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Analysis Study Research Paper | Dentistry | Canada | Volume 13 Issue 10, October 2024 | Popularity: 6.2 / 10
A Randomized Controlled Experiment Evaluating the Effect of Endodontic Therapy with Various Intracanal Medicaments on Periodontal Attachment Level in Endodontic-Periodontal Lesions. A 12 Month Study with 4 Intracanal Medicaments
Dr. Karmandeep Singh
Abstract: Aim: The purpose of this study is to assess the effect of various intracanal medicaments used during endodontic treatment on periodontal attachment levels in concurrent endodontic-periodontal diseases without communication. Materials and Methods: Hundred teeth with mixed endodontic-periodontal lesions were randomly assigned to four groups: Test Group 1 (calcium hydroxide [Ca(OH)2] + iodoform), Test Group 2(2% chlorhexidine + Ca(OH)2), Test group 3(Triple Antibiotic Paste), and Control Group (no intracanal medicament). Standard procedures were used to perform root canal therapy (RCT). Teeth in test groups were treated with the appropriate medications for 28 days before to obturation. Baseline characteristics were recorded, and follow-up assessments were conducted at three, six, and 12 months. Parameters such as reduction in apical radiolucency, presence of periapical healing, bleeding on probing (BOP) percentage, clinical attachment level (CAL), and periodontal depth were evaluated. Results: All three groups showed significant improvement in PD, CAL, %BOP, and PAI scores (P < 0.05) from baseline to 6 months. The presence of periapical healing was more frequent in Group 1 (85%) and Group 2 (80%) compared to Group 3 (77%) and Group 4 (60%). Group A showed the lowest mean BOP percentage (15.2 ? 3.5), followed by Group B (18.6 ? 4.2), Group C (19.7.1 ? 4.8) Group C (22.1 ? 4.1). Conclusion: In this study, both calcium hydroxide and triple antibiotic paste demonstrated potential therapeutic effects in promoting healing and reducing apical radiolucency compared to the control group. Calcium hydroxide exhibited the most favorable outcomes, with a higher presence of periapical healing, lower BOP percentage, and superior CAL and periodontal depth measurements. These findings contribute to the understanding of intracanal medicaments' effectiveness in apical periodontitis management.
Keywords: endodonticperiodontal diseases, intracanal medicaments, calcium hydroxide, periodontal healing, apical radiolucency
Edition: Volume 13 Issue 10, October 2024
Pages: 760 - 764
DOI: https://www.doi.org/10.21275/SR241010082614
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