Periapical lesions after endodontic treatment
Diwuy, Nicolas Daniel Maurice
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Background: Inflammation of a tooth can lead to periapical disease. The main objective of endodontic treatment is to clean and fill the root canal to heal the periapical inflammation. The treatment is not 100% successful, and knowledge of the lesions must be thorough. Aim: The aim of this study is to observe the dynamism of periapical lesions undergoing endodontic treatment. Materials and methods: For the realization of this integrative systematic review, we did a bibliographic search on the platform PUBMED. After applying the inclusion and exclusion criteria, we have obtained a corpus of 11 studies. Results: 5 studies (45,5%) were about composition of periapical lesions, 3 studies (27,3%) were about progression of periapical lesions, 2 studies (18,2%) were about the measures of periapical lesions, 1 study (9,1%) was about the relationship between treatment and periapical lesions. Discussion: Bacteria and microorganisms in the infected area have a strong association with the dynamism of a lesion. Studies show that bacteria are associated with several symptoms and pathogenicity. The probabilities made on the progression of the lesion is important to judge the endodontic treatment and to understand the possible causes of failures. Different techniques are used to quantify the microorganisms in the lesions and study their measurements. Conclusion: Improved techniques for the study and radiology of lesions will allow for more effective treatment and early diagnosis, thus avoiding pain and other strains on the patient and the practitioner.