Saliva entering a prepared tooth cavity during root canal treatment poses a clinical risk
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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.
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,
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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 ]
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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
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