Showing 11 results for Endodontic
Ar. Talaeipour , M. Shaikholeslami, N. Ramazankhani ,
Volume 14, Issue 3 (9-2001)
Abstract
One of the major factors in a successful root canal therapy is the determination of root length before canal preparation. Radiography has been proved to be useful in this case, but nowadays for reducing radiation, radiovisiography has been recommended. The aim of this study was comparing conventional radiography (CR) with radiovisiography (RVG) in determination of canal length. 101 anterior and posterior extracted human teeth were selected. After mounting in unolit block, K- file (Num. 15) was placed in canal with tactile sense. Working length was measured by C.R and RVG. The results were analyzed by complete, randomized block design. RVG and CR showed shorter length than actual length. But, the measured lengths did not show significant statistical differences. As a result, considering the advantages of RVG, it is recommended in determining canal length.
Mh. Fathi , V. Mortazavi , Sb. Moosavi ,
Volume 15, Issue 3 (6-2002)
Abstract
Nowadays, application of implants as a new method for replacing extracted teeth have been improved. So, many researches have been performed for improving the characteristics of implants. The aim of this study was to design and produce a desired coating in order to obtaining two goals including improvement of the corrosion behavior of metallic endodontic implant and the bone osseointegration simultaneously. Stainless steel 316L (SS), cobalt-chromium alloy (Vit) and commercial pure titanium (cpTi) were chosen as metallic substrates and hydroxyapatite coating (HAC) were performed by plasma-spraying (PS) process on three different substrates. A novel double layer Hydroxyapatite/Titanium (HA/Ti) composite coating composed of a HA top layer and a Ti under layer was prepared using PS and physical vapor deposition (PVD) process respectively on SS. Structural characterization techniques including XRD, SEM and EDX were utilized to investigate the microstructure, morpholgy and crystallinity of the coatings. Electrochemical potentiodynamic tests were performed in physiological solutions in order to determine and compare the corrosion behavior of the coated and uncoated specimens behavior as an indication of biocmpatibility. Results indicated that the cpTi possesses the highest and SS the lowest corrosion resistance (highest corrosion current density) between uncoated substrates. This trend was independent to the type of physiological environment. The HA coating decreased the corrosion current density of HA coated metallic implants but did not change that trend. HAC acted as a mechanical barrier on the metallic substrate but could not prevent the interaction between metallic substrate and environment completely. The HA/Ti composite coating improved the corrosion behavior of SS. The corrosion current density of HA/Ti coated SS decreased and was exactly similar to single HA coated cpTi in physiological solutions. The results indicated that HA/Ti composite coated SS could be used as an endodontic implant and two goals including improvement of corrosion resistance (biocompatibiiity) and bone osseointegration could be obtained simultaneously.
M. Zarrabian, N. Barfehi ,
Volume 16, Issue 1 (4-2003)
Abstract
Statement of Problem: Different materials have been suggested for endodontic surgeries. One of the most important characteristics of filling materials is their biocompatibiiity.
Aim: The aim of this research was to evaluate the biocompatibiiity of four different root end filling materials.
Material and Methods: In this study, 20 male Guineanpigs from English short hair breed, weighing 600-700 grams, were selected. The animals were classified into two groups. In the first group, amalgam and composite and in the second group MTA and Glass Ionomer were examined. The testing materials were shaped into cylindrical form with 1 mm diameter and 1.5 mm height. After general anesthesia, two
cavities with 1mm diameter and 2 mm depth were prepared in parasymphysis area of animal jaw. The prepared materials were implanted in these cavities and the flaps were sutured. After 80 days, the animals were sacrificed and the dissected bones, with implanted materials inside them, were sent for histological evaluation. The histological findings were statistically analysed by Kruskal Wallis and x'tests.
Results: No significant differences were shown in the degree of inflammation, the type of inflammatory cells adjacent to the tested materials and the type of tissue response, induced in the vicinity of these four materials during 80 days.
Conclusion: Regarding biocompatibiiity, there was no significant difference among amalgam,composite, MTA and glass Ionomer in endodontic surgeries.
S. Khedmat ,
Volume 18, Issue 1 (3-2005)
Abstract
The purpose of this article was reviewing the literature related to the mutual effects of endodontics and orthodontics on each other providing documented information that can be used by dentists in clinical practice. The effect of orthodontic treatment on the dental pulp and its role in root resorption, the influence of previous trauma to the tooth and endodontic treatment in orthodontic tooth movements and root resorption, recommendations regarding endodontic treatment during orthodontic tooth movement and the role of the orthodontic forces in provision and outcome of endodontic treatment are being discussed. The effect of the orthodontic tooth movement on the pulp is focused primarily on the neurovascular system which can cause degenerative and/or inflammatory responses in the dental pulp. Although, most of these changes are considered reversible, it seems that teeth with complete apical foramen and teeth subjected to previous insults, such as trauma, caries, restorations and periodontal diseases are more susceptible to pulpal irreversible changes. Teeth with root canal treatment that are well cleaned shaped, and three- dimensionally obturated, exhibit less propensity to apical root resorption during orthodontic tooth movement. This outcome depends on the absence of microleakage for bacterial ingress. A traumatized tooth can be moved orthodontically with minimal risk of resorption, provided that the pulp has not been severely injured (infection or necrosis). If there is evidence of pulpal demise, appropriate endodontic treatment is necessary prior to orthodontic treatment .If a previously traumatized tooth exhibits resorption, there is a greater chance that orthodontic tooth movement will enhance the resorptive process. If a tooth has been severely traumatized (intrusion, avulsion) there would be a greater incidence of resorption with tooth movement. It is recommended that teeth requiring root canal treatment during orthodontic movement be initially cleaned and shaped followed by the interim placement of calcium hydroxide. Final canal obturation with gutta-percha should be accomplished upon the completion of orthodontic treatment. Endodontically treated teeth can be moved orthodontically similar to teeth with vital pulps. In case of endodontic procedures like apexification, there may be no need to delay the orthodontic treatment.
Z. Shekaramiz, M. Tabrizizadeh, M. Danesh Ardakani,
Volume 22, Issue 4 (1-2010)
Abstract
Background and Aims: Insolubility has been stated as one of the important characteristics of the materials which are used as sealers in the endodontic treatments. The aim of this study was to evaluate the solubility of four endodontic sealers (ZOE, Dorifill, AH26 and Tubliseal).
Materials and Methods: Five specimens from each sealer with similar size were prepared. After first weighing, the samples were stored individually in bottles containing 50 ml of distilled water at 37ºC. After 7 days, the specimens weighed and changes in the weight of each sample recorded with a digital scale. The data were analyzed by ANOVA and Post-hoc Tukey HSD tests.
Results: The results of this study indicated that Dorifill had the maximum solubility among all sealers with weight loss of 2.8%. Tubliseal and ZOE showed the weight loss of 1.4% and 2.3%, respectively. AH26 showed weight gain of 1.9% during 7 days. There were no significant differences in the mean weight changes between Dorifill, Tubliseal and ZOE groups (P>0.05). A significant difference was found between the mean weight changes of AH26 and that of the other groups (P=0.000).
Conclusion: From the results of this study, all tested sealers were in the standard limit of solubility, and thus, it could confirm this physical property of sealers for clinical applications.
Fahime Tabatabaei,
Volume 25, Issue 1 (4-2012)
Abstract
Dentistry has been a field dominated by a constant improvement of synthetic biomaterials. Tissue engineering of tooth is coming to change the panel of the dental materials such as restorative materials and implants. Certainly, it is the largest transition in history of dental materials science in terms of accepting this new and exciting technology. The objective of this article is to present various implications of tissue engineering in different fields of dentistry. To achieve this goal, a review of the literature was carried out by using Medline database to search topics including "dental stem cells", "teeth tissue engineering", "regenerative dentistry", "oral surgery", "periodontal regeneration" and "regenerative endodontics". These searches were limited to articles published after the year 2000. On the basis of our literature review, we have found that although there are significant challenges in oral tissues engineering, engineered tissues will find many applications in dentistry within the next few years.
Majid Akbari, Mohhamad Javad Moghaddas, Sara Majidinia,
Volume 27, Issue 2 (6-2014)
Abstract
Background and Aims: The aim of this study was to evaluate the fracture strength of restored teeth with three different types of E glass-fiber posts after thermo-mechanical loading.
Materials and Methods: Sixty extracted upper central incisor human teeth, with similar size, were selected and divided into three groups (n=20). Endodontic treatment was done in all groups and crowns were sectioned from 2 mm above CEJ. Then one type of posts in each group (Anthogyr, Svensk, Hetco) cemented using Panavia cement and the crowns were restored with a composite. The specimens in each group were thermocycled for 6000 cycles (5-55°C) and subjected to 1200000 cycles of mechanical loadiong in an artificial mouth machine. Then the fracture strength was measured and data were analyzed using ANOVA and T-student test (α=0.05).
Results: The mean fracture strengths in Hetco group before and after thermomechnical loading were 581.098 ± 192.742 N and 564.74±213.59 N, in Anthogyr group were 664.358 ± 135.878 N and 629.12±390.3 N and, in Svensk group were 780.258 ± 379.133 N and 779.84±282.59 N, respectively. There was no significant difference between groups and also there was no significant difference in each group before and after thermo-mechanical loading (P>0.05).
Conclusion: Restored teeth with Hetco fiber glass post were similar in terms of the fracture strength with that of two other posts after thermo-mechnical loading.
Sara Koosha, Ezatolah Jalalian,
Volume 28, Issue 3 (10-2015)
Abstract
Background and Aims: Preserving intact coronal and radicular tooth structure is considered to be crucial for the optimal biomechanical behavior of restored teeth .The ferrule effect has been extensively studied and still remains controversial from many perspectives. The purpose of this study was to summarize the results of different issues related to the ferrule effect and published in journals listed in Pub Med.
Materials and Methods: The search was conducted from 1985-2014 from Pub Med and scientific dentistry internal journals using the following key words: Ferrule, Ferrule effect, Literature review, Fracture resistance, Fatigue, Finite element analysis.
Results: The finding showed that the presence of 1.5-2 mm high and 1mm thickness ferrule had a positive effect on the fracture resistance of endodontically treated teeth.
Conclusion: The presence of ferrule effect is essential for successful endodontic treatment. If a ferrule can performed, the teeth will have poor prognosis for survival.
Parisa Noohi, Mohammad Jafar Abdekhodaie, Mohammad Hossein Nekoofar, Prof. Paul Mh Dummer,
Volume 36, Issue 0 (5-2023)
Abstract
Background and Aims: Pulp necrosis in immature teeth disrupts root development and makes the teeth susceptible to fracture. Regenerative endodontics is a relatively new modality of treatment where the necrotic pulp is replaced with newly formed healthy tissue which has normal functionality. Many clinical reports have demonstrated the potential of this strategy to induce root maturation and apical closure. However, clinical outcomes are patient-dependent and unpredictable. Developing predictable protocols can be achieved through the interplay of three basic elements of tissue engineering, namely, scaffolds, stem cells, and signaling molecules. Furthermore, the clinical success of this treatment is influenced by both the method of preparing the inner space of the root and the type of biomaterial utilized in the coronal part. In this review, we discuss recent advances in tissue engineering-based strategies for regeneration of the pulp/dentine complex along with their advantages and limitations.
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.
Pooya Jannati, Faranak Vakili, Saeid Nokar, Somayeh Zeighami,
Volume 36, Issue 0 (5-2023)
Abstract
Background and Aims: Endocrown is a type of monoblock restoration using the pulp chamber and remaining coronal tooth structure for retention. Advancements in adhesive techniques have breathed fresh spirit into endocrown. Nowadays, there are two approaches for endocrown: conventional approach and biomimetic approach. This study aimed to review data on the steps and clinical and philosophical points of using these approaches to help dentists’ selection and performance.
Materials and Methods: The review was conducted by reviewing the articles available in PubMed, Scopus, and Google Scholar databases from 1995 to 2022. The keywords used were; Crown, Endodontically-treated teeth, Light-curing of dental adhesive, Onlay, and Post-Core.
Results: After removing duplicates, titles/abstracts were reviewed. Animal studies, studies without available full text or non-English language studies were excluded from the study. Then, the full texts of the remaining 59 articles were evaluated and 49 articles were eligible for the present study. The articles included clinical trials, in vitro, systematic reviews, and case reports.
Conclusion: Endocrown is a successful alternative to crown, especially in molar teeth. Regardless of the conventional or biomimetic approach, this treatment has a more favorable fracture pattern while preserving the remaining tooth tissue as much as possible.
