Felipe Immich, Lucas Peixoto de Araújo, Rafaella Rodrigues da Gama, Wellington Luiz de Oliveira da Rosa, Evandro Piva, Giampiero Rossi-Fedele
{"title":"Fifteen years of engine-driven nickel–titanium reciprocating instruments, what do we know so far? An umbrella review","authors":"Felipe Immich, Lucas Peixoto de Araújo, Rafaella Rodrigues da Gama, Wellington Luiz de Oliveira da Rosa, Evandro Piva, Giampiero Rossi-Fedele","doi":"10.1111/aej.12870","DOIUrl":"10.1111/aej.12870","url":null,"abstract":"<p>Numerous systematic reviews (SRs) have produced conflicting findings on engine-driven nickel–titanium reciprocating instruments (reciprocating instruments) since Yared's seminal study 15 years ago. This umbrella review analysed SRs examining the clinical and laboratory evidence regarding reciprocating instruments for root canal treatment. SRs that evaluated qualitatively and/or quantitatively the outcomes postoperative pain, oral health-related quality of life (OHRQoL), shaping ability, debris extrusion, microbial load, endotoxins reduction, cyclic fatigue, file fracture, dentinal cracks and root canal filling removal were included. The AMSTAR 2 tool was used to evaluate SRs quality, while the ROBIS tool to assess risk of bias (RoB). Forty SRs were included. The SRs revealed predominantly ‘high’ RoB and ‘critically low’ quality. Most focused on technical outcomes, exhibiting significant methodological and statistical heterogeneity. Findings suggest comparable efficacy between reciprocating and rotary instruments. However, due to the scarcity of high-quality evidence, future well-designed studies and reviews considering core outcome measures are needed.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 2","pages":"409-463"},"PeriodicalIF":1.3,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/aej.12870","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460983","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}
Giusy Rita Maria La Rosa DDS. PhD., Matteo Peditto DDS, Andrea Venticinque DDS, Antonia Marcianò DDS, Alberto Bianchi DMD, Eugenio Pedullà DDS, MSc, PhD
{"title":"Advancements in guided surgical endodontics: A scoping review of case report and case series and research implications","authors":"Giusy Rita Maria La Rosa DDS. PhD., Matteo Peditto DDS, Andrea Venticinque DDS, Antonia Marcianò DDS, Alberto Bianchi DMD, Eugenio Pedullà DDS, MSc, PhD","doi":"10.1111/aej.12865","DOIUrl":"10.1111/aej.12865","url":null,"abstract":"<p>This scoping review examined current case series and reports on guided surgical endodontic applications in order to provide a critical platform for future research. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews guidelines were followed. A search on PubMed and Scopus yielded 611 articles, with 17 case reports and 1 series meeting inclusion criteria. Overall, guided surgery addressed anatomical complexities, with 15 articles employing static protocols and 3 dynamic. Results showed minimal iatrogenic errors and reduced chair time, with no postoperative issues reported. Within the cases described, guided endodontic surgery exhibited satisfactory results in management of anatomical complex cases. Cost-effectiveness, the need for adequate follow-up, procedure's reproducibility and accuracy, and objective measurement of the reduction in operative times and iatrogenic errors are some of the limitations in the current reports that need to be considered for planning of future experimental and cohort studies.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 2","pages":"397-408"},"PeriodicalIF":1.3,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422017","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":"Post-operative pain after single-visit root canal treatment using resin-based and bioceramic sealers in teeth with apical periodontitis: A randomised controlled-trial","authors":"Tousif Iqbal Nathani BDS, Juan Gonzalo Olivieri DDS, PhD, Jordi Tomás DDS, PhD, Firas Elmsmari DDS, PhD, Francesc Abella DDS, PhD, Fernando Durán-Sindreu DDS, PhD","doi":"10.1111/aej.12864","DOIUrl":"10.1111/aej.12864","url":null,"abstract":"<p>The present study aimed to compare postoperative pain in teeth with symptomatic and asymptomatic apical periodontitis (AP) following a single-visit endodontic treatment using BioRoot™ RCS or AH Plus at 8 h, 24 h and 48 h postoperatively. Postgraduate students performed endodontic treatment on 101 teeth with AP, randomised into two obturation groups. A 100-mm Visual Analog Scale was used to document the intensity of pain at preoperative, 8-h, 24-h and 48-h intervals. The Kolmogorov–Smirnov test was used for normality, and the median and interquartile ranges were compared using the Mann–Whitney U test. Preoperative pain (1.90 ± 3.50) was more frequent in teeth with symptomatic AP (<i>p</i> < 0.05). However, no significant differences were observed in postoperative pain at the 8-h, 24-h and 48-h intervals. Pre and postoperative pain were directly associated (<i>p</i> < 0.05). Single-visit root canal treatment in teeth with AP using both sealers resulted in similar levels of postoperative pain.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 3","pages":"538-546"},"PeriodicalIF":1.3,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422018","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}
Ove A. Peters, Giampiero Rossi-Fedele, Roy George, Kiran Kumar, Aovana Timmerman, Patricia P. Wright
{"title":"Guidelines for non-surgical root canal treatment","authors":"Ove A. Peters, Giampiero Rossi-Fedele, Roy George, Kiran Kumar, Aovana Timmerman, Patricia P. Wright","doi":"10.1111/aej.12848","DOIUrl":"10.1111/aej.12848","url":null,"abstract":"<p>Guidelines were developed by the Australian Society of Endodontology Inc. with the intent to describe relevant aspects of contemporary evidence-based root canal treatment. The document aims to support clinicians by describing a Standard of Practice in the Australian context. The presented guidelines refer to Competence criteria and Quality standards for the main steps in root canal treatment. While the intent is not to replace individual clinical decision-making, it is envisaged that these periodically reviewable guidelines may help to improve clinical outcomes.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 2","pages":"202-214"},"PeriodicalIF":1.3,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/aej.12848","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307519","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}
Clarissa Wong Qi Wen BDS, Nurhanani Mat Saei BDS, Elaheh Ahanin BSc, MBA, PhD Scholar, Fabricio B. Teixeira DDS, MS, PhD, Abhishek Parolia BDS, MDS, FDSRCPS (Glasgow), FDSRCS (Edinburgh), PhD
{"title":"Evaluation of quality of root canal therapy performed by predoctoral students on endodontic outcome and quality of life of patients","authors":"Clarissa Wong Qi Wen BDS, Nurhanani Mat Saei BDS, Elaheh Ahanin BSc, MBA, PhD Scholar, Fabricio B. Teixeira DDS, MS, PhD, Abhishek Parolia BDS, MDS, FDSRCPS (Glasgow), FDSRCS (Edinburgh), PhD","doi":"10.1111/aej.12863","DOIUrl":"10.1111/aej.12863","url":null,"abstract":"<p>This study evaluated the technical quality (TQ) of root canal therapy (RCT) performed by predoctoral students and its impact on endodontic outcome (EO) and patients' quality of life (QoL). The TQ of RCT done by predoctoral students was evaluated and follow-up visits were conducted to determine the clinical, radiographic outcome of RCT and patients' QoL. Frequency distribution, multiple regression, independent-samples <i>t</i> test and one-way <span>anova</span> were performed. A total of 226 teeth of 164 patients were clinically and radiographically examined. A satisfactory TQ was observed in 130 (57.5%), successful clinical outcomes in 155 (68.6%), successful radiographical outcomes in 206 (91%) and overall successful EO in 150 teeth (66.4%) with 80% of patients reporting a favourable QoL. A significant positive correlation was noted between EO and QoL (<i>p</i> = 0.002) with no significant correlation in between TQ-RCT and EO (<i>p</i> = 0.07) and TQ-RCT and QoL (<i>p</i> = 0.316). Successful EO had a positive impact on patients' QoL.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 3","pages":"525-537"},"PeriodicalIF":1.3,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297380","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":"The various forms of tooth resorption","authors":"Jordan Samuel Blum BSc, BBiomed (Hons)","doi":"10.1111/aej.12857","DOIUrl":"10.1111/aej.12857","url":null,"abstract":"<p>Tooth resorption refers to the loss of the organic and inorganic components of tooth structure by clastic cells. The complex and multifaceted nature of its aetiology, along with the several classification schemes published in the area, are likely to create confusion amongst researchers and clinicians, and may lead to compromised treatment decisions. Therefore, this paper will categorise and address tooth resorption based on aetiology in order to help clinicians diagnose and filter treatment options based on the pathophysiology of the resorption at hand. With recent advancements in the literature, the purpose of this paper is to provide clinicians with a current, clinically relevant summary of the various forms of tooth resorption, with a focus on aetiologically driven treatment strategies and suggestions that facilitate their recognition, diagnosis and management.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 2","pages":"191-201"},"PeriodicalIF":1.3,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/aej.12857","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141156012","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}
Ana B. S. Lopes DDS, MSc, Augusto R. Lima DDS, MSc, PhD, Juliana D. Bronzato DDS, PhD, Daniel R. Herrera DDS, MSc, PhD, Priscila A. Francisco DDS, MSc, PhD, Maria C. C. Carvalho DDS, MSc, PhD, Gabriel Abuna DDS, MSc, PhD, Mario Sinhoreti DDS, MSc, PhD, Brenda P. F. A. Gomes DDS, MSc, PhD
{"title":"Influence of different presentation forms of chlorhexidine on contaminated root canals during agitation","authors":"Ana B. S. Lopes DDS, MSc, Augusto R. Lima DDS, MSc, PhD, Juliana D. Bronzato DDS, PhD, Daniel R. Herrera DDS, MSc, PhD, Priscila A. Francisco DDS, MSc, PhD, Maria C. C. Carvalho DDS, MSc, PhD, Gabriel Abuna DDS, MSc, PhD, Mario Sinhoreti DDS, MSc, PhD, Brenda P. F. A. Gomes DDS, MSc, PhD","doi":"10.1111/aej.12862","DOIUrl":"10.1111/aej.12862","url":null,"abstract":"<p>This in vitro study aimed to verify the influence of chlorhexidine (CHX) (gel and solution) in association with different activation protocols on disinfection of root canals contaminated with <i>Enterococcus faecalis</i>. In total, 120 lower premolar roots were selected, contaminated and divided into 12 groups according to irrigation technique and substance. Samples were collected before and after each irrigation technique and analysed for colony-forming units (CFU). Three dentin discs were obtained for quantification of viable intratubular cells by using confocal laser scanning microscopy (CLSM). CFU results showed that sonic and ultrasonic were more effective than conventional irrigation. Ultrasonic activation was more effective than sonic for CHX gel (<i>p</i> < 0.05). CLSM showed that either activation was better than conventional in all groups and root canal thirds (<i>p</i> < 0.05). It was concluded that ultrasonic/sonic activation was more effective than conventional techniques and CHX enhanced intratubular dentin decontamination across all irrigation methods.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 3","pages":"513-524"},"PeriodicalIF":1.3,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158947","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":"Mental foramen and apical foramen: A dangerous anatomical proximity","authors":"Deniz Yanık, Ahmet Mert Nalbantoğlu","doi":"10.1111/aej.12852","DOIUrl":"10.1111/aej.12852","url":null,"abstract":"<p>The study evaluated the spatial position of the mental foramen (MF) using 300 cone-beam computed tomography. The spatial position was analyzed with the horizontal location and relative location (distance between apical foramen and MF). The horizontal location was assessed through three positions (positions 1, 2, and 3). The relative location was determined with the x, y, and x coordinates of the root apex of mandibular premolars and the MF. Student's <i>t</i>-test and chi-square were performed. The most common horizontal location (52%) was position 2, which means between the premolars (<i>p</i> < 0.05). The relative location of the MF to the root apex of the second premolar was closer than the first premolar (<i>p</i> < 0.05). The distance between the root tip of the second premolar and the MF was 5.27 mm, with a minimum value of 1.87 mm. Clinicians should be aware of the possible neural results to the mental nerve of an endodontic infection and the extrusion of irrigation solutions.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 2","pages":"352-358"},"PeriodicalIF":1.3,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077291","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}
Amanda Zambaldi Marim DDS, MSc, Carlos Eduardo da Silveira Bueno DDS, MSc, PhD, Carolina Pessoa Stringheta DDS, MSc, PhD, Rina Andrea Pelegrine DDS, MSc, PhD, Alexandre Sigrist De Martin DDS, MSc, PhD, Daniel Guimarães Pedro Rocha DDS, MSc, PhD, Wayne Martins Nascimento DDS, MSc, Ana Grasiela Limoeiro DDS, MSc, PhD, Carlos Eduardo Fontana DDS, MSc, PhD
{"title":"In vitro study of structural and chemical changes in two reciprocating files after multiple reuses and sterilisation","authors":"Amanda Zambaldi Marim DDS, MSc, Carlos Eduardo da Silveira Bueno DDS, MSc, PhD, Carolina Pessoa Stringheta DDS, MSc, PhD, Rina Andrea Pelegrine DDS, MSc, PhD, Alexandre Sigrist De Martin DDS, MSc, PhD, Daniel Guimarães Pedro Rocha DDS, MSc, PhD, Wayne Martins Nascimento DDS, MSc, Ana Grasiela Limoeiro DDS, MSc, PhD, Carlos Eduardo Fontana DDS, MSc, PhD","doi":"10.1111/aej.12861","DOIUrl":"10.1111/aej.12861","url":null,"abstract":"<p>To use scanning electron microscopy and energy dispersive X-ray spectroscopy to evaluate the metallurgical-chemical changes of WaveOne Gold (WOG) and R-Motion (RM), after multiple uses. The instruments were divided into groups (<i>n</i> = 8): WOG and RM—control groups, new instruments; WOG1 and RM1; WOG2 and RM2; WOG3 and RM3 after instrumentation of 1, 2 or 3 molars, respectively. Burrs occurred mainly in the control group and after the first use. The RM files were found to have a higher nickel content, which increased during reuse, and a decrease in oxygen content with increasing reuse, in addition to calcium impregnation, which occurred in greater amounts in the corrosion areas in the WOG files. The presence of topographic and chemical changes was demonstrated, indicating that caution should be taken when reusing endodontic instruments to avoid fractures.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 3","pages":"502-512"},"PeriodicalIF":1.3,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077289","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}
Daiasharailang Lyngdoh MDS, Sharique Alam MDS, Huma Iftekhar MDS, Surendra Kumar Mishra MDS
{"title":"Evaluation of canal patency and cleanliness following retreatment of bioceramic sealer-obturated root canals using three different irrigant activation protocols","authors":"Daiasharailang Lyngdoh MDS, Sharique Alam MDS, Huma Iftekhar MDS, Surendra Kumar Mishra MDS","doi":"10.1111/aej.12855","DOIUrl":"10.1111/aej.12855","url":null,"abstract":"<p>This study evaluated the effectiveness of three different irrigant activation techniques in cleaning and establishing patency during retreatment of root canals obturated with gutta-percha and bioceramic sealer. 60 extracted premolars with oval-shaped canals were instrumented and obturated with gutta-percha and EndosequenceBC sealer using the ‘warm hydraulic condensation’ technique. The teeth were retreated using Protaper Universal Retreatment and XP-Endo Shaper system and divided into four groups according to the irrigant activation protocol used: control, passive ultrasonic irrigation (PUI), Endovac irrigation (EVI) and XP-Endo Finisher R (XPFR). Apical patency was achieved in all the samples of the XPFR group (100%), which showed a significantly higher success rate compared with the control (73.3%) and EVI groups (73.3%) (<i>p</i> < 0.05). The scanning electron microscopic evaluation revealed significantly cleaner middle and apical third root canals in the PUI and XPFR groups compared with the control group (<i>p</i> < 0.05). These findings suggest that XPFR effectively cleans and establishes patency in root canals filled with bioceramic sealers.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 3","pages":"475-485"},"PeriodicalIF":1.3,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140922713","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}