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Effect of Final Irrigation Protocols on Radicular Dentin Permeability and Push-Out bond Strength in Endodontically Treated Teeth 最终灌洗方案对根状牙本质渗透性和牙髓治疗后牙本质推出结合强度的影响
IF 0.5 Q4 Dentistry Pub Date : 2023-02-03 DOI: 10.15517/ijds.2023.54049
M. Benavides, Erick Hernández Meza, Jessie F. Reyes-Carmona
This study aimed to analyze the effect of several final irrigation protocols on tubular permeability and push-out bond strength of an epoxy resin-based cement to radicular dentin. The crowns of 110 human teeth were removed to standardize at 17mm in length. The root canals were instrumented and irrigated with 5ml of 5% NaOCl and 17% EDTA. The samples were then randomly divided into 5 groups (n=22) according to the final irrigation protocol. Subsequently, the samples were subdivided into two different groups to assess dentin permeability or the evaluation of the push-out bond strength. In Group 1, all samples displayed the formation of brown-like precipitates. Group 2 and Group 5 demonstrated cleaner dentin walls. The push-out bond test after 72 hours denoted a significant difference when comparing Group 1 vs Group 2 and Group 1 vs Group 3. After thermocycling, a significant difference is observed between Group 1 and all remaining groups. The irrigation protocol using distilled water prior to irrigation with chlorhexidine significantly reduces the formation of intracanal precipitates by avoiding interactions between irrigants. The push-out bond strength of epoxy resin-based cement is directly influenced by the precipitates formed in the root canal after irrigation and the time of thermocycling. 
本研究旨在分析几种最终灌溉方案对管状渗透性和环氧树脂基水泥与根状牙本质的推出结合强度的影响。将110颗人牙的牙冠取下,使其长度标准化为17mm。用5ml的5% NaOCl和17% EDTA进行根管固定和冲洗。然后根据最终的灌溉方案将样本随机分为5组(n=22)。随后,将样品细分为两组,以评估牙本质渗透性或评估推出粘结强度。在第1组中,所有样品都形成了棕色样的沉淀。2、5组牙本质壁清洁。72小时后的推出粘结试验,1组与2组、1组与3组比较差异显著。热循环后,1组与其余各组之间存在显著差异。在用氯己定冲洗之前使用蒸馏水的冲洗方案通过避免冲洗剂之间的相互作用显着减少了肛门内沉淀物的形成。环氧树脂基水泥的推出粘结强度直接受到根管灌洗后形成的沉淀物和热循环时间的影响。
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引用次数: 0
Continuous Wave of Condensation Improves the Filling of Curved Canals: a Micro-CT Study 连续凝结波改善弯曲管充填:微ct研究
IF 0.5 Q4 Dentistry Pub Date : 2023-02-01 DOI: 10.15517/ijds.2023.54004
J. C. Pinto, Mariana Mena Barreto Pivoto-João, J. Guerreiro-Tanomaru, Jessie F. Reyes-Carmona, M. Tanomaru-Filho
The aim of this study was to compare the filling capacity in curved root canal using a new continuous wave of condensation technique (Termo Pack II, Easy Dental Equipments, Brazil) or lateral compaction. The percentage of voids in the filling of mesial root canals of mandibular molars was assessed by micro-computed tomography (micro-CT). Mesial root canals (n=24) of mandibular molars with a degree of curvature between 20° and 40° were prepared using rotary system (ProDesign Logic, Easy, Brazil) up to #35, .05 taper. The root canals were filled by using the continuous wave of condensation system or lateral compaction and AH Plus sealer (n=12). Scanning at 9 µm was performed after preparation and after filling by using micro-CT SkyScan 1176. The volumetric percentage of filling material and voids (total length and in each root canal third) were calculated. Data were analyzed using ANOVA/Tukey and Student’s t tests (α=0.05). Before the filling techniques, the root canals volume after preparation was similar (p>0.05). The root canals filled by the continuous wave of condensation technique presented the lowest percentage of voids, and the greatest percentage of filling material in total length and thirds (cervical, middle and apical) (p<0.05). Both techniques were not able of completely filling the root canals. The continuous wave of condensation technique Termo Pack II promoted better root canal filling in curved root canals, when compared with lateral compaction.
本研究的目的是比较使用一种新的连续波凝结技术(Termo Pack II, Easy Dental Equipments, Brazil)和侧压实技术在弯曲根管中的填充能力。采用微型计算机断层扫描(micro-CT)对下颌磨牙近中根管充填的空隙率进行了评估。使用旋转系统(ProDesign Logic, Easy, Brazil)制备弯曲度在20°至40°之间的下颌磨牙近中根管(n=24),达到35,0.05锥度。根管充填采用连续波式冷凝系统或侧压实加AH Plus密封器(n=12)。制备后和填充后用微型ct SkyScan 1176在9µm处进行扫描。计算填充材料和空隙的体积百分比(总长度和每根管的三分之一)。数据分析采用方差分析/Tukey检验和Student’s t检验(α=0.05)。在采用充填技术前,根管预备后的根管体积比较,差异无统计学意义(p>0.05)。连续波凝结技术充填根管的空隙率最低,充填物占总长度和三分之一(颈、中、根尖)的比例最高(p<0.05)。两种方法都不能完全填充根管。连续波凝结技术Termo Pack II与侧压实相比,在弯曲根管中促进更好的根管填充。
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引用次数: 1
Effect of Voxel Size of Micro-CT on the Assessment of Root Canal Preparation Micro-CT体素大小对根管预备评估的影响
IF 0.5 Q4 Dentistry Pub Date : 2023-01-20 DOI: 10.15517/ijds.2023.53811
J. C. Pinto, É. Lucas-Oliveira, T. Bonagamba, J. Guerreiro-Tanomaru, M. Tanomaru-Filho
The aim of this study was to assess the influence of micro-computed tomography (micro-CT) voxel size on evaluation of root canal preparation using rotary heat-treated nickel-titanium files. Curved mesial root canals of mandibular molars were prepared using ProDesign Logic 30/.05 (PDL) or HyFlex EDM 25/.08 (HEDM) (n=12). The specimens were scanned using micro-CT with 5μm of voxel size before and after root canal preparation. Images with sub-resolution of 10 and 20μm voxel sizes were obtained. The percentage of volume increase, debris and uninstrumented root canal surface were analyzed in the different voxel sizes. Data were compared using unpaired Student’s t-test and ANOVA statistical tests (α=0.05). No differences were observed for percentage of volume increase, debris and instrumented surface between the root canals prepared by PDL and HEDM (p>0.05).  Both systems promoted higher percentage of debris in the apical third compared to the middle third (p<0.05). After instrumentation using PDL the percentage of uninstrumented surface was highr in the apical third than middle third only when analysis were performed at 5µm (p<0.05). When comparing the different voxel sizes (5,10 or 20µm), both groups showed different means for the variables, with no significant difference (p>0.05). PDL and HEDM had similar root canal preparation capacity. Micro-CT images using different voxel sizes did not influence the results of volume increase and debris evaluation. However, images at 5µm showed greater accuracy to evaluate the percentage of uninstrumented surfaces.
本研究的目的是评估微计算机断层扫描(micro-CT)体素大小对使用热处理镍钛锉进行根管预备评估的影响。采用ProDesign Logic 30/ 0.05软件制备下颌磨牙弯曲近中根管(PDL)或HyFlex EDM 25/.08(HEDM) (n = 12)。根管预备前后分别采用5μm体素的微ct扫描。获得了亚分辨率分别为10 μm和20μm体素的图像。分析不同体素大小的根管体积增加百分比、碎片百分比和无根管表面百分比。资料比较采用未配对学生t检验和方差分析统计检验(α=0.05)。PDL和HEDM制备的根管体积增加百分比、碎片百分比和固定表面百分比均无差异(p>0.05)。与中间三分之一相比,这两种系统在顶端三分之一的碎片百分比更高(p0.05)。PDL和HEDM的根管预备能力相似。使用不同体素大小的Micro-CT图像不影响体积增加和碎片评估的结果。然而,5µm的图像在评估未仪器表面的百分比方面显示出更高的准确性。
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引用次数: 0
Autophagic-Related Anticancer Effect of Grapes Extract and Tomatoes Extract: Ex-Vivo Study 葡萄提取物和番茄提取物的自噬相关抗癌作用:离体研究
IF 0.5 Q4 Dentistry Pub Date : 2023-01-16 DOI: 10.15517/ijds.2023.53752
Marwa Elshafei, I. Helmy, M. M. Sayed, Doaa B Farag, Ismail Shebl, S. Ghazy, N. Afifi
Cells undergo autophagy to save themselves from injury, but progressive autophagy can cause cell death. This study characterized and compared the effect of grape (resveratrol) and tomato (lycopene) extracts and their combination on modulating autophagy-related miRNA and its target gene in squamous cell carcinoma cell line. Docking analysis for extracts and selected genes was performed. Methyl Thiazol Tetrazolium assays were used to assess the cytotoxicity of extracts and their combination toward HEp-2 cells. qRT-PCR was used to quantify changes in gene expression. Data were statistically analyzed. miRNA-20a was identified as a potential effector in laryngeal cancer, and sequestosome-1 (SQSTM1) was its target gene. Docking analysis showed that resveratrol interacted with miRNA-20a and showed less affinity toward SQSTM1. Hydrogen bonds and hydrophobic interactions were predicted. In contrast, lycopene showed less affinity toward miRNA-20a than resveratrol. Increasing doses of resveratrol, lycopene, and their combination induced a statistically significant reduction in mean percent viability and mean fold changes of miRNA-20a and SQSTM1 expression in treated HEp-2 cells. Pearson’s correlation showed a statistically significant positive correlation between miRNA-20a and SQSTM1 (R=0.812, p≤0.001). Grape and tomato extracts and their combination display promising cytotoxicity against HEp-2 cells in a dose- and time-dependent fashion. Both extracts reduce the expression of miRNA-20a and SQSTM1 with subsequent inhibition autophagy and promotion of apoptosis in HEp-2 cells.  
细胞通过自噬来保护自己免受伤害,但进行性自噬可导致细胞死亡。本研究对葡萄(白藜芦醇)和番茄(番茄红素)提取物及其组合对鳞状细胞癌细胞自噬相关miRNA及其靶基因的调节作用进行了表征和比较。提取液与所选基因进行对接分析。采用甲基噻唑四氮唑测定提取物及其联合用药对HEp-2细胞的细胞毒性。采用qRT-PCR定量分析基因表达变化。对数据进行统计学分析。miRNA-20a被鉴定为喉癌的潜在效应基因,sequestoome -1 (SQSTM1)是其靶基因。对接分析表明,白藜芦醇与miRNA-20a相互作用,对SQSTM1的亲和力较低。预测了氢键和疏水相互作用。相比之下,番茄红素对miRNA-20a的亲和力低于白藜芦醇。增加剂量的白藜芦醇、番茄红素及其组合诱导处理的HEp-2细胞的平均存活率降低和miRNA-20a和SQSTM1表达的平均倍数变化具有统计学意义。Pearson相关分析显示miRNA-20a与SQSTM1呈正相关,差异有统计学意义(R=0.812, p≤0.001)。葡萄和番茄提取物及其组合对HEp-2细胞具有剂量和时间依赖性的细胞毒性。两种提取物均可降低miRNA-20a和SQSTM1的表达,抑制HEp-2细胞的自噬,促进细胞凋亡。
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引用次数: 0
Effect of Dental Distance from Implant and MAR Algorithm on the Detection of Vertical Root Fracture in CBCT Images 牙与种植体距离及MAR算法对CBCT图像牙根垂直断裂检测的影响
IF 0.5 Q4 Dentistry Pub Date : 2023-01-16 DOI: 10.15517/ijds.2023.53751
F. Salemi
Three-dimensional cone-beam computed tomography (CBCT) has an important role in the detection of vertical root fractures (VRFs). The effect of artifact generation by high-density objects like dental implants on image quality was well documented. This study aimed to assess the effect of tooth-implant distance and the application of metal artifact reduction (MAR) algorithm on the detection of VRFs on CBCT scans. This study was conducted on 20 endodontically treated single-rooted teeth. VRFs were induced in 10 teeth, while the other 10 remained intact. The implant was inserted in the right second premolar socket area, and two teeth were inserted in right canine and right first premolar sockets area randomly and underwent CBCT with and without the application of MAR algorithm. SPSS 21 was used to analyze the results (alpha=0.05). According to the findings of this study, all four variables of sensitivity, specificity, accuracy, and positive predictive values in diagnosis were higher in cases without MAR software at both close(roots in first premolar sockets) and far distances (roots in canine sockets) from the implant. However, the highest rate of diagnosis accuracy of the first and second radiologists was in the far distance group from the implant without MAR, and the lowest rate of diagnosis accuracy in the first and second radiologists was in the close distance to the implant. Applying MAR algorithm had no positive effect on detection of VRFs on CBCT scans in both close and distant scenarios.
三维锥束计算机断层扫描(CBCT)在垂直根骨折(VRFs)检测中具有重要作用。高密度物体(如种植牙)产生的伪影对图像质量的影响已有文献记载。本研究旨在评估牙种植体距离和金属伪影还原(MAR)算法对CBCT扫描中vrf检测的影响。本研究以20颗经根管治疗的单根牙为研究对象。在10颗牙齿中诱导vrf,而其他10颗保持完整。种植体在右侧第二前磨牙槽区种植,随机在右侧犬齿区和右侧第一前磨牙槽区种植两颗牙,分别应用MAR算法和不应用MAR算法进行CBCT检查。采用SPSS 21软件对结果进行分析(alpha=0.05)。根据这项研究的结果,在没有MAR软件的情况下,在距离种植体近(第一前磨牙槽根)和远(犬牙槽根)的情况下,诊断的敏感性、特异性、准确性和阳性预测值的所有四个变量都更高。然而,一、二放射科医师诊断准确率最高的是距离种植体较远的无MAR组,一、二放射科医师诊断准确率最低的是距离种植体较近的组。在近距离和远距离场景下,应用MAR算法对CBCT扫描的vrf检测均无积极影响。
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引用次数: 0
Shaving of the Plaster Working Dies Reusing the Final Silicone Impression. A Coupling Technique 重新使用最后的硅胶模的石膏工作模的剃须。耦合技术
IF 0.5 Q4 Dentistry Pub Date : 2022-11-29 DOI: 10.15517/ijds.2022.53258
Juan Carlos Ramírez Barrantes
One of the most predominant challenges in oral rehabilitation is to predict the functional and aesthetic results of dental restorations. The success of the treatment depends on the correct execution of the different clinical and technical procedures performed at the dental laboratory. One of the fundamental steps is the final impression to obtain a precise replica of the cervical termination line. The correct diagnosis for the approach regarding the gingival tissues, the fidelity of the dental impression, and the shaving of the gingival margins in the working model will allow the establishment of a complete protocol for the diagnosis, planning, and execution of the treatment, potentiating more predictable results in the different clinical cases. The aim of this case report was to propose an alternative technique for undergraduate students regarding the shaving procedure of the working dies, obtaining an improved fitting in the marginal adaptation of the prosthetic parts performed at the laboratory.
口腔康复中最主要的挑战之一是预测口腔修复的功能和美学结果。治疗的成功取决于在牙科实验室进行的不同临床和技术程序的正确执行。其中一个基本步骤是最后的印象,以获得宫颈终止线的精确复制品。正确诊断入路的牙龈组织,牙印的保真度,以及工作模型中牙龈边缘的刮除,将允许建立一个完整的诊断方案,计划和执行治疗,在不同的临床病例中增强更可预测的结果。本案例报告的目的是为本科生提出一种关于工作模具剃须过程的替代技术,在实验室进行的假体部件的边缘适应中获得改进的拟合。
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引用次数: 0
The Troublesome and Delicate Relationship Between Scientific Evidence, Social Media and State-of-the-Art Clinical Practices 科学证据、社交媒体和最先进的临床实践之间棘手而微妙的关系
IF 0.5 Q4 Dentistry Pub Date : 2022-11-22 DOI: 10.15517/ijds.2022.53204
Jorge Soto-Montero
.
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引用次数: 0
Methylation Analysis of Rb, P16, MGMT, and hMLH-1in Mucoepidermoid Carcinomas. A Pilot Study 粘液表皮样癌中Rb、P16、MGMT和hmlh -1的甲基化分析。一项初步研究
IF 0.5 Q4 Dentistry Pub Date : 2022-11-21 DOI: 10.15517/ijds.2022.53197
Luis A. Martínez-Marcial, L. F. Jacinto-Alemán, David A Trejo-Remigio, C. M. Ramírez-Martínez, E. Leyva-Huerta
Mucoepidermoid carcinoma (MC) is the most common malignant epithelial neoplasm in the salivary glands. This neoplasm has varying proportions of mucous, epidermoid, intermediate, columnar, and clear cells. MCs have been associated with CRTC1-MAML2 genes; however, their pathogenesis is uncertain. Recently, epigenetic changes have been considered a possible aetiologic factor. To identify the methylation state of RB, P16, MGMT, and hMLH genes in the three severity grades of MC were used five MCs and one healthy minor salivary gland as a control group (CG) obtained from the Pathology and Oral Medicine Laboratory and analyzed using MS-PCR to compare the presence or absence of methylation in promotor regions. The Kruskal-Wallis test was performed, with p≤0.05 considered significant. CG was employed as the normalizer of methylation levels. All assays were performed in triplicate. The mean age of our population was 52.6±18.6 years old; the total population was female and included 2 low grade, 2 intermediate grade, and 1 high grade levels of severity. When comparing the methylation status of the three histopathological grades of MC against the control, statistically significant differences were observed in Rb-M, MGMT-M, and hMLH-1-NM for high-grade severity, with p values of 0.03, 0.05, and 0.04, respectively. Methylation is a possible mechanism for pathogenesis processing of high-grade MC. However, a larger sample population is necessary to validate this finding.
黏液表皮样癌(MC)是唾液腺最常见的恶性上皮肿瘤。这种肿瘤有不同比例的粘液细胞、表皮样细胞、中间细胞、柱状细胞和透明细胞。MCs与CRTC1-MAML2基因有关;然而,其发病机制尚不清楚。最近,表观遗传变化被认为是一个可能的病因。为了确定三个严重程度的MC中RB、P16、MGMT和hMLH基因的甲基化状态,我们使用病理学和口腔医学实验室获得的5个MC和1个健康的小唾液腺作为对照组(CG),使用MS-PCR分析比较启动子区域甲基化的存在或不存在。采用Kruskal-Wallis检验,p≤0.05为显著性。采用CG作为甲基化水平的正规化剂。所有试验均为三份。人口平均年龄为52.6±18.6岁;总体为女性,包括2例低度、2例中度和1例重度。将三个组织病理学级别MC的甲基化状态与对照组进行比较,Rb-M、MGMT-M和hMLH-1-NM的高级别严重程度差异有统计学意义,p值分别为0.03、0.05和0.04。甲基化是高级别MC发病过程的可能机制。然而,需要更大的样本群体来验证这一发现。
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引用次数: 0
Elimination of E. faecalis and C. albicans Biofilm: A Comparison Between Single and Multiple File Systems in an Ex Vivo Study 粪肠杆菌和白色念珠菌生物膜的消除:在离体研究中单个和多个文件系统的比较
IF 0.5 Q4 Dentistry Pub Date : 2022-11-15 DOI: 10.15517/ijds.2022.53153
V. Méndez-González, Claudia Casillas-Contreras, M. Vitales-Noyola, D. Alvarado-Hernández, A. González-Amaro, A. Aragón-Piña, A. Pozos-Guillen
To evaluate whether the WaveOne Gold and Reciproc single file instrumentation systems, are effective in reducing the microbial load of a mixed biofilm and the cleaning of apical third compared to the Twisted File Adaptive system (multiple-file system). Seventy mesial roots of the first and second molars were included and randomly divided into three experimental groups (n=20, n=10 controls). Biofilms were formed inside canals over 31 days. After instrumentation with the unique file systems, WaveOne Gold and Reciproc and the multiple file system Twisted File Adaptive, using 2.25% sodium hypochlorite as an irrigant in all cases, a count of colony forming units was performed using serial dilutions, cleaning of the apical third was evaluated using scanning electron microscopy. Comparisons amongst groups were made by using parametric and non-parametric statistics, according to a normal or non-normal data distribution, respectively.  No significant differences in the reduction of the microbial load after employing a single-file system in comparison to the multiple-file system were found; in addition, the cleaning of the apical third was similar for the three different instrumentation systems. The single-file system is equal in effectiveness compared with the multiple-file system in reducing the microbial load.
与Twisted file Adaptive系统(多文件系统)相比,评估WaveOne Gold和Reciproc单文件仪器系统在减少混合生物膜的微生物负荷和根冠三分之一的清洁方面是否有效。选取70例第一、第二磨牙近中根,随机分为3个实验组(n=20,对照组n=10)。生物膜在31天内形成。使用WaveOne Gold和Reciproc独特的文件系统以及Twisted file Adaptive多文件系统,在所有情况下使用2.25%次氯酸钠作为冲洗剂,使用连续稀释进行菌落形成单位计数,使用扫描电子显微镜评估根尖三分之一的清洁情况。组间比较分别根据正态或非正态数据分布,采用参数统计和非参数统计进行。采用单文件系统与多文件系统相比,在减少微生物负荷方面没有发现显著差异;此外,对于三种不同的仪器系统,顶端三分之一的清洗是相似的。单文件系统与多文件系统在减少微生物负荷方面的效果相同。
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引用次数: 0
Acute Osteomyelitis in Torus of Systemically Compromised Patients: Case Series 全身性损害患者的急性骨髓炎:病例系列
IF 0.5 Q4 Dentistry Pub Date : 2022-11-04 DOI: 10.15517/ijds.2022.53064
Yadira V. Boza-Oreamuno, A. López-Soto
The torus are benign bony prominences that generally do not require treatment, however, they can occasionally present osteomyelitis (OM). The objective of this article is to describe the timely management of torus osteomyelitis through a series of clinical cases. Three patients with OM are reported. Two cases of men aged 66 and 69, diabetics, as well as a 57-year-old woman with a history of basal cell carcinoma of the nose. All had torus ulcers associated with trauma and without resolution of the same. In the three cases, a biopsy was performed to confirm the diagnosis and they were treated with anti-inflammatory drugs and antibiotic therapy, achieving complete resolution. Uncontrolled diabetes mellitus and trauma can favor the development of OM in patients with bone exostoses, therefore, when there are signs of infection in these structures, it is imperative to suspect the condition and offer treatment.
环体为良性骨突出,通常不需要治疗,但偶尔会出现骨髓炎(OM)。本文的目的是通过一系列的临床病例来描述环状骨髓炎的及时处理。报告3例OM患者。两例年龄分别为66岁和69岁的男性糖尿病患者,以及一名有鼻基底细胞癌病史的57岁女性。所有患者均有创伤相关的环面溃疡,且未痊愈。在三个病例中,进行了活检以确认诊断,并给予抗炎药物和抗生素治疗,完全解决了问题。不受控制的糖尿病和创伤可促进骨外植体患者OM的发展,因此,当这些结构有感染迹象时,必须怀疑这种情况并提供治疗。
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引用次数: 0
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Odovtos - International Journal of Dental Sciences
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