Pub Date : 2019-10-31DOI: 10.32067/GIE.2019.33.02.03
A. Spohr, R. Sarkis-Onofre, T. Pereira-Cenci, F. G. Pappen, R. D. Morgental
Aim: This systematic review evaluated the influence of hand, rotary and reciprocating instrumentation on endodontic postoperative pain. Methodology: A protocol was registered on PROSPERO. Electronic searches were conducted in MEDLINE, ISI Web of Science, Scopus and ClinicalTrials.gov. Articles were selected according to the following criteria: randomized clinical trials with patients undergoing endodontic treatment in permanent teeth, comparing instrumentation techniques with different kinematics (hand/rotary/reciprocating) and their effect on postoperative pain incidence, intensity or duration. Data on analgesic intake was also recorded. Risk of bias was evaluated and the GRADE framework was applied to assess the quality of evidence. Results: Twelve studies and 1,659 patients were included in this review. Five studies compared hand instrumentation vs. engine-driven (rotary and/or reciprocating) systems. In three studies, postoperative pain results were worse with hand instruments than with engine-driven systems. In the other two studies, pain results for hand and engine-driven techniques were similar. Seven studies and a dataset from one of the five previous studies were included in the comparison of rotary vs. reciprocating systems, with contrasting results. Postoperative pain results were worse with reciprocating systems in four studies, with rotary systems in two studies and equivalent in other two studies. Data on analgesic intake were controversial. GRADE showed low quality of evidence. Conclusions: Hand instrumentation presented unfavourable postoperative pain results when compared to engine-driven systems. The comparison of rotary and reciprocating systems generate contrasting results. Given the low quality of evidence and conflicting findings, results should be considered with caution and further well-designed randomized clinical trials on the matter are encouraged.
目的:本系统综述评价了手、旋转和往复器械对根管术后疼痛的影响。方法:在PROSPERO上注册了一份协议。在MEDLINE、ISI Web of Science、Scopus和ClinicalTrials.gov上进行了电子检索。文章的选择标准如下:恒牙根管治疗患者的随机临床试验，比较不同运动学(手动/旋转/往复)的器械技术及其对术后疼痛发生率、强度或持续时间的影响。镇痛药的摄入数据也被记录下来。评估偏倚风险，并应用GRADE框架评估证据质量。结果:本综述纳入了12项研究和1,659例患者。五项研究比较了手动仪表与发动机驱动(旋转和/或往复式)系统。在三项研究中，使用手动器械的术后疼痛结果比使用发动机驱动系统的疼痛结果更差。在另外两项研究中，手动和发动机驱动技术的疼痛结果相似。七项研究和来自先前五项研究之一的数据集被纳入旋转与往复式系统的比较，结果截然不同。四项研究中往复式系统的术后疼痛结果更差，两项研究中旋转系统的疼痛结果更差，另外两项研究的疼痛结果相当。关于止痛药摄入的数据存在争议。GRADE显示证据质量低。结论:与发动机驱动系统相比，手部器械的术后疼痛效果较差。旋转和往复系统的比较产生了截然不同的结果。鉴于证据质量低且发现相互矛盾，应谨慎考虑结果，并鼓励进一步精心设计的随机临床试验。
{"title":"A systematic review: effect of hand, rotary and reciprocating instrumentation on endodontic postoperative pain","authors":"A. Spohr, R. Sarkis-Onofre, T. Pereira-Cenci, F. G. Pappen, R. D. Morgental","doi":"10.32067/GIE.2019.33.02.03","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.02.03","url":null,"abstract":"Aim: This systematic review evaluated the influence of hand, rotary and reciprocating instrumentation on endodontic postoperative pain. \u0000Methodology: A protocol was registered on PROSPERO. Electronic searches were conducted in MEDLINE, ISI Web of Science, Scopus and ClinicalTrials.gov. Articles were selected according to the following criteria: randomized clinical trials with patients undergoing endodontic treatment in permanent teeth, comparing instrumentation techniques with different kinematics (hand/rotary/reciprocating) and their effect on postoperative pain incidence, intensity or duration. Data on analgesic intake was also recorded. Risk of bias was evaluated and the GRADE framework was applied to assess the quality of evidence. \u0000Results: Twelve studies and 1,659 patients were included in this review. Five studies compared hand instrumentation vs. engine-driven (rotary and/or reciprocating) systems. In three studies, postoperative pain results were worse with hand instruments than with engine-driven systems. In the other two studies, pain results for hand and engine-driven techniques were similar. Seven studies and a dataset from one of the five previous studies were included in the comparison of rotary vs. reciprocating systems, with contrasting results. Postoperative pain results were worse with reciprocating systems in four studies, with rotary systems in two studies and equivalent in other two studies. Data on analgesic intake were controversial. GRADE showed low quality of evidence. \u0000Conclusions: Hand instrumentation presented unfavourable postoperative pain results when compared to engine-driven systems. The comparison of rotary and reciprocating systems generate contrasting results. Given the low quality of evidence and conflicting findings, results should be considered with caution and further well-designed randomized clinical trials on the matter are encouraged.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91197154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-11DOI: 10.32067/GIE.2019.33.01.07
Beatrice Giuggia, L. Bergandi, A. Comba, M. Alovisi, Giorgia Carpegna, N. Scotti, D. Pasqualini, E. Berutti
Aim: Apical periodontitis (AP) is correlated with a higher risk of developing cardiovascular disease (CVD). No data currently exist to suggest that endothelial dysfunction (ED) improves after endodontic treatment in patients who have AP, despite a link between chronic AP and ED. This study was designed to investigate the expression of early ED markers in young adults with chronic AP, before and after root canal treatment. Methodology: 41 subjects (20 controls and 21 patients with AP) were examined at enrolment. Patients with AP were also assessed 2 and 12 months after treatment. ENDO-PAT was used to measure endothelial flow reserve (EFR) and ELISAs were used to assess plasma levels of interleukin (IL)-1, IL-6 and TNF-alpha, vasoconstrictor ED endothelin (ET)-1, the circulating endothelial adhesion markers intercellular adhesion molecule-1 (ICAM)-1/ CD54 and soluble vascular cellular adhesion molecule- 1 (sVCAM)-1/CD106, soluble CD14, and the endothelial leukocyte adhesion molecule E-selectin. Results: Baseline serum levels of ET-1, ICAM-1, E-selectin, IL-1, and sCD14 were elevated in patients with AP compared to the control group. There was no macroscopic evidence of reduced EFR in either group. Treatment for AP was associated with reduced inflammation and improved early ED, indicated by a lowering of IL-1, sCD14, ET-1, ICAM-1/ CD54 and E-selectin levels to resemble those of control subjects. Conclusions: Early vascular ED may be driven by AP but is reversible with effective endodontic treatment.
{"title":"Variation of vascular and blood indicators of early endothelial dysfunction after root canal therapy: A clinical and biomolecular study","authors":"Beatrice Giuggia, L. Bergandi, A. Comba, M. Alovisi, Giorgia Carpegna, N. Scotti, D. Pasqualini, E. Berutti","doi":"10.32067/GIE.2019.33.01.07","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.07","url":null,"abstract":"Aim: Apical periodontitis (AP) is correlated with a higher risk of developing cardiovascular disease (CVD). No data currently exist to suggest that endothelial dysfunction (ED) improves after endodontic treatment in patients who have AP, despite a link between chronic AP and ED. This study was designed to investigate the expression of early ED markers in young adults with chronic AP, before and after root canal treatment. \u0000Methodology: 41 subjects (20 controls and 21 patients with AP) were examined at enrolment. Patients with AP were also assessed 2 and 12 months after treatment. ENDO-PAT was used to measure endothelial flow reserve (EFR) and ELISAs were used to assess plasma levels of interleukin (IL)-1, IL-6 and TNF-alpha, vasoconstrictor ED endothelin (ET)-1, the circulating endothelial adhesion markers intercellular adhesion molecule-1 (ICAM)-1/ CD54 and soluble vascular cellular adhesion molecule- 1 (sVCAM)-1/CD106, soluble CD14, and the endothelial leukocyte adhesion molecule E-selectin. \u0000Results: Baseline serum levels of ET-1, ICAM-1, E-selectin, IL-1, and sCD14 were elevated in patients with AP compared to the control group. There was no macroscopic evidence of reduced EFR in either group. Treatment for AP was associated with reduced inflammation and improved early ED, indicated by a lowering of IL-1, sCD14, ET-1, ICAM-1/ CD54 and E-selectin levels to resemble those of control subjects. \u0000Conclusions: Early vascular ED may be driven by AP but is reversible with effective endodontic treatment.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73033782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-11DOI: 10.32067/GIE.2019.33.01.09
Fabio Tutino, M. Alovisi, M. Bernardi, Giorgia Carpegna, A. Comba, D. Pasqualini, N. Scotti, E. Berutti
Introduction: The aim of this micro-CT study was to analyze the geometrical shaping outcomes after instrumentation with rotary and reciprocating glide path and shaping systems. Materials and Methods: The mesio-buccal canals of thirty extracted maxillary first permanent molars were randomized into two groups (n=15): rotary system ProGlider and ProTaper Next X1, X2 (PG-PTN) was compared with reciprocating system WaveOne Gold Glider and WaveOne Gold Primary (WOGGWOG). Irrigation was performed with EDTA 10% and NaOCl 5%. Specimens were micro-CT scanned before instrumentation and after glide path and shaping. The measured parameters were the increase in canal volume and surface area, the centroid shift and the canal geometry variation through RDR and RA. These parameters were measured in the apical and coronal levels and at the point of maximum curvature. One-way ANOVA and post hoc Turkey- Kramer tests were used to describe the impact of the instrumentation on the selected parameters (P<0.05). Results: Post glide path analysis revealed that increase in canal surface area was slightly greater in WOGG group (P=0.051). Centroid shift was not significant even if the trend seemed more favorable to PG group, except for the apical third. Centroid shift reported no significant differences. Conclusions: Both rotary and reciprocating systems seemed to create a homogeneous and well-centered glide path and shaping.
{"title":"Micro-CT evaluation of ProTaper Next and WaveOne Gold shaping in maxillary first molars curved canals: an in vitro study","authors":"Fabio Tutino, M. Alovisi, M. Bernardi, Giorgia Carpegna, A. Comba, D. Pasqualini, N. Scotti, E. Berutti","doi":"10.32067/GIE.2019.33.01.09","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.09","url":null,"abstract":"Introduction: The aim of this micro-CT study was to analyze the geometrical shaping outcomes after instrumentation with rotary and reciprocating glide path and shaping systems. \u0000Materials and Methods: The mesio-buccal canals of thirty extracted maxillary first permanent molars were randomized into two groups (n=15): rotary system ProGlider and ProTaper Next X1, X2 (PG-PTN) was compared with reciprocating system WaveOne Gold Glider and WaveOne Gold Primary (WOGGWOG). Irrigation was performed with EDTA 10% and NaOCl 5%. Specimens were micro-CT scanned before instrumentation and after glide path and shaping. The measured parameters were the increase in canal volume and surface area, the centroid shift and the canal geometry variation through RDR and RA. These parameters were measured in the apical and coronal levels and at the point of maximum curvature. One-way ANOVA and post hoc Turkey- Kramer tests were used to describe the impact of the instrumentation on the selected parameters (P<0.05). \u0000Results: Post glide path analysis revealed that increase in canal surface area was slightly greater in WOGG group (P=0.051). Centroid shift was not significant even if the trend seemed more favorable to PG group, except for the apical third. Centroid shift reported no significant differences. \u0000Conclusions: Both rotary and reciprocating systems seemed to create a homogeneous and well-centered glide path and shaping.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84806739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-11DOI: 10.32067/GIE.2019.33.01.08
D. Guglielmi, F. Gorni
Aim: Fracture by trauma is one of the most common type of dental injury in the permanent dentition. The purpose of this case report is to present the multidisciplinary management of a subgingival crownroot fracture in one patient. Summary: In this article we report one case of complicated crown-radicular fractures reattachment, in a traumatized maxillary permanent central incisor, which was treated with a novel method preserving coronal integrity after fiber post placement.
{"title":"Immediate Crown Replacement: a case report of extensive radicular fracture with intra-canal anchorage","authors":"D. Guglielmi, F. Gorni","doi":"10.32067/GIE.2019.33.01.08","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.08","url":null,"abstract":"Aim: Fracture by trauma is one of the most common type of dental injury in the permanent dentition. The purpose of this case report is to present the multidisciplinary management of a subgingival crownroot fracture in one patient. \u0000Summary: In this article we report one case of complicated crown-radicular fractures reattachment, in a traumatized maxillary permanent central incisor, which was treated with a novel method preserving coronal integrity after fiber post placement.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77408551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-11DOI: 10.32067/GIE.2019.33.01.01
L. H. Almeida, M. Krüger, K. J. Pilownic, V. Costa, A. Romano, F. G. Pappen
Aim: This study evaluated the efficacy of three different techniques used in the root canal filling of primary teeth. Methodology: Sixty artificial resin upper and lower primary molars were used. The quality of root canal filling was evaluated using standardized buccal/lingual radiographs, after the use of three different techniques: endodontic hand file, spiral Lentulo and Centrix syringe. Scores were attributed to the obturation length and the presence of voids. Data were statistically analysed and the comparison between groups was calculated using the chi-square test. Results: The use of endodontic hand file demonstrated the best results regarding the endodontic filling length and density. The occurrence of material extrusion was greater when Lentulo spiral was used in palatine root canals of upper molars. The obturation density was similar among the lower molars and in mesio buccal and palatine canals of upper molars, while in the disto buccal canal of upper molars, the endodontic hand file was significantly more effective. Conclusions: The quality of root canal filling was similar among the different groups. However, lentulo spiral allowed greater material extrusion in palatine root canals, and greater occurrence of voids in disto buccal canal of upper molars, in comparison with the other tested techniques.
{"title":"Root canal filling techniques for primary molars: an in vitro evaluation","authors":"L. H. Almeida, M. Krüger, K. J. Pilownic, V. Costa, A. Romano, F. G. Pappen","doi":"10.32067/GIE.2019.33.01.01","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.01","url":null,"abstract":"Aim: This study evaluated the efficacy of three different techniques used in the root canal filling of primary teeth. \u0000Methodology: Sixty artificial resin upper and lower primary molars were used. The quality of root canal filling was evaluated using standardized buccal/lingual radiographs, after the use of three different techniques: endodontic hand file, spiral Lentulo and Centrix syringe. Scores were attributed to the obturation length and the presence of voids. Data were statistically analysed and the comparison between groups was calculated using the chi-square test. \u0000Results: The use of endodontic hand file demonstrated the best results regarding the endodontic filling length and density. The occurrence of material extrusion was greater when Lentulo spiral was used in palatine root canals of upper molars. The obturation density was similar among the lower molars and in mesio buccal and palatine canals of upper molars, while in the disto buccal canal of upper molars, the endodontic hand file was significantly more effective. \u0000Conclusions: The quality of root canal filling was similar among the different groups. However, lentulo spiral allowed greater material extrusion in palatine root canals, and greater occurrence of voids in disto buccal canal of upper molars, in comparison with the other tested techniques.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86328533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-11DOI: 10.32067/GIE.2019.33.01.05
Luiz Carlos Trévia Morais Correia Viana, C. Maniglia-Ferreira, F. Almeida-Gomes, Eduardo Diogo Gurgel Filho, Leonardo Pereira Garcia, F. G. Pappen
Aim: The aim of this study was to compare the cyclic fatigue resistance of rotary pathfinding instruments made of nickel-titanium (NiTi) alloys submitted to different heat treatments. Materials and Methods: Eighty NiTi endodontic files were divided into four study groups, as follows: Scout Race 15.02 (FKG Deintaire SA), Pathfile 19.02 (Dentsply Maillefer, Ballaigues, Switzerland), Proglider 16.02 (Dentsply Maillefer, Ballaigues, Switzerland), and Hyflex GPS 20.02 (Coltene Whaledent, Allstatten, Switzerland). The instruments were subjected to cyclic fatigue testing using simulated canals with a 6mm radius and 30° or 45° curvature angles. The data obtained were organized in an Excel spreadsheet and analyzed statistically using BioEstat 5.3 software (Marimaua Institute, Manaus, Brazil). The non-parametric Kruskal-Wallis test was used in the analysis. The Mann-Whitney U-test was used for multiple comparisons, at a significance level of 5%. Results: The Hyflex instrument was superior to all the other instruments (p<0.05), and Pathfile had a superior fatigue time (p<0.05) compared with Scout Race and Proglider, for both of the curvature angles analyzed. No significant difference was observed between Scout Race and Proglider. Conclusions: Cyclic fatigue resistance of the HyFlex GPF instrument was the highest among those tested, and the curvature radius had a significant effect on fatigue resistance. A significant decrease in the cyclic fatigue time was observed, with an increase in the flexion (curvature angle), irrespective of the instrument analyzed.
{"title":"Evaluation of the cyclic fatigue resistance of rotary pathfinding instruments made of nickel-titanium (NiTi) alloys with different heat treatments","authors":"Luiz Carlos Trévia Morais Correia Viana, C. Maniglia-Ferreira, F. Almeida-Gomes, Eduardo Diogo Gurgel Filho, Leonardo Pereira Garcia, F. G. Pappen","doi":"10.32067/GIE.2019.33.01.05","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.05","url":null,"abstract":"Aim: The aim of this study was to compare the cyclic fatigue resistance of rotary pathfinding instruments made of nickel-titanium (NiTi) alloys submitted to different heat treatments. \u0000Materials and Methods: Eighty NiTi endodontic files were divided into four study groups, as follows: Scout Race 15.02 (FKG Deintaire SA), Pathfile 19.02 (Dentsply Maillefer, Ballaigues, Switzerland), Proglider 16.02 (Dentsply Maillefer, Ballaigues, Switzerland), and Hyflex GPS 20.02 (Coltene Whaledent, Allstatten, Switzerland). The instruments were subjected to cyclic fatigue testing using simulated canals with a 6mm radius and 30° or 45° curvature angles. The data obtained were organized in an Excel spreadsheet and analyzed statistically using BioEstat 5.3 software (Marimaua Institute, Manaus, Brazil). The non-parametric Kruskal-Wallis test was used in the analysis. The Mann-Whitney U-test was used for multiple comparisons, at a significance level of 5%. \u0000Results: The Hyflex instrument was superior to all the other instruments (p<0.05), and Pathfile had a superior fatigue time (p<0.05) compared with Scout Race and Proglider, for both of the curvature angles analyzed. No significant difference was observed between Scout Race and Proglider. \u0000Conclusions: Cyclic fatigue resistance of the HyFlex GPF instrument was the highest among those tested, and the curvature radius had a significant effect on fatigue resistance. A significant decrease in the cyclic fatigue time was observed, with an increase in the flexion (curvature angle), irrespective of the instrument analyzed.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72930146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-11DOI: 10.32067/GIE.2019.33.01.02
A. Krah-Sinan, M. Adou-Assoumou, J. Adou, D. Traoré, B. Faye, E. Mansilla
Aim: The objective of this study was to evaluate the antibiotics prescription in endodontics. Methodology: This was a descriptive cross-sectional survey, type KAP (Knowledge, Attitudes and Practices) of 111 dental surgeons in Abidjan (Ivory Coast). Results: 11.70% of practitioners routinely prescribe antibiotics for endodontic treatment; 64.90% prescribes them for Acute Apical Periodontitis, 57.70% for Pulp Necrosis and 52.30% for Abscess. According to the patient general condition, practitioners prescribe antibiotics for general illness (89.20%) or poor hygiene (55%). Βeta-lactam antibiotics are prescribed in 98.20% of cases. For 96.4% of practitioners, antibiotic therapy influences an endodontics success; 19.80% do not know about prescription recommendations; 37.80% have received antibiotics self-medicated patients. Conclusions: In Ivory Coast, the antibiotics prescription in endodontics does not always adhere to international recommendations. The anarchic consumption of these drugs is mostly due to self-medication.
{"title":"Antibiotic therapy in Endodontics: a survey from dental surgeons in Ivory Coast","authors":"A. Krah-Sinan, M. Adou-Assoumou, J. Adou, D. Traoré, B. Faye, E. Mansilla","doi":"10.32067/GIE.2019.33.01.02","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.02","url":null,"abstract":"Aim: The objective of this study was to evaluate the antibiotics prescription in endodontics. \u0000Methodology: This was a descriptive cross-sectional survey, type KAP (Knowledge, Attitudes and Practices) of 111 dental surgeons in Abidjan (Ivory Coast). Results: 11.70% of practitioners routinely prescribe antibiotics for endodontic treatment; 64.90% prescribes them for Acute Apical Periodontitis, 57.70% for Pulp Necrosis and 52.30% for Abscess. According to the patient general condition, practitioners prescribe antibiotics for general illness (89.20%) or poor hygiene (55%). Βeta-lactam antibiotics are prescribed in 98.20% of cases. For 96.4% of practitioners, antibiotic therapy influences an endodontics success; 19.80% do not know about prescription recommendations; 37.80% have received antibiotics self-medicated patients. \u0000Conclusions: In Ivory Coast, the antibiotics prescription in endodontics does not always adhere to international recommendations. The anarchic consumption of these drugs is mostly due to self-medication.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91286834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-11DOI: 10.32067/GIE.2019.33.01.03
V. Caetano, E. Alves, L. C. França, D. Lenardo, Victor-Brito-Dantas Martins, J. Galeno, Jefferson S. Oliveira, D. Vasconcelos
Aim: The objective of this study was to evaluate the tissue disgregation capacity of pulp in different solutions associated or not with bromelain. Methodology: Fifty bovine mandibular incisors were used, divided into five groups: C: Control, H: sodium hypochlorite 2.5%, B: bromelain, BL: bromelain + L-cysteine, BH: bromelain + sodium hypochlorite 2.5%. The pulp fragments were stored at -20 °C, washed with saline solution and moved to 25°C in eppendorf tubes with 1 ml of each substance. For the histomorphometric evaluation, the pulp fragments were prepared as histological routine, observed with optical microscopy and evaluated using ImageJ 1.49 software. Results: The histomorphometric results showed that, in C: there was no alteration per tissue; H: there was a peripheral and central tissue disintegration; B: there was a protein and cellular degradation pattern, from the peripheral to the central area; BL: there was a central degradation. In BH, showed an effect enhanced by bromelain, when related to sodium hypochlorite, showing greater tissue degradation. Conclusions: The association of bromelain with sodium hypochlorite potentiated the disintegration action of the pulp, opening possibilities for several clinical applications.
目的:本研究的目的是评价不同溶液中与菠萝蛋白酶相关或不相关的牙髓组织分散能力。方法:选用50只牛下颌骨切牙，分为5组:C:对照组，H:次氯酸钠2.5%组，B:菠萝蛋白酶，BL:菠萝蛋白酶+ l -半胱氨酸，BH:菠萝蛋白酶+次氯酸钠2.5%组。牙髓碎片在-20°C保存，用生理盐水洗涤，并在辅助管中移至25°C，每种物质各1 ml。组织形态学评价采用牙髓碎片作为组织学常规，光学显微镜观察，ImageJ 1.49软件评价。结果:组织形态学结果显示，C组各组织无明显改变;H:有外周和中央组织解体;B:有蛋白和细胞降解模式，从周围到中心区域;BL:有一个核心的退化。在BH中，菠萝蛋白酶的作用增强，当与次氯酸钠相关时，表现出更大的组织降解。结论:菠萝蛋白酶与次氯酸钠的结合增强了牙髓的崩解作用，为多种临床应用开辟了可能性。
{"title":"Histomorphometric analysis of pulp submitted to the action of bromelain associated with irrigation solutions","authors":"V. Caetano, E. Alves, L. C. França, D. Lenardo, Victor-Brito-Dantas Martins, J. Galeno, Jefferson S. Oliveira, D. Vasconcelos","doi":"10.32067/GIE.2019.33.01.03","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.03","url":null,"abstract":"Aim: The objective of this study was to evaluate the tissue disgregation capacity of pulp in different solutions associated or not with bromelain. \u0000Methodology: Fifty bovine mandibular incisors were used, divided into five groups: C: Control, H: sodium hypochlorite 2.5%, B: bromelain, BL: bromelain + L-cysteine, BH: bromelain + sodium hypochlorite 2.5%. The pulp fragments were stored at -20 °C, washed with saline solution and moved to 25°C in eppendorf tubes with 1 ml of each substance. For the histomorphometric evaluation, the pulp fragments were prepared as histological routine, observed with optical microscopy and evaluated using ImageJ 1.49 software. \u0000Results: The histomorphometric results showed that, in C: there was no alteration per tissue; H: there was a peripheral and central tissue disintegration; B: there was a protein and cellular degradation pattern, from the peripheral to the central area; BL: there was a central degradation. In BH, showed an effect enhanced by bromelain, when related to sodium hypochlorite, showing greater tissue degradation. \u0000Conclusions: The association of bromelain with sodium hypochlorite potentiated the disintegration action of the pulp, opening possibilities for several clinical applications.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74820309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-11DOI: 10.32067/GIE.2019.33.01.06
A. Iandolo, Dina Abdellatif, C. Rengo, L. Fortunato, Garima Poddar
Aim: The aim of this article is to describe three case reports of unusual teeth anatomy, more precisely of a maxillary right central incisor with two roots and two root canals, a mandibular premolar with four root canals and a second maxillary molar with five root canals associated with an extra small root located in the center of pulp chamber. Methodology: A correct diagnosis, the awareness of finding an unusual anatomic root variation in any endodontic treatment, the use of technological equipment like the operative microscope and ultrasonic tips enabled the operator to solve the clinical case in a safe and predictable way. In order to set a correct treatment plan, it is quite important to evaluate a pre-operative radiograph before starting the endodontic treatment. Another step is the thorough examination of the pulp chamber floor, better if carried out under magnification and coaxial light in order to easily locate all the canal orifices. The endodontic treatment and retreatment of the previously mentioned three uncommon teeth will be discussed. Results: All the root canals were found, treated and obturated in the three presented cases and healing was shown in the follow up radiographs. Conclusions: Anatomic root variations should be anticipated in order to be encountered in the daily endodontic practice. A pre-operative radiography must always be done before endodontic treatment in order to make the right diagnosis. The operative microscope magnification is useful in order to work in a safe and precise way.
{"title":"Unusual anatomies: case series","authors":"A. Iandolo, Dina Abdellatif, C. Rengo, L. Fortunato, Garima Poddar","doi":"10.32067/GIE.2019.33.01.06","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.06","url":null,"abstract":"Aim: The aim of this article is to describe three case reports of unusual teeth anatomy, more precisely of a maxillary right central incisor with two roots and two root canals, a mandibular premolar with four root canals and a second maxillary molar with five root canals associated with an extra small root located in the center of pulp chamber. \u0000Methodology: A correct diagnosis, the awareness of finding an unusual anatomic root variation in any endodontic treatment, the use of technological equipment like the operative microscope and ultrasonic tips enabled the operator to solve the clinical case in a safe and predictable way. In order to set a correct treatment plan, it is quite important to evaluate a pre-operative radiograph before starting the endodontic treatment. Another step is the thorough examination of the pulp chamber floor, better if carried out under magnification and coaxial light in order to easily locate all the canal orifices. The endodontic treatment and retreatment of the previously mentioned three uncommon teeth will be discussed. \u0000Results: All the root canals were found, treated and obturated in the three presented cases and healing was shown in the follow up radiographs. \u0000Conclusions: Anatomic root variations should be anticipated in order to be encountered in the daily endodontic practice. A pre-operative radiography must always be done before endodontic treatment in order to make the right diagnosis. The operative microscope magnification is useful in order to work in a safe and precise way.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89538730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-11DOI: 10.32067/GIE.2019.33.01.04
R. Castagnola, I. Minciacchi, L. Marigo, M. Cordaro, N. Grande
Aim: This case report presents a root canal retreatment distinguished by a canal perforation successfully treated with a calcium-silicate based sealer (EndoSequence BC sealer, Brasseler USA, Savannah, GA, USA) with a 4 year follow-up. Summary: Root canal retreatment of a lower left second molar was performed in 80 years old patient because of a periapical chronic periodontitis with buccal fistula. The scouting of the mesio-lingual and distal canal was obtained with a k-file #10, while the mesio-buccal was not negotiable because of a perforation in the middle third of the root. Instrumentation of patent root canal was performed and the distal canal was filled with AH Plus (Dentsply DeTrey GmbH, Konstanz, Germany) and Thermafil Obturator (Dentsply Maillefer, Ballaigues, Switzerland) whereas the mesial canals and the per foration were sealed using EndoSequence BC Sealer and dedicated EndoSequence BC Points in order to perform a successive apical surgery. The improvement of clinical conditions and, successively, the gradual bone healing, confirmed with analogical radiographs, led to avoid the complicated endodontic surgery on this lower second molar, having already an acceptable clinical success. Key Learning Points: This case report confirmed the favorable physical and biological properties of calcium-silicate based sealers and, most of all, the handling properties of the EndoSequence BC sealer. In selected cases these type of sealers might lead to resolve complex treatments without using specialistic equipments like microscope and help general clinicians to approach complicated endodontic cases in an easier way.
目的:本病例报告介绍了一个根管再治疗，其特点是用硅酸钙基密封剂(EndoSequence BC密封剂，Brasseler USA, Savannah, GA, USA)成功治疗根管穿孔，并进行了4年的随访。摘要:我们对80岁的左下第二磨牙患者进行了根尖周慢性牙周炎伴颊瘘的再根管治疗。中舌根管和远端根管的检查使用k锉#10进行，而中颊根管由于在根的中间三分之一穿孔而无法进行检查。进行根管预备，远端根管填充AH Plus (Dentsply DeTrey GmbH, Konstanz, Germany)和Thermafil闭孔器(Dentsply Maillefer, Ballaigues, Switzerland)，而中端根管和穿孔则使用EndoSequence BC Sealer和专用EndoSequence BC Points进行密封，以便进行连续的根尖手术。临床条件的改善和骨逐渐愈合，经模拟x线片证实，避免了复杂的下第二磨牙根管手术，已经取得了可接受的临床成功。重点学习点:本病例报告证实了硅酸钙基密封剂良好的物理和生物性能，最重要的是，EndoSequence BC密封剂的处理性能。在选定的病例中，这些类型的密封器可能会导致解决复杂的治疗，而不使用像显微镜这样的专业设备，并帮助普通临床医生以更容易的方式接近复杂的根管病例。
{"title":"Treatment of a root canal perforation using a calcium-silicate based sealer: a case report with a 4 year follow-up","authors":"R. Castagnola, I. Minciacchi, L. Marigo, M. Cordaro, N. Grande","doi":"10.32067/GIE.2019.33.01.04","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.04","url":null,"abstract":"Aim: This case report presents a root canal retreatment distinguished by a canal perforation successfully treated with a calcium-silicate based sealer (EndoSequence BC sealer, Brasseler USA, Savannah, GA, USA) with a 4 year follow-up. \u0000Summary: Root canal retreatment of a lower left second molar was performed in 80 years old patient because of a periapical chronic periodontitis with buccal fistula. The scouting of the mesio-lingual and distal canal was obtained with a k-file #10, while the mesio-buccal was not negotiable because of a perforation in the middle third of the root. Instrumentation of patent root canal was performed and the distal canal was filled with AH Plus (Dentsply DeTrey GmbH, Konstanz, Germany) and Thermafil Obturator (Dentsply Maillefer, Ballaigues, Switzerland) whereas the mesial canals and the per foration were sealed using EndoSequence BC Sealer and dedicated EndoSequence BC Points in order to perform a successive apical surgery. The improvement of clinical conditions and, successively, the gradual bone healing, confirmed with analogical radiographs, led to avoid the complicated endodontic surgery on this lower second molar, having already an acceptable clinical success. \u0000Key Learning Points: This case report confirmed the favorable physical and biological properties of calcium-silicate based sealers and, most of all, the handling properties of the EndoSequence BC sealer. In selected cases these type of sealers might lead to resolve complex treatments without using specialistic equipments like microscope and help general clinicians to approach complicated endodontic cases in an easier way.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84952789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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