We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Foraminal enlargement: Local and systemic repercussions.
- Authors
MACHADO, Ricardo; COMPARIN, Daniel; AGUIAR, Leticia; Henrique FERRARI, Carlos; Roberti GARCIA, Lucas da Fonseca
- Abstract
Introduction: endodontic infection can reach and even go beyond the apical foramen. Therefore, determining apical constriction as the ideal limit for instrumentation and obturation has been questioned. Intentional foraminal enlargement is performed for the purpose of reducing the microbial contingent to levels more favorable to repair. However, local and systemic repercussions have been associated with this approach. Objectives: to critically review the literature on local and systemic repercussions relative to intentional foraminal enlargement. Methods: in March 2018, an electronic search performed on the PUBMED database using the terms "foraminal enlargement" OR "foraminal widening" OR "apical limit" AND "endodontics" identified 74 scientific articles. These articles, analysis of their references and use of another 5 base articles resulted in the 115 studies used for performing this research. Results: intentional foraminal enlargement cannot always be performed due to the anatomical and morphological conditions. The greater the apical foramen enlargement, the greater the possibility of extrusion of substances and/or materials used to perform endodontic treatment. Intentional foraminal enlargement seems to be contraindicated in patients who are taking or have recently used bisphosphonates, those with coagulation disorders and/or under chronic use of anticoagulants and at high risk for bacteremia. Conclusions: the impacts of intentional foraminal enlargement on the success of endodontic treatment should be investigated. However, the methodological procedures of clinical studies should be carefully designed, especially taking into consideration the systemic conditions of patients who will be part of the sample.
- Subjects
TOOTH roots; BLOOD coagulation disorders; BACTEREMIA; ENDODONTICS; ELECTRONIC information resource searching
- Publication
Dental Press Endodontics, 2021, Vol 11, Issue 1, p78
- ISSN
2178-3713
- Publication type
Article
- DOI
10.14436/2358-2545.11.1.078-083.oar