big problem is still inside the canal and not beyond that...

[JamesMitchell78]

Herbal Dentist cured my periodontitis! Check it out on Ebay!

[DrNAREK]

what preparat and what instruments kit is it? how much is this kit? 

[Volosidibom]

Тот же результат после применения пасты "Metapex".

[docksy100]

Maybe would be better to do a second irrigation with Chlorhex.verry good

[t5e2]

that thing better not break whipping at 8000 rpm

[LaLLudo]

NO POINT IN TOUCHING APICAL LESIONS!!!!

if the root canal treatment is done correctly, the apical lesion will heal with restitutio ad integrum.

concluding, this is non sense and probably very dangerous, since there is no control of those instruments.

[24preacherboy]

@LaLLudo

I back the science behind this procedure.

An apical lesion will heal itself but you have to understand the length of time it takes for the restitutio ad Integrum to take effect.

The danger in this procedure is nominal when weighed against its benefits.

I do this procedure almost once a month with no complications.

I would never use you as my dentist.

[LaLLudo]

@24preacherboy

we're saying exactly the same thing. when restitutio ad integrum starts and it's radiographically evident (can't you wait 3 months? I think that's not a big time, is it?), you can be sure that your root canal treatment has been done correctly.

plus is LITERATURE talking, not me.

[groovinupslowly]

8/

if you've ever seen monsters inc, my reactions were near exact to those of sully's when he watches "boo" go through that trash compactor.

[RightKnight21]

ahhhhhhhhhhhhhhhhhhhhhhhhhhh (o.0) *goes back to normal root canal videos*

[ramindavani]

This procedure makes the healing process faster and it is not necessary. All periapical lesions heal after the root canal. it is just a matter of time.

[mollaELolla]

@ramindavani

do u mean if u have a granuloma it will disappear???

[filipinofear13]

i got this and its fkn kiling me

[atakanfearful]

I think, this procedure needs special cases

[jimduffin]

Every thing can break. How difficult will it be to remove any broke parts with in the lesion.

[TrinkieBG]

Apicectomy on molars = difficult! And RCT is needed prior apycectomy anyway. I am a bit concerned about to how to determine the lenght of the blade as to the size of the lesion. There is need of CBCT as Radiograph will not give us the actual size.

[polegin]

why not do APICOECTOMY without doing a root canal?!

[mollaELolla]

@polegin u just saiod 2 things that are !!!!!!!!!!!!!!!!!!!!!!!

apicectomy in a molar ( do u think it is that easy)

without doing a root canal ( are u serous???)

[hiPlasma]

that guys voice is cool. lol

[iamashooter]

how mch

[kokowawaba2]

nice topic

[DrGraniti]

NICE