Dentistry Commons^™

The Prevalence, Predictive Factors, And Classification Of Intrapulpal Cracks In Maxillary Molars Requiring Endodontic Treatment, Husain Karashi

Theses and Dissertations

Diagnosis and treatment of teeth with longitudinal fractures is challenging. Cracks are usually not visible radiographically; they require a thorough evaluation to aid in diagnosis. Patients may be asymptomatic, demanding the dentist rely on clinical findings to make a diagnosis. Early diagnosis of the presence and extent of a crack is essential for the successful management of a cracked tooth. There is limited information in the literature regarding the prevalence or predictive factors of cracks extending into the pulp chamber of teeth. The purpose of this study was to determine the prevalence of intrapulpal cracks in maxillary molars and to …

A Study Of The Relationship Between Job Related Stress And Temporomandibular Disorders In Accountants Working In Jakarta, Cindy Maura Saputra, Laura Susanti Himawan, Ira Tanti

Journal of Dentistry Indonesia

Stress is a known risk factor for Temporomandibular Disorders (TMD), however there are few studies of TMD in people who work in high stress jobs. Accounting is a profession known for its high levels of stress and expectation. Objective: The aim of this study is to investigate the relationship between the intensity and frequency of job related stress and the occurrence of TMD in accountants in Jakarta. Methods: A cross-sectional study, with ethics approval from the Ethical Committee of the Faculty of Dentistry, University Indonesia, was performed on 116 accountants aged 21 to 50, living in Jakarta. Subjects were asked …

Torsion And Bending Properties Of Edgeendo Files, Chad Hansen

Master's Theses (2009 -)

Introduction: One important step of root canal therapy is the process of cleaning and shaping each canal. This process involves using endodontic rotary files combined with chemical irrigants to remove pulpal remnants and infected dentin from the canal while eliminating pathogenic bacteria. It is essential to maintain proper canal anatomy while cleaning and shaping. The challenge for the practitioner is to select a rotary file system that will be flexible enough to maintain canal anatomy but strong enough to prevent breakage under normal use. File flexibility allows for better maintenance of canal anatomy. A file’s resistance to torsional fatigue reduces …

Outcomes Of Primary Endodontic Therapy Provided By Endodontic Specialists Compared To Other Providers, Jacob Burry

Master's Theses (2009 -)

Introduction: The objective of this study was to compare the outcomes of initial non-surgical root canal therapy (NSRCT) for different tooth types provided by both endodontists and other providers. Methods: Using an insurance company database, 487,476 initial NSRCT procedures were followed from the time of treatment to the presence of an untoward event indicated by Current Dental Terminology (CDT) codes for retreatment, apical surgery, or extraction. Population demographics were computed for provider type and tooth location. Kaplan-Meier survival estimates were calculated for 1, 5, and 10 years. Hazard ratios for provider type and tooth location were calculated using the Cox …

Viability Of Human Periodontal Ligament Fibroblasts After Storage In Save-A-Tooth, Emt Toothsaver And Hank's Balanced Salt Solution, Wonhee Lee

Master's Theses (2009 -)

Introduction: Viability of periodontal ligament (PDL) cells is a key prognostic factor fora replanted tooth following avulsion. Dehydration results death of PDL cells, which in turn causes ankylosis upon replantation, followed by replacement resorption. Hank’s Balanced Salt Solution (HBSS) has been recommended as the standard storage medium for an avulsed tooth. Save-A-Tooth and EMT Tooth saver (Dentosafe)are commercially available tooth storage media. With the best of our knowledge no study has yet compared these media for their effective tooth storage times. The aim of this invitro study is to evaluate Save-A-Tooth, EMT Toothsaver (Dentosafe), and HBSS for their effect on …

Evaluation Of Resin Sealer Penetration Of Dentin Following Different Final Rinses For Endodontic Irrigation Using Confocal Laser Scanning Microscopy, Omar Ezzaldin Abusteit

MUSC Theses and Dissertations

Introduction: The aim of the study was to directly assess the depth of sealer penetration into dentinal tubules following different final rinses and indirectly evaluate precipitation of irrigating solutions. Materials and Methods: 52 extracted maxillary incisors were prepared to size 40/04 crown down with 6% sodium hypochlorite irrigating solution. Teeth were randomly divided into 4 groups (n=13) according to the final rinse. Group 1- 17% EDTA, saline and 2% Chlorhexidine solution; Group 2- SmearOFFâ„¢; Group 3- QMix®; Group 4- control with saline. Each final rinse was 3 ml over 1 minute placed with a 30-gauge needle 3 mm short from …

Comparison Of Treatment Planning Decisions When Combining Cbct And Digital Radiography Verses Digital Radiography Alone, Mckay Barlow Packer

Theses and Dissertations

Cone beam computed tomography (CBCT) is the recommended imaging modality of choice for evaluating previous endodontic treatment (1). The aim of this study was to compare treatment planning decisions made when evaluating previous endodontic treatment to determine if treatment planned and projected prognosis differs when digital radiography is used alone or in combination with CBCT. A retrospective chart review was conducted. Patients for whom a CBCT was taken were included in the study. Twenty-eight patients qualified. Patient’s periapical digital radiographs (Dexis©) were evaluated by 2 calibrated endodontists, a treatment plan was identified and a prognosis was projected. Later the same …

The Incidence Of Root Dentinal Micro-Cracks Caused By Reciprocating And Continuous Rotary Instrumentation, Stephen N. Schroeder

Theses and Dissertations

The aim of this study was to compare the incidence of root canal dentinal micro-cracks after canal instrumentation using reciprocating files (WaveOne Gold® and Twisted Adaptive®) and continuous rotation files (Edge Evolve® and EndoSequence®) in an ex-vivo benchtop study. This project used a novel methodology of finding dentinal defects using the “K-cube”, which allows evaluators to visualize sectioned root surfaces before instrumentation and after instrumentation. Mesial roots from 40 human mandibular first molars were divided into 4 groups of 10 for each file type. Root section pictures were taken with a Zeiss Discovery V20 stereomicroscope before and after canal instrumentation. …

Assessment Of Changes In The Size Of Periapical Radiolucencies 3-12 Months Post Non-Surgical Root Canal Treatment Using Cbct Imaging: A Pilot Study, Jeremy W. Fike Dds

Theses and Dissertations

The purpose of this study was to assess the changes in size of periapical lesions 3-12 months following root canal treatment using CBCT. Patients who had non-surgical root canal therapy (NSRCT) or non-surgical retreatment (ReTx) from July 30,2014 to August 19, 2015 with a periapical lesion of endodontic origin and received NSRCT or ReTx and had a pre-treatment or intra-treatment CBCT were invited to participate. Volumetric and linear measurements of periapical lesions on initial and post- treatment CBCT images were performed. A total of 20 patients with 23 treated teeth with 30 separate periapical radiolucent lesions returned for follow up …

Analysis Of Radiographic Changes Associated With The Periradicular Diagnosis Of Symptomatic Apical Periodontitis, Preeti Batra

Theses and Dissertations

Symptomatic apical periodontitis (SAP) is indicative of inflammation of the periodontal ligament. It may or may not be accompanied by radiographic changes and may occur with vital or necrotic pulpal diagnosis. Purpose of this study was to analyze clinical and radiographic presentations of SAP in a retrospective electronic dental chart and digital radiograph review utilizing the endodontic diagnostic template note of predoctoral dental school patients presenting with SAP. The aim was to determine prevalence of periapical radiolucencies (PARLs) in SAP, association of SAP to pulpal diagnosis, and define associated radiographic changes. Most prevalent pulpal diagnosis with SAP was symptomatic irreversible …

Treatment Of A Periodontic-Endodontic Lesion In A Patient With Aggressive Periodontitis, Mina D. Fahmy, Paul G. Luepke, Mohamed Ibrahim, Arndt Guentsch

School of Dentistry Faculty Research and Publications

Case Description: This case report describes the successful management of a left mandibular first molar with a combined periodontic-endodontic lesion in a 35-year-old Caucasian woman with aggressive periodontitis using a concerted approach including endodontic treatment, periodontal therapy, and a periodontal regenerative procedure using an enamel matrix derivate. In spite of anticipated poor prognosis, the tooth lesion healed. This case report also discusses the rationale behind different treatment interventions. Practical Implication. Periodontic-endodontic lesions can be successfully treated if dental professionals follow a concerted treatment protocol that integrates endodontic and periodontic specialties. General dentists can be the gatekeepers in managing …

Comparison Of Three Different Nickel-Titanium Endodontic Rotary Systems In Shaping Simulated S-Shaped Canals, Elineida Perez

Master's Theses (2009 -)

Introduction: Preparation error may result during mechanical instrumentation because of the complex anatomy of the root canal. Thus, flexibility and resistance to fracture are ideal properties that endodontic instruments should have. The aim of the study was to compare the shaping ability of three different nickel-titanium rotary instruments in simulated S-shape root canals by measuring transportation and canal volume change CVC. Materials and Methods: A total of 60 S-shaped canals in resin blocks were randomly allocated into 3 groups (n=20): Vortex Blue (Dentsply-Tulsa Dental Specialties), HyFlex CM (Coltène/Whaledent) and EndoSequence (Brasseler USA). Canals were filled with dye and secured in …

Differential Scanning Calorimetric (Dsc) Study Of New And Sterilized Nickel-Titanium Rotary Endodontic Instruments, Michael Dyriw

Master's Theses (2009 -)

Introduction: Nickel-Titanium (NiTi) files have become popular in endodontic procedures compared to traditional stainless steel hand files owing to their increased flexibility which is especially advantageous in curved canals. Due to the associated costs, endodontic instruments are frequently re-used, which requires sterilization between uses. With the application of temperature NiTi has the ability to undergo phase transformations, altering the properties of the instruments. The purpose of this study was to investigate phase transformations of four brands of NiTi rotary endodontic instruments in the as-received condition and after multiple sterilization cycles under steam sterilization, using differential scanning calorimetry. Materials and Methods: …

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 …

Lowering The Number Of False Positive Responses To Electric Pulp Tests By Qualifying Patient Response, Katherine Js Lee

Theses and Dissertations

The electric pulp test (EPT) has been shown to be a valuable tool in assessing pulp vitality. One of its drawbacks, however, is its high number of false positives. The purpose of this study was to determine if qualifying the type of sensation elicited by the test could lower the percentage of false positive responses. A retrospective chart review of an eleven-month period was conducted, examining all patients with necrotic teeth tested with the EPT. Of 189 teeth, when the patient responded to EPT at first sensation 23.3% of teeth were incorrectly identified as vital. When the patient was asked …

Restorative Characteristics Of Intrapulpally Cracked Teeth, Charles M. Beavers

Theses and Dissertations

Cracked teeth have long presented a diagnostic challenge. Previous investigators have considered possible predictive factors, many of which revolve around the tooth’s restorative characteristics. Few have investigated the restorative status of teeth with cracks extending into the pulp chamber. The purpose of this investigation was to determine the prevalence of the different types of restorations present in intrapulpally cracked teeth and determine any other restorative factors that may aid in predicting the presence or extent of an intrapulpal crack. Intrapulpally cracked molars requiring endodontic therapy at the VCU Graduate Endodontic Practice were included in this study. For each tooth, the …

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 …

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 …

The Effect Of Canal Preparation On Fill Length In Straight Root Canals Obturated With Guttacore®, Robert Bryan Whitten

MUSC Theses and Dissertations

Introduction: A common critique of using thermoplasticized obturators is the incidence of overextension. It would be of benefit to clinicians to have a technique for canal preparation that would allow for predictable length control. This study compared straight canals instrumented to a size 40 file using a 0.04 standardized taper preparation (STP) with a varied taper preparation (VTP) by evaluating the extension of GuttaCore® (GC) obturators (Dentsply Tulsa Dental, Tulsa, OK). Methods: Eighty extracted mature human premolars with single straight canals were randomly divided into 2 experimental groups (n = 40). Group 1 was instrumented to size 40/.04 at working …

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 …

Sexual Dimorphism In Periapical Inflammation And Bone Loss From Map Kinase Phosphatase-1 Deficient Mice, Justin Mcabee

MUSC Theses and Dissertations

Introduction: Mitogen Activating Protein (MAPK) kinase phosphatase-1 (MKP-1) has been shown to be a key negative regulator of the MAP kinase pathways of the innate immune system. The impact of MKP-1 in an endodontic model has yet to be studied. Thus, the purpose of this study was to determine the role of MKP-1 in a bacterial-driven model of pathological endodontic bone loss. Methods: Pulps were exposed in both lower 1st molars of 10-week old Dusp-1+1+IMKP-1 +1+ and Dusp-1-1-IMKP-1-1- mice and left open to the oral environment for either 3 or 8 weeks. At sacrifice, mandibles were harvested and scanned by …

The Effect Of Canal Preparation On Fill Length In Straight Root Canals Obturated With Realseal 1 And Thermafil Plus, Thomas John Heeren

MUSC Theses and Dissertations

Introduction: A common adverse effect using thermoplasticized obturators is overextension. A canal preparation allowing for predictable obturation length would be of clinical value. This study compared straight canals instrumented to a size 40 file using a 0.04 standardized taper preparation (STP) and a varied taper preparation (VTP) by evaluating the extension of two thermoplastic obturation systems: RealSeall ™ (RS-l) and Thermafil® Plus (TP). Methods: Eighty extracted mature human premolars with single straight canals were randomly divided into 4 experimental groups (n=20). Groups 1 and 2 were instrumented to size 40/04 at working length (WL) with STP. Groups 3 and 4 …

The Effect Of Canal Preparation On Fill Length In Curved Root Canals Obturated With Realseal 1 And Thermafil Plus, David Woodard

MUSC Theses and Dissertations

Introduction: A preparation technique allowing for a predictable thermoplastic obturation length while ensuring a three-dimensional fill would be of clinical value. Methods: This in vitro study was conducted using 80 extracted mature and patent human 1st and 2nd maxillary and mandibular molar teeth with mesiobuccal (MB) roots exhibiting 20°- 45° canal curvature using Schneider's method. Teeth were randomly divided into 4 experimental groups (n=20). Groups 1 and 3 were prepared using a standard taper preparation (STP) to size 40/04 at working length (WL). Groups 2 and 4 were prepared using a varied taper preparation (VTP) to size 40/02 at WL. …

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.

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 …