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Clinical Oral Investigations

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01-04-2024 | Gingival Diseases | Research

Influence of the severity of periodontal disease on the outcome of non-surgical endodontic therapy: A prospective cohort study

Authors: Arun Kumar Duraisamy, Ajay Logani, Vijay Kumar, Amrita Chawla, Sidhartha Sharma, R. M. Pandey

Published in: Clinical Oral Investigations | Issue 4/2024

Abstract

Objective

To investigate the influence of severity of periodontal disease on periapical healing after non-surgical endodontic therapy (NSET).

Material and methods

In this prospective study, subjects (n = 45) requiring NSET in a mandibular molar tooth with the diagnosis of pulp necrosis and asymptomatic apical periodontitis exhibiting radiographic periapical index (PAI) score ≥ 3 and concomitant endodontic periodontal lesion (CEPL) without communication were enrolled. After dividing as per the classification of Periodontal and Peri‐Implant Diseases and Conditions, subjects were equally allocated into three groups. Group I– only endodontic lesion {control: healthy periodontium (n = 15)}, Group II– CEPL having stage I and II periodontitis (n = 15) and Group III– CEPL having stage III periodontitis (n = 15). Standardized two-visit NSET was performed with 2% chlorhexidine gel as an intracanal medicament. Periodontal therapy was instituted wherever required. Subjects were recalled at 6-and 12-months for clinical and radiographic assessment. Chi-square test was performed to evaluate the difference between the groups.

Results

At 12-month follow-up, all teeth in the three study groups were asymptomatic. On radiographic evaluation of the periapical region, healing was observed in 80%, 47% and 50% of teeth in Groups I, Group II and Group III, respectively. However, the difference was not statistically significant between the groups (p = 0.150).

Conclusion

The severity of periodontal disease had no influence on periapical healing after NSET in teeth with concomitant endodontic periodontal lesions without communication.

Clinical relevance

Periodontal disease has significant impact on apical periodontitis however severity of the periodontitis does not negatively impact the apical periodontitis.

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Title: Influence of the severity of periodontal disease on the outcome of non-surgical endodontic therapy: A prospective cohort study
Authors: Arun Kumar Duraisamy
Ajay Logani
Vijay Kumar
Amrita Chawla
Sidhartha Sharma
R. M. Pandey
Publication date: 01-04-2024
Publisher: Springer Berlin Heidelberg
Keywords: Gingival Diseases
Root Canal Debridement
Root Canal Debridement
Bleeding on Probing
Published in: Clinical Oral Investigations / Issue 4/2024
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-024-05611-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Influence of the severity of periodontal disease on the outcome of non-surgical endodontic therapy: A prospective cohort study

Abstract

Objective

Material and methods

Results

Conclusion

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Material and methods

Results

Conclusion

Clinical relevance

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