ABSTRACT
Background: patients who begin endodontic therapy may experience pain or swelling during therapy or after obturation of root canal system [flare -up]. The causes of flare-up phenomena are numerous and often multi factorial. The goal of this study is to examine the incidence of flare - up and its connection with variables such as pulp and periapical conditions, the type of treatment, the number of appointment and the tooth groups under treatment
Methods and materials: in this study I 168 patients were selected from among the patients referring for treatment to the endodontics ward of Zahedan faculty of Dentistry. At each visit information was obtained on each patient as to their demographics, presenting signs, symptoms and diagnosis and then treatment performed. After complete of the appropriate forms the data were analyzed with the chi-square statistical method
Results: the results of the study indicate the incidence of flare - up to be 3.2%, with a significant relationship between the incidence of flare - up and the pulp and periapical conditions [P<0.05] and no significant relationship between incidence of flare - up and the type of treatment performed, the number of treatment appointment and the type of tooth [P> 0. 05]
Conclusions: because bacteria are the source of pulpal and periapical infection, eliminating of bacteria is necessary for resolve of signs and symptoms of flare-up
ABSTRACT
Background: whereas sodium hypochlorite is the most commonly irrigation solution used in endodontics we set out to study its antifungal effect of sodium hypochlorite in infected root canals with candida albicans
Methods and Materials: in this study 160 human maxillary incisor teeth extracted for different reasons were selected. The teeth were cut in the CEJ zone and then the canals were prepared by using hand files and Gattes Glidden bur no. 6. The roots were then divided across into 5- mm pieces and using diamond disks and chisel so the sample volume will become 320 pieces halved each 5- mm piece. The root samples were divided randomly into two groups of 150. In one of the groups in order to remove the smear layer with EDTA 17% and then 5.25% sodium hypochlorite. The smear layer in the other group remained intact in addition 10 samples were selected as positive control and 10 samples as negative control. The samples were then sterilized separately by autoclave. 320 sterilized tissue culture plates were selected. Each root sample was fixed in the bottom of a plate, and contaminated with candida albicans and then exposed to 2.5% and 5.25% sodium hypochlorite. 25 samples were taken from each group in intervals of 5, 30 and 60 minutes and transferred to the T.S.B culture medium. After 24 hours, the tubes containing T.S.B were considered in presence of turbidity. The results were statistically analyzed
Results: the results indicated that 2.5% sodium hypochlorite in the present of smear layer caused destruction of candida albicans after 5 minutes in 20% of the cases while such destruction happened with 5.25% sodium hypochlorite in 44% of the cases. However by increasing the disinfections period in both concentrations the antifungal effect appears in 100% of the cases. Moreover the results of the study indicated in the group with no smear layer. sodium hypochlorite with a concentration of 2.5% showed its ant[fungal effect in 5 minutes in 36% of the cases and with a concentration of 5.25% in 100% of the cases
Conclusions: therefore the use of specific antifungal irrigation solution in the endodontic therapy of patients having local or systemic predisposing factors to oral candidiasis extreme importance