Endodontics and Endodontology Commons^™

The Prevalence, Predictive Factors, And Classification Of Intrapulpal Cracks In Maxillary Premolars Requiring Endodontic Treatment, Sarah Krygowski

Theses and Dissertations

Cracked teeth may be difficult to diagnose. Craze lines rarely become symptomatic or require treatment. Cracks in the enamel and dentin alone may or may not become symptomatic and require restorative treatment. However, cracks extending into the enamel, dentin, and pulp chamber provide an avenue for bacteria to establish infection and this commonly results in symptoms and the need for endodontic and restorative treatment. The published endodontic literature has limited information regarding the prevalence or predictive factors for cracks extending into the pulp chamber of teeth. The purpose of this study was to determine the prevalence and classification of intrapulpal …

Treatment Decisions Involving Teeth With Intrapulpal Cracks: A Survey Of Endodontists, Sheldon M. Sealey

Theses and Dissertations

There is no universal protocol for diagnosing, treating and managing cracked teeth. The purpose of this survey was to investigate the use of traditional methods of crack detection and to explore how treatment decisions were made using an intrapulpal crack classification. The electronic survey was sent to 1115 active members of the American Association of Endodontists (AAE) and The Digital Office (TDO^™) community. Comparisons were assessed using logistic or repeated-measures regression. The most often used diagnostic method was probing. When the crack involved one wall, 85% of respondents would complete root canal therapy > 50% of the time or …

Designing A Process To Reliably Split Extracted Teeth To Access The Dental Root Canal, Happy Singh Ghag

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction

Mesenchymal stem cell (MSC) research is a contemporary topic in modern healthcare. These cells have the ability to divide and generate progeny, which then become committed to specific and distinctive end-stage phenotypes, such as cartilage or bone (Caplan 1991). MSCs have been isolated from a variety of tissues such as the umbilical cord, bone marrow, adipose tissue (Ding, Shyu & Lin 2011) and dental pulp (Takeda et al 2008). Although dental pulp is a viable source for MSCs, peer reviewed research has given limited attention to its retrieval process through intentional tooth splitting of extracted teeth. The purpose of …

Effect Of Post Materials On The Biomechanical Behaviour Of Endodontically Treated Tooth., Ahmed A. Madfa

Ahmed A. Madfa

Objectives: To study the stress distributions in maxillary central incisor restored with Ni-Cr custom-made, gold custom-made, prefabricated titanium and prefabricated glass fibre dental posts subjected to oblique occlusal load at 100 N. Materials and Methods: Four three dimensional finite element models of a maxillary central incisor restored with Ni-Cr (Model I), gold custom-made (Model II), prefabricated titanium (Model III) and prefabricated glass fibre (Model IV) dental posts were constructed and oblique loading of 100 N was applied. Stress analysing at the along the centre of the post and post-surrounding structure interfaces were computed. Results: The result of this study indicates …

Evaluation Of Effect Of 17% Edta And 5.25% Sodium Hypochloride Irrigating Solutions On Surface Hardness Of Brasseler Endosequence Root Repair Material, Himanshu Sharma

Master's Theses (2009 -)

Introduction: Root Perforation is an artificial communication between the root canal system and supporting tissue. Various endodontic researchers have published that sealing the perforation immediately has the best prognosis but this predisposes the repair material to come in contact with various root canal irrigants during the course of treatment. The aim of this study was to evaluate the effect of 17% EDTA and 5.25% sodium hypochlorite irrigating solutions on surface hardness of Endosequence Root Repair Material Putty (ERRM).

Method: ERRM, 5.25% Sodium Hypochlorite, 17% EDTA and Deionized water were used. 42 samples were prepared and divided into 2 groups. Each …

Endodontic Repair Filling Materials: A Review Article., Ahmed A. Madfa

Ahmed A. Madfa

The emergence of Mineral Trioxide Aggregate (MTA) as endodontic repair filling material has generated a lot of interest due to its superior sealing ability and biocompatibility. Although MTA possesses superior sealing ability to traditional endodontic repair filling materials, such as calcium hydroxide, but it has poor handling characteristics. A novel endodontic repair filling materials with similar chemical composition, but improved handling characteristics, was recently developed. Recently, BioAggregate repair filling materials is claimed as biocompatible material and promotes cementogenesis and forms a hermetic seal inside the root canal. More recently, Biodentine and EndoSequence endodontic repair materials introduced to the market. Both …

A Qualitative Study Of Barriers To Dental Care Among Older Minority Adults Residing In Lower Income Communities, Demetress Davis

Master's Theses

ABSTRACT: The purpose of this study was to explore factors that presented barriers to the use of dental care among low-income minority older adults. Participants were recruited from low-income senior housing in Hartford, CT. In-depth semi-structured interviews were conducted to obtain data on demographics, oral health status, oral health knowledge and factors that affected use of dental care including finances, perceived oral symptoms, cultural factors, and beliefs about dental care. Interviews were conducted with 17 participants. The major perceived barriers were ability to pay for care, transportation and fear/mistrust of the dentist. Participants may have had poor oral health as …

Analysis Of Periapical Biopsies Submitted For Histopathological Evaluation: A Retrospective Study, Abdullah I. Alqaied

Master's Theses

Apical periodontitis is the most common pathological process in the periapical region. Disciplined clinical and radiographic evaluations and appropriate diagnostic tests can detect lesions related to apical periodontitis. Aside from this, lesions mimicking pulp-related pathology but unrelated to pulpal infection and necrosis are occasionally discovered in the periapical region. The objective of this study was two-fold: (1) to determine the prevalence of diverse periapically located pathological entities, and (2) to apply that information to evaluate the rationale for routine submission of surgically obtained tissue for histological examination and diagnosis. Methods: A 5-year retrospective analysis of pathology reports from the UCONN …

In Vitro Antimicrobial Effect Of A Cold Plasma Jet Against Enterococcus Faecalis Biofilms, Chunqi Jiang, Christoph Schaudinn, David E. Jaramillo, Paul Webster, J. William Costerton

Bioelectrics Publications

The hypothesis that a cold plasma jet has the antimicrobial effect against Enterococcus faecalis biofilms was tested in vitro. 27 hydroxyapatite discs were incubated with E. faecalis for six days to form a monoculture biofilm on the disc surface. The prepared substrata were divided into three groups: the negative control, the positive control (5.25% NaOCl solution), and the plasma treatment group. Resultant colony-forming unit counts were associated with observations of bacterial cell morphology changes using scanning electron microscopy (SEM). Treatment of E. faecalis biofilm with the plasma and 5.25% NaOCl for 5min resulted in 93.1% and 90.0% kill (P < 0.0001), respectively. SEM detected that nearly no intact bacteria were discernible for the plasmaexposed HA disc surfaces. The demonstrated bactericidal effect of the plasma with direct surface contact may be due to the enhanced oxidation by the locally produced reactive plasma species.

Decontamination Of Endodontic Gutta-Percha: An In-Vitro Study, Mariya Shnaydman

Master's Theses

No abstract provided.

Fracture Resistance Of Endodontically Teeth Restored With Functionally Graded Posts, Ahmed A. Madfa

Ahmed A. Madfa

Objectives: To evaluate the fracture resistance and failure mode of endodontically teeth restored with functionally graded structured (FGS) posts compared to titanium and cast posts. Methods: Single canals in 70 bovine incisors were instrumented, irrigated, obturated and divided into seven groups. They were then root restored with titanium, cast and 3 experimental FGS posts of different compositions; ZrO2-Ti-HA, Al2O3-Ti-HA and Ti-HA. Two control groups were also included; sound teeth and those root treated only. All posts were cemented with zinc phosphate cement and built up with composite core. Crowns margins of 1 mm chamfer finishing line were prepared to receive …

3d-Fe Analysis Of Functionally Graded Structured Dental Posts, Ahmed A. Madfa

Ahmed A. Madfa

This study aimed to compare the biomechanical behaviour of functionally graded structured posts (FGSPs) and homogenous-type posts in simulated models of a maxillary central incisor. Two models of FGSPs consisting of a multilayer xTi-yHA composite design, where zirconia and alumina was added as the first layer for models A and B respectively were compared to homogenous zirconia post (model C) and a titanium post (model D). The amount of Ti and HA in the FGSP models was varied in gradations. 3D-FEA was performed on all models and stress distributions were investigated along the dental post. In addition, interface stresses between …

Hydrolysis Of Amelogenin By Matrix Metalloprotease-20 Accelerates Mineralization In Vitro, Vuk Uskoković, Feroz Khan, Haichuan Liu, Halina Ewa Witkowska, Li Zhu, Wu Li, Stefan Habelitz

Pharmacy Faculty Articles and Research

In the following respects, tooth enamel is a unique tissue in the mammalian body: (a) it is the most mineralized and hardest tissue in it comprising up to 95 wt% of apatite; (b) its microstructure is dominated by parallel rods composed of bundles of 40 – 60 nm wide apatite crystals with aspect ratios reaching up to 1:10,000 and (c) not only does the protein matrix that gives rise to enamel guides the crystal growth, but it also conducts its own degradation and removal in parallel. Hence, when mimicking the process of amelogenesis in vitro, crystal growth has to …

Comparison Of Non-Surgical And Surgical Endodontic Retreatment: A Systematic Review, Robert Corr

Loma Linda University Electronic Theses, Dissertations & Projects

Primary root canal therapy has been shown to be a predictable procedure with a high degree of success ^1-4, however failures can occur after treatment. Treatment options for the preservation of teeth that have had previous endodontic treatment but demonstrate persistent disease include non-surgical (orthograde) or surgical (retrograde) endodontic retreatment, assuming the tooth is restorable, periodontally sound, and the patient desires to retain the tooth. The purpose of this study was to conduct a systematic review of the current available evidence to compare the clinical and radiographic outcomes of nonsurgical with those of surgical endodontic retreatment. Methodology began with …

Soft Tissue Profile Response In Extraction Versus Non-Extraction Orthodontic Treatment, Munizeh Khan, Mubassar Fida

Section of Dental-Oral Maxillofacial Surgery

Objective: To compare changes occurring in the soft tissue profile with orthodontic treatment in extraction versus nonextraction cases, and to determine the hard and soft tissue parameters that show significant correlations to understand the factors influencing the response to tooth movement. Study Design: Quasi-experimental. Place and Duration of Study: Dental Section, The Aga Khan University Hospital, Karachi, from 2005 to 2008. Methodology: Pre- and post-treatment lateral cephalographs of 34 subjects were assessed. For half of the patients (n=17), treatment included the extraction of 4 premolars, whereas the other half were treated by the non-extraction approach. Incisal and soft tissue effects …

Use Of Cone Beam Computed Tomography In The Determination Of Mental Foramen Location In Relation To Mandibular 1st And 2nd Premolars, Sanjay Bhagchandani

Theses and Dissertations

The purpose of this study was to use existing Cone Beam Computer Tomography images to determine the vertical and horizontal location of the mental foramen in relation to the mandibular first and second premolars, as well as the distance in millimeters from the apex of each. The distance from the inferior border of the foramen to the inferior border of the mandible was also recorded. The average distance from the apices of the mandibular first and second premolars to the mental foramen was 7.43mm (SD= 1.97) and 5.30mm (SD=1.65) respectively. The foramen was located 11.44mm (SD=1.49) from the inferior border …

Endodontic Residents’ Understanding Of Biostatistics: A 2010 Survey Of Endodontic Residents In The United States, Paul Letellier Jr.

Theses and Dissertations

Endodontic residents must keep current with clinical information to practice evidence- based dentistry. To do so, endodontic residents must access research papers and interpret results. This requires a knowledge of biostatistics. However, the biostatistical knowledge of endodontic residents is relatively unknown. The purpose of the study was to assess the biostatistical knowledge of endodontic residents using a survey instrument to prove or reject the hypothesis that there exists a lack of understanding of biostatistic principles among endodontic residents. A survey consisting of 29 questions querying attitudes and biostatistical knowledge was distributed to 230 endodontic residents and returned with a 32% …

Endodontic Education And Educators: Who Is Teaching Our Predoctoral Students And What Methods Are Being Taught?, Ellison Turner

Theses and Dissertations

A survey was conducted to assess the current state of predoctoral endodontic education in the United States. Fifty-one schools received surveys and 73% responded. Seventy-six percent were from public schools with most having a graduate endodontic program (84%). Preclinical training most often began in the spring of second year and clinical training started in the fall of third year (each 54%). All programs that responded stated that endodontists routinely instruct students in the clinic. Sodium hypochlorite 2.5% was the irrigation of choice. Calcium hydroxide was the most common intracanal medicament. Cold lateral condensation with gutta-percha was the most frequently indicated …

New Generation Of The Dental Posts For Endodontic Application., Ahmed A. Madfa

Ahmed A. Madfa

Fabricated multilayer dental post with the functionally graded design is a novel product that exhibits graded properties varied from coronal to apical parts of the tooth. The new dental post definitely performs better than posts available in the market and improves the quality of human life

Prospects And Pits On The Path Of Biomimetics: The Case Of Tooth Enamel, Vuk Uskoković

Pharmacy Faculty Articles and Research

This review presents a discourse on challenges in understanding and imitating the process of amelogenesis in vitro on the molecular scale. In light of the analysis of imitation of the growth of dental enamel, it also impends on the prospects and potential drawbacks of the biomimetic approach in general. As the formation of enamel proceeds with the protein matrix guiding the crystal growth, while at the same time conducting its own degradation and removal, it is argued that three aspects of amelogenesis need to be induced in parallel: a) crystal growth; b) protein assembly; c) proteolytic degradation. A particular emphasis …