Endodontic Success and Failure
It is possible that after conventional endodontic therapy has been completed, little to no resolution of the periapical lesion occurs over a considerable amount of time; there is a great deal of current research that discusses the possible reasons for this outcome and suggests possible treatment options. For example, it has been demonstrated that there is an association between nonresolving apical periodontitis lesions and the presence of cholesterol clefts within the periapical lesion; in fact, an incidence of up to 44% has been reported! It was shown that macrophages joined to form multinucleated giant cells and then produced a well-circumscribed area of tissue reaction, not unlike the granulomatous tissue reactions of a typical foreign body reaction, and persisted for up to 8 months. Similarly, endodontic materials as well as food debris may also be the cause of persistent periapical lesions. It was once shown that contaminated gutta percha resulted in a persistent periapical lesion for more than a decade!
Read more about this topic: Healing Of Periapical Lesions
Famous quotes containing the words success and/or failure:
“I would be glad to worship success if I could find her.”
—Mason Cooley (b. 1927)
“I am dead against art’s being self-expression. I see an inherent failure in any story which fails to detach itself from the author—detach itself in the sense that a well-blown soap-bubble detaches itself from the bowl of the blower’s pipe and spherically takes off into the air as a new, whole, pure, iridescent world. Whereas the ill-blown bubble, as children know, timidly adheres to the bowl’s lip, then either bursts or sinks flatly back again.”
—Elizabeth Bowen (1899–1973)