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Retrograde root canal treatment: A prospective case series.

Journal article
Authors Peter Jonasson
Camilla Lennholm
Thomas Kvist
Published in International endodontic journal
Volume 50
Issue 6
Pages 515–521
ISSN 1365-2591
Publication year 2017
Published at Institute of Odontology, Section 1
Pages 515–521
Language en
Links dx.doi.org/10.1111/iej.12656
www.ncbi.nlm.nih.gov/entrez/query.f...
Subject categories Endodontology

Abstract

Root canal treatment of teeth with necrotic pulps and apical periodontitis may be complicated by limited access to the root canals due to restorations and dystrophic calcifications. The objective of this study was to evaluate retrograde root canal as a primary treatment using a surgical approach as an alternative to conventional orthograde treatment.Patients with apical periodontitis in the anterior region of the maxilla were consecutively recruited to the study over a period of 4 years. Fifty-Seven patients met the inclusion criteria and received retrograde root canal treatment. A clinical and radiographic evaluation was made after one and two years postoperatively.Clinical and radiographically evaluation after 2 years revealed a successful outcome (as defined in this study) in 90% of the cases.Retrograde root canal as a primary treatment was a reliable alternative to treat apical periodontitis on single- and two-rooted teeth with limited orthograde access to the root canals in the maxilla. This article is protected by copyright. All rights reserved.

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