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PubMed2006

A scanning electron microscopic study of debris and smear layer remaining following use of AET instruments and K-flexofiles.

AIM: To compare in vitro the cleanliness of root canal walls following automated or manual instrumentation. METHODOLOGY: Thirty extracted human maxillary central incisors, maxillary and mandibular canines and premolars with single root canals were used in this study. The teeth were divided into two groups. In group 1 (20 teeth) automated canal preparation was performed using Anatomic Endodontic Technology (AET). In group 2 (10 teeth) manual instrumentation was performed with K-Flexofiles. Irrigation was performed using alternately 3.00% NaOCl and 18% EDTA, followed by rinsing with saline. The roots were split longitudinally into halves and the canals examined using a scanning electron microscope. The presence of debris and smear layer was recorded at coronal, middle and apical thirds of root canals using a four-step scoring scale. Mean scores for debris and smear layer were calculated and statistically analysed for significance (P<0.05) between and within groups, using the Mann-Whitney-Wilcoxon and Friedman nonparametric tests. RESULTS: At coronal and middle thirds the root canals prepared with manual instrumentation had significantly less surface debris on the canal walls compared with canals prepared with AET (p<0.05). At apical third root canals prepared with manual instrumentation had significantly more debris compared with AET group. The amount of smear layer was greater in the apical than in the coronal and middle thirds of the root and significantly less amount was in the AET group (P<0.05). CONCLUSIONS: Complete cleanliness was not achieved by any of the techniques and instruments investigated. It may be inferred that the choice between AET and hand instrumentation should be based on factors other than the amount of root canal debridement, which does not vary high significantly according to the instruments used.

Chelating Agents↗
PubMed2006

Factors related to apical root resorption of maxillary incisors in orthodontic patients.

UNLABELLED: THE MAIN OBJECTIVE of the study was to determine the extent of external apical root resorption at the end of orthodontic treatment and to identify the possible pre-treatment and treatment factors that would allow to predict the possible incidence of root resorption before the start of treatment. PATIENTS AND METHODS: Panoramic radiographs of 75 patients that had been treated with full fixed appliances were used to assess apical root resorption in maxillary incisors. The degree of root resorption was measured in millimetres and the scale of Shape was used. RESULTS: The results showed that the resorption in the maxillary incisors is on the average 1.5 mm, the severe resorption was seen in 2.6% of patients. The worst resorption was seen in teeth with abnormal root shape. There were no differences in the severity of root resorption when comparing males and females as well as children and adults. Increased overjet, overbite and extraction therapy were not associated with greater root resorption. Duration of treatment and length of treatment time with rectangular wires were associated with greater root resorption. Patients wearing composite brackets with a metal slot had more resorption than patients wearing metal brackets. CONCLUSION: Pre-treatment risk indicator for root resorption was abnormal root shape. Risk indicators for root resorption that were related to treatment procedures included length of treatment time with rectangular wires, duration of treatment and treatment with composite brackets with a metal slot.

Adolescent↗
PubMed2007

Primary intraosseous meningioma of the mandible: CT and MR imaging features.

We describe the rare entity of an intraosseous meningioma arising in the mandible. The meningioma was found incidentally in an asymptomatic adult patient on dental radiography, mimicking other cystic-appearing jaw masses. The CT and MR imaging features of mandibular meningioma are reviewed with reference to prior published descriptions of this unusual entity.

Adult↗
PubMed1994

Morphologic study of tissue changes occurring in the apical third and periapex of rat molars after endodontic treatment performed under different occlusal conditions.

The purpose of the present study was to carry out a histologic study of the periapical changes of the maxillary first molar of rats submitted to endodontic treatment under different occlusal conditions. The experiment was carried out under conditions analogous to those used in clinical practice. Pulpotomy, pulpectomy and chemomechanical preparation of the mesial root canal were carried out according to previously established techniques and the mesial root canal was filled with cement and gutta-percha. A glass ionomer cement was used as restorative material under conditions of subocclusion, normal occlusion and excessive occlusal forces. No inflammatory reaction of periapical tissue was observed under the three conditions used, and active closing of the root canal was observed 15 days after the procedure, with the formation of cementum replacing the pulpar remnant.

Animals↗
PubMed1997

Micro-endodontic nonsurgical retreatment.

Clinicians frequently encounter endodontically treated teeth that are failing. The vast majority of these cases can be predictably retreated nonsurgically. Integration of specific technology, coupled with breakthrough techniques, are described and powerfully demonstrated. This article is designed for the dental team whose vision is to preserve strategic teeth and create endodontic excellence for its patients.

Adult↗
PubMed1997

Complications of sinus perforations and their management in endodontics.

The intimate position of the maxillary sinus to the apices of teeth creates problems if periapical inflammation occurs. This can lead to a perforation into the sinus and cause sinusitis. Persistent and complicated situations that do not respond after nonsurgical root canal treatment demand a suitable surgical therapy. Knowledge of the specific anatomic conditions, an adequate diagnosis, and an appropriate surgical procedure facilitate success rates that are comparable with those obtained in other regions, even in unfavorable initial conditions.

Acute Disease↗
PubMed1997

Endodontic pathology leading to implant failure--a case report.

This case report documents both the placement of a single implant into an alveolar ridge site and the failure of the implant due to bacterial contamination from an endodontic lesion. After placement of the fixture using osteotomes, the adjacent bicuspid developed periapical pathology following prior crown preparation. This root-end inflammatory process proceeded to involve the mesial surface of the implant. Although endodontic therapy on the devitalized tooth was performed within one week, an osteitis developed around the implant. One month after placement, the fixture had to be removed to prevent additional sequela. The osteotomy site appeared to heal uneventfully, allowing for the placement of a tooth-supported, fixed, partial prosthesis.

Combined Modality Therapy↗
PubMed1995

A comparative study on the effect of three methods of instrumentation on the shape of root canal (an in-vitro study).

This study compared the ability of three types of engine driven instrumentation techniques to negotiate and prepare small, slightly curved root canals. Forty five mesial roots of extracted maxillary and mandibular first permanent molars were classified into three groups. Group (I) was prepared by Canal Leader system, group (II) was prepared by Nickel Titanium files and group (III) was prepared by Canal Master technique. Radiographs of the root canal space before and after preparation was carried out by the aid of an experimental model. Enlarged photographic prints obtained from radiographs were scored for shaping effectiveness of the three techniques in respect to canal course, position & width of apical constriction and lack of ledge formation. The results indicated that the Canal Leader system was an efficient technique in maintaining canal curvature, absence of zipping, transportation or ledge formation in almost all of the specimen tested, followed by the Nickel Titanium files and then the Canal Master technique which produced more straightening and destruction of apical constriction.

Dental High-Speed Equipment↗
PubMed1997

Selective periapical radiology compared to panoramic screening.

PURPOSE OF STUDY: To assess whether selected periapical radiographs, taken according to High Yield Criteria, can reveal as much intra-osseous pathology as universal panoramic screening. POPULATION STUDIED: The records of 1101 RAF recruits enlisted in 1988-89, average age 19 years (range 16-26). METHODS: The clinical records and bitewing radiographs of the recruits were examined and the requirement for periapical radiographs determined according to high yield criteria. A template, cut out to simulate the area covered by a periapical bitewing radiograph, was placed over the suspect region on the panoramic film and any findings found within the template recorded. The entire dental panoramic tomograph was then examined on a masked screen under 2X magnification and any further findings recorded. FINDINGS: There was a considerable number of findings reported, including three large isolated radiolucent areas, 75 periradicular radiolucent areas, four probable cysts and 1187 unerupted mandibular third molars. However, when the clinical significance of these 'lesions' was assessed only those related to dental causes appeared to have significant clinical implications and the results indicated that these could have been detected by selective radiology. CONCLUSION: This study showed that the only pathology which occurs frequently enough to justify radiographic screening of the jaws in young adults is related to teeth. It seems probable that this type of pathology can be at least as well detected by selective periapical screening, using high yield criteria, as is possible by universal panoramic screening.

Adolescent↗
PubMed1997

Controversies in clinical endodontics: Part 3. Filling from the open position.

Controversies have been common in the clinical treatment of endodontically involved teeth for many years. This series of articles discusses the advantages and disadvantages of three of the major disagreements in the field at this time. They are: (1) What is the significance of lateral canals and how are they best filled? (2) Should treatment be completed in a single appointment or should multiple appointments be involved? And (3) Can the canal(s) be filled after the tooth is left open or should such treatment be avoided? This article discusses filling from the open position.

Antibiotic Prophylaxis↗
PubMed1996

[The micro-anatomy and clinical significance of the apical foramen in 1,282 permanent teeth].

To study the shape and size of the apical foramen of permanent teeth and their relations, we observed 1,282 permanent teeth. The teeth were photographed by XTL-2 photstero microscope. The rule of its shape and its clinical significance were discussed. In the 1,282 teeth, the round and oralshaped accounted for 94.77% (1,215/1,282), indicating that the morphological appearance of the apical foramen is inconsisted with that of vessels or/and nerves in the tissues.

Dentition, Permanent↗
PubMedDate not supplied

Pulpal regeneration.

Explore the source record for details and available documents.

Dental Pulp↗
PubMed1994

The effect of isopropyl alcohol desiccation on apical sealability of two commonly used endodontic cements.

The present study was undertaken to determine the ability of alcohol desiccation to improve the apical seal by removing residual moisture from the canal. From the results of this study, isopropyl alcohol did not improve the sealability of either Roth's 801 sealer or AH26 sealer. Thus, the employment of this technique should be questioned on the basis of the potential source of irritation of the alcohol and the addition of an extraneous procedural step.

2-Propanol↗
PubMedDate not supplied

In vitro evaluation of the Thermafil technique with and without gutta percha coating.

To determine the sealing ability of the Thermafil technique with and without gutta percha on the plastic carrier, 40 maxillary incisors were divided into four treatment groups: (A) Thermafil with gutta percha on the carrier; (B) Thermafil without gutta percha on the carrier; (C) lateral condensation with standardize gutta percha; and (D) a single standardized gutta percha cone. Average leakage in groups A-D were 0.64 mm, 1.32 mm, 0.53 mm, and 0.72 mm, respectively. The only significant difference was between the Thermafil without gutta percha and the other three groups (p < 0.05).

Analysis of Variance↗
PubMed1998

Comparison of apical leakage shown by four different dyes with two evaluating methods.

A study was conducted in vitro to assess and compare the extent of apical leakage of four dyes by two commonly-used evaluation methods. For the study, 120 single-rooted extracted teeth were prepared by the step-back technique and obturated by lateral condensation with gutta-percha and Roth 801 sealer. After randomly allocating the roots into six groups, they were immediately immersed in dye for 72 h, using vacuum for 30 min at 40 degrees C. Teeth were immersed in Eosin, Methylene Blue, Black India Ink and Procion Brilliant Blue and cross-sectioned in 0.7 mm thick slices. Those immersed in Black India Ink and Procion Brilliant Blue were also evaluated by the clearing process. Dye penetration was assessed using a stereomicroscope. A statistically significant greater dye penetration was measured in the cross-sectioned group compared to the clearing group using the same dyes (Black India Ink, P = 0.020, Procion Brilliant Blue, P = 0.040). In the cross-section groups, no statistical significant difference was observed in the amount of leakage comparing the four dyes. No statistically significant difference was found in the leakage pattern of Procion Brilliant Blue and Black India Ink using the clearing technique (P = 0.797). The evaluating method (cross-sections versus clearing) rather than the dye properties was the main difference between results. More research is needed to standardize dye leakage studies.

Carbon↗