Background: Root canal infection and periapical diseases are caused by bacteria and their products. Long term infection may spread bacteria throughout the root canal system. Apical periodontitis caused by infectious microbe that persistent in root canals can cause radiographic and histopathology periapical changes. Chemomechanical preparation and intracanal dressing then are recommended to be c...

The awareness of internal dental morphology is an excessively critical step in management of endodontic therapy. [1] The mandibular first molar, the earliest permanent tooth to erupt is assumed to be the tooth that mostly creates need for root canal treatment. The most common root canal morphology of the mandibular first molar is the presence of two canals in the mesial root and one or two cana...

The clinical endodontic breakthrough was progressing from utilizing a long series of stainless steel (SS) hand files and several rotary Gates Glidden drills to integrating nickel titanium (NiTi) files for shaping canals. Regardless of the methods utilized, the mechanical objectives for canal preparation were brilliantly outlined almost 40 years ago by Dr. Herbert Schilder.1 When properly perfor...

The objectives of endodontics are the prevention and cure periapical disease (Apical Periodontitis); which is achieved by cleaning disinfection root canal system subsequent obturation spaces filling with inert materials, avoiding reinfection persistent inflammation [1].

Effective germ elimination during endodontic treatment is absolutely necessary1,2 because treatment failure can often be attributed to the inadequate reduction of germs. The bacterial flora in endodontic infections is related to the flora in the oral cavity and has a bacterial population of between 102 and 107 different germs per infected root canal.3 Since mechanical preparation of the root ca...

Background It is well recognized that disinfection of the complex root canal system at the apical root canal remains the most critical therapeutic measure to treat apical periodontitis. Material and Methods Observational and experimental data in relation to the anatomy of the apical root canal in different tooth types and the cross sectional diameters of the apical part of the most commonly u...

Periapical diseases are induced as a result of the direct or indirect involvement of oral bacteria. The etiologic factor being the degenerating pulp tissue. A periapical lesion is formed within an area of apical periodontitis which cannot form by itself and is inflammatory in origin. If the microbial etiology of periapical lesions and in the root canal is removed by nonsurgical root canal thera...

A successful endodontic treatment depends on appropriate instrumentation, irrigation, decontamination and obturation. Chemomechanical instrumentation removes majority of the infecting bacteria, but this is not achieved completely because of complex root canal anatomy and limitation in accessing the root canal system (Manzur et al., 2007). Persistent endodontic infection might be attributed to t...

This study investigated the antibiofilm and antibacterial effects of farnesol and xylitol in a series of experiments in order to evaluate their potential use as root canal irrigants. The following substances were tested: 0.2% farnesol; 5% and 20% xylitol; 0.2% farnesol plus 20% xylitol; and saline (control). For comparison with an established endodontic irrigant, 2.5% NaOCl was included in each...

Complete debridement, thorough disinfection and optimal sealing of the root canal system are the major challenges associated with endodontic treatment of teeth with open apices. In such teeth, thin radicular dentinal walls are susceptible to fracture. To ensure a better prognosis in such fractured prone thin dentinal walls, internal radicular reinforcement with various adhesive materials like g...