{"title":"Toward Precision in Management of Pulp Diseases: AI-Powered Case Selection for Vital Pulp Therapy.","authors":"Mohammed Turky, Paul M H Dummer","doi":"10.1111/aej.70025","DOIUrl":"https://doi.org/10.1111/aej.70025","url":null,"abstract":"","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Giuliana Soimu, Abhishek Parolia, Anelise V Masiero, Fang Qian, Thomas Moninger, Jeffrey A Banas, Fabricio B Teixeira
{"title":"Efficacy of Supplementary Irrigation Methods Against Bacterial Biofilm-Infected Root Canals Prepared With Minimally Invasive and Conventional Techniques.","authors":"Giuliana Soimu, Abhishek Parolia, Anelise V Masiero, Fang Qian, Thomas Moninger, Jeffrey A Banas, Fabricio B Teixeira","doi":"10.1111/aej.70024","DOIUrl":"https://doi.org/10.1111/aej.70024","url":null,"abstract":"<p><p>This study evaluated the effectiveness of the GentleWave system (GWS), laser-activated irrigation (LAI), ultrasonic-activated irrigation (UAI) and sonic irrigation (SI) in removing a three-species biofilm from infected root canals prepared using minimally invasive techniques (MIT) and conventional instrumentation techniques (CIT). One hundred and ten single-canalled mandibular premolars were infected with the biofilm and assigned to five groups based on the supplementary irrigation method used. Biofilm removal was assessed using confocal laser scanning microscopy and scanning electron microscopy. In the CIT group, GWS resulted in a significantly higher proportion of dead cells compared to UAI and SI (p < 0.05), with no significant difference between GWS and LAI. In the MIT group, no significant differences were observed among the irrigation methods (p > 0.05). Although none of the approaches completely eliminated the biofilm, GWS and LAI were more effective than UAI and SI.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of Histological Response of Human Pulp to MTA as DPC Agent With LLLT-Split Mouth Randomised Controlled Trial.","authors":"M Shanmuga Priya, Darshan Dakshindas, Manjusha Warhandpande, Akshay Dhobley, Suchitra Gosavi, Aditi Wasule, Dipak Ghatage","doi":"10.1111/aej.70023","DOIUrl":"https://doi.org/10.1111/aej.70023","url":null,"abstract":"<p><p>This study examined the histological response of human dental pulp to Mineral Trioxide Aggregate (MTA) as a pulp-capping agent, with or without Low Level Laser Therapy (LLLT). Thirty-two premolars from 16 patients were treated in a split-mouth design: one side received MTA alone, the other MTA with diode laser-assisted haemostasis and decontamination. After 6 weeks, the teeth were extracted for histological analysis. Results showed that the group with LLLT had a higher incidence of complete dentine bridges (87.5% vs. 68.8%) and thicker bridges (> 0.25 mm: 81.3% vs. 68.8%), though differences were not statistically significant. Inflammation was significantly lower in the LLLT group, with all samples showing moderate inflammation compared to 68.8% in controls, and some severe inflammation cases. Tissue organisation was similar between groups. The study suggests that adding LLLT to MTA reduces pulpal inflammation and promotes more uniform, thicker dentine bridges, indicating improved pulp healing.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145152076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fatimah Dahlawi, Mohammed AlGharni, Marwa Madi, Neveen M Ayad, Faisal Alonizan, Nada Aldossary, Omar Omar
{"title":"Cellular and Mechanical Responses to Zinc Polycarboxylate Cement Modified With 5% or 10% Potassium Nitrate: An In Vitro Study.","authors":"Fatimah Dahlawi, Mohammed AlGharni, Marwa Madi, Neveen M Ayad, Faisal Alonizan, Nada Aldossary, Omar Omar","doi":"10.1111/aej.70022","DOIUrl":"https://doi.org/10.1111/aej.70022","url":null,"abstract":"<p><p>This study investigated the biological response of human peripheral blood mononuclear cells (PBMCs) to zinc polycarboxylate (ZP) cement modified with 5% or 10% potassium nitrate (KNO<sub>3</sub>) and assessed its mechanical properties. Discs of unmodified ZP, ZP + 5% KNO<sub>3</sub>, ZP + 10% KNO<sub>3</sub>, or mineral trioxide aggregate (MTA) were indirectly exposed to PBMCs using a transwell system. Cells were incubated with or without lipopolysaccharide (LPS) stimulation. Cytotoxicity (LDH release), viability, IL-6 and TGF-β secretion were evaluated. Material pH, ion release, compressive strength and microhardness were also assessed. ZP + 5% KNO<sub>3</sub> significantly reduced LDH and IL-6 levels and increased TGF-β release compared to ZP alone. Mechanical strength was maintained in ZP + 5% KNO<sub>3</sub> but decreased at 10% KNO<sub>3</sub>. MTA showed lower strength but higher cell viability. ZP + 5% KNO<sub>3</sub> demonstrated a balanced profile of immunomodulation, regenerative signalling and mechanical integrity, supporting its potential use in vital pulp therapy. Further in vivo investigations are recommended.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arian Braido, Walbert de Andrade Vieira, Bruno Cazotti Pereira, Karina Gonzales Silvério, Paulo Henrique Gabriel, Aline Cristine Gomes Matta, Emerson Alves Martins, Adriana de Jesus Soares
{"title":"Effect of Intracanal Medications on the Viability of Human Periodontal Ligament-Derived Mesenchymal Stem Cells.","authors":"Arian Braido, Walbert de Andrade Vieira, Bruno Cazotti Pereira, Karina Gonzales Silvério, Paulo Henrique Gabriel, Aline Cristine Gomes Matta, Emerson Alves Martins, Adriana de Jesus Soares","doi":"10.1111/aej.70020","DOIUrl":"https://doi.org/10.1111/aej.70020","url":null,"abstract":"<p><p>This in vitro study evaluated the effects of intracanal medications on the metabolic activity and adhesion of human periodontal ligament-derived mesenchymal stem cells. Tested groups included Control (without medication), Triple Antibiotic Paste (TAP), Double Antibiotic Paste (DAP), calcium hydroxide with saline, calcium hydroxide with 2% chlorhexidine gel and Bio-C Temp. After conditioning, roots were stored in phosphate-buffered saline at 37°C for 21 days. Medications were then removed using 17% EDTA and saline, and dentine samples were used as substrates for cell culture at 3, 5 and 7 days. Metabolic activity was assessed via MTT assay, and adhesion via scanning electron microscopy. None of the medications negatively affected cell viability or adhesion compared to control. TAP showed higher metabolic activity than calcium hydroxide with saline at Day 7. DAP induced earlier cell morphology changes. Bio-C Temp and chlorhexidine gel showed no significant differences at Day 7, confirming overall biocompatibility.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shenghao Qiu, Ziteng Long, Min Chen, Weiwei Wu, Jingzhi Ma, Yuan Gao, Lin Peng
{"title":"Finite Element Analysis of Endodontically Treated Mandibular Second Molars With Variable Root Morphologies: Endocrown vs. Post-And-Core Crown Restorations.","authors":"Shenghao Qiu, Ziteng Long, Min Chen, Weiwei Wu, Jingzhi Ma, Yuan Gao, Lin Peng","doi":"10.1111/aej.70019","DOIUrl":"https://doi.org/10.1111/aej.70019","url":null,"abstract":"<p><p>This study aimed to investigate the biomechanical impact of root canal anatomical variations and restoration techniques on endodontically treated mandibular second molars using finite element analysis. Five root morphologies were modelled: separated-rooted (S), fused-rooted with V-shaped (F-V), U-shaped (F-U) or Ω-shaped (F-Ω) radicular grooves and single-canal fused-rooted (F-O). Micro-CT scans were performed before and after endodontic instrumentation to generate the finite element models: intact teeth, post-and-core crowns with 2- to 3-mm ferrules and endocrowns with 3- to 4-mm pulp chamber extensions. Under axial/oblique loading, von Mises stress distribution was evaluated. Results showed endocrowns had lower peak stresses than post-and-core crowns in common anatomical variations (S, F-U, F-Ω); F-V showed comparable peak stresses; post-and-core crowns with sufficient ferrule height minimised oblique-load stresses in single-canal teeth (F-O). Pronounced stress concentrations were observed at Ω-shaped groove in post-and-core restored teeth. Comprehensive evaluation of root morphology is critical for optimal restoration planning.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elidiane Elias Ribeiro, Karin Sá Fernandes, Erika Sales Joviano Pereira, Angelica Maria Cupertino Lopes Marinho, Jefferson R Tenório, Márcia Pereira Alves Dos Santos
{"title":"Does Sickle Cell Anaemia Have a Relationship With Avascular Pulp Necrosis? A Systematic Review.","authors":"Elidiane Elias Ribeiro, Karin Sá Fernandes, Erika Sales Joviano Pereira, Angelica Maria Cupertino Lopes Marinho, Jefferson R Tenório, Márcia Pereira Alves Dos Santos","doi":"10.1111/aej.70018","DOIUrl":"https://doi.org/10.1111/aej.70018","url":null,"abstract":"<p><p>This systematic review examined the relationship between sickle cell disease (SCD), an inherited genetic hemoglobinopathy, and avascular pulp necrosis (APN) in intact teeth. A comprehensive search of eight electronic databases was performed up to December 2024. Eligible studies included observational or interventional designs reporting APN in intact teeth of individuals with SCD. Risk of bias was assessed with the Joanna Briggs Institute Critical Appraisal Checklists, and certainty of evidence with GRADE. The search retrieved 407 records; four observational studies (two cohort and two case-control) met inclusion criteria, comprising 311 individuals with sickle cell anaemia (SCA). There is a relationship between SCA and APN. However, all included studies presented a risk of bias of 30% or higher, and the certainty of evidence was rated very low. These results provide weak scientific support for the association between APN and SCA, underscoring methodological limitations in the current dental literature.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Comparative Study of Subcutaneous Connective Tissue Reaction to A Novel Calcium Silicate Based Cement, Biodentine and CEM Cement.","authors":"Omolbanin Shahraki, Alireza Sarhadi, Samira Shahraki, Aslam Dehvari, Eshagh Ali Saberi","doi":"10.1111/aej.70006","DOIUrl":"10.1111/aej.70006","url":null,"abstract":"<p><p>This study aimed to evaluate the biocompatibility of newly synthesised cement (Nanodentin) in comparison with Biodentine and CEM cement. The cements were implanted in rat skin and tissue reactions were assessed after 7, 30 and 60 days. H&E staining was used to measure the inflammatory response, the number of inflammatory cells and the presence of necrosis. The agar punch method was used for the antibacterial assay. The null hypothesis was that there would be no difference in terms of inflammation between Biodentine, CEM cement and Nanodentin with negative control. All cements induced a mild to moderate inflammatory reaction at day 7, which decreased over time. Nanodentin had the lowest number of inflammatory cells and necrosis among the tested materials. Nanodentin was biocompatible and well tolerated by subcutaneous tissues and had similar or better properties than the commercially available cements. It also exhibited good antibacterial activity compared to controls.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Biomechanical Behaviour of Simulated External Cervical Resorption Lesions With Varying 3D Extent Before and After Restoration: Finite Element Analysis Study.","authors":"Mohit Machiwal, Ruchika Roongta Nawal, Sudha Yadav, Sangeeta Talwar, Seema Yadav","doi":"10.1111/aej.70017","DOIUrl":"10.1111/aej.70017","url":null,"abstract":"<p><p>This study investigated the biomechanical behaviour of simulated external cervical resorption (ECR) lesions of varying 3D extent, before and after restoration, using finite element analysis (FEA). Seven maxillary incisors were modelled, representing Patel's classification stages: Group 1-2Bp, 2-2Cp, 3-2Cd, 4-3 Bd, 5-3Cd, 6-3Bp and 7-Control. ECR lesions were restored using Biodentine, with endodontic treatment when the pulp was involved. CBCT scans were used to generate 3D models, and a 240 N bite force was applied to evaluate stress via Von Mises and principal stress values. Pre-treatment, all ECR lesions showed concentrated stress, highest in Group 3Bp (538.11 MPa), correlating directly with lesion height, circumferential spread and pulp proximity. Post-treatment, biodentine reduced stress and improved the safety factor (SF), although most groups still had a failure index > 1, indicating residual fracture risk. Pulp involvement had the greatest biomechanical impact, highlighting the importance of early detection and classification-based treatment planning.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriela Reis Alves, Paula Dariana Fernandes Ferreira, Ana Paula Gomes-Moura, Ricardo Barbosa Lima, Angélica Aparecida de Oliveira Denadai, Carolina Maschietto Pucinelli, Marília Pacífico Lucisano, Paulo Nelson Filho, Léa Assed Bezerra da Silva, Raquel Assed Bezerra da Silva
{"title":"In Vivo Evaluation of NLRP3 Inflammasome and IL-1β Cytokine in Periapical Lesion Progression Using Wild-Type and TLR2 Knockout Mice.","authors":"Gabriela Reis Alves, Paula Dariana Fernandes Ferreira, Ana Paula Gomes-Moura, Ricardo Barbosa Lima, Angélica Aparecida de Oliveira Denadai, Carolina Maschietto Pucinelli, Marília Pacífico Lucisano, Paulo Nelson Filho, Léa Assed Bezerra da Silva, Raquel Assed Bezerra da Silva","doi":"10.1111/aej.70014","DOIUrl":"https://doi.org/10.1111/aej.70014","url":null,"abstract":"<p><p>This study aimed to investigate the role of Toll-like receptor 2 (TLR2) in the progression of periapical lesions by evaluating NLRP3 inflammasome and interleukin-1 beta (IL-1β) expression in wild-type (WT) and TLR2 knockout (KO) mice. A total of 55 mice (28 WT, 27 TLR2-KO) underwent pulpal exposure of mandibular first molars and were euthanised at 7, 21, or 42 days post-exposure. Histological and immunohistochemical analyses were performed. TLR2-KO mice showed significantly larger periapical lesions and higher IL-1β expression than WT mice after 21 and 42 days, respectively. In contrast, NLRP3 expression was significantly greater in WT mice at both time points. A weak but significant positive correlation between NLRP3 and IL-1β expression was observed only in WT mice. These findings suggest that TLR2 plays a protective role in limiting periapical bone resorption and modulating inflammatory cytokine expression, independent of NLRP3 inflammasome activity.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}