Clinical and radiographic evaluation of overfillings during endodontic treatment

Brenda Paula Figueiredo De Almeida Gomes,Eloá Cristina Bícego Pereira,Guilherme Fantini Ferreira,Jessica Rodrigues Ramos

doi:10.20396/revpibic262018561

Brenda Paula Figueiredo De Almeida Gomes, Eloá Cristina Bícego Pereira + Show 2 more

Open Access

https://doi.org/10.20396/revpibic262018561

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Abstract

Traditional endodontic teaching defines overfills as extending the endodontic filling material either laterally or vertically into the attachment apparatus. It could be either a surplus after three-dimensional obturation, which is accepted; or an overextension of gutta-percha, which is related as one of the cause of endodontic failure. The aim of this study was to evaluate clinically and radiographically the periapical status of the cases of overfilling during the endodontic treatment performed by undergraduate students of the Piracicaba Dental School. The mean time between the date of root-filling and the follow-up appointment was 9.48 ± 2.40 months, and complete resorption of the endodontic sealing was observed in 55.5% (11/18) of the cases, occurring in 9.69 ± 2.58 months. It was concluded that clinical and radiographic periapical healing also occurs in teeth with overfilling.

Highlights

Traditional endodontic teaching defines overfills as extending the endodontic filling material either laterally or vertically into the attachment apparatus
A single operator performed the clinic and radiographic examination, who evaluated the regression of the periapical lesion, encapsulation and/ or resorption of the endodontic sealer
Among 185 endodontic treatment performed during the first semester of 2017, 72 presented overfilling and 18/72 patients attended their scheduled follow-up appointment, which consisted of clinical and radiographic examination

Summary

Introduction

Traditional endodontic teaching defines overfills as extending the endodontic filling material either laterally or vertically into the attachment apparatus. Traditional endodontic teaching defines overfills as an extending of the endodontic filling material either laterally or vertically into the periodontal ligament. It could happen as a overobturation after three-dimensional obturation, which is accepted; or an overextension of gutta-percha, which is related as one of the cause of endodontic failure.

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Conclusion