Literature DB >> 19166763

Healing kinetics of periapical lesions enhanced by the apexum procedure: a clinical trial.

Zvi Metzger1, Ronen Huber, Dragos Slavescu, Dan Dragomirescu, Idan Tobis, Hadar Better.   

Abstract

The new Apexum procedure (Apexum Ltd, Or-Yehuda, Israel) is based on a minimally invasive removal of periapical chronically inflamed tissues through a root canal access. Its goal is to enhance healing kinetics of periapical lesions. This clinical study was conducted to explore the safety and efficacy of this procedure. The Apexum procedure was applied, as a supplementary step, during conventional root canal treatment in 48 teeth with periapical lesions. Safety and efficacy were clinically and radiographically assessed and teeth of the Apexum-treated group were compared with 39 similar teeth treated by the same endodontic procedure with no additional intervention. No adverse events occurred in either the Apexum-treated or conventional treatment groups. Furthermore, healing kinetics was significantly enhanced in the Apexum-treated group (p < 0.005). At 3 and 6 months, 87% and 95% of the lesions in the Apexum-treated group, respectively, presented advanced or complete healing, whereas only 22% and 39% of the lesions in the conventional treatment group presented this degree of healing at 3 and 6 months, respectively.

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Year:  2008        PMID: 19166763     DOI: 10.1016/j.joen.2008.11.019

Source DB:  PubMed          Journal:  J Endod        ISSN: 0099-2399            Impact factor:   4.171


  7 in total

1.  Effect of Diode Laser on Bacteria Beyond the Apex in Relation to the Size of the Apical Preparation - An In-Vitro Study.

Authors:  Sistla Venkata Jyotsna; Raja Vatsavai Chakradhar Raju; Jaya Prakash Patil; Thakur Veerandar Singh; Neha Bhutani; Shekar Kamishetty; Kiran Ghatole
Journal:  J Clin Diagn Res       Date:  2016-05-01

Review 2.  Endodontic Periapical Lesion: An Overview on the Etiology, Diagnosis and Current Treatment Modalities.

Authors:  Kasra Karamifar; Afsoon Tondari; Mohammad Ali Saghiri
Journal:  Eur Endod J       Date:  2020-07-14

3.  Nonsurgical management of periapical lesions.

Authors:  Marina Fernandes; Ida de Ataide
Journal:  J Conserv Dent       Date:  2010-10

4.  Nonsurgical management of a large periapical lesion using aspiration in combination with a triple antibiotic paste and calcium hydroxide.

Authors:  Marina Fernandes
Journal:  Iran Endod J       Date:  2010-11-15

5.  Inhibition of the CXCL9-CXCR3 axis suppresses the progression of experimental apical periodontitis by blocking macrophage migration and activation.

Authors:  Tatsuya Hasegawa; V Venkata Suresh; Yoshio Yahata; Masato Nakano; Shigeto Suzuki; Shigeki Suzuki; Satoru Yamada; Hideki Kitaura; Itaru Mizoguchi; Yuichiro Noiri; Keisuke Handa; Masahiro Saito
Journal:  Sci Rep       Date:  2021-01-28       Impact factor: 4.379

6.  Effect of apical clearing technique on the treatment outcome of teeth with asymptomatic apical periodontitis: A randomized clinical trial.

Authors:  Priya Mittal; Ajay Logani; Naseem Shah; R M Pandey
Journal:  J Conserv Dent       Date:  2016 Sep-Oct

7.  Apexum: A Minimum Invasive Procedure.

Authors:  Deepak Raisingani
Journal:  Int J Clin Pediatr Dent       Date:  2011-04-15
  7 in total

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