ASSESSMENT OF ENDODONTIC IRRIGANTS USED IN THE MANAGEMENT OF OPEN APEX CASES - A RETROSPECTIVE STUDY

Normal physiological root end closure plays a significant role in development of the tooth.When this normal physiological root end closure does not occur it leads to incomplete root end closure where the walls of radicular dentine are parallel to each other. In the field of endodontics these cases are termed as open apex cases. Open apex cases are mostly having a history of trauma associated previously.Open apex cases are a challenge to deal in the field of endodontics as after trauma without the formation of complete root or without the closure of the apical barrier the infection caused due to pulpal necrosis.The following study deals with the association between the various kinds of endodontic irrigants used in management of open apex cases.This university based study involved collection of data from the hospital based records were 86000 patients case records were assessed.After analysing the data of 43 patients who had undergone treatment for 55 open apex cases were analysed .The data was compiled and tabulated in Microsoft Excel and exported to IBM SPSS 20. Data was represented through frequency distribution tables and Chi square tests were performed to compare the various endodontic irrigant used for the management of open apex cases. Maximum number of open cases were reported in the age group of 11-20 yrs (48.84%) .Prevalence of open apex was more in males (63.72%).Maximum number of open apex cases are seen in 11 & 21 (74.55%) and the least being 36,46 (1.82%).Association between teeth with open apex and the irrigants used revealed that most commonly used irrigant was saline and there was no statistical significant difference between the types of irrigants used in the management of open apex cases.