Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2014, vol. 20, issue 5
Subject Collection: Oral and Dental Medicine
Pages: 601-605
DOI: 10.5272/jimab.2014205.601
Published online: 14 October 2014

J of IMAB 2014 Oct-Dec;20(5):601-605
PERIAPICAL RESORPTIVE PROCESSES IN CHRONIC APICAL PERIODONTITIS: AN OVERVIEW AND DISCUSSION OF THE LITERATURE.
Angela GusiyskaCorresponding Autor.
Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University – Sofia, Bulgaria.

ABSTRACT:
Introduction: Root resorption is a biological phenomenon, characterized by processes of cement and/or dentine depletion, resulting from the physiological or pathological activity of resorptive cells.
Purpose: The aim of this article is to review of the literature on the peculiarities of the periapical resorptive processes.
Conclusion: The absence of a physiological narrowing is challenging to the achievement of satisfactory early and late therapeutic results. It makes probable either the overpressing of necrotic, infected material when preparing the endodontic space or the overpressing of the sealer when sealing the root canal.

Key words: chronic apical periodontitis, external apical resorption, periapical resorption,

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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Gusiyska A. Periapical resorptive processes in chronic apical periodontitis: an overview and discussion of the literature. J of IMAB. 2014 Oct-Dec;20(5):601-605. doi: http://dx.doi.org/10.5272/jimab.2014205.601

Correspondence to: Dr. Angela Gusiyska, PhD, Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University – Sofia; 1, Sv. Georgi Sofiyski Blvd, 1431 Sofia, Bulgaria; E-mail: gusiyska@yahoo.com

REFERENCES:
1. Andreasen JO, Andreasen FM. Textbook and color atlas of traumatic injuries to the teeth. In 3rd ed. St. Louis: Munksgaard&Mosby, 1994; 370-2.
2. Love RM. Enterococcus faecalis – a mechanism for its role in endodontic failure. Int Endod J. 2001 Jul;34(5):399-405. [PubMed] [CrossRef]
3. Gulabivala K, Patel B, Evans G, Ng YL. Effects of mechanical and chemical procedures on root canal surfaces. Endod Topics. 2005 Mar;10(1):103-122. [CrossRef]
4. Kabak Y, Abbott PV. Prevalence of apical periodontitis and the quality of endodontic treatment in an adult Belarusian population. Int Endod J. 2005 Apr;38(4);238-45. [PubMed] [CrossRef]
5. Lana MA, Ribeiro-Sobrinho AP, Stehling R, Garcia GD, Silva BK, Hamdan JS, et al. Microorganisms isolated from root canals presenting necrotic pulp and their drug susceptibility in vitro. Oral Microbiol Immunol. 2001 Apr;16(2):100-105. [PubMed] [CrossRef]
6. Katebzadeh N, Sigurdsson A, Trope M. Radiographic evaluation of periapical healing after obturation of infected root canals: an in vivo study. Int Endod J. 2000 Jan;33(1):60-66. [PubMed] [CrossRef]
7. Pierce A, Berg JO, Lindskog S. Calcitonin as an alternative therapy in the treatment for root resorption. J Endod. 1988 Sep;14(9):459-464. [CrossRef]
8. Felippe MC, Felippe WT, Marques MM, Antoniazzi JH. The effect of renewal of calcium hydroxide paste on the apexification and periapical healing of teeth with incomplete root formation. Int Endod J. 2005 Jul;38(7):436-42. [PubMed] [CrossRef]
9. Çalt S, Serper A. Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. J Endod. 1999 Jun;25(6):431-433. [PubMed] [CrossRef[
10.  Camões IC, Salles MR, Chevitarese O. Ca2+ diffusion through dentin of Ca(OH)2 associated with seven different vehicles. J Endod. 2003 Dec;29(12):822-5. [PubMed]
11. De Rossi AL, Silva A, Leonardo MR, Rocha LB, Rossi MA. Effect of rotary or manual instrumentation, with or without a calcium hydroxide/1% chlorhexidine intracanal dressing, on the healing of experimentally induced chronic periapical lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 May; 99(5):628-636. [PubMed] [CrossRef]
12.  Patel S, Dawood A, Whaites E, Pitt Ford T. New dimensions in endodontic imaging:  part 1. Conventional and alternative radiographic systems. Int Endod J. 2009 Jun;42(6):447-462. [PubMed] [CrossRef]
13.  Ricucci D, Gröndahl K, Bergenholz G. Periapical status of rootfilled teeth exposed to the oral environment by loss of restoration or caries. Oral Surg Oral Med Oral Pathol. 2000 Sep;90(3):354-359. [PubMed] [CrossRef]
14. Bergenholtz G, Spangberg L. Controversies in Endodontics. Crit Rev Oral Biol Med. 2004 Jan 1;15(2):99-114. [PubMed] [CrossRef]
15. Jiang J, Zuo J, Chen SH, Holiday LS. Calcium hydroxide reduces lipopolysaccaride-stimulated osteoclast formation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003 Mar;95(3):348-54. [CrossRef]
16. Stein TJ, Corcoran JF, Park A. Anatomy of the root apex and its histologic changes with age. Oral Surg. 1990 Feb;69(2):238-242. [PubMed]
17. Ørstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system for radiographic assessment of apical periodontitis. Endod Dent Traumatol. 1986 Feb;2(1):20-34. [PubMed]
18. Portenier I, Haapasalo H, Rye A, Waltimo T, Ørstavik D, Haapasalo M. Inactivation of root canal medicaments by dentine, hydroxyapatite and bovine serum albumin. Int Endod J. 2000 Apr;34(3):184-188. [PubMed] [CrossRef]
19. Huumonen S, Ørstavik D. Radiologic aspects of apical periodontitis. Endod Topics. 2002 Mar;1(1):3-25. [CrossRef]
20. Maroto M, Barbería E, Planells P, Vera V. Treatment of non-vital immature incisor with mineral trioxide aggregate (MTA). Dent Traumatology. 2003 Jun;19(3):165-9. [PubMed] [CrossRef]
21. Maggiore F, Jou YT, Kim S. A six canal maxillary first molar: case report. Int Endod J. 2002 May;35(5):486-491. [PubMed] [CrossRef]
22. Nair PN. Pathogenesis of apical periodontitis and the causes of endodontic failures. Crit Rev Oral Biol Med. 2004 Nov 1;15(6):348-81. [PubMed] [CrossRef]
23. Nair PN, Sjögren U, Figdor D, Sundqvist G. Persistent periapical radiolucencies of root-filled human teeth, failed endodontic treatments, and periapical scars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999 May;87(5):617-627. [PubMed] [CrossRef]
24. Ehrmann EH. Endodontology - Biologic Considerations in Endodontic Procedures: S. Seltzer. Australian Endodontic Newsletter. 1990 Apr;15(3):14–15. [CrossRef]
25. Steier L, Steier G, Ozone application in root canal disinfection. In: Lynch E. (ed.). Ozone: The Revolution in Dentistry. Quintessence. 2004; Chapter 4.6.
26. Kulild JC, Peters DD. Incidence and configuration of canal systems in the mesiobuccal root of maxillary first and second molars. J Endod. 1990 Jul;16(7):311-317. [PubMed] [CrossRef]
27. Gorni FG, Gagliani MM. The outcome of endodontic retreatment: a 2-yr follow-up. J Endod. 2004 Jan;30(1):1-4. [PubMed] [CrossRef]
28. Peters LB, Wesselink PR, Buijs JF, van Winkelhoff AJ. Viable Bacteria in root dentinal tubules of teeth with apical periodontitis. J Endod. 2001 Feb;27(2):76-81. [PubMed] [CrossRef]
29. Buchanan LS. The standardized-taper root canal preparation - Part 1. Concepts for variably tapered shaping instruments. Int Endod J. 2000 Nov;33(6):516-29. [PubMed] [CrossRef]
30. Goldberg F, Massone EJ. Patency File and Apical Transportation: An In Vitro Study. J Endod. 2002 Jul;28(7):510-511. [PubMed] [CrossRef]
31. Svensater G, Bergenholtz G. Biofilms in endodontic infections. Endod Topics. 2004; 9:27-36.
32. Nair PN. New perspectives on radicular cysts: do they heal? Int Endod J. 1998 May;31(3):155-160. [PubMed] [CrossRef]
33. Andonovska B, Dimova C, Panov S. Matrix metalloproteinases (MMP-1, -8, -13) in chronic periapical lesions. Vojnosanit Pregl. 2008 Dec;65(12):882-886. [PubMed]
34. Camargo SCC, Gavini G, Aun CE, Waterfield D, Coil JM. Diffusion of calcitonin through the wall of the root canal. Braz Оral Res. 2004; 18(1):59-62.
35. Petrov O, Dyulgerova E, Petrov L, Popova R. Characterization of calcium phosphate phases obtained during the preparation of sintered biphase Ca-P ceramics. Mater Letters. 2001 Apr;48(3-4):162-167. [CrossRef]
36. Vier FV, Figueiredo JA, Lima AA. Morphologic analysis of apicalresorption on human teeth with periapical lesions. ECLER Endod. São Paulo. 2000; 2(3). [http://hdl.handle.net/10923/1010]
37. De Oliveira LD, Jorge AO, Carvalho CA, Koga-Ito CY, Valera MC. In vitro effects of endodontic irrigants on endotoxins in root canals. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Jul;104(1):135-142. [PubMed] [CrossRef]
38. Gomes BP, Ferraz CC, Vianna ME, Rosalen PL, Zaia AA, Teixeira FB, et al. In vitro antimicrobial activity of calcium hydroxide pastes and their vehicles against selected micro-organisms. Braz Dent J. 2002; 13(3):155-161. [PubMed]
39. Kaplan AE, Ormaechea MF, Picca M, Canzobre MC, Ubios AM. Rheological properties and biocompatibility of endodontic sealers. Int Endod J. 2003 Aug;36(8):527-532. [PubMed] [CrossRef]
40. Estrela C, Pesce HF. Chemical analysis of the formation of calcium and hydroxyl ions of calcium hydroxide pastes in the presence of connective tissue of the dog - Part I. Braz Dent J. 1996 Sep;7(1):41-46.
41. de Paula-Silva FW, D'Silva NJ, da Silva LA, Kapila YL. High мatrix мetalloproteinase аctivity is a hallmark of periapical granulomas. J Endod. 2009 Sep;35(9):1234-1242. [PubMed] [CrossRef]
42. Rilling S. The possibilities of medical ozone applications in light of the historical development of ozone therapy. Ozonachrichten. 1983; 2:27-39.
43. Andreasen JO, Farik BE, Munksgaard C. Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Traumatol. 2002 Jun;18(3):134-7. [PubMed]
44. Estrela C, Holland R. Calcium hydroxide: study based on scientific evidences. J Appl Oral Sci. 2003 Oct-Dec;11(4):269-83. [CrossRef]
45. Sabeti MA, Nekofar M, Motahhary P, Ghandi M, Simon JH. Healing of apical periodontitis after endodontic treatment with and without obturation in dogs. J Endod. 2006 Jul;32(7):628–633. [PubMed] [CrossRef]
46. Sjögren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod. 1990 Oct;16(10):498-504. [PubMed] [CrossRef]
47. Soares J, Santos S, César C, Silva P, Sá M, Silveira F, et al. Calcium hydroxide induced apexification with apical root development: a clinical case report. Int. J. Endod. 2008 Aug;41(8):710–719. [PubMed] [CrossRef]
48. Thomas RP, Moule AJ, Bryant R. Root canal morphology of maxillary permanent first molar teeth at various ages. Int J Endod. 1993 Sep;26(5):257-67. [PubMed].

Received: 15 July 2014
Published online: 14 October 2014

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