Endodontics and Endodontology Commons^™

Evaluation And Comparison Of Periapical Healing Using Periapical Films And Cone Beam Computed Tomography: Post-Treatment Follow Up, Adam S. Polinsky

Theses and Dissertations

Purpose: The purpose of this study was to assess the radiographic changes in periapical status and analysis of healing determined using periapical radiographs (PA) versus cone beam computed tomography (CBCT) pre-operatively and at 3-64 months following endodontic treatment.

Methods: Pre/post treatment radiograph and CBCT scans of patients who had NSRCT, NSReTx, or SRCT from July 2011-December 2018 at VCU Graduate Endodontic clinic were included in this study. Volumetric and linear measurements of periapical lesions on initial and recall PA and CBCT images were performed using three calibrated examiners. Changes and differences in the estimated area from PA to CBCT were …

Influence Of Curved Root Canal On Retreatment Efficacy Of Bioceramic Sealer, Kasemsun Sujaritwanit

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study evaluated the influence of a curved root canal on the retreatment efficacy of root canals sealed with bioceramic sealer. 60 mandibular molars were divided into 4 subgroups of severely curved canal filled with AH Plus, slightly curved canal filled with AH Plus, severely curved canal filled with BioRoot RCS and slightly curved canal filled with BioRoot. Two weeks after root canal obturation, retreatment was performed with WaveOne Gold Primary and ProTaper Next X3 following with passive ultrasonic irrigation. The retreatment efficacy parameters were regaining canal patency, retreatment time and residual filling material. MicroCT and confocal microscope were used …

Pain Relief Knowledge, History, And Expectations Among Emergency Dental Patients, Daniel C. Brawley

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction

Dentists frequently treat and manage patients with acute dental pain. Patients often seek care to treat their pain. As a part of that treatment, it is common for providers to use both prescription and non-prescription medications in the management of the patient’s dental pain. This study focused on understanding the patient’s knowledge, history and expectations regarding prescription and non-prescription medication in the management of their dental pain.

Methods

A self-report survey was developed, using Likert-type scales, consisting of 32 items, including standardized, psychometrically-tested instruments. The survey was administered to 108 adult outpatients who reported to the West Virginia University …

Assessment Of Fracture Resistance Of Maxillary First Molars After Root Canal Preparation Using Three Different Rotary Instruments (V-Taper, Protaper, Vortex Blue): Finite Element Analysis, Mehran Malakpour

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Long term success of endodontically treated teeth has been one of the most challenging aspects of the field of endodontics due to reduced fracture resistance of these teeth. Recently, researchers have heightened focus on conservative endodontics in order to sustain the tooth integrity, and reduce factors impacting the fracture resistance of endodontically treated teeth. As a result, rotary instrument manufacturers have developed files that have a minimal effect on original root canal anatomy. This study used Finite Element Analysis to investigate the dental biomechanical effect of rotary instrumentation during root canal therapy. The aim of this study is to …

Factors Effecting Survival Of Teeth With Nonsurgical Root Canal Therapy Including A Multi-State Outcome Analysis, Alex Moore

Master's Theses (2009 -)

Objective: To study the factors effecting the survival of teeth with non-surgical root canal therapy (NS-RCT) and to compare the transitions between failure states for teeth treated with NS-RCT based on initial provider type. Methods: Insurance claims were analyzed for 438,487 initial NS-RCT procedures to determine the effect of provider type, patient age, tooth position, presence of post/core, and crown at 90 days on tooth survival. Kaplan Meier survival estimates were evaluated for 1, 3, 5, and 10 years and adjusted hazard ratios (aHR’s) were calculated. A multi-state model with six transitions was created using the ‘mstate’ R package. Results: …

Change In Working Length At Different Stages Of Instrumentation As A Function Of Canal Curvature, Mei Tang, Garry L. Myers, Richard D. Archer, Al M. Best

Graduate Research Posters

The aim of this study was to determine the change in working length (∆WL) before and after coronal flaring and after complete rotary instrumentation as a function of canal curvature. One mesiobuccal or mesiolingual canal from each of 43 extracted molars had coronal standardization and access performed. Once the access was completed, canal preparation was accomplished using Gates Glidden drills for coronal flaring and EndoSequence files for rotary instrumentation. WLs were obtained at 3 time points: pre-instrumentation (unflared), mid-instrumentation (flared) and post-instrumentation (concluded). Measurements were made via direct visualization (DV) and the CanalPro apex locator (EM) in triplicate by a …

The Effect Of Instrumentation Taper On Dentin Conservation, Megan E. Green

Theses and Dissertations

Introduction: The aim of this in vitro study was two part. The first being to assess and compare the amount of dentin removed by an instrument with a taper of 0.04 versus an instrument with a taper of 0.06 using the Edge Evolve® file system at different increments within the canal system. Secondly, this study evaluated whether instrumentation with either taper resulted in a remaining dentin thickness (RDT) of less than 0.3mm. If this RDT was imposed upon, fracture resistance was compromised. Both pre and post instrumentation measurements were taken of samples instrumented with the 0.04 and 0.06 tapered files. …

The Efficacy Of Copper Iodide Nanoparticle-Augmented Mta Against Enterococcus Faecalis: A Confocal Microscopy Study, Craig Alan Atchison

MUSC Theses and Dissertations

Introduction: The introduction of metallic nanoparticles such as copper into medical materials has shown promising results in terms of antimicrobial activity. A novel material incorporating nanoparticles could be useful in combating bacterial biofilms and improving long-term success rates in endodontic therapies. The aim of this study was to evaluate the antibacterial effect of mineral trioxide aggregate disks augmented with copper iodide nanoparticles on a biofilm of E. faecalis and compare the results with non-augmented control MTA in the same conditions using confocal laser scanning microscopy. Methods: Fabricated disks were made up of control, non-augmented MTA or copper iodide nanoparticle-augmented MTA …

Effects Of Blood Contamination On Chemical Composition And Ion Releasing Of Calcium Silicate-Based Materials, Nareerat Thanavibu

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study assessed the effects of blood contamination on the chemical composition and ion release of calcium silicate-based materials. ProRoot MTA (WMTA), Biodentine and TotalFill BC RRM putty (TRRM) were investigated. Materials were exposed to blood (blood-contaminated condition) or normal saline (non-blood-contaminated condition) for 24 hours. Three samples of each group were analysed for chemical composition using X-ray diffractometer and an energy-dispersive X-ray spectoscope with a scanning electron microscope after immersed in phosphate-buffered saline for 1, 7, 14 and 28 days. Five samples of each group were used to measure pH and ion release using a pH meter and inductively …

Effectiveness Of Different Root Canal Disinfection Protocols On The Reduction Of Bacteria In Large Root Canals, Parnwad Sasanakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction: The aims of this study were to evaluate the effectiveness of disinfection methods and determine the most promising irrigation protocol for regenerative endodontics in teeth with large root canals. Methods: Sterilized root samples with 0.8-mm wide apical foramen (n=94) were prepared from human mandibular premolars. Ninety-two samples were infected with E. faecalis for 21 days and biofilm formation was verified using scanning electron microscopy (n=2). The 90 infected samples were randomly assigned into 9 groups: no intervention (initial), 1.5% NaOCl irrigation (1.5N), 2.5% NaOCl irrigation (2.5N), 1.5N + intermittent passive ultrasonic irrigation (PUI), 1.5N + intermittent canal brushing with …

Potential Antimicrobial Methods For Provisionalizing Teeth After Endodontic Treatment, Laura T. Garden

Theses and Dissertations

POTENTIAL ANTIMICROBIAL METHODS FOR PROVISIONALIZING TEETH AFTER ENDODONTIC TREATMENT

By Laura T. Garden, DDS

A thesis submitted in partial fulfillment of the requirements for the degree of Master of Science in Dentistry at Virginia Commonwealth University.

Virginia Commonwealth University, 2018

Thesis Advisor: Garry Myers, DDS

Department of Endodontics

Objective:To evaluate the effectiveness of a Chlorhexidine soaked cotton pellet on bacterial leakage.

Methods: Fifty-one extracted teeth, including six controls, were instrumented, obturated, and sealed with either a cotton pellet (CP), 2% Chlorhexidine soaked cotton pellet (CHX), or a Permaflo orifice barrier (OB). Each root was suspended between two chambers: the …

Change In Working Length At Different Stages Of Instrumentation As A Function Of Canal Curvature, Mei Tang

Theses and Dissertations

The aim of this study was to determine the change in working length (∆WL) before and after coronal flaring and after complete rotary instrumentation as a function of canal curvature. One mesiobuccal or mesiolingual canal from each of 43 extracted molars had coronal standardization and access performed. Once the access was completed, canal preparation was accomplished using Gates Glidden drills for coronal flaring and EndoSequence files for rotary instrumentation. WLs were obtained at 3 time points: pre-instrumentation (unflared), mid-instrumentation (flared) and post-instrumentation (concluded). Measurements were made via direct visualization (DV) and the CanalPro apex locator (EM) in triplicate by a …

Observations Of Trends And Successes Of Revascularization Therapy At Virginia Commonwealth University: A Retrospective Study, Richard W. Sedwick

Theses and Dissertations

The aim of this study was to determine the trends in protocol, success rates, and consistency in follow up of revascularization procedures in a controlled environment. Patients of the Virginia Commonwealth University School of Dentistry were identified who were offered revascularization therapy as a treatment option on immature permanent teeth from January 1, 2010 to May 31, 2017. A total of 77 patients and 78 teeth were evaluated for revascularization therapy. For patients accepting treatment, records were reviewed for outcome assessment and consistency of follow up. A total of 30 patients (31 teeth) were treated following revascularization protocols, with only …

Clinical Cases In Endodontics; Chapter 1: Introduction, Takashi Komabayashi

Dental Medicine Faculty Publications

Chapter 1 of Clinical Cases in Endodontics, a problem-based text that presents a wide range of real cases in endodontics. Clinical Cases in Endodontics presents actual clinical cases, accompanied by academic commentary, that question and educate the reader about essential topics in endodontic therapy. It begins with sets of cases illustrating the most common diagnoses and the steps involved in preparing a treatment plan. Subsequent chapters continue in this style, presenting exemplary cases as the basis of discussing various treatment options, including nonsurgical root canal treatment, re-treatment, periapical surgery, internal and external resorption, emergencies and trauma, and treating incompletely developed …

Viability Of Human Periodontal Ligament Fibroblasts After Time In Tooth Storage Media, Scott Macdonald

Master's Theses (2009 -)

Periodontal ligament cell viability at the time of tooth replantation is of utmost importance for proper repair of the damaged tissues (1). Multiple different options are currently available for storage of an avulsed tooth. The goal of this study was to investigate new storage media and evaluate their ability to maintain cell viability over time. Materials and Methods: Cultured human periodontal ligament fibroblasts (hPDLF) were seeded on 96-well plates. These cells were exposed to different storage media including: Hank’s Balanced Salt Solution (HBSS), EMT Toothsaver (EMT), Save-A-Tooth (SAT), trehalose (T300), cell culture media, water, and different formulations of HBSS combined …

Survival Rates Of Primary Endodontic Therapy Following Core/Post And Crown Placement, Kandace Yee

Master's Theses (2009 -)

Introduction: The objective of this study was to determine if a correlation exists between the time to core or post and core (core/post) placement following non-surgical root canal therapy (NS RCT), the time to crown placement following core/post placement, and the incidence of an untoward event. Materials and Methods: Utilizing the Delta Dental of Wisconsin Insurance Database, information was analyzed from 476,479 initial NS RCT procedures. Of these teeth, 160,040 had a core/post and a crown placed before the end of the continuous coverage period or occurrence of an untoward event. Untoward events were defined as having a retreatment, apicoectomy, …

Qmix 2in1 And Naoci Precipitate: Documentation, Identification, And Exothermic Reaction, Gordon L. Barkley Iii

Master's Theses (2009 -)

Introduction: The aim of this study was to document and identify precipitate formation and exothermic reaction caused when mixing NaOCl and QMiX. Methods: Photography captured time-dependent changes when mixing NaOCl and QMiX at; 0 seconds, 30 seconds, 1 minute, 30 minutes, 1 hour, and 24 hours. A differential scanning calorimeter (DSC) was utilized in determination of heat flow while analyzing temperature change (°C), enthalpy (mJ), and time (seconds) for NaOCl with QMiX and NaOCl with 2% chlorhexidine (CHX). 1H Nuclear Magnetic Resonance (NMR) and 2D NMR (DOSY) spectroscopy analyzed precipitation formed from NaOCl and QMiX. Results: Digital photography documented immediate, …

Prevalence And Clinical Characteristics Of Teeth Extracted With A Diagnosis Of Cracked Tooth: A Retrospective Study, Riley B. Sturgill

Theses and Dissertations

The body of knowledge that exists regarding cracked teeth is limited. The purpose of this study was to determine the prevalence of cracks among extracted teeth. This retrospective longitudinal cohort study included patients of the Virginia Commonwealth University School of Dentistry that underwent extraction procedures over a 6 year period. The sample consisted of 20,408 patients and 40,870 teeth. Statistical analysis software was used to identify diagnoses of a crack, fracture, or split tooth prior to extraction of the tooth by analyzing the Electronic Health Record (EHR) (axiUm™, Version 6.03.03.1035, Exan Corporation, Vancouver, BC, Canada). There were 3,228 teeth …

Evaluation Of Volumetric Change Of Periapical Lesions After Apicoectomy As A Measure Of Postsurgical Healing Utilizing Cone Beam Computed Tomography, Eshwar Arasu

Theses and Dissertations

The aim of this study was to evaluate whether volumetric changes in persistent periapical lesions can be detected in follow-ups six months to five years after apicoectomy using cone-beam computed tomography. Patients with a previous treatment history of apicoectomy and for whom a pre-surgical CBCT scan was taken between November 2010 and December 2015 were invited to participate in the study. A post-surgical CBCT image of the treated tooth was obtained at the recall visit. Volumetric and linear measurements of periapical lesions on initial and postoperative CBCT images were performed using DiThreshGUI software and two calibrated examiners—a board-certified endodontist and …

A Comparative Study Of Intraradicular Enterococcus Faecalis Biofilm Removal With Three Root Canal Treatment Systems: A Scanning Electron Microscopy Evaluation, Cyrous Ardalan

Theses and Dissertations

The objective of this study was to evaluate the biofilm removal efficacy of three root canal treatment systems: ProUltra® PiezoFlow™, traditional needle irrigation, and the GentleWave® system in an ex-vivo benchtop study. Twenty-four extracted maxillary and mandibular molars were selected. Teeth were all instrumented to a master apical file size #25 with 4% taper. Teeth were then randomly divided into four experimental groups and two control groups. The root canals were inoculated with a culture of Enterococcus faecalis and incubated for five weeks to form a biofilm. Each group was then treated with one of the different root canal treatment …