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Showing 7 results for Modaresi
Accuracy of single periapical radiography in diagnosis of horizontal root fracture
Jalil Modaresi, Mahdi Dastorani, Fazlolah Soleymani Najafabadi, Fatemeh Ezodini,
Volume 25, Issue 1 (7 2012)
Abstract

Background and Aims: Radiographic examination is a necessary step in diagnosis of horizontal root fracture. The purpose of this study was to determine the sensitivity and specificity of single radiograph for detection of horizontal root fracture.

Materials and Methods: In this analytical-descriptive study, 30 human freshly extracted teeth were used. Using a hammer and clamp, the teeth were divided into two sections accidentally and then sections were attached together by cyanoacrylate glue. Two radiographs were taken with and without a piece of human mandibular bone. Afterward, radiographs were analyzed by three expert dentists using a slide show device.

Results: The diagnostic sensitivity and specificity of single radiograph for detection of horizontal root fracture without bone was 100%, but in radiographs of teeth with bone was 82.7% and 100%, respectively.

Conclusion: Based on the results of this study, in most cases, the horizontal root fractures can be detected by a single periapical radiograph.


Effect of pulp tester probe placement site on the response of maxillary anterior teeth
Jalil Modaresi, Amir Reza Heshmat Mohajer, Hossein Aghili, Morteza Khorshidi, Faramarz Rostami Chavoshlo, Amirmohamad Mahabadi,
Volume 25, Issue 3 (1 2012)
Abstract

Background and Aims: Electric pulp testing is used for diagnosis of the pulp status. This test is technique sensitive and hence may elicit positive or negative false response in case of inaccurate use. The optimal site for placement of the probe tip has not been determined. The aim of this study was to evaluate the effect of pulp tester probe placement site on the response of maxillary teeth.
Materials and Methods: A total of 378 teeth (126 central incisors, 126 lateral incisors and 126 canines) in 67 voluntary 20-35 year-old patients were selected. Three sites on each tooth (incisal edge, labial and lingual surfaces) were tested with an electrical pulp tester and responses were recorded. Data were analyzed by Repeated Measure ANOVA test.
Results: The central teeth showed significantly lower sensation threshold than lateral and canine teeth (P<0.001). The incisal edge of tooth were significantly more sensitive compared to labial and lingual surfaces (P=0.008).
Conclusion: This study showed that the optimum site for placement of pulp tester probe was incisal edge.


Effect of thermal changes on tooth response to the electric pulp tester
Jalil Modaresi, Fatemeh Mokhtari, Yousef Khalil Sefat, Hossein Shahnazian,
Volume 25, Issue 4 (9 2013)
Abstract

Background and Aims: The vitality pulp tests are necessary for diagnosis of pulpal disease and differentiation between endodontic and non-endodontic diseases. Thermal and electrical tests are conventional methods for evaluation of pulp vitality. The purpose of this study was to evaluate the effect of thermal changes on the tooth response to the electric pulp tester.

Materials and Methods: In this study, 160 intact maxillary central incisors of 40 voluntaries were evaluated. After isolation, electric pulpal response threshold in patients were recorded. After heat and cold tests, the electrical pulp test was repeated. The degree of response was recorded. The data were analyzed using pair T-test and independent T-test.

Results: The result of this study demonstrated that the average of teeth response to the electric pulp tester before and after cold test was 1.3 and 1.7, respectively. The average was 1.4 and 1.7 before and after heat test, respectively. There was no significant difference (P<0.001) between the pulpal response before and after thermal tests (heat and cold tests). In addition, no significant difference was found between pulpal response after heat and cold tests (P=0.25).

Conclusion: The response of tooth to the electric pulp tester was influenced by heat and cold tests.


Evaluation of the effect of patient’s age on the tooth response to electric pulp test
Jalil Modaresi, Vahid Shirani, Mohammad Malekzadeh,
Volume 27, Issue 2 (6-2014)
Abstract

  Background and Aims: Electric pulp tester is a valuable instrument to examine tooth’s pulp vitality. There is no agreement about the response of immature teeth to electric pulp tester and the reason is expressed as the failure of nerve fibers’ development. The aim of this study was to investigate the effect of patient’s age on the tooth response to electric pulp tester.

  Materials and Methods: In this cross-sectional study, 300 maxillary central permanent teeth in 150 volunteers were examined by using electric pulp tester. The volunteers were classified in 5 age groups of 7-8, 9-10, 11-12, 13-4, and 30-35 and teeth lacking sound and healthy pulp were excluded. Data were analyzed using SPSS-16 software, one-way analysis of variance, and Tukey post hoc test.

  Results: The average response to electric pulp tester in age groups of 7-8, 9-10, 11-12, 13-4, and 30-35 years old were 2.9±0.1, 2.8±0.1, 2.3±0.1, 2.2±0.1 and 1.8±0.1 ,respectively. This indicated that by increasing teeth age, they responded to lower level of electric pulp tester. In subjects less than 14 years old, there was no significant difference between neighboring groups (P=0.3) however, a significant difference was observed between subjects less than 14 years old and adults (P<0.001).

  Conclusion: This study showed that immature teeth responded at higher levels to electric test however, all teeth responded to electric pulp tester.


Experimental evaluation of the sealing ability of MTA and cold ceramic by using bacterial leakage method
Fatemeh Mokhtari , Kazem Koopaei, Jalil Modaresi, Hamid Reza Hemati, Hengameh Zandi,
Volume 30, Issue 3 (10-2017)
Abstract
Background and Aims: The purpose of this study was to evaluate the sealing ability of MTA and cold ceramic by using bacterial leakage method.
Materials and Methods: In this experimental study, fifty human single root extracted teeth were chosen. In group A, 20 teeth were filled with MTA and in group B, 20 teeth were filled with cold ceramic. Five teeth were used as a positive control (obturated using gutta-percha without sealer), and five teeth were used as negative control (obturated using gutta-percha with AH26 sealer and coated with two layers of nail varnish). A bacterial leakage model utilizing Enterococcus faecalis was used for evaluation of the sealing ability. The teeth were placed in test tubes, so that they formed two upper and lower compartments. The cultured bacteria in the upper chamber were in contact with the coronal area of the tooth. The root end was placed in the lower chamber containing sterile culture media. In this case, the filling of the root canal was only the communication path between the upper and lower chambers. In this method, the presence of turbidity in the lower chamber indicated that bacteria had penetrated through barrier and reached the medium. The leakage was measured. The acquired data was analyzed using Chi-square test.
Results: In group A (MTA), 7 samples and in group B (Cold ceramic), 4 samples should the leakage. In regarding the leakage, there was no statistically significant difference between MTA and cold ceramic. (P=0.288)
Conclusion: The results showed that the sealing ability of MTA and cold ceramic was similar as root filling materials.

Comparison of synergic effects of Prilocaine and Lidocaine local anesthesia in teeth with irreversible pulpitis: A randomized clinical trial
Jalil Modaresi, Hamid Reza Hemati, Mehri Esfandyar, Mohammad Hosein Yousefi,
Volume 32, Issue 4 (1-2020)
Abstract

Background and Aims: Various methods to induce anesthesia have been investigated in situations where the primary inferior alveolar nerve block (IANB) injections fail. The aim of this study was to compare the effect of synergic effects of anesthetic injection of prilocaine supplemental with that of lidocaine anesthesia in teeth with irreversible pulpitis.
Materials and Methods: This study was a parallel-controlled clinical trial on 58 patients with one mandibular molar tooth having irreversible pulpitis. The first anesthesia was injected with an inferior alveolar block with 2% lidocaine anesthesia. Patients who failed pulpal anesthesia were randomly divided into two groups; case and control groups. In the case group, IANB was injected with 3% prilocaine, and in the control group with 2% lidocaine anesthesia. Anesthesia after the second injection was evaluated by three methods of numerical evaluation of the patient's response to Electric Pulp Tester (EPT), the severity of the patient's response to the cold test, and the extent of pain during the onset of access cavity latency on the Visual Analog Scale (VAS). Statistical analysis was performed using T-test and Mann-Whitney tests.
Results: There was no significant difference between the two groups in terms of depth of anesthesia (P>0.05).
Conclusion: The results of this study showed that there was no difference between 2% lidocaine and 3% prilocaine in the depth of supplemental IANB anesthesia after failure of first IANB in mandibular molar teeth with irreversible pulpitis.
 

In-vitro comparison of sealing ability of gutta-percha and AH26 sealer with cold ceramic through bacterial leakage and electrochemical method
Fatemeh Mokhtari, Jalil Modaresi, Henghameh Zandi, Iman Ramezanian Nik,
Volume 34, Issue 0 (5-2021)
Abstract
Background and Aims: The need to use a highly effective sealer in order to create a complete seal along the canal is essential for the basic treatment of tooth roots. Therefore, the aim of this study was to investigate the sealing ability of cold ceramic and gutta-percha with sealer by applying the bacterial leakage and electrochemical method.
Materials and Methods: In this in-vitro experimental study, fifty human single-rooted teeth were selected and their crowns were cut from the cervical region. The canals were prepared and washed with 17% EDTA. Then the teeth were randomly divided into four groups: group 1 gutta-percha with AH26 sealer (Dentsply Detrey, Germany) (n=20), group 2 cold ceramic (Yazd, Iran) (n=20), negative and positive control groups which each consisted of 5 teeth. Samples were kept in an incubator at 37° C for 48 hrs. Two coats of nail polish were used for covering the root, except for the last 2 mm, and microleakage in the fillings was measured by the bacterial leakage and electrochemical methods. The microleakage of the two groups was statistically analyzed in the electrochemical technique by Student's t-test, and in the bacterial leakage method by Fisher's exact test.
Results: In bacterial leakage method, in the first group (gutta-percha) 7 samples (35%) and in the second group (cold ceramic) 3 samples (15%) had bacterial leakage, but no significant difference was observed between the two groups on different days (P>0.05). The mean microleakage based on the electrochemical technique in gutta-percha was significantly higher than that of cold ceramic (P=0.0001).
Conclusion: According to the lower microleakage values in the use of cold ceramic compared to gutta-percha, cold ceramic  can be used to fill root canals to reduce microleakage, although further studies are needed.

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