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endodontic micro access

Mario Alovisi, Damiano Pasqualini, Edoardo Musso, Elena Bobbio, Carlotta Giuliano, Davide Mancino, Nicola Scotti, Elio Berutti
INTRODUCTION: Contracted endodontic cavities (CECs) have developed from the concept of minimally invasive dentistry and provide an alternative to traditional endodontic cavities (TECs). They have been designed in an effort to preserve the mechanical stability of teeth. The contracted cavity design preserves more of the dentin but may influence the geometric shaping parameters. The aim of this micro-computed tomographic study was to evaluate the influence of contracted endodontic cavities on the preservation of the original root canal anatomy after shaping with nickel-titanium rotary instruments...
April 2018: Journal of Endodontics
Prasanna Neelakantan, Khadija Khan, Geoffrey Pak Hei Ng, Chui Ying Yip, ChengFei Zhang, Gary Shun Pan Cheung
INTRODUCTION: Despite the increasing reports on mechanical aspects of contracted endodontic access cavities (CECs), we believe that the biological aspects (debridement) have not been adequately investigated. This study examined if 1 type of CEC (orifice-directed dentin conservation [DDC] access) was able to debride the pulp chamber, root canals, and isthmus of mesial roots of mandibular molars similar to a traditional endodontic access cavity (TEC). METHODS: Mandibular molars (N = 32) were selected and divided randomly into 2 experimental groups (n = 12) after micro-computed tomographic scanning (group 1: TEC and group 2: DDC) and histologic controls (n = 8)...
February 2018: Journal of Endodontics
Shabnam Milani, Bahman Seraj, Alireza Heidari, Atousa Mirdamadi, Mahdi Shahrabi
AIMS: The aim of this in vitro study is to compare the coronal microleakage of three common temporary restorative materials, namely Coltosol, Compoglass, and Zonalin, used in pediatric dentistry after endodontic treatment at different time intervals (1 week, 1, and 2 months) using dye penetration. MATERIALS AND METHODS: Access cavities were prepared in 72 intact extracted premolar teeth. The samples were divided into three groups (n = 24) and filled with Coltosol, Compoglass, or Zonalin...
April 2017: International Journal of Clinical Pediatric Dentistry
Yang Lili, Zhang Yan, Zhao Shijun, Zhang Shuai, Wang Na, Xu Jie, Hu Shue, Xu Zhiyuan
Objective The aim of this study is to investigate the influence of cone beam computed tomography (CBCT) and micro-ultrasound technique for the treatment of three mesial canals in mandibular first molars. The three mesial canals according to Pomeranz's classification were characterized. Methods A total of 75 permanent mandibular first molars for root canal treatment were randomly selected from patients belonging to the age group of 14-60 years. After preparing the access cavity and locating the main canals, the middle mesial canal orifices in all teeth were determined with an endodontic explorer under direct vision (StageⅠ), under magnification with the aid of micro-ultrasound (Stage Ⅱ), and with the combined use of CBCT and micro-ultrasound to remove the dentin wall and calcifications (Stage Ⅲ)...
August 1, 2017: Hua Xi Kou Qiang Yi Xue za Zhi, Huaxi Kouqiang Yixue Zazhi, West China Journal of Stomatology
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...
October 2017: Journal of Endodontics
Brent Moore, Konstantinos Verdelis, Anil Kishen, Thuan Dao, Shimon Friedman
INTRODUCTION: Recently, we reported that in mandibular molars contracted endodontic cavities (CECs) improved fracture strength compared with traditional endodontic cavities (TECs) but compromised instrumentation efficacy in distal canals. This study assessed the impacts of CECs on instrumentation efficacy and axial strain responses in maxillary molars. METHODS: Eighteen extracted intact maxillary molars were imaged with micro-computed tomographic imaging (12-μm voxel), assigned to CEC or TEC groups (n = 9/group), and accessed accordingly...
December 2016: Journal of Endodontics
Samira Adnan, Farhan Raza Khan
OBJECTIVE: To compare mean micro-leakage around 3 types of temporary restorative materials in-vitro, when placed adjacent to permanent restorations (amalgam) in complex endodontic access cavities. STUDY DESIGN: Randomized controlled trial. PLACE AND DURATION OF STUDY: Dental Clinics, Dental Laboratory and Research Laboratory at The Aga Khan University Hospital, Karachi, from January to June 2014. METHODOLOGY: After random allocation of 60 teeth into 3 experimental groups, each group had conventional class II cavities prepared and amalgam placed...
March 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Noemi Bonessio, Ana Arias, Guiseppe Lomiento, Ove A Peters
The aim of this study was to investigate and compare, via finite element analysis (FEA), the effects of endodontic access and canal preparation on stress distribution under functional loading of a mandibular molar treated with novel (TRUShape) and conventional (Vortex) rotary root canal preparation instruments. Identical plastic mandibular molars with natural anatomy had all 4 canals shaped with either TRUShape or a conventional rotary, Vortex (#20 and #30, both by Dentsply Tulsa Dental). Finite element analysis was used to evaluate stress distribution in untreated and treated models...
January 2017: Odontology
Jerome Michetti, Adrian Basarab, Michel Tran, Franck Diemer, Denis Kouame
Validation of image processing techniques such as endodontic segmentations in cone-beam computed tomography (CBCT) is a challenging issue because of the lack of ground truth in in vivo experiments. The purpose of our study was to design an artificial surrounding tissues phantom able to provide CBCT image quality of real extracted teeth, similar to in vivo conditions. Note that these extracted teeth could be previously scanned using micro computed tomography (μCT) to access true quantitative measurements of the root canal anatomy...
2015: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Gabriele Edoardo Pecora, Camilla Nicole Pecora
There is an immense difference between tradizional Endodontic Surgery and Micro-Endo Surgery. Microsurgical techniques made possible and accessible results,that were unimaginable before. Under microscopic control,the operative techniques reached continous changes,allowing a better precision and quality standards. The dramatic evolution from Endo Surgery to Micro-Endo Surgery has enlarged the horizon of therapeutic options. Illumination and magnification through the Microscope has fundamentally and radically changed the way endo surgery can be performed...
January 2015: Journal of Conservative Dentistry: JCD
Alanna Junaid, Laila Gonzales Freire, Carlos Eduardo da Silveira Bueno, Isabel Mello, Rodrigo Sanches Cunha
INTRODUCTION: More information regarding the ability of single files to maintain the original canal position is required before adopting a single-file approach to cleaning and shaping. This study compares apical transportation in curved root canals when instrumenting with a single WaveOne (WO) file (Dentsply Tulsa Dental Specialties, Tulsa, OK) in a reciprocating motion with that incurred when using a sequence of Twisted Files (TFs; SybronEndo, Orange, CA) in a continuous rotating motion...
May 2014: Journal of Endodontics
Shahriar Shahi, Mohammad Samiei, Saeed Rahimi, Hossein Nezami
INTRODUCTION: The purpose of this in vitro study was to compare the coronal seal of four temporary filling materials, Coltosol, Zonalin, Zamherir, and Intermediate Restorative Material (IRM) by the India ink dye penetration test. MATERIALS AND METHODS: Endodontic access preparations were prepared in 120 extracted intact human premolars. The teeth were randomly divided into six groups including four experimental and two control groups. The access cavities in each group were sealed with Coltosol, Zonalin, Zamherir, and IRM; subsequently thermocycling was applied for 5-55˚C for 150 cycles...
2010: Iranian Endodontic Journal
Denise Lins de Sousa, Rebecca Bastos Rocha Araújo de Sousa, Daniela Nunes Pinto, José Jeová Siebra Moreira Neto, Cibele Barreto Mano de Carvalho, Paulo César de Almeida
PURPOSE: This study's purposes were to: evaluate the antibacterial effect of chemomechanical instrumentation and a calcium hydroxide-based dressing in primary teeth with pulp necrosis secondary to trauma; and detect the presence of Fusobacterium nucleatum and black-pigmented rods in the canals of these teeth. METHODS: Microbiological sample collections (MSCs) were obtained: after coronal access to the canals of primary incisors (in 18 teeth; MSC 1); after chemomechanical instrumentation (in 10 teeth; MSC 2); and 72 hours after removal of intracanal medication (in 18 teeth; MSC 3)...
July 2011: Pediatric Dentistry
J Kovac, D Kovac
The primary goal of endodontic therapy is the reduction or elimination of micro-organisms and their by-products from the root canal system. Although a number of instrumentation and irrigation techniques exist, debris is often left behind in the root canal system, therefore proper canal cleaning, shaping and irrigation is essential to significantly reduce and sometimes eliminate bacteria from canals. However, complete elimination of bacteria is not always achieved in clinical practice due to the anatomical complexities of root canals and consequent limitations of access by instruments and irrigators, the use of antimicrobial medication has been advocated to disinfect the root canal system and because root tissues are closely related to the periodontal apparatus...
2011: Bratislavské Lekárske Listy
A F Fouad
Pulp regeneration is considered in cases where the dental pulp has been destroyed because of microbial irritation. Diverse oral and food-borne micro-organisms are able to invade the pulp space, form biofilm on canal walls, and infiltrate dentinal tubules. Prior to pulp regeneration procedures, the pulp space and dentinal walls need to be sufficiently disinfected to allow for and promote regeneration. The necessary level of disinfection is likely higher than that accepted for traditional endodontic therapy, because in traditional techniques the mere lowering of bacterial loads and prevention of bacterial access to periapical tissues is conducive to healing...
July 2011: Advances in Dental Research
S Suebnukarn, R Hataidechadusadee, N Suwannasri, N Suprasert, P Rhienmora, P Haddawy
AIM: To evaluate the effectiveness of haptic virtual reality (VR) simulator training using microcomputed tomography (micro-CT) tooth models on minimizing procedural errors in endodontic access preparation. METHODOLOGY: Fourth year dental students underwent a pre-training assessment of access cavity preparation on an extracted maxillary molar tooth mounted on a phantom head. Students were then randomized to training on either the micro-CT tooth models with a haptic VR simulator (n = 16) or extracted teeth in a phantom head (n = 16) training environments for 3 days, after which the assessment was repeated...
November 2011: International Endodontic Journal
Françoise Tilotta, Philippe Brousseau, Elise Lepareur, Kazutoyo Yasukawa, Philippe de Mazancourt
Extracting dental DNA for identification purposes is usually performed after crushing the tooth. The main disadvantage of this method is that the tooth is completely destroyed so further radiographic, anatomical or biochemical studies are no longer possible. We compared the quantities of DNA obtained by crushing the tooth and by removing pulp by standard endodontic access with trepanation of the occlusal surface and amplified DNA micro-satellites. In the series of crushed teeth, insufficient material for amplification was obtained in 78% of cases and a complete profile was obtained in only 9% of cases...
October 10, 2010: Forensic Science International
O H Ikram, S Patel, S Sauro, F Mannocci
AIM: To compare the volume of hard tooth tissue lost after caries removal, access cavity preparation, root canal preparation, fibre post space and cast post preparation in carious premolar teeth. The null hypothesis tested was that there is no difference between the volumes of hard tooth tissue lost expressed as a percentage of the preoperative hard tooth tissue volume, after each operative procedure. METHODOLOGY: Twelve extracted human premolars with mesial or distal carious cavities penetrating into the pulp chamber were selected...
December 2009: International Endodontic Journal
Pascal Magne, Derek T Tan
PURPOSE: New methods are available for the rapid generation of 3-D finite element models of dental structures and restorations. Validation of these methods are required. The aim of the present study is to utilize stereolithography and surface-driven automatic meshing to generate models of specific restorative conditions, and to examine these models under loading. The data generated are compared to existing experimental data in an attempt to validate the model. MATERIALS AND METHODS: An intact maxillary central incisor was digitized with a micro-CT scanner...
February 2008: Journal of Adhesive Dentistry
A L Jensen, P V Abbott, J Castro Salgado
One of the main aims of endodontic treatment is to eliminate micro-organisms from within the root canal system. A further aim is to prevent the ingress of any further bacteria during and after treatment. These aims are usually achieved by various means and stages throughout the treatment process. Endodontic treatment is usually performed on teeth that have lost the integrity of the external coronal tooth structure which has allowed bacteria to enter the tooth and ultimately reach the pulp space. Further opening of the tooth occurs when an endodontic access cavity is made to allow treatment to be performed...
March 2007: Australian Dental Journal
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