Dental Pulp Revascularization in a Replanted Avulsed Immature Maxillary Permanent Central Incisor.

An 8-year-old girl sustained an accidental traumatic avulsion of her right maxillary permanent central incisor. She arrived with her mother at a hospital dental clinic with the right maxillary central incisor tooth wrappe in a wet paper towel over 1 hour after the injury. Replantation was accomplished without root surface alteration or root canal intervention.

Altered pain modulation in patients with persistent postendodontic pain.

Persistent pain may follow nerve injuries associated with invasive therapeutic interventions. About 3% to 7% of the patients remain with chronic pain after endodontic treatment, and these are described as suffering from painful posttraumatic trigeminal neuropathy (PTTN). Unfortunately, we are unable to identify which patients undergoing such procedures are at increased risk of developing PTTN.

An evaluation of setting time of mineral trioxide aggregate and EndoSequence root repair material in the presence of human blood and minimal essential media.

Introduction: The purpose of this study was to compare the ability of MTA (Dentsply Maillefer, Tulsa, OK) and EndoSequence Root Repair Material (ESRRM; Brasseler USA, Savannah, GA) to set in the presence of human blood and minimal essential media.

Methods: A model was created using polymethyl methacrylate blocks each prepared with 10 standardized wells (2-mm diameter × 3-mm depth). Prepared ProRoot MTA (Dentsply Maillefer) and ESRRM were each placed in 6 separate blocks.

Comparison of sealing ability of MTA and EndoSequence Bioceramic Root Repair Material: a bacterial leakage study.

Objective: To compare the sealing ability of ProRoot mineral trioxide aggregate (MTA) to the sealing ability of EndoSequence Bioceramic Root Repair Material (ES-BCRR) putty using a bacterial leakage model.

Method And Materials: Root canals of 60 single-rooted extracted teeth were enlarged to an apical diameter of 0.5 mm using EndoSequence files.

Endodontic clinical management of a dens invaginatus case by using a unique treatment approach: a case report.

Introduction: Dens invaginatus is a developmental anomaly that poses treatment challenges when nonsurgical root canal therapy is deemed necessary. Teeth with complex root canal morphology often require a comprehensive treatment approach to effectively clean, shape, and disinfect the pulp canal space before obturation. Endodontic clinical management of a tooth with dens invaginatus might include using cone-beam computed tomography (CBCT) to aid in the diagnosis and treatment-planning phase and use of the surgical operating microscope in performing the clinical phase of treatment.

Effect of sodium fluorosilicate on the properties of Portland cement.

Introduction: Mineral trioxide aggregate (MTA) satisfies most of the ideal properties of a surgical root-end filling and perforation repair material. It has been found to be nontoxic, noncarcinogenic, nongenotoxic, biocompatible, insoluble in tissue fluids, and dimensionally stable and promotes cementogenesis. The major disadvantages are its long setting time and difficult handling characteristics during placement when performing endodontic procedures.

Functionality and operation of fluoroscopic automatic brightness control/automatic dose rate control logic in modern cardiovascular and interventional angiography systems: a report of Task Group 125 Radiography/Fluoroscopy Subcommittee, Imaging Physics Committee, Science Council.

Task Group 125 (TG 125) was charged with investigating the functionality of fluoroscopic automatic dose rate and image quality control logic in modern angiographic systems, paying specific attention to the spectral shaping filters and variations in the selected radiologic imaging parameters. The task group was also charged with describing the operational aspects of the imaging equipment for the purpose of assisting the clinical medical physicist with clinical set-up and performance evaluation. Although there are clear distinctions between the fluoroscopic operation of an angiographic system and its acquisition modes (digital cine, digital angiography, digital subtraction angiography, etc.

Endodontic radiography: who is reading the digital radiograph?

Introduction: Digital radiographic imaging systems have undergone tremendous improvements since their introduction. Advantages of digital radiographs over conventional films include lower radiation doses compared with conventional films, instantaneous images, archiving and sharing images easily, and manipulation of several radiographic properties that might help in diagnosis.

Methods: A total of 6 observers including 2 endodontic residents, 3 endodontists, and 1 oral radiologist evaluated 150 molar digital periapical radiographs to determine which of the following conditions existed: normal periapical tissue, widened periodontal ligament, or presence of periapical radiolucency.

Distortion and breakage of Liberator, EndoSequence, and ProFile systems in severely curved roots of molars.

Introduction: The aim of this study was to investigate the incidence of endodontic file distortion and breakage when the Liberator (Miltex Inc, York, PA), EndoSequence (Brasseler USA, Savannah, GA), and ProFile (Tulsa Dental Products, Tulsa, OK) systems were used to instrument severely curved root canals of extracted human molars.

Methods: Eighty-four roots of extracted human molars with curvatures measuring 40 degrees to 80 degrees were used. The roots were randomly assigned into four groups based on the rotary instrumentation system: group 1, ProFile (.

Bacterial leakage of provisional restorative materials used in endodontics.

Objective: To test the bacterial sealing ability of commonly used provisional endodontic restorative materials.

Method And Materials: This study investigated Cavit (3M ESPE), Ketac (3M ESPE), DuoTemp (Coltane/Whaledent), and a combination technique using Ketac and Cavit. One hundred molars were randomly selected and then mounted in an apparatus that isolated the crown portion of the tooth.

Identify and define all diagnostic terms for periapical/periradicular health and disease states.

Introduction: The purpose of this in-depth investigation was to identify, clarify, and substantiate clinical terminology relative to apical/periapical/periradicular diagnostic states, which is used routinely in the provision of endodontic care. Furthermore, the information gleaned from this investigation was used to link diagnostic categories to symptoms, pathogenesis, treatment, and prognosis wherever possible, along with establishing the basis for the metrics used in this diagnostic process.

Materials And Methods: Diagnostic terminologies and their relevance to clinical situations were procured from extensive historic and electronic searches and correlated with contemporary concepts in disease processes, clinical assessments, histologic findings (if appropriate), and standardized definitions that have been promulgated and promoted for use in the last 25 years in educational programs and test constructions and for third-party concerns.

Current trends in endodontic practice: emergency treatments and technological armamentarium.

The current clinical practice of endodontics includes the utilization of a variety of new technological advances and materials. The last comprehensive survey that compared treatment modalities used in endodontic practices was conducted in 1990. The purpose of the current survey was to determine the frequency with which these new endodontic technologies and materials are being used in endodontic practices today.

Three-dimensional rotational angiography of the inferior vena cava as an adjunct to inferior vena cava filter retrieval.

The objective of this study was to explore the role of three-dimensional (3-D) rotational angiography (RA) of the inferior vena cava (IVC; 3-D CV) before filter retrieval and its impact on treatment planning compared with standard anteroposterior cavography (sCV). Thirty patients underwent sCV and 3-D CV before IVC filter retrieval. Parameters assessed were: projection of filter arms or legs beyond the caval lumen, thrombus burden within the filter and IVC, and orientation of the filter within IVC.

The incidence of four canals in maxillary first molars: a clinical determination.

Background: The authors conducted an in vivo study to report the incidence of fourth root canals located and treated in maxillary first molars during a seven-month period in a postgraduate endodontic program.

Methods: In this retrospective study, the authors determined the number of canals treated by postgraduate students in an endodontic program. The attending postgraduate endodontic faculty member supervising the case verified the number of canals in the teeth.

Completeness of root canal obturations: Epiphany techniques versus gutta-percha techniques.

This project was designed to determine how a new resin based obturation material compared with traditional gutta-percha techniques in its ability to fill the prepared root canal space. Eighty single-rooted palatal and distal roots of extracted human first molars were used. The root canals were instrumented with hand and rotary files and divided into four groups.

Comparison of apical leakage between immediate versus delayed post space preparation using AH Plus sealer.

The purpose of this study was to compare the effect of immediate versus delayed post space preparation on the apical seal using AH Plus sealer. Forty-six single rooted anterior extracted teeth were instrumented and divided into four groups. Twenty teeth in groups 1 and 2 and three teeth in groups 3 and 4.

Three canals in the mesiobuccal root of a maxillary first molar: a case report.

This article describes the identification and treatment of a maxillary first molar exhibiting three canals in the mesiobuccal root. An 18-yr-old male patient presented for nonsurgical root canal therapy of tooth #3. After accessing the pulp chamber, and probing with 2.

Subintimal arterial flossing with antegrade-retrograde intervention (SAFARI) for subintimal recanalization to treat chronic critical limb ischemia.

Purpose: To describe the technique of subintimal arterial flossing with antegrade-retrograde intervention (SAFARI) to improve technical success for the performance of subintimal recanalization when there is failure to reenter the distal true lumen or when there is a limited segment of patent distal target artery available for reentry.

Materials And Methods: Subintimal recanalization was attempted in an antegrade direction in all patients. If reentry into the distal true lumen was unsuccessful or a short segment of target artery was present, retrograde access was obtained in the distal target artery (popliteal, anterior tibial/dorsalis pedis, or posterior tibial) and a retrograde subintimal channel was created.

The effect of endodontic solutions on resorcinol-formalin paste in teeth.

This study determined if any of six endodontic solutions would have a softening effect on resorcinol-formalin paste in extracted teeth, and if there were any differences in the solvent action between these solutions. Forty-nine single-rooted extracted teeth were decoronated 2 mm coronal to the CEJ, and the roots sectioned apically to a standard length of 15 mm. Canals were prepared to a 12 mm WL and a uniform size with a #7 Parapost drill.

Percutaneous intentional extraluminal recanalization in patients with chronic critical limb ischemia.

Purpose: To review percutaneous intentional extraluminal recanalization (PIER) for treatment of patients who are poor candidates for infrainguinal arterial bypass surgery (IABS) and have arterial occlusions and chronic critical limb ischemia (CCLI).

Materials And Methods: Patients with CCLI who were poor candidates for IABS were candidates for PIER. PIER was performed to create continuous arterial flow to the foot for limb salvage.

Safety and efficacy of ERCP in pregnancy.

Background: Choledocholithiasis during pregnancy increases the risk of morbidity and mortality for both fetus and mother because of cholangitis and pancreatitis. ERCP has been advocated as safe and effective in pregnant women, but fetal radiation exposure is not routinely monitored. The aim of this study was to record fetal exposure to ionizing radiation during ERCP and to assess outcome.

K3 Endo, ProTaper, and ProFile systems: breakage and distortion in severely curved roots of molars.

It was the aim of this study to investigate the incidence of file breakage and distortion when the ProTaper, K3 Endo, and ProFile systems were used to instrument canals in the severely curved roots of extracted molars. Forty-five roots of extracted mandibular and maxillary molars with curvatures between 40 and 75 degrees were chosen for this study. The canals in group 1 were instrumented with the ProFile system.

Placement of mineral trioxide aggregate using two different techniques.

The purpose of this study was to determine if the adaptation of mineral trioxide aggregate (MTA) would differ when placed into simulated root canals of varying length when using two different placement and condensation methods. Hand condensation was compared to ultrasonic condensation. Eighty polyethylene tubes were divided into four groups of 20 tubes each.