Iranian Endodontic Journal最新文献

Advanced Endodontic Techniques for Treating Root Perforation in a Hypertaurodont Molar: A Case Report. 先进的根管技术治疗高牛头牙磨牙根穿孔1例报告。

Iranian Endodontic Journal Pub Date : 2025-01-01 Epub Date: 2025-01-29 DOI: 10.22037/iej.v20i1.46431

Ali Chamani, Maryam Forghani, Mina Zarei, Pouria Soltaninezhad

引用次数: 0

Vital Pulp Therapy: Evidence-Based Techniques and Outcomes. 重要牙髓治疗：基于证据的技术和结果。

Iranian Endodontic Journal Pub Date : 2025-01-01 DOI: 10.22037/iej.v20i1.47141

Saeed Asgary, Ali Nosrat

{"title":"Vital Pulp Therapy: Evidence-Based Techniques and Outcomes.","authors":"Saeed Asgary, Ali Nosrat","doi":"10.22037/iej.v20i1.47141","DOIUrl":"10.22037/iej.v20i1.47141","url":null,"abstract":"Vital pulp therapy (VPT) comprises a range of conservative treatment modalities aimed at preserving the vitality of the compromised dental pulp in primary and permanent teeth. This PubMed-based review comprehensively evaluates seven distinct VPT techniques; including their historical development, broad definitions, clinical protocols and treatment outcomes as evidenced by systematic reviews and meta-analyses. The VPT modalities covered in this review include stepwise excavation, indirect pulp capping, direct pulp capping, miniature pulpotomy, partial pulpotomy, full pulpotomy and partial pulpectomy. Stepwise excavation, as a minimally-invasive option, has demonstrated effectiveness in reducing the risk of pulp exposure, particularly in permanent teeth. Clinical outcomes of indirect and direct pulp capping are promising; specifically with the application of advanced calcium silicate cements. Miniature and partial pulpotomies emphasize the importance of precise definitions and standardised protocols due to their subtle differences. Full pulpotomy has emerged as a viable alternative to root canal treatment, achieving comparable success rates in managing irreversible pulpitis. While partial pulpectomy remains the most invasive approach, it has shown potential in managing complex cases, such as root resorption, through selective tissue preservation. Despite advancements in biomaterials and technique standardisation, challenges remain, including variability in clinical protocols, limited high-quality evidence, and the need for long-term studies to better evaluate anticipated outcomes. Nevertheless, emerging biotechnologies hold promise for enhancing the precision and predictability of VPT procedures in the future.","PeriodicalId":14534,"journal":{"name":"Iranian Endodontic Journal","volume":"20 1","pages":"e2"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Guided Endodontic Technique in Mandibular Incisors with Pulp Canal Obliteration: A Case Report. 下颌切牙髓管闭塞引导根管技术1例报告。

Iranian Endodontic Journal Pub Date : 2025-01-01 Epub Date: 2025-05-11 DOI: 10.22037/iej.v20i1.47737

Saide Nabavi, Erfan Latifian

{"title":"Guided Endodontic Technique in Mandibular Incisors with Pulp Canal Obliteration: A Case Report.","authors":"Saide Nabavi, Erfan Latifian","doi":"10.22037/iej.v20i1.47737","DOIUrl":"10.22037/iej.v20i1.47737","url":null,"abstract":"The American Association of Endodontics classifies the management of pulp canal obliteration (PCO) cases as a high-risk difficulty. This classification indicates an increased likelihood of procedural errors. However, advancements in dental technology have simplified the endodontic treatment of calcified teeth. Guided endodontics uses cone-beam computed tomography (CBCT) and a three-dimensional (3D) printer to create a patient-specific guide, enhancing accuracy and predictability in complex cases. A healthy 60-year-old male was referred by a prosthodontist for root canal treatment on teeth #23, #24, and #25. Periapical radiographic examination revealed partial PCO in all teeth. After choosing guided endodontics treatment, CBCT imaging and intraoral 3D scanning were utilized to design a patient-specific endodontic guide. After verifying the stability of the endo-guide, access cavities were prepared using a Munce Discovery bur. Following the negotiation of the canals, the working length was determined. Root canal treatment was performed using rotary files up to size 25/0.04% and sodium hypochlorite irrigation. The obturation was completed using the warm condensation technique. Although PCO was present, no complications occurred during treatment. The teeth remained completely asymptomatic and functional, demonstrating the success of the treatment. Guided endodontics can be a practical and predictable approach for managing PCO in mandibular incisors. This technique provides accurate canal location, reduces procedural errors, and preserves tooth structure. Despite concerns about cost, radiation exposure, and challenges with anatomical variations, it represents a promising advancement in endodontic treatment.","PeriodicalId":14534,"journal":{"name":"Iranian Endodontic Journal","volume":"20 1","pages":"e21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hybrid Approach to Manage Inflammatory Internal Root Resorption: A Case Report. 治疗炎症性内根吸收的混合方法：1例报告。

Iranian Endodontic Journal Pub Date : 2025-01-01 Epub Date: 2025-03-08 DOI: 10.22037/iej.v20i1.46677

Arezoo Mirzaie, Nazanin Zargar, Rezvan Shahhosseini

引用次数: 0

Mental Nerve Paresthesia, a Complication of Anesthesia in Non-surgical Endodontic Treatment: A Case Report . 精神神经感觉异常，麻醉在非手术根管治疗中的并发症：1例报告 。

Iranian Endodontic Journal Pub Date : 2025-01-01 DOI: 10.22037/iej.v20i1.45478

Rosmery Munguia-Osorio, Cesar Andre Zevallos-Quiroz

{"title":"Mental Nerve Paresthesia, a Complication of Anesthesia in Non-surgical Endodontic Treatment: A Case Report .","authors":"Rosmery Munguia-Osorio, Cesar Andre Zevallos-Quiroz","doi":"10.22037/iej.v20i1.45478","DOIUrl":"10.22037/iej.v20i1.45478","url":null,"abstract":"Paresthesia is described as a burning or prickling sensation or partial numbness caused by neurologic injury. The sensory loss may be the result of a reversible and/or irreversible nerve damage, and it can be caused by local or systemic factors. Local factors include traumatic injuries caused by impacted teeth, local injection, endodontic therapy, implant placement and exposure to toxic materials. This article reports a paresthesia by anesthetic injection. A 44-year-old man reported moderate pain during chewing and exposure to cold. Upon clinical examination, extension of the tooth fracture line was in the mesiodistal region of the mandibular left second premolar crown and was detected with 16× magnification of microscope. The diagnosis was cracked tooth syndrome, and root canal treatment was indicated. After the first appointment the patient reported altered sensation on left side of mandible, numbness and electric shock sensation, and therefore was diagnosed with mental nerve paresthesia. Diclofenac sodium, thiamine, cyanocobalamin, and pyridoxine were prescribed for 7 days as part of the treatment, and then root canal and restorative treatments were completed. Patient was scheduled for follow-up appointments after 1, 3, 6, and 8 months. After the first month, the feeling of paresthesia was still present and the patient was experiencing a painful \"electric shock\". At the 8-month follow-up visit, the paresthesia had been resolved with return of normal sensation.","PeriodicalId":14534,"journal":{"name":"Iranian Endodontic Journal","volume":"20 1","pages":"e5"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endodontic Management of Dentin Dysplasia Type II in a Pediatric Patient: A Case Report. 牙本质II型发育不良儿童的根管治疗：1例报告。

Iranian Endodontic Journal Pub Date : 2025-01-01 Epub Date: 2025-03-04 DOI: 10.22037/iej.v20i1.47021

Eshaghali Saberi, Samira Rezvani

引用次数: 0

Revascularization of an Immature Three Rooted First Mandibular Molar Using Concentrated Growth Factor: A Case Report. 浓缩生长因子用于未成熟三根第一下颌磨牙血管重建术1例。

Iranian Endodontic Journal Pub Date : 2025-01-01 Epub Date: 2025-01-18 DOI: 10.22037/iej.v20i1.46700

Mahgol Mehrabani, Arya Goodarzy, Mojgan Feli

{"title":"Revascularization of an Immature Three Rooted First Mandibular Molar Using Concentrated Growth Factor: A Case Report.","authors":"Mahgol Mehrabani, Arya Goodarzy, Mojgan Feli","doi":"10.22037/iej.v20i1.46700","DOIUrl":"https://doi.org/10.22037/iej.v20i1.46700","url":null,"abstract":"Regenerative endodontic procedures (REPs) have emerged as a biologically driven approach for managing immature teeth with necrotic pulp and open apices, providing an alternative to traditional apexification techniques. This case report describes the successful treatment of a three-rooted immature mandibular first molar with necrotic pulp and chronic apical periodontitis in a 9-year-old patient using REPs. The treatment followed the guidelines set by the American Association of Endodontists and utilized a two-visit protocol. Concentrated growth factor (CGF) was employed as a biological scaffold in the root canals, while calcium-enriched mixture (CEM) cement was used for the coronal seal. Radiographic evaluations conducted at 6, 12, and 15 months revealed progressive periapical healing, significant root elongation, increased thickness of the root walls, and partial apical closure. Clinically, the patient remained asymptomatic during all follow-ups. This case highlights the potential of CGF and CEM cement-enhanced REPs to promote continued root development and achieve predictable outcomes in immature teeth with necrotic pulps, offering a biologically based alternative to conventional apexification.","PeriodicalId":14534,"journal":{"name":"Iranian Endodontic Journal","volume":"20 1","pages":"e11"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oral Health and Dental Management Strategies in Noonan Syndrome: A Case Report. 努南综合征的口腔健康和牙科管理策略：1例报告。

Iranian Endodontic Journal Pub Date : 2025-01-01 Epub Date: 2025-04-30 DOI: 10.22037/iej.v20i1.48029

Pourya Esmaeelpour, Maryam Forghani, Sahar Karimpour

引用次数: 0

Overfill Resolution Through Non-Surgical Endodontic Treatment: A Case Report. 通过非手术牙髓治疗解决牙髓充填问题1例。

Iranian Endodontic Journal Pub Date : 2025-01-01 Epub Date: 2025-07-19 DOI: 10.22037/iej.v20i1.47173

Barbara Czopik

引用次数: 0

A Cross-sectional Study on the Knowledge, Attitudes, and Performance of Iranian Endodontists Regarding Diabetic Patients. 伊朗牙髓医生对糖尿病患者的知识、态度和表现的横断面研究。

Iranian Endodontic Journal Pub Date : 2025-01-01 Epub Date: 2025-05-26 DOI: 10.22037/iej.v20i1.47343

Sara Mollamohammadi Kermani, Maryam Kuzekanani, Laurence James Walsh, Moghaddameh Mirzaee

{"title":"A Cross-sectional Study on the Knowledge, Attitudes, and Performance of Iranian Endodontists Regarding Diabetic Patients.","authors":"Sara Mollamohammadi Kermani, Maryam Kuzekanani, Laurence James Walsh, Moghaddameh Mirzaee","doi":"10.22037/iej.v20i1.47343","DOIUrl":"10.22037/iej.v20i1.47343","url":null,"abstract":"Introduction: The high prevalence of diabetes mellitus and related consequences in all populations of the world makes their management an important challenge in endodontic practice. This study aimed to evaluate the knowledge, attitudes, and performance of Iranian endodontists regarding the management of diabetic patients.Materials and methods: Questionnaires with 18 items were distributed to Iranian endodontists from different geographical provinces of Iran using social media. Responses to each question used a five-point Likert scale. Data for responses were analyzed using Chi-square or Fisher's exact tests.Results: A total of 101 valid responses were returned for analysis (50 men and 51 women). None of the respondents had aggregated scores that were rated as unfavorable on 3 domains. Knowledge was rated as favorable for 81% and acceptable for the remaining 19%. Attitude was rated as favorable for 63%, and acceptable for 37%, while performance was rated as favorable for 98% and acceptable for the remaining 2%. Also, none of the 3 variables under evaluation were influenced by demographic factors or by work experience. The most common areas of uncertainty for respondents were monitoring blood for glucose or glycated hemoglobin concentration, and decisions regarding when to prescribe antibiotics.Conclusions: Overall, this cohort of endodontists displayed a high level of knowledge of the major issues involved in diabetic patient care and were confident in providing clinical care. Future programs for continuing professional development for endodontists should consider current methods used for monitoring blood glucose and glycated hemoglobin, both as point-of-care or personal devices. In addition, further education is needed on antibiotic stewardship.","PeriodicalId":14534,"journal":{"name":"Iranian Endodontic Journal","volume":"20 1","pages":"e25"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0