Saudi Endodontic Journal最新文献

{"title":"Influence of root canal moisture on the penetration of TotalFill bioceramic sealer into the dentinal tubules: A confocal laser scanning microscopy study","authors":"Archika M Singh, T. Elsewify, Walid S El-Sayed, Husam H Nuawafleh, Ranya F Elemam, B. Eid","doi":"10.4103/sej.sej_179_23","DOIUrl":"https://doi.org/10.4103/sej.sej_179_23","url":null,"abstract":"\u0000 \u0000 \u0000 Bioceramic (BC) sealers exhibit multiple desirable biologic and physical properties. The aim of this study was to evaluate the effect of root canal moisture on the depth of TotalFill BC sealer penetration into dentinal tubules at different levels using a confocal laser scanning microscope (CLSM).\u0000 \u0000 \u0000 \u0000 The manuscript of this laboratory study has been written according to preferred reporting items for laboratory studies in endodontology 2021 guidelines. Forty single-rooted extracted human premolars were decoronated using a low-speed diamond disc, followed by root canal preparation using nickel–titanium files under copious irrigation. The samples were randomly allocated for obturation into four groups n = 10 based on the sealer and root canal moisture status. Group A: TotalFill BC sealer in wet canal, Group B: TotalFill BC sealer in dry canal, Group C: AH Plus sealer in wet canal, and Group D: AH Plus sealer in dry canal. The roots were sectioned at three different distances from the apex. The root segments were examined using CLSM to measure the extent of sealer penetration into the dentinal tubules. The data underwent analysis through a three-way mixed ANOVA test, followed by post hoc assessments (P < 0.05).\u0000 \u0000 \u0000 \u0000 In wet canals, the tubular penetration of TotalFill BC sealer was notably greater than that of AH plus, with a statistically significant difference. However, AH Plus sealer had a statistically significant tubular penetration in the dry canals compared to the wet. Greater sealer penetration was observed at 5 mm from the apex, followed by 3 mm, and the least penetration depth was found at 1 mm from the apex.\u0000 \u0000 \u0000 \u0000 The presence of root canal moisture and distance from the apex had a significant impact on the penetration of TotalFill BC sealer into the dentinal tubules.\u0000","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141031161","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}

{"title":"Comparative evaluations on the canal-centering ability of novel heat-treated retreatment file system using nano-computed tomography","authors":"Sruthi Sairaman, Pradeep Solete, G. Jeevanandan, P. Maganur, F. Masha, S. Vishwanathaiah","doi":"10.4103/sej.sej_181_23","DOIUrl":"https://doi.org/10.4103/sej.sej_181_23","url":null,"abstract":"\u0000 \u0000 \u0000 The main goal of instrumentation during retreatment is to maintain the original curvature of the canal during retrieval of gutta-percha. The present study evaluates the canal-centering ability of two different retreatment file systems.\u0000 \u0000 \u0000 \u0000 Forty extracted single-rooted teeth were decoronated and obturated at the standardized root length of 16 mm. Samples were divided into two groups of each 20 single root teeth and they were instrumented using Solite RS3 Retreatment and ProTaper Retreatment files, respectively. Both pre- and postoperative nano-computed tomography scans were taken, and three-dimensional reconstruction was done for analysis. Sections of both the pre- and postoperative samples were taken at 7 mm, 5 mm, and 3 mm from the apex to calculate the canal-centering ratio. Independent t-test was used for statistical analysis between the two groups.\u0000 \u0000 \u0000 \u0000 Solite RS3 retreatment files showed a significant difference at the 3 levels (P < 0.000) compared to ProTaper retreatment files.\u0000 \u0000 \u0000 \u0000 From the above results, we can conclude that Solite RS3 caused minimal canal transportation and produced a relatively centered preparation in comparison to the ProTaper Retreatment system.\u0000","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"20 19-20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141054178","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}

{"title":"Endodontic retreatment of a mesotaurodontic mandibular first molar with C-shaped configuration in a patient with multiple taurodonts: A case report and review of literature","authors":"Mina Davaji, S. Karimpour","doi":"10.4103/sej.sej_164_23","DOIUrl":"https://doi.org/10.4103/sej.sej_164_23","url":null,"abstract":"\u0000 Taurodontism is a dental anomaly characterized by an apical displacement of the pulp chamber floor, resulting in a large pulp chamber with short roots. It can be associated with certain syndromes and abnormalities, although it is common to occur as an isolated characteristic. This anomaly can occur along with other root canal system anomalies such as C-type configuration. The aim of this report is to present the successful endodontic management of a C-shaped mesotaurodontic mandibular molar and review the literature available on this matter. A 23-year-old Persian female was referred by her dental surgeon to complete the root canal treatment of her right mandibular first molar (#46). Clinical examination showed a temporized cavity with no response to pulpoperiapical tests or visible pocket depth while an elongated root trunk with slight periodontal ligament widening, incomplete obturation of the root canal system, and periapical radiolucency was evident on the intraoral radiograph. Cone-beam computed tomography (CBCT) revealed a taurodontic and type III C-shaped root canal configuration. With a diagnosis of previous treatment and asymptomatic apical periodontitis, the patient was scheduled for root canal retreatment. The same anomaly was discovered in other molar teeth on the panoramic radiograph taken before the primary treatment of tooth #46. At a 2-month follow-up session, the tooth was found asymptomatic clinically and radiographically. The past publications about the management of nonsyndromic taurodontic molars were also reviewed. The review of 29 similar articles showed that preoperative CBCT, magnification with illumination, along with active irrigation are helpful items in managing such cases.","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141025419","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}

{"title":"Adoption of rotary instrumentation among general practitioners in Qassim region, Saudi Arabia: A cross-sectional survey","authors":"Badi B. Alotaibi","doi":"10.4103/sej.sej_177_23","DOIUrl":"https://doi.org/10.4103/sej.sej_177_23","url":null,"abstract":"\u0000 \u0000 \u0000 In contemporary dentistry, nickel–titanium (NiTi) rotary instrumentation is the standard of care. General dental practitioners (GDPs) should acquire and adopt rotary root canal instrumentation in their practices. Therefore, this study aimed to investigate the application of rotary root canal instrumentation among GDPs in the Qassim region of Saudi Arabia.\u0000 \u0000 \u0000 \u0000 This cross-sectional survey was conducted in the Qassim region of Saudi Arabia. An online survey was sent to GDPs registered in the Qassim region through the Saudi Dental Society contact list. It consisted of 15 questions about gender, demographics, sector, and the extent of rotary root canal instrumentation adoption in their daily practices. The Chi-square test was used to compare the frequency responses between the groups. Fisher’s exact test was used when the expected outcome was <5.\u0000 \u0000 \u0000 \u0000 Of the 153 GDPs contacted, 81 completed the online survey. Of the 81 participants, 71.6% performed root canal treatment in their daily practice, whereas only 51.9% reported using NiTi rotary instrumentation. NiTi rotary instrumentation was adopted significantly more frequently by GDPs who graduated from non-Saudi schools, worked in the private sector, and had more than 10 years of experience. The lack of required equipment was the most commonly reported reason for not adopting NiTi rotary instrumentation. Most participants were interested in receiving training in NiTi rotary instrumentation.\u0000 \u0000 \u0000 \u0000 Almost half of the GDPs in the Qassim region did not use rotary files in their practices. Lack of undergraduate training and unavailability of equipment were the most commonly reported factors for not adopting rotary instrumentation. There was a significant interest in receiving additional training on NiTi rotary instrumentation.\u0000","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"6 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141023671","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}

{"title":"The first experiences of preclinical dentistry students with rotary instruments: A pilot study","authors":"Işıl Kaya Büyükbayram, Gizem Çolakoğlu, Sana Al-shammari, Katia Stoicefidis","doi":"10.4103/sej.sej_211_23","DOIUrl":"https://doi.org/10.4103/sej.sej_211_23","url":null,"abstract":"\u0000 \u0000 \u0000 Rotary instrumentation has been included in the undergraduate endodontic curriculum to improve the quality of endodontic treatment. The aim of this study was to compare the technical quality of root canal fillings performed by preclinical dentistry students trained with hand instrumentation (THI) or not during their initial trial with rotary instruments.\u0000 \u0000 \u0000 \u0000 Twenty-four 3rd-year students were distributed into two groups: 12 students THI group and 12 students not trained with hand instrumentation (NTHI group). Both the groups received a 50-min theoretical lecture and a demonstration about the ProTaper Universal® system before being asked to complete endodontic treatments on one extracted maxillary central incisor, premolar, and molar using rotary instrumentation and obturation with the single-cone technique. The endodontic treatment technical quality was determined by periapical radiographs. Data were statistically analyzed, and P < 0.05 was considered statistically significant.\u0000 \u0000 \u0000 \u0000 A total of 144 root canals were performed by preclinical students. Although the difference in the technical quality of the canals was nonsignificant among the groups (P > 0.05), the THI group had more adequately filled root canals (45.8%) than the NTHI group (29.2%). Only maxillary central incisors had underfilled canals, whereas teeth with multirooted canals were subjected to various procedural errors in both the groups (P > 0.05).\u0000 \u0000 \u0000 \u0000 Intensive hand instrumentation (HI) preclinical training did not significantly improve the technical quality of root canals performed by preclinical dentistry students during their initial trial with rotary instruments. The student’s familiarity with HI did not decrease the incidence of procedural errors when performing root canal treatment with rotary instruments.\u0000","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"49 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141042938","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}

{"title":"Success predictive factors of teeth subjected to autotransplant: An umbrella review","authors":"Eliana Pineda-Vélez, Anny M. Vivares, Jocelyne Valeria Casillas-Castillo","doi":"10.4103/sej.sej_166_23","DOIUrl":"https://doi.org/10.4103/sej.sej_166_23","url":null,"abstract":"\u0000 \u0000 \u0000 A dental autotransplant is a controlled case of dental avulsion based on the transplantation of erupted teeth within the same individual, from one place to another, in sites where an extraction was performed or that were surgically prepared. Autotransplantation has become a viable method to replace lost teeth since transplanted teeth may operate as fully normal teeth.\u0000 \u0000 \u0000 \u0000 The objective of this study was to summarize the available scientific evidence regarding predictors of success in autotransplanted teeth.\u0000 \u0000 \u0000 \u0000 A systematic review of systematic reviews, known as an umbrella review, was performed. Two calibrated and standardized investigators independently analyzed the quality using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline and evaluated the confidence level and bias review with the Amstar-2 guideline. The PubMed, Embase, and Scopus databases were used. The search was conducted in August 2022 and updated on March 22, 2023. Systematic reviews or meta-analyses carried out from publications on human beings, between 2017 and 2022, were included.\u0000 \u0000 \u0000 \u0000 From 104 achieved, 4 systematic reviews and meta-analyses were assessed. The overall survival of autotransplanted teeth ranged from 81% to 98%, the prevalence of overall inflammatory root resorption ranged from 2.1% to 43%, and the prevalence of ankylosis ranged from 1.2% to 43%. Predictive factors for success identified in the literature included tooth type or root development and clinical intervention factors, including socket preparation, splinting, occlusion control, antibiotic regimen, treatment time of endodontics, and orthodontic treatment.\u0000 \u0000 \u0000 \u0000 The existing evidence on autotransplanted teeth in humans indicates that the survival rate of such teeth involves a series of presurgical and surgical variables. Analyses of factors associated with complications or failures still require primary studies where associations may be made to draw more solid conclusions.\u0000","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"19 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141051067","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}

{"title":"Assessment of debris extrusion on using automated irrigation device with conventional needle irrigation – An ex vivo study","authors":"S. Choudhari, K. Teja, R. Kumar, S. Ramesh","doi":"10.4103/sej.sej_50_23","DOIUrl":"https://doi.org/10.4103/sej.sej_50_23","url":null,"abstract":"Introduction: Irrigation is an essential aspect of effective cleaning and disinfecting the root canal system. Debris tends to extrude in due course of instrumentation and irrigation. The present study aimed to assess the debris extrusion using an automated root canal irrigation device. Materials and Methods: Sixty-six intact maxillary premolars with double-rooted morphology undergoing extraction were collected. They were allocated into three groups – Group I: control (distilled water irrigation), Group II: conventional needle irrigation, and Group III: automated root canal irrigation (n = 22). Each specimen was then inserted into the Eppendorf tube for debris collection. The canals were then instrumented to 40 size 0.04 taper using HyFlex CM rotary file system. Experimental irrigation varied based on the specific group allocated. Finally, after the irrigation, the collected debris was weighed using the analytical balance. Results: A statistically significant difference (P < 0.05) was elicited in the debris extrusion scores seen among different groups assessed. Conclusion: Debris extrusion was minimal with automated root canal irrigation device as compared to syringe needle irrigation.","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"71 1","pages":"263 - 267"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76772578","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}

{"title":"How much to enlarge? A letter to the editor","authors":"K. Janani, K. Teja, Kumar Srivatsava","doi":"10.4103/sej.sej_43_23","DOIUrl":"https://doi.org/10.4103/sej.sej_43_23","url":null,"abstract":"","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"39 1","pages":"288 - 289"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80594735","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}

{"title":"Implementing rotary root canal instrumentation in the clinical training of undergraduate students from Saudi Dental Schools: A cross-sectional survey","authors":"Badi B. Alotaibi","doi":"10.4103/sej.sej_27_23","DOIUrl":"https://doi.org/10.4103/sej.sej_27_23","url":null,"abstract":"Introduction: Rotary nickel–titanium files for root canal therapy have become standard treatment modalities in general practice and specialized dental centers. Undergraduate dental students should receive proper training in using rotary files before graduation. Therefore, this study aimed to provide detailed insight into the implementation of rotary root canal instruments in the clinical training of undergraduate students in Saudi Arabia. Materials and Methods: Two randomly selected private schools and 13 government-owned schools were selected to represent all administrative regions in Saudi Arabia. The SurveyMonkey® questionnaire was sent to each dental school through direct communication. It covered most aspects of the rotary root canal instruments used in the clinical training of undergraduate students before graduation. Results: Approximately 92.9% of the included dental schools reported using rotary files in undergraduate teaching; however, only 57.1% had specific clinical requirements for rotary root canal instrumentation in their curricula. Laboratory simulation sessions were the most commonly used preclinical training methods for rotary instrumentation (85.7%). Most dental schools implemented rotary file training in the 4th and 5th years (53.8% and 38.5%, respectively). The ProTaper® (Universal, Next, Gold) was the most commonly used rotary system. Most dental schools had an instructor-to-student ratio of 1:5. Conclusion: Most Saudi dental schools have adopted rotary files during their undergraduate training. However, the curricula of some dental schools do not include a predetermined number of clinical cases treated with rotary instrumentation to ensure better training for students before graduation.","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"1 1","pages":"225 - 230"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89517405","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}

{"title":"Effect of different chelating agents on the wettability of CeraSeal and AH Plus sealers to intraradicular dentin: An in vitro study","authors":"Aastha Dureja, T. Purayil, N. Ballal, S. George","doi":"10.4103/sej.sej_17_23","DOIUrl":"https://doi.org/10.4103/sej.sej_17_23","url":null,"abstract":"Introduction: A good wettability of an endodontic sealer plays an important role in creating a fluid impervious seal within the root canal. The chelator employed during endodontic irrigation modifies the intraradicular dentin surface and alters the wettability of the sealer. Hence, the aim of the study is to evaluate and compare the effect of 17% ethylenediaminetetraacetic acid (EDTA), 7% maleic acid (MA), and 9% hydroxyethylidene diphosphonic acid (HEDP) on the wettability of CeraSeal and AH Plus sealers. Materials and Methods: Forty-four single rooted premolars were decoronated followed by longitudinal sectioning into 88 halves. They were randomly allocated into 4 groups (n = 22) based on the irrigation regimen: Group I (2.5% sodium hypochlorite [NaOCl] +17% EDTA), Group II (2.5% NaOCl + 7% MA), Group III (2.5% NaOCl + 9% HEDP) and Group IV (2.5% NaOCl + distilled water). Each group was subdivided into two subgroups (n = 11) according to the type of sealer employed: CeraSeal sealer and AH Plus sealer. The contact angle was measured using contact angle telescope goniometer. Comparison between the sealers for each group was done using independent t-test and multiple comparisons of irrigants and sealers in various combinations were done using Two-way Analysis of Variance (P < 0.05). Results: The wettability of CeraSeal sealer on intraradicular dentin was the most favorable when 9% HEDP was employed as the final irrigant, whereas the wettability of AH Plus sealer on intra radicular dentin was most favorable with 7% MA as the final irrigant. AH Plus sealer showed better wettability than CeraSeal sealer in all the respective groups (P < 0.05). Conclusions: AH Plus showed maximum wettability with 7% MA as the final irrigant, whereas, CeraSeal sealer showed the best wettability with 9% HEDP as the final irrigant.","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"4 6","pages":"248 - 253"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72416553","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}