Giornale Italiano di Endodonzia最新文献_第8页

A systematic review: effect of hand, rotary and reciprocating instrumentation on endodontic postoperative pain 系统回顾:手、旋转和往复器械对根管术后疼痛的影响

IF 0.4

Giornale Italiano di Endodonzia Pub Date : 2019-10-31 DOI: 10.32067/GIE.2019.33.02.03

A. Spohr, R. Sarkis-Onofre, T. Pereira-Cenci, F. G. Pappen, R. D. Morgental

{"title":"A systematic review: effect of hand, rotary and reciprocating instrumentation on endodontic postoperative pain","authors":"A. Spohr, R. Sarkis-Onofre, T. Pereira-Cenci, F. G. Pappen, R. D. Morgental","doi":"10.32067/GIE.2019.33.02.03","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.02.03","url":null,"abstract":"Aim: This systematic review evaluated the influence of hand, rotary and reciprocating instrumentation on endodontic postoperative pain. \u0000Methodology: A protocol was registered on PROSPERO. Electronic searches were conducted in MEDLINE, ISI Web of Science, Scopus and ClinicalTrials.gov. Articles were selected according to the following criteria: randomized clinical trials with patients undergoing endodontic treatment in permanent teeth, comparing instrumentation techniques with different kinematics (hand/rotary/reciprocating) and their effect on postoperative pain incidence, intensity or duration. Data on analgesic intake was also recorded. Risk of bias was evaluated and the GRADE framework was applied to assess the quality of evidence. \u0000Results: Twelve studies and 1,659 patients were included in this review. Five studies compared hand instrumentation vs. engine-driven (rotary and/or reciprocating) systems. In three studies, postoperative pain results were worse with hand instruments than with engine-driven systems. In the other two studies, pain results for hand and engine-driven techniques were similar. Seven studies and a dataset from one of the five previous studies were included in the comparison of rotary vs. reciprocating systems, with contrasting results. Postoperative pain results were worse with reciprocating systems in four studies, with rotary systems in two studies and equivalent in other two studies. Data on analgesic intake were controversial. GRADE showed low quality of evidence. \u0000Conclusions: Hand instrumentation presented unfavourable postoperative pain results when compared to engine-driven systems. The comparison of rotary and reciprocating systems generate contrasting results. Given the low quality of evidence and conflicting findings, results should be considered with caution and further well-designed randomized clinical trials on the matter are encouraged.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91197154","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: 5

Variation of vascular and blood indicators of early endothelial dysfunction after root canal therapy: A clinical and biomolecular study 根管治疗后早期内皮功能障碍的血管和血液指标的变化:临床和生物分子研究

IF 0.4

Giornale Italiano di Endodonzia Pub Date : 2019-06-11 DOI: 10.32067/GIE.2019.33.01.07

Beatrice Giuggia, L. Bergandi, A. Comba, M. Alovisi, Giorgia Carpegna, N. Scotti, D. Pasqualini, E. Berutti

{"title":"Variation of vascular and blood indicators of early endothelial dysfunction after root canal therapy: A clinical and biomolecular study","authors":"Beatrice Giuggia, L. Bergandi, A. Comba, M. Alovisi, Giorgia Carpegna, N. Scotti, D. Pasqualini, E. Berutti","doi":"10.32067/GIE.2019.33.01.07","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.07","url":null,"abstract":"Aim: Apical periodontitis (AP) is correlated with a higher risk of developing cardiovascular disease (CVD). No data currently exist to suggest that endothelial dysfunction (ED) improves after endodontic treatment in patients who have AP, despite a link between chronic AP and ED. This study was designed to investigate the expression of early ED markers in young adults with chronic AP, before and after root canal treatment. \u0000Methodology: 41 subjects (20 controls and 21 patients with AP) were examined at enrolment. Patients with AP were also assessed 2 and 12 months after treatment. ENDO-PAT was used to measure endothelial flow reserve (EFR) and ELISAs were used to assess plasma levels of interleukin (IL)-1, IL-6 and TNF-alpha, vasoconstrictor ED endothelin (ET)-1, the circulating endothelial adhesion markers intercellular adhesion molecule-1 (ICAM)-1/ CD54 and soluble vascular cellular adhesion molecule- 1 (sVCAM)-1/CD106, soluble CD14, and the endothelial leukocyte adhesion molecule E-selectin. \u0000Results: Baseline serum levels of ET-1, ICAM-1, E-selectin, IL-1, and sCD14 were elevated in patients with AP compared to the control group. There was no macroscopic evidence of reduced EFR in either group. Treatment for AP was associated with reduced inflammation and improved early ED, indicated by a lowering of IL-1, sCD14, ET-1, ICAM-1/ CD54 and E-selectin levels to resemble those of control subjects. \u0000Conclusions: Early vascular ED may be driven by AP but is reversible with effective endodontic treatment.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73033782","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

Micro-CT evaluation of ProTaper Next and WaveOne Gold shaping in maxillary first molars curved canals: an in vitro study ProTaper Next和WaveOne Gold在上颌第一磨牙弯曲管整形中的显微ct评价

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Giornale Italiano di Endodonzia Pub Date : 2019-06-11 DOI: 10.32067/GIE.2019.33.01.09

Fabio Tutino, M. Alovisi, M. Bernardi, Giorgia Carpegna, A. Comba, D. Pasqualini, N. Scotti, E. Berutti

{"title":"Micro-CT evaluation of ProTaper Next and WaveOne Gold shaping in maxillary first molars curved canals: an in vitro study","authors":"Fabio Tutino, M. Alovisi, M. Bernardi, Giorgia Carpegna, A. Comba, D. Pasqualini, N. Scotti, E. Berutti","doi":"10.32067/GIE.2019.33.01.09","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.09","url":null,"abstract":"Introduction: The aim of this micro-CT study was to analyze the geometrical shaping outcomes after instrumentation with rotary and reciprocating glide path and shaping systems. \u0000Materials and Methods: The mesio-buccal canals of thirty extracted maxillary first permanent molars were randomized into two groups (n=15): rotary system ProGlider and ProTaper Next X1, X2 (PG-PTN) was compared with reciprocating system WaveOne Gold Glider and WaveOne Gold Primary (WOGGWOG). Irrigation was performed with EDTA 10% and NaOCl 5%. Specimens were micro-CT scanned before instrumentation and after glide path and shaping. The measured parameters were the increase in canal volume and surface area, the centroid shift and the canal geometry variation through RDR and RA. These parameters were measured in the apical and coronal levels and at the point of maximum curvature. One-way ANOVA and post hoc Turkey- Kramer tests were used to describe the impact of the instrumentation on the selected parameters (P<0.05). \u0000Results: Post glide path analysis revealed that increase in canal surface area was slightly greater in WOGG group (P=0.051). Centroid shift was not significant even if the trend seemed more favorable to PG group, except for the apical third. Centroid shift reported no significant differences. \u0000Conclusions: Both rotary and reciprocating systems seemed to create a homogeneous and well-centered glide path and shaping.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84806739","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

Immediate Crown Replacement: a case report of extensive radicular fracture with intra-canal anchorage 即刻冠置换术:椎管内锚固治疗广泛性神经根骨折1例

IF 0.4

Giornale Italiano di Endodonzia Pub Date : 2019-06-11 DOI: 10.32067/GIE.2019.33.01.08

D. Guglielmi, F. Gorni

引用次数: 0

Root canal filling techniques for primary molars: an in vitro evaluation 第一磨牙根管充填技术:一项体外评价

IF 0.4

Giornale Italiano di Endodonzia Pub Date : 2019-06-11 DOI: 10.32067/GIE.2019.33.01.01

L. H. Almeida, M. Krüger, K. J. Pilownic, V. Costa, A. Romano, F. G. Pappen

{"title":"Root canal filling techniques for primary molars: an in vitro evaluation","authors":"L. H. Almeida, M. Krüger, K. J. Pilownic, V. Costa, A. Romano, F. G. Pappen","doi":"10.32067/GIE.2019.33.01.01","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.01","url":null,"abstract":"Aim: This study evaluated the efficacy of three different techniques used in the root canal filling of primary teeth. \u0000Methodology: Sixty artificial resin upper and lower primary molars were used. The quality of root canal filling was evaluated using standardized buccal/lingual radiographs, after the use of three different techniques: endodontic hand file, spiral Lentulo and Centrix syringe. Scores were attributed to the obturation length and the presence of voids. Data were statistically analysed and the comparison between groups was calculated using the chi-square test. \u0000Results: The use of endodontic hand file demonstrated the best results regarding the endodontic filling length and density. The occurrence of material extrusion was greater when Lentulo spiral was used in palatine root canals of upper molars. The obturation density was similar among the lower molars and in mesio buccal and palatine canals of upper molars, while in the disto buccal canal of upper molars, the endodontic hand file was significantly more effective. \u0000Conclusions: The quality of root canal filling was similar among the different groups. However, lentulo spiral allowed greater material extrusion in palatine root canals, and greater occurrence of voids in disto buccal canal of upper molars, in comparison with the other tested techniques.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86328533","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: 0

Evaluation of the cyclic fatigue resistance of rotary pathfinding instruments made of nickel-titanium (NiTi) alloys with different heat treatments 不同热处理镍钛(NiTi)合金旋转式寻径仪的抗循环疲劳性能评价

IF 0.4

Giornale Italiano di Endodonzia Pub Date : 2019-06-11 DOI: 10.32067/GIE.2019.33.01.05

Luiz Carlos Trévia Morais Correia Viana, C. Maniglia-Ferreira, F. Almeida-Gomes, Eduardo Diogo Gurgel Filho, Leonardo Pereira Garcia, F. G. Pappen

{"title":"Evaluation of the cyclic fatigue resistance of rotary pathfinding instruments made of nickel-titanium (NiTi) alloys with different heat treatments","authors":"Luiz Carlos Trévia Morais Correia Viana, C. Maniglia-Ferreira, F. Almeida-Gomes, Eduardo Diogo Gurgel Filho, Leonardo Pereira Garcia, F. G. Pappen","doi":"10.32067/GIE.2019.33.01.05","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.05","url":null,"abstract":"Aim: The aim of this study was to compare the cyclic fatigue resistance of rotary pathfinding instruments made of nickel-titanium (NiTi) alloys submitted to different heat treatments. \u0000Materials and Methods: Eighty NiTi endodontic files were divided into four study groups, as follows: Scout Race 15.02 (FKG Deintaire SA), Pathfile 19.02 (Dentsply Maillefer, Ballaigues, Switzerland), Proglider 16.02 (Dentsply Maillefer, Ballaigues, Switzerland), and Hyflex GPS 20.02 (Coltene Whaledent, Allstatten, Switzerland). The instruments were subjected to cyclic fatigue testing using simulated canals with a 6mm radius and 30° or 45° curvature angles. The data obtained were organized in an Excel spreadsheet and analyzed statistically using BioEstat 5.3 software (Marimaua Institute, Manaus, Brazil). The non-parametric Kruskal-Wallis test was used in the analysis. The Mann-Whitney U-test was used for multiple comparisons, at a significance level of 5%. \u0000Results: The Hyflex instrument was superior to all the other instruments (p<0.05), and Pathfile had a superior fatigue time (p<0.05) compared with Scout Race and Proglider, for both of the curvature angles analyzed. No significant difference was observed between Scout Race and Proglider. \u0000Conclusions: Cyclic fatigue resistance of the HyFlex GPF instrument was the highest among those tested, and the curvature radius had a significant effect on fatigue resistance. A significant decrease in the cyclic fatigue time was observed, with an increase in the flexion (curvature angle), irrespective of the instrument analyzed.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72930146","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

Antibiotic therapy in Endodontics: a survey from dental surgeons in Ivory Coast 牙髓学中的抗生素治疗:科特迪瓦牙科外科医生的一项调查

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Giornale Italiano di Endodonzia Pub Date : 2019-06-11 DOI: 10.32067/GIE.2019.33.01.02

A. Krah-Sinan, M. Adou-Assoumou, J. Adou, D. Traoré, B. Faye, E. Mansilla

引用次数: 0

Histomorphometric analysis of pulp submitted to the action of bromelain associated with irrigation solutions 灌溉水中菠萝蛋白酶作用下的果肉组织形态学分析

IF 0.4

Giornale Italiano di Endodonzia Pub Date : 2019-06-11 DOI: 10.32067/GIE.2019.33.01.03

V. Caetano, E. Alves, L. C. França, D. Lenardo, Victor-Brito-Dantas Martins, J. Galeno, Jefferson S. Oliveira, D. Vasconcelos

{"title":"Histomorphometric analysis of pulp submitted to the action of bromelain associated with irrigation solutions","authors":"V. Caetano, E. Alves, L. C. França, D. Lenardo, Victor-Brito-Dantas Martins, J. Galeno, Jefferson S. Oliveira, D. Vasconcelos","doi":"10.32067/GIE.2019.33.01.03","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.03","url":null,"abstract":"Aim: The objective of this study was to evaluate the tissue disgregation capacity of pulp in different solutions associated or not with bromelain. \u0000Methodology: Fifty bovine mandibular incisors were used, divided into five groups: C: Control, H: sodium hypochlorite 2.5%, B: bromelain, BL: bromelain + L-cysteine, BH: bromelain + sodium hypochlorite 2.5%. The pulp fragments were stored at -20 °C, washed with saline solution and moved to 25°C in eppendorf tubes with 1 ml of each substance. For the histomorphometric evaluation, the pulp fragments were prepared as histological routine, observed with optical microscopy and evaluated using ImageJ 1.49 software. \u0000Results: The histomorphometric results showed that, in C: there was no alteration per tissue; H: there was a peripheral and central tissue disintegration; B: there was a protein and cellular degradation pattern, from the peripheral to the central area; BL: there was a central degradation. In BH, showed an effect enhanced by bromelain, when related to sodium hypochlorite, showing greater tissue degradation. \u0000Conclusions: The association of bromelain with sodium hypochlorite potentiated the disintegration action of the pulp, opening possibilities for several clinical applications.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74820309","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

Unusual anatomies: case series 异常解剖:病例系列

IF 0.4

Giornale Italiano di Endodonzia Pub Date : 2019-06-11 DOI: 10.32067/GIE.2019.33.01.06

A. Iandolo, Dina Abdellatif, C. Rengo, L. Fortunato, Garima Poddar

{"title":"Unusual anatomies: case series","authors":"A. Iandolo, Dina Abdellatif, C. Rengo, L. Fortunato, Garima Poddar","doi":"10.32067/GIE.2019.33.01.06","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.06","url":null,"abstract":"Aim: The aim of this article is to describe three case reports of unusual teeth anatomy, more precisely of a maxillary right central incisor with two roots and two root canals, a mandibular premolar with four root canals and a second maxillary molar with five root canals associated with an extra small root located in the center of pulp chamber. \u0000Methodology: A correct diagnosis, the awareness of finding an unusual anatomic root variation in any endodontic treatment, the use of technological equipment like the operative microscope and ultrasonic tips enabled the operator to solve the clinical case in a safe and predictable way. In order to set a correct treatment plan, it is quite important to evaluate a pre-operative radiograph before starting the endodontic treatment. Another step is the thorough examination of the pulp chamber floor, better if carried out under magnification and coaxial light in order to easily locate all the canal orifices. The endodontic treatment and retreatment of the previously mentioned three uncommon teeth will be discussed. \u0000Results: All the root canals were found, treated and obturated in the three presented cases and healing was shown in the follow up radiographs. \u0000Conclusions: Anatomic root variations should be anticipated in order to be encountered in the daily endodontic practice. A pre-operative radiography must always be done before endodontic treatment in order to make the right diagnosis. The operative microscope magnification is useful in order to work in a safe and precise way.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89538730","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: 0

Treatment of a root canal perforation using a calcium-silicate based sealer: a case report with a 4 year follow-up 硅酸钙基封口剂治疗根管穿孔:1例随访4年

IF 0.4

Giornale Italiano di Endodonzia Pub Date : 2019-06-11 DOI: 10.32067/GIE.2019.33.01.04

R. Castagnola, I. Minciacchi, L. Marigo, M. Cordaro, N. Grande

{"title":"Treatment of a root canal perforation using a calcium-silicate based sealer: a case report with a 4 year follow-up","authors":"R. Castagnola, I. Minciacchi, L. Marigo, M. Cordaro, N. Grande","doi":"10.32067/GIE.2019.33.01.04","DOIUrl":"https://doi.org/10.32067/GIE.2019.33.01.04","url":null,"abstract":"Aim: This case report presents a root canal retreatment distinguished by a canal perforation successfully treated with a calcium-silicate based sealer (EndoSequence BC sealer, Brasseler USA, Savannah, GA, USA) with a 4 year follow-up. \u0000Summary: Root canal retreatment of a lower left second molar was performed in 80 years old patient because of a periapical chronic periodontitis with buccal fistula. The scouting of the mesio-lingual and distal canal was obtained with a k-file #10, while the mesio-buccal was not negotiable because of a perforation in the middle third of the root. Instrumentation of patent root canal was performed and the distal canal was filled with AH Plus (Dentsply DeTrey GmbH, Konstanz, Germany) and Thermafil Obturator (Dentsply Maillefer, Ballaigues, Switzerland) whereas the mesial canals and the per foration were sealed using EndoSequence BC Sealer and dedicated EndoSequence BC Points in order to perform a successive apical surgery. The improvement of clinical conditions and, successively, the gradual bone healing, confirmed with analogical radiographs, led to avoid the complicated endodontic surgery on this lower second molar, having already an acceptable clinical success. \u0000Key Learning Points: This case report confirmed the favorable physical and biological properties of calcium-silicate based sealers and, most of all, the handling properties of the EndoSequence BC sealer. In selected cases these type of sealers might lead to resolve complex treatments without using specialistic equipments like microscope and help general clinicians to approach complicated endodontic cases in an easier way.","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84952789","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