Journal of Dental Medicine

Endodontic postoperative pain is still one of the major problems for dentists. According to the researches periapical inflammation after RCT is one of the most important factors causing endodontic postoperative pain. Histamine is one of the effective chemical mediators, which produces such inflammation. So, for controlling pains after RCT, the factors reducing inflammation should be found. The aim of this study was to investigate pain control after RCT by drug prophylaxis with antihistamine (asetemizole). 60 patients were divided in 2 groups (30 patients in each group). Group 1 had a capsule of  asetemizole (20mg) and the second group had a placebo capsule one hour before RCT. The patients completed the questionnaire after RCT and gave it back on the next session. The evaluated times were 1, 3, 6, 9, 12, 18, 24 and 72 h after RCT. This study indicated that asetemizole was able to reduce the moderate pericemental pain just at the 9 and 12 hours after RCT, and it was not able to reduce the spontaneous pain after RCT significantly on the evaluated times

Background and Aim: Mechanical preparation of canal is one of the most important stages in root canal therapy. Various kinds of hand or rotary techniques are used for mechanical preparation of canal and each of them has advantages and disadvantages. During canal preparation, extrusion of debris from the apical foramen can result in periapical inflammation and increased pain and edema. The aim of this study was to compare hand instrumentation technique with three rotary systems (Profile, Race, Flex Master) regarding the amount of extruded debris from apical foramen during canal preparation.

Materials and Methods: In this experimental in vitro study, one hundred human extracted single rooted mandibular premolars with curvature between 0-10 degrees were selected and divided into four groups of 25 teeth each. All teeth were shortened to 15 mm length by cutting the crown. Group H was prepared by hand step back technique, group P by Profile system, group R by Race system and group F by Flex Master system. For debris collection, vials containing distilled water were used which were weighed before preparation. After the end of canal preparation, vials were completely dried and weighed again. The difference between weights of vials in two stages was the weight of debris extruded from apical foramen. The groups were compared by One-way ANOVA with p<0.05 as the level of significance.

Results: Group H had the highest mean weight of debris which showed significant difference with all three rotary groups (P<0.001). The lowest mean weight of debris was observed in group R (Race) which was significantly different from group F (Flex Master) but not significantly different from group P (Profile).

Conclusion: Based on the results of this study, race rotary system caused less debris extrusion from apical foramen compared to hand step back technique and Flex Master rotary system.

Background and Aim: Furcal perforation has a great impact on prognosis of endodontic treatments, requiring immediate and proper intervention. Gray MTA is applied as material of choice in repairing perforations. The aim of this study was to evaluate the repair of mechanical furcal perforations, histologically using white MTA and Portland cement and compare them with gray MTA.

Materials and Methods: In this experimental study, second to fourth mandibular and maxillary premolar teeth of five dogs received endodontic treatment, then the furcation area of the teeth were perforated and repaired as follow: gray MTA in group1, white MTA in group 2, Portland cement in group 3 and cotton pellet in group 4 (control). Animals were controlled for 4 months and sacrificed using an over dosage of sodium thiopental intravenous injection and perfusion of 10% formaldehyde. Chi-square and Fisher exact tests were used to compare hard tissue formation between groups and between each two groups, respectively. Non-parametric Kruskall Wallis and Dunn procedure were also used to compare degree of inflammation among groups and between each two groups, respectively.

Results: Gray MTA had more favorable results (90.9% hard tissue formation and only 9.1% severe inflammation) but the difference between gray MTA, white MTA and Portland cement was not statistically significant.

Conclusion: The difference between gray MTA, white MTA and Portland cement groups was not statistically significant for degree of inflammation and hard tissue formation. In conclusion both white MTA and Portland cement can be used instead of gray MTA to repair perforations in accordance to esthetic considerations.

Background and Aim: Osteoblasts and periodontal ligament cells play a major role in wound healing after root end resection. The interaction of osteoblasts with filling materials is critical in healing of surgical lesions. The aim of this study was to evaluate the morphology and adhesion of human osteoblasts (MG-63 cell line) in contact with IRM, gray MTA, white MTA and Portland cement (PC) as root end filling materials.

Materials and Methods: In this in vitro study, human osteoblasts of osteosarcoma were provided from the cell bank of Iran Pasteur Institute, and cultured in RPMI 1640 medium. Test materials were mixed according to the manufacturer's instructions and placed in contact with osteoblast cells. After the first, third and seventh days discs of materials with grown cells were fixed and examined by scanning electron microscopy.

Results: Results showed that after 7 days most of the osteoblasts were attached to the surface of both gray and white MTA and PC and appeared flat or round, however cells adjacent to IRM were round without any adhesion and spread.

Conclusion: Based on the results of this study, human osteoblasts have a favorable response to gray and white MTA and Portland cement compared to IRM.