2020
DOI: 10.1177/0898756420948140
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Successful Use of MTA Fillapex as a Sealant for Feline Root Canal Therapy of 50 Canines in 37 Cats

Abstract: Intentional or unintentional pulp exposure of cat canines can lead to periapical disease, osteomyelitis, and oral pain. Root canal therapy (RCT) allows the retention of cat canines with pulp exposure by removing the infected pulp and replacing it with an inert material. This study used MTA Fillapex™ as a root canal sealant with gutta percha single cone obturation in 37 cats (50 canine teeth). Roots were classified as “successful,” “no evidence of failure (NEF),” or “failed” at 6-month radiographic reviews. The… Show more

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Cited by 6 publications
(6 citation statements)
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References 79 publications
(167 reference statements)
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“…Although endodontic treatment of abscessed teeth in California sea lions is reportedly unsuccessful and is discouraged (6), it has to be noted that endodontic treatments are successful and less traumatic alternatives to large teeth extraction in dogs and cats. Failure of endodontic treatment may be related to the pre-existing condition of the affected tooth, (inappropriate) treatment choice, and/or technique and materials used (21)(22)(23)(24)(25)(26)(27)(28). Therefore, potential for endodontic treatment of the teeth with exposed pulps in sea lions should be reconsidered and elaborated based on the presenting clinical scenario (e.g., vital vs. non-vital teeth, closed vs. open apex of the tooth), to choose the most appropriate endodontic treatment type.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Although endodontic treatment of abscessed teeth in California sea lions is reportedly unsuccessful and is discouraged (6), it has to be noted that endodontic treatments are successful and less traumatic alternatives to large teeth extraction in dogs and cats. Failure of endodontic treatment may be related to the pre-existing condition of the affected tooth, (inappropriate) treatment choice, and/or technique and materials used (21)(22)(23)(24)(25)(26)(27)(28). Therefore, potential for endodontic treatment of the teeth with exposed pulps in sea lions should be reconsidered and elaborated based on the presenting clinical scenario (e.g., vital vs. non-vital teeth, closed vs. open apex of the tooth), to choose the most appropriate endodontic treatment type.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, potential for endodontic treatment of the teeth with exposed pulps in sea lions should be reconsidered and elaborated based on the presenting clinical scenario (e.g., vital vs. non-vital teeth, closed vs. open apex of the tooth), to choose the most appropriate endodontic treatment type. Vital pulpectomy as performed in dogs (23,29) with proper radiographic monitoring of the treated tooth/teeth could be a valid alternative treatment to extraction in sea lions, particularly for immature permanent canine teeth, possibly even in the case of chronic hyperplastic pulpitis. In fact, vital pulpectomy was found to be highly successful in humans (30), especially as the radicular pulpal tissue in teeth with pulp polyps was shown to remain normal in longer periods after pulp exposure (31) and also observed in teeth in this report.…”
Section: Discussionmentioning
confidence: 99%
“…Studies have shown success/no evidence of failure in 96 per cent of teeth treated in dogs (Lee and others 2022), and in 92 per cent of treated canine teeth in cats (Thorne and others 2020). The results of these studies indicate that root canal treatment is a viable option to salvage endodontically diseased teeth in dogs and cats.…”
Section: Endodontic Proceduresmentioning
confidence: 99%
“…Following mechano-chemical preparation, proper obturation prevents the re-introduction and growth of bacteria in the endodontic system, which allows for periapical healing (4,5). cones cannot adhere to dentinal walls, and rarely, completely fill the prepared canal, particularly in veterinary dentistry (6,7). Sealer cement is essential for proper obturation of the canal as it fills voids not filled by the GP cone, and ideally, also creates a primary monoblock with the cone to prevent re-colonization of bacteria (7,8).…”
Section: Introductionmentioning
confidence: 99%