PubMed Health⌕ Search

Biomedical subjects

Y Pehlivan

Publications and source records attributed to Y Pehlivan.

5 recordsLinked to original sources

Microleakage along apical root fillings and cemented posts.

STATEMENT OF PROBLEM: Coronal leakage of endodontically treated teeth has been found to result in a high failure rate. PURPOSE: This study tested leakage along apical root fillings remaining after post space preparation and cemented posts in root canals. MATERIAL AND METHODS: A total of 120 human roots were used in the study and divided into six groups, 20 roots for each group. By using a modified fluid transport model, leakage (in microL/hr) along ParaPost dowels that were cemented in the coronal 7 mm of root canals with Fuji Duet, Ketac Cem, Panavia EX, or zinc phosphate cements was compared with that along the coronal 7 mm of conventional root canal fillings. Leakage along the apical 4 mm of root filling remaining after post space preparation was compared with that along the 11 mm root filling before post space preparation. RESULTS: More leakage was recorded along the apical 4 mm of root filling than along the 11 mm of original root filling (p = 0.0325). ParaPost dowels cemented with any test cement did not produce more leakage than the 7 mm coronal root filling (p = 0.2145). CONCLUSIONS: The apical 4 mm of root canal filling remaining after post space preparation leaks statistically significantly more than the original full-length root canal filling. The leakage created by removal of the coronal part of root canal filling during post space preparation may be compensated by the cemented posts.

Analysis of Variance↗

Prognosis of root-fractured permanent incisors.

The prognosis of 56 root-fractured permanent incisors was evaluated clinically and radiographically for 2 to 31 years. Information about initial case histories, examination and treatment of root-fractured teeth were recorded retrospectively from patient cards. Most of the root fractures occurred in the 16-20 year age group (38%) followed by the 11-15 year age group (29%). Males were involved more often than females. Fifty-two percent of the patients visited the dental clinic within the first week, while 48% did so 1 month-31 years later after the injury. The leading cause of root fractured injuries was falls (46%) and mostly involved one tooth (71%). Maxillary central incisors were the most often affected teeth (95%). The most common type of root fracture was in the middle third of the root (57%) followed by apical part (34%). About 59% of untreated or splinted teeth maintained their vitality. Healing with connective tissue was observed in 19 teeth, with calcified tissue in 15 teeth and with osseous tissue in only one tooth. There was partial or complete obliteration of the pulp space in these healed cases (62.5%). The formation of pulpal hard tissue produced no additional clinical problems. Partial or total pulp necrosis were noted in 21 (37.5%) teeth. Endodontic treatment was successful in 12 cases. The remaining 9 teeth were extracted due to the loss of marginal alveolar bone and apical periodontitis.

Adolescent↗

Root canal morphology of human permanent teeth in a Turkish population.

An in vitro study was performed to determine the number and the type of root canals, their ramifications, transverse anastomoses, apical foramina locations, and frequency of apical deltas in a Turkish population. One thousand four hundred human permanent teeth were injected with India ink, decalcified, and cleared after the length of each was measured. The examination of root canal systems of the teeth was based on Vertucci's classification. The findings were used to classify the teeth into four groups. Variable root canal configurations were found in the second premolar and the mesiobuccal roots of first and second molars among the maxillary teeth and in all of the mandibular teeth, except the mandibular second premolar.

Dental Pulp Cavity↗

Endodontic treatment of a mature tooth with an abnormal clinical crown.

In this report, a case of a mature tooth with abnormal crown morphology, which created plaque retentive areas was presented. The pulp was necrosed due to the periodontal disease, and the anomaly was thought to be an aberration of a talon cusp. Therapy involved the reshaping and the endodontic treatment of tooth.

Child↗

Sealing ability of cermet ionomer cement as a retrograde filling material.

An in vitro dye leakage study was performed to compare the sealing ability of high copper amalgam with cavity varnish and cermet ionomer cement with and without varnish when used as retrofilling materials. The root canals of 54 maxillary anterior teeth were instrumented and obturated with gutta-percha and sealer. The apical 3 mm of the roots were resected and apical class I cavity preparations were made. The roots were then randomly divided into three groups and retrofilled with one of the experimental materials. After 72 h of immersion in India ink, the roots were cleared and evaluated for leakage with a stereomicroscope. Statistical analysis indicated that the cermet ionomer cement with varnish group had significantly less leakage than the amalgam group (P < 0.0014) and the cermet ionomer cement without varnish group (P < 0.001). There was no significant difference between the other two groups (P > 0.05).

Cermet Cements↗