{"title":"Finite element study of the fatigue behaviour of nickel-titanium endodontic files utilised with pecking motion technique","authors":"Eyüp Can Kökan PhD Candidate, Yasin Atik MSc, Şebnem Özüpek PhD, Evgeny Podnos PhD, Raif Erişen PhD","doi":"10.1111/aej.12813","DOIUrl":"10.1111/aej.12813","url":null,"abstract":"<p>The purpose of the study is to evaluate the influence of the pecking motion (reciprocal axial motion) surgical technique on the durability behaviour of the Nickel-Titanium endodontic files using Finite Element Analysis (FEA). A commonly used endodontic file, ProTaper Universal F2, is selected for the study. Root canal treatment procedure is simulated on a test-bench (simulated root canal) proposed by G. Gambarini for cyclic fatigue loading of endodontic files with and without the pecking motion via FEA. The hysteresis energy density is used as evaluation criteria for low cycle fatigue life estimation of Shape Memory Alloy files. In an additional study, the root canal treatment procedure is also simulated for an FEA model of a molar tooth with significant root canal curvature to understand the influence of the realistic curvature of a root canal on the fatigue behaviour of endodontic files. For the simulated root canal, analysis accurately predicts the endodontic file's failure location, and fatigue life estimation based on the hysteresis energy density is shown to increase significantly with the introduction of the pecking motion, an observation confirmed by reported experimental results. Molar tooth simulations reveal greater file fatigue resistance than in simulated root canals, confirming the pecking motion's efficacy in enhancing file durability, even in real root canal conditions. Simulations indicate that the pecking motion technique increases the fatigue life of endodontic files for simulated as well as real root canals and the hysteresis energy is confirmed as an acceptable parameter to quantify fatigue life of Nickel-Titanium endodontic files.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 1","pages":"97-109"},"PeriodicalIF":1.6,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296648","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":"ASE NSW 244th General Meeting and Third Lecture of 2023","authors":"Atieh Sadr DDS, MS","doi":"10.1111/aej.12811","DOIUrl":"10.1111/aej.12811","url":null,"abstract":"","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"49 3","pages":"788-790"},"PeriodicalIF":1.6,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296647","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}
Lijun Wang MS, Shuangshuang Ren PhD, Xiujuan Sun MS, Shiliang Guo MS
{"title":"Six-year clinical evaluation of iRoot BP Plus as apical barrier in permanent teeth of periapical periodontitis","authors":"Lijun Wang MS, Shuangshuang Ren PhD, Xiujuan Sun MS, Shiliang Guo MS","doi":"10.1111/aej.12815","DOIUrl":"10.1111/aej.12815","url":null,"abstract":"<p>The apical barrier technique in permanent teeth with extensive destruction of the periapical tissue and a long infection time is much more difficult to succeed, which is a clinical challenge. This study aimed to evaluate the long-term effects of iRoot BP Plus as an apical material in adult teeth. Fifty incisors and premolars were chosen for this study. All teeth were performed apical barrier with the same operator. After treatment, the teeth were clinically and radiographically evaluated at 1, 2 and 6 years. At the 1-year follow-up, 35 teeth had healed, and three patients developed an apical abscess due to root fracture at the 2-year follow-up. Six years postoperatively, one tooth showed root resorption, which was considered a failure. The long clinical evaluation confirmed that iRoot BP Plus is a suitable material for the apical barrier of mature teeth with open apices and periapical lesions.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 1","pages":"115-122"},"PeriodicalIF":1.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296650","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":"Unusual imaging appearance of cemental tear in the maxillary first molar on cone-beam computed tomography: A case report","authors":"Chiaki Kuwada DDS,PhD, Takeshi Kikuchi DDS,PhD, Akiko Kato DDS,PhD, Munetaka Naitoh DDS,PhD, Yoshitaka Kise DDS,PhD, Akio Mitani DDS,PhD, Masaki Honda DDS,PhD, Eiichiro Ariji DDS,PhD","doi":"10.1111/aej.12810","DOIUrl":"10.1111/aej.12810","url":null,"abstract":"<p>A cemental tear (CeT) is a definitive clinical entity and its radiographic appearance is well known in single-rooted teeth. However, the imaging features of CeT in multi-rooted teeth have not been clarified. We report a case of CeT which arose in the maxillary first molar and exhibited an unusual appearance in cone-beam computed tomography images. The torn structure was verified as cementum by micro-computed tomography and histological analysis. The hypercementosis, most likely induced by occlusal force, might have been torn from the root by a stronger occlusal force caused by the mandibular implant. An unusual bridging structure was created between the two buccal roots. These features may occur in multi-rooted teeth with long-standing deep pockets and abscesses that are resistant to treatment.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 1","pages":"157-162"},"PeriodicalIF":1.6,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592934","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}
Merve Aksoy MSc, Nurgül Karadaş Bakirhan PhD, Çiğdem Yücel PhD, Demet Atak MSc, Kübra Gülnur Topsakal MSc, Cenkhan Bal MSc
{"title":"Assessment of the biointeractivity of a novel vital pulp therapy agent derived from eggshell biowaste: An in vitro study","authors":"Merve Aksoy MSc, Nurgül Karadaş Bakirhan PhD, Çiğdem Yücel PhD, Demet Atak MSc, Kübra Gülnur Topsakal MSc, Cenkhan Bal MSc","doi":"10.1111/aej.12809","DOIUrl":"10.1111/aej.12809","url":null,"abstract":"<p>This study aimed to assess the calcium (Ca<sup>2+</sup>) and hydroxyl (OH<sup>−</sup>) ion-releasing ability, namely the biointeractivity of eggshell-derived hydroxyapatite (ESDHA) in comparison with mineral trioxide aggregate (MTA) and calcium hydroxide (CH). ESDHA, MTA and CH samples (<i>n</i> = 10; 8 × 1.6 mm) were immersed in 10 mL of deionised water (37°C, pH 6.8). Ca<sup>2+</sup> and OH<sup>−</sup> ion releases were detected in 1, 7 and 21 days. Scanning electron microscopy and Fourier transform infrared spectroscopy analyses were also conducted. IBM SPSS 20.0 was used for statistical analyses. The cumulative Ca<sup>2+</sup> ions (56.22 ± 11.28 ppm) were detected as most significant in ESDHA (day 21; <i>p</i> < 0.05). The OH<sup>−</sup> ion values of the ESDHA group were statistically higher than MTA and CH (days 1 and 7; <i>p</i> < 0.05). ESDHA and CH showed a similar pattern with sharp peaks in Ca<sup>2+</sup>, oxygen and carbon elements. ESDHA being a sustainable material with a high ion-releasing ability may be a preferable alternative to the commercial vital pulp therapy agents.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 1","pages":"78-88"},"PeriodicalIF":1.6,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592931","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}
Yağmur Kılıç DDS, Mustafa Mert Tulgar DDS, Emrah Karataşlıoğlu DDS, PhD
{"title":"Effect of different apical actions of new integrated endodontic motors on apical debris extrusion: An in vitro study","authors":"Yağmur Kılıç DDS, Mustafa Mert Tulgar DDS, Emrah Karataşlıoğlu DDS, PhD","doi":"10.1111/aej.12814","DOIUrl":"10.1111/aej.12814","url":null,"abstract":"<p>The new generation endodontic motors can perform different kinematics when they reach a certain predetermined level thanks to the integrated apex locator system. These actions consist of apical reverse, apical slow down and apical stop. The aim of this study is to compare this action's effect on apical debris extrusion. Sixty extracted human lower premolars were selected. Teeth are divided into four random groups (<i>n</i> = 15). Groups are prepared accordance to their group names as continuous rotation, apical slow down, apical reverse and apical stop. Extruded debris is collected into preweighted Eppendorf tubes and then calculated. One-way ANOVA test showed no statistically significant result between experimental groups. Similar debris extrusion values of all motion modes of the integrated endodontic motor can be interpreted that there will be similar debris extrusion and consequently similar postoperative pain on clinical setting. More in vitro and in vivo research is needed to make a conclusion.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 1","pages":"110-114"},"PeriodicalIF":1.6,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592932","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":"Efficacy of calcium hydroxide-loaded poly(lactic-co-glycolic acid) biodegradable nanoparticles as an intracanal medicament against endodontopathogenic microorganisms in a multi-species biofilm model","authors":"Warat Leelapornpisid DDS, Piyaporn Wanwatanakul DDS, Thanisorn Mahatnirunkul BSc, MSc, PhD","doi":"10.1111/aej.12812","DOIUrl":"10.1111/aej.12812","url":null,"abstract":"<p>This study aimed to evaluate the antimicrobial activity of calcium hydroxide-loaded poly(lactic-co-glycolic acid) nanoparticles (CH-loaded PLGA NPs) on multi-species biofilms. Human root blocks were prepared (<i>n</i> = 40), and multi-species suspensions of <i>Candida albicans</i>, <i>Enterococcus faecalis</i> and <i>Streptococcus gordonii</i> were incubated within the root canals for 21 days. Canals (<i>n</i> = 10/group) were then medicated with saline solution (negative control), chlorhexidine (positive control), calcium hydroxide and CH-loaded PLGA NPs for 7 days. Samples taken from the 0.1 mm root canal dentin were collected, and cell growth was detected by culture on BHI agar. The viable cell count of the Ca(OH)<sub>2</sub>, chlorhexidine gel and CH-loaded PLGA NPs group was significantly lower than the normal saline group (<i>p</i> < 0.001). CH-loaded PLGA NPs demonstrated a significant lower viable cell than Ca(OH)<sub>2</sub> (<i>p</i> < 0.001); it has potential as a medicament for endodontic therapy.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 1","pages":"89-96"},"PeriodicalIF":1.6,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72016288","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}
Jiaojiao Liu MD, DDS, Xiangyu Zhao MM, Ying Liu MM, Nannan Dong MB, Xiaodong Zhang MD, DDS
{"title":"Prevalence and anatomic associations of middle mesial canals and isthmi in mandibular first molars: A CBCT-based study in a Northern Chinese population","authors":"Jiaojiao Liu MD, DDS, Xiangyu Zhao MM, Ying Liu MM, Nannan Dong MB, Xiaodong Zhang MD, DDS","doi":"10.1111/aej.12807","DOIUrl":"10.1111/aej.12807","url":null,"abstract":"<p>This study investigated the prevalence of the middle mesial canal (MMC) and isthmus in a northern Chinese subpopulation using cone-beam computed tomography (CBCT). CBCT images of 1060 mandibular first molars (MFMs) were analysed. Data analysis was performed using the chi-square test, <i>t</i>-test, and multiple logistic regression analysis (<i>p</i> < 0.05). The prevalence of MMC and isthmus was 15.2% and 40.6%, respectively. The average dentinal thickness in the danger zone was 1.61 ± 0.14 mm. Patients younger than 40 years were two times more likely to have MMC (odds ratio [OR] = 2.204). Additionally, for every 1 mm reduction in the MB-ML orifice distance, the likelihood of detection of MMC in MFM nearly doubled (OR = 1.738). Furthermore, MFMs with MB-ML isthmus were five times more likely to exhibit MMC than those without it (OR = 4.756). The findings revealed that the prevalence of MMC and isthmus in MFMs is high and suggested that anatomical and demographic variables can serve as valuable indicators for clinicians in anticipating their presence.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":"50 1","pages":"69-77"},"PeriodicalIF":1.6,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415455","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}