Physical Sciences and Mathematics Commons^™

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 …

Effect Of Gutta Percha On The Retention Of A Post Using Different Cements, Saeda H. Basta

Loma Linda University Electronic Theses, Dissertations & Projects

This study evaluated the effect of residual gutta percha on the retention strength of prefabricated post cemented with four different cements. Forty intact mandibular single canal canines or premolars were selected for standardized size and quality, endodontically treated, and decoronated to the cementoenamel junction. A post space was prepared to accommodate Para post XP size 4 (Coltene, Whaledent Inc., Cuy Falls, Ohio) to a depth of 8 mm. The Obtura heated gutta percha system was used to inject a very thin line of gutta percha along one lateral wall to the depth of the future post. Forty obturated teeth were …

Effects Of Diabetes Mellitus On The Healing Of The Dental Pulp, Stuart Evan Garber

Loma Linda University Electronic Theses, Dissertations & Projects

Diabetes Mellitus (DM) has been implicated as a factor affecting healing. The purpose of this study was to use the healing of experimentally exposed pulps subsequent to pulp capping as a model to determine the effect of DM on healing.

Twenty-two Sprague-Dawley rats were divided into two groups of eleven animals each. In one group, DM was induced by injection of 70 mg/KG of streptozotocin. In the other group, the animals were injected with sterile saline. Under anesthesia with Ketamine and Xylazine, the pulps of the maxillary first molars of all rats were exposed using a 1/16 round bur under …

The Outcome Of Mta As A Root End Filling Material: A Long Term Evaluation, Christopher M. Sechrist

Loma Linda University Electronic Theses, Dissertations & Projects

Periradicular surgery is a viable option to save natural teeth when non-surgical treatment fails or when endodontic retreatment is not feasible or contraindicated. Laboratory and animal studies have demonstrated that MTA is biocompatible, provides an excellent seal against penetrating bacteria, and promotes hard tissue healing. The purpose of this study was to provide long term (>3 years) clinical evidence for its use as a root-end filling material in endodontics. The clinical records of 294 patients who had MTA used during endodontic treatment from 1996 to 2001 were reviewed. From these, 75 patients whose root end cavities had been filled …

The Effect Of Naocl, Ca(Oh)2, Mta And Mtad On Root Dentin Fracture Resistance, Sunil Ilapogu

Loma Linda University Electronic Theses, Dissertations & Projects

Various materials are used for the treatment of immature teeth that have been subjected to trauma or decay. It is not well established what effect these materials may have on the immature root dentin. A concern would be the resistance to fracture of the remaining root dentin. The purpose of this study was to compare the resistance of fracture of bovine teeth treated with sodium hypochlorite, calcium hydroxide, gray MTA and gray MTA in conjunction with MTAD after certain periods of time. One hundred and ninety five freshly extracted, intact bovine incisors were prepared using a modified Haapasalo and Orstavik …

Measurement Of Blood Flow In Reflected Muco-Gingival Tissue Flaps In Cats : Using The Radiolabeled Microsphere Method, Gary T. Wuchenrich

Loma Linda University Electronic Theses, Dissertations & Projects

Blood flow to the maxilla and mandible may vary due to differences in vascular supply and in physiologic, metabolic and pathologic conditions. In general it is accepted that oral tissues have an abundant blood supply; however, there is little information quantifying blood flow to these regions. In this study, the maxillary tissues were chosen to measure the blood flow in attached and reflected gingival tissue in adult cats using the radiolabeled microsphere method.

Sixteen cats with permanent dentition, clean mouths, and without inflamed gingiva upon visual inspection were used and divided into two groups. Group 1 consisted of six cats …

Identification Of Risk Factors Associated With Pulpal Disease, Shelley R. Aronson

Loma Linda University Electronic Theses, Dissertations & Projects

A few studies have identified etiologic factors in pulpal disease, but little is known about the odds ratios of factors associated with pulpal disease. Odds ratios are well established measures of the effects of exposure to a particular outcome, and are comparisons of exposure to non-exposure in cases versus controls. The purpose of this study was to compare exposure of individual teeth to hypothesized risk factors in endodontic cases and in controls. This case-control study consisted of a chart review of 301 endodontic cases and 301 controls. Caries, types of restorations, and periodontal disease were the most significant factors. With …

An In Vitro Study Comparing The Conventional Step-Back Instrumentation Technique To A Combination Step-Back/Ultrasonic Technique, James A. Eberhardt

Loma Linda University Electronic Theses, Dissertations & Projects

Cleaning and shaping the root canal system is an important phase of endodontic therapy, and must be performed thoroughly and completely if successful root canal therapy is to be expected. A number of investigators have compared different methods of cleaning and shaping of the root canal system. The purpose of this study was to compare the effectiveness of the conventional step-back technique with that of a combination step-back/ultrasonic technique. This combination technique is a modification of the conventional step-back technique using an ultrasonic instrument alternately with hand instrumentation. Utilizing 40 canals from extracted human mandibular molar teeth with a curvature …

The Role Of T Cells In The Pathogenesis Of Periapical Lesions, John B. Wallstrom

Loma Linda University Electronic Theses, Dissertations & Projects

The pulps of mandibular molars of 15 athymic and 15 conventional rats were surgically exposed and left open to their oral flora. Each group was divided into 3 subgroups of 5 animals each. The rats were sacrificed after their pulps were exposed for 2, 4, or 8 weeks. After fixing, decalcifying, and embedding, the specimens were sectioned and stained with H and E. They were then examined under a microscopic grid and quantified by percentages of surface areas of bone, connective tissue, bone marrow, intrabony spaces, periapical lesions, and numbers of osteoclasts. This was done using a DataVoice computerized data …

The Determination Of Antibody Levels In Endodontic Patients Against Eleven Microorganisms Using Ifa And Elisa Techniques, William C. Payne

Loma Linda University Electronic Theses, Dissertations & Projects

Endodontic (root canal) infections are generally considered to be caused by the invasion of microorganisms which destroy pulp tissue and extend to the periapical region. No definitive study has identified a specific bacterium or group of bacteria as etiological agents. We quantitively measured antibodies present in the serum of 30 normal individuals and patients with either chronic (n = 30) or acute (n = 30) periapical lesions with the indirect fluorescent antibody (IFA) and enzyme-linked immunosorbent assay (ELISA) for IgG and IgM against 11 oral microorganisms routinely isolated from such lesions. The results were analyzed statistically. Analysis of variance of …

The Effect Of Periapical Inflammation On Cellular Cementum : A Scanning Electron Microscope Study, Gary S. Yonemoto

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to obtain information on the morphologic changes that occur in cellular cementum exposed to periapical inflammation.

Ten single rooted human teeth were collected. There were five specimens of normal cellular cementum and five specimens of diseased cellular cementum, which had been exposed to periapical inflammation. Each specimen was fractured longitudinally through the apical foramen, leaving the organic component intact. The cross-sectional morphology of cellular cementum was then examined using an ARM Model 1000 scanning electron microscope. Energy dispersive x-ray spectrometry was also conducted on samples representative of the two test groups.

A methodology was …

Stress Analysis Of Post And Crown Restorations Of Endodontically Treated Teeth, Ronald C. Hansen

Loma Linda University Electronic Theses, Dissertations & Projects

Forty-four similar sized maxillary lateral incisor teeth were randomly divided into four equal groups to test their resistance to fracture. Group 1 teeth were the controls, no treatment was done. Group 2 teeth consisted of endodontically treated teeth, restored with composite resin in the access opening. Group 3 teeth were endodontically treated and restored with a post and flat surface standardized aluminum crown. The teeth in Group 4 were endodontically treated and restored with a post and composite resin core buildup with a cast gold crown. The metal collar of gold incorporated 1.5 mm of tooth structure below the core …

Ultrasonic Versus Hand Filing Of The Human Root Canal System, Howard W. Scholz Jr.

Loma Linda University Electronic Theses, Dissertations & Projects

A comparison was made of ultrasonic filing versus hand filing using three solutions to flood the canals of 24 extracted human maxillary central incisors. A modified PR-30 Cavitron insert was used in a Cavitron 1010 unit for the ultrasonic filing. The clinical crown was removed with a diamond saw and water spray at the cemento-enamel junction. The two major groups were ultrasonic filing versus hand filing; the three subgroups were solution/solvents - 10% EDTA, 2.0% NaOCl, and distilled water.

After filing, the roots were grooved longitudinally with a high speed bur and cracked opened with a mallet and chisel. The …

The Effect Of Endodontic Therapy On The Incidence Of Radiation Caries In Dogs, James A. Abbott

Loma Linda University Electronic Theses, Dissertations & Projects

Endodontic therapy was evaluated as a possible control or prevention modality of radiation type dental caries in dogs. Two adult male dogs with permanent dentitions had endodontic therapy performed on alternating teeth in each jaw. The nontreated teeth served as controls.

The dogs were irradiated with 7000 rad Cobalt-60 radiation fractionated over an eight week period. The dogs were killed at 60 and 182 days post-irradiation. The teeth were removed from the jaws and immersed in methylene blue dye, sectioned, and the dye penetration pattern photographed. Diffusion of the dye into the tooth structure was quantified and statistically analyzed.

A …

Apical Closure Induction Using Bone Growth Factors And Mineral Trioxide Aggregate, Kenneth W. Tittle

Loma Linda University Electronic Theses, Dissertations & Projects

This study compared the ability of three different bone growth factor combinations with that of Ca(OH)₂ to stimulate apical closure as well as the effectiveness of Mineral Trioxide Aggregate (MTA) as an apical barrier. Fifty-six roots of second and fourth mandibular premolars of seven six- month old beagle dogs were used. Periradicular lesions were created over a four week period. The canals were cleaned and shaped and filled with Ca(OH)₂ for one week. They were then irrigated and received one of seven different treatments in a balanced design. Growth factors were placed in a carboxymethylcellulose carrier and delivered …

A Clinical Comparison Of The Effectiveness Of Two Intracanal Medicaments, Xp-7/Prednisolone And 1% Pcp/Prednisolone, In Reduction And Duration Of Post-Treatment Pain, Kenneth G. Whitnack

Loma Linda University Electronic Theses, Dissertations & Projects

This study was undertaken to determine which intracanal medication, 1% aqueous parachlorophenol with prednisolone or XP-7 with prednisolone was the most effective in reducing the severity and duration of post-treatment pain following initial, conventional endodontic therapy. The investigation was conducted by five endodontists in their private offices and utilized a double-blind technique.

The postoperative reactions of 343 patients were examined statistically. It was shown that there was no statistically significant difference in the reduction or duration of post-treatment pain with either drug. Other factors such as sex, age, location of tooth and presence of a radiographic lesion were statistically significant …

The Effects Of A Topically Applied Anti-Inflammatory Agent On Root Resorption In The Replanted Teeth Of Canines, William L. Young

Loma Linda University Electronic Theses, Dissertations & Projects

Root resorption is a constant finding on the roots of replanted teeth. In this study it was suggested that root resorption is perhaps related to inflammation and that teeth incubated in an anti-inflammatory agent such as triamcinolone acetonide, a corticosteroid, before replantation would have less resorption. To investigate this hypothesis nineteen mature teeth in five mongrel dogs were extracted and replanted. Ten of the teeth were incubated for five minutes in the steroid and nine control teeth for the same period in a saline solution. Before euthanizing the animals at one, three, five, and seven weeks, a clinical evaluation of …

The Effect Of Removing The Crevicular Epithelium Upon Canine Tooth Replantation, Leon A. Leonard

Loma Linda University Electronic Theses, Dissertations & Projects

The nature of epithelium and the remarkable facility with which it aggressively covers granulation tissue, suggests that removal of the sulcular epithelium surrounding the extraction wound of a tooth to be replanted could promote reattachment of the periodontal tissues at a more nearly ideal coronal level. To investigate this hypothesis twenty mature teeth in five mongrel dogs were experimentally replanted. One half of them were replanted in alveoli around which the crevicular epithelium had been removed, the remaining teeth without creviculoectomy acting as controls. Animals were euthanized at one, two, three, five, and sixteen weeks. After clinical evaluation of the …