Iranian Endodontic Journal最新文献_第5页

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

Celebrating Two Decades of Excellence in Endodontics. 庆祝牙髓学卓越二十年。

Iranian Endodontic Journal Pub Date : 2025-01-01 DOI: 10.22037/iej.v20i1.47140

Mohammad-Jafar Eghbal, Saeed Asgary

引用次数: 0

Bio-obturation: A Novel Approach in Root Canal Treatment Using Endodontic Biomaterials. 生物封闭：一种使用根管生物材料治疗根管的新方法。

Iranian Endodontic Journal Pub Date : 2025-01-01 Epub Date: 2025-02-19 DOI: 10.22037/iej.v20i1.47630

Saeed Asgary

{"title":"Bio-obturation: A Novel Approach in Root Canal Treatment Using Endodontic Biomaterials.","authors":"Saeed Asgary","doi":"10.22037/iej.v20i1.47630","DOIUrl":"https://doi.org/10.22037/iej.v20i1.47630","url":null,"abstract":"Bio-obturation is an innovative approach in root canal therapy that effectively addresses complex clinical challenges using bioactive endodontic materials. This report highlights 14 diverse cases where bio-obturation was employed to manage complications such as internal and external resorption, root perforations, draining sinus tracts, mechanical obstructions, and trauma-related injuries. The outcomes demonstrate notable healing and resolution of various tooth related pathologies in failed primary root canal treatments. Root perforations and canal blockages were successfully sealed, restoring the integrity of the root canal system and ensuring continued tooth function and retention. Bio-obturation facilitated stabilization and regeneration of periradicular and supporting tissues in trauma cases, including avulsed teeth and inflammatory root resorption. Cases involving open apices, dens invaginatus, and complex root canal anatomy also showed favorable results. Overall, bio-obturation offers a transformative alternative to conventional root canal filling by promoting enhanced biological sealing and improved periradicular healing, thus increasing the probability of sustainable long-term clinical success. While calcium-enriched mixture cement served as the bioactive material in these cases, this approach may also be effectively implemented using other advanced calcium silicate-based biomaterials, broadening its applicability in challenging endodontic scenarios.","PeriodicalId":14534,"journal":{"name":"Iranian Endodontic Journal","volume":"20 1","pages":"e15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009599","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 Endodontics for Non-surgical Root Canal Retreatment: A Systematic Review. 引导牙髓学在非手术根管再治疗中的应用：系统综述。

Iranian Endodontic Journal Pub Date : 2025-01-01 DOI: 10.22037/iej.v20i1.46903

Mohammad Samiei, Pouya Sabanik, Shiva Tavakkoli Avval

{"title":"Guided Endodontics for Non-surgical Root Canal Retreatment: A Systematic Review.","authors":"Mohammad Samiei, Pouya Sabanik, Shiva Tavakkoli Avval","doi":"10.22037/iej.v20i1.46903","DOIUrl":"10.22037/iej.v20i1.46903","url":null,"abstract":"Introduction: This systematic review compared the accuracy of guided endodontics with the conventional method in non-surgical endodontic retreatment.Methods: Two reviewers conducted a systematic search across PubMed/MEDLINE, Scopus, Embase, and Web of Science databases. Inclusion criteria consisted of all in vitro studies up to October 2024 that documented the application of cone-beam computed tomography in creating a guide for endodontic retreatment cases. The reviewers assessed the quality of the selected studies using the QUIN tool. Data regarding the first author and publication year, sample size, tooth type, retreatment application, computer-aided navigation technique, groups, image acquisition method, outcome measures, guided technique results, conventional technique results, and the main results were extracted using a predefined template.Results: Based on our criteria, seven studies were included in this review. The studies demonstrated variability in the techniques utilized. Iatrogenic errors were less frequent in guided groups, regardless of the operator's level of experience. Most studies indicated that guided endodontics was more effective than conventional methods, particularly in fiber post-removal and access through MTA, minimizing volumetric loss of tooth structure, and preserving fracture resistance. However, when using guided techniques for removal of separated instruments, more iatrogenic errors occurred, and more time was required compared to the freehand technique.Conclusion: Guided endodontics has shown promise in improving the outcomes of non-surgical retreatment by reducing complications. However, as all included studies were in vitro, clinical evidence is lacking, and the generalization of these results should be done cautiously. Further well-designed clinical studies are required to confirm these findings.","PeriodicalId":14534,"journal":{"name":"Iranian Endodontic Journal","volume":"20 1","pages":"e3"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399147","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 Hypertaurodontic Teeth: A Report of Three Cases. 高牛牙的根管治疗：附3例报告。

Iranian Endodontic Journal Pub Date : 2025-01-01 Epub Date: 2025-01-26 DOI: 10.22037/iej.v20i1.46598

Ali Chamani, Mina Zarei, Pouria Soltaninezhad, Seyyedeh Zahra Jamali, Pegah Sadeghnezhad

{"title":"Endodontic Management of Hypertaurodontic Teeth: A Report of Three Cases.","authors":"Ali Chamani, Mina Zarei, Pouria Soltaninezhad, Seyyedeh Zahra Jamali, Pegah Sadeghnezhad","doi":"10.22037/iej.v20i1.46598","DOIUrl":"https://doi.org/10.22037/iej.v20i1.46598","url":null,"abstract":"Taurodontism is a dental anomaly characterized by the absence of cervical constriction at the cemento-enamel junction, apical shifting of the pulpal floor, and an expanded pulp chamber. This condition presents unique challenges in endodontic diagnosis and treatment due to its variable morphology, deeply located orifices, and complex root canal system. This paper reports three cases of hypertaurodontism (Taurodont Index ≈ 50), including a maxillary first molar, mandibular third molar, and mandibular second premolar in systemically healthy patients. The identification and treatment planning were facilitated by cone-beam computed tomography (CBCT). Root canal therapy was performed under a dental operating microscope, with careful exploration, chemomechanical instrumentation using rotary files, copious irrigation with 5.25% sodium hypochlorite, and warm vertical obturation. Twelve months later, follow-up visits showed that all patients were clinically and radiographically asymptomatic, indicating successful outcomes. Taurodontism presents significant challenges due to its anatomical complexities. A multifaceted approach involving CBCT, dental operating microscopes, ultrasonic irrigation, and warm vertical obturation is recommended. This case series demonstrates that with advanced diagnostic aids and meticulous techniques, even hypertaurodontic teeth can be effectively managed.","PeriodicalId":14534,"journal":{"name":"Iranian Endodontic Journal","volume":"20 1","pages":"e12"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012313","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

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

Efficacy of Biodentine as an Intraorifice Barrier in a Cracked Tooth with Endo-periodontal Lesions: A Case Report. 生物牙妥定作为牙槽内屏障治疗牙周内病变的疗效：1例报告。

Iranian Endodontic Journal Pub Date : 2025-01-01 Epub Date: 2025-07-07 DOI: 10.22037/iej.v20i1.48169

Kênia Maria Pereira Soares de Toubes, Gustavo Henrique Sousa, Anna Luiza Barra Amazil Braga, Patrícia Soares de Ribas, Frank Ferreira Silveira

{"title":"Efficacy of Biodentine as an Intraorifice Barrier in a Cracked Tooth with Endo-periodontal Lesions: A Case Report.","authors":"Kênia Maria Pereira Soares de Toubes, Gustavo Henrique Sousa, Anna Luiza Barra Amazil Braga, Patrícia Soares de Ribas, Frank Ferreira Silveira","doi":"10.22037/iej.v20i1.48169","DOIUrl":"10.22037/iej.v20i1.48169","url":null,"abstract":"This case report highlights the innovative application of Biodentine as an intraorifice barrier in the management of cracked teeth with radicular extension associated with endo-periodontal lesions. A 37-year-old female patient reported pain during chewing on tooth #36. Significant periodontal attachment loss was noted around the mesial root. The tooth was diagnosed with pulp necrosis. Upon endodontic access, a vertical crack extending into the mesial canal walls was observed. Root canals were identified and shaped using rotary instruments. Calcium hydroxide was placed as an intracanal dressing. After one week, the patient returned without inflammatory signs. The root canals were filled with gutta-percha and bioceramic cement. Biodentine repair cement was applied 2.0 mm beyond the orifice to seal and reinforce the area. The endodontic access cavity was restored with composite resin. Clinical and radiographic follow-ups at 12 months revealed significant periapical healing and the absence of inflammatory signs. A radiographic and computed tomography scan at 48 months confirmed substantial bone repair and continued tooth functionality. The intraorifice barrier with Biodentine demonstrated notable effectiveness, aligning with literature on its benefits. The protocol, integrating modern techniques and timely restoration, shows promise in managing cracked teeth with root extension, enhancing tooth preservation in complex cases.","PeriodicalId":14534,"journal":{"name":"Iranian Endodontic Journal","volume":"20 1","pages":"e27"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775383","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