Pub Date : 2024-03-01DOI: 10.4103/jcde.jcde_337_23
Rana Tarek Bartaw, Mahmoud Hamdy Eid, Randa Youssef Abd Al Gawad, Ahmed Mohamed Abdel Samad
The aim of the current study is to evaluate the effect of calcium phophosilicate-based bioceramic “Totalfill bioceramic putty” and white mineral trioxide aggregate (WMTA) as the coronal plug on discoloration after revascularization of necrotic immature permanent anterior teeth. This study was conducted on (48) necrotic young permanent central incisors in children ranging from 8 to 14 years old, that were randomly allocated to either Totalfill bioceramic (Group I = 24) or WMTA (Group II = 24) as the coronal plug. Two visits revascularization protocol was adopted in this study using 1.5% sodium hypochlorite, followed by 17% ethylenediaminetetraacetic acid, and ending with a saline flush as irrigation solution. The double antibiotic paste was used as intracanal medication. The blood clot was used as scaffold followed by the application of collagen membrane followed by coronal plud malterial. Finally, the access was sealed using resin composite restoration and composite restoration. Clinical assessment was conducted at 1, 3, 6, 9, and 12 months, while radiographic assessment was conducted at 6 and 12 months. Data were statistically analyzed using the Chi-squared test for intergroup comparisons and Cochran’s Q test for intragroup comparison. Clinically, Group I exhibited a success rate of 100%, whereas Group II exhibited a success rate of 85.7%. Radiographically, both materials showed a 90.5% success rate. There was no statistically significant difference between both materials for all assessed clinical and radiographic parameters at different follow-up periods. Both Totalfill bioceramic putty and WMTA can be used successfully as coronal plug in esthetic areas.
{"title":"Discoloration after revascularization using calcium phosphosilicate-based bioceramic versus mineral trioxide aggregate in necrotic immature permanent anterior teeth: A Randomized clinical trial","authors":"Rana Tarek Bartaw, Mahmoud Hamdy Eid, Randa Youssef Abd Al Gawad, Ahmed Mohamed Abdel Samad","doi":"10.4103/jcde.jcde_337_23","DOIUrl":"https://doi.org/10.4103/jcde.jcde_337_23","url":null,"abstract":"\u0000 \u0000 \u0000 The aim of the current study is to evaluate the effect of calcium phophosilicate-based bioceramic “Totalfill bioceramic putty” and white mineral trioxide aggregate (WMTA) as the coronal plug on discoloration after revascularization of necrotic immature permanent anterior teeth.\u0000 \u0000 \u0000 \u0000 This study was conducted on (48) necrotic young permanent central incisors in children ranging from 8 to 14 years old, that were randomly allocated to either Totalfill bioceramic (Group I = 24) or WMTA (Group II = 24) as the coronal plug. Two visits revascularization protocol was adopted in this study using 1.5% sodium hypochlorite, followed by 17% ethylenediaminetetraacetic acid, and ending with a saline flush as irrigation solution. The double antibiotic paste was used as intracanal medication. The blood clot was used as scaffold followed by the application of collagen membrane followed by coronal plud malterial. Finally, the access was sealed using resin composite restoration and composite restoration. Clinical assessment was conducted at 1, 3, 6, 9, and 12 months, while radiographic assessment was conducted at 6 and 12 months. Data were statistically analyzed using the Chi-squared test for intergroup comparisons and Cochran’s Q test for intragroup comparison.\u0000 \u0000 \u0000 \u0000 Clinically, Group I exhibited a success rate of 100%, whereas Group II exhibited a success rate of 85.7%. Radiographically, both materials showed a 90.5% success rate. There was no statistically significant difference between both materials for all assessed clinical and radiographic parameters at different follow-up periods.\u0000 \u0000 \u0000 \u0000 Both Totalfill bioceramic putty and WMTA can be used successfully as coronal plug in esthetic areas.\u0000","PeriodicalId":516572,"journal":{"name":"Journal of Conservative Dentistry and Endodontics","volume":"139 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140279479","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 : 2024-03-01DOI: 10.4103/jcde.jcde_210_23
R. Monisha, A. Sivakumar, M. Chittrarasu, Sivakumar Jambai Sampath, Saravana Priyan Soundappan, R. Benny
Accurate working length (WL) determination is essential for successful root canal therapy. The aim of this study was to compare the difference between two different techniques in locating minor constriction using fifth-generation electronic apex locator. A detailed protocol explaining the procedures of the study was submitted to the institutional ethics committee. Forty extracted human permanent canine teeth were selected. WL was measured three times for each sample by three different examiners for both the conventional and experimental techniques at different time intervals. Interexaminers were blinded to their measurements, and the person who analyzed mean value was also blinded with techniques. Finally, radiographic working length was obtained using 15 size K-file. A size 20 K-file was cemented into the measured position with glass ionomer cement. Each tooth was viewed under a stereomicroscope at ×40 magnification. The distance from the file tip to the root apex was measured and calibrated to the nearest tenth of a millimeter. Using Stata statistical software (Version 17, Statacorp, College Station, Texas, USA). The agreement between raters and techniques was determined using intraclass correlation coefficient “ICC” and Bland–Altman plot. The “experimental method” (0.95, 95%) showed better agreement between the raters in comparison with the “conventional method” (0.93, 95%). The experimental technique showed perfect agreement between examiners in locating the minor constriction of the apical foramen.
准确测定工作长度（WL）对于成功的根管治疗至关重要。 本研究旨在比较两种不同技术在使用第五代电子根尖定位仪定位小收缩时的差异。 已向机构伦理委员会提交了解释研究程序的详细方案。 研究选取了 40 颗拔出的人类恒牙。由三位不同的检查者在不同的时间间隔对每个样本进行三次传统和实验技术的 WL 测量。检查者之间的测量结果是盲测，分析平均值的人也是盲测。最后，使用 15 号 K 型锉获得放射工作长度。用玻璃离子粘固剂将 20 号 K 型锉粘固到测量位置。在立体显微镜下以 ×40 倍的放大率观察每颗牙齿。测量锉尖到根尖的距离，并校准到最接近的十分之一毫米。 使用 Stata 统计软件（版本 17，Statacorp，College Station，Texas，USA）。使用类内相关系数 "ICC "和布兰德-阿尔特曼图确定评分者和技术之间的一致性。 与 "传统方法"（0.93，95%）相比，"实验方法"（0.95，95%）显示出评分者之间更好的一致性。 实验技术在确定根尖孔小收缩的位置方面显示出检查者之间的完全一致。
{"title":"Comparative evaluation of accuracy of working length determination with fifth-generation apex locator using two different techniques: An in vitro study","authors":"R. Monisha, A. Sivakumar, M. Chittrarasu, Sivakumar Jambai Sampath, Saravana Priyan Soundappan, R. Benny","doi":"10.4103/jcde.jcde_210_23","DOIUrl":"https://doi.org/10.4103/jcde.jcde_210_23","url":null,"abstract":"\u0000 \u0000 \u0000 Accurate working length (WL) determination is essential for successful root canal therapy.\u0000 \u0000 \u0000 \u0000 The aim of this study was to compare the difference between two different techniques in locating minor constriction using fifth-generation electronic apex locator.\u0000 \u0000 \u0000 \u0000 A detailed protocol explaining the procedures of the study was submitted to the institutional ethics committee.\u0000 \u0000 \u0000 \u0000 Forty extracted human permanent canine teeth were selected. WL was measured three times for each sample by three different examiners for both the conventional and experimental techniques at different time intervals. Interexaminers were blinded to their measurements, and the person who analyzed mean value was also blinded with techniques. Finally, radiographic working length was obtained using 15 size K-file. A size 20 K-file was cemented into the measured position with glass ionomer cement. Each tooth was viewed under a stereomicroscope at ×40 magnification. The distance from the file tip to the root apex was measured and calibrated to the nearest tenth of a millimeter.\u0000 \u0000 \u0000 \u0000 Using Stata statistical software (Version 17, Statacorp, College Station, Texas, USA). The agreement between raters and techniques was determined using intraclass correlation coefficient “ICC” and Bland–Altman plot.\u0000 \u0000 \u0000 \u0000 The “experimental method” (0.95, 95%) showed better agreement between the raters in comparison with the “conventional method” (0.93, 95%).\u0000 \u0000 \u0000 \u0000 The experimental technique showed perfect agreement between examiners in locating the minor constriction of the apical foramen.\u0000","PeriodicalId":516572,"journal":{"name":"Journal of Conservative Dentistry and Endodontics","volume":"49 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140283079","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 : 2024-03-01DOI: 10.4103/jcde.jcde_289_23
Neelam D Chandwani, Unnati Devanand Gedam, Ranjana Deshmukh, Darshan M Dakshindas, Manish Shrigiriwar
Pulpitis is a special disease of dental pulp. It causes localized inflammation, due to various inflammatory mediators such as cytokines and chemokines. These inflammatory mediators are responsible for various reparative and resorptive processes in the dental pulp. The balance between these processes ultimately determines the viability of the tooth. Due to the important properties of various inflammatory markers, the correlation of cytokinin gene expression in various stages of inflammation becomes necessary to focus on. Several studies in the past have focused on the importance of such correlation to help in diagnostic applications. The nature of these inflammatory mediators can help us in diagnostic evaluation. Several attempts have been made to focus on these associations so that it can assist in making clinical decisions effectively. The data available are vast but are the most neglected topic. This review article briefly outlines and summarizes the importance of various inflammatory mediators such as cytokinin and chemokines in various pathways of pulpal and periapical inflammation in explanatory and diagrammatic forms. Knowledge gained about pulpal inflammatory response may aid in understanding the molecular level of inflammatory pulpal and periapical diseases, which shall modify our future diagnostic modalities. Several medicaments are used in the treatment of minimal to advanced dental caries which leads to periapical infections. Thorough understanding of these medicaments can resolve secondary infection and can improve the prognosis of the treated tooth.
{"title":"Mines of cytokine: A treasure trove in pulpal and periapical diseases","authors":"Neelam D Chandwani, Unnati Devanand Gedam, Ranjana Deshmukh, Darshan M Dakshindas, Manish Shrigiriwar","doi":"10.4103/jcde.jcde_289_23","DOIUrl":"https://doi.org/10.4103/jcde.jcde_289_23","url":null,"abstract":"\u0000 Pulpitis is a special disease of dental pulp. It causes localized inflammation, due to various inflammatory mediators such as cytokines and chemokines. These inflammatory mediators are responsible for various reparative and resorptive processes in the dental pulp. The balance between these processes ultimately determines the viability of the tooth. Due to the important properties of various inflammatory markers, the correlation of cytokinin gene expression in various stages of inflammation becomes necessary to focus on. Several studies in the past have focused on the importance of such correlation to help in diagnostic applications. The nature of these inflammatory mediators can help us in diagnostic evaluation. Several attempts have been made to focus on these associations so that it can assist in making clinical decisions effectively. The data available are vast but are the most neglected topic. This review article briefly outlines and summarizes the importance of various inflammatory mediators such as cytokinin and chemokines in various pathways of pulpal and periapical inflammation in explanatory and diagrammatic forms. Knowledge gained about pulpal inflammatory response may aid in understanding the molecular level of inflammatory pulpal and periapical diseases, which shall modify our future diagnostic modalities. Several medicaments are used in the treatment of minimal to advanced dental caries which leads to periapical infections. Thorough understanding of these medicaments can resolve secondary infection and can improve the prognosis of the treated tooth.","PeriodicalId":516572,"journal":{"name":"Journal of Conservative Dentistry and Endodontics","volume":"246 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140274940","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 : 2024-03-01DOI: 10.4103/jcde.jcde_254_23
Maninder Kaur, M. Singla, Harleen Kaur, Litik Mittal, Saloni Gupta, Mintu Maria Joseph
This in vitro study aims to assess and compare the effectiveness of different irrigation activation techniques in removing the smear layer from the root canal dentin using Scanning electron microscope (SEM) analysis. A total of 60 extracted single-rooted premolar with straight canal and mature apex were used for this study. After the selection of teeth, all the samples were decoronated followed by biomechanical preparation. The sample after preparation was irrigated with sodium hypochlorite and randomly divided into three groups with 20 sample in each group (n = 20), (Group 1) control, (Group 2) ultrasonic, and (Group 3) laser. The irrigant activation was done in all the groups and then sample was prepared for the scanning electron microscope analysis. The statistical analysis was performed using the Mann–Whitney-U-test. The findings suggested that the diode laser irrigant activation technique was superior to the ultrasonic and conventional techniques to eradicate smear layers. With the limitation of this study, diode laser activation showed better cleaning of root dentinal walls compared to ultrasonic activator and traditional method.
{"title":"Comparative evaluation of smear layer removal by using different irrigant activation techniques: An in vitro scanning electron microscopic study","authors":"Maninder Kaur, M. Singla, Harleen Kaur, Litik Mittal, Saloni Gupta, Mintu Maria Joseph","doi":"10.4103/jcde.jcde_254_23","DOIUrl":"https://doi.org/10.4103/jcde.jcde_254_23","url":null,"abstract":"\u0000 \u0000 \u0000 This in vitro study aims to assess and compare the effectiveness of different irrigation activation techniques in removing the smear layer from the root canal dentin using Scanning electron microscope (SEM) analysis.\u0000 \u0000 \u0000 \u0000 A total of 60 extracted single-rooted premolar with straight canal and mature apex were used for this study. After the selection of teeth, all the samples were decoronated followed by biomechanical preparation. The sample after preparation was irrigated with sodium hypochlorite and randomly divided into three groups with 20 sample in each group (n = 20), (Group 1) control, (Group 2) ultrasonic, and (Group 3) laser. The irrigant activation was done in all the groups and then sample was prepared for the scanning electron microscope analysis.\u0000 \u0000 \u0000 \u0000 The statistical analysis was performed using the Mann–Whitney-U-test.\u0000 \u0000 \u0000 \u0000 The findings suggested that the diode laser irrigant activation technique was superior to the ultrasonic and conventional techniques to eradicate smear layers.\u0000 \u0000 \u0000 \u0000 With the limitation of this study, diode laser activation showed better cleaning of root dentinal walls compared to ultrasonic activator and traditional method.\u0000","PeriodicalId":516572,"journal":{"name":"Journal of Conservative Dentistry and Endodontics","volume":"6 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140280594","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 : 2024-03-01DOI: 10.4103/jcde.jcde_244_23
Dina Abdellatif, Massimo Pisano, Renato Gullà, G. Sangiovanni, Shishir Singh, Francesco Giordano, A. Buonavoglia, A. Iandolo
The endodontic space is complex, and using a single-cone obturation technique fails to ensure a complete filling. This study aimed to investigate the effect of ultrasonic activation, sonic activation, and single-cone technique of a biosealer on its dentinal tubular penetration. In the experiment, single-root mandibular premolars were randomly assigned to three groups (n = 20): group A, ultrasonic activation; Group B, sonic activation; and Group C, single-cone technique. Penetration of the fluorescently labeled biosealer was investigated using a confocal laser scanning microscope. The data were statistically analyzed using Kruskal–Wallis and Mann–Whitney tests (P = 0.05). The highest penetration of biosealer was observed in Group A, followed by Group B (P < 0.05). Dentinal tubule penetration of biosealer was significantly improved by ultrasonic and sonic activation techniques.
{"title":"Dentinal tubule penetration following ultrasonic, sonic, and single-cone technique of a biosealer: An ex vivo study","authors":"Dina Abdellatif, Massimo Pisano, Renato Gullà, G. Sangiovanni, Shishir Singh, Francesco Giordano, A. Buonavoglia, A. Iandolo","doi":"10.4103/jcde.jcde_244_23","DOIUrl":"https://doi.org/10.4103/jcde.jcde_244_23","url":null,"abstract":"\u0000 \u0000 \u0000 The endodontic space is complex, and using a single-cone obturation technique fails to ensure a complete filling.\u0000 \u0000 \u0000 \u0000 This study aimed to investigate the effect of ultrasonic activation, sonic activation, and single-cone technique of a biosealer on its dentinal tubular penetration.\u0000 \u0000 \u0000 \u0000 In the experiment, single-root mandibular premolars were randomly assigned to three groups (n = 20): group A, ultrasonic activation; Group B, sonic activation; and Group C, single-cone technique. Penetration of the fluorescently labeled biosealer was investigated using a confocal laser scanning microscope.\u0000 \u0000 \u0000 \u0000 The data were statistically analyzed using Kruskal–Wallis and Mann–Whitney tests (P = 0.05). The highest penetration of biosealer was observed in Group A, followed by Group B (P < 0.05).\u0000 \u0000 \u0000 \u0000 Dentinal tubule penetration of biosealer was significantly improved by ultrasonic and sonic activation techniques.\u0000","PeriodicalId":516572,"journal":{"name":"Journal of Conservative Dentistry and Endodontics","volume":"39 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140276122","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 : 2024-03-01DOI: 10.4103/jcde.jcde_312_23
Tanakanti Praveen, V. Kotrashetti, R. Nayak, S. Naik, Kishore Bhat, Manohar S. Kugaji
Dental caries is a multistep process which initiates the development of plaque‚ defined as a structured biofilm containing microbial communities. Teeth provide unique surfaces for bacterial colonization. Serotypes of Streptococcus mutans implicate the development of dental caries. The aim of the study was to determine the prevalence and association of serotypes of S. mutans in groups with and without dental caries. One hundred and fifty adults aged between 18 and 35 years were included in the study. Supragingival plaque samples were collected, followed by deoxyribonucleic acid extraction. Polymerase chain reaction was performed to identify S. mutans and its serotypes. Proportions of S. mutans and its serotypes were correlated with caries-active (CA) and caries-free (CF) groups. CA group showed 66.7% positivity for S. mutans and CF group showed only 42.7% of positivity. Serotype C showed a higher proportion followed by E‚ F, and K in the CA group, whereas in the CF group, higher proportion was observed with K followed by C‚ E, and F. 70.8% cases showed single serotype in the CA group and 83.3% in CF group. Multiple serotypes were seen in 29.2% in the CA group and 16.7% in the CF group. The study clearly established variation in proportions of S. mutans and its serotypes between CA and CF groups. Positive correlation was observed in the CA group for S. mutans and its serotypes.
龋齿是一个多步骤的过程，它导致牙菌斑的形成，"牙菌斑 "被定义为含有微生物群落的结构化生物膜。牙齿为细菌定植提供了独特的表面。变异链球菌的血清型与龋齿的形成有关。 这项研究旨在确定变异链球菌血清型在龋齿和非龋齿人群中的流行率和关联性。 研究对象包括 150 名年龄在 18 至 35 岁之间的成年人。采集龈上牙菌斑样本，然后进行脱氧核糖核酸提取。聚合酶链式反应用于鉴定变异杆菌及其血清型。变异杆菌及其血清型的比例与龋病活动组（CA）和无龋组（CF）相关。 CA组的变异杆菌阳性率为66.7%，而CF组仅为42.7%。在 CA 组中，血清型为 C 的比例较高，其次是 E' F 和 K，而在 CF 组中，血清型为 K 的比例较高，其次是 C' E 和 F。CA组中有29.2%的病例有多种血清型，CF组中有16.7%的病例有多种血清型。 该研究清楚地表明，CA 组和 CF 组之间的变异棒状杆菌及其血清型的比例存在差异。在CA组中观察到变异杆菌及其血清型呈正相关。
{"title":"Polymerase chain reaction-based identification of various serotypes of Streptococcus mutans in adults with and without dental caries","authors":"Tanakanti Praveen, V. Kotrashetti, R. Nayak, S. Naik, Kishore Bhat, Manohar S. Kugaji","doi":"10.4103/jcde.jcde_312_23","DOIUrl":"https://doi.org/10.4103/jcde.jcde_312_23","url":null,"abstract":"\u0000 \u0000 \u0000 Dental caries is a multistep process which initiates the development of plaque‚ defined as a structured biofilm containing microbial communities. Teeth provide unique surfaces for bacterial colonization. Serotypes of Streptococcus mutans implicate the development of dental caries.\u0000 \u0000 \u0000 \u0000 The aim of the study was to determine the prevalence and association of serotypes of S. mutans in groups with and without dental caries.\u0000 \u0000 \u0000 \u0000 One hundred and fifty adults aged between 18 and 35 years were included in the study. Supragingival plaque samples were collected, followed by deoxyribonucleic acid extraction. Polymerase chain reaction was performed to identify S. mutans and its serotypes. Proportions of S. mutans and its serotypes were correlated with caries-active (CA) and caries-free (CF) groups.\u0000 \u0000 \u0000 \u0000 CA group showed 66.7% positivity for S. mutans and CF group showed only 42.7% of positivity. Serotype C showed a higher proportion followed by E‚ F, and K in the CA group, whereas in the CF group, higher proportion was observed with K followed by C‚ E, and F. 70.8% cases showed single serotype in the CA group and 83.3% in CF group. Multiple serotypes were seen in 29.2% in the CA group and 16.7% in the CF group.\u0000 \u0000 \u0000 \u0000 The study clearly established variation in proportions of S. mutans and its serotypes between CA and CF groups. Positive correlation was observed in the CA group for S. mutans and its serotypes.\u0000","PeriodicalId":516572,"journal":{"name":"Journal of Conservative Dentistry and Endodontics","volume":"54 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140272236","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 : 2024-03-01DOI: 10.4103/jcde.jcde_324_23
Matheus Sousa Vitória, Eran Nair Mesquita de Almeida, Antonia Patricia Oliveira Barros, Eliane Cristina Gulin de Oliveira, Joatan Lucas de Sousa Gomes Costa, A. Dantas, Milton Carlos Kuga
This study evaluated the effectiveness of different mechanical protocols using rotary brush (RB), ultrasonic tip, and oscillatory system (OS) associated with 2.5% sodium hypochlorite (NaOCl) in the removal of residues and dentin permeability in the cervical and apical segments of the post space. Experimental in vitro study. Forty roots from human first molars were prepared and divided into four groups according to the cleaning protocols: Control (CO), NaOCl 2.5% conventional irrigation with a syringe; RB associated with NaOCl 2.5%; ultrasonic tip (US) associated with NaOCl 2.5%; OS associated with NaOCl 2.5%. The persistence of residues was evaluated by scanning electron microscopy and data submitted to Kruskal–Wallis and Dunn tests, and dentin permeability evaluated by confocal microscopy and date submitted to ANOVA one-way and Tukey’s tests (P = 0.05). There were no differences in residue cleaning among the CO, RB, US, and OS groups, regardless of the analyzed root segment (P > 0.05). When comparing groups, dentin permeability in the CO group was significantly lower in the cervical segment (P < 0.05). The OS group promoted the highest permeability value in the apical segment. RB, US, and OS are similar in removing residues from the post space. However, OS results in higher dentin permeability in the apical segment.
{"title":"Evaluation of different mechanical cleaning protocols associated with 2.5% sodium hypochlorite in the removal of residues from the post space","authors":"Matheus Sousa Vitória, Eran Nair Mesquita de Almeida, Antonia Patricia Oliveira Barros, Eliane Cristina Gulin de Oliveira, Joatan Lucas de Sousa Gomes Costa, A. Dantas, Milton Carlos Kuga","doi":"10.4103/jcde.jcde_324_23","DOIUrl":"https://doi.org/10.4103/jcde.jcde_324_23","url":null,"abstract":"\u0000 \u0000 \u0000 This study evaluated the effectiveness of different mechanical protocols using rotary brush (RB), ultrasonic tip, and oscillatory system (OS) associated with 2.5% sodium hypochlorite (NaOCl) in the removal of residues and dentin permeability in the cervical and apical segments of the post space.\u0000 \u0000 \u0000 \u0000 Experimental in vitro study.\u0000 \u0000 \u0000 \u0000 Forty roots from human first molars were prepared and divided into four groups according to the cleaning protocols: Control (CO), NaOCl 2.5% conventional irrigation with a syringe; RB associated with NaOCl 2.5%; ultrasonic tip (US) associated with NaOCl 2.5%; OS associated with NaOCl 2.5%.\u0000 \u0000 \u0000 \u0000 The persistence of residues was evaluated by scanning electron microscopy and data submitted to Kruskal–Wallis and Dunn tests, and dentin permeability evaluated by confocal microscopy and date submitted to ANOVA one-way and Tukey’s tests (P = 0.05).\u0000 \u0000 \u0000 \u0000 There were no differences in residue cleaning among the CO, RB, US, and OS groups, regardless of the analyzed root segment (P > 0.05). When comparing groups, dentin permeability in the CO group was significantly lower in the cervical segment (P < 0.05).\u0000 \u0000 \u0000 \u0000 The OS group promoted the highest permeability value in the apical segment. RB, US, and OS are similar in removing residues from the post space. However, OS results in higher dentin permeability in the apical segment.\u0000","PeriodicalId":516572,"journal":{"name":"Journal of Conservative Dentistry and Endodontics","volume":"367 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140281076","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 : 2024-03-01DOI: 10.4103/jcde.jcde_314_23
Toka Kamaleldeen Elzanaty, M. Elashiry, A. Mahran
The aim of this study was to compare the retreatability of NeoSEALER Flo obturated with warm vertical compaction (WVC) and single-cone (SC) techniques using two different retreatment systems. Thirty-two root canals were shaped and obturated with NeoSEALER Flo either in an SC obturation technique or a WVC technique. Samples were retreated using ProTaper retreatment or EdgeFile XR retreatment system. The percentage of remaining debris after retreatment was analyzed under a scanning electron microscope using ImageJ software. The time taken to reach full working length (WL) and induce patency was recorded. Statistical analysis was performed using an unpaired t-test and a one-way analysis of variance test. The percentage of remaining debris after retreatment was significantly higher in the SC technique than in the WVC technique, regardless of the retreatment system used. EdgeFile XR system removed more filling material than the ProTaper retreatment system, regardless of the obturation technique. The apical region showed significantly higher remaining debris than other regions in all groups. The WL and patency were achieved faster in the SC group, while in the WVC group, the EdgeFile XR system was faster. The WVC technique showed better retrieval of the filling material; however, a longer time was taken for retreatment. EdgeFile XR system performed better in removing filling materials from inside the canals.
{"title":"Retreatability of NeoSEALER Flo obturated with warm vertical compaction versus single-cone technique using two different retreatment systems","authors":"Toka Kamaleldeen Elzanaty, M. Elashiry, A. Mahran","doi":"10.4103/jcde.jcde_314_23","DOIUrl":"https://doi.org/10.4103/jcde.jcde_314_23","url":null,"abstract":"\u0000 \u0000 \u0000 The aim of this study was to compare the retreatability of NeoSEALER Flo obturated with warm vertical compaction (WVC) and single-cone (SC) techniques using two different retreatment systems.\u0000 \u0000 \u0000 \u0000 Thirty-two root canals were shaped and obturated with NeoSEALER Flo either in an SC obturation technique or a WVC technique. Samples were retreated using ProTaper retreatment or EdgeFile XR retreatment system. The percentage of remaining debris after retreatment was analyzed under a scanning electron microscope using ImageJ software. The time taken to reach full working length (WL) and induce patency was recorded.\u0000 \u0000 \u0000 \u0000 Statistical analysis was performed using an unpaired t-test and a one-way analysis of variance test.\u0000 \u0000 \u0000 \u0000 The percentage of remaining debris after retreatment was significantly higher in the SC technique than in the WVC technique, regardless of the retreatment system used. EdgeFile XR system removed more filling material than the ProTaper retreatment system, regardless of the obturation technique. The apical region showed significantly higher remaining debris than other regions in all groups. The WL and patency were achieved faster in the SC group, while in the WVC group, the EdgeFile XR system was faster.\u0000 \u0000 \u0000 \u0000 The WVC technique showed better retrieval of the filling material; however, a longer time was taken for retreatment. EdgeFile XR system performed better in removing filling materials from inside the canals.\u0000","PeriodicalId":516572,"journal":{"name":"Journal of Conservative Dentistry and Endodontics","volume":"53 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140087446","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}
Effective irrigation is crucial for successful endodontic treatment. Traditional irrigants like sodium hypochlorite (NaOCl) have been widely used, but there is a growing interest in exploring natural alternatives for their potential antimicrobial properties. The study aims to compare the antimicrobial efficacy of Neem, Bitter Gourd, and NaOCl, with and without ultrasonic activation in managing primary endodontic infections. Ninety patients were randomly assigned six groups (n = 15) Group 1: NaOCl, Group 2: NaOCl with passive ultrasonic irrigation (PUI), Group 3: Neem juice, Group 4: Neem juice with PUI, Group 5: Bitter gourd juice, and Group 6: Bitter gourd juice with PUI. Bacteriological samples were collected before (S1) and after (S2) shaping, plated on brain heart infusion agar, and colony counting was done after 24 h. Shapiro–Wilk test, one-way ANOVA, post hoc Tukey analysis, and paired t-test. All the groups demonstrated a significant reduction in bacterial count. Groups with PUI (2, 4, 6) demonstrated higher mean bacterial reduction than their counterparts without PUI (1, 3, 5). Neem and Bitter gourd juices, particularly when used with PUI, demonstrated antimicrobial efficacy comparable to NaOCl with PUI.
{"title":"Antimicrobial efficacy of two commercially available herbal products with and without ultrasonic activation in primary endodontic infections: A randomized clinical trial","authors":"Drishti Palwankar, Ashima Garg, Monika Tandan, Prashant Bhasin, Akshat Sachdeva, P. Palwankar","doi":"10.4103/jcde.jcde_308_23","DOIUrl":"https://doi.org/10.4103/jcde.jcde_308_23","url":null,"abstract":"\u0000 \u0000 \u0000 Effective irrigation is crucial for successful endodontic treatment. Traditional irrigants like sodium hypochlorite (NaOCl) have been widely used, but there is a growing interest in exploring natural alternatives for their potential antimicrobial properties.\u0000 \u0000 \u0000 \u0000 The study aims to compare the antimicrobial efficacy of Neem, Bitter Gourd, and NaOCl, with and without ultrasonic activation in managing primary endodontic infections.\u0000 \u0000 \u0000 \u0000 Ninety patients were randomly assigned six groups (n = 15) Group 1: NaOCl, Group 2: NaOCl with passive ultrasonic irrigation (PUI), Group 3: Neem juice, Group 4: Neem juice with PUI, Group 5: Bitter gourd juice, and Group 6: Bitter gourd juice with PUI. Bacteriological samples were collected before (S1) and after (S2) shaping, plated on brain heart infusion agar, and colony counting was done after 24 h.\u0000 \u0000 \u0000 \u0000 Shapiro–Wilk test, one-way ANOVA, post hoc Tukey analysis, and paired t-test.\u0000 \u0000 \u0000 \u0000 All the groups demonstrated a significant reduction in bacterial count. Groups with PUI (2, 4, 6) demonstrated higher mean bacterial reduction than their counterparts without PUI (1, 3, 5).\u0000 \u0000 \u0000 \u0000 Neem and Bitter gourd juices, particularly when used with PUI, demonstrated antimicrobial efficacy comparable to NaOCl with PUI.\u0000","PeriodicalId":516572,"journal":{"name":"Journal of Conservative Dentistry and Endodontics","volume":"1 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140273879","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}
Anterior tooth discolorations can be treated conservatively and noninvasively through bleaching to achieve the desired esthetic outcomes. However, bleaching along with composite resin is advisable for certain clinical cases for optimum results. However, shear bond strength (SBS) of composite resin to the bleached tooth gets significantly lowered. Before placing the composite restoration, the bleached enamel needs to be treated with antioxidant agents to increase its SBS. The study aims to evaluate and compare the effect of herbal antioxidants on SBS of composite resin to bleached enamel at different time intervals. Sixty extracted single-rooted maxillary incisors postdecoronation, keeping their labial surfaces up were mounted in cold-cure acrylic resin. The samples were randomly divided into: Group I – unbleached; Group II – 10% pine bark extract for 10 min postbleaching; Group III – 10% pine bark extract for 20 min postbleaching; Group IV – application of 10% rosemary extract for 10 min postbleaching, Group V – application of 10% rosemary extract for 20 min postbleaching; Group VI – no application of antioxidant. 35% hydrogen peroxide was used for bleaching all the samples except those which served as negative control. Later composite cylinder 4 mm in diameter and length were built on prepared enamel. The maximum load at failure was recorded using the universal testing machine. Data were analyzed using the analysis of variance and Tukey’s t-test with significance level of P < 0.05. Highest load was exhibited by Group I. Group V showed satisfactory shear strength followed by Groups IV, III, II, and VI. Both 10% rosemary and 10% pine bark extracts showed better results when applied for 20 min as compared to 10 min application. Increased duration of antioxidant application increases the SBS.
{"title":"Effect of herbal antioxidants on the shear bond strength of composite resin to bleached enamel at different time intervals","authors":"S. Kamat, N. H. Malgundkar, Divya Gupta, M. Kamat","doi":"10.4103/jcde.jcde_41_24","DOIUrl":"https://doi.org/10.4103/jcde.jcde_41_24","url":null,"abstract":"\u0000 \u0000 \u0000 Anterior tooth discolorations can be treated conservatively and noninvasively through bleaching to achieve the desired esthetic outcomes. However, bleaching along with composite resin is advisable for certain clinical cases for optimum results. However, shear bond strength (SBS) of composite resin to the bleached tooth gets significantly lowered. Before placing the composite restoration, the bleached enamel needs to be treated with antioxidant agents to increase its SBS. The study aims to evaluate and compare the effect of herbal antioxidants on SBS of composite resin to bleached enamel at different time intervals.\u0000 \u0000 \u0000 \u0000 Sixty extracted single-rooted maxillary incisors postdecoronation, keeping their labial surfaces up were mounted in cold-cure acrylic resin. The samples were randomly divided into: Group I – unbleached; Group II – 10% pine bark extract for 10 min postbleaching; Group III – 10% pine bark extract for 20 min postbleaching; Group IV – application of 10% rosemary extract for 10 min postbleaching, Group V – application of 10% rosemary extract for 20 min postbleaching; Group VI – no application of antioxidant. 35% hydrogen peroxide was used for bleaching all the samples except those which served as negative control. Later composite cylinder 4 mm in diameter and length were built on prepared enamel. The maximum load at failure was recorded using the universal testing machine.\u0000 \u0000 \u0000 \u0000 Data were analyzed using the analysis of variance and Tukey’s t-test with significance level of P < 0.05.\u0000 \u0000 \u0000 \u0000 Highest load was exhibited by Group I. Group V showed satisfactory shear strength followed by Groups IV, III, II, and VI.\u0000 \u0000 \u0000 \u0000 Both 10% rosemary and 10% pine bark extracts showed better results when applied for 20 min as compared to 10 min application. Increased duration of antioxidant application increases the SBS.\u0000","PeriodicalId":516572,"journal":{"name":"Journal of Conservative Dentistry and Endodontics","volume":"127 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140276684","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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