Restorative Dentistry & Endodontics最新文献_第10页

Resin infiltrant protects deproteinized dentin against erosive and abrasive wear. 树脂渗透保护脱蛋白牙本质免受侵蚀和磨料磨损。

Restorative Dentistry & Endodontics Pub Date : 2022-07-01 eCollection Date: 2022-08-01 DOI: 10.5395/rde.2022.47.e29

Ana Theresa Queiroz de Albuquerque, Bruna Oliveira Bezerra, Isabelly de Carvalho Leal, Maria Denise Rodrigues de Moraes, Mary Anne S Melo, Vanara Florêncio Passos

{"title":"Resin infiltrant protects deproteinized dentin against erosive and abrasive wear.","authors":"Ana Theresa Queiroz de Albuquerque, Bruna Oliveira Bezerra, Isabelly de Carvalho Leal, Maria Denise Rodrigues de Moraes, Mary Anne S Melo, Vanara Florêncio Passos","doi":"10.5395/rde.2022.47.e29","DOIUrl":"https://doi.org/10.5395/rde.2022.47.e29","url":null,"abstract":"Objectives: This study aimed to investigate the anti-erosive/abrasive effect of resin infiltration of previous deproteinized dentin.Materials and methods: Dentin slabs were randomly assigned to 3 groups (n = 15): Control (no deproteinization; no resin infiltrant applied), RI (no deproteinization; resin infiltrant applied), and DRI (deproteinization; resin infiltrant applied). After undergoing the assigned treatment, all slabs were subjected to an in vitro cycling model for 5 days. The specimens were immersed in citric acid (0.05 M, pH = 3.75; 60 seconds; 3 times/day) and brushed (150 strokes). Between the challenges, the specimens were exposed to a remineralizing solution (60 minutes). The morphological alterations were analyzed by mechanical profilometry (µm) and scanning electron microscopy (SEM). Data were submitted to one-way analysis of variance (ANOVA) and Tukey tests (p < 0.05).Results: Control and RI groups presented mineral wear and did not significantly differ from each other (p = 0.063). DRI maintained a protective layer preserving the dentin (p < 0.001). After erosive/abrasive cycles, it was observed that in group RI, only 25% of the slabs partially evidenced the presence of the infiltrating, while, in the DRI group, 80% of the slabs presented the treated surface entirely covered by a resin-component layer protecting the dentin surface as observed in SEM images.Conclusions: The removal of the organic content allows the resin infiltrant to efficiently protect the dentin surface against erosive/abrasive lesions.","PeriodicalId":21102,"journal":{"name":"Restorative Dentistry & Endodontics","volume":"47 3","pages":"e29"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8d/78/rde-47-e29.PMC9436655.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33460096","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

Chitosan-induced biomodification on demineralized dentin to improve the adhesive interface. 壳聚糖诱导脱矿牙本质生物改性以改善粘接界面。

Restorative Dentistry & Endodontics Pub Date : 2022-06-15 eCollection Date: 2022-08-01 DOI: 10.5395/rde.2022.47.e28

Isabella Rodrigues Ziotti, Vitória Leite Paschoini, Silmara Aparecida Milori Corona, Aline Evangelista Souza-Gabriel

{"title":"Chitosan-induced biomodification on demineralized dentin to improve the adhesive interface.","authors":"Isabella Rodrigues Ziotti, Vitória Leite Paschoini, Silmara Aparecida Milori Corona, Aline Evangelista Souza-Gabriel","doi":"10.5395/rde.2022.47.e28","DOIUrl":"https://doi.org/10.5395/rde.2022.47.e28","url":null,"abstract":"Objectives: Metalloproteinase-inhibiting agents, such as chitosan, can prevent collagen degradation in demineralized dental substrates, thereby improving the adhesive interface. This study evaluated the bond strength (BS) and chemical and morphological characterization of the adhesive interface after applying chitosan solution to demineralized dentin.Materials and methods: The 80 third molars were selected. Forty teeth underwent caries induction using the pH cycling method. The teeth were divided according to the treatment: distilled water (control) and 2.5% chitosan solution. The surfaces were restored using adhesive and composite resins. Half of the specimens in each group were aged, and the other half underwent immediate analyses. The teeth were sectioned and underwent the microtensile bond strength test (µTBS), and chemical and morphological analyses using energy-dispersive spectroscopy and scanning electron microscopy, respectively. Data analysis was performed using 3-way analysis of variance.Results: For µTBS, sound dentin was superior to demineralized dentin (p < 0.001), chitosan-treated specimens had higher bond strength than the untreated ones (p < 0.001), and those that underwent immediate analysis had higher values than the aged specimens (p = 0.019). No significant differences were observed in the chemical or morphological compositions.Conclusions: Chitosan treatment improved bond strength both immediately and after aging, even in demineralized dentin.","PeriodicalId":21102,"journal":{"name":"Restorative Dentistry & Endodontics","volume":"47 3","pages":"e28"},"PeriodicalIF":0.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d9/9d/rde-47-e28.PMC9436653.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33459240","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: 5

Association between cigarette smoking and the prevalence of post-endodontic periapical pathology: a systematic review and meta-analysis. 吸烟与牙髓后根尖周病理患病率之间的关系:系统回顾和荟萃分析。

Restorative Dentistry & Endodontics Pub Date : 2022-06-13 eCollection Date: 2022-08-01 DOI: 10.5395/rde.2022.47.e27

Néstor Ríos-Osorio, Hernan Darío Muñoz-Alvear, Fabio Andrés Jiménez-Castellanos, Sara Quijano-Guauque, Oscar Jiménez-Peña, Herney Andrés García-Perdomo, Javier Caviedes-Bucheli

{"title":"Association between cigarette smoking and the prevalence of post-endodontic periapical pathology: a systematic review and meta-analysis.","authors":"Néstor Ríos-Osorio, Hernan Darío Muñoz-Alvear, Fabio Andrés Jiménez-Castellanos, Sara Quijano-Guauque, Oscar Jiménez-Peña, Herney Andrés García-Perdomo, Javier Caviedes-Bucheli","doi":"10.5395/rde.2022.47.e27","DOIUrl":"https://doi.org/10.5395/rde.2022.47.e27","url":null,"abstract":"Objectives: This systematic review and meta-analysis aimed to assess the association of cigarette smoking with the prevalence of post-endodontic apical periodontitis in humans.Materials and methods: We searched through PubMed/Medline, Web of Science, and Scopus from inception to December 2020. Risk of bias was performed by using the Newcastle-Ottawa Scale for cross-sectional, cohort, and case-control studies. We performed the statistical analysis in Review Manager 5.3 (RevMan 5.3).Results: 6 studies met the inclusion criteria for qualitative and quantitative synthesis. Statistical analysis of these studies suggests that there were no differences in the prevalence of post endodontic apical periodontitis (AP) when comparing non-smokers vs smoker subjects regarding patients (odds ratio [OR], 0.68; 95% confidence interval [CI], 0.31-1.49; I2 = 58%) and teeth (OR, 1.71; 95% CI, 0.99-2.93; I2 = 72%).Conclusions: Our findings suggest that there was no association between cigarette smoking and post-endodontic apical periodontitis, as we did not find statistical differences in the prevalence of post-endodontic AP when comparing non-smokers vs smoker subjects. Therefore, smoking should not be considered a risk factor associated with endodontic failure.","PeriodicalId":21102,"journal":{"name":"Restorative Dentistry & Endodontics","volume":"47 3","pages":"e27"},"PeriodicalIF":0.0,"publicationDate":"2022-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/18/rde-47-e27.PMC9436652.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33459235","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

Persistent pain after successful endodontic treatment in a patient with Wegener's granulomatosis: a case report. 根管治疗成功后持续疼痛的病人韦格纳肉芽肿:一个病例报告。

Restorative Dentistry & Endodontics Pub Date : 2022-06-09 eCollection Date: 2022-08-01 DOI: 10.5395/rde.2022.47.e26

Ricardo Machado, Jorge Aleixo Pereira, Filipe Colombo Vitali, Michele Bolan, Elena Riet Correa Rivero

{"title":"Persistent pain after successful endodontic treatment in a patient with Wegener's granulomatosis: a case report.","authors":"Ricardo Machado, Jorge Aleixo Pereira, Filipe Colombo Vitali, Michele Bolan, Elena Riet Correa Rivero","doi":"10.5395/rde.2022.47.e26","DOIUrl":"https://doi.org/10.5395/rde.2022.47.e26","url":null,"abstract":"Wegener's granulomatosis (WG) is a condition with immune-mediated pathogenesis that can present oral manifestations. This report describes the case of a patient diagnosed with WG 14 years previously, who was affected by persistent pain of non-odontogenic origin after successful endodontic treatment. A 39-year-old woman with WG was diagnosed with pulp necrosis and apical periodontitis of teeth #31, #32, and #41, after evaluation through a clinical examination and cone-beam computed tomography (CBCT). At the first appointment, these teeth were subjected to conventional endodontic treatment. At 6- and 12-month follow-up visits, the patient complained of persistent pain associated with the endodontically treated teeth (mainly in tooth #31), despite complete remission of the periapical lesions shown by radiographic and CBCT exams proving the effectiveness of the endodontic treatments, thus indicating a probable diagnostic of persistent pain of non-odontogenic nature. After the surgical procedure was performed to curette the lesion and section 3 mm of the apical third of tooth #31, the histopathological analysis suggested that the painful condition was likely associated with the patient's systemic condition. Based on clinical, radiographic, and histopathological findings, this unusual case report suggests that WG may be related to non-odontogenic persistent pain after successful endodontic treatments.","PeriodicalId":21102,"journal":{"name":"Restorative Dentistry & Endodontics","volume":"47 3","pages":"e26"},"PeriodicalIF":0.0,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/39/8b/rde-47-e26.PMC9436647.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33460097","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

Effects of different topical anesthetics on pain from needle insertion and injection, and the influence of anxiety in patients awaiting endodontic treatment. 不同表面麻醉剂对等待根管治疗患者针扎和注射疼痛的影响及焦虑的影响。

Restorative Dentistry & Endodontics Pub Date : 2022-06-07 eCollection Date: 2022-08-01 DOI: 10.5395/rde.2022.47.e25

Fatih Aksoy, Samet Tosun

{"title":"Effects of different topical anesthetics on pain from needle insertion and injection, and the influence of anxiety in patients awaiting endodontic treatment.","authors":"Fatih Aksoy, Samet Tosun","doi":"10.5395/rde.2022.47.e25","DOIUrl":"https://doi.org/10.5395/rde.2022.47.e25","url":null,"abstract":"Objectives: This study aimed to evaluate the effects of 5% lidocaine and 2.5% lidocaine/2.5% prilocaine topical anesthetic on pain during needle insertion and infiltration injection in the labial mucosa of anterior maxillary teeth, and to assess the relationship between patients' anxiety and pain scores.Materials and methods: The Modified Dental Anxiety Scale questionnaire was applied and recorded. Patients were randomly divided into 4 groups (n = 30), as follows: G1 group: 5% lidocaine and placebo for 1 minute, G2 group: 2.5% lidocaine/2.5% prilocaine and placebo for 1 minute, G3 group: 5% lidocaine and placebo for 3 minutes, and G4 group: 2.5% lidocaine/2.5% prilocaine and placebo for 3 minutes. Before the application of topical anesthesia, one side was randomly selected as the topical anesthesia and the contralateral side as the placebo. The pain levels were measured with Visual Analog Scale (VAS) immediately after needle insertion and injection and were compared. The correlation between anxiety and pain scores was analyzed.Results: Administration of 5% lidocaine for 1 minute had significantly higher pain scores for both insertion and infiltration injection than the other groups (p < 0.05). There was a significant moderate positive correlation between dental anxiety and the injection-induced VAS pain score in the placebo side in all groups (p < 0.05).Conclusions: Topical anesthetics significantly reduced the pain caused by both needle insertion and injection pain in comparison to the placebo side. The pain scores of patients with dental anxiety were lower on the topical anesthesia compared to the placebo side.Trial registration: Thai Clinical Trials Registry Identifier: TCTR20201217002.","PeriodicalId":21102,"journal":{"name":"Restorative Dentistry & Endodontics","volume":"47 3","pages":"e25"},"PeriodicalIF":0.0,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/45/rde-47-e25.PMC9436649.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33460094","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: 1

Is dentin biomodification with collagen cross-linking agents effective for improving dentin adhesion? A systematic review and meta-analysis 用胶原交联剂生物修饰牙本质对改善牙本质粘连是否有效?系统回顾和荟萃分析

Restorative Dentistry & Endodontics Pub Date : 2022-05-01 DOI: 10.5395/rde.2022.47.e23

J. C. Silva, E. L. Cetira Filho, Paulo Goberlânio Barros Silva, F. Costa, V. Sabóia

{"title":"Is dentin biomodification with collagen cross-linking agents effective for improving dentin adhesion? A systematic review and meta-analysis","authors":"J. C. Silva, E. L. Cetira Filho, Paulo Goberlânio Barros Silva, F. Costa, V. Sabóia","doi":"10.5395/rde.2022.47.e23","DOIUrl":"https://doi.org/10.5395/rde.2022.47.e23","url":null,"abstract":"Objectives The aim of this investigation was to evaluate the effectiveness of collagen cross-linking agents (CCLAs) used in combination with the adhesive technique in restorative procedures. Materials and Methods In this systematic review, the authors followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. An electronic search was performed using PubMed, Scopus, Web of Science, Cochrane Library, LILACS, and DOSS, up to October 2020. The gray literature was also researched. Only randomized clinical trials were selected. Results The selection process yielded 3 studies from the 838 retrieved. The addition of CCLAs in the retention of restorations increased the number of events. The postoperative sensitivity scores and marginal adaptation scores showed no significant difference between the CCLA and control groups, and the marginal pigmentation scores showed a significant increase in the CCLA group. There were no caries events in any group throughout the evaluation period. Conclusions This systematic review showed that there is no clinical efficacy to justify the use of CCLAs in the protocols performed.","PeriodicalId":21102,"journal":{"name":"Restorative Dentistry & Endodontics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42377968","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: 1

Bonding effects of cleaning protocols and time-point of acid etching on dentin impregnated with endodontic sealer. 清洁方式及酸蚀时间对牙本质粘接的影响。

Restorative Dentistry & Endodontics Pub Date : 2022-05-01 DOI: 10.5395/rde.2022.47.e21

Tatiane Miranda Manzoli, Joissi Ferrari Zaniboni, João Felipe Besegato, Flávia Angélica Guiotti, Andréa Abi Rached Dantas, Milton Carlos Kuga

{"title":"Bonding effects of cleaning protocols and time-point of acid etching on dentin impregnated with endodontic sealer.","authors":"Tatiane Miranda Manzoli, Joissi Ferrari Zaniboni, João Felipe Besegato, Flávia Angélica Guiotti, Andréa Abi Rached Dantas, Milton Carlos Kuga","doi":"10.5395/rde.2022.47.e21","DOIUrl":"https://doi.org/10.5395/rde.2022.47.e21","url":null,"abstract":"Objectives: This study aimed to investigate the bonding effects of cleaning protocols on dentin impregnated with endodontic sealer residues using ethanol (E) or xylol (X). The effects of dentin acid etching immediately (I) or 7 days (P) after cleaning were also evaluated. For bonding to dentin, universal adhesive (Scotchbond Universal; 3M ESPE) was used. The persistence of sealer residues, hybrid layer formation and microshear bond strength were the performed analysis.Materials and methods: One hundred and twenty bovine dentin specimens were allocated into 4 groups (n = 10): G1 (E+I); G2 (X+I); G3 (E+P); and G4 (X+P). The persistence of sealer residues was evaluated by SEM. Confocal laser scanning microscopy images were taken to measure the formed hybrid layer using the Image J program. For microshear bond strength, 4 resin composite cylinders were placed over the dentin after the cleaning protocols. ANOVA followed by Tukey test and Kruskal-Wallis followed by Dunn test were used for parametric and non-parametric data, respectively (α = 5%).Results: G2 and G4 groups showed a lower persistence of residues (p < 0.05) and thicker hybrid layer than the other groups (p < 0.05). No bond strength differences among all groups were observed (p > 0.05).Conclusions: Dentin cleaning using xylol, regardless of the time-point of acid etching, provided lower persistence of residues over the surface and thicker hybrid layer. However, the bond strength of the universal adhesive system in etch-and-rinse strategy was not influenced by the cleaning protocols or time-point of acid etching.","PeriodicalId":21102,"journal":{"name":"Restorative Dentistry & Endodontics","volume":"47 2","pages":"e21"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3f/f8/rde-47-e21.PMC9160758.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10255975","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: 2

Clinical and radiographic outcomes of regenerative endodontic treatment performed by endodontic postgraduate students: a retrospective study 牙髓病研究生进行再生牙髓治疗的临床和放射学结果：一项回顾性研究

Restorative Dentistry & Endodontics Pub Date : 2022-05-01 DOI: 10.5395/rde.2022.47.e24

H. Alfahadi, S. Al-Nazhan, F. Alkazman, N. Al-Maflehi, Nada Al-Nazhan

{"title":"Clinical and radiographic outcomes of regenerative endodontic treatment performed by endodontic postgraduate students: a retrospective study","authors":"H. Alfahadi, S. Al-Nazhan, F. Alkazman, N. Al-Maflehi, Nada Al-Nazhan","doi":"10.5395/rde.2022.47.e24","DOIUrl":"https://doi.org/10.5395/rde.2022.47.e24","url":null,"abstract":"Objectives Regenerative endodontic treatment is a clinical procedure aimed at biologically regenerating damaged root canal tissue of immature permanent teeth. This study aimed to report the outcomes of regenerative endodontic treatment performed by endodontic postgraduate students. Materials and Methods Clinical and radiographic data of 27 patients, aged 10–22 years, who underwent regenerative treatment of immature permanent teeth from 2015 to 2019 were followed up, wherein clinical and radiographic examinations were performed for each patient. Postoperative success rate and tooth survival were analyzed, and the postoperative radiographic root area changes were quantified. Results A total of 23 patients attended the dental appointments, showing that all teeth survived and were asymptomatic. Specifically, 7 periapical pathosis cases were completely healed, 12 were incompletely healed, and 4 cases failed. Moreover, significant differences were found between discolored and non-discolored teeth, and between the presence or absence of periapical radiolucency. Additionally, 3 anterior teeth showed complete closure of the apical foramen, while the apical foramen width was reduced in 17 teeth and failed in 3 teeth. Root length was also found to have been increased in 7 anterior and 4 posterior teeth, and the average length ranged from 4.00–0.63 mm in the anterior teeth, 2.85–1.48 mm of the mesial root, and 2.73–2.16 mm of the molar teeth distal root. Furthermore, calcified tissue deposition was observed in 7 teeth. Conclusions A favorable outcome of regenerative endodontic treatment of immature permanent teeth with necrotic pulp was achieved with a high survival rate.","PeriodicalId":21102,"journal":{"name":"Restorative Dentistry & Endodontics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47509407","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: 2

Effectiveness and safety of rotary and reciprocating kinematics for retreatment of curved root canals: a systematic review of in vitro studies. 旋转和往复运动学对弯曲根管再治疗的有效性和安全性:体外研究的系统回顾

Restorative Dentistry & Endodontics Pub Date : 2022-04-06 eCollection Date: 2022-05-01 DOI: 10.5395/rde.2022.47.e22

Lucas Pinho Simões, Alexandre Henrique Dos Reis-Prado, Carlos Roberto Emerenciano Bueno, Ana Cecília Diniz Viana, Marco Antônio Húngaro Duarte, Luciano Tavares Angelo Cintra, Cleidiel Aparecido Araújo Lemos, Francine Benetti

{"title":"Effectiveness and safety of rotary and reciprocating kinematics for retreatment of curved root canals: a systematic review of in vitro studies.","authors":"Lucas Pinho Simões, Alexandre Henrique Dos Reis-Prado, Carlos Roberto Emerenciano Bueno, Ana Cecília Diniz Viana, Marco Antônio Húngaro Duarte, Luciano Tavares Angelo Cintra, Cleidiel Aparecido Araújo Lemos, Francine Benetti","doi":"10.5395/rde.2022.47.e22","DOIUrl":"10.5395/rde.2022.47.e22","url":null,"abstract":"Objectives: This systematic review (register-osf.io/wg7ba) compared the efficacy and safety of rotary and reciprocating kinematics in the removal of filling material from curved root canals.Materials and methods: Only in vitro studies evaluating both kinematics during retreatment were included. A systematic search (PubMed/MEDLINE, Scopus, and other databases, until January 2021), data extraction, and risk of bias analysis (Joanna Briggs Institute checklist) were performed. Efficacy in filling removal was the primary outcome.Results: The search resulted in 2,795 studies, of which 15 were included. Efficacy was measured in terms of the remaining filling material and the time required for this. Nine studies evaluated filling material removal, of which 7 found no significant differences between rotary and reciprocating kinematics. Regarding the time for filling removal, 5 studies showed no difference between both kinematics, 2 studies showed faster results with rotary systems, and other 2 showed the opposite. No significant differences were found in apical transportation, centering ability, instrument failure, dentin removed and extruded debris. A low risk of bias was observed.Conclusions: This review suggests that the choice of rotary or reciprocating kinematics does not influence the efficacy of filling removal from curved root canals. Further studies are needed to compare the kinematics safety in curved root canals.","PeriodicalId":21102,"journal":{"name":"Restorative Dentistry & Endodontics","volume":" ","pages":"e22"},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9160764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48880253","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

Morphotypes of the apical constriction of maxillary molars: a micro-computed tomographic evaluation 上颌磨牙尖缩的形态类型:显微计算机断层成像评价

Restorative Dentistry & Endodontics Pub Date : 2022-03-24 DOI: 10.5395/rde.2022.47.e19

J. W. Chang, K. Manigandan, L. Samaranayake, C. NandhaKumar, Pazhamalai AdhityaVasun, Johny Diji, A. PradeepKumar

{"title":"Morphotypes of the apical constriction of maxillary molars: a micro-computed tomographic evaluation","authors":"J. W. Chang, K. Manigandan, L. Samaranayake, C. NandhaKumar, Pazhamalai AdhityaVasun, Johny Diji, A. PradeepKumar","doi":"10.5395/rde.2022.47.e19","DOIUrl":"https://doi.org/10.5395/rde.2022.47.e19","url":null,"abstract":"Objectives The aim of this study was to evaluate and compare the apical constriction (AC) and apical canal morphology of maxillary first and second molars, using micro-computed tomography (micro-CT). Materials and Methods The anatomical features of 313 root canals from 41 maxillary first molars and 57 maxillary second molars of patients with known age and sex were evaluated using micro-CT, with a resolution of 26.7 µm. The factors evaluated were the presence or absence of AC, the morphotypes, bucco-lingual dimension, mesio-distal dimension, and the profile (shape) of AC and the apical root canal. The apical root canal dimensions, location of the apical foramen (AF), AC to AF distance, and presence of accessory canals in the apical 5 mm were also assessed. Descriptive and analytical statistics were used for data evaluation. Results AC was present in all 313 root canals. Patients’ age and sex did not significantly impact either AC or the apical canal dimensions. The most common AC morphotype detected was the traditional (single) constriction (52%), followed by the parallel (29%) morphotype. The mean AC dimensions in maxillary first molars were not significantly different from those in maxillary second molars. Sixty percent of AF were located within 0.5 mm from the anatomic apex. Conclusions The most common morphotype of AC detected was the traditional constriction. Neither patients’ age nor sex had a significant impact on the dimensions of the AC or the apical root canal. The majority of AF (60%) were located within 0.5 mm from the anatomic apex.","PeriodicalId":21102,"journal":{"name":"Restorative Dentistry & Endodontics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47580826","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: 2