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At least 307 records · Page 17Linked to original sources
PubMed1989

The efficiency and reliability of the Dentometer for detecting root canal length.

The accuracies of an analog-indicating electronic device, the Dentometer, and of an audio-indicating device, the Sono-Explorer, were compared to each other and to the radiographic method of tooth length determination. Readings obtained by the Dentometer were shorter, an average of 0.28 +/- 0.64 mm than those obtained by the Sono-Explorer (p less than 0.001) and 0.32 +/- 0.63 mm shorter than the results obtained by the calculated working length (p less than 0.001). No statistically significant difference was found between the readings of the Sono-Explorer and the calculated radiographic working length. The results indicate that the measurements calculated by the radiographic method were longer than those obtained by the electronic method of tooth length determination. The statistically significant difference found between the two devices indicates that to determine the accuracy of electronic devices, they should be tested and compared to other methods or devices.

Dental Pulp Cavity↗
PubMed1990

A retrospective clinical study of endodontically treated mandibular incisors in a selected Chinese population.

Clinical studies of incidences of the number of canals in human teeth should correlate with the percentages obtained in laboratory samples. In this study the incidence of two canals in the mandibular incisors was compared with figures obtained from in vitro extracted teeth, as well as from one clinical study. A very low percentage was obtained from the examination of clinical records, and this could be due to racial differences in the samples examined.

Asian People↗
PubMed1990

Periodontitis and angular alveolar lesions: a critical distinction.

Modern anthropologic and epidemiologic studies reveal that the incidence of periodontitis is low in both ancient and modern populations. The distribution of plaque and gingivitis has little or no correlation with the distribution of pathologic alveolar bone loss or with periodontitis. The assumption that a distance from cementoenamel junction to alveolar crest (CEJ-AC distance) greater than 2 mm equates with disease overlooks the interrelationship between the CEJ-AC distance and continuous eruption in compensation for tooth wear and growth of the lower face height. Anatomic, physiologic, and pathologic factors increasing CEJ-AC distances are reviewed. Where horizontal periodontitis does result from gingivitis, it is usually of minimal significance and probably occurs when the host defenses have been diminished by environmental factors commonly associated with other chronic diseases. A pulpal-alveolar explanation for localized angular alveolar lesions better fits the clinical features of this form of periodontal bone loss than does the conventional hypothesis of primary periodontal infection by specific oral bacteria.

Bone Resorption↗
PubMed1990

Anatomy of the root apex and its histologic changes with age.

There were 87 vital and 24 nonvital teeth for a total of 111 specimens from 47 patients. The specimens were prepared to a thickness of 500 microns with a Buehler Isomet Bone Saw. Distances were measured and recorded with a Bioquant II Image Analysis System. The mean age of the patients was 48.9 years. The median age was 52 years. The range was 51 years, with a maximum of 77 years and a minimum of 26 years. There is a positive correlation, which could not have occurred by chance, that as age increases the deviation and the width of the foramen opening both increase. This increase appears to be a result of apical cemental thickening that occurs as the patient ages. The tissue in the apical area seems to be capable of generating additional cementum as the tooth ages. The cementodentinal junction width, or most apical extent of the dentin, remains constant.

Adult↗
PubMed1990

An SEM investigation of the mesiolingual canal in human maxillary first and second molars.

The mesiolingual orifices of 21 maxillary first molars and 37 maxillary second molars were examined with the scanning electron microscope. The mesiobuccal roots of these teeth were also typed by means of a clearing technique. The results demonstrated that 90% of first molars and 70% of second molars had two canals in the mesiobuccal root. Type 3 canal systems occurred in 33% of first molars and 35% of second molars. Eighty-one percent of first molars and 59% of second molars had a separate mesiolingual canal orifice. The mean diameter of the mesiolingual orifice was 0.49 mm in first molars and 0.42 mm in second molars. The mean distance of the mesiolingual orifice from the mesiobuccal orifice was 2.31 mm in first molars and 2.06 mm in second molars. In type 3 roots, the average distance of the mesiolingual foramen to the anatomic apex was 2.0 mm for first molars and 1.45 mm for second molars.

Adolescent↗
PubMed1991

Tooth length determination: a review.

Tooth length determination is a crucial step in endodontic treatment. Until the late 1970s, tooth length determination was based mainly on radiographic interpretation. The advent of apex locators, which identify the difference in the electrical resistance between the root canal and the periodontal membrane, ushered in a new era for measuring tooth length. However, the accuracy of these devices has been questioned. Pertinent literature is discussed with the aim of providing information on the development of the concept, techniques, and devices for tooth length determination.

Dental Pulp Cavity↗
PubMed1991

Effect of preflaring on canal transportation. Evaluation of ultrasonic, sonic, and conventional techniques.

This study evaluated the effect on canal transportation when acrylic canals were preflared with Peeso reamers before the use of ultrasonic, sonic, and hand instrumentation techniques. Twenty resin blocks with simulated curved root canals were shaped with each technique to a size 40 file 0.5 mm from the apical foramen. Ten of the canals were preflared in the cervical region with No. 1 and No. 2 Peeso reamers before instrumentation; 10 canals that were not preflared served as controls. Transportation was measured on the inside canal curvature 3 mm from the canal orifice and 8 mm cervical to the working length, and on the outside canal curvature 1 mm cervical to the working length. Statistical analysis with Student's t test did not show a significant reduction in canal transportation for the preflared groups. In some areas the amount of transportation was less for the preflared groups; in other areas it was greater.

Humans↗
PubMed1991

Nonionizing method of locating the apical constriction (minor foramen) in root canals.

The electronic method was evaluated as to its accuracy when used to determine the position of the apical constriction (minor foramen) in root canals. There were 39 vital and 8 nonvital teeth for a total of 47 specimens from 22 patients. The specimens were prepared with a Buehler Isomet bone saw to a thickness of 500 microns. Distances were measured and recorded with the use of a Bioquant II image analysis system. The electronic method appeared to measure a mean value of 0.2 mm coronal to the cemetodentinal junction in 47 canals where the apex locator was set at a reference setting of 40. When a frequency curve was plotted, it showed that the probability of being within 0.76 mm (1 SD) of the cementodentinal junction was 68%. This appears to correlate to where Kuttler indicated the minor constriction to be located. These devices seem to offer a unique method to locate the apical constriction and thus to ensure proper working length while reducing ionizing radiation.

Aged↗
PubMed1992

Radiographic "working length" revisited.

The desired "working length" for the biomechanical preparation and resultant obturation of the root canal system is one of the most important phases of endodontics. Traditionally, radiographs are used to confirm working length of the root length and to evaluate the subsequent obturation of the root canal system. This study attempts to determine if radiographs are an accurate method of root length determination in a period when electronic apex locators are proposed as their replacement. Eight-seven vital and 24 nonvital teeth were accessed and files placed to and the radiographic working length before the file and teeth were extracted for sectioning. Results showed that the radiographic distance of the file from the apical vertex was 0.7 mm shorter than the actual file position. This discrepancy can lead the clinician to try to get closer to the radiographic apex, when in reality the end of the file is closer to the vertex than is suspected. The average distance short of the vertex as established by Kuttler should be increased to lie between 1.5 and 2.0 mm from the apical vertex to prevent overfilling the root canal.

Adult↗
PubMed1993

Effect of recapitulation on accuracy of electronically determined canal length.

The accuracy of an electronic apex locator to measure canal length during instrumentation when nonrecapitulated dentin debris is present has not been evaluated. The purposes of this study were (1) to compare actual with electronic canal length before and after instrumentation, and (2) to compare the accuracy of electronic length in recapitulated and nonrecapitulated canals. Actual canal lengths of 30 mature anterior teeth were determined, teeth mounted in an in vitro system, and canal lengths determined with the electronic apex locator. Canals were step-back prepared to a size 35 file. Fifteen canals were recapitulated and the other 15 were not. Canals were dried and lengths again determined with the electronic apex locator. Data showed that for electronically determined versus actual lengths: 1) 63% were longer, 23% equal, and 13% shorter before instrumentation, 2) 30% were longer, 0% equal, and 70% shorter after instrumentation, 3) instrumentation caused a mean shortening of 0.63 mm, and 4) recapitulation of nonpatent canals was necessary to obtain length reading with the electronic apex locator.

Dental Cavity Preparation↗
PubMed1994

Image quality of direct digital intraoral x-ray sensors in assessing root canal length. The RadioVisioGraphy, Visualix/VIXA, Sens-A-Ray, and Flash Dent systems compared with Ektaspeed films.

The Trophy RadioVisioGraphy model 32000 system in Normal Mode, the Trophy RVG-PC in Normal and Archive Mode, the Gendex VIXA/Visualix, the Regam Sens-A-Ray, and the Villa Flash Dent in High-Resolution Mode and Normal Mode were compared with respect to the visibility of endodontic files. Kodak Ektaspeed film served as the reference. An acrylic embedded human skull was prepared for taking radiographs with endodontic files (Kerr files size 10 and size 15) on full root length and 1.5 mm short in upper and lower premolars and molars. Possibilities for enhancement of the digital images were not studied. Receiver operating characteristics curves were derived and the areas under the curves were averaged and compared using Student's t test statistic (p < 0.05). Kodak Ektaspeed film gave acceptable results for both file sizes. Both Trophy RVG units in Normal Mode and the Regam Sens-A-Ray system gave results above the areas under the curves equals 0.95 for the size 15 files. For the size 10 files the values of the areas under the curves of all sensors systems were below this threshold. It is concluded that both RVG units in Normal Mode and the Sens-A-Ray system render a comparable result with conventional radiography in determining root canal length with the use of a size 15 files. All sensor systems were unacceptably inferior to film images when size 10 files were used.

Dental Pulp Cavity↗
PubMed1994

Study of the apices of human permanent teeth with the use of a scanning electron microscope.

The apical region of the roots of 38 maxillary incisors, 25 mandibular incisors, 29 maxillary second premolars, 92 mandibular first and second premolars, 12 maxillary first molars, and 17 mandibular first molars were prepared and studied with the use of a scanning electron microscope. The number and size of the main apical foramina, their distance from the anatomic apex, and the existence and size of accessory foramina were recorded, summarized, and statistically analyzed. More than one main foramen was observed in all groups except for the palatal root of maxillary molars and the distal root of mandibular molars. Accessory foramina were also observed in all groups of teeth. The distal roots of mandibular molars had the largest size main foramen (mean value, 392 microns), whereas the maxillary premolars had the largest accessory foramina (mean value, 53.4 microns) and the most complicated apical morphologic makeup. The distance of the main foramen from the anatomic apex never exceeded 1 mm. The highest values were observed at the mandibular incisors (978 microns), the distal root of mandibular molars (818 microns), and the upper premolars (816 microns). All values showed satisfactory fitting to normal distribution.

Chi-Square Distribution↗
PubMed1994

Relationship between surface area for adhesion and tensile bond strength--evaluation of a micro-tensile bond test.

OBJECTIVES: The purpose of this study was to test the null hypothesis that there is no relationship between the bonded surface area of dentin and the tensile strength of adhesive materials. METHODS: The enamel was removed from the occlusal surface of extracted human third molars, and the entire flat surface was covered with resin composite bonded to the dentin to form a flat resin composite crown. Twenty-four hours later, the bonded specimens were sectioned parallel to the long axis of the tooth into 10-20 thin sections whose upper part was composed of resin composite with the lower half being dentin. These small sections were trimmed using a high speed diamond bur into an hourglass shape with the narrowest portion at the bonded interface. Surface area was varied by altering the specimen thickness and width. Tensile bond strength was measured using custom-made grips in a universal testing machine. RESULTS: Tensile bond strength was inversely related to bonded surface area. At surface areas below 0.4 mm2, the tensile bond strengths were about 55 MPa for Clearfil Liner Bond 2 (Kuraray Co., Ltd.), 38 MPa for Scotchbond MP (3M Dental Products), and 20 MPa for Vitremer (3M Dental Products). At these small surface areas all of the bond failures were adhesive in nature. SIGNIFICANCE: This new method permits measurement of high bond strengths without cohesive failure of dentin. It also permits multiple measurements to be made within a single tooth.

Composite Resins↗
PubMed1994

The influence of age and depth of dentin on bonding.

OBJECTIVES: The purpose of this study was to investigate what influence the two variables of dentin depth and age may have on the tensile bond strengths of three bonding systems. METHODS: Dentin discs prepared from human molars were divided into young and old, superficial and deep surfaces. Three bonding systems, Scotchbond Multi-purpose (3M Dental Products), Superbond D-liner (Sun Medical Co.), and Liner Bond II (Kuraray Co.) were the materials tested for tensile bond strength. In addition, the structural variation of the resin-impregnated, or hybrid, layer was compared among the two variables and three bonding systems. RESULTS: Tensile bond strengths exceeding 10 MPa were obtained for all materials. After ANOVA, an effect on tensile bond strength could be attributed to dentin age or depth for only Superbond D-liner used on deep-young dentin as compared with old-superficial dentin. All other group comparisons failed to show any variation between dentin depth or age. However, specimens bonded to deeper dentin showed slightly lower strengths. SEM observations showed thicker resin-impregnated layers for Scotchbond MP and Superbond D-liner compared with Liner Bond II. Liner Bond II exhibited a thinner and more diffuse resin-impregnated layer, believed to be due to the different dentin conditioning method. SIGNIFICANCE: Dentin age or depth may not show as great an influence on bond strengths with the newer type of bonding systems. The resin-impregnated layer quality, rather than thickness, is believed to be the most important factor for obtaining high tensile bond strengths.

Age Factors↗
PubMed1995

Are mandibular third molars a risk factor for angle fractures? A retrospective cohort study.

PURPOSE: Anecodotal reports suggest that the presence of mandibular third molars predispose the mandible to angle fractures. The purpose of this study was to evaluate mandibular third molars as risk factors for angle fractures in a patient sample with fractured mandibles. MATERIALS AND METHODS: The medical records and panoramic radiographs of a patient cohort with mandible fractures was retrospectively reviewed. Data were collected for the following variables: age, sex, race, mechanism of injury, number and location of mandible fractures, and the presence and position of the mandibular third molars. RESULTS: Of the 73 patients with mandibular third molars, 30 (41.1%) had angle fractures. Of the 28 patients without mandibular third molars, 3 (10.7%) had angle fractures (P = .004). CONCLUSION: The results of this study demonstrate that patients with fractured mandibles and mandibular third molars are 3.8 times more likely to have an angle fracture than patients without mandibular third molars.

Adult↗