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Journal of Endodontics

Zhejun Wang, Hazuki Maezono, Ya Shen, Markus Haapasalo
INTRODUCTION: The purpose of this study was to examine the level of erosion in root dentin caused by different irrigation methods and protocols. METHODS: Thirty-five extracted upper molar teeth were instrumented and divided into 7 groups to undergo treatment by different methods: negative control, GentleWave System (Sonendo Inc, Laguna Hills, CA), and syringe needle irrigation following different protocols. The teeth were instrumented to size #25/.08 or #30/.09 for needle irrigation groups and to ProTaper size S1 for the GentleWave group under 5% sodium hypochlorite (NaOCl)...
October 18, 2016: Journal of Endodontics
Lars Bjørndal, Catharina Amaloo, Merete Markvart, Vibe Rud, Klaus Qvortrup, Camilla Stavnsbjerg, Thomas Bjarnsholt
INTRODUCTION: The aim was to present a case report of a full-length extrusion of an obturator's core carrier into the maxillary sinus, causing clinical symptoms from the nose region with differential diagnostics aspects, which, in turn, led to several surgical treatments of the nostrils before diagnosis and correct endodontic retreatment of a maxillary right first molar. A 36-year-old man presented in 2012 with complaints from the right nostril region. Medical treatment with antibiotics and surgical procedures because of nasal stenosis resulted only in partial improvement...
October 18, 2016: Journal of Endodontics
A Reum Kim, Ki Bum Ahn, Hyun Young Kim, Ho Seong Seo, Cheol-Heui Yun, Seung Hyun Han
INTRODUCTION: Streptococcus gordonii is a predominant member of the oral microflora and has been isolated from root canals of teeth with refractory apical periodontitis. Biofilm formation is important for various dental diseases, and S. gordonii is involved in dental biofilm formation as an early colonizer. Although serine-rich repeat (SRR) adhesins of S. gordonii such as gordonii surface protein B (GspB) are associated with bacterial colonization, the role of GspB in biofilm formation is not clearly understood...
October 18, 2016: Journal of Endodontics
Stephanie Lemos Martins Sicuro, Marilisa Carneiro Leão Gabardo, Carla Castiglia Gonzaga, Nathaly Dias Morais, Flares Baratto-Filho, Gisele Maria Correr Nolasco, Denise Piotto Leonardi
INTRODUCTION: Different materials have been used for intervening in root perforations. These materials are often in contact with resin cements used for cementation of intraradicular retainers. The aim of this study was to evaluate the bond strength of self-adhesive resin cement to different materials used to treat root perforations (mineral trioxide aggregate [MTA], Portland cement [PORT], and glass ionomer cement [GIC]). METHODS: Four discs (10 × 1 mm) of each material (the MTA, PORT, and GIC groups) were embedded into polyvinyl chloride tubes using acrylic resin, ground, and polished until a flat surface was exposed...
October 18, 2016: Journal of Endodontics
Raquel-Kathrin Prüllage, Kent Urban, Edgar Schäfer, Till Dammaschke
INTRODUCTION: The aim was to compare the solubility, radiopacity, and setting times of a tricalcium silicate-containing (BioRoot RCS; Septodont, St Maur-des-Fossés, France) and a mineral trioxide aggregate-containing sealer (MTA Fillapex; Angelus, Londrina, Brazil) with an epoxy resin-based sealer (AH Plus; Dentsply DeTrey, Konstanz, Germany). METHODS: Solubility in distilled water, radiopacity, and setting time were evaluated in accordance with ISO-6876:2012. The solubility was also measured after soaking the materials in phosphate-buffered saline buffer (PBS)...
October 18, 2016: Journal of Endodontics
Kristy Bultema, Sara Fowler, Melissa Drum, Al Reader, John Nusstein, Mike Beck
INTRODUCTION: In the treatment of patients with symptomatic irreversible pulpitis, endodontic debridement is a predictable method to relieve pain. However, there are clinical situations in which emergency care cannot be provided immediately. An unexplored treatment option in these cases may be the use of a long-acting anesthetic to reduce pain in untreated irreversible pulpitis. Some medical studies have shown potential for infiltrations of liposomal bupivacaine (Exparel; Pacira Pharmaceuticals, San Diego, CA) to prolong pain relief and reduce opioid use postoperatively...
October 18, 2016: Journal of Endodontics
Alexandre Pico-Blanco, Pablo Castelo-Baz, Leticia Caneiro-Queija, Antonio Liñares-González, Pablo Martin-Lancharro, Juan Blanco-Carrión
INTRODUCTION: Teeth affected by combined endodontic-periodontal lesions are usually considered by all prognosis classifications as hopeless teeth. The development of new biomaterials combined with modern endodontic and periodontal regeneration techniques may improve dental prognosis and maintain the affected teeth. Moreover, 1 of the replacement options for those teeth, dental implants, has shown an increasing number of biological and technical complications. METHODS: Five patients were included in this case series study...
October 18, 2016: Journal of Endodontics
Sarah Bukhari, Meetu R Kohli, Frank Setzer, Bekir Karabucak
INTRODUCTION: The purpose of this retrospective case series was to investigate the outcome of the revascularization procedure in necrotic immature teeth. METHODS: The residents and faculty members at the University of Pennsylvania endodontic department were invited to submit consecutive revascularization cases treated by them, irrespective of the outcome, during the time period of 2009 to 2012. Twenty-eight of 35 submitted necrotic immature teeth met the inclusion criteria...
October 7, 2016: Journal of Endodontics
Clarissa Teles Rodrigues, Marco Antonio Hungaro Duarte, Marcela Milanezi de Almeida, Flaviana Bombarda de Andrade, Norberti Bernardineli
INTRODUCTION: The aim of this ex vivo study was to evaluate the removal of filling material after using CM-wire, M-wire, and nickel-titanium instruments in both reciprocating and rotary motions in curved canals. METHODS: Thirty maxillary lateral incisors were divided into 9 groups according to retreatment procedures: Reciproc R25 followed by Mtwo 40/.04 and ProDesign Logic 50/.01 files; ProDesign R 25/.06 followed by ProDesign Logic 40/.05 and ProDesign Logic 50/...
September 17, 2016: Journal of Endodontics
Dohyun Kim, Sung-Ho Park
INTRODUCTION: Recently, Doppler ultrasound has been used for the measurement of pulpal blood flow in human teeth. However, the reliability of this method has not been verified. In this study, we developed a model to simulate arteriole blood flow within the dental pulp by using microfluidics. This arteriole simulator, or flow phantom, was used to determine the reliability of measurements obtained by using a Doppler ultrasound device. METHODS: A microfluidic chip was fabricated by using the soft lithography technique, and blood-mimicking fluid was pumped through the channel by a microfluidic system...
September 17, 2016: Journal of Endodontics
Flávio R F Alves, Carlos V Andrade-Junior, Marília F Marceliano-Alves, Alejandro R Pérez, Isabela N Rôças, Marco A Versiani, Manoel D Sousa-Neto, José C Provenzano, José F Siqueira
INTRODUCTION: This study evaluated the disinfecting ability of chemomechanical preparation with rotary nickel-titanium instruments, followed by 2 distinct adjunctive procedures in the root canals of extracted mandibular molars by means of a correlative analytical approach. METHODS: Twenty-two extracted mandibular molars were selected and anatomically matched between groups on the basis of micro-computed tomographic analysis. In the first phase of the experiment, root canals were contaminated with Enterococcus faecalis and subjected to chemomechanical preparation with BT RaCe instruments and 2...
September 15, 2016: Journal of Endodontics
Emmanuel João Nogueira Leal Silva, Nancy Kudsi Carvalho, Marina C Prado, Mayara Zanon, Plinio Mendes Senna, Erick M Souza, Gustavo De-Deus
INTRODUCTION: The present study aimed to rank the bond strength to root dentin of a new injectable pozzolan-based root canal sealer, EndoSeal MTA, as compared with MTA Fillapex and AH Plus. METHODS: Eighteen dentinal slices (1 ± 0.1 mm) were obtained from the middle third of 6 maxillary incisors previously selected. Three canal-like holes with 0.8 mm diameter were drilled perpendicularly on the axial surface of each slice. Then, a standardized irrigation was applied for all holes that were subsequently filled with 1 of 3 test root canal sealers...
September 15, 2016: Journal of Endodontics
Emre Nagas, Zafer C Cehreli, Ozgur Uyanik, Pekka K Vallittu, Lippo V J Lassila
INTRODUCTION: The purpose of this study was to investigate the fracture resistance of roots by using intraorifice barriers with glass fiber-incorporated ProRoot MTA and Biodentine. METHODS: The diametral tensile strength and compressive strength of ProRoot MTA and Biodentine were determined after incorporation of 5 wt% and 10 wt% alkali resistant (AR) glass fiber powder into both cements. On the basis of higher diametral tensile strength and compressive strength values, ProRoot MTA and Biodentine with 5 wt% AR glass fiber were selected for further testing as intraorifice barriers...
September 14, 2016: Journal of Endodontics
Yeon-Jee Yoo, Joung-Hwan Oh, WooCheol Lee, Kyung Mi Woo
INTRODUCTION: The purpose of this study was to ascertain the regenerative characteristics of apical papilla-derived cells (APDCs) from immature teeth with pulpal and periapical pathosis and thus to provide proof-of-principle evidence for further regenerative endodontic research. METHODS: Pulpal and periapical pathosis was induced in immature permanent double-rooted premolars of beagles, which were randomly assigned to experimental treatment groups: group AO (n = 14), pulp disruption and access left open; group PS (n = 14), supragingival plaque suspension-soaked cotton pellet was introduced, and access was sealed; and control (n = 7), untreated...
September 14, 2016: Journal of Endodontics
Isabel Menéndez-Nieto, Juan Cervera-Ballester, Laura Maestre-Ferrín, Juan Antonio Blaya-Tárraga, David Peñarrocha-Oltra, Miguel Peñarrocha-Diago
INTRODUCTION: Adequate bleeding control is essential for the success of periapical surgery. The aim of this study was to evaluate the effects of 2 hemostatic agents on the outcome of periapical surgery and their relationship with patient and teeth parameters. METHODS: A prospective study was designed with 2 randomized parallel groups, depending on the hemostatic agent used: gauze impregnated in epinephrine (epinephrine group) and aluminum chloride (aluminum chloride group)...
September 14, 2016: Journal of Endodontics
Himani Garg, Mandeep S Grewal
INTRODUCTION: A separated instrument within the root canal may interfere in the successful outcome of endodontic treatment. The retrieval of fractured instruments might compromise the remaining tooth structure and subsequently resistance to tooth fracture. The aim of this study was to compare the change in volume of root canal and dentin thickness after retrieval of separated instrument by 2 different endodontic ultrasonic tips. METHODS: Each of the instruments (EMS Endochuck and ProUltra #6, #7, and #8 tips) was used to remove 40 separated rotary ProTaper F2 instruments from the mesiobuccal roots of mandibular molar under ×15 magnification...
September 13, 2016: Journal of Endodontics
Minju Song, Abdullah Alshaikh, Terresa Kim, Sol Kim, Michelle Dang, Shebli Mehrazarin, Ki-Hyuk Shin, Mo Kang, No-Hee Park, Reuben H Kim
INTRODUCTION: Surgical interventions such as tooth extraction increase the chances of developing osteonecrosis of the jaw in patients receiving bisphosphonates (BPs) for the treatment of bone-related diseases. Tooth extraction is often performed to eliminate preexisting pathological inflammatory conditions that make the tooth unsalvageable; however, the role of such conditions on bisphosphonate-related osteonecrosis of the jaw (BRONJ) development after tooth extraction is not clearly defined...
September 13, 2016: Journal of Endodontics
Isaac Pratt, Anita Aminoshariae, Thomas A Montagnese, Kristin A Williams, Navid Khalighinejad, Andre Mickel
INTRODUCTION: The purpose of this study was to investigate the effects of factors associated with various coronal restorative modalities after root canal treatment (RCT) on the survival of endodontically treated teeth (ETT) and to assess the effect of time lapse between RCT and crown placement after RCT to form a tooth loss hazard model. METHODS: Computerized analysis was performed for all patients who received posterior RCT from 2008 to 2016 in the graduate endodontic department...
September 10, 2016: Journal of Endodontics
Bruno Vieira Caputo, Gilberto Araújo Noro Filho, Daniela Miranda Richarte de Andrade Salgado, Cacio Moura-Netto, Elcio Magdalena Giovani, Claudio Costa
INTRODUCTION: One of the factors influencing the success of endodontic treatment is anatomic knowledge of the root canal system. Because of the difficulties of using conventional radiographic methods to evaluate root canals, cone-beam computed tomography (CBCT) has been very useful for evaluating the morphology of root canals. The purpose of this study was to use CBCT to evaluate differences in the anatomy of the mandibular first molars with respect to the patient's sex and the location of the tooth in a Brazilian population...
September 10, 2016: Journal of Endodontics
Elena Kan, Marcelo Santos Coelho, Jonathan Reside, Steven J Card, Peter Z Tawil
INTRODUCTION: The purpose of this prospective, double-blind, randomized clinical trial was to evaluate the postoperative healing of endodontic periapical microsurgery after local administration of dexamethasone. METHODS: Sixty patients were divided into 2 groups. The dexamethasone group received a single local submucosal injection of 4 mg dexamethasone, and the placebo group received a submucosal injection of saline solution at the conclusion of standardized periapical microsurgery...
September 10, 2016: Journal of Endodontics
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