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At least 1,351 records · Page 75Linked to original sources
PubMedDate not supplied

Histopathology of the pulp in primary incisors with deep dentinal caries.

The purpose of this study was to assess the histological appearance of the pulp of human primary incisors extracted because of deep, unrestorable caries, and to determine how clinical pulp exposures affected the histological status of the pulp compared to nonexposures. Caries was removed carefully from all teeth after fixation; 24 incisors had pulp exposures, and 29 teeth had no pulp exposures. Histological examination showed normal pulps in 69% of the teeth without pulp exposures, compared to 33% of teeth with exposed pulps (P < 0.05). Microabscesses were observed in 33% of cases with pulp exposures, compared to 10% of cases without pulp exposures. In this study, 46 of 53 pulps remained vital in spite of the multiple and deep carious lesions. Teeth without pulp exposures were diagnosed in the treatable category in 20 of 26 cases.

Chi-Square Distribution↗
PubMed1992

[Lack of healing following adequate endodontic treatment].

When an endodontic treatment is to be redone, generally the X-ray reveals some form of poor or inadequate filling. Most endodontic cases fail because of inadequate endodontic treatment (cleaning, shaping, filling). However, sometimes good clinical treatment isn't followed by healing! This article sums up the possible reasons to consider. In order to improve the success rate of the endodontic treatments, practical hints are given regarding the non-surgical as well as the surgical (re)treatments.

Apicoectomy↗
PubMed1992

[Medications for endodontic use].

Medication can never disinfect a badly shaped canal and successful treatment will depend on the endocanal preparation. Despite the indisputable antibacterial efficacy of Rocklès 4 in vitro, use of this medicament should be banned because of its toxicity, its mutagenic and antigenic action and its long-term inefficacy in vivo. The same goes for all other antiseptics, anti-inflammatory agents and antibiotics mentioned, that should be discarded because of their harmful effects on patients or their inefficacy on endodontic flora. Our endodontic medicine cabinet should only contain the following products: irrigation agent: NaOCl 2.5% medication in 2 sessions: calcium hydroxide prescription or 'Réogan rapide'.

Anti-Bacterial Agents↗
PubMed1992

[The effect of berberine in sterilizing infective root canal of deciduous teeth].

This investigation introduces the effect of sterilizing infective deciduous root canal with Chinese traditional herb berberine. Through the bacterial test, animal test, clinical practice, and comparing with the dental root disinfectant for mocresol (FC) and comphorphenol (CP) it indicates that berberine Chinese traditional herb is a excellent disinfectant for infective deciduous root canal.

Animals↗
PubMed1992

[The bactericidal efficiency of ultrasonic in the root canal].

The objective of this paper was to determine the quantitative bactericidal efficiency of ultrasonic in the root canal. Four test organisms found frequently in the root canal were compared. The result showed ultrasonic can kill the test organisms effectively in the root canals. The best bactericidal efficiency occurred at 4 or 5 min. of ultrasonic though the more efficiency as the time longer. Bactericidal irrigation could increase the bactericidal efficiency of ultrasonic and its bactericidal action similar to irrigation bactericidal property.

Actinomyces↗
PubMed1976

[Testing the electric resistance as an objective diagnostic test in dental pulp diseases].

The authors test by means of a measuring device of high precision the resistence of health or sick human pulpa, comparing it to them of gums, excluding in the same time the sensibility of the patient in question. The authors corroborate the obtained dates with clinical symptomatology and the histopathological photos, discussing the possibility of objective electrical test as an expedient in the diagnosis of pulpa-affections.

Adolescent↗
PubMedDate not supplied

Local application of IGF1 on dental pulp mechanically exposed; in vivo study on rabbit.

IGF1 (Insulin Growth Factor, 1) was intentionally applied onto pulp tissues, aiming to provoque a dentine regeneration process through the stimulation of the dentinoblasts' potententials. 72 cavities were hence performed on rabbit molars, intentionally exposing the dental pulp. Different concentrations of IGF1 were then applied; The histo and anatomo-pathological observations showed persistent vitality of the pulp without any sign of necrosis, even 6 weeks after the IGF1 application. Dentinoblasts layers (as an indication of the regeneration activity) were counted, according to a pre-established protocol, at days 7, 14, 22, 28 and 42. The type of the applied IGF1, was carefully selected to be "Binding Protein Resistant" (IGF-BPR), so to avoid any inhibition of the IGF1 action by the endogenous binding proteins (Hochscheid and coll). The results were conclusive in indicating the IGF1 as an efficient dental pulp capping product.

Animals↗
PubMed1977

[Biological testing of pulp-preserving agents on the pulp of rat molars].

The effects of calxyl, ZOE, zinc oxide without eugenol, and zinc oxide with an antibacterial substance (glutaraldehyde) were tested on perforated molar pulps of rats. All of the substances tested were found to lead to the same initial reactions (acute inflammation and partial necrosis). Calxyl and ZOE yielded unfavorable results. There was a negligible tendency of the pulp toward hard tissue demarcation. Zinc oxide without eugenol improved the formation by the pulp of secondary tin. - The use of glutaraldehyde resulted in a less pronounced spread of inflammation as well as in the formation of new hard tissue in one half of the cases. Molars of rats are particularly suitable for biologically examining the local toxicity of pulpal protectives and the regeneration of the pulp. The results presented in this paper are discussed from the point of view of pulp-preserving therapy and of avoiding invasion by germs.

Animals↗
PubMed2003

Endodontic treatment of bilaterally occurring 4-rooted maxillary second molars: case report.

The presence of 4-rooted maxillary second molars has been described in only a limited number of case reports. Studies of anatomical features have demonstrated substantial variation in the number of roots and root canals in different teeth. The maxillary second molar usually has 1, 2, or 3 roots and generally 3 or 4 root canals. This case describes the presence of 4 roots occurring bilaterally in maxillary second molars in one patient.

Adult↗
PubMed1992

Pulpal response to restoration of deep cavities with high-copper amalgam.

The effect on the pulp of a high-copper amalgam was studied in buccal cavities in 16 pairs of human premolars, 32 teeth, restored with ANA 2000. To minimize the risk of bacterial contamination, the cavities were treated with a cleanser, Tubulicid, and the outer portion of the filling was replaced by zinc oxide-eugenol cement (ZOE), i.e. surface-sealing. In one cavity in each pair, the control, a thin lining was used. The teeth were extracted after 5-13 days, sectioned, stained with hematoxylin-eosin or Brown and Brenn and evaluated for the degree of pulpal inflammation and presence of bacteria. The results showed that regardless of whether lining was used or not, no inflammation or only a very few inflammatory cells were found in the 21 teeth in which the thickness of the remaining dentin varied from 0.15 mm to 0.5 mm, except for one pair showing slight to moderate inflammation. However, in this pair bacterial growth were found on the cavity walls. No other teeth showed bacterial growth. In the remaining eleven teeth the thickness of the remaining dentin was less than 0.08 mm, including five pulpal exposures. Slight to severe inflammation occurred in eight of these teeth. ANA 2000 per se did not seem to irritate the pulp except in very deep cavities or on direct exposures. The reason for this reaction is not known, but it might be attributable to the zinc content of the amalgam.

Anti-Bacterial Agents↗
PubMedDate not supplied

A three-rooted mandibular second premolar.

If an endodontic problem is diagnosed in a mandibular premolar, and root canal therapy is provided, it must be considered that second and third canals might exist. Although the existence of a third canal would be rare, a thorough evaluation may help to prevent future complications. In the case presented here, failure to recognize a third canal might have resulted in incomplete instrumentation and canal obturation, and endodontic failure. Variations in root canal morphology and the number of canals might not have been detected even during close inspection of the pulp chamber floor. Therefore, the dentist must have a thorough knowledge of root canal morphology and its variations.

Adult↗
PubMedDate not supplied

Contemporary concepts in endodontics: 2003 and beyond.

Recent changes have made it possible to perform endodontic treatment more efficiently, with improved precision and greater patient acceptance. This article reviews these various concepts and highlights how endodontics now can be performed with enhanced abilities and clinical results.

Anesthesia, Dental↗