Vasfiye Isik, Mehmet Baybora Kayahan, Ibrahim H. AbuTahun, Sang Won Kwak, Hyeon-Cheol Kim
{"title":"Influence of Operator's Experience on Mechanical Properties of Nickel–Titanium Instruments After Usage","authors":"Vasfiye Isik, Mehmet Baybora Kayahan, Ibrahim H. AbuTahun, Sang Won Kwak, Hyeon-Cheol Kim","doi":"10.1111/aej.12929","DOIUrl":"10.1111/aej.12929","url":null,"abstract":"<div>\u0000 \u0000 <p>This study aimed to evaluate the influence of the operator's experience level on the cyclic fatigue and torsional resistance of OneCurve (OC) and OneRECI (OR) instruments. Four inexperienced clinicians and four endodontists shaped endo-training blocks. Instruments were then subjected to cyclic fatigue and torsional tests under body temperature (37°C) condition (<i>n</i> = 10). The results were analysed using two-way ANOVA test and Tukey HSD post hoc comparison at a significance level of 95%. OR used by inexperienced operators had a longer time to fracture compared to other groups (<i>p</i> < 0.05). Used OC instruments showed longer time to fracture than unused ones (<i>p</i> < 0.05). No significant differences were found in ultimate strength and toughness regardless of experience level and instrument type (<i>p</i> > 0.05). Within the limitation of the present study, operators' experience may have different effects on the mechanical properties of the files based on the instruments' kinematics.</p>\u0000 </div>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 2","pages":"250-257"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544208","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}
Wanderson Limeira de Sousa Barbosa, Luiz Renato Paranhos, Márcia Valente de Brito Dantas, Rômulo Dias Jesuino, João Marcos da Costa Ribeiro, Walbert A. Vieira, Felipe de Souza Matos
{"title":"Efficacy of Pulp Revascularization in the Treatment of Apical Periodontitis in Mature Necrotic Teeth: An Umbrella Review","authors":"Wanderson Limeira de Sousa Barbosa, Luiz Renato Paranhos, Márcia Valente de Brito Dantas, Rômulo Dias Jesuino, João Marcos da Costa Ribeiro, Walbert A. Vieira, Felipe de Souza Matos","doi":"10.1111/aej.12928","DOIUrl":"10.1111/aej.12928","url":null,"abstract":"<div>\u0000 \u0000 <p>This umbrella review evaluated systematic reviews in clinical studies on pulp revascularisation in permanent mature necrotic teeth to determine their effectiveness in treating or preventing apical periodontitis. Seven of 294 articles retrieved from PubMed, LILACS, SciELO, Embase, Scopus, Web of Science, Cochrane and DANS Easy databases were included. The most used pulp revascularisation techniques were blood clots associated or not with platelet-poor plasma and umbilical cord mesenchymal stem cells. Meta-analysis and qualitative results from included articles indicated the efficacy of pulp revascularisation in mature necrotic teeth with similar success rates compared to non-surgical root canal treatment, pulp revascularisation in immature teeth, or apexification. Despite the low methodological quality and high risk of bias in most analysed systematic reviews, pulp revascularisation may be a successful treatment alternative for mature necrotic teeth. Well-conducted clinical trials are required to provide confirmatory evidence.</p>\u0000 </div>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 2","pages":"495-509"},"PeriodicalIF":1.5,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525268","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":"Management of maxillary permanent central incisors with combined injuries sustaining a second dental trauma: A case report with 8-year follow-up","authors":"Zhifang Wu, Jian Wang, Linxian Fang, Dandan Zhang, Qiongling Shi, Manting Wang, Junzhuo Gou, Shuli Deng","doi":"10.1111/aej.12913","DOIUrl":"10.1111/aej.12913","url":null,"abstract":"<p>Root fractures often occur in immature maxillary permanent central incisors and can be combined with other injuries, making treating more difficult and prognosis uncertain. A 10-year-old girl sustaining a second dental trauma came to our hospital. Teeth 11 and 21 experienced root fracture following the first injury 15 months earlier. The second injury resulted in lateral luxation of the coronal fragment of Tooth 11 from the original fracture site and subluxation of Tooth 21. Tooth 11 was repositioned, and both Teeth 11 and 21 were splinted for 3 months. An apical plug was applied to Tooth 21 at 52 months. After 8 years of follow-up, complete resorption was observed in the apical fragment of Tooth 11, and both teeth exhibited a favourable prognosis. It illustrates that complex root fractures sustaining two separate traumatic incidents can have a positive long-term outcome through accurately judging and grasping the timing of sequential treatment.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 1","pages":"165-172"},"PeriodicalIF":1.3,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484762","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}
Jaume Casaponsa, Thilla Sekar Vinothkumar, Bharadwaj Narasimhan, Paul M. H. Dummer, Venkateshbabu Nagendrababu, Francesc Abella Sans
{"title":"Two Severely Compromised Teeth Restored Using Digital Planning Combined With Double Orthodontic Magnetic Extrusion: A Case Report","authors":"Jaume Casaponsa, Thilla Sekar Vinothkumar, Bharadwaj Narasimhan, Paul M. H. Dummer, Venkateshbabu Nagendrababu, Francesc Abella Sans","doi":"10.1111/aej.12927","DOIUrl":"10.1111/aej.12927","url":null,"abstract":"<div>\u0000 \u0000 <p>Tooth tissue loss due to dental caries is frequently challenging to restore, and this loss is made worse by proximal tooth borders that extend below the gingival margin. This report describes a digitally designed case in which the ferrule and supracrestal tissue attachment were preserved by simultaneous double magnetic extrusion of two root filled teeth. A 67-year-old male presented with the chief concern of a fractured maxillary left canine. The maxillary left lateral incisor and canine underwent rapid magnetic extrusion to create ferrules (3 mm). Eighteen months after treatment, the restorative margins were sound and the teeth with associated periodontal tissues were healthy. The positive results demonstrate that the combination of digital planning and double magnetic extrusion has potential as a technique for restoring severely damaged teeth where insufficient supra-gingival tooth tissue remains. Adjacent root canal treated teeth with severe loss of coronal structure are suitable candidates for double magnetic extrusion.</p>\u0000 </div>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 2","pages":"483-489"},"PeriodicalIF":1.5,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477274","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}
Venkateshbabu Nagendrababu, Haritha Jamuna Subbarao, Parashar Saumya, Neeraj Menon, Priyal Khandelwal, Paul M. H. Dummer, Velmurugan Natanasabapathy, Nandini Suresh
{"title":"Efficacy of Premedication With Ketorolac on Anaesthetic Success of Mental-Incisive Nerve Blocks With Symptomatic Irreversible Pulpitis: A Randomised Clinical Trial","authors":"Venkateshbabu Nagendrababu, Haritha Jamuna Subbarao, Parashar Saumya, Neeraj Menon, Priyal Khandelwal, Paul M. H. Dummer, Velmurugan Natanasabapathy, Nandini Suresh","doi":"10.1111/aej.12924","DOIUrl":"10.1111/aej.12924","url":null,"abstract":"<div>\u0000 \u0000 <p>This trial aimed to compare the success of mental-incisive nerve blocks (MINB) on mandibular premolars with symptomatic irreversible pulpitis (SIP) after oral premedication using 10 mg ketorolac or a placebo. One hundred and two patients were randomly divided into two groups. One hour prior to the administration of a MINB the patients were administered oral premedication's of either ketorolac or dextrose (placebo). The success of anaesthesia was verified by the absence of pain during the access cavity preparation or root canal instrumentation. Descriptive analysis was performed and categorical data were analysed using chi-squared tests. Binary logistic regression was performed to assess the relationship among age, sex, type of premedication taken, preoperative pain score and tooth length to the pain outcome. The efficacy of MINB on mandibular premolars with SIP was not influenced significantly by the preoperative oral administration of ketorolac.</p>\u0000 <p><b>Trial Registration:</b> CTRI/2021/11/038115</p>\u0000 </div>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 1","pages":"142-149"},"PeriodicalIF":1.3,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416363","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}
Payman Hamadani, Nicholas P. Chandler, Ben K. Daniel, Lara T. Friedlander
{"title":"Navigating Endodontic Care: Perspectives Among Dentists Managing Older Adults—A Qualitative Study","authors":"Payman Hamadani, Nicholas P. Chandler, Ben K. Daniel, Lara T. Friedlander","doi":"10.1111/aej.12926","DOIUrl":"10.1111/aej.12926","url":null,"abstract":"<p>Using a qualitative approach, this study explored the perspectives and practices among New Zealand general dental practitioners (GDPs) providing endodontic care to older adults. Semi-structured questions guided focus group discussions with 18 GDPs who had varied practice experience and characteristics. Transcribed data were analysed and using reflexivity, six primary themes emerged to provide context: philosophies towards managing older adults; confidence; pulpal diagnosis; treatment planning; informed consent; and referral to an endodontist. GDPs were philosophically positive towards older people with endodontic problems although pulp diagnosis could be difficult. Age-related changes in the pulp-dentine complex, medical conditions, mobility difficulties, and finances frequently complicated treatment decisions. Confidence, consent processes, and specialist referral were mostly managed on an individual basis. Ongoing professional development to update practice is essential for GDPs to holistically manage a growing and heterogeneous older population when they present with signs and symptoms of pulp and periapical disease.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 1","pages":"155-164"},"PeriodicalIF":1.3,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/aej.12926","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400853","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}
Carlos M. Ardila, Eliana Pineda-Vélez, Pradeep Kumar Yadalam
{"title":"Critical Appraisal of Advancements in Guided Surgical Endodontics: A Scoping Review","authors":"Carlos M. Ardila, Eliana Pineda-Vélez, Pradeep Kumar Yadalam","doi":"10.1111/aej.12919","DOIUrl":"10.1111/aej.12919","url":null,"abstract":"","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 1","pages":"230-231"},"PeriodicalIF":1.3,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257513","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}
Renata M. S. Leal, Emmanuel J. N. L. Silva, Maria C. B. P. Campos, Clarissa T. Rodrigues, Marco A. H. Duarte, Bruno C. Cavenago
{"title":"Shaping Ability of Rotary NiTi Systems in S-Shaped Root Canals of Mandibular Molars","authors":"Renata M. S. Leal, Emmanuel J. N. L. Silva, Maria C. B. P. Campos, Clarissa T. Rodrigues, Marco A. H. Duarte, Bruno C. Cavenago","doi":"10.1111/aej.12920","DOIUrl":"10.1111/aej.12920","url":null,"abstract":"<div>\u0000 \u0000 <p>This study evaluated the shaping ability of HyFlex EDM and Rotate rotary systems in the preparation of S-Shaped mesial root canals of mandibular molars (<i>n</i> = 13). After root canal preparation with instruments HyFlex EDM and Rotate 0.25 and 0.40, the specimens were evaluated for root canal volume, volume increase, static voxels, accumulated hard tissue debris, centring ability and canal transportation. After 0.40 preparation, the Rotate group exhibited a greater increase in volume and less accumulated hard-tissue debris compared to the HyFlex group (<i>p</i> > 0.05). 0.40 preparation with Rotate instruments resulted in greater volume increases across all thirds and less debris in the apical third (<i>p</i> < 0.05). The Rotate group displayed greater transportation and lower centring ability in the apical third after 0.40 preparation (<i>p</i> < 0.05). HyFlex and Rotate demonstrated similar performance up to the 0.25 preparation, and while differences emerged after the 0.40 preparation, both systems provided safe preparation without procedural accidents.</p>\u0000 </div>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 1","pages":"133-141"},"PeriodicalIF":1.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124190","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}
Giusy Rita Maria La Rosa, Matteo Peditto, Andrea Venticinque, Antonia Marcianò, Alberto Bianchi, Eugenio Pedullà
{"title":"Response to the Letter to the Editor: Critical Appraisal of Advancements in Guided Surgical Endodontics: A Scoping Review","authors":"Giusy Rita Maria La Rosa, Matteo Peditto, Andrea Venticinque, Antonia Marcianò, Alberto Bianchi, Eugenio Pedullà","doi":"10.1111/aej.12925","DOIUrl":"10.1111/aej.12925","url":null,"abstract":"","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 1","pages":"232-234"},"PeriodicalIF":1.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124188","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 Efficacy of Surgical Techniques for the Management of Confirmed Vertical Root Fractures: A Systematic Review","authors":"Stefano Corbella, Silvio Taschieri, Igor Tsesis, Tomer Goldberger, Luca Francetti, Eyal Rosen","doi":"10.1111/aej.12923","DOIUrl":"10.1111/aej.12923","url":null,"abstract":"<p>The aim of the present systematic review was to evaluate the efficacy of surgical techniques for the preservation of a tooth with VRF. We included case series presenting techniques for the treatment of VRFs. Both electronic sources (MEDLINE, EMBASE, Cochrane Central) and reference lists/table of contents of pertinent journals were screened. Eight articles (six studies) were included. Four of the studies bonded the fractured fragments with 4-META/MMA-TBB resin, one adopted MTA, and in one study the authors used resin-ionomer cement. There was significant heterogeneity in the results regarding teeth survival rate and it was not possible to perform a quantitative synthesis. Scientific evidence concerning the treatment of vertically fractured roots is sparse and of low quality. Consequently, it is not possible to draw conclusions regarding the efficacy of the reported techniques. More studies with higher scientific standards may add validity to the techniques described here.</p><p><b>Trial Registration:</b> CRD42024524356 in PROSPERO</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"51 1","pages":"218-229"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/aej.12923","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076590","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}