Objective—To evaluate results of root canal treatment
Sample Population—127 tooth roots in 64 dogs.
Procedure—Radiographs obtained before surgery,
immediately after surgery, and during follow-up
examinations after surgery were evaluated by 2 individuals.
Treatment was considered successful if the
periodontal ligament space was normal and possible
preoperative root resorption, if present, had ceased.
Treatment was considered to show no evidence of
failure if possible preoperative root resorption had
ceased but a preexisting periapical lesion had
remained the same or only decreased in size and not
complete resolved. Treatment was considered to
have failed if a periapical lesion or root resorption
developed subsequent to endodontic treatment, if a
preexisting periapical lesion had increased in size, or
if possible preoperative root resorption appeared to
continue after endodontic treatment.
Results—Follow-up time ranged from 1 to 60 months
(mean, 13 months). Treatment was classified as successful
for 87 (69%) roots, as showing no evidence of
failure for 33 (26%) roots, and as having failed for 7
(6%) roots. The success rate was lower for canine
teeth than for maxillary fourth premolar teeth. Roots
with a preexisting periapical lucency or preexisting
root resorption had lower success rates. The use of
intracanal medication and the method and quality of
obturation were not associated with outcome.
Conclusions and Clinical Relevance—Results suggest
that root canal treatment offers a viable option
for salvage of periodontally sound but endodontically
diseased teeth in dogs. (J Am Vet Med Assoc
Objective—To evaluate factors associated with the outcome of vital pulp therapy (VPT) in dogs.
Sample—190 teeth in 138 dogs.
Procedures—Medical records were reviewed; radiographs obtained before, immediately after, and during the last available follow-up examination for VPT were evaluated. Treatment was categorized as successful (with radiographic evidence of continued secondary dentin production, continued root formation in immature teeth, and absence of clinical and radiographic signs of apical periodontitis and internal or external inflammatory root resorption), having no evidence of failure (with signs for success fulfilled except the width of the apical periodontal ligament space, which could be wider than but no more than double the width of the periodontal ligament space in other areas), or failed (with radiographic evidence of pulp necrosis, apical periodontitis, or inflammatory root resorption). Associations between diagnostic or treatment-related variables and outcome were assessed with multinomial logistic regression.
Results—Overall, treatment was classified as successful for 162 of 190 (85%) teeth, including 23 (12%) teeth with no evidence of failure, and as having failed for 28 (15%) teeth. The overall success rate was 137 of 149 (92%) for teeth treated with mineral trioxide aggregate alone and 21 of 36 (58%) for teeth treated with Ca(OH)2 alone. Use of Ca(OH)2 and deep penetration of dressing material into the vital pulp were each significantly associated with increased odds of treatment failure.
Conclusions and Clinical Relevance—Results indicated that VPT with mineral trioxide aggregate was an effective option for use in crown reduction to treat malocclusion and for treatment of recent crown fractures in immature or mature permanent teeth.
Objective—To document the short- and long-term outcomes of surgical endodontic treatment in dogs in a clinical setting.
Design—Retrospective case series.
Animals—15 dogs that underwent surgical endodontic treatment.
Procedures—Medical records of dogs that underwent surgical endodontic treatment at 3 institutions from January 1995 to December 2011 were reviewed. Information extracted included signalment, history, initial clinical signs, physical and radiographic examination findings, treatment, and outcome. Outcome was determined through evaluation of the pre- and postoperative radiographs as well as clinical and radiographic findings at follow-up evaluations. On the basis of radiographic findings, treatment was considered successful if the periapical lesion and bone defect created by surgery had completely healed and no new root resorption was detected; a treatment was considered to have no evidence of failure if the periapical lesion remained the same or had not completely resolved and root resorption was static.
Results—15 dogs were treated by means of apicoectomy and retrograde filling following a failed or complicated orthograde root canal treatment. The mean long-term follow-up time was 15.2 months (range, 3 to 50 months). On radiographic evaluation, 10 of 15 dogs had successful resolution of the periapical disease; 5 dogs had no radiographic evidence of failure of endodontic treatment. All dogs were considered to have a successful clinical outcome.
Conclusions and Clinical Relevance—Surgical endodontic treatment was an effective option for salvaging endodontically diseased but periodontally healthy teeth of dogs in which orthograde treatment was unsuccessful and nonsurgical retreatment was unlikely to succeed.