LSTR 3Mix-MP Klinis evaluasi

Clinical evaluation of endodontic re-treatment using LSTR 3Mix-MP Klinis evaluasi kembali endodontic perawatan menggunakan LSTR 3Mix-MP
T. Takushige, H. Hataoka and M. Ando, CDRG, Sendai, Japan, and E. Hoshino, Niigata University, Japan T. Takushige, H. Hataoka dan M. Ando, CDRG, Sendai, Jepang, dan E. Hoshino, Niigata University, Jepang

Objective: Periradicular lesions generated after previous endodontic treatment are not so rare, and one of the causative factors is bacteria residue in root canal system. Objektif: Periradicular luka dihasilkan setelah sebelumnya endodontic perawatan sehingga tidak jarang, dan salah satu faktor kausatif adalah residu bakteri di kanal akar sistem. 3Mix-MP, a combination of metronidazole, minocycline and ciprofloxacin (3Mix), and macrogol and propylene glycol (MP), has been proved to penetratre efficiently through root canal systems and disinfect lesions. 3Mix-MP, kombinasi metronidazole, minocycline dan ciprofloxacin (3Mix), dan macrogol dan Propylene glycol (MP), telah membuktikan ke penetratre efisien melalui akar kanal sistem dan hama luka. This study aimed to evaluate the therapy for cases with radiolucent periapical lesions, which had been generated after the previous endodontic treatment. Studi ini bertujuan untuk mengevaluasi terapi untuk kasus dengan radiolucent periapical luka, yang telah dihasilkan setelah sebelumnya endodontic perawatan.

Methods: Without removal of previous obturation, 3Mix-MP was placed at orifices of root canals of 101 permanent teeth, and then sealed with glass-ionomer cement and further reinforced with resin/metal inlay cemented with resin. Metode: Tanpa penghapusan pemeropan sebelumnya, 3Mix-MP ditempatkan di kanal orifices akar dari 101 gigi permanen, dan kemudian dimeteraikan dengan kaca-ionomer semen dan lebih dikuatkan dengan resin / logam tatahan cemented dengan resin. Root canal preparation/obturation was not done, and the treatment finished with 1-2 visits. Root canal persiapan / pemeropan tidak dilakukan, dan pengobatan selesai dengan 1-2 kunjungan. Using X-ray photographs taken more than 3 months after the treatment, changes of radiolucent lesions were clinically evaluated. Menggunakan X-ray foto-foto yang diambil lebih dari 3 bulan setelah pengobatan, perubahan radiolucent luka klinis yang dievaluasi. The treatment was designated as LSTR 3Mix-MP NIET, LSTR: Lesion Sterilization and Tissue Repair; NIET: Non-Instrumentation Endodontic Treatment. Perawatan telah ditunjuk sebagai LSTR 3Mix niet-MP, LSTR: jejas sterilisasi dan Tissue Repair; niet: Non-Endodontic Instrumentasi Treatment.

Result: Clinical symptoms, such as pain on bite, swelling, abscess and sinus tract, if any, were improved soon after the treatment in all cases. Hasilnya: gejala klinis, seperti rasa sakit pada gigitan, pembengkakan, abscess sistem dan sinus, jika ada, yang meningkat segera setelah perawatan di semua kasus. Root fracture and post-treatment disorders were not observed, probably because of no mechanical instrumentation to avoid weakening root structure and damaging apical foramen and periapical membrane. Root patah dan pasca perawatan disorders tidak diamati, mungkin karena tidak ada mekanik instrumentasi untuk menghindari melemahnya akar struktur dan merusak apical foramen dan periapical selaput. Radiolucent lesions were completely disappeared in 69 cases, and, thus, evaluated as clinically successful. Radiolucent luka-benar telah hilang dalam 69 kasus, dan, dengan itu, dinilai sebagai klinis berhasil. In 28 cases, lesions were apparently reduced in size, and, thus, evaluated as cases in the process of lesion repair. Dalam 28 kasus, luka itu tampaknya mengurangi ukuran, dan, dengan itu, dinilai sebagai kasus dalam proses perbaikan luka. Thus, 97 cases (96%) were clinically good. Oleh karena itu, 97 kasus (96%) klinis yang baik. However, the lesions were not changing in size in 4 cases, being under observation. Namun, luka yang tidak berubah dalam ukuran 4 kasus, sedang dibawah pengawasan.

Conclusion: Radiolucent lesions were efficiently and successfully retreated using LSTR 3Mix-MP NIET. Kesimpulan: Radiolucent luka yang efisien dan berhasil retreated menggunakan LSTR 3Mix niet-MP.