Endodontics and Endodontology Commons^™

Current Trends In The Management Of Endodontic Emergencies, Asmi Shah

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: The management of endodontic emergencies has changed over the last few decades and varies from practice to practice. This is due to the development of new materials, new irrigation techniques, and new evidence-based research which supports clinical success. An updated questionnaire is necessary to further advance the clinical knowledge in endodontic emergencies based on current practices. Therefore, the purpose of this research is to determine the difference practice modalities between members who are board certified, who are not board certified, and endodontic graduate residents.

Materials and Methods: In 2021, every member of the American Association of Endodontics …

Comparison Of Medicaments Used In Regenerative Endodontics In Terms Of Dentin Microhardness And Adhesion Of Mineral Trioxide Aggregate, Esma Saricam, Neslihan Bulak, Esra Özyurt, Suat Özcan

Journal of Dentistry Indonesia

Eliminating microorganisms in the root canal system is important for the success of regenerative endodontics. Objective: This study evaluated the effects of different antibiotic pastes used for regenerative endodontic procedures on dentin microhardness and the push-out bond strength of mineral trioxide aggregate (MTA) to root canal dentin. Methods: Sixty-four maxillary central incisors were instrumented and randomly divided into the following four groups (n = 16) for medicament treatment: triple antibiotic paste, amoxicillin+clavulanic acid, cefaclor, and control (no dressing). After 21 days, two root segments were obtained by sectioning the roots horizontally for push-out and microhardness evaluations. MTA was placed into …

Reliability Of Panoramic Radiography For Vertical Facial Pattern Assessment, Waqar Jeelani, Maheen Ahmed, Shakeel Ahmed

Journal of Dentistry Indonesia

The orthopantomogram (OPG) is a common dental screening radiograph that has multiple implications. However, lateral cephalogram is the investigation of choice for the assessment of vertical facial pattern. Objective: The aim of the current study was to investigate the validity of an OPG parameter i.e. panoramic gonial angle (PGoA) for the assessment of the vertical facial pattern. Methods: A cross-sectional study was conducted on the pretreatment OPG and lateral cephalograms of 200 orthodontic patients aged 15-40 years. The PGoA was measured on both sides and an average was used for statistical analysis. The Pearson’s correlations of PGoA were measured with …

Evaluation Of Maxillary Impacted Teeth And Their Relationship With Adjacent Teeth And Anatomic Structures With Cone Beam Computed Tomography, Emre Köse, Emin Murat Canger

Journal of Dentistry Indonesia

Objective: This study aimed to examine the cone beam computed tomography (CBCT) images of impacted maxillary canines and mesiodentes. Methods: This retrospective radiographic study was performed on 177 patients with 200 impacted maxillary canines and 12 mesiodentes. Using CBCT images, the unilateral/bilateral occurrence, presence of root dilaceration, mesio-distal and buccopalatal location, impaction condition, contact region of adjacent teeth, presence and degree of root resorption of adjacent teeth, dental follicle width, closest distance to the nasal cavity, nasopalatinal canal, and maxillary sinus were assessed. For mesiodentes, the types, follicle width, direction, and relationship with anatomical structures were evaluated. Results: No statistical …

Effect Of Salivary Ph On Water Absorption And Solubility Of Enhanced Resin- Modified Glass Ionomer, Yosi Kusuma Eriwati, Muhammad Dhiaulfikri, Ellyza Herda

Journal of Dentistry Indonesia

The influence of immersion period and liquid pH on water absorption capacity and solubility of the resin-modified glass ionomer cement (RMGIC) raises the question of whether the critical pH of hydroxyapatite and fluoroapatite influences the water absorption capacity and solubility of enhanced resin-modified glass ionomer (ERMGI). Objective: This study was designed to investigate the effects of immersion periods and various pH levels of artificial saliva on the water absorption and solubility of RMGIC and ERMGI. Methods: Fifty-four disc-shaped specimens (15 mm x 1 mm) of enhanced RMGI (ACTIVATM BioACTIVE-RESTORATIVE, Pulpdent, Watertown, MA, USA) and 54 disc-shaped specimens (15 mm x …

Conservative Management Of A Maxillary Lateral Incisor With An Apical Third Root Perforation: A Case Report, Nurul Astrina Damayanti, Dian Natalina Fuddjiantari, Tri Endra Untara, Yulita Kristanti

Journal of Dentistry Indonesia

Perforation is one of iatrogenic factors responsible for endodontic failure. Root canal perforation can occur at the cervical, mid-root, or apical levels. Non-surgical (conservative) perforation repair offers less tissue destruction and easy isolation during treatment. Objective: To explain the management of apical third root perforation using the conservative technique. Case Report: This case report describes a 29-year-old patient who came for management of right maxillary lateral incisor with apical third root perforation on the labial aspect. The location of apical third root perforation was evaluated using cone beam computed tomography (CBCT). Root perforation was sealed using mineral trioxide aggregate (MTA). …

Comparative Evaluation Of Apical Extrusion Debris And Irrigant During Calcium Hydroxide Removal And Endodontic Instrumentation Using Three Types Of Instrumentation Systems, Selen İnce Yusufoğlu, Esma Saricam

Journal of Dentistry Indonesia

Many root canal preparation techniques and instruments produce apically extruded materials to a certain extent depending on the preparation system adopted. The extrusion of debris from the apical foramen during chemomechanical preparation may cause postoperative pain and failure of endodontic treatment. Objective: This study evaluates the differences in the apical extrusion of debris and calcium hydroxide (CH) during endodontic instrumentation by using Reciproc Blue (RB), WaveOne Gold (WOG), and F6 Skytaper (F6). Methods: Six experimental study groups (n = 13) were established. The root canal procedures for all groups were prepared with different methods: Group I: One Shape (OS) instrumentation, …

Trimming And Ph Effects On Nickel Ion Release From Stainless Steel Crowns Of Primary Teeth, Milad Arab-Nozari, Mohammad Shokrzadeh, Nastaran Zamehran, Jamshid Yazdani Charati, Azam Nahvi

Journal of Dentistry Indonesia

Objective: Stainless steel crowns (SSCs) are preformed metal crowns used to restore severely decayed primary teeth. The aim of this study is to evaluate the effects of pH changes and SSC margin trimming on nickel release in artificial saliva solution. Methods: A total of 90 SSCs were divided into three groups and placed in 35 ml of artificial saliva of pH 6.8, 5, and 3.5. Another group consisting 30 SSCs with trimmed margins was placed in saliva of pH 6.8. All SSCs were incubated at 37°C. The concentration of released nickel was assessed on days 1, 7, 14, 21, and …

Influence Of Blood Contamination On The Bond Strength And Biointeractivity Of Biodentine Used As Root-End Filling, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Aim: To evaluate the influence of blood contamination on the bond strength and apatite forming ability of Biodentine used as root-end filling material. Methodology: Eighty (n = 80) extracted single-rooted, sound human maxillary anterior teeth were prepared and obturated. Then, the roots were resected, retrograde cavities were prepared and Biodentine was inserted as the root-end filling material. Teeth were then randomly divided into 2 equal groups (n = 40) according to the setting environment of Biodentine i.e., group A where setting took place in human blood and group B where setting took place in deionized water (control group). Teeth were …

Using Cone-Beam Computed Tomography To Evaluate Apical Transportation And Centering Ability Of Waveone, Oneshape And Tornado Rotary Systems: A Clinical Study, Alaaeldeen O. Mais, Amr M. Abdallah, Essam Osman

BAU Journal - Creative Sustainable Development

This clinical study was aimed to evaluate apical transportation and centering ability of WaveOne, OneShape files and Tornado rotary system using Cone-beam computed tomography (CBCT). Lower molars with a curving angle of buccal canals extending from 15°-45° in 24 patients were arbitrarily divided into three groups (n=8) rendering to the rotary systems used: Group 1, Tornado system, Group 2, WaveOne rotary system, and Group 3, OneShape rotary system. CBCT was used as a diagnostic method to evaluate centering ratio and canal transportation at 2, 5 and 8 mm from apical foramen. One-way analysis of variance and post hoc Tukey tests …

Correlation Between Root Surface Strain And Apical Micro-Cracks Produced During Canal Preparation With Thermally Treated Single Or Multi-File Niti Systems, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Aim: To determine the apical root surface strain (RSS) generated during shaping with thermally treated file NiTi systems, and its association with the development of apical microcracks. Methodology: Twenty extracted human mandibular molars with severely curved mesial roots having two separate canals were prepared using XP-Endo Shaper files (Group A: XPS in mesio-buccal canals) and Hyflex CM files (Group B: HCM in mesio-lingual canals). Pre-instrumentation images of apical surface of each root were obtained with Environmental Scanning Electron Microscope (ESEM). Root surface strain (RSS) generated during canal preparation was measured as micro-strain (ìstrain) using electrical strain gauges fixed on apical …

Antibacterial Potential Of Nano-Particulate Intracanal Medications On A Mature E. Faecalis Biofilm In An Ex Vivo Model, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Aim: To investigate and compare the antibacterial and antibiofilm activity of Chlorhexidine Digluconate functionalized Hydroxyapatite Nanoparticles and silver Nanoparticles as intracanal medicaments on a mature E. faecalis biofilm model in root canals of extracted teeth. Methodology: Sixty-eight human maxillary central incisors were mechanically prepared, sterilized, infected with E. faecalis, and then incubated for 28 days under anaerobic conditions to develop a mature E. faecalis biofilm. Eight teeth were used to monitor biofilm formation and maturation over the incubation period with field emission scanning electron microscopy (Fe SEM), while the other 60 teeth were divided into two experimental groups (n=20) in …

Epidemiology, Outcome, And Prognostic Factors Of Oropharyngeal Lymphoepithelial Carcinoma: A Population-Based Analysis Using The Seer Database, Serena Lee

Orthodontics and Endodontics Theses

Introduction: Lymphoepithelial carcinoma (LEC) in the oropharynx is rare. Current understanding of the disease is derived mainly from case reports and small case series, prompting further elucidation of its epidemiology and prognostic factors that affect outcome. The aim of this retrospective cohort study was to examine demographic characteristics, clinicopathologic features, and prognostic factors in patients with oropharyngeal LEC. Methods: The U.S. National Cancer Institute’s SEER registry was queried to obtain data on patients with primary oropharyngeal LEC from 1975 to 2016. Variables examined include age at diagnosis, sex, race, year of diagnosis, primary site of tumor origin, tumor size, extent, …

Effect Of Short- And Long-Term Use Of Home And In-Office Bleaching With Carbamide Peroxide And Hydrogen Peroxide On Enamel Microhardness, Nazila Ameli, Niloofar Kianvash Rad, Farzane Nikpour, Raheb Ghorbani, Shadi Mohebi

Journal of Dentistry Indonesia

Bleaching is a well-known esthetic dental treatment performed to lighten the tooth shade. Among different cosmetic dental procedures, including direct and indirect tooth-colored restorations, bleaching is likely the most conservative approach. Bleaching has been accepted well by patients and proven as a safe and effective approach. Objective: Tooth bleaching can be conducted at home or in offices. This study was performed to compare the enamel microhardness before bleaching and one and eight weeks after the application of different bleaching agents. Methods: Forty human premolars were randomly divided into four groups, and their buccal surface underwent a Vickers microhardness test …

Root Canal Treatment Of The Maxillary Second Molar With An Unusual Morphology: A Case Report, Lia Desire Octarina, Tri Endra Untara, Ema Mulyawati

Journal of Dentistry Indonesia

Four rooted maxillary second molar is a rare condition. A research of 1,200 maxillary second molars found only 0.4% of the sample with this condition. In a tooth with two palatal roots, one of them is the normal palatal root, while the other is a supernumerary structure which can be found mesiolingually (radix mesiolingualis) or distolingually (radix distolingualis). Objective: to describes a successful root canal treatment of a maxillary second molar with radix mesiolingualis. Final restoration using a short fiber-reinforced composite as the bottom structure under the onlay composite direct restoration. Case report: A 39-year old female patient complained of …

Direct Composite Resin Restoration Of Anterior Maxillary Teeth And Esthetic Smile Design: A Case Report, Christina Widya Nugrohowati, Wignyo Hadriyanto, Tunjung Nugraheni

Journal of Dentistry Indonesia

Dental esthetic complex involves more than one caries with malformed shape and malposition. Dental trauma most commonly affects maxillary anterior teeth, and subsequently affects the esthetics, functions, and psychological well-being of the individual. Composite resins have become an integral part of contemporary restorative and minimally invasive dentistry. Objective: To summarize the successful use of direct composite resin restoration in the management of a 29-year old male patient. Case Report: A 29-year old male patient presenting with multiple secondary caries and crown fractures in the anterior maxillary teeth, resulting in an unaesthetic smile. Comprehensive esthetic dental treatment was carried out. The …

Treatment Of A Class I Malocclusion With Severe Crowding Using Passive Self-Ligating Brackets, Agita Pramustika, Retno Widayati

Journal of Dentistry Indonesia

Presently, dental crowding is the most common problem among orthodontic patients. The prevalence of crowding in the dental arch is significantly increased in modern dentitions, and it is the most common reason why patients pursue orthodontic treatment. Objective: To report an advanced bracket systems, namely self-ligating brackets, to increase the efficacy of orthodontic treatment especially in patients with severe crowding. Case Report: A 22-year-old female patient presented with severe crowding of the maxillary and mandibular arches. In the upper arch, both second premolars were palatally positioned; in the lower arch, the lower right canine was lingually positioned and the lower …

Effectiveness Of Lentinus Edodes Mushroom Extract On Eradication Of Enterococcus Faecalis Biofilm, Putri Lestari Anggiarini, Meiny F Amin, Juanita A Gunawan, Armelia Sari Widyarman

Journal of Dentistry Indonesia

Sodium hypochlorite is a commonly used irrigation solution in endodontic procedures, but it irritates tissues and has toxic effects. Lentinus edodes is a mushroom that has antibacterial properties. Enterococcus faecalis is an anaerobic bacterium that can cause root canal treatment failure. Objective: This study aimed to determine the effect of L. edodes extract on the eradication of E. faecalis biofilms. Methods: Phytochemical tests of L. edodes were performed to analyze alkaloids, steroids, triterpenoids, phenolics, tannins, flavonoids, and glycosides from this extract qualitatively. E. faecalis ATCC 29212 was cultured in brain heart infusion broth for 24 h at 37°C …

Cyclic Fatigue Resistance Of Three Heat-Treated Nickel-Titanium Instruments At Simulated Body Temperature, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Introduction: The aim of this study was to evaluate the cyclic fatigue resistance of three heat-Treated nickel-Titanium (NiTi) systems at simulated body temperature. Materials and Methods: Twelve instruments of similar apical diameter (#25) from three engine-driven NiTi instruments; WaveOne Gold (WOG), Hyflex EDM (HEDM), and M Pro system were tested for cyclic fatigue resistance at 37°C in simulated root canals with 60° angle of curvature and 5 mm curvature radius. All instruments were operated until fracture occurred. Mean and standard deviation of the time to fracture and fragment length were calculated, and statistical significance was set at 5%. The morphological …

Accuracy, Sensitivity And Specificity Of Three Imaging Modalities In Detection Of Separated Intracanal Instruments, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Aim: To compare the accuracy, sensitivity and specificity of CBCT imaging and two dimensional periapical radiography in detection of separated intracanal endodontic instruments with and without root canal filling. Methodology: Eighty (n=80) extracted mandibular molars were randomly divided into four groups (n=20); control, fracture/non-filled, non-fracture/filled, and fracture/filled. Molars were placed in a mandible for imaging. Conventional 2D radiography using D-speed periapical film (SKYDENT, Slovak Republic), semidirect digital radiographs using Soredex Digora Optime system (DIGORAOptime, Soredex, Finland), and cone beam computed tomography using Gendex-GXDP 800 (GENDEX GXDP-800 Kavo, Germany) were acquired. An artifact reduction algorithm was applied. Images were evaluated by …