Academic Journal
Association between the irrigation-agitation techniques and Periapical Healing of large periapical lesions: a Randomized Controlled Trial
| العنوان: | Association between the irrigation-agitation techniques and Periapical Healing of large periapical lesions: a Randomized Controlled Trial |
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| المؤلفون: | Doğan, Mehmet Umutcan, Arıcıoğlu, Banu, Köse, Taha Emre, Çıkman, Ahter Şanal, Öksüzer, Merve Çoban |
| المساهمون: | RTEÜ, Diş Hekimliği Fakültesi, Klinik Bilimler Bölümü, Doğan, Mehmet Umutcan, Köse, Taha Emre, Çıkman, Ahter Şanal, Öksüzer, Merve Çoban |
| بيانات النشر: | Springer |
| سنة النشر: | 2024 |
| مصطلحات موضوعية: | CBCT, Irrigation agitation, LAI, Periapical healing, PUI, SWEEPS |
| الوصف: | Objectives: The aim of this study was to evaluate the effects of manual dynamic activation (MDA), passive ultrasonic irrigation (PUI), and laser-activated irrigation (shock wave-enhanced emission photoacoustic streaming (SWEEPS)) on the periapical healing of large periapical lesions following nonsurgical root canal treatment. Materials and methods: A total of fifty-six systemically healthy patients with a mandibular single-rooted tooth with periapical lesions of endodontic origin and a periapical index score of 3 or higher were included in the study. Before the treatment procedures, lesion volumes were determined volumetrically using cone–beam computed tomography (CBCT). Patients were randomized into treatment (MDA, PUI, SWEEPS) and control groups (n = 14). Root canal treatment and irrigation procedures were performed by a calibrated postgraduate operator and completed at one visit. For routine follow-up, clinical and radiographic evaluations were performed by a blinded evaluator using periapical (PA) radiographs according to Molven’s criteria at 3, 6, and 9 months. At 12 months, lesion volumes were quantified volumetrically using CBCT (ITK-SNAP). The data were statistically analyzed with the Wilcoxon test. The significance level was set at p < 0.05. Results: In all groups, the mean lesion volume after treatment was significantly smaller than the mean volume before treatment (p = 0.001). Among the 56 teeth, 11 teeth were ‘totally healed’, and 39 teeth were ‘reduced’ on PA radiographs. No ‘enlargement’ was detected in any group. On CBCT, the lesion volume decreased in the following order: LAI-SWEEPS (86.9%) > PUI (85.4%) > MDA (80.4%) > control (74.5%), with no statistically significant difference (p > 0.05). Conclusions: Despite the limitations of the present study, although a greater percentage of healing was observed in the LAI-SWEEPS and PUI groups, irrigation procedures had no statistically significant effect on the healing of periapical lesions with a single root canal at the 12-month ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1432-6981 |
| Relation: | Clinical Oral Investigations; Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı; Doğan, M. U., Arıcıoğlu, B., Köse, T. E., Çıkman, A. Ş., & Öksüzer, M. Ç. (2024). Association between the irrigation-agitation techniques and Periapical Healing of large periapical lesions: a Randomized Controlled Trial. Clinical oral investigations, 28(7), 376. https://doi.org/10.1007/s00784-024-05758-4; https://doi.org/10.1007/s00784-024-05758-4; https://hdl.handle.net/11436/9131; 28; 376 |
| DOI: | 10.1007/s00784-024-05758-4 |
| الاتاحة: | https://hdl.handle.net/11436/9131 https://doi.org/10.1007/s00784-024-05758-4 |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.CADF052C |
| قاعدة البيانات: | BASE |
| تدمد: | 14326981 |
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| DOI: | 10.1007/s00784-024-05758-4 |