Paolo Barnaba, Alessio Rosa, Marco Gargari, Mirko Martelli
{"title":"The Use of Bioceramics in Retrograde Apicectomy: A Systematic Review of Clinical Applications and Outcomes","authors":"Paolo Barnaba, Alessio Rosa, Marco Gargari, Mirko Martelli","doi":"10.1111/aej.12960","DOIUrl":"10.1111/aej.12960","url":null,"abstract":"<div>\u0000 \u0000 <p>This systematic review investigates the clinical use of bioceramic materials in retrograde apicectomy, a surgical endodontic procedure aimed at managing persistent periapical pathology. The review follows the PRISMA 2020 guidelines and is registered in PROSPERO (CRD420251022135). Comprehensive searches were conducted in PubMed, Scopus, and Web of Science from January 2000 to December 2024. Studies were included if they were human clinical trials evaluating bioceramic materials in retrograde apicectomies with a minimum follow-up of 6 months. Data extraction included sample size, material type, healing outcomes, and complications. Nineteen studies met the inclusion criteria. Findings indicated that bioceramics demonstrated superior sealing ability, biocompatibility, and osteoconductive properties compared to traditional materials such as amalgam or IRM. The analysis highlights the effectiveness of mineral trioxide aggregate (MTA) and newer formulations such as bioceramic putty and premixed hydraulic silicate cements. Bioceramics are positioned as a promising standard in apical surgery, though further long-term controlled studies are warranted.</p>\u0000 </div>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 2","pages":"431-437"},"PeriodicalIF":1.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217674","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}
Natália Gonçalves Macedo, Fernanda Geraldo Pappen, Bernardo da Fonseca Orcina, Gustavo Mascarenhas, Jean Nunes dos Santos, Paulo Sérgio da Silva Santos, Carolina Clasen Vieira, Alexandre Simões Garcia, Alini Cardoso Soares, Lauren Frenzel Schuch, Ana Paula Neutzling Gomes, Ana Carolina Uchoa Vasconcelos
{"title":"Aggressive Neoplasms That Mimic Chronic Endodontic Lesions: A Multi-Institutional Case Series","authors":"Natália Gonçalves Macedo, Fernanda Geraldo Pappen, Bernardo da Fonseca Orcina, Gustavo Mascarenhas, Jean Nunes dos Santos, Paulo Sérgio da Silva Santos, Carolina Clasen Vieira, Alexandre Simões Garcia, Alini Cardoso Soares, Lauren Frenzel Schuch, Ana Paula Neutzling Gomes, Ana Carolina Uchoa Vasconcelos","doi":"10.1111/aej.12956","DOIUrl":"10.1111/aej.12956","url":null,"abstract":"<p>This study aimed to report sociodemographic, clinicopathologic and radiological features of 12 cases of aggressive neoplasms that were clinically diagnosed as chronic endodontic lesions. The series comprised seven females (58.33%) and five males (41.67%), with a mean age of 48.9 ± 19.19 years (range: 16–75 years). In six cases (50%), the posterior maxillary region was involved. Internal appearance was radiolucent density (<i>n</i> = 12/100%). Eleven cases (91.67%) exhibited well-defined borders, while one (8.33%) showed ill-defined borders. Histopathologic diagnoses included metastasis (<i>n</i> = 4/33.33%), squamous cell carcinoma (<i>n</i> = 3/25%), mucoepidermoid carcinoma (<i>n</i> = 2/16.68%), acinic cell carcinoma (<i>n</i> = 1/8.33%), Ewing's sarcoma (<i>n</i> = 1/8.33%) and Langerhans cell histiocytosis (<i>n</i> = 1/8.33%). Survival status was retrieved for three patients (25.00%), all of whom were alive at the time of reporting. This study identified seven distinct histological types of aggressive neoplasms that mimic chronic periapical lesions. Given that such lesions often lack clinical or radiological signs of aggressive behaviour, it is imperative that all excised tissue undergo histopathological examination.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 2","pages":"415-422"},"PeriodicalIF":1.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/aej.12956","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Artificial Intelligence for Root Canal Orifice Identification Using Dental Operating Microscope Images: A Preliminary Evaluation","authors":"E. Karataş, O. Ünal, Ö. Çelik, İ. Ş. Bayrakdar","doi":"10.1111/aej.12955","DOIUrl":"10.1111/aej.12955","url":null,"abstract":"<div>\u0000 \u0000 <p>To evaluate the diagnostic performance of artificial intelligence (AI) in detecting root canal orifices using images captured with a dental operating microscope (DOM). A total of 80 human maxillary first and second molars were included in the study. After preparing traditional access cavities, root canal orifices were identified under a dental operating microscope (DOM) at 21.25× magnification. Following orifice identification, video recordings were obtained using the DOM, from which a total of 1527 frames were randomly selected for analysis. The root canal orifices in these frames were manually labelled using CranioCatch labeling software (CranioCatch, Eskişehir, Turkey). In the binary classification task, the system correctly identified 502 out of 526 root canal orifices, yielding an accuracy of 91%. The YOLO-based CNN demonstrated high accuracy and sensitivity in detecting root canal orifices from DOM images.</p>\u0000 </div>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 2","pages":"407-414"},"PeriodicalIF":1.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188472","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}
Ji Wook Jeong, Ida Ann Varghese, Yong Kyun Won, Nadarajah Vigneswaran, Timothy Kirkpatrick
{"title":"Intraosseous Adenoid Cystic Carcinoma Mimicking Endodontic Periapical Lesion Along With Orofacial Pain: A Case Report","authors":"Ji Wook Jeong, Ida Ann Varghese, Yong Kyun Won, Nadarajah Vigneswaran, Timothy Kirkpatrick","doi":"10.1111/aej.12958","DOIUrl":"10.1111/aej.12958","url":null,"abstract":"<div>\u0000 \u0000 <p>A 57-year-old patient with temporomandibular disorder and toothache underwent root canal treatments on teeth 42–31 by an endodontist. Despite these treatments, the patient experienced persistent pain radiating to his ears and sought evaluation by another endodontist. No notable facial or intraoral swelling nor paresthesia was observed; however, he reported difficulty with swallowing and trismus. A large periapical radiolucent lesion was identified spanning from tooth 42 to 32, and root resorptions were observed at the apices of teeth 42, 41 and 31. The initial diagnoses for teeth 42, 41, and 31 were previously treated and symptomatic apical periodontitis. Root-end surgery with biopsy was performed. One month later, the biopsy results revealed the lesion to be a carcinoma. The patient was immediately referred to a cancer centre, where a definitive diagnosis of adenoid cystic carcinoma was made. A prompt biopsy is critical for the definitive diagnosis of malignancies for timely treatment.</p>\u0000 </div>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 2","pages":"490-494"},"PeriodicalIF":1.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188473","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}
Bibi Fatima, Farhan Raza Khan, Syeda Abeerah Tanveer
{"title":"Healing Outcomes of Through-And-Through Bone Defects in Periapical Surgery: A Systematic Review and Meta-Analysis","authors":"Bibi Fatima, Farhan Raza Khan, Syeda Abeerah Tanveer","doi":"10.1111/aej.12951","DOIUrl":"10.1111/aej.12951","url":null,"abstract":"<div>\u0000 \u0000 <p>Through-and-through (TAT) cortical plate defects present a challenge in periapical surgery, influencing treatment outcomes. This study investigates whether guided regenerative procedures (GRPs) enhance cortical plate healing and overall success compared to non-GRP treatments in TAT lesions. A systematic search was conducted across PubMed, CINAHL Plus, Wiley Cochrane Library, and Dental and Oral Science. Studies assessing endodontically treated teeth with TAT lesions via Cone Beam Computed Tomography were included. The risk of bias was assessed using Cochrane Risk of Bias 2.0 tool and Newcastle-Ottawa Scale. Five studies met inclusion criteria, with four included in meta-analysis. No significant differences were observed in cortical plate healing (OR: 0.52, 95% CI: 0.12–2.39; <i>p</i> = 0.40) or treatment success (OR: 0.35, 95% CI: 0.09–1.39; <i>p</i> = 0.14) between GRPs and non-GRPs. Findings suggest that GRPs do not significantly improve healing in TAT lesions, highlighting the need for further studies with larger sample sizes.</p>\u0000 </div>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 2","pages":"518-526"},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152921","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}
Anastasios Katakidis, Alexandros K. Nikolaidis, Konstantinos Ioannidis, Elisabeth A. Koulaouzidou, Christos Gogos, Nikolaos Economides
{"title":"Determination of Surface Characteristics, Solubility and Ion Release of a Calcium Silicate Root Canal Sealer","authors":"Anastasios Katakidis, Alexandros K. Nikolaidis, Konstantinos Ioannidis, Elisabeth A. Koulaouzidou, Christos Gogos, Nikolaos Economides","doi":"10.1111/aej.12950","DOIUrl":"10.1111/aej.12950","url":null,"abstract":"<p>This study investigated the solubility of AH Plus Bioceramic sealer (AHPB), the ion release, and the modification of surface characteristics compared to AH Plus (AHP). Solubility was examined according to ISO guidelines in deionised water and phosphate buffer saline (PBS) for 3 months. Surface characteristics and elemental analysis were conducted with scanning electron microscopy and energy-dispersive X-ray spectroscopy, while ion release was determined with ICP-OES. In PBS, solubility values were significantly lower than those recorded in deionised water for both materials (<i>p</i> < 0.05). Upon the AHPB sealer surface, crystalline structures developed that differed in composition, dependent on the immersion solution, whereas no crystal formations were observed on AHP. Calcium ion release of AHPB was significantly higher than AHP throughout the whole study period (<i>p</i> = 0.028). Immersion solution significantly affected solubility and superficial characteristics of materials, highlighting the need to modify experimental protocols to resemble clinical conditions.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 2","pages":"369-381"},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/aej.12950","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emmanuel J. N. L. Silva, Jorge N. R. Martins, Livia Neri Menezes de Oliveira, Mylena do Rosário do Pereira, Murilo Priori Alcalde, Victor T. L. Vieira, Francisco Manuel Braz Fernandes, Marco A. Versiani
{"title":"Manufacturing Order Matters? Exploring the Impact of Heat Treatment and Machining Sequences on the NiTi Instruments Properties","authors":"Emmanuel J. N. L. Silva, Jorge N. R. Martins, Livia Neri Menezes de Oliveira, Mylena do Rosário do Pereira, Murilo Priori Alcalde, Victor T. L. Vieira, Francisco Manuel Braz Fernandes, Marco A. Versiani","doi":"10.1111/aej.12953","DOIUrl":"10.1111/aej.12953","url":null,"abstract":"<p>This study assessed how manufacturing sequence affects the metallurgical and mechanical properties of two nickel-titanium instruments: Procodile Q (heat-treated before machining) and Procodile +HT (heat-treated after machining). Both instruments (<i>n</i> = 74 each, size 25/0.06) were analysed for design, NiTi composition, phase transformation temperatures and mechanical performance (cyclic fatigue at 20°C and 35°C, torsional fatigue, bending load, buckling strength, cutting ability, microhardness and roughness). The Student's t-test and Mann–Whitney test were used for statistical analysis (<i>α</i> = 5%). Results showed that both instruments had similar design and composition. Procodile Q had a slightly higher austenitic start temperature and superior cyclic fatigue resistance at 20°C and 35°C (<i>p</i> < 0.001), along with higher surface roughness (<i>p</i> = 0.041). Other mechanical properties showed no significant differences (<i>p</i> > 0.05). These findings suggest that the order of machining and heat treatment of Procodile instruments had minimal impact on overall performance, primarily affecting cyclic fatigue resistance and surface roughness.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 2","pages":"390-397"},"PeriodicalIF":1.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/aej.12953","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carolina Clasen Vieira, Luciéli Andréia Zajkowski, Daniele Assumpção Prado, Fábio de Almeida Gomes, Patrícia Maria Poli Kopper, Katerine Jahnecke Pilownic, Daiana Elisabeth Böttcher, Tatiana Pereira Cenci, Erick Miranda Souza, Fernanda Geraldo Pappen
{"title":"Impact of Instrumentation Technique on Endodontic Treatment Quality in Curved Molars: A Retrospective Analysis","authors":"Carolina Clasen Vieira, Luciéli Andréia Zajkowski, Daniele Assumpção Prado, Fábio de Almeida Gomes, Patrícia Maria Poli Kopper, Katerine Jahnecke Pilownic, Daiana Elisabeth Böttcher, Tatiana Pereira Cenci, Erick Miranda Souza, Fernanda Geraldo Pappen","doi":"10.1111/aej.12952","DOIUrl":"10.1111/aej.12952","url":null,"abstract":"<p>This cross-sectional study evaluated technical failures in root canal treatments (RCTs) of curved molars (> 10°) performed by undergraduate students and their association with instrumentation techniques. Evaluations included filling extension, density, taper and ledge/zip formation. Bivariate analysis (chi-square, 5% significance) calculated odds ratios (OR) and 95% confidence intervals (CI). Among 188 RCTs, manual instrumentation had higher risks of ledge/zip formation, inadequate density, taper and underfilling, while reciprocating techniques showed more overfilling. Root curvature did not influence failure rates. The study showed 100% power for detecting underfilling, inadequate density and taper; 97.98% for overfilling and 71.11% for ledge/zip formation. Instrumentation technique significantly impacted failure frequency, with manual techniques associated with more complications.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 2","pages":"382-389"},"PeriodicalIF":1.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/aej.12952","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Content and Reliability Analysis of YouTube Videos Regarding Minimally Invasive Endodontics: A Cross-Sectional Analysis","authors":"Özge Kurt, Emine Şimşek","doi":"10.1111/aej.12954","DOIUrl":"10.1111/aej.12954","url":null,"abstract":"<div>\u0000 \u0000 <p>This study aims to evaluate the content and quality of videos related to minimally invasive endodontics available on the YouTube platform. Twenty videos were analysed using the <i>video information and quality index</i> for content quality, the <i>Global Quality Scale</i> for educational value, the <i>Journal of the American Medical Association</i> benchmark for source reliability and the adapted DISCERN tool, known as the <i>reliability score</i>, for overall information accuracy. Data were assessed using Kolmogorov–Smirnov, Mann–Whitney <i>U</i> and Spearman's correlation tests. The findings indicate that low-quality videos had higher view counts, while videos of moderate quality achieved higher Global Quality Scale, reliability score and video information and quality index scores. Additionally, statistically significant positive correlations were identified among these scores. In conclusion, most online content regarding minimally invasive endodontics presents limited accuracy and reliability, and professional consultation is recommended.</p>\u0000 </div>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 2","pages":"398-406"},"PeriodicalIF":1.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136623","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}
Rawda O. Alsuwaidi, Priyadharshini Sekar, Abdelaziz Elgamouz, Shashikant P. Patole, Alaa Alatta, Anil Kishen, Venkateshbabu Nagendrababu
{"title":"Antibacterial and Antibiofilm Efficacy of Green Synthesised Haloxylon Capped Silver Nanoparticles Against Enterococcus faecalis","authors":"Rawda O. Alsuwaidi, Priyadharshini Sekar, Abdelaziz Elgamouz, Shashikant P. Patole, Alaa Alatta, Anil Kishen, Venkateshbabu Nagendrababu","doi":"10.1111/aej.12948","DOIUrl":"10.1111/aej.12948","url":null,"abstract":"<div>\u0000 \u0000 <p>This study synthesised and characterised <i>Haloxylon</i>-capped silver nanoparticles (<i>Haloxylon</i>-AgNPs) and assessed their antibacterial and antibiofilm activity against <i>Enterococcus faecalis</i>. The study also examined <i>Haloxylon-AgNPs'</i> ability to target <i>E. faecalis</i> biofilms in root canals. <i>Haloxylon salicornicum</i> extract was used to synthesise silver nanoparticles. Physiochemical characterisation of <i>Haloxylon</i>-AgNPs was conducted. Antimicrobial and antibiofilm activity of <i>Haloxylon</i>-AgNPs was studied by agar diffusion method, minimum inhibitory concentration (MIC) determination, time-kill assay, confocal laser scanning microscopy (CLSM) and qPCR for virulence gene attenuation. One hundred and twenty extracted teeth were infected with <i>E. faecalis</i> and treated with either <i>Haloxylon</i>-AgNPs, chlorhexidine, calcium hydroxide or saline. The data were analysed using a one-way ANOVA and Tukey multiple comparison test to investigate the bacterial reduction between groups (<i>p</i> < 0.05, significant; <i>p</i> < 0.001, highly significant). A significant reduction in the thickness of biofilm and expression of <i>cylA</i> virulence gene of <i>Haloxylon</i>-AgNPs treated <i>E. faecalis</i> was observed. No difference was observed between <i>Haloxylon</i>-AgNPs, chlorhexidine and calcium hydroxide in the tooth model.</p>\u0000 </div>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 2","pages":"349-357"},"PeriodicalIF":1.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129141","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}