Endodontics and Endodontology Commons^™

Is The Facial Bone Wall Critical To Achieving Esthetic Outcomes In Immediate Implant Placement With Immediate Restoration? A Systematic Review, Sergio Charifker Ribeiro Martins, Marcio Da Costa Marques, Michael Gomes Vidal, Pedro Henrique Moreira Paulo Tolentino, Roberto Galvão Dinelli, Gustavo Fernandes, Jamil Awad Shibli

MOSDOH Faculty Publications

Background. Rehabilitation in the anterior region requires specific conditions for success, such as the presence of papilla, emergence profile, and balance between pink and white esthetic. Objectives. This systematic review aimed to evaluate the esthetic risk associated with immediate implant placement with immediate restoration in the anterior superior area, where the facial bone plate may be absent or deficient. Materials and methods. The search was done in PubMed, Embase, Cochrane, Lilacs, Scopus, Scielo, and Google Scholar databases. The investigation involved clinical studies and observational studies published between January 2012 and July 2023. Studies were excluded if there was less than …

Critical-Size Defects Reconstruction With Four Different Bone Grafts Associated With E-Ptfe Membrane: A Histomorphometric Experimental In Vivo Study, Gustavo Fernandes, Filipe Castro, Rafael Martins Pereira, Wendel Teixeira, Sergio Gehrke, Julio Cesar Joly, Juan Blanco Carrion, Juliana Campos Hasse Fernandes

MOSDOH Faculty Publications

Objectives: The goal of this study was to assess the newly formed bone and the remnant biomaterial by comparing four different bone grafts used to treat critical-size defects, associated or not with the non-resorbable membrane.

Materials and methods: Two calvaria critical-size bone defects were created in 50 male Wistar rats. They were divided into blood (G1), autogenous (G2), bioglass (G3), hydroxyapatite (G4), and xenograft (G5) groups, associated or not with e-PTFE. The experimental periods were 15 and 45 days. Sections were prepared for histomorphometric assessment. All data were analyzed by the mixed-effects model with multiple comparisons (significance level, p < .05).

Results: …

Comparative Evaluation Of Marginal Adaptation Of Two Sealers With Two Different Obturation Techniques Using Sem (An In Vitro Study), Nada Mohammady Shaheen, Wael Hussein Kamel, Ahmed Abdel Rahman Hashem, Mahmoud Mohamed Badr

Future Dental Journal

Aim: The sealing ability of endodontic obturation plays a important role in long term prognosis of an endodontic treatment. Aim To evaluate and compare the marginal adaptation of epoxy resin-based sealer (AH Plus) versus Bioceramic-based sealer (Total fill BC Sealer) to root canals that obturated with two obturation techniques (Lateral condensation and single cone techniques) using scanning electron microscope (SEM). Materials and Methods Sixty recently extracted single rooted mandibular premolars teeth were disinfected. Access cavity preparation was performed followed by cleaning and shaping, using 2.6% NaOCl as final irrigation protocol. Teeth were then equally divided into 4 groups according to …

A Radiographic Analysis Of Teeth With Carrier-Based Obturation Requiring Retreatment, Robert W. Rudnicki

Theses and Dissertations

Objective: The purpose of this study was to determine observer accuracy and agreement in detecting carriers using preoperative radiographs, as well as to identify potential radiographic indicators for the presence of carriers.

Methods: A chart review was conducted for patients seen at the VCU graduate endodontic clinic. Eligible cases included previously treated teeth that were nonsurgically retreated, with and without identified carriers. 100 cases were identified, including 61 carrier and 39 non-carrier cases. Preoperative radiographs were randomized, and evaluators assessed each case for the presence of carrier-based obturation. Evaluators included three endodontists, one general dentist, and four endodontic residents. Statistical …

Characteristics Of Permanent Teeth Diagnosed With Pulpal Necrosis: A Retrospective Study, William Lee

Theses and Dissertations

Objective: To determine associations of pulpally necrotic teeth with demographics, clinical findings, radiographic presentation, and periapical status.

Methods: Virginia Commonwealth University uses AxiUm software to record dental treatment and treatment notes. The current study involves a keyword search using the term “pulpal necrosis”. Factors compiled and evaluated included but not limited to patient demographics, location in the dental arch, clinical findings, radiographic presentation, and periapical status.

Results: Data has revealed that teeth with pulpal necrosis can present with a variety of different clinical findings. All of the following were observations of teeth with pulpal necrosis. A total of 325 teeth …

A Retrospective Chart Review Of Avulsion Injuries Treated At Virginia Commonwealth University., Ryan Hediger

Theses and Dissertations

A RETROSPECTIVE CHART REVIEW OF AVULSION INJURIES TREATED AT VIRGINIA COMMONWEALTH UNIVERSITY. By: Ryan Hediger, DMD

Objective: Outcomes related to healing following an avulsion injury are multifactorial. However, contemporary literature suggests that tooth survival can be enhanced after such injuries by promptly replanting the tooth and adhering to proper management guidelines. Despite the abundance of resources available, the actions taken immediately after the avulsion injury play a pivotal role in determining the fate of an avulsed tooth. The primary objective of the current investigation is to unveil prognostic factors associated with the survival of avulsed teeth.

Methods: A chart review …

Diagnostic Accuracy Of Cbct In The Differential Diagnosis Of Apical Cysts And Granulomas Using Histopathological Findings As A Reference Standard: A Systematic Revew, Fatima Zohra Rouggani, Chaimaa Kabil, Rachida Mayou, Sidi Mohamed . Bouzoubaa

Health Sciences

Introduction

The periapical lesions represent a complex group. Granulomas and cysts represent the two most frequent forms in routine clinical practice.

Aim: Highlight the diagnostic accuracy of CBCT imaging in the differential diagnosis between a cyst and a granuloma compared to histopathological examination as a reference technique.

Materials and Methods:

Our literature search involved articles published in the following databases: PubMed, Cochrane, science direct and Google scholar.

Our intention was to review recent articles from the last 5 years and to select studies conducted in significantly changed socio-medical contexts that could have a positive impact on the validity of our …

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 …

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 …

การประเมินการต้านทานการแตกหักในฟันหน้าที่ผ่านการเหนี่ยวนำให้ปลายรากฟันปิดด้วยเอ็มทีเอและได้รับการเสริมความแข็งแรงของคลองรากฟัน: การศึกษาในห้องทดลอง, ธัญพฤฒ อุตมวาทิน

Chulalongkorn University Theses and Dissertations (Chula ETD)

การแตกของรากฟันเป็นความล้มเหลวที่พบได้บ่อยในฟันที่ได้รับการเหนี่ยวนำให้ปลายรากฟันปิดด้วยเอ็มทีเอ งานวิจัยนี้จึงมีวัตถุประสงค์เพื่อศึกษาวัสดุเสริมความแข็งแรงที่เหมาะสมภายหลังการเหนี่ยวนำให้ปลายรากฟันปิดด้วยเอ็มทีเอภายใต้สภาวะจำลองในช่องปาก โดยแบ่งการศึกษาออกเป็น 2 ตอน ตอนที่ 1: เพื่อศึกษาผลของความหนาของเนื้อฟัน ฟันจำนวน 24 ซี่ (n=8) ถูกแบ่งเป็น 3 กลุ่ม ได้แก่ กลุ่มควบคุมที่มีรากฟันสมบูรณ์ กลุ่มที่จำลองให้มีความหนาเนื้อฟัน 2.0 มม. และ 1.5 มม. โดยใช้ Peeso reamer ขยายโพรงรากจนได้ความหนาตามที่กำหนด ตอนที่ 2: เพื่อศึกษาผลของวัสดุเสริมความแข็งแรง รากฟันจำนวน 40 ซี่ถูกเตรียมให้มีลักษณะรากอ่อนแอโดยจำลองความหนาเนื้อฟัน 1.5 มม. และปิดปลายรากด้วยเอ็มทีเอจากนั้นแบ่งเป็น 5 กลุ่ม (n=8) ได้แก่ กลุ่มกัตทาเพอร์ชา, เอ็มทีเอ, เรซินคอมโพสิตชนิดบ่มตัวร่วม, เดือยฟันเสริมเส้นใย และเดือยฟันเสมือนรากฟัน ทุกกลุ่มตัวอย่างผ่านกระบวนการเปลี่ยนอุณหภูมิร้อนเย็นแบบเป็นจังหวะและการลงแรงแบบเป็นวัฏจักร ก่อนทดสอบการรับแรงกดจนแตก บันทึกลักษณะการแตกและแรงสูงสุดก่อนการแตก วิเคราะห์ข้อมูลด้วย one-way ANOVA และ Tukey’s test รวมถึง Weibull regression เพื่อวิเคราะห์ความน่าจะเป็นของการอยู่รอด พบว่ากลุ่มที่มีความหนาเนื้อฟัน 1.5 มม. มีความทนต่อแรงแตกหักต่ำกว่ากลุ่มควบคุมและกลุ่มที่มีความหนา 2.0 มม. อย่างมีนัยสำคัญ พบการแตกของรากในแนวเฉียงในตัวอย่างทั้งหมด สำหรับกลุ่มเดือยฟันเสริมเส้นใย พบการแตกบ่อยที่บริเวณรอยต่อระหว่างเอ็มทีเอกับเดือยฟัน ขณะที่กลุ่มเรซินคอมโพสิตชนิดบ่มตัวร่วมมีค่าความทนต่อแรงแตกหักและความน่าจะเป็นในการอยู่รอดใกล้เคียงกับกลุ่มควบคุมที่มีรากฟันสมบูรณ์ ดังนั้นภายใต้ขอบเขตของการศึกษานี้ พบว่าสามารถใช้เรซินคอมโพสิตแบบบ่มตัวร่วมในการเสริมความแข็งแรงของฟันที่ได้รับการเหนี่ยวนำให้ปลายรากฟันปิดด้วยเอ็มทีเอได้อย่างมีประสิทธิภาพ

Evaluation Of Cytotoxicity And Gene Expression Of Primary Human Periodontal Ligament Cells Against The Newly-Developed Bioceramic Sealer, Chanathip Chatphatthanasiri

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to compare the biological properties of a newly developed cockle shell-derived bioceramic sealer (NDBS) with those of iRoot SP in relation to human periodontal ligament (hPDL) cells. NDBS was prepared according to previous study, and both sealers were extracted in complete medium and diluted into four concentrations (non-diluted, 1:2, 1:4, and 1:8). Biocompatibility testing followed ISO 7405 standards, using the MTT assay to assess cytotoxicity and proliferation at 1, 3, and 7 days. pro-inflammatory (IL-6, IL-8, TNF-α) and mineralization (ALP and OCN) gene expression analysis were performed using RT-qPCR on cells treated with 1:4 diluted extracts. MTT …

Effects Of Fluocinolone Acetonide Treatment On Lps-Stimulated Human Dental Pulp Cells: An In Vitro Study, Supphachart Chayawatto

Chulalongkorn University Theses and Dissertations (Chula ETD)

The inflammatory status of pulp tissue is one of the factors influencing the outcome of vital pulp therapy. Corticosteroids are well known for their anti-inflammatory properties and their role in promoting mineralization-related differentiation in human dental pulp cells (HDPCs). However, studies investigating the effects of corticosteroids under inflammatory conditions in HDPCs remain limited. This study aimed to compare the effect of fluocinolone acetonide (FA), mineral trioxide aggregate (MTA), and their combination on inflamed HDPCs, focusing on cell viability, expression of inflammatory and mineralization-related genes, and mineralization-related differentiation. HDPCs were treated with 20 µg/mL lipopolysaccharide (LPS) alone or in combination with …

Clinical Significance Of Gutta Percha Variability, Alex R. Pancake

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: The production of gutta percha points as root canal therapy filling materials vary from hand processing to machine processing with a range of acceptable levels of error (tolerance). Similarly, endodontic files manufactured to complement corresponding gutta percha points exhibit specified levels of tolerance. Investigations into the consistency among manufacturers of files and gutta percha points is limited. The aim of this study is to see how variability in apical gauge and taper of gutta percha points affected the clinical performance during cone try in. The null hypothesis of this study is that there is no difference in two gutta …

Dentin-Sealer Bond Strength. A Review: An In-Vitro Comparison Between Guttaflow 2 ®, Endosequence Bc High Flow ®, Tubli-Seal ®, Sealapex ®, And Ah Plus Jet ® Sealers., Zied Diab

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: One objective of non-surgical endodontic therapy is the formation of a hermetic seal with elimination of any portal of entry of bacteria and their byproducts into the root canal space from periapical tissue. Extensive research has been conducted to determine ideal endodontic sealers. Bioceramic sealers have risen to prominence due to reported decreased shrinkage, less toxicity, and superior bond strength to root dentin compared to zinc oxide eugenol, calcium hydroxide, and resin-based sealers. GuttaFlow2®, a new sealer on the market, is composed of calcium silicate in combination with gutta-percha particles. Researchers from Coltene (Altstätten, Switzerland), the manufacturer of GuttaFlow2® …

Oral And Dental Health In Systemic Sclerosis: Is It A Window To Other Systemic Affections?, Omnia A Abubakr, Taghreed F M M Mostafa, Mohamed A Hamdy

Journal of Medicine in Scientific Research

Background: Oral and periodontal manifestations are common in systemic sclerosis (SSc) which may result in poor nutritional status and significant morbidity. Better understanding of these manifestations is crucial for better patient outcomes. We aimed to evaluate dental and oral manifestations in patients with SSc in comparison to healthy control and to study the relationship between these findings and systemic sclerosis disease activity index, skin thickness, other systemic affection, as well as the oral health-related quality of life in these patients Patients and Methods: 50 patients with SSc were included in this case-control study (Group A) and 50 apparently healthy controls …

Effectiveness Of Full Pulpotomy Compared With Root Canal Treatment In Managing Teeth With Signs And Symptoms Indicative Of Irreversible Pulpitis: A Protocol For Prospective Meta-Analysis Of Individual Participant Data Of Linked Randomised Clinical Trials (Prove), Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Background: Full pulpotomy has been proposed as an alternative to root canal treatment in teeth with signs and symptoms indicative of irreversible pulpitis (IRP), but the evidence is limited, relying on underpowered studies with a high risk of bias. The aim of this study is to conduct a prospective meta-analysis (PMA) of individual participant data of a series of individual randomised trials to provide robust evidence on the clinical and cost-effectiveness of pulpotomy compared with root canal treatment. Methods: Individual participant data will be obtained from a series of randomised trials designed and conducted by a consortium of multi-national investigators …

Anatomical Analysis Of Inferior Alveolar Nerve Relation To Mandibular Posterior Teeth Using Cone Beam Computed Tomography: A Retrospective Radiographic Analysis Study, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Introduction: Cone beam computed tomography (CBCT) is reliable in the assessment of structures related to teeth. The assessment of the inferior alveolar neurovascular (IAN) bundle location using CBCT is considered one of its prime uses in different mandibular surgeries. Methodology: Retrospective CBCT data of patients presented to the institute were assessed to measure relations of IAN. Measurements were taken to assess the bone thickness adjacent to IAN, the superior-inferior dimension between the canal and the teeth, and the dimension between the canal and the inferior border of the mandible. Results: Out of the 170 patients the root apices nearest to …

Impact Of Angle Of File Access And Location Of Canal Curvature On The Dynamic Cyclic Fatigue Of Nickel Titanium Rotary Instruments, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Objective: To evaluate the impact of different file access angles and root canal curvature’s location on the fatigue failure of One Curve (OC) and E3 Azure (EZ) NiTi files using a dynamic model at simulated body temperature. Methods: Eighty new instruments with similar tip sizes and taper (#25/0.06) from two NiTi rotary systems, One Curve and E3 Azure, were tested at simulated body temperatures (37°C) using a custom-made dynamic cyclic fatigue device. Instruments were divided into four subgroups according to the location of root canal curvature (a coronal curve 5 mm from the root canal orifice and an apical curve …

Physicochemical Properties Of Ah Plus Bioceramic Sealer, Bio-C Sealer, And Adseal Root Canal Sealer, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Background: The aim of this study was to evaluate the physicochemical properties of two newly introduced premixed calcium silicate-based root canal sealers (AH Plus Bioceramic Sealer and Bio-C Sealer) compared to a resin-based root canal sealer (ADseal root canal sealer). Methods: Solubility, pH analysis, calcium ion release, and film thickness of each sealer were evaluated following ISO guidelines. The data were examined using the two-way ANOVA test. Furthermore, X-ray diffraction (XRD) examination was performed to investigate the crystalline phase of each type of sealer. X-ray fluorescence (XRF) analysis was done for the chemical elemental analysis of each sealer. Results: The …

Two-Year Clinical Performance Of Indirect Restorations Fabricated From Cad/Cam Nano Hybrid Composite Versus Lithium Disilicate In Mutilated Vital Teeth. A Randomized Controlled Trial, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Trial design: This is a randomized, controlled, superiority, double-blinded, parallel-group, two-arms trial with an allocation ratio of 1:1. The aim of this trial was to compare the two-year clinical performance of partial indirect restorations fabricated from CAD/CAM nano-hybrid composite and ceramic lithium disilicate blocks using the modified USPHS criteria. Methods: In two parallel groups (n = 50 restorations), fifty participants having mutilated vital teeth with a minimum of two remaining walls were randomly enrolled in this trial and received indirect restorations of either nano-hybrid composite resin blocks (Brilliant, Coltene, Switzerland) or Lithium Disilicate (IPS Emax CAD). The restorations were assessed …