Journal of endodontics最新文献

{"title":"Clinical Outcomes of Regenerative Endodontic Procedure: Periapical Healing, Root Development, and Intracanal Calcification","authors":"Minju Song DDS, MSD, PhD ,&nbsp;Hoi In Jung DDS, MS, PhD ,&nbsp;Sahng Gyoon Kim DDS, MS","doi":"10.1016/j.joen.2025.02.007","DOIUrl":"10.1016/j.joen.2025.02.007","url":null,"abstract":"<div><h3>Introduction</h3><div>This retrospective study aimed to investigate the clinical outcomes and prognostic factors of regenerative endodontic procedure in terms of the resolution of apical periodontitis (AP), root development (RtDev), and intracanal calcification (IC).</div></div><div><h3>Methods</h3><div>The clinical outcomes of a total of 111 cases from 94 patients who underwent regenerative endodontic procedures between 2015 and 2020 were assessed based on clinical and radiographic evaluations.</div></div><div><h3>Results</h3><div>The cumulative survival rate was 85.15%, and RtDev was identified in 67.33% of cases. The incidence of IC has increased over time, reaching 43.45%. The median follow-up time was 1267 days (95% confidence interval, 991–∞) for AP healing and RtDev and 776 days (95% confidence interval, 563–1754) for IC. The 4th stage of RtDev and intracanal medication for less than 14 days or more than 60 days were associated with significantly lower AP healing (<em>P</em> &lt; .05). Patients younger than 8 years of age, absence of a periapical lesion, 2nd and 3rd stage of RtDev, and 14–30 days of intracanal medication were associated with a higher incidence of RtDev (<em>P</em> &lt; .05). Dens evaginatus was associated with a significantly higher incidence of IC (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>The stage of RtDev and duration of intracanal medication significantly affected AP healing and RtDev. Additionally, age and the presence of a periapical lesion were found to influence RtDev, whereas etiology was identified as the only predictor of IC.</div></div>","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 6","pages":"Pages 722-731"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476633","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 June 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.2025.05.017","DOIUrl":"10.1016/j.joen.2025.05.017","url":null,"abstract":"","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 6","pages":"Pages 655-657"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144272299","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":"Influence of the Filling Technique on Endodontic Retreatment in Curved Mesial Canals of Mandibular Molars: An In Vitro Study","authors":"Felipe Andretta Copelli DDS, MSc, PhD ,&nbsp;Lisa Yurie Oda DDS ,&nbsp;Renata Maira de Souza Leal DDS, MSc ,&nbsp;Clarissa Teles Rodrigues DDS, MSc, PhD ,&nbsp;Marco Antonio Hungaro Duarte DDS, MSc, PhD ,&nbsp;Bruno Cavalini Cavenago DDS, MSc, PhD","doi":"10.1016/j.joen.2025.02.010","DOIUrl":"10.1016/j.joen.2025.02.010","url":null,"abstract":"<div><h3>Introduction</h3><div>The root curvature represents a challenge during the endodontic retreatment. Considering the different techniques to fill the root canals and the growing use of bioceramic sealers, this study aimed to evaluate the influence of the filling technique associated with a bioceramic sealer on the remaining filling material and the impact on the remaining dentin after the filling removal in the retreatment of curved mesial canals of mandibular molars.</div></div><div><h3>Methods</h3><div>Eighteen curved mesial roots of mandibular molars with Vertucci type IV canals were prepared up to instrument 35/.05. Two groups were established according to the filling technique: single-cone (<em>n</em> = 18) and continuous wave of condensation (<em>n</em> = 18). Bio-C Sealer was used for both techniques. The filling was removed using the Reciproc Blue R25 instrument, and the repreparation was carried out using the Reciproc Blue R40 instrument. The samples were scanned by micro–computed tomography before and after the filling removal and analyzed regarding the volume of the remaining filling material and dentin thickness for calculating transportation and centering ability. For statistical analysis, the data normality was checked, and parametric tests were used for normal distribution and nonparametric tests for nonnormal distribution.</div></div><div><h3>Results</h3><div>The remaining filling material was observed in both groups during retreatment, with no differences. Analyses of transportation and centering ability also indicated similarities between the two groups.</div></div><div><h3>Conclusions</h3><div>Endodontic retreatment in curved mesial canals of mandibular molars filled with single-cone or continuous wave of condensation technique and bioceramic sealer was similar. The use of reciprocating instruments for filling removal and repreparation was efficient in curved mesial canals of mandibular molars, with no complications.</div></div>","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 6","pages":"Pages 755-760"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483338","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":"Optimization of Cone-beam Computed Tomography Protocols to Detect the Second Mesiobuccal Canal in the Presence of Artifacts","authors":"Janaína Zechin PhD ,&nbsp;Érica Pozo Mautone PhD ,&nbsp;Claudio Antônio Perottoni PhD ,&nbsp;Thiago Oliveira Gamba PhD ,&nbsp;Janete Eunice Zorzi PhD","doi":"10.1016/j.joen.2025.03.002","DOIUrl":"10.1016/j.joen.2025.03.002","url":null,"abstract":"<div><h3>Introduction</h3><div>There is difficulty in identifying the mesiobuccal canal in clinical routine. The use of cone-beam computed tomography (CBCT) helps overcome this difficulty by providing volumetric details of the teeth and surroundings. Thus, the objective of this study was to determine the effectiveness of different CBCT protocols, with different image resolutions, in visualizing the second mesiobuccal canal in maxillary molars in the presence of artifacts.</div></div><div><h3>Methods</h3><div>To perform the study, the visualization of the second mesiobuccal canal of 28 maxillary molars with root canal preparation and obturation was used, with the exception of the second mesiobuccal canal. The teeth were placed in a dry maxilla and then scanned with the OP300 MAXIO CBCT unit (4 protocols) and 3D Veraview X800 F150P (3 protocols). Five experienced and blinded evaluators analyzed the images to assess accuracy, sensitivity, and specificity. The presence of the second mesiobuccal canal was confirmed by light microscopy (×50 magnification) of cross-sections of the roots.</div></div><div><h3>Results</h3><div>Our data showed that the Veraview X800 CT scanner provided better results for accuracy (96%), sensitivity (100%), and specificity (86%). The 50 × 50/0.085 protocol showed the highest sensitivity (78%), specificity (100%), and accuracy (82%). It was possible to visualize the second mesiovestibular canals in both CT scanners tested; however, the 3D Veraview X800 F150P offered better results for the evaluated patterns.</div></div><div><h3>Conclusions</h3><div>The best protocol in the presence of artifacts was 80 × 40 FOV and 0.125 voxel size of 3D Veraview X800 F150P.</div></div>","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 6","pages":"Pages 707-714"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730297","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":"Diagnostic Performance of Iterative Reconstruction of Cone-beam Computed Tomography for Detecting Vertical Root Fractures in the Presence of Metal Artifacts","authors":"Matheus Barros-Costa DDS, MSc ,&nbsp;Gustavo Santaella DDS, MSc, PhD ,&nbsp;Christiano Oliveira-Santos DDS, MSc, PhD ,&nbsp;Deborah Queiroz Freitas DDS, MSc, PhD ,&nbsp;William C. Scarfe BDS, FRACDS, MS ,&nbsp;Francisco Carlos Groppo DDS, MSc, PhD","doi":"10.1016/j.joen.2025.02.008","DOIUrl":"10.1016/j.joen.2025.02.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Vertical root fractures (VRFs) are challenging to detect, especially in endodontically treated teeth. Cone-beam computed tomography (CBCT) has improved VRF detection over periapical radiography but is limited by metal artifacts. Iterative Reconstruction (IR) algorithms are an alternative to the traditional Filtered-Back Projection (FBP) and have been shown to reduce image noise due to metal artifacts. This study aimed to evaluate the impact of IR on VRF detection in the presence of metal artifacts from intracanal materials and/or adjacent implants.</div></div><div><h3>Methods</h3><div>This <em>ex-vivo</em> study included 22 single-rooted teeth (10 fractured, 12 nonfractured) placed in a human mandible phantom. CBCT scans were performed using Midmark EIOS CBCT with both reconstruction methods (FBP and IR), with and without metal artifact reduction (MAR) tool activation. Clinical conditions included the presence or absence of gutta-percha and adjacent titanium dental implants. Five oral radiologists evaluated the anonymized images for VRF presence using a 5-point scale. Diagnostic accuracy, sensitivity, specificity, and intra- and interobserver agreement were assessed using receiver operating characteristic curves and multiway ANOVA.</div></div><div><h3>Results</h3><div>The area under the curve values ranged from 0.60 to 0.85, with no significant differences between reconstruction methods (<em>P</em> &gt; .05). Sensitivity and specificity were generally unaffected by reconstruction method or MAR activation (<em>P</em> &gt; .05), except when MAR reduced sensitivity in FBP with gutta-percha (<em>P</em> &lt; .05). Metal artifacts from gutta-percha and implants negatively impacted VRF detection.</div></div><div><h3>Conclusions</h3><div>The reconstruction method did not significantly influence VRF detection, suggesting that either method can be used in clinical practice without compromising diagnostic accuracy, even in the presence of metal artifacts.</div></div>","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 6","pages":"Pages 715-721"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483336","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":"Evaluation of Morphological and Chemical Composition of Dental Pulp Stones: A Combined Microanalytical Approach","authors":"Vincenzo Tosco DDS, PhD ,&nbsp;Riccardo Monterubbianesi DDS, PhD ,&nbsp;Jose Aranguren MSc ,&nbsp;Michele Furlani PhD ,&nbsp;Nicole Riberti PhD ,&nbsp;Angelo Putignano DDS, MD ,&nbsp;Giovanna Orsini DDS, PhD","doi":"10.1016/j.joen.2025.02.014","DOIUrl":"10.1016/j.joen.2025.02.014","url":null,"abstract":"<div><h3>Introduction</h3><div>Pulp stones (PSs) are mineralized ectopic structures within the dental pulp that vary in morphology, composition, and location. Their etiology remains uncertain and poses clinical challenges in endodontics. This study hypothesized that combined analytical techniques would enhance understanding of PS morphology and composition, facilitating clinical management of complex cases.</div></div><div><h3>Methods</h3><div>Fifteen permanent molars with radiographic evidence of PSs were analyzed using microcomputed tomography (μ-CT), light microscopy, and scanning electron microscopy associated with energy-dispersive spectroscopy (SEM-EDS). The samples underwent qualitative and quantitative assessments to explore their morphology, distribution, and chemical composition. Statistical analysis was conducted using one-way analysis of variance to evaluate differences in Ca/P ratios between PS and dentin, with significance set at <em>P</em> &lt; .05.</div></div><div><h3>Results</h3><div>μ-CT and histological evaluations revealed distinct morphological differences between coronal and radicular PS. Coronal PS exhibited regular nodular or mold shapes, whereas radicular PS showed irregular and diffuse patterns. Histological findings highlighted the nature of PS as mineralized ectopic connective tissue in coronal regions. On the other hand, radicular PSs displayed linear arrangement of collagen fibers intertwined with vascular bundles. SEM-EDS demonstrated no significant differences in mineralization between PS and dentin, with comparable Ca/P ratios.</div></div><div><h3>Conclusions</h3><div>PSs exhibit distinct morphological and structural characteristics depending on their location. Despite these differences, PSs and dentin share similar chemical compositions, as demonstrated by similar Ca/P ratios. The combined microanalytical approach employed provides novel insights into PS morphology and composition, offering a foundation for translational advancements in diagnostic and therapeutic strategies.</div></div>","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 6","pages":"Pages 732-739"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630596","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":"Intentional Replantation of C-shaped Mandibular Second Premolar with Radicular Groove","authors":"Siwen Wu BDS, MDS (Endodontics), M Endo RCS,&nbsp;Jeen Nee Lui BDS, MDS (Endodontics), MRD RCS, FAMS (Endodontics)","doi":"10.1016/j.joen.2025.03.003","DOIUrl":"10.1016/j.joen.2025.03.003","url":null,"abstract":"<div><div>C-shaped roots with radicular grooves are uncommon in mandibular premolars. Bacteria residing in the radicular groove and associated accessory canals can contribute to persistent periradicular infections. Eradicating bacteria in these less accessible areas remains a significant challenge in endodontic procedures. This report describes the successful management of a left mandibular second premolar (#20) with a persistent lesion related to a lingual radicular groove through an intentional replantation procedure. A 31-year-old Chinese male complained of a gum swelling related to tooth #20 which was endodontically treated and crowned 6 years ago. Clinical examination revealed a lingually located sinus tract and a clinically intact crown restoration. The tooth was not tender to percussion or palpation, with probing depths not exceeding 4 mm, and showed physiological mobility. A periapical radiograph showed the lingual sinus tract traced to the mid third of the root, which had an adequate root canal filling and an intact periodontal ligament around the apical region. A cone-beam computed tomography image revealed radiolucency at the mid third region and on the lingual aspect related to the radicular groove of this C-shaped premolar. Intentional replantation was performed due to the location of the mid-root lesion related to the lingual radicular groove. Tooth #20 was extracted atraumatically, a stained radicular groove was identified, cleansed and sealed with Biodentine, and the tooth replanted. At 2.5-year follow-up, the patient was clinically asymptomatic. Tooth #20 presented with normal probing depths and mobility and healing was observed on the cone-beam computed tomography images.</div></div>","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 6","pages":"Pages 788-792"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674210","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":"Integration of an Ultrasonic Device into Dynamic Navigation System for a Fully Guided Dynamic Endodontic Microsurgery Workflow: An In Vitro Study","authors":"Frederico C. Martinho DDS, MSc, PhD ,&nbsp;Nicholas H. Stroeters DDS ,&nbsp;Bruno G. Bisi DDS, MSc ,&nbsp;Giulio Gavini DDS, MSc, PhD ,&nbsp;Ina L. Griffin DMD ,&nbsp;Patricia A. Tordik DMD, FICD","doi":"10.1016/j.joen.2025.02.013","DOIUrl":"10.1016/j.joen.2025.02.013","url":null,"abstract":"<div><h3>Introduction</h3><div>This study investigates the feasibility of integrating an ultrasonic (US) device into a dynamic navigation system (DNS) for a fully guided dynamic endodontic microsurgery (EMS) workflow. It compares the accuracy and efficiency of fully guided dynamic US + DNS to US + freehand (FH) workflow.</div></div><div><h3>Methods</h3><div>Thirty-eight mandibular molars were divided into 2 groups: US + DNS (<em>n</em> = 19) and US + FH (<em>n</em> = 19). Cone-beam computed tomography scans were taken pre- and postoperatively. Bone window cut (BWC), root-end resection (RER), root-end cavity preparation (RECP), and root-end filling (REF) were planned in the X-guide. BWC, RER, RECP, and REF were all conducted under dynamic navigation. Three-dimensional deviations were measured for BWC. Resected root length and resection angle were calculated for the RER. Frequency long-axis deviation was recorded for RECP, and REF depth was measured. Total operating time was recorded.</div></div><div><h3>Results</h3><div>The fully guided US + DNS was more accurate than US + FH, showing lesser 3-dimensional deviations for BWC (<em>P</em> &lt; .0001). The resected root length was ∼3 mm (<em>P</em> &gt; .05). The RER angle was lower in US + DNS (<em>P</em> &lt; .0001). RECP long-axis deviations were lesser in US + DNS (<em>P</em> &lt; .05). The REF depth average was 3 mm for US + DNS and 2.78 mm for US + FH (<em>P</em> &lt; .05). Both EMS workflows were time efficient for EMS, with US + FH taking less time (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>Within the limitations of this study, it is feasible to integrate US into a DNS for a fully guided dynamic EMS workflow. Fully guided dynamic EMS workflow improved overall EMS accuracy.</div></div>","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":"51 6","pages":"Pages 761-767"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566493","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":"Head Angulation in Cone-beam Computed Tomography Acquisition: Effect on the Diagnostic Accuracy of Vertical Root Fracture Detection.","authors":"Marcela Tarosso Réa, Lara Carvalho, Maria Fernanda Silva Andrade-Bortoletto, Hugo Gaêta-Araujo, Christiano de Oliveira-Santos, Sergio Lins de-Azevedo-Vaz, Deborah Queiroz Freitas","doi":"10.1016/j.joen.2025.05.020","DOIUrl":"10.1016/j.joen.2025.05.020","url":null,"abstract":"<p><strong>Introduction: </strong>Vertical root fractures (VRFs) detection in cone-beam computed tomography (CBCT) images can be challenging when gutta-percha artifacts are present. This study aimed to evaluate how anteroposterior and laterolateral head angulations (APHA and LLHA, respectively), as well as tooth position (anterior or posterior region), influence the diagnostic accuracy of VRFs detection in CBCT for endodontically treated teeth.</p><p><strong>Methods: </strong>Twenty single-rooted teeth were endodontically treated. A phantom was created using a human mandible and ballistic gelatin. CBCT scans of each tooth, placed in both the anterior and posterior regions, were acquired with the phantom positioned at the standard position of 0°, at APHA of 30° and 45°, and at a LLHA of 20°, totaling 320 scans. The presence or absence of VRFs was assessed by 6 examiners using a 5-point scale. Area under the receiver operating characteristic curve, sensitivity, and specificity were analyzed using two-way repeated measures analysis of variance and Sidak's post hoc test. Intra- and interexaminer agreement was evaluated using the weighted Kappa coefficient (α = 0.05).</p><p><strong>Results: </strong>In general, the 30° and 45° APHA significantly increased area under the receiver operating characteristic curve and sensitivity values for VRF detection in both anterior and posterior regions compared to 0° and 20° LLHA. Angulations and tooth position did not influence specificity. For specificity values, the 45° APHA exhibited a significantly higher value than the other angulations in the anterior region.</p><p><strong>Conclusions: </strong>VRFs diagnosis enhanced at 30° and 45° APHA, regardless the region.</p>","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199301","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":"Impact on Pulp Vitality of Affected Teeth after Decompression for Jaw Cystic Lesions.","authors":"Yi Zhang, Jingang Yang, Elvis Han Cui, Yiran Tan, Yun Zhu, Jie Gao, Jie Li, Linfeng Fan, Lingling Cai, Yuhua Hu, Zhengwei Huang, Shanghui Zhou","doi":"10.1016/j.joen.2025.05.021","DOIUrl":"10.1016/j.joen.2025.05.021","url":null,"abstract":"<p><strong>Introduction: </strong>Jaw cystic lesions are common oral and maxillofacial conditions that may affect teeth and important anatomical structures. Decompression and 2-stage curettage are widely used treatments for this condition. This study aims to compare the pulp vitality of affected teeth in patients with jaw cystic lesions before and after decompression and 2-stage curettage, thereby clarifying the impact on the pulp vitality of the involved teeth.</p><p><strong>Methods: </strong>Thirty patients diagnosed with cystic lesions of the jawbone underwent decompression followed by 2-stage curettage treatment. The pulp vitality of the affected teeth was assessed using an electric pulp test before decompression, 3 months after decompression, and 3 months after curettage.</p><p><strong>Results: </strong>Among 102 teeth from 30 patients initially included in the study, 79 teeth from 24 patients were analyzed after excluding patients lost to follow-up. Before decompression, 64 (81.01%) and 15 (18.99%) teeth showed positive and negative pulp responses, respectively, compared with 69 (87.34%) and 10 (12.66%) teeth 3 months after decompression. After curettage, 68 teeth (86.08%) showed positive pulp responses, while 11 (13.92%) showed negative pulp responses.</p><p><strong>Conclusion: </strong>Decompression not only preserves natural teeth but also helps maintain pulp vitality. A comprehensive evaluation of the affected teeth is recommended before surgery for jaw cystic lesions, and root canal treatment should not be initiated hastily.</p>","PeriodicalId":15703,"journal":{"name":"Journal of endodontics","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199313","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}