[Comparison of normal and retrograde dental root fillings in section preparations].
Explore the source record for details and available documents.
Humans↗
SEARCH · Search PubMed
Results for “Retrograde Obturation”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
[Retrograde root canal filling].
Explore the source record for details and available documents.
Dental Pulp Cavity↗
[Recurrent and residual stones in the bile ducts].
Data of 205 patients with recurrent (48) and residual (157) choledocholithiases are presented. In most observations postoperative cholelithiasis proceeded by the type of chronic intermittent obturation of bile ducts. Highly effective method of diagnosing recurrent and residual calculi is thought to be the endoscopic retrograde pancreatocholangiography, best results of the treatment being obtained after the endoscopic papillosphincterotomy which should be used as the operation of choice.
Adult↗
[Apicoectomy: retrograde filling and periapical curettage (presentation of a case)].
Explore the source record for details and available documents.
Apicoectomy↗
[Potentialities of transcutaneous and transhepatic cholangiography as a method of studying diseases of the bile excretory system].
Comprehensive examinations of 62 patients with jaundice of obscure origins involved transcutaneous transhepatic cholangiography carried out in all the patients, hepatolymphography in 60 cases, relaxation duodenography in 31, angiography in 41, ultrasonic examination of the liver in 31, endoscopic retrograde pancreatocholangiography in 28 and liver scanning in 19 patients. These studies have extended the knowledge on the biliferous system status in obturation and parenchymatous jaundices and helped define the role of transcutaneous transhepatic cholangiography among the invasive methods of radiologic examinations and pararadiologic methods.
Bile Duct Diseases↗
A comparison of sealing capabilities of amalgum, GIC and zinc oxide eugenol cement when used as retro grade filling materials (in vitro study).
BACKGROUND: The objective of this study was to compare sealing capabilities of different filling materials when used as retrograde filling materials following apiceotomy (to check their sealing abilities as retro filling). In this study apical seal obtained following reverse retrograde root filling with amalgam, was compared with those obtained with, Glassinomer (GIC) and Zinc oxide eugonal (ZnO2E) cement. METHODS: The root canals of 50 extracted single rooted upper anterior human teeth were used in this study. The root canals were instrumented and obturated with laterally condensed, gutta-percha and zinc oxide sealer. Each tooth was a pically resected at 90 degrees to its long axis and the root surface isolated with two coats of nail polish. Teeth were divided into 4 groups, the 1st group received amalgam retrograde filling, the 2nd and 3rd group was retro filled with GIC and ZnO2E cement respectively and the 4th control group received no retrograde root filling. All these teeth were suspended in 1% methylene blue dye at room temperature for 72 hours, the roots were sectioned and dye penetration measured by using (stereomicroscope) microscope. The sealing abilities of these materials were determined by their ability to inhibit dye penetration. RESULTS: The result of this study has shown that GIC is just as effective as amalgam but ZnO2E cement showed poor sealing abilities. CONCLUSION: GIC is just as effective as Amalgam as a retro-sealer and on some instance, better then it, but a long term in vivo study is required to prove it.
Dental Amalgam↗
Surgical endodontic retrograde root-end filling materials.
The treatment of diseased and necrotic pulpal tissue in teeth spans has been well known throughout history. Root canal treatment in the twentieth century has included complete removal of pulpal remnants to remove the failing tissue and then obturating the canal space with biocompatible material. This treatment preserves individual teeth to further function as part of a whole dentition for the patient's well-being. Failed root canal treatment, however, sometimes requires surgical intervention to treat the teeth from the root end. This article reviews the materials placed in intimate contact with tissues in this surgical procedure. The implications of these various materials within the tissues are discussed, along with clinical signs and symptoms a healthcare provider might encounter when examining these patients. There is no clear-cut "best" material for root-end surgical obturation at this time. Therefore, major materials that might be used are included in this discussion.
Biocompatible Materials↗
[Diagnostic approach in mechanical jaundice, complicated by purulent cholangitis].
Up-to-date high-informative non-invasive diagnostic methods were used in 54 patients with obstructive jaundice (OJ) complicated by purulent cholangitis (PC). Treatment-diagnostic algorithm can to improve results of diagnosis. This algorithm is the following: ultrasonic examination as a screening method; if a case of jaundice is unclear and obturation is prolonged magnetic-resonance tomography and magnetic-resonance cholangiopancreaticography are carried out; in block of a distal part of the common bile duct--spiral computed tomography with bolus amplification and duodenoscopy. Invasive diagnostic methods--endoscopic retrograde cholangiopancreatography, percutaneous transhepatic cholangiography (PTCG) are performed in buit indications in possibility to perform lithextraction and effective endoscopic decompression or in the tumor of Vater's papilla in case of low block. PTCG is used in high block and finished by percutaneous transhepatic bile outflow. General diagnostic efficacy of the complex in OJ was 97.8%. Diagnostic algorithm permitted us to make diagnosis and to start treatment in 85% during 1-2 days after hospitalization. Bile ducts decompression as a main stage of PC treatment was performed in the first 2 days after hospitalization. Diagnostic quest was performed at the same time with therapy after detoxication and correction of hemostasis disturbances.
Cholangitis↗
[Veterinary dentistry (15). Apex resection in the horse].
Periapical disorders in horses can be treated by resection of the apex. The indications, contraindications, diagnosis, treatment and complications of the intervention are discussed. Four case reports of horses in which apicoectomy with retrograde endodontic treatment was performed are reviewed.
Animals↗
Retrograde rootfilling with Cavit: a clinical and roentgenological study.
Explore the source record for details and available documents.
Adolescent↗
[Disruption of the pubic symphysis with overriding impacted symphysis. Apropos of a case].
INTRODUCTION: The authors report one case of overriding impacted symphysis by lateral compression injury of the pelvis. MATERIAL AND METHODS: A 30 year old male presented a disruption of the symphysis pubis following a motor vehicle accident with lateral injury. Radiographs of the pelvis revealed a displacement of the right part of the symphysis behind the left one and a protrusion of the left pubic body through the right obturator foramen. CT scan did not show any sacro-iliac disruption but a fracture of the lateral part of the sacrum. An urethral injury with a complete urethral disruption was associated. Open reduction and internal fixation was necessary to reduce displacement. Urethral disruption was treated after retrograde urethrogram, four months after injury. RESULTS: Two years after injury, there was no pain in the pelvis and urinal function was normal. A sexual dysfunction remained. DISCUSSION: This lesion is secondary to lateral compression injury with internal rotation of the right part of the pelvis. It can be classified in type B2 of Tile's classification. It is a rare condition because this mechanism very often leeds to a fracture of the pelvic ring.
Accidents, Traffic↗
Sensory reinnervation of a musculocutaneous flap: an experimental rabbit study.
Sensory neurotisation of a muscle (sensory nerve transfer to the motor nerve of a muscle) produces muscle sensibility, but not skin sensibility. How to achieve sensation of a musculocutaneous flap remains a challenge to reconstructive microsurgeons. The purpose of our study was to determine if multiple nerve grafts which were placed vertically between the neuromuscular entrance zone of a muscle and a target area of dermis on the overlying skin could improve sensation. Thirty-six gracilis musculocutaneous flaps (18 rabbits) were raised and divided into three groups: group 1 consisted of 12 sensory neurotised gracilis musculocutaneous flaps with five nerve grafts each; group 2 consisted of another 12 sensory neurotised gracilis flaps with 10 nerve grafts each; and the control group consisted of 12 sensory neurotised gracilis musculocutaneous flaps without any nerve grafts. All nerve grafts spanned the distance between the neuromuscular entrance zone of the gracilis muscle and a specified 3 cm diameter area of the skin island. The saphenous nerve (sensory) was coapted to the obturator nerve (motor nerve of the gracilis) in an effort to achieve improved sensation of the skin island in the musculocutaneous flaps. After 6 months, the flaps were individually evaluated using cortical somatosensory evoked potentials (CSSEP) using normal, painful, cold and hot stimuli. One unoperated rabbit was studied as the baseline CSEEP for comparison. Retrograde horseradish peroxidase (HRP) labelling was then performed to evaluate the possibility of newly established neural pathways. Results of the CSSEP testing revealed that flaps possessing 10 nerve grafts (group 2) demonstrated better sensation when compared to flaps possessing five nerve grafts (group 1) or no nerve grafts (control group). Furthermore, retrograde HRP labelling proved that a new neural pathway had been established from the skin island to the dorsal root ganglia of S1 and S2 via the interposed nerve grafts and the sensory neurotised gracilis muscle in groups 1 and 2 rabbits. The control group did not display any sensory regeneration.
Animals↗
[Complications after endoscopic interventions on the major duodenal papilla].
An analysis of 83 cases of complications following endoscopic procedures on the major duodenal papilla was made: 62 cases after 2110 retrograde cholangiopancreatographies (RChPG) and 21 after 620 endoscopic papillosphincterotomies (EPST). Among most frequent complications there were acute pancreatitis (49 cases), purulent cholangitis (11 cases), suppurations of the pancreatic cysts and purulent pancreatitis (8 cases). Bleedings took place after EPST in 11 patients. Risk factors of the development of acute pancreatitis were established: the presence of scarry stenosis of the papilla, chronic pancreatitis with the last exacerbation less than 1 month before the examination, more than 3 cannulations and contrasts of the pancreatic duct of the 2nd order or its acini, little (less than 10 mm) cuts of the papilla in EPST. Acute obturative pancreatitis is not a contraindication for EPST. On the opposite, after the procedure a rapid regression of the disease takes place. Asymptomatic hyperamylasuria observed in 329 patients (238 patients after RChPG and 91 after EPST) is considered to be a manifestation of flaccid pancreatitis, suggests a complication of the endoscopic procedure and is considered to be an indication for the corresponding treatment. Operations for the complications were performed on 21 patients. Four patients died because of complications of RChPG (0.2%) and two from complications of EPST (0.5%). Pancreonecrosis and purulent pancreatitis were causes of the deaths.
Ampulla of Vater↗
Prospective randomized comparison of 2 ureteral access sheaths during flexible retrograde ureteroscopy.
PURPOSE: While the use of ureteral access sheaths facilitates flexible ureteroscopy, buckling or kinking of the device may preclude its successful application. We evaluate the ability of 2 hydrophilic coated ureteral access sheaths to obtain and maintain access to the upper collecting system. MATERIALS AND METHODS: A total of 54 flexible ureteroscopy procedures were randomized to use of the 12/15Fr Applied Access Forte XE (Applied Medical, Rancho Santa Margarita, California) or the 12/14Fr Cook Flexor (Cook Urological, Spencer, Indiana) access sheaths. Device failure was defined as buckling of the sheath that prevented adequate placement, kinking of the sheath after removal of the obturator or difficulty in passing instruments through the sheath. The ease of placement, instrument passage and stone extraction was scored from poor (1) to excellent (4). Fisher's exact test and Mann-Whitney tests were used for statistical comparisons. RESULTS: No patient required ureteral balloon dilation. There was no significant difference between the groups in regard to preoperative stenting (34% and 31%, p = 1.00) or rigid ureteroscopy before sheath placement (32% and 25%, p = 0.751). The device failure rate was 44% for the Applied sheath and 0% for the Cook sheath (p <0.001). Failures with the Applied sheath included buckling (25%), kinking (25%) and difficulty passing instruments (13%). The Cook sheath was rated superior with regard to ease of placement (3.89 vs 3.00, p = 0.001), ease of instrument passage (3.97 vs 3.29, p = 0.001) and ease of stone extraction (3.74 vs 3.00, p = 0.023). CONCLUSIONS: The performance of the Cook Flexor sheath was superior with regard to overall failure and ease of use.
Adult↗
Follow-up study of apicoectomized molars.
The present material consists of 46 respected molars, 20 of which were located in the maxilla and 26 in the mandible. Altogether, 93 different roots were resected and 109 root fillings made. The follow-up study was made 1-6 years after the apicoectomy. The patients were examined clinically, special attention being paid to the subjective and objective symptoms shown by each apicoetomized tooth. Then a stereoscopic picture of the resected tooth and an orthopantomogram were taken. Of these 46 apicoectomized teeth, 33 (71%) showed complete healing, five (11%) were uncertain, four (9%) showed unsatisfactory healing, and four (9%) were extracted. When examining molars it seems reasonable to study each root as a separate case. Among the 93 apicoectomized roots, there were 75 (81%) cases of complete healing, six (6%) of uncertain healing, four (4%) of unsatisfactory healing, and eight (9%) extractions. There was no difference between the groups of radicular cysts and periapical granulomas in healing. The percentage of cases of complete healing was higher when approximately one-half of the roots were resected than when approximately one-third were resected. The orthograde root filling made in connection with resection was found better than the retrograde or the earlier orthograde filling. It was also found that when several periapical lesions were present in the other teeth, the number of complete healings in the group of resected teeth was less.
Adolescent↗
[Endoscopic methods in the treatment of the obturation of the papilla magna duodeni].
Endoscopic methods of treatment were applied in 320 patients with the duodenal papilla magna (DPM) obturation. After performance of endosurgical correction of the bile outflow the pain disappeared in 54%, subsided significantly in 38% patients. In 48 patients endoscopic suprapapillar choledochoduodenostomy was performed, cryodestruction of tumor--in 17 for cancer affection of DPM. In 197 patients with wedged ampullar DPM calculus the atypical papillosphincterotomy was performed successfully. Three (0.9%) patients died.
Ampulla of Vater↗
CNQX prevents spinal motor neuron death following sciatic nerve transection in newborn rats.
A rapid and reproducible spinal motor neuron death occurs after sciatic nerve transection in neonatal rats. This neuronal death could be due to lack of retrogradely transported target derived neurotrophic factors, such as ciliary neurotrophic factor, brain-derived neurotrophic factor, leukemia inhibitory factor and glial cell line-derived neurotrophic factor. Another hypothesis suggests that glutamate and its receptors has been implicated as possible mechanism for motor neuron death. In order to investigate the effect of N-methyl-D-aspartate (NMDA) and non-NMDA receptor antagonists on axotomy-induced cell death in the spinal motor neurons of neonatal rats, we have studied neuroprotective effects of these receptor antagonists. Newborn rats were anesthetized with hypothermia. Sciatic nerve was transected near the obturator tendon in the left thigh. Animals were then treated daily with MK-801, APV, and CNQX for 14 days with intraperitoneal injections. Control animals received PBS in the same fashion. After the treatment, the number of spinal motor neurons in the L4-6 was counted. MK-801 and APV did not show any significant neuroprotective effect. By contrast, the number of surviving motor neurons was greater in animals that were treated with 1.0, 2.0 and 4.0 mg/kg of CNQX. This neuroprotective effect was not dose-related. We demonstrate that neuroprotective effect of CNQX on axotomized motor neurons, raises a possibility that such a agent may have therapeutic potential in motor neuronopathy and amyotrophic lateral sclerosis.
2-Amino-5-phosphonovalerate↗
Prevention by insulin-like growth factor-I and riluzole in motor neuron death after neonatal axotomy.
Transection of the sciatic nerve in neonatal rats results discernable loss of motor neurons in the spinal cord. This neuronal death could be due to lack of retrogradely transported target derived neurotrophic factors, since some of these factors have been shown to be effective in injury induced motor neuron death. Another hypothesis suggests that glutamate and its receptors has been implicated as possible mechanism for motor neuron death, because inhibitor of glutamate release and antagonists of glutamate receptors are effective in preventing axotomized motor neuron death. To investigate the effect of insulin-like growth factor-I (IGF-I) and riluzole, a drug that inhibits glutamate release, on axotomy induced motor neuron death. Newborn rats were anesthetized with hypothermia. Sciatic nerve was cut near the obturator tendon in the left thigh. Animals were then treated daily with different doses of IGF-I and riluzole for 14 days with intraperitoneal injections. Control rats received PBS in the same fashion. After the treatment, the number of surviving motor neurons and the motor neuron diameter in the L(4) was assessed. Both IGF-I (1.0 mg/kg) and riluzole (5.0 mg/kg) rescued motor neuron death in a similar way. Co-administration of IGF-I (1.0 mg/kg) and riluzole (5.0 mg/kg) was more effective than either agent alone and there was a statistically significant difference between co-administration and IGF-I alone. However there was no significant difference between simultaneous treatment and riluzole alone. As for diameter of motor neurons, riluzole (5.0 mg/kg) preserved the motor neuron diameter in the lesion side. Nonetheless, no further increase in motor neuron diameter was seen when riluzole (5 mg/kg) and IGF-I (1.0 mg/kg) were applied in combination. Both agents did not affect diameter of motor neurons in the non-axotomy side. Riluzole is available in amyotrophic lateral sclerosis (ALS) and the positive results of clinical trials with IGF-I suggests that combination treatment of IGF-I and riluzole in ALS remains to be determined.
Animals↗