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International Arab Journal of Dentistry

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Full-Text Articles in Endodontics and Endodontology

Effect Of Beverages With Varying Acidity On The Surface Microhardness Of Resin Composites: An In Vitro Study, Vishnu S, Shweta Purohit, Yashas Dm, Mangala G K, Chinnu Mary Jose, Athira Bs Oct 2026

Effect Of Beverages With Varying Acidity On The Surface Microhardness Of Resin Composites: An In Vitro Study, Vishnu S, Shweta Purohit, Yashas Dm, Mangala G K, Chinnu Mary Jose, Athira Bs

International Arab Journal of Dentistry

Introductions: The increasing consumption of acidic beverages has raised concerns regarding their impact on the longevity of composite resin restorations. Surface microhardness is a critical parameter for evaluating the mechanical performance and durability of restorative materials.

Aim: To evaluate and compare the effect of beverages with varying acidity on the surface microhardness of different composite resin materials and to assess the relationship between beverage pH and microhardness reduction.

Materials and Methods: This in vitro experimental study included 140 disc-shaped specimens of four composite resins: Filtek Z350 XT, Tetric N-Ceram, Beautifil II, and Charisma Smart (n = 35 …


Hypo-Responsiveness Of The Dental Pulp In Patients With Type 2 Diabetes And Hypertension: A Cross-Sectional Study, Kavitha M, Mallolu Anthony Sanjana Vijay, Niveditha B, Fathima A.I, Pavithra D, Vigneshwaran J Jul 2026

Hypo-Responsiveness Of The Dental Pulp In Patients With Type 2 Diabetes And Hypertension: A Cross-Sectional Study, Kavitha M, Mallolu Anthony Sanjana Vijay, Niveditha B, Fathima A.I, Pavithra D, Vigneshwaran J

International Arab Journal of Dentistry

Introduction: Diabetes mellitus and hypertension, two of the most prevalent metabolic disorders worldwide, exert profound and progressive effects on multiple physiological systems. While their systemic complications are well documented, their subtle yet clinically significant impact on oral structures, particularly the dental pulp, remains underexplored.

Objectives: This study aims to assess the functional responsiveness of dental pulp nerves in individuals with type 2 diabetes mellitus and systemic hypertension, and to compare the findings with responses from healthy individuals, using an Electric pulp tester (EPT) as a diagnostic tool.

Methods: A total of 600 teeth from 75 adult patients (25 diabetic, 25 …


Comparative Evaluation Of The Antimicrobial Efficacy Of 2% Chlorhexidine And 10% Dimethyl Sulfoxide At The Resin–Tooth Bond Interface: A Pilot In Vitro Study, Kashmiri Chowdhury, Delphine Priscilla Antony, Praveen Kumar Elango, Amee Sanghavi Apr 2026

Comparative Evaluation Of The Antimicrobial Efficacy Of 2% Chlorhexidine And 10% Dimethyl Sulfoxide At The Resin–Tooth Bond Interface: A Pilot In Vitro Study, Kashmiri Chowdhury, Delphine Priscilla Antony, Praveen Kumar Elango, Amee Sanghavi

International Arab Journal of Dentistry

Objectives: To evaluate and compare the effectiveness of chlorhexidine (CHX) versus dimethyl sulfoxide (DMSO) in preventing Streptococcus mutans adhesion at the resin-tooth bond interface. H0 states no significant difference in antimicrobial efficacy between CHX and DMSO.

Methods: Fifteen extracted molars were randomly assigned to three groups: 2% CHX, 5% DMSO, and saline (control). Surfaces were treated for 60 seconds, bonded with a two-step etch-and-rinse adhesive, and restored with composite resin. Samples were incubated with S. mutans in BHI broth at 37°C for 14 days with broth changes every 48 hours. Confocal laser scanning microscopy (CLSM) assessed microbial viability.

Results: CHX …


Comparative Evaluation Of Irrigants On Sealer Penetration: An In Vitro Confocal Laser Scanning Microscopy Study, Savani Purohit, Priyanka Zinge, Roshan Samuel, Aayush Bhatt, Rucha Pawar Apr 2026

Comparative Evaluation Of Irrigants On Sealer Penetration: An In Vitro Confocal Laser Scanning Microscopy Study, Savani Purohit, Priyanka Zinge, Roshan Samuel, Aayush Bhatt, Rucha Pawar

International Arab Journal of Dentistry

Objectives: Effective smear layer removal enhances sealer penetration in endodontics. Chelating agents vary in their efficacy, influencing treatment outcomes. In this study, the depth of penetration of AH Plus and Bio-C root canal sealers into dentinal structures was analysed using confocal laser scanning microscopy (CLSM), following the application of four final irrigants: 17% EDTA, 20% citric acid, 0.2% chitosan, and 5% fulvic acid.

Methods: Ninety-six single-rooted human premolars were prepared and irrigated with sodium hypochlorite. Final irrigation used one of four agents: 17% EDTA, 20% citric acid, 0.2% chitosan, or 5% fulvic acid, followed by sonic activation. Canals were obturated …


Effect Of Root Canal Sealer Type On Obturation Density: An In Vitro Comparison Of Ah Plus, Bioactive Rcs, Novel Bioactive Glass-Based Bioceramic Sealer, And Zinc Oxide Eugenol, Poulomi Guha, Pradeep Solete, Nishitha Arun, Praveen Kumar Elango, Sanyukta Singh Apr 2026

Effect Of Root Canal Sealer Type On Obturation Density: An In Vitro Comparison Of Ah Plus, Bioactive Rcs, Novel Bioactive Glass-Based Bioceramic Sealer, And Zinc Oxide Eugenol, Poulomi Guha, Pradeep Solete, Nishitha Arun, Praveen Kumar Elango, Sanyukta Singh

International Arab Journal of Dentistry

Objectives: To compare the obturation density of four root canal sealers—AH Plus, Bioactive RCS, a novel bioactive glass-based bioceramic sealer, and zinc oxide eugenol (ZOE) using a standardized single-cone obturation technique.

Methods: Forty extracted premolars were endodontically prepared to a 15 mm working length and divided into four groups (n=10). Each group was obturated with the same F2-sized guttapercha cones and one of the sealers being evaluated. Weight variations pre-obturation and postobturation, and after complete sealer setting were used to calculate obturation density. Data were analyzed using one-way ANOVA and Tukey’s post hoc test (p < 0.05) to test for group differences.

Results: The bioactive glass-based sealer …


Oral Rehabilitation Of A Pediatric Patient With A Dental Anomaly: A Case Report, Enas Almasri, Mohamed Altinawi, Shadi Azzawi, Imad Katbeh, Anas Abdo Apr 2026

Oral Rehabilitation Of A Pediatric Patient With A Dental Anomaly: A Case Report, Enas Almasri, Mohamed Altinawi, Shadi Azzawi, Imad Katbeh, Anas Abdo

International Arab Journal of Dentistry

Objective: Tooth fusion is an uncommon dental abnormality, occurring in 0.1% of permanent dentition. Fusion of a normal permanent tooth and a supernumerary tooth is unusual. This case report delineates a multidisciplinary strategy for the management of a child with a fused tooth and a concomitant supernumerary tooth. The objective is to progressively illustrate the aesthetic and functional restoration of a smile impacted by a dental fusion abnormality.

Case Report: A 9-year-old boy was referred to the pediatric dental clinic with the chief complaint of a large upper anterior tooth. Intraoral and radiographic investigations showed fusion of the permanent maxillary …


Comparative Evaluation Of The Solubility Of Three Commonly Used Root Canal Sealers When Exposed To Xylene And Endosolv: An In Vitro Study, Aparna Palekar, Piyush Mantri, Basawaraj Biradar, Mukund Singh, Vaidehi Joshi, Pushpal Ingle Dec 2025

Comparative Evaluation Of The Solubility Of Three Commonly Used Root Canal Sealers When Exposed To Xylene And Endosolv: An In Vitro Study, Aparna Palekar, Piyush Mantri, Basawaraj Biradar, Mukund Singh, Vaidehi Joshi, Pushpal Ingle

International Arab Journal of Dentistry

Objectives: This in vitro study compared the solubility of three root canal sealers, AH Plus (epoxy resin-based), MTA Fillapex (MTA-based), and Cerafill RCS (bioceramic), in two solvents: Xylene and Endosolv.

Methods: Sixty standardized cylindrical specimens were prepared using the three sealers of interest. The specimens were divided into six groups (n = 10) and immersed in either Xylene or Endosolv for 10 minutes. Solubility was assessed by calculating the percentage weight loss before and after immersion. Data were analysed using one-way ANOVA and Tukey’s post hoc test (α= 0.05).

Results: All sealers exhibited statistically significant solubility in both solvents (p …


Evaluation Of Anti-Bacterial Efficacy Of Ginger, Resin Gum, And Nigella Sativa Irrigants Against Enterococcus Faecalis: An In Vitro Study, Iman El Ghazzawy, Leen Imad Hasbini, Reem Chamseddine, Wael Betbout, Roula Abiad Oct 2025

Evaluation Of Anti-Bacterial Efficacy Of Ginger, Resin Gum, And Nigella Sativa Irrigants Against Enterococcus Faecalis: An In Vitro Study, Iman El Ghazzawy, Leen Imad Hasbini, Reem Chamseddine, Wael Betbout, Roula Abiad

International Arab Journal of Dentistry

Objectives: To evaluate the antibacterial efficacy of Ginger, Resin Gum, and Nigella Sativa, against Enterococcus Faecalis.

Methods: Thirty-eight extracted single-rooted premolars were inoculated with E.faecalis, except the negative control, and incubated for 4 weeks. After instrumentation samples were divided into 4 groups (n=7) according to final irrigation: NaOCl+EDTA (Group A), Nigella sativa (B), Resin Gum (C), Ginger (D), plus 2 control groups (n=5): Saline (E), and Saline without bacterial inoculation (F). Cultures were collected at baseline and after irrigation.

Results: One-way ANOVA showed that in groups A-D a statistically significant reduction of bacterial load was observed at …


Comparative Evaluation Of Heat-Treated Retreatment Files On Canal Transportation And Dentin Thickness In Endodontically Treated Teeth: An In Vitro Cbct Study, Monisha Bhate, Pradeep Solete, Aparna Mohan Oct 2025

Comparative Evaluation Of Heat-Treated Retreatment Files On Canal Transportation And Dentin Thickness In Endodontically Treated Teeth: An In Vitro Cbct Study, Monisha Bhate, Pradeep Solete, Aparna Mohan

International Arab Journal of Dentistry

Introduction: Non-surgical retreatment is a conservative approach for managing recurrent endodontic infections requiring efficient removal of obturating material while preserving dentin. Retreatment file systems,through their design and function,plays a vital role in ensuring effective cleaning and minimal structural compromise.

Methods: Forty-five extracted mandibular molars were decoronated and obturated at a standardized root length of 16 mm in both mesial canals. Samples were divided into three groups (n=15): Group 1 – SoliteRS3, Group 2 – Dentsply Protaper Universal Retreatment Files and Group 3 – Neoendo Retreatment Files. Pre- and postoperative CBCT scans were used to assess remaining dentin thickness, …


Cytotoxicity And Osteogenic Potentials Of Mesenchymal Stem Cells Via A Novel Formulation Of Mineral Trioxide Aggregate: An In Vitro Study, Ahmed Elgendi, Ehab Hassanien, Mohamed Nagy, Iman Fathy, Ashraf Abu Seida, Elhassan Hassanein Oct 2025

Cytotoxicity And Osteogenic Potentials Of Mesenchymal Stem Cells Via A Novel Formulation Of Mineral Trioxide Aggregate: An In Vitro Study, Ahmed Elgendi, Ehab Hassanien, Mohamed Nagy, Iman Fathy, Ashraf Abu Seida, Elhassan Hassanein

International Arab Journal of Dentistry

Objectives: Root perforations can lead to periodontitis and alveolar bone loss. This study compared cytotoxicity and osteogenic potential of zirconia-containing mineral trioxide aggregate (MTA) Matreva (MAT group) to MTA Angelus (ANG group) as root perforation repair materials.

Methods: Bone marrow mesenchymal stem cells (BM-MSCs) were extracted from two albino rats and cultivated. The cytotoxicity of the studied materials was determined using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay at three time points: 3, 7, and 14 days. The evaluated materials were employed to guide the osteogenic differentiation of BM-MSCs into osteoblasts. The osteogenic impact was evaluated by assessing calcium …


Evaluation Of The Accuracy Of The Niti K-Files And Gutta-Percha Cones In Gauging The Apical Foramen Using The Scanning Electron Microscope: An In Vitro Study, Marie-Louise Slim, Roula El Hachem, Lara Nasr, Romy Zouein, Rami Mhanna, Mia Karam, Issam Khalil Jan 2025

Evaluation Of The Accuracy Of The Niti K-Files And Gutta-Percha Cones In Gauging The Apical Foramen Using The Scanning Electron Microscope: An In Vitro Study, Marie-Louise Slim, Roula El Hachem, Lara Nasr, Romy Zouein, Rami Mhanna, Mia Karam, Issam Khalil

International Arab Journal of Dentistry

Objectives: The aim of this study was to compare the accuracy of apical gauging using NiTi K-files and gutta-percha cones and determine the level of agreement between the two methods using a Scanning Electron Microscope (SEM).

Methods: 75 circular and straight canals of mandibular first premolars were used. Canals were shaped using the R-Motion system (RM; FKG Dentaire, La Chaux-de-Fonds, Switzerland) and gauged using NiTi K-Files and gutta-percha cones matching the shaping instrument. Diameters measured on SEM images were used as the reference standard.

Results: There was a statistically significant difference in the prediction of apical diameter …


Conservative Non-Surgical Endodontic Management Of A Large Cyst-Like Periapical Tunnel Lesion With 22-Month Cbct Follow-Up: A Case Report, Smriti Rohilla, Sameer Makkar, Sandeep Gupta Jan 2025

Conservative Non-Surgical Endodontic Management Of A Large Cyst-Like Periapical Tunnel Lesion With 22-Month Cbct Follow-Up: A Case Report, Smriti Rohilla, Sameer Makkar, Sandeep Gupta

International Arab Journal of Dentistry

The present case report epitomises the successful non-surgical management of a large cyst-like periapical tunnel lesion of endodontic origin due to trauma using Lesion Sterilization and Tissue Repair technique. Endodontic orthograde treatment (and re-treatment) was performed in association with triple antibiotic paste as an intra-canal medication in a sixteen-year boy. Preoperative CBCT as well as at the 22 months CBCT followup were used to compare the evolution of the healing of the lesion. Accurate diagnosis in combination with non-surgical orthograde endodontic treatment can lead to can lead to complete healing of large lesions without any need of surgical intervention.


Endodontic Management Of Dens Invaginatus Using Dynamic Navigation System In Pediatric Patient: A Case Report, Ayesha Fathima, Sahana Selvaganesh, Ganesh Jeevanandan, Pradeep Solete, Prabahdevi Maganur, Ather Syed Ahmed, Satish Vishwanathaiah Jan 2025

Endodontic Management Of Dens Invaginatus Using Dynamic Navigation System In Pediatric Patient: A Case Report, Ayesha Fathima, Sahana Selvaganesh, Ganesh Jeevanandan, Pradeep Solete, Prabahdevi Maganur, Ather Syed Ahmed, Satish Vishwanathaiah

International Arab Journal of Dentistry

Dens invaginatus, also known as dens in dente, is a dental anomaly resulting from infolding the enamel organ into the dental papilla. Dynamic Navigation Systems (DNS) like Navident, offer real-time guidance during endodontic procedures, proving especially useful in complex cases, such as calcified canals or pulp obliteration. This case report presents a 13-year-old female, who reported the chief complaint of continuous pain in the upper left front tooth region. Based on the clinical and radiographical findings, a diagnosis of pulp necrosis and chronic periapical abscess in relation to maxillary canine (23) was established with dens invaginated palatal canal ( Oehler’s …


Antimicrobial Efficacy Of Intercanal Medicaments Against A Mature Multi-Species Biofilm Model: An Ex-Vivo Study, Shehabeldin Mohamed Saber, Nada Zakaria, Mohamed Nagy, Soha Elhady May 2024

Antimicrobial Efficacy Of Intercanal Medicaments Against A Mature Multi-Species Biofilm Model: An Ex-Vivo Study, Shehabeldin Mohamed Saber, Nada Zakaria, Mohamed Nagy, Soha Elhady

International Arab Journal of Dentistry

Introduction: The aim of this study was to compare the efficacy of different antimicrobial agents, including Ciprofloxacin, Doxycycline, Clindamycin, Metronidazole, Amoxicillin and Clavulanate, Triple antibiotic paste (TAP) and Calcium hydroxide (CH), as intra-canal medications for regenerative endodontics against an aged, multispecies ex-vivo biofilm model.

Methods: A total of one hundred fifty single-rooted human teeth were used in this study. Fifteen teeth were used to monitor the formation and maturation of a multispecies biofilm model consisting of Enterococcus faecalis, Staphylococcus epidermidis and Candida albicans. After 21 days of incubation, the other one-hundred and thirty-five teeth were divided into 9 …


Would Access Cavity Design Affect The Mechanical Behaviour Of Tooth: A Finite Element Study, Muhammad Ashraf Elhusseini, Engy Kataia, Hala Khalil May 2024

Would Access Cavity Design Affect The Mechanical Behaviour Of Tooth: A Finite Element Study, Muhammad Ashraf Elhusseini, Engy Kataia, Hala Khalil

International Arab Journal of Dentistry

Two distinct access cavity designs were used to access Two simulated finite element models (FE). (Lingual (LAC) and incisal (IAC)). Three experimental FE models, including the IT model, were developed: LAC and IAC. For every simulated model, one distinct radicular preparations was carried out of size #30/.04. The incisal edge was subjected to an occlusal cycle load of 120 N. The maximum von mises stresses (VMS), maximum principal stresses (MPS), and stress distribution patterns were assessed and calculated quantitatively. It was concluded that the mandibular incisor's biomechanical behavior is significantly influenced by the size of the access design. Biomechanically the …


Physical Properties And Bioactivity Of Aloe Vera Modified Tricalcium Silicate-Based Cement, Heba Seif, Ashraf Abu-Seida, Ahmed Elbanna, Dalia El-Korashy May 2024

Physical Properties And Bioactivity Of Aloe Vera Modified Tricalcium Silicate-Based Cement, Heba Seif, Ashraf Abu-Seida, Ahmed Elbanna, Dalia El-Korashy

International Arab Journal of Dentistry

Objective: This study compares the physical properties and bioactivity of tricalcium silicate-based cement (Matreva MTA) modified with various concentrations of Aloe vera (AV) solutions and Biodentine cement.

Methods: Sixty discs were prepared, and divided into 5 groups (12 discs each) based on the estimated materials: group I: Biodentine, group II: Matreva MTA, group III: Matreva MTA with 10% AV, group IV: Matreva MTA with 20% AV and group V: Matreva MTAwith 30% AV. The flow and setting time were assessed following ISO standard6876:2012 and American Society for Testing and Materials (ASTM) standard C266-21, respectively. The in-vitro bioactivity wasevaluated …


Histological Evaluation Of Pulp Response To Pulpine Ne Versus Biodentine As Direct Pulp Capping Materials In A Dog Model, Hagar Bastawy, Maha Ahmed Niazy, Mona Farid, Asmaa Harhash, Mona Aboelwafa, Ashraf Abu-Seida Jan 2024

Histological Evaluation Of Pulp Response To Pulpine Ne Versus Biodentine As Direct Pulp Capping Materials In A Dog Model, Hagar Bastawy, Maha Ahmed Niazy, Mona Farid, Asmaa Harhash, Mona Aboelwafa, Ashraf Abu-Seida

International Arab Journal of Dentistry

Introduction: The material used for pulp capping has a significant impact on the outcome of vital pulp therapy. This study compared the pulp tissue response to Pulpine NE versus Biodentine as direct pulp capping materials in a dog model.

Methods: Twenty-four teeth in two mongrel dogs (1-2-year-old) were used. In each dog (n=12 teeth), the dental pulps were exposed in 8 teeth (2 experimental groups, 4 teeth each) and left unexposed in 4 teeth (control group, n=4 teeth). A class V cavity was performed on the buccal surface of the selected teeth in the experimental groups. The exposed …


Evaluation Of Post Operative Pain After Obturation Using Two Different Types Of Sealer: A Randomized Clinical Trial, Sara Amin, Mohamed Kataia, Hala Khalil Jan 2024

Evaluation Of Post Operative Pain After Obturation Using Two Different Types Of Sealer: A Randomized Clinical Trial, Sara Amin, Mohamed Kataia, Hala Khalil

International Arab Journal of Dentistry

Objective: This study aims to assess the impact of bioceramic and resin based sealers on post endodontic pain after endodontic treatment performed in single visit.

Methods: In this study, forty patients in need of endodontic therapy were chosen. single visit endodontic treatment was done for the patients but obturated using two different types of sealers: in Group 1: AH Plus sealer was used and in Group 2: EndoSequence BC sealer Hiflow was used. Post endodontic pain was measured for 12,24,48 and 72 hours postoperatively.

Results: Both sealer groups’ post-endodontic pain levels did not significantly differ from one …


Synopsis On The Role Of Diode Laser In Root Canal Disinfection, Ashraf Abu-Seida, Mohamed El-Tayeb, Elhassan Hassanein Jan 2024

Synopsis On The Role Of Diode Laser In Root Canal Disinfection, Ashraf Abu-Seida, Mohamed El-Tayeb, Elhassan Hassanein

International Arab Journal of Dentistry

Effective root canal disinfection is necessary for success of endodontic treatment. Traditional chemo-mechanical techniques such as sodium hypochlorite, mechanical preparation and calcium hydroxide used for intracanal disinfection usually fail in cases of biofilm-related infections. Therefore, several new strategies are applied for root canal disinfection. One of these strategies is using of diode laser that has recently gained significant attention in the endodontic practice due to its antibacterial action, bio-stimulation, decrease of pain and improvement of success. Moreover, it has several advantages like its low cost, easily application, penetration power into dentine and smaller size device compared with other types of …


Comparative Study Of Dynamic Cyclic Fatigue Resistance Of Two Files With Different Kinematics, Rahma Abdelshafy, Abeer Mahran, Mahmoud Fahim Jan 2024

Comparative Study Of Dynamic Cyclic Fatigue Resistance Of Two Files With Different Kinematics, Rahma Abdelshafy, Abeer Mahran, Mahmoud Fahim

International Arab Journal of Dentistry

Objectives: The aim of the study was to determine the dynamic cyclic fatigue resistance (DCFR) of R-motion file and Protaper Next file (PTN) by differential scanning calorimetry (DSC) and scanning electron microscopy (SEM).

Methods: R-motion file (25/.06), PTN file (25/.06) were used and divided into 2 groups (n = 28) according to the file type. DCFR was performed using an artificial canal. Files were allowed to work until separation. The numbers of cycles to failure (NCF) and the time to fracture (TTF) were calculated. The files were subjected to DSC and SEM.

Results: R-motion files had higher …


Aesthetic Rehabilitation Of A Complex Crown-Root Fracture By Fragment Reattachment With A Fiber-Reinforced Post: A Case Report, Sarra Saidi, Meriem Fejjeri, Mahdi Tlili, Sabra Jaafoura, Nadia Frih Jan 2024

Aesthetic Rehabilitation Of A Complex Crown-Root Fracture By Fragment Reattachment With A Fiber-Reinforced Post: A Case Report, Sarra Saidi, Meriem Fejjeri, Mahdi Tlili, Sabra Jaafoura, Nadia Frih

International Arab Journal of Dentistry

Complex crown-root fractures are characterized by the involvement of both crown and root with pulp exposure. They pose aesthetic, functional, and psychological problems for the patient. Furthermore, they can pose technical difficulties for the practitioner. The purpose of this case report is to describe the management of a complex crown-root fracture of the right upper central incisor with subgingival limit by reattaching the tooth fragment with fiber-reinforced post. We considered a coronal elongation (gingivectomy and osteoplasty) to recreate the biological space and to expose the limit of the fracture line to guarantee the quality of the bond.


Diagnosis And Endodontic Treatment Of Odontogenic Cutaneous Sinus Tracts: A Report Of Two Cases, Mayada Jemâa, Marwenne Bouatay, Yesmine Neifar, Mohamed Bassem Khattech Jan 2024

Diagnosis And Endodontic Treatment Of Odontogenic Cutaneous Sinus Tracts: A Report Of Two Cases, Mayada Jemâa, Marwenne Bouatay, Yesmine Neifar, Mohamed Bassem Khattech

International Arab Journal of Dentistry

Introduction: The odontogenic cutaneous sinus tract (OCST), caused by pulp necrosis, creates connections between pathological spaces and anatomical structures. Extraoral manifestations pose diagnostic challenges leading to inappropriate treatments such as multiple surgery and antibiotic therapies. Effective management requires the treatment of dental pathology through endodontic therapy or extraction. This paper presents two cases of OCST and emphasizes the importance of accurate diagnosis and successful non-surgical endodontic treatment.

Observations: Case report 1: A 23-year-old male patient referred by his dermatologist with a cutaneous sinus tract on his chin that had appeared five years ago. During this period, he reported …


Clinical Management Of Mandibular Permanent Premolars With Periapical Lesion And Bilateral Supernumerary Teeth: A 7-Year Follow-Up Case Report, Chiara Pirani, Shehabeldin Saber, Francesco Iacono Jan 2024

Clinical Management Of Mandibular Permanent Premolars With Periapical Lesion And Bilateral Supernumerary Teeth: A 7-Year Follow-Up Case Report, Chiara Pirani, Shehabeldin Saber, Francesco Iacono

International Arab Journal of Dentistry

Objectives: This 7-years follow-up case report describes two diversified strategies for the management of bilateral mandibular permanent premolars associated with periapical lesion and unerupted supernumerary teeth.

Case Report: A non-syndromic 9 years-old Asian female patient presented pain and swelling of the 35 in anatomical contiguity with an immature and unerupted supernumerary tooth. Clinical examination revealed an intraoral vestibular sinus tract related to the necrotic 35. Periapical radiography and CBCT showed that the 35 had an immature apex associated with a periapical lesion, and a supernumerary tooth in a lingual direction. Endodontic treatment of the 35 was performed by creating …


Does Reduced Taper Canal Preparation Increase The Load Capacity Of Endodontically Treated Teeth?, Mostafa M.A. Elkholy, Omar Mahmoud Noureldin, Hala Fayek Khalil, Shehabeldin M. Saber Jan 2024

Does Reduced Taper Canal Preparation Increase The Load Capacity Of Endodontically Treated Teeth?, Mostafa M.A. Elkholy, Omar Mahmoud Noureldin, Hala Fayek Khalil, Shehabeldin M. Saber

International Arab Journal of Dentistry

Objectives: The aim of this in-vitro study is to assess and compare the load capacity of teeth with canals prepared using progressive taper versus regressive taper.

Methods: Twenty-seven extracted mandibular molars were categorized into three equal groups. The negative control group involved teeth that were accessed and restored with composite resin without canal preparation. The regressive canal preparation group used the TruNatomy file system, while the progressive canal preparation group employed the ProTaper Gold system. Subsequently, all samples underwent loading using a universal testing machine until tooth fracture occurred. The force required to fracture each tooth was recorded …


Management Of Pulpal Floor Perforation Using Biodentine™: Case Report, Chaima Bouhajja, Mayada Jemâa, Mohamed Bassem Khattech May 2023

Management Of Pulpal Floor Perforation Using Biodentine™: Case Report, Chaima Bouhajja, Mayada Jemâa, Mohamed Bassem Khattech

International Arab Journal of Dentistry

During endodontic treatment in multi-rooted teeth, furcation perforation refers to an opening in the pulpal floor, leading to a communication with the periodontal ligament space. A three-dimensional hermetic seal, with a biocompatible material, is a key point for the success of pulp floor perforation repair. MTA® has been considered, for a long time, as a gold standard in furcation perforation repair. Besides, BiodentineTM, when used for the same purpose, showed considerable performance and good results. The purpose of this paper was to report the management of an iatrogenic perforation of pulpal floor in the maxillary right first molar, using BiodentineTM.


The Root Canal Morphology Of Premolars In A Sample Of The Lebanese Population: Clinical Considerations, Marie-José Merhej, Roula El Hachem, Hala Sacre, Pascale Salameh, Nabil Ghosn, Alfred Naaman May 2023

The Root Canal Morphology Of Premolars In A Sample Of The Lebanese Population: Clinical Considerations, Marie-José Merhej, Roula El Hachem, Hala Sacre, Pascale Salameh, Nabil Ghosn, Alfred Naaman

International Arab Journal of Dentistry

Objectives: The aim of this study was to investigate the root anatomy of the maxillary and mandibular premolars among a sample of the Lebanese population and to explore their incidence by sex and the symmetry between the left and right sides.

Materials and Methods: This retrospective analysis of 250 cone-beam computed tomography (CBCT) scans consisted of 960 maxillary and 972 mandibular premolars. Roots, canals, and morphology types were recorded. Vertucci’s classification was used to categorize the canal morphologies. Fisher’s exact and chi-square tests were applied (P≤.05).

Results: The majority of maxillary first premolars had two roots (85.3%) with …


Bioactivity And Ph Of Nano-White Mta Versus Neomta Plus® And Mta Angelus® As Root Repair Materials: An In Vitro Study, Rana Elkhashab, Abeer Mahran, Mahmoud Mohamed Badr, Ashraf Abu-Seida Jan 2023

Bioactivity And Ph Of Nano-White Mta Versus Neomta Plus® And Mta Angelus® As Root Repair Materials: An In Vitro Study, Rana Elkhashab, Abeer Mahran, Mahmoud Mohamed Badr, Ashraf Abu-Seida

International Arab Journal of Dentistry

Objective: This study compared the bioactivity and pH of Nano-white mineral trioxide aggregate (NWMTA), Neo-mineral trioxide aggregate plus (NeoMTA Plus), and Mineral trioxide aggregate angelus (MTA-A) as root repair materials.

Methods: A total of 60 discs made from the three materials (20 discs each) were prepared according to the manufacturer’s instructions. These discs were packed into plastic molds and allowed to set before testing. For bioactivity study, ten discs of each material were immersed in Hanks’ Balanced Salt Solution (HBSS) for 28 days, and analyzed with scanning electron microscope with energy dispersive X-ray (SEM/EDX). Ten discs of each …


Impact Of Contracted Endodontic Access Cavity Designs On Root Canal Disinfection Using Diode Laser: An In-Vitro Study, Mohamed El-Tayeb, Mohamed Nabeel Jan 2023

Impact Of Contracted Endodontic Access Cavity Designs On Root Canal Disinfection Using Diode Laser: An In-Vitro Study, Mohamed El-Tayeb, Mohamed Nabeel

International Arab Journal of Dentistry

Introduction: New approaches for minimal invasive endodontic access cavity designs had been introduced for preserving the structural integrity of the offending tooth. Diode laser has been now widely used in root canal disinfection and showing highly promising results.

Aim: to evaluate the impact of contracted endodontic access cavity designs on root canal disinfection using diode laser.

Materials and Methods: Fifty-four intact freshly extracted human mandibular first molars were selected for the use in this study. Only the mesial roots of the selected samples were included in this study. Samples were randomly divided into three equal groups (n=18) according …


Cone Beam Computed Tomographic Assessment Of Radiographic Changes After Indirect Pulp Capping Using Diode Lasers And Silver Diamine Fluoride In Permanent Molars With Deep Carious Lesions: An In-Vivo Study, Mohamed El-Tayeb, Mohamed Nabeel Jan 2023

Cone Beam Computed Tomographic Assessment Of Radiographic Changes After Indirect Pulp Capping Using Diode Lasers And Silver Diamine Fluoride In Permanent Molars With Deep Carious Lesions: An In-Vivo Study, Mohamed El-Tayeb, Mohamed Nabeel

International Arab Journal of Dentistry

Aim: To compare the preservation of pulp vitality by indirect pulp capping using Diode laser and Silver Diamine Flouride in management of deep carious lesions.

Methods: Thirty patients with an age range of 18-46 years were selected and randomly divided into 3 equal groups: Group 1 (Control group): indirect pulp capping was performed using Biodentine, Group 2: Diode laser with an output power of 0.5 watt was applied before Biodentine placement, and Group 3: Application of Silver Diamine Flouride followed by Biodentine. Pre-operative clinical assessment and radiographs were performed before intervention and then the patients received their treatment …


Aloe Vera In Dentistry: Current Status And Future Prospects, Ashraf Abu-Seida, Heba Seif Jan 2023

Aloe Vera In Dentistry: Current Status And Future Prospects, Ashraf Abu-Seida, Heba Seif

International Arab Journal of Dentistry

This review declares the chemical composition, pharmacological actions, clinical applications, adverse reactions and future prospects of Aloe vera (AV) in the field of dentistry. Literature pertinent to Aloe vera in dental practice was explored in databases like PubMed, Scopus and Google Scholar. The relevant literature was reviewed and critically appraised in this review. Aloe vera is a miracle plant that has been applied as herbal therapy for thousands of years due to its multiple health benefits. In dental practice, AV has different applications and it attracts the attention of researchers due to its natural origin, low cytotoxicity, and various biological …