GOMES, T. C.; http://lattes.cnpq.br/0674704286864088; GOMES, Talita Correia.
Resumen:
The present study aimed to evaluate through clinical and radiographic examination
the evolution and success index of the endodontic treatment performed using the
apical foramen enlargement technique. It is an observational, cross-sectional,
descriptive study that, through the analysis of 450 records, 202 patients met all the
inclusion criteria and were selected for the study, of which 41 attended for
participation in the study. All were submitted to clinical and radiographic examination
for the analysis of each case, which presented a proservation time varying between
2-5 years. The data were cataloged and the final and proservation radiographs were
evaluated by three examiners, who followed the periapical evaluation index (PI)
score. The index rated the degree of cured and uncured teeth, indicating the
percentage of success or failure before the operative technique involving foraminal
enlargement during endodontic shaping. From the sample (N = 41), 36 elements
obtained cure outcome and only 5 were finished as uncured. The treatments with
diagnosis of vital pulp tissue showed 98% success. While the cases with present
infection obtained 76,47% of success. In the cases of necrotic pulp with or without
periradicular alteration, the majority obtained final success. It can be concluded that
the foraminal enlargement technique allowed an expressive success rate,
independent of the contamination or not in the root canal system for the evaluated
teeth.