Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “ENDODONTICS”

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.

At least 1,747 records · Page 97Linked to original sources
PubMed2005

Effect of endodontic irrigants on microleakage of coronal restorations.

PURPOSE: To evaluate the effect of endodontic irrigants on the sealing ability of resin composite coronal restorations bonded with two different bonding systems, Clearfil SE Bond and PQ1. METHODS: The specially designed coronal preparations with distal margins on dentin and mesial margins on enamel were performed on 100 single-rooted teeth. They were initially divided into five groups. Irrigants used during the root canal preparation in each group were as follows: sodium hypochlorite, hydrogen peroxide, Tubulicid Plus, Cetrexidin and saline (control). After root canal filling, each irrigation group was divided into two bonding groups. Following the placement of the composite restorations, the specimens were immersed in India ink and cleared to allow visualization of the leakage. RESULTS: The differences among the irrigation groups were statistically significant only at margins remaining on dentin structures for both of the bonding resins (P< 0.05). Sodium hypochlorite, hydrogen peroxide groups demonstrated higher leakage scores than the controls (P< 0.005). Leakage patterns of Cetrexidin and Tubulicid Plus groups did not differ significantly from the controls (P> 0.005). Cetrexidin allowed better sealing than Tubulicid Plus in PQ1 bonded restorations, but did not in Clearfil SE Bond samples.

Acrylic Resins↗
PubMed2005

The causes, prevention, and clinical management of broken endodontic rotary files.

Complications can occur during many dental procedures. The prepared clinician responds by either correcting the problem during treatment, or, ideally, preventing the problem from occurring in the first place. In endodontic treatment separated rotary Ni-Ti files are a common procedural problem. Through understanding that the main causes of file breakage are cyclic fatigue and torsional stress, a dentist can best prevent this occurrence by using hand files before rotary files, creating a straight-line (glide path) access into a canal, and preflaring the coronal portion before using rotary files in the apical third of the canal. In addition, using an up and down motion with the electric slow-speed handpiece (not allowing the file to bind within the canal) will significantly reduce the incidence of file breakage. If a file does break, successful removal primarily depends on the location of the file in the canal rather than the specific technique employed for removal. A case does not necessarily fail if the separated file cannot be removed. The prognosis when file separation occurs can still be favorable, especially if care was taken to reduce the critical concentration of canal debris with hand instrumentation and chemical irrigation prior to rotary file insertion. In addition, the introduction of a new CS file design will help the dentist increase the chance of removing the file in the event of breakage.

Dental Alloys↗
PubMedDate not supplied

Microleakage within endodontically treated teeth using a simplified root canal preparation technique: an in vitro study.

This study evaluated the effects of two canal preparation methods on leakage in endodontically treated teeth, comparing the relative leakage rates for conventionally prepared teeth and those instrumented and obturated with the Ultradent Endo-Eze system. Two groups (n=11) of freshly extracted human premolars (and some canines) with closed apices and single roots were used. The roots in the first group were instrumented with conventional stainless steel hand files and obturated with gutta-percha and Sealapex. The experimental group were instrumented and obturated using the Ultradent Endo-Eze system. Radiographic examination showed no difference in the level or quality of root canal fill for teeth prepared conventionally and those prepared using the Endo-Eze system. Leakage followed a linear trend for both groups of teeth but the rate of leakage increase was approximately twice as high (that is, 80% greater) for the conventional group than for the Endo-Eze teeth. This difference was not statistically significant due to the wide variability in the conventional group data. It was noted that canal preparation time for the Endo-Eze teeth was approximately 50% shorter than that required for conventional root canal therapy.

Bicuspid↗
PubMed2005

[The Retroplast Technique. Retrograde obturation with composite and adhesive technique in endodontic surgery].

Endodontic surgery, and in particular periapical surgery, has seen a significant development in the last few years, mainly following the introduction of microsurgical principles and the use of magnification devices. The successful outcome of periapical surgery, however, is based on the quality of the root-end obturation that should prevent any reinfection originating from the root canal. Since amalgam as a root-end sealing material was abandoned many years ago, a great diversity of obturation techniques and materials have been described. Besides the standard root-end cavity preparation with microtips, the author today has a preference for the Retroplast-technique. The paper describes this technique in detail and reports the possibilities and limits of this obturation method.

Apicoectomy↗
PubMed2005

Combined endodontic therapy and surgery in the treatment of dens invaginatus Type 3: case report.

An accurate understanding of the morphology of the root canal system is a prerequisite for successful root canal treatment. Invaginated teeth have a complex root canal configuration that cannot be instrumented effectively and should be treated by both endodontic therapy and surgery. A case of dens invaginatus Type 3 in a maxillary lateral incisor with a periapical lesion and its successful treatment by these combined methods is reported.

Aluminum Compounds↗
PubMed2006

Outcome of endodontic treatment of teeth filled using lateral condensation versus vertical compaction (Schilder's technique).

The purpose of this prospective clinical and radiographic investigation was to assess the treatment results following endodontic therapy of teeth filled with lateral condensation versus teeth filled with vertical compaction of warm gutta-percha. A total of 290 patients were treated using the standardized step-back technique for canal preparation, which were filled with either lateral condensation or vertical compaction in one single session. Five years later, the treatment results were assessed clinically and radiographically and related to the type of the obturation technique using Chi-square analysis. Of the 340 teeth that were reexamined, 160 teeth were filled with lateral condensation, and 180 teeth were filled with vertical condensation. The results showed a significantly higher success rate for the vertical compaction versus the lateral condensation technique of teeth presented with preoperative periapical lesions P<0.04. Regardless of the preoperative periapical status of the teeth, no statistically significant difference was found between the two techniques. The overall success rate of both filling techniques was 80.3%.

Bismuth↗
PubMed1995

[Improved entrance of endodontic treatment :51 cases report.].

The endodontic treatment can be carried out through the improved entrance of labial or buccal surface for the pulpitis and periapical periodontitis of anterior teeth (including premolars) due to the labial or buccal cervical caries and wedge-shaped defects,so that the hard tissues of tooth can be concerted as more as possible and the tooth can be prevented from fracture as a result of too big cavity to be prepared.This paper presents the main points of operation and shows the advantages by means of clinical pictures and radiograph.

English Abstract↗
PubMedDate not supplied

[Scanning electron microscope study of chemically disinfected endodontic files].

Forty stainless steel endodontic files were observed at scanning electron microscopy after being subjected to ten disinfection cycles of 10 minutes each one, immersed in different chemical disinfectants. Corrosion was not observed on the surface of the files in circumstances that this study was made.

Corrosion↗
PubMed2005

[Endodontic treatment in one or several sessions? Review of the literature].

This literature review compares the endodontic treatment in one or more appointments on the healing of periapical lesions and the occurrence of postoperative pain and flare-ups. It turns out that the root canal treatment completed in one session has many advantages and may he considered the prime option in the majority of clinical cases.

Episode of Care↗
PubMedDate not supplied

Resin-based sealing of root canals in endodontic therapy.

This study evaluated the effect of the obturation technique on leakage, which may be the primary cause of failure in endodontic treatment. The apical seal and leakage behavior of teeth obturated with a resin-based sealer and gutta-percha alternative were compared to conventionally obturated teeth. Sound premolars (N = 10) were instrumented and treated by conventional root canal obturation. A second group (N = 10) was treated with the Resilon-Epiphany system and the remaining 10 roots were divided into two groups (N = 5) and obturated without sealer. A detector electrode was placed coronally in each root in contact with the obturation system and sealed in place and the apices were left patent. The teeth were immersed in 0.9% sodium chloride with a stainless steel counter electrode. A 20V potential was connected between the stainless steel and each tooth in turn with current flow determined by voltage drop across a standard resistor. Leakage was followed for 30 days and statistically analyzed for differences between groups. All teeth in Groups 1, 3A, and 38 (p > 0.05) leaked at 30 days. In Group 2, four roots showed no leakage, five roots showed minimal leakage, and one root exhibited a leakage current at a greater magnitude than the others in the group. A significant difference (p < 0.005) was found between Groups 1 and 2 but not between Group 1 and Groups 3A and 3B (p > 0.05) or between Group 2 and Groups 3A and 3B.

Bismuth↗
PubMedDate not supplied

Endodontic treatment of a maxillary central incisor with two separate roots: case report.

This case report involves endodontic treatment of a traumatized maxillary central incisor with two separate roots. Although the literature has reported that maxillary central incisors always have one root with one canal, this report (among others) serves to remind dentists that occasional morphological variations exist and should be ruled out when this type of tooth is treated.

Adolescent↗
PubMed2006

Irrigants in non-surgical endodontic treatment.

This paper highlights that one of the main goals of root canal treatment is the elimination of microorganisms from the contaminated root canal system. Instrumentation alone will not allow for adequate debridement and disinfection of the complex and diverse root canal system. Chemomechanical debridement is required. The importance of the use of irrigants during non-surgical root canal treatment has frequently been neglected both during instruction of dental students and later in the clinical practice of endodontics. The article highlights 'shape, clean and fill' vs. 'clean, shape and fill' to enable chemomechanical debridement. Our protocol advises mechanical debridement and copious irrigation for a minimum of twenty minutes with 2.5% to 6% solutions of sodium hypochlorite, followed by a rinse with a 17% solution of ethylenediaminetetraacetic acid and a final rinse with 2% chlorhexidine. The canals are dried with high volume aspirators and sterile paper points.

Anti-Infective Agents, Local↗
PubMed2006

[Analysis on results of endodontic treatment and influencing factors].

OBJECTIVE: To assess the clinical outcome of root canal therapy (RCT) and the various factors that may influence the outcome of RCT. METHODS: A total of 695 teeth from 357 patients were retrospectively studied three years after endodontic treatment. Pre- and intra-operative information was collected from the original patient records. The post-operative sign or symptom, periapical status and coronal restoration integrity were examined 3 years after obturation. Data were subjected to bivariate and multivariate analysis. RESULTS: The cure rate for 695 teeth was 75.1%, 96.0% of which was considered to be functional. The tooth group, pre-operative pulp and periapical status, quality of root filling and integrity of coronal restoration were revealed by means of bivariate analysis to exert a significant influence on treatment outcome. The logistic analysis indicated that the odds for cure in the teeth with pre-operative periapical radiolucency, underfilling and "open" coronal restoration were significantly lower by 2 folds, 3 folds and 1.6 folds than their counterparts, respectively. CONCLUSIONS: The pre-operative periapical status, quality of root filling and the integrity of coronal restoration are main predictors of outcome in RCT.

Adult↗
PubMed1991

[Use of the stereo-microscope in endodontic surgery].

The authors present several significant photographs of the apical anatomy of a tooth made using a stereo-microscope in the course of surgery. The authors generally use the stereo-microscope from the time of preparation of the apex to the retrograde filling. One of the changes which the authors have brought to traditional surgical procedures, the use of endodontic cement to improve the amalgam seal is illustrated. It consists of a modification which they introduced into their practice more than six years ago and even though it may be a simple clinical technique to use, it assured a significant long-term improvement in the cases treated.

Apicoectomy↗