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the claim
Saliva entering a prepared tooth cavity during root canal treatment poses a clinical risk
the verdict
SUPPORTED
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refutedsupported
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Retrieved literature indicates that human saliva exposure leads to the rapid recontamination of root canals and acts as a risk factor for endodontic infections.

Evidence for · 2
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of root fillings and the reactions of periradicular tissues 15 . Magura, et al. 11 (1991) evaluated root canals filled and exposed to the oral environment for three months and suggested retreatment of the root canals. This result is in accordance with the results of the present study, in which the recontamination of root canals without the protection of a coronal restoration and complete filling of the root canal occurred in less than one week. Furthermore, 70% of the root canals that received an intracanal post cemented with resin cement experienced recontamination after 29 days. However, clinically determining whether contact between saliva and the periradicular tissues continues to contraindicate the definitive dental restoration of a tooth whose root canals remained exposed to the oral cavity for a short period remains impossible 14 . Hence, new studies are extremely important to estimate when a retreatment is necessary for teeth exposed to the buccal cavity. CONCLUSION This study showed that root canals with an intracanal post become recontaminated when exposed to fresh human saliva in a short period. REFERENCES 1. Aminsobhani M, Ghorbanzadeh A, Bolhari B, Shokouhinejad N, Ghabraei S, Assadian H, et al. Coronal microleakage in root canals obturated with lateral compaction, warm vertical compaction and guttaflow system. Iran Endod J. 2010;5:83–87. [ PMC free article ] [ PubMed ] [ Google Scholar ] 2. Eldeniz AU, Ørstavik D. A laboratory assessment of coronal bacterial leakage in root canals filled with new and conventional sealers. Int Endod J. 2009;42:303–312. doi: 10.1111/j.1365-2591.2008.01509.x. [ DOI ] [ PubMed ] [ Google Scholar ] 3. Eriksen HM, Kirkevang L-L, Petersson K. Endodontic epidemiology and treatment outcome: general considerations. Endodontic Topics. 2002;2:1–9. [ Google Scholar ] 4. Fleming CH, Litaker MS, Alley LW, Eleazer PD. Comparison of classic endodontic techniques versus contemporary techniques on endodontic treatment success. J Endod. 2
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Frontiers | The presence of Enterococcus faecalis in saliva as a risk factor for endodontic infection 0.95). Conclusion: This pilot study confirms the role of E. faecalis in developing peri-radicular lesions in secondary endodontic infections and suggests that saliva could be the main source of infection. Further studies are needed to investigate the exact origin of this bacteria and its true role in the pathogenesis of secondary/persistent endodontic infections."> #### Bacteria and Host Published inFrontiers in Cellular and Infection Microbiology 4.8 impact factor9 citescore ## ORIGINAL RESEARCH article Front. Cell. Infect. Microbiol., 06 April 2023 Sec. Bacteria and Host Volume 13 - 2023 | https://doi.org/10.3389/fcimb.2023.1061645 # The presence of Enterococcus faecalis in saliva as a risk factor for endodontic infection 1. Unit of Periodontology, Endodontic and Restorative Dentistry, Department of Medical Biotechnology, University of Siena, Siena, Italy 2. Department of Endodontics, Faculty of Dentistry, Mansoura University, Mansoura, Egypt 3. Faculty of Dentistry, The University of Hong Kong, Sai Ying Pun, Hong Kong, Hong Kong SAR, China - See more Article metrics
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  1. Coronal microleakage of endodontically treated teeth with intracanal post exposed to fresh human saliva - PMCofficial-recordno side taken
  2. The presence of Enterococcus faecalis in saliva as a risk ...referenceno side taken
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