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An etiology and a treatment of a refractory apical periodontitis

Research Project

Project/Area Number 07307019
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section総合
Research Field Conservative dentistry
Research InstitutionKyushu University

Principal Investigator

MAEDA Katsumasa  Kyusyu Univ., Dentistry, Professor, 歯学部, 教授 (00117243)

Co-Investigator(Kenkyū-buntansha) NISHIKAWA Hirofumi  Meikai Univ., Dentistry, Professor, 歯学部, 教授 (90049388)
OZAWA Toshiko  Tsurumi Univ., Dentistry, Assistant Professor, 歯学部, 講師 (10139610)
SUDA Hideaki  Tokyo Dental and Medical Univ., Dentistry, Professor, 歯学部, 教授 (00114760)
SHIMAUCHI Hidetoshi  Osaka Univ., Dentistry, Assistant Professor, 歯学部, 講師 (70187425)
YOSHIDA Harushi  Nagasaki Univ., Dentistry, Assistant Professor, 歯学部, 講師 (40166963)
Project Period (FY) 1995 – 1996
Project Status Completed (Fiscal Year 1996)
Budget Amount *help
¥15,900,000 (Direct Cost: ¥15,900,000)
Fiscal Year 1996: ¥5,700,000 (Direct Cost: ¥5,700,000)
Fiscal Year 1995: ¥10,200,000 (Direct Cost: ¥10,200,000)
Keywordsrefractory / endodontic treatment / interleukin-1 / prostaglandin E_2 / calcium hydroxide / metronidazole / ciprofloxacin / minocycline / 炎症性サイトカイン / 病原性細菌 / ペプチド含有神経 / シアノアクレート系セメント
Research Abstract

Summary of this project's results was as follows,
(1) Classification and diagnosis of a refractory apical periodontitis.
It was shown that the important etiological factor of the refractory apical periodontitis was an irregularity of a root canal in the portion of the root apex. A fiberscope was newly designed and clinically applied to observe periapical tissues and root surfaces involved in periodontal disease. An efficiency of fiberscopic observation was demonstrated as an useful diagnostic procedure.
(2) Pathogenesis of a refractory apical periodontitis.
A sensitive detection method for the bacteria in root canal by the polymerase chain reaction (PCR) was developed. The prevalence and localization of bacteria invading dentinal tubles of the roots of teeth with infected canals were examined. Seventy-five percent of the examined teeth showed the invasion of bacteria into the dentinal tubles of the roots. At the site of chronic apical periodontitis region, and inflammatory cytokine (Interleukin 1) and prostaglandin E_2 were detected. These results suggested that the inflammatory mediators were closely related with the presence of clinical symptoms.
(3) Treatments for a refractory apical periodontitis.
A mixture of ciprofloxacin, metronidazole and minocycline was effective against the bacteria taken from infected root dentine and periapical lesions. The intracanal dressing of calcium hydroxide paste was also effective in a treatment of a refractory apical periodontitis. And also, a mixture of antimicrobial agent and calcium hydroxide was effective in this case. Among several dental filling materials, 4-meta resin and light-cured composite resin stimulated the ideal restoration at the apicoectomised portion.

Report

(3 results)
  • 1996 Annual Research Report   Final Research Report Summary
  • 1995 Annual Research Report
  • Research Products

    (41 results)

All Other

All Publications (41 results)

  • [Publications] 西川博文: "歯内療法における難治症例の原因別分類とその対処法" 日本歯科保存学雑誌. (in press,1997).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Shimauchi H.: "The change of periapical exudate prostaglandin E_2 levels during root canal treatment" Journal of Endodontics. 23(in press). (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Nagaoka S.: "Interleukin-8 gene expression by human dental pulp fibroblast in cultures stimulated with Prevotella intermedia lipopolysaccharide" Journal of Endodontics. 22(1). 9-12 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] H.Arai: "Host defensive function in a family manifesting early-onset periodontitis" Journal of Periodontology. 67. 433-442 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] M.Nakagawa: "Immunological,genetic,and microbiological study of family members manifesting early-onset periodontitis" Journal of Periodontology. 67. 254-263 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 八巻恵子: "根管貼薬用水酸化カルシウム糊剤の性状について-基剤としての生理食塩水,プロピレングリコール,グリセリンの比較-" 日本歯科保存学雑誌. 39(2). 404-410 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] E.Hoshino: "In-vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of ciprofloxacin,metronidazole and minocycline" International Endodontic Journal. 29(2). 125-130 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Takayama S.: "Relationship between prostaglandin E_2 concentrations in periapical exudates from root canals clinical findings of periapical periodontitis" Journal of Endodontics. 22(12). 677-680 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Anan H.: "Effects of a combination of an antibacterial agent (ofloxacin) and a collagenase inhibitor (FN-439) on the healing of rat periapical lesions" Journal of Endodontics. 22(12). 668-673 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Shimauchi H: "Development of a quantitative sampling method for periapical exudates from human root canals" Journal of Endodontics. 22(11). 612-615 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] I.Yoshida-Minami: "Clinical,microbiological and host defense parameters associated with a case of localized prepubertal periodontitis" Journal of Clinical Periodontology. 22. 56-62 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 長岡成孝: "難治性根尖性歯周炎と炎症性サイトカイン" 日本臨床歯内療法学会雑誌. 16(1). 126-130 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] M.Kawanami: "Bacterial Attachment on Outer Root Apex Surface in Periapical Periodontitis" Journal of Dental Research. 74. 551-551 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 興地隆史: "ラット実験的根尖病変における神経ならびにマクロファージの分布の関連に関する免疫組織化学的研究" 日本歯科保存学雑誌. 38. 938-945 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 小澤寿子: "拡大困難な根管に関する基礎的研究" 日本歯科保存学雑誌. 38. 762-769 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Shimauchi H,Takayama S,Miki Y and Okada H.: "The change of periapical exudate prostaglandin E_2 levels during root canal treatment" Journal of Endodontics. 23(in press). (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Nagaoka S,Tokuda M,Sakuta T,Taketoshi Y,Tamura M,Takada H and Kawagoe M: "Interleukin-8 gene expression by human dental pulp fibroblast in cultures stimulated with Prevotella intermedia lipopolysaccharide" Journal of Endodontics. 22(1). 9-12 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] H.Arai, T.Chihara, K.Takahashi, A.Nagai, I.Akutsu, S.Takashiba, F.Nishimura, H.Kurihara and Y.Murayama: "Host defensive function in a family manifesting early-onset periodontitis" Journal of Periodontology. 67. 433-442 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] M.Nakagawa, H.Kurihara, F.Nishimura, O.Isoshima, H.Arai, K.Sawada, A.Nagai and Y.Murayama: "Immunological, genetic, and microbiological study of family members manifesting early-onset periodontitis" Journal of Periodontology. 67. 254-263 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] E.Hoshino, N.Ando-Kurihara, I.Sato, H.Uematsu, M.Sato, K.Kota and M.Iwaku: "In-vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of ciprofloxacin, metronidazole and minocycline" International Endodontic Journal. 29(2). 125-130 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Takayama S,Miki Y,Shimauchi H and Okada H.: "Relationship between prostaglandin E_2 concentrations in periapical exudates from root canals and clinical findings of periapical periodontitis" Journal of Endodontics. 22(12). 677-680 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Anan H,Matsumoto A,Hamachi T,Yoshimine Y,Morita Y and Maeda K.: "Effects of a combination of an antibacterial agent (ofloxacin) and a collagenase inhibitor (FN-439) on the healing of rat periapical lesions" Journal of Endodontics. 22(12). 668-673 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Shimauchi H,Miki Y,Takayama S,Imai T and Okada H.: "Development of a quantitative sampling method for periapical exudates from human root canals" Journal of Endodontics. 22(11). 612-615 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] I.Yoshida-Minami, K.Kishimoto, A.Suzuki, T.Fujiwara, S.Shintani, I.Morisaki, S.Sobue, M.Miyamoto, A.Nagai, H.Kurihara, Y.Murayama and T.Ohshima: "Clinical, microbiological and host defense parameters associated with a case of localized prepubertal periodontitis" Journal of Clinical Periodontology. 22. 56-62 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 西川博文: "歯内療法における難治症例の原因別分類とその対処法" 日本歯科保存学雑誌,in press,1997:.

    • Related Report
      1996 Annual Research Report
  • [Publications] Shimauchi H.: "The change of periapical exudate prostaglandin E_2 levels during root canal treatment" Journal of Endodontics. 23(in press). (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] Nagaoka S.: "Interleukin-8 gene expression by human dental pulp fibroblast in cultures stimulated with Prevotella intermedia lipopolysaccharide" Journal of Endodontics. 22(1). 9-12 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] H.Arai: "Host defensive function in a family manifesting early-onset periodontitis" Journal of Periodontology. 67. 433-442 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] M.Nakagawa: "Immunological,genetic,and microbiological study of family members manifesting early-onset periodontitis" Journal of Periodontology. 67. 254-263 (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] 八巻恵子: "根管貼薬用水酸化カルシウム糊剤の性状について-基剤としての生理食塩水,プロピレングリコール,グリセリンの比較-" 日本歯科保存学雑誌. 39(2). 404-410 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] E.Hoshino: "In-vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of ciprofloxacin,metronidazole and minocycline" International Endodontic Journal. 29(2). 125-130 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Takayama S.: "Relationship between prostaglandin E_2 concentrations in periapical exudates from root canals and clinical findings of periapical periodontitis" Journal of Endodontics. 22(12). 677-680 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Anan H.: "Effects of a combination of an antibacterial agent(ofloxacin)and a collagenase inhibitor(FN-439)on the healing of rat periapical lesions" Journal of Endodontics. 22(12). 668-673 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Shimauchi H.: "Development of a quantitative sampling method for periapical exudates from human root canals" Journal of Endodontics. 22(11). 612-615 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] I.Yoshida-Minami: "Clinical,microbiological and host defense parameters associated with a case of localized prepubertal periodontitis" Journal of Clinical Periodontology. 22. 56-62 (1995)

    • Related Report
      1996 Annual Research Report
  • [Publications] Hisashi Anan: "Effects of a combination of an antibacterial agent(Ofloxacin) and a collagenase inhibitor(FN-439) on the healing of rat periapical lesions" Journal of Endodontics, in press.

    • Related Report
      1995 Annual Research Report
  • [Publications] Hidetoshi Shimauchi: "Development of a quantitative sampling method of periapical exudates from human root canals" Journal of Endodontics. 22. in press (1996)

    • Related Report
      1995 Annual Research Report
  • [Publications] M. Kawanami: "Bacterial Attachment of Outer Root Apex Surface in Periapical Periodontitis" Journal of Dental Research. 74. 551-551 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 興地隆史: "ラット実験的根尖病変における神経ならびにマクロファージの分布の関連に関する免疫組織化学的研究" 日本歯科保存学雑誌. 38. 938-945 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 長岡成孝: "難治性根尖性歯周炎と炎症性サイトカイン" 日歯内療誌. 16. 126-130 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 小澤寿子: "拡大困難な根管に関する基礎的研究" 日本歯科保存学雑誌. 38. 762-769 (1995)

    • Related Report
      1995 Annual Research Report

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Published: 1995-04-01   Modified: 2016-04-21  

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