Pulpal and periapical infections, primarily caused by the biofilms of Enterococcus faecalis (E. faecalis), pose significant challenges due to their resistance to eradication, making them prevalent oral health concerns. Herein, we synthesized a bimetallic Zn-Fe nanozymes (ZFNs) with enhanced peroxidase-like (POD-like) activity, capable of activating hydrogen peroxide (HO) into highly reactive hydroxyl radicals to combat E. faecalis biofilms. The incorporation of Zn elements effectively optimizes the electronic structure of the reactive Fe sites, significantly improving the POD-like activity of ZFNs. Consequently, a trace amount of ZFNs (20 μg mL) combined with HO (200 μM) achieved efficient E. faecalis inactivation (95 %) and disrupts biofilm formation. Notably, in a root canal infection model, ZFNs demonstrate a biofilm-clearing effect comparable to that of 3 % sodium hypochlorite NaOCl, a clinical drug) and exhibit satisfactory biosafety. In summary, ZFNs hold promise as a root canal irrigation solution for treating pulpal and periapical infections, offering new possibilities for addressing root canal infection challenges.
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http://dx.doi.org/10.1016/j.jcis.2024.11.163 | DOI Listing |
Dent Mater
January 2025
Minnesota Dental Research Center for Biomaterials and Biomechanics, School of Dentistry, University of Minnesota, Minneapolis, MN, USA. Electronic address:
Objective: This study compared the fracture load, stress distribution, and survival probability under cyclic loading of extensively restored teeth treated with multisonic irrigation with those treated with conventional instrumentation, with or without a post.
Methods: Mesial-occlusal-distal cavities were prepared in 30 human mandibular premolars. The teeth were randomly divided into 3 groups of 10 based on the endodontic and restorative procedures: (1) Root canal treatment (RCT) followed by resin composite restoration (control group), (2) RCT followed by a glass fiber post restoration (conventional group), and (3) minimal instrumentation plus multisonic irrigation followed by resin composite restoration (GW group).
BMC Oral Health
January 2025
Department of Endodontics, Beijing Stomatological Hospital, Capital Medical University, Tian Tan Xi Li No.4, Beijing, 100050, China.
Background: To evaluate the prevalence and characteristics of taurodontism in northern China by using cone-beam computed tomography (CBCT) and assisting the treatment.
Methods: The study involved CBCT scans of 8112 teeth from 507 participants of northern China, comprising 217 males and 290 females aged 18 to 60. Analysis was conducted using Shifman and Chanannel's criteria to assess the prevalence and attributes of taurodontism, examining differences based on tooth position (maxilla and mandible) as well as gender (P < 0.
BMC Oral Health
January 2025
Department of Endodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Background: The fracture of an endodontic instrument within the root canal system can occur during root canal therapy, complicating thorough cleaning and shaping. Consequently, managing the broken fragment becomes crucial.
Methods: Eighty Nickel-titanium (NiTi) #20 K-files (Mani, Tochigi, Japan) were cut 8 mm from the tip, fixed into a corkboard, and classified into five groups (n = 14 each).
BMC Oral Health
January 2025
Department of Endodontics, School of Stomatology, Capital Medical University, Beijing, China.
Background: Endodontic file fractures are common complications of root canal treatment, and requires removal via specialized techniques such as endodontic microsurgery when the file beyond the apical foramen. It is often challenging to precisely and minimally remove a fractured file. Recently the use of dental autonomous robotic system (ATR) has shown promise in precisely and minimally in dental surgery.
View Article and Find Full Text PDFBMC Oral Health
January 2025
Department of Endodontics, Faculty of Dentistry, Ordu University, Ordu, 52200, Turkey.
Background: Immature maxillary central teeth can be managed by using several treatment options. The aim of this finite element stress analysis study was to evaluate the effect of different treatment procedures on the stresses on immature maxillary incisor teeth models that generated on cone beam computed tomography, by trauma and bite forces.
Methods: A total of 11 different models consisting of revascularization treatment using MTA and biodentine and the state of the root apex formed with cement after treatment, apexification, modified apexification, traditional root canal treatment and two different control groups have been created.
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