Journal of endodontics最新文献

{"title":"Vital Pulp Therapy Outcomes in Children's First Permanent Molars Under General Anesthesia: A Retrospective Study","authors":"Shlomo Elbahary DMD, PhD ,&nbsp;Bradford Ray Johnson DDS, MHPE ,&nbsp;Yara Nimer DMD ,&nbsp;Shaked Cohen Lerner BSc ,&nbsp;Sigalit Blumer DMD ,&nbsp;Hagay Slutzky DMD ,&nbsp;Ronald Wigler DMD","doi":"10.1016/j.joen.2024.12.003","DOIUrl":"10.1016/j.joen.2024.12.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Pulpotomy is a proven treatment option for permanent teeth with pulp involvement, showing high success rates similar to root canal treatment. General anesthesia (GA) is used when traditional dental procedures are not feasible, especially in pediatric cases. Despite its effectiveness, limited data on endodontic treatments under GA is available, with many guidelines favoring extractions. This study aimed to evaluate the success rate of pulpotomies performed under GA on children's first permanent molars and to identify factors influencing treatment outcomes.</div></div><div><h3>Methods</h3><div>The study involved 171 pediatric patients, aged 8 to 12, who underwent pulpotomy procedures on 197 teeth at a public dentistry clinic between January 2018 and July 2022. Clinical and radiographic follow-ups were conducted at different intervals to assess the effectiveness of the treatments, achieving a recall rate of 83%.</div></div><div><h3>Results</h3><div>The overall success rate of pulpotomies performed under GA was 93.36%. Success rates varied according to the follow-up period: 100% at 1–12 months, 97.70% at 13–24 months, and 87.76% at 25–36 months. The etiology of the tooth's condition significantly affected outcomes, whereas patient age, sex, and tooth maturity did not have a significant impact.</div></div><div><h3>Conclusion</h3><div>Pulpotomy in permanent molars is an effective treatment option for managing carious lesions, especially when performed under GA.</div></div>","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 3","pages":"Pages 287-294"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associate Registry","authors":"","doi":"10.1016/S0099-2399(25)00101-3","DOIUrl":"10.1016/S0099-2399(25)00101-3","url":null,"abstract":"","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 3","pages":"Pages 373-379"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights into the March 2025 Issue of the JOE","authors":"Anita Aminoshariae DDS, MS,&nbsp;Amir Azarpazhooh DDS, MSc, PhD, FRCD(C),&nbsp;Gerald N. Glickman DDS, MS, MBA, JD,&nbsp;Jianing He DMD, PhD,&nbsp;Sahng G. Kim DDS, MS,&nbsp;Anil Kishen BDS, MDS, PhD,&nbsp;Ariadne M. Letra DDS, MS, PhD,&nbsp;Linda Levin DDS, PhD,&nbsp;Ronald Ordinola-Zapata,&nbsp;Frank C. Setzer DMD, PhD, MS,&nbsp;Franklin R. Tay BDSc(Hons), PhD,&nbsp;Kenneth M. Hargreaves DDS, PhD","doi":"10.1016/j.joen.2025.02.005","DOIUrl":"10.1016/j.joen.2025.02.005","url":null,"abstract":"","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 3","pages":"Pages 255-257"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Laser Activated versus Sonic Activated Irrigation for Debris Removal in Conservatively Instrumented Root Canals","authors":"Alexander Huynh DDS, MS,&nbsp;Ane Poly DDS, PhD,&nbsp;Megan Yamaguchi DDS, MS,&nbsp;Poorya Jalali DDS","doi":"10.1016/j.joen.2024.12.006","DOIUrl":"10.1016/j.joen.2024.12.006","url":null,"abstract":"<div><h3>Introduction</h3><div>To compare the efficacy of laser activated and sonic activated irrigation on the removal of debris in mesial root canal systems of mandibular molars using micro-computed tomographic analysis.</div></div><div><h3>Methods</h3><div>Forty-eight mesial roots of extracted mandibular molars with isthmus were selected and randomly allocated into 2 groups: Sonic Group and Laser Group. The root canals were minimally instrumented to a maximum apical file size of 20/06v (DCTaper, SSWhite, NJ). The Sonic Group received irrigant activation using the SmartLite Pro EndoActivator (Dentsply Tulsa, OK) with a 15/02 tip. The Laser Group received irrigant activation using the WaterLase iPlus (Biolase, CA) with a RFT2 tip. The teeth were activated for the same time with the same volume of irrigants. Micro-computed tomographic scans were obtained preinstrumentation, preirrigation, and postirrigation. To quantify debris removal, the air-filled volume was measured preirrigation and postirrigation, and the percentage increase in air-filled volume was calculated. Data were analyzed statistically (independent samples t-test, significance set at 5%).</div></div><div><h3>Results</h3><div>The Laser Group demonstrated a significantly higher mean percentage increase in air-filled volume (37.4%) compared to the Sonic Group (20.2%). This difference was statistically significant (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>The Laser Group was significantly more effective in removing debris compared to the Sonic Group in minimally instrumented root canal systems. However, due to the limitations of this study, further research is needed to assess the impact of laser activated irrigation on clinical outcomes.</div></div>","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 3","pages":"Pages 332-339"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Continuous Chelation Reduces Instrumentation Time and Straightening of Double-curved Simulated Root Canals in Bovine Dentin","authors":"Kevin Hofpeter Dr. med. dent. ,&nbsp;Matthias Zehnder Dr. med. dent., PhD ,&nbsp;Michael Solomonov DMD ,&nbsp;Shengjile Deari Dr. med. dent.","doi":"10.1016/j.joen.2024.12.011","DOIUrl":"10.1016/j.joen.2024.12.011","url":null,"abstract":"<div><h3>Introduction</h3><div>Adding a compatible chelator to the sodium hypochlorite (NaOCl) solution applied during instrumentation may affect shaping efficacy and canal transportation. This was studied in simulated double-curved root canals.</div></div><div><h3>Methods</h3><div>High-precision computer numerical control milling was used to recreate standardized S-shaped canals from a resin training block in longitudinally sectioned bovine incisor roots. These simulated root canals were instrumented chemo-mechanically at 37°C using a single-length rotary file system (ProTaper Gold). An etidronate powder (Dual Rinse HEDP) was dissolved (0.9 g per 10 mL) in a 1% NaOCl solution in the test group (<em>n</em> = 15), while the plain NaOCl solution was applied in the control group. Instrumentation was performed by one operator blinded to the irrigating solution. Instrumentation time was measured using a stop watch. Pre- and postoperative images were obtained by a second (blinded) investigator using a digital microscope, and super-imposed to assess canal straightening by totalizing transportation from 8 predefined locations. Data were compared between groups using Student's t-test, <em>P</em> &lt; .05.</div></div><div><h3>Results</h3><div>Adding the chelator, total instrumentation time was reduced to 75 ± 12 s as compared to 86 ± 14 s with plain NaOCl (<em>P</em> &lt; .05). This time difference was related to the first rotary instrument in the system (S1). Canal straightening was also reduced significantly with the chelator compared to the plain 1% NaOCl solution (<em>P</em> &lt; .05), while transportation at working length was similar between groups.</div></div><div><h3>Conclusion</h3><div>Under current conditions, continuous chelation expedited canal instrumentation and maintained simulated canal curvatures.</div></div>","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 3","pages":"Pages 367-372"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning Curve for Dynamic Navigation Procedure during Endodontic Management of Permanent Maxillary Anterior Teeth with Pulp Canal Calcification: A Risk-Adjusted Cumulative Summation Analysis of a Single Operator's Experience","authors":"Sidhartha Sharma MDS ,&nbsp;Partha Haldar MD, MSc ,&nbsp;Vijay Kumar MDS ,&nbsp;Amrita Chawla MDS ,&nbsp;Ajay Logani MDS","doi":"10.1016/j.joen.2024.12.008","DOIUrl":"10.1016/j.joen.2024.12.008","url":null,"abstract":"<div><h3>Introduction</h3><div>The dynamic navigation system (DNS) in endodontics presents a significant learning curve. This cross-sectional study aimed to assess the number of cases required to achieve consistent performance in DNS-assisted treatment of maxillary anterior teeth with pulp canal calcification.</div></div><div><h3>Methods</h3><div>A series of DNS procedures were performed on 45 calcified maxillary anterior teeth with pulp necrosis by a single endodontist who had no prior clinical DNS experience. Preoperative cone-beam computed tomography was obtained. After trace registration and calibration, drilling was executed using a low-speed bur. Once the canal was located and scouted to the working length, a postoperative cone-beam computed tomography was taken immediately. Angular deviation (AD), linear deviation (LD), and operating time (OT) were measured. The learning curve was evaluated using the risk-adjusted cumulative sum analysis method.</div></div><div><h3>Results</h3><div>The overall success rate in locating canals was 93.33% (95% CI 80.7, 98.3). The mean (±SD) for AD, LD and OT was 3.21 ± 2.23°, 0.52 ± 0.33 mm and 34.14 ± 13.18 minutes, respectively. For AD, 2 distinct peaks were observed at the 5th and 18th cases, identifying 3 learning phases: Phase I (cases 1–5), Phase II (cases 6–18), and Phase III (cases 19–45). Similarly, LD exhibited peaks at the 13th and 28th cases. Two peaks for OT were identified at the 7th and 26th cases.</div></div><div><h3>Conclusions</h3><div>Achieving technical proficiency in locating calcified canals using DNS required approximately 18 to 28 cases, indicating a significant learning curve that must be overcome for optimal accuracy.</div></div>","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 3","pages":"Pages 295-302"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Apical Periodontitis and Systemic Health: A Bibliometric Analysis of the Top 100 Most-cited Publications","authors":"Danilo Cassiano Ferraz DDS, MS, PhD ,&nbsp;Maria Eduarda Paz Dotto DDS, MS ,&nbsp;Walbert A. Vieira DDS, MS, PhD ,&nbsp;Luiz Renato Paranhos DDS, MS, PhD ,&nbsp;Camilla Christian Gomes Moura DDS, MS, PhD","doi":"10.1016/j.joen.2024.12.016","DOIUrl":"10.1016/j.joen.2024.12.016","url":null,"abstract":"<div><h3>Introduction</h3><div>Bibliometric analysis quantitatively measures the impact of scientific articles within their respective fields, with citation counts being a key indicator of influence. This study aimed to identify the top 100 most-cited articles related to apical periodontitis and systemic health, analyzing their main characteristics.</div></div><div><h3>Methods</h3><div>The top 100 most-cited articles were identified using Web of Science. Data on publication year, citations, title, authors, institutions, countries, journal impact factor, study design, keywords, and open access status were extracted. VOSviewer software analyzed author and keyword networks, while Power BI evaluated international collaborations, study design, and citations. Poisson regression was performed in R software (<em>P</em> &lt; .05).</div></div><div><h3>Results</h3><div>We reviewed 1,141 studies and selected the top 100 most-cited articles, totaling 4,744 citations (4,005 excluding self-citations), with an average of 47.44 citations per article. The most-cited article, a 2015 review by Segura-Egea JJ, had 187 citations. The highest publication activity was in 2017 and 2019 (<em>n</em> = 13). Leading institutions were the University of Sevilla and São Paulo State University. Europe accounted for 41% of publications and 2,251 citations, followed by Latin America and the United States. Cross-sectional studies were the most common (18%), with systemic diseases, particularly coronary heart disease and diabetes mellitus, as dominant topics. Most articles (69%) were published in journals with an impact factor above 3, with the Journal of Endodontics leading in number of articles.</div></div><div><h3>Conclusions</h3><div>This bibliometric review highlights the increasing research interest in the relationship between apical periodontitis and systemic health, with most contributions coming from Europe and Latin America.</div></div>","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 3","pages":"Pages 268-278"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2025 Abstracts","authors":"","doi":"10.1016/S0099-2399(25)00143-8","DOIUrl":"10.1016/S0099-2399(25)00143-8","url":null,"abstract":"","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 3","pages":"Pages e1-e50"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guidelines for Authors","authors":"","doi":"10.1016/S0099-2399(25)00075-5","DOIUrl":"10.1016/S0099-2399(25)00075-5","url":null,"abstract":"","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 3","pages":"Pages A10, A12, A14-A19"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"External Root Temperature and Its Relationship With Dentin Thickness During Gutta-Percha Removal Procedures With Ultrasound. An Ex Vivo Study","authors":"Juan Ramon Salazar-Silva DDS, MSc, PhD ,&nbsp;Carlos Emilio Paschoal DDS, MSc ,&nbsp;Daniela de Fatima Teixeira da Silva MSc, PhD ,&nbsp;Denise Maria Zezell MSc, PhD ,&nbsp;Fábio Luiz Cunha D'Assuncao DDS, MSc, PhD ,&nbsp;Celso Luiz Caldeira DDS, MSc, PhD","doi":"10.1016/j.joen.2024.12.007","DOIUrl":"10.1016/j.joen.2024.12.007","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aims to evaluate the temperature rise on the external root surface during gutta-percha removal with 2 types of ultrasonic tips, and its relationship with the root dentin thickness.</div></div><div><h3>Methods</h3><div>A total of 56 single-rooted teeth were prepared for gutta-percha removal procedures, conducted for 40 seconds using 2 types of ultrasonic tips at depths of 6 mm and 11 mm. The temperature generated was measured using a type K thermocouple at 3 measurement points. Nonparametric Wilcoxon test was used, and the correlation between thickness and temperature rise was evaluated with Spearman correlation test.</div></div><div><h3>Results</h3><div>The temperature rise occurred in all groups, reaching maximum values of 21.0°C (mean = 14.6) with Clearsonic and 11.3°C (mean = 4.2) in the Clearsonic Black group, recorded at a 1-mm depth at 40 seconds (<em>P</em> &lt; .05). At 20 seconds, the Clearsonic produced an increase ranging from 10.5°C and 12.9°C in 25% of teeth. No significant differences were observed between the 2 types of ultrasonic tips at an 11-mm depth, across all time intervals and measurement points. Spearman's coefficient showed significant correlations with Clearsonic use at 20 seconds. Significant correlations with Clearsonic Black were observed at 20 and 40 seconds at point T1.</div></div><div><h3>Conclusions</h3><div>The Clearsonic Black generates a smaller temperature increase at a depth of 6 mm compared to the Clearsonic and within a time not exceeding 20 seconds (<em>P</em> &lt; .05). There is a partial correlation between temperature increase and dentin thickness.</div></div>","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 3","pages":"Pages 340-347"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}