Hany Mohamed Aly Ahmed BDS, HDD (Endo), PhD, FICD, MDTFEd (RCSEd), FPFA, FADI, Giampiero Rossi-Fedele DDS, MClinDent, PhD, Paul Michael Howell Dummer BDS, MScD, PhD, DDSc
A novel system to classify root and canal morphology was recently introduced (Ahmed et al. 2017). This systematic review aimed to answer the following research question: Does the Ahmed et al. system provide a more accurate and practical classification of root and canal anatomy compared to other classifications? A literature search was conducted in Google Scholar, Scopus and Wiley Online Library to identify the citation counts for the article entitled ‘A new system for classifying root and root canal morphology; doi.org/10.1111/iej.12685’. After removal of duplicates and unrelated articles, 15 studies were included and analysed. All studies compared the Ahmed et al. system with the Vertucci classification. Results revealed that both systems were able to classify simple canal configurations in single-rooted anterior and premolar teeth, disto-buccal and palatal roots of maxillary molars. However, the Ahmed et al. system provided more accurate and comprehensive categorisations of single-rooted teeth with complex canal anatomy, multi-rooted maxillary and mandibular premolars and the mesio-buccal root of maxillary molars. Further evidence on the utility of the Ahmed et al. system is required using other diagnostic devices especially in molars.
最近推出了一种新的根和根管形态分类系统(Ahmed 等人,2017 年)。本系统综述旨在回答以下研究问题:与其他分类方法相比,Ahmed 等人的系统是否能提供更准确、更实用的根和根管解剖学分类?在 Google Scholar、Scopus 和 Wiley Online Library 中进行了文献检索,以确定题为 "A new system for classifying root and root canal morphology; doi.org/10.1111/iej.12685 "的文章的引用次数。在删除重复和不相关的文章后,共纳入 15 项研究并对其进行分析。所有研究都将 Ahmed 等人的系统与 Vertucci 分类进行了比较。结果显示,这两种系统都能对单根前磨牙和前臼齿、上颌磨牙的颊侧根和腭侧根的简单牙道构型进行分类。然而,Ahmed 等人的系统对具有复杂牙管解剖结构的单根牙、多根上颌和下颌前磨牙以及上颌磨牙的中颊根提供了更准确、更全面的分类。需要使用其他诊断设备进一步证明 Ahmed 等人系统的实用性,尤其是在磨牙方面。
{"title":"Critical analysis of a new system to classify root and canal morphology — A systematic review","authors":"Hany Mohamed Aly Ahmed BDS, HDD (Endo), PhD, FICD, MDTFEd (RCSEd), FPFA, FADI, Giampiero Rossi-Fedele DDS, MClinDent, PhD, Paul Michael Howell Dummer BDS, MScD, PhD, DDSc","doi":"10.1111/aej.12780","DOIUrl":"10.1111/aej.12780","url":null,"abstract":"<p>A novel system to classify root and canal morphology was recently introduced (Ahmed et al. 2017). This systematic review aimed to answer the following research question: Does the Ahmed et al. system provide a more accurate and practical classification of root and canal anatomy compared to other classifications? A literature search was conducted in Google Scholar, Scopus and Wiley Online Library to identify the citation counts for the article entitled ‘A new system for classifying root and root canal morphology; doi.org/10.1111/iej.12685’. After removal of duplicates and unrelated articles, 15 studies were included and analysed. All studies compared the Ahmed et al. system with the Vertucci classification. Results revealed that both systems were able to classify simple canal configurations in single-rooted anterior and premolar teeth, disto-buccal and palatal roots of maxillary molars. However, the Ahmed et al. system provided more accurate and comprehensive categorisations of single-rooted teeth with complex canal anatomy, multi-rooted maxillary and mandibular premolars and the mesio-buccal root of maxillary molars. Further evidence on the utility of the Ahmed et al. system is required using other diagnostic devices especially in molars.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/aej.12780","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10189375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eugenio Pedullà DDS, PhD, MSc, Francesco Iacono DDS, MS, Martina Pitrolo DDS, Giovanni Barbagallo DDS, Giusy Rita Maria La Rosa DDS, PhD, Chiara Pirani DDS, MS, PhD
The aim of the study was to evaluate the impact of kinematics and irrigation protocols on the extrusion of apical debris during removal of different obturation techniques. A total of 144 single-rooted teeth were instrumented and obturated with Thermafil+AH Plus, Thermafil+AH Plus Bioceramic and single gutta-percha cone+AH Plus Bioceramic. Samples were divided according to the retreatment kinematics: continuous rotation or Jeni motion. Each sub-group was subjected to conventional irrigation or irrigation activated by EDDY. Extruded debris was collected in Eppendorf tubes, weighted and retreatment time was digitally recorded. Data were analysed with two-way ANOVA (p < 0.05). Debris extrusion was not significantly different between all groups. EDDY activation system and CanalPro Jeni required significantly longer time compared with other groups to remove Thermafil+AH Plus and single cone+AH Plus Bioceramic. Within current limitations, obturation technique, irrigation protocol and kinematics tested had no influence on apical extrusion debris, while they significantly impacted the retreatment time.
这项研究的目的是评估运动学和冲洗方案对不同封闭技术拔除过程中根尖碎屑挤出的影响。共对 144 颗单根牙进行了器械治疗,并使用 Thermafil+AH Plus、Thermafil+AH Plus Bioceramic 和单根牙胶锥+AH Plus Bioceramic 进行了充填。样本根据再治疗运动学分为:连续旋转或杰尼运动。每个分组都接受了传统灌洗或由 EDDY 激活的灌洗。用 Eppendorf 管收集挤出的碎屑,称重并用数字记录再处理时间。数据采用双向方差分析(p < 0.05)。各组间的碎屑挤出量无明显差异。与其他组相比,EDDY激活系统和CanalPro Jeni去除Thermafil+AH Plus和单锥+AH Plus生物陶瓷所需的时间明显更长。在目前的限制条件下,所测试的封闭技术、冲洗方案和运动学对根尖挤出碎屑没有影响,但对再处理时间有明显影响。
{"title":"Assessing the impact of obturation techniques, kinematics and irrigation protocols on apical debris extrusion and time required in endodontic retreatment","authors":"Eugenio Pedullà DDS, PhD, MSc, Francesco Iacono DDS, MS, Martina Pitrolo DDS, Giovanni Barbagallo DDS, Giusy Rita Maria La Rosa DDS, PhD, Chiara Pirani DDS, MS, PhD","doi":"10.1111/aej.12795","DOIUrl":"10.1111/aej.12795","url":null,"abstract":"<p>The aim of the study was to evaluate the impact of kinematics and irrigation protocols on the extrusion of apical debris during removal of different obturation techniques. A total of 144 single-rooted teeth were instrumented and obturated with Thermafil+AH Plus, Thermafil+AH Plus Bioceramic and single gutta-percha cone+AH Plus Bioceramic. Samples were divided according to the retreatment kinematics: continuous rotation or Jeni motion. Each sub-group was subjected to conventional irrigation or irrigation activated by EDDY. Extruded debris was collected in Eppendorf tubes, weighted and retreatment time was digitally recorded. Data were analysed with two-way ANOVA (<i>p</i> < 0.05). Debris extrusion was not significantly different between all groups. EDDY activation system and CanalPro Jeni required significantly longer time compared with other groups to remove Thermafil+AH Plus and single cone+AH Plus Bioceramic. Within current limitations, obturation technique, irrigation protocol and kinematics tested had no influence on apical extrusion debris, while they significantly impacted the retreatment time.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/aej.12795","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10258016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This CBCT-based study analysed morphometric relationships in Mesio-Buccal (MB) roots of maxillary first molars (MFM). 133 MFM with two MB canals were assessed and classified using Vertucci's classification. MB roots' length and MB1-MB2 canals inter-orifice distances (IOD) were noted. The data were analysed using SPSS software. The most frequently present canal was type IV (59.4%) followed by type II (40.6%). Mean MB roots' length for canals exhibiting type IV was 9.26 ± 0.21 mm and of those exhibiting type II was 12.8 ± 0.42 mm. Statistically significant relationship was found between MB root length and canal type. Mean IOD for type II and type IV canals was 2.4 ± 0.47 and 3.8 ± 0.21 mm, respectively. Statistically significant relationship was found between IOD and canal type. Length of MB root and IOD had a significant association with canal type present in MFM. This knowledge can enhance clinicians' understanding of canal morphology which can increase predictability and success rate of endodontic treatment.
{"title":"Morphometric relationships in mesio-buccal roots of maxillary first molars in Saudi subpopulation: A CBCT study","authors":"Swati Srivastava MDS, Noura Suliman Aldakhail BDS, Muhammad Qasim Javed BDS, FCPS, MSc, FHEA","doi":"10.1111/aej.12793","DOIUrl":"10.1111/aej.12793","url":null,"abstract":"<p>This CBCT-based study analysed morphometric relationships in Mesio-Buccal (MB) roots of maxillary first molars (MFM). 133 MFM with two MB canals were assessed and classified using Vertucci's classification. MB roots' length and MB1-MB2 canals inter-orifice distances (IOD) were noted. The data were analysed using SPSS software. The most frequently present canal was type IV (59.4%) followed by type II (40.6%). Mean MB roots' length for canals exhibiting type IV was 9.26 ± 0.21 mm and of those exhibiting type II was 12.8 ± 0.42 mm. Statistically significant relationship was found between MB root length and canal type. Mean IOD for type II and type IV canals was 2.4 ± 0.47 and 3.8 ± 0.21 mm, respectively. Statistically significant relationship was found between IOD and canal type. Length of MB root and IOD had a significant association with canal type present in MFM. This knowledge can enhance clinicians' understanding of canal morphology which can increase predictability and success rate of endodontic treatment.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10146585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fears and difficulties of Moroccan dental students regarding endodontic access cavity were evaluated among 3 items: (i) teachers, (ii) student confidence and (iii) access cavity protocol. A three Likert scale was used to rate 24 statements. Specific scores between 1 and 3 and mean scores between 0 and 1 were used to assess statements and items, respectively. Among 116 students, the mean score of difficulty related to teachers (0.48 ± 0.14) was significantly low (p < 0.001) compared to student confidence (0.69 ± 0.12) and cavity protocol (0.68 ± 0.08). The number of teachers was esteemed insufficient, additional training sessions were requested and maxillary teeth and molars were rated the most difficult with specific scores of 1.91 ± 0.80, 2.72 ± 0.61, 2.22 ± 0.67 and 2.47 ± 0.74, respectively. The highest specific score referred to the risk of making ledges (2.8 ± 0.56) or perforations (2.76 ± 0.59). Students expressed a lack of confidence, difficulty with upper molars and fears of making procedural errors.
{"title":"Endodontic access cavities: Fears and difficulties of Moroccan dental students related to teachers, self-confidence and technical protocol","authors":"Sonia Ghoul DDS, PhD, Fatima-Ezzahra Faridi DDS, Louzan Haj Khalaf DDS, Rachid Razine MD, MPH, Khadija Sikkou DDS, Lamia Idrissi-Kaitouni DDS, Mohamed Rahhali DDS, Majid Sakout DDS","doi":"10.1111/aej.12790","DOIUrl":"10.1111/aej.12790","url":null,"abstract":"<p>Fears and difficulties of Moroccan dental students regarding endodontic access cavity were evaluated among 3 items: (i) teachers, (ii) student confidence and (iii) access cavity protocol. A three Likert scale was used to rate 24 statements. Specific scores between 1 and 3 and mean scores between 0 and 1 were used to assess statements and items, respectively. Among 116 students, the mean score of difficulty related to teachers (0.48 ± 0.14) was significantly low (<i>p</i> < 0.001) compared to student confidence (0.69 ± 0.12) and cavity protocol (0.68 ± 0.08). The number of teachers was esteemed insufficient, additional training sessions were requested and maxillary teeth and molars were rated the most difficult with specific scores of 1.91 ± 0.80, 2.72 ± 0.61, 2.22 ± 0.67 and 2.47 ± 0.74, respectively. The highest specific score referred to the risk of making ledges (2.8 ± 0.56) or perforations (2.76 ± 0.59). Students expressed a lack of confidence, difficulty with upper molars and fears of making procedural errors.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10039725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arzu Yağmur Uçar DDS, Türkay Kölüş DDS, D. Alperen Bozkurt DDS, PhD, Prasanna Neelakantan BDS, MDS, PhD, FHEA, Islam A. A. Ali BDS, MDS, PhD, Sema Belli DDS, PhD
Optimal bonding of adhesive restorations to dentin is crucial to prevent microleakage and enhance the survival of root-filled teeth. The aim of this study was to investigate the effect of chlorhexidine (CHX), alexidine (ALX) and octenidine dihydrochloride (OCT) on the bond strength of resin composites to coronal dentin. Human coronal dentin specimens were treated with 2% CHX, 0.1% ALX, 0.1% OCT or saline then restored with traditional or bulk-fill resin composites. The adhesion strength between the resin and dentin was measured using the microtensile bond strength and failure mode was determined using a stereomicroscope. Treatment with ALX and OCT resulted in significantly greater μTBS compared with CHX and saline, irrespective of the resin composite used. Alexidine treatment predominantly resulted in mixed failure, while adhesive failures were frequently observed in CHX and saline-treated dentin. In conclusion, final irrigation with ALX or OCT improved the bonding of resin composites to dentin.
粘接修复体与牙本质的最佳粘接对于防止微渗漏和提高根充牙的存活率至关重要。本研究旨在探讨洗必泰(CHX)、洗必泰(ALX)和盐酸辛烯胺(OCT)对树脂复合材料与冠状牙本质粘接强度的影响。用 2% CHX、0.1% ALX、0.1% OCT 或生理盐水处理人类冠状牙本质样本,然后用传统或大量填充树脂复合材料进行修复。使用显微拉伸粘接强度测量树脂与牙本质之间的粘接强度,并使用体视显微镜确定失效模式。与 CHX 和生理盐水相比,无论使用哪种树脂复合材料,ALX 和 OCT 处理都能显著提高 μTBS 值。Alexidine 处理主要导致混合失败,而 CHX 和生理盐水处理的牙本质则经常出现粘接失败。总之,用 ALX 或 OCT 进行最终灌洗可以提高树脂复合材料与牙本质的粘接性。
{"title":"A laboratory investigation on the effect of biguanide- and pyridine-derived antiseptics on the adhesion of resin composites to dentin","authors":"Arzu Yağmur Uçar DDS, Türkay Kölüş DDS, D. Alperen Bozkurt DDS, PhD, Prasanna Neelakantan BDS, MDS, PhD, FHEA, Islam A. A. Ali BDS, MDS, PhD, Sema Belli DDS, PhD","doi":"10.1111/aej.12791","DOIUrl":"10.1111/aej.12791","url":null,"abstract":"<p>Optimal bonding of adhesive restorations to dentin is crucial to prevent microleakage and enhance the survival of root-filled teeth. The aim of this study was to investigate the effect of chlorhexidine (CHX), alexidine (ALX) and octenidine dihydrochloride (OCT) on the bond strength of resin composites to coronal dentin. Human coronal dentin specimens were treated with 2% CHX, 0.1% ALX, 0.1% OCT or saline then restored with traditional or bulk-fill resin composites. The adhesion strength between the resin and dentin was measured using the microtensile bond strength and failure mode was determined using a stereomicroscope. Treatment with ALX and OCT resulted in significantly greater μTBS compared with CHX and saline, irrespective of the resin composite used. Alexidine treatment predominantly resulted in mixed failure, while adhesive failures were frequently observed in CHX and saline-treated dentin. In conclusion, final irrigation with ALX or OCT improved the bonding of resin composites to dentin.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10034593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Giusy Rita Maria La Rosa DDS, PhD, Maria Laura Leotta DDS, Francesco Saverio Canova DDS, Virginia Rosy Romeo DDS, Gabriele Cervino DDS, PhD, Luigi Generali DDS, Eugenio Pedullà DDS, MSc, PhD
The aim of this study was to compare the cyclic fatigue resistance of nickel-titanium instruments inside single and double-curved canals at different temperatures. 160 HyFlex EDM #20.05 (HEDM), VDW.ROTATE #20.05 and #25.06, Mtwo #25.06 were randomised (n = 10) for the dynamic cyclic fatigue tests according to the curvature (i.e. single and double) at 20° ± 1°C and 35° ± 1°C. The number of cycles to fracture (NCF) was analysed by two-way ANOVA with p < 0.05. Fatigue resistance of all instruments significantly decreased at body temperature in single and double curvatures, except for HEDM in double curvature. The NCF was significantly lower in double curvature than single at both temperatures for all files, except for VDW.ROTATE #20.05 at 35° ± 1°C. Within the study limitations, temperature significantly impaired cyclic fatigue resistance of all files except HEDM #20.05 in double curvature. Similarly, double curvature had a detrimental effect on cyclic fatigue resistance of all files except for VDW.ROTATE #20.05 at body temperature.
{"title":"Cyclic fatigue resistance of different nickel-titanium instruments in single and double curvature at room and body temperatures: A laboratory study","authors":"Giusy Rita Maria La Rosa DDS, PhD, Maria Laura Leotta DDS, Francesco Saverio Canova DDS, Virginia Rosy Romeo DDS, Gabriele Cervino DDS, PhD, Luigi Generali DDS, Eugenio Pedullà DDS, MSc, PhD","doi":"10.1111/aej.12789","DOIUrl":"10.1111/aej.12789","url":null,"abstract":"<p>The aim of this study was to compare the cyclic fatigue resistance of nickel-titanium instruments inside single and double-curved canals at different temperatures. 160 HyFlex EDM #20.05 (HEDM), VDW.ROTATE #20.05 and #25.06, Mtwo #25.06 were randomised (<i>n</i> = 10) for the dynamic cyclic fatigue tests according to the curvature (i.e. single and double) at 20° ± 1°C and 35° ± 1°C. The number of cycles to fracture (NCF) was analysed by two-way ANOVA with <i>p</i> < 0.05. Fatigue resistance of all instruments significantly decreased at body temperature in single and double curvatures, except for HEDM in double curvature. The NCF was significantly lower in double curvature than single at both temperatures for all files, except for VDW.ROTATE #20.05 at 35° ± 1°C. Within the study limitations, temperature significantly impaired cyclic fatigue resistance of all files except HEDM #20.05 in double curvature. Similarly, double curvature had a detrimental effect on cyclic fatigue resistance of all files except for VDW.ROTATE #20.05 at body temperature.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/aej.12789","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10024110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Talita Tartari DDS, MSc, PhD, Brenda Stefhany Wilchenski DDS, Luana Arantes de Souza Lima DDS, Rodrigo Ricci Vivan DDS, MSc, PhD, Vasudev Ballal BDS, MDS, PhD, Marco Antonio Hungaro Duarte DDS, MSc, PhD
The purpose of this study was to compare the impact of different irrigation protocols on debris extrusion. Single-rooted teeth were distributed into groups based on the irrigation protocols (n = 40): 2.5% NaOCl (biomechanical preparation: 20 mL and final irrigation: 5 mL); 2.5% NaOCl (biomechanical preparation: 20 mL) + 17% EDTA (final irrigation: 2 mL) + 2.5% NaOCl (final irrigation: 3 mL); and a mixture of 5% NaOCl +18% HEDP (biomechanical preparation: 20 mL and final irrigation: 5 mL). The canals were prepared using a reciprocating instrument size 40/0.06. For final irrigation, the groups were reassigned based on the agitation methods (n = 10): (a) no agitation; (b) ultrasonic; (c) sonic; and (d) continuous rotation. The control group (n = 10) received saline solution without agitation. The amount of debris extruded was measured by weight and analysed using One-way ANOVA (α < 0.05). The subgroups treated with NaOCl + HEDP mixture showed a significantly higher amount of extruded debris (p < 0.05), while there was no difference among agitation methods in all groups (p > 0.05).
{"title":"The use of sodium hypochlorite mixed with etidronic acid during canal preparation increases debris extrusion","authors":"Talita Tartari DDS, MSc, PhD, Brenda Stefhany Wilchenski DDS, Luana Arantes de Souza Lima DDS, Rodrigo Ricci Vivan DDS, MSc, PhD, Vasudev Ballal BDS, MDS, PhD, Marco Antonio Hungaro Duarte DDS, MSc, PhD","doi":"10.1111/aej.12788","DOIUrl":"10.1111/aej.12788","url":null,"abstract":"<p>The purpose of this study was to compare the impact of different irrigation protocols on debris extrusion. Single-rooted teeth were distributed into groups based on the irrigation protocols (<i>n</i> = 40): 2.5% NaOCl (biomechanical preparation: 20 mL and final irrigation: 5 mL); 2.5% NaOCl (biomechanical preparation: 20 mL) + 17% EDTA (final irrigation: 2 mL) + 2.5% NaOCl (final irrigation: 3 mL); and a mixture of 5% NaOCl +18% HEDP (biomechanical preparation: 20 mL and final irrigation: 5 mL). The canals were prepared using a reciprocating instrument size 40/0.06. For final irrigation, the groups were reassigned based on the agitation methods (<i>n</i> = 10): (a) no agitation; (b) ultrasonic; (c) sonic; and (d) continuous rotation. The control group (<i>n</i> = 10) received saline solution without agitation. The amount of debris extruded was measured by weight and analysed using One-way ANOVA (<i>α</i> < 0.05). The subgroups treated with NaOCl + HEDP mixture showed a significantly higher amount of extruded debris (<i>p</i> < 0.05), while there was no difference among agitation methods in all groups (<i>p</i> > 0.05).</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9977200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study evaluated the management preferences in a deep carious vital tooth. A questionnaire was e-mailed to members of the Turkish Dental Association. The questionnaire included a photograph and radiographs of an extremely deep carious molar (#16) of a 30-year-old man suffering from cold and chewing sensitivity. The dentists were asked to choose treatments for pulp exposure of <1, 1–2, and ≥2 mm and a permanent restoration. Chi-squared test was used to analyse data (p < 0.05). 504 (4.84%) of 10 411 dentists responded. When the pulp exposure was <1 mm: direct pulp capping (84.9%); 1–2 mm: root canal treatment (49.6%); ≥2 mm: root canal treatment (85.7%) were the most preferred treatments. 69.6% of the respondents chose direct composite restorations. If the tooth would be an abutment, most respondents preferred root canal treatment, regardless of the perforation size. The extent of pulp exposure and the type of permanent restoration influenced the treatment decision-making process.
{"title":"Evaluation of treatment and restoration preferences in deep carious teeth with various pulp exposure sizes: A questionnaire-based survey","authors":"Gülşah Yenier Yurdagüven DDS, PhD, Vasfiye Işık DDS, PhD, Elif Çiftçioğlu DDS, PhD, Haşmet Ulukapı DDS, PhD, Mehmet Baybora Kayahan DDS, PhD","doi":"10.1111/aej.12785","DOIUrl":"10.1111/aej.12785","url":null,"abstract":"<p>This study evaluated the management preferences in a deep carious vital tooth. A questionnaire was e-mailed to members of the Turkish Dental Association. The questionnaire included a photograph and radiographs of an extremely deep carious molar (#16) of a 30-year-old man suffering from cold and chewing sensitivity. The dentists were asked to choose treatments for pulp exposure of <1, 1–2, and ≥2 mm and a permanent restoration. Chi-squared test was used to analyse data (<i>p</i> < 0.05). 504 (4.84%) of 10 411 dentists responded. When the pulp exposure was <1 mm: direct pulp capping (84.9%); 1–2 mm: root canal treatment (49.6%); ≥2 mm: root canal treatment (85.7%) were the most preferred treatments. 69.6% of the respondents chose direct composite restorations. If the tooth would be an abutment, most respondents preferred root canal treatment, regardless of the perforation size. The extent of pulp exposure and the type of permanent restoration influenced the treatment decision-making process.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10316623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study investigated the concurrency of additional canals in mandibular incisors and the second mesiobuccal canal in maxillary first molars among the Chinese population. In total, 8644 cone-beam computed tomography images from 8644 patients with bilateral mandibular incisors and maxillary first molars were examined. The data were analysed using Chi-square test, binary logistic regression analysis and receiver operating characteristic curve. Among the patients with additional canals in mandibular central and lateral incisors, 96.2% and 95.5% of them had second mesiobuccal canal in maxillary first molars, respectively. Additional canals of mandibular incisors and second mesiobuccal canal in maxillary first molars exhibited a concurrent relationship. The prevalence of second mesiobuccal canal in maxillary first molars increased with the number of mandibular incisors with additional canals. Moreover, when there was at least one mandibular incisor with additional canals, the presence of the second mesiobuccal canal in maxillary first molars could be highly expected.
{"title":"Concurrency of additional canals in mandibular incisors and second mesiobuccal canal in maxillary first molars: A cone-beam computed tomography investigation","authors":"Jinchi Liu MS, Bei Tang DDS, PhD, Xin Xu DDS, PhD","doi":"10.1111/aej.12787","DOIUrl":"10.1111/aej.12787","url":null,"abstract":"<p>This study investigated the concurrency of additional canals in mandibular incisors and the second mesiobuccal canal in maxillary first molars among the Chinese population. In total, 8644 cone-beam computed tomography images from 8644 patients with bilateral mandibular incisors and maxillary first molars were examined. The data were analysed using Chi-square test, binary logistic regression analysis and receiver operating characteristic curve. Among the patients with additional canals in mandibular central and lateral incisors, 96.2% and 95.5% of them had second mesiobuccal canal in maxillary first molars, respectively. Additional canals of mandibular incisors and second mesiobuccal canal in maxillary first molars exhibited a concurrent relationship. The prevalence of second mesiobuccal canal in maxillary first molars increased with the number of mandibular incisors with additional canals. Moreover, when there was at least one mandibular incisor with additional canals, the presence of the second mesiobuccal canal in maxillary first molars could be highly expected.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10303538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Linh Cao Hoai Nguyen DDS, MSc, Loc Nguyen Gia Pham DDS, Khoa Van Pham DDS, PhD, Minh Duc Nguyen DDS, MSc, Lan Thi Quynh Ngo DDS, PhD
The purpose of this study was to assess the effect of a calcium silicate-based sealers (CeraSeal) and an epoxy resin-based sealer (AH Plus) on cytotoxicity and cell migration of stem cell from the human apical papilla (hSCAPs) by using the Alamar Blue, Annexin V-FICT and wound healing assays. In Alamar Blue assay, hSCAPs exposed to undiluted CeraSeal extract had significantly higher cell viability compared with that observed when cells were treated with AH Plus in all experimental period (p < 0.001). The flow cytometry analysis confirmed the comparison on viable cells and indicated that AH Plus increased apoptosis compared to CeraSeal and the control groups (p < 0.001). Additionally, AH Plus exhibited significantly lower level of cell migration than CeraSeal and the control for up to 48 h observation (p < 0.01). In summary, calcium silicate-based sealer (CeraSeal) is less cytotoxic and more biocompatible than epoxy resin-based sealer (AH Plus).
本研究的目的是通过阿拉玛蓝(Alamar Blue)、附录素 V-FICT 和伤口愈合试验,评估硅酸钙封孔剂(CeraSeal)和环氧树脂封孔剂(AH Plus)对人乳头顶端干细胞(hSCAPs)的细胞毒性和细胞迁移的影响。在阿拉玛蓝检测中,在所有实验期间,接触未稀释 CeraSeal 提取物的 hSCAPs 的细胞存活率都明显高于用 AH Plus 处理的细胞(p < 0.001)。流式细胞仪分析证实了对存活细胞的比较,并表明与 CeraSeal 和对照组相比,AH Plus 增加了细胞凋亡(p < 0.001)。此外,在长达 48 小时的观察中,AH Plus 的细胞迁移水平明显低于 CeraSeal 和对照组(p < 0.01)。总之,硅酸钙封闭剂(CeraSeal)比环氧树脂封闭剂(AH Plus)的细胞毒性更低,生物相容性更好。
{"title":"Cytocompatibility and cell migration evaluation of calcium silicate-based root canal sealer compared to epoxide-amine resin sealer in stem cells from human apical papilla: An in-vitro study","authors":"Linh Cao Hoai Nguyen DDS, MSc, Loc Nguyen Gia Pham DDS, Khoa Van Pham DDS, PhD, Minh Duc Nguyen DDS, MSc, Lan Thi Quynh Ngo DDS, PhD","doi":"10.1111/aej.12786","DOIUrl":"10.1111/aej.12786","url":null,"abstract":"The purpose of this study was to assess the effect of a calcium silicate-based sealers (CeraSeal) and an epoxy resin-based sealer (AH Plus) on cytotoxicity and cell migration of stem cell from the human apical papilla (hSCAPs) by using the Alamar Blue, Annexin V-FICT and wound healing assays. In Alamar Blue assay, hSCAPs exposed to undiluted CeraSeal extract had significantly higher cell viability compared with that observed when cells were treated with AH Plus in all experimental period (p < 0.001). The flow cytometry analysis confirmed the comparison on viable cells and indicated that AH Plus increased apoptosis compared to CeraSeal and the control groups (p < 0.001). Additionally, AH Plus exhibited significantly lower level of cell migration than CeraSeal and the control for up to 48 h observation (p < 0.01). In summary, calcium silicate-based sealer (CeraSeal) is less cytotoxic and more biocompatible than epoxy resin-based sealer (AH Plus).","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9934875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}