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Sairaman S, Solete P, Jeevanandan G, Antony SDP, Kavoor S, Adimulapu HS. Comparative analysis of novel heat-treated retreatment file system on the removal of obturating material using nano-computed tomography. JOURNAL OF CONSERVATIVE DENTISTRY AND ENDODONTICS 2024; 27:82-86. [PMID: 38389750 PMCID: PMC10880466 DOI: 10.4103/jcde.jcde_224_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 11/01/2023] [Accepted: 11/04/2023] [Indexed: 02/24/2024]
Abstract
Introduction The aim of nonsurgical retreatment is to remove the previous filling material followed by chemo-mechanical preparation of the canal to achieve proper disinfection of the root canal system. This is then followed by re-obturation. This study evaluates the time taken to retrieve the gutta-percha and the quantity of remaining filling material after retreatment with two different file systems. The quantity of remaining filling material was assessed using nano-computed tomography (CT) due to its increased accuracy. Materials and Methods Forty extracted single-rooted teeth were split into two groups at random and decoronated and obturated at a standard root length of 16 mm. Solite RS3 (SRS-3) Retreatment and ProTaper Universal Retreatment (PTUR) systems were used to retrieve the gutta-percha after a preoperative nano-CT scan. Postoperative nano-CT scan was taken and both the scans were superimposed to quantify the remaining filling material. The time taken to remove gutta-percha was measured using a stopwatch. The statistical analysis comparing the two groups was conducted using the independent t-test. Results The quantitative analysis of remaining filling material using nano-CT showed no statistical difference between both the file systems used (P > 0.05). However, SRS-3 took significantly less time in the removal of gutta-percha (P < 0.05). Conclusion Hence, we can conclude that there is no significant difference in the amount of remaining filling material between both the file systems. However, time taken to remove the gutta-percha was lesser in SRS-3 compared to PTUR file system.
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Affiliation(s)
- Sruthi Sairaman
- Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - Pradeep Solete
- Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - Ganesh Jeevanandan
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - S. Delphine Priscilla Antony
- Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - Sowmya Kavoor
- Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - Hima Sandeep Adimulapu
- Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
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Rohra MR, Shah PB, Arora AV, Kapoor SV, Rana HB. Evaluation of volumetric substance loss and precision in targeted endodontic re-treatment with guided versus conventional access cavity preparations: An in vitro study. J Conserv Dent 2023; 26:221-225. [PMID: 37205887 PMCID: PMC10190081 DOI: 10.4103/jcd.jcd_618_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 01/08/2023] [Accepted: 01/31/2023] [Indexed: 05/21/2023] Open
Abstract
Introduction Root canal retreatment is typically viewed as an "all or nothing" approach. Whether there is periapical pathosis or not, it is advised that all restorative and obturation materials be removed from all roots. Selective root retreatment, a new therapeutic strategy, allows retreatment to be restricted to a single root or multiple roots exhibiting periapical pathosis. To address the issues, "guided endodontics," a unique guided technique for the preparation of apically extended access cavities, was introduced. Materials and Methods In this in vitro experimental study, 22 freshly extracted two-rooted maxillary first premolars were selected and divided into two groups (n = 11). Pretreatment cone-beam computed tomography imaging of all teeth was performed. Root canal treatment was performed for all samples followed by postendodontic composite restorations with the occlusal stamp technique. Then targeted endodontic retreatment (TER) was done with the conventional method and guided method respectively. The tooth substance loss was measured and evaluated using Ez3D-i-3D-software (VATECH) and work precision was determined by calculating the dentinal loss. Statistical data analysis was done by Independent t-test for substance loss measurement and Chi-square test was used to measure the dentinal loss. Results TER with conventional method showed significantly higher substance loss with t = 4.591 (P < 0.05) and significantly higher dentinal loss measured in conventional method (P < 0.05). Conclusion In comparison to traditional TER, TER using a customized bur and three dimensions (3D)-guide results in much less substance loss. The dentinal loss was much lower in 3D-guided approach.
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Affiliation(s)
- Mili Rajkumar Rohra
- Department of Conservative, Aesthetics and Endodontics, Manubhai Patel Dental College, Vadodara, Gujarat, India
| | - Purnil Bhupendrakumar Shah
- Department of Conservative, Aesthetics and Endodontics, Manubhai Patel Dental College, Vadodara, Gujarat, India
| | - Ankit Ved Arora
- Department of Conservative, Aesthetics and Endodontics, Manubhai Patel Dental College, Vadodara, Gujarat, India
| | - Sonali Vinod Kapoor
- Department of Conservative, Aesthetics and Endodontics, Manubhai Patel Dental College, Vadodara, Gujarat, India
| | - Hardik Bharatbhai Rana
- Department of Conservative, Aesthetics and Endodontics, Manubhai Patel Dental College, Vadodara, Gujarat, India
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Hu N, Li W, Jiang W, Wen J, Gu S. Creating a Microenvironment to Give Wings to Dental Pulp Regeneration-Bioactive Scaffolds. Pharmaceutics 2023; 15:pharmaceutics15010158. [PMID: 36678787 PMCID: PMC9861529 DOI: 10.3390/pharmaceutics15010158] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 12/13/2022] [Accepted: 12/23/2022] [Indexed: 01/05/2023] Open
Abstract
Dental pulp and periapical diseases make patients suffer from acute pain and economic loss. Although root canal therapies, as demonstrated through evidence-based medicine, can relieve symptoms and are commonly employed by dentists, it is still difficult to fully restore a dental pulp's nutrition, sensory, and immune-regulation functions. In recent years, researchers have made significant progress in tissue engineering to regenerate dental pulp in a desired microenvironment. With breakthroughs in regenerative medicine and material science, bioactive scaffolds play a pivotal role in creating a suitable microenvironment for cell survival, proliferation, and differentiation, following dental restoration and regeneration. This article focuses on current challenges and novel perspectives about bioactive scaffolds in creating a microenvironment to promote dental pulp regeneration. We hope our readers will gain a deeper understanding and new inspiration of dental pulp regeneration through our summary.
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Affiliation(s)
- Nan Hu
- Department of Endodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, Shanghai 200011, China
- National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai 200011, China
| | - Weiping Li
- National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai 200011, China
- Department of Oral and Maxillofacial Head & Neck Oncology, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University, Shanghai 200011, China
| | - Wentao Jiang
- Department of Endodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, Shanghai 200011, China
- National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai 200011, China
| | - Jin Wen
- National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai 200011, China
- Department of Prosthodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, Shanghai 200011, China
- Shanghai Key Laboratory of Stomatology, Shanghai Engineering Research Center of Advanced Dental Technology and Materials, Shanghai 200125, China
- Correspondence: (J.W.); (S.G.)
| | - Shensheng Gu
- Department of Endodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, Shanghai 200011, China
- National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai 200011, China
- Correspondence: (J.W.); (S.G.)
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Venkataraman KJ, Venkatapathi A, Balasubramanian S, Palanivelu CR, Swaminathan SK, Samuel LS, Thanapathi S. Fracture Resistance of Endodontically Treated Mandibular Permanent First Molars Reinforced with Diagonal Horizontal Postdesign: A In vitro Study. J Pharm Bioallied Sci 2021; 13:S1597-S1602. [PMID: 35018037 PMCID: PMC8686919 DOI: 10.4103/jpbs.jpbs_308_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Accepted: 08/09/2021] [Indexed: 12/02/2022] Open
Abstract
AIM This study aims to compare fracture resistance of mandibular first molars reinforced with diagonally placed horizontal posts after endodontic therapy. MATERIALS AND METHODS Thirty-two mandibular first molar teeth were selected, standardized, divided into four groups (GP) - GP I (endodontically treated-no post)), GP II (horizontal post-buccolingual), GP III (horizontal postdiagonal), and GP IV (natural teeth). The individual teeth were mounted on bases, coded, and suitably prepared for the facture testing procedure. RESULTS Buccolingual type of fracture was the most common among the experimental groups with a percentage of incidence of 37.50%. The cuspal type of fracture was the next most common with a percentage of incidence of 25.0%. The incidence of mesiodistal, comminuted, and proximal type of fractures was also observed and had a percentage of incidence of 9.38%, 9.38%, and 9.38%, respectively. Group IV had the highest fracture resistance with a mean value of 1279.82 (N). Group I, Group II, and Group III had mean values of 684.16(N), 756.84(N), and 758.17(N), respectively. There was a statistically significant difference between Gp IV and Gp (I-III) in load values of root fracture (P < 0.05). CONCLUSION Within the limitations of this study, it can be concluded that diagonally placed horizontal postdesign has a higher resistance to facture when compared to buccolingually place horizontal postdesign and root canal treated non postgroup. These designs have the potential to be a conservative postendodontic management option. Further evaluation of different horizontal postdesigns and assessment in a clinical setting is recommended.
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Affiliation(s)
- Karunakaran Jeyaraman Venkataraman
- Department of Conservative Dentistry, JKK Nataraja Dental College and Hospital, Komarapalayam, Tamil Nadu, India,Address for correspondence: Dr. Karunakaran Jeyaraman Venkataraman, Department of Conservative Dentistry, JKK Nataraja Dental College and Hospital, Komarapalayam - 638 183, Tamil Nadu, India. E-mail:
| | - Aravindhan Venkatapathi
- Department of Conservative Dentistry, JKK Nataraja Dental College and Hospital, Komarapalayam, Tamil Nadu, India
| | | | | | - Senthil Kumar Swaminathan
- Department of Conservative Dentistry, JKK Nataraja Dental College and Hospital, Komarapalayam, Tamil Nadu, India
| | - Leo Sujith Samuel
- Department of Conservative Dentistry, JKK Nataraja Dental College and Hospital, Komarapalayam, Tamil Nadu, India
| | - Sathya Thanapathi
- Department of Conservative Dentistry, JKK Nataraja Dental College and Hospital, Komarapalayam, Tamil Nadu, India
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Venkataraman KJ, Thanapathi S, Balasubramanian S, Gandhi SA, Sarojinikutty AC. Fracture Resistance of Titanium, Chrome-Cobalt, and Gold Alloy as Post and Core Materials: A Comparative Evaluation. J Pharm Bioallied Sci 2020; 12:S583-S588. [PMID: 33149525 PMCID: PMC7595494 DOI: 10.4103/jpbs.jpbs_205_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Revised: 03/10/2020] [Accepted: 03/31/2020] [Indexed: 11/26/2022] Open
Abstract
Aim: This study aimed to comparatively evaluate the fracture resistance of different metallic post and core materials. Materials and Methods: Twenty-four maxillary–central incisors were selected, standardized, and segregated into three groups (GP I–III) (n = 8) based on the type of alloy used for post and core preparation. GP I (gold alloy [Au]), GP II (chrome–cobalt alloy [Co–Cr]), and GP III (titanium alloy [Ti]) were comparatively evaluated for use as post and core materials. The teeth were endodontically treated and tooth preparation for post core was done.Metal post and cores were fabricated using indirect wax pattern and luted. Teeth were mounted on resin bases, fracture testing was done, and type of fractures were analyzed. Results: Mesiodistal type of fracture was the most common among experimental groups with a percentage incidence of 54.20%. The comminuted type of fracture was the next most common with a percentage incidence of 29.2%. The incidence of buccolingual, transverse, and other type of fracture was not common and had a percentage incidence of 29.2%, 4.2%, 8.3% and 4.2% respectively. Group II had the highest fracture resistance with a mean value of 742.89N. Group III and Group I had mean values of 482.33 and 361.1123N. Statistically significant difference between experimental groups (I and II) and (II and III) was observed in load values of root fracture (P < 0.05). Conclusion: On the basis of the protocols used and limitations of this study, among metallic post and core materials tested, GP II had the highest fracture resistance values. Further evaluation of these different post and core systems, new alloy formulations designed specifically for use as post and core materials, and assessment in a clinical setting is recommended.
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Affiliation(s)
| | - Sathya Thanapathi
- Department of Conservative Dentistry, JKK Nataraja Dental College & Hospital, Komarapalayam, Tamil Nadu, India
| | | | - Shrimanikandan Ayappa Gandhi
- Department of Craniofacial Surgery & Dentistry, Velammal Medical Hospital & Research Institute, Madurai, Tamil Nadu, India
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Schestatsky R, Dartora G, Felberg R, Spazzin AO, Sarkis-Onofre R, Bacchi A, Pereira GKR. Do endodontic retreatment techniques influence the fracture strength of endodontically treated teeth? A systematic review and meta-analysis. J Mech Behav Biomed Mater 2018; 90:306-312. [PMID: 30396044 DOI: 10.1016/j.jmbbm.2018.10.030] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2018] [Revised: 10/24/2018] [Accepted: 10/24/2018] [Indexed: 02/07/2023]
Abstract
One of the major concerns about endodontically retreated teeth (ERT) is undoubtedly its loss of remnant structure, which could lead to consequently greater fracture risk. Therefore, the objective of this systematic review is to assess the influence of endodontic retreatment on the fracture strength of the dental tooth remnant. In vitro studies assessing the influence of mechanical retreatment on the mechanical properties (static or under fatigue) of restored teeth were searched in PubMed and SCOPUS databases. Three independent reviewers screened titles/abstracts of articles and the full-text of potentially eligible studies. The risk of bias was independently assessed by one researcher and verified by another two. Comparison between the mean load to fracture of teeth after endodontic treatment and after endodontic retreatment were estimated using pairwise random effects meta-analysis to calculate pooled mean differences. Three studies were included for the systematic review and 2 for the meta-analysis. The pooled effect indicated a statistical difference (Mean difference: -121.03 95%CI: -183.02, -59.05) between conditions favoring the endodontically treated teeth. However, the low number of studies combined with their heterogeneity made it difficult to prove such phenomenon. ERT might present lower fracture strength than endodontically treated teeth. However, more coherent laboratory tests may provide better evidence and quantitative parameters on how much reliability can be attributed to an endodontic retreatment, in addition to which technique can provide more predictable results in this conservative approach.
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Affiliation(s)
| | | | | | | | | | - Ataís Bacchi
- Meridional Faculty (IMED), Passo Fundo, RS, Brazil.
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Unexpected Complication Ten Years after Initial Treatment: Long-Term Report and Fate of a Maxillary Premolar Rehabilitation. Case Rep Dent 2018; 2018:3287965. [PMID: 30305964 PMCID: PMC6164210 DOI: 10.1155/2018/3287965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Accepted: 08/26/2018] [Indexed: 11/29/2022] Open
Abstract
Full-coverage restorations represent a well-known rehabilitation strategy for compromised posterior teeth; in the last years, new ceramic materials like zirconia have been introduced and widely adopted for the prosthetic management of molar and premolar areas. A long-term follow-up of a maxillary premolar rehabilitation using a veneered zirconia crown is presented; after ten years of uneventful clinical service of the tooth-restoration complex, a serious complication—namely, a vertical root fracture (VRF)—occurred. An extended time lapse (9 years) between the end of restorative procedures and development of symptoms due to VRF has been observed. On the other hand, a complete functional and esthetic integrity of the zirconia crown (without chippings or crack development) is documented along the follow-up period. Due to periodontal breakdown and severity of fracture, the premolar was extracted. The illustrations of our late failure, aetiological factors, and available data on the literature regarding VRF are addressed. Patients and clinicians should be aware of potential occurrences of some long-term, serious complications when dealing with previously treated and/or structurally weakened teeth. The development of a VRF might be unexpected and might occur many years after the end of tooth rehabilitation, despite adoption of contemporary restorative protocols and techniques.
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Delai D, Jardine AP, Mestieri LB, Boijink D, Fontanella VRC, Grecca FS, Kopper PMP. Efficacy of a thermally treated single file compared with rotary systems in endodontic retreatment of curved canals: a micro-CT study. Clin Oral Investig 2018; 23:1837-1844. [PMID: 30215147 DOI: 10.1007/s00784-018-2624-6] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2018] [Accepted: 09/06/2018] [Indexed: 11/24/2022]
Abstract
OBJECTIVES This study aimed to compare WaveOne Gold with ProTaper and RaCe systems regarding remaining filling material, apical transportation (AT), and working time (WT) after (i) filling removal and (ii) shaping of curved canals. METHODS Thirty mesiobuccal canals of maxillary molars were prepared and filled. After 30 days, they were randomly assigned into three groups (n = 10), according to the instruments used for filling removal and shaping, respectively: WOG-WaveOne Gold Primary and Medium; PTG-ProTaper Retreatment and ProTaper Next; RCG-D-RaCe and RaCe. Micro-CT analysis assessed the residual filling material and AT. WT was recorded. Data were statistically analyzed (α = .05). RESULTS There was no significant difference between groups in the amount of filling material at any evaluated moment (P > .05). All groups presented low AT values. The WT was similar in all groups in filling removal (P > .05), and in shaping step WOG was faster than PTG and RCG (P < .05). CONCLUSIONS Neither system could completely remove the filling material. The instruments evaluated were safe and the reciprocating system was faster than the rotary systems in shaping the canals. CLINICAL RELEVANCE This study provided consistent information on filling material removal capacity of WaveOne Gold. Considering that all tested systems were safe, WaveOne Gold may be an alternative with cost-effectiveness and shorter learning curve for endodontic retreatment.
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Affiliation(s)
- Débora Delai
- Graduate Program of the School of Dentstry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | | | - Letícia Boldrin Mestieri
- Graduate Program of the School of Dentstry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Daiana Boijink
- Graduate Program of the School of Dentstry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Vania Regina Camargo Fontanella
- Department of Orthopedics and Surgery of the School of Dentstry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Fabiana Soares Grecca
- Graduate Program of the School of Dentstry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Patrícia Maria Poli Kopper
- Graduate Program of the School of Dentstry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
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Nevares G, de Albuquerque DS, Freire LG, Romeiro K, Fogel HM, Dos Santos M, Cunha RS. Efficacy of ProTaper NEXT Compared with Reciproc in Removing Obturation Material from Severely Curved Root Canals: A Micro-Computed Tomography Study. J Endod 2017; 42:803-8. [PMID: 27117757 DOI: 10.1016/j.joen.2016.02.010] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2015] [Revised: 02/22/2016] [Accepted: 02/22/2016] [Indexed: 10/21/2022]
Abstract
INTRODUCTION The aim of this study was to compare the remaining root canal obturation, volume of dentin removed, and apical transportation after retreatment of severely curved root canals by using Reciproc (REC) or ProTaper NEXT (PTN) systems. METHODS Twenty-eight mesial canals of mandibular molars were instrumented and then obturated with gutta-percha and sealer and allocated into 2 balanced groups (n = 14), the REC group (R25 file) and the PTN group (X3 and X2 files). Micro-computed tomography analysis was performed to assess the percentage of residual obturation material, the amount of dentin removed, and apical transportation. The effective time for the removal of obturation and procedural errors were recorded. RESULTS Obturation was effectively removed from the root canal in the REC and PTN groups (P ≤ .001), and the percentages of remaining obturation material were similar between both groups (84.8% PTN vs 86.5% REC) (P > .05). The amount of dentin removed (3.17 ± 2.64 mm(3) PTN versus 3.50 ± 2.82 mm(3) REC), apical transportation (at 1 mm: 0.096 ± 0.189 mm PTN versus 0.093 ± 0.186 mm REC; at 3 mm: 0.059 ± 0.069 mm PTN versus 0.082 ± 0.080 mm REC; at 5 mm: 0.097 ± 0.093 mm PTN versus 0.133 ± 0.138 mm REC), and the working time (269.69 ± 19.25 seconds PTN versus 268.62 ± 16.37 seconds REC) were also similar in both groups (P > .05). One file fractured in the REC group. CONCLUSIONS Both systems were equally effective in the removal of obturation from severely curved canals and can be used for retreatment. Neither system could completely remove the obturation material; therefore, additional techniques are needed to improve cleaning of the root canal.
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Affiliation(s)
- Giselle Nevares
- Department of Operative Dentistry and Endodontics, Dental College of Pernambuco, University of Pernambuco, Camaragibe, Pernambuco, Brazil.
| | - Diana S de Albuquerque
- Department of Operative Dentistry and Endodontics, Dental College of Pernambuco, University of Pernambuco, Camaragibe, Pernambuco, Brazil
| | - Laila G Freire
- School of Dentistry, University of São Paulo, São Paulo, São Paulo, Brazil
| | - Kaline Romeiro
- Department of Operative Dentistry and Endodontics, Dental College of Pernambuco, University of Pernambuco, Camaragibe, Pernambuco, Brazil
| | - Howard M Fogel
- Division of Endodontics, College of Dentistry, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Marcelo Dos Santos
- Division of Endodontics, Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, São Paulo, Brazil
| | - Rodrigo S Cunha
- Division of Endodontics, College of Dentistry, University of Manitoba, Winnipeg, Manitoba, Canada
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Kamalak A, Uzun I, Arslan H, Keleş A, Doğanay E, Keskin C, Akçay M. Fracture Resistance of Endodontically Retreated Roots After Retreatment Using Self-Adjusting File, Passive Ultrasonic Irrigation, Photon-Induced Photoacoustic Streaming, or Laser. Photomed Laser Surg 2016; 34:467-472. [DOI: 10.1089/pho.2016.4121] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Aliye Kamalak
- Department of Endodontics, Faculty of Dentistry, Firat University, Elaziğ, Turkey
| | - Ismail Uzun
- Department of Endodontics, Faculty of Dentistry, Ondokuz Mayıs University, Samsun, Turkey
| | - Hakan Arslan
- Department of Endodontics, Faculty of Dentistry, Atatürk University, Erzurum, Turkey
| | - Ali Keleş
- Department of Endodontics, Faculty of Dentistry, Ondokuz Mayıs University, Samsun, Turkey
| | - Ezgi Doğanay
- Department of Endodontics, Faculty of Dentistry, Atatürk University, Erzurum, Turkey
| | - Cangül Keskin
- Department of Endodontics, Faculty of Dentistry, Ondokuz Mayıs University, Samsun, Turkey
| | - Merve Akçay
- Department of Pedodontics, Faculty of Dentistry, Katip Çelebi University, İzmir, Turkey
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Khalap ND, Hegde V, Kokate S. Fracture resistance exhibited by endodontically treated and retreated teeth shaped by ProTaper NEXT versus WaveOne: An in vitro study. J Conserv Dent 2016; 18:453-6. [PMID: 26752838 PMCID: PMC4693317 DOI: 10.4103/0972-0707.168808] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Aim: To compare the fracture resistance exhibited by teeth after primary endodontic treatment and retreatment. Materials and Methods: One hundred freshly extracted human teeth were selected. 20 samples served as control (untreated). Eighty experimental samples were divided into two groups (n = 40) for instrumentation using rotary Protaper NEXT (PTN) or reciprocating WaveOne (WO) files and obturated using warm lateral compaction. Half of the samples (n = 20) from each group were subjected to a load. The remaining half were subjected to retreatment using Protaper universal retreatment files (RFs) followed by a file larger than the master apical file used in groups 1 and 2 and reobturated. Group A: Control, Group B: PTN + obturation, Group C: WO + obturation, Group D: RF + PTN + obturation and Group E: RF + WO + obturation. The retreatment specimens were also subjected to load and the readings acquired were statistically analyzed. Result: When compared between the groups, control group exhibited the highest fracture resistance (P < 0.01). When multiple tests were performed, Group E exhibited significantly less fracture resistance (P < 0.01). Conclusion: Endodontic treatment and retreatment both results in lowering the fracture resistance of a tooth.
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Affiliation(s)
- Neha Deepak Khalap
- Department of Conservative Dentistry and Endodontics, YMT Dental College and Hospital, Kharghar, Navi Mumbai, Maharashtra, India
| | - Vibha Hegde
- Department of Conservative Dentistry and Endodontics, YMT Dental College and Hospital, Kharghar, Navi Mumbai, Maharashtra, India
| | - Sharad Kokate
- Department of Conservative Dentistry and Endodontics, YMT Dental College and Hospital, Kharghar, Navi Mumbai, Maharashtra, India
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Gogulnath D, Rajan RM, Arathy G, Kandaswamy D. A comparative evaluation of the canal centering ability of three rotary nickel-titanium retreatment systems in the mesio-buccal canals of mandibular first molars using computed tomography. J Conserv Dent 2015; 18:310-4. [PMID: 26180417 PMCID: PMC4502128 DOI: 10.4103/0972-0707.159735] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2015] [Revised: 04/21/2015] [Accepted: 05/20/2015] [Indexed: 12/04/2022] Open
Abstract
Background: During endodontic retreatment, relative difficulty exists in removing the filling material and maintaining the canal anatomy. Usage of nickel-titanium (NiTi) rotary retreatment instruments is widely accepted, but there is a lack of adequate literature evidence about their canal centering ability. Aim: To compare the canal centering ability of rotary NiTi retreatment systems. Materials and Methods: Mandibular first molars with mesiobuccal canals with canal access angle of 20-40° were used. Canals prepared until ISO 25, 0.06 taper. Obturated with three different techniques lateral compaction, Thermafil, and Resilon/Epiphany. Retreatment was carried using three different systems ProTaper retreatment, Mtwo R and REndo. Specimens were subjected to computed tomography analysis at coronal, middle, and apical third of the root canal preobturation and postretreatment procedure. Statistical Analysis Used: One-way ANOVA and post-hoc Tukey test. Results: No statistically significant difference with three retreatment systems. Variation existed among all the subgroups at the coronal, middle, and apical third of the root canal. Conclusion: All retreatment systems with three obturation techniques showed eccentricity within acceptable limits. REndo, MtwoR showed better canal centering and ProTaper retreatment system showed tendency for eccentric canal preparation, especially in apical third.
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Affiliation(s)
- Deenadhayalan Gogulnath
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, Sri Ramachandra University, Porur, Chennai, Tamil Nadu, India
| | - Rajendran Mathan Rajan
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, Sri Ramachandra University, Porur, Chennai, Tamil Nadu, India
| | - Ganesh Arathy
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, Sri Ramachandra University, Porur, Chennai, Tamil Nadu, India
| | - Deivanayagam Kandaswamy
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, Sri Ramachandra University, Porur, Chennai, Tamil Nadu, India
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Agarwal RS, Agarwal J, Jain P, Chandra A. Comparative Analysis of Canal Centering Ability of Different Single File Systems Using Cone Beam Computed Tomography- An In-Vitro Study. J Clin Diagn Res 2015; 9:ZC06-10. [PMID: 26155551 DOI: 10.7860/jcdr/2015/12097.5863] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2014] [Accepted: 03/25/2015] [Indexed: 11/24/2022]
Abstract
BACKGROUND The ability of an endodontic instrument to remain centered in the root canal system is one of the most important characteristic influencing the clinical performance of a particular file system. Thus, it is important to assess the canal centering ability of newly introduced single file systems before they can be considered a viable replacement of full-sequence rotary file systems. AIM The aim of the study was to compare the canal transportation, centering ability, and time taken for preparation of curved root canals after instrumentation with single file systems One Shape and Wave One, using cone-beam computed tomography (CBCT). MATERIALS AND METHODS Sixty mesiobuccal canals of mandibular molars with an angle of curvature ranging from 20(o) to 35(o) were divided into three groups of 20 samples each: ProTaper PT (group I) - full-sequence rotary control group, OneShape OS (group II)- single file continuous rotation, WaveOne WO - single file reciprocal motion (group III). Pre instrumentation and post instrumentation three-dimensional CBCT images were obtained from root cross-sections at 3mm, 6mm and 9mm from the apex. Scanned images were then accessed to determine canal transportation and centering ability. The data collected were evaluated using one-way analysis of variance (ANOVA) with Tukey's honestly significant difference test. RESULTS It was observed that there were no differences in the magnitude of transportation between the rotary instruments (p >0.05) at both 3mm as well as 6mm from the apex. At 9 mm from the apex, Group I PT showed significantly higher mean canal transportation and lower centering ability (0.19±0.08 and 0.39±0.16), as compared to Group II OS (0.12±0.07 and 0.54±0.24) and Group III WO (0.13±0.06 and 0.55±0.18) while the differences between OS and WO were not statistically significant. CONCLUSION It was concluded that there was minor difference between the tested groups. Single file systems demonstrated average canal transportation and centering ability comparable to full sequence Protaper system in curved root canals.
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Affiliation(s)
- Rolly S Agarwal
- Reader, Department of Conservative Dentistry & Endodontics, Sri Aurobindo College of Dentistry , Indore, Madhya Pradesh, India
| | - Jatin Agarwal
- Reader, Department of Prosthodontics, Sri Aurobindo College of Dentistry , Indore, Madhya Pradesh, India
| | - Pradeep Jain
- Professor, Department of Conservative Dentistry & Endodontics, Sri Aurobindo College of Dentistry , Indore, Madhya Pradesh, India
| | - Anil Chandra
- Professor, Department of Conservative Dentistry & Endodontics, Faculty of Dentistry, King George Medical University , Lucknow, Uttar Pradesh, India
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14
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Takeshita WM, Iwaki LCV, da Silva MC, Sabio S, Albino PRF. Comparison of periapical radiography with cone beam computed tomography in the diagnosis of vertical root fractures in teeth with metallic post. J Conserv Dent 2014; 17:225-9. [PMID: 24944444 PMCID: PMC4056392 DOI: 10.4103/0972-0707.131781] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2013] [Revised: 02/20/2014] [Accepted: 02/25/2014] [Indexed: 12/03/2022] Open
Abstract
Aim: To compare the diagnostic accuracy of conventional periapical radiography and cone beam computed tomography (CBCT) in detecting vertical root fracture (VRF) in tooth with metallic post (MP). Materials and Methods: Twenty endodontically-treated teeth received MPs, artificial fractures were created in 10 teeth, and they were all examined with tomography and radiography. The sample consisted of periapical radiography with post and without post, and tomography with post and without post; each group with five fractured and five non-fractured teeth. The images were evaluated by three dental/maxillofacial radiologists and statistical validations were carried out using receiver operating characteristic (ROC) analysis. Results: Sensitivity and specificity of the area under the ROC (Az) of tomography with post (Az = 0.953) and without post (Az = 0.956) were significantly higher than those of periapical radiography with post (Az = 0.753) and without post (Az = 0.778). Conclusion: CBCT was more accurate than conventional periapical radiography in detecting VRF.
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Affiliation(s)
| | | | | | - Sergio Sabio
- Department of Dentistry, State University of Maringá, Brazil
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