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Göteborgs universitets publikationer

Inter-appointment medication with calcium hydroxide in routine cases of root canal therapy

Författare och institution:
Gunnar Bergenholtz (Institutionen för odontologi); Calvin Torneck (-); Anil Kishen (-)
Publicerad i:
The root canal biofilm. Editors: Chávez de Paz, Luis E., Sedgley, Christine M. & Kishen, Anil., s. 303-326
Kapitel, refereegranskat
Berlin Heidelberg
Sammanfattning (abstract):
This chapter discusses the use of an inter-appointment application of calcium hydroxide in the endodontic treatment of teeth with apical periodontitis, from a historic and evidence-based perspective. Despite a long history of clinical use and the publication of numerous in vitro, in vivo, and treatment outcome studies, strong scientific evidence in support of its use in this capacity is still not available. Today’s “best scientific evidence” is based primarily on a just a small number of studies that by today’s standard are not considered “strong.” However, given that elimination of bacteria from the root canal before placement of a root canal filling appears to enhance the treatment outcome, inter-appointment placement of calcium hydroxide could be an easy and appropriate way of promotingit. Any perceived advantage of its use, however, must be balanced by the risk of altering the physical properties of the root dentin due to its caustic action, particularly when it is present in the root canal for a long period of time. While clinical confirmation of an increased risk of root fracture in calcium hydroxide-treated fully developed teeth is still not verifiable, prudence dictates that caution should be exercised when calcium hydroxide is used in this manner in permanent teeth that are not completely developed.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Klinisk medicin
Root canal therapy
Postens nummer:
Posten skapad:
2016-04-28 16:45
Posten ändrad:
2016-07-01 10:54

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