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Biomedical subjects

C M Bramante

Publications and source records attributed to C M Bramante.

At least 19 recordsLinked to original sources

Quantec SC rotary instruments versus hand files for gutta-percha removal in root canal retreatment.

AIM: The purpose of this study was to compare Quantec SC rotary instruments and hand files for removal of gutta-percha during retreatment. METHODOLOGY: Twenty maxillary central incisors with a single straight canal were selected. The canals were instrumented and filled before the teeth were randomly divided into two groups of 10 specimens each. In group 1 Quantec SC rotary instruments were used for filling removal and in group 2, hand files and solvent. The following factors were evaluated: time taken to reach working length, time for gutta-percha removal, total time, apically extruded material during filling removal and number of fractured instruments. Radiographs were taken and the teeth were grooved longitudinally and split. The canal walls of each half and the radiographs were evaluated visually for cleanliness. They were then digitized using a scanner and the residual debris assessed. The analysis was carried out in the cervical, middle and apical thirds separately as well for the whole canal. RESULTS: The time for root filling removal was significantly less when Quantec SC was used (P < 0.05). The amount of apically extruded material was not significantly different between the groups (P > 0.05). Direct evaluation of the canal walls revealed that hand files and solvent demonstrated better cleanliness in the cervical third and in whole canal (P < 0.05). Radiographic analysis demonstrated that hand files performed significantly better when viewed in a mesiodistal direction (P < 0.05). CONCLUSIONS: Although Quantec SC instruments took less time, hand instruments and solvent cleaned canals more effectively.

Dental Pulp Cavity↗

Efficacy of Quantec rotary instruments for gutta-percha removal.

AIM: The purpose of this study was to evaluate Quantec SC rotary instruments for removal of gutta-percha during retreatment of straight root canals. METHODOLOGY: The root canals of 30 central incisors were instrumented and obturated before the teeth were randomly divided into three groups of 10 specimens each. Quantec SC rotary instruments and a 16:1 reduction handpiece powered by an electric motor were then used to remove the gutta-percha and sealer from canals. A different speed was used in each group (group 1, 350 r.p.m.; group 2, 700 r.p.m.; and group 3, 1500 r.p.m.). The followings factors were evaluated: time taken to reach working length, time for gutta-percha removal, total time, apically extruded material during filling removal and number of fractured instruments. Radiographs were taken after the filling removal and after the canal wall cleanliness was evaluated. The teeth were grooved longitudinally, divided, and the walls of each half were evaluated visually for cleanliness. They were then digitized using a scanner and the residual debris measured. RESULTS: The group in which a speed of 1500 r.p.m. was used had significantly faster treatment than the other groups. The amount of apically extruded material was not significantly different between groups. The only significant difference between groups for canal cleanliness was the middle third by radiographic evaluation: the group of 350 r.p.m. had larger amount of debris than the others. In group 1, six instruments fractured; in group 2, four instruments fractured; and in group 3, one instrument fractured. CONCLUSIONS: Cleanliness and residual debris were equivalent for each group, but the use of 1500 r.p.m. speed was more rapid and fewer instruments fractured.

Analysis of Variance↗

Comparative analysis of curved root canal preparation using nickel-titanium instruments with or without EDTA.

The purpose of this study was to examine the effect of the use of EDTA as a root canal irrigant in curved root canals instrumented with nickel-titanium (Ni-Ti) instruments. Twenty extracted maxillary molars were selected. Mesiobuccal roots were used. Teeth were mounted in self-curing acrylic resin bases to allow standardized angulation of the initial and final radiographs. The preinstrumentation radiographs were made with a #15 file in the canal. The canals were instrumented with Ni-Ti instruments by the step-back technique, using or not using EDTA. The post-instrumentation radiographs were made with a #30 file in the canal. The films were projected (x10 magnification), drawn, and superimposed. Ni-Ti instruments used with EDTA were less effective in maintaining the original path of curved canals.

Chelating Agents↗

Unusual case of bilateral talon cusp associated with dens invaginatus.

CASE REPORT: This paper presents a rare case of bilateral talon cusp in permanent maxillary central incisors, one on the labial and another on the lingual surface of each tooth. The condition was associated with dens invaginatus in a maxillary permanent lateral incisor, but no developmental syndrome was identified. The left central incisor required no treatment because the aesthetic appearance was satisfactory and neither occlusal interferences nor caries were present. After careful investigation of the right lateral incisor, a sealant was applied. Root canal treatment was indicated for the right central incisor that had a wide open apex with thin, weak, divergent walls, and an apical radiolucency.

Adult↗

Dens invaginatus: treatment choices.

Dens invaginatus is a well-known and well-established anomaly of development. Because it appears in various and complex forms, its diagnosis and treatment may be difficult. This paper presents different options based on anomaly variations, taking into consideration clinical and radiographic aspects as well as other criteria for treatment planning.

Apicoectomy↗

The influence of ultrasound in removing intraradicular posts.

Thirty single-rooted teeth were prepared to receive cast posts. After cementation of the post the teeth were divided into three groups. Group I did not receive any treatment, whereas the posts in groups II and III were treated with an ultrasonic device, for 2 min and 5 min, respectively. The force required for post removal was determined using a universal test machine. No statistical differences (P > 0.05) were found between the groups where ultrasound had been used. Significantly reduced forces were necessary to remove the posts from group II and III, compared with group I which did not receive ultrasonic treatment (P < 0.05).

Analysis of Variance↗

The influence of ultrasound in removing intraradicular posts.

Thirty single-rooted teeth were prepared to receive cast posts. After cementation of the post the teeth were divided into three groups. Group I did not receive any treatment, whereas the posts in groups II and III were treated with an ultrasonic device, for 2 min and 5 min, respectively. The force required for post removal was determined using a universal test machine. No statistical differences (P > 0.05) were found between the groups where ultrasound had been used. Significantly reduced forces were necessary to remove the posts from group II and III, compared with group I which did not receive ultrasonic treatment (P < 0.05).

Analysis of Variance↗

Dens invaginatus in first mandibular premolar.

A case of dens invaginatus in a mandibular first premolar with periapical lesion is presented in which it was possible to perform non-surgical endodontic therapy. Dens invaginatus is a developmental malformation of teeth which results from abnormal morphodifferentiation. Due to their abnormal anatomical configuration, invaginated teeth present technical difficulties in their clinical management. The treatment modalities available to the clinician include: endodontic therapy, endodontic surgery, combined treatment, or extraction. In this case the treatment of choice, selected according to clinical and radiographic considerations, was endodontic therapy of the main root canal.

Adolescent↗