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Calcium Hydroxide as Intracanal Dressing for Teeth With Apical Periodontitis
Rood canal infection and periap disease are are caused by bacteria and their products. Long term infection my spead bacteria throughout the root canal system. Apical periodontitis caused by infectious microba that persistent in root canalds cancause radigraphic and histopathology periapical changes. Chemomechanical preparation and intracanal dressing then are recommended to be conducted and ased in between visits to eliminate microbes in root canals. Calcium hydroside (Co(oH2) can be used as intraanal dressing since it can be used as musical physical defense barrier to eliminate re-infection in root canal and todisturb nutrition supply for bacterial development. The aim of this study is observe the effectveness of Ca(OH)₂ in treating endodotis teeth with apical periodontitis. Case 1 and 3 are about patients whose left posterior mandibular teeth had spontaneous intermittent pain. Case 2 is about a patient whose left posterior maxillary teeth had gingival abscess and fracture history. Based on the radiographic examination. It was known that the filing of root canal was incomplete and thre was radiolucency in the apical area. The cases were treated with trial endodontic’s, which envolves preparation, disinfection by using 2.5%NaOCI as irrigation substance and calcium hyroxide as intracanal dressing, and then the fillling of root canal with gutta percha and endomethasone root canal cement. Evaluations were dunducted one month, 12 month, and 24 months after the treatment. Calcium hydroxide is effective to be used as intracanal dressing in apical periodontitis cases.
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