Endodontics and Endodontology Commons^™

Evaluation Of The Effect Of Two Polishing Techniques And Thermocycling Process On Surface Roughness, Hardness, And Color Stability Of Composites, Muhammet Fidan, Zeynep Dereli

Journal of Dentistry Indonesia

Objectives: The aim of this study was to evaluate the effect of two polishing techniques and 10.000 thermocycles on the color stability, surface roughness, and hardness of two nanohybrid (Tetric N-Ceram, Escom100) and one bulkfill (Filtek) resin composites. Methods: A total of 60 specimens were prepared using three resin composites and 20 discs from each composite. Specimens for each composite were randomly divided into two different polishing groups (Optrapol rubber and Sof-Lex discs) (n=10). Surface roughness (Ra, μm), microhardness (VHN), and color change (ΔE00) values were measured pre- and post-thermocycling. Two-way analysis of variance (ANOVA) was used to evaluate …

A Comparison Of Four Different Methods Of Prediction Of Mesiodistal Widths Of Unerupted Permanent Canines And Premolars, Waqar Jeelani, Washma Asad, Maheen Ahmed

Journal of Dentistry Indonesia

The success of orthodontic treatment depends upon the accurate assessment of mesiodistal widths of unerupted canines and premolars in mixed dentition stage. There are several methods available for mixed dentition analysis with dubious reliability in our population. Objective: To statistically develop new prediction equations for Pakistani subjects to predict the widths of unerupted upper canines and premolars (U345) and lower canine and premolars (L345) using mesiodistal widths of lower incisors (I1I2) and lower incisors and first molars (I1I2M1) and compare their performance with previously established methods of Moyers and Tanaka-Johnston. Methods: Study was conducted using the data from the dental …

The Effects Of Two Instrumentation Techniques For Vdw.Rotate Instruments On The Apical Extrusion Of Debris And Irrigants: An In Vitro Study, Seda Falakaloğlu, Merve Yeniçeri Özata, Emre İriboz

Journal of Dentistry Indonesia

Objectives: This study compared the amount of apically extruded debris and irrigant using VDW.ROTATE instruments with different kinematics (continuous rotation and reciprocation motion) and the ProTaper Gold system. Methods: Sixty extracted mandibular premolar teeth were selected. The teeth were prepared for the agar gel model. The roots were randomly divided into three groups (n=20). In two groups, the root canals were instrumented using the following movement kinematics: VDW.ROTATE reciprocation motion and continuous rotation. In the other group, root canals were prepared with ProTaper Gold. Apically extruded debris and irrigant during instrumentation were collected into preweighed Eppendorf tubes and were assessed …

Endodontic Management Of Mandibular First Molar With Four Roots - A Rare Case Report With Clinical Management Guidelines, Shaikh Shahbaz, Huma Iftekhar, Sharique Alam, Zehra Shavez

Journal of Dentistry Indonesia

Mandibular molar is usually two rooted with one mesial and one distal root. Additional roots are rare which requires accurate diagnosis and a methodical and scrupulous endodontic treatment. Objective: This paper aims to report the endodontic management of an unusual case of a mandibular permanent first molar with four roots (two mesial & two distal) and provide a clinical guideline to detect and manage these variant cases. Case report: A 15-year-old boy reported with a deep carious lesion in the lower left first molar (#36). The apical root contour of #36 on an intraoral periapical radiograph taken in different angulations …

Management Of Severe Localized Periodontal Destruction Associated With A Cemental Defect: A Case Report, Nik Madihah Nik Azis, Nurulhuda Mohd

Journal of Dentistry Indonesia

This case involved the management of a possible cemental tear, which resulted in poor response to nonsurgical periodontal therapy. This case was managed by exploratory surgery, along with the intention to surgically reduce the periodontal pocket. Exploratory surgery revealed a localized cemental defect. The periodontium healed with pocket closure after exploratory surgery and open-flap debridement. The difficulty in clinically diagnosing a localized periodontal destruction and the lack of consensus on managing these cases were highlighted. The possibility of an undiagnosed cemental defect in a tooth with localized periodontitis should be considered in cases not responding to periodontal therapy.

Salivary Iga Depression In Drug-Influenced Gingival Enlargement Among Hypertensive Patients, Muhammad Annurdin Sabarudin, Haslina Taib, Wan Majdiah Wan Mohamad, Siti Lailatul Akmar Zainuddin, Wan Syamimee Wan Ghazali, Ahmad Azhar Misran

Journal of Dentistry Indonesia

Drug-influenced gingival enlargement (DIGE) among hypertensive patients is commonly associated with antihypertensive drugs such as calcium channel blockers (CCBs). Immune response alteration is one of the proposed mechanisms for DIGE. Immunoglobulin A (IgA) in saliva which involves in defense mechanism was shown to be affected in patients with DIGE. Objective: This study aimed to determine the association of salivary IgA level with DIGE. Methods: This cross-sectional study comprised 47 hypertensive patients who had consumed antihypertensive drugs for at least 3 months. Twenty-one (44.7%) males and 26 (55.3%) females had participated in this study. Data was analyzed using SPSS version 26.0. …

Evaluation Of Remaining Dentin Thickness After Manual And Rotary Instrumentation In Primary Molars Using Cone Beam Computed Tomography. (An In-Vitro Study), Nada Ashraf Eldemery, Osama Elshehawy, Rania Abdulla Nasr, Mahmoud Mohammed Badr

Future Dental Journal

Aim: To compare the radicular dentin thickness before and after instrumentation by manual stainless-steel (K-files) versus rotary files (AF™ Baby File) at coronal, middle, and apical thirds using Cone Beam Computed Tomography (CBCT).

Materials and Methods: Forty roots of extracted mandibular primary molars were collected, and randomly and equally divided into 2 groups. Manual Group was prepared by K-files, and Rotary Group was prepared by rotary AF™ Baby File system. Samples were decapitated and stabilized in epoxy resin blocks. Samples were subjected to CBCT scan before and after instrumentation for radicular dentin thickness evaluation at 3 measuring points; apical, …

The Influence Of Three Root Canal Irrigation Methods On Post-Operative Pain “Randomized Clinical Trial”., Nouran Aser Elafify, Ahmed Abdelrahman Hashem, Wael Hussein Kamel, El-Saeed Abdel Hafiz

Future Dental Journal

Abstract:

Aim: This clinical study was designated to evaluate the influence of three root canal irrigation activation methods on post-operative pain using the Visual analogue scale VAS. Material and Methods: 78 patients having symptomatic irreversible pulpitis in mandibular first molar with no periapical involvement. ProTaper Next rotary files were used for root canal preparation, then randomized into three equal groups according to the technique used for final irrigation agitation technique where each group have 26 cases (n=26 ) . Group A: received irrigation with 2.6% sodium hypochlorite with NaviTip (31-gauge 27 mm) with double side port irrigator tip (SVN) without …

The Antibacterial Effect And The Incidence Of Post-Operative Pain After The Application Of Nano-Based Intracanal Medications During Endodontic Retreatment: A Randomized Controlled Clinical Trial, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Objective: This clinical trial aimed to evaluate the effect of nano-silver and nano-calcium hydroxide intracanal medicaments (ICM) during retreatment regarding their antibacterial effect and their effect on post-operative pain and flare-ups. Materials and methods: Sixty-nine patients scheduled for endodontic retreatment were included in this randomized clinical trial and randomly allocated to 3 equal groups (n = 23) according to the type of ICM used. The first microbial sampling (S1) representing the original microbiota was obtained after the removal of the old canal filling. After chemo-mechanical debridement, another sample (S2) was obtained representing the microbial state before ICM application. Patients were …

The Effects Of The Covid-19 Pandemic On Postgraduate Endodontic Programs In The United States, Bianca Aboubakare, James Chen, Johnah C. Galicia

Orthodontics and Endodontics Theses

In December 2019, the coronavirus disease 2019 (COVID-19) was first identified as an acute infectious disease in Wuhan, China and subsequently led to an ongoing pandemic. At the onset of the pandemic, dental professionals were understood to face the greatest exposure risk to SARS-Cov-2 due to aerosolization of fluids from the oral cavity and respiratory airways . As a result, dental professionals, including academic institutions and their students and residents halted much of their operations to minimize exposure risks and potentially slow the spread of infection to peers and patients alike. Currently, there is little in the literature that describes …

Relationship Between Diabetic Status And Levels Of Salivary Statherin, Nikhil Malhan, David Ojcius, Scott Davis

Orthodontics and Endodontics Theses

Aim: The aim of this study is to determine the varying levels of salivary statherin production in patients with varying levels of risk for diabetes. The goal is to identify a causal relationship and thus, statherin could be used as a preliminary biomarker for identifying patients with diabetes. Materials and Methods: Saliva from 47 participants were collected in order to quantify the levels of statherin production via western blot analysis. Participants were also asked to fill out self-reported questionnaires regarding risk factors for type 2 diabetes. The questionnaire consisted of 7 questions regarding age, sex, history of diabetes, hypertension, level …

An In Vitro Evaluation Of The Kontrolflex Accufile Hand File, Mia Tittle

Orthodontics and Endodontics Theses

The aims of this study were to determine the efficacy of the KontrolFlexTM AccufileTM compared to the READY•STEEL™ Flexofile® using an electronic apex locator and to evaluate the instrument’s design via scanning electron microscopy. Actual canal lengths of thirty extracted teeth were determined under magnification. An alginate model was used to determine experimental canal lengths with the Root ZX II apex locator and size #10 Accufiles and Flexofiles. Differences between actual lengths and experimental lengths were compared with Student’s t test. The average experimental lengths were short of the actual length by -0.10 mm (±0.34) and -0.12 mm (±0.16) for …

Outcome Of Endodontic Microsurgery: Success And Survival Rates At Virginia Commonwealth University, Abdullah Alawadhi

Theses and Dissertations

Introduction: Endodontic microsurgery treatment is an option for teeth with apical periodontitis and may be indicated for teeth with previous endodontic treatment that have not healed, teeth with canal obstructions which would impede a non-surgical approach, and where a biopsy is needed. The purpose of this study is to evaluate healing after endodontic microsurgery in 2-dimensional PA radiographs and 3 dimensional CBCT imaging. Methods: Patient records were pooled from graduate resident cases completed at Virginia Commonwealth University in the Graduate Endodontic Clinic between the years 2010 to 2020. Cases were identified using the CDT codes and a key word search …

Characteristics Of Posterior Permanent Teeth With A Periradicular Diagnosis Of Symptomatic Apical Periodontitis: A Retrospective Study, Christina A. Martin

Theses and Dissertations

The diagnosis of apical periodontitis is based on radiographic manifestations and the results of the various clinical tests that can be performed as part of a routine dental examination. Apical periodontitis producing clinical symptoms involving a painful response to biting and/or percussion or palpation is given the diagnosis of symptomatic apical periodontitis (SAP). This study aimed to determine associations of SAP with gender, age, radiographic findings, diagnostic testing, pulpal diagnosis, and location of the tooth in the arch. Data for this study were obtained from patients of record treated at Virginia Commonwealth University School of Dentistry in the Department of …

Outcome Of Vital Pulp Therapy On Immature Permanent Teeth With Calcium Silicate-Based Materials: Retrospective Cohort Study, Brian I. Hone

Theses and Dissertations

Introduction: The purpose of vital pulp therapy is to maintain pulp viability by eliminating bacteria from the dentin-pulp complex and to establish an environment in which apexogenesis can occur. The aim of this retrospective cohort study was to evaluate the clinical and radiographic outcomes of vital pulp therapy on immature permanent teeth using different calcium silicate-based materials. Methods: This study was carried out in the Virginia Commonwealth University Graduate Endodontics department in Richmond, Virginia. Vital pulp therapy cases performed by graduate endodontic residents were retrospectively searched and charts were reviewed to determine inclusion into this study. All cases …

Comparison Of Reverse Torque Values Of Abutment Screws With The Application Of Oil-Based And Water-Based Antibacterial Agents, Amin Nourizadeh, Elnaz Shafiee, Azin Khorramdel, Seyed Amin Mousavi, Mehran Rahbar

Faculty, Staff and Students Publications

BACKGROUND: Using antibacterial agents to remove the foul odor of the implant cavity and prevent peri-implantitis can affect the detorque values and lead to the loosening of the abutment screw. This study investigated the effects of tetracycline and chlorhexidine gel on detorque values.

METHODS: This in vitro study was carried out on three groups of five implants. Group G1 was the control group, and no material was applied to the implant cavity. In group G2, the implant cavity was first filled with artificial saliva and then with chlorhexidine gel. In group G3, the implant cavity was first filled with artificial …

Cytotoxic Effects Of Potential Irrigants For Endodontic Surgery, Kaiying Haggard

Graduate Theses, Dissertations, and Problem Reports (ETD)

Purpose: The aim of this study is to investigate if hypochlorous acid (Vashe and Endocyn), Ozone, sodium hypochlorite (0.5% NaOCl), chlorhexidine (0.12% CHX), and MTAD can be used as a disinfectant for endodontic surgery without causing bone tissue toxicity by comparing their cytotoxic effects to saline on osteoblasts in vitro.

Methods: Human Fetal Osteoblast Cells (hFOB 1.19, ATCC CRL-11372) were used. The cells viability after 10-minute exposure of Vashe, Endocyn, Ozone, NaOCl (0.5%), CHX (0.12%), MTAD, and saline at concentrations of 10, 30, 60, 90 % volume ratio were measured using CCK8 analysis and the absorbance were measured at 450 …

Current Practices Used To Increase The Success Rate Of The Inferior Alveolar Nerve Block In Mandibular Molars With Symptomatic Irreversible Pulpitis, Nishtha Chauhan

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Pain control during endodontic access is important to ensure patient comfort. Achieving adequate anesthesia in an acutely inflamed mandibular molar poses a treatment challenge as the reported failure rate is 30- 83%. A number of pre-medications, anesthetic techniques and adjuncts have been researched to determine their effect on the anesthetic success of the inferior alveolar nerve block (IANB). The purpose of this research was to describe the current clinical practices used by the members of the American Association of Endodontists in pain control of inflamed mandibular molars.

Methods: A cross-sectional observational study design was used. The study …

The Effect Of Parabiotic Reuterin On The Expression Of Genes Involved In Candida Albicans Biofilm Formation: An Ex Vivo Study, Anastasya Muna Riad, Armelia Sari Widyarman

Journal of Dentistry Indonesia

Candida albicans has a number of properties, including resistance to various antimicrobial agents, which allow it to survive in the root canals. Lactobacillus reuteri plays a role in maintaining oral health through interactions with the oral microbiome. L. reuteri has potential as a preventive and therapeutic agent against inflammatory diseases. Objective: The aim of this study was to investigate the effect of irrigation with a reuterin-containing solution on BCR1, ACE2, EFG1, and TEC1 gene expression in C. albicans root canal biofilms. Methods: L. reuteri was cultured in MRS broth and incubated anaerobically for 24 hours at 37°C. C. albicans was …

Management Of Severe Dento-Alveolar Traumatic Injuries In A 9-Year Old Boy: A Case Report, Elnaz Mousavi, Masoomeh Khoshdel, Hamidreza Sharifiyan

Journal of Dentistry Indonesia

Dentoalveolar traumas can lead to various injuries that may result in tooth loss. A suitable treatment plan and appropriate interventions should be performed to maintain the dental function and aesthetics, especially for the anterior teeth. Objective: To report the interventions performed on dentoalveolar trauma on a 9-years old male patient who presented with gingival immersion of the right maxillary central incisor and missing a tooth due to a falling accident. Case Report: The patient had multiple traumatic injuries. The medical and dental history was taken, and the clinical and radiologic examinations were performed. The patient underwent surgical intervention and splinting …