Showing 31 results for Canal
Fahimeh Mokhtari, Amir Mohamad Mahabadi, Naieeme Ghafarian, Alireza Ghate, Alireza Razavi,
Volume 25, Issue 1 (4-2012)
Abstract
Background and Aims: Working length determination and remaining this length is of great importance in root canal therapy. Recently, electronic apex locators are being used to determine working length and decrease the number of radiographs. The purpose of this study was to compare the sensitivity of Root ZX and Novapex electronic apex locators with radiography in a clinical study.
Materials and Methods: In this study, 73 single-canalled teeth of the patients referred to the endodontic department of the Yazd Dental School were evaluated. The access cavity was prepared and working length of the root canals were measured by using the apex locators: Root ZX and Novapex. The file was placed in the root canal and a periapical radiograph was taken using parallel technique. The working lengths obtained by apex locators were recorded and compared with those of radiographs. The data were analyzed by Pearson's correlation coefficient, Wilcoxon test and paired t-test.
Results: The exact measurement without any fault was 46.6% for Root ZX and 20.5% for Novapex compared to radiography. In the range of 0.5 mm fault, the results were 91.8% for Root ZX and 64.4% for Novapex compared to radiographic measurements. The difference between the average of the measured lengths by Root ZX and radiography was not significant (P=0.17). On the other hand, the results showed significant difference between the average of the measured lengths by Novapex and radiography (P=0.017). The difference between two apex locators was not significant (P=0.061).
Conclusion: Root ZX and Novapex with high accuracy are useful for determining working length of the root canals in pregnant patients with special anatomic conditions and patients with muscle disharmony. Therefore, the use of these apex locators combined with radiography is recommended in root canal treatment.
Fateme Mokhtari, Mohammad Hossein Yosefi, Ali Gharaati Jahromi,
Volume 27, Issue 2 (6-2014)
Abstract
Background and Aims: Root canal therapy is one of the most important parts of a general dentist's profession. The aim of this study was to evaluate the radiographic quality of root canal therapy performed by under graduated students at Yazd dental school.
Materials and Methods: Records of patients, who were referred to the endodontic department during 2010-2012 and treated by undergraduated students, were divided into three groups by the numbers of canals and 80 specimens from each group were randomly evaluated. For the assessment, the quality of accomplished treatments, the indices: length, taper, and density of obturation were used and the errors during root treatment were recorded. Data were analyzed using Fisher's exact test and Chi-square.
Results: According to the results, 155 (64.6%) records had appropriate filling length, whereas 55 (22.9%) were underfilled and 30 (12.5%) were overfilled. The acquired difference was statistically significant among three groups. (P<0.001). 187 (77.9%) records had adequate taper and 157 (65.4%) records had adequate density. The difference in the evaluating of taper (P=0.976) and density (P=0.879) was not significant. Totally, 39.2% of specimens had all the properties of an appropriate root canal treatment.
Conclusion: The results of the present study can be used to identify weaknesses in the treatment of different educational groups and help them to achieve a proper planning to improve the quality of endodontic treatments.
Ahmad Jafari, Masoud Kiani, Mahin Nikkhah, Ronak Bakhtiari, Yahya Baradaran Nakhjavani, Ali Reza Heidari,
Volume 27, Issue 3 (9-2014)
Abstract
Background and Aims: Considering the complications of root canal system, debridement would not be effective only by mechanical instrumentation. Therefore, root canal irrigants with the antimicrobial effect that can eliminate more microorganisms during treatment, becomes important. The aim of this study was to compare the antimicrobial effects of 2% thyme essence, 2.5% sodium hypochlorite (NaClO), and normal saline as root canal irrigants for primary molar teeth.
Materials and Methods: This study was performed on 34 primary molars. Subjects were randomly divided into three groups (N=10). The root canals of the teeth were prepared up to the file #35 and all of the specimens were sterilized, and were then contaminated with entrococccus faecalis suspension (Enterococcus Faecalis ATTC 29212). After 48 hours of incubation, the specimens of each group were irrigated with corresponding irrigants. Then, the microbial specimens were collected with sterile paper points. After incubation, the numbers of Colony Forming Units (CFU) were counted using colony counter. Data were analyzed using Smirnov-Kolmogorov, Kruskal-Wallis and Mann-Whitney tests.
Results: Sodium hypochlorite showed the highest antimicrobial effect and showed significant differences compared with normal saline (P<0.001). However, the differences were not significant with thyme essence 2% (P=0.3).
Conclusion: Thyme essence could be considered as a natural irrigator with a comparable antiseptic effect to sodium hypochlorite.
Feizi Ghader , Kaviani Naser , Mehrparvar Roza , Binandeh Elham Sadaat , Tabrizizadeh Mehdi , Saatchi Masoud ,
Volume 27, Issue 4 (1-2015)
Abstract
Background and Aims: Postoperativee endodontic pain is an outstanding problem for dental patients. Therefore, a successful management of endodontic pain has become as one of the main dental objectives. The aim of the present study was to compare the postoperative endodontic pain in patients under general anesthesia versus local anesthesia.
Materials and Methods: For conducting this clinical trial study, 50 patients having mandibular molars candidate for root canal therapy were selected. Twenty-five patients treated under general anesthesia because of their fear, anxiety or gag reflex. Other 25 patients treated under local anesthesia. All teeth were prepared using engine-driven rotary system in a crown-down technique and filled using lateral condensation technique. Heft- parker visual analog scale was used to measure the degree of pain at 6, 12, 24, and 48 hours after the treatment. Mann-Whitney, Chi-square, and T-tests were used to compare the intensity of postoperative pain between the groups.
Results: The mean intensity of postoperative pain in local and general anesthesia groups at 6, 12 and 24 hours had statistically significant difference (P<0.05).
Conclusion: Postoperative pain in patients who treated under general anesthesia was significantly less than the patients who treated under local anesthesia.
Mahdi Niknami, Maryam Mostafavi, Elham Romoozi, Hesam Mikaeili Xiavi,
Volume 28, Issue 4 (1-2016)
Abstract
Background and Aims: Considering importance of recognizing the position of incisive canal before inserting intraosseous implants and bone harvesting from the symphysis and to preventing from adverse effects after these surgeries, using appropriate imaging method is essential and necessary. Due to the high accuracy measurement and high quality of CBCT and also low received dose to patient ̦ the aim of this study was to evaluate and recognize the position of incisive canal using cone beam computed tomography (CBCT).
Materials and Methods: In this study, good quality CBCT mandible image of 60 patients including 32 women and 28 men with average ages of 41.3±2.5 were observed for diagnosing and recognizing the position of mandibular incisive canal using three observers separately. Data were statistically analyzed using SPSS software (version 20.0 for Windows, Chicago, IL, USA) and Chi-square and Fisher's exact tests.
Results: Horizontal and vertical assessment was independent from the sex of patients. The incisive canal was recognizable in 89.8 percent of specimens. In vertical dimension, in 57.5 percent of specimens the canal was observed in the inferior one third and in 32.25 percent in the medial one third. In horizontal dimension, in 14.75 percent of specimens the canal was observed in the buccal one third, 52.75 percent in the medial one third and 22.25 percent in the lingual one third.
Conclusion: The quality of CBCT imaging and its accuracy and resolution can play an important role in the differentiation and determination of the position of incisive canal.
Ali Eskandarizadeh, Shahram Farzin Ebrahimi, Niloofar Shadman, Saeed Rahmani,
Volume 29, Issue 1 (7-2016)
Abstract
Background and Aims: Slow polymerization rate in early stage of light curing process leads to higher monomers movement and entering in polymer network that cause higher mechanical properties.The aim of this study was to evaluate the effect of light activation methodes (immediate, 5 and 10 minutes delay) on the push-out bond strength of cemented fiber posts in different regions of root canal with two types of resin cements.
Materials and Methods: In sixty extracted human single canal, the teeth were decoronated from cement enamel junction and after root canal therapy, FRC postec plus were cemented with two resin cements, Duolink and Variolink 2, in three curing methods; immediate, 5 and 10 minutes of delay. After storing in a dark place for 24 hours, they were cut into three sections: coronal, middle and apical. The push-out bond strength test was performed using a universal testing machine. The failure modes were observed using a stereomicroscope. Data were analyzed using ANOVA and Tukey post hoc test (P<0.05).
Results: In Duolink, immediate light curing had significantly higher bond strength than that of two delayed methods (P>0.05). In immediate light curing method, regardless of root region, Duolink had higher push-out bond strength than that of Variolink 2 (P=0.02). In all subgroups, there were reductions in the bond strengths from coronal to apical. Mixed failure at the cement-fiber post interface was predominent in all groups.
Conclusion: 5 and 10 minutes delay caused reduction in the push-out bond strength for Variolink 2 but did not have significant effect for Duolink resin cement.
Mohtavipour Seyedeh Tahereh , Seyedeh Saeideh Mohtavipour, Alieh Sadat Javadzadeh Haghighat, Shiva Sadeghi, Maryam Rezvani, Bahar Mahmoud Khalesi,
Volume 29, Issue 1 (7-2016)
Abstract
Background and Aims: Estimating the canal length is essential for reaching to a proper endodontic treatment. Any error and miscalculation in estimation of the working length, especially in curved canals, can result in complication during and after root canal therapy. The introduction of digital radiography has enabled us to measure curved canal length. The purpose of this study was to evaluate the calibration tool of Complementary Metal Oxide Semiconductor (CMOS) digital system in estimation of working length.
Materials and Methods: In this in-vitro study, 80 extracted molar teeth were selected and randomly divided into three groups based on angle and radius of canal curvature. A 5 mm orthodontic wire was placed on the lateral surface of the root. Conventional radiographs were taken after insertion of endodontic file in the apical third of root canals. Radiographic images were scanned and imported to the software of CMOS digital system. Two observers estimated the file lengths with and without using calibration tool of digital measurement software. The correlation between observers was evaluated and then data were analyzed using Paired T-test with 95% confidence.
Results: Overall agreement between observers was good. There was no significant difference between the mean values of calibrated measurement and true file length in the basis of canal curves (P>0.001). However, there was significant difference between the mean values of uncalibrated measurement and true file length in the basis of canal curvature (P<0.001).
Conclusion: The calibrated measurement of file length was more accurate than that of the uncalibrated file length measurement.
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.
Abbasali Khademi, Seyed Amir Mousavi, Azizolah Moraditalab, Shirin Shahnaseri, Saber Khazaei, Reyhaneh Tajali,
Volume 31, Issue 1 (6-2018)
Abstract
Background and Aims: Microorganisms are the main cause of pulpal and periapical diseases. The most important failure factor is the lack of proper seals for the canal, resulting in microbial leakage. Therefore, the purpose of this study was to evaluate the sealing ability of ProRoot MTA and Bio MTA in canal obturation using fluid infiltration.
Materials and Methods: In this experimental study, 46 extracted mandibular premolar single canal teeth were used. After preparing and disinfecting the teeth with 3% sodium hypochlorite, their crowns were cut off from the cement-enamel junction. The teeth were then randomly divided into four groups: Group 1 (n=20) Bio MTA, Group 2 MTA ProRoot (n=20), negative and positive control groups, each of them contained 3 teeth. The preparation of teeth was performed using the step back method. The filled teeth were then evaluated by fluid filtration for leakage prevention. Data were analyzed by Mann-Whitney test and Tukey test (α=0.05).
Results: The results of statistical analysis showed that there was no significant difference between the MTA ProRoot and Bio MTA in sealing ability (P>0.05). That micro leakage is less in the Bio MTA group than in the ProRoot MTA group, but the difference was not significant.
Conclusion: This study showed that MTA ProRoot and Bio MTA can be used as appropriate canal filling materials.
Narges Farhad Mollashahi, Eshagh Ali Saberi, Behnam Rousta, Seyed Mohammad Javad Aslani, Farnaz Faramarzian,
Volume 36, Issue 0 (5-2023)
Abstract
Background and Aims: Guided endodontics is a new technique that is now evolving. It is used in many treatments, especially in access cavity preparation and locating root canals in teeth with pulp canal obliteration (PCO), microsurgical endodontics, and fiber post removal in retreatments. In addition, this technique is independent of operator experience, requires less treatment time for the patient, and is more precise and safer than conventional endodontics. This technique involves the use of cone beam computed tomography imaging (CBCT), tooth surface scanning, and special software to provide guidance for performing endodontic treatment in a fast, safe, and minimally invasive manner. This review article aims to introduce guided endodontics and to describe its technique, advantages, and limitations.
Mohammad Mahdi Yaghooti Khorasani, Esmaiil Shah-Hosseinloo,
Volume 37, Issue 0 (3-2024)
Abstract
Background and Aims: To be successful in root canal therapy, the dentists must be aware of the possible variation in the root canal and should know not only the natural anatomy of the pulp, but also a variety of possible morphologies. Frst of all, the dentists should be familiar with the possible anatomy of the root canal and then with the extraction of organic tissue from pulp chamber and root canal, increasing the chances of treatment success. Therefore, in this study, we decided to investigate the internal anatomy of root canals in the maxillary permanent molar teeth in Khoy city.
Materials and Methods: In this in vitro study, 100 extracted human molars in Khoy city in West Azerbaijan province were collected. In all teeth, the access cavities were prepared, then they were decalcified and colored with India ink and evaluated by clearing technique. Data were collected based on Vertucci's classification which entered into SPSS23 software. The descriptive statistics in the form of numbers and percentages in tables and graphs were used to analyze the data.
Results: The most common type observed in the mesiobuccal root of the first molars was type IV by 44%, in distobuccal root was type I by 92%, and in palatal root was type I by 94%. Also, in the mesiobuccal root of the second molars, the most common type was type I by 70%, in distobuccal root was type I by 94%, and in palatal root was type I by 96%.
Conclusion: The mesiobuccal root of the first molar had the most variation in the internal anatomy. Also, the most common type of Vertucci in the mesiobuccal root of first molar was type IV and in the other roots of the first and second molar teeth was type I. |
