Saudi Endodontic Journal最新文献

{"title":"Evaluation of roots and root canals' morphology of maxillary premolars in a Syrian subpopulation using cone-beam computed tomography","authors":"Safa Allawi, A. Madarati, Mouhammad Al-Tayyan","doi":"10.4103/sej.sej_173_22","DOIUrl":"https://doi.org/10.4103/sej.sej_173_22","url":null,"abstract":"Introduction: The morphology of the roots is variable and complex; hence, a better understanding of the root canal systems is important to provide optimal endodontic treatment. The aim of this study was to investigate the number of roots, and root canals' morphology of the first and second premolars in the Syrian subpopulation, and their bilateral symmetry. In addition, it aimed at exploring the effect of gender on the morphological aspects. Materials and Methods: Two hundred and fifty cone-beam computed tomography (CBCT) images (140 images for females, 110 images for males) were collected and examined by two endodontists. Details of the number of roots, number of canals, and canals' configurations in each root were recorded according to Vertucci classification by inspecting the CBCT images in all levels (axial, coronal, sagittal, oblique, and three dimensional). The Chi-square statistical analysis was performed to compare the canals' morphologies and bilateral symmetry in both genders. Results: While most of the first premolars had two roots (59.2%), the majority of second premolars (80.8%) had one root. The highest proportions within the first and second premolars (41.8 and 36.1%) had Vertucci Type-II configuration. The ratios symmetry of maxillary first and second premolars for the number of roots were 90.4% and 93.6%, respectively, and for the number of canals were 94.4% and 90.4%, respectively. There was no significant difference in the proportion of symmetry for both genders in the first and second premolars regarding the number of roots and the number of canals (P > 0.05). Conclusions: While most maxillary first premolars were two-rooted with two root canals, maxillary second premolars tended to be single-rooted with two root canals; males had a greater number of roots than females. While maxillary second premolars exhibited greater bilateral symmetry in the number of roots than maxillary first premolars, the latter exhibited greater bilateral symmetry than maxillary second premolars in the number of root canals.","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"10 1","pages":"168 - 176"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85906256","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 quality of life among dental practitioners using magnification devices during nonsurgical root canal treatment in the Kingdom of Saudi Arabia: A cross-sectional study","authors":"N. Boreak, A. Shabi, Hamed Alshawkani, Walaa A. Ageeli, Zainab Madhhali, Abdulrahman Al Juman, A. Shibli, Hussain Najmi","doi":"10.4103/sej.sej_90_22","DOIUrl":"https://doi.org/10.4103/sej.sej_90_22","url":null,"abstract":"Introduction: This study was conducted to assess the effect of magnification devices (MDs) during nonsurgical root canal treatment (RCT) on quality of life (QOL) among dental professionals of the Kingdom of Saudi Arabia. The dental practitioners performing endodontic treatment were evaluated for ergonomic, postural, psychological, and financial issues associated with and without the use of MDs. Materials and Methodology: A total of 1650 dental professionals (general dentists and endodontists) were recruited from public and private sectors of Saudi Arabia from October 2021 to December 2021. The World Health Organization's QOL assessment questionnaire (WHOQOL-BREF) was administered to conduct the study. The questionnaire addressed four domains of QOL which included physical, psychological, procedural, and financial. Statistical analysis was done by SPSS software® version 23.0. Descriptive analysis, ANOVA test, and unpaired t-test were used. Results: All dental professionals completed the survey. 41.5% reported the use of MDs out of which dental loupe was most commonly used. Work-related musculoskeletal disorders were the most frequent physical difficulty which was faced by 61.5% of dental practitioners while performing RCT. 80% of DPs revealed that MDs improve manual abilities while performing RCT. MDs also relieved psychological, physical, and postural stress by 49.2%, 64.6%, and 63%, respectively. Further 72% of the dental professionals reported improved quality of work after the usage of MD. Conclusion: MDs are commonly used by dental professionals during RCT in Saudi Arabia. It is believed that its use can lead to a better ergonomic, postural, and psychological state of these dental professionals.","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"33 1","pages":"36 - 43"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89683423","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":"Preeruptive intracoronal resorption: A cone-beam computed tomography study","authors":"Kendra Clark, M. Tahmasbi, R. Augsburger, P. Jalali","doi":"10.4103/sej.sej_144_22","DOIUrl":"https://doi.org/10.4103/sej.sej_144_22","url":null,"abstract":"Introduction: Preeruptive intracoronal resorption (PEIR) is described as the cavitation of intracoronal dentin just below the dentinoenamel junction in the coronal portion of an unerupted tooth. The aim of this study was to analyze cone-beam computed tomography (CBCT) scans of teeth affected by PEIR and report the radiographic findings. Materials and Methods: In this retrospective study, a total of 26 CBCT scans including 33 PEIR-affected teeth were evaluated. The following data were documented: age, sex, affected tooth, presence and location of enamel/cementum disruption, lesion extension, radiographic distance of lesion to the pulp, pericoronal radiolucency, and periapical radiolucency. Results: Third molars were the primary teeth affected (88%). A radiographic disruption of the external surface of the tooth was noted in all cases. Disruption of the enamel only was observed in 29 cases, followed by disruption of enamel and cementum in two cases, and disruption of the cementum only in two cases. Twenty-one cases (64%) showed lesions extending to or above the cementoenamel junction (CEJ), and 12 cases (36%) displayed lesions extending below the CEJ. In 21 cases, the lesion progressed close to the root canal system, leaving <1 mm of dentin. However, due to the limitations of CBCT imaging, resorptive pulpal exposure could not be accurately determined. One case exhibited a pericoronal radiolucency, whereas none of the 33 cases displayed signs of a periapical radiolucency. Conclusion: These data suggest that PEIR is a form of external resorption. CBCT is a viable tool for the identification of cases with PEIR, and for determining the extent of the resorptive defect.","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"252 1","pages":"88 - 93"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74932038","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 bioceramic sealers against planktonic Enterococcus faecalis","authors":"S. Balasubramanian, V. Divya","doi":"10.4103/sej.sej_138_22","DOIUrl":"https://doi.org/10.4103/sej.sej_138_22","url":null,"abstract":"","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"46 1","pages":"120 - 121"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89080794","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":"Preoperative nonsteroidal anti-inflammatory drugs on the success of inferior alveolar nerve block in irreversible pulpitis: An overview of systematic reviews","authors":"Alpa Gupta, Kritika Aneja, Jitesh Wadhwa, V. Aggarwal, Sejal Sidhu, N. Mehta","doi":"10.4103/sej.sej_46_22","DOIUrl":"https://doi.org/10.4103/sej.sej_46_22","url":null,"abstract":"Introduction: The inflammatory conditions of pulp often lead to pain which is managed by adequate anesthesia. Achieving optimum anesthethic effect in such conditions is difficult; therefore, various supplemental techniques have been used to enhance the effect. Premedication is one such technique vastly studied. This study aimed to critically analyze the systematic reviews, including their respective meta-analyses, to summarize the data regarding the role of nonsteroidal anti-inflammatory drugs (NSAIDs) on the success of inferior alveolar nerve block (IANB) in patients with irreversible pulpitis. Materials and Methods: The protocol was formulated using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist, and the formulated PICO question was “Is there any effect of oral premedication with NSAIDs on the anesthetic success of IANB in irreversible pulpitis?” The reviews were analyzed using a measurement tool to assess systematic reviews (AMSTAR). Results: Twelve reviews were selected, out of which three were finally included for detailed analysis and their AMSTAR scores were 'high.' Individual meta-analyses results pointed toward the anesthetic success of IANB with NSAIDs as oral premedication. Conclusion: The current overview justifies the use of NSAIDs by highlighting the supporting and conflicting data of each systematic review.","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"9 2","pages":"9 - 21"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72405723","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":"Root and root canal morphology of permanent mandibular premolars in Saudi Arabian population: A literature review","authors":"Roqayah Aljuailan","doi":"10.4103/sej.sej_69_22","DOIUrl":"https://doi.org/10.4103/sej.sej_69_22","url":null,"abstract":"Introduction: Thorough knowledge of the teeth's root and root canal morphology is vital before obtaining access to endodontic therapy. This study aimed to undertake a comprehensive literature review of the root and root canal anatomy of the mandibular premolars in several provinces of Saudi Arabia. Materials and Methods: The PubMed and Scopus databases were screened for relevant literature. Included studies reported data on the number of roots, root canals, canal configurations, and anatomical variations of mandibular premolars in the Saudi population. Gender morphological differences and bilateral symmetry have also been reviewed, along with case reports of anomalies. Results: Fifteen studies that fulfilled the inclusion criteria were included. The weighted average of single-rooted teeth is 91.4% of the mandibular first premolar and 96.7% of the second premolar. Studies of the internal canal morphology revealed that two or more canals were found in 21.5% of the first premolar and 7.1% of the second premolar. Type I Vertucci canal configuration is the most prevalent in mandibular premolars. The multi-rooted or multi-canalled system variants were frequently reported in the clinical case reports. Conclusion: Mandibular first premolars have a higher incidence of multi-canal system than second premolars, hence clinicians should be attentive to the possibility of an extra canal in these teeth. Few studies are available that discuss the root canal morphology of mandibular premolars in the Saudi population, and further studies with a larger sample size covering Saudi Arabia's provinces are indicated.","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"135 12 1","pages":"1 - 8"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82980094","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 evaluation of the effect of endodontic access and subsequent restorations on crown retention: A narrative review of an in vitro study","authors":"R. Mahmoud, Arruh Almolhem, Sawsan Alomari, Rahaf Babader, Faisal Alghamdi","doi":"10.4103/sej.sej_74_22","DOIUrl":"https://doi.org/10.4103/sej.sej_74_22","url":null,"abstract":"Studies suggest that endodontic access cavity (EAC) can decrease the retention of crowns. However, there is no clear evidence that restoring EAC effects on crown retention. Thus, the main objective of this narrative review is to assess several materials applied for restoring EAC to different crowns in anterior or posterior teeth, as well as the effect of each material on crown retention. An electronic search for studies published until December 31, 2021, was conducted using the four databases: Scopus, PubMed, Web of Science, and Google Scholar. Researchers selected in vitro studies that investigated the crown retention before and after resorting EAC of anterior or posterior teeth. Exclusively, in vitro studies were considered for assessment. Five papers were selected for the final analysis from the 126 identified during the initial search. Our outcomes illustrated that no significant differences in outcomes between the restorative materials after the endodontic treatment. The findings of this narrative review suggest that crown retention can increase after restoring endodontic access cavities. Finally, the available data indicated that restoring EAC could increase the crown retention more than the original crown. Nevertheless, the prefabricated crown resistance could be more affected by the type of restorative material used inside the EAC following endodontic treatment than retention. Additional clinical and radiological measures are needed.","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"76 1","pages":"22 - 27"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86563722","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 management of unusual extraoral cutaneous sinus tract","authors":"M. Alshammari, F. Alzoubi","doi":"10.4103/sej.sej_94_22","DOIUrl":"https://doi.org/10.4103/sej.sej_94_22","url":null,"abstract":"Chronically, draining cutaneous sinus tracts are a common manifestation of pulpal necrosis with periapical pathosis that requires endodontic treatment to heal. However, it is frequently misdiagnosed with cutaneous lesions and incorrectly treated. A clinical case of an 8-year-old girl presented with an extraoral cutaneous sinus tract of the right submandibular region after long-term pus drainage was misdiagnosed by her dermatologist. The odontogenic origin of the sinus tract was made by tracing an unusual pathway of the sinus tract utilizing cone-beam computed tomography. The clinical and radiographic examination revealed a necrotic pulp, with chronic periapical abscess and cutaneous drainage of the immature mandibular right first molar. Endodontic therapy and mineral trioxide aggregate apexification were performed. The cutaneous sinus tract showed signs of healing after 1 month from treatment initiation and complete radiographic healing was noted after 18th month recall. Cutaneous extraoral sinus tracts of endodontic origin can be easily misdiagnosed and mistreated. Utilizing cone-beam computed tomography to trace the sinus tract revealed an unusual pathway confirming the odontogenic origin of the sinus tract. Correct treatment resulted in regaining the patient her self-confidence, saving the tooth, and healing of the facial sinus tract.","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"47 1","pages":"108 - 115"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77130524","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":"Evaluation and comparison of transportation and centering ability of various pathfiles in the second mesiobuccal canal of maxillary first molars","authors":"M. Gharechahi, A. Bagherpour, Shima Behzadi, Mohammad Gharechahi, Maryam Peighoun","doi":"10.4103/sej.sej_123_22","DOIUrl":"https://doi.org/10.4103/sej.sej_123_22","url":null,"abstract":"Introduction: In root canal treatment, the glide path process is considered a primary action to increase the safety and efficiency of nickel–titanium rotary files and prevent preparation errors. The present study aimed to evaluate and compare different glide paths in terms of transportation and centering ability of the curved, narrow second mesiobuccal (MB2) canal of maxillary first molars using cone-beam computed tomography (CBCT). Materials and Methods: First, periapical radiographs and CBCT were obtained from extracted maxillary first molars, and 125 teeth, whose mesiobuccal root curve was in the medium range (a curve angle of 20°–40°) and had separate MB2 canal, were selected. However, teeth <17 mm and more than 21 mm in length were excluded from the study. Afterward, the access cavity was prepared with a round diamond bur, and the MB2 canal was negotiated using a manual size 6–8 C-pilot. In the next stage, were randomly divided to five groups of 25, and each group was prepared by using one of the files of ProGlider, R-Pilot, Hyflex EDM, WaveOne Gold Glider, and C-Pilot. Following that, CBCT was taken from all teeth again, and the levels of canal transportation and centering ability were evaluated at five levels (distances of furcation, 1 and 2 mm from the furcation, the crest of the curvature, and 1 mm from the apex). Results: In this study, there was no statistically significant difference in canal transportation and centering ability among five PathFile systems in all sections (P > 0.05). Conclusions: All five PathFile systems carry out Glide path preparation similarly and appropriately in terms of canal transportation and centering ability.","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"35 1","pages":"80 - 87"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74969061","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":"Management of odontogenic cutaneous sinus tract referred from dermatology and ENT clinics using cone-beam computed tomography: A case series","authors":"Khalid A Merdad","doi":"10.4103/sej.sej_115_22","DOIUrl":"https://doi.org/10.4103/sej.sej_115_22","url":null,"abstract":"An odontogenic cutaneous sinus tract (OCST) is an uncommon finding caused by prolonged periapical inflammation. Patients typically seek treatment from dermatology and ENT clinics due to a lack of intraoral symptoms and the presence of a cutaneous lesion. Misdiagnosis in certain circumstances may result in ineffective treatment. This current article describes four cases of recurrent OCST that were initially misdiagnosed and treated with surgical excision and orally administered antibiotics, without healing. These cases were referred to the endodontic clinic and diagnosed noninvasively using cone-beam computed tomography. The cases were managed by nonsurgical endodontic treatment, followed by dermatologic treatment protocol to prevent scar formation and healing was observed with a 3-year follow-up. These cases emphasize the importance of considering dental infection as a primary etiologic factor in OCST. Referral for dental care management is essential for diagnosis, treatment, and follow-up.","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"14 1","pages":"100 - 107"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90068996","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}