Endodontics and Endodontology Commons^™

Diagnosis And Endodontic Treatment Of Odontogenic Cutaneous Sinus Tracts: A Report Of Two Cases, Mayada Jemâa, Marwenne Bouatay, Yesmine Neifar, Mohamed Bassem Khattech

International Arab Journal of Dentistry

Introduction: The odontogenic cutaneous sinus tract (OCST), caused by pulp necrosis, creates connections between pathological spaces and anatomical structures. Extraoral manifestations pose diagnostic challenges leading to inappropriate treatments such as multiple surgery and antibiotic therapies. Effective management requires the treatment of dental pathology through endodontic therapy or extraction. This paper presents two cases of OCST and emphasizes the importance of accurate diagnosis and successful non-surgical endodontic treatment.

Observations: Case report 1: A 23-year-old male patient referred by his dermatologist with a cutaneous sinus tract on his chin that had appeared five years ago. During this period, he reported …

Clinical Management Of Mandibular Permanent Premolars With Periapical Lesion And Bilateral Supernumerary Teeth: A 7-Year Follow-Up Case Report, Chiara Pirani, Shehabeldin Saber, Francesco Iacono

International Arab Journal of Dentistry

Objectives: This 7-years follow-up case report describes two diversified strategies for the management of bilateral mandibular permanent premolars associated with periapical lesion and unerupted supernumerary teeth.

Case Report: A non-syndromic 9 years-old Asian female patient presented pain and swelling of the 35 in anatomical contiguity with an immature and unerupted supernumerary tooth. Clinical examination revealed an intraoral vestibular sinus tract related to the necrotic 35. Periapical radiography and CBCT showed that the 35 had an immature apex associated with a periapical lesion, and a supernumerary tooth in a lingual direction. Endodontic treatment of the 35 was performed by creating …

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® …

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 Preliminary Report Of A Randomized Controlled Clinical Trial Comparing Ferric Sulfate With Zin Oxide Eugenol And Non-Eugenol Based Material For Pulpotomy In Primary Molar Teeth, Sarah Balal

Theses and Dissertations

Purpose: This study aimed to evaluate the effect of eugenol and non-eugenol-based Zinc Oxide Eugenol (ZOE) cements on primary tooth pulpotomies where Ferric Sulfate (FS) is used as a medicament.

Methods: Children aged 3-7 years with dental caries in their primary molars that have clinical and radiographic diagnosis of reversible pulpitis and undergoing dental treatment under Oral Conscious Sedation (OCS) or General Anesthesia (GA) were recruited. Children were randomly assigned to receive either FS and ZOE (IRM) or FS and non-eugenol based (CAVIT). The outcomes were assessed based on failure rates of the materials separately for clinical or radiographic evidence …

Does Reduced Taper Canal Preparation Increase The Load Capacity Of Endodontically Treated Teeth?, Mostafa M.A. Elkholy, Omar Mahmoud Noureldin, Hala Fayek Khalil, Shehabeldin M. Saber

International Arab Journal of Dentistry

Objectives: The aim of this in-vitro study is to assess and compare the load capacity of teeth with canals prepared using progressive taper versus regressive taper.

Methods: Twenty-seven extracted mandibular molars were categorized into three equal groups. The negative control group involved teeth that were accessed and restored with composite resin without canal preparation. The regressive canal preparation group used the TruNatomy file system, while the progressive canal preparation group employed the ProTaper Gold system. Subsequently, all samples underwent loading using a universal testing machine until tooth fracture occurred. The force required to fracture each tooth was recorded …

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 …

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 …

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 …

Evaluation Of Different Approaches For Management Of Separated Endodontic Instruments. (In-Vitro Study), Engy M. Kataia Professor, Hala Fayek Ass. Professor, Osama Ahmed El-Karamany

Dentistry

Objective: to evaluate different approaches (ultrasonic troughing, and trephine bur

with extractors) to manage separated endodontic instruments.

Methods and Materials: A block of wax containing mandibular molars were

scanned to get preoperative CBCT to select a total number of 32 mandibular molars

that were later divided into two groups (n=16) according to file retrieval procedure:

Group (A) (control group): the broken segment was retrieved by ET-25 ultrasonic

tips, Group (B): the broken segment was retrieved by micro-extractor (Zumax

retrieval kit). Traditional endodontic access cavity was created, orifice opener was

used to make coronal third enlargement up to 4mm of …

Clinically Effective Regenerative Therapy For Primary Endodontic Lesions With Secondary Periodontal Lesions: A Case Report, Martina Amalia, Budi Budi, Iceu Estu Kurmaena, Nevi Yanti, Hesty Nurcahyanti, Aini Hariyani Nasution

Journal of Dentistry Indonesia

The diagnosis and prognosis of teeth with endo-perio lesions present a major challenge for dentists. Proper diagnosis is critical in determining treatment and the long-term prognosis. However, treating complex endodontic and periodontal lesions is one of the most common challenges in current clinical practice. The coexistence of pulpal and periodontal tissue damage may complicate diagnosis and further influence dental prognosis. This article consists of a case report evaluating the efficacy of xenografts and resorbable membrane pericardium in treating bifurcation lesions associated with periodontal lesions of the left mandibular first molar. A 22-year-old female patient was referred by conservative dentistry with …

Comparison Of Edta And Boric Acid Irrigation In Terms Of Root Canal Dentin Microhardness And Sealer Penetration Depth, Selen İnce Yusufoğlu, Esma Saricam, Neslihan Bulak, Mustafa Güngörmüs, Fatih Tulumbacı, Suat Özcan

Journal of Dentistry Indonesia

Chemo mechanical preparation is one of the important stages for successful endodontic treatment, and Boric acid has been proposed as an alternative irrigation solution for root canal treatment. Objective: The purpose of this study was to evaluate the effect of irrigation with boric acid (BA) and EDTA on the mineral content and microhardness of dentin and penetration of the AH Plus root canal sealer. Methods: 63 single-rooted teeth were instrumented. Microhardness analysis, 45 teeth were cut longitudinally and then transversely to obtain dentin. Pre- and post-treatment microhardness values were measured. The samples were randomly assigned into 3 groups …