Biomedical subjects

Roeland De Moor

Publications and source records attributed to Roeland De Moor.

9 recordsLinked to original sources

PubMed2005

[Endodontics and apical periodontitis].

The aim of this paper is to discuss the relation between root canal treatment and apical periodontitis (AP). AP is caused by micro organisms and is mainly a chronic inflammation. There is some evidence of an effect on the general health in immunocompromised patients. A higher incidence of AP on root filled teeth has been found. A number of preoperative and operative factors influence prevalence of AP on root filled teeth. Rubberdam placement and cleaning and shaping of the root canal during root canal treatment is important to create a clean canal to promote healing or prevent the development of AP. Placement of a good quality root filling and a well sealing coronal restoration are also important for the prevention of reinfection of the root canal. The quality of root fillings differs between clinical and epidemiological studies what is reflected in a lower prevalence of AP in the former.

Humans↗

PubMed2005

[Dens invaginatus--a challenge in endodontics].

Dens invaginatus is a malformation of teeth probably due to infolding of the dental papilla during tooth development. A wide range of morphologic variations have been described. Both coronal and radicular invaginations have been demonstrated. Typical characteristics associated with the coronal invagination are the complex anatomy and the early pulp necrosis. The etiology, epidemiology, classification and therapeutic considerations are reviewed.

Dens in Dente↗

PubMed2005

[Fraudulent use of digital radiographs: secret reality or fiction?].

Digital radiography has several advantages and has become an indispensable diagnostic tool for many dentists in daily practice. Once the digital captation appears on screen, the dental x-ray software allows image enhancement, to get a better vision and diagnosis. This image enhancement is acquired for example by adjusting the colour, density, sharpness, brightness or contrast. If the digital radiographs are exported, using various software packages created for graphic design and image manipulation, digital information can be altered, added or removed. Dental radiographs are easily duplicated, stored or spread in digital format. How can their authenticity be guaranteed, especially in insurance cases? Image enhancement features of digital radiography allow mishandling or potential abuse. Recently published studies illustrate the potential fraudulent use of digital radiography. In this article, some manipulated radiographic images are presented, to raise concerns about security, reliability and the potential for fraud.

Computer Security↗

PubMed2005

[LASER applications in endodontics].

Since the development of the ruby laser by Maiman in 1960 and the application of the laser for endodontics by Weichman in 1971, a variety of lasers with a wide range of characteristics are now being used in endodontic therapy. In the past two decades much experience and knowledge has been gained The first purpose of the present paper is to provide an understanding of the essential physical science behind laser technology and information on the effects of laser beams on tissue (tissue interaction). A second purpose is to summarize laser applications in endodontics, including their use in pulp diagnosis, dentinal hypersensitivity, pulp capping and pulpotomy, modification of the root canal walls, sterilization of the root canal system, cleaning--shaping--obturation of the root canal, and endodontic surgery. It will be clear that a number of endodontic procedures with conventional treatments cannot provide comparable results or are less effective.

Dental Instruments↗

PubMed2004

[Evaluation of pulpal blood flow by laser doppler flowmetry as a test of tooth vitality in long-term follow-up: case report].

The reliability of laser Doppler flowmetry in a 2-probe assessment of pulpal blood flow is well known. The purpose of this case report was to determine its use as an exclusive and reliable tool for tooth vitality diagnosis in a long-term follow-up. As a result of a traumatic injury to a 24-years old Caucasian female, tooth pulp vitality was studied in 6 maxillary front teeth over 30 weeks through use of 2-probe laser Doppler flowmetry and current sensitivity tests. A similar assessment was repeated after 228 weeks. Confronted with an alveolar bone fracture with a tooth in the fracture line, one intrusion and several luxated teeth, current sensitivity tests are found not to be so reliable indicators of revascularisation as significant results are given later (7 weeks) compared to laser Doppler flowmetry tests (1 week). A pathway with ischaemia (3 weeks), hyperaemia (7 weeks) and restored blood supply in the pulp measured by laser Doppler flowmetry tests was found and avoided endodontic treatment. Teeth vascularisation evolved normally (228 weeks). Despite a high indication in all sensitivity tests for endodontic treatment, the use of laser Doppler flowmetry tests was clear, more reliable than sensitivity tests and exclusive as denervation was postponed and pulp vascularisation was evident.

Adult↗

PubMed2003

[Calcium hydroxide-based pastes used in endodontics].

The aim of the present study is to propose a classification of calcium hydroxide pastes on the basis of the vehicle that retains the calcium hydroxide. The vehicle determines the working characteristics of the calcium hydroxide: viscous and only vehicles prolong the action of the calcium hydroxide as compared with water-soluble substances. Physicochemical properties of the vehicle may limit the effectiveness in disinfecting the entire root canal system. As calcium hydroxide is not effective against all bacterial species found in root canal infections, associations with other medicaments have been proposed to enhance the efficacy of the intracanal medication.

Anti-Infective Agents, Local↗

PubMed2003

[Accidental extrusion of calcium hydroxide-based pastes into periapical lesions].

Calcium hydroxide is a widely used material in endodontic treatment due to its high alkalinity and antimicrobial properties. It is thought to create a favourable environment for periradicular repair and healing, and to stimulate hard tissue formation. The aim of the present retrospective study was to evaluate the effect of accidental and voluminous overextensions of calcium hydroxide pastes into periapical lesions and tissues on the prognosis of periapical healing. It was seen that calcium hydroxide overextensions did not disfavour healing, none of the endodontic treatments failed but healing was delayed in the majority of cases and in a number of cases extrusion induced immediate flare-ups. Therefore the deliberate extrusion of calcium hydroxide into periapical tissues is not advocated.

Adolescent↗

PubMed2002

A two-probe laser Doppler flowmetry assessment as an exclusive diagnostic device in a long-term follow-up of traumatised teeth: a case report.

The reliability of laser Doppler flowmetry in a two-probe assessment of pulpal blood flow is well known. The purpose of this case report was to determine its use as an exclusive and reliable tool for tooth vitality diagnosis in a long-term follow-up. As a result of a traumatic injury to a 24-year-old Caucasian female, tooth pulp vitality was studied in six maxillary front teeth over 30 weeks using two-probe laser Doppler flowmetry and current sensitivity tests. A similar assessment was repeated after 228 weeks. Confronted with an alveolar bone fracture with a tooth in the fracture line, one intrusion and several luxated teeth, current sensitivity tests are found not to be as reliable indicators of revascularisation, as significant results are obtained later (7 weeks) than using laser Doppler flowmetry tests (1 week). A pathway with ischaemia (3 weeks), hyperaemia (7 weeks) and restored blood supply in the pulp measured by laser Doppler flowmetry tests was found and avoided endodontic treatment. Teeth vascularisation evolved normally (228 weeks). Despite a strong indication in all sensitivity tests for endodontic treatment, the use of laser Doppler flowmetry tests was clear, more reliable than sensitivity tests and exclusive, as denervation was postponed and pulp vascularisation evident.

Adult↗

PubMed2002

[Coronal leakage reconsidered].

The aim of the present study was to evaluate the impact of the quality of the coronal restoration and of the root filling on periapical health. In a sample of 937 root filled teeth which had not received restorative treatment in the previous year, the technical quality of the coronal restorations and of the root fillings was radiographically scored; in addition the technical quality of the coronal restorations was clinically scored as well. The data showed that the technical standard of both coronal restoration and root filling were essential to periapical health. The study also showed the relatively limited value of epidemiologic findings. Epidemiologic research is descriptive as well as analytical in approach. According to the present data, endodontic failure cannot be fully explained by radiographic analysis only. Nevertheless, epidemiologic data remain a valuable component to the source of knowledge regarding etiologic factors and proper treatment procedures in order to improve the results of endodontic practice.

Belgium↗