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https://www.readbyqxmd.com/read/28808468/treatment-of-a-maxillary-second-molar-with-one-buccal-and-two-palatal-roots-confirmed-with-cone-beam-computed-tomography
#1
Masoud Parirokh, Mahsa Razifar, Hamed Manochehrifar, Paul V Abbott, Nima Hatami, Nargessaddat Kashi, Aida Farhadi
Root canal configuration is an important subject in endodontic practice and dentists should be familiar with all possible types of root canal configuration. A forty-three year old male was referred for root canal treatment of his maxillary left second molar tooth with symptomatic irreversible pulpitis. Pre-operative radiographs showed a three rooted molar. However, after access cavity preparation two palatal and one buccal orifices were detected. The patient was informed of the unusual root canal anatomy and cone-beam computed tomography (CBCT) was ordered for precise evaluation of the anatomy...
2017: Iranian Endodontic Journal
https://www.readbyqxmd.com/read/28764303/surgical-management-of-a-separated-endodontic-instrument-using-second-generation-platelet-concentrate-and-hydroxyapatite
#2
S L Satheesh, Shefali Jain, Atul Chandra Bhuyan, Lekshmy S Devi
Fractured endodontic instrument is an unfortunate endodontic mishap which may obstruct thorough cleaning and shaping of the root canals with potential impact on the endodontic prognosis and treatment outcome. When the fractured segment lies apical to canal curvature, overzealous removal of tooth structure is required to gain access to the separated segment which in turn increases the likelihood of root fracture. In infected cases, the stage at which instrument separation occurs is crucial as root canal disinfection is jeopardized...
June 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28756865/influence-of-remaining-coronal-tooth-structure-on-fracture-resistance-and-failure-mode-of-restored-endodontically-treated-maxillary-incisors
#3
Domingo Santos Pantaleón, Brian R Morrow, David R Cagna, Cornelis H Pameijer, Franklin Garcia-Godoy
STATEMENT OF PROBLEM: Limited information is available on the effect of an incomplete ferrule because of the varying residual axial wall heights and the volume of residual tooth structure on the fracture resistance of endodontically treated and restored maxillary incisors. PURPOSE: The purpose of this in vitro investigation was to examine the effect of varying residual axial wall heights, residual coronal tooth structure, and the absence of 1 proximal axial wall on the fracture resistance and failure mode of endodontically treated teeth restored with metal posts...
July 27, 2017: Journal of Prosthetic Dentistry
https://www.readbyqxmd.com/read/28748050/assessment-of-facultative-anaerobes-from-the-root-canals-of-deciduous-molars-an-in-vivo-study
#4
Manisha Chandwani, Shweta Chandak
Background. The current research aimed to assess the prevalence of facultative anaerobes isolated from the root canals of deciduous molars. Methods. The present research enrolled 60 children in the 6‒9-year age group based on clinical and radiographic findings. Under aseptic conditions, access cavities were prepared followed by collection of samples from infected root canals with the help of sterile paper points. The samples thus obtained were subjected for microbial assay. Results. It was found that Enterococcus faecalis was isolated in 30% of cases, Escherichia coli in 28...
2017: Journal of Dental Research, Dental Clinics, Dental Prospects
https://www.readbyqxmd.com/read/28739013/influence-of-access-cavity-design-on-root-canal-detection-instrumentation-efficacy-and-fracture-resistance-assessed-in-maxillary-molars
#5
Gabriela Rover, Felipe Gonçalves Belladonna, Eduardo Antunes Bortoluzzi, Gustavo De-Deus, Emmanuel João Nogueira Leal Silva, Cleonice Silveira Teixeira
INTRODUCTION: The aim of this study was to assess the influence of contracted endodontic cavities (CECs) on root canal detection, instrumentation efficacy, and fracture resistance assessed in maxillary molars. Traditional endodontic cavities (TECs) were used as a reference for comparison. METHODS: Thirty extracted intact maxillary first molars were scanned with micro-computed tomographic imaging at a resolution of 21 μm, assigned to the CEC or TEC group (n = 15/group), and accessed accordingly...
July 21, 2017: Journal of Endodontics
https://www.readbyqxmd.com/read/28722002/report-of-occurrence-and-endodontic-management-of-three-rooted-maxillary-first-and-second-premolars-in-the-same-individual
#6
Kothandaraman Sathyanarayanan, Manali Ramakrishnan Srinivasan, Sundaresan Balagopal, Lingeswaran Poornima
Anatomical variations should be kept in mind in clinical and carefully looked for in radiographic evaluation during endodontic treatment of maxillary premolars. These teeth have highly variable root canal morphology. Although three separate roots in the maxillary first premolars have been reported, it is a rarity to find both the first and second premolars possessing three separate roots. This case report describes the diagnosis and endodontic management of maxillary first and second premolars with three canals and three separate roots...
May 2017: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/28717632/effect-of-different-intracoronal-bleaching-methods-on-shear-bond-strength-of-ceramic-brackets-bonded-to-bleached-enamel-an-in-vitro-study
#7
Vikas Chauhan, Piush Kumar, Payal Sharma, Divya Shetty
OBJECTIVE: To investigate the effect of different intracoronal bleaching methods on the shear bond strength and site of failure of ceramic brackets. MATERIALS AND METHODS: Sixty freshly extracted human maxillary incisors were randomly divided into four groups (n = 15). Endodontic access cavity was prepared and root canals were filled, root fillings were removed 2mm apical to the cementoenamel junction, and a 2-mmthick layer of glass ionomer cement base was applied...
July 2017: Journal of Orthodontic Science
https://www.readbyqxmd.com/read/28716472/the-bone-lid-technique-in-oral-surgery-a-case-series-study
#8
S Sivolella, G Brunello, F Fistarol, E Stellini, C Bacci
The aim of this case series study was to illustrate the bone lid technique implemented using piezoelectric surgery to access mandibular alveolar bone diseases and to assess the clinical and radiographic outcomes. The technique was used to treat 21 consecutive patients with various conditions: cysts in six cases, impacted teeth with associated cysts in nine, keratocystic odontogenic tumours in three, impacted teeth in two, and an endodontic lesion in one. The bone lid was fashioned using piezoelectric surgery and a thin osteotomy insert...
July 14, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28694714/sensitivity-specificity-predictive-values-and-accuracy-of-three-diagnostic-tests-to-predict-inferior-alveolar-nerve-blockade-failure-in-symptomatic-irreversible-pulpitis
#9
Daniel Chavarría-Bolaños, Laura Rodríguez-Wong, Danny Noguera-González, Vicente Esparza-Villalpando, Mauricio Montero-Aguilar, Amaury Pozos-Guillén
INTRODUCTION: The inferior alveolar nerve block (IANB) is the most common anesthetic technique used on mandibular teeth during root canal treatment. Its success in the presence of preoperative inflammation is still controversial. The aim of this study was to evaluate the sensitivity, specificity, predictive values, and accuracy of three diagnostic tests used to predict IANB failure in symptomatic irreversible pulpitis (SIP). METHODOLOGY: A cross-sectional study was carried out on the mandibular molars of 53 patients with SIP...
2017: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/28681488/endodontic-treatment-of-dens-evaginatus-by-performing-a-splint-guided-access-cavity
#10
Jesús Mena-Álvarez, Cristina Rico-Romano, Ana Belén Lobo-Galindo, Álvaro Zubizarreta-Macho
AIM: Dens evaginatus (DE) is described as an unusual dental malformation. Tooth structure variations attached to this anatomical disturbance complicates the performance of a conservative access cavity for a conventional root canal treatment. Author's purpose is to describe the treatment of a type V DE by using splits as guides to perform access cavity. CLINICAL CONSIDERATIONS: This clinical case shows a root canal treatment of a type V DE diagnosed by using a cone beam computed tomography (CBCT)...
July 6, 2017: Journal of Esthetic and Restorative Dentistry
https://www.readbyqxmd.com/read/28665514/microguided-endodontics-a-method-to-achieve-minimally-invasive-access-cavity-preparation-and-root-canal-location-in-mandibular-incisors-using-a-novel-computer-guided-technique
#11
T Connert, M S Zehnder, M Amato, R Weiger, S Kühl, G Krastl
AIM: To present a novel miniaturized and minimally invasive treatment approach for root canal localization in mandibular incisors with pulp canal calcification and apical periodontitis. SUMMARY: A 51-year-old male patient presented with pain from his mandibular incisors. The patient had a history of severe dental trauma over 30 years ago. Both mandibular central incisors (teeth 31, 41) were tender to percussion and had a yellowish discoloration. They did not respond to thermal and electrical sensitivity tests...
June 30, 2017: International Endodontic Journal
https://www.readbyqxmd.com/read/28648488/relationship-between-the-mental-foramen-mandibular-canal-and-the-surgical-access-line-of-the-mandibular-posterior-teeth-a-cone-beam-computed-tomographic-analysis
#12
Xiuyou Wang, Kaifeng Chen, Shuang Wang, Sanjay Kumar Tiwari, Ling Ye, Li Peng
INTRODUCTION: The purpose of this study was to investigate the relationships between the location of the mental foramen (MF) and the mandibular canal (MC) and the surgical access line (SAL) of the mandibular posterior teeth using cone-beam computed tomographic (CBCT) scans. METHODS: CBCT scans of 204 subjects ranging in age from 18-76 years old were evaluated. The vertical and horizontal distances from the MF to the SAL of the mandibular premolars and first molars and the vertical distance from the MC to the SAL of the second premolars and first molars were measured via CBCT scans...
August 2017: Journal of Endodontics
https://www.readbyqxmd.com/read/28512652/comparison-of-simplistic-biofilm-models-for-%C3%A2-evaluating-irrigating-solutions
#13
Maximilian Gänsbauer, Andreas Burkovski, Matthias Karl, Tanja Grobecker-Karl
OBJECTIVE: Many innovations have recently been implemented in the field of endodontics, often based on a variety of in-vitro/ex-vivo test setups. It was the goal of this research to compare different biofilm models for evaluating the effectiveness of rinsing solutions. METHOD AND MATERIALS: Three different models have been applied in this study, including petri dishes with nutrient medium, arrays of human dentin disks, and split bovine root segments. The susceptibility of biofilms formed by Enterococcus faecalis to commonly used endodontic irrigants was tested...
2017: Quintessence International
https://www.readbyqxmd.com/read/28512488/in-vitro-microleakage-of-mineral-trioxide-aggregate-calcium-enriched-mixture-cement-and-biodentine-intra-orifice-barriers
#14
Fatemeh Ramezanali, Sasan Aryanezhad, Fatemeh Mohammadian, Fatemeh Dibaji, Mohammad Javad Kharazifard
INTRODUCTION: This in vitro study compared the coronal microleakage of mineral trioxide aggregate (MTA), calcium-enriched mixture (CEM) cement and Biodentine as intra-orifice barriers. METHODS AND MATERIALS: The study was conducted on 76 extracted single-canal human teeth. Their root canals were prepared using ProTaper rotary files and filled with gutta percha and AH-26 sealer using lateral condensation technique. Coronal 3 mm of the gutta percha was removed from the root canals and replaced randomly with MTA, CEM cement or Biodentine in the three experimental groups (n=22)...
2017: Iranian Endodontic Journal
https://www.readbyqxmd.com/read/28494599/a-combined-approach-with-passive-and-active-repositioning-of-a-traumatically-intruded-immature-permanent-incisor
#15
H J Kim, Y I Kim, K S Min
BACKGROUND: Severe damage to the tooth, periodontal ligament, and pulpal tissue often occurs with intrusive luxation, and outcomes are quite unpredictable because of the variable ways in which the injury may occur, which influences both the choice of treatment and prognosis. CASE REPORT: This case presents a novel method for the management of an intruded permanent maxillary central incisor with an immature apex. At first, watchful waiting for spontaneous re-eruption was the chosen treatment option...
March 2017: European Journal of Paediatric Dentistry: Official Journal of European Academy of Paediatric Dentistry
https://www.readbyqxmd.com/read/28492747/common-operative-procedural-errors-and-clinical-factors-associated-with-root-canal-treatment
#16
Carlos Estrela, Jesus Djalma Pécora, Cyntia R A Estrela, Orlando A Guedes, Brunno S F Silva, Carlos José Soares, Manoel Damião Sousa-Neto
Operative procedural errors must be well analyzed in order to avoid influence negatively the root canal treatment (RCT) prognosis. The successful RCT prevents tooth loss and avoids pain and apical periodontitis. This review aimed to categorize common operative procedure errors and clinical factors associated with RCT. Based on this, will be approached common errors of procedures within the clinical operative sequence: endodontic treatment planning, pulp and periapical disease diagnosis, anaesthesia, access cavity preparation, isolation with rubber dam, root canal preparation, root canal filling and retreatment, restoration of endodontically treated teeth, postoperative pain, follow up of endodontically treated teeth...
January 2017: Brazilian Dental Journal
https://www.readbyqxmd.com/read/28467258/effect-of-endocrown-pulp-chamber-extension-depth-on-molar-fracture-resistance
#17
A Hayes, N Duvall, M Wajdowicz, H Roberts
PURPOSE: The purpose of this study was to evaluate the effect of endocrown pulp chamber extension on mandibular molar fracture resistance. METHODS AND MATERIALS: A total of 36 recently extracted mandibular third molars of approximate equal size were sectioned at the facial lingual height of contour followed by endodontic access into the pulp chamber. The specimens were then randomly divided into three groups (n=12) and pulpal and root canal contents removed. Pulp chamber floors were established at 2, 3, and 4 mm from the occlusal table using a three-step etch-and-rinse adhesive and a flowable resin composite...
May 2017: Operative Dentistry
https://www.readbyqxmd.com/read/28439906/regenerative-endodontic-treatment-of-perforated-internal-root-resorption-a-case-report
#18
M E Kaval, P Güneri, M K Çalışkan
AIM: To present the regenerative endodontic treatment procedure of a perforated internal root resorption case and its clinical and radiographic findings after 2 years. SUMMARY: A 14-year-old female patient was referred complaining of moderate pain associated with her maxillary left lateral incisor. After radiographic examination, a perforated internal resorption lesion in the middle third of tooth 22 was detected. Under local anaesthesia and rubber dam isolation, an access cavity was prepared and the root canal was shaped using K-files under copious irrigation with 1% NaOCl, 17% EDTA and distilled water...
April 25, 2017: International Endodontic Journal
https://www.readbyqxmd.com/read/28437508/comparative-evaluation-of-anesthetic-efficacy-of-2-lidocaine-4-articaine-and-0-5-bupivacaine-on-inferior-alveolar-nerve-block-in-patients-with-symptomatic-irreversible-pulpitis-a-prospective-randomized-double-blind-clinical-trial
#19
Vivek Aggarwal, Mamta Singla, Sanjay Miglani
AIMS: To compare the anesthetic efficacy of 1.8 mL of 2% lidocaine with 1:200,000 epinephrine, 4% articaine with 1:100,000 epinephrine, and 0.5% bupivacaine with 1:200,000 epinephrine on producing inferior alveolar nerve block (IANB) in patients with symptomatic irreversible pulpitis. METHODS: A total of 91 adult patients who were actively experiencing mandibular molar pain were involved in this study. The patients were randomly divided into three groups on the basis of the anesthetic solution used...
April 2017: Journal of Oral & Facial Pain and Headache
https://www.readbyqxmd.com/read/28422594/intentional-replantation-of-an-immature-incisor-with-a-transverse-root-fracture-and-endo-perio-condition-4-year-follow-up
#20
Atsushi Oishi
This case report describes the importance of continual examination for dental trauma and the efficacy of intentional replantation with retrograde root canal filling for a transverse root fracture in an immature incisor accompanied by subsequent periodontal-endodontic disease. In the treatment of traumatically fractured roots in immature incisors, continual examination is indispensable for the final diagnosis because roots in immature teeth are less calcified, resulting in less detailed radiological examinations...
2017: Journal of Clinical Pediatric Dentistry
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