Unlabelled: Differentiating orofacial odontogenic pain/disorders from pain/disorders associated with maxillary sinusitis is important to avoid unnecessary dentalprocedures and to properly refer patients to colleagues/dentists and vice versa.
Aim: To analyze the association between apical lesions and sinus changes and to evaluate the agreement between the diagnoses of an endodontist, a radiologist, an oral and maxillofacial surgeon, and an otolaryngologist.
Materials And Method: 385 axial, coronal, and sagittal MSCT scans were selected using an image archiving andcommunication system (PACS).
Unlabelled: Knowledge of root canal internal anatomy and its variations is important forproper endodontic treatment. It is therefore necessary to investigate morphological aspects among different dental groups in the same patient to define the best protocol for the case.
Aim: To evaluate the morphology and symmetry of homologous incisors, premolars and mandibular molars using cone beam computed tomography (CBCT).
Context: Postoperative pain control after endodontic treatment is important to maintain patient comfort.
Aim: The aim of this prospective clinical study was to evaluate the postoperative symptomatology of endodontic treatments performed in a single session, with or without photodynamic therapy (PDT), using Reciproc #40 file in necrotic unirradicular anterior teeth.
Materials And Methods: In a prospective clinical study, 40 teeth indicated for endodontic treatment were treated by a single endodontist according to a preestablished protocol.
J Conserv Dent
January 2019
Context: The use of chemicals solutions and means of activation is of utmost importance in endodontic treatment.
Aims: This study compared three activation techniques used in the final irrigation of the endodontic treatment.
Subjects And Methods: Eighty uniradicular teeth were instrumented with the Protaper Universal system up to F4 file.
The aim of this study was to evaluate the cytotoxic effects of 2. 5% sodium hypochlorite (NaOCl), 17% ethylenediamine tetraacetic acid (EDTA), and 1% peracetic acid (PAA) on human fibroblasts. FG11 and FG15 cell lines were cultured in 24-well cell culture plates for cell proliferation assessment and 96-well cell culture plates for the methylthiazolyldiphenyl-tetrazolium bromide (MTT) assay; Dulbecco's modified Eagle's medium (DMEM) was used as control data.
View Article and Find Full Text PDFEndodontic retreatment requires complete removal of the filling material and access to the apical foramen. The purpose of this study was to evaluate the effectiveness of the Wave One reciprocating system and compare it to the ProTaper D rotarysystem, with or without the use of a solvent, in removing filling material from root canals. The time required for each filling removal technique employed was also determined and compared.
View Article and Find Full Text PDFObjective: To compare cleaning effectiveness by histological analysis of a reciprocating single-file system with ProTaper rotary instruments during the preparation of curved root canals in extracted teeth.
Methods: A total of 40 root canals with curvatures ranging between 20 - 40 degrees were divided into two groups of 20 canals. Canals were prepared to the following apical sizes: Reciproc size 25 (n=20); ProTaper: F2 (n=20).
Introduction: Glide path preparation has been recommended as a mandatory clinical step to ensure the safe usage of nickel-titanium (NiTi) rotary instruments. This study aimed to evaluate the effectiveness and fracture rate of 4 pathfinding NiTi rotary instruments in mechanically negotiating moderately curved molar canals.
Methods: Moderately curved maxillary (n = 120) and mandibular (n = 120) molars were randomly distributed into 4 experimental groups (n = 60, 30 maxillary and 30 mandibular molars) according to the instrument used for glide path preparation: ScoutRace 10/.
J Contemp Dent Pract
January 2016
Aim: The aim of this study is to evaluate the impact of endodontic retreatment on push-out bond strength and dentin interface of two resin cements used for fiber postcementation during endodontic retreatment.
Materials And Methods: The root canals of 40 extracted human canines were prepared, obturated and divided into four groups (n = 10). Gutta-percha was partially removed and fiber posts were immediately cemented in groups 1 and 2 using Panavia F with ED Primer and RelyX™ U200, respectively.
Gen Dent
February 2017
Resin-based restorative materials, widely used to cement posts, may be influenced by irrigants used during endodontic chemical-mechanical preparation. This study evaluated the impact of endodontic irrigating solutions and adhesive cement systems on the push-out shear bond strength of glass fiber posts to root dentin. Ninety-six bovine incisors were divided into 12 groups (4 irrigants × 3 resin cements; n = 8).
View Article and Find Full Text PDFGuttaCore is a new cross-linked gutta-percha carrier. Its handling time and ease of removal were compared with those of a plastic carrier (Thermafil) and the continuous wave of condensation technique (control). Forty-five maxillary central incisors were randomly divided 3 groups according to filling technique and retreatment was carried out in all samples with NiTi rotary files, hand files and ultrasonic inserts.
View Article and Find Full Text PDFIntroduction: The purpose of this study was to evaluate the relationship between periapical status and the quality of coronal restoration and of root canal filling, assessed both clinically and radiographically, in a cohort of Brazilian patients.
Methods: A total of 523 teeth from 337 patients submitted to endodontic treatment were clinically and radiographically reexamined 2-10 years postoperatively. Restoration and root canal filling quality were classified according to modified criteria from Tronstad et al.
Aim: This study evaluated the efficiency and effectiveness of three glass fiber post removal techniques.
Materials And Methods: Forty-five extracted maxillary teeth were endodontically treated and cross-sectioned in thirds. Presence of cementing agent and dental structure wear were assessed by analyzing images taken before luting of glass fiber post and after removal procedure.
J Endod
July 2014
Introduction: The aim of this study was to evaluate the efficacy of nickel-titanium reciprocating instrument techniques and passive ultrasonic irrigation (PUI) for retreatment in curved canals and obturated with correspondent single cones.
Methods: Twenty molars were selected with mesial-buccal canals with curvatures between 20° and 40°, and they were instrumented with a Reciproc R25 instrument (VDW, Munich, Germany) in a reciprocating motion and obturated with single cones and AH Plus sealer (Dentsply Maillefer, Ballaigues, Switzerland). The teeth were divided into 2 groups (n = 10) according to the instrument used for the removal of filling material: group 1: Reciproc R25 instrument and group 2: WaveOne Primary instrument (Dentsply Maillefer).
Introduction: Despite metallurgical advancements in the nickel-titanium file manufacturing process, file separation remains a concern. The purpose of this prospective clinical study was to assess the separation incidence of the reciprocating WaveOne file (Dentsply Tulsa Dental Specialties, Tulsa, OK) when used to prepare root canals of posterior teeth.
Methods: File separation incidence was assessed over an 18-month period in which 4 experienced and calibrated endodontists performed conventional endodontic treatment on posterior teeth using the WaveOne file system.
Introduction: The maximum removal of root canal filling material is essential for successful endodontic retreatment. The purpose of this study was to assess the efficacy of 2 reciprocating systems (Reciproc [VDW, Munich, Germany] and WaveOne [Dentsply Maillefer, Ballaigues, Switzerland]) compared with a nickel-titanium (NiTi) rotary system (ProTaper Universal Retreatment [Dentsply Maillefer]) in the removal of root canal filling material.
Methods: Sixty root canals of extracted human maxillary incisors were prepared using the NiTi ProTaper rotary system with the complementary use of a #40 K-type file and then obturated.
This study sought to evaluate how instrumentation techniques and irrigating solutions affected the bond strength of glass fiber posts. For this study, 80 human maxillary central incisors were selected. Endodontic access was obtained, root canal length was measured, and the coronal third was prepared using Gates-Glidden drills.
View Article and Find Full Text PDFThe aim of this study was to evaluate the sealing ability of mineral trioxide aggregate (MTA Bio) combined with different mixing agents (distilled water, chlorhexidine, doxycycline), used as an apical root-end filling material. Forty-two extracted human teeth were divided into three groups (n = 12); six teeth were used as controls. Root-ends were resected at 90 degrees, 3 mm from the apex.
View Article and Find Full Text PDFIntroduction: The Mtwo rotary system was designed to be used at full length without performing previous cervical enlargement or creating a manual glide path. However, to our knowledge, no study has investigated whether preflaring influences instrument fatigue. The purpose of this clinical study was thus to evaluate the incidence of separation of Mtwo instruments during the preparation of mandibular and maxillary molars and bicuspids that was preceded by cervical preflaring.
View Article and Find Full Text PDFIntroduction: The objective of this study was to evaluate the success rates of standardized techniques for removing or bypassing fractured instruments from root canals and determine whether visualization of the fractured instrument with the aid of an operating microscope has any impact on the success rates.
Methods: In this prospective study, attempts were made to visualize 112 fractured instruments under a dental operating microscope after creating a straight-line access to the fragment. By using ultrasonic tips alone or associated with bypassing, the Ruddle technique was attempted to remove the 68 visible instruments.
Introduction: Nickel-titanium rotary instruments reduce procedural errors and the time required to finish root canal preparation. The goal of this study was to evaluate the occurrences of apical transportation and canal aberrations produced with different instruments used to create a glide path in the preparation of curved root canals, namely manual K-files (Dentsply Maillefer, Ballaigues, Switzerland) and PathFile (Dentsply Maillefer) and Mtwo (Sweden and Martina, Padua, Italy) nickel-titanium rotary files.
Methods: The mesial canals of 45 mandibular first and second molars (with curvature angles between 25° and 35°) were selected for this study.
Introduction: This study compared the torsional resistance of two brands of rotary nickel-titanium (NiTi) instruments indicated for endodontic retreatment.
Methods: Mtwo retreatment instruments #15 and #25 (VDW, Munich, Germany) and ProTaper Universal retreatment instruments D2 and D3 (Maillefer/Dentsply, Ballaigues, Switzerland) were subjected to a torsional assay in clockwise rotation. The two parameters evaluated were maximum torque and angular deflection at failure.
The aim of this case report was to present a treatment for severe inflammatory external root resorption. The condition developed due to the patient's neglect to seek adequate treatment following replantation of an avulsed maxillary left central incisor. Following diagnosis, treatment consisted of conventional endodontic therapy with calcium hydroxide dressings and definitive filling of the root canal after the resorption was controlled radiographically.
View Article and Find Full Text PDFExternal root resorption may occur as a consequence of trauma, orthodontic treatment, bacterial infection or incomplete sealing of the root canal system (bacterial re-infection), and lead to crater formation on the resorbed apex. This would deform the root apex surface, and cause loss of apical constriction. Depending on the extent of the resorptive process, different treatment regimens have been proposed.
View Article and Find Full Text PDFIntra-alveolar root fractures in immature permanent teeth are relatively uncommon and often present a complicated and unpredictable prognosis. This case report documents how conservative treatment was used for the successful management (and long-term follow-up) of immature teeth with a horizontal root fracture.
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