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Rodrigues CT, Jacobs R, Ezeldeen M, Vasconcelos KDF, Lambrechts P, Tanomaru Filho M, Pinto JC, Duarte MAH. How does nano-focus computed tomography impact the quantification of debris within the root canal system? Braz Oral Res 2023; 37:e059. [PMID: 37341232 DOI: 10.1590/1807-3107bor-2023.vol37.0059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 01/05/2023] [Indexed: 06/22/2023] Open
Abstract
The aim of this study was to compare the quantification of hard-tissue debris by using micro-computed tomography (micro-CT) and nano-focus computed tomography (nano-CT) after root canal instrumentation. Ten mandibular molars containing an isthmus in the mesial root were scanned in a SkyScan 1172 micro-CT device with a voxel size of 12.8 µm and in a NanoTom nano-CT device with 5.5 µm. The mesial root canals were irrigated with 5 mL of saline solution at the orifice level, instrumented with Reciproc R25 files and a second scanning was performed by micro-CT and nano-CT devices for post-instrumentation images. DataViewer software was used for registering the pre- and post-operative micro-CT and nano-CT images. The root canal and the debris were segmented for quantitative analysis of the volume of the canal and volume of debris using CTAn software. Statistical analysis was performed using the T test for comparison between volume of the canal after instrumentation and volume of debris in both image modalities. The level of significance was set at p < 0.05. Nano-CT images showed higher values of debris when compared with micro-CT (p < 0.05) after root canal instrumentation. No difference was observed between the volume of the root canal after instrumentation in the two imaging methods used (p > 0.05). Nano-CT technology can be recommended as a more precise method for quantitative analysis of hard-tissue debris. Moreover, in Endodontic research it is a promising method, as it is capable of providing higher spatial and contrast resolution, faster scanning and higher image quality.
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Affiliation(s)
- Clarissa Teles Rodrigues
- Universidade de São Paulo - USP, Bauru School of Dentistry, Department of Restorative Dentistry, Endodontics and Dental Materials, Bauru, SP, Brazil
| | - Reinhilde Jacobs
- University Hospitals Leuven, Faculty of Medicine, Department of Imaging and Pathology, Leuven, Belgium
| | - Mostafa Ezeldeen
- University Hospitals Leuven, Faculty of Medicine, Department of Imaging and Pathology, Leuven, Belgium
| | | | - Paul Lambrechts
- University Hospitals Leuven, KU Leuven and Dentistry, Department of Oral Health Sciences, Endodontology, Leuven, Belgium
| | - Mario Tanomaru Filho
- Universidade Estadual Paulista - Unesp, School of Dentistry, Department of Restorative Dentistry, Araraquara, SP, Brazil
| | - Jader Camilo Pinto
- Universidade Estadual Paulista - Unesp, School of Dentistry, Department of Restorative Dentistry, Araraquara, SP, Brazil
| | - Marco Antonio Hungaro Duarte
- Universidade de São Paulo - USP, Bauru School of Dentistry, Department of Restorative Dentistry, Endodontics and Dental Materials, Bauru, SP, Brazil
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Rödig T, Westbomke V, Haupt F, Münster M, Baxter S. Effect of preparation size on the removal of accumulated hard-tissue debris from the mesial root canal system of mandibular molars using SWEEPS technology. Clin Oral Investig 2023; 27:2787-2796. [PMID: 36642725 PMCID: PMC10264281 DOI: 10.1007/s00784-023-04862-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 01/06/2023] [Indexed: 01/17/2023]
Abstract
OBJECTIVES This study assessed the influence of preparation size on the efficacy of shock wave-enhanced emission photoacoustic streaming (SWEEPS) and conventional irrigation (CI) on removal of accumulated hard tissue debris (AHTD) from isthmus-containing mandibular molars using micro-computed tomographic analysis. MATERIALS AND METHODS Sixty extracted mandibular molars with two mesial canals connected by an isthmus were selected. Canals were shaped with Mtwo instruments (VDW, Munich, Germany) up to sizes 25/.06, 40/.04 or 40/.06 (n = 20), and specimens were distributed into 2 final irrigation groups (n = 10): SWEEPS and CI. Roots were scanned at a resolution of 10.5 µm before and after preparation and final irrigation. Data sets were co-registered, and the percentage reduction of AHTD calculated for each specimen was statistically compared using analysis of variance with a of 5% significance level. RESULTS The preparation size did not significantly influence the percentage reduction of AHTD (p < 0.05), whereas the final irrigation technique had a significant effect on debris removal (p < 0.05). A significant reduction of AHTD was achieved after final irrigation in all groups (p < 0.05); however, SWEEPS was associated with a significantly greater percentage reduction of debris than CI (p < 0.05). None of the specimens presented a completely clean isthmus. CONCLUSIONS Removal of AHTD was not significantly affected by the preparation size. SWEEPS was associated with significantly less debris than CI. CLINICAL RELEVANCE SWEEPS performed significantly better than CI regarding the removal of AHTD from isthmus-containing mandibular molars irrespective of the preparation size.
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Affiliation(s)
- Tina Rödig
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany.
| | - Valerie Westbomke
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany
| | - Franziska Haupt
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany
| | - Marc Münster
- Endopur, Clinic for Endodontology, Frankfurt, Germany
| | - Steffi Baxter
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany
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ZAN R, ALTUNBAŞ D, HUBBEZOĞLU İ, TOPÇUOĞLU H, KUTLU CENGİZ G. ÇEŞİTLİ YENİ EĞE SİSTEMLERİNİN NEDEN OLDUĞU DENTİN ÇATLAKLARININ MİKRO BİLGİSAYARLI TOMOGRAFİK DEĞERLENDİRİLMESİ. CUMHURIYET DENTAL JOURNAL 2022. [DOI: 10.7126/cumudj.1081617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Amaç: Bu çalışmanın amacı, ProTaper Gold (PTG), WaveOne Gold (WOG), OneShape Yeni Nesil (OSNG), K3XF nikel-titanyum (NiTi) enstrümantasyon sistemlerinin kullanımından sonra gözlenen dentin mikro çatlaklarının insidansını değerlendirmektir. .
Gereç ve Yöntem: Altmış adet çekilmiş insan mandibular birinci molar dişi rastgele dört gruba ayrıldı (n = 15). Kök kanalları PTG, WOG, OSNG ve K3XF sistemleri ile enstrümante edildi. Köklerin kesit görüntüleri, dentin çatlaklarının varlığını tespit etmek için hazırlıktan önce ve sonra yüksek çözünürlüklü mikro bilgisayarlı tomografi görüntüleme kullanılarak tarandı.
Bulgular: PTG ve WOG sistemleri arasında istatistiksel olarak anlamlı bir fark olmamasına rağmen, WOG tüm gruplar arasında daha az mikro-çatlamaya neden oldu. K3XF, OSNG'den istatistiksel olarak daha az çatlak gösterdi. K3XF ve OSNG sistemleri, her iki Gold sisteminden istatistiksel olarak daha fazla dentin mikro çatlaklarına neden oldu. WOG ve PTG sistemleri, bu çalışmada değerlendirilen sistemler arasında daha az mikro çatlak oluşumuna neden olmuştur. Kanal tedavileri sırasında mikro çatlakları en aza indirmek için her iki Gold sistemi de daha güvenli olarak tercih edilebilir.
Sonuçlar: Kullanılan tüm sistemler farklı derecelerde çatlak oluşumlarına neden olmuştur. Ayrıca WOG ve PTG sistemleri, OSNG ve K3XF sistemlerine göre dentin çatlakları oluşturma konusunda üstün özellikler göstermiştir.
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Affiliation(s)
- Recai ZAN
- SIVAS CUMHURIYET UNIVERSITY, FACULTY OF DENTISTRY
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Al-rujaib BA, Zaghloul MH, Reda A, Badr AE. Efficacy of Different Endodontic Irrigant Activation Systems on Smear Layer Removal and Canal Cleanliness: Comparative Scanning Electron Microscopic Study. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.8652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
AIM: This study assessed the effectiveness of 5 different irrigant activation systems on canal cleanliness and removal of smear layer from root canals.
METHODS: A total of 110 mandibular premolars with straight root canal were assigned to five groups (n = 20): conventional needle irrigation, passive ultrasonic activation, sonic activation with EndoActivator, negative apical pressure EndoVac (EV), or EDDY system, besides a control group (n = 10). All teeth were prepared to size 40, and irrigated with NaOCl (5.25%) according to the respective technique. Roots were split longitudinally and subjected to scanning electron microscopic analysis. The presence of smear layer and debris was evaluated using 5-grade scoring systems with ×1000 and ×400 magnification, respectively. Data were analyzed at 5%.
RESULTS: Regarding the smear layer, activation with EV and ED was significantly more effective than other activation groups (p < 0.05). Activation of the irrigant significantly improved removal of debris (p < 0.05).
CONCLUSION: No activation technique was able to eliminate smear layer and debris completely from root canals, nevertheless, EDDY is significantly better in removing debris and smear layer from the apical third of the canal.
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Barbosa AFA, Lima COD, Sassone LM, Fares RD, Fidalgo TKDS, Silva EJNL. Effect of passive ultrasonic irrigation on hard tissue debris removal: a systematic review and meta-analysis. Braz Oral Res 2021; 35:e123. [PMID: 34878078 DOI: 10.1590/1807-3107bor-2021.vol35.0123] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Accepted: 03/15/2021] [Indexed: 12/22/2022] Open
Abstract
Accumulated hard tissue debris (AHTD) in root canal irregularities may negatively impact adequate root canal disinfection. In light of this, the efficacy of passive ultrasonic irrigation (PUI) to reduce AHTD has been largely studied in in vitro studies, which have adopted different analytic methods of varying accuracy to determine the extent of AHTD more correctly. Therefore, the aim of this study was to compare how well PUI and non-activated irrigation (NAI) systems perform in reducing AHTD during final irrigation protocols, based exclusively on studies whose analyses used microCT scanning. A systematic search of the studies published up to April 2020 was performed using MeSH terms and free terms, in the following databases: PubMed, Scopus, Web of Science, BVS (Lilacs and BBO) and Embase. The inclusion criteria consisted of laboratory studies that evaluated the amount of AHTD, and compared PUI with NAI protocols using microCT analysis. The risk of bias in the selected studies was assessed critically by two reviewers. A meta-analysis was performed using the RevMan software program (P<0.05), and included studies providing the standardized mean difference (SMD), using a fixed effect model, and adopting a confidence interval of 95%. In all, 3495 studies were identified, three of which met the inclusion criteria. All three were considered as having a low risk of bias. The meta-analysis comparing the ability of PUI and NAI protocols to remove hard tissue debris showed a higher percentage of AHTD reduction (P<0.01) for PUI, with a confidence interval of 1.41 [0.79, 2.02]. The heterogeneity among the studies was 82% (I2). Considering the limitations of the present study, this systematic review and meta-analysis showed that PUI was more effective than NAI in removing hard tissue debris, based exclusively on studies that used microCT scanning to provide a more precise analysis of the two techniques used. The findings presented in the present study reinforce the concept that PUI can increase residue removal and improve the cleanliness of the root canal in endodontic treatments.
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Affiliation(s)
- Ana Flávia Almeida Barbosa
- Universidade do Estado do Rio de Janeiro - UERJ, School of Dentistry, Department of Endodontics, Rio de Janeiro, RJ, Brazil
| | - Carolina Oliveira de Lima
- Universidade do Estado do Rio de Janeiro - UERJ, School of Dentistry, Department of Endodontics, Rio de Janeiro, RJ, Brazil
| | - Luciana Moura Sassone
- Universidade do Estado do Rio de Janeiro - UERJ, School of Dentistry, Department of Endodontics, Rio de Janeiro, RJ, Brazil
| | - Raissa Dias Fares
- Universidade do Estado do Rio de Janeiro - UERJ, School of Dentistry, Department of Preventive and Community Dentistry, Rio de Janeiro, RJ, Brazil
| | - Tatiana Kelly da Silva Fidalgo
- Universidade do Estado do Rio de Janeiro - UERJ, School of Dentistry, Department of Preventive and Community Dentistry, Rio de Janeiro, RJ, Brazil
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Three-dimensional morphologic classifications and analysis of canal isthmuses in permanent molars. Surg Radiol Anat 2021; 43:1793-1799. [PMID: 34245350 DOI: 10.1007/s00276-021-02796-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Accepted: 06/30/2021] [Indexed: 10/20/2022]
Abstract
PURPOSE To investigate the three-dimensional morphology of isthmuses in molars according to their boundary characteristics using micro-computed tomography (micro-CT). METHODS Micro-CT reconstructed images of 248 molars were evaluated. Isthmuses were classified into four types based on the boundary characteristics: isthmus with roof, isthmus with floor, band-shaped isthmus, and isthmus without boundary. The tooth and root with isthmuses, the number and location of the isthmuses in the root, and the canal configurations were recorded. The maximum of the major diameter of all canal cross-sections in one isthmus (dmax), the minor diameter of the canal in same cross-section (dmin), the distance between the dmax cross-section and apex (Dm-a), isthmus length (Li), and distance from the isthmus ending cross-section to apex (De-a) were measured and analysed with a significance threshold set to 5%. RESULTS Isthmuses were present in 75.4% specimens. The four types of isthmuses were found in various molars and roots. Their distribution in different root locations and canal configurations was significantly different. The dmax, dmin, Li, and De-a were analysed according to different molars and different isthmus types; their respective median values were 2.508 mm, 0.07 mm, 3.09 mm, and 3.96 mm. CONCLUSION The three-dimensional classification of isthmuses according to the boundary characteristics provides a comprehensive picture of the isthmus in molars. Their corresponding distributions in different molars, location in roots, and canal configurations will be helpful in predicting the type of isthmus based on the tooth position and canal configurations.
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Capuani S, Gambarini G, Guarnieri R, Di Pietro G, Testarelli L, Di Nardo D. Nuclear Magnetic Resonance Microimaging for the Qualitative Assessment of Root Canal Treatment: An Ex Vivo Preliminary Study. Diagnostics (Basel) 2021; 11:1012. [PMID: 34205946 PMCID: PMC8228494 DOI: 10.3390/diagnostics11061012] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 05/27/2021] [Accepted: 05/30/2021] [Indexed: 02/07/2023] Open
Abstract
AIM To assess the potential ability of nuclear magnetic resonance micro-imaging (mMRI) to visualize and identify soft tissue debris and unfilled spaces inside radicular canals in endodontic treated extracted teeth, for understanding the causes of treatment failure. Toward this goal, multi-parametric mMRI and cone beam computed tomography (CBCT) were compared. METHODOLOGY A non-recoverable root treated human tooth was extracted due to endodontic failure and excessive mobility. It was examined with both CBCT and mMRI: CBCT was performed with 0.125 mm voxel size (GXCB-500, Kavo-Gendex, Brea, CA, USA) and mMRI was performed with a spectrometer operating at 9.4T magnetic field (Bruker Avance-400, Bruker, Billerica, MA, USA). The mMRI images were obtained with a microimaging probe. Relaxation times (T1 and T2) and diffusion-weighted acquisition sequences were used to obtain multi-parametric maps of the extracted tooth (slice thickness of 200 µm and in plane resolution of 30 × 30 µm2). RESULTS T1 and T2 maps identified unfilled spaces around and close to Gutta-percha cones instead of CBCT images that were not able to highlight this aspect. T1, T2 and apparent diffusion coefficient (ADC) assumed different values in dentine and in voids, characterized by different dimensions. Moreover, they were able to discriminate between infiltrations of water only and deposits of biological material. Because Gutta-percha cones are constituted of hard, non-porous material, they do not provide a signal and in mMRI images appear as zones of noise. CONCLUSIONS Unlike the CBCT exam, mMRI can detect soft tissue debris and unfilled spaces inside radicular canals. Therefore, this in vitro study showed the potential of mMRI to evaluate the quality of the root canal treatment, suggesting its potential benefit in determining the causes of endodontic failure, without the use of ionizing radiation.
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Affiliation(s)
- Silvia Capuani
- CNR ISC c/o Physics Department, Sapienza University of Rome, 00185 Rome, Italy; (S.C.); (G.D.P.)
- Museo Storico Della Fisica e Centro Studi e Ricerche Enrico Fermi, 00185 Rome, Italy
| | - Gianluca Gambarini
- Department of Oral and Maxillo Facial Sciences, Sapienza Università di Roma, 00161 Rome, Italy; (G.G.); (R.G.); (D.D.N.)
| | - Renzo Guarnieri
- Department of Oral and Maxillo Facial Sciences, Sapienza Università di Roma, 00161 Rome, Italy; (G.G.); (R.G.); (D.D.N.)
| | - Giulia Di Pietro
- CNR ISC c/o Physics Department, Sapienza University of Rome, 00185 Rome, Italy; (S.C.); (G.D.P.)
| | - Luca Testarelli
- Department of Oral and Maxillo Facial Sciences, Sapienza Università di Roma, 00161 Rome, Italy; (G.G.); (R.G.); (D.D.N.)
| | - Dario Di Nardo
- Department of Oral and Maxillo Facial Sciences, Sapienza Università di Roma, 00161 Rome, Italy; (G.G.); (R.G.); (D.D.N.)
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Mustafa M, Almnea R, Ajmal M, Alamri HM, Abdulwahed A, Divakar DD. Efficacy of root canal treatment in c-shaped canals with adjunctive photodynamic therapy using micro-CT. Photodiagnosis Photodyn Ther 2021; 34:102257. [PMID: 33737217 DOI: 10.1016/j.pdpdt.2021.102257] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 03/04/2021] [Accepted: 03/11/2021] [Indexed: 10/21/2022]
Abstract
AIM To investigate the efficacy of conventional root canal treatment (cRCT) with adjunctive photodynamic therapy (aPDT) against microbial biofilms within infected c-shaped root canals. METHODS In this in vitro report, the inoculation of 20 freshly extracted human mandibular molar teeth having c-shaped root canal configuration was performed with E. faecalis and P. aeruginosa to produce three-day biofilms in prepared canal system. PDT used a combination of chlorin (ce6) and polyethylenimine (PEI) as the photosensitizer (PS). A 200 μ-fiber was employed to deliver a 660 nm diode laser light into the root canal, and this was compared and conjugated with conventional endodontic treatment utilizing antiseptic irrigation and mechanical debridement. RESULTS The utilization of aPDT (group-2) resulted in a considerable decrease in the count of E. faecalis and P. aeruginosa from 12.84 ± 2.18 CFU/mL to 5.13 ± 0.67 CFU/mL, and from 14.06 ± 3.98 CFU/mL to 4.82 ± 1.05 CFU/mL pre-and post-treatment, respectively. A statistically significant reduction in the bacterial counts of both microbes was observed after treatment among the samples of the both study groups (p < 0.05). Specimens in group-2 (8.42 ± 1.14 MPa) demonstrated the highest mean push-out bond strength, whereas the lowest was shown by samples in group-1 (7.08 ± 1.09 MPa). ANOVA showed no statistical difference between the research groups (p = 0.676). The independent t-test revealed that the mean push-out bond strength scores of the cervical segments were higher than the apical and middle segments of roots in research groups (p < 0.05). CONCLUSION In c-shaped root canals, the application of photodynamic therapy as an adjuvant to conventional root canal treatment contributes to a statistically significant decrease in the microbial count of E. faecalis and P. aeruginosa along with an improved push-out bond strength of the root canal filling material with root.
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Affiliation(s)
- Mohammed Mustafa
- Department of Conservative Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, P.O. BOX: 173, Al-Kharj, 11942, Saudi Arabia.
| | - Raid Almnea
- Department of Restorative Dentistry, Endodontics Division, College of Dentistry, Najran University, P.O Box 1988, Najran, 66446, Saudi Arabia
| | - Muhammed Ajmal
- Department of Diagnostic Sciences, College of Dentistry, King Khalid University, Abha, Saudi Arabia; Photonix Diagnostic Imaging, Chalappuram, Calicut, Kerala, India
| | - Hadi Mohammed Alamri
- Department of Conservative Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, P.O. BOX: 173, Al-Kharj, 11942, Saudi Arabia
| | - Abdulaziz Abdulwahed
- Department of Conservative Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, P.O. BOX: 173, Al-Kharj, 11942, Saudi Arabia
| | - Darshan Devang Divakar
- Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, P. O. Box: 10219, Riyadh, 11433, Saudi Arabia
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Rodrigues CT, Jacobs R, Vasconcelos KF, Lambrechts P, Rubira-Bullen IRF, Gaêta-Araujo H, Oliveira-Santos C, Duarte MAH. Influence of CBCT-based volumetric distortion and beam hardening artefacts on the assessment of root canal filling quality in isthmus-containing molars. Dentomaxillofac Radiol 2021; 50:20200503. [PMID: 33400563 DOI: 10.1259/dmfr.20200503] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
OBJECTIVES To evaluate the influence of artefacts in cone beam CT (CBCT) images of filled root canals in isthmus-containing molars. METHODS 10 teeth presenting canals with an isthmus were instrumented and filled with a thermoplasticised obturation technique. The teeth were scanned using a micro-CT device and two CBCT devices: 3D Accuitomo 170 (ACC) and NewTom VGi evo (NT), with different acquisition protocols: larger and smaller voxel size. Three examiners assessed the CBCT images for: (1) detection of filling voids; (2) assessment of under- or overestimation of the filling material and (3) resemblance of CBCT images to the reference standard. Analyses of Task 1 yielded accuracy, sensitivity and specificity for detection of filling voids. For tasks 2 and 3, statistical analysis was performed using Wilcoxon test. The level of significance was set at p < .05. RESULTS For Task 1, ACC showed higher sensitivity, whereas NT presented higher specificity. No significant difference was found between the protocols in ACC, however, for NT, differences between protocols were significant for all diagnostic values. In Task 2, visualisation of the filling was overestimated for NT, while for ACC, underestimation was observed. For Task 3, images with smaller voxel size were more similar to the reference image, for both CBCT devices. CONCLUSIONS Different artefacts compromise the detection of filling voids on CBCT images of canals in mandibular molars with isthmus. ACC and NT present rather similar diagnostic accuracy, even though artefact expression remains device-specific.
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Affiliation(s)
- Clarissa Teles Rodrigues
- Department of Restorative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Reinhilde Jacobs
- Department of Imaging and Pathology, Faculty of Medicine, OMFS IMPATH Research Group, KU Leuven, Leuven, Belgium.,Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.,Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Karla Faria Vasconcelos
- Department of Imaging and Pathology, Faculty of Medicine, OMFS IMPATH Research Group, KU Leuven, Leuven, Belgium.,Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium
| | - Paul Lambrechts
- Department of Oral Health Sciences, Endodontology, KU Leuven and Dentistry, University Hospitals Leuven, Leuven, Belgium.,Biomaterials-BIOMAT, Leuven, Belgium
| | | | - Hugo Gaêta-Araujo
- Division of Oral Radiology, Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas, São Paulo, Brazil
| | - Christiano Oliveira-Santos
- Department of Stomatology, Public Oral Health, and Forensic Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Marco Antonio Hungaro Duarte
- Department of Restorative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, São Paulo, Brazil
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Guerreiro MYR, Belladonna FG, Monteiro LPB, Lima CO, Silva EJNL, Brandão JMS. The influence of the addition of surfactants to sodium hypochlorite on the removal of hard tissue debris. Int Endod J 2020; 53:1131-1139. [PMID: 32294253 DOI: 10.1111/iej.13307] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Accepted: 04/07/2020] [Indexed: 11/26/2022]
Abstract
AIM To evaluate the effect of the addition of surfactants to sodium hypochlorite (NaOCl) on the removal of accumulated hard tissue debris (AHTD), before and after final irrigation with 17% EDTA, from mesial canals of mandibular molars through microcomputed tomographic (micro-CT) analysis. METHODOLOGY Thirty moderately curved mandibular mesial roots with Vertucci type II canal configuration were selected and scanned in a micro-CT device at an isotropic resolution of 22.9 μm. The specimens were assigned to three groups (n = 10) with respect to the root length, degree of curvature of the mesial root, volume and 3D anatomy of the root canals according to the irrigating solution used during root canal preparation: 2.5% NaOCl and 0.1% Benzalkonium Chloride, 2.5% NaOCl and 0.1% Tween 80 and 2.5% NaOCl without additives. The root canals were instrumented up to Reciproc R25 instrument. Then, the specimens were scanned again after canal preparation and after final irrigation with 17% EDTA, and the registered data sets were examined to evaluate the percentage of AHTD. For comparison between the different groups before and after using 17% EDTA, the Kruskal-Wallis test was used with a significance level of 5%. For comparison between the same groups before and after using 17% EDTA, the Wilcoxon test was used with a significance level of 5%. RESULTS None of the irrigant solutions tested was able to completely eliminate hard tissue debris from mesial canals of mandibular molars. There were no significant differences in the percentage of AHTD amongst the different irrigation solutions (P > 0.05). Final irrigation with 17% EDTA significantly reduced the percentage of AHTD (P < 0.05), without differences amongst the groups (P > 0.05). CONCLUSIONS The addition of surfactants to NaOCl did not affect the removal of AHTD from mesial canals of extracted mandibular molars. Final irrigation with 17% EDTA significantly improved AHTD removal.
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Affiliation(s)
- M Y R Guerreiro
- Department of Endodontics, Federal University of Pará, Belém, Brazil
| | - F G Belladonna
- Department of Endodontics, Fluminense Federal University, Niterói, Brazil
| | - L P B Monteiro
- Department of Endodontics, Federal University of Pará, Belém, Brazil
| | - C O Lima
- Department of Endodontics, State University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - E J N L Silva
- Department of Endodontics, Fluminense Federal University, Niterói, Brazil.,Department of Endodontics, State University of Rio de Janeiro, Rio de Janeiro, Brazil.,Department of Endodontics, Grande Rio University, Duque de Caxias, Brazil
| | - J M S Brandão
- Department of Endodontics, Federal University of Pará, Belém, Brazil
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11
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Yang Q, Liu MW, Zhu LX, Peng B. Micro‐CT study on the removal of accumulated hard‐tissue debris from the root canal system of mandibular molars when using a novel laser‐activated irrigation approach. Int Endod J 2019; 53:529-538. [DOI: 10.1111/iej.13250] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Revised: 11/06/2019] [Accepted: 11/07/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Q. Yang
- State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei‐MOST) & Key Laboratory of Oral Biomedicine Ministry of Education School and Hospital of Stomatology Wuhan University Wuhan China
| | - M. W. Liu
- State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei‐MOST) & Key Laboratory of Oral Biomedicine Ministry of Education School and Hospital of Stomatology Wuhan University Wuhan China
| | - L. X. Zhu
- State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei‐MOST) & Key Laboratory of Oral Biomedicine Ministry of Education School and Hospital of Stomatology Wuhan University Wuhan China
| | - B. Peng
- State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei‐MOST) & Key Laboratory of Oral Biomedicine Ministry of Education School and Hospital of Stomatology Wuhan University Wuhan China
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Rödig T, Koberg C, Baxter S, Konietschke F, Wiegand A, Rizk M. Micro-CT evaluation of sonically and ultrasonically activated irrigation on the removal of hard-tissue debris from isthmus-containing mesial root canal systems of mandibular molars. Int Endod J 2019; 52:1173-1181. [PMID: 30773661 DOI: 10.1111/iej.13100] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2018] [Accepted: 02/13/2019] [Indexed: 01/23/2023]
Abstract
AIM To evaluate the efficacy of sonically and ultrasonically activated irrigation on removal of accumulated hard-tissue debris (AHTD) in mesial root canal systems of mandibular molars using micro-computed tomographic (micro-CT) analysis. METHODOLOGY Forty mesial roots of mandibular molars with two independent canals joined apically by an isthmus (Vertucci type II) were selected. The root canals were instrumented using Reciproc R25 instruments, and specimens were scanned at a resolution of 10.5 μm. Subsequently, n = 10 roots were assigned to each of the four final irrigation groups such that the group means and variances were almost identical: sonically activated irrigation with EndoActivator (EA) or EDDY (ED), ultrasonically activated irrigation (UAI) and manual irrigation without activation (MI). The final irrigation procedures were performed using a total of 5 mL 1% NaOCl and 5 mL 15% EDTA per canal over 5 min with activation time of 4 × 20 s. Reconstructed data sets were coregistered, and the mean percentage reduction of AHTD after final irrigation was compared statistically between groups using analysis of variance at a significance level set at 5%. RESULTS A significant reduction of AHTD was achieved after final irrigation in all groups (P < 0.05), ranging from 44.1% to 66.8%. The vol% of debris after irrigation was 3.7 ± 1.9% for EA, 3.3 ± 2.3% for ED, 2.1 ± 1.6% for UAI and 4.4 ± 2.3% for MI, with no significant difference between groups (P > 0.05). CONCLUSIONS None of the final irrigation protocols completely removed AHTD from mesial root canal systems in extracted human mandibular molars. Sonically and ultrasonically activated irrigation performed no better compared to manual irrigation.
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Affiliation(s)
- T Rödig
- Department for Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
| | - C Koberg
- Department for Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
| | - S Baxter
- Department for Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
| | - F Konietschke
- Institute of Biometry and Clinical Epidemiology, Charité - University Medical Center Berlin, Berlin, Germany
| | - A Wiegand
- Department for Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
| | - M Rizk
- Department for Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
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13
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Arathi G, Rajakumaran A, Divya S, Malathi N, Saranya V, Kandaswamy D. Comparison of penetrating depth of chlorhexidine and chitosan into dentinal tubules with and without the effect of ultrasonic irrigation. J Oral Maxillofac Pathol 2019; 23:389-392. [PMID: 31942119 PMCID: PMC6948069 DOI: 10.4103/jomfp.jomfp_194_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Background: Long term success of root canal treatment depends on complete removal of micro-organisms and their by-products. This can be effectively achieved by the ability of the irrigant to penetrate into the dentinal tubules, which is limited in the conventional mechanical debridement of the root canal system. Irrigant activation technique aids in movement of irrigants into the dentinal tubules. Aim: To compare the depth of penetration of root canal irrigants into the dentinal tubules with and without ultrasonics using light microscope. Materials and Methods: Forty noncarious mandibular premolars were used, all the tooth specimens were inoculated with an ATCC 29212 strain of E.faecalis and incubated under nutrient rich aerobic conditions at 37°C. Teeth were sectioned below the cementoenamel junction to obtain a standard length of 8 mm and instrumented with K-files, irrigated with 5.25% sodium hypochlorite and a final rinse of 17% EDTA. Teeth were divided into four groups of ten each. Group IA was irrigated with 2% Chlorhexidine (CHX) and agitated ultrasonically, Group IB was irrigated with 2% Chlorhexidine, Group IC was irrigated with 2% Chitosan and ultrasonically agitated, Group ID was irrigated with 2 % Chitosan. The tooth specimens were sectioned and subjected to gram staining and viewed under 100X oil immersion microscope. A micrometer grid was attached to the eyepiece to enable measurement of the depth of penetration of the irrigants. Group IA (2% Chlorhexidine with ultrasonic agitation) showed better penetration into the dentinal tubules as compared to Groups IB, IC, ID. Results: Irrigation with 2% Chlorhexidine with ultrasonic agitation had depth of penetration into the dentinal tubules upto 2350 μm. 2% Chlorhexidine without ultrasonic agitation penetrated upto 1800 μm. Chitosan with ultrasonic agitation penetrated upto1250 μm and Chitosan without ultrasonic agitation penetrated upto 44.80 μm. Conclusion: 2% Chlorexidine as irrigant with ultrasonic agitation was found to have maximum depth of penetration into the dentinal tubules when compared with Chitosan.
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Affiliation(s)
- Ganesh Arathi
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
| | - Arasappan Rajakumaran
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
| | - Sinha Divya
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
| | - Narasimhan Malathi
- Department of Oral and Maxillofacial Pathology and Microbiology, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
| | - Varadarajan Saranya
- Department of Oral and Maxillofacial Pathology and Microbiology, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
| | - Deivanayagam Kandaswamy
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
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De-Deus G, Belladonna FG, de Siqueira Zuolo A, Perez R, Carvalho MS, Souza EM, Lopes RT, Silva EJNL. Micro-CT comparison of XP-endo Finisher and passive ultrasonic irrigation as final irrigation protocols on the removal of accumulated hard-tissue debris from oval shaped-canals. Clin Oral Investig 2018; 23:3087-3093. [PMID: 30417226 DOI: 10.1007/s00784-018-2729-y] [Citation(s) in RCA: 41] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2018] [Accepted: 10/22/2018] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To compare the effectiveness of the XP-endo Finisher instrument and passive ultrasonic irrigation (PUI) as final irrigation protocols on the removal of accumulated hard-tissue debris (AHTD) from oval-shaped canals using micro-computed tomographic (micro-CT) analysis. METHODS Twenty mandibular incisors were anatomically pair-matched based on similar morphological dimensions (length, volume, aspect ratio, and configuration) through micro-CT analysis, prepared with Reciproc R25 instrument, scanned again, and assigned to one of the two experimental groups (n = 10), according to the final irrigation protocol: XP-endo Finisher and PUI. After the final irrigation protocols, the specimens were rescanned and the registered datasets were examined to quantify the amount of AHTD. Data were statistically analyzed using Student's t test with a significance level of 5%. RESULTS The final irrigation protocols were highly similar in terms of volumetric percentage reduction of AHTD (P = 1.000). CONCLUSIONS XP-endo Finisher and PUI showed the same effectiveness on the removal of AHTD. None of the tested final irrigation protocols completely removed the AHTD from oval-shaped root canals. CLINICAL RELEVANCE AHTD may be considered clinically relevant because it could harbor bacterial contents away from the disinfection procedures. Both final irrigation protocols were effective on the removal of AHTD.
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Affiliation(s)
- Gustavo De-Deus
- Department of Endodontics, Fluminense Federal University, Av. Henrique Dodsworth 85 Apto 808 - Lagoa, Niterói, Rio de Janeiro, RJ, 22061-030, Brazil.
| | - Felipe Gonçalves Belladonna
- Department of Endodontics, Fluminense Federal University, Av. Henrique Dodsworth 85 Apto 808 - Lagoa, Niterói, Rio de Janeiro, RJ, 22061-030, Brazil
| | - Arthur de Siqueira Zuolo
- Department of Endodontics, Fluminense Federal University, Av. Henrique Dodsworth 85 Apto 808 - Lagoa, Niterói, Rio de Janeiro, RJ, 22061-030, Brazil
| | - Renata Perez
- Department of Endodontics, Fluminense Federal University, Av. Henrique Dodsworth 85 Apto 808 - Lagoa, Niterói, Rio de Janeiro, RJ, 22061-030, Brazil
| | - Marco Simões Carvalho
- Department of Endodontics, Fluminense Federal University, Av. Henrique Dodsworth 85 Apto 808 - Lagoa, Niterói, Rio de Janeiro, RJ, 22061-030, Brazil
| | - Erick Miranda Souza
- Department of Dentistry II, Federal University of Maranhão, São Luís, Maranhão, Brazil
| | - Ricardo Tadeu Lopes
- Nuclear Engineering Program, Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil
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Cesario F, Hungaro Duarte MA, Duque JA, Alcalde MP, de Andrade FB, Reis So MV, De Vasconcelos BC, Vivan RR. Comparisons by microcomputed tomography of the efficiency of different irrigation techniques for removing dentinal debris from artificial grooves. J Conserv Dent 2018; 21:383-387. [PMID: 30122818 PMCID: PMC6080189 DOI: 10.4103/jcd.jcd_286_16] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2016] [Revised: 11/15/2017] [Accepted: 02/28/2018] [Indexed: 11/18/2022] Open
Abstract
AIM The aim of this study was compare the capacity of different irrigation protocols for debris removal from artificial grooves and assess the effectiveness of Easy Clean used in different kinematics by means of micro-CT. METHODOLOGY Fifty acrylic prototyped maxillary incisors were instrumented and included in a muffle. The specimens were longitudinally sectioned, and a longitudinal groove was made on the inner surface of the root canal in one of hemisections, and the dentin debris was inserted into the grooves. The specimens were divided into five groups (n = 10): G1: Conventional with open-ended needle; G2: Conventional with double side-vented needle; G3: Easy Clean in reciprocating movement; G4: Easy clean in continuous rotation (ECCR); and G5: Passive ultrasonic irrigation (PUI). All specimens were scanned using microcomputed tomography before and after the irrigation technique and calculated the volume (mm3) of dentin debris. The paired t-test and post hoc Tukey test were the statistical tests used, with significance set at 5%. RESULTS There were no significant difference (P > 0.05) between PUI and ECCR. ECCR was significantly (P < 0.05) more effective than the groups of conventional irrigation techniques. CONCLUSIONS PUI and ECCR favored the removal of a larger volume of dentin debris from the groove.
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Affiliation(s)
- Francine Cesario
- Department of Restorative Dentistry, Dental Materials and Endodontics, Bauru Dental School, University of Sao Paulo, Bauru, Sao Paulo, Brazil
| | - Marco Antonio Hungaro Duarte
- Department of Restorative Dentistry, Dental Materials and Endodontics, Bauru Dental School, University of Sao Paulo, Bauru, Sao Paulo, Brazil
| | - Jussaro Alves Duque
- Department of Restorative Dentistry, Dental Materials and Endodontics, Bauru Dental School, University of Sao Paulo, Bauru, Sao Paulo, Brazil
| | - Murilo Priori Alcalde
- Department of Restorative Dentistry, Dental Materials and Endodontics, Bauru Dental School, University of Sao Paulo, Bauru, Sao Paulo, Brazil
| | - Flaviana Bombarda de Andrade
- Department of Restorative Dentistry, Dental Materials and Endodontics, Bauru Dental School, University of Sao Paulo, Bauru, Sao Paulo, Brazil
| | - Marcus Vinicius Reis So
- Department of Operative Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | | | - Rodrigo Ricci Vivan
- Department of Restorative Dentistry, Dental Materials and Endodontics, Bauru Dental School, University of Sao Paulo, Bauru, Sao Paulo, Brazil
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Silva EJNL, Carvalho CR, Belladonna FG, Prado MC, Lopes RT, De-Deus G, Moreira EJL. Micro-CT evaluation of different final irrigation protocols on the removal of hard-tissue debris from isthmus-containing mesial root of mandibular molars. Clin Oral Investig 2018; 23:681-687. [DOI: 10.1007/s00784-018-2483-1] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2018] [Accepted: 05/02/2018] [Indexed: 11/27/2022]
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17
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Espir CG, Nascimento-Mendes CA, Guerreiro-Tanomaru JM, Freire LG, Gavini G, Tanomaru-Filho M. Counterclockwise or clockwise reciprocating motion for oval root canal preparation: a micro-CT analysis. Int Endod J 2018; 51:541-548. [PMID: 28375575 DOI: 10.1111/iej.12776] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2016] [Accepted: 03/29/2017] [Indexed: 11/28/2022]
Abstract
AIM To evaluate oval root canal preparation using one or two instruments in counterclockwise or clockwise reciprocating motion. METHODOLOGY The radiographic diameter of mandibular human incisors was evaluated, and oval canals were selected (2 ≤ Diameter Ratio ≤ 4). Fifty-seven teeth were assigned to root canal preparation (n = 19): Reciproc 40 (R40) in a counterclockwise reciprocating motion; Mtwo size 40, .06 taper (M 40.06) in a clockwise reciprocating motion or Mtwo size 20, .06 taper and size 40, .06 taper (M 20/40.06) in a clockwise reciprocating motion. Mtwo instruments were coupled to an ENDO DUAL motor, turning 150° clockwise and 30° counterclockwise. Scanning was performed before and after root canal preparation using a SkyScan 1176 micro-computed tomography. Volume, percentage of debris and percentage of uninstrumented surface were analysed in the entire root canal and in each third of the canal. Data were compared using anova and Tukey's tests or Kruskal-Wallis and Dunn tests. RESULTS The Reciproc and Mtwo systems using different kinematics were associated with a similar increase in root canal volume. Additionally, both system had similar percentage of uninstrumented surface (P > 0.05). Mtwo size 20, .06 taper and size 40, .06 taper was associated with significantly lower debris (P < 0.05) in the middle third (0.56%) when compared to R40 (1.31%) and M size 40, .06 taper (1.54%). CONCLUSIONS The conventional reciprocation motion for R40 and the clockwise reciprocation motion for Mtwo resulted in similar root canal preparations. Less remaining debris was present in the middle third when two instruments with different diameters were used.
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Affiliation(s)
- C G Espir
- Department of Restorative Dentistry, Araraquara Dental School, São Paulo State University, Araraquara, São Paulo, Brazil
| | - C A Nascimento-Mendes
- Department of Restorative Dentistry, Araraquara Dental School, São Paulo State University, Araraquara, São Paulo, Brazil
| | - J M Guerreiro-Tanomaru
- Department of Restorative Dentistry, Araraquara Dental School, São Paulo State University, Araraquara, São Paulo, Brazil
| | - L G Freire
- Department of Dentistry, São Paulo Dental School, University of São Paulo, São Paulo, São Paulo, Brazil
| | - G Gavini
- Department of Dentistry, São Paulo Dental School, University of São Paulo, São Paulo, São Paulo, Brazil
| | - M Tanomaru-Filho
- Department of Restorative Dentistry, Araraquara Dental School, São Paulo State University, Araraquara, São Paulo, Brazil
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Xu K, Wang J, Wang K, Gen N, Li J. Micro-computed tomographic evaluation of the effect of the final apical size prepared by rotary nickel-titanium files on the removal efficacy of hard-tissue debris. J Int Med Res 2018; 46:2219-2229. [PMID: 29584511 PMCID: PMC6023043 DOI: 10.1177/0300060518757607] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
Objective This study was performed to compare the removal efficacy of hard-tissue debris in mandibular first molars prepared to various apical sizes. Methods The mesial root canals of 40 extracted mandibular first molars were prepared by rotary nickel-titanium files to an apical size of #25/0.04 (Group #2504), #30/0.04 (Group #3004), #35/0.04 (Group #3504), and #40/0.04 (Group #4004). Irrigation was performed with 5.25% NaOCl and 17% EDTA. Micro-computed tomography was used to scan the samples before and after root canal preparation. Remnant hard-tissue debris was identified, quantified, and visualized three-dimensionally using shape recognition and image superimposition analysis, and the debris was mapped to its location. Results After preparation, 11.67%±2.99% of the root canals contained hard-tissue debris in Group #2504, 8.00%±2.71% in Group #3004, 7.17%±2.88% in Group #3504, and 4.51%±1.61% in Group #4004. The amount of accumulated hard-tissue debris was significantly less in Group #4004 than in the other groups. However, there were no significant differences between Groups #3004 and #3504. Conclusions An increased final apical size resulted in significantly lower debris accumulation. However, no root canal in any group was completely free from hard-tissue debris, and debris was mostly found in the isthmus of the mesial root canals.
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Affiliation(s)
- Ke Xu
- Department of Endodontics, Stomatological Hospital Affiliated to Soochow University, Suzhou Stomatological Hospital, Suzhou, Jiangsu, China
- Jiangsu Key Laboratory of Oral Disease, Nanjing Medical University, Nanjing, China
| | - Juan Wang
- Jiangsu Key Laboratory of Oral Disease, Nanjing Medical University, Nanjing, China
| | - Ke Wang
- Jiangsu Key Laboratory of Oral Disease, Nanjing Medical University, Nanjing, China
| | - Nan Gen
- Jiangsu Key Laboratory of Oral Disease, Nanjing Medical University, Nanjing, China
| | - Jin Li
- Jiangsu Key Laboratory of Oral Disease, Nanjing Medical University, Nanjing, China
- Jin Li, Jiangsu Key Laboratory of Oral Disease, Nanjing Medical University, 136 Hanzhong Road, Nanjing 210029, China.
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Lopes RMV, Marins FC, Belladonna FG, Souza EM, De-Deus G, Lopes RT, Silva EJNL. Untouched canal areas and debris accumulation after root canal preparation with rotary and adaptive systems. AUST ENDOD J 2017; 44:260-266. [DOI: 10.1111/aej.12237] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/08/2017] [Indexed: 12/01/2022]
Affiliation(s)
- Rosa Maria Vianna Lopes
- Department of Endodontics; School of Dentistry; Grande Rio University (UNIGRANRIO); Duque de Caxias Rio de Janeiro Brazil
| | - Fernanda Cunha Marins
- Department of Endodontics; School of Dentistry; Grande Rio University (UNIGRANRIO); Duque de Caxias Rio de Janeiro Brazil
| | | | - Erick Miranda Souza
- Department of Dentistry II; Federal University of Maranhão; São Luis Maranhão Brazil
| | - Gustavo De-Deus
- Department of Endodontics; Fluminense Federal University (UFF); Niterói Rio de Janeiro Brazil
| | - Ricardo Tadeu Lopes
- Nuclear Engineering Program; Federal University of Rio de Janeiro (UFRJ); Rio de Janeiro Rio de Janeiro Brazil
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Abstract
OBJECTIVES Technological development and the need for electronic health records management resulted in the need for a computer with dedicated, commercial software in daily dental practice. The alternative for commercial software may be open-source solutions. Therefore, this study reviewed the current literature on the availability and use of open-source software (OSS) in dentistry. METHODS A comprehensive database search was performed on February 1, 2017. Only articles published in peer-reviewed journals with a focus on the use or description of OSS were retrieved. The level of evidence, according to Oxford EBM Centre Levels of Evidence Scale was classified for all studies. Experimental studies underwent additional quality reporting assessment. RESULTS The screening and evaluation process resulted in twenty-one studies from 1,940 articles found, with 10 of them being experimental studies. None of the articles provided level 1 evidence, and only one study was considered high quality following quality assessment. Twenty-six different OSS programs were described in the included studies of which ten were used for image visualization, five were used for healthcare records management, four were used for educations processes, one was used for remote consultation and simulation, and six were used for general purposes. CONCLUSIONS Our analysis revealed that the dental literature on OSS consists of scarce, incomplete, and methodologically low quality information.
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Verstraeten J, Jacquet W, De Moor RJG, Meire MA. Hard tissue debris removal from the mesial root canal system of mandibular molars with ultrasonically and laser-activated irrigation: a micro-computed tomography study. Lasers Med Sci 2017; 32:1965-1970. [DOI: 10.1007/s10103-017-2297-4] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2017] [Accepted: 07/27/2017] [Indexed: 11/28/2022]
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Hidalgo LRDC, Silva LABD, Leoni GB, Mazzi-Chaves JF, Carvalho EEDS, Consolaro A, Sousa-Neto MD. Mechanical Preparation Showed Superior Shaping Ability than Manual Technique in Primary Molars - A Micro-Computed Tomography Study. Braz Dent J 2017; 28:453-460. [DOI: 10.1590/0103-6440201601552] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2017] [Accepted: 05/09/2017] [Indexed: 11/21/2022] Open
Abstract
Abstract The aim of the study was to evaluate canal preparation in primary molars with hand files, ProTaper Next and Self-Adjusting File (SAF) by 2D and 3D micro-computed tomography (micro-CT) analysis. Canals of 24 primary molars were prepared with hand files (HF), ProTaper Next (PTN) and SAF (n=8/group). The teeth were scanned before and after root canal preparation and the pre- and postoperative micro-CT images were reconstructed. Changes in 2D (area, perimeter, roundness, minor and major diameter) and 3D [volume, surface area, structure model index (SMI)] morphological parameters, as well as canal transportation and lateral perforations were evaluated (Kruskal-Wallis and ANOVA; a=0.05). SAF presented smaller changes in minor diameter, volume and surface area compared with HF and PTN (p<0.05). PTN presented more circular canals after preparation. 3D analysis revealed greater transportation in HF. PTN and SAF presented more centered canal preparation, especially in curved areas. SAF and HF presented, respectively, the lowest (0.05±0.02 and 0.07±0.04) and highest (0.14±0.11 and 0.29±0.17) apical transportation. There were fewer lateral perforations in SAF (4.2%) and PTN (7.7%) than in HF (47.8%) (p<0.05). In primary molars, mechanical preparation showed better shaping ability than hand files, promoting more centered preparations and lower occurrence of lateral perforations and canal transportation. Clinical Relevance: Manual instrumentation is still reported as the main choice in the primary teeth preparation; however, studies have shown limitations in its use. The morphological characteristics of primary teeth and the limited knowledge of shaping procedures in these teeth using mechanical preparation become a challenge for clinical practice and might impair the predictability of endodontic treatment.
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Zuolo ML, Zaia AA, Belladonna FG, Silva EJNL, Souza EM, Versiani MA, Lopes RT, De-Deus G. Micro-CT assessment of the shaping ability of four root canal instrumentation systems in oval-shaped canals. Int Endod J 2017; 51:564-571. [DOI: 10.1111/iej.12810] [Citation(s) in RCA: 61] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2016] [Accepted: 06/27/2017] [Indexed: 11/29/2022]
Affiliation(s)
- M. L. Zuolo
- Endodontic Division; Department of Restorative Dentistry; Piracicaba Dental School; State University of Campinas; Piracicaba São Paulo Brazil
| | - A. A. Zaia
- Endodontic Division; Department of Restorative Dentistry; Piracicaba Dental School; State University of Campinas; Piracicaba São Paulo Brazil
| | - F. G. Belladonna
- Department of Endodontics; Fluminense Federal University; Niterói Rio de Janeiro Brazil
| | - E. J. N. L. Silva
- Department of Endodontics; Grande Rio University; Duque de Caxias Rio de Janeiro Brazil
| | - E. M. Souza
- Department of Dentistry II; Federal University of Maranhão; São Luís Maranhão Brazil
| | - M. A. Versiani
- Department of Restorative Dentistry; Dental School of Ribeirão Preto; University of São Paulo; São Paulo São Paulo Brazil
| | - R. T. Lopes
- Nuclear Engineering Program; Federal University of Rio de Janeiro; Rio de Janeiro Brazil
| | - G. De-Deus
- Department of Endodontics; Fluminense Federal University; Niterói Rio de Janeiro Brazil
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Comparative Effectiveness of New Mechanical Irrigant Agitating Devices for Debris Removal from the Canal and Isthmus of Mesial Roots of Mandibular Molars. J Endod 2016; 43:326-331. [PMID: 27989584 DOI: 10.1016/j.joen.2016.10.009] [Citation(s) in RCA: 49] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2016] [Revised: 08/19/2016] [Accepted: 10/10/2016] [Indexed: 11/21/2022]
Abstract
INTRODUCTION The aim of this study was to compare the effectiveness of Easy Clean (Easy Dental Equipment, Belo Horizonte, MG, Brazil) in continuous and reciprocating motion, passive ultrasonic irrigation (PUI), Endoactivator systems (Dentsply Maillefer, Ballaigues, Switzerland), and conventional irrigation for debris removal from root canals and isthmus. METHODS Fifty mesial roots of mandibular molars were embedded in epoxy resin using a metal muffle; afterward, the blocks containing the roots were sectioned at 2, 4, and 6 mm from the apex. After instrumentation, the roots were divided into 5 groups (n = 10) for application of the final irrigation protocol using Easy Clean in continuous rotation, Easy Clean in reciprocating motion, PUI, Endoactivator, and conventional irrigation. Scanning electron microscopic images were taken after instrumentation and after the first, second, and third activation of irrigating solution to evaluate the area of remaining debris with image J software (National Institutes of Health, Bethesda, MD). RESULTS The protocol of 3 irrigating solution activations for 20 seconds provided better cleaning of the canal and isthmus. On conclusion of all procedures, analysis of the canals showed a statistical difference only at 2 mm; the Easy Clean in continuous rotation was more efficient than conventional irrigation (P < .05). On conclusion of all steps, the largest difference was observed in the isthmus in which the Easy Clean in continuous rotation was more effective than conventional irrigation at the 3 levels analyzed and the Endoactivator at 4 mm (P < .05). The PUI promoted greater cleaning than conventional irrigation at 6 mm (P < .05). There was no statistical difference between Easy Clean in continuous rotation, Easy Clean in reciprocating motion, and PUI (P > .05). CONCLUSIONS Irrigating solution activation methods provided better cleaning of the canal and isthmus, especially the Easy Clean used in continuous rotation. The protocol of 3 irrigating solution activations for 20 seconds favored better cleaning.
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De-Deus G, Belladonna FG, Marins JR, Silva EJNL, Neves ADA, Souza EM, Machado ADC, Lopes RT, Versiani MA. On the Causality Between Dentinal Defects and Root Canal Preparation: A Micro-CT Assessment. Braz Dent J 2016; 27:664-669. [DOI: 10.1590/0103-6440201601002] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Accepted: 08/16/2016] [Indexed: 11/22/2022] Open
Abstract
Abstract This study aimed to evaluate the cause-effect relationship between canal preparation with ProTaper Universal (PTU) system and dentinal defects formation using micro-computed tomography (micro-CT) analysis. Forty mesial canals of mandibular molars with a type II Vertucci's canal configuration were scanned at an isotropic resolution of 14.16 µm. The sample was assigned to an experimental (n = 30) and a control (n = 10) groups, and the mesial canals were prepared with PTU system up to F2 instrument. The specimens from the experimental group were scanned and the cross-section images of the mesial roots, before and after preparation, were screened to identify the presence of dentinal defects. In the control group, the specimens were sectioned perpendicularly to the long axis of the root into 1-mm-thick slices (n = 80) and examined under optical microscope. Once a dentinal defect was detected, the slice was scanned through micro-CT. In the experimental group, dentinal micro-cracks were observed in 4,828 slices (24.04%). In all cross-section images, dentinal defects identified in the postoperative images were already present in the corresponding preoperative image. In the control group, 13 out of 80 slices (16.25%) had at least one dentinal defect visualized under stereomicroscopy, which was identified after a further micro-CT scanning. Micro-CT showed reliability as similar as optical microscopy in detecting dentinal defects, adding the possibility of tracking the dentinal tissue, before and after canal preparation, and providing a clear visualization of micro-cracks. Root canal preparation with PTU system did not induce the formation of new dentinal defects.
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Keleş A, Alçin H, Sousa-Neto MD, Versiani MA. Supplementary Steps for Removing Hard Tissue Debris from Isthmus-containing Canal Systems. J Endod 2016; 42:1677-1682. [DOI: 10.1016/j.joen.2016.07.025] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Revised: 07/29/2016] [Accepted: 07/29/2016] [Indexed: 11/29/2022]
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Vivan RR, Duque JA, Alcalde MP, Só MVR, Bramante CM, Duarte MAH. Evaluation of Different Passive Ultrasonic Irrigation Protocols on the Removal of Dentinal Debris from Artificial Grooves. Braz Dent J 2016; 27:568-572. [DOI: 10.1590/0103-6440201600725] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Accepted: 07/25/2016] [Indexed: 11/22/2022] Open
Abstract
Abstract The aim of this study was to evaluate the influence of different passive ultrasonic irrigation protocols on the removal of debris in artificially created grooves in the cervical, middle and apical root thirds. Forty extracted bovine incisor roots were instrumented to 1 mm of the root apex with a R50 Reciproc instrument and irrigated with 2.5% sodium hypochlorite. The roots were then inserted in a muffle and cleaved into two hemisections. Grooves (3-mm long) were done at 2, 7 and 12 mm from the root apex in one hemisection and filled with dentinal debris. The hemisections were regrouped into the muffle and divided into 4 groups (n=10) according to the final irrigation protocol: Control group: 3x20 s using a #30 gauge needle without agitation of the irrigating solution; Group PUI-s (static passive ultrasonic irrigation): 3x20 s of passive ultrasonic irrigation with the tip of the insert maintained static on the apical third; Group PUI-t (passive ultrasonic irrigation per third): 20 s of PUI in each third; Group PUI-d (passive dynamic ultrasonic irrigation): 3x20 s of PUI dynamically moving the insert in the whole extent of the root canal. In all groups, was used a total of 6 mL of 2.5% sodium hypochlorite as irrigant. After these procedures, the grooves were analyzed with a stereomicroscope and assigned scores as regards removal of the debris. The data were analyzed statistically (a=0.05). The results showed a better cleaning in all the groups where the irrigating solution was agitated with ultrasonic device than in the control group (p<0.05). In the apical third, the PUI-d and PUI-s showed similar performance (p>0.05) and a better cleanness than PUI-t (p<0.05). The dynamic and static methods of agitation of the irrigating solution provided more effective cleaning. PUI-d provided the most completely clean grooves suggesting that its use is the most adequate in cases of teeth with complex canal anatomy.
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Perez R, Neves AA, Belladonna FG, Silva EJNL, Souza EM, Fidel S, Versiani MA, Lima I, Carvalho C, De-Deus G. Impact of needle insertion depth on the removal of hard-tissue debris. Int Endod J 2016; 50:560-568. [DOI: 10.1111/iej.12648] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2015] [Accepted: 04/07/2016] [Indexed: 12/01/2022]
Affiliation(s)
- R. Perez
- Department of Dental Clinics; Rio de Janeiro State University; Rio de Janeiro Brazil
| | - A. A. Neves
- Department of Pediatric Dentistry and Orthodontics; Federal University of Rio de Janeiro; Rio de Janeiro Brazil
| | - F. G. Belladonna
- Department of Endodontics; Fluminense Federal University; Niterói Rio de Janeiro Brazil
| | - E. J. N. L. Silva
- Department of Endodontics; Grande Rio University; Duque de Caxias Rio de Janeiro Brazil
| | - E. M. Souza
- Department of Dentistry II; Federal University of Maranhão; São Luís Maranhão Brazil
| | - S. Fidel
- Department of Dental Clinics; Rio de Janeiro State University; Rio de Janeiro Brazil
| | - M. A. Versiani
- Department of Restorative Dentistry; Dental School of Ribeirão Preto; University of São Paulo; São Paulo Brazil
| | - I. Lima
- Nuclear Engineering Program; Federal University of Rio de Janeiro; Rio de Janeiro Brazil
| | - C. Carvalho
- Department of Endodontics; Grande Rio University; Duque de Caxias Rio de Janeiro Brazil
| | - G. De-Deus
- Department of Endodontics; Grande Rio University; Duque de Caxias Rio de Janeiro Brazil
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Leoni GB, Versiani MA, Silva-Sousa YT, Bruniera JFB, Pécora JD, Sousa-Neto MD. Ex vivoevaluation of four final irrigation protocols on the removal of hard-tissue debris from the mesial root canal system of mandibular first molars. Int Endod J 2016; 50:398-406. [DOI: 10.1111/iej.12630] [Citation(s) in RCA: 95] [Impact Index Per Article: 11.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2016] [Accepted: 03/15/2016] [Indexed: 11/29/2022]
Affiliation(s)
- G. B. Leoni
- Department of Restorative Dentistry; Dental School of Ribeirão Preto; University of São Paulo; Ribeirão Preto SP Brazil
| | - M. A. Versiani
- Department of Restorative Dentistry; Dental School of Ribeirão Preto; University of São Paulo; Ribeirão Preto SP Brazil
| | - Y. T. Silva-Sousa
- Department of Endodontics; Faculty of Dentistry; University of Ribeirão Preto; Ribeirão Preto SP Brazil
| | - J. F. B. Bruniera
- Department of Endodontics; Faculty of Dentistry; University of Ribeirão Preto; Ribeirão Preto SP Brazil
| | - J. D. Pécora
- Department of Restorative Dentistry; Dental School of Ribeirão Preto; University of São Paulo; Ribeirão Preto SP Brazil
| | - M. D. Sousa-Neto
- Department of Restorative Dentistry; Dental School of Ribeirão Preto; University of São Paulo; Ribeirão Preto SP Brazil
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Oh S, Perinpanayagam H, Kum DJW, Lim SM, Yoo YJ, Chang SW, Lee W, Baek SH, Zhu Q, Kum KY. Evaluation of three obturation techniques in the apical third of mandibular first molar mesial root canals using micro-computed tomography. J Dent Sci 2016; 11:95-102. [PMID: 30894953 PMCID: PMC6395149 DOI: 10.1016/j.jds.2015.11.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2015] [Revised: 11/06/2015] [Indexed: 12/02/2022] Open
Abstract
Background/purpose Recent studies have demonstrated a high incidence of isthmuses in mandibular first molar mesial roots, and intratubular mineralization following mineral trioxide aggregate obturation. This study assessed the filling quality of three obturation techniques in the apical 5 mm of mandibular first molar mesial root canals. Materials and methods Sixty extracted human mandibular first molar mesial roots with two separate canals that had interconnecting isthmuses, were prepared to an apical size of 40/0.06. They were allocated to three groups of 20 roots for obturation by either cold lateral compaction (CLC) or the continuous wave of condensation (CW) that used gutta-percha and AH Plus sealer, or by an orthograde canal obturation using OrthoMTA. The obturated roots were scanned by micro-computed tomography and assessed for the volumetric ratio (%) of gutta-percha, sealer, and OrthoMTA within the main canals or isthmuses in the apical 5 mm area. Measurements were analyzed statistically for differences among three obturation techniques. Results In the main canals, filled volume ratios were not significantly different among groups. Within isthmuses, the filled volume ratio for CLC was lower than in CW (P = 0.025) or OrthoMTA (P = 0.002). In isthmuses, the gutta-percha volume ratio in CLC was lower than in CW (P = 0.005), although the sealer volume ratio was higher than in CW (P = 0.049). Conclusion CLC demonstrated lower filling densities in isthmuses in the apical region than either CW or OrthoMTA. Orthograde MTA obturation showed comparable filling quality to gutta-percha with sealer.
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Affiliation(s)
- Soram Oh
- Department of Conservative Dentistry, Dental Research Institute, Seoul National University Dental Hospital, Seoul National University School of Dentistry, Seoul, Republic of Korea
| | - Hiran Perinpanayagam
- Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada
| | | | - Sang-Min Lim
- Department of Conservative Dentistry, Dental Research Institute, Seoul National University Dental Hospital, Seoul National University School of Dentistry, Seoul, Republic of Korea
| | - Yeon-Jee Yoo
- Department of Conservative Dentistry, Dental Research Institute, Seoul National University Dental Hospital, Seoul National University School of Dentistry, Seoul, Republic of Korea
| | - Seok Woo Chang
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul, Republic of Korea
| | - Woocheol Lee
- Department of Conservative Dentistry, Dental Research Institute, Seoul National University Dental Hospital, Seoul National University School of Dentistry, Seoul, Republic of Korea
| | - Seung-Ho Baek
- Department of Conservative Dentistry, Dental Research Institute, Seoul National University Dental Hospital, Seoul National University School of Dentistry, Seoul, Republic of Korea
| | - Qiang Zhu
- Division of Endodontology, Department of Oral Health and Diagnostic Sciences, University of Connecticut Health Center, School of Dental Medicine, Farmington, CT, USA
| | - Kee Yeon Kum
- Department of Conservative Dentistry, Dental Research Institute, Seoul National University Dental Hospital, Seoul National University School of Dentistry, Seoul, Republic of Korea
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Pandoli O, Martins RDS, Romani EC, Paciornik S, Maurício MHDP, Alves HDL, Pereira-Meirelles FV, Luz EL, Koller SML, Valiente H, Ghavami K. Colloidal silver nanoparticles: an effective nano-filler material to prevent fungal proliferation in bamboo. RSC Adv 2016. [DOI: 10.1039/c6ra12516f] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Silver nanoparticles (Ag-NPs) are effective nano-filler agents with antifungal activity able to improve bamboo's durability against fungus. Ag-NPs were used to fill up the bamboo biological matrix to obtain an engineered biocomposite material.
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Affiliation(s)
- O. Pandoli
- Chemistry Department
- PUC-Rio
- Rio de Janeiro
- Brazil
| | | | | | - S. Paciornik
- Chemical and Materials Eng. Department
- PUC-Rio
- Rio de Janeiro
- Brazil
| | | | - H. D. L. Alves
- Applied Physics and Thermodynamics Department
- UERJ
- Rio de Janeiro
- Brazil
| | | | - E. L. Luz
- Chemistry Department
- PUC-Rio
- Rio de Janeiro
- Brazil
| | | | - H. Valiente
- Chemical and Materials Eng. Department
- PUC-Rio
- Rio de Janeiro
- Brazil
| | - K. Ghavami
- Civil Eng. Department
- PUC-Rio
- Rio de Janeiro
- Brazil
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Versiani MA, Alves FRF, Andrade-Junior CV, Marceliano-Alves MF, Provenzano JC, Rôças IN, Sousa-Neto MD, Siqueira JF. Micro-CT evaluation of the efficacy of hard-tissue removal from the root canal and isthmus area by positive and negative pressure irrigation systems. Int Endod J 2015; 49:1079-1087. [DOI: 10.1111/iej.12559] [Citation(s) in RCA: 57] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2015] [Accepted: 10/08/2015] [Indexed: 11/30/2022]
Affiliation(s)
- M. A. Versiani
- Department of Restorative Dentistry; Dental School of Ribeirão Preto; University of São Paulo; Ribeirão Preto SP Brazil
| | - F. R. F. Alves
- Department of Endodontics; Faculty of Dentistry; Estácio de Sá University; Rio de Janeiro RJ Brazil
| | - C. V. Andrade-Junior
- Department of Health; Dentistry Division; Southwest State University of Bahia; Jequié Brazil
| | - M. F. Marceliano-Alves
- Department of Endodontics; Faculty of Dentistry; Estácio de Sá University; Rio de Janeiro RJ Brazil
| | - J. C. Provenzano
- Department of Endodontics; Faculty of Dentistry; Estácio de Sá University; Rio de Janeiro RJ Brazil
| | - I. N. Rôças
- Department of Endodontics; Faculty of Dentistry; Estácio de Sá University; Rio de Janeiro RJ Brazil
| | - M. D. Sousa-Neto
- Department of Restorative Dentistry; Dental School of Ribeirão Preto; University of São Paulo; Ribeirão Preto SP Brazil
| | - J. F. Siqueira
- Department of Endodontics; Faculty of Dentistry; Estácio de Sá University; Rio de Janeiro RJ Brazil
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Freire LG, Iglecias EF, Cunha RS, dos Santos M, Gavini G. Micro–Computed Tomographic Evaluation of Hard Tissue Debris Removal after Different Irrigation Methods and Its Influence on the Filling of Curved Canals. J Endod 2015; 41:1660-6. [DOI: 10.1016/j.joen.2015.05.001] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2015] [Revised: 04/30/2015] [Accepted: 05/03/2015] [Indexed: 11/28/2022]
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De-Deus G, Marins J, Silva EJNL, Souza E, Belladonna FG, Reis C, Machado AS, Lopes RT, Versiani MA, Paciornik S, Neves AA. Accumulated Hard Tissue Debris Produced during Reciprocating and Rotary Nickel-Titanium Canal Preparation. J Endod 2015; 41:676-81. [DOI: 10.1016/j.joen.2014.11.028] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2014] [Revised: 11/28/2014] [Accepted: 11/30/2014] [Indexed: 10/24/2022]
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Alves H, Lima I, Assis J, Geraldes M, Lopes R. Comparison of pore space features by thin sections and X-ray microtomography. Appl Radiat Isot 2014; 94:182-190. [DOI: 10.1016/j.apradiso.2014.08.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2014] [Revised: 08/09/2014] [Accepted: 08/09/2014] [Indexed: 11/29/2022]
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Neves AA, Silva EJ, Roter JM, Belladona FG, Alves HD, Lopes RT, Paciornik S, De-Deus GA. Exploiting the potential of free software to evaluate root canal biomechanical preparation outcomes through micro-CT images. Int Endod J 2014; 48:1033-42. [PMID: 25353648 DOI: 10.1111/iej.12399] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2014] [Accepted: 10/22/2014] [Indexed: 11/28/2022]
Abstract
AIM To propose an automated image processing routine based on free software to quantify root canal preparation outcomes in pairs of sound and instrumented roots after micro-CT scanning procedures. METHODOLOGY Seven mesial roots of human mandibular molars with different canal configuration systems were studied: (i) Vertucci's type 1, (ii) Vertucci's type 2, (iii) two individual canals, (iv) Vertucci's type 6, canals (v) with and (vi) without debris, and (vii) canal with visible pulp calcification. All teeth were instrumented with the BioRaCe system and scanned in a Skyscan 1173 micro-CT before and after canal preparation. After reconstruction, the instrumented stack of images (IS) was registered against the preoperative sound stack of images (SS). Image processing included contrast equalization and noise filtering. Sound canal volumes were obtained by a minimum threshold. For the IS, a fixed conservative threshold was chosen as the best compromise between instrumented canal and dentine whilst avoiding debris, resulting in instrumented canal plus empty spaces. Arithmetic and logical operations between sound and instrumented stacks were used to identify debris. Noninstrumented dentine was calculated using a minimum threshold in the IS and subtracting from the SS and total debris. Removed dentine volume was obtained by subtracting SS from IS. RESULTS Quantitative data on total debris present in the root canal space after instrumentation, noninstrumented areas and removed dentine volume were obtained for each test case, as well as three-dimensional volume renderings. CONCLUSION After standardization of acquisition, reconstruction and image processing micro-CT images, a quantitative approach for calculation of root canal biomechanical outcomes was achieved using free software.
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Affiliation(s)
- A A Neves
- Faculdade de Odontologia, Departamento de Odontopediatria e Ortodontia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - E J Silva
- Escola de Ciências da Saúde, Universidade do Grande Rio, Duque de Caxias
| | - J M Roter
- Polícia Militar do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | - F G Belladona
- Faculdade de Odontologia, Universidade Federal Fluminense, Niterói, Brazil
| | - H D Alves
- Programa de Engenharia Nuclear, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - R T Lopes
- Programa de Engenharia Nuclear, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - S Paciornik
- Departamento de Engenharia de Materiais, Pontifícia Universidade Católica do Rio de Janeiro, Rio de Janeiro, Brazil
| | - G A De-Deus
- Escola de Ciências da Saúde, Universidade do Grande Rio, Duque de Caxias
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De-Deus G, Silva EJNL, Marins J, Souza E, Neves ADA, Gonçalves Belladonna F, Alves H, Lopes RT, Versiani MA. Lack of causal relationship between dentinal microcracks and root canal preparation with reciprocation systems. J Endod 2014; 40:1447-50. [PMID: 25146030 DOI: 10.1016/j.joen.2014.02.019] [Citation(s) in RCA: 130] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2013] [Revised: 02/13/2014] [Accepted: 02/19/2014] [Indexed: 11/19/2022]
Abstract
INTRODUCTION This study aimed to evaluate the frequency of dentinal microcracks observed after root canal preparation with 2 reciprocating and a conventional full-sequence rotary system using micro-computed tomographic analysis. METHODS Thirty mesial roots of mandibular molars presenting a type II Vertucci canal configuration were scanned at an isotropic resolution of 14.16 μm. The sample was randomly assigned to 3 experimental groups (n = 10) according to the system used for the root canal preparation: group A-Reciproc (VDW, Munich, Germany), group B-WaveOne (Dentsply Maillefer, Baillagues, Switzerland), and group C-BioRaCe (FKG Dentaire, La-Chaux-de-Fonds, Switzerland). Second and third scans were taken after the root canals were prepared with instruments sizes 25 and 40, respectively. Then, pre- and postoperative cross-section images of the roots (N = 65,340) were screened to identify the presence of dentinal defects. RESULTS Dentinal microcracks were observed in 8.72% (n = 5697), 11.01% (n = 7197), and 7.91% (n = 5169) of the cross-sections from groups A (Reciproc), B (WaveOne), and C (BioRaCe), respectively. All dentinal defects identified in the postoperative cross-sections were also observed in the corresponding preoperative images. CONCLUSIONS No causal relationship between dentinal microcrack formation and canal preparation procedures with Reciproc, WaveOne, and BioRaCe systems was observed.
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Affiliation(s)
- Gustavo De-Deus
- Department of Endodontics, Grande Rio University, Rio de Janeiro, Brazil.
| | | | - Juliana Marins
- Department of Endodontics, Rio de Janeiro State University, Rio de Janeiro, Brazil
| | - Erick Souza
- Department of Dentistry II, Federal University of Maranhão, São Luis, Brazil
| | | | | | - Haimon Alves
- Nuclear Engineering Program, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Ricardo Tadeu Lopes
- Nuclear Engineering Program, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Marco Aurélio Versiani
- Department of Restorative Dentistry, Dental School of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
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