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PubMedDate not supplied

Considerations for the aesthetic restoration of endodontically treated anterior teeth following intracoronal bleaching.

The major considerations in restoring the pulp chamber following bleaching of endodontically treated anterior teeth include aesthetics, function, appropriate endodontic access preparation, amount of remaining tooth structure, type of restorative material, prevention of microleakage, and prevention of iatrogenic perforation. The learning objective of this article is to review the considerations that must be made when placing aesthetic restorations in the pulp chamber and access opening of endodontically treated teeth following intracoronal bleaching. The advantages and disadvantages of the proposed techniques and materials are discussed, as are the methods for avoiding excessive removal of the tooth structure. Two case reports are used to demonstrate the clinical procedures. The authors suggest placing white gutta-percha stopping material in the pulp chamber and a composite restoration in the access opening following root canal treatment and/or bleaching procedures in the anterior dentition.

Adolescent↗
PubMed2002

A survey of the incidence of single-visit endodontics.

This survey was conducted to obtain answers to some basic questions regarding the timing of root canal obturation. A questionnaire was sent via e-mail to 738 randomly chosen United States endodontists listed in the 1998 to 1999 membership roster of the American Association of Endodontists. One hundred fifty-six replies were received. In pulpectomy cases, root canal obturation at the first visit was carried out by 55.8% of the responding endodontists; in infected root canal cases, the percentage was 34.4%. Of the responding endodontists, 34.2% indicated that their patients had experienced some trouble after root canal obturation at the first visit.

Bacterial Infections↗
PubMedDate not supplied

A comparative evaluation of apical linear dye penetration of Glass ionomer based sealers with conventional root canal sealers. An in vitro study.

This study was done to evaluate the clinical practicality of a new Water mixable Glass ionomer root canal sealer with conventional type 11a Glass ionomer cement, if used as a sealer, along with Zinc oxide Eugenol and Calcium Hydroxide containing sealers. Forty freshly extracted single rooted Maxillary incisors were selected for the study. Ten teeth were assigned for each sealer group. Access cavity was prepared, wording length determined, modified step-back preparation and obturation of the root canal done with lateral condensation technique. Assigned groups were Group 1--Type 11a Glass ionomer cement, Group 11--Mixed Tubliseal, Group 111--Mixed Sealapex, Group IV--Endion. Micro leakage Values were assessed by the amount of linear dye penetration in to the apical pulp space. Statistical analysis was done with one way analysis (ANOVA), using Fisher's 'F' test and students unpaired 't' test. Seal apex exhibited the least micro leakage value and found to be the best sealer among the four sealer groups.

Analysis of Variance↗
PubMed1995

A comparison of three different root canal sealers when used to obturate a moisture-contaminated root canal system.

Sealing ability of three classes of endodontic sealers, in moisture-contaminated canals, was evaluated. A total of 120 single-rooted extracted teeth were divided into three groups. The groups were obturated with either Procosol, Sealapex, or Ketac-Endo using saline as a moisture contaminant in all cases. Half (20 teeth) of each group was placed in a saline storage medium for 9 months. The remainder of the samples were placed in India ink, under a vacuum, cleared, and the amount of dye penetration measured under magnification. The stored samples were similarly treated after the 9-month storage period. In a moisture-contaminated canal, Procosol exhibited the least amount of apical leakage, followed by Sealapex, then Ketac-Endo. There was no significant difference in the amount of dye penetration after 9 months of storage over that found initially, which indicates that the deleterious effects of moisture contamination occur during the initial placement and setting reaction.

Analysis of Variance↗
PubMed1979

Endodontic treatment of primary teeth.

Endodontic treatment of primary teeth is undertaken by indirect pulp capping, direct pulp capping, formocresol pulpotomy and pulpectomy. The same treatment principles apply to both primary and permanent teeth with infected or necrotic pulps. The main differences are the use of formocresol for root canal medication and a resorbably zinc-oxide and eugenol paste for root canal obturation.

Child↗
PubMed2000

Evaluation of the Trifecta obturating technique.

The aim of this project was to evaluate and compare the radiographic quality and sealability of root fillings in extracted human teeth using lateral condensation of gutta-percha or the Trifecta obturating system. One hundred freshly extracted human mature, single-rooted teeth were divided into four identical groups of 25 teeth on the basis of root canal shape. The root canals of two groups were prepared in such a way as to produce a relatively parallel canal shape with little or no flare towards the coronal orifice. The root canals of the other two groups were prepared in such a way as to produce a canal shape that was deliberately more flared to ensure that they were wider at the orifice than at the endpoint of the preparation. All root canals were flushed with 17% EDTA solution and 2.5% NaOCl to remove the dentinal smear layer. The canals of one flared and one parallel group were obturated using cold lateral condensation and the canals of the other two groups were obturated using the Trifecta system. The sealability of each technique was assessed by a dye penetration method. The radiographic quality of obturation was determined for each canal using a 4-point scale. Canals filled with thermoplasticised gutta-percha had significantly less apical dye penetration than those obturated by lateral condensation (P < 0.001). Lateral condensation achieved significantly better scores for radiographic quality than thermoplasticised gutta-percha from both the bucco-lingual (P < 0.001) and the mesio-distal views (P < 0.001). Root canals obturated using the Trifecta technique showed significantly more apical extrusion of sealer than those obturated by lateral condensation (P < 0.001). Under laboratory conditions the Trifecta technique had better sealability but poorer radiographic quality than lateral condensation.

Dental Leakage↗
PubMed1990

An update on endodontics: 2. File manufacture and obturation techniques.

In recent years manufacturers have responded to an increase in endodontic treatments by developing a number of new products. New techniques have also been introduced. In this two-part article the author critically reviews these developments. In Part 1 he looked at diagnosis of endodontic problems and at root canal preparation techniques. In Part 2 he now examines file designs together with techniques for root canal obturation.

Gutta-Percha↗