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Jamleh A, Alfadley A, Tarabzoni L, Alowaidi L, Alobaid T, Alfouzan K. Impact of Sequential Use of Reciprocating Files on the Shaping Load During Root Canal Treatment. J Endod 2024; 50:370-375. [PMID: 38092298 DOI: 10.1016/j.joen.2023.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 12/05/2023] [Indexed: 12/31/2023]
Abstract
INTRODUCTION The purpose of this in vitro study was to investigate the apical and coronal loads generated during shaping canals with 2 successive reciprocating files in comparison to a single reciprocating file from the same system. METHODS A total of 40 narrow and straight canals were distributed into two groups: R-Motion with single file (RMS) and R-Motion with multiple files (RMM). In both groups, the R-Motion system was used in a reciprocating motion. After establishing glide path, the RMS canals were shaped down to working length with a single file (25/.06) in two insertions while the RMM canals were shaped with two files (20/.04 and 25/.06) to the working length. The shaping time and effects of tested groups on the apical and coronal peak loads were statistically analyzed using the t-test and Mann-Whitney U test, respectively, at a 95% confidence level. RESULTS All canals were completely shaped in three insertions and no file deformation or fracture was observed. The RMS and RMM were able to shape canals in 117.3 ± 15.1 and 123.7 ± 7.3 seconds, respectively (P < .05). Within each group, the shaping load appeared to increase with the successive insertions of the file. In both groups, the ranges of apical and coronal peak loads were 0.41-1.87 N and 0.38-1.03 N, respectively. The RMM and RMS had comparable apical and coronal peak loads (P > .05) except in the last insertion where RMM showed clearly lower apical peak load than RMS (P < .01). CONCLUSIONS Under the current laboratory conditions using the R-Motion system, preshaping the canal with a smaller reciprocating file was shown to favorably reduce the apical peak loads induced during canal shaping of extracted teeth.
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Affiliation(s)
- Ahmed Jamleh
- Department of Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates.
| | - Abdulmohsen Alfadley
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
| | - Layan Tarabzoni
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
| | - Leqaa Alowaidi
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
| | - Tala Alobaid
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
| | - Khalid Alfouzan
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
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Jamleh A, Albanyan H, Alaqla A, Alissa H, Alshetan N, Alraffa S, Alfadley A. Impact of cooling on shaping ability of thermally treated files in canal models with double curvature. PeerJ 2023; 11:e15830. [PMID: 37576504 PMCID: PMC10416767 DOI: 10.7717/peerj.15830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Accepted: 07/11/2023] [Indexed: 08/15/2023] Open
Abstract
Background This study compared the ability of thermally treated files in shaping simulated canals with double curvature. Fifty-six canals were enlarged to a final size of 25 with ProTaper Next (PTN) or ZenFlex (ZF). Materials Half of the samples were shaped with cooled files (n = 14 each). The amount of removed resin was measured and canal deviation was determined at eight levels. Shaping time and maximum shaping torque values were also recorded. Data were statistically analyzed using analysis of variance and LSD, Kruskal-Wallis, and chi-square tests at a 0.05 significance level. Results Compared to PTN and cooled PTN, ZF and cooled ZF required lesser time to shape the canals. The maximum torques were found comparable between the groups. All the groups generated negligible deviations at every canal level evaluated and maintained the canal geometry. Although not significant, the cooled PTN and ZF files exhibited lesser canal deviations than their counterparts. Conclusion All groups demonstrated similar shaping ability whilst maintaining the original curvature of the canal in simulated canals with double curvature. However, ZF groups were able to shape the canals faster than PTN groups. There was a trend that cooled files made lesser canal deviations compared to their counterparts.
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Affiliation(s)
- Ahmed Jamleh
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Hajar Albanyan
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Ali Alaqla
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Hamad Alissa
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Nawaf Alshetan
- Dr. Sulaiman Al-Habib Medical Group, Riyadh, Saudi Arabia
| | | | - Abdulmohsen Alfadley
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
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Jamleh A, Nassar M, Alfadley A, Alanazi A, Alotiabi H, Alghilan M, Alfouzan K. Retreatment of oval-shaped root canals filled with TotalFill bioceramic or AH plus sealer. Sci Rep 2023; 13:9357. [PMID: 37291272 PMCID: PMC10250336 DOI: 10.1038/s41598-023-36608-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 06/07/2023] [Indexed: 06/10/2023] Open
Abstract
This study investigated retreatment of oval canals filled with gutta-percha and different sealers using WaveOne Gold (WOG). Single oval canals were prepared to size 30, 0.04 and obturated with gutta percha and AH Plus (AHP) or TotalFill bioceramic (TFBC) sealer. After 6-month incubation, the canals were retreated with WOG Primary (25, 0.07) under simulated body temperature, and the developed load and torque were simultaneously measured. The time and regaining the apical patency were checked. Micro-computed tomography scanning was performed to calculate the remaining obturating materials. An independent t-test and chi-square test were performed at a 95% confidence level. A shorter retreatment time was needed in TFBC than in AHP (P = 0.003). However, a higher maximum apical load was reported with AHP (P = 0.000). Meanwhile, comparable maximum coronal load and maximum torque values were observed. Apical patency was regained in all TFBC roots and only 75% of the AHP samples (P = 0.217). The remaining obturating materials were comparable in TFBC (13.02 ± 8.12%) and AHP (10.11 ± 8.46%) (P = 0.398). WOG was able to remove 89.89% and 86.98% of obturating materials in TFBC and AHP, respectively. The TFBC presented lower apical loads and faster retreatment compared to AHP.
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Affiliation(s)
- Ahmed Jamleh
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, P.O. Box 22490, 11426, Riyadh, Kingdom of Saudi Arabia.
- King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
| | - Mohannad Nassar
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | - Abdulmohsen Alfadley
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, P.O. Box 22490, 11426, Riyadh, Kingdom of Saudi Arabia
- King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
| | - Azhar Alanazi
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, P.O. Box 22490, 11426, Riyadh, Kingdom of Saudi Arabia
- Endodontic Division, Dental Services, Central Region, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Hadeel Alotiabi
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, P.O. Box 22490, 11426, Riyadh, Kingdom of Saudi Arabia
- King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
| | - Maryam Alghilan
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, P.O. Box 22490, 11426, Riyadh, Kingdom of Saudi Arabia
- King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
| | - Khalid Alfouzan
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, P.O. Box 22490, 11426, Riyadh, Kingdom of Saudi Arabia
- King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
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Nassar M, Islam MS, D’souza S, Praveen M, Al Masri MH, Sauro S, Jamleh A. Tinnitus Prevalence and Associated Factors among Dental Clinicians in the United Arab Emirates. Int J Environ Res Public Health 2023; 20:1403. [PMID: 36674157 PMCID: PMC9859095 DOI: 10.3390/ijerph20021403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 01/07/2023] [Accepted: 01/09/2023] [Indexed: 06/17/2023]
Abstract
Dental clinicians are at increased risk for developing tinnitus due to exposure to high levels of occupational noise. This study aimed to determine tinnitus prevalence and associated factors among dental clinicians. Interviews were conducted with 150 randomly selected dental clinicians using a questionnaire. Noise levels were measured at three points of time at the operating area. Tinnitus was reported in 19.33% of the participants. The average noise level was significantly higher among participants with tinnitus compared to those without the condition. More participants complained of intermittent tinnitus and the rest had the constant type, with the latter being significantly more bothersome. The weekly average time of using high-speed handpieces, suction and electric handpieces, age and experience had a significant effect on the presence of tinnitus. Only 2.7% of the participants reported the use of a hearing protection device. Tinnitus is a common finding among dental clinicians especially those with higher levels of occupational noise and more frequent use of noise-generating equipment. Knowledge of tinnitus prevalence aids in realizing the extent of its impact and making informed decisions. These results call for improved awareness of the negative impact of clinically-generated noise and emphasize the importance of preventive measures and periodic audiometry exams.
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Affiliation(s)
- Mohannad Nassar
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah 27272, United Arab Emirates
| | - Md Sofiqul Islam
- Ras Al Khaimah College of Dental Sciences, Ras Al Khaimah Medical and Health Science University, Ras Al Khaimah 11172, United Arab Emirates
| | - Stancey D’souza
- Ras Al Khaimah College of Dental Sciences, Ras Al Khaimah Medical and Health Science University, Ras Al Khaimah 11172, United Arab Emirates
| | - Milan Praveen
- Ras Al Khaimah College of Dental Sciences, Ras Al Khaimah Medical and Health Science University, Ras Al Khaimah 11172, United Arab Emirates
| | - Mohammad Hani Al Masri
- Ras Al Khaimah College of Dental Sciences, Ras Al Khaimah Medical and Health Science University, Ras Al Khaimah 11172, United Arab Emirates
| | - Salvatore Sauro
- Dental Biomaterials and Minimally Invasive Dentistry, Departamento de Odontología, Facultad de Ciencias de la Salud, Universidad CEU-Cardenal Herrera, C/Del Pozo ss/n, Alfara del Patriarca, 46115 Valencia, Spain
- Department of Therapeutic Dentistry, I. M. Sechenov First Moscow State Medical University, 119146 Moscow, Russia
| | - Ahmed Jamleh
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh 11481, Saudi Arabia
- King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh 11481, Saudi Arabia
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Forgione D, Nassar M, Seseogullari-Dirihan R, Jamleh A, Tezvergil-Mutluay A. Effect of phytic acid on dentinal collagen solubilization and its binding and debinding potentials to dentin. J Dent 2023; 128:104361. [PMID: 36379300 DOI: 10.1016/j.jdent.2022.104361] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 11/05/2022] [Accepted: 11/08/2022] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVES To study phytic acid (IP6) effect on collagen solubilization by assessing hydroxyproline (HYP) release, evaluate its binding to demineralized (DD) and mineralized dentin (MD) and determine the effect of different media on debinding of IP6. METHODS Demineralized dentin beams were incubated in 1%, 2% or 3% IP6 and HYP release was evaluated at 1 or 3 weeks and compared to those obtained in untreated control or phosphoric acid (PA)-treated beams. DD or MD powder was treated with 1%, 2% or 3% IP6 and the decrease in IP6 amount was quantitated by ultraviolet-visible spectroscopy. IP6-treated samples were re-suspended in distilled water, ethanol, urea or sodium chloride and the amount of IP6 displaced was determined. RESULTS At 1 week, the control group and IP6 showed lower HYP release when compared to PA (P < 0.05). There was no difference among PA, IP6 and control at 3 weeks (P = 0.22). IP6 binding was concentration dependent. 1% IP6 had higher binding potential with MD compared to DD while 2% IP6 showed the opposite result (P<0.05). 3% IP6 had similar binding values between DD and MD (P = 0.53). The highest debinding in MD occurred with urea for 2%, 3% and 1% IP6 in descending manner. Within each concentration of IP6 in DD, the highest debinding effect was reported with ethanol. CONCLUSIONS IP6 bound to DD and MD in a concentration-dependent manner. IP6 was debound from DD mostly by the action of ethanol, while in MD, urea caused the most displacement. Collagen solubilization of IP6-treated DD was comparable to untreated DD. CLINICAL SIGNIFICANCE These findings add to the potential use of IP6 as an alternative to PA for dentin etching which possibly results in long-term stability of resin-dentin adhesion.
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Affiliation(s)
| | - Mohannad Nassar
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates.
| | | | - Ahmed Jamleh
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia; King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Arzu Tezvergil-Mutluay
- Institute of Dentistry, University of Turku, Turku, Finland; Turku University Hospital, Turku, Finland
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Jamleh A, Aljohani SM, Alzamil FF, Aljuhayyim SM, Alsubaei MN, Alali SR, Alotaibi NM, Nassar M. Assessment of the educational value of endodontic access cavity preparation YouTube video as a learning resource for students. PLoS One 2022; 17:e0272765. [PMID: 35947634 PMCID: PMC9365130 DOI: 10.1371/journal.pone.0272765] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Accepted: 07/26/2022] [Indexed: 11/18/2022] Open
Abstract
Objective To evaluate the educational value of YouTube as a learning tool for dental students regarding endodontic access cavity preparation. Methods and findings YouTube search was made for videos related to endodontic access cavity preparation using specific terms. After exclusions, 41 videos were chosen and assessed for tooth type, video length, days since upload, country of origin, number of views and likes, source of authorship, and viewing rate. To grade the content of videos, a usefulness score with seven elements was developed. Each element was given a score of 0 or 1. Statistical tests were run by using Kruskal-Wallis and Mann-Whitney tests (SPSS Inc, Chicago, IL, USA) at a 5% significance level. The videos received a mean of 181198.5 views with a mean duration of 686.1 seconds. The mean number of “likes” was 1047.8. Almost half of the videos covered content related to molar teeth. Most videos were provided by health care professionals with almost 50% uploaded from India. The mean usefulness score was 4.29 (range: 1–7) and the most discussed elements were description, instruments used, access cavity demonstration, and evaluation criteria. About a quarter of the videos were classified as good, while 46.3% as moderate and 29.3% as poor. Among the content usefulness categories, no difference was found in the video demographics (p>0.05) except “days since upload” (p = 0.018) in which good quality videos were found to have the highest median. Moreover, although insignificant, good videos were found to have the longest duration and lowest number of views, likes, and viewing rate. The mean usefulness score of videos released during the COVID-19 pandemic was lower than that for pre-pandemic videos (p = 0.042), and videos uploaded by academic institutions had a higher mean usefulness score than videos uploaded by health care professionals (p<0.001). Conclusions Information on endodontic access cavity preparation is not comprehensive in most of the reviewed YouTube videos and could be of low educational value.
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Affiliation(s)
- Ahmed Jamleh
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Saudi Arabia
- * E-mail:
| | - Shouq Mohammed Aljohani
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Faisal Fahad Alzamil
- College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
| | - Shahad Muhammad Aljuhayyim
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Modhi Nasser Alsubaei
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Showq Raad Alali
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia
| | | | - Mohannad Nassar
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates
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Alfawaz H, Alqedairi A, Alhamdan M, Alkhzim N, Alfarraj S, Jamleh A. Effect of NaOCl and EDTA irrigating solutions on the cyclic fatigue resistance of EdgeTaper Platinum instruments. BMC Oral Health 2022; 22:195. [PMID: 35599316 PMCID: PMC9125847 DOI: 10.1186/s12903-022-02215-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2020] [Accepted: 05/06/2022] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND To compare the solution on the cyclic fatigue resistance of EdgeTaper Platinum (ETP) instruments with that of ProTaper Gold (PTG) in the presence of ethylenediaminetetraacetic acid (EDTA) or sodium hypochlorite (NaOCl) irrigating solutions. METHODS Sixty PTG and 60 ETP instruments with the same size (#25) and taper (8%) were tested under 17% EDTA, 5.25% NaOCl, or distilled water (n = 20 each). Cyclic fatigue was tested using artificial canals that were milled in stainless steel blocks using a laser micromachining technique. The canals had a curvature angle of 60 and a curvature radius of 5 mm. The center of maximum curvature was set at 5 mm from the instrument tip. The block of artificial canals was stabilized inside a container that was filled with one of the tested solutions. The temperature was fixed at 37 °C with a tolerance limit of 1 °C. The number of cycles to fracture (NCF) was calculated and the fractured surfaces were examined using a scanning electron microscope. All statistical analyses were performed using SPSS software Version 20 (IBM-SPSS Inc., Chicago, IL) at a confidence level of 95%. RESULTS ETP showed higher NCF than PTG in any of the tested solutions (P < 0.05). Within each group, NaOCl drastically decreased the NCF compared to water and EDTA (P < 0.05) and changing the solution from distilled water to EDTA did not affect the fatigue resistance (P > 0.05). CONCLUSIONS ETP showed improved cyclic fatigue performance compared to PTG in all tested irrigating solutions. EDTA can be used in combination with NiTi instruments during canal instrumentation without compromising the cyclic fatigue resistance of PTG and ETP instruments. However, NaOCl drastically decreased the NCF.
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Affiliation(s)
- Hussam Alfawaz
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh, 11545, Saudi Arabia.
| | - Abdullah Alqedairi
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh, 11545, Saudi Arabia
| | - Maha Alhamdan
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh, 11545, Saudi Arabia
| | - Najla Alkhzim
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh, 11545, Saudi Arabia
| | - Shatha Alfarraj
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh, 11545, Saudi Arabia
| | - Ahmed Jamleh
- Department of Restorative and Prosthetic Sciences, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia
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Jamleh A, Nassar M, Alissa H, Alfadley A. Evaluation of YouTube videos for patients' education on periradicular surgery. PLoS One 2021; 16:e0261309. [PMID: 34890439 PMCID: PMC8664221 DOI: 10.1371/journal.pone.0261309] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 11/29/2021] [Indexed: 11/18/2022] Open
Abstract
The aim of this study was to evaluate the content of periradicular surgery-related YouTube videos available for patients' education. YouTube search was made for videos related to periradicular surgery using specific terms. After exclusions, 42 videos were selected, viewed and assessed by two independent observers. The videos were assessed in terms of duration, days since upload, country of upload, number of views, likes and dislikes, authorship source, viewing rate and interaction index. To grade the content of videos about periradicular surgery, a usefulness score was created with 10 elements based mainly on the American Association of Endodontists guidelines. Each element was given a score of 0 or 1. SPSS software (SPSS Inc, Chicago, IL, USA) was used to analyze data at a 95% confidence level. An inter-evaluator reliability analysis for the scoring system was performed using the Kappa statistic. The videos received an average of 35103.9 views (range: 9-652378) with an average duration of 338.71 seconds (range: 42-2081), respectively. Most videos were provided by individuals (57%). Half of the videos were posted by authors from the United States. The inter-evaluator reliability for usefulness scoring was 94.5%. No video covered the 10 scoring elements completely, presenting very low usefulness scores (mean: 3.2; range: 1-7). The most discussed elements were supporting media (100%) and steps of the procedure (90.5%) followed by indications and contraindications (45.2%) and symptoms (31%). None of the included videos discussed the procedure's cost or prognosis. In terms of usefulness score, no significant difference was detected between different sources of upload (chi-square test, P > 0.05). Information on periradicular surgery in YouTube videos is not comprehensive and patients should not rely on YouTube as the only source of information. Dental professionals should enrich the content of YouTube with good quality videos by providing full and evidence-based information that will positively affect patients' attitudes and satisfaction.
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Affiliation(s)
- Ahmed Jamleh
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
- King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
- * E-mail:
| | - Mohannad Nassar
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | - Hamad Alissa
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
- King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
| | - Abdulmohsen Alfadley
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
- King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
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Jamleh A, Almedlej R, Alomar R, Almayouf N, Alfadley A, Alfouzan K. Evidence for reduced torsional resistance of rotary files under curved position. Saudi Dent J 2021; 33:614-619. [PMID: 34803309 PMCID: PMC8589599 DOI: 10.1016/j.sdentj.2020.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Revised: 07/08/2020] [Accepted: 07/23/2020] [Indexed: 11/24/2022] Open
Abstract
Objectives The aim of this in vitro study was to investigate the torsional fatigue resistance of different rotary files in straight and curved positions at a simulated intracanal temperature. Methods Forty-eight size #25 files from ProTaper Universal (PTU), ProTaper Next (PTN) and ProTaper Gold (PTG) were tested for torsional resistance in both straight and curved (90 degrees) positions (n = 8 each). The experiment was conducted at a simulated intracanal temperature of 35 ± 1 °C. The torque gauge was reset before every use, and uniform torsional stress was applied by rotating the file clockwise at a speed of 40 rpm until fracture. Torque failure values were recorded, and fractured surfaces were tested using a scanning electron microscopy (SEM). Statistical analysis of the data was completed using one-way ANOVA and post-hoc test (LSD) in order to compare between the tested systems in each file position. Student’s t-test was also performed to compare between the two positions in each rotary system, and significance level was set at 5%. Results In the straight position, torsional resistance of PTN was significantly lower than that of PTU and PTG (p < 0.001), while the PTU and PTG had comparable results (p > 0.05). In the curved position, torsional resistance was found to be comparable among all systems (p > 0.05). Within each system, the curved position resulted in a significantly lower torsional resistance when compared to the straight position (p < 0.001). SEM examination revealed similar torsional failure behavior for all files tested under both positions. Conclusions Our study identified that placing files in a curved position was associated with a significant decrease in torsional resistance of all systems, and this necessitates reconsidering the torque settings proposed by the manufacturers. Whether these effects can be translated into in vivo studies remains to be investigated, and thus future studies are essential to provide confirming evidence.
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Affiliation(s)
- Ahmed Jamleh
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Raghad Almedlej
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Rasha Alomar
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Nouf Almayouf
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Abdulmohsen Alfadley
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Khalid Alfouzan
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Saudi Arabia
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10
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Jamleh A, Alghilan M, Alsharif A, Alqahtani N, Aloqayli A, Aljarrah A. Vertical Load and Torque during Postspace Preparation and Their Influence on Microcrack Development. J Prosthodont 2021; 31:252-256. [PMID: 34021671 DOI: 10.1111/jopr.13392] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2021] [Indexed: 11/30/2022] Open
Abstract
PURPOSE To investigate, in vitro, the magnitudes of vertical load and torque generated during post space preparation of root canal treated teeth and their influence on microcrack development. MATERIALS AND METHODS Forty extracted premolars with single canals were decoronated. The roots were prepared using ProTaper Next system (Dentsply Sirona) to X3 file, obturated, and provisionalized. After a 3-week incubation period, the roots were distributed into 2 groups according to the post drill system used (ParaPost fiber post and RelyX fiber post). During post space preparation, the vertical load, torque, and preparation time were recorded. Before and after the post space preparation, the roots were imaged with micro-computed tomography (SkyScan 1172; Bruker micro-CT) to detect new microcracks. The data were analyzed using the Mann-Whitney U-test and chi-square test. RESULTS In ParaPost and RelyX, the post space was prepared in 48.31 ±25.28 and 47.71 ±13.36 seconds, respectively (p = 0.360). The peak vertical load generated with ParaPost (20.23 ±7.80 N) was significantly lower than that of RelyX (29.43 ±5.82 N) (p = 0.010). The maximum torque attained with ParaPost (1.42 ±0.61 N.cm) was found to be significantly lower than that of RelyX (3.23 ±1.58 N.cm) (p = 0.000). No post drill fracture or visible deformation was noticed throughout the experiment. New microcracks were found in three ParaPost samples only. CONCLUSIONS The choice of postdrill influenced the loads and torques generated during postspace preparation. The ParaPost system showed favorably lower load and torque values during the postspace preparation compared with the RelyX system.
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Affiliation(s)
- Ahmed Jamleh
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.,King Abdullah International Medical Research Centre, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
| | - Maryam Alghilan
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.,King Abdullah International Medical Research Centre, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
| | - Asma Alsharif
- Dental Intern, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Nouf Alqahtani
- Dental Intern, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.,Department of Endodontics, King Abdulaziz Medical city, National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Abdulrahman Aloqayli
- Dental Intern, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.,Orthodontics Resident, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Abdulkader Aljarrah
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.,King Abdullah International Medical Research Centre, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
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11
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Kim S, Nassar M, Tamura Y, Hiraishi N, Jamleh A, Nikaido T, Tagami J. The effect of reduced glutathione on the toxicity of silver diamine fluoride in rat pulpal cells. J Appl Oral Sci 2021; 29:e20200859. [PMID: 33886942 PMCID: PMC8075293 DOI: 10.1590/1678-7757-2020-0859] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2020] [Accepted: 01/15/2021] [Indexed: 01/10/2023] Open
Abstract
Introduction Due to its ability to arrest untreated dental caries, silver diamine fluoride (SDF) has been advocated for indirect pulp capping procedures. However, the high concentrations of silver and fluoride in SDF raise concerns about its biocompatibility to pulpal tissues. Objectives This study aimed to investigate the effect of SDF on the viability, alkaline phosphatase (ALP) activity, and morphology of pulpal-like cells (RPC-C2A) and to evaluate the influence of reduced glutathione (GSH) on SDF-induced cytotoxicity and deposit formation on dentin. Methodology The cytotoxicity of diluted 38% SDF solutions (10-4 and 10-5), with or without the addition of 5 mM or 50 mM GSH, was evaluated at 6 and 24 hours. Cell viability was detected using WST-8 and the effect on ALP activity was performed using an ALP assay kit. Cell morphology was observed using a phase-contrast microscope. Scanning electron microscopy analysis was conducted to evaluate the effect of GSH incorporation or conditioning on SDF-induced deposit formation on dentin discs. Cytotoxicity data were analyzed by two-way analysis of variance (ANOVA) and Tukey post hoc tests (p<0.05). Results There were significant differences between the groups. The results demonstrated that all tested SDF dilutions caused a remarkable cytotoxic effect, while the addition of GSH prevented SDF-induced damage at 6-hour exposure time in the higher dilution of SDF. Dentin treated with plain SDF or GSH-incorporated SDF solution showed deposit formation with occluded dentinal tubules, unlike the other groups. Conclusion SDF severely disturbed the viability, mineralization-ability, and morphology of pulpal-like cells, while controlled concentrations of GSH had a short-term protective effect against SDF-induced damage. GSH showed an inhibitory effect on SDF-induced dentinal deposit formation. Further research is warranted to evaluate the effect of GSH on caries-arresting, anti-hypersensitivity, and antibacterial functions of SDF.
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Affiliation(s)
- Seunggun Kim
- Tokyo Medical and Dental University, Graduate School of Medical and Dental Sciences, Department of Cariology and Operative Dentistry, Tokyo, Japan
| | - Mohannad Nassar
- University of Sharjah, College of Dental Medicine, Department of Preventive and Restorative Dentistry, Sharjah, United Arab Emirates (UAE)
| | - Yukihiko Tamura
- Tokyo Medical and Dental University, Bio-Matrix (Dental Pharmacology), Tokyo, Japan
| | - Noriko Hiraishi
- Tokyo Medical and Dental University, Graduate School of Medical and Dental Sciences, Department of Cariology and Operative Dentistry, Tokyo, Japan
| | - Ahmed Jamleh
- National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences, College of Dentistry, Restorative and Prosthetic Dental Sciences, Riyadh, Saudi Arabia.,National Guard Health Affairs, King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia
| | - Toru Nikaido
- Asahi University, School of Dentistry, Division of Oral Functional Science and Rehabilitation, Department of Operative Dentistry, Gifu, Japan
| | - Junji Tagami
- Tokyo Medical and Dental University, Graduate School of Medical and Dental Sciences, Department of Cariology and Operative Dentistry, Tokyo, Japan
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12
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Khanagar SB, Al-Ehaideb A, Jamleh A, Ababneh K, Maganur PC, Vishwanathaiah S, Awawdeh MA, Naik S, Al-Kheraif AA, Bhandi S, Zanza A, Testarelli L, Patil S. Psychological Distress among Undergraduate Dental Students in Saudi Arabia and Its Coping Strategies-A Systematic Review. Healthcare (Basel) 2021; 9:429. [PMID: 33917191 PMCID: PMC8068084 DOI: 10.3390/healthcare9040429] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Revised: 03/27/2021] [Accepted: 03/31/2021] [Indexed: 11/16/2022] Open
Abstract
The objective of this paper was to evaluate the studies that have reported on psychological issues among dental students in Saudi Arabia and to develop coping strategies to overcome these mental health-related issues. The present systematic review is in accordance with the guidelines for Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search for the articles was carried out in the electronic databases by four independent researchers. The data search was performed in the electronic search engines like PubMed, Google Scholar, Web of Science, Scopus, Medline, Embase, Cochrane and Saudi Digital Library for scientific research articles published from January 2000 until December 2020. STROBE guidelines were adopted for qualitative analysis of six articles which met the eligibility criteria. The analysis of the literature revealed that most of the studies included were conducted in the past 8 years in different regions of Saudi Arabia. Findings of this systematic review clearly state that dental students in Saudi Arabia experience higher levels of depression, stress and anxiety and stress during their education period, with a higher stress for female students compared to male students. There is an urgent need to introduce interventional programs and preventive strategies to overcome the long-term effects.
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Affiliation(s)
- Sanjeev B. Khanagar
- Preventive Dental Science Department, College of Dentistry, King Saud Bin Abdulaziz, University for Health Sciences, Riyadh 11426, Saudi Arabia; (S.B.K.); (A.A.-E.); (K.A.); (M.A.A.)
- King Abdullah International Medical Research Center, Riyadh 11426, Saudi Arabia;
| | - Ali Al-Ehaideb
- Preventive Dental Science Department, College of Dentistry, King Saud Bin Abdulaziz, University for Health Sciences, Riyadh 11426, Saudi Arabia; (S.B.K.); (A.A.-E.); (K.A.); (M.A.A.)
- King Abdullah International Medical Research Center, Riyadh 11426, Saudi Arabia;
- Dental Services, King Abdulaziz Medical City-Ministry of National Guard Health Affairs, Riyadh 11426, Saudi Arabia
| | - Ahmed Jamleh
- King Abdullah International Medical Research Center, Riyadh 11426, Saudi Arabia;
- Restorative and Prosthetic Dental Sciences Department, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
| | - Khansa Ababneh
- Preventive Dental Science Department, College of Dentistry, King Saud Bin Abdulaziz, University for Health Sciences, Riyadh 11426, Saudi Arabia; (S.B.K.); (A.A.-E.); (K.A.); (M.A.A.)
- King Abdullah International Medical Research Center, Riyadh 11426, Saudi Arabia;
| | - Prabhadevi C. Maganur
- Department of Preventive Dental Sciences, Division of Pediatric Dentistry, College of Dentistry, Jazan University, Jazan 44512, Saudi Arabia; (P.C.M.); (S.V.)
| | - Satish Vishwanathaiah
- Department of Preventive Dental Sciences, Division of Pediatric Dentistry, College of Dentistry, Jazan University, Jazan 44512, Saudi Arabia; (P.C.M.); (S.V.)
| | - Mohammed Adel Awawdeh
- Preventive Dental Science Department, College of Dentistry, King Saud Bin Abdulaziz, University for Health Sciences, Riyadh 11426, Saudi Arabia; (S.B.K.); (A.A.-E.); (K.A.); (M.A.A.)
- King Abdullah International Medical Research Center, Riyadh 11426, Saudi Arabia;
| | - Sachin Naik
- Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia; (S.N.); (A.A.A.-K.)
| | - Abdulaziz A. Al-Kheraif
- Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia; (S.N.); (A.A.A.-K.)
| | - Shilpa Bhandi
- Department of Restorative Dental Sciences, Division of Operative Dentistry, College of Dentistry, Jazan University, Jazan 44512, Saudi Arabia;
| | - Alessio Zanza
- Department of Oral and Maxillo Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy; (A.Z.); (L.T.)
| | - Luca Testarelli
- Department of Oral and Maxillo Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy; (A.Z.); (L.T.)
| | - Shankargouda Patil
- Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan 44512, Saudi Arabia
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13
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Turkistani A, Nasir A, Merdad Y, Jamleh A, Alshouibi E, Sadr A, Tagami J, Bakhsh TA. Evaluation of microleakage in class-II bulk-fill composite restorations. J Dent Sci 2021; 15:486-492. [PMID: 33505621 PMCID: PMC7816009 DOI: 10.1016/j.jds.2020.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Revised: 04/20/2020] [Indexed: 11/19/2022] Open
Abstract
Background/purpose Despite the clinical appeal of restoring deep class II cavities in single increment using bulk-fill resin composite, sealing of bulk-filled composite restorations is a concern. This study evaluated interfacial adaptation of bulk-fill composite restoration to axial wall and gingival floor of class II cavities using cross-polarization optical coherence tomography (CP-OCT). Materials and methods Box-shaped class II cavities were prepared in extracted molars and divided into three groups (n = 7) according to adhesive used; Clearfil SE Bond 2 (SE2), Tetric-N Bond Self-Etch (TSE) or Tetric-N Bond Universal (TNU). All adhesives were applied in self-etch mode and according to manufacturers' recommendation. Then, preparations were bulk-filled with Filtek Bulk Fill Posterior Restorative resin composite and immersed in a contrast agent. Tomographic images of axial wall and gingival floor of each restoration were obtained by CP-OCT (IVS-300, Santec) with a central wavelength of 1330 nm and were imported to an image analysis software to quantify microleakage. Results Mann–Whitney U test showed statistically significant difference in microleakage percentage between the groups at both axial wall and gingival floor (p < 0.05). SE2 group had the lowest percentage of microleakage (p < 0.05), as only few cross-sections showed areas of reflections from contrast agent penetrating into axial wall (8.23 ± 6.8) and gingival floor (7.07 ± 4.1), followed by TNU group (18.13 ± 12.9 axially and 30.61 ± 11.9 gingivally). Microleakage was frequently observed at the axial wall and gingival floor of TSE group, showing the highest percentages of 25.50 ± 12.5 and 36.97 ± 10.2, respectively (p < 0.05). Conclusion All tested groups exhibited different extent of interfacial microleakage, however, two-step self-etch adhesive yielded superior adaptation in comparison to one-step self-etch adhesive and universal adhesive.
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Affiliation(s)
- Alaa Turkistani
- Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
- Corresponding author. Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah 215-89, Saudi Arabia.
| | - Adnan Nasir
- Department of Diagnostic Sciences, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Yasser Merdad
- Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Ahmed Jamleh
- King Abdullah International Medical Research Centre, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Ehab Alshouibi
- Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Alireza Sadr
- Department of Restorative Dentistry, University of Washington, Seattle, WA, USA
| | - Junji Tagami
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Turki A. Bakhsh
- Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
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14
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Nassar M, Dargham A, Jamleh A, Tamura Y, Hiraishi N, Tagami J. The Hormetic Effect of Arsenic Trioxide on Rat Pulpal Cells: An In Vitro Preliminary Study. Eur J Dent 2020; 15:222-227. [PMID: 33126286 PMCID: PMC8184270 DOI: 10.1055/s-0040-1718637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Objectives
Despite the agreement that there is no longer any indication for arsenic use in modern endodontics, some concerns are surfacing about the minute amount of arsenic trioxide (As
2
O
3
) released from Portland cement-based materials. The present study investigated the effect of different concentrations of As
2
O
3
on rat pulpal cells and the efficacy of
N
-acetylcysteine (NAC) in preventing As
2
O
3
-mediated toxicity.
Materials and Methods
Cytotoxicities of 50, 10, or 5 µm As
2
O
3
and the effect of cells co-treatment with 50 µm As
2
O
3
and 5,000 µm NAC or 500 µm NAC were tested at 24 hours or 3 days. Cell viability was assessed by means of MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay and cellular morphological changes were observed under phase contrast microscope.
Statistical Analysis
Two-way analysis of variance with Tukey’s post-hoc test was used to evaluate differences between the groups (α = 0.05).
Results
At both exposure times, 50 µm As
2
O
3
resulted in lower optical density (OD) values when compared with 10 or 5 µm As
2
O
3
. At 24 hours, 10 µm As
2
O
3
resulted in a higher OD value compared with the control; however, at 3 days the difference was statistically insignificant. At each exposure time, the OD value of 5 µm As
2
O
3
group was comparable to the control and 10 µm As
2
O
3
group. There were no significant differences between 50 µm As
2
O
3
group and 500 μm NAC+50 μm As
2
O
3
group; however, these two groups had lower OD values when compared with 5,000 μm NAC+50 μm As
2
O
3
group at 24 hours and 3 days. The latter group showed significantly lower OD value in comparison with the control at 24 hours and 3 days. Control cells were polygonal-shaped while 50 µm As
2
O
3
-treated cells exhibited contracted and spherical morphology with increased intercellular spaces. At 24 hours, 10 μm and 5 µm As
2
O
3
-treated cells were slightly hypertrophic. Cells co-treated with NAC and As
2
O
3
showed increased intercellular spaces and lower cellular density compared with the control.
Conclusions
As
2
O
3
displayed a hormetic effect on pulpal cells; however, the proliferative effect induced by low As
2
O
3
concentrations should be interpreted with caution. NAC did not prevent As
2
O
3
-mediated toxicity; however, it demonstrated potential for ameliorating this toxicity.
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Affiliation(s)
- Mohannad Nassar
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | - Ahmad Dargham
- Ras Al Khaimah College of Dental Sciences, Ras Al Khaimah Medical and Health Sciences University, Ras Al Khaimah, United Arab Emirates
| | - Ahmed Jamleh
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Yukihiko Tamura
- Department of Bio-Matrix (Dental Pharmacology), Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Noriko Hiraishi
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Junji Tagami
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
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15
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Alqedairi A, Alfawaz H, Abualjadayel B, Alanazi M, Alkhalifah A, Jamleh A. Torsional resistance of three ProTaper rotary systems. BMC Oral Health 2019; 19:124. [PMID: 31226984 PMCID: PMC6588856 DOI: 10.1186/s12903-019-0820-7] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2018] [Accepted: 06/12/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The aim of this study is to compare the torsional resistance of the available ProTaper rotary systems, namely, ProTaper Universal (PTU), ProTaper Next (PTN), and ProTaper Gold (PTG). METHODS A total of 195 files from the three systems distributed into 13 groups (PTU-S1, PTU-S2, PTU-F1, PTU-F2, PTU-F3, PTG-S1, PTG-S2, PTG-F1, PTG-F2, PTG-F3, PTN-X1, PTN-X2 and PTN-X3) were subjected to torsional fatigue until failure. The torsional test was performed according to ISO 3630-1, where each file was placed in a straight position to eliminate the influence of cyclic fatigue. The Kruskal-Wallis test was conducted to compare the mean maximum torques and angular deflections at fracture for the groups, and the Mann-Whitney test was performed for pairwise comparisons. The significance level was set at 0.05 and the fractured surfaces were examined under a scanning electron microscope. RESULT Among the tested files, PTG-S1 had the lowest torsional fatigue resistance, whereas PTU-F2 and PTU-F3 had the highest torsional resistance. The scanning electron microscope showed typical features of torsional failure. CONCLUSION The new ProTaper systems (PTG and PTN) did not show improved torsional resistance in comparison with PTU.
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Affiliation(s)
- Abdullah Alqedairi
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Hussam Alfawaz
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Bader Abualjadayel
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Mohammad Alanazi
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Ahmad Alkhalifah
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Ahmed Jamleh
- King Abdullah International Medical Research Centre, Restorative and Prosthetic Dental Sciences, College of Dentistry, Ministry of National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences, P.O. Box 22490, Riyadh, 11426, Saudi Arabia.
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16
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Jamleh A, Alghaihab A, Alfadley A, Alfawaz H, Alqedairi A, Alfouzan K. Cyclic Fatigue and Torsional Failure of EdgeTaper Platinum Endodontic Files at Simulated Body Temperature. J Endod 2019; 45:611-614. [DOI: 10.1016/j.joen.2019.02.008] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2018] [Revised: 01/16/2019] [Accepted: 02/05/2019] [Indexed: 11/24/2022]
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17
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Bakhsh TA, Al-Jeffery B, Zaatari G, Badr H, Ameen S, Gashlan S, Dughmash L, Jamleh A. Evaluation of the adaptation of dental polymers using cross-polarization optical coherence tomography. Biomed Phys Eng Express 2019. [DOI: 10.1088/2057-1976/aafbad] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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18
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Alfouzan K, Alfadley A, Alkadi L, Alhezam A, Jamleh A. Detecting the Second Mesiobuccal Canal in Maxillary Molars in a Saudi Arabian Population: A Micro-CT Study. Scanning 2019; 2019:9568307. [PMID: 31001371 PMCID: PMC6436332 DOI: 10.1155/2019/9568307] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Accepted: 02/20/2019] [Indexed: 05/09/2023]
Abstract
The aim of this study was to determine MB2 canal detectability in maxillary first and second molars obtained from a Saudi population using micro-CT. Maxillary first (n = 35) and second (n = 30) molars were scanned with micro-CT technology. The number of canals was recorded, and in case of having more than one canal, the level of extracanal detection was analyzed. The presence of extracanal was categorized based on the level they were first detected. Among the maxillary first molars, 28 (80%) and six (17%) teeth had two and three MB canals, respectively. Among the maxillary second molars, 24 (80%) and four (13%) teeth had two and three MB canals, respectively. The MB2 canal was detected at the chamber floor in 70% and 61% of the maxillary first and second molars, respectively. At 1 mm depth, the MB2 canal was found in 15% and 18% of the maxillary first and second molars, respectively. At 2 mm depth, the MB2 canal was found in 3% and 18% of the maxillary first and second molars, respectively. The remaining teeth had the MB2 canal at levels deeper than 2 mm. The MB2 canal was detected in 97% and 93%% of maxillary first and second molars, respectively. Among them, the MB2 canal could be immediately detected in 70% and 61% of the maxillary first and second molars, respectively, once the pulp chamber is exposed. However, the rest of the MB2 were observed at deeper levels in the root and this requires troughing preparation in the chamber floor.
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Affiliation(s)
- Khalid Alfouzan
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Abdulmohsen Alfadley
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Lubna Alkadi
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Abdullah Alhezam
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Ahmed Jamleh
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Saudi Arabia
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Jamleh A, Alotaibi Y, Andijani A, Masuadi E, Alfouzan K, Baskaradoss JK. Recall Practice among Dental Practitioners in Riyadh, Kingdom of Saudi Arabia. J Contemp Dent Pract 2019; 20:26-31. [PMID: 31058614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
AIM The study aims to assess recall practice among dental practitioners in Riyadh, Saudi Arabia. MATERIALS AND METHODS A 24-item questionnaire was used to collect information about the general practice, knowledge of dental recall, and factors affecting dental recall from general dental practitioners in Riyadh. The questionnaire elicited data on personal information (8 items), practice information (3 items), knowledge about the dental recall (3 items), recall practice (6 items), and patient factors that might influence recall (4 items). A five-point Likert scale showed the level of agreement in cases that required recall visits, reasons for patients not returning for recall, and techniques to encourage return for recall. RESULTS A total of 315 questionnaires were analyzed (response rate = 46.3%). The mean age of participants was 32.4 years old and 52.4% of participants were male. Eighty-four percent of respondents reported that they routinely perform regular recall with their patients. Recall practice was significantly associated with practitioner experience, country of graduation, and workplace. Practitioners who graduated from Saudi universities were found to be less likely to practice regular recall visits compared to others (p <0.01). On the other hand, practitioners who are working in university hospitals are more likely to practice dental recall compared to those who are working only in dental clinics (p = 0.02). CONCLUSION A low percentage of dentists advocated and practiced regular recall visits in their private practice. Efforts should be undertaken to educate the practitioners on the importance of regular recall visits in their healthcare settings. CLINICAL SIGNIFICANCE Scheduling appropriate recall visits is an essential component for achieving successful treatment outcomes. This study highlights the poor recall practice among dentists and the need to raise the awareness of the importance of recall visits.
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Affiliation(s)
- Ahmed Jamleh
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia King Abdullah International Medical Research Center, Riyadh, Kingdom of Saudi Arabia
| | - Yazeed Alotaibi
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
| | - Anas Andijani
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
| | - Emad Masuadi
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
| | - Khalid Alfouzan
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia King Abdullah International Medical Research Center, Riyadh, Kingdom of Saudi Arabia
| | - Jagan K Baskaradoss
- Department of Developmental and Preventive Sciences, Faculty of Dentistry, Kuwait University, Kuwait, Phone: +965-2463-6807, e-mail:
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Alfawaz H, Alqedairi A, Alsharekh H, Almuzaini E, Alzahrani S, Jamleh A. Effects of Sodium Hypochlorite Concentration and Temperature on the Cyclic Fatigue Resistance of Heat-treated Nickel-titanium Rotary Instruments. J Endod 2018; 44:1563-1566. [DOI: 10.1016/j.joen.2018.07.009] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2018] [Revised: 06/10/2018] [Accepted: 07/05/2018] [Indexed: 11/28/2022]
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Jamleh A, Alfadley A, Alfouzan K. Vertical Force Induced with WaveOne and WaveOne Gold Systems during Canal Shaping. J Endod 2018; 44:1412-1415. [PMID: 30049472 DOI: 10.1016/j.joen.2018.05.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2018] [Revised: 04/27/2018] [Accepted: 05/14/2018] [Indexed: 11/18/2022]
Abstract
INTRODUCTION The aim of this study was to evaluate the amount of vertical force induced with WaveOne (WO; Dentsply Sirona, York, PA) and WaveOne Gold (WOG, Dentsply Sirona) systems during the canal shaping of extracted teeth. METHODS Thirty canals in 15 maxillary premolars were divided into 2 groups: WO and WOG. The canals were gently shaped with WO/WOG Primary instruments according to the manufacturer's instructions. The vertical forces induced during canal shaping in the apical and coronal directions were recorded. The apically and coronally directed peak forces were used for analysis using the Mann-Whitney U test. The instrumentation time was analyzed using the Student t test. All statistical analyses were performed using SPSS software (Version 22.0; IBM, Armonk, NY) at a 5% significance level. RESULTS The force increased with the successive instrument insertions within each group. The apically and coronally directed peak forces of the WO and WOG groups ranged from 2.89-11.58 N and from 1.53-2.92 N, respectively. In the 3 insertions, WO showed higher peak forces in both directions. For apically directed peak forces, WO had significantly higher peak forces in the first and third insertions than WOG (P < .01). For coronally directed peak forces, WO had significantly higher values in the first and second insertions (P < .05). CONCLUSIONS The WOG system had significantly lower apically and coronally directed peak force values compared with the WO system.
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Affiliation(s)
- Ahmed Jamleh
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia; King Abdullah International Medical Research Center, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
| | - Abdulmohsen Alfadley
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia; King Abdullah International Medical Research Center, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
| | - Khalid Alfouzan
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia; King Abdullah International Medical Research Center, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
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Turkistani A, Almutairi M, Banakhar N, Rubehan R, Mugharbil S, Jamleh A, Nasir A, Bakhsh T. Optical Evaluation of Enamel Microleakage with One-Step Self-Etch Adhesives. Photomed Laser Surg 2018; 36:589-594. [PMID: 29813001 DOI: 10.1089/pho.2018.4441] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE In this in vitro study, cross-polarization optical coherence tomography (CP-OCT) was used to evaluate microleakage in dental composite restorations bonded to enamel with two types of one-step self-etching (SE) adhesives. BACKGROUND DATA One-step SE adhesives were proposed to simplify bonding of composite restorations. However, bonding of these simplified adhesive to dental enamel is still questionable. OCT is a promising diagnostic tool that allows micron-scale imaging of biological tissues and structures. METHODS Class-V cavities (4-mm diameter × 1-mm depth) were prepared on the labial surfaces of extracted human anterior teeth with margins and floor located in enamel. The cavities were then divided into two groups (n = 5) and restored with either Tetric N-Bond Universal (Ivoclar Vivadent, Liechtenstein) or Palfique Bond (Tokuyama Dental Corporation, Japan), followed by Estelite Flow Quick flowable composite (Tokuyama Dental Corporation). After storage in 100% humidity for 24 h, specimens were immersed in ammoniacal silver nitrate solution for another 24 h. Later, they were rinsed and immersed in photo-developing solution under fluorescent light for 8 h. CP-OCT at 1310 nm center wavelength was used to scan seven two-dimensional cross-sectional images from each specimen. Each cross-sectional image was analyzed using ImageJ software to quantify interfacial microleakage at the cavity floor. RESULTS Student's t-test showed significant difference between the tested adhesives (p < 0.05). Palfique Bond adhesive presented inferior interfacial adaptation as it obtained higher values of floor microleakage compared to Tetric N-Bond Universal adhesive group. CONCLUSIONS CP-OCT enabled nondestructive quantitative assessment of microleakage in enamel dental restorations.
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Affiliation(s)
- Alaa Turkistani
- 1 Operative Dentistry Division, Department of Restorative Dentistry, Faculty of Dentistry, King Abdulaziz University , Jeddah, Saudi Arabia
| | - Maha Almutairi
- 2 Faculty of Dentistry, King Abdulaziz University , Jeddah, Saudi Arabia
| | - Nouf Banakhar
- 2 Faculty of Dentistry, King Abdulaziz University , Jeddah, Saudi Arabia
| | - Reem Rubehan
- 2 Faculty of Dentistry, King Abdulaziz University , Jeddah, Saudi Arabia
| | - Sulafa Mugharbil
- 2 Faculty of Dentistry, King Abdulaziz University , Jeddah, Saudi Arabia
| | - Ahmed Jamleh
- 3 King Abdullah International Medical Research Centre, King Saud bin Abdulaziz University for Health Sciences , Restorative and Prosthetic Dental Sciences, College of Dentistry, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Adnan Nasir
- 2 Faculty of Dentistry, King Abdulaziz University , Jeddah, Saudi Arabia
| | - Turki Bakhsh
- 1 Operative Dentistry Division, Department of Restorative Dentistry, Faculty of Dentistry, King Abdulaziz University , Jeddah, Saudi Arabia
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Abstract
This study evaluated the irrigation extrusion and smear layer (SL) removal of continuous ultrasonic irrigation (CUI). Forty root canals were shaped, embedded in warm sterile saline agar colored with 1% acid red, and distributed into four groups; three groups had the final irrigation sequence of sodium hypochlorite and EDTA solutions performed by using syringe irrigation (SI), EndoVac (EV), and CUI, respectively. Group 4 had the canals ultrasonically irrigated with saline (CUIS). Irrigant extrusion was verified by a color change of the agar. The SL was evaluated under scanning electron microscope. Irrigant extrusion was observed in two and four teeth in the CUI and SI, respectively, whilst none had irrigant extruded in the EV. In term of SL, the CUI was comparable to EV at 1 and 3 mm but different to SI at 1 mm. Although CUI might clean the root canal system effectively, it was unable to avoid irrigant extrusion.
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Affiliation(s)
- Ahmed Jamleh
- King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Restorative and Prosthetic Dental Sciences, College of Dentistry, Ministry of National Guard Health Affairs
| | - Hideaki Suda
- Department of Pulp Biology and Endodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
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Awawdeh L, Jamleh A, Al Beitawi M. The Antifungal Effect of Propolis Endodontic Irrigant with Three Other Irrigation Solutions in Presence and Absence of Smear Layer: An In Vitro Study. Iran Endod J 2018; 13:234-239. [PMID: 29707021 PMCID: PMC5911300 DOI: 10.22037/iej.v13i2.19227] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/22/2017] [Revised: 02/07/2018] [Accepted: 02/26/2018] [Indexed: 11/18/2022]
Abstract
INTRODUCTION The aim of this in vitro study was to compare the antifungal effect of propolis as an endodontic irrigant agent with a mixture of doxycycline, citric acid, and a detergent mixture (MTAD), 2% chlorhexidine (CHX) and 3% sodium hypochlorite (NaOCl) against Candida albicans in presence and absence of smear layer. METHODS AND MATERIALS Extracted teeth with single canals (n=104) were prepared and randomly distributed into four experimental groups; 30% propolis, MTAD, 2% CHX and 3% NaOCl. Each group had two subgroups; with and without smear layer. The antifungal effectiveness was evaluated. The Kruskal-Wallis and Mann-Whitney tests were used to compare the overall effectiveness of different treatments at significance level of 0.05. RESULTS Propolis, CHX and NaOCl had similar levels of effectiveness to each other against C. albicans, and these levels were not affected by the presence or absence of the smear layer. Each irrigant was significantly more effective than MTAD or saline solution. MTAD was less effective in the presence of the smear layer than in its absence. CONCLUSIONS Propolis irrigation can produce root canals that are free of C. albicans, even in the presence of the smear layer.
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Affiliation(s)
- Lama Awawdeh
- Department of Conservative Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan
| | - Ahmed Jamleh
- Department of Conservative Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan
| | - Maha Al Beitawi
- Department of Conservative Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan
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Alfouzan K, Jamleh A. Fracture of nickel titanium rotary instrument during root canal treatment and re-treatment: a 5-year retrospective study. Int Endod J 2017; 51:157-163. [PMID: 28796346 DOI: 10.1111/iej.12826] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2017] [Accepted: 08/06/2017] [Indexed: 11/27/2022]
Abstract
AIM To evaluate retrospectively the incidence of K3 nickel titanium rotary instrument fracture in referred cases during root canal treatment and re-treatment. METHODOLOGY Clinical and radiographic reports of 12 867 endodontic cases treated at the King Abdulaziz medical city between January 2010 and November 2015 were reviewed to obtain information on intracanal fractured instruments with respect to the treatment performed, tooth type and the size and at what level the instrument fractured (coronal, middle or apical). The degree of canal curvature was classified into mild (<10° ), moderate (10-25° ) or severe (>25° ). Logistic regression was used to test the incidence of instrument fracture in relation to the root canal treatment performed and tooth type. Chi-square tests were used to analyse the fracture incidence in the treated teeth in respect to fracture level and fractured file diameter. The level of significance was set at 0.05. RESULTS Root canal treatment was performed on 8946 cases, whilst re-treatment was performed on 3921 cases. The fracture incidence was higher during re-treatment cases (2.96%) than in primary root canal treatment (0.74%) (P < 0.001) with a 1.41% incidence overall. There was a trend for more fractures in maxillary (1.68%) and mandibular (1.35%) molar teeth. Moreover, 56.6% of the fractured instruments occurred in severely curved canals, and the apical third of the root canal was the most common site for instrument fracture (85.7%), followed by middle (13.2%), and coronal (1.1%) thirds, mostly with file sizes 20 and 25 (59.9% and 25.27%, respectively). CONCLUSION The fracture incidence of K3 instruments was significantly greater during root canal re-treatment than root canal treatment, mainly with small instruments and in the apical third of the canals.
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Affiliation(s)
- K Alfouzan
- King Abdullah International Medical Research Centre, King Saud bin Abdulaziz University for Health Sciences, Restorative and Prosthetic Dental Sciences, College of Dentistry, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
| | - A Jamleh
- King Abdullah International Medical Research Centre, King Saud bin Abdulaziz University for Health Sciences, Restorative and Prosthetic Dental Sciences, College of Dentistry, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
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Jamleh A, Awawdeh L, Albanyan H, Masuadi E, Alfouzan K. Apical Gutta-percha cone adaptation and degree of tug-back sensation after canal preparation. Saudi Endod J 2016. [DOI: 10.4103/1658-5984.189355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Jamleh A, Adorno CG, Ebihara A, Suda H. Effect of nickel titanium file design on the root surface strain and apical microcracks. AUST ENDOD J 2015; 42:25-31. [DOI: 10.1111/aej.12116] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Ahmed Jamleh
- Endodontics; College of Dentistry; King Saud bin Abdulaziz University for Health Sciences; King Abdulaziz Medical City, National Guard Health Affairs; Riyadh Saudi Arabia
| | - Carlos G. Adorno
- Endodontics and Research Methodology; School of Dentistry; National University of Asuncion; Asuncion Paraguay
| | - Arata Ebihara
- Department of Pulp Biology and Endodontics; Division of Oral Health Sciences; Graduate School of Medical and Dental Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - Hideaki Suda
- Department of Pulp Biology and Endodontics; Division of Oral Health Sciences; Graduate School of Medical and Dental Sciences; Tokyo Medical and Dental University; Tokyo Japan
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Jamleh A, Fukumoto Y, Takatomo Y, Kobayashi C, Suda H, Adorno CG. A comparison between two negative pressure irrigation techniques in simulated immature tooth: an ex vivo study. Clin Oral Investig 2015; 20:125-31. [DOI: 10.1007/s00784-015-1489-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2014] [Accepted: 05/04/2015] [Indexed: 01/09/2023]
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Jamleh A, Komabayashi T, Ebihara A, Nassar M, Watanabe S, Yoshioka T, Miyara K, Suda H. Root surface strain during canal shaping and its influence on apical microcrack development: a preliminary investigation. Int Endod J 2014; 48:1103-11. [DOI: 10.1111/iej.12406] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2014] [Accepted: 10/30/2014] [Indexed: 11/30/2022]
Affiliation(s)
- A. Jamleh
- Endodontics, College of Dentistry; King Saud bin Abdulaziz University for Health Sciences; National Guard Health Affairs; Khashm Al An; Riyadh Saudi Arabia
| | - T. Komabayashi
- Endodontics, School of Dentistry; West Virginia University; Morgantown WV USA
| | - A. Ebihara
- Department of Pulp Biology and Endodontics; Division of Oral Health Sciences; Graduate School of Medical and Dental Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - M. Nassar
- Cariology and Operative Dentistry; Department of Oral Health Sciences; Graduate School of Medical and Dental Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - S. Watanabe
- Department of Pulp Biology and Endodontics; Division of Oral Health Sciences; Graduate School of Medical and Dental Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | | | - K. Miyara
- Department of Pulp Biology and Endodontics; Division of Oral Health Sciences; Graduate School of Medical and Dental Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - H. Suda
- Department of Pulp Biology and Endodontics; Division of Oral Health Sciences; Graduate School of Medical and Dental Sciences; Tokyo Medical and Dental University; Tokyo Japan
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Jamleh A, Sadr A, Nomura N, Ebihara A, Yahata Y, Hanawa T, Tagami J, Suda H. Endodontic instruments after torsional failure: nanoindentation test. Scanning 2014; 36:437-443. [PMID: 24610598 DOI: 10.1002/sca.21139] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/05/2013] [Accepted: 01/24/2014] [Indexed: 06/03/2023]
Abstract
This study aimed to evaluate effects of torsional loading on the mechanical properties of endodontic instruments using the nanoindentation technique. ProFile (PF; size 30, taper 04; Dentsply Maillefer, Switzerland) and stainless steel (SS; size 30, taper 02; Mani, Japan) instruments were subjected to torsional test. Nanoindentation was then performed adjacent to the edge of fracture (edge) and at the cutting part beside the shank (shank). Hardness and elastic modulus were measured under 100-mN force on 100 locations at each region, and compared to those obtained from the same regions on new instruments. It showed that PF and SS instruments failed at 559 ± 67 and 596 ± 73 rotation degrees and mean maximum torque of 0.90 ± 0.07 and 0.99 ± 0.05 N-cm, respectively. Hardness and elastic modulus ranged 4.8-6.7 and 118-339 GPa in SS, and 2.7-3.2 and 52-81 GPa in PF. Significant differences between torsion-fractured and new instruments in hardness and elastic modulus were detected in the SS system used. While in PF system, the edge region after torsional fracture had significantly lower hardness and elastic modulus compared to new instruments. The local hardness and modulus of elasticity of endodontic instruments adjacent to the fracture edge are significantly reduced by torsional loading.
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Affiliation(s)
- Ahmed Jamleh
- Department of Endodontics, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia
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Jamleh A, Sadr A, Nomura N, Yahata Y, Ebihara A, Hanawa T, Tagami J, Suda H. Nano-indentation testing of new and fractured nickel-titanium endodontic instruments. Int Endod J 2011; 45:462-8. [DOI: 10.1111/j.1365-2591.2011.01997.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Nassar M, Awawdeh L, Jamleh A, Sadr A, Tagami J. Adhesion of Epiphany Self-etch Sealer to Dentin Treated with Intracanal Irrigating Solutions. J Endod 2011; 37:228-30. [DOI: 10.1016/j.joen.2010.11.016] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2010] [Revised: 11/09/2010] [Accepted: 11/12/2010] [Indexed: 11/17/2022]
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