{"title":"Management of seven external cervical resorptions","authors":"Giulia Boschi, R. Tonini, S. Salgarello","doi":"10.32067/GIE.2020.34.02.11","DOIUrl":"https://doi.org/10.32067/GIE.2020.34.02.11","url":null,"abstract":"Aim: External cervical resorption (ECR) assessment and its management planning are often difficult. This work proposes a standardized workflow for ECR treatment considering the 3D-classification of the lesion by Patel and assesses its clinical applicability to 7 preliminary clinical cases. \u0000Summary: ECR cases were detected from medical and dental history, clinical data and a conventional radiography; a Cone Beam Computed Tomography (CBCT) with a small field of view (FOV) was performed too. A both 2D and 3D-classification was applied on each resorption. After studying better the clinical aspect, especially the accessibility of the lesion, the restorability of the tooth was assessed and the approach was decided between external repair, with or without endodontic treatment, or internal repair. Reparative tissue was removed and the defect was managed through new generation composite resins, mineral trioxide aggregate (MTA) or other cements. A pulp capping was performed in one case and a canal treatment in the others. Clinical and radiographic checks assessed both quality and adequacy of the treatments immediately and over time. \u0000Key learning points: \u0000 \u0000A standardized workflow could be useful for ECR treatment; \u0000CBCT is essential for determination of ECR extension and an appropriate treatment planning; \u0000ECR management should be conservative, but should also remove the reparative tissue; \u0000ECR management could be performed within one or two appointments; \u0000a follow-up is required to evaluate the treatment over time. The main outcome is the survival of the element, the secondary outcomes are the absence of resorption progression, no symptoms and healthy periodontal values.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":"46 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90783515","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}
S. Araghi, S. Mirzaee, P. Soltani, S. Miri, M. Miri
{"title":"The effect of calcium hydroxide on the apical microleakage of canals filled with bioceramic and resin sealers","authors":"S. Araghi, S. Mirzaee, P. Soltani, S. Miri, M. Miri","doi":"10.32067/GIE.2020.34.02.13","DOIUrl":"https://doi.org/10.32067/GIE.2020.34.02.13","url":null,"abstract":"Aim: To evaluate the impact of calcium hydroxide (Ca[OH]2) on the apical microleakage of canals filled with the bioceramic Total Fill BC (TF BC) and the resin AH 26 sealers. \u0000Methodology:A total of 104 human single-canal maxillary teeth were prepared with rotary files. The teeth were randomly divided into two main test groups (n=48) and two control groups, one positive and one negative (n=4). In one test group, Ca(OH)2 was used; in the other test group, no dressing was placed within the canal. Samples in each test group - with or without Ca(OH)2 dressing - were randomly divided into two subgroups. In one subgroup, AH 26 sealer was used and in the other one, TF BC sealer was used. The specimens with Ca(OH)2 were kept at 37 °C in 100% humidity. A dye penetration technique was used to evaluate the leakage. The data were analyzed by Kolmogorov-Smirnov, Kruskal-Wallis, Mann-Whitney U, and Fisher exact tests. \u0000Results: The mean microleakage in the subgroups filled with TF BC sealer, with or without Ca(OH)2, was significantly greater than that in the subgroups filled with AH 26 sealer. In addition, the microleakage of the TF BC specimens with Ca(OH2) was significantly higher than the microleakage of TF BC specimens without the dressing (P<0.001). \u0000Conclusion: The findings of this study showed that use of Ca(OH)2 as an intracanal dressing negatively affected the sealing potential of TF BC.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":"63 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74405011","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}
Filipa Neto, M. Pires, M. Ferreira, Beatriz Pereira, J. Martins, Isabel Vasconcelos, Antônio Ginjeira
{"title":"3D Diagnosis and management of external cervical resorption","authors":"Filipa Neto, M. Pires, M. Ferreira, Beatriz Pereira, J. Martins, Isabel Vasconcelos, Antônio Ginjeira","doi":"10.32067/GIE.2020.34.02.15","DOIUrl":"https://doi.org/10.32067/GIE.2020.34.02.15","url":null,"abstract":"Aim: This article reports the different clinical approaches of three external cervical resorptions (ECR) cases, based on a three-dimensional (3D) classification. \u0000Summary: Treatment planning was based on a 3D diagnosis and the cone beam computed tomography (CBCT) was fundamental to do an accurate assessment of the extension of the lesions. The three cases presented different degrees of complexity, related to the extension of the resorption. In two cases, root canal treatment was performed and internal management of the resorptive lesion was accomplished. In a third case, with a more severe extension of ECR, surgical approach with flap elevation was done to access the resorptive defect. Minimum period of 6-months radiographic and clinical follow-up showed periapical and periodontal healing. This case report presents the importance of a correct 3D diagnosis and treatment planning in maintaining teeth with ECR. \u0000Key learning points: \u0000 \u0000ECR is a pathologic root resorptive process with an unclear aetiology. Beginning in a point of entry in the cervical area of the root, in later stages, the resorptive process can reach the pulpal space. \u0000Management of ECR lesions should be based on a 3D diagnosis, considering height, circumferential spread and proximity/involvement of the root canal. \u0000The use of CBCT enables the clinician to establish a proper diagnosis and evaluate the restorability of the tooth in question.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90242832","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}
Larissa Fernanda Pinto, Ihan Vitor Cardoso, G. Rover, E. A. Bortoluzzi, L. F. R. Garcia, C. Teixeira
{"title":"Effect of different irrigation protocols and calcium hydroxide dressing on the microhardness of root canal dentin","authors":"Larissa Fernanda Pinto, Ihan Vitor Cardoso, G. Rover, E. A. Bortoluzzi, L. F. R. Garcia, C. Teixeira","doi":"10.32067/GIE.2020.34.02.08","DOIUrl":"https://doi.org/10.32067/GIE.2020.34.02.08","url":null,"abstract":"Aim: This study aimed to evaluate the effect of different irrigation protocols and calcium hydroxide dressing on the microhardness of root canal dentin. \u0000Methodology: Thirty human teeth were decoronated and root segments were obtained from pre-established cuts made below the cemento-enamel junction. After specimen’s preparation, the initial dentin microhardness (H0) was measured with a Vickers indenter, on the coronal surface, at 150 µm and 500 µm from the root canal lumen. Next, the specimens were randomly distributed into three groups (n=10), according to the different irrigation protocols: 1% NaOCl; 1% NaOCl + 17% EDTA; and 5% NaOCl. After irrigation, the hardness measurement was repeated (H1), in another quadrant. Then, Ca(OH)2 dressing was applied and left for 30 days, until it was removed and a new microhardness measurement (H2) was made, in a third quadrant. The data were statistically analyzed using the three-way analysis of variance (ANOVA) and Tukey tests, set at α=0.05. \u0000Results: The factors analyzed (moment of VH, distance from the canal lumen and irrigation protocol) were statistically significant (p 0.05). The 5% NaOCl group shown the greatest difference between H0 and H1 measurements (p<0.05). \u0000Conclusions: All irrigation protocols promoted significant decrease of the dentin microhardness. The Ca(OH)2 dressing for 30 days did not significantly affect the microhardness of the root canal dentin.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86342231","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":"Histological and histochemical aspects of the dentin-pulp complex in offsprings of rats treated with fluoxetine during pregnancy and lactation","authors":"Jéssyca França, Eduardo de Farias Barbosa","doi":"10.32067/GIE.2020.34.02.10","DOIUrl":"https://doi.org/10.32067/GIE.2020.34.02.10","url":null,"abstract":"Aim:This study aimed to analyze histological aspects of the dentin-pulp complex in rats neonates treated with fluoxetine during pregnancy and lactation. \u0000Methodology: For this purpose were used first molars of 24 Wistar rat pups, 25 days old-aged, divided into 4 groups: PCG and PCGL whose mothers positive controls received 0.9% NaCl (oral) during gestation and gestacion/lactation, respectively; FG and FGL both mothers received fluoxetine at 20 mg / kg (oral) during pregnancy and gestation/lactation, respectively. The animals were anesthetized, maxillaries removed and fixed in 4% formaldehyde, decalcified in EDTA and processed conventionally for light microscopy. Paraffin sections were stained by Hematoxylin and Eosin, Masson’s Trichromatic and Pricosirius Red. \u0000Results: There was no evidence of structural and histochemical changes in the pulp-dentin complex in the groups studied. \u0000Conclusions: Therefore, we could conclude that the fluoxetine in 20 mg/kg dosage, administrated during pregnancy and lactation, did not interfered in the dentin-pulp complex development in offsprings of rats when analyzed in the age of 25 days.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":"42 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85098438","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}
Scott Otterson, Joseph M. Dutner, Matthew B. Phillips, Stephanie J. Sidow
{"title":"Surface integrity of root ends following apical resection with targeted trephine burs","authors":"Scott Otterson, Joseph M. Dutner, Matthew B. Phillips, Stephanie J. Sidow","doi":"10.32067/GIE.2020.34.02.12","DOIUrl":"https://doi.org/10.32067/GIE.2020.34.02.12","url":null,"abstract":"Aim: Targeted endodontic microsurgery may be performed utilizing trephine burs. The purpose of this study was to determine if guided resection using trephine burs produces cracks or fractures within the root. \u0000Methodology: Twenty maxillary anterior and twenty mandibular molar mesial roots from extracted teeth were cleaned, shaped, and obturated. Roots were resected with either targeted trephine burs or multipurpose burs. Resected root ends were analyzed using light microscopy with a fluorescent filter and a dental operating microscope. Teeth were graded based on the presence, extent, and location of cracks. \u0000Results: One (10%) anterior trephine-resected root demonstrated cracks, while three (30%) anterior multipurpose bur-resected roots had cracks. These findings were not statistically different (P=0.264, Chi-square=1.25). No molar teeth had detectable cracks. There was no significant difference between the groups with regards to crack formation. \u0000Conclusions: Analysis of the samples supports the use of trephine burs in targeted endodontic microsurgery.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":"8 1","pages":"60-66"},"PeriodicalIF":0.4,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75922622","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 knowledge cannot have borders: The new challenges of SIE","authors":"S. Rengo","doi":"10.32067/GIE.2020.34.02.21","DOIUrl":"https://doi.org/10.32067/GIE.2020.34.02.21","url":null,"abstract":"The recent deconstruction of traditional teaching and research activities has created a moment of great perplexity among professors of all the academic disciplines. In fact, the guidelines carried out by the ministerial technical committees, basically aimed at reducing the spread of COVID-19, have been mainly based on “social distancing” and “distance learning”.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":"65 1","pages":"9"},"PeriodicalIF":0.4,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84749889","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}
Livia Neri, Eduardo Mansur Kadi, Sandra Radaic, Karla G. Ferreira, M. Prado, W. Nascimento, A. J. Soares, M. Frozoni
{"title":"Apical extrusion of debris produced by the heat treated single-file systems XP-Endo Shaper, Reciproc Blue and ProDesign Logic","authors":"Livia Neri, Eduardo Mansur Kadi, Sandra Radaic, Karla G. Ferreira, M. Prado, W. Nascimento, A. J. Soares, M. Frozoni","doi":"10.32067/GIE.2020.34.02.06","DOIUrl":"https://doi.org/10.32067/GIE.2020.34.02.06","url":null,"abstract":"Aim: This study evaluated the apical extrusion of debris during root canal preparation produced by the single-file systems XP-Endo Shaper (FKG Dentaire, La Chaux-de-Fonds, Switzerland), Reciproc Blue (VDW GmbH, Munich, Germany), and ProDesign Logic (Easy Equipamentos Odontologicos, Belo Horizonte, MG, Brazil). \u0000Methodology: Thirty single straight root canals in mandibular premolar were prepared and randomly assigned to 3 groups (n=10), according to instrument used for root canal preparation: XP-Endo Shaper, Reciproc Blue, or ProDesign Logic. Root canal shaping technique was performed by root segments and the apically extruded debris were collected and quantified using a debris collection setup with Eppendorf tubes and agar gel. Mean values were obtained by subtracting the initial weight of the test apparatus without specimens from its weight after root canal preparation. Then, one-way analysis of variance (ANOVA) followed by Bonferroni post hoc test were applied for comparison of values. The statistical significance level was set at 5%. \u0000Results: No significant difference was observed among groups (P>0.05), but all the instruments produced debris extrusion from the apical foramen. \u0000Conclusion: The heat treated single-file systems XP-Endo Shaper, Reciproc Blue, and ProDesign Logic produce similar amounts of apically extruded debris during root canal preparation. All single-file systems evaluated promoted apical extrusion of debris.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":"28 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81645295","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}
A. Parolia, Despoina Nikolopoulou, B. Lim, S. Kanagasingam
{"title":"Comparison of antibacterial effectiveness between Sealapex and AH-plus sealer against Enterococcus faecalis: a systematic review of in vitro studies","authors":"A. Parolia, Despoina Nikolopoulou, B. Lim, S. Kanagasingam","doi":"10.32067/GIE.2020.34.02.05","DOIUrl":"https://doi.org/10.32067/GIE.2020.34.02.05","url":null,"abstract":"Aim: To summarize the outcome of in vitro studies comparing the antibacterial effectiveness of Sealapex and AH-plus sealer against E. faecalis. Methodology: The research question was developed using the PICO methodology and studies were identified from three electronic databases in Medline, Scopus, and EBSCOhost (Dentistry; Oral Sciences Source) since inception up to November 2019. The title and abstract of the selected articles were independently reviewed by two reviewers based on the specified inclusion and exclusion criteria and extracted the data using the data extraction form. The quality of selected in vitro studies was appraised using revised Cochrane Risk of Bias tool.Results: Sixteen studies satisfied the inclusion criteria and were included in this systematic review. Due to the lack of homogeneity in the data, meta-analysis could not be conducted. The quality of the evidence was \"low\", since every study had at least three questions related to high risk of bias. Different laboratory tests and protocols were used, their results were contradicting even for studies using the same laboratory tests and quality of evidence was found to be low. No study provided strong evidence, twelve studies provided moderate evidence, three studies provided limited evidence and one study provided conflicting evidence. The research question could not be meaningfully addressed. Conclusions: No difference was observed in the antimicrobial efficacy of Sealapex and AH-plus root canal sealers against Enterococcus faecalis. There was an identification of poor quality relevant studies with contradicting results that indicates the need for development of standardized protocols for future in vitro studies.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79712051","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}
S. Saber, Sara Elbarrani Abdullah Eshkal, M. Nagy, C. Pirani
{"title":"Correlation between root surface strain and apical micro-cracks produced during canal preparation with thermally treated single or multi-file NiTi systems","authors":"S. Saber, Sara Elbarrani Abdullah Eshkal, M. Nagy, C. Pirani","doi":"10.32067/GIE.2020.34.02.03","DOIUrl":"https://doi.org/10.32067/GIE.2020.34.02.03","url":null,"abstract":"Aim: To determine the apical root surface strain (RSS) generated during shaping with thermally treated file NiTi systems, and its association with the development of apical microcracks. \u0000Methodology: Increased baseline RSS from strain accumulation during canal shaping was observed in both groups. The mean ± SD maximum RSS recorded with XPS and HCM were 165.71 ± 86.57, and 132.14 ± 97.26 respectively with no statistical difference between them (p>0.05). Post-instrumentation microcracks were observed in only two canals prepared by XPS (10%) versus one canal prepared by HCM (5%), and this difference was also statistically non-significant (P>0.05). The inter-evaluator reliability for microcrack detection using ESEM had a Kappa value of 0.98 (p<0.001), while the intra-evaluator reliability had a Kappa value of 0.99 (p<0.001). The maximum RSS obtained during canal shaping was poorly correlated with the number of microcracks found (R2=0.090). \u0000Results: Increased baseline RSS from strain accumulation during canal shaping was observed in both groups. The inter-evaluator reliability for microcrack detection using ESEM had a Kappa value of 0.98 (p<0.001), while the intra-evaluator reliability had a Kappa value of 0.99 (p<0.001). The maximum RSS obtained during canal shaping was poorly correlated with the number of microcracks found (R2=0.090). \u0000Conclusions: Within the limitations of this study, canal shaping by the two systems was confirmed to strain the tooth structure. However, the measured RSS was poorly correlated with the development of apical microcracks. Hence, from the clinical context, both systems can be safely used to prepare severely curved root canals.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":"1998 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88209609","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}