SP-27 Host Factors Influencing outcome of apical Periodontitis: Can We Act on Them?
CE Hours: 0.75
Description: Apical periodontitis (AP) is the inflammatory response to the endodontic infection advancing within the root canal, and is normally resolved with a correct instrumentation, disinfection and obturation of the endodontic system.
Nevertheless, according to recent reports, the incidence of persistent AP (PAP) in treated teeth is increasing. The most important clinical factors related to persistent AP, have to do with residual infection in uninstrumented volumes of the root canals. In recent years, it has become evident that also systemic conditions affecting the patients, on one hand, and individual genetic predisposition to sustain a stronger immune-inflammatory response, on the other hand, may influence the development and presentation of AP and its healing response to endodontic treatment.
Taking into account the patient's health may help predicting the outcome of endodontic treatment, future protocols may enhance healing by complementing treatment of AP with medications.
Learning Objectives:
- Explain the increased prevalence of AP and of persistent AP in the western world
- Describe impact of some autoimmune diseases, and of the individual immune system on the development, presentation and healing of apical periodontitis
- Evaluate the impact of immune-modulatory drugs and of of other medications on healing of apical periodontitis
Key:
Complete
Next
Failed
Available
Locked
Elisabetta Cotti, D.D.S., M.S.
Elisabetta Cotti, DDS, MS, received her DDS from the University of Cagliari – Italy and the specialty and MS in Endodontics from the University of Loma Linda- California. She is Full Professor of Conservative Dentistry and Endodontics, and the Chairman of the Department of Conservative Dentistry and Endodontics at the School of Dentistry, University of Cagliari- Italy. She is currently the Director of the Post Graduate programme (Master) in Clinical Endodontics at the University of Cagliari. She teaches in the Advanced Education Programs in Endodontics at the University of Bologna and she is lecturer in the Department of Endodontics at Loma Linda University, USA. She is the Treasuree for IFEA, active member of the AAE, of the Italian Association of Endodontics (SIE), Italian Academy of Endodontics (AIE), of the European Association (ESE). She is the Past President of the Italian Society of Dental Traumatology (SIDT). She practices limited to Endodontics, She is author of several articles and chapters in the field of Endodontics with has a specific interest in apical periodontit
