{"title":"Neurotoxic effect of two root canal sealers with calcium hydroxide on rat phrenic nerve in vitro.","authors":"J Boiesen, P Brodin","doi":"10.1111/j.1600-9657.1991.tb00210.x","DOIUrl":"https://doi.org/10.1111/j.1600-9657.1991.tb00210.x","url":null,"abstract":"<p><p>Root canal sealers placed into contact with the inferior alveolar nerve can cause paraesthesia in the area innervated by this nerve. The paraesthesia is due to neurotoxic effects of the sealers. In this study we examined the effect on nerve conduction in vitro of two calcium hydroxide-containing root canal sealers, Sealapex and CRCS. An isolated rat phrenic nerve was placed between two suction electrodes in a bath containing Tyrode solution. The sealers were brought into contact with the nerve, and the evoked compound action potentials (cAP) were recorded before and after contact with the materials. Both Sealapex and CRCS induced a fast and complete inhibition of the cAP in this model. The degree of reversibility of the inhibition varied from experiment to experiment. Both materials exhibited reversible and irreversible block of the nerve conduction after 90s and 5 min exposure. However, after 30 min of contact, the conduction of the cAP was irreversibly blocked for both materials.</p>","PeriodicalId":77113,"journal":{"name":"Endodontics & dental traumatology","volume":"7 6","pages":"242-5"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-9657.1991.tb00210.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12984156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Conservative management of a combined endodontic-orthodontic lesion.","authors":"I Rotstein, G Engel","doi":"10.1111/j.1600-9657.1991.tb00215.x","DOIUrl":"https://doi.org/10.1111/j.1600-9657.1991.tb00215.x","url":null,"abstract":"<p><p>Pulp injury may occur during orthodontic tooth movement particularly in previously traumatized teeth. Therefore the management of such cases requires specific therapeutic considerations. An extensive periradicular lesion was detected in an orthodontically treated maxillary incisor with an uncertain history of a previous traumatic incident. Conservative endodontic therapy resolved the periradicular lesion thus enabling the orthodontic treatment to continue uneventfully. It is essential to closely monitor the patients undergoing orthodontic treatment and those who are in retention, particularly if a history of trauma is suspected.</p>","PeriodicalId":77113,"journal":{"name":"Endodontics & dental traumatology","volume":"7 6","pages":"266-9"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-9657.1991.tb00215.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12984161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A case of progressive external root resorption.","authors":"O Zmener, J A Kuperman","doi":"10.1111/j.1600-9657.1991.tb00216.x","DOIUrl":"https://doi.org/10.1111/j.1600-9657.1991.tb00216.x","url":null,"abstract":"<p><p>This case report describes a radiographical, histological and histochemical study of an extracted mandibular tooth with progressive external root resorption. The cells which appeared to be responsible for the hard tissue resorption showed an intense acid phosphatase activity, similar to that of bone-resorbing cells. Some aspects on the etiology and pathogenesis of resorptive process that occurred in the present case are discussed.</p>","PeriodicalId":77113,"journal":{"name":"Endodontics & dental traumatology","volume":"7 6","pages":"270-2"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-9657.1991.tb00216.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12984162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Apical placement of needle tip with an injection-thermoplasticized gutta-percha technique for root canal obturation.","authors":"T Lambrianidis, A Veis, P Zervas, I Molyvdas","doi":"10.1111/j.1600-9657.1990.tb00390.x","DOIUrl":"https://doi.org/10.1111/j.1600-9657.1990.tb00390.x","url":null,"abstract":"<p><p>It is recommended that when injection-thermoplasticized gutta-percha is used as the obturation technique, the root canal space should be prepared in such a way that the 23-gauge injection needle tip can be placed at a distance 3 to 5 mm short of the working length. In this study the apical seal and extent of gutta-percha were evaluated when the 23-gauge tip was placed at a distance 4 mm, 6 mm, and 8 mm short of the working length. Ninety-nine human single-rooted mandibular incisors and premolars divided into 3 equal groups were used. Their crowns were separated at the cementoenamel junction and their roots were stored in sodium hypochlorite for 1 week. The roots were then instrumented from size 20 at the working length to size 70:4 mm short of the working length in group A, 6 mm in group B, and 8 mm in group C. Following instrumentation, 3 randomly selected roots of each group were used as control. The remaining 30 roots of each group were covered with aluminium foil and embedded in acrylic blocks. The root canals were then dried, coated with sealer (Roth 811) and obturated by injection of thermoplasticized gutta-percha using the single-phase technique. Vertical condensation followed. The roots were immersed in dye for 3 days and then demineralized, dehydrated and cleared in xylene. Measurements of linear dye penetration for the apical seal and for underextension were done by 2 independent examiners under a stereomicroscope. The results of this study showed no statistically significant difference in leakage between the groups.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":77113,"journal":{"name":"Endodontics & dental traumatology","volume":"6 2","pages":"56-9"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-9657.1990.tb00390.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13286837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A systematic approach to preventing intracanal breakage of endodontic files.","authors":"T Sotokawa","doi":"10.1111/j.1600-9657.1990.tb00391.x","DOIUrl":"https://doi.org/10.1111/j.1600-9657.1990.tb00391.x","url":null,"abstract":"<p><p>This study was conducted to determine the effectiveness of a method to prevent intracanal breakage of endodontic files. An application schedule with a predetermined number of periods of use for K-files of all sizes was implemented at the author's clinic for a 3-year period. All the files used under this schedule were discarded after the predetermined periods of use, whether they displayed any deformity or not. During the 3-year period, 1933 files (53.7 per month) were discarded after preparation of 3269 root canals. There were 5 file fractures (0.1 per month) compared with 1.4 fractures per month before the adaptation of this system. The monthly average of files discarded during the 3-year research period was 53.7. Before the adoption of the trial system, the monthly average of discarded files was 76.5. It is concluded that the experimental system effectively reduced the incidence of intracanal instrument fractures and the total number of files consumed.</p>","PeriodicalId":77113,"journal":{"name":"Endodontics & dental traumatology","volume":"6 2","pages":"60-2"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-9657.1990.tb00391.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13286838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Periapical bacterial plaque in teeth refractory to endodontic treatment.","authors":"L Tronstad, F Barnett, F Cervone","doi":"10.1111/j.1600-9657.1990.tb00394.x","DOIUrl":"https://doi.org/10.1111/j.1600-9657.1990.tb00394.x","url":null,"abstract":"<p><p>It has recently been found that bacteria are able to survive and maintain an infectious disease process in periapical lesions of nonvital teeth. The purpose of this study was to examine the surfaces of root tips removed during surgical-endodontic treatment for the presence of microorganisms. A full thickness flap was reflected under strict surgical asepsis and the periapical lesions were enucleated and removed. About 2-3 mm of the root was cut off, rinsed in sterile saline and placed in 10% neutral-buffered formalin. Upon fixation, the root tips were dehydrated, air-dried and given an electrically conducting coat of gold in a vacuum evaporator. The root tips were then studied in a Jeol, JSM-U3 scanning electron microscope, usually operated at 20 kV. The root surfaces were covered with soft tissue, except at the apex of the roots, where a continuous, smooth and structureless coating was seen, apparently adjacent to the apical foramen. At higher magnification a variety of bacterial forms were recognized in the smooth coating. A bacterial plaque was observed in irregularities of the surfaces between fiber bundles and cells and in crypts and holes. The bacteria were held together by an extracellular material and the plaque was dominated by cocci and rods. Fibrillar forms were recognized as well, often with cocci attached to their surfaces.</p>","PeriodicalId":77113,"journal":{"name":"Endodontics & dental traumatology","volume":"6 2","pages":"73-7"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-9657.1990.tb00394.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13286840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In vivo fractures of endodontically treated posterior teeth restored with amalgam.","authors":"E K Hansen, E Asmussen, N C Christiansen","doi":"10.1111/j.1600-9657.1990.tb00389.x","DOIUrl":"https://doi.org/10.1111/j.1600-9657.1990.tb00389.x","url":null,"abstract":"<p><p>The cumulative survival rate (retention of both cusps) and the fracture pattern of 1639 endodontically treated posterior teeth were assessed in a retrospective study. All teeth had an MO/DO or an MOD cavity restored with amalgam without cuspal overlays. The 20-year survival rate of teeth with an MO/DO cavity was markedly higher than that of teeth with an MOD cavity. The lowest survival rate was found for the upper premolars with an MOD cavity: 28% of these teeth fractured within 3 years after endodontic therapy, 57% were lost after 10 years, and 73% after 20 years. Generally, the cusp most prone to fracture was the lingual one, and lingual fractures caused significantly more damage to the periodontal tissues than did facial or total crown fractures. The severity of periodontal damage increased with posterior location of the tooth. By far the most serious failures, irrespective of the cavity type, were found for the upper second molar, as 10 of 29 fractures led to extraction. It is concluded that amalgam, especially in MOD cavities, is an unacceptable material for restoration of endodontically treated posterior teeth if used without cuspal overlays.</p>","PeriodicalId":77113,"journal":{"name":"Endodontics & dental traumatology","volume":"6 2","pages":"49-55"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-9657.1990.tb00389.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13286836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Traumatic dental injuries in 3- to 13-year-old boys in Monterrey, Mexico.","authors":"A V Sanchez, F Garcia-Godoy","doi":"10.1111/j.1600-9657.1990.tb00392.x","DOIUrl":"https://doi.org/10.1111/j.1600-9657.1990.tb00392.x","url":null,"abstract":"<p><p>The purpose of this retrospective study was to analyze, by age, the prevalence of traumatic injuries to primary and permanent incisors, and their distribution according to type in a group of boys from private schools in Monterrey, Mexico. The sample consisted of 1010 boys aged 3-13 years enrolled in 4 private schools in the city. Garcia-Godoy's classification for traumatic injuries was used. The prevalence of injuries was 28.4%; 72.2% of the 4-year-olds examined presented signs of traumatic dental injuries. Thirty-seven percent of the 11-year-olds examined had evidence of traumatic dental injuries. The most common type of injury in the primary and permanent dentitions was enamel fracture (58.5% and 69.6%, respectively).</p>","PeriodicalId":77113,"journal":{"name":"Endodontics & dental traumatology","volume":"6 2","pages":"63-5"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-9657.1990.tb00392.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13142710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tissue response to an experimental calcium hydroxide-based endodontic sealer: a quantitative study in subcutaneous connective tissue of the rat.","authors":"O Zmener, M B Guglielmotti, R L Cabrini","doi":"10.1111/j.1600-9657.1990.tb00393.x","DOIUrl":"https://doi.org/10.1111/j.1600-9657.1990.tb00393.x","url":null,"abstract":"<p><p>Silicone tubes containing a freshly mixed experimental Sealapex, in which titanium dioxide was removed from the original formula, were implanted in the dorsal subcutaneous connective tissue of the rat. Solid silicone rods of the same size as the tubes were also implanted and used as inert controls. The tissue reaction to both these materials was histometrically and quantitatively studied under light microscopy and by elemental electron microprobe analysis. After 7, 30 and 90 d of implantation, different grades of tissue reaction to the tested materials were recorded. A granulomatous tissue containing numerous foreign-body giant cells and macrophages with engulfed particles in their cytoplasms was initially detected in contact with the test material. In addition, many fibroblasts and newly formed vessels were also observed at these areas. The results of this study revealed that these reactions increased progressively at the 30- and 90-d observations. The electron microprobe analysis of the granulomatous tissues showed the presence of heavy components of the experimental material.</p>","PeriodicalId":77113,"journal":{"name":"Endodontics & dental traumatology","volume":"6 2","pages":"66-72"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-9657.1990.tb00393.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13286839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Surgical-restorative treatment of bleaching-related external root resorption.","authors":"S Friedman","doi":"10.1111/j.1600-9657.1989.tb00338.x","DOIUrl":"https://doi.org/10.1111/j.1600-9657.1989.tb00338.x","url":null,"abstract":"<p><p>Three teeth in 2 patients were treated after intracoronal bleaching with 30% hydrogen peroxide had resulted in external root resorption. An attempt to treat one tooth by placing an intracoronal dressing with calcium hydroxide had failed. The resorption defects were exposed surgically by reducing and re-contouring the alveolar crest. The restorations were made during the surgical procedure, with a light-cured composite in one case and with amalgam in the other, and were of compromised quality due to the difficulty of control. One year follow-up examinations revealed periodontal complications in both cases, in the form of a further resorption of the alveolar crest and gingival edema. These sequelae suggested that the restoration of bleaching-related resorption defects should have been a secondary stage, after the surgical exposure of the defects had been completed first. For the purpose of exposing the defects, the level of the alveolar crest should be reduced enough to secure a biological width from the restorations.</p>","PeriodicalId":77113,"journal":{"name":"Endodontics & dental traumatology","volume":"5 1","pages":"63-7"},"PeriodicalIF":0.0,"publicationDate":"1989-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-9657.1989.tb00338.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13740817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}