Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
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ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2014, vol. 51, nr 3, July-September, p. 402–409

Publication type: clinical case

Language: English

Creative Commons BY-NC-ND 3.0 Open Access

PerioFilm Preparation in the Complicated Endodontic Retreatment of a Tooth with Apical Resorption During Orthodontic Therapy

Ocena zastosowania preparatu PerioFilm w powikłanym leczeniu endodontycznym w trakcie leczenia ortodontycznego zęba z zaawansowaną resorpcją wierzchołkową

Katarzyna Banaszek1,A,B,D,E,F, Monika Łysakowska2,B,C,D,E, Jerzy Sokołowski1,E

1 Department of General Dentistry, Chair of Restorative Dentistry, Medical University of Lodz, Lodz, Poland

2 Department of Medical and Sanitary Microbiology, Medical University of Lodz, Lodz, Poland


The article presents the use of the PerioFilm adhesive dressing containing antibiotic piperacillin in the complicated endodontic retreatment of tooth 11 with severe apical resorption and alveolar bone loss in a young patient. Ongoing orthodontic therapy could lead to the loss of the tooth. Due to a suspicion of Enterococcus faecalis infection of the root canal system of tooth 11, additional microbiological examinations of Enterococcus faecalis strains sensitivity to piperacillin were performed. The piperacillin contained in the preparation was compared in vitro to other antibiotics and chemotherapeutics used in the treatment of Enterococcus faecalis infections. The results of the piperacillin action suggest that this antibiotic inhibits the growth of Enterococcus faecalis strains including those which are resistant to the other antibiotics and chemotherapeutics studied. The treatment caused inhibition of the inflammatory process and partial regeneration of the periapical bone tissues. Thus, it seems to be a valuable alternative and effective agent in the treatment of post-endodontic complications caused by Enterococcus faecalis infections.


W pracy przedstawiono przypadek zastosowania preparatu PerioFilm w powikłanym powtarzanym wcześniej leczeniu endodontycznym w trakcie leczenia ortodontycznego zęba 11 z zaawansowaną resorpcją wierzchołkową. Substancją czynną w tym preparacie jest piperacylina, a nośnikiem mieszanka biodegradowalnych żywic. Uzyskano wstępnie dobre wyniki powtórnego leczenia endodontycznego tym preparatem. Ze względu na podejrzenie zakażenia o etiologii Enterococcus faecalis dotyczącego systemu kanałowego zęba 11 zdecydowano się przeprowadzić dodatkowe badania mikrobiologiczne wrażliwości szczepów ziarenkowca Enterococcus faecalis na pieperacylinę i inne chemioterapeutyki. Porównano in vitro działanie piperacyliny wchodzącej w skład preparatu do innych antybiotyków i chemioterapeutyków stosowanych w terapii zakażeń Enterococcus faecalis. Wyniki działania piperacyliny sugerują, że ma działanie hamujące wzrost szczepów Enterococcus faecalis, w tym tych, które są oporne na wiele badanych antybiotyków i chemioterapeutyków, zatem stanowi cenną alternatywę w leczeniu zakażeń w obrębie jamy ustnej powodowanych przez te drobnoustroje. Preparat PerioFilm wydaje się skuteczny w leczeniu powikłań powstałych w leczeniu zespołu endo-perio.

Key words

endo-perio syndrome, antibiotic, PerioFilm, endodontic retreatment, Enterococcus faecalis

Słowa kluczowe

zespół endo-perio, PerioFilm, antybiotyk, leczenie endodontyczne, Enterococcus faecalis

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