Management of infected root canals with and without intracanal medicament in conventional root canal therapy: A comparative study

Kranti Prajapati, Neera Joshi

Abstract

Background: The ultimate goal of root canal treatment approaches is to create an environment in which the body’s immune system can produce healing of the apical periodontal attachment apparatus. Thorough debridement and shaping are carried out of root canal system along with using intracanal medicament in adjunct to it. But the use of intracanal medicaments is still debatable. Hence, the aim of this study is to determine the success of root canal without use of intracanal medication.
Method: 61 cases of endodontically involved infected teeth were studied. 31 of them were treated by conventional root canal treatment without using intracanal medicaments (non-ICM group) and 30 were treated with intracanal medicament (ICM group). At 6 and 12 months after treatment, clinical signs with or without periapical radiograph were recorded for success and failures.
Results: 87.11% was the success in Non-ICM group (n=31), whereas 90% was the success in ICM group (n=30). Statistical analysis with Chi square tests and Fischer's exact tests showed that the success is not significant between the groups (p>0.05).
Conclusion: Non ICM group presented no significant differences in clinical and radiological findings in comparison to ICM groups.

Keywords

calcium hydroxide, cleaning and shaping, healing, intracanal medicament

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