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A microbial assessment of instrumentation and noninstrumentation laser disinfection technique: An in vivo study 器械和非器械激光消毒技术的微生物评估:体内研究
Endodontology Pub Date : 2024-04-03 DOI: 10.4103/endo.endo_160_23
Anaida Clara Alex, I. Geeta, R. V. Chandra, B. Arvind
{"title":"A microbial assessment of instrumentation and noninstrumentation laser disinfection technique: An in vivo study","authors":"Anaida Clara Alex, I. Geeta, R. V. Chandra, B. Arvind","doi":"10.4103/endo.endo_160_23","DOIUrl":"https://doi.org/10.4103/endo.endo_160_23","url":null,"abstract":"\u0000 \u0000 \u0000 The present study compares the reduction in microbial count of instrumentation versus noninstrumentation laser disinfection technique.\u0000 \u0000 \u0000 \u0000 Thirty patients with periapical lesions ranging 3–5 mm in single-rooted teeth were selected for the study. The groups were divided into two main groups: Group 1 – instrumentation technique and Group 2 – noninstrumentation technique subjected to laser disinfection. Group 2 was again subdivided into two groups: Group 2A – only laser disinfection and Group 2B – laser disinfection and medicament. The groups were analyzed for the reduction in microbial count. The Kruskal-Wallis test was used to compare mean differences in colony-forming unit (CFU) counts. Post operative mean CFU between the three groups were compared using Dunn’s Post Hoc analysis. The level of significance was set at P < 0.05.\u0000 \u0000 \u0000 \u0000 Significant differences were noted in mean CFU counts between Group 1 and Groups 2A and 2B (P = 0.006 and P = 0.001, respectively). Among Groups 2A and 2B, the reduction in the microbial count of Group 2B is better than 2A although not significant.\u0000 \u0000 \u0000 \u0000 The use of Er:YAG laser allows for effective use in disinfection due to its favorable properties such as antimicrobial effect, photoacoustic streaming, vapor bubbles effect, and lack of negative thermal impact on the periodontium.\u0000 \u0000 \u0000 \u0000 Significant shifts were observed in both the groups, but the impact of the shift was greater in the laser-assisted groups. Noninstrumentation laser disinfection technique shows promising results when compared to conventional techniques.\u0000","PeriodicalId":11607,"journal":{"name":"Endodontology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140746723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endodontic dynamic navigation for precise apical microsurgery: Case report 用于根尖显微外科精确手术的牙髓动态导航:病例报告
Endodontology Pub Date : 2024-04-03 DOI: 10.4103/endo.endo_133_23
B. Manishaa, G. Sajjan, N. Kinariwala, K. Varma, Naveena Ponnada, Sindhuja V. Bagu
{"title":"Endodontic dynamic navigation for precise apical microsurgery: Case report","authors":"B. Manishaa, G. Sajjan, N. Kinariwala, K. Varma, Naveena Ponnada, Sindhuja V. Bagu","doi":"10.4103/endo.endo_133_23","DOIUrl":"https://doi.org/10.4103/endo.endo_133_23","url":null,"abstract":"\u0000 Retrieval of separated file at the periapex with minimal intervention is highly demanding. Preserving the remaining healthy periapical bone of a tooth with large lesion to promote healing is the strategic treatment plan. Endodontic DNS (Navident, ClaroNav, Toronto, ON, Canada) was used for precise apical microsurgery in two such clinically complex cases. Scanty literature is available on the use of DNS in apical microsurgery of such similar conditions. Case 1 complained of separated instruments with moderate pain during mastication in root canal treated 14. Two-dimensional (2D) and three-dimensional imaging revealed two separated endodontic files: one in the apical third and another in the periapex of the buccal root. The absence of periapical lesion here demanded minimal ostectomy for surgical removal of separated instruments. Minimal osteotomy, resection of the root tip, and retrieval of the apical separated instrument were achieved with a single precise cut assisted with DNS. During the retro-cavity preparation, the second file was also retrieved atraumatically using ultrasonics. Case 2 complained of moderate pain and mobility in 12. Clinical examination revealed slight discoloration in 12. 2D and 3D imaging revealed a large periapical lesion. Apical microsurgery with endodontic dynamic navigation resulted in the precise, simultaneous location, and resection of the root tip along with the management of the apical pathology with minimal invasion. This was possible only because of DNS. Both cases demonstrated uneventful healing at 1-year review. Periapical radiographs revealed a healthy periapical region in case 1 and healing periapical region in case 2.\u0000 \u0000 \u0000 \u0000 Endodontic dynamic navigation system enables the clinician to precisely perform a minimally invasive osteotomy and root-end excision in one visit, by guiding the surgical tools in real time with the help of DICOM and STL files of the patient.Dynamic navigation is a technical advance targeting minimally invasive, precise endodontic surgeries with decreased operative mishaps.\u0000 \u0000","PeriodicalId":11607,"journal":{"name":"Endodontology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140749751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combined use of XP-Endo Finisher and different chelating agents on the smear layer 在涂抹层上联合使用 XP-Endo Finisher 和不同的螯合剂
Endodontology Pub Date : 2024-03-16 DOI: 10.4103/endo.endo_97_23
Meenu Elizabeth Saju, Ramya Raghu, A. Shetty, Lekha Santhosh, Subhashini Rajasekhara, Priya C. Yadav
{"title":"Combined use of XP-Endo Finisher and different chelating agents on the smear layer","authors":"Meenu Elizabeth Saju, Ramya Raghu, A. Shetty, Lekha Santhosh, Subhashini Rajasekhara, Priya C. Yadav","doi":"10.4103/endo.endo_97_23","DOIUrl":"https://doi.org/10.4103/endo.endo_97_23","url":null,"abstract":"\u0000 \u0000 \u0000 The aim of this study was to assess the effect of XP-Endo Finisher (XPF) in conjunction with three different chelating agents, namely, 0.2% chitosan nanoparticles (CNP), 17% ethylenediaminetetraacetic acid (EDTA), and 7% maleic acid (MA) on residual debris and smear layer on the root canal walls of the mandibular premolars.\u0000 \u0000 \u0000 \u0000 Eighty extracted human mandibular premolars were used in the study. Canals were prepared using an XP-Endo Shaper, and the final finishing was done with an XPF file. Teeth were randomly divided into four experimental groups based on chelating agents, Group I (XPF + 0.2% CNP), Group II (XPF + 17% EDTA), Group III (XPF + MA), and Group IV XPF + 2.5% sodium hypochlorite (NaOCl) (control group). Teeth were longitudinally split and prepared for scanning electron microscopy analysis. For comparing the smear layer and debris score between groups, the Kruskal–Wallis ANOVA was used, followed by the post hoc Bonferroni test. The level of significance was set at P < 0.05.\u0000 \u0000 \u0000 \u0000 Group I (XPF + 0.2% CNP) gave the best results (P = 0.001) in all the thirds of root canal, followed by Group II (XPF + 17% EDTA) with P = 0.001. Group III (XPF + MA) showed results similar to that of the control group (XPF + NaOCl) with P = 0.001. There was a significant difference in the scores between Group I (XPF + CNP) and the other three groups.\u0000 \u0000 \u0000 \u0000 In all three-thirds of a root canal, the use of XPF + 0.2% CNP performed best at removing the smear layer. This was followed by XPF + 17% EDTA and XPF + 7% MA. For all groups, smear layer removal was less efficient in the apical third.\u0000","PeriodicalId":11607,"journal":{"name":"Endodontology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140236747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of the dentinal wall adaptation ability of Mineral Trioxide Aggregate Fillapex, EndoSequence BC, and AH Plus sealers using Scanning Electron Microscope: An in vitro study 使用扫描电子显微镜评估三氧化二铝矿物聚合体 Fillapex、EndoSequence BC 和 AH Plus 封闭剂的牙本质壁适应能力:体外研究
Endodontology Pub Date : 2024-03-16 DOI: 10.4103/endo.endo_169_23
Pradipkumar R. Damor, R. Tewari, S. Mishra, S. Andrabi
{"title":"Evaluation of the dentinal wall adaptation ability of Mineral Trioxide Aggregate Fillapex, EndoSequence BC, and AH Plus sealers using Scanning Electron Microscope: An in vitro study","authors":"Pradipkumar R. Damor, R. Tewari, S. Mishra, S. Andrabi","doi":"10.4103/endo.endo_169_23","DOIUrl":"https://doi.org/10.4103/endo.endo_169_23","url":null,"abstract":"\u0000 \u0000 \u0000 The present study was conducted to evaluate the dentinal wall adaptation ability of different root canal sealers (mineral trioxide aggregate Fillapex [MTA], EndoSequence BC [ESBC] Sealer, and AH Plus) using a scanning electron microscope (SEM).\u0000 \u0000 \u0000 \u0000 Forty-five extracted single-rooted human maxillary incisor teeth were selected and divided into three equal groups (n = 15). Working length was established using a #15 K-type file. Canals were prepared with rotary Ni–Ti system to size 30/0.06 or 40/0.06 file using endomotor at 250 rpm, irrigated with 17% ethylenediaminetetraacetic acid, 3% NaOCl, and normal saline solution, and dried with paper points. Prepared canals were obturated with gutta-percha cones using the single-cone technique and appropriate sealers. Specimens were stored in saline solution at 37°C for 48 h and evaluated using a SEM.\u0000 \u0000 \u0000 \u0000 Unpaired t-test, one-way analysis of variance, and post-hoc tests verified the differences between groups and were considered significant at alpha = 5%.\u0000 \u0000 \u0000 \u0000 None of the specimens showed a gap-free interface. Gaps compared between MTAF and ESBC did not show any statistically significant differences (coronal [P = 0.9757], middle [P = 0.5464], and apical [P = 0.2136] thirds). However, gaps found at the interface of sealer and dentinal wall in root canals filled with AH Plus showed extremely statistically significant differences when compared with MTAF and ESBC (P < 0.0001).\u0000 \u0000 \u0000 \u0000 Specimens obturated with MTAF and ESBC Sealer showed smaller gaps on SEM analysis than specimens filled with AH Plus.\u0000","PeriodicalId":11607,"journal":{"name":"Endodontology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Level of evidence of scientific research presented at a national endodontic conference 在国家牙髓学会议上提出的科学研究证据水平
Endodontology Pub Date : 2023-09-01 DOI: 10.4103/endo.endo_95_23
Arunakshi Krishnan, Amrita Chawla, Sidhartha Sharma, Vijay Kumar, Ajay Logani
{"title":"Level of evidence of scientific research presented at a national endodontic conference","authors":"Arunakshi Krishnan, Amrita Chawla, Sidhartha Sharma, Vijay Kumar, Ajay Logani","doi":"10.4103/endo.endo_95_23","DOIUrl":"https://doi.org/10.4103/endo.endo_95_23","url":null,"abstract":"ABSTRACT Introduction: Evidence-based endodontics improves patient care by combining clinical competence, research, and patient values. This review critically assessed scientific studies at an Indian national endodontic conference. Materials and Methods: Scientific research papers presented at the 30 th National Endodontic Conference of the Indian Endodontic Society 2022 were categorized according to the area of interest and the level of evidence. Cuzick’s test for trend was utilized to compare the level of evidence of the abstracts at the National Endodontic Conference ( n = 396) and those published from the 20 th European Society of Endodontology Biennial Congress 2022 ( n = 91). Results: Endodontics ( n = 265, 64.6%) was the most examined domain, followed by diagnosis ( n = 49, 12.4%), restorative dentistry ( n = 46, 11.6%), and miscellaneous ( n = 45; 11.6%). Root canal disinfection ( n = 64, 16.1%) was the most prevalent subcategory, followed by endodontic instruments and apparatus ( n = 40, 10.1%) and restorations ( n = 36, 9%). Laboratory and animal (nonhuman) studies dominated the national conference abstracts ( n = 219, 55.3%), followed by level VI ( n = 108; 27.2%), level III ( n = 40; 10.1%), and level II ( n = 23, 5.9%). There was no significant difference between the national and international conference levels of evidence ( P = 0.318). Discussion: National and international conferences lack laboratory-to-clinical translation. Researchers must do high-quality, relevant, nonredundant evidence-based research. Conclusion: New studies should use evidence-based research to efficiently address valid research questions and provide predictable and high-quality patient treatment.","PeriodicalId":11607,"journal":{"name":"Endodontology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135434570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A comparative evaluation of the dentinal microcracks formed and propagated during the removal of gutta-percha using hand and three rotary retreatment file systems: A micro-computed tomography study 用手和三种旋转式再处理锉系统去除杜仲胶过程中形成和扩展的牙本质微裂纹的比较评价:一项微型计算机断层扫描研究
Endodontology Pub Date : 2023-07-01 DOI: 10.4103/endo.endo_192_22
Srivastava Sanjeev, Rita Gupta, Dubey Sandeep, Tewari Tanu, Shukla Namita, Singh Arohan
{"title":"A comparative evaluation of the dentinal microcracks formed and propagated during the removal of gutta-percha using hand and three rotary retreatment file systems: A micro-computed tomography study","authors":"Srivastava Sanjeev, Rita Gupta, Dubey Sandeep, Tewari Tanu, Shukla Namita, Singh Arohan","doi":"10.4103/endo.endo_192_22","DOIUrl":"https://doi.org/10.4103/endo.endo_192_22","url":null,"abstract":"Aim: This micro-computed tomography (micro-CT) study aims to quantitatively analyze the dentinal microcracks formed and propagated after endodontic retreatment using different file systems. Methods: Forty extracted mandibular premolars were selected. Biomechanical preparation was done using ProTaper Next rotary files followed by obturation using lateral compaction technique. All specimens were randomly divided into four groups (n = 10) and scanned under 1172; Micro-CT (Skyscan Bruker, Kontich, Belgium). After scanning, the first group was retreated using Hedstrom (H) files (Dentsply Maillefer, Ballaigues, Switzerland), the second group with Gutta Percha Remover (GPR) files (Mani Inc., Japan), the third group with Endostar RE Re Endo Rotary system (RE Endo files) (Endostar RE, Poland), and fourth group with ProTaper Universal Retreatment (PTUR) files (Dentsply Maillefer, Ballaigues, Switzerland). A micro-CT scan was repeated of each sample to observe the newly formed and propagated microcracks. The micro-CT scans before and post retreatment were then evaluated using CT-analyzer software. Data were compared using the Chi-square test. Results: New microcracks formed post retreatment were maximum in the RE Endo group followed by the PTUR group, GPR group, and least in the H file group. Propagation of existing microcracks after retreatment was maximum in the RE Endo group followed by nearly similar in both the GPR group and PTUR group and least in the H file group. On comparing the frequency distribution of the newly formed and propagated microcracks, the Chi-square test showed similar distribution among all four groups, which was found statistically insignificant (P > 0.05). Conclusion: GPR rotary instrument group created the least new microcracks among tested retreatment rotary files. However, the propagation of microcracks was found comparable with the PTUR files.","PeriodicalId":11607,"journal":{"name":"Endodontology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49231032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of dentinal tubule penetration of three different root canal sealers by confocal laser scanning microscopy 共聚焦激光扫描显微镜观察三种不同根管封闭剂对牙本质小管穿透力的比较
Endodontology Pub Date : 2023-07-01 DOI: 10.4103/endo.endo_41_22
Hafize Gulmez, S. Kaya, Merve Yeniçeri Özata
{"title":"Comparison of dentinal tubule penetration of three different root canal sealers by confocal laser scanning microscopy","authors":"Hafize Gulmez, S. Kaya, Merve Yeniçeri Özata","doi":"10.4103/endo.endo_41_22","DOIUrl":"https://doi.org/10.4103/endo.endo_41_22","url":null,"abstract":"Aim: This study compared three different root canal sealers in terms of depth, area, and percentage of penetration into dentinal tubules. Methods: Sixty extracted human mandibular premolars were allocated into three groups, each containing twenty teeth, and filled with either AH Plus, MTA Fillapex, or Well Root ST root canal sealers, and gutta-percha. Horizontal sections were taken at a distance of 1, 4, and 7 mm levels from the apical of the teeth and examined under a confocal laser scanning microscope (CLSM). Statistical analysis of the data involved running a Kruskal–Wallis-H-test. Results: There was no significant difference between the sealers in the apical and middle sections (P > 0.05). The penetration area and depth in the coronal section were the lowest in the MTA Fillapex compared to the AH Plus sealer (P < 0.05). There was no significant difference between the sections in terms of penetration percentage (P > 0.05). Conclusion: The sealers presented similar dentinal penetration area, depth, and percentage on the middle and apical sections. In the coronal section, the values were high within three parameters.","PeriodicalId":11607,"journal":{"name":"Endodontology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48255711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Imaging techniques and various treatment modalities used in the management of internal root resorption: A systematic review 影像学技术和各种治疗方式用于管理内根吸收:系统回顾
Endodontology Pub Date : 2023-07-01 DOI: 10.4103/endo.endo_186_21
R. Digholkar, S. Aggarwal, P. Kurtarkar, P. Dhatavkar, V. Neil, D. Agarwal
{"title":"Imaging techniques and various treatment modalities used in the management of internal root resorption: A systematic review","authors":"R. Digholkar, S. Aggarwal, P. Kurtarkar, P. Dhatavkar, V. Neil, D. Agarwal","doi":"10.4103/endo.endo_186_21","DOIUrl":"https://doi.org/10.4103/endo.endo_186_21","url":null,"abstract":"Aim: The objective is to systematically evaluate and compare the most commonly used treatment modalities, materials, and imaging techniques used in the diagnosis of internal root resorption (IRR). Methods: This review was done with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A search strategy of the literature was performed on PubMed, Scopus, Google Scholar, and manual search library resources and MeSH terms were carried out from September 2009 to July 2022 and articles in English or those having detailed summaries in English were included. Duplicates were removed manually. Case reports/series which discussed imaging techniques and treatment modalities used for IRR were included. Preliminary screening consisted of 230 articles that were identified through the database searching. After a thorough screening of 230 articles, 25 unique articles were synthesized in this systematic review. Quality assessment of the case reports selected was done using the Joanna Briggs Institute Critical Appraisal tool. Results: Case reports/series which discussed imaging techniques and treatment modalities used for IRR were included. It is clear from the chronology in these articles that although cone-beam computed tomography (CBCT) might not have been the diagnostic aid of choice earlier, it certainly was the go-to for all the cases treated in the past 5 years. Furthermore, there was seen a range of management from surgical to nonsurgical depending on the lesion being perforating or confined to the root. Mineral trioxide aggregate (MTA) was used by most except one case where regenerative endodontic therapy was executed and in one Biodentine was used to fill the defect. Conclusion: Based on the case reports evaluated in this systematic review, it would be safe to conclude that: 1. CBCT would give the most detailed image of the lesion and its extent at the diagnostic stage. 2. MTA would be a good material to repair the defect arising in the radicular space from IRR. 3. Intra-oral radiographs could be used in the follow-up visits to check on the success of the treatment rendered.","PeriodicalId":11607,"journal":{"name":"Endodontology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44425356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Noneugenol sealers – Thyme oil as an alternative in zinc oxide-based endodontic sealers 非丁香酚封闭剂——百里香油作为氧化锌根管封闭剂的替代品
Endodontology Pub Date : 2023-07-01 DOI: 10.4103/endo.endo_220_22
Andrew Gnanamuttu, Arunakumari Veronica, K. Mahalakshmi, S. Sai, A. Susila
{"title":"Noneugenol sealers – Thyme oil as an alternative in zinc oxide-based endodontic sealers","authors":"Andrew Gnanamuttu, Arunakumari Veronica, K. Mahalakshmi, S. Sai, A. Susila","doi":"10.4103/endo.endo_220_22","DOIUrl":"https://doi.org/10.4103/endo.endo_220_22","url":null,"abstract":"Aim: Thyme has got good anti-inflammatory, antimicrobial, and antifungal properties and is reported to be very effective against oral microflora. The aim of the present study was to compare the antimicrobial activity of zinc oxide and thyme oil to zinc oxide and eugenol. Methods: Anti-bacterial efficacy of zinc oxide + eugenol and zinc oxide + thyme oil paste was evaluated against mature Enterococcus faecalis (E. faecalis) dentinal biofilm evaluated by the zone of inhibition (ZOI), biofilm disruption evaluated by colony-forming unit (CFU) reduction, and confocal laser scanning microscopy (CLSM). The red and green fluorescence thresholds were manually set according to their respective intensity and kept consistent for each sample. The ratios of live/dead cells were automatically calculated by the software. Results: The results of the present study showed that there was a statistically significant difference in antimicrobial efficacy for thyme oil compared to eugenol as evaluated by ZOI (P = 0.032). Thyme oil was significantly better than eugenol in antimicrobial efficacy according to the percentage of CFU reduction (P = 0.0422) in E. faecalis biofilm. Based on CLSM evaluation, there was no statistically significant difference (P = 0.172) between the two groups. Conclusion: Zinc oxide + Thyme oil paste, used in this study has shown promising antibacterial activity against E. faecalis and hence can be used as an alternative sealer.","PeriodicalId":11607,"journal":{"name":"Endodontology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45384665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of postoperative pain with cryotherapy in teeth with symptomatic irreversible pulpitis with symptomatic apical periodontitis after single-visit endodontics: A randomized clinical study 单次就诊牙髓治疗后症状性不可逆性牙髓炎伴症状性根尖牙周炎患者冷冻治疗术后疼痛的评价:一项随机临床研究
Endodontology Pub Date : 2023-07-01 DOI: 10.4103/endo.endo_83_20
Vidhi J. Shah, N. Shah, K. Kishan, Meghna Kothari, Jaimini Patel, Shrey Patel
{"title":"Evaluation of postoperative pain with cryotherapy in teeth with symptomatic irreversible pulpitis with symptomatic apical periodontitis after single-visit endodontics: A randomized clinical study","authors":"Vidhi J. Shah, N. Shah, K. Kishan, Meghna Kothari, Jaimini Patel, Shrey Patel","doi":"10.4103/endo.endo_83_20","DOIUrl":"https://doi.org/10.4103/endo.endo_83_20","url":null,"abstract":"Aim: The aim of the study was to clinically evaluate the postoperative pain following use of cryotherapy in teeth with symptomatic irreversible pulpitis and symptomatic apical periodontitis after single-visit-endodontics. Methods: After institutional ethical approval (SVIEC/ON/Dent/SRP/18115) and informed consent, a total of 120 patients were included as per inclusion and exclusion criteria. Patients with single-rooted, mature teeth having symptomatic irreversible pulpitis with symptomatic apical periodontitis were included in the study. All the enrolled individuals were randomly divided by computer randomization into two groups: Group A – normal saline (n = 60) and Group B – cryotherapy (n = 60). Endodontic access cavity along with cleaning and shaping was performed under isolation. In Group A, irrigation was done with normal saline for 5 min. In Group B, 2.5°C cold saline was used for 5 min. In both the groups, obturation and postendodontic restoration were performed at the same visit. An evaluation was done by the blinded evaluator using a modified Verbal Rating Scale at 24 h and 48 h. In this study, both patients and evaluators were blinded. Paired t-test and independent t-test were used with SPSS 18.0 version. P < 0.05 was considered statistically significant. Results: Both at 24 and 48 h, cryotherapy showed a highly statistically significant difference (P < 0.000) than normal saline irrigation in the reduction of postoperative pain after single-visit endodontic treatment. Conclusion: Final irrigation with 2.5°C cold saline can result in a significant reduction in postoperative pain as compared to that of normal saline after single-visit endodontics in single-rooted teeth with symptomatic irreversible pulpitis with symptomatic apical periodontitis.","PeriodicalId":11607,"journal":{"name":"Endodontology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46673089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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