Publications by authors named "Shlomo Elbahary"

Introduction: Pulpotomy is a proven treatment option for permanent teeth with pulp involvement, showing high success rates similar to root canal treatment. General anesthesia (GA) is used when traditional dental procedures are not feasible, especially in pediatric cases. Despite its effectiveness, limited data on endodontic treatments under GA is available, with many guidelines favoring extractions.

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Traditional hand instrumentation is a commonly used technique to perform pulpectomy in deciduous teeth by most specialists in pedodontics. Lately, dentists have embraced rotary instrumentation as a safe and effective alternative. This study aimed to compare the efficacy of root canal preparation in extracted primary molars between manual and two rotary file systems using micro-CT.

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This study aimed to evaluate the effect of general anesthesia (GA) on the 1-year outcome of Root Canal Treatment (RCT) performed in pediatric patients and to compare it to the outcome of RCT in pediatric patients without GA. Patients admitted for RCT in permanent dentition in a public hospital, dated 2015 to 2020, age 8-15 with a minimum of one year follow-up period, were included in the study. The sample consisted of 326 teeth from 269 patients treated by a single operator, with a recall rate of 81%.

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Restorative dentistry aims to create a favorable environment to arrest caries with minimal operative intervention. The Hall technique (HT) involves the seating and cementation of stainless steel crowns (SSC) on primary molars without any tooth preparation, caries removal, or local anesthesia. In this manner, it entombs bacteria and arrests caries' progress.

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Introduction: Bioceramic materials, gray and white mineral trioxide aggregate (GMTA, WMTA), have been shown to have high rates of success in various endodontic applications. A major drawback is their tendency to discolor teeth compared to Biodentine (BD), that has been claimed not to discolor teeth. The aim of this study was to compare tooth discoloration after applying different pulpotomy base materials (BD, GMTA and WMTA).

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Antibiotics are widely used in dentistry. Dentists often provide antibiotics unnecessarily. Excessive use can induce resistant bacterial strains.

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Article Synopsis
  • Discoloration of anterior teeth in young children is a cosmetic issue, and the study explores how different irrigation solutions affect hydrogen peroxide penetration during bleaching using the walking bleach technique.
  • The study involved treating 50 extracted premolars with various irrigation protocols, followed by placing a fluorescent sodium perborate paste to assess peroxide penetration over three weeks.
  • Results showed varying depths of peroxide penetration based on the irrigation method, with phosphoric acid leading to significantly greater penetration compared to other solutions, highlighting its effectiveness in the bleaching process.
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Objective: To compare observer agreement between endodontists and oral and maxillofacial radiologists (OMRs) in the detection and measurement of periapical lesions as depicted in cone beam computed tomography (CBCT) with 2 voxel sizes.

Study Design: In total, 256 CBCT images of maxillary molars were evaluated by 2 endodontists and 2 OMRs. Images were obtained at voxel sizes of 0.

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Article Synopsis
  • The study investigates the effects of different irrigation protocols involving EDTA and NaOCl on the surface roughness of dentin in root canal therapy.
  • Both 17% EDTA and the combination of 17% EDTA with 5.25% NaOCl significantly increased the roughness of dentin compared to a control group and 5.25% NaOCl alone.
  • The sequence of applying these irrigation solutions did not influence the dentin roughness, suggesting that mechanical retention is not reliant on the order of application.
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Dens invaginatus is an anomaly mostly observed in maxillary incisors. This study aimed to assess the prevalence of dens invaginatus in maxillary incisors in young Israeli population and to study its potential association with clinical coronal morphological features. Data was collected from periapical radiographs and clinical photographs of patients from Orthodontics Department between 2006 and 2018.

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Article Synopsis
  • - The study investigated how different pulpotomy base materials (PBMs)—IRM, MTA, and GI—affect Enterococcus Faecalis colonization in the pulp chambers of extracted primary teeth using confocal laser scanning microscopy (CLSM).
  • - Results showed that the Glass Ionomer (GI) group had a greater extent of bacterial staining compared to both IRM and MTA, indicating more bacterial presence, while MTA showed the lowest levels of bacteria.
  • - Bacterial penetration into dentinal tubules reached depths of up to 695μm, with no significant differences between the materials used, but the ratio of live to dead bacteria was higher in the GI group than in IRM and MTA groups
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Objectives: The purpose of this article was to propose guidelines for dental practitioners facing the dilemma whether to treat, follow up, or disregard random asymptomatic radiographic findings.

Data Sources: Searches performed in MEDLINE, Cochrane, and EMBASE databases were followed by a manual search. Related data incorporated by experts included recommendations on asymptomatic root canal treatment, quality of the root canal, and restoration relative to outcome.

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Article Synopsis
  • - This study aimed to assess how the bacteria Enterococcus faecalis colonize the apical part of root canals after a root-end procedure, using advanced imaging techniques.
  • - Researchers resected the apical ends of 55 teeth and filled them with different materials (MTA, IRM, and Biodentine) to determine the extent of bacterial invasion over 21 days.
  • - Results showed that while there was no significant difference in the depth of colonization among the materials, MTA had more live bacteria compared to IRM and Biodentine, indicating that the choice of filling material can influence bacterial survival and potential inflammation.
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This work assesses different methods to interfere with biofilms formed on human dentin slabs. First, methods are presented that select for small molecule inhibitors of biofilm targets using multi-well polystyrene biofilm plates. Next, we establish methodologies to study and interfere with biofilm formation on a medically relevant model, whereby biofilms are grown on human root dentin slabs.

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