Non-Surgical Management of Mandibular Molar with Multiple Intra–oral Sinus Tracts: A Case Report

Gupta, Ruchika

doi:10.7860/jcdr/2013/5953.3535

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…However, once the causative factors are removed with endodontic intervention, a sinus tract can close within days. In addition, other reasons such as actinomycosis should be considered instead of prescribing antibiotics (Gupta & Prakash 2013). In previously treated cases, antibiotics were still prescribed.…”

Section: Discussionmentioning

confidence: 99%

The prescribing of antibiotics for endodontic infections by dentists in Turkey: a comprehensive survey

et al. 2020

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Aim To investigate the antibiotic prescribing patterns for endodontic infections based on the reports of Turkish dentists. Methodology A survey consisting of 20 questions on general information and 13 questions on antibiotic prescribing patterns for endodontic cases was delivered to the e‐mail addresses of general dentists and specialists via the database of the Turkish Dental Association. Collected data were analysed using Mc‐Nemar‐Bowker Test and multivariate ordinal logistic regression tests at the significance level of 0.05. Results A total of 1007 responses were obtained from 17 827 dentists. The majority of the participants were general dental practitioners (GDP, 80%) whilst 8% were Endodontists. Gender, clinical experience, affiliations and speciality were significant risk factors for antibiotic prescription (P < 0.05). GDPs prescribed antibiotics twice as much as all specialists and members of public hospitals prescribed antibiotics three times more than specialists and clinical academics (P < 0.05). Amoxicillin with clavulanic acid was the most prescribed antibiotic (90%), followed by Ornidazole (25%). Clindamycin was the drug of choice for the patients with penicillin allergy (59%). Infection and fever control (76%), prophylaxis (44%) and avoiding swelling and trismus during endodontic treatment (26%) were the most common reasons for antibiotic prescriptions. Completing a course of prescribed antibiotics was recommended by most (75%). Infective endocarditis, immunosuppression, artificial heart valve and mitral valve prolapse were the main causes of prophylaxis in descending order. Uncontrolled and extensive use of antibiotics by patients (62%) was mentioned as the most effective reason for antibiotic resistance. Up to 10% of participants prescribed antibiotics for symptomatic irreversible pulpitis, asymptomatic apical periodontitis with or without endodontic treatment (8, 12 and 11%, respectively). Up to 20% of dentists prescribed antibiotics for symptomatic apical periodontitis when the pulp was vital or necrotic (13 and 23%, respectively). Almost one third of the participants prescribed antibiotics for symptomatic apical periodontitis of previously treated teeth with or without radiographic lesions whilst 34% prescribed antibiotics for acute apical abscess with localized swelling without systemic involvement. Conclusions The majority of dentists reported they prescribed antibiotics inappropriately. It is necessary to improve the knowledge of dentists about antibiotics and their indications in endodontics.

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Section: Discussionmentioning

confidence: 99%

The prescribing of antibiotics for endodontic infections by dentists in Turkey: a comprehensive survey

et al. 2020

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“…Recent publications have mainly been case reports treating mature teeth with chronic apical abscesses in multiple-visits with intra-canal medicament [9], or with the use of chlorhexidine irrigant [8], and the follow-up time was less than 2 years. Therefore, the treatment outcomes of this study cannot be compared directly to previous publications.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the literature does not include updated information about the management of such teeth [ 6 , 7 , 18 , 19 ], or a previous clinical trial targeting treatment of mature teeth with chronic apical abscesses. Recent publications have mainly been case reports treating mature teeth with chronic apical abscesses in multiple-visits with intra-canal medicament [ 9 ], or with the use of chlorhexidine irrigant [ 8 ], and the follow-up time was less than 2 years. Therefore, the treatment outcomes of this study cannot be compared directly to previous publications.…”

Section: Discussionmentioning

confidence: 99%

Single-visit endodontic treatment of mature teeth with chronic apical abscesses using mineral trioxide aggregate cement: a randomized clinical trial

Alsulaimani

2016

BMC Oral Health

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BackgroundMature teeth with chronic apical abscesses characterized by intermittent discharge of pus through an associated sinus tract. This communication between oral mucosa and periapical inflammation is challenging for the sealing ability of root canal obturation material. Therefore, the study aim was to compare the outcomes of endodontic treatment using mineral trioxide aggregate (MTA) cement to the conventional gutta-percha cone and root canal sealer as an obturation material in mature teeth with chronic apical abscesses.MethodsMature teeth with chronic apical abscesses referred to our clinic for root canal treatment between 2010 and 2012 were treated in a single visit and distributed among treatment (T) and control (C) groups using a predetermined randomization block (TCTC). After chemo-mechanical preparation, teeth in group T received MTA cement mixed in a 0.26 water to powder ratio, and teeth group C received gutta-percha and root canal sealer using the warm vertical technique. The treatment outcomes were defined as obturation length, periapical healing, resorption of extruded material, and survival rate at least 2.5 years after treatment. Three endodontists blinded to the type of obturation material documented treatment outcomes. Statistical analysis at P < 0.05 was conducted to measure difference between the groups.ResultsThirty-six teeth were treated between 2010 and 2012, and 32 teeth were evaluated in 2015. Complete periapical healing was observed in 87.5 % of MTA-treated teeth and 75.0 % of gutta-percha-treated teeth. Adequate obturation length was reported in 50.0 % of MTA-treated and 37.5 % of gutta-percha-treated teeth. Complete resorption of extruded material was evident in 83.3 % MTA-treated teeth and 100.0 % gutta-percha-treated teeth. The survival rate of MTA-treated teeth was 100 % at 3, and 5 years, while the survival rate of gutta-percha-treated teeth was 83.3 % at 3, and 5 years. There was no significant difference between the groups in term of periapical healing, survival rate, obturation length, or resorption of extruded material.ConclusionsThe outcomes of single-visit endodontic treatment of mature teeth with chronic apical abscesses using MTA cement were better, but not statistically significant, compared to conventional treatment.Trial registrationISRCTN15285974. Registered retrospectively 23 June 2015.Electronic supplementary materialThe online version of this article (doi:10.1186/s12903-016-0276-y) contains supplementary material, which is available to authorized users.

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Non-Surgical Management of Mandibular Molar with Multiple Intra–oral Sinus Tracts: A Case Report

Cited by 2 publications

References 3 publications

The prescribing of antibiotics for endodontic infections by dentists in Turkey: a comprehensive survey

The prescribing of antibiotics for endodontic infections by dentists in Turkey: a comprehensive survey

Single-visit endodontic treatment of mature teeth with chronic apical abscesses using mineral trioxide aggregate cement: a randomized clinical trial

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