Wednesday, October 22, 2014

Effect of endodontic therapy

Endodontic therapy involving obturation with gutta-percha or 
the placement of calcium hydroxide dressings
at the time of replantation delays periodontal healing
and hastens replacement resorption in mature teeth.
Endodontic therapy should be delayed until the initial
period of soft tissue healing takes place.

However,since revascularization rarely occurs in mature teeth,
and as pulp necrosis contributes to inflammatory root
resorption, it has been recommended that in mature
teeth pulps should be extirpated as soon as possible


or after initial periodontal healing has occurred (seven to
10 days).

Recently, Bryson et al .have suggested
that pulps in avulsed, mature teeth should be removed
immediately after the teeth are repositioned and that an
intracanal dressing with a corticosteroid/antibiotic
paste should be placed in order to prevent the initiation
of inflammatory root resorption.