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Ju-Hyoung Lee
Due to the increased esthetic demands, custom zirconia post-and-cores have recently become popular. A post-and-core pattern with acrylic resin or wax is scanned using a laboratory scanner for the design of a definitive post-and-core restoration. This procedure requires additional time and material handling experience. If a scan post is used for an intracanal digital impression, substantial initial investments for hardware and software are required. This article introduces an alternative technique for fabricating a custom zirconia post-and-core with a conventional impression...
March 8, 2018: Journal of Prosthetic Dentistry
M R Karamooz-Ravari, R Dehghani
Nowadays, NiTi rotary endodontic files are of great importance due to their flexibility which enables the device to cover all the portions of curved canal of tooth. Although this class of files are flexible, intracanal separation might happen during canal preparation due to bending or torsional loadings of the file. Since fabrication and characterization of such devices is challenging, time-consuming, and expensive, it is preferable to predict this failure before fabrication using numerical models. It is demonstrated that NiTi shape memory alloy shows asymmetric material response in tension and compression which can significantly affect the lifetime of the files fabricated from...
March 1, 2018: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
J Bi, Y Liu, X M Liu, L M Jiang, X Chen
AIM: To investigate the antibacterial activity of a novel intracanal medicament, iRoot FM, against Porphyromonas endodontalis (P. endodontalis) and its effects on the proliferation and osteo-/odontogenic differentiation of stem cells from apical papilla (SCAP). METHODOLOGY: The agar diffusion test was used to compare the antimicrobial efficacy of iRoot FM with two traditional intracanal medicaments, calcium hydroxide [Ca(OH)2 ] and triple antibiotic paste (TAP)...
March 7, 2018: International Endodontic Journal
A C S Marinho, T T To, R P Darveau, B P F A Gomes
AIM: To investigate the influence of auxiliary chemical substances (ACS) and calcium hydroxide [Ca(OH)2 ] dressings on LPS/lipid A detection and its functional ability in activating Toll-like receptor 4 (TLR4). METHODOLOGY: Fusobacterium nucleatum pellets were exposed to antimicrobial agents as following: 1) ACS: 5.25%, 2.5% and 1% sodium hypochlorite solutions (NaOCl), 2% chlorhexidine (CHX) (gel and solution) and 17% ethylenediaminetetraacetic acid (EDTA); 2) Intracanal medicament: Ca(OH)2 paste for various periods (1h, 24h, 7 days, 14 days and 30 days); 3) Combination of substances: a) 2...
March 5, 2018: International Endodontic Journal
P Montero-Miralles, J Martín-González, O Alonso-Ezpeleta, M C Jiménez-Sánchez, E Velasco-Ortega, J J Segura-Egea
Regenerative endodontic procedures (REPs) are biologically based procedures planned to replace damaged tissues, including dentinee and root structures, as well as cells of the pulp-dentine complex. Effective sterilization of the root canal is essential in REPs, and antibiotics have been widely used to disinfect root canals. The aim of this paper was to review the scientific literature on 1) Effectiveness of antibiotics used in REPs against bacteria implicated in endodontic disease; 2) Scientific evidence supporting the use of topical antibiotics in REPs; 3) Clinical implications of the use of antibiotics in REPs and the possible side effects; 4) Effect of antibiotics on dental pulp stem cells; and 5) Ongoing research on the use of antibiotics in REPs...
February 26, 2018: International Endodontic Journal
T Özyürek, G Uslu, M Gündoğar, K Yılmaz, N M Grande, G Plotino
AIM: To compare the cyclic fatigue resistance and bending properties of R-Pilot and WaveOne Gold (WOG) Glider files, at intracanal temperature (35°C). METHODOLOGY: Forty R-Pilot and 40 WOG Glider files were subjected to a cyclic fatigue resistance test (n = 20), calculating the time to fracture (TTF) in an artificial stainless steel canal. The length of the fractured file tips (FL) was also measured. The fracture surface of fragments was examined with a scanning electron microscope, and the cross-sectional area of the fractured surfaces was measured...
February 25, 2018: International Endodontic Journal
Gorka Zabalo, Daniel de Frutos, Juan Carlos García, Rodrigo Ortega, Juan José Guelbenzu, Idoya Zazpe
We report a case of a 41 years old patient complaining of chronic dorsalgia. MRI showed a well defined intradural extramedular dumbbell-shaped lesion, associated to a left paravertebral tumor at D5-D6 level. The tumor was embolizated prior to surgery. Following she underwent a D4-D6 laminotomy, left D5-D6 costotransversectomy and resection of the intracanal extradural part of the lesion with section of the left D5 nerve. Posteriorly, complete resection of the extracanal portion of the tumor was performed by a postero-lateral approach...
February 19, 2018: Neurocirugía
Ebtissam M Almadi, Amal A Almohaimede
Herbal remedies are used throughout the world, either in earlier or in recent times. The number of studies on this alternative therapeutic system increased in the last decades. In this paper, the relevant literature on the use of natural products in root canal therapy is revised from a MEDLINE database search. The uses of medicinal plants in endodontics include cleaning and disinfection of root canals, intracanal medicaments between appointments, sealer cements, and for removal of obturation material. Other studies showed the effect of natural products in pulpal and dentin repair...
February 2018: Saudi Medical Journal
Egle Bendoraitiene, Sandra Zemgulyte, Marija Borisovaite
Background: Avulsion of the permanent teeth is one of the most serious oral health problems among active children and adolescents. Traumatized patients require immediate and correct treatment in order to restore damaged structures and function that have major impact on daily patient's life. As a result, proper guidelines and fast treatment methods are necessary. This case report discusses treatment of maxillary right central incisor with an open apex that had been avulsed and replanted...
October 2017: Journal of Oral & Maxillofacial Research
G Anuradha Reddy, E Sridevi, A J Sai Sankar, K Pranitha, M J S Pratap Gowd, C Vinay
Aim: Maintenance of primary dentition is imperative for the development of arch form, esthetics, function, mastication, and normal eruption of permanent teeth. Premature loss can cause various problems such as ectopic eruption, space loss for the successor permanent teeth, alterations in speech, and impairment of function. Hence, decayed primary teeth should not be extracted and treated whenever possible. Pulpectomy is generally recommended as a treatment of choice in such cases. The purpose of this study was to evaluate the clinical and radiographic success of pulpectomized primary teeth with chronic infection using a mixture of metronidazole, ciprofloxacin, and minocycline (3MIX)-MP as an intracanal medicament before the obturation...
November 2017: Journal of Conservative Dentistry: JCD
Rashmi Baranwal, Vijay Duggi, Alok Avinash, Alok Dubey, Sulabh Pagaria, Harsha Munot
Introduction: One of the most important factors for successful endodontic therapy is root canal cleaning. The difficulty involved in eliminating microorganisms, as well as their residual presence, warrants the use of root canal dressings after bio-mechanical preparation. Aim: The aim of the study was to compare the diffusion ability between nonalcoholic calcium hydroxide-propolis paste, calcium hydroxide-saline paste, and calcium hydroxide-propylene glycol paste...
October 2017: International Journal of Clinical Pediatric Dentistry
Eyup Candas Gundogdu, Hakan Arslan
INTRODUCTION: The purpose of the study was to evaluate the effects of intracanal, intraoral, and extraoral cryotherapy on postoperative pain in molar teeth with symptomatic apical periodontitis. METHODS: A total of 100 patients were randomly distributed into 4 groups: control (without cryotherapy application), intracanal cryotherapy application, intraoral cryotherapy application, and extraoral cryotherapy application. The postoperative pain of the patients was recorded at the first, third, fifth, and seventh days...
February 2, 2018: Journal of Endodontics
A Agrafioti, D G Giannakoulas, C G Filippatos, E G Kontakiotis
AIM: The aim of this study was to gather all the clinical studies regarding apexification and artificial apical barrier techniques, point out the possible differences of the clinical procedures and investigate how these are changing over time. MATERIALS AND METHODS: An electronic search was carried out in PubMed, covering the period from March 1968 to July 2015. More articles were retrieved by hand-searching or by the reference section of the included articles. Specific criteria were set in order to determine the relevance of each study...
December 2017: European Journal of Paediatric Dentistry: Official Journal of European Academy of Paediatric Dentistry
Marija Šimundić Munitić, Ivona Bago, Karl Glockner, Lumnije Kqiku, Dragana Gabrić, Ivica Anić
PURPOSE: To evaluate the influence of laser-activated irrigation by Er:YAG and Er:YSGG (LAI) protocols and Nd:YAG laser irradiation on the bond strength of self-adhesively cemented fiber posts to root canal dentine. MATERIALS AND METHODS: The study sample consisted of 84 human single-rooted permanent teeth instrumented with ProTaper Next technique. After obturation, post space preparations were created for fiber-reinforced composite posts. The prepared specimens were divided according to the laser treatment of the post space preparations: group 1: LAI (Er:YAG) + saline solution (pulse energy: 20 mJ, repetition rate: 15 Hz); group 2: LAI (Er:YAG) + QMiX solution (pulse energy: 20 mJ, repetition rate: 15 Hz); group 3: LAI (Er,Cr:YSGG) + saline solution (pulse energy: 62...
January 29, 2018: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Mehdi Tabrizizadeh, Mahnaz Kazemipoor, Mahdi Hakimian, Mojdeh Maleksabet, Maryam Kazemipoor, Hengameh Zandi, Fatemeh Poorrajab, Chun-Tao Che, Geoffrey A Cordell
The aim of this study was to determine the antimicrobial capacity, minimum inhibitory concentration (MIC), and cytotoxic effects of a Peganum harmala seed extract in comparison to 5.25% sodium hypochlorite (NaOCl). The oral pathogen Enterococcus faecalis was used to evaluate the antimicrobial capacity, and the MIC values were determined through serial dilution. Inhibition zones were measured in millimeter, and the data were analyzed statistically by analysis of variance and the Tukey HSD test. For cytotoxicity testing, P...
January 24, 2018: Phytotherapy Research: PTR
Maryam Khoroushi, Fatemeh Tavakol, Farinaz Shirban, Sanaz Ziaei
Background: Irrigation has a key role in the success of endodontic treatment. Intracanal irrigant solutions have adverse effects on the physical properties of dentin. Aim: The present study aimed to evaluate the effect of different irrigation protocols on coronal fracture resistance of endodontically treated teeth undergoing bleaching treatment. Design and Materials and Methods: Access cavities were prepared in 120 maxillary premolars which were divided into two groups (n = 60) - Group A: nonbleached, Group B: bleached (B)...
October 2017: Contemporary Clinical Dentistry
Lauriê Garcia Belizário, Milton Carlos Kuga, Gabriela Mariana Castro-Núñez, Wilfredo Gustavo Escalante-Otárola, Marcus Vinicius Reis Só, Jefferson Ricardo Pereira
STATEMENT OF PROBLEM: The optimal irrigating solution with antimicrobial and dentin cleansing properties for post space preparation for fiber posts is unclear. Peracetic acid is one option but is available in various chemical formulations that require evaluation. PURPOSE: The purpose of this in vitro study was to evaluate dentin surface cleanliness based on the presence of a smear layer and the number of open dentin tubules. It also investigates the chemical composition of residues after canal irrigation with a 1% peracetic acid solution (PA) at low or high concentration of hydrogen peroxide during the preparation of intracanal fiber posts...
January 5, 2018: Journal of Prosthetic Dentistry
Antonis Chaniotis
INTRODUCTION: Although regenerative treatment approaches in teeth with incomplete root formation and pulp necrosis have become part of the suggested therapeutic endodontic spectrum, little is known about the effect of orthodontic movement in the tissue that has been regenerated. Furthermore, as the number of adults undergoing orthodontic treatment increases, there is an increasing need to investigate the changes that these tissues may undergo during orthodontic movement. Here we describe the alterations observed after the application of orthodontic forces in a case of an apically root-fractured necrotic immature root that had been managed with regenerative endodontic procedures in the past...
January 3, 2018: Journal of Endodontics
Zhongchun Tong, Yu Du, Junqi Ling, Lijia Huang, Jinglei Ma
A high prevalence of Enterococcus faecalis (E. faecalis) is observed in teeth with root canal treatment failures. Clustered regularly interspaced short palindromic repeats (CRISPR) are widely distributed in prokaryotes that have adaptive immune systems against mobile elements, including pathogenic genes. The present study investigated the relevance of the CRISPR in E. faecalis strains isolated from retreated root canals on biofilms, periapical lesions and drug resistance. A total of 20 E. faecalis strains were extracted from the root canals of teeth referred for root canal retreatment...
December 2017: Experimental and Therapeutic Medicine
Camila Paiva Perin, Vula Papalexiou, Aline Cristina Batista Rodrigues Johann, Natanael Henrique Ribeiro Mattos, Fernando Henrique Westphalen, Vânia Portela Ditzel Westphalen
Objective: The aim of this study was to evaluate the use of acetazolamide combined with different agents as intracanal medication in late reimplanted rat teeth. Materials and Methods: In 100 Wistar rats, divided into 5 groups of 20, one of the following medications was used: Acetazolamide liquid (AL); AL with calcium hydroxide powder (ALHC); acetazolamide powder with AL; acetazolamide powder with physiological solution; and calcium hydroxide with physiological solution (control)...
October 2017: European Journal of Dentistry
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