SP-31 Factors Influencing Healing of Apical Periodontitis: From the Clinics to the Host Response
CE: 0.75
Course Description:
Persistent apical periodontitis (AP) creates a clinical dilemma. AP is the most important factor to influence the success of endodontic treatment. Under controlled clinical conditions, in the presence of AP, the potential for a favorable outcome for primary and secondary root canal treatment (RCT) is 75% to 80%. The size of the lesions, presence of sinus tracts or perforations, quality of filling and coronal restoration has an influence on the treatment outcome almost as the health and conditions of the immune system of the patient. Furthermore, genetic polymorphism and biologic modifiers put patients at risk for severe responses to endodontic infection and higher susceptibility to persistent AP by creating a stronger immune-inflammatory reaction at the periapex of a tooth. These conditions should be addressed to the endodontists to enable them to alter treatment and expectations consequently, and to use new protocols when needed. Last, it may be hypothesized that, in addition to the proper antibacterial approach, the modulation of host immune response may enhance healing of AP.
At the conclusion, participants should be able to:
- Review the most important clinical factors affecting the outcome of root canal treatment.
- Discuss which is the impact of the immune system of the patient, of medications and of some systemic diseases, on persistent apical periodontitis.
- Choose the opportunity of using dedicated protocols for the management of apical periodontitis in immune compromised patients, and evaluate future treatment options for the treatment of persistent AP.
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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
Elisabetta Cotti, D.D.S., M.S.
I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated: American Society for Asset Protection (Self) : Honorarium (Status: Ongoing)
