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Allogeneic Mesenchymal Stromal Cells Transplantation Induces Arrest of External Apical Inflammatory Resorption in a Mature Nonvital Traumatized Tooth. 同种异体间充质细胞移植诱导成熟非生命损伤牙的外根尖炎症吸收阻滞。
IF 3.6 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-02 DOI: 10.1016/j.joen.2026.01.019
Jose Francisco Gomez-Sosa, Olga Wittig, Dylana Diaz-Solano, Jose E Cardier

Introduction: Mesenchymal stromal cells (MSCs) have been proposed for tissue regeneration based on their paracrine and immunomodulatory effects. Based on these features, MSCs may regulate inflammation and tissue repair. This case report assessed whether allogeneic bone marrow MSCs (BM-MSCs) can arrest external apical inflammatory resorption (EAIR) in a mature, nonvital traumatized tooth.

Methods: A healthy 14-year-old male with intermittent edema and a sinus tract associated with tooth #9 was referred for endodontic evaluation. Radiographically, tooth #9 showed EAIR with a vertical/diagonal mesial pattern and a 3-mm periapical lesion with widened periodontal ligament space. The root canal was cleaned and shaped; calcium hydroxide was used as interappointment medication, and cryopreserved allogeneic BM-MSCs were thawed, expanded, incorporated into preclotted platelet-rich plasma, and implanted into the pulp cavity. The cervical third was sealed with bioceramic cement and composite.

Results: Cryopreserved BM-MSCs retained fibroblast-like morphology, expressed CD73/CD90/CD105, and showed osteogenic, adipogenic, and chondrogenic differentiation. A BM-MSC/PRP clot was transplanted without complications or adverse events. At 3 months, radiographs showed reduction of the periapical radiolucency with initial bone formation and positive cold and electric pulp test responses. Between 12 and 24 months, reappearance of lamina dura, remodeling of the resorbed surface, and complete radiographic healing with arrest of EAIR were observed. At 48 months, tooth #9 was asymptomatic, responsive to cold and electric pulp test, and showed normal periapical architecture and mineralized tissue within the canal with an apical constriction.

Conclusions: BM-MSC transplantation may arrest EAIR and promote pulp-like and periapical tissue regeneration.

间充质基质细胞(Mesenchymal stromal cells, MSCs)由于其旁分泌和免疫调节作用而被提出用于组织再生。基于这些特征,MSCs可能调节炎症和组织修复。本病例报告评估了同种异体骨髓间充质干细胞(BM-MSCs)是否可以阻止成熟的非重要创伤牙齿的外根尖炎症吸收(EAIR)。方法:一名健康的14岁男性,间歇性水肿和与9号牙相关的窦道,被转介进行根管检查。x线片显示9号牙EAIR为垂直/对角线内侧型,根尖周病变3mm,牙周韧带间隙增宽。根管清洁成形,氢氧化钙作为预约间用药,冷冻保存的同种异体骨髓间充质干细胞解冻、膨胀,合并到富含血小板的预凝血浆中,植入牙髓腔。颈椎第三节用生物陶瓷水泥和复合材料密封。结果:冷冻保存的BM-MSCs保留成纤维细胞样形态,表达CD73/CD90/CD105,并表现出成骨、脂肪和软骨分化。移植BM-MSC/PRP血块无并发症或不良事件。3个月时,x线片显示根尖周放射率降低,伴有初始骨形成和冷电髓试验(EPT)阳性反应。在12至24个月之间,观察到硬膜板的重新出现,吸收表面的重塑,以及EAIR停止的完全影像学愈合。48个月时,9号牙无症状,对寒冷和EPT有反应,根尖周结构正常,根管内组织矿化,根尖狭窄。结论:骨髓间充质干细胞移植可抑制EAIR,促进髓样组织和根尖周组织再生。
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引用次数: 0
Retreatment of Bioceramic Sealers Using a Novel Solvent: Dissolution, Patency, and Dentinal Effects 一种新型溶剂对生物陶瓷密封剂的再处理:溶解、开放和牙本质的影响
IF 3.6 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-10-25 DOI: 10.1016/j.joen.2025.10.012
Jemma Hanson DMD , Michelle Wu , Ajay Shakya PhD , Ryan Walsh DDS, MS , Poorya Jalali DDS

Introduction

This study evaluated the effectiveness of Endo Sealer Solvent (ESS), 5.25% sodium hypochlorite (NaOCl), 17% ethylenediaminetetraacetic acid (EDTA), and chloroform (CHCl3) in facilitating patency in canals obturated with bioceramic sealer and assessed their effects on dentin.

Methods

The study had 3 parts. First, 60 disk-shaped specimens of EndoSequence BC Sealer (BC) were immersed in one of the 4 irrigants for 3 hours and percent weight loss was calculated. Second, 60 single-canal teeth were obturated with 3 mm of BC in the apical third; after 1 week, gutta-percha was removed and the time required to regain apical patency with a 10 C-file using the respective solvent was measured. Third, 8 additional teeth were irrigated with the solutions and evaluated under scanning electron microscopy for dentinal changes. Kruskal-Wallis and Mann-Whitney tests were used for analysis.

Results

ESS and EDTA dissolved the greatest amount of BC, with no significant difference between them (P > .05), but both were significantly more effective than NaOCL and CHCl3 (P < .001). Regardless of the irrigant used, patency was achieved in all teeth with no significant difference in time (P > .05). Scanning electron microscopy showed no erosion in any group; ESS and EDTA removed the smear layer, while NaOCL and CHCl3 did not.

Conclusions

ESS and EDTA were the most effective in dissolving BC while preserving dentin, but all irrigants allowed 100% patency with no significant time difference, indicating solvent selection does not influence clinical patency outcomes.
本研究评估了Endo Sealer溶剂(ESS)、5.25%次氯酸钠(NaOCl)、17%乙二胺四乙酸(EDTA)和氯仿(CHCl3)促进生物陶瓷封闭管开放的有效性,并评估了它们对牙本质的影响。方法本研究分为三个部分。首先,将60个盘状EndoSequence BC Sealer (BC)标本在4种冲洗剂中的一种中浸泡3小时,计算重量损失百分比。第二,用3 mm的BC封闭60颗单管牙;1周后,去除杜仲胶,用10c锉使用相应的溶剂测量恢复根尖通畅所需的时间。再次,用溶液冲洗8颗牙,在扫描电镜下观察牙釉质的变化。采用Kruskal-Wallis检验和Mann-Whitney检验进行分析。结果ess和EDTA溶出BC最多,两者间差异无统计学意义(P > 0.05),但均显著优于NaOCL和CHCl3 (P < 001)。无论使用何种冲洗剂,所有牙齿均达到通畅,时间上无显著差异(P > 0.05)。扫描电镜均未见糜烂现象;ESS和EDTA去除涂片层,而NaOCL和CHCl3没有。结论ess和EDTA在保留牙本质的同时溶解BC最有效,但所有冲洗剂均100%通畅且无明显时间差异,说明溶剂选择不影响临床通畅结果。
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引用次数: 0
Analysis of Factors Affecting the Accuracy of Static-guided Endodontics 影响静态引导牙髓治疗准确性的因素分析。
IF 3.6 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-10-25 DOI: 10.1016/j.joen.2025.10.010
Cheng Chen MD , Diya Leng MD , Tao Wu MD , Lili Chen MD , Tingting Zhu MD , Mingrui Dai MD , Yuting Wu MD , Tianyin Zhao MD , Ya Tang MD , Daming Wu PhD

Introduction

To evaluate how template type, sleeve height, revolutions per minute (RPM), tooth type, drilling distance, and drill diameter affect the accuracy of static-guided endodontics.

Methods

In this in vitro study, 113 isolated premolars and molars collected from the oral surgery clinic and 10 three-dimensional printed resin teeth were mounted in a standard dental mold in their corresponding tooth positions. Cone-beam computed tomography and optical scans were obtained and co-registered. Templates were designed, and deviations were measured using Implant Studio (3Shape Unite, 3shape, Copenhagen, Denmark).

Results

The angular deviation of the resin template (without metal sleeve) was higher than that of the metal template (P < .05). The apical linear deviation of the resin template (without metal sleeve) was significantly higher than that of the resin template (with metal sleeve) (P < .05). The coronal linear deviation of the metal template was higher than that of the resin template (with metal sleeve) (P < .05).The apical linear deviation of the resin template with 4-mm height sleeve was higher than that of the 6-mm and 8-mm height sleeves (P < .05), and there was no significant difference between the 6-mm and 8-mm height sleeves. Drill diameter, RPM, and tooth type (resin or isolated teeth) did not affect the accuracy of static guided endodontics.

Conclusions

The apical linear deviation increased with drilling distance. Resin templates (without metal sleeves) are not recommended. The accuracy of static-guided endodontics was not affected by drill diameter, RPM, or tooth type (resin or isolated teeth).
简介:评估模板类型、套筒高度、每分钟转数(RPM)、牙齿类型、钻孔距离和钻孔直径对静态引导牙髓治疗精度的影响。方法:将口腔外科临床收集的113颗离体前磨牙和磨牙与10颗三维打印树脂牙分别安装在标准牙模的相应牙位上。获得锥束计算机断层扫描和光学扫描并共同注册。设计模板,并使用Implant Studio (3Shape Unite, 3Shape, Copenhagen, Denmark)测量偏差。结果:树脂模板(无金属套)的角度偏差大于金属模板(P < 0.05)。不带金属套的树脂模板的根尖线性偏差显著高于带金属套的树脂模板(P < 0.05)。金属模板冠状线偏差高于树脂模板(带金属套筒)(P < 0.05)。4 mm套筒高度树脂模板的根尖线性偏差高于6 mm和8 mm套筒高度树脂模板(P < 0.05), 6 mm和8 mm套筒高度树脂模板的根尖线性偏差无显著性差异。钻头直径、RPM和牙型(树脂牙或离体牙)不影响静态引导牙髓治疗的准确性。结论:根尖直线偏差随钻孔距离增加而增加。不建议使用树脂模板(没有金属套管)。静态引导牙髓治疗的准确性不受钻头直径、RPM或牙齿类型(树脂牙或离体牙)的影响。
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引用次数: 0
Cemental Tear: Systematic Review and Thematic Analysis of Clinical and Imaging Features with a Proposed Diagnostic Framework 骨水泥撕裂:系统回顾和专题分析的临床和影像学特征与建议的诊断框架。
IF 3.6 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-10-13 DOI: 10.1016/j.joen.2025.10.004
José Evando da Silva-Filho DDS , Aryanna Celly Rodrigues-Lima DDS , Kayo Lúcio Silveira-Fernandes , Camille de Sousa Veloso DDS , João Paulo Viana Braga DDS, MSD , Sandra Régia Albuquerque Ximenes DDS, MSD , Elilton Cavalcante Pinheiro-Júnior DDS, MSD, PhD , Danielle Frota de Albuquerque DDS, MSc, PhD , Eduardo Diogo Gurgel-Filho DDS, MSD, PhD

Introduction

Cemental tear (CT) is a rare condition with poorly understood prevalence, etiology, and clinical presentation, often mimicking vertical root fractures or endodontic-periodontal lesions. This review aimed to synthesize current evidence on CT and propose a diagnostic framework.

Methods

A comprehensive search was conducted in Cochrane Library, Latin American and Caribbean Health Sciences Literature, PubMed, ScienceDirect, Scopus, Web of Science, and grey literature (Google Scholar, ProQuest) for case reports (2000–2024). Inclusion required full clinical and radiographic documentation. Risk of bias was assessed using the Joanna Briggs Institute checklist. Data on epidemiological, clinical, and imaging features were extracted.

Results

Twenty studies reported 24 patients and 39 teeth. Methodological quality was heterogeneous, mostly with moderate risk of bias. CT mainly affected single-rooted teeth, especially incisors (46.1%), in older patients (mean 56.2 years). Frequent clinical findings included deep periodontal pockets (75%), mobility (60%), and fistulas (40%). Radiographically, bone loss (33.3%), radiopaque fragments (28.2%), and lateral radiolucencies (23.1%) were noted. Cone-beam computed tomography proved crucial for detecting buccal/lingual fragments. Histopathology confirmed cementum detachment, often infection-related. Treatments ranged from fragment removal to extraction, with prognosis linked to early diagnosis.

Conclusions

CT is rare and challenging, best identified with high-resolution cone-beam computed tomography and integrated clinical evaluation. Early, precise diagnosis guides prognosis, with conservative fragment removal recommended when feasible.
骨水泥撕裂(CT)是一种罕见的疾病,其患病率、病因和临床表现尚不清楚,通常与牙根垂直骨折或牙髓-牙周病变相似。本综述旨在综合目前CT上的证据并提出一个诊断框架。方法:综合检索Cochrane Library、LILACS、PubMed、ScienceDirect、Scopus、Web of Science和灰色文献(谷歌Scholar、ProQuest) 2000-2024年的病例报告。纳入需要完整的临床和影像学文件。使用乔安娜布里格斯研究所的检查表评估偏倚风险。提取流行病学、临床和影像学资料。结果:20篇研究报告24例患者,39颗牙。方法学质量参差不齐,大多存在中等偏倚风险。高龄患者(平均56.2岁)CT主要影响单根牙,尤其是门牙(46.1%)。常见的临床表现包括深度牙周袋(75%)、活动(60%)和瘘管(40%)。x线摄影显示骨质丢失(33.3%)、不透光碎片(28.2%)和侧位透光(23.1%)。锥形束计算机断层扫描(CBCT)被证明是检测颊/舌碎片的关键。组织病理学证实骨质脱离,常与感染有关。治疗范围从碎片去除到提取,预后与早期诊断有关。结论:CT罕见且具有挑战性,最好通过高分辨率CBCT和综合临床评估来识别。早期准确诊断指导预后,可行时建议保守切除碎片。
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引用次数: 0
Intracellular Bacteria in Stem Cells of the Apical Papilla: A “Trojan Horse” for Regenerative Endodontic Failure 根尖乳头干细胞中的细胞内细菌:再生牙髓衰竭的“特洛伊木马”。
IF 3.6 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-10-21 DOI: 10.1016/j.joen.2025.10.007
Shanthini Kalimuthu MSc, PhD , Prasanna Neelakantan MDS, PhD

Introduction

Regenerative endodontic procedures show unpredictable outcomes in infected teeth due to persistent infection. While current disinfection protocols reduce but do not eliminate root canal bacteria, the fate of residual microorganisms during stem cell recruitment remains unclear. This study tested the hypothesis that endodontic pathogens invade and survive within stem cells of the apical papilla (SCAP), diminishing its biomineralization potential.

Methods

Internalization of SCAP by Gram-positive (Enterococcus faecalis, Actinomyces naeslundii) and Gram-negative (Porphyromonas gingivalis, Fusobacterium nucleatum) bacteria was characterized using colony-forming unit assays, confocal microscopy and flow cytometry. Intracellular survival of E. faecalis was monitored for 14 days in both planktonic and biofilm phases. The impact of intracellular E. faecalis on SCAP biomineralization and odontogenic differentiation was assessed using alkaline phosphatase activity, alizarin red staining, and quantitative real-time PCR. Statistical analyses were performed using one-way ANOVA with Dunnett's multiple comparison test or two-way ANOVA with Tukey's multiple comparison test. P < .05 was considered statistically significant.

Results

All tested bacteria invaded SCAP with differential efficiencies. E. faecalis and F. nucleatum demonstrated robust internalization (∼5-log colony forming unit), while P. gingivalis and A. naeslundii showed reduced invasion (∼2.5 log colony forming unit). E. faecalis persisted intracellularly for up to 14 days, with biofilm-phase bacteria showing enhanced survival in monolayer SCAP cultures. Intracellular E. faecalis abrogated SCAP mineralization while maintaining cell viability, accompanied by significant downregulation of all tested odontogenic genes (P < .05).

Conclusions

Bacteria invade and establish persistent intracellular infections within SCAP, creating protected reservoirs. These intracellular bacteria severely compromise odontogenic differentiation without killing the host cells, representing a potentially unrecognized mechanism of regenerative endodontic procedure failure. This "Trojan horse" strategy may explain the unpredictable outcomes of regenerative endodontics in infected teeth.
由于持续感染,再生牙髓治疗(REPs)在感染牙齿中显示不可预测的结果。虽然目前的消毒方案减少但不能消除根管细菌,但在干细胞募集过程中残留微生物的命运仍不清楚。本研究验证了根管病原体侵入并在根尖乳头(SCAP)干细胞内存活的假设,从而降低了其生物矿化潜力。方法:采用菌落形成单位测定、共聚焦显微镜和流式细胞术检测革兰氏阳性(粪肠球菌、纳氏放线菌)和革兰氏阴性(牙龈卟啉单胞菌、核梭杆菌)细菌对SCAP的内化。在浮游期和生物膜期监测粪肠球菌的细胞内存活14天。通过碱性磷酸酶活性、茜素红染色和实时荧光定量PCR评估细胞内粪肠杆菌对SCAP生物矿化和牙源性分化的影响。统计学分析采用单因素方差分析加Dunnett多重比较检验或双因素方差分析加Tukey多重比较检验。结果:所有被测细菌侵入SCAP的效率不同。粪芽胞杆菌和具核单胞杆菌表现出强大的内化(~ 5 log CFU),而牙龈单胞杆菌和纳氏单胞杆菌表现出减少的入侵(~ 2.5 log CFU)。粪肠球菌可在细胞内存活长达14天,生物膜相细菌在单层SCAP培养中表现出更高的存活率。胞内粪肠球菌在维持细胞活力的同时,破坏SCAP矿化,并伴有所有测试的牙源性基因的显著下调(结论:细菌侵入并在SCAP内建立持续的细胞内感染,形成受保护的宿主。这些细胞内细菌严重损害牙源性分化而不杀死宿主细胞,代表了一种潜在的未被认识的REP失败机制。这种“特洛伊木马”策略可以解释感染牙齿再生牙髓治疗的不可预测的结果。
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引用次数: 0
Top 100 Most-cited Articles in Root Canal Anatomy: A Scopus-based Bibliometric Study 根管解剖学中被引用最多的100篇文章:一项基于范围的文献计量学研究。
IF 3.6 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-09-23 DOI: 10.1016/j.joen.2025.09.010
Yu-Chiao Wu DDS, DMSc , Ho-Sheng Chiang DDS, DMSc , Zi-Jun Dai DDS , Yi-Jie Chen DDS , Yen-Ching Chao DDS , Hsiao-Wen Yeh DDS , Ren-Yeong Huang DDS, PhD , Yi-Shing Shieh DDS, PhD

Introduction

Understanding root canal anatomy is fundamental for successful endodontic treatment. This bibliometric study aimed to identify and analyze the 100 most-cited articles related to root canal morphology to discover research trends, influential publications, and methodological progress in the field.

Methods

Data were extracted from the Scopus database using the search terms “root canal anatomy” OR “root canal morphology” AND NOT “Preparation,” with selection finalized on July 28, 2025. Articles were manually screened, and only English-language original research related to human teeth was included. Citation counts, publication years, journal names, countries of origin, study designs, and methodologies were analyzed.

Results

Most of the top-cited studies were published in the Journal of Endodontics and International Endodontic Journal, which together contributed 80% of the articles. Cone-beam computed tomography was the most used method, followed by dye-injected decalcified teeth and micro-computed tomography. The most frequently studied teeth were mandibular and maxillary first molars. Geographically, the United States, Brazil, and China led in publication output. Notably, there were no articles from Africa, highlighting a potential area for collaborative development. Over time, research has shifted from invasive in vitro techniques to advanced non-invasive imaging. The most-cited article was Vertucci's 1984 classification study, which remains widely used today.

Conclusions

This bibliometric analysis delivers a comprehensive overview of influential studies in root canal anatomy, offering insights into global research patterns and technological advancement.
了解根管解剖学是根管治疗成功的基础。本文献计量学研究旨在识别和分析与根管形态学相关的100篇被引用次数最多的文章,以发现该领域的研究趋势、有影响力的出版物和方法学进展。方法:数据从Scopus®数据库中检索,检索词为“根管解剖学”或“根管形态学”,而非“预备”,检索结果于2025年7月28日确定。文章被人工筛选,只包括与人类牙齿相关的英语原创研究。分析了引文计数、出版年份、期刊名称、原产国、研究设计和方法。结果:被引频次最多的研究发表在Journal of Endodontics (JOE)和International Endodontic Journal (IEJ)上,占总被引频次的80%。锥束计算机断层扫描(CBCT)是最常用的方法,其次是染料注射脱钙牙和微计算机断层扫描(μCT)。最常被研究的牙齿是下颌和上颌第一磨牙。从地理上看,美国、巴西和中国的出版物数量最多。值得注意的是,没有来自非洲的文章,这突出了合作发展的潜在领域。随着时间的推移,研究已经从侵入性体外技术转向先进的非侵入性成像。引用最多的文章是Vertucci 1984年的分类研究,至今仍被广泛使用。结论:本文献计量学分析提供了对根管解剖学有影响力的研究的全面概述,提供了对全球研究模式和技术进步的见解。
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引用次数: 0
Clinical and Laboratory Insights Into the GentleWave System: A Scoping Review 临床和实验室的见解到绅士波系统:范围审查。
IF 3.6 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-10-28 DOI: 10.1016/j.joen.2025.10.014
Lucas Peixoto de Araújo DDS, MS, PhD , Bruna Cavalcante Chaves de Araújo DDS , Felipe Immich DDS, PhD , Bruno das Neves Cavalcanti DDS, MS, PhD , Neville J. McDonald DDS, MS

Introduction

The GentleWave System is an advanced endodontic irrigation technology that utilizes multisonic energy and optimized fluid dynamics to improve root canal cleaning and disinfection. While early studies report encouraging outcomes, its comparative clinical effectiveness, long-term benefits, and cost-efficiency remain under investigation. This scoping review aims to systematically assess the available clinical and laboratory evidence on the GentleWave System in endodontics.

Methods

This review was conducted in accordance with Preferred Reporting Items for Systematic Review and Meta-analysis Extension for Scoping Reviews guidelines and was prospectively registered in the Open Science Framework. A comprehensive search of 5 electronic databases (Cochrane Library, EMBASE, PubMed/MEDLINE, SciVerse Scopus, and Web of Science) was performed to identify clinical and in vitro studies evaluating the GentleWave System.

Results

A total of 34 studies met the inclusion criteria, including 28 laboratory-based investigations (82.4%) and 6 clinical studies (17.6%). Clinical trials reported high periapical healing rates, exceeding 97% at 6- and 12-month follow-ups, and postoperative pain levels comparable to passive ultrasonic irrigation. However, recent prospective data indicate similar healing outcomes when compared to other advanced irrigation techniques. Laboratory studies consistently demonstrated significant performance in removing biofilm, smear layer, calcium hydroxide, and filling materials, while maintaining reduced apical pressure and minimal dentin erosion. Methodological variability and limited long-term clinical data remain key limitations.

Conclusions

The GentleWave System shows potential as an adjunctive irrigation technology, particularly in anatomically complex cases. Overall, the evidence mapped in this scoping review appears low to moderate, reflecting the limited number of available clinical studies and their high risk of bias.
介绍:GentleWave®系统是一种先进的根管冲洗技术,利用多声能和优化的流体动力学来改善根管清洁和消毒。虽然早期研究报告了令人鼓舞的结果,但其比较临床效果、长期效益和成本效益仍在调查中。本综述旨在系统地评估在牙髓学中使用的绅士波®系统的临床和实验室证据。方法:本综述按照PRISMA-ScR指南进行,并在开放科学框架中前瞻性注册。对五个电子数据库(Cochrane Library, EMBASE, PubMed/MEDLINE, SciVerse Scopus和Web of Science)进行全面搜索,以确定评估绅士波®系统的临床和体外研究。结果:34项研究符合纳入标准,其中实验室研究28项(82.4%),临床研究6项(17.6%)。临床试验报告了较高的根尖周愈合率,在6个月和12个月的随访中超过97%,术后疼痛水平与被动超声冲洗相当。然而,最近的前瞻性数据表明,与其他先进的灌溉技术相比,愈合效果相似。实验室研究一致证明,在去除生物膜、涂抹层、氢氧化钙和填充物方面具有显著的性能,同时保持较低的根尖压力和最小的牙本质侵蚀。方法的可变性和有限的长期临床数据仍然是主要的限制。结论:绅士波®系统显示出作为辅助灌溉技术的潜力,特别是在解剖复杂的病例中。总体而言,本综述的证据显示为低至中等水平,反映了现有临床研究数量有限,偏倚风险高。
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引用次数: 0
Hospital-Based Emergency Department Visits due to Periapical Abscess in the United States: Nationwide Estimates for the Years 2021–2022 美国因根尖周脓肿而到医院急诊就诊:2021年至2022年全国估计
IF 3.6 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-10-27 DOI: 10.1016/j.joen.2025.10.011
Sofie Vogel BS , Gloria Ahn DDS , Romesh Nalliah DDS, MHCM , Maysaa Oubaidin DDS, MS , Michael D. Han DDS , Mohammed H. Elnagar DDS, MS, PhD , Veerasathpurush Allareddy BDS, MBA, MHA, MMSc, PhD , Min Kyeong Lee DMD, DMSc

Introduction

Periapical abscess (PA) is an odontogenic infection that primarily arises from pulpal disease and can lead to life-threatening conditions if left untreated. The objective of this study was to provide updated national estimates on the prevalence of PA in the United States hospital-based emergency departments (EDs) for the years 2021–2022, and to analyze predictors of related hospital charges.

Methods

The Nationwide Emergency Department Sample database was used for the years 2021–2022. All ED visits with a primary diagnosis of PA were selected for analysis of the frequency of visits, sociodemographic, and hospital-related data. A multivariable linear regression analysis model was used to identify predictor variables that influence ED and hospital charges.

Results

During the years 2021 and 2022 in the United States, a total of 846,629 ED visits were attributed to a primary diagnosis of PA. The populations who frequented the ED for PA the most were more likely to be insured by Medicaid (44.2%) and reside in low-income areas (42.1%). The mean ED hospital charge was $2,585 per encounter. Age, sex, ethnicity, insurance status, household income levels, geographic location, hospital teaching status, and presence of comorbid conditions all had a significant impact on influencing hospital charges (P < .05).

Conclusions

The study found that the frequency of visits for PA in the ED remains high, and the hospital ED charges have increased significantly despite similar outcomes compared to data from the past decade. Demographic, socioeconomic, hospital-related, and comorbid medical conditions were associated with hospital charges.
简介:根尖周脓肿(PA)是一种主要由牙髓疾病引起的牙源性感染,如果不及时治疗,可能导致危及生命的疾病。本研究的目的是提供2021-2022年美国医院急诊科(ED)中PA患病率的最新全国估计,并分析相关医院收费的预测因素。方法:使用2021-2022年全国急诊科样本(NEDS)数据库。选取所有初步诊断为PA的急诊科患者,分析其就诊频率、社会人口统计学和医院相关数据。采用多变量线性回归分析模型确定影响ED和医院收费的预测变量。结果:在美国2021年和2022年期间,共有846,629例ED就诊归因于PA的初步诊断。经常去急诊室接受PA治疗的人群更有可能参加医疗补助计划(44.2%),居住在低收入地区(42.1%)。平均每次急诊收费为2585美元。年龄、性别、种族、保险状况、家庭收入水平、地理位置、医院教学状况和合并症的存在都对医院收费有显著影响(p结论:研究发现,急诊科PA的就诊频率仍然很高,医院急诊科收费明显增加,尽管结果与过去十年的数据相似。人口、社会经济、医院相关和共病医疗条件与医院收费相关。
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引用次数: 0
Insights Into the February 2026 Issue of the JOE 洞察《JOE》2026年2月刊
IF 3.6 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-01 Epub Date: 2026-01-24 DOI: 10.1016/j.joen.2025.12.007
Anita Aminoshariae DDS, MS, Amir Azarpazhooh DDS, MSc, PhD, FRCD(C), Gerald N. Glickman DDS, MS, MBA, JD, Jianing He DMD, PhD, Sahng G. Kim DDS, MS, Anil Kishen BDS, MDS, PhD, Ariadne M. Letra DDS, MS, PhD, Linda Levin DDS, PhD, Ronald Ordinola-Zapata, Frank C. Setzer DMD, PhD, MS, Franklin R. Tay BDSc(Hons), PhD, Kenneth M. Hargreaves DDS, PhD
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引用次数: 0
Tricalcium Silicate Endodontic Cements: A Bibliometric Analysis of the 100 Most Cited Articles 硅酸三钙牙髓胶合剂:100篇引用最多的文献计量学分析。
IF 3.6 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-10-09 DOI: 10.1016/j.joen.2025.09.017
Betânia de Lourdes Canal Vasconcellos DDS , Luna Chagas Clementino DDS , Thiago César da Silva Lima DDS , Caroline Andrade Maia DDS , Gabriele Andrade-Maia DDS , Paulo Antônio Martins-Júnior PhD , Francine Benetti PhD , Warley Luciano Fonseca Tavares PhD

Introduction

Bibliometric analysis is an indicator of high-quality evidence for the decision-making process regarding the use of biomaterials. The aim of this study was to analyze the characteristics of the 100 most cited articles on tricalcium silicate endodontic cements.

Methods

A broad search strategy using key terms related to hydraulic endodontic cement was conducted in the Web of Science – Core Collection (WoS-CC) on May 30, 2025. Data were retrieved and organized in descending order of the number of citations in the WoS-CC, and each article was compared with the number of citations in the Scopus and Google Scholar databases. VOSviewer software (Leiden University, The Netherlands) was used to construct co-authorship networks. Spearman's correlations were performed using the Statistical Package for Social Sciences (SPSS 22.0, Armonk, NY).

Results

The most cited article was “Physical and chemical properties of a new root-end filling material,” by Torabinejad et al. (1995), with 821 citations in WoS-CC. Of the 100 articles, the corresponding authors were predominantly from the United States (n = 37). The institution of origin of most articles was Loma Linda University (USA) (n = 15). Experimental laboratory studies were the most common study design among the included articles (58%), followed by literature reviews (14%) and observational studies (11%). The mineral trioxide aggregate (MTA), whether ProRoot MTA or MTA Angelus, was the predominant studied material (21,84%) and most studies focused on the evaluation of material properties (48%).

Conclusions

This list of the most cited articles can provide a reference point to guide research and biomaterial selection.
文献计量分析是关于生物材料使用决策过程的高质量证据指标。本研究的目的是分析100篇被引次数最多的硅酸三钙根管胶结物的特征。方法:于2025年5月30日在科学网-核心集(WoS-CC)中使用与液压牙髓水泥相关的关键术语进行了广泛的搜索策略。在WoS-CC中按照被引次数降序进行数据检索和整理,并将每篇文章与Scopus和谷歌Scholar数据库中的被引次数进行比较。使用VOSviewer软件构建合作作者网络。使用社会科学统计软件包(SPSS 22.0)执行Spearman相关性。结果:被引最多的文章是Torabinejad et al.(1995)的“Physical and chemical properties of a new root-end filling material”,在WoS-CC中被引821次。在这100篇文章中,通讯作者主要来自美国(n = 37)。大多数文章的来源机构为美国洛马林达大学(n = 15)。在纳入的文章中,实验实验室研究是最常见的研究设计(58%),其次是文献综述(14%)和观察性研究(11%)。矿物三氧化物骨料(MTA),无论是prooroot MTA还是MTA Angelus,都是主要的研究材料(21.84%),大多数研究都集中在材料性能的评估上(48%)。结论:该被引文章列表可为指导研究和生物材料选择提供参考点。
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引用次数: 0
期刊
Journal of endodontics
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