[Complications in root canal therapy].
Several factors prior to, during and after treatment may complicate root canal therapy. In this article several of these complications are discussed together with their possible solutions to these problems.
Biomedical subjects
Publications and source records attributed to J M Genet.
Several factors prior to, during and after treatment may complicate root canal therapy. In this article several of these complications are discussed together with their possible solutions to these problems.
Two experiments examined the contribution of the two catecholamines--epinephrine (EPI) and norepinephrine (NE)--to the control of food intake and body weight gain in male rats during chronic exercise. Urinary excretion of both catecholamines rose significantly and was positively correlated to food intake inhibition (NE, n = 54, r = 0.394, p less than 0.01; EPI, n = 54, r = 0.428, p less than 0.01). Oral ingestion of the non-selective beta-adrenoceptor blocking drug, pindolol, abolished the food intake reduction induced by exercise. Furthermore, rats that were treated with pindolol gained weight at a higher rate than untreated rats. These findings are consistent with the idea that catecholamines contribute to post-exercise inhibition of food intake and reduction of body weight in male rats. However, the exact physiological mechanism of catecholamine-induced decrease in food intake remains to be elucidated.
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In the presence of endodontic gutta-percha cones, several species of bacteria were killed in vitro. Silver points, when compared with gutta-percha cones, were not or were considerably less effective against the target organism. Staphylococcus aureus, in our assay system. Growth of bacteria in serum could be abolished by the mere presence of gutta-percha, especially when time was allowed for previous contact between the serum and the cones. It is concluded that gutta-percha cones possess a slowly acting, relatively weak, but, in our opinion, significant inherent antimicrobial property.
Growth of several species of bacteria was inhibited by the presence of endodontic gutta-percha cones. Microbiologic analysis, measurement of osmolarity, microscopy, x-ray diffraction analysis, and scanning electron micrography were used to identify the biologically active component that slowly leaches from gutta-percha cones. This component is zinc oxide in the form of small solid particles, from which active, soluble Zn2+ ion is mobilized by hydrolysis. A hypothesis on the "depot" effect of the ZnO particles is formulated, and is used to discuss some earlier reported literature on toxic and antibacterial activity of zinc oxide-containing materials. It is concluded that zinc oxide is not to be considered an inert compound. Its widespread uses in medicine and dentistry seem to reside in its "inert," biocompatible, and astringent properties mainly. The biologically active role of zinc oxide, however, merits further investigation.
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