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Sample records for infected root canal

  1. Clinical management of infected root canal dentin.

    PubMed

    Love, R M

    1996-08-01

    Several hundred different species of bacteria are present in the human intraoral environment. Bacterial penetration of root canal dentin occurs when bacteria invade the root canal system. These bacteria may constitute a reservoir from which root canal reinfection may occur during or after endodontic treatment. The learning objective of this article is to review endodontic microbiology, update readers on the role of bacteria in pulp and periapical disease, and discuss the principles of management of infected root canal dentin. Complete debridement, removal of microorganisms and affected dentin, and chemomechanical cleansing of the root canal are suggested as being the cornerstones of successful endodontic therapy, followed by intracanal medication to remove residual bacteria, when required. PMID:9242125

  2. [The effect of berberine in sterilizing infective root canal of deciduous teeth].

    PubMed

    Su, R Y

    1992-09-01

    This investigation introduces the effect of sterilizing infective deciduous root canal with Chinese traditional herb berberine. Through the bacterial test, animal test, clinical practice, and comparing with the dental root disinfectant for mocresol (FC) and comphorphenol (CP) it indicates that berberine Chinese traditional herb is a excellent disinfectant for infective deciduous root canal. PMID:1306446

  3. Root canal

    MedlinePlus

    Endodontic therapy ... the root of a tooth. Generally, there is pain and swelling in the area. The infection can ... You may have some pain or soreness after the procedure. An over-the-counter anti-inflammatory drug, such as ibuprofen or naproxen, can help relieve ...

  4. Rethinking root canal treatment: understanding the difference between preventing and treating endodontic infection.

    PubMed

    El-Ma'aita, A M; Qualtrough, A J E; Darcey, J; Hunter, M J

    2015-07-10

    Root canal treatment is a frequently performed procedure aimed to address pulpal and peri-radicular disease. It comprises a number of clinical steps regardless of the initial diagnosis. The emphasis of each step varies according to whether there is a vital pulp (non-infected) or if the pulp system contains necrotic, infected tissue and there is peri-apical pathology. This article aims to discuss the differences in performing root canal treatments on teeth with vital and non-vital pulps. The reader should understand the differences between performing a root canal treatment in teeth with vital pulps and those with infected root canal spaces and peri-radicular pathology. PMID:26159976

  5. Root-Canal Therapy: A Means of Treating Oral Pain and Infection

    PubMed Central

    Levine, Mitchell

    1988-01-01

    What is root-canal treatment? This article shows how endodontic treatment (root-canal therapy) can preserve teeth that would otherwise be extracted, and how tooth-pulp pathology can be diagnosed. Some clinical examples illustrate how non-dental infections can masquerade as dental problems, and vice versa. ImagesFigure 1Figure 2Figure 3aFigure 3bFigure 3cFigure 4aFigure 4bFigure 4cFigure 5Figure 6aFigure 6bFigure 7Figure 8aFigure 8bFigure 9Figure 10Figure 11aFigure 11b PMID:21253195

  6. Antibiotic resistance genes in anaerobic bacteria isolated from primary dental root canal infections.

    PubMed

    Rôças, Isabela N; Siqueira, José F

    2012-12-01

    Fourty-one bacterial strains isolated from infected dental root canals and identified by 16S rRNA gene sequence were screened for the presence of 14 genes encoding resistance to beta-lactams, tetracycline and macrolides. Thirteen isolates (32%) were positive for at least one of the target antibiotic resistance genes. These strains carrying at least one antibiotic resistance gene belonged to 11 of the 26 (42%) infected root canals sampled. Two of these positive cases had two strains carrying resistance genes. Six out of 7 Fusobacterium strains harbored at least one of the target resistance genes. One Dialister invisus strain was positive for 3 resistance genes, and 4 other strains carried two of the target genes. Of the 6 antibiotic resistance genes detected in root canal strains, the most prevalent were blaTEM (17% of the strains), tetW (10%), and ermC (10%). Some as-yet-uncharacterized Fusobacterium and Prevotella isolates were positive for blaTEM, cfxA and tetM. Findings demonstrated that an unexpectedly large proportion of dental root canal isolates, including as-yet-uncharacterized strains previously regarded as uncultivated phylotypes, can carry antibiotic resistance genes. PMID:23108290

  7. Therapeutic Potential of Gramicidin S in the Treatment of Root Canal Infections.

    PubMed

    Berditsch, Marina; Lux, Hannah; Babii, Oleg; Afonin, Sergii; Ulrich, Anne S

    2016-01-01

    An intrinsic clindamycin-resistant Enterococcus faecalis, the most common single species present in teeth after failed root canal therapy, often possesses acquired tetracycline resistance. In these cases, root canal infections are commonly treated with Ledermix(®) paste, which contains demeclocycline, or the new alternative endodontic paste Odontopaste, which contains clindamycin; however, these treatments are often ineffective. We studied the killing activity of the cyclic antimicrobial peptide gramicidin S (GS) against planktonic and biofilm cells of tetracycline-resistant clinical isolates of E. faecalis. The high therapeutic potential of GS for the topical treatment of problematic teeth is based on the rapid bactericidal effect toward the biofilm-forming, tetracycline-resistant E. faecalis. GS reduces the cell number of planktonic cells within 20-40 min at a concentration of 40-80 μg/mL. It kills the cells of pre-grown biofilms at concentrations of 100-200 μg/mL, such that no re-growth is possible. The translocation of the peptide into the cell interior and its complexation with intracellular nucleotides, including the alarmon ppGpp, can explain its anti-biofilm effect. The successful treatment of persistently infected root canals of two volunteers confirms the high effectiveness of GS. The broad GS activity towards resistant, biofilm-forming E. faecalis suggests its applications for approval in root canal medication. PMID:27618065

  8. Root canal irrigants

    PubMed Central

    Kandaswamy, Deivanayagam; Venkateshbabu, Nagendrababu

    2010-01-01

    Successful root canal therapy relies on the combination of proper instrumentation, irrigation, and obturation of the root canal. Of these three essential steps of root canal therapy, irrigation of the root canal is the most important determinant in the healing of the periapical tissues. The primary endodontic treatment goal must thus be to optimize root canal disinfection and to prevent reinfection. In this review of the literature, various irrigants and the interactions between irrigants are discussed. We performed a Medline search for English-language papers published untill July 2010. The keywords used were ‘root canal irrigants’ and ‘endodontic irrigants.’ The reference lists of each article were manually checked for additional articles of relevance. PMID:21217955

  9. Molecular Identification of Cultivable Bacteria From Infected Root Canals Associated With Acute Apical Abscess.

    PubMed

    Nóbrega, Letícia M M; Montagner, Francisco; Ribeiro, Adriana C; Mayer, Márcia A P; Gomes, Brenda P F A

    2016-01-01

    The objective of this study was to investigate the bacterial composition present in root canals of teeth associated with acute apical abscess by molecular identification (16S rRNA) of cultivable bacteria. Two hundred and twenty strains isolated by culture from 20 root canals were subjected to DNA extraction and amplification of the 16S rRNA gene (PCR), followed by sequencing. The resulting nucleotide sequences were compared to the GenBank database from the National Center of Biotechnology Information through BLAST. Strains not identified by sequencing were submitted to clonal analysis. The association of microbiological findings with clinical features and the association between microbial species were also investigated. Fifty-nine different cultivable bacteria were identified by 16S rRNA gene sequencing, belonging to 6 phyla, with an average number of 6 species per root canal. Molecular approaches allowed identification of 99% of isolates. The most frequently identified bacteria were Prevotella spp., Pseudoramibacter alactolyticus, Parvimonas micra, Dialister invisus, Filifactor alocis, and Peptostreptococcus stomatis. Positive association was found between Prevotella buccae and Pseudoramibacter alactolyticus and between Parvimonas micra and Prevotella nigrescens (both p<0.05). It was concluded that the microbiota of infected root canals associated with acute apical abscess is diverse and heterogeneous, composed mainly of anaerobic Gram-negative bacteria, with the great majority belonging to the phyla Firmicutes and Bacteroidetes. PMID:27224567

  10. Bactericidal Efficacy of Cold Plasma at Different Depths of Infected Root Canals In Vitro

    PubMed Central

    Herbst, Sascha R.; Hertel, Moritz; Ballout, Husam; Pierdzioch, Philipp; Weltmann, Klaus-Dieter; Wirtz, Henrik C.; Abu-Sirhan, Shady; Kostka, Eckehard; Paris, Sebastian; Preissner, Saskia

    2015-01-01

    Objectives: Cold plasma (CP) has been shown to be effective even against multiresistant microorganisms. As previous investigations on the effect of CP in root canals showed promising results, the aim of the present study was to analyze the bactericidal efficacy of CP in different depths of infected dentin. Methods: 32 standardized root canals of human mandibular premolars were infected with Enterococcus faecalis and incubated for one week. Specimens were randomly selected for one of four disinfection methods: control (5mL NaCl), 5mL chlorhexidine (CHX), CP alone (CP), and a combination of 5mL CHX and cold plasma (CHX+CP). CHX was ultrasonically activated for 30s, while cold plasma was used for 60s in the root canals. Dentin samples at depths of 300, 500 and 800 µm were obtained and diluted serially. Colony forming units (CFUs) were counted on agar plates after 24h of incubation. Results: The highest overall logarithmic reduction factors (RF) were obtained from CHX+CP (log RF 3.56 p<0.01; Mann-Whitney U test), followed by CP (log RF 3.27 p<0.01) and CHX alone (log RF 2.65 p<0.01) related to the control. All disinfection methods showed significantly lower CFU counts compared to the control group in 300 µm and 800 µm (both p<0.01, Kruskal-Wallis test). Discussion: The adjuvant use of CP might be beneficial in highly infected root canals to improved disinfection. However, the disinfection effect against Enterococcus faecalis of CP is comparable to ultrasonically activated CHX. PMID:26962378

  11. Comparing the Bacterial Diversity of Acute and Chronic Dental Root Canal Infections

    PubMed Central

    Santos, Adriana L.; Siqueira, José F.; Rôças, Isabela N.; Jesus, Ederson C.; Rosado, Alexandre S.; Tiedje, James M.

    2011-01-01

    This study performed barcoded multiplex pyrosequencing with a 454 FLX instrument to compare the microbiota of dental root canal infections associated with acute (symptomatic) or chronic (asymptomatic) apical periodontitis. Analysis of samples from 9 acute abscesses and 8 chronic infections yielded partial 16S rRNA gene sequences that were taxonomically classified into 916 bacterial species-level operational taxonomic units (OTUs) (at 3% divergence) belonging to 67 genera and 13 phyla. The most abundant phyla in acute infections were Firmicutes (52%), Fusobacteria (17%) and Bacteroidetes (13%), while in chronic infections the dominant were Firmicutes (59%), Bacteroidetes (14%) and Actinobacteria (10%). Members of Fusobacteria were much more prevalent in acute (89%) than in chronic cases (50%). The most abundant/prevalent genera in acute infections were Fusobacterium and Parvimonas. Twenty genera were exclusively detected in acute infections and 18 in chronic infections. Only 18% (n = 165) of the OTUs at 3% divergence were shared by acute and chronic infections. Diversity and richness estimators revealed that acute infections were significantly more diverse than chronic infections. Although a high interindividual variation in bacterial communities was observed, many samples tended to group together according to the type of infection (acute or chronic). This study is one of the most comprehensive in-deep comparisons of the microbiota associated with acute and chronic dental root canal infections and highlights the role of diverse polymicrobial communities as the unit of pathogenicity in acute infections. The overall diversity of endodontic infections as revealed by the pyrosequencing technique was much higher than previously reported for endodontic infections. PMID:22132218

  12. Comparing the bacterial diversity of acute and chronic dental root canal infections.

    PubMed

    Santos, Adriana L; Siqueira, José F; Rôças, Isabela N; Jesus, Ederson C; Rosado, Alexandre S; Tiedje, James M

    2011-01-01

    This study performed barcoded multiplex pyrosequencing with a 454 FLX instrument to compare the microbiota of dental root canal infections associated with acute (symptomatic) or chronic (asymptomatic) apical periodontitis. Analysis of samples from 9 acute abscesses and 8 chronic infections yielded partial 16S rRNA gene sequences that were taxonomically classified into 916 bacterial species-level operational taxonomic units (OTUs) (at 3% divergence) belonging to 67 genera and 13 phyla. The most abundant phyla in acute infections were Firmicutes (52%), Fusobacteria (17%) and Bacteroidetes (13%), while in chronic infections the dominant were Firmicutes (59%), Bacteroidetes (14%) and Actinobacteria (10%). Members of Fusobacteria were much more prevalent in acute (89%) than in chronic cases (50%). The most abundant/prevalent genera in acute infections were Fusobacterium and Parvimonas. Twenty genera were exclusively detected in acute infections and 18 in chronic infections. Only 18% (n = 165) of the OTUs at 3% divergence were shared by acute and chronic infections. Diversity and richness estimators revealed that acute infections were significantly more diverse than chronic infections. Although a high interindividual variation in bacterial communities was observed, many samples tended to group together according to the type of infection (acute or chronic). This study is one of the most comprehensive in-deep comparisons of the microbiota associated with acute and chronic dental root canal infections and highlights the role of diverse polymicrobial communities as the unit of pathogenicity in acute infections. The overall diversity of endodontic infections as revealed by the pyrosequencing technique was much higher than previously reported for endodontic infections. PMID:22132218

  13. Ecology of the microbiome of the infected root canal system: a comparison between apical and coronal root segments

    PubMed Central

    Özok, A.R.; Persoon, I.F.; Huse, S.M.; Keijser, B.J.F.; Wesselink, P.R.; Crielaard, W.; Zaura, E.

    2016-01-01

    Aim To evaluate the microbial ecology of the coronal and apical segments of infected root canal systems using a complete sampling technique and next-generation sequencing. Methodology The roots of 23 extracted teeth with apical periodontitis were sectioned in half, horizontally, and cryo-pulverized. Bacterial communities were profiled using tagged 454 pyrosequencing of the 16S rDNA hypervariable V5–V6 region. Results The sequences were classified into 606 taxa (species or higher taxon), representing 24 bacterial phyla or candidate divisions and one archaeal phylum. Proteobacteria were more abundant in the apical samples (p<0.05), while Actinobacteria were in significantly higher proportions in the coronal samples. The apical samples harbored statistically significantly more taxa than the coronal samples (p=0.01), and showed a higher microbial diversity. Several taxa belonging to fastidious obligate anaerobes were significantly more abundant in the apical segments of the roots compared to their coronal counterparts. Conclusions Endodontic infections are more complex than reported previously. The apical part of the root canal system drives the selection of a more diverse and more anaerobe community than the coronal part. The presence of a distinct ecological niche in the apical region explains the difficulty of eradication of the infection, and emphasizes the need that new treatment approaches should be developed. PMID:22251411

  14. Molecular Characterization of the Microbiota Residing at the Apical Portion of Infected Root Canals of Human Teeth

    PubMed Central

    Chugal, Nadia; Wang, Jen-Kuei; Wang, Renke; He, Xuesong; Kang, Mo; Li, Jiyao; Zhou, Xuedong; Shi, Wenyuan; Lux, Renate

    2012-01-01

    Introduction This study investigated the bacterial communities residing in the apical portion of human teeth with apical periodontitis in primary and secondary infections using a culture-independent molecular biology approach. Methods Root canal samples from the apical root segments of extracted teeth were collected from 18 teeth with necrotic pulp and 8 teeth with previous endodontic treatment. Samples were processed for amplification via polymerase chain reaction (PCR) and separated with denaturing gradient gel electrophoresis (DGGE). Selected bands were excised from the gel and sequenced for identification. Results Comparable to previous studies of entire root canals, the apical bacterial communities in primary infections were significantly more diverse than in secondary infections (p=0.0003). Inter- and intra-patient comparisons exhibited similar variations in profiles. Different roots of the same teeth with secondary infections displayed low similarity in bacterial composition, while an equivalent sample collected from primary infection contained almost identical populations. Sequencing revealed a high prevalence of fusobacteria, Actinomyces sp. and oral Anaeroglobus geminatus in both types of infection. Many secondary infections contained Burkholderiales or Pseudomonas sp. both of which represent opportunistic environmental pathogens. Conclusion Certain microorganisms exhibit similar prevalence in primary and secondary infection indicating that they are likely not eradicated during endodontic treatment. The presence of Burkholderiales and Pseudomonas sp. underscores the problem of environmental contamination. Treatment appears to affect the various root canals of multi-rooted teeth differently, resulting in local changes of the microbiota. PMID:21924182

  15. Antimicrobial effect of Er:YAG laser irradiation in infected root canals: an in vitro study

    NASA Astrophysics Data System (ADS)

    Sampaio Moura, Marcelo; Zanin, Fatima A. A.; Brugnera, Aldo, Jr.; Rodrigues de Araujo Estrela, Cyntia; Estrela, Carlos; Djalma Pecora, Jesus

    2003-06-01

    This study evaluated in vitro the antimicrobial action of Er:YAG laser in infected root canals. A total of 36 human anterior teeth were prepared, sterilized and inoculated with suspensions of S. aureus, E. faecalis, P aeruginosa, B. subtilis and C. albicans. After the contamination period (28 days), the teeth were irrigated with sterile distilled water or 1% sodium hypochlorite and, then, irradiated with an Er:YAG laser (wavelength 2094 nm) with two different evaluation parameters: 52 mJ and 110 mJ laser output at the fiber tip. After the irradiation, the teeth were irrigated with sterile distilled water and the solutions were collected with sterile paper points and incubated in Letheen Broth for 48 hours. After this period 0,1 ml of this solution was transferred to 10 ml of Brain Heart Infusion and incubated for 48 hours. After 72 hours a new collect ion was done and incubated again. Based on the data, it was concluded that the distilled water or 1% sodium hypochlorite irradiated or not with an Er:YAG laser with two different parameters: 10 Hz, 110 mJ input and 52 mJ output, and 10 Hz, 250 mJ input and 110 mJ output had no antimicrobial activity in the root canals contaminated with the following microorganisms: Enterococcus faecalis, Staphylococcus aureus, Pseudomonas aeruginosa, Bacillus subtilis and Candida albicans.

  16. Comparison of Different Irrigants in the Removal of Endotoxins and Cultivable Microorganisms from Infected Root Canals

    PubMed Central

    Valera, Marcia Carneiro; Cardoso, Flávia Goulart da Rosa; Chung, Adriana; Xavier, Ana Cláudia Carvalho; Figueiredo, Mariana Diehl; Martinho, Frederico Canato; Palo, Renato Miotto

    2015-01-01

    This study was conducted to compare the effectiveness of different irrigants used to remove endotoxins and cultivable microorganisms during endodontic therapy. Forty root canals were contaminated and divided into groups according to the irrigant: 2% NaOCl + surfactant, 2% CHX, 2.5% NaOCl, and pyrogen-free saline solution (control). Samples were collected after root canal contamination (S1), after instrumentation (S2), and 7 days after instrumentation (S3). Microorganisms and endotoxins were recovered from 100% of the contaminated root canals (S1). At S2, 2% NaOCl + surfactant, 2% CHX, and 2.5% NaOCl were able to completely eliminate cultivable microorganisms. At S3, both 2% CHX and 2.5% NaOCl were effective in preventing C. albicans and E. coli regrowth, but E. faecalis was still detected. No microorganism species was recovered from root canals instrumented with 2% NaOCl + surfactant. At S2, a higher percentage value of endotoxin reduction was found for 2% NaOCl + surfactant (99.3%) compared to 2% CHX (98.9%) and 2.5% NaOCl (97.18%) (p < 0.05). Moreover, at S3, 2% NaOCl + surfactant (100%) was the most effective irrigant against endotoxins. All irrigants tested were effective in reducing microorganisms and endotoxins from root canals. Moreover, 2% NaOCl + surfactant was the most effective irrigant against endotoxins and regrowth of microorganisms. PMID:26346574

  17. Antibacterial Efficacy of Aqueous Ozone in Root Canals Infected by Enterococcus faecalis

    PubMed Central

    Hubbezoglu, Ihsan; Zan, Recai; Tunc, Tutku; Sumer, Zeynep

    2014-01-01

    Background: In endodontics, the elimination of resistant bacteria such as Enterococcus faecalis plays an important role for treatment success in root canals. Therefore, new alternative irrigants (instead of sodium hypochlorite) have been researched to achieve ideal endodontic treatment. Objectives: The aim of the present study was to evaluate and to compare the antibacterial effect of aqueous ozone with different concentrations and techniques of application (manual and ultrasonic) against E. faecalis in human root canals. Patients and Methods: Eighty single-root mandibular premolar teeth were selected, prepared and sterilized. E. faecalis was incubated in the root canals and kept at 37°C for 24 h. The teeth were divided into four main groups each has 20 members: NaOCl (positive control) group; 8 ppm aqueous ozone group; 12 ppm aqueous ozone group; and 16 ppm aqueous ozone group. While half of the specimens were disinfected with aqueous ozone by manual technique, the other half was disinfected with the aqueous ozone by ultrasonic technique. Conventional irrigation technique was simultaneously applied with ultrasonic vibration that was produced by VDW.ULTRA device. The disinfection procedures were performed for 180 s to ensure standardization of all the working groups. Paper points (placed in the root canals before and after the disinfection procedures) were transferred to Eppendorf tubes containing 0.5 mL of brain heart infusion broth. Then, 50 μL of the suspension was inoculated onto broth agar media. Microbial colonies were counted, and the data were evaluated statistically using 2-way analysis of variance (ANOVA) and Tukey tests. Results: Although the antibacterial effect of 16 ppm aqueous ozone using a manual technique had an insufficient effect, its ultrasonic application technique resulted in complete disinfection in the root canals. Conclusions: The bactericidal activity of high concentration of aqueous ozone combined with ultrasonic application technique

  18. Bitter Root Irrigation district canal, looking east, typical section (canal ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Bitter Root Irrigation district canal, looking east, typical section (canal full) - Bitter Root Irrigation Project, Bitter Root Irrigation Canal, Heading at Rock Creek Diversion Dam, West of U.S. Highway 93, Darby, Ravalli County, MT

  19. Predominant indigenous oral bacteria isolated from infected root canals after varied times of closure.

    PubMed

    Fabricius, L; Dahlén, G; Ohman, A E; Möller, A J

    1982-04-01

    The pulps of 24 root canals, eight in each of the three monkeys, were mechanically devitalized and exposed to the mouth flora for about 1 week and thereafter sealed. Microbiologic sampling and analysis was performed in 16 teeth (two of the monkeys) after 7 d of closure (initial samples). The teeth of the three monkeys represented observation times of 90, 180 and 1060 d. At the end of each observation period final samples were taken. Final sampling included samples from the main root canal, the dentin, and the apical region at the same sampling session. All microbiologic analyses were carried out quantitatively. Final root canal samples from the apical region showed a predominance of obligately anaerobic non-sporulating bacteria, in fact 85-98% of the bacterial cells were anaerobic. The most frequently found species were Bacteroides and Gram-positive anaerobic rods. A lower proportion of facultatively anaerobic bacteria was found. This was most pronounced for coliform rods in comparison with strains of B. melaninogenicus. PMID:6951255

  20. Efficacy of lasers as an adjunct to chemo-mechanical disinfection of infected root canals: a systematic review.

    PubMed

    Fransson, H; Larsson, K M; Wolf, E

    2013-04-01

    The aim was to evaluate the efficacy of various types of lasers used as an adjunct to chemo-mechanical disinfection of infected root canals with the outcome measures 'normal periapical condition' or 'reduction of microbial load'. PubMed, CENTRAL and ISI Web of Knowledge literature searches with specific indexing terms and a subsequent hand search were made with stated limits and criteria. Relevant publications were retrieved, followed by interpretation. The quality of each included publication was assessed as high, moderate or low. The initial search process yielded 234 publications. All abstracts of these publications were read, and the reference lists of relevant publications were hand-searched. Ten articles were read in full text and interpreted according to a data extraction form. Five were included in the systematic review and were assessed. A meta-analysis was impossible to perform because the included studies were heterogeneous with regard to study design, treatment and outcome measures. Positive effects were reported; however, no concluding evidence grade could be made because each included study was judged to have low quality, primarily due to lack of a power analysis, blinding and reproducibility. The evidence grade for whether lasers can be recommended as an adjunct to chemo-mechanical disinfection of infected root canals was insufficient. This does not necessarily imply that laser should not be used as an adjunct to root canal treatment but instead underscores the need for future high-quality studies. PMID:23095058

  1. Ultrasonic cleaning of root canals

    NASA Astrophysics Data System (ADS)

    Verhaagen, Bram; Boutsioukis, Christos; Jiang, Lei-Meng; Macedo, Ricardo; van der Sluis, Luc; Versluis, Michel

    2011-11-01

    A crucial step during a dental root canal treatment is irrigation, where an antimicrobial fluid is injected into the root canal system to eradicate all bacteria. Agitation of the fluid using an ultrasonically vibrating miniature file has shown significant improvement in cleaning efficacy over conventional syringe irrigation. However, the physical mechanisms underlying the cleaning process, being acoustic streaming, cavitation or chemical activity, and combinations thereof, are not fully understood. High-speed imaging allows us to visualize the flow pattern and cavitation in a root canal model at microscopic scales, at timescales relevant to the cleaning processes (microseconds). MicroPIV measurements of the induced acoustic streaming are coupled to the oscillation characteristics of the file as simulated numerically and measured with a laser vibrometer. The results give new insight into the role of acoustic streaming and the importance of the confinement for the cleaning of root canals.

  2. Microbial contamination of the environment after the irradiation of Er:YAG laser in infected root canals

    NASA Astrophysics Data System (ADS)

    Brugnera, Aldo, Jr.; Zanin, Fatima A. A.; Sampaio Moura, Marcelo; Heredia Seixas, Fabio; Rodrigues de Araujo Estrela, Cyntia; Estrela, Carlos; Djalma Pecora, Jesus

    2003-06-01

    The purpose of this study was to analyze the environment microbial contamination produced by Er:YAG laser irradiation in infected root canals. A total of 20 human anterior teeth were prepared, sterilized and, then, inoculated with a mixture of the following microorganisms: S. Aureus, E. Faecalis, P. Aeruginosa, B. Subtilis and C. Albicans. After the contamination period (28 days), the teeth were irrigated with sterile distilled water or 1% sodium hypochlorite and, then, irradiated with an Er:YAG laser with two different laser parameters: 52 mJ or 110 mJ output at the fiber tip. Eighteen Petri dishes with 20 ml of BHI Agar were used in the study. For each group, 3 plates with BHIA were used for the analysis of the microbial contamination of the environment during the activation of the laser in infected root canals. The plates were positioned in differing distances away from the irradiated tooth (plate 1 - distance of 15 cm, plate 2 - distance of 50 cm and plate 3 - distance of 3 meters). After the analysis of the results, it was observed that the larger microbial contamination occurred in Group 1 (teeth irrigated with sterile distilled water and irradiated with Er:YAG laser with 52 mJ output at the fiber tip), plate 1 (positioned 15 cm away from the irradiated tooth), with values greater than 30 Colony-Forming Units (CFU).

  3. Method for Constructing Standardized Simulated Root Canals.

    ERIC Educational Resources Information Center

    Schulz-Bongert, Udo; Weine, Franklin S.

    1990-01-01

    The construction of visual and manipulative aids, clear resin blocks with root-canal-like spaces, for simulation of root canals is explained. Time, materials, and techniques are discussed. The method allows for comparison of canals, creation of any configuration of canals, and easy presentation during instruction. (MSE)

  4. [Microbial decontamination of the root canals of devitalized teeth].

    PubMed

    Kováč, Ján; Kováč, Daniel

    2012-12-01

    The primary goal of endodontic therapy is the reduction or elimination of microorganisms and their by-products from the root canal system. Although a number of instrumentation and irrigation techniques exist, debris is often left behind in the root canal system and proper canal cleaning, shaping, and irrigation are needed to reduce significantly or sometimes even eliminate microorganisms from the canals. Residual microbes in the root canal system are the primary cause of post-treatment apical periodontitis that may persist in both poorly and properly treated cases. Apical periodontitis is a sequel to endodontic infection and manifests itself as the host defense response to microbial challenge emanating from the root canal system to the periapical tissue. It results in local inflammation, resorption of hard tissues, destruction of other periapical tissues, and eventual formation of various histopathological categories of apical periodontitis, commonly referred to as periapical lesions. When the root canal treatment is carried out properly, healing of the periapical lesion usually follows, with bone regeneration. In certain cases, post-treatment apical periodontitis still persists, the condition being commonly referred to as endodontic failure. It is widely acknowledged that such post-treatment apical periodontitis occurs when root canal treatment has not adequately controlled and eliminated the infection. However, complete elimination of microorganisms is not always achieved in clinical practice due to the anatomical complexities of root canals and consequent limitations in access by instruments and irrigants. The use of antimicrobial medication has been advocated to disinfect the root canal system. The recovery of Candida albicans and Enterococcus faecalis is common after failed root canal treatment. Therefore, when testing different antimicrobial agents for efficacy in endodontic treatment, 100% inhibition of the growth of the two microorganisms is required. The

  5. Antimicrobial activity and substantivity of Uncaria tomentosa in infected root canal dentin.

    PubMed

    Herrera, Daniel Rodrigo; Durand-Ramirez, Jorge Enrique; Falcão, Amanda; Silva, Emmanuel João Leal Nogueira da; Santos, Elizabete Brasil Dos; Gomes, Brenda Paula Figueiredo de Almeida

    2016-01-01

    The aim of this study was to analyze the antimicrobial activity and substantivity of Uncaria tomentosa Willd DC (cat's claw, CC) in root dentin contaminated with Enterococcus faecalis. Forty-eight human premolars were contaminated with E. faecalis (ATCC 29212) and randomly divided into four groups according to the irrigant used during chemomechanical preparation (CMP): CC group: 2% CC gel; CHX group: 2% chlorhexidine digluconate gel (CHX); NaOCl group: 5.25% sodium hypochlorite (NaOCl); and SS group: sterile saline (SS). Microbiological samples were collected before (S1) and after (S2) CMP and after 7 days (S3). Colony-forming units (CFU/mL) at the different sampling times and comparisons among the groups were statistically analyzed by Wilcoxon and Kruskal-Wallis tests (p < 0.05). Significant bacterial reduction was achieved in all groups after CMP (p < 0.05). Results show no significant difference between S3 and S2 (p > 0.05) in the CC and CHX groups. Bacterial load was higher in S3 than in S2 samples (p < 0.05) in the NaOCl and SS groups. Our results suggest antibacterial effect of 2% CC gel against E. faecalis in infected dentin, in addition to antibacterial substantivity of 2% CC and 2% CHX up to 7 days. PMID:27119588

  6. Root Canal Therapy of a Mandibular First Molar with Five Root Canals: A Case Report

    PubMed Central

    Reyhani, Mohammad Frough; Rahimi, Saeed; Shahi, Shahriar

    2007-01-01

    A mandibular first molar requiring root canal therapy was found with five canals, three mesial canals, and two distal canals. Initially, four canals (mesiobuccal, mesiolingual, distobuccal, and distolingual) were identified. The mesiobuccal and mesiolingual canals were found in their normal locations, and a fifth canal was noted between these two. This case demonstrates a rare anatomical configuration and supplements previous reports of the existence of such configurations in mandibular first molars. PMID:24298291

  7. Management of Six Root Canals in Mandibular First Molar

    PubMed Central

    Gomes, Fabio de Almeida; Sousa, Bruno Carvalho

    2015-01-01

    Success in root canal treatment is achieved after thorough cleaning, shaping, and obturation of the root canal system. This clinical case describes conventional root canal treatment of an unusual mandibular first molar with six root canals. The prognosis for endodontic treatment in teeth with abnormal morphology is unfavorable if the clinician fails to recognize extra root canals. PMID:25685156

  8. The Antibacterial Efficacy of Photo-Activated Disinfection, Chlorhexidine and Sodium Hypochlorite in Infected Root Canals: An in Vitro Study

    PubMed Central

    Samiei, Mohammad; Shahi, Shahriar; Abdollahi, Amir Ardalan; Eskandarinezhad, Mahsa; Negahdari, Ramin; Pakseresht, Zahra

    2016-01-01

    Introduction: This study compared the efficacy of light-activated low-power laser, 2% chlorhexidine (CHX) and 2.5% NaOCl in eliminating Enterococcus faecalis (E. faecalis) from the root canal system. Methods and Materials: The root canals of 60 maxillary central incisors were contaminated with E. faecalis and then the bacteria were incubated for 24 h. All the root canals were instrumented in a crown-down manner with #4 and 3 Gates-Glidden drills, followed by RaCe rotary files (40/0.10, 35/0.08, and 30/0.06). The samples were randomly assigned to three experimental groups and one control group (n=15). In the control group no intervention was made. In the photo-activated disinfection (PAD) group, laser therapy was undertaken with diode laser beams (with an output power of 100 mW/cm2) for 120 sec. For the other two experimental groups, root canals were irrigated either with 5 mL of 2% CHX or 2.5% NaOCl solutions, respectively. The Kruskal-Wallis test was used to compare the CFU values of the bacteria and post-hoc Bonferroni test was used for pairwise comparisons. The level of significance was set at 0.05. Results: The inhibition of bacterial growth in all the experimental groups was significantly superior to the control group (P<0.05). There was no significant difference between the effect of PAD and 2% CHX (P=0.05). The effect of 2.5% NaOCl was significantly better than that of the PAD technique (P<0.001). In addition, 2.5% NaOCl was significantly better than 2% CHX (P=0.007). Conclusion: Photodynamic therapy was effective in reducing the E. faecalis counts in comparison with the control group, but 2.5% NaOCl solution was the most effective protocol. PMID:27471527

  9. The mysterious appearance of enterococci in filled root canals.

    PubMed

    Zehnder, M; Guggenheim, B

    2009-04-01

    In this narrative review, the potential reasons for the high occurrence of enterococci in filled root canals are explored. The pulpless root canal appears to be a habitat for these bacteria, particularly for Enterococcus faecalis. However, re-surveying the literature in caries research, it can be concluded that, contrary to earlier belief, enterococci are rare if ever found at the advancing front of dentinal lesions. The same is the case for true primary endodontic infections, but some uncertainty remains, because the coronal seal and the history of teeth harbouring enterococci have rarely been accurately investigated. Furthermore, from longitudinal studies with a known infection at the initiation of treatment, which was carried out under controlled asepsis, it is questionable whether enterococci are as difficult to eliminate from the canal system as is commonly held. A more likely explanation for the high occurrence of enterococci in filled root canals is that they enter after treatment, but from which source? The intriguing finding in this context is that enterococci do not appear to be colonizers of the oral cavity. They are merely transient oral bacteria, unless there is a predilection site such as the unsealed necrotic or filled root canal. The origin of this infection is most likely food. Using the example of enterococci in filled root canals, this paper highlights the possible importance of transient microorganisms in the oral cavity and changes in a microenvironment that can create favourable conditions for infection. PMID:19220511

  10. Root Canal Treatment of a Maxillary Second Premolar with Two Palatal Root Canals: A Case Report.

    PubMed

    Golmohammadi, Maryam; Jafarzadeh, Hamid

    2016-01-01

    Accurate diagnosis of the root canal morphology and anatomy is essential for thorough shaping and cleaning of the entire root canal system and consequent successful treatment. This report describes a case of maxillary second premolar with two roots and three root canals (two mesial and distal palatal canals). The case report underlines the importance of complete knowledge about root canal morphology and possible variations, coupled with clinical and radiographic examination in order to increase the ability of clinicians to treat difficult cases. PMID:27471538

  11. Root Canal Treatment of a Maxillary Second Premolar with Two Palatal Root Canals: A Case Report

    PubMed Central

    Golmohammadi, Maryam; Jafarzadeh, Hamid

    2016-01-01

    Accurate diagnosis of the root canal morphology and anatomy is essential for thorough shaping and cleaning of the entire root canal system and consequent successful treatment. This report describes a case of maxillary second premolar with two roots and three root canals (two mesial and distal palatal canals). The case report underlines the importance of complete knowledge about root canal morphology and possible variations, coupled with clinical and radiographic examination in order to increase the ability of clinicians to treat difficult cases. PMID:27471538

  12. Maxillary First Molar with Two Root Canals

    PubMed Central

    Rahimi, Saeed; Ghasemi, Negin

    2013-01-01

    Knowledge regarding the anatomic morphology of maxillary molars is absolutely essential for the success of endodontic treatment. The morphology of the permanent maxillary first molar has been reviewed extensively; however, the presence of two canals in a two-rooted maxillary first molar has rarely been reported in studies describing tooth and root canal anatomies. This case report presents a patient with a maxillary first molar with two roots and two root canals, who was referred to the Department of Endodontics, Tabriz University of Medical Sciences, Iran. PMID:23862051

  13. Rapid Quantification of Bacteria in Infected Root Canals Using Fluorescence Reagents and a Membrane Filter: A Pilot Study on Its Clinical Application to the Evaluation of the Outcomes of Endodontic Treatment

    PubMed Central

    Sato, Takuichi; Yamaki, Keiko; Ishida, Naoko; Shoji, Megumi; Sato, Emika; Abiko, Yuki; Hashimoto, Kazuhiro; Takeuchi, Yasuhisa; Matsuyama, Junko; Shimauchi, Hidetoshi; Takahashi, Nobuhiro

    2012-01-01

    Objective. The bacterial examination has been performed during the course of the root canal treatment. In the present pilot study, the new developed method, using fluorescence reagents and a membrane filter, was applied to the detection and quantification of bacteria in infected root canals, in order to evaluate the outcomes of the treatment. Methods. Six infected root canals with periapical lesions from 5 subjects were included. Informed consent was obtained from all subjects (age ranges, 23–79 years). Samples from infected root canals were collected at the beginning of the treatment (termed #25 First), the end of the first day of treatment (termed #55 First), and the next appointment day (termed #55 Second). Then, the bacterial count (CFU) was measured using fluorescence reagents (4′,6′-diamidino-2-phenylindole and propidium iodide) and the polycarbonate membrane filter by Bioplorer. Results. The mean ± SD of CFU in the sample of “#25 First” was (1.0 ± 1.4) × 105. As the root canal treatment progressed, the CFU decreased as 7.9 × 103 (#55 First) and 4.3 × 102 (#55 Second). Conclusion. In the present pilot study, rapid detection and quantification of bacteria in infected root canals were found to be successfully performed using fluorescence reagents and a membrane filter (Bioplorer analysis). PMID:22693506

  14. How to bond to root canal dentin

    NASA Astrophysics Data System (ADS)

    Nica, Luminita; Todea, Carmen; Furtos, Gabriel; Baldea, Bogdan

    2014-01-01

    Bonding to root canal dentin may be difficult due to various factors: the structural characteristic of the root canal dentin, which is different from that of the coronal dentin; the presence of the organic tissue of the dental pulp inside the root canal, which has to be removed during the cleaning-shaping of the root canal system; the smear-layer resulted after mechanical instrumentation, which may interfere with the adhesion of the filling materials; the type of the irrigants used in the cleaning protocol; the type of the sealer and core material used in the obturation of the endodontic space; the type of the materials used for the restoration of the endodontically treated teeth. The influence of the cleaning protocol, of the root canal filling material, of the type of the adhesive system used in the restoration of the treated teeth and of the region of the root canal, on the adhesion of several filling and restorative materials to root canal dentin was evaluated in the push-out bond strength test on 1-mm thick slices of endodontically treated human teeth. The results showed that all these factors have a statistically significant influence on the push-out bond strength. Formation of resin tags between radicular dentin and the investigated materials was observed in some of the samples at SEM analysis.

  15. 21 CFR 872.3810 - Root canal post.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Root canal post. 872.3810 Section 872.3810 Food... DEVICES DENTAL DEVICES Prosthetic Devices § 872.3810 Root canal post. (a) Identification. A root canal... of the platinum group intended to be cemented into the root canal of a tooth to stabilize and...

  16. 21 CFR 872.3810 - Root canal post.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Root canal post. 872.3810 Section 872.3810 Food... DEVICES DENTAL DEVICES Prosthetic Devices § 872.3810 Root canal post. (a) Identification. A root canal... of the platinum group intended to be cemented into the root canal of a tooth to stabilize and...

  17. 21 CFR 872.3810 - Root canal post.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Root canal post. 872.3810 Section 872.3810 Food... DEVICES DENTAL DEVICES Prosthetic Devices § 872.3810 Root canal post. (a) Identification. A root canal... of the platinum group intended to be cemented into the root canal of a tooth to stabilize and...

  18. 21 CFR 872.3810 - Root canal post.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Root canal post. 872.3810 Section 872.3810 Food... DEVICES DENTAL DEVICES Prosthetic Devices § 872.3810 Root canal post. (a) Identification. A root canal... of the platinum group intended to be cemented into the root canal of a tooth to stabilize and...

  19. 21 CFR 872.3810 - Root canal post.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Root canal post. 872.3810 Section 872.3810 Food... DEVICES DENTAL DEVICES Prosthetic Devices § 872.3810 Root canal post. (a) Identification. A root canal... of the platinum group intended to be cemented into the root canal of a tooth to stabilize and...

  20. Five Canalled and Three-Rooted Primary Second Mandibular Molar

    PubMed Central

    Selvakumar, Haridoss; Kavitha, Swaminathan; Bharathan, Rajendran; Varghese, Jacob Sam

    2014-01-01

    A thorough knowledge of root canal anatomy and its variation is necessary for successful completion of root canal procedures. Morphological variations such as additional root canals in human deciduous dentition are rare. A mandibular second primary molar with more than four canals is an interesting example of anatomic variations, especially when three of these canals are located in the distal root. This case shows a rare anatomic configuration and points out the importance of looking for additional canals. PMID:25147744

  1. Five canalled and three-rooted primary second mandibular molar.

    PubMed

    Selvakumar, Haridoss; Kavitha, Swaminathan; Bharathan, Rajendran; Varghese, Jacob Sam

    2014-01-01

    A thorough knowledge of root canal anatomy and its variation is necessary for successful completion of root canal procedures. Morphological variations such as additional root canals in human deciduous dentition are rare. A mandibular second primary molar with more than four canals is an interesting example of anatomic variations, especially when three of these canals are located in the distal root. This case shows a rare anatomic configuration and points out the importance of looking for additional canals. PMID:25147744

  2. Comprehensive Analysis of Secondary Dental Root Canal Infections: A Combination of Culture and Culture-Independent Approaches Reveals New Insights

    PubMed Central

    Anderson, Annette Carola; Hellwig, Elmar; Vespermann, Robin; Wittmer, Annette; Schmid, Michael; Karygianni, Lamprini; Al-Ahmad, Ali

    2012-01-01

    Persistence of microorganisms or reinfections are the main reasons for failure of root canal therapy. Very few studies to date have included culture-independent methods to assess the microbiota, including non-cultivable microorganisms. The aim of this study was to combine culture methods with culture-independent cloning methods to analyze the microbial flora of root-filled teeth with periradicular lesions. Twenty-one samples from previously root-filled teeth were collected from patients with periradicular lesions. Microorganisms were cultivated, isolated and biochemically identified. In addition, ribosomal DNA of bacteria, fungi and archaea derived from the same samples was amplified and the PCR products were used to construct clone libraries. DNA of selected clones was sequenced and microbial species were identified, comparing the sequences with public databases. Microorganisms were found in 12 samples with culture-dependent and -independent methods combined. The number of bacterial species ranged from 1 to 12 in one sample. The majority of the 26 taxa belonged to the phylum Firmicutes (14 taxa), followed by Actinobacteria, Proteobacteria and Bacteroidetes. One sample was positive for fungi, and archaea could not be detected. The results obtained with both methods differed. The cloning technique detected several as-yet-uncultivated taxa. Using a combination of both methods 13 taxa were detected that had not been found in root-filled teeth so far. Enterococcus faecalis was only detected in two samples using culture methods. Combining the culture-dependent and –independent approaches revealed new candidate endodontic pathogens and a high diversity of the microbial flora in root-filled teeth with periradicular lesions. Both methods yielded differing results, emphasizing the benefit of combined methods for the detection of the actual microbial diversity in apical periodontitis. PMID:23152922

  3. Development of an antibacterial root canal filling system containing MDPB.

    PubMed

    Kitagawa, R; Kitagawa, H; Izutani, N; Hirose, N; Hayashi, M; Imazato, S

    2014-12-01

    An antibacterial monomer 12-methacryloyloxydodecylpyridinum bromide (MDPB)-containing experimental, chemically cured primer was prepared to develop a new resin-based root canal filling system. This study investigated the antibacterial effects of the MDPB-containing primer (experimental primer [EP]) against Enterococcus faecalis and assessed the in vitro bonding and sealing abilities of the filling system, consisting of EP and a Bis-GMA-based sealer resin. Antibacterial effects of EP were evaluated by contact with planktonic or adherent bacteria for 30 or 60 sec, and the viable bacterial number was counted. The antibacterial effects against E. faecalis in dentinal tubules were also assessed, according to a root canal infection model. Bonding and sealing abilities of the experimental filling system were examined by microtensile bond strength tests and leakage tests based on fluid filtration methods. Significantly greater reduction in viable bacteria in planktonic and adherent form was obtained by short-period contact with EP compared with the control primer (without MDPB) or with the proprietary (Epiphany) primer (p < .05). Significantly greater bactericidal effects of the EP inside the dentinal tubule of root, as opposed to the control primer or Epiphany primer, were confirmed according to a root canal infection model (p < .05), and 100% killing of E. faecalis could be obtained by the application of EP after irrigation with a 5% sodium hypochlorite solution. The experimental endodontic filling system demonstrated significantly greater bond strength to root dentin than Epiphany sealer system (Epiphany primer and Epiphany Root Canal Sealant; p < .05), showing formation of resin tags and a hybridized layer. Leakage tests clarified that the experimental system provided excellent sealing. This study confirmed that the MDPB-containing experimental antibacterial primer has the ability to effectively disinfect the root canal. Additionally, the experimental root canal

  4. Development of an Antibacterial Root Canal Filling System Containing MDPB

    PubMed Central

    Kitagawa, R.; Kitagawa, H.; Izutani, N.; Hirose, N.; Hayashi, M.; Imazato, S.

    2014-01-01

    An antibacterial monomer 12-methacryloyloxydodecylpyridinum bromide (MDPB)-containing experimental, chemically cured primer was prepared to develop a new resin-based root canal filling system. This study investigated the antibacterial effects of the MDPB-containing primer (experimental primer [EP]) against Enterococcus faecalis and assessed the in vitro bonding and sealing abilities of the filling system, consisting of EP and a Bis-GMA-based sealer resin. Antibacterial effects of EP were evaluated by contact with planktonic or adherent bacteria for 30 or 60 sec, and the viable bacterial number was counted. The antibacterial effects against E. faecalis in dentinal tubules were also assessed, according to a root canal infection model. Bonding and sealing abilities of the experimental filling system were examined by microtensile bond strength tests and leakage tests based on fluid filtration methods. Significantly greater reduction in viable bacteria in planktonic and adherent form was obtained by short-period contact with EP compared with the control primer (without MDPB) or with the proprietary (Epiphany) primer (p < .05). Significantly greater bactericidal effects of the EP inside the dentinal tubule of root, as opposed to the control primer or Epiphany primer, were confirmed according to a root canal infection model (p < .05), and 100% killing of E. faecalis could be obtained by the application of EP after irrigation with a 5% sodium hypochlorite solution. The experimental endodontic filling system demonstrated significantly greater bond strength to root dentin than Epiphany sealer system (Epiphany primer and Epiphany Root Canal Sealant; p < .05), showing formation of resin tags and a hybridized layer. Leakage tests clarified that the experimental system provided excellent sealing. This study confirmed that the MDPB-containing experimental antibacterial primer has the ability to effectively disinfect the root canal. Additionally, the experimental root canal

  5. Bitter Root Irrigation district canal, looking east, typical section and ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Bitter Root Irrigation district canal, looking east, typical section and crossing - Bitter Root Irrigation Project, Bitter Root Irrigation Canal, Heading at Rock Creek Diversion Dam, West of U.S. Highway 93, Darby, Ravalli County, MT

  6. [Canal infection. Ecological theory and repair with osteodentin].

    PubMed

    Muñiz, M A; Zeberio, T

    1991-01-01

    The characteristics of the infection in the root canal are analyzed, specially its development before pulpal necrosis. It is inferred that it is an ecological infection with a function: to decompose the necrosis. Inactivating the infection in the canal by the formocresol technique, calcium hidroxide or with the conventional basic treatment in Endodontics, cleaning, washing, disinfecting and, in this case, with partial obturation of the canal, it is possible to induce a reparation with osteodentine that can cover all the free extension of the canal. PMID:1882104

  7. Nanodiamond–Gutta Percha Composite Biomaterials for Root Canal Therapy

    PubMed Central

    2015-01-01

    Root canal therapy (RCT) represents a standard of treatment that addresses infected pulp tissue in teeth and protects against future infection. RCT involves removing dental pulp comprising blood vessels and nerve tissue, decontaminating residually infected tissue through biomechanical instrumentation, and root canal obturation using a filler material to replace the space that was previously composed of dental pulp. Gutta percha (GP) is typically used as the filler material, as it is malleable, inert, and biocompatible. While filling the root canal space with GP is the standard of care for endodontic therapies, it has exhibited limitations including leakage, root canal reinfection, and poor mechanical properties. To address these challenges, clinicians have explored the use of alternative root filling materials other than GP. Among the classes of materials that are being explored as novel endodontic therapy platforms, nanodiamonds (NDs) may offer unique advantages due to their favorable properties, particularly for dental applications. These include versatile faceted surface chemistry, biocompatibility, and their role in improving mechanical properties, among others. This study developed a ND-embedded GP (NDGP) that was functionalized with amoxicillin, a broad-spectrum antibiotic commonly used for endodontic infection. Comprehensive materials characterization confirmed improved mechanical properties of NDGP over unmodified GP. In addition, digital radiography and microcomputed tomography imaging demonstrated that obturation of root canals with NDGP could be achieved using clinically relevant techniques. Furthermore, bacterial growth inhibition assays confirmed drug functionality of NDGP functionalized with amoxicillin. This study demonstrates a promising path toward NDGP implementation in future endodontic therapy for improved treatment outcomes. PMID:26452304

  8. Nanodiamond-Gutta Percha Composite Biomaterials for Root Canal Therapy.

    PubMed

    Lee, Dong-Keun; Kim, Sue Vin; Limansubroto, Adelheid Nerisa; Yen, Albert; Soundia, Akrivoula; Wang, Cun-Yu; Shi, Wenyuan; Hong, Christine; Tetradis, Sotirios; Kim, Yong; Park, No-Hee; Kang, Mo K; Ho, Dean

    2015-11-24

    Root canal therapy (RCT) represents a standard of treatment that addresses infected pulp tissue in teeth and protects against future infection. RCT involves removing dental pulp comprising blood vessels and nerve tissue, decontaminating residually infected tissue through biomechanical instrumentation, and root canal obturation using a filler material to replace the space that was previously composed of dental pulp. Gutta percha (GP) is typically used as the filler material, as it is malleable, inert, and biocompatible. While filling the root canal space with GP is the standard of care for endodontic therapies, it has exhibited limitations including leakage, root canal reinfection, and poor mechanical properties. To address these challenges, clinicians have explored the use of alternative root filling materials other than GP. Among the classes of materials that are being explored as novel endodontic therapy platforms, nanodiamonds (NDs) may offer unique advantages due to their favorable properties, particularly for dental applications. These include versatile faceted surface chemistry, biocompatibility, and their role in improving mechanical properties, among others. This study developed a ND-embedded GP (NDGP) that was functionalized with amoxicillin, a broad-spectrum antibiotic commonly used for endodontic infection. Comprehensive materials characterization confirmed improved mechanical properties of NDGP over unmodified GP. In addition, digital radiography and microcomputed tomography imaging demonstrated that obturation of root canals with NDGP could be achieved using clinically relevant techniques. Furthermore, bacterial growth inhibition assays confirmed drug functionality of NDGP functionalized with amoxicillin. This study demonstrates a promising path toward NDGP implementation in future endodontic therapy for improved treatment outcomes. PMID:26452304

  9. Root canal retained restorations: 3. Root-face attachments.

    PubMed

    Dummer, P M; Edmunds, D H; Gidden, J R

    1990-10-01

    It has been common practice for many years to use retained roots to provide support and stability for partial or full dentures. The retention of such overdentures is greatly enhanced if the remaining roots are modified and restored with posts and root-face attachments. The final article in this series on root canal retained restorations classifies and describes some of the root-face attachments currently available, and also describes a number of prefabricated post systems with integral overdenture attachments. Guidelines for clinical and laboratory procedures are given. PMID:2097234

  10. 21 CFR 872.3820 - Root canal filling resin.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Root canal filling resin. 872.3820 Section 872...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3820 Root canal filling resin. (a) Identification. A root canal filling resin is a device composed of material, such as methylmethacrylate,...

  11. 21 CFR 872.3820 - Root canal filling resin.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Root canal filling resin. 872.3820 Section 872...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3820 Root canal filling resin. (a) Identification. A root canal filling resin is a device composed of material, such as methylmethacrylate,...

  12. 21 CFR 872.3820 - Root canal filling resin.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Root canal filling resin. 872.3820 Section 872...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3820 Root canal filling resin. (a) Identification. A root canal filling resin is a device composed of material, such as methylmethacrylate,...

  13. A novel image processing and measurement system applied to quantitative analysis of simulated tooth root canal shape

    NASA Astrophysics Data System (ADS)

    Yong, Tao; Yong, Wei; Jin, Guofan; Gao, Xuejun

    2005-02-01

    Dental pulp is located in root canal of tooth. To modern root canal therapy, "Root canal preparation" is the main means to debride dental pulp infection. The shape of root canal will be changed after preparation, so, when assessing the preparation instruments and techniques, the root canal shaping ability especially the apical offset is very important factor. In this paper, a novel digital image processing and measurement system is designed and applied to quantitative analysis of simulated canal shape. By image pretreatment, feature extraction, registration and fusion, the variation of the root canals' characteristics (before and after preparation) can be accurately compared and measured, so as to assess the shaping ability of instruments. When the scanning resolution is 1200dpi or higher, the registration and measurement precision of the system can achieve 0.021mm or higher. The performance of the system is tested by a series of simulated root canals and stainless steel K-files.

  14. Four cuspal maxillary second premolar with single root and three root canals: Case report

    PubMed Central

    Bansal, Parul; Nikhil, Vineeta; Goyal, Ayush; Singh, Ritu

    2016-01-01

    Traditional configuration of maxillary second premolars has been described to have two cusps, one root and one or two root canals. The endodontic literature reports considerable anatomic aberrations in the root canal morphology of maxillary second premolar but the literature available on the variation in cuspal anatomy and its relationship to the root canal anatomy is sparse. The purpose of this clinical report was to describe the root and root canal configuration of a maxillary second premolar with four cusps. PMID:27563190

  15. Four cuspal maxillary second premolar with single root and three root canals: Case report.

    PubMed

    Bansal, Parul; Nikhil, Vineeta; Goyal, Ayush; Singh, Ritu

    2016-01-01

    Traditional configuration of maxillary second premolars has been described to have two cusps, one root and one or two root canals. The endodontic literature reports considerable anatomic aberrations in the root canal morphology of maxillary second premolar but the literature available on the variation in cuspal anatomy and its relationship to the root canal anatomy is sparse. The purpose of this clinical report was to describe the root and root canal configuration of a maxillary second premolar with four cusps. PMID:27563190

  16. Photodynamic therapy: An adjunct to conventional root canal disinfection strategies.

    PubMed

    Singh, Shipra; Nagpal, Rajni; Manuja, Naveen; Tyagi, Sashi Prabha

    2015-08-01

    Although chemical-based root canal disinfectants are important to reduce microbial loads and remove infected smear layer from root dentin, they have only a limited ability to eliminate biofilm bacteria, especially from root complexities. This paper explores the novel photodynamic therapy (PDT) for antimicrobial disinfection of root canals. The combination of an effective photosensitizer, the appropriate wavelength of light and ambient oxygen is the key factor in PDT. PDT uses a specific wavelength of light to activate a non-toxic dye (photosensitizer), leading to the formation of reactive oxygen species. These reactive oxygen molecules can damage bacterial proteins, membrane lipids and nucleic acids, which promote bacterial cell death. In, addition PDT may enhance cross-linking of collagen fibrils in the dentin matrix and thereby improving dentin stability. The concept of PDT is plausible and could foster new therapy concepts for endodontics. The available knowledge should enable and encourage steps forward into more clinical-oriented research and development. This article discusses PDT as related to root canal disinfection, including its components, mechanism of action, reviews the current endodontic literature and also highlights the shortcomings and advancements in PDT techniques. PMID:25404404

  17. [Frequency and most common localisation of root canal curvature].

    PubMed

    Blasković-Subat, V

    1991-01-01

    The root canal therapy of the curved canals is a complex operative procedure. Therefore 260 root canals were analysed radiologically to determine the frequency and the most common localisation of the root canal curvature. The frequency of the curved canals averaged at 59%, being greater in the sample of posterior than in the anterior teeth (p less than 0.05). The root canal curvature was most frequently localised at the apical third part (53.9%), followed by the cervical (33.3%) and the middle (12.8%) third part. The apical curvature was predominant in the sample of the anterior, while the cervical predominant (45.2%) in the sample of the posterior teeth. This study pointed out that the frequency of the curved canals is rather high. Consequently, the necessity for practising the modern root canal preparation techniques, bearing in mind their potential danger, is emphasized. PMID:1819932

  18. Root canal filling evaluation using optical coherence tomography

    NASA Astrophysics Data System (ADS)

    Negrutiu, Meda L.; Sinescu, Cosmin; Hughes, Michael; Bradu, Adrian; Todea, Carmen; Balabuc, Cosmin I.; Filip, Laura M.; Podoleanu, Adrian Gh.

    2008-04-01

    The root canal fillings are destined to seal the root canal especially in the apical areea. Invasive techniques are known which are used to assess the quality of the seal. These lead to the destruction of the probes and often no conclusion could be drawn in respect to the existence of any microleakage in the investigated areas of interest. Optical coherence tomography (OCT) is a relatively novel non-invasive imaging technique which presents potential in assessing the microleakage of the apical area in the root canal fillings with micron depth resolution. 3D reconstruction allows a complete view with obvious display of gaps in the apical root canal filling. For this study, 30 monoradicular teeth were prepared by conventional and rotative methods. Afterwards, root canal fillings were produced in each tooth. The images obtained show some microleakage in all the investigated root canal fillings. The advantages of the OCT method consist in non-invasiveness and high resolution.

  19. Endodontic Management of Maxillary First Molar with Five Root Canals, Including Two Distobuccal Root Canals: A Case Report.

    PubMed

    Sinha, Dakshita Joy; Sinha, Ashish Amit; Prakash, Prem; Jaiswal, Natasha

    2016-01-01

    Multiple canals in the root are part of the normal morphology of the tooth. A canal may sometimes be overlooked, however, and this may lead to failure of treatment. The first step in successful endodontic treatment, therefore, is gaining access to the pulp chamber and locating all the canals. In order to achieve this goal, practitioners need to be familiar with all possible variations in root canal morphology, and should thoroughly explore roots to ensure that all canals are identified, debrided, and obturated. Here, we report the diagnosis, treatment planning, and endodontic management of a maxillary first molar with five root canals, including two distobuccal root canals, in a 22-year-old woman. PMID:26961335

  20. Periapical repair after root canal filling with different root canal sealers.

    PubMed

    Tanomaru-Filho, Mário; Tanomaru, Juliane Maria Guerreiro; Leonardo, Mario Roberto; da Silva, Lea Assed Bezerra

    2009-01-01

    The aim of this study was to evaluate periapical repair after root canal filling with different endodontic sealers. Sixty-four root canals from dog s teeth were filled, divided into 4 groups (n=16). Root canals were instrumented with K-type files and irrigated with 1% sodium hypochlorite solution. Root canals were filled in the same session by active lateral condensation of the cones and sealers: Intrafill, AH Plus, Roeko Seal and Resilon/Epiphany System. After 90 days, the animals were euthanized and the tissues to be evaluated were processed and stained with hematoxylin and eosin. For histopathological analysis, the following parameters were evaluated: inflammatory process, mineralized tissue resorption, and apical mineralized tissue deposition. Histopathological analysis demonstrated that Intrafill had less favorable results in terms of apical and periapical repair, compared to the other sealers (p<0.05). AH Plus, Roeko Seal, and Epiphany sealers had similar and satisfactory results (p>0.05). In conclusion, AH Plus and the materials Roeko Seal and Epiphany are good options for clinical use in Endodontics. PMID:20126907

  1. Treponema diversity in root canals with endodontic failure

    PubMed Central

    Nóbrega, Leticia M. M.; Delboni, Maraisa G.; Martinho, Frederico C.; Zaia, Alexandre A; Ferraz, Caio C. R.; Gomes, Brenda P. F. A.

    2013-01-01

    Objective: This study sought to investigate the prevalence of eight oral Treponemas (Treponema denticola, T. amylovorum, T. maltophilum, T. medium, T. pectinovorum, T. socranskii, T. vicentii and T. lecithinolyticum) in teeth with endodontic treatment failure and periapical lesion. Methods: Samples were taken from 40 root canals presenting endodontic failure and periapical lesion. DNA extraction was performed and Nested-PCR technique was used for the detection of Treponema species using specific primers. Results: Treponemas was detected in 56.5% of the samples analyzed (22/39). Individual root canals yielded a maximum of 6 target Treponema species. T. denticola (30.8%) and T. maltophilum (30.8%) were the most frequently detected species followed by T. medium (20.5%), T. socranskii (20.5%), T. pectinovorum (17.9%) and T. vicentii (17.9%). Positive association was verified between T. denticola and T. maltophilum such as T. medium (P<.05). T. lecithinolyticum was positively associated with intraradicular post (P<.05). Conclusion: The present study revealed that a wide variety of Treponema species plays a role in persistent/secondary infection turning the root canal microbiota even more complex than previously described by endodontic literature. PMID:23408792

  2. Bactericidal effect of Er:YAG laser combined with sodium hypochlorite irrigation against Enterococcus faecalis deep inside dentinal tubules in experimentally infected root canals.

    PubMed

    Cheng, X; Chen, B; Qiu, J; He, W; Lv, H; Qu, T; Yu, Q; Tian, Y

    2016-02-01

    This study evaluated the bactericidal effect of Er:YAG laser radiation combined with sodium hypochlorite (NaOCl) irrigation in the treatment of Enterococcus faecalis deep inside dentinal tubules. The Er:YAG laser was activated, respectively, at 0.3, 0.5 and 1.0 W for either 20 or 30 s; 52.5 g l(-1) NaOCl and normal saline were used for the control groups. Root canals before and after treatments were examined using scanning electron microscopy (SEM). Bacterial reductions both on the root canal walls and at 100, 200, 300, 400 and 500 μm inside the dentinal tubules were analysed using a one-way analysis of variance. SEM results showed that the Er:YAG laser combined with NaOCl disinfected the dentinal tubules from 200 to over 500 μm depth as irradiation power and time increased. This combination killed significantly more bacteria than both the negative control group at each level tested and the positive control group at 300, 400 and 500 μm inside the dentinal tubules. It reached 100% in all experimental groups, both on the root canal walls and at 100 and 200 μm inside the dentinal tubules. However, at 300, 400 and 500 μm inside the dentinal tubules, only the groups treated with 0.5 and 1.0 W for 30s exhibited no bacterial growth. Of the two groups in which no bacteria were detected at all tested depths, Er:YAG laser irradiation at 0.5 W for 30 s combined with NaOCl irrigation was preferable because of the lower emission power and shorter irradiation time, and may serve as a new option for effective root canal disinfection. PMID:26645354

  3. New Technologies to Improve Root Canal Disinfection.

    PubMed

    Plotino, Gianluca; Cortese, Teresa; Grande, Nicola M; Leonardi, Denise P; Di Giorgio, Gianni; Testarelli, Luca; Gambarini, Gianluca

    2016-01-01

    Effective irrigant delivery and agitation are prerequisites to promote root canal disinfection and debris removal and improve successful endodontic treatment. This paper presents an overview of the currently available technologies to improve the cleaning of the endodontic space and their debridement efficacy. A PubMed electronic search was conducted with appropriate key words to identify the relevant literature on this topic. After retrieving the full-text articles, all the articles were reviewed and the most appropriate were included in this review. Several different systems of mechanical activation of irrigants to improve endodontic disinfection were analysed: manual agitation with gutta-percha cones, endodontic instruments or special brushes, vibrating systems activated by low-speed hand-pieces or by sonic or subsonic energy, use of ultrasonic or laser energy to mechanically activate the irrigants and apical negative pressure irrigation systems. Furthermore, this review aims to describe systems designed to improve the intracanal bacterial decontamination by a specific chemical action, such as ozone, direct laser action or light-activated disinfection. The ultrasonic activation of root canal irrigants and of sodium hypochlorite in particular still remains the gold standard to which all other systems of mechanical agitation analyzed in this article were compared. From this overview, it is evident that the use of different irrigation systems can provide several advantages in the clinical endodontic outcome and that integration of new technologies, coupled with enhanced techniques and materials, may help everyday clinical practice. PMID:27007337

  4. Root canal filling evaluation using optical coherence tomography

    NASA Astrophysics Data System (ADS)

    Negrutiu, Meda L.; Sinescu, Cosmin; Topala, Florin; Nica, Luminita; Ionita, Ciprian; Marcauteanu, Corina; Goguta, Luciana; Bradu, Adrian; Dobre, George; Rominu, Mihai; Podoleanu, Adrian Gh.

    2010-04-01

    Endodontic therapy consists in cleaning and shaping the root canal system, removing organic debris and sealing the intra-canal space with permanent filling materials. The purpose of this study was to evaluate various root canal fillings in order to detect material defects, the marginal adaptation at the root canal walls and to assess the quality of the apical sealing. 21 extracted single-root canal human teeth were selected for this study. We instrumented all roots using NiTi rotary instruments. All canals were enlarged with a 6% taper size 30 GT instrument, 0,5 mm from the anatomical apex. The root canals were irrigated with 5% sodium hypochlorite, followed by 17% ethylenediaminetetraacetic acid (EDTA). After the instrumentation was completed, the root canals were obturated using a thermoplasticizable polymer of polyesters. In order to assess the defects inside the filling material and the marginal fit to the root canal walls, the conebeam micro-computed tomography (CBμCT) was used first. After the CBμCT investigation, time domain optical coherence tomography working in en face mode (TDefOCT) was employed to evaluate the previous samples. The TDefOCT system was working at 1300 nm and was doubled by a confocal channel at 970 nm. The results obtained by CBμCT revealed no visible defects inside the root-canal fillings and at the interfaces with the root-canal walls. TDefOCT investigations permit to visualize a more complex stratificated structure at the interface filling material/dental hard tissue and in the apical region.

  5. Root canal treatment of a maxillary first premolar with three roots

    PubMed Central

    Mathew, Josey; Devadathan, Aravindan; Syriac, Gibi; Shamini, Sai

    2015-01-01

    Successful root canal treatment needs a thorough knowledge of both internal and external anatomy of a tooth. Variations in root canal anatomy constitute an impressive challenge to the successful completion of endodontic treatment. Undetected extra roots and canals are a major reason for failed root canal treatment. Three separate roots in a maxillary first premolar have a very low incidence of 0.5–6%. Three rooted premolars are anatomically similar to molars and are sometimes called “small molars or radiculous molars.” This article explains the diagnosis and endodontic management of a three rooted maxillary premolar with separate canals in each root highlighting that statistics may indicate a low incidence of abnormal variations in root canal morphology of a tooth, but aberrant anatomy is a possibility in any tooth. Hence, modern diagnostics like cone beam computed tomography, and endodontic operating microscope may have to be used more for predictable endodontic treatment. PMID:26538958

  6. Alternative techniques in root canal debridement

    NASA Astrophysics Data System (ADS)

    Luca, Ruxandra; Todea, Carmen; Bǎlǎbuc, Cosmin; Nica, Luminita; Armani, Giacomo; Locovei, Cosmin

    2014-01-01

    Studies have demonstrated that conventional chemo-mechanical preparation is limited regarding the decontamination of the endodontic space, which is why alternative techniques such as laser radiation have their importance in the modern endodontic treatment. The present study aims to assess the possibility of improving the debridement of the root canals by removing smear layer using Er: YAG laser radiation. We used 18 extracted teeth, which were subjected to the same initial protocol and then divided into 5 study groups: the control group has not been treated with laser; the other 4 groups were exposed to laser radiation using two different geometries peaks of quartz and two energy levels. Scanning electronic microscopy revealed an increased efficiency in the debridement of all interested areas when using PIPS and XPulse tips at proper energy. In the two groups treated with inferior laser energy, the debridement didn't prove to be superior to the conventional treatment.

  7. Laser scanning dental probe for endodontic root canal treatment

    NASA Astrophysics Data System (ADS)

    Blank, Molly A. B.; Friedrich, Michal; Hamilton, Jeffrey D.; Lee, Peggy; Berg, Joel; Seibel, Eric J.

    2011-03-01

    Complications that arise during endodontic procedures pose serious threats to the long-term integrity and health of the tooth. Potential complexities of root canals include residual pulpal tissue, cracks, mesial-buccal 2 and accessory canals. In the case of a failed root canal, a successful apicoectomy can be jeopardized by isthmuses, accessory canals, and root microfracture. Confirming diagnosis using a small imaging probe would allow proper treatment and prevent retreatment of endodontic procedures. An ultrathin and flexible laser scanning endoscope of 1.2 to 1.6mm outer diameter was used in vitro to image extracted teeth with varied root configurations. Teeth were opened using a conventional bur and high speed drill. Imaging within the opened access cavity clarified the location of the roots where canal filing would initiate. Although radiographs are commonly used to determine the root canal size, position, and shape, the limited 2D image perspective leaves ambiguity that could be clarified if used in conjunction with a direct visual imaging tool. Direct visualization may avoid difficulties in locating the root canal and reduce the number of radiographs needed. A transillumination imaging device with the separated illumination and light collection functions rendered cracks visible in the prepared teeth that were otherwise indiscernible using reflected visible light. Our work demonstrates that a small diameter endoscope with high spatial resolution may significantly increase the efficiency and success of endodontic procedures.

  8. [An analysis of key points for root canal therapy technique].

    PubMed

    Fan, M W

    2016-08-01

    The success rate of root canal therapy(RCT)have been improved continuously along with the advancement in RCT techniques in the past several decades. If standard procedures of modern RCT techniques are strictly followed, the success rate of RCT may exceed 90%. The success of RCT is mainly affected by such factors as clear concept of the anatomy of root canals, proper mechanical and chemical preparation and perfect filling of root canal system. If these factors are sufficiently noted, a success is easy to achieve. Even though the primary RCT fails, retreatment can further be conducted to save the diseased teeth. PMID:27511032

  9. Modeling and measurement of root canal using stereo digital radiography

    NASA Astrophysics Data System (ADS)

    Analoui, Mostafa; Krisnamurthy, Satthya; Brown, Cecil

    2000-04-01

    Determining root canal length is a crucial step in success of root canal treatment. Root canal length is commonly estimated based on pre-operation intraoral radiography. 2D depiction of a 3D object is the primary source of error in this approach. Techniques based on impedance measurement are more accurate than radiographic approaches, but do not offer a method for depicting the shape of canal. In this study, we investigated a stererotactic approach for modeling and measurement of root canal of human dentition. A weakly perspective model approximated the projectional geometry. A series of computer-simulated objects was used to test accuracy of this model as the first step. The, to assess the clinical viability of such an approach, endodontic files inserted in the root canal phantoms were fixed on an adjustable platform between a radiographic cone and an image receptor. Parameters of projection matrix were computed based on the relative positions of image receptors, focal spot, and test objects. Rotating the specimen platform from 0 to 980 degrees at 5-degree intervals set relative angulations for stereo images. Root canal is defined as the intersection of two surfaces defined by each projection. Computation of error for length measurement indicates that for angulations greater than 40 degrees the error is within clinically acceptable ranges.

  10. Photo-activated disinfection of the root canal: a new role for lasers in endodontics.

    PubMed

    Lee, Michael T; Bird, Philip S; Walsh, Laurence J

    2004-12-01

    Because micro-organisms play a crucial role in the development of pulpal and periapical disease, the prognosis of endodontic therapy is intimately related to the presence of bacteria within the root canal system. Micro-organisms may persist in the apical region of the root canal system despite chemomechanical preparation. The usefulness of Class IV lasers (such as Nd:YAG, diode, KTP and Er:YAG) for photo-thermal disinfection of the root canal has been demonstrated in numerous studies. An alternative approach to microbial killing in the root canal system by laser light involves the use of low-power lasers to drive a photochemical reaction that produces reactive oxygen species, a technique termed photo-activated disinfection (PAD). By using exogenous photosensitisers such as tolonium chloride, killing of all types of bacteria can be achieved. In vitro studies of PAD have demonstrated its ability to kill photosensitised oral bacteria (such as E. faecalis), and more recently microbial killing in vivo in the root canal system has been demonstrated. While PAD can be undertaken as part of the routine disinfection of the root canal system, it also has potential use for eradicating persistent endodontic infections for which conventional methods have been unsuccessful. PMID:15633797

  11. Root canal morphology of South Asian Indian maxillary molar teeth

    PubMed Central

    Singh, Shishir; Pawar, Mansing

    2015-01-01

    Objective: The objective was to study the root canal morphology of South Asian Indian Maxillary molars using a tooth clearing technique. Materials and Methods: Hundred teeth each comprising of first, second, and third molars collected from different dental schools and clinics in India were subjected to standard dye penetration, decalcification and clearing procedure before being studied. Results: The first molar mesiobuccal roots exhibited 69% Type I, 24% Type II, 4% Type IV, 2% Type V, and 1% exhibited a Vertuccis Type VIII canal anatomy. In the group with three separate roots the second molar mesiobuccal roots in exhibited 80.6% Type I, 15.3% Type II, 2.7% Type IV, and 1.4% Type V canal anatomy while the third molars mesiobuccal roots exhibited 57.4% Type I, 32% Type II, 2.1% Type III, 8.5% Type IV, 1% had a Type V canal anatomy in the similar group. Conclusion: A varied root canal anatomy was seen in the mesiobuccal root canal of the maxillary molars. PMID:25713497

  12. [Endodontics in motion: new concepts, materials and techniques 4. Root canal disinfection in 2015].

    PubMed

    van der Waal, S V; de Soet, J J

    2015-12-01

    Apical periodontitis is an inflammatory response around the root tip of a tooth to microbial infection of the root canal system. Therefore, disinfection of the root canal system is the most important aim of root canal treatment. There are various mechanical and chemical ways to clean and disinfect. Most methods, however, cannot be relied upon to fully decontaminate in all cases. There are problems, for example, with the proper concentrations of disinfectant agents, like sodium hypochlorite. But the more recent agents, like ethylenediaminetetraacetic acid, calcium hydroxide or antibiotic pastes also have disadvantages, which are mostly a result of poor access of the irrigant to the biofilm bacteria in the affected root canals. Currently, a new strategy with a modified salt solution is under investigation that offers the prospect of being used as a root canal irrigant. At this moment the preferred treatment still seems to be to remove infected tissue as much as possible and to create access for irrigation procedures. The best results are achieved with 1-2% sodium hypochlorite as a disinfectant, possibly alternating with ethylenediaminetetraacetic acid as a cleansing agent. There is no scientific evidence for the successful use of calcium hydroxide. PMID:26665204

  13. 21 CFR 872.3820 - Root canal filling resin.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... ingredient in the device. (c) Date PMA or notice of completion of a PDP is required. A PMA or a notice of... commercial distribution before May 28, 1976. Any other root canal filling resin shall have an approved PMA...

  14. 21 CFR 872.3820 - Root canal filling resin.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... ingredient in the device. (c) Date PMA or notice of completion of a PDP is required. A PMA or a notice of... commercial distribution before May 28, 1976. Any other root canal filling resin shall have an approved PMA...

  15. Calcium hydroxide-based root canal sealers: a review.

    PubMed

    Desai, Shalin; Chandler, Nicholas

    2009-04-01

    The aim of this review was to consider laboratory experiments and clinical studies of calcium hydroxide-based root canal sealers. An extensive search of the endodontic literature was made to identify publications related to calcium hydroxide-based root canal sealers. The articles were assessed for the outcome of laboratory and clinical studies on their biological properties and physical characteristics. Comparative studies with other sealers were also considered. Several studies were evaluated covering different properties of calcium hydroxide-based sealers including physical properties, biocompatibility, leakage, adhesion, solubility, antibacterial properties, and periapical healing effect. Calcium hydroxide-based root canal sealers have a variety of physical and biological properties. Comparative studies reveal their mild cytotoxicity, but their antibacterial effects are variable. Further research is required to establish the tissue healing properties of calcium hydroxide in root canal sealers. PMID:19345790

  16. Root canal irrigants: a review of their interactions, benefits, and limitations.

    PubMed

    Jena, Amit; Sahoo, Sanjit Kumar; Govind, Shashirekha

    2015-04-01

    Endodontic treatment success depends on a combination of appropriate instrumentation, effective irrigation and decontamination of root canal spaces to apices, and obturation of the root canals. Irrigation of the root canal is paramount in determining periapical tissue healing. This article reviews presently available root canal irrigants, their interactions, advantages, and limitations. For this review, the authors performed a Medline search for all English language articles published through January 2014 with "root canal irrigants" and "endodontic irrigants" as keywords. PMID:25821937

  17. A novel approach in assessment of root canal curvature

    PubMed Central

    Sadeghi, Shiva; Poryousef, Vahideh

    2009-01-01

    Introduction: The purpose of this in vitro study was to introduce a new method to describe root canal curvatures and to assess the degree of curvature of human permanent mandibular teeth with curved root canals. Materials and Methods: One hundred and thirty five mesial root canals of mandibular first and second molar teeth were selected. Access cavities were prepared. After inserting a K-file size #10 into each canal, radiographs were taken. Canal curvature was determined by measuring the Schneider angle, canal access angle, as well as the canal radius, length, height and curvature starting distance on scanned radiographs using a computerized image processing system. Data was evaluated statistically using Pearson correlation. Results: The mean canal access angle (CAA) and Schneider angle (S) were 8.04◦ (3.46) and 19◦ (6.99), respectively. The Pearson correlation analysis found significant positive correlation between S and CAA (r=0.826, P<0.0001). Negative correlations were found between radius and length (r= –0.4, P<0.0001), radius and Schneider angle (r= –0.4, P<0.0001), radius and CAA (r= –0.24, P=0.004) and CAA and curvature starting distance (r= 0.4, P<0.0001). There was no correlation between height and distance (r=0.013, P=0.789), as well as CAA and height (r=0.654, P=0.001). Conclusion: Under the limitations of this study, the results indicated that the shape of root canal curvature can be more accurately described using two angles, Schneider in combination with Canal access angle. The related parameters included radius, length, distance and height of curvature. [Iranian Endodontic Journal 2009;4(4):131-4] PMID:24019833

  18. Tissue damage after sodium hypochlorite extrusion during root canal treatment.

    PubMed

    de Sermeño, Ruth Fuentes; da Silva, Léa Assed Bezerra; Herrera, Henry; Herrera, Helen; Silva, Raquel Assed Bezerra; Leonardo, Mário Roberto

    2009-07-01

    Sodium hypochlorite solution is toxic to vital tissues, causing severe effects if extruded during endodontic treatment. This paper presents a report on the tissue damage related to inadvertent extrusion of concentrated sodium hypochlorite solution during root canal treatment. A 65-year-old woman was referred with moderate pain, ecchymosis, and severe swelling of the right side of the face. These symptoms appeared immediately after a root canal treatment of the maxillary right canine, which had been started 21 hours earlier. It was diagnosed as air emphysema related to sodium hypochlorite solution extravasation during the endodontic treatment. To avoid this, an initial radiograph should be taken to determine the correct canal working length and confirm root canal integrity. PMID:19442541

  19. Ex vivo evaluation of three instrumentation techniques on E. faecalis biofilm within oval shaped root canals.

    PubMed

    Nakamura, Vitor Cesar; Candeiro, George Taccio de Miranda; Cai, Silvana; Gavini, Giulio

    2015-01-01

    The objective of the present study was to assess the effectiveness of reciprocating instrumentation in disinfecting oval-shaped root canals infected with Enterococcus faecalis. Forty-five human lower premolars were infected with a culture of E. faecalis (ATCC 29212) for 28 days. Five other teeth that were neither contaminated nor instrumented were used as controls. The 45 specimens were divided into three experimental groups (n = 15) based on the root canal preparation technique used: manual (K-type, Dentsply Maillefer, Ballaigues, Switzerland); rotary (MTwo, VDW GmbH, Munich, Germany); and reciprocating (Reciproc R50, VDW GmbH, Munich, Germany) instruments. During chemomechanical preparation, 21 mL of 2.5% NaOCl was used as the irrigating solution. Microbiological sampling was performed before (S1) and immediately after (S2) the chemomechanical preparation using sterilized paper points. Specimens were then cleaved, and 0.02 g of dentine chips was collected from the root thirds to verify the presence of microorganisms in dentinal tubules. All three preparation techniques reduced the number of microorganisms in the root canal lumen and dentine chips from the root thirds, but no significant differences were observed between the three groups (p > 0.05). Reciprocating instrumentation with Reciproc R50 was effective in reducing the number of microorganisms within the root canal system. Although this technique involves the use of only one file to perform the root canal therapy, it is as effective as conventional rotary instrumentation in reducing the E. faecalis biofilm from the root canal system. However, further clinical investigations are warranted in order to ratify these results. PMID:25627890

  20. On the dynamics of root canal infections—what we understand and what we don't

    PubMed Central

    Zehnder, Matthias; Belibasakis, Georgios N.

    2015-01-01

    Infections of the root canal space and their sequelae can be extremely painful and potentially dangerous, yet they do not necessarily have to be. Chronic, asymptomatic inflammatory lesions around the apex of a tooth with a necrotic dental pulp or an insufficient root canal treatment can develop unnoticed by the patient, and remain so for years. The course of disease is modulated by both the virulence of the microbiota established in the root canal space and the capacity of the immune system to curb the infection. To both ends, highly convincing investigations to help us understand when and why the tissues around an endodontically involved tooth become acutely inflamed are missing. We will discuss how recent advances in molecular identification of microorganisms have altered our understanding of root canal infections, and which information is currently missing to link clinical experience with observations from experimental research. PMID:25654162

  1. Clinical evaluation of five electronic root canal length measuring instruments.

    PubMed

    Fouad, A F; Krell, K V; McKendry, D J; Koorbusch, G F; Olson, R A

    1990-09-01

    A previous in vitro study has shown high accuracy, but no clinically significant differences in a group of five electronic root canal length measuring instruments. The purpose of this study was to evaluate and compare the performance of the same group of instruments under clinical conditions and to correlate their accuracy to radiographic estimates of canal length. Five electronic root canal length measuring instruments were used to measure the working length to the "apex" in 20 single-rooted teeth scheduled for extraction. After extraction, the actual canal length was measured visually to a point just within the apical foramen. This length was compared with instrument length as determined electronically. The accuracy of the instruments in determining canal measurement within +/- 0.5 mm from the apical foramen varied from 55 to 75%. The differences between the instruments were not statistically significant. On average, all of the instruments except for the Endocater gave canal length measurements that were beyond the apical foramen. The variability of the measurements, which was comparable to that of estimates of canal length from preoperative radiographs, indicated that radiographic verification of the working length is still desirable. PMID:2098464

  2. Root Canal Microbiota of Teeth with Chronic Apical Periodontitis▿ †

    PubMed Central

    Rôças, I. N.; Siqueira, J. F.

    2008-01-01

    Samples from infected root canals of 43 teeth with chronic apical periodontitis were analyzed for the presence and relative levels of 83 oral bacterial species and/or phylotypes using a reverse-capture checkerboard hybridization assay. Associations between the most frequently detected taxa were also recorded. The most prevalent taxa were Olsenella uli (74%), Eikenella corrodens (63%), Porphyromonas endodontalis (56%), Peptostreptococcus anaerobius (54%), and Bacteroidetes oral clone X083 (51%). When prevalence was considered only for bacteria present at levels >105, Bacteroidetes clone X083 was the most frequently isolated bacterium (37%), followed by Parvimonas micra (28%), E. corrodens (23%), and Tannerella forsythia (19%). The number of target taxa per canal was directly proportional to the size of the apical periodontitis lesion, with lesions >10 mm in diameter harboring a mean number of approximately 20 taxa. Several positive associations for the most prevalent taxa were disclosed for the first time and may have important ecological and pathogenic implications. In addition to strengthening the association of several cultivable named species with chronic apical periodontitis, the present findings using a large-scale analysis allowed the inclusion of some newly named species and as-yet-uncultivated phylotypes in the set of candidate pathogens associated with this disease. PMID:18768651

  3. Root canal microbiota of teeth with chronic apical periodontitis.

    PubMed

    Rôças, I N; Siqueira, J F

    2008-11-01

    Samples from infected root canals of 43 teeth with chronic apical periodontitis were analyzed for the presence and relative levels of 83 oral bacterial species and/or phylotypes using a reverse-capture checkerboard hybridization assay. Associations between the most frequently detected taxa were also recorded. The most prevalent taxa were Olsenella uli (74%), Eikenella corrodens (63%), Porphyromonas endodontalis (56%), Peptostreptococcus anaerobius (54%), and Bacteroidetes oral clone X083 (51%). When prevalence was considered only for bacteria present at levels >10(5), Bacteroidetes clone X083 was the most frequently isolated bacterium (37%), followed by Parvimonas micra (28%), E. corrodens (23%), and Tannerella forsythia (19%). The number of target taxa per canal was directly proportional to the size of the apical periodontitis lesion, with lesions >10 mm in diameter harboring a mean number of approximately 20 taxa. Several positive associations for the most prevalent taxa were disclosed for the first time and may have important ecological and pathogenic implications. In addition to strengthening the association of several cultivable named species with chronic apical periodontitis, the present findings using a large-scale analysis allowed the inclusion of some newly named species and as-yet-uncultivated phylotypes in the set of candidate pathogens associated with this disease. PMID:18768651

  4. Root canal preparation in endodontics: conventional versus laser methods

    NASA Astrophysics Data System (ADS)

    Goodis, Harold E.; White, Joel M.; Marshall, Sally J.; Marshall, Grayson W.; Moskowitz, Emrey

    1992-06-01

    Conventional cleaning and shaping of root canal systems employs hand and/or rotary instrumentation to remove the contents of the canal and shape the canal to receive a filling material. With the advent of the Nd:YAG laser system another method of accomplishing proper cleaning and shaping is evaluated. Single rooted teeth were radiographed bucco- lingually and mesio-distally and were divided into 2 groups. The first group was accessed and the root canal systems cleaned and shaped with a step back technique utilizing hand files and gates glidden burs. At completion of the procedure the teeth were again radiographed at the same positions as those prior to the procedure. The teeth were split longitudinally and examined under scanning electron microscopy to assess cleaning. The second group of teeth were accessed, and cleaning and shaping was accomplished using the Nd:YAG laser in combination with hand files and rotary instruments. These teeth were subjected to the same analysis as those in the first group. The before and after radiographs of each group were subjected to image analysis to determine effectiveness of the two methods in shaping the canal systems. We will discuss the ability of Nd:YAG to clean and shape root canal spaces and remove smear layer and organic tissue remnants from those areas.

  5. Accessory roots and root canals in human anterior teeth: a review and clinical considerations.

    PubMed

    Ahmed, H M A; Hashem, A A

    2016-08-01

    Anterior teeth may have aberrant anatomical variations in the number of roots and root canals. A review of the literature was conducted using appropriate key words in major endodontic journals to identify the available reported cases as well as experimental and clinical investigations on accessory roots and root canals in anterior teeth. After retrieving the full text of related articles, cross-citations were identified, and the pooled data were then discussed. Results revealed a higher prevalence in accessory root/root canal variations in mandibular anterior teeth than in maxillary counterparts. However, maxillary incisor teeth revealed the highest tendency for accessory root/root canal aberrations caused by anomalies such as dens invaginatus and palato-gingival groove. Primary anterior teeth may also exhibit external and internal anatomical variations in the root, especially maxillary canines. Therefore, dental practitioners should thoroughly assess all teeth scheduled for root canal treatment to prevent the undesirable consequences caused by inadequate debridement of accessory configurations of the root canal system. PMID:26174943

  6. Mandibular lateral incisor with Vertucci Type IV root canal morphological system: A rare case report

    PubMed Central

    Aggarwal, Kanika

    2016-01-01

    Abnormalities in the root canal anatomy are commonly occurring phenomenon. A thorough knowledge of root canal anatomy and its variation is necessary for successful completion of endodontic treatment. Mandibular anteriors are known for having extra canals. The role of genetics and racial variations may result in difference of incidence of root number and canal number. This paper attempts at explaining a rare case of successful endodontic management of two-rooted lateral incisor with awareness of data pertaining to number of canals, knowledge of canal morphology, correct radiographic interpretation, and tactile examination of canal wall which are important in detecting the presence of multiple canals. PMID:27003981

  7. Laser Application in Dentistry: Irradiation Effects of Nd:YAG 1064 nm and Diode 810 nm and 980 nm in Infected Root Canals-A Literature Overview.

    PubMed

    Saydjari, Yves; Kuypers, Thorsten; Gutknecht, Norbert

    2016-01-01

    Objective. In endodontics, Nd:YAG laser (1064 nm) and diode laser (810 nm and 980 nm) devices are used to remove bacteria in infected teeth. A literature review was elaborated to compare and evaluate the advantages and disadvantages of using these lasers. Methods. Using combined search terms, eligible articles were retrieved from PubMed and printed journals. The initial search yielded 40 titles and 27 articles were assigned to full-text analysis. The studies were classified based upon laser source, laser energy level, duration/similarity of application, and initial and final bacterial count at a minimum of 20 prepared root canals. Part of the analysis was only reduced microorganisms and mechanically treated root canals upon preparation size of ISO 30. All studies were compared to evaluate the most favorable laser device for best results in endodontic therapy. Results. A total of 22 eligible studies were found regarding Nd:YAG laser 1064 nm. Four studies fulfilled all demanded criteria. Seven studies referring to the diode laser 980 nm were examined, although only one fulfilled all criteria. Eleven studies were found regarding the diode laser 810 nm, although only one study fulfilled all necessary criteria. Conclusions. Laser therapy is effective in endodontics, although a comparison of efficiency between the laser devices is not possible at present due to different study designs, materials, and equipment. PMID:27462611

  8. Disinfection of Contaminated Canals by Different Laser Wavelengths, while Performing Root Canal Therapy.

    PubMed

    Asnaashari, Mohammad; Safavi, Nassimeh

    2013-01-01

    Removal of smear layer and disinfection of canals are important objectives of teeth root canal cleaning. In order to achieve this purpose, rinsing substances, intra canal drugs as well as ultrasound are used. Today, use of laser to remove smear layer and to disinfect root canals has increasingly attracted the attentions. Till now different lasers such as CO2, Nd:YAG, Er:YAG, Er,Cr:YSGG have been used for debris and smear removal from the canals. Numerous studies have shown that Er:YAG is the most appropriate laser for intra canal debris and smear removal. In addition different laser wavelengths have been used directly or as an adjunctive to disinfect canals. Laser light can penetrate areas of canals where irrigating and disinfecting solutions cannot reach, like secondary canals and deep dentinal tubules and also can eliminate microorganisms. Different studies have confirmed the penetration of Nd:YAG laser in deep dentin and reduction of microorganisms penetration. But studies on comparison of antibacterial effects of Nd:YAG laser with sodium hypochlorite showed effectiveness of both, with a better effect for sodium hypochlorite. Studies performed in relation with anti-microbial effects of Diode laser with various parameters show that this laser can be effective in reducing intra canal bacterial count and penetration in the depth of 500 microns in dentin. In studies performed on Diode laser in combination with canal irrigating solutions such as sodium hypochlorite and oxygenated water better results were obtained. Although studies on disinfection by the Erbium laser family show that use of this laser alone can be effective in disinfecting canals, studies evaluating the disinfecting effects of this laser and different concentrations of sodium hypochlorite show that the latter alone is more effective in disinfecting canals. And better results were obtained when Erbium laser was used in combination with sodium hypochlorite irrigating solution in canals. Results of the

  9. Variations in the Root Form and Root Canal Morphology of Permanent Mandibular First Molars in a Sri Lankan Population

    PubMed Central

    Peiris, Roshan; Malwatte, Uthpala; Abayakoon, Janak; Wettasinghe, Anuradha

    2015-01-01

    The present study was conducted to determine the number of roots and morphology of the root canal system of permanent mandibular first molars (M1) in a Sri Lankan population. Sample of 529 M1 teeth was used. The number of roots was examined and the lengths of the mesial and distal roots were measured to the nearest 0.01 mm. Vacuum injection protocol was used to inject China ink into the root canal system, making it transparent. Root canal morphology was recorded using Vertucci's classification. Presence of furcation canals, position of lateral canals, intercanal communications, level of bifurcation, and convergence of the root canal system were recorded. M1 showed three roots in 4.1% of the sample. Commonest root canal morphology of the mesial root was type IV and the distal root was type I. The level of bifurcation of the root canals was commonly observed in the cervical one-third of the root while convergence was observed in the apical one-third in both roots. Prevalence of three rooted mandibular first molars is less than 5%. Mesial root showed the most variable canal morphology. Prevalence of furcation canals was 1.5% while that of middle mesial canals was 0.2%. PMID:26351583

  10. Single Visit versus Multiple Visit Root Canal Therapy

    PubMed Central

    Singla, Rajesh; Marwah, Nikhil; Dutta, Samir

    2008-01-01

    Aim: The purpose of this study was to determine clinical success rate of single visit verses multiple visit root canal treatment in cariously exposed vital primary molars. Material& methods: 40 children in age group of 4 to 7 years were divided equally into two treatment groups and recall visits were carried out after one week, one month and three months and six months. Results: Statistically no significant difference was found. Conclusion: Multiple visit and single visit root canal treatment demonstrated almost equal success but most important aspect for success in pulpectomy cases is the indication of each case and then its subsequent treatment, be it multiple or single visit root canal treatment. PMID:25206084

  11. Influence of Root Canal Tapering on Smear Layer Removal.

    PubMed

    Zarei, Mina; Javidi, Maryam; Afkhami, Farzaneh; Tanbakuchi, Behrad; Zadeh, Mohsen Movahed; Mohammadi, Marzieh Maghadam

    2016-04-01

    The purpose of the study presented here was to compare the influence of root canal taper on the efficacy of irrigants and chelating agents in smear layer removal. Eighty mesial roots of molar teeth were selected and prepared with rotary instruments. In group A, file 30/0.02 and in group B, file 30/0.4 were placed at working length and the smear layer was removed. In groups C and D, root canal preparation was the same as in groups A and B, respectively, except that the smear layer was not removed. The amount of the smear layer was quantified using a scanning electron microscope. Greater smear layer was detected in the apical portion of each group, whereas no significant difference was detected between groups in other portions. No statistical difference was found between canals with different tapers. PMID:27348950

  12. Bioceramic-Based Root Canal Sealers: A Review

    PubMed Central

    Che Ab Aziz, Zeti A.

    2016-01-01

    Bioceramic-based root canal sealers are considered to be an advantageous technology in endodontics. The aim of this review was to consider laboratory experiments and clinical studies of these sealers. An extensive search of the endodontic literature was made to identify publications related to bioceramic-based root canal sealers. The outcome of laboratory and clinical studies on the biological and physical properties of bioceramic-based sealers along with comparative studies with other sealers was assessed. Several studies were evaluated covering different properties of bioceramic-based sealers including physical properties, biocompatibility, sealing ability, adhesion, solubility, and antibacterial efficacy. Bioceramic-based sealers were found to be biocompatible and comparable to other commercial sealers. The clinical outcomes associated with the use of bioceramic-based root canal sealers are not established in the literature. PMID:27242904

  13. Endodontic management of a mandibular first molar with six root canal systems

    PubMed Central

    Jain, Dilip; Reddy, Smitha; Venigalla, Bhuvan Shome; Kamishetty, Shekhar

    2015-01-01

    Internal anatomy of pulp is complex. The first mandibular molars typically have two roots, one mesial with two root canals and another distal root, which contains one or two canals. A 20-year-old female patient reported with intermittent pain and incomplete root canal treatment in left lower back region since 1-week. Refined access cavity revealed initially two canals in mesial and two canals in the distal root. With operating microscope and cone beam computerized tomography, two additional canals (L-mesio-buccal and B-mesio-lingual) were identified in mesial root. One-year follow-up showed patient was asymptomatic and complete healing of periapical radiolucency. PMID:26430309

  14. Endodontic management of a mandibular first molar with six root canal systems.

    PubMed

    Jain, Dilip; Reddy, Smitha; Venigalla, Bhuvan Shome; Kamishetty, Shekhar

    2015-01-01

    Internal anatomy of pulp is complex. The first mandibular molars typically have two roots, one mesial with two root canals and another distal root, which contains one or two canals. A 20-year-old female patient reported with intermittent pain and incomplete root canal treatment in left lower back region since 1-week. Refined access cavity revealed initially two canals in mesial and two canals in the distal root. With operating microscope and cone beam computerized tomography, two additional canals (L-mesio-buccal and B-mesio-lingual) were identified in mesial root. One-year follow-up showed patient was asymptomatic and complete healing of periapical radiolucency. PMID:26430309

  15. C-shaped root canal configuration: A review of literature

    PubMed Central

    Fernandes, Marina; de Ataide, Ida; Wagle, Rahul

    2014-01-01

    The aim is to review and discuss the etiology, incidence, anatomic features, classification, diagnosis and management of the C-shaped canal configuration. C-shaped canal configuration is a variation that has a racial predilection and is commonly seen in mandibular second molars. The intricacies present in this variation of canal morphology can pose a challenge to the clinician during negotiation, debridement and obturation. Manual and electronic searches of literature were performed from 1979 to 2012, in Pub Med by crossing the keywords: C-shaped canals, mandibular second molar, mandibular first premolar, root canal morphology. Knowledge of the C-shaped canal configuration is essential to achieve success in endodontic therapy. Radiographic and clinical diagnoses can aid in identification and negotiation of the fan-shaped areas and intricacies of the C-shaped anatomy. Effective management of this anomalous canal configuration can be achieved with rotary and hand instrumentation assisted with sonics and ultrasonics. Modifications in the obturation techniques will ensure a 3-dimensional fill of the canal system and chamber retained restorations like amalgam or composites, serve as satisfactory post endodontic restorations. PMID:25125841

  16. Evaluation of pre-fabricated root canal posts.

    PubMed

    Hew, Y S; Purton, D G; Love, R M

    2001-03-01

    In this in vitro study, properties of a titanium alloy post recently introduced to the market (IntegraPost), were compared with those of a clinically proven stainless steel post (ParaPost). The IntegraPost has a unique, perforated, spherical head and a microknurled shank surface. The posts were tested for rigidity, for retention within the root canals of extracted teeth and for ability to retain composite resin cores. The two post types exhibited similar properties in core and root canal retention, however, the IntegraPost was significantly less rigid than the ParaPost. PMID:11350574

  17. Optodynamic Phenomena During Laser-Activated Irrigation Within Root Canals

    NASA Astrophysics Data System (ADS)

    Lukač, Nejc; Gregorčič, Peter; Jezeršek, Matija

    2016-07-01

    Laser-activated irrigation is a powerful endodontic treatment for smear layer, bacteria, and debris removal from the root canal. In this study, we use shadow photography and the laser-beam-transmission probe to examine the dynamics of laser-induced vapor bubbles inside a root canal model and compare ultrasonic needle irrigation to the laser method. Results confirm important phenomenological differences in the two endodontic methods with the laser method resulting in much deeper irrigation. Observations of simulated debris particles show liquid vorticity effects which in our opinion represents the major cleaning mechanism.

  18. ASSESSMENT OF CANAL WALLS AFTER BIOMECHANICAL PREPARATION OF ROOT CANALS INSTRUMENTED WITH PROTAPER UNIVERSAL™ ROTARY SYSTEM

    PubMed Central

    Aguiar, Carlos Menezes; Mendes, Daniela de Andrade; Câmara, Andréa Cruz; de Figueiredo, Jose Antonio Poli

    2009-01-01

    Objective: The aim of this study was to examine the instrumented walls of root canals prepared with the ProTaper Universal™ rotary system. Material and Methods: Twenty mesiobuccal canals of human first mandibular molars were divided into 2 groups of 10 specimens each and embedded in a muffle system. The root canals were transversely sectioned 3 mm short of the apex before preparation and remounted in their molds. All root canals were prepared with ProTaper Universal™ rotary system or with Nitiflex™ files. The pre and postoperative images of the apical thirds viewed with a stereoscopic magnifier (×45) were captured digitally for further analysis. Data were analyzed statistically by Fisher's exact test and Chi-square test at 5% significance level. Results: The differences observed between the instrumented and the noninstrumented walls were not statistically significant (p<0.05). Conclusions: The Nitiflex™ files and the ProTaper Universal™ rotary system failed to instrument all the root canal walls. PMID:20027432

  19. Delayed tooth replantation: MTA as root canal filling.

    PubMed

    Panzarini, Sônia Regina; Sonoda, Celso Koogi; Saito, Célia Tomiko Matida Hamata; Hamanaka, Elizane Ferreira; Poi, Wilson Roberto

    2014-01-01

    MTA has been investigated as a root-end filling material. Its mechanism of action has some similarities to that of Ca(OH)2. The purpose of this study was to evaluate the repair process taking place in the delayed replantation of monkey teeth using calcium hydroxide and MTA as root canal filling materials. Five monkeys had their lateral incisors extracted and bench-dried for 60 minutes. After root canal preparation, the teeth were assigned to two groups according to root canal filling material: I, calcium hydroxide; and II, MTA. The same treatment sequence was followed for both groups: coronal seal, periodontal ligament removal, immersion of the tooth in 2% acidulated-phosphate sodium fluoride, irrigation of the socket with saline and replantation. Both groups exhibited replacement resorption, areas of ankylosis and absence of inflammatory root resorption. Statistically similar results (p > 0.05) were observed for both groups regarding replacement root resorption, but the groups differed significantly (p < 0.05) regarding the occurrence of ankylosis. MTA may be a viable clinical option for filling teeth submitted to delayed replantation, and is an acceptable option for treating replanted permanent teeth in order to prevent tooth resorption, particularly when dressing changes are not possible. PMID:25337936

  20. Root canal preparation with Er:YSGG laser

    NASA Astrophysics Data System (ADS)

    Benthin, Hartmut; Ertl, Thomas P.; Onal, B.; Schruender, Stephan; Mueller, Gerhard J.

    1994-12-01

    The high level of efficiency of hard tissue ablation with Er:YAG and Er:YSGG lasers is well known. Of these lasers it is possible only to transmit Er:YSGG laser radiation with OH reduced quartz fibers. Most of the fibers we use in this study were prepared as hemispherical fiber tips. Fifty single rooted teeth were divided into ten groups (n equals 5). After conventional opening of the pulp chamber, root canal preparation was performed in five groups under water only using the laser. In the other five groups preparation with K-files to size 35 was performed before treatment with laser radiation. All teeth were axially separated with direct access to the root canal and examined in SEM investigations. The groups were compared by measuring the areas with patent dentin tubules. Representative areas were examined by TEM. The temperature at the root surface was measured during laser irradiation with thermocouples positioned at several points. The in-vitro study of the effect of the high delivered energy (50 - 100 mJ per pulse) in the root canal showed a good ablation effect. Most of the dentin tubules were opened. The increase in temperature at the root surface was tolerable.

  1. Microstructure and wettability of root canal dentine and root canal filling materials after different chemical irrigation

    NASA Astrophysics Data System (ADS)

    Antonijevic, Djordje; Milovanovic, Petar; Brajkovic, Denis; Ilic, Dragan; Hahn, Michael; Amling, Michael; Rakocevic, Zlatko; Djuric, Marija; Busse, Björn

    2015-11-01

    The objective of this study was to determine the effects of various irrigation solutions on root canal dentine and gutta-percha surface properties. In addition, the effects of disinfectant chemicals on the wettability and surface morphological properties of the filling materials were evaluated. Ethylenediaminetetraacetic acid (EDTA), citric acid, and ozone were employed as irrigation solutions for dentine and gutta-percha treatment. Thereafter, the samples' microstructure, degree of mineralization, and mechanical properties were assessed by means of quantitative backscattered electron imaging (qBEI) and reference point indentation (RPI). A contact angle analyzer was used to measure adhesion on the tested materials. Here, EDTA had the most significant affect on both the mechanical properties and the adhesive behavior of dentine. Citric acid did not affect dentine wettability, whereas the indentation properties and the mineralization were reduced. Similar effects were observed when ozone was used. The dentinal tubules were significantly widened in citric acid compared to the ozone group. EDTA causes considerable micromechanical surface alteration of dentine and gutta-percha, but represents the best option in clinical cases where a high adhesiveness of the filling materials is desired.

  2. Root Canal Treatment of a Two-Rooted C-Shaped Maxillary First Molar: A Case Report

    PubMed Central

    Paksefat, Sara; Rahimi, Saeed

    2014-01-01

    The most difficult maxillary teeth for endodontic treatment are the maxillary first molars (MFM) due to their complex root canal anatomy. The presence of two roots and C-shaped canals in MFMs has been reported in rare cases. The present case reports root canal treatment of MFM with two roots, where the palatal and buccal roots were joined together in a C-shaped configuration. PMID:25386214

  3. Effect of root canal preparation, type of endodontic post and mechanical cycling on root fracture strength

    PubMed Central

    RIPPE, Marília Pivetta; SANTINI, Manuela Favarin; BIER, Carlos Alexandre Souza; BALDISSARA, Paolo; VALANDRO, Luiz Felipe

    2014-01-01

    Objective To evaluate the impact of the type of root canal preparation, intraradicular post and mechanical cycling on the fracture strength of roots. Material and Methods eighty human single rooted teeth were divided into 8 groups according to the instruments used for root canal preparation (manual or rotary instruments), the type of intraradicular post (fiber posts- FRC and cast post and core- CPC) and the use of mechanical cycling (MC) as follows: Manual and FRC; Manual, FRC and MC; Manual and CPC; Manual, CPC and MC; Rotary and FRC; Rotary, FRC and MC; Rotary and CPC; Rotary, CPC and MC. The filling was performed by lateral compactation. All root canals were prepared for a post with a 10 mm length, using the custom #2 bur of the glass fiber post system. For mechanical cycling, the protocol was applied as follows: an angle of incidence of 45°, 37°C, 88 N, 4 Hz, 2 million pulses. All groups were submitted to fracture strength test in a 45° device with 1 mm/ min cross-head speed until failure occurred. Results The 3-way ANOVA showed that the root canal preparation strategy (p<0.03) and post type (p<0.0001) affected the fracture strength results, while mechanical cycling (p=0.29) did not. Conclusion The root canal preparation strategy only influenced the root fracture strength when restoring with a fiber post and mechanical cycling, so it does not seem to be an important factor in this scenario. PMID:25025556

  4. Adaptation and penetration of resin-based root canal sealers in root canals irradiated with high-intensity lasers

    NASA Astrophysics Data System (ADS)

    Moura-Netto, Cacio; Mello-Moura, Anna Carolina Volpi; Palo, Renato Miotto; Prokopowitsch, Igor; Pameijer, Cornelis H.; Marques, Marcia Martins

    2015-03-01

    This research analyzed the quality of resin-based sealer adaptation after intracanal laser irradiation. Extracted teeth (n=168) were root canal treated and divided into four groups, according to dentin surface treatment: no laser; Nd:YAG laser (1.5 W, 100 mJ, 15 Hz) diode laser (2.5 W in CW), and Er:YAG laser (1 W, 100 mJ, 10 Hz). The teeth were divided into four subgroups according to the sealer used: AH Plus, EndoREZ, Epiphany, and EpiphanySE. For testing the sealing after root canal obturation, the penetration of silver nitrate solution was measured, whereas to evaluate the adaptation and penetration of the sealer into the dentin, environmental scanning electron microscopy (ESEM) was used. The ESEM images were analyzed using a four-grade criteria score by three evaluators. The inter-examiner agreement was confirmed by Kappa test and the scores statistically compared by the Kruskal-Wallis' test (p<0.05). Both adaptation and sealer penetration in root canals were not affected by the laser irradiation. Nd:YAG and diode laser decreased the tracer penetration for AH Plus, whereas EndoREZ and EpiphanySE performances were affected by Nd:YAG irradiation (p<0.05). It can be concluded that intracanal laser irradiation can be used as an adjunct in endodontic treatment; however, the use of hydrophilic resin sealers should be avoided when root canals were irradiated with Nd:YAG laser.

  5. Antibacterial Activity of Diode Laser and Sodium Hypochlorite in Enterococcus Faecalis-Contaminated Root Canals

    PubMed Central

    Sohrabi, Khosrow; Sooratgar, Aidin; Zolfagharnasab, Kaveh; Kharazifard, Mohammad Javad; Afkhami, Farzaneh

    2016-01-01

    Introduction: The aim of the present in vitro study was to evaluate the disinfection ability of 980-nm diode laser in comparison with sodium hypochlorite (NaOCl) as a common root canal irrigant in canals infected with Enterococcus faecalis (E. faecalis). Methods and Materials: The root canals of 18 extracted single-rooted premolars were prepared by rotary system. After decoronation, the roots were autoclaved. One specimen was chosen for the negative control, and the remaining teeth were incubated with E. faecalis suspension for two weeks. Subsequently, one specimen was selected as the positive control and the remaining samples were divided into two groups (n=8). The samples of the first group were irrigated with 5.25% NaOCl and the second group were treated with a 980-nm diode laser. Microbial samples were taken from the root canals and bacterial cultivation was carried out. The average value and the standard deviation of colony-forming units (CFU) of each specimen were measured using descriptive statistics. The student’s t-test was used to compare the reduction in CFU in each group. The equality of variance of CFU was measured by the Levene’s test. Results: NaOCl resulted in 99.87% removal of the bacteria and showed significantly more antibacterial effect compared to the 980-nm diode laser which led to 96.56% bacterial reduction (P<0.05). Conclusion: Although 5.25% NaOCl seems to reduce E. faecalis more effectively, the diode laser also reduced the bacterial count. Therefore a 980-nm diode laser could be considered as a complementary disinfection method in root canal treatment. PMID:26843870

  6. Evaluation of a non-thermal plasma needle to eliminate ex vivo biofilms in root canals of extracted human teeth

    PubMed Central

    Schaudinn, C; Jaramillo, D; Freire, M O; Sedghizadeh, P P; Nguyen, A; Webster, P; Costerton, J W; Jiang, C

    2013-01-01

    Aim To evaluate the efficacy of a non-thermal plasma (NTP) at atmospheric pressure on ex vivo biofilm in root canals of extracted teeth. Methodology Intra-canal contents from three teeth with root canal infections were collected, pooled, and grown in thirty-five microCT-mapped root canals of extracted and instrumented human teeth. One group of teeth was treated with NTP, another with 6% NaOCl, and one set was left untreated. The intra-canal contents from twenty-seven teeth (nine teeth in each group) were plated on agar and colony forming units were determined. Parametric test of one-way Analysis of Variance (ANOVA) was used to analyze statistical significance. The remaining teeth were cut open, stained with LIVE/DEAD® and examined with confocal laser scanning microscopy. Results The untreated root canals were covered with biofilm of varying thickness. The treatment with the non-thermal plasma decreased the number of viable bacteria in these biofilms by one order of magnitude, while the NaOCl control achieved a reduction of more than four magnitudes. Both the NTP and the NaOCl treatment results were significantly different from the negative control (P< 0.05). Conclusion The non-thermal plasma displayed antimicrobial activity against endodontic biofilms in root canals, but was not as effective as the use of 6 % NaOCl. PMID:23480318

  7. A Clinical Update on the Different Methods to Decrease the Occurrence of Missed Root Canals.

    PubMed

    Mohammadi, Zahed; Asgary, Saeed; Shalavi, Sousan; V Abbott, Paul

    2016-01-01

    One of the main causes of endodontic treatment failure is the clinician's inability to localize all the root canals. Due to the complex anatomy of the root canal system, missed canals are not uncommon. There are several strategies to decrease the possibility of missed root canals starting with good pre-operative radiographies. In order to overcome the limitations of conventional radiographies, cone-beam computed tomography (CBCT) can be considered. A correct access cavity preparation is of pivotal importance in localizing the orifices of the root canals. Furthermore, ultrasonics are very important devices to find missed canals. Increasing magnification and illumination enhance the possibility of finding all root canals during root canal treatment. The purpose of the present paper was to review all of the above techniques and devices. PMID:27471533

  8. A Clinical Update on the Different Methods to Decrease the Occurrence of Missed Root Canals

    PubMed Central

    Mohammadi, Zahed; Asgary, Saeed; Shalavi, Sousan; V. Abbott, Paul

    2016-01-01

    One of the main causes of endodontic treatment failure is the clinician’s inability to localize all the root canals. Due to the complex anatomy of the root canal system, missed canals are not uncommon. There are several strategies to decrease the possibility of missed root canals starting with good pre-operative radiographies. In order to overcome the limitations of conventional radiographies, cone-beam computed tomography (CBCT) can be considered. A correct access cavity preparation is of pivotal importance in localizing the orifices of the root canals. Furthermore, ultrasonics are very important devices to find missed canals. Increasing magnification and illumination enhance the possibility of finding all root canals during root canal treatment. The purpose of the present paper was to review all of the above techniques and devices. PMID:27471533

  9. Bacterial penetration of the root canal of intact incisor teeth after a simulated traumatic injury.

    PubMed

    Love, R M

    1996-12-01

    One of the aims in treating traumatised teeth is to maintain the vitality of the pulp or allow conditions favourable for pulp revascularisation. However, infection of the pulp and root canal system may prevent this. A number of pathways have been proposed that allow bacteria to invade the root canal system, however most of these pathways cannot account for pulp infection in teeth that did not sustain injury to the periodontal attachment. Enamel/dentine cracks have been proposed as a portal for bacterial invasion of seemingly intact teeth and the aim of this study was to determine if bacteria could invade the root canal system after a simulated traumatic episode. Twenty intact and sound upper central incisors were chosen and prepared. One tooth was selected as a sterility control and the external crown surface of the remaining 19 teeth was subjected to infection with Streptococcus gordonii in a bacterial microleakage model. Over 7 days samples of growth media from the root canal system were taken and tested for bacteria. Sixteen of the teeth did not demonstrate bacterial invasion over the time frame. These teeth were then prepared for testing in a pendulum impact device and were subjected to a blow which did not fracture the crowns or dislodge the tooth from its simulated alveolus. The teeth were then prepared and tested in the bacterial microleakage model. After impact seven of the teeth demonstrated bacterial invasion of the root canal system (P = 0.002). These teeth were then reprepared for testing in the bacterial microleakage model. The crowns of five teeth, selected at random, were coated with two layers of light cured unfilled resin, the remaining two were used as positive controls. All the teeth coated with resin did not demonstrate bacterial invasion (P = 0.00), while the positive controls demonstrated invasion. The results suggested that enamel/dentine infractions were pathways for bacterial invasion of the root canal system of traumatised teeth. The

  10. A maxillary central incisor with three root canals: a case report.

    PubMed

    Gondim, Eudes; Setzer, Frank; Zingg, Paula; Karabucak, Bekir

    2009-10-01

    Maxillary central incisors have been reported with 1, 2, and occasionally 3 root canals. The complete biomechanical instrumentation and obturation of the root canal system are mandatory to achieve endodontic success. Root canal systems with abnormal variations present a challenge in diagnosis and clinical management to the practitioner. This article presents a detailed case report of the endodontic treatment of a 3-canal maxillary incisor with an associated periodontal defect. PMID:19801248

  11. Mandibular First Premolars with One Root and Three Canals: A Case Series.

    PubMed

    Daneshvar, Farzaneh; Baziar, Hani; Karkehabadi, Hamed; Jafarzadeh, Hamid; Bhandi, Shilpa; Patil, Shankargouda

    2015-06-01

    The possibility of extra canals in mandibular premolars is quite low; however, it must be taken into account in clinical and radiographic evaluations during root canal treatment. This case series describes the presence of one root and three canals in mandibular premolars in three patients. The case series underlines the importance of complete knowledge about root canal morphology and possible variations to increase the ability of clinicians to treat difficult cases. PMID:26323457

  12. Mixture tetracycline citric acid and detergent – A root canal irrigant. A review

    PubMed Central

    Srikumar, G.P.V.; Sekhar, K.S.; Nischith, K.G.

    2012-01-01

    Background Root canal irrigants play an indispensable role for the complete disinfection of the root canal system, in particular those areas of the root canal that are not accessible for instrumentation. Sodium hypochlorite, ethylene diamine tetra acetic acid, hydrogen peroxide and chlorhexidine are the most commonly used root canal irrigants in endodontic practice, but they do not satisfy all the properties of an ideal root canal irrigant. Mixture tetracycline, citric acid and detergent, a root canal irrigant, is commercially available as BioPure MTAD (Dentsply, Tulsa Dental, Tulsa, OK). Methodology The literature was searched for root canal irrigants used in the last 3 decades in PubMed. Data showed 83 relevant articles, of which 24 were found most suitable on the basis of description of properties, advantages and disadvantages of MTAD, hence were included. The aim of this study was to evaluate the properties of MTAD for its antibacterial efficiency, biocompatibility, chelating action with removal of endodontic smear layer and compare it with other commonly used root canal irrigants like sodium hypochlorite, ethylene diamine tetra acetic acid, hydrogen peroxide, chlorhexidine. Results MTAD was found to be highly effective intracanal irrigant compared to other commonly used root canal irrigants with excellent disinfection of the entire root canal system. Conclusion MTAD is biocompatible with superior antimicrobial efficiency compared to other commonly used root canal irrigants. PMID:25737877

  13. Quality improvement of photopolimerizable-cement root canal obturation

    NASA Astrophysics Data System (ADS)

    Lupato Conrado, Luis A.; Frois, Iris M.; Amaro Zangaro, Renato; Munin, Egberto; Kuranaga, Carlos; Dias da Silva, Marcos; do Carmo de Andrade Nono, Maria; Cerquiera Rezende, Mirabel

    2003-06-01

    The sealing cements commonly used for endodontic applications are of the type cured through chemical reactions. During the polymerization process, mechanical contractions are not uncommon, leading to a non-perfect sealing. Photopolymerizable cements usually presents superior performance as compared to those chemically activated. However, difficulties in carrying the light to difficult-to-reach regions like the dental apex preclude those material of being accepted in the dental office routine. This work reports on a novel technique which allow the light curing of photopolymerizable cements in endodontic applications. A special light guide had been developed to allow the curing light to reach and polymerize the sealing cement in the apex region. The technique was tested by using single-root human teeth with normal canal morphology. The Ultradent EndoREZ root canal sealer and a resin-based photopolymerizable filler specially developed for the current application had been used. The cone-shaped light guide was introduced into treated canals filled with the photopolymerizable material, up to the apical region. Light from an argon laser was launched onto the light guide for polymerization. All test samples were immersed in methylene-blue solution for microleakage testing. All samples treated with the self-polymerizable material presented dye penetration to some extent. No sample within the group which had the filling material polymerized by using the light guide presented dye penetration through the canal wall.

  14. 3D root canal modeling for advanced endodontic treatment

    NASA Astrophysics Data System (ADS)

    Hong, Shane Y.; Dong, Janet

    2002-06-01

    More than 14 million teeth receive endodontic (root canal) treatment annually. Before a clinician's inspection and diagnosis, destructive access preparation by removing teeth crown and dentin is usually needed. This paper presents a non-invasive method for accessing internal tooth geometry by building 3-D tooth model from 2-D radiographic and endoscopic images to be used for an automatic prescription system of computer-aided treatment procedure planning, and for the root canal preparation by an intelligent micro drilling machine with on-line monitoring. It covers the techniques specific for dental application in the radiographic images acquirement, image enhancement, image segmentation and feature recognition, distance measurement and calibration, merging 2D image into 3D mathematical model representation and display. Included also are the methods to form references for irregular teeth geometry and to do accurately measurement with self-calibration.

  15. Photoactivated disinfection (PAD) of dental root canal system – An ex-vivo study

    PubMed Central

    Mohan, Dennis; Maruthingal, Sunith; Indira, Rajamani; Divakar, Darshan Devang; Al Kheraif, Abdulaziz Abdullah; Ramakrishnaiah, Ravikumar; Durgesh, B.H.; Basavarajappa, Santhosh; John, Jacob

    2015-01-01

    Aim To investigate the efficacy of photo activated disinfection (PAD) in reducing colony-forming unit (CFU) counts of Enterococcus faecalis (E. faecalis) in infected dental root canals. The study compared the efficacy of PAD with conventional endodontic treatment (CET) and also a combination of CET along with PAD. Material and Methods 53 maxillary incisors were taken for the study. Teeth were divided into 3 groups, CET (Group I) (n = 11), PAD (Group II) (n = 21), and a combination of CET and PAD (Group III) which consisted of (n = 21) samples, Group II and Group III were further divided into 2 subgroups, Group IIa, IIb and Group IIIa, IIIb. Strains of E. faecalis were inoculated in all the root canals. CET group samples were treated by chemo-mechanical preparation (CMP) alone, PAD samples were treated with laser alone at 2 different exposure time (4 min and 2 min). In the combination treatment, samples were treated initially by CET and then by PAD for a time period of 4 min and 2 min. Contents of the root canal were aspirated, diluted and plated in Tryptone Soya Broth (TSB) and plates were incubated for 24 h to observe the bacterial regrowth. Results Showed PAD used along with CMP reduced the bacterial load of E. faecalis by 99.5% at 4 min and 98.89% at 2 min. Conclusion PAD may be an adjunctive procedure to kill residual bacteria in the dental root canal systems after standard endodontic root canal preparation. PMID:26858548

  16. Comparing irradiation parameters on disinfecting enterrecoccus faecalis in root canal disinfection

    NASA Astrophysics Data System (ADS)

    Sarp, Ayşe. S.; Gülsoy, Murat

    2016-02-01

    Although conventional method carries all the debris, studies on persisting infections in root canals show bacteria and their toxins spread from the root canal and contaminate the apical region. Thus developes apical periodontitis or symptoms, and loss of tooth. Even if the treatment has adequate success, anatomy of root canal system can be very complexwith accessory canals. The disinfecting effect of laser radiation has only recently been used in dentistry. Laser irradiation has a bactericidal effect. Each wavelength has its own advantages and limitations according to their different absorption characteristics, depending on their 'absorption coefficient'. The sterilizing efficiency of two types of wavelengths, a new fiber laser 1940- nm Thulium fiber Laser and an 2940 nm Er:YAG Laser were compared in this study. Irradiation with a power of 0.50 W with 1940- nm Thulium fiber Laser disinfected 95,15% of bacteria, however irradiation with same laser power with Er:YAG Laser caused a reduction of 96,48 %. But there was no significant difference in the disinfection effect of two different laser groups ( p < 0.05, Mann- U-Whitney Test). In addition to this, Er :YAG Laser caused three times more reduction from its own positive control group where 1940- nm Thulium fiber Laser caused 2,5 times effective disinfection.

  17. [Treatment of a fractured endodontical instrument in the root canal].

    PubMed

    Schipper, M; Peters, L B

    2015-12-01

    A 53-year-old woman with continuing pain coming from a lower first molar was diagnosed with apical periodontitis, with a retained fractured instrument in the root canal. There are a variety of treatment options for dealing with a corpus alienum in a root canal. In this case it was decided to treat the tooth endodontically, and leave the fractured instrument fragment in situ. The selection of this treatment option was made on the basis of knowledge of the original diagnosis and the success rates of the various treatment options as described in the relevant literature, weighed against the possible risks and their effects on the prognosis. This suggested that the use of a dental operating microscope has a positive impact on the success rates of endodontic treatment The prognosis for endodontic treatment when a fractured instrument fragment is left within the root canal, as in this case, is not significantly reduced. The presence of preoperative periapical pathology, however, is a more clinically significant prognostic indicator. PMID:26665200

  18. Calcium hydroxide-based root canal sealers: an updated literature review.

    PubMed

    Mohammadi, Zahed; Karim Soltani, Mohammad; Shalavi, Sousan; Yazdizadeh, Mohammad; Jafarzadeh, Mansour

    2014-05-01

    Calcium hydroxide was originally introduced to the field of endodontics by Herman in 1920 as a pulp-capping agent. Sealers play an important role in sealing the root canal system with the entombment of remaining microorganisms and filling inaccessible areas of prepared canals. This article reviews sealing ability, biocompatibility, antibacterial activity, solubility, and toxicity of calcium hydroxide based root canal sealers. PMID:24841038

  19. Rare Root Canal Configuration of Bilateral Maxillary Second Molar Using Cone-beam Computed Tomographic Scanning.

    PubMed

    Zeng, Chang; Shen, Ya; Guan, Xiaoyue; Wang, Xin; Fan, Mingwen; Li, Yuhong

    2016-04-01

    The aim of this article was to present a right maxillary second molar with an unusual root canal morphology of 4 roots and 5 canals as confirmed by cone-beam computed tomographic (CBCT) imaging. The tooth had a C-shaped mesiobuccal root (CBCT imaging revealed that the root was closer to the palate than the buccal side) with 2 canals, 2 fused distobuccal roots with 2 separate canals, and 1 normal bulky palatal root with 1 canal. After thoroughly examining the rare anatomy, root canal treatment was applied on the tooth. This article shows the complexity of maxillary second molar variation and shows the significance of CBCT imaging in the confirmation of the 3-dimensional anatomy of teeth and endodontic treatment. PMID:26920931

  20. Endodontic management of permanent mandibular molars with 6 root canals: report of 3 cases.

    PubMed

    Malhotra, Amit; Ahlawat, Jyoti; Bansal, Chirag; Tahiliani, Divya

    2016-01-01

    Aberrations in the internal dental anatomy present challenges for clinicians performing endodontic therapy. These challenges have been partly resolved in recent years by a more comprehensive knowledge of root canal anatomy as well as advancements in the endodontic armamentarium. The aim of this case series is to describe successful root canal treatment, under magnification, in 3 cases of mandibular first molars with 6 root canals. Two of these teeth had 2 roots (mesial and distal) with 3 canals in each root; the third tooth had 3 root canals located mesially and 3 present distally as well as a radix entomolaris. A distal root with 3 canals is rare; however, it is important to look for such anatomical variations to ensure successful endodontic therapy. PMID:27599288

  1. Assessment of Photodynamic Therapy (PDT) in Disinfection of Deeper Dentinal Tubules in a Root Canal System: An In Vitro Study

    PubMed Central

    Bhaskar, Dara John; Agali, Chandan R; Punia, Himanshu; Gupta, Vipul; Singh, Vikas; Kadtane, Safalya; Chandra, Sneha

    2014-01-01

    Context: The success of endodontic treatment therapy depends on how well we eliminate pathogenic microflora from the root canal system as micro organism as the major cause of root canal infection. Conventional root canal treatment can fail if microorganisms cannot be removed sufficiently by thorough cleaning, shaping of root canal. Newer modalities such as photodynamic therapy are being tried now a days for disinfection of root canals. Aim & Objectives: The basic aim of this study was assessment of the antimicrobial efficacy of Photodynamic Therapy in deeper dentinal tubules for effective disinfection of root canals using microbiological and scanning electron microscopic examination in vitro. Materials and Methods: The study was conducted at Teerthanker Mahaveer Dental College & Research Centre. The teeth required for study was collected from Department of Oral and Maxillofacial Surgery. Only freshly extracted 20 intact, non carious single rooted teeth which were indicated for orthodontic treatment were taken for this study. Statistical analysis was done using Student’s Unpaired t-test were at (p<0.001) was found to be highly significant. Microbiological examination of samples were done and colony forming units were counted to assess the disinfection potential of photodynamic therapy. Scanning electron microscopic examination of samples was done to check penetration of bacteria’s into deeper dentinal tubules. Results: On examination, there was a marked reduction in microbial growth after use of photodynamic therapy. On scanning electron microscopic examination, it was observed that there were less number of bacteria’s in deeper dentinal tubules in case of PDT group as compared to control group. Conclusion: The results of the present study indicate that PDT can be effectively used during antimicrobial procedures along with conventional disinfection procedure for sterilization of root canals. PMID:25584321

  2. Regional variation in root dentinal tubule infection by Streptococcus gordonii.

    PubMed

    Love, R M

    1996-06-01

    The purpose of this study was to investigate the pattern of bacterial invasion of dentinal tubules at different regions in human roots. Specimens were obtained from single-rooted teeth that had their root canals prepared in a standard manner. Roots were then sectioned longitudinally through the canals and the resulting specimens chemically treated to remove the smear layers. Specimens were immersed in a suspension of Streptococcus gordonii for 3 weeks and then prepared for histological analysis. Sections from the cervical, midroot, and apical areas were examined. The pattern of bacterial infection of the cervical and midroot areas was similar, characterized as a heavy infection with bacteria penetrating as deep as 200 microns. Invasion of the apical dentin was significantly different, with a mild infection and maximum penetration of 60 microns. PMID:8934987

  3. [Comparative analysis of rotatory (GT) and manual root canal preparation and association of both techniques in instrumentation of flattened root canals].

    PubMed

    Gonçalves, Silvana Beltrami; Brosco, Viviane Haiub; Bramante, Clovis Monteiro

    2003-03-01

    Root canal preparation has been considered one of the most important steps in root canal therapy, thus many techniques and instruments have been developed. The aim of this study was to evaluate the cleaning of the root canal through three different instrumentation techniques. Thirty mandibular incisors were selected and submitted to lingual access cavities. Afterwards, the canals were filled with India ink dye previously stored in carpules, which was inserted into the root canal by means of anesthetic syringe and anesthetic needles. After 48 hours, during which the dye was allowed to dry inside the root canal, the teeth were divided in three groups: G1- GT rotatory instrumentation; G2- manual instrumentation; G3- association of both. After instrumentation, the teeth were longitudinally sectioned. The cleaning process accomplished through the different instrumentation techniques was evidenced by dye removal at the cervical, middle and apical thirds of the root canal. The results of this study showed that were not statistically significant differences between these three instrumentation techniques for all three thirds of the root canal. PMID:21409337

  4. Discrimination potential of root canal treated tooth in forensic dentistry.

    PubMed

    Khalid, K; Yousif, S; Satti, A

    2016-01-01

    Forensic Odontology is a vital component of forensic science and one branch involves the application of dental science to the identification of unknown human remains. The aim of this study is to investigate the discriminatory potential for identification of the radiographic morphology of obturated single root canals. Thirty periapical radiographs of patients having endodontic treatment of single rooted canals were selected randomly from the data bank of the digital X- ray system present in the restorative department, University of Science and Technology, Sudan. The post-operative radiographs were considered as an ant-mortem data "Set 1". Ten radiographs from the thirty were reprinted, labelled from (A-J) and considered as a post-mortem data "Set 2". This post-mortem group of 10 radiographs "Set 2" would be compared with the ante-mortem group of 30 radiographs comprising "Set 1". These two sets of radiographs would be examined by 40 dentally trained personnel. The thirty radiographs comprising "Set 1" and the 10 radiographs comprising "Set 2" were provided to each of the examiners who were asked to match the individual post-mortem radiographs ("Set 2") with the ante-mortem radiographs ("Set1"). The result demonstrated that 34 examiners achieved a success rate of 100%, 4 examiners achieved a success rate of 97.5% (1 mismatch) and 2 examiners achieved a success rate of 95% (2 mismatches). The radiographic images of obturated single-rooted teeth in this study were shown to have highly- specific morphological features. It is proposed that, in cases where the ante and post-mortem radiographs of a single-rooted obturated canal show similar morphology, this commonality of morphology can be used as a tool in the identification process. PMID:27350699

  5. Root Canal Configuration of Mandibular First and Second Premolars in an Iranian Population

    PubMed Central

    Rahimi, Saeed; Shahi, Shahriar; Yavari, Hamid Reza; Manafi, Hakimeh; Eskandarzadeh, Nemat

    2007-01-01

    Background and aims It is critical to have a proper knowledge of the normal anatomy of the pulp and its variations for the success of endodontic treatment. The aim of this study was to determine the canal configuration and the prevalence of C-shaped canals in mandibular first and second premolars in a North-Western Iranian population. Materials and methods A total of 163 extracted mandibular first and 103 mandibular second premolars were injected with India ink and demineralized . They were made clear and transparent with methyl salicylate and the anatomy of their canal(s) was studied. Results The results showed that 98% of mandibular first premolars had one root, 2% had two roots, 70.6% had one canal, 27.8% had two canals, 1.2% had three canals and the prevalence of C-shaped canals was 2.4%. All mandibular second premolars had one root, 80.5% had one canal, 17.5% had two canals and the prevalence of C-shaped canals was 2%. Conclusion It is important that clinicians, before treatment of mandibular first and second premolars, pay complete attention to radiographs, have a true concept of the number of root(s) and canal(s), and prepare a correct access cavitiy. PMID:23277835

  6. The surface of root canal irradiated by Nd:YAG laser with TiO2

    NASA Astrophysics Data System (ADS)

    Ebihara, Arata; Anjo, Tomoo; Takeda, Atsushi; Suda, Hideaki

    2004-05-01

    The aim of this study was to determine the appropriateness of Nd:YAG laser irradiation for root canal preparation. Tooth crowns were removed from single-rooted human teeth and a quartz optical fiber (diameter 400 μm) was inserted into the root canal orifice towards the apical foramen. The length of the fiber within the root canal was measured, and the irradiating length determined. Root canals were then filled with 3% TiO2 emulsion solution (a photosensitizer) and irradiated using a pulsed Nd:YAG laser at 600 mJ/pulse (pulse frequency; 5 or 10 pps). During laser irradiation, the fiber was moved coronally from the apical region towards the canal orifice at a rate of 1 mm/s. Contact microradiographs (CMR) were taken before and after laser irradiation. Each root was then halved longitudinally, and the root canal surface observed by scanning electron microscopy (SEM). The CMR images of the tooth revealed that the root canal was slightly enlarged as a result of treatment. Carbonization of the root canal dentin was not seen, but a smear layer and melted dentin were observed by SEM. Nd:YAG laser irradiation using TiO2 emulsion solution appears to be a useful tool for root canal preparation.

  7. Leakage of four root canal sealers at different thickness.

    PubMed

    Wu, M K; De Gee, A J; Wesselink, P R

    1994-11-01

    Sealers play a key role in sealing the root canal system. Fluid transport under a headspace pressure of 50 kPa (0.5 atm) through four sealers, AH26, Ketac-Endo, Sealapex and Tubli-Seal at a thickness of 0.05, 0.25 or 3 mm, was determined using 240 standard bovine root sections which were obturated with either sealer only or sealer combined with standard gutta-percha cylinders. AH26 and Sealapex sealed more tightly than Ketac-Endo or Tubli-Seal when used without gutta-percha; AH26, Ketac-Endo, and Sealapex sealed more tightly than Tubli-Seal when the sealer layer was 0.25 mm thick, while Ketac-Endo sealed more tightly than the other three sealers when the sealer layer was 0.05 mm thick. These findings indicate that the thickness of the sealer layer influences the sealing ability of a root canal filling. PMID:7751063

  8. A Comparative Scanning Electron Microscope Investigation of Cleanliness of Root Canals Using Hand K-Flexofiles, Rotary Race and K3 Instruments

    PubMed Central

    Rahimi, Saeed; Zand, Vahid; Shahi, Sharhriar; Shakouie, Sahar; Reyhani, Mohammad Forough; Mohammadi Khoshro, Mohammad; Tehranchi, Pardis

    2008-01-01

    INTRODUCTION: The most important aims of root canal preparation are the removal of vital pulp tissue, remaining necrotic debris and infected dentin, eliminating the bulk of bacteria present in the root canal system. The aim of this study was to compare the cleaning efficacy of hand K-Flexofiles and rotary RaCe and K3 instruments in root canal preparation. MATERIALS AND METHODS: A total of 60 single rooted teeth with maximum curvature of <20º were selected and divided into three groups of 20 teeth each. Canals were prepared with K-Flexofiles, K3 and RaCe instruments using crown down preparation technique, up to size #30. After instrumentation, the root canals were flushed with 5 mL of 2.5 % NaOCl solution. The amount of debris and smear layer was quantified on the basis of Hulsmann method using a scanning electron microscope. The data were statistically analyzed with one-way ANOVA test at a significance level of P<0.05. RESULTS: None of the three groups achieved completely debrided root canals.. In general, K-Flexofiles were able to achieve cleaner canals compared to K3 and RaCe instruments (P<0.05). There were no significant differences between three groups in smear layer removal throughout the root canal walls (P<0.05). CONCLUSION: K-Flexofiles group had less remained debris when compared to K3 and RaCe instruments. PMID:24082904

  9. A comparison of three different root canal sealers when used to obturate a moisture-contaminated root canal system.

    PubMed

    Horning, T G; Kessler, J R

    1995-07-01

    Sealing ability of three classes of endodontic sealers, in moisture-contaminated canals, was evaluated. A total of 120 single-rooted extracted teeth were divided into three groups. The groups were obturated with either Procosol, Sealapex, or Ketac-Endo using saline as a moisture contaminant in all cases. Half (20 teeth) of each group was placed in a saline storage medium for 9 months. The remainder of the samples were placed in India ink, under a vacuum, cleared, and the amount of dye penetration measured under magnification. The stored samples were similarly treated after the 9-month storage period. In a moisture-contaminated canal, Procosol exhibited the least amount of apical leakage, followed by Sealapex, then Ketac-Endo. There was no significant difference in the amount of dye penetration after 9 months of storage over that found initially, which indicates that the deleterious effects of moisture contamination occur during the initial placement and setting reaction. PMID:7499974

  10. Comparison of carbon fiber and stainless steel root canal posts.

    PubMed

    Purton, D G; Payne, J A

    1996-02-01

    This in vitro study compared physical properties of root canal posts made of carbon fiber-reinforced epoxy resin with those of stainless steel posts. Three-point bending tests were used to derive the transverse modulus of elasticity of the posts. Resin composite cores on the posts were subjected to tensile forces to test the bonds between the cores and posts. Carbon fiber posts appeared to have adequate rigidity for their designed purpose. The bond strength of the resin composite cores to the carbon fiber posts was significantly less than that to the stainless steel posts. PMID:9063218

  11. Photodynamic therapy with water-soluble phtalocyanines against bacterial biofilms in teeth root canals

    NASA Astrophysics Data System (ADS)

    Gergova, Raina; Georgieva, Tzvetelina; Angelov, Ivan; Mantareva, Vanya; Valkanov, Serjoga; Mitov, Ivan; Dimitrov, Slavcho

    2012-06-01

    The study presents the PDT with metal phthalocyanines on biofilms grown in root canals of ten representatives of the Gram-positive and the Gram-negative bacterial species and a fungus Candida albicans which cause aqute teeth infections in root canals.. The extracted human single-root teeth infected for 48 h with microorganisms in conditions to form biofilms of the above pathogens were PDT treated. The stage of biofilm formation and PDT effect of the samples of the teeth were determined by the scaning electron microscopy and with standard microbial tests. The PDT treating procedure included 10 min incubation with the respected phthalocyanine and irradiated with 660 nm Diode laser for 10 min. The most strongly antibacterial activity was achieved with zinc(II) phthalocyanine (ZnPc) against Enterococcus faecalis, Staphylococcus aureus and Moraxella catarrhalis. The other Gram-negative bacteria and Candida albicans were 10-100 times more resistant than the Gram-positive species. The Gram-negative Moraxella catarrhalis and Acinetobacter baumannii were more sensitive than the enterobacteria, but eradication of Pseudomonas aeruginosa in biofilm was insignificant. The influence of the stage of biofilm formation and the initial conditions (bacterial density, photosensitizer concentration and energy fluence of radiation) to the obtained level of inactivation of biofilms was investigated. The PDT with ZnPc photosensitizers show a powerful antimicrobial activity against the most frequent pathogens in endodontic infections and this method for inactivation of pathogens may be used with sucsses for treatment of the bacterial biofilms in the root canals.

  12. Three-dimensional analysis of root canal geometry by high-resolution computed tomography.

    PubMed

    Peters, O A; Laib, A; Rüegsegger, P; Barbakow, F

    2000-06-01

    A detailed understanding of the complexity of root canal systems is imperative to ensure successful root canal preparation. The aim of this study was to evaluate the potential and accuracy of a three-dimensional, non-destructive technique for detailing root canal geometry by means of high-resolution tomography. The anatomy of root canals in 12 extracted human maxillary molars was analyzed by means of a micro-computed tomography scanner (microCT, cubic resolution 34 microm). A special mounting device facilitated repeated precise repositioning of the teeth in the microCT. Surface areas and volumes of each canal were calculated by triangulation, and means were determined. Model-independent methods were used to evaluate the canals' diameters and configuration. The calculated and measured volumes and the areas of artificial root canals, produced by the drilling of precision holes into dentin disks, were well-correlated. Semi-automated repositioning of specimens resulted in near-perfect matching (< 1 voxel) when outer canal contours were assessed. Root canal geometry was accurately assessed by this innovative technique; therefore, variables and indices presented may serve as a basis for further analyses of root canal anatomy in experimental endodontology. PMID:10890720

  13. Saliva, supragingival biofilm and root canals can harbor gene associated with resistance to lactamic agents.

    PubMed

    Moraes, Ludmila Coutinho; Fatturi-Parolo, Clarissa Cavalcanti; Ferreira, Maria Beatriz Cardoso; Só, Marcus Vinicius Reis; Montagner, Francisco

    2015-01-01

    This study aimed to determine the presence of Prevotella strains and genes associated with resistance to lactamics in different oral niches from patients with/without primary endodontic infections. Saliva (S) and supragingival biofilm (SB) were collected from three patient groups: Group I - no endodontic infection (n = 15); Group II - acute endodontic infection (n = 12); and Group III - chronic endodontic infection (n = 15). Root canal (RC) samples were collected from Groups II and III. The presence of P. intermedia, P nigrescens, P. tannerae and cfxA/cfxA2 gene was assessed by PCR. The cfxA/cfxA2 gene was not detected in all environments within the same patient. The cfxA/cfxA2 gene was present in 23.81% of S samples, 28.57% of SB samples, and 7.41% of RC samples. Prevotella species were detected in 53.97%, 47.62% and 34.56% of the S, SB, and RC samples, respectively. P. intermedia had a high frequency in saliva samples from Group 3. Saliva samples from Group 1 had higher detection rates of P. nigrescens than did Groups 2 and 3. Patients without endodontic disease had high frequencies of P. nigrescens in the SB samples. The presence or absence of spontaneous symptoms was not related to the detection rates for resistance genes in the RC samples. Saliva, supragingival biofilm and root canals can harbor resistant bacteria. The presence of symptomatology did not increase the presence of the cfxA/cfxA2 gene in the supragingival biofilm and inside root canals. PMID:25789508

  14. Root Canal Morphology of Human Mandibular First Permanent Molars in an Iranian Population

    PubMed Central

    Shahi, Shahriar; Yavari, Hamid Reza; Rahimi, Saeed; Torkamani, Reza

    2008-01-01

    Background and aims The knowledge of variations in root canal morphology is critical for a successful endodontic treatment. The purpose of this study was to investigate variations in the root canal system of human mandibular first permanent molars in an Iranian population. Materials and methods In this study, 209 mandibular first molar teeth were decalcified, dye-injected, and cleared in order to determine the number and configuration of the root canals. Results The results demonstrated that 65.56% of the mandibular first molars under study had three, 31.57% had four and 2.87% had two canals. Conclusion According to the results of this study and considering variations in the root canal systems of the mandibular first molars, it seems that great care should be taken in the root canal treatment of these teeth. PMID:23285325

  15. Outcomes of root canal treatment in Dental PBRN practices

    PubMed Central

    Gilbert, Gregg H.; Tilashalski, Ken R.; Litaker, Mark S.; McNeal, Sandre F.; Boykin, Michael J.; Kessler, Allen W.

    2010-01-01

    Our purpose was to quantify the incidence of root canal treatment (RCT) failure and identify its predictors in root canals done in or referred from general dentistry practices in a practice-based research network (PBRN). A retrospective cohort study of 174 endodontically-treated teeth was conducted. Mean duration of follow-up was 8.6 years. Permanent restorations were ultimately placed in 89% of teeth; mean (S.D.) number of days to permanent restoration was 215.4 (609.1). Although RCT had been completed, 18% of teeth were ultimately extracted anyway. Receipt of a permanent restoration was a significant predictor of treatment failure, whether it was determined clinically or radiographically. This study of PBRN practices suggests a higher failure rate than reported from studies in highly-controlled environments or populations with high levels of dental insurance. Also, the probability of receipt of a permanent restoration is not optimal -- and strongly predicts RCT failure. Appropriately, no RCT was done on teeth with severe periodontal bone loss. PMID:20129890

  16. Postoperative Pain after Root Canal Treatment: A Prospective Cohort Study

    PubMed Central

    Gotler, M.; Bar-Gil, B.; Ashkenazi, M.

    2012-01-01

    Aim. To evaluate the incidence and severity of postendodontic treatment pain (PEP) subsequent to root canal treatment (RCT) in vital and necrotic pulps and after retreatment. Methodology. A prospective study. Participants were all patients (n = 274) who underwent RCT in teeth with vital pulp, necrotic pulp, or vital pulp that had been treated for symptomatic irreversible pulpitis or who received root canal retreatment, by one clinician, during an eight-month period. Exclusion criteria were swelling, purulence, and antibiotic use during initial treatment. A structured questionnaire accessed age, gender, tooth location, and pulpal diagnosis. Within 24 h of treatment, patients were asked to grade their pain at 6 and 18 hours posttreatment, using a 1–5 point scale. Results. RCT of teeth with vital pulp induced a significantly higher incidence and severity of PEP (63.8%; 2.46 ± 1.4, resp.) than RCT of teeth with necrotic pulp (38.5%; 1.78 ± 1.2, resp.) or of retreated teeth (48.8%; 1.89 ± 1.1, resp.). No statistical relation was found between type of pain (spontaneous or stimulated) and pulp condition. Conclusion. RCT of teeth with vital pulp induced a significantly higher incidence and intensity of PEP compared to teeth with necrotic pulp or retreated teeth. PMID:22505897

  17. Various Strategies for Pain-Free Root Canal Treatment

    PubMed Central

    Parirokh, Masoud; V. Abbott, Paul

    2014-01-01

    Introduction: Achieving successful anesthesia and performing pain-free root canal treatment are important aims in dentistry. This is not always achievable and therefore, practitioners are constantly seeking newer techniques, equipments, and anesthetic solutions for this very purpose. The aim of this review is to introduce strategies to achieve profound anesthesia particularly in difficult cases. Materials and Methods: A review of the literature was performed by electronic and hand searching methods for anesthetic agents, techniques, and equipment. The highest level of evidence based investigations with rigorous methods and materials were selected for discussion. Results: Numerous studies investigated to pain management during root canal treatment; however, there is still no single technique that will predictably provide profound pulp anesthesia. One of the most challenging issues in endodontic practice is achieving a profound anesthesia for teeth with irreversible pulpitis especially in mandibular posterior region. Conclusion: According to most investigations, achieving a successful anesthesia is not always possible with a single technique and practitioners should be aware of all possible alternatives for profound anesthesia. PMID:24396370

  18. In vivo antimicrobial activity of 2% chlorhexidine used as a root canal irrigating solution.

    PubMed

    Leonardo, M R; Tanomaru Filho, M; Silva, L A; Nelson Filho, P; Bonifácio, K C; Ito, I Y

    1999-03-01

    The aim of the present study was to evaluate the in vivo antimicrobial activity of 2% chlorhexidine gluconate (FCFRP-USP) used as a root canal irrigating solution in teeth with pulp necrosis and radiographically visible chronic periapical reactions. Culture techniques and measurement of the inhibition zone were used. Twenty-two root canals of incisors and molars of 12 patients were used. After accessing the canal, the first root canal sample was collected with two sterile paper points that were transferred to a tube containing reduced transport fluid. The root canal was instrumented using chlorhexidine solution. A small sterile cotton pellet was placed at the root canal entrance, and the cavity was sealed with zinc oxide-eugenol cement. The canals were maintained empty for 48 h. Three sterile paper points were then introduced to absorb the root canal fluid (second sample). One paper point was placed on an agar plate inoculated with Micrococcus luteus ATCC 9341 and incubated for 24 h at 37 degrees C, and the other two were submitted to microbiological evaluation. Present in 10 cases at baseline, mutans streptococci was reduced by 100% at the second assessment. Treatment showed an efficiency of 77.78% for anaerobic microorganisms at the second assessment. These data suggest that chlorhexidine prevents microbial activity in vivo with residual effects in the root canal system up to 48 h. PMID:10321180

  19. A comparison in vitro of two ultrasonic root canal preparation techniques.

    PubMed

    Yap, S Y; Stock, C J

    1992-11-01

    Two ultrasonic techniques were compared for their ability to clean and shape root canals in extracted human teeth. One technique was recommended by the manufacturer (Cavi-Endo, Dentsply), while the other was a modification by the authors of the stepdown technique. Mesiobuccal root canals of molars were instrumented using these techniques, after which a silicone impression material was injected into the prepared canals. The roots were then split longitudinally and one half was stained for debris scoring while the silicone impressions were assessed for shape. The results showed that the modified technique produced significantly cleaner canals than the recommended technique. The shaping ability of both techniques was difficult to evaluate because of the complex morphology of molar root canals. The final shape of the prepared canal depended more on the initial shape than on the instrumentation technique. PMID:1306862

  20. Characterization of Microbiota of Root Canal-Treated Teeth with Posttreatment Disease

    PubMed Central

    Rôças, Isabela N.

    2012-01-01

    This study evaluated the microbiota of root canals undergoing retreatment. The most prevalent taxa detected by checkerboard included Propionibacterium species, Fusobacterium nucleatum, streptococci, and Pseudoramibacter alactolyticus. Quantitative real-time PCR detected Enterococcus faecalis and streptococci in 38% and 41% of the cases, comprising 9.76% and 65.78% of the total bacterial counts, respectively. The findings call into question the status of E. faecalis as the main pathogen and suggest that other species can be candidate pathogens associated with persistent/secondary endodontic infections. PMID:22403423

  1. Characterization of microbiota of root canal-treated teeth with posttreatment disease.

    PubMed

    Rôças, Isabela N; Siqueira, José F

    2012-05-01

    This study evaluated the microbiota of root canals undergoing retreatment. The most prevalent taxa detected by checkerboard included Propionibacterium species, Fusobacterium nucleatum, streptococci, and Pseudoramibacter alactolyticus. Quantitative real-time PCR detected Enterococcus faecalis and streptococci in 38% and 41% of the cases, comprising 9.76% and 65.78% of the total bacterial counts, respectively. The findings call into question the status of E. faecalis as the main pathogen and suggest that other species can be candidate pathogens associated with persistent/secondary endodontic infections. PMID:22403423

  2. In vitro comparison of antimicrobial effectiveness of QMix and other final irrigants in human root canals

    PubMed Central

    Liu, Ying; Guo, Lili; Li, Yuqin; Guo, Xiangjun; Wang, Bin; Wu, Ligeng

    2015-01-01

    Final root canal irrigation stands as an effective strategy for eliminating the dentin infection. This study aimed to investigate and compare the antibacterial efficacy of QMix and other four final irrigation regimens in reducing Enterococcus faecalis within human root canals. Single-canal human teeth contaminated with E. faecalis for 4 weeks were prepared chemomechanically with sodium hypochlorite (NaOCl). Then, the teeth were randomly assigned into six groups according to the final irrigation protocols: (1) EDTA/NaOCl, 17% EDTA followed by 5.25% NaOCl; (2) EDTA/chlorhexidine (CHX), 17% EDTA followed by 2% CHX; (3) EDTA/cetrimide (CTR), 17% EDTA followed by 2% CTR; (4) MTAD; (5) QMix; and (6) control, 0.9% saline. Bacterial samples collected before instrumentation and after final irrigation were cultured and the colony-forming units (CFUs) were counted. The CFUs in the QMix, EDTA/CHX, and EDTA/CTR groups were significantly lower than those in the EDTA/NaOCl group. No significant differences were observed between the QMix, EDTA/CHX, and EDTA/CTR groups. MTAD showed weaker ability than QMix and EDTA/CHX to eliminate E. faecalis, but it caused a greater reduction in CFU than EDTA/NaOCl. Hence, the antimicrobial activity of QMix was comparable to that of EDTA/CHX and EDTA/CTR and more effective than that of EDTA/NaOCl against intracanal E. faecalis. PMID:26631907

  3. In vitro comparison of antimicrobial effectiveness of QMix and other final irrigants in human root canals.

    PubMed

    Liu, Ying; Guo, Lili; Li, Yuqin; Guo, Xiangjun; Wang, Bin; Wu, Ligeng

    2015-01-01

    Final root canal irrigation stands as an effective strategy for eliminating the dentin infection. This study aimed to investigate and compare the antibacterial efficacy of QMix and other four final irrigation regimens in reducing Enterococcus faecalis within human root canals. Single-canal human teeth contaminated with E. faecalis for 4 weeks were prepared chemomechanically with sodium hypochlorite (NaOCl). Then, the teeth were randomly assigned into six groups according to the final irrigation protocols: (1) EDTA/NaOCl, 17% EDTA followed by 5.25% NaOCl; (2) EDTA/chlorhexidine (CHX), 17% EDTA followed by 2% CHX; (3) EDTA/cetrimide (CTR), 17% EDTA followed by 2% CTR; (4) MTAD; (5) QMix; and (6) control, 0.9% saline. Bacterial samples collected before instrumentation and after final irrigation were cultured and the colony-forming units (CFUs) were counted. The CFUs in the QMix, EDTA/CHX, and EDTA/CTR groups were significantly lower than those in the EDTA/NaOCl group. No significant differences were observed between the QMix, EDTA/CHX, and EDTA/CTR groups. MTAD showed weaker ability than QMix and EDTA/CHX to eliminate E. faecalis, but it caused a greater reduction in CFU than EDTA/NaOCl. Hence, the antimicrobial activity of QMix was comparable to that of EDTA/CHX and EDTA/CTR and more effective than that of EDTA/NaOCl against intracanal E. faecalis. PMID:26631907

  4. Retreatment of a Maxillary Lateral Incisor With Two Separate Root Canals Confirmed With Cone Beam Computed Tomography

    PubMed Central

    Aydemir, Seda; Helvacioglu-Yigit, Dilek; Sinanoglu, Alper; Ozel, Emre

    2015-01-01

    The purpose of this report is to present a rare case of a maxillary lateral incisor exhibiting two separate root canals confirmed by cone-beam computed tomography (CBCT). A 65-year-old female patient with an esthetic complaint regarding her maxillary left lateral incisor was referred to our clinic. During a radiographical examination, an endodontically treated root canal and an extra root canal with an apical lesion were observed. The retreatment was performed. CBCT findings confirmed the root canal mophology of the maxillary left lateral with two distinct canals. We conclude that the CBCT imaging is an adjunctive tool for better assessment of complex root canal systems. PMID:26015823

  5. Presence of Candida albicans in Root Canals of Teeth with Apical Periodontitis and Evaluation of their Possible Role in Failure of Endodontic Treatment

    PubMed Central

    Kumar, Jay; Sharma, Rohit; Sharma, Madhurima; Prabhavathi, V; Paul, John; Chowdary, Chava Deepak

    2015-01-01

    Background: Candidal organisms are commensals of the oral cavity and their opportunistic infection depends on the interplay of local and systemic factors. Endodontic treatment failure has been associated with the persistence of microbial flora following therapy in the root canal system, and this includes fungi like Candida, which are resistant to conventional root canal irrigants. Materials and Methods: A total of 20 mandibular molars were included in the study of which 15 were primary randomized controlled trial cases, whereas 5 were retreatment cases. The patient’s saliva, as well as the root canal flora, were examined for the presence of Candida organisms and further confirmed for the presence of Candida albicans. Results: Of the 20 samples comprising the study group, the saliva culture revealed 11 of them to have a colony forming unit (CFU) >400 and 9 of the 20 canals microbiology showed CFU >400. Among the 15 first-time root canal treatment cases, saliva examination these revealed 8 of them to have CFU >400 and the canal microbiology of these showed 6 of them to have CFU >400. Among the retreatment cases, 3 of the 5 cases showed CFU >400 in both the saliva DN canal culture. Conclusion: Candidal contamination of the root canals could be the cause of endodontic treatment failure and thus emphasizes the importance of rubber dam isolation and the use of irrigants with antifungal properties for sufficient duration during treatment. PMID:25859106

  6. Evaluation of root canal morphology of human primary molars by using CBCT and comprehensive review of the literature.

    PubMed

    Ozcan, Gozde; Sekerci, Ahmet Ercan; Cantekin, Kenan; Aydinbelge, Mustafa; Dogan, Salih

    2016-05-01

    Objective Knowledge of primary tooth morphology is essential for clinical dentistry, especially for root canal treatment and dental traumatology. However, this has not been well documented to date with a large sample. This study was carried out to investigate the variation in number and morphology of the root canals of the primary molars, to study the applicability of cone beam computerized tomography (CBCT) in assessing the same and to provide a comprehensive review of the literature. Materials and methods A total of 343 primary molars, without any root resorption, were divided into four main groups including the maxillary first molars, maxillary second molars, mandibular first molars and mandibular second molars. All of them were analysed in CBCT images in the axial, sagittal and coronal planes. Various parameters such as the number of roots, number of canals, the root canal type, diameter of root and root canal and root canal curvature were studied. Results Primary molars in all four groups showed variability in the number of roots and root canals. As far as length of the roots was concerned, the palatal root of the maxillary molar was found to be longest, while the distobuccal root was shortest. In mandibular molars, the mesial root was longer than the distal root. The length of distobuccal root canal of the maxillary molars and the distolingual canal of the mandibular molars was found to be shortest. The number of roots and root canals varied from two to four and three to four, respectively. The maxillary molars exhibited more one-canal than two-canal roots. Conclusion The present study provides comprehensive information to the existing literature concerning the variation in root canal morphology of the maxillary and mandibular primary molar teeth. These data may help clinicians in the root canal treatment of these teeth. PMID:26523502

  7. Root Canal Configuration of Maxillary First Permanent Molars in an Iranian Population

    PubMed Central

    Shahi, Shahriar; Yavari, Hamid Reza; Rahimi, Saeed; Ahmadi, Ali

    2007-01-01

    Background and aims It is critical to have a proper knowledge of the normal anatomy of the pulp and its variations for the success of endodontic treatment. The purpose of this study was to investigate variations in the root canal system of maxillary first permanent molars in an Iranian population. Materials and methods In this study, 137 maxillary first molars were decalcified, dye-injected, cleared and studied. Results The results demonstrated that 37.96% of the maxillary first molars under study had three canals, 58.4% had four canals and 3.64% had five canals. Conclusion According to the results of this study and considering variations in the root canal systems of maxillary first molars, it seems that great care should be taken in the root canal treatment of these teeth. PMID:23277826

  8. Evaluation of the antimicrobial effect of Er:YAG laser irradiation versus 1% sodium hypochlorite irrigation for root canal disinfection.

    PubMed

    Perin, Fernanda M; França, Suzelei C; Silva-Sousa, Yara T C; Alfredo, Edson; Saquy, Paulo C; Estrela, Carlos; Sousa-Neto, Manoel D

    2004-04-01

    This laboratory study evaluated Er:YAG laser antibacterial action in infected root canals. Forty-eight maxillary central incisors were used. After canal preparation, the teeth were autoclaved and divided into four groups: (1) non-treated teeth (control group); (2) teeth treated with NaOCl; (3) teeth irradiated with Er:YAG laser (7 Hz, 100 mJ, 80 pulses/canal, 11 sec) to the working length; (4) teeth irradiated similarly to, but 3 mm short, of the apex. The root canals from Groups 2, 3 and 4 were inoculated with 4 bacteria: Bacillus subtillus, Enterococcus faecalis, Pseudomonas aeruginosa, and Staphylococcus aureus, together with Candida albicans, and maintained for 24 h at 37 degrees C. All suspensions were adjusted to tube 2 of the MacFarland scale. The intracanal material was then collected with sterile paper points, which were placed in the canals for 5 min and then immersed in 5 ml of BHI medium. This was then seeded onto agar and stained by Gram's method. The NaOCl solutions and the Er:YAG laser irradiation to working length were effective against all five micro-organisms; however, 70% of the specimens irradiated 3 mm short of the apex remained infected. PMID:15116905

  9. Rigidity and retention of ceramic root canal posts.

    PubMed

    Purton, D G; Love, R M; Chandler, N P

    2000-01-01

    Ceramic root-canal posts offer potential advantages over other types with respect to aesthetics and biocompatibility. Any post must be sufficiently rigid and retentive to withstand functional forces. Ceraposts (1.2 mm coronal diameter, ceramic, tapering, smooth posts) and Paraposts (1.25 mm, stainless-steel, parallel, serrated posts) were tested for rigidity by means of a three-point bending test. To test retention in roots, ceramic posts were cemented using one of three protocols: (1) glass-ionomer cement, (2) silane coupling agent and resin cement, or (3) sandblasted post surface, silane coupling agent, and resin cement. Stainless-steel posts were cemented with resin. The tensile force required to dislodge the posts, following four weeks of storage in water, was recorded. Data were compared using Student's t-test and Mann-Whitney U analysis. Ceraposts were significantly more rigid than Paraposts (p < 0.001). Paraposts cemented with resin were significantly more strongly retained than Ceraposts following any cementation protocol (p < 0.001). Retention of the ceramic posts was significantly greater with a silane coupling agent and resin cement than with glass-ionomer cement (p < 0.001). Sandblasting the ceramic posts produced variable results and needs further investigation before it could be recommended. PMID:11203820

  10. Bacterial leakage of GuttaFlow-filled root canals compared with Resilon/Epiphany and Gutta-percha/AH26-filled root canals.

    PubMed

    Kangarlou, Ali; Dianat, Omid; Esfahrood, Zeinab Rezaei; Asharaf, Hengameh; Zandi, Babak; Eslami, Gita

    2012-04-01

    The purpose of this study was to assess bacterial apical leakage in root canals obturated with GuttaFlow and compare this with the leakage of root canals obturated with Resilon/Epiphany or Gutta-percha/AH26. A total of 55 single-rooted human teeth were divided randomly into three experimental (n = 15) and two control groups (n = 5). Following a standardised preparation, the teeth were obturated with either GuttaFlow, Resilon/Epiphany or Gutta-percha/AH26. A two-chamber bacterial model using Enterococcus faecalis was employed to assess bacterial apical leakage for a period of 60 days. A Kruskal-Wallis test showed no significant differences between the seal of root canals obturated with GuttaFlow, Resilon/Ephiphany or Gutta-percha/AH26. PMID:22432820

  11. Comparison of two sonic handpieces during the preparation of simulated root canals.

    PubMed

    Dummer, P M; Hutchings, R; Hartles, F R

    1993-05-01

    The objective of this study was to assess and compare two sonic handpieces during the preparation of simulated root canals. A total of 60 simulated canals in clear resin blocks of various angles and positions of curvature were prepared using Shaper files activated either by an MM1500 Sonic Air or an MM1400 Mecasonic handpiece. Each handpiece was used to prepare 30 canals using an identical preparation procedure which involved a linear filing motion and an anticurvature technique in curved canals. The efficacy of the handpieces was determined for straight and curved canals separately and included an assessment of loss of canal length, weight loss from the blocks, smoothness of canal walls, transportation and overall shape of the prepared canals. Canals were prepared rapidly and effectively by both handpieces. Overall, the MM1500 handpiece was associated with significantly less distance loss (P < 0.05) and significantly more loss of weight (P < 0.01). Only four prepared canals (8%) had hour-glass shapes displaying zips and elbows, each handpiece created two. Only two canals (4%) had danger zones, both were created by the MM1400 handpiece. There was little difference between the handpieces in terms of the smoothness of canal walls, the direction and amount of transportation or the overall shape of canals. Under the conditions of this study, the new MM1400 Mecasonic handpiece performed as well as the established MM1500 Sonic Air. PMID:8406963

  12. A computerized method for mathematical description of three-dimensional root canal axis.

    PubMed

    Dobó-Nagy, C; Keszthelyi, G; Szabó, J; Sulyok, P; Ledeczky, G; Szabó, J

    2000-11-01

    Knowledge of the three-dimensional (3D) morphology of root canals is important for successful endodontic treatment. The objective of the present study was to determine the 3D root canal axis mathematically. Two views (mesiodistal and buccolingual) of digitized images were taken from extracted natural human teeth. Geometric reconstruction to standardize projection geometry was conducted on images. Because 90-degree turn-around image pairs are Monge images of a given root canal, these Monge images were positioned using photogrammetric methods. Each well-ordered axis pair of a given root canal was put into a common coordinate system resulting in 3D polynomial function of the actual root canal. On the basis of the results gained using 10 samples evaluated with the Friedman statistical test, this description seems to be reproducible. The 3D representation of the root canal may help the clinicians in choosing the optimal instruments and shaping techniques. The root canal axis that is described by the 3D function forms a basis for determination of curvature values and torsion values in each of the axis points. Evaluating these values may also yield a new type of classification. PMID:11469291

  13. Antimicrobial efficacy of different root canal sealers by using real-time polymerase chain reaction: An ex vivo study

    PubMed Central

    Seelan, R Gnana; Kumar, A Arvind; Emil Sam, R Jonathan; Maheswari, S Uma

    2015-01-01

    Background: Root canal sealers help to minimize leakage, provides antimicrobial activity to reduce the possibility of residual bacteria, and to resolve periapical lesion. Aim: To compare five different root canal sealers against Enterococcus faecalis in an infected root canal model by using real-time polymerase chain reaction (RT-PCR). Settings and Design: Sixty human mandibular premolars were sectioned to standardize a uniform length of 14 mm. Fifty microliters of the inoculum containing E. faecalis were transferred into each microcentrifuge tube (n = 60). The samples were divided into six groups Tubli-Seal, Apexit Plus, Fillapex, AH Plus, RoekoSeal, and Positive control, respectively. Materials and Methods: Five groups after the incubation with the microorganism E. faecalis were coated with different root canal sealers and obturated using F3 ProTaper Gutta-percha point. The dentinal shavings were collected and analyzed for RT-PCR. Statistical Analysis: The mean difference between six groups was calculated using analysis of variance and post-hoc test. Results: The highest antibacterial activity was achieved with Tubli-Seal (1938.13 DNA in pictogram [pg]) and least by RoekoSeal (3034.54 DNA in pg). Conclusion: The maximum antimicrobial activity was achieved AH Plus and Tubli-Seal. RT-PCR can be used as a valuable and accurate tool for testing antimicrobial activity. PMID:26752843

  14. Effects of preparation techniques on root canal shaping assessed by micro-computed tomography

    PubMed Central

    Stavileci, Miranda; Hoxha, Veton; Görduysus, Ömer; Tatar, Ilkan; Laperre, Kjell; Hostens, Jeroen; Küçükkaya, Selen; Berisha, Merita

    2013-01-01

    Background Root canal shaping without any procedural error is of the utmost preference. Therefore, the purpose of this study was to use micro-computed tomography to evaluate and compare the root canal shaping efficacy of ProTaper rotary files and standard stainless steel K-files. Material/Methods Sixty extracted upper second premolars were selected and were divided into 2 groups of 30. Before preparation, all samples were scanned by micro-CT. Then, 30 teeth were prepared with stainless steel files and the remaining 30 with ProTaper rotary files. Canal transportation and centering ability before and after root canal shaping were assessed using micro-CT. The amount and direction of canal transportation and the centering ratio of each instrument were determined in the coronal, middle, and apical parts of the canal. The 2 groups were statistically compared using one-way ANOVA. Results ProTaper rotary files gave less transportation (p<0.001) and better centering ability (p<0.00001) compared with stainless steel files. Conclusions The manual technique for preparation of root canals with stainless steel files produces more canal transportation, whereas rotary files remain more centered in the canal. PMID:23760162

  15. Effect of Peracetic Acid as A Final Rinse on Push Out Bond Strength of Root Canal Sealers to Root Dentin

    PubMed Central

    Gaddala, Naresh; Veeramachineni, Chandrasekhar

    2015-01-01

    Background Smear layer which was formed during the instrumentation of root canals hinders the penetration of root canal sealers to root dentin and affect the bond strength of root canal sealers to root dentin. Final irrigant such as demineralizing agents are used to remove the inorganic portion of the smear layer. In the present study, peracetic acid used as a final rinse, to effect the bond strength of root canal sealers to root dentin. Aim The purpose of the present study was to evaluate the efficacy of peracetic acid as a final irrigant on bond strength of root canal sealers to root dentin. Materials and Methods Sixty six freshly extracted human single rooted mandibular premolars were used for this study. After decoronation the samples were instrumented with Protaper upto F3 and irrigated with 5.25% NaOcl. The teeth were then divided into three groups based on final irrigant used: Group-1(control group) Canals were irrigated with distilled water. Group-2: Canals were irrigated with peracetic acid. Group-3: Canals were irrigated with smear clear. Each group was further divided into three subgroups (n=30) based on the sealer used to obturate the canals. Subgroup-1: kerr, Subgroup-2: Apexit plus, Subgroup-3: AH PLUS. Each sealer was mixed and coated to master cone and placed in the canal. The bonding between sealer and dentin surface was evaluated using push out bond strength by universal testing machine. The mean bond strength values of each group were statistically evaluated using Two-way ANOVA followed by Tukey post-hoc test. Results Significant difference was found among the bond strength of the sealers. But, there is no statistically significant difference between the groups irrigated with peracetic acid and smear clear compared to control group. AH Plus showed highest bond strength irrespective of the final irrigant used. Conclusion Peracetic acid when employed as final irrigant improved the bond strength of root canal sealers compared to control group but

  16. The Effect of Smear Layer on Antimicrobial Efficacy of Three Root Canal Irrigants

    PubMed Central

    Zargar, Nazanin; Dianat, Omid; Asnaashari, Mohammad; Ganjali, Mojtaba; Zadsirjan, Saeede

    2015-01-01

    Introduction: One of the main goals of endodontic treatment is to decrease the harboring bacteria within the root canal system and dentinal tubules. This experimental study attempted to investigate the antibacterial efficacy of three root canal irrigants in the presence and absence of smear layer (SL). Methods and Materials: A total of 210 sound extracted human single-rooted teeth were prepared. After creating the SL and its removal in half of the samples, they were infected with Candida albicans (C. albicans) and Actinomyces israelii (A. israelii). A total of 180 specimen were used to assess the antimicrobial efficacy of the three irrigants in presence and absence of SL, 24 specimen were placed in the positive and negative controls, 2 samples were utilized for scanning electron microscopy (SEM) analysis and 2 were used for Gram staining. Then, they were exposed to irrigants including 2.61% sodium hypochlorite (NaOCl), 0.2% chlorhexidine gluconate (CHX) and 1% povidone-iodine (PI) for 5, 30 and 60 min. Presence/absence of test microorganisms was determined by incubation of specimens in test tubes containing brain-heart infusion (BHI) broth and then measuring the colony forming units (CFU) on BHI agar. A cumulative logistic model was used to analyze the ordinal response. Results: The 2.61% solution of NaOCl was significantly more effective than 0.2% CHX and the latter was more efficient than 1% PI for decreasing fungal and microbial infection of dentinal tubules in the presence and absence of SL. Conclusion: The presence of smear layer decreased the efficacy of antimicrobial irrigants. The minimum time required for elimination of fungal/microbial infection was 30 min. PMID:26213540

  17. Microorganism penetration in dentinal tubules of instrumented and retreated root canal walls. In vitro SEM study

    PubMed Central

    Al-Sulaiman, Alaa; Al-Rasheed, Fellwa; Alnajjar, Fatimah; Al-Abdulwahab, Bander; Al-Badah, Abdulhakeem

    2014-01-01

    Objectives This in vitro study aimed to investigate the ability of Candida albicans (C. albicans) and Enterococcus faecalis (E. faecalis) to penetrate dentinal tubules of instrumented and retreated root canal surface of split human teeth. Materials and Methods Sixty intact extracted human single-rooted teeth were divided into 4 groups, negative control, positive control without canal instrumentation, instrumented, and retreated. Root canals in the instrumented group were enlarged with endodontic instruments, while root canals in the retreated group were enlarged, filled, and then removed the canal filling materials. The teeth were split longitudinally after canal preparation in 3 groups except the negative control group. The teeth were inoculated with both microorganisms separately and in combination. Teeth specimens were examined by scanning electron microscopy (SEM), and the depth of penetration into the dentinal tubules was assessed using the SMILE view software (JEOL Ltd). Results Penetration of C. albicans and E. faecalis into the dentinal tubules was observed in all 3 groups, although penetration was partially restricted by dentin debris of tubules in the instrumented group and remnants of canal filling materials in the retreated group. In all 3 groups, E. faecalis penetrated deeper into the dentinal tubules by way of cell division than C. albicans which built colonies and penetrated by means of hyphae. Conclusions Microorganisms can easily penetrate dentinal tubules of root canals with different appearance based on the microorganism size and status of dentinal tubules. PMID:25383343

  18. Caprylic acid in the effective treatment of intractable medical problems of frequent urination, incontinence, chronic upper respiratory infection, root canalled tooth infection, ALS, etc., caused by asbestos & mixed infections of Candida albicans, Helicobacter pylori & cytomegalovirus with or without other microorganisms & mercury.

    PubMed

    Omura, Yoshiaki; O'Young, Brian; Jones, Marilyn; Pallos, Andrew; Duvvi, Harsha; Shimotsuura, Yasuhiro

    2011-01-01

    There are many causes of frequent urination. Whenever water or fluids are consumed, the patient has to urinate within 10 or 20 min. Often urinary bladder examinations & blood tests show no significant abnormalities, & treatment by anti-bacterial or anti-viral agents does not improve the symptoms significantly. In intractable frequent urination with difficulty holding urine, as well as other intractable medical problems such as frequent coughing, white pus in gingiva, infection of the apex of a root canalled tooth, slow-healing wounds, & ALS, the authors often found coexisting mixed infections of Candida albicans (C.A.), Helicobacter pylori (H.P.), & Cytomegalovirus (CMV) with or without additional bacterial (Chlamydia trachomatis, etc.) or viral infections & increased Asbestos, with or without Hg deposits. We often found various degrees of mixed infections with C.A., H.P., & CMV in the external sphincters of the urethra & in the Trigone of the urinary bladder which consists of (1) a horizontal, band-like area between the 2 ureter openings & (2) the funnel shaped part of the Trigone at the lower half of the urinary bladder. In the coexistence of significant amounts of C.A., H.P. & CMV, the infection cannot be reduced by otherwise effective medicines for H.P. & CMV. However, one optimal dose of Diflucan, or Caprylic acid taken orally or externally applied, rapidly reduced the symptoms significantly. We found the best treatment is to give a combination of an optimal dose of Caprylic acid orally in the form of "CaprilyCare" or "Caprylic Acid," with a capsule of Omega-3 Fish Oil as an anti-viral agent, Amoxicillin, Substance Z & a Cilantro tablet. We found that an optimal dose of Caprylic acid increases normal cell telomere (NCT) to a desirable 750 ng BDORT units while Diflucan increases NCT by only 25 ng BDORT units, & with Omega-3 fish oil, leads to a mutual cancellation of both drugs. Thus, Caprylic acid is superior to & less expensive than Diflucan, & has potential

  19. Rigidity and retention of carbon fibre versus stainless steel root canal posts.

    PubMed

    Purton, D G; Love, R M

    1996-07-01

    Two of the main requirements of a root canal post are that it is rigid so as to resist flexing under functional load, and that it is well retained in the root. This study compared these properties in two different 1-mm diameter root canal posts--smooth carbon fibre posts (Endopost) and serrated stainless steel posts (Parapost). Ten posts of each type were tested for rigidity in a three-point bend test. Ten posts of each type were cemented with resin cement into the roots of endodontically treated, extracted teeth. The tensile force required to remove the posts was recorded. The Paraposts proved to be significantly more rigid under load (P < 0.001) and significantly more strongly retained in the tooth roots (P < 0.005). The Parapost appears to be a mechanically superior post for the restoration of root-filled teeth with narrow diameter root canals. PMID:9206443

  20. Surface modification of tooth root canal after application of an X-ray opaque waveguide

    NASA Astrophysics Data System (ADS)

    Dostálová, T.; Jelínková, H.; Šulc, J.; Němec, M.; Koranda, P.; Bartoňová, M.; Radina, P.; Miyagi, M.; Shi, Y.-W.; Matsuura, Y.

    The interest in endodontic use of dental laser systems has been increasing. With the development of thin and flexible delivery systems for various wavelengths, laser applications in endodontics may become even more desirable. The aim of this study is to check the X-ray opacity of a hollow waveguide and to observe the results after laser root canal treatment. The root canal systems of 10 molars were treated endodontically by laser. For the laser radiation source, an Er:YAG laser system generating a wavelength of 2940 nm and an Alexandrite laser system generating a wavelength of 375 nm were used. The hollow waveguide used was checked under X-ray . A root canal surface treated by laser radiation was analyzed by a scanning electron microscope (SEM). The special hollow glass waveguide used was visible in the root canal system under X-ray imaging. Surface modification of the root canal after laser treatment was not found. After conventional treatment the root canal was enlarged. The surface was covered with a smear layer. After application of both laser systems, the smear layer was removed. The resulting canal surface was found to be clean and smooth. Under SEM observation open dentinal tubules were visible. No cracks were present, nor were surface modifications observed.

  1. Centering ability and dentin removal of rotary systems in curved root canals

    PubMed Central

    Moradi, Saeed; Talati, Ali; Monajem Zadeh, Ali

    2009-01-01

    INTRODUCTION: The aim of this study was to compare centering ability and dentin removal of three rotary systems in curved root canals of extracted teeth. MATERIALS AND METHODS: Sixty root canals of mandibular first molars with curvatures ranging between 25-35o were divided into three groups of 20 teeth each. Based on pre-instrumentation radiographs that assessed the angle and the radius of canal curvatures, teeth with curvatures were equally spread between the three groups. The root canals were sectioned horizontally at two levels before preparation and then remounted onto the muffle. All root canals were prepared using a low-torque control motor with Mtwo or Medin or Race instruments. Cross sectional images were obtained before and after instrumentation. Cross-sectional area and centering ability were evaluated. The data were analyzed using the one-way ANOVA and Tukey tests. RESULTS: Neither instrument fracture nor permanent deformation occurred during preparations. The best centering ability was obtained by Mtwo instruments compare to Race and Medin instruments. In the coronal and middle sections, Mtwo removed less dentin than Race and Medin; while the difference in the apical section was not significant. CONCLUSION: Under the conditions of this study, the debridement of root canals was more conservative with Mtwo. The canals prepared with these instruments were better centered in all three regions of the root. PMID:24003328

  2. Dynamic intratubular biomineralization following root canal obturation with pozzolan-based mineral trioxide aggregate sealer cement.

    PubMed

    Yoo, Yeon-Jee; Baek, Seung-Ho; Kum, Kee-Yeon; Shon, Won-Jun; Woo, Kyung-Mi; Lee, WooCheol

    2016-01-01

    The application of mineral trioxide aggregates (MTA) cement during the root canal obturation is gaining concern due to its bioactive characteristic to form an apatite in dentinal tubules. In this regard, this study was to assess the biomineralization of dentinal tubules following root canal obturation by using pozzolan-based (Pz-) MTA sealer cement (EndoSeal MTA, Maruchi). Sixty curved roots (mesiobuccal, distobuccal) from human maxillary molars were instrumented and prepared for root canal obturation. The canals were obturated with gutta-percha (GP) and Pz-MTA sealer by using continuous wave of condensation technique. Canals obturated solely with ProRoot MTA (Dentsply Tulsa Dental) or Pz-MTA sealer were used for comparison. In order to evaluate the biomineralization ability under different conditions, the PBS pretreatment before the root canal obturation was performed in each additional samples. At dentin-material interfaces, the extension of intratubular biomineralization was analyzed using scanning electron microscopy (SEM) and energy dispersive spectroscopy. When the root canal was obturated with GP and Pz-MTA sealer, enhanced biomineralization of the dentinal tubules beyond the penetrated sealer tag was confirmed under the SEM observation (p < 0.05). Mineralized apatite structures (calcium/phosphorous ratio, 1.45-1.89) connecting its way through the dentinal tubules were detected at 350-400 μm from the tubule orifice, and the pre-crystallization seeds were also observed along the intra- and/or inter-tubular collagen fiber. Intratubular biomineralization depth was significantly enhanced in all PBS pretreated canals (p < 0.05). Pz-MTA cement can be used as a promising bioactive root canal sealer to enhance biomineralization of dentinal tubules under controlled environment. SCANNING 38:50-56, 2016. © 2015 The Authors. Scanning Published by Wiley Periodicals, Inc. PMID:26179659

  3. Sterilization of root canal spaces using an Nd:YAG laser, in vitro

    NASA Astrophysics Data System (ADS)

    Goodis, Harold E.; White, Joel M.; Yee, Barbara; Marshall, Sally J.; Marshall, Grayson W.

    1995-05-01

    A smear layer is created during the cleaning and shaping of root canal systems. The Nd:YAG laser has been shown to be effective in removing that smear layer and any tissue remnants from prepared root canal systems suggesting that it may aid in root canal sterilization without detrimental thermal effects to adjacent tissues. The root canal system of 72 single-rooted teeth was conventionally prepared and sterilized using gamma radiation. The teeth were divided into three groups of 24 each, 8 of which were inoculated only with sterile broth and remained as negative controls. Sixteen teeth of each group were inoculated with one of three organisms of 106 to 1010 CFU/(mu) l: B subtilis (BS), E. coli (EC) and S. marcescens (SM) (10 (mu) l). Eight in each group were not treated further and served as positive controls. Sixteen test teeth were treated with the laser three times using each exposure parameter: 1 W, 10 Hz pulses per second (pps); 2 W, 20 Hz; and 3 W, 30 Hz inserted to the radiographic apex. Laser exposures were completed while withdrawing the fiber from the root canal system. At completion of laser exposure, all teeth were cultured, using sterile paper points and plated on brain heat infusion agar. Three cultures were taken for each tooth, the plates incubated for 72 hours, and read for the presence of growth of colony-forming units. The laser was able to reduce the number of organisms placed in root canal systems, and suggests that the laser may be used in root canal therapy for bacterial reduction and cleaning of the root canal space.

  4. Management of incompletely developed teeth requiring root canal treatment.

    PubMed

    Harlamb, S C

    2016-03-01

    Endodontic management of the permanent immature tooth continues to be a challenge for both clinicians and researchers. Clinical concerns are primarily related to achieving adequate levels of disinfection as 'aggressive' instrumentation is contraindicated and hence there exists a much greater reliance on endodontic irrigants and medicaments. The open apex has also presented obturation difficulties, notably in controlling length. Long-term apexification procedures with calcium hydroxide have proven to be successful in retaining many of these immature infected teeth but due to their thin dentinal walls and perceived problems associated with long-term placement of calcium hydroxide, they have been found to be prone to cervical fracture and subsequent tooth loss. In recent years there has developed an increasing interest in the possibility of 'regenerating' pulp tissue in an infected immature tooth. It is apparent that although the philosophy and hope of 'regeneration' is commendable, recent histologic studies appear to suggest that the calcified material deposited on the canal wall is bone/cementum rather than dentine, hence the absence of pulp tissue with or without an odontoblast layer. PMID:26923451

  5. Detection of Enterococcus faecalis in Necrotic Teeth Root Canals by Culture and Polymerase Chain Reaction Methods

    PubMed Central

    Cogulu, Dilsah; Uzel, Atac; Oncag, Ozant; Aksoy, Semiha C.; Eronat, Cemal

    2007-01-01

    Objectives The aim of this study was to investigate the presence of Enterococcus faecalis in endodontic infections in both deciduous and permanent teeth by culture and polymerase chain reaction (PCR) methods. Methods A total of 145 children aged 5–13 years old were involved in this study. The presence of E. faecalis in necrotic deciduous and permanent teeth root canals was studied using culture and polymerase chain reaction methods. Results Among 145 molar teeth, 57% (n=83) presented necrotic asymptomatic pulp tissues and were included in this study. Culture and PCR methods detected the test species in 18 and 22 of 83 teeth involved, respectively. E. faecalis was cultured from 8 (18%) of 45 necrotic deciduous teeth and from 10 (26%) of 38 necrotic permanent teeth. PCR detection identified the target species in 10 (22%) and 12 (32%) of necrotic deciduous and permanent teeth respectively. Statistically significant difference in the presence of E. faecalis in deciduous and permanent teeth was found by culture and PCR methods (P=0.03 and 0.02, respectively). The difference in the presence of E. faecalis between two different methods was not statistically significant (P>.05). Conclusions The results of the present study confirm that both culture and PCR methods are sensitive to detect E. faecalis in root canals. PMID:19212470

  6. Physicochemical Properties of Root Canal Filling Materials for Primary Teeth.

    PubMed

    Segato, Raquel Assed Bezerra; Pucinelli, Carolina Maschietto; Ferreira, Danielly Cunha Araújo; Daldegan, Andiara De Rossi; Silva, Roberto S da; Nelson-Filho, Paulo; Silva, Léa A B da

    2016-01-01

    This study evaluated physiochemical proprieties of a calcium hydroxide-based paste (Calen®) combined with a zinc oxide cement at different ratios (1:0.5, 1:0.65, 1:0.8 and 1:1). Materials were compared regarding setting time, pH variation, radiopacity, solubility, dimensional changes, flow and release of chemical elements. Data were analyzed statistically by ANOVA and Tukey's test (α=0.05). Longer setting time and higher dimensional changes and solubility values were exhibited by 1:0.65 and 1:0.5 ratios (p<0.05). The 1:0.5 and 1:0.65 ratios exhibited the highest pH values at all time points. All materials exhibited high radiopacity values. Significant differences were found only between 1:0.5 and 1:1 ratios for calcium and zinc release (p<0.05), whereas the amount of zirconium was similar among all groups (p>0.05). Considering the evaluated proprieties, combinations of Calen® paste with ZO at 1:0.5 and 1:0.65 ratios had the best results as root canal filling materials for use in primary teeth. PMID:27058384

  7. [Mathematical description of the three-dimensional axis of the root canal of human teeth].

    PubMed

    Dobó, Nagy Csaba; Keszthelyi, Gusztáv; Sulyok, Péter; Ledeczky, Gábor; Szabó, József

    2002-08-01

    The objective of the present study was to describe root canal axes of natural human teeth mathematically. Two views (clinical and proximal) radiographs were taken from extracted human teeth. Geometry defines the 90-degree turn-around image pairs as Monge images. These Monge images of the root canals were positioned using photogrammetric methods. Each well-ordered axis pair of a given root canal was put into a common coordinate system resulting in three-dimensional polynomial function of the actual root canal. Testing differences between determined and repeatedly determined axes of ten samples by statistical analysis did not show any significant differences. Evaluation of data gained on a large number of samples may also yield a new type of classification. PMID:12236090

  8. Wavelength dependence of photon-induced photoacoustic streaming technique for root canal irrigation

    NASA Astrophysics Data System (ADS)

    Lukač, Nejc; Zadravec, Jure; Gregorčič, Peter; Lukač, Matjaž; Jezeršek, Matija

    2016-07-01

    Laser-enhanced irrigation of complex root canals appears to be a very promising technique to improve the outcome of root canal treatment. This applies, in particular, if the technique can be effective at very low laser energies in irrigating not only the main canal but also the small lateral canals. This is important in order to avoid potential undesirable effects at higher laser energies such as temperature increase, dentin ablation, or extrusion of irrigating solution beyond the apical foramen. An improved understanding of the role of laser parameters, such as laser wavelength and pulse duration, in irrigation of lateral canals is therefore desired in order to optimize treatment efficacy. The influence of laser wavelength and pulse duration on cavitation phenomena was studied using shadow photography and a method of measuring fluid flow in lateral canals based on tracking of movements of small air bubbles naturally forming in liquid as a result of laser agitation. A simulated model of a root canal including a narrow lateral canal designed to represent typical root canal morphology was used for the water flow measurements. The following three laser wavelengths with relatively high absorption in water were studied: Er:YAG (2.94 μm), Er,Cr:YSGG (2.73 μm), and Nd:YAP (1.34 μm). Among the three wavelengths studied, the Er:YAG laser wavelength was found to be the most effective in formation of cavitation bubbles and in generating fluid motions within narrow lateral canals. A comparison between the shadow photography and fluid motion data indicates that it is the bubble's radius and not the bubble's volume that predominantly influences the fluid motion within lateral canals. Based on the results of our study, it appears that effective minimally invasive laser-assisted irrigation can be performed with low Er:YAG laser pulse energies below 10 mJ.

  9. Efficacy of laser-based irrigant activation methods in removing debris from simulated root canal irregularities.

    PubMed

    Deleu, Ellen; Meire, Maarten A; De Moor, Roeland J G

    2015-02-01

    In root canal therapy, irrigating solutions are essential to assist in debridement and disinfection, but their spread and action is often restricted by canal anatomy. Hence, activation of irrigants is suggested to improve their distribution in the canal system, increasing irrigation effectiveness. Activation can be done with lasers, termed laser-activated irrigation (LAI). The purpose of this in vitro study was to compare the efficacy of different irrigant activation methods in removing debris from simulated root canal irregularities. Twenty-five straight human canine roots were embedded in resin, split, and their canals prepared to a standardized shape. A groove was cut in the wall of each canal and filled with dentin debris. Canals were filled with sodium hypochlorite and six irrigant activation procedures were tested: conventional needle irrigation (CI), manual-dynamic irrigation with a tapered gutta percha cone (manual-dynamic irrigation (MDI)), passive ultrasonic irrigation, LAI with 2,940-nm erbium-doped yttrium aluminum garnet (Er:YAG) laser with a plain fiber tip inside the canal (Er-flat), LAI with Er:YAG laser with a conical tip held at the canal entrance (Er-PIPS), and LAI with a 980-nm diode laser moving the fiber inside the canal (diode). The amount of remaining debris in the groove was scored and compared among the groups using non-parametric tests. Conventional irrigation removed significantly less debris than all other groups. The Er:YAG with plain fiber tip was more efficient than MDI, CI, diode, and Er:YAG laser with PIPS tip in removing debris from simulated root canal irregularities. PMID:24091791

  10. Comparison of two endodontic handpieces during the preparation of simulated root canals.

    PubMed

    Smith, R B; Edmunds, D H

    1997-11-01

    The objective of this in vitro study was to compare and assess two endodontic handpieces during the preparation of simulated root canals. One hundred and sixty simulated root canals in clear resin blocks, of two angles and positions of curvature, were prepared using either Shaper files activated by the MM1500 Sonic Air handpiece (Micro-Mega, Besançon, France) or Excalibur files activated by the W & H Excalibur 969 handpiece (W & H, Bürmoos, Austria). Files of 21-mm or 25-mm length were used. When preparing the canals, the files were used either in line with or perpendicular to the canal curvature. Preparation of the canals was carried out using a technique described in the manufacturers' literature. A variety of parameters were used to compare the handpieces, including an assessment of the canal preparation time, the deformation or fracture of instruments, loss of canal length, weight loss from the resin blocks and the overall postpreparation canal shape. Both handpieces provided an efficient and easy method of preparing and shaping the root canal with little operator fatigue. The MM1500 Sonic Air handpiece took significantly more time (P < 0.001) to prepare the canals and was associated with both more loss of working length (P < 0.05) and more loss of weight (P < 0.001). Both handpieces created a high percentage of aberrations in the shapes of prepared canals. The MM1500 Sonic Air handpiece created significantly more aberrations than the Excalibur handpiece (P < 0.05 for zip and elbow, P < 0.05 for danger zone and coronal narrow). The effects of the variables, canal curvature, file length and the plane of use of the file, on the performance of the handpieces, were also assessed. PMID:9588976

  11. In vitro comparative study of manual and mechanical rotary instrumentation of root canals using computed tomography.

    PubMed

    Limongi, Orlando; de Albuquerque, Diana Santana; Baratto Filho, Flares; Vanni, José Roberto; de Oliveira, Elias P Motcy; Barletta, Fernando Branco

    2007-01-01

    This in vitro study compared, using computed tomography (CT), the amount of dentin removed from root canal walls by manual and mechanical rotary instrumentation techniques. Forty mandibular incisors with dental crown and a single canal were selected. The teeth were randomly assigned to two groups, according to the technique used for root canal preparation: Group I - manual instrumentation with stainless steel files; Group II - mechanical instrumentation with RaCe rotary nickel-titanium instruments. In each tooth, root dentin thickness of the buccal, lingual, mesial and distal surfaces in the apical, middle and cervical thirds of the canal was measured (in mm) using a multislice CT scanner (Siemens Emotion, Duo). Data were stored in the SPSS v. 11.5 and SigmaPlot 2001 v. 7.101 softwares. After crown opening, working length was determined, root canals were instrumented and new CT scans were taken for assessment of root dentin thickness. Pre- and post-instrumentation data were compared and analyzed statistically by ANOVA and Tukey's post-hoc test for significant differences (p=0.05). Based on the findings of this study, it may be concluded that regarding dentin removal from root canal walls during instrumentation, neither of the techniques can be considered more effective than the other. PMID:19031646

  12. LPS levels in root canals after the use of ozone gas and high frequency electrical pulses.

    PubMed

    Melo, Tiago André Fontoura de; Gründling, Grasiela Sabrina Longhi; Montagner, Francisco; Scur, Alcione Luiz; Steier, Liviu; Scarparo, Roberta Kochenborger; Figueiredo, José Antônio Poli de; Vier-Pelisser, Fabiana Vieira

    2016-01-01

    The present study aims to verify the effect of ozone gas (OZY® System) and high frequency electric pulse (Endox® System) systems on human root canals previously contaminated with Escherichia colilipopolysaccharide (LPS). Fifty single-rooted teeth had their dental crowns removed and root lengths standardized to 16 mm. The root canals were prepared up to #60 hand K-files and sterilized using gamma radiation with cobalt 60. The specimens were divided into the following five groups (n = 10) based on the disinfection protocol used: OZY® System, one 120-second-pulse (OZY 1p); OZY® System, four 24-second-pulses (OZY 4p); and Endox® System (ENDOX). Contaminated and non-contaminated canals were exposed only to apyrogenic water and used as positive (C+) and negative (C-) controls, respectively. LPS (O55:B55) was administered in all root canals except those belonging to group C-. After performing disinfection, LPS samples were collected from the canals using apyrogenic paper tips. Limulus Amoebocyte Lysate (LAL) was used to quantify the LPS levels, and the data obtained was analyzed using one-way ANOVA. The disinfection protocols used were unable to reduce the LPS levels significantly (p = 0.019). The use of ozone gas and high frequency electric pulses was not effective in eliminating LPS from the root canals. PMID:26981752

  13. Root Canal Morphology of Permanent Mandibular Premolars in Iranian Population: A Systematic Review

    PubMed Central

    Hosseinpour, Sepanta; Kharazifard, Mohammad Javad; Khayat, Akbar; Naseri, Mandana

    2016-01-01

    Introduction: It is essential for clinicians to have knowledge about root canal configuration, although its morphology varies largely in different ethnicities and even in different individuals within the same ethnic group. The current study reviewed the root canal configuration of root canals in mandibular first and second premolars among Iranian population based on independent epidemiological studies. Methods and Materials: A comprehensive search was conducted on retrieved articles related to root canal configuration and prevalence of each types of root canal in mandibular premolars based on Vertucci’s classification. An electronic search was conducted in Medline, Scopus and Google Scholar from January 1984 to September 2015. Results: In eleven studies conducted in eight provinces, 1644 mandibular first premolars and 1268 second premolars were investigated. Within mandibular first premolars, 70.9% were Vertucci's type I, followed by 10.4% type III, 7.18% type IV, 5.23% type II and 5.16% type V. In addition, among mandibular second premolars, 82.86% were type I, 6.25 type III, 5.32% type II, 4.27% type IV, and 0.69% type V. Conclusion: These results highlight the necessity of searching for additional possible root canals by clinicians. Moreover, these results indicated the ethnical characteristics of Iranian population regarding the morphology of mandibular premolars compared to other populations. PMID:27471522

  14. Role of the confinement of a root canal on jet impingement during endodontic irrigation

    NASA Astrophysics Data System (ADS)

    Verhaagen, B.; Boutsioukis, C.; Heijnen, G. L.; van der Sluis, L. W. M.; Versluis, M.

    2012-12-01

    During a root canal treatment the root canal is irrigated with an antimicrobial fluid, commonly performed with a needle and a syringe. Irrigation of a root canal with two different types of needles can be modeled as an impinging axisymmetric or non-axisymmetric jet. These jets are investigated experimentally with high-speed Particle Imaging Velocimetry, inside and outside the confinement (concave surface) of a root canal, and compared to theoretical predictions for these jets. The efficacy of irrigation fluid refreshment with respect to the typical reaction time of the antimicrobial fluid with a biofilm is characterized with a non-dimensional Damköhler number. The pressure that these jets induce on a wall or at the apex of the root canal is also measured. The axisymmetric jet is found to be stable and its velocity agrees with the theoretical prediction for this type of jet, however, a confinement causes instabilities to the jet. The confinement of the root canal has a pronounced influence on the flow, for both the axisymmetric and non-axisymmetric jet, by reducing the velocities by one order of magnitude and increasing the pressure at the apex. The non-axisymmetric jet inside the confinement shows a cascade of eddies with decreasing velocities, which at the apex does not provide adequate irrigation fluid refreshment.

  15. Evaluation of Root Canal Preparation Using Rotary System and Hand Instruments Assessed by Micro-Computed Tomography

    PubMed Central

    Stavileci, Miranda; Hoxha, Veton; Görduysus, Ömer; Tatar, Ilkan; Laperre, Kjell; Hostens, Jeroen; Küçükkaya, Selen; Muhaxheri, Edmond

    2015-01-01

    Background Complete mechanical preparation of the root canal system is rarely achieved. Therefore, the purpose of this study was to evaluate and compare the root canal shaping efficacy of ProTaper rotary files and standard stainless steel K-files using micro-computed tomography. Material/Methods Sixty extracted upper second premolars were selected and divided into 2 groups of 30 teeth each. Before preparation, all samples were scanned by micro-computed tomography. Thirty teeth were prepared with the ProTaper system and the other 30 with stainless steel files. After preparation, the untouched surface and root canal straightening were evaluated with micro-computed tomography. The percentage of untouched root canal surface was calculated in the coronal, middle, and apical parts of the canal. We also calculated straightening of the canal after root canal preparation. Results from the 2 groups were statistically compared using the Minitab statistical package. Results ProTaper rotary files left less untouched root canal surface compared with manual preparation in coronal, middle, and apical sector (p<0.001). Similarly, there was a statistically significant difference in root canal straightening after preparation between the techniques (p<0.001). Conclusions Neither manual nor rotary techniques completely prepared the root canal, and both techniques caused slight straightening of the root canal. PMID:26092929

  16. Recognition of root canal orifices at a distance - a preliminary study of teledentistry.

    PubMed

    Brüllmann, Dan; Schmidtmann, Irene; Warzecha, Katharina; d'Hoedt, Bernd

    2011-01-01

    The remote recognition of root canal orifices was tested on 50 images of endodontically accessed teeth acquired with an intra-oral camera. The images were stored on a laptop computer and were presented to 20 observers who marked the visible canal orifices using software which stored the canal locations in standard files. The marked positions were verified on histological slices. In 87% of the cases, the canal locations were marked correctly. Inter-observer reliability depended on the location of the reviewed root canal (kappa = 0.44-0.77). The detection rate was related to the professional experience of the observers. The maximum proportion of accurate detections was found for the observers with more than 10 years of professional experience. The minimum proportion of accurate detections, 79%, was by the observer with one year of experience. The results of the study suggest that remote recognition of root canals by experienced dentists can help younger colleagues in the detection of root canal orifices. PMID:21339303

  17. CBCT-Aided Microscopic and Ultrasonic Treatment for Upper or Middle Thirds Calcified Root Canals

    PubMed Central

    Yang, Ying-Ming; Guo, Bin; Guo, Li-Yang; Yang, Yan; Hong, Xiao; Pan, Hong-Ying

    2016-01-01

    Root canal calcification is considered a great challenge during root canal treatment. Although the application of ultrasonic instruments and dental operating microscope (DOM) has advantages, dealing with calcified root canals still suffers a great risk of failure because of limited information about the location, length, and direction of obliteration on periapical radiographs. In this work, a cone-beam computed tomography- (CBCT-) aided method aimed at solving complicated calcified root canals in which conventional approaches could not work was proposed. Thirteen teeth with sixteen calcified canals (12 calcified in the upper third, 4 calcified in the middle third), which cannot be negotiated with conventional methods, were treated with the aid of CBCT. The location of calcification and depth of instrumentation and operating direction were calculated and assessed in three dimensions with ultrasonic instruments under DOM. In all thirteen teeth, canals with upper and middle thirds calcification were treated successfully. Finally, a guideline was proposed to help achieve consistent apical patency in calcified canals. PMID:27525269

  18. Self-sealing ability of OCP-mediated cement as a deciduous root canal filling materia.

    PubMed

    Imamura, Yuki; Tanaka, Yumi; Nagai, Akiko; Yamashita, Kimihiro; Takagi, Yuzo

    2010-10-01

    The densification process and canal sealing ability of octacalcium phosphate (OCP)-mediated cement were investigated for developing biocompatible and biodegradable root canal filling material for deciduous root. The results of the characterization revealed that the starting paste, which consisted of monocalcium phosphate monohydrate, calcium carbonate, and α-tricalcium phosphate, gradually transformed into carbonate apatite for 6 weeks of immersion in medium with 30% fetal bovine serum (MEM30). The canal sealing ability was estimated by dye penetration test. Three kinds of conditions were chosen for the test: one was the cement just after filling the single-rooted extracted human roots; the others were the cement aged in MEM30 for 1 and 6 weeks after filling, respectively. All roots were then immersed in India ink for 3 days. The penetration depth of OCP-mediated cement decreased significantly with time. This demonstrates that OCP-mediated cement has self-sealing ability. PMID:20733262

  19. Does MTA affect fiber post retention in repaired cervical root canal perforations?

    PubMed

    Pereira, Rodrigo Dantas; Brito-Júnior, Manoel; Faria-E-Silva, André Luis; Guimarães, Karine Rodrigues; Mendes, Laís de Oliveira; Soares, Carlos José; Sousa-Neto, Manoel Damião

    2016-06-14

    This study evaluated the effect of mineral trioxide aggregate (MTA) on the retention of fiber posts in repaired root canal perforations. Ten-millimeter post spaces were prepared in 60 endodontically treated bovine incisors. Root perforations were created in half of the root canals in the cervical area prior to being filled with white MTA-Angelus. Fiber posts were luted into the root canals with two self-adhesive (RelyX Unicem or Set) or self-etching (Panavia F) resin cements. The posts were submitted to a pull-out test, and the data were submitted to two-way ANOVA and Tukey's post hoc tests (α = 0.05). The fiber posts exhibited reduced retention in MTA-repaired root canal perforations, regardless of the type of resin cement that was used (p < 0.001). Self-adhesive resin cements provided higher bond strength values than Panavia F, while no difference was observed between RelyX Unicem and Set (p > 0.05). The presence of MTA in repaired root perforations negatively affected post retention. In addition, self-adhesive cements seemed to be the best option to lute fiber posts within a root canal in these cases. PMID:27305516

  20. Comparative Analysis of Crack Propagation in Roots with Hand and Rotary Instrumentation of the Root Canal -An Ex-vivo Study

    PubMed Central

    Krishnaswamy, Manjunath Mysore

    2016-01-01

    Introduction Success of any endodontic treatment depends on strict adherence to ‘endodontic triad’. Preparation of root canal system is recognized as being one of the most important stages in root canal treatment. At times, we inevitably end up damaging root dentin which becomes a Gateway for infections like perforation, zipping, dentinal cracks and minute intricate fractures or even vertical root fractures, thereby resulting in failure of treatment. Several factors may be responsible for the formation of dentinal cracks like high concentration of sodium hypochlorite, compaction methods and various canal shaping methods. Aim To compare and evaluate the effects of root canal preparation techniques and instrumentation length on the development of apical root cracks. Materials and Methods Seventy extracted premolars with straight roots were mounted on resin blocks with simulated periodontal ligaments, exposing 1-2 mm of the apex followed by sectioning of 1mm of root tip for better visualization under stereomicroscope. The teeth were divided into seven groups of 10 teeth each – a control group and six experimental groups. Subgroup A & B were instrumented with: Stainless Steel hand files (SS) up to Root Canal Length (RCL) & (RCL –1 mm) respectively; sub group C & D were instrumented using ProTaper Universal (PTU) up to RCL and (RCL -1mm) respectively; subgroup E & F were instrumented using ProTaper Next (PTN) up to RCL & (RCL -1 mm) respectively. Stereomicroscopic images of the instrumentation sequence were compared for each tooth. The data was analyzed statistically using descriptive analysis by ‘Phi’ and ‘Cramers’ test to find out statistical significance between the groups. The level of significance was set at p< 0.05 using SPSS software. Results Stainless steel hand file group showed most cracks followed by ProTaper Universal & ProTaper Next though statistically not significant. Samples instrumented up to 1mm short of working length (RCL-1mm) showed

  1. Changes in root canal geometry after preparation assessed by high-resolution computed tomography.

    PubMed

    Peters, O A; Laib, A; Göhring, T N; Barbakow, F

    2001-01-01

    Root canal morphology changes during canal preparation, and these changes may vary depending on the technique used. Such changes have been studied in vitro by measuring cross-sections of canals before and after preparation. This current study used nondestructive high-resolution scanning tomography to assess changes in the canals' paths after preparation. A microcomputed tomography scanner (cubic resolution 34 microm) was used to analyze 18 canals in 6 extracted maxillary molars. Canals were scanned before and after preparation using either K-Files, Lightspeed, or ProFile .04 rotary instruments. A special mounting device enabled precise repositioning and scanning of the specimens after preparation. Differences in surface area (deltaA in mm2) and volume (deltaV in mm3) of each canal before and after preparation were calculated using custom-made software. deltaV ranged from 0.64 to 2.86, with a mean of 1.61 +/- 0.7, whereas deltaA varied from 0.72 to 9.66, with a mean of 4.16 +/- 2.63. Mean deltaV and deltaA for the K-File, ProFile, and Lightspeed groups were 1.28 +/- 0.57 and 2.58 +/- 1.83; 1.79 +/- 0.66 and 4.86 +/- 2.53; and 1.81 +/- 0.57 and 5.31 +/- 2.98, respectively. Canal anatomy and the effects of preparation were further analyzed using the Structure Model Index and the Transportation of Centers of Mass. Under the conditions of this study variations in canal geometry before preparation had more influence on the changes during preparation than the techniques themselves. Consequently studies comparing the effects of root canal instruments on canal anatomy should also consider details of the preoperative canal geometry. PMID:11487156

  2. Endodontic treatment of the mandibular first molar with six roots canals - two case reports and literature review.

    PubMed

    Martins, Jorge N R; Anderson, Craig

    2015-04-01

    The most common configuration of the mandibular first molar is the presence of two roots and three root canals. The objective of this work is to present two rare anatomic configurations with six root canals on two mandibular left first molars diagnosed during endodontic therapy. Root canal therapy was performed using a dental operating microscope. Ultrasonic troughing in the grooves in between the mesial root canals and in between the distal root canals was able to show the middle root canals. Large samples population characterization researches and systematic reviews were unable to detect a single case of six root canals configuration in a mandibular first molar in their investigations. Although it is a rare configuration, a six root canal configuration is possible to be found in the mandibular first molar. Three different pulp chamber configurations are possible to be found. Two or three roots may be present and the root configuration more common in the mesial root is the Type 8 and Type 12 for the distal root. Some concepts about the required technique to approach these cases are also debated. PMID:26023651

  3. Endodontic Treatment of the Mandibular First Molar with Six Roots Canals – Two Case Reports and Literature Review

    PubMed Central

    Anderson, Craig

    2015-01-01

    The most common configuration of the mandibular first molar is the presence of two roots and three root canals. The objective of this work is to present two rare anatomic configurations with six root canals on two mandibular left first molars diagnosed during endodontic therapy. Root canal therapy was performed using a dental operating microscope. Ultrasonic troughing in the grooves in between the mesial root canals and in between the distal root canals was able to show the middle root canals. Large samples population characterization researches and systematic reviews were unable to detect a single case of six root canals configuration in a mandibular first molar in their investigations. Although it is a rare configuration, a six root canal configuration is possible to be found in the mandibular first molar. Three different pulp chamber configurations are possible to be found. Two or three roots may be present and the root configuration more common in the mesial root is the Type 8 and Type 12 for the distal root. Some concepts about the required technique to approach these cases are also debated. PMID:26023651

  4. Root canal filling: fracture strength of fiber-reinforced composite-restored roots and finite element analysis.

    PubMed

    Rippe, Marília Pivetta; Santini, Manuela Favarin; Bier, Carlos Alexandre Souza; Borges, Alexandre Luiz Souto; Valandro, Luiz Felipe

    2013-01-01

    The aims of this study were to evaluate the effect of root canal filling techniques on root fracture resistance and to analyze, by finite element analysis (FEA), the expansion of the endodontic sealer in two different root canal techniques. Thirty single-rooted human teeth were instrumented with rotary files to a standardized working length of 14 mm. The specimens were embedded in acrylic resin using plastic cylinders as molds, and allocated into 3 groups (n=10): G(lateral) - lateral condensation; G(single-cone) - single cone; G(tagger) - Tagger's hybrid technique. The root canals were prepared to a length of 11 mm with the #3 preparation bur of a tapered glass fiber-reinforced composite post system. All roots received glass fiber posts, which were adhesively cemented and a composite resin core was built. All groups were subjected to a fracture strength test (1 mm/min, 45°). Data were analyzed statistically by one-way ANOVA with a significance level of 5%. FEA was performed using two models: one simulated lateral condensation and Tagger's hybrid technique, and the other one simulated the single-cone technique. The second model was designed with an amount of gutta-percha two times smaller and a sealer layer two times thicker than the first model. The results were analyzed using von Mises stress criteria. One-way ANOVA indicated that the root canal filling technique affected the fracture strength (p=0.004). The G(lateral) and G(tagger) produced similar fracture strength values, while G(single-cone) showed the lowest values. The FEA showed that the single-cone model generated higher stress in the root canal walls. Sealer thickness seems to influence the fracture strength of restored endodontically treated teeth. PMID:24474359

  5. [Perfection of dental root canals X-Ray study (lab-clinical study)].

    PubMed

    Arzhantsev, A P; Akhmedova, Z R; Perfil'ev, S A; Vinnichenko, Iu A

    2009-01-01

    Results of the study testified to the fact that on intraoral X-Ray pictures and orthopantomograms the structure of root canals of all teeth groups were not reflected objectively. The errors of methodical techniques led to considerable loss of their diagnostic comprehension. Conus computer tomography (CCTG) in comparison with spiral computer tomography was more informative and significant method for topographic study of root canals of different teeth groups determinant lower doses of patient's irradiation. Today the most reliable technique for the structure of roots of all teeth groups and root canals spatial location was CCTG in axial projection supplemented by reformative oblique projections. Combination of CCTG before the treatment with intraoral X-Ray pictures after its finishing let objectively assess the quality of the conducted endodontic treatment. PMID:19738580

  6. The fundamental operating principles of electronic root canal length measurement devices.

    PubMed

    Nekoofar, M H; Ghandi, M M; Hayes, S J; Dummer, P M H

    2006-08-01

    It is generally accepted that root canal treatment procedures should be confined within the root canal system. To achieve this objective the canal terminus must be detected accurately during canal preparation and precise control of working length during the process must be maintained. Several techniques have been used for determining the apical canal terminus including electronic methods. However, the fundamental electronic operating principles and classification of the electronic devices used in this method are often unknown and a matter of controversy. The basic assumption with all electronic length measuring devices is that human tissues have certain characteristics that can be modelled by a combination of electrical components. Therefore, by measuring the electrical properties of the model, such as resistance and impedance, it should be possible to detect the canal terminus. The root canal system is surrounded by dentine and cementum that are insulators to electrical current. At the minor apical foramen, however, there is a small hole in which conductive materials within the canal space (tissue, fluid) are electrically connected to the periodontal ligament that is itself a conductor of electric current. Thus, dentine, along with tissue and fluid inside the canal, forms a resistor, the value of which depends on their dimensions, and their inherent resistivity. When an endodontic file penetrates inside the canal and approaches the minor apical foramen, the resistance between the endodontic file and the foramen decreases, because the effective length of the resistive material (dentine, tissue, fluid) decreases. As well as resistive properties, the structure of the tooth root has capacitive characteristics. Therefore, various electronic methods have been developed that use a variety of other principles to detect the canal terminus. Whilst the simplest devices measure resistance, other devices measure impedance using either high frequency, two frequencies, or

  7. Shaping ability of Lightspeed rotary nickel-titanium instruments in simulated root canals. Part 2.

    PubMed

    Thompson, S A; Dummer, P M

    1997-12-01

    The aim of this laboratory based study was to determine the shaping ability of Lightspeed nickel-titanium rotary instruments in simulated root canals. A total of 40 canals with four different shapes in terms of angle and position of curve were prepared with Lightspeed instruments using the stepback technique recommended by the manufacturer. This report describes the efficacy of the instruments in terms of prevalence of canal aberrations, the amount and direction of canal transportation, and overall postoperative shape. Preoperative and postoperative images of the canals were taken using a video camera attached to a computer with image analysis software. The preoperative and postoperative views were superimposed to highlight the amount and position of material removed during preparation. Only one (2.5%) zip and one elbow were created, with no ledges, perforations, danger zones, or blockages being produced. At specific points along the canal length there were highly significant differences (p < 0.001) between the canal shapes in total canal width and in the amount of resin removed from the inner and outer aspects of the curve. The direction of canal transportation at the end point of preparation was most frequently toward the outer aspect of the curve; although in half of the canals, transportation was either directed toward the inner aspect or not observed. At the apex of the curve, the beginning of the curve, and halfway to the orifice, transportation was reversed with the majority of canals being transported toward the inner aspect of the curve. Mean absolute transportation was small and was below 0.06 mm at every position except the orifice. Overall, Lightspeed rotary instruments prepared canals well and would appear to be a valuable addition to the endodontic armamentarium. PMID:9487850

  8. In vitro bactericidal activity of recombinant human beta-defensin-3 against pathogenic bacterial strains in human tooth root canal.

    PubMed

    Song, Wei; Shi, Yong; Xiao, Mingzhen; Lu, Hong; Qu, Tiejun; Li, Ping; Wu, Gang; Tian, Yu

    2009-03-01

    Human beta-defensin-3 (HBD3), an endogenous antimicrobial peptide, has strong broad-spectrum antimicrobial activity. This study aimed to obtain recombinant HBD3 (rHBD3) and to test the hypothesis that the antimicrobial characteristics of HBD3 may offer an advantage over conventional medicine in reducing intracanal bacteria. Genetic engineering was used to obtain active rHBD3 and analysis revealed that it exhibited a broad spectrum of antibacterial activity at low micromolar concentrations against not only Staphylococcus aureus and Escherichia coli but also against some critical pathogenic microbes in infected root canals, including Fusobacterium nucleatum, Prevotella melaninogenica, Peptostreptococcus anaerobius, Streptococcus mutans, Actinomyces naeslundii, Enterococcus faecalis and Candida albicans. In an in vitro antibacterial experiment, rHBD3 significantly eliminated pathogenic bacteria in root canals. The ratio of bacterial death was up to 98%. We conclude that HBD3 has the potential to eliminate bacteria effectively and rapidly in the local microenvironment of the root canal system and that it may contribute to successful endodontic treatment. PMID:18775647

  9. Morphological changes related to age in mesial root canals of permanent mandibular first molars.

    PubMed

    Gani, Omar A; Boiero, Claudio F; Correa, Carolina; Masin, Ivana; Machado, Ricardo; Silva, Emmanuel J N L; Vansan, Luiz Pascoal

    2014-01-01

    The aim of this study was to evaluate age-related morphological canal changes in mesial root canals of mandibular first molars of known ages. Fifty-six specimens were selected for this study and distributed into the following four age groups (n. 14): a) Group of children under 13 years, b) Group of adolescents (from 14 to 19 years), c) Group of young adults (from 20 to 39 years) and d) Group of older adults (over 40 years). The specimens were in perfect condition because after extraction they were carefully cleaned, sterilized, identified and stored in water. In order to improve the cleaning, they were placed in 1% sodium hypochlorite solution for four hours and rinsed in 10 vol. hydrogen peroxide for 8 hours. After that, a clearing technique was performed to illustrate root canal anatomy. Digitalized images of all samples were obtained by use of a stereomicroscope. Canals were noticeably simpler in older adults: they were sharply defined and narrow, sometimes too narrow. Calcification nuclei were not found and there were only a few remains of internuclear spaces. The canal system appeared cleaner, clearer and more sharply defined than in the other age groups. It may be concluded that there is a correlation between aging and morphological changes in the mesial root canals of mandibular first molars. PMID:25560687

  10. The effect of chloroform, orange oil and eucalyptol on root canal transportation in endodontic retreatment.

    PubMed

    Karataş, Ertuğrul; Kol, Elif; Bayrakdar, İbrahim Şevki; Arslan, Hakan

    2016-04-01

    The purpose of the present study was to assess the effect of solvents on root canal transportation in endodontic retreatment. Sixty extracted human permanent mandibular first molars with curved root canals were selected. All of the root canals were prepared using Twisted File Adaptive instruments (SybronEndo, Orange, CA, USA) and filled with gutta-percha and AH Plus sealer (Dentsply DeTrey, Konstanz, Germany) using the cold lateral compaction technique. The teeth were assigned to four retreatment groups as follows (n = 15): eucalyptol, chloroform, orange oil and control. The canals were scanned using cone-beam computed tomography scanning before and after instrumentation. The chloroform group showed a significantly higher mean transportation value than the orange oil and control groups at the 3 and 5 mm levels (P = 0.011 and P = 0.003, respectively). There was no significant difference among the orange oil, eucalyptol and control groups in terms of canal transportation (P > 0.61). The chloroform led to more canal transportation than the eucalyptol and orange oil during endodontic retreatment. PMID:26420757

  11. FP core carrier technique: thermoplasticized gutta-percha root canal obturation technique using polypropylene core.

    PubMed

    Kato, Hiroshi; Nakagawa, Kan-Ichi

    2010-01-01

    Core carrier techniques are unique among the various root canal filling techniques for delivering and compacting gutta-percha in the prepared root canal system. Thermafil (TF), considered the major core carrier device, is provided as an obturator consisting of a master core coated with thermoplasticized gutta-percha. We have devised a thermoplasticized gutta-percha filling technique using a polypropylene core, FlexPoint® NEO (FP), which was developed as a canal filling material that can be sterilized in an autoclave. Therefore, FP can be coated onto thermoplasticized gutta-percha and inserted into the prepared canal as a core carrier. The FP core carrier technique offers many advantages over the TF system: the core can be tested in the root canal and verified radiographically; the core can be adjusted to fit and surplus material easily removed; furthermore the core can be easily removed for retreatment. The clinical procedure of the FP core carrier technique is simple, and similar that with the TF system. Thermoplasticized gutta-percha in a syringe is heated in an oven and extruded onto the FP core carrier after a trial insertion. The FP core carrier is inserted into the root canal to the working length. Excess FP is then removed with a red-hot plastic instrument at the orifice of the root canal. The FP core carrier technique incorporates the clinical advantages of the existing TF system while minimizing the disadvantages. Hence the FP core carrier technique is very useful in clinical practice. This paper describes the FP core carrier technique as a new core based method. PMID:21139375

  12. Preparation and disinfection of root canals by 308-nm excimer laser light

    NASA Astrophysics Data System (ADS)

    Liesenhoff, Tim; Folwaczny, Matthias; Lehn, Norbert

    1994-09-01

    Conventional root canal treatments often fail due to insufficient removal of root canal contents and due to ineffective reduction of bacterial growth. In vitro investigations on the 308 nm excimer laser root canal preparation showed excellent results concerning the preparation quality. The aim of the present study was to investigate the influence of 308 nm excimer laserlight on the growth of bacteria. Bacterial suspensions of Staph. aureus, E. coli, and Enterococcus faec. were irradiated with various energy densities and different time duration. In order to exclude thermal side effects the temperature rise inside the suspensions was registered during irradiation. It was able to demonstrate that 308 nm excimer laserlight effects a log reduction of germ concentration at energy densities of 0.5 - 2.4 J/cm2. Laserlight effects germ reduction even without tissue removal. The effectiveness is dependent on the type of bacteria, the energy density, and the time of irradiation. The antimicrobial effect is independent from temperature.

  13. Root canal anatomy of mandibular first premolars in an Emirati subpopulation: A laboratory study

    PubMed Central

    Abraham, Sheela Balu; Gopinath, Vellore Kannan

    2015-01-01

    Objective: The purpose of this study was to determine the root canal anatomy of mandibular first premolar teeth in an Emirati subpopulation using a decalcification and clearing method. Materials and Methods: One hundred permanent mandibular first premolar teeth extracted for orthodontic purposes from an Emirati subpopulation from the United Arab Emirates were used for this study. They were subjected to decalcification and clearing. The tooth length, the canal orifice shape, mesial invagination, canal pattern, the location of apex, presence of lateral canals, and intercanal communications were determined. Results: The most common canal pattern was the Vertucci Type I (65%) followed by Type V (14%) and Type IV (13%). The most common type of canal orifice seen was the oval shape (36%) followed by the round shape (25%). Mesial invaginations were seen in 44% of the teeth. The mean tooth length was 19.9 mm, and apical deltas were seen in 24% of teeth. Conclusion: The Vertucci Type I canal pattern was the most prevalent in the mandibular first premolars while the occurrence of multiple canals was noted in 35% of this population. PMID:26929684

  14. Geometric factors affecting dentin bonding in root canals: a theoretical modeling approach.

    PubMed

    Tay, Franklin R; Loushine, Robert J; Lambrechts, Paul; Weller, R Norman; Pashley, David H

    2005-08-01

    Cavity configuration factor (C-factor) is the ratio of the bonded surface area in a cavity to the unbonded surface area. In a box-like class I cavity, there may be five times more bonded surface area than the unbonded surface area. During polymerization, the volume of monomers is reduced, which creates sufficient shrinkage stresses to debond the material from dentin, thereby decreasing retention and increasing leakage. The important variables influencing bonding adhesive root-filling materials to canals was examined using a truncated inverted cone model. C-factors in bonded root canals exhibit a negative correlation with sealer thickness. For a 20 mm-long canal prepared with a size 25 file, calculated C-factors ranged from 46 to 23,461 with decreasing sealer thickness (500-1 microm), compared to a C-factor of 32 when the canal was filled only with sealer. As the thickness of the adhesive is reduced, the volummetric shrinkage is reduced, which results in a reduction in shrinkage stress (S-factor). C-factors above 954 calculated with sealer thickness smaller than 25 microm are partially compensated by increases in bonding area and decreases in shrinkage volume. However, the interaction of these two geometrically related factors (C- and S-factors) predicts that bonding of adhesive root-filling materials to root canals is highly unfavorable when compared with indirect intracoronal restorations with a similar resin film thickness. PMID:16044041

  15. Antimicrobial effect of ozonated water, sodium hypochlorite and chlorhexidine gluconate in primary molar root canals

    PubMed Central

    Goztas, Zeynep; Onat, Halenur; Tosun, Gul; Sener, Yagmur; Hadimli, Hasan Huseyin

    2014-01-01

    Objective: The aim was to determine the antimicrobial effect of ozonated water, ozonated water with ultrasonication, sodium hypochloride and chlorhexidine (CHX) in human primary root canals contaminated by Enterococcus faecalis (E. faecalis). Materials and Methods: Fifty-eight extracted human primary molar teeth were used. Crowns were cut off using a diamond saw under water-cooling. One hundred roots were obtained and mechanically prepared. The roots were then sterilized by autoclaving in water for 15 min at 121°C. All samples were contaminated with E. faecalis for 24 h and the root canals were randomly divided into five groups (n = 20). Group I: 25 mg/L of Ozonated water (O3aq), Group II: 25 mg/L of O3aq with ultrasonication, Group III: 2.5% Sodium hypochloride (NaOCl), Group IV: 2% CHX and Group V: Positive control. The canal of each specimen was irrigated for 4 min and positive control was untreated. All root canals were agitated with sterile saline solution. The saline solution was collected from canals with sterile paper points. For each specimen, the paper points were transposed to eppendorf vials containing 2 ml of brain heart infusion. According to bacterial proliferation, the mean values of optical density were achieved by ELİSA (Biotek EL ×800, Absorbance Microplate Reader, ABD) and the data were analyzed. Results: NaOCI, CHX and two types of O3aq were found statistically different than positive control group. NaOCI irrigation was found significantly most effective. Conclusions: NaOCl, CHX and O3aq applications provide antibacterial effect in vitro conditions in primary root canals. PMID:25512726

  16. Proposal for a simple and effective diagrammatic representation of root canal configuration for better communication amongst oral radiologists and clinicians

    PubMed Central

    Gupta, Saurabh Kumar; Saxena, Payal

    2015-01-01

    Objectives Root canal anatomy has been proved to be a complex canal configuration system. The negotiation and cleaning of this system is essential for successful root canal treatment. The present root canal classification systems are unable to transfer the clinically relevant information about the canal system from the oral radiologist to the treating clinician. Thus, a simple and effective diagrammatic representation of the canal system, depicting the major canals, important changes during their course along with other relevant information has been presented. Methods The proposed representation consists of five horizontal lines dividing the tooth into four segments from the point of reference to apical foramen. Each line has been designated with different line style. The diagrammatic images, one anterior and one posterior multi-rooted tooth, are given for easy understanding of the orientation of image. The whole image can be saved in portable network graphics format and can be imported to any word processing document. The image can be printed in the reporting sheet. Result Applying the same proposal, some of the diagrammatic representations have been showed. Conclusion This proposal for diagrammatic representation of root canal configuration can be helpful in getting an approximate distribution of the canals in a relatively simple manner. This scheme also provides valuable clinical information about the root canal system, which the other classifications fail to represent. PMID:26937372

  17. Endodontic treatment of a maxillary first molar with seven root canals confirmed with cone beam computer tomography - case report.

    PubMed

    Martins, Jorge N R

    2014-06-01

    The most common configuration of the maxillary first molar is the presence of three roots and four root canals, although the presence of several other configurations have already been reported. The objective of this work is to present a rare anatomic configuration with seven root canals diagnosed during an endodontic therapy. Endodontic treatment was performed using a dental operating microscope. Exploring the grooves surrounding the main canals with ultrasonic troughing was able expose unexpected root canals. Instrumentation with files of smaller sizes and tapers was performed to prevent root physical weakness. The anatomic configuration was confirmed with a Cone Beam Computer Tomography image analysis which was able to clearly show the presence of seven root canals. An electronic database search was conducted to identify all the published similar cases and the best techniques to approach them are discussed. PMID:25121069

  18. Endodontic Treatment of a Maxillary First Molar with Seven Root Canals Confirmed with Cone Beam Computer Tomography – Case Report

    PubMed Central

    2014-01-01

    The most common configuration of the maxillary first molar is the presence of three roots and four root canals, although the presence of several other configurations have already been reported. The objective of this work is to present a rare anatomic configuration with seven root canals diagnosed during an endodontic therapy. Endodontic treatment was performed using a dental operating microscope. Exploring the grooves surrounding the main canals with ultrasonic troughing was able expose unexpected root canals. Instrumentation with files of smaller sizes and tapers was performed to prevent root physical weakness. The anatomic configuration was confirmed with a Cone Beam Computer Tomography image analysis which was able to clearly show the presence of seven root canals. An electronic database search was conducted to identify all the published similar cases and the best techniques to approach them are discussed. PMID:25121069

  19. Effect of postmilking teat antisepsis on teat canal infections in lactating dairy cows.

    PubMed

    Nickerson, S C; Watts, J L; Boddie, R L; Ray, C H

    1990-02-01

    Effects of a .18% iodophor teat dip and a fatty acid plus lactic acid teat dip on teat canal infections were studied in two separate trials under experimental challenge procedures using Staphylococcus aureus and Streptococcus agalactiae. The iodophor teat dip was 90% effective in preventing new S. aureus teat canal infections and 95.6% effective in reducing progression of S. aureus teat canal infections to intramammary infections. The dip also reduced persistence of S. aureus teat canal colonizations from week to week by 94.4%. The fatty acid plus lactic acid dip had no effect on preventing S. aureus teat canal infections but reduced progression of S. aureus teat canal infections to intramammary infections by 43.8%. The fatty acid plus lactic acid dip also reduced the persistence of S. aureus teat canal infections by 39%. An insufficient number of Strep. agalactiae teat canal infections was detected in both trials for valid analyses. Neither dip had any effect on prevalence of naturally occurring, coagulase-negative staphylococcal teat canal infections or on teat canal infections by other organisms. PMID:2184176

  20. Detection and management of a complex canal configuration in mesiobuccal root of maxillary first molar using three dimensional imaging.

    PubMed

    Deepa, Velagala L; Bollu, Indira Priyadharsini; Dhamaraju, Bhargavi; Yadla, Padmasri

    2016-04-01

    This case report discusses the identification and management of complex canal configuration of 3-2-1 in the mesiobuccal (MB) root of the maxillary left first molar. Careful attention to details of the pulpal floor and applying the knowledge of the laws of orifice location along with deepening the subpulpal groove with ultrasonic tips helped in identifying the three MB canals. Manual scouting helped in understanding the anatomic configuration; the use of three-dimensional imaging technique and spiral computed tomography (SCT) confirmed the same. SCT images showed buccolingually wide and bulbous mesiobuccal root with three separate canals at coronal third that merged into two canals in the middle and exited as a single canal at the apex. This article highlights the role of SCT in three-dimensionally analyzing the unseen rarest canal configurations that ultimately enabled the clinician to thoroughly explore, debride, and obturate the entire root canal system. PMID:27195233

  1. Detection and management of a complex canal configuration in mesiobuccal root of maxillary first molar using three dimensional imaging

    PubMed Central

    Deepa, Velagala L.; Bollu, Indira Priyadharsini; Dhamaraju, Bhargavi; Yadla, Padmasri

    2016-01-01

    This case report discusses the identification and management of complex canal configuration of 3-2-1 in the mesiobuccal (MB) root of the maxillary left first molar. Careful attention to details of the pulpal floor and applying the knowledge of the laws of orifice location along with deepening the subpulpal groove with ultrasonic tips helped in identifying the three MB canals. Manual scouting helped in understanding the anatomic configuration; the use of three-dimensional imaging technique and spiral computed tomography (SCT) confirmed the same. SCT images showed buccolingually wide and bulbous mesiobuccal root with three separate canals at coronal third that merged into two canals in the middle and exited as a single canal at the apex. This article highlights the role of SCT in three-dimensionally analyzing the unseen rarest canal configurations that ultimately enabled the clinician to thoroughly explore, debride, and obturate the entire root canal system. PMID:27195233

  2. Laser assisted irrigation and hand irrigation for root canal decontamination: a comparison

    NASA Astrophysics Data System (ADS)

    Olivi, M.; Stefanucci, M.; Todea, C.

    2014-01-01

    Aim: to compare the bactericidal efficiency of conventional method and LAI for root canal decontamination. Material and method: 22 human single root teeth, extracted for periodontal problems, mechanically prepared up to ISO 25 at the working lenght were divided in 2 groups: after sterilization, the teeth were infected with enterococcus faecalis and incubated for 4 weeks. Group A: 10 teeth were irrigated with conventional hand technique (CI): 3ml of 5% NaClO were used for two times of 30s each and after washing with sterile bi-distilled water for 20s, a final irrigation was performed with 3ml of 17% EDTA. Group B: 10 teeth were irrigated with 3ml of NaClO and activated by erbium laser, two cycles of 30s; also the final irrigation with 3ml of 17% EDTA was activated by erbium laser. In both the groups a resting time of 30s was used between the two sessions to allow the reaction rate of NaClO. The Erbium laser 2940 nm (LightWalker AT, Fotona; Lublijana, Slovenia) was used with 50microsecond pulse duration, at 15Hz, 20mJ, with a 600micron PIPS tip. Two samples were used as positive and negative control.

  3. Management of Teeth with Persistent Apical Periodontitis after Root Canal Treatment Using Regenerative Endodontic Therapy.

    PubMed

    Saoud, Tarek Mohamed A; Huang, George T-J; Gibbs, Jennifer L; Sigurdsson, Asgeir; Lin, Louis M

    2015-10-01

    Regenerative endodontic therapy (RET) is currently used to treat immature teeth with necrotic pulp and/or apical periodontitis. However, recently RET has been used to treat mature teeth with necrotic pulp and/or apical periodontitis and resulted in regression of clinical signs and/or symptoms and resolution of apical periodontitis. The purpose of this case report was to describe the potential of using RET to treat 2 mature teeth with persistent apical periodontitis after root canal therapy using RET. Two male patients, one 26-year old and another 12-year old, presented for retreatment of persistent apical periodontitis after root canal treatment of 2 mature teeth (#9 and #19). The gutta-percha fillings in the canals of teeth #9 and #19 were removed with Carvene gutta-percha solvent (Prevest DenPro, Jammu, India) and ProTaper Universal rotary retreatment files (Dentsply Maillefer, Ballaigues, Switzerland). The canals of both teeth were further chemomechanically debrided with rotary retreatment files and copious amounts of sodium hypochlorite irrigation and dressed with Metapaste (Meta Biomed, Chungbuk, Korea). RET was performed on teeth #9 and #19. Periapical bleeding was provoked into the disinfected root canals. The blood clots were covered with mineral trioxide aggregate plugs, and the access cavities were restored with intermediate restorative material. Teeth #9 and #19 showed regression of clinical signs and/or symptoms and healing of apical periodontitis after 13-month and 14-month follow-ups, respectively. Tooth #9 revealed narrowing of the canal space and apical closure by deposition of hard tissue. RET has the potential to be used to retreat teeth with persistent apical periodontitis after root canal therapy. PMID:26279479

  4. Effect of gutta-percha solvents on fiberglass post bond strength to root canal dentin.

    PubMed

    Guedes, Orlando A; Chaves, Gustavo S; Alencar, Ana H G; Borges, Alvaro H; Estrela, Cyntia R A; Soares, Carlos J; Estrela, Carlos

    2014-06-01

    The purpose of this study was to investigate the influence of gutta-percha solvents on the bond strength of fiberglass post to root canal dentin. Forty bovine incisors were decoronated, prepared, filled, and randomly distributed into four groups (n = 10) according to the gutta-percha solvent used: control, xylene, eucalyptol and orange oil. After root canal treatment, the posts were cemented into the prepared root canals using a resin-based cement. A micro push-out test was executed, and the patterns of failure were assessed with microscopy. The data were analyzed using two-way ANOVA followed by Tukey's test. The control group exhibited greater bond strength compared to the eucalyptol group in the cervical and middle thirds of the root (P < 0.05); however, it did not differ significantly from the xylene and orange oil groups (P > 0.05). No difference was observed in the values of the xylene, orange oil, and eucalyptol groups (P > 0.05). The cervical third had higher values than the apical third for all tested solvents (P < 0.05). Adhesive failure between resin cement and dentin was the most frequent type of failure. The use of xylene and orange oil as gutta-percha solvents did not influence the bond strength of fiberglass posts to root canal dentin. PMID:24930746

  5. Decalcifying capability of irrigating solutions on root canal dentin mineral content

    PubMed Central

    Poggio, Claudio; Dagna, Alberto; Vinci, Andrea; Beltrami, Riccardo; Cucca, Lucia; Giardino, Luciano

    2015-01-01

    Background: Chelating agents are believed to aid root canal irrigation and to be able to remove the inorganic smear layer. Aims: The purpose of the present study was to evaluate and to compare the decalcifying capability of different irrigating solutions (Tubuliclean, Largal Ultra, ethylenediaminetetraacetic acid 17%, Tetraclean, Tetraclean NA). Materials and Methods: Sixty maxillary central incisors were used. Root canals were instrumented and irrigated. From each root, four comparable slices of cervical dentin were obtained. At three successive 5-min interval immersion times, the concentration of calcium extracted from root canal dentin was assessed with an inductively coupled plasma-atomic emission spectrometer. Statistical Analysis Used: Data were analyzed by means of Kruskal Wallis and Mann–Whitney tests. Significance was predetermined at P < 0.05. Results and Conclusions: For all irrigating solutions, the maximum amount of Ca2+ extracted from root canal dentin samples was reached after 10 min contact time except for citric acid-based agents (Tetraclean and Tetraclean NA) which induced a higher and still increasing calcium release even after 10 min contact time. In order to obtain an efficient decalcifying action on dentin and to facilitate the biomechanical procedures, citric acid-based irrigants can be applied. PMID:26097355

  6. Effect of irrigation with Tetraclean on bacterial leakage of obturated root canals.

    PubMed

    Mohammadi, Zahed; Shalavi, Sousan; Giardino, Luciano; Palazzi, Flavio

    2014-04-01

    The purpose of the study presented here was to evaluate the effect of Tetraclean, Hypoclean, Chlor-XTRA, 2% chlorhexidine and 6% sodium hypochlorite/17% EDTA as a final irrigant on bacterial leakage of the root canal. One hundred and fifty-five extracted human maxillary central incisors were randomly divided into five experimental groups of 25 teeth each and two control groups of 15 teeth each. The root canals in each group were irrigated with 2 ml of the relevant irrigant between each filing. The root canals in group 5 were irrigated with 5 ml of 17% EDTA at the end of root canal preparation. The teeth in each group were obturated with gutta-percha and AH-26 sealer. Positive control teeth were obturated with a single gutta-percha cone without sealer, and negative controls were obturated in the same way as experimental groups. The coronal portion of each root was placed in contact with inoculum of Enterococcus faecalis in Brain Heart Infusion (BHI) culture media. Findings showed that the mean number of days for bacterial penetration in the Tetraclean group was greater than for other experimental groups. On the other hand, the Chlor-XTRA Vista group showed the fewest mean number of days for bacterial leakage. PMID:24933773

  7. The Comparative Efficacy of Different Files in The Removal of Different Sealers in Simulated Root Canal Retreatment- An In-vitro Study

    PubMed Central

    Kanaparthy, Aruna

    2016-01-01

    Introduction Root canal treatment enjoys a high success rate all over the world and has saved billions of teeth from extraction. However, there are instances of failure, the main causes being insufficient cleaning and inadequate obturation. In such cases the most conservative treatment option would be non-surgical retreatment. It requires regaining access to the entire root canal system through removal of the original root canal filling thus permitting further cleaning and re- obturation. Removal of gutta-percha and sealer becomes a critical step to gain access to the root canal system, remove necrotic tissue debris, bacteria and infected dentin. Aim To compare and evaluate the efficacy of manual hand Hedstrom files and two rotary retreatment file systems ProTaper Universal retreatment files and MtwoR (retreatment) files in the removal of root canal filling material during root canal retreatment and the influence of the type of sealers zinc oxide eugenol and AH plus on the presence of remaining debris in the reinstrumented canals in the apical, middle and coronal third. Materials and Methods Sixty single rooted human premolar teeth were divided into 3 Groups of 20 teeth each Group I (20 Teeth): prepared using hand K Files, Group II (20 Teeth): prepared using ProTaper rotary system and Group III (20 Teeth): prepared using Mtwo rotary system. In Groups- IA, IIA, IIIA: (10 teeth each) Obturation was done using Zinc Oxide Eugenol sealer and gutta percha. In Groups- IB, IIB, IIIB: (10 teeth each) obturation was done with AH Plus sealer and gutta percha. All the teeth were subjected to retreatment. Groups IA and IB with Hedstrom files, Groups IIA and IIB with ProTaper retreatment files and for Groups IIIA and IIIB with Mtwo retreatment Files. The roots were longitudinally split and were observed under a stereomicroscope for remaining amount of filling material on the canal walls. Statistical analysis was done using One–way ANOVA (Analysis of variance) test and Tukey

  8. Histologic investigation of root canal-treated teeth with apical periodontitis: a retrospective study from twenty-four patients.

    PubMed

    Ricucci, Domenico; Siqueira, José F; Bate, Anna L; Pitt Ford, Thomas R

    2009-04-01

    This study intended to examine histologically root canal-treated teeth evincing apical periodontitis lesions and correlate the findings with clinical observations. Specimens were obtained from 24 patients (12 asymptomatic and 12 symptomatic) by extraction or endodontic surgery and consisted of roots or root tips and the associated pathologic lesion. Specimens were processed for histologic analysis, and serial sections were evaluated. Findings were correlated with clinical observations according to the presence or absence of symptoms. The mean period elapsed from treatment to specimen retrieval in the asymptomatic group was 7.5 years, as compared with 2.2 years in the symptomatic group. All specimens exhibited periradicular inflammation. Bacteria were visualized in all cases, except for 1 specimen from the asymptomatic group in which a foreign body reaction to overfilled material was the probable reason for emergent disease in a previously vital case. Irrespective of the presence of symptoms, bacteria were always located within the root canal system, although they were also observed in the periradicular tissues in 1 asymptomatic and 4 symptomatic teeth. In general, intraradicular bacterial colonization was heavier in symptomatic failed teeth. The present findings support the role of intraradicular infections, usually in the form of biofilms, as the primary cause of endodontic treatment failure. PMID:19345793

  9. Streptococcus gordonii collagen-binding domain protein CbdA may enhance bacterial survival in instrumented root canals ex vivo

    PubMed Central

    Moses, Peter J.; Power, Daniel A.; Jesionowski, Amy M.; Jenkinson, Howard F.; Pantera, Eugene A.; Vickerman, M. Margaret

    2012-01-01

    Introduction The surface-associated collagen-binding protein Ace of Enterococcus faecalis has been implicated as a virulence factor that contributes to bacterial persistence in endodontic infections. The purpose of this study was to determine if proteins with amino acid sequence similarity to Ace found in more abundant oral streptococci could play a similar role in potentially enhancing endodontic infections. Methods A Streptococcus gordonii gene similar to ace was identified by genome sequence searches in silico. An isogenic derivative of strain DL1 with a disruption in the identified gene was constructed by allelic replacement. Parent and mutant strains were characterized for their ability to bind immobilized collagen type-1 in a microtiter plate binding assay. Survival of the strains in a human tooth ex vivo instrumented root canal model was compared by inoculating canals with parental or mutant bacteria and determining the CFUs recovered at various time points over a 12-day period. Results The S. gordonii gene, encoding a protein with a conserved collagen-binding domain similar to that of Ace, was designated cbdA. The cbdA-deficient cells were less able to bind collagen type-1 than parental cells (P <0.0001). Genetic complementation of the cbdA-deficient strain restored the collagen-binding phenotype. By day 12 significantly fewer (P =0.03) cbdA-deficient than parental CFUs were recovered from instrumented canals. Conclusion A gene encoding a putative collagen-binding protein was identified in S. gordonii. Fewer S. gordonii cbdA-deficient cells survived ex vivo compared with parental cells, suggesting that collagen-binding proteins may contribute to persistence of oral streptococci in instrumented root canals. PMID:23228255

  10. EVALUATION OF THE APICAL INFILTRATION AFTER ROOT CANAL DISRUPTION AND OBTURATION

    PubMed Central

    Gomes, João Eduardo; Hopp, Renato Nicolás; Bernabé, Pedro Felício Estrada; Nery, Mauro Juvenal; Otoboni, José Arlindo; Dezan, Elói

    2008-01-01

    The aim of this study was to evaluate two root canal filling techniques used in teeth that had their apical foramen disrupted and compare the apical infiltration with an ideal clinical situation. Twenty-seven freshly extracted single-rooted teeth were selected and radiographed to confirm the existence of a single and straight root canal. The crowns were removed at a mean distance of 11 mm from the apex. The teeth had the root canals instrumented and were randomly assigned to 3 groups (n=9): ND group - root canals were filled using the lateral compaction technique and no disruption was performed; DRF group - the apical constriction was disrupted by advancing a #40 K-file 1 mm beyond the original working length, the canals were reinstrumented to create an apical ledge at 1 mm from the apical foramen and were obturated with a master gutta-percha cone with same size as the last file used for reinstrumentation; DF group - the teeth had the apical constriction disrupted and the canals were obturated with a master gutta-percha cone that fit at 1 mm from the apex. The teeth were submitted to dye leakage test with Rhodamine B for 7 days, using vaccum on the initial 5 min. The teeth were sectioned longitudinally and the leakage was measured in a linear fashion from apex to crown. There was no statistically significant difference (p>0.05) between the groups that had the apical foramen disrupted (DF, DRF), but significant difference was found between the disrupted groups and the non-disrupted one (p<0.01). In conclusion, none of the evaluated techniques was able to prevent apical infiltration, so working length so the working length determination has to be established and maintained carefully. PMID:19089232

  11. Biocompatibility of dental materials used in contemporary endodontic therapy: a review. Part 2. Root-canal-filling materials.

    PubMed

    Hauman, C H J; Love, R M

    2003-03-01

    Root-canal-filling materials are either placed directly onto vital periapical tissues or may leach through dentine. The tissue response to these materials therefore becomes important and may influence the outcome of endodontic treatment. This paper is a review of the biocompatibility of contemporary orthograde and retrograde root-canal-filling materials. PMID:12657140

  12. Evaluation of the Root and Canal Morphology of Maxillary Permanent Molars and the Incidence of the Second Mesiobuccal Root Canal in Greek Population Using Cone-beam Computed Tomography

    PubMed Central

    Nikoloudaki, Georgia E.; Kontogiannis, Taxiarchis G.; Kerezoudis, Nikolaos P.

    2015-01-01

    Objectives: Cone-Beam Computed Tomography is an alternative imaging technique which has been recently introduced in the field of Oral & Maxillofacial Radiology. It has rapidly gained great popularity among clinicians due to its ability to detect lesions and defects of the orofacial region and provide three-dimensional information about them. In the field of Endodontics, CBCT can be a useful tool to reveal tooth morphology irregularities, additional root canals and vertical root fractures. The objective of this study is to evaluate the root and root canal morphology of the maxillary permanent molars in Greek population using Cone-Beam Computed Tomography. Materials and Methods : 273 cone-beam computed tomography (CBCT) images were examined. The number of roots and root canals of the first and second maxillary molars were evaluated. Root canal configuration was classified according to Weine’s classification by two independent examiners and statistical analysis was performed. Results : A total of 812 molars (410 first and 402 second ones) were evaluated. The vast majority of both first and second molars had three roots (89.26% and 85.07%, respectively). Most first molars had four canals, while most second molars had three. In the mesiobuccal roots, one foramen was recorded in 80.91% of all teeth. Other rare morphologic variations were also found, such as fusion of a maxillary second molar with a supernumerary tooth. Conclusion : Within the limitations of this study, it can be concluded that more attention should be given to the detection of additional canals during root canal treatment in maxillary permanent molars. Towards this effort, CBCT can provide the clinician with supplemental information about the different root canal configurations for successful Root Canal Treatment. PMID:26464594

  13. The accuracy of three different electronic root canal measuring devices: an in vitro evaluation.

    PubMed

    Tinaz, Ali Cemal; Maden, Murat; Aydin, Cumhur; Türköz, Emin

    2002-06-01

    The main objective of this in vitro study was to evaluate the effects of the operator's experience level and pre-flaring on the accuracy of the results of three different brands of a new generation of root canal measuring devices, as well as the comparison among them. Extracted human teeth were prepared and then actual length and electronic length measurements were made by three different operators according to a double-blind technique. Three different operators performed electronic measurements on each specimen separately with three different electronic root canal measuring devices using in vitro models. Measurements were repeated by all operators after the pre-flaring. Taking the clinical tolerance of +/- 0.5 mm into account, there was no statistically significant difference between the accuracy of the instruments (P > 0.01). However, the results obtained from the Bingo electronic apex locator in pre-flared canals by the beginner operator were statistically significant (P < 0.01). All of the instruments had a clinically acceptable result at the tolerance of +/- 0.5 mm. If the instruments are used in accordance with the manufacturer's instructions, experience with electronic root canal measurement is not essential. However, the operator has to be more careful when working on pre-flared canals. PMID:12227501

  14. An In Vitro Comparison of Root Canal Transportation by Reciproc File With and Without Glide Path

    PubMed Central

    Nazarimoghadam, Kiumars; Daryaeian, Mohammad; Ramazani, Nahid

    2014-01-01

    Objective: The aim of ideal canal preparation is to prevent iatrogenic aberrations such as transportation. The aim of this study was to evaluate the root canal transportation by Reciproc file with and without glide path. Materials and Methods: Thirty acrylic-resin blocks with a curvature of 60° and size#10 (2% taper) were assigned into two groups (n= 15). In group 1, the glide path was performed using stainless steel k-files size#10 and 15 at working length In group 2, canals were prepared with Reciproc file system at working length. By using digital imaging software (AutoCAD 2008), the pre-instrumentation and post-instrumentation digital images were superimposed over, taking the landmarks as reference points. Then the radius of the internal and external curve of the specimens was calculated at three α, β and γ points (1mm to apex as α, 3mm to apex as β, and 5mm to apex as γ). The data were statically analyzed using the independent T-test and Mann-Whitney U test by SPSS version 16. Results: Glide path was found significant for only external curve in the apical third of the canal; that is, 5mm to apex (P=0.005). But in the other third, canal modification was not significant (P> 0.008). Conclusion: Canal transportation in the apical third of the canal seems to be significantly reduced when glide path is performed using reciprocating files. PMID:25628682

  15. Sealing ability of the vertical condensation with different root canal sealers.

    PubMed

    Yared, G M; Bou Dagher, F

    1996-01-01

    This study evaluated the influence of various root canal sealers on the quality of the apical seal of vertically condensed gutta-percha. One hundred and twenty human anterior teeth with single canals were used. After cleaning and shaping to an apical size 30 file, the teeth were divided into 4 equal groups of 30 teeth each and obturated with vertically condensed gutta-percha. In group 1, no sealer was used. In groups 2, 3, and 4, Kerr Pulp Canal Sealer, Roth 801, and AH 26 were used, respectively. Apical microleakage was determined using pressurized fluid filtration measured at different time intervals up to 24 wk. The no-sealer group showed significantly more apical leakage than the other groups. Kerr Pulp Canal Sealer was significantly better than Roth 801 and AH 26 at 24 wk. PMID:8618086

  16. Evaluation of the biocompatibility of resin-based root canal sealers in rat periapical tissue.

    PubMed

    Mutoh, Noriko; Satoh, Takenori; Watabe, Hirotaka; Tani-Ishii, Nobuyuki

    2013-01-01

    We evaluated the biocompatibility of resin-based root canal sealers (RCSs) in the periapical tissues of rats. Wistar rats underwent tooth replantation for reproducing the response of periapical tissue with RCSs. The resin-based Epipany SE, AH Plus Jet, the eugenol-based sealer (Canals) and a control group were employed. The upper right first molar was extracted and applied with RCSs on apices, and then the tooth was repositioned. Histological evaluation demonstrated that mild inflammation occurred in the periapical tissue with Epiphany and AH Plus Jet sealers on day 7, whereas Canals induced severe-to-moderate inflammation. The statistical analyses demonstrated that the significant differences were observed between Canals and the other groups on day 7 regarding inflammatory response. On day 14, the lesions induced by all sealers were healed and replaced predominantly by fibrous connective tissue. Our results suggest that Epiphany SE and AH Plus Jet are good biocompatible materials. PMID:23719002

  17. [Endodontics in motion: new concepts, materials and techniques 3. The role of irrigants during root canal treatment].

    PubMed

    van der Sluis, L W M

    2015-10-01

    The aims of root canal irrigation are the chemical dissolution or disruption and the mechanical detachment of pulp tissue, dentin debris and smear layer (instrumentation products), microorganisms (planktonic or biofilm) and their products from the root canal wall, their removal out of the root canal system and their chemical dissolution or disruption. Each of the endodontic irrigation systems has its own irrigant flow characteristics, which should fulfill these aims. Without flow (convection), the irrigant would have to be distributed through diffusion. This process is slow and depends on temperature and concentration gradients. On the other hand, convection is a faster and more efficient transport mechanism. During irrigant flow, frictional forces will occur, for example between the irrigant and the root canal wall (wall shear stress). These frictional forces have a mechanical cleaning effect on the root canal wall. These frictional forces are the result of the flow characteristics related to the different irrigation systems. PMID:26465016

  18. Laser welding method for removal of instruments debris from root canals.

    PubMed

    Hagiwara, Ryoichi; Suehara, Masataka; Fujii, Rie; Kato, Hiroshi; Nakagawa, Kan-ichi; Oda, Yutaka

    2013-01-01

    The purpose of this study was to clarify the viability of a novel method for removing debris from broken instruments from root canals using a laser apparatus. Laser welding was performed on stainless steel or nickel titanium files using an Nd:YAG laser. Retention force between the files and extractors was measured. Increase in temperature on the root surface during laser irradiation was recorded and the irradiated areas evaluated with a scanning electron microscope. Retention force on stainless steel was significantly greater than that on nickel titanium. The maximum temperature increase was 4.1°C. The temperature increase on the root surface was greater in the vicinity of the welded area than that at the apical area. Scanning electron microscopy revealed that the files and extractors were welded together. These results indicate that the laser welding method is effective in removing debris from broken instruments from root canals. PMID:23903578

  19. Combined effects of photodynamic therapy and irrigants in disinfection of root canals.

    PubMed

    Susila, Anand V; Sugumar, R; Chandana, C S; Subbarao, C V

    2016-06-01

    In this study, the combined effects of photodynamic therapy and irrigants in eradicating common endodontic pathogens are evaluated. Roots of 80 extracted single rooted teeth are divided into 2 groups (1) mechanical flushing; (2) antibacterial irrigation. After cleaning and shaping, they are inoculated with either (A) Streptococcus mutans or (B) Enterococcus faecalis and incubated. They are again subdivided and either only irrigated or irrigated and lased. Dentin shavings are taken from root canal walls and cultured. Statistical analysis using One-Way ANOVA and Post-hoc tests are done. The combination eradicated both bacteria. Antibacterial irrigants controlled S. mutans better than PDT (p = 0.041). The combination of PDT and antibacterial irrigation proposed in this study can be used in all primary cases for thorough and reliable disinfection of root canals but may be highly effective in resistant cases like endodontic failures, as E. faecalis is prevalent in such cases. PMID:26235897

  20. Apical leakage of five root canal sealers after one year of storage.

    PubMed

    Miletić, Ivana; Ribarić, Sonja-Pezelj; Karlović, Zoran; Jukić, Silvana; Bosnjak, Andrija; Anić, Ivica

    2002-06-01

    A fluid transport model study was used to compare the sealing ability of five root canal sealers (AH26, AH Plus, Apexit, Diaket, and Ketac-Endo) on 60 single-rooted teeth after 1 yr of storage. The root canals were prepared with Gates Glidden drills by using a step-back technique before lateral condensation of gutta-percha with the tested sealers. The specimens were stored in saline solution for 1 yr at 37 degrees C. The leakage was measured by the movement of an air bubble in a capillary glass tube connected to the experimental root section. Apexit (0.490 microl) leaked significantly more than AH Plus (0.378 microl) and Ketac-Endo (0.357 microl), whereas AH26 (0.390 microl) and Diaket (0.429 microl) showed no significant difference from either Apexit or from AH Plus and Keto-Endo. PMID:12067122

  1. Fracture resistance of overtly flaring root canals filled with resin-based obturation material

    PubMed Central

    Abdo, Salma B.; Eldarrat, Aziza H.

    2013-01-01

    Background: Reinforcement of root canals obturated with Resilon was reported by several investigators, but no studies reported the reinforcement of overtly flared root canals obturated with Resilon material. The aim of this study was to investigate the fracture resistance of overtly flared root canals filled with Resilon as compared to similar root canals filled with gutta-percha (GP). Materials and Methods: Sixty single-rooted premolars were divided randomly into six groups. Group 1 served as control group. The control group was sub-divided into two groups, a negative group and a positive group. The negative group consisted of root canals that were only cleaned from residual pulpal tissues, however, the positive group had prepared and overtly flared root canals without obturation. Groups 2 and 4 were shaped using 0.04 taper rotary files, while groups 3 and 5 were shaped using 0.06 taper rotary files. Before obturation, the last four groups were further flared coronally with a reverse cone diamond bur. Groups 2 and 3 were obturated with GP and a resin-based sealer, while groups 4 and 5 were obturated with Resilon and Epiphany self-etching primer and Epiphany sealer. Roots were then fixed into a universal testing machine and vertically loaded until fracture. SPSS software (Release 9.0 for Windows, SPSS, Chicago, USA) was used to perform the statistical analysis. Results: Fracture resistance measurements showed that there were differences in resistance to fracture among the experimental groups (ANOVA, P < 0.0001). Mean values of the loading force applied to the negative control group were the highest at 1.81 KN, whereas the mean values for the Resilon groups (Groups 4 and 5) at 1.13 KN and 1.54 KN were found to be higher than the GP groups (Groups 2 and 3) at 0.45 KN and 0.88 KN, respectively. Tukey's post hoc test showed that there was no statistical difference between the mean values of the negative control group and Group 5 (P = 0.69). Conclusion: Obturation of

  2. Laser dentistry: A new application of excimer laser in root canal therapy

    SciTech Connect

    Pini, R.; Salimbeni, R.; Vannini, M.; Barone, R.; Clauser, C.

    1989-01-01

    We report the first study of the application of excimer lasers in dentistry for the treatment of dental root canals. High-energy ultraviolet (UV) radiation emitted by an XeCl excimer laser (308 nm) and delivered through suitable optical fibers can be used to remove residual organic tissue from the canals. To this aim, UV ablation thresholds of dental tissues have been measured, showing a preferential etching of infiltrated dentin in respect to healthy dentin, at laser fluences of 0.5-1.5 J/cm{sup 2}. This technique has been tested on extracted tooth samples, simulating a clinical procedure. Fibers of decreasing core diameters have been used to treat different sections of the root canal down to its apical portion, resulting in an effective, easy, and fast cleaning action. Possible advantages of excimer laser clinical applications in respect to usual procedures are also discussed.

  3. Aetiology, incidence and morphology of the C-shaped root canal system and its impact on clinical endodontics.

    PubMed

    Kato, A; Ziegler, A; Higuchi, N; Nakata, K; Nakamura, H; Ohno, N

    2014-11-01

    The C-shaped root canal constitutes an unusual root morphology that can be found primarily in mandibular second permanent molars. Due to the complexity of their structure, C-shaped root canal systems may complicate endodontic interventions. A thorough understanding of root canal morphology is therefore imperative for proper diagnosis and successful treatment. This review aims to summarize current knowledge regarding C-shaped roots and root canals, from basic morphology to advanced endodontic procedures. To this end, a systematic search was conducted using the MEDLINE, BIOSIS, Cochrane Library, EMBASE, Google Scholar, Web of Science, PLoS and BioMed Central databases, and many rarely cited articles were included. Furthermore, four interactive 3D models of extracted teeth are introduced that will allow for a better understanding of the complex C-shaped root canal morphology. In addition, the present publication includes an embedded best-practice video showing an exemplary root canal procedure on a tooth with a pronounced C-shaped root canal. The survey of this unusual structure concludes with a number of suggestions concerning future research efforts. PMID:24483229

  4. Aetiology, incidence and morphology of the C-shaped root canal system and its impact on clinical endodontics

    PubMed Central

    Kato, A; Ziegler, A; Higuchi, N; Nakata, K; Nakamura, H; Ohno, N

    2014-01-01

    The C-shaped root canal constitutes an unusual root morphology that can be found primarily in mandibular second permanent molars. Due to the complexity of their structure, C-shaped root canal systems may complicate endodontic interventions. A thorough understanding of root canal morphology is therefore imperative for proper diagnosis and successful treatment. This review aims to summarize current knowledge regarding C-shaped roots and root canals, from basic morphology to advanced endodontic procedures. To this end, a systematic search was conducted using the MEDLINE, BIOSIS, Cochrane Library, EMBASE, Google Scholar, Web of Science, PLoS and BioMed Central databases, and many rarely cited articles were included. Furthermore, four interactive 3D models of extracted teeth are introduced that will allow for a better understanding of the complex C-shaped root canal morphology. In addition, the present publication includes an embedded best-practice video showing an exemplary root canal procedure on a tooth with a pronounced C-shaped root canal. The survey of this unusual structure concludes with a number of suggestions concerning future research efforts. PMID:24483229

  5. Root canal surface after application of an x-ray opaque waveguide

    NASA Astrophysics Data System (ADS)

    Dostalova, Tatjana; Jelinkova, Helena; Bartonova, Marie; Sulc, Jan; Nemec, Michal; Koranda, Petr; Miyagi, Mitsunobu; Shi, Yi-Wei; Matsuura, Yuji

    2004-05-01

    The success of endodontic treatment depends on the methods used for shaping, cleaning, disinfecting, and sealing of a root canal. In the last few decades, big progress has been achieved in the application of the following methods: manual instrumentation, sonic and ultrasonic devices, and rotary instruments. The procedures used in the root canal system preparation result in a smear layer creation. The aim of this study was to give more precision to the smear layer removal using laser radiation. The root canal systems of 20 human teeth were treated endodontically. As laser radiation sources, Er:YAG laser system generating a wavelength of 2940 nm (rep. rate 1.5 Hz, spot size diameter 320 um, number of pulses 55, energy 100 mJ) and Alexandrite laser system generating a wavelength of 375 nm (rep. rate 1 Hz, spot size diameter 320 um, number of pulses 200, energy 1 mJ) were used. As a delivery system, a hollow glass waveguide with the special X-ray contrast cover was used. The flexible waveguide was moved via root canal and the laser radiation cleaned the wall surface. After application of Er:YAG laser radiation, the smear layer was fully removed, the surface was clean and smooth, and in the SEM investigation the open dentinal tubules were visible. No cracks were determined. The surface modifications were also not observed after endodontic preparation as well as Alexandrite laser radiation therapy. The whole treatment can be checked by X-ray machine.

  6. Clinical and Radiographic Evaluation of a Resin-Based Root Canal Sealer: 10-Year Recall Data

    PubMed Central

    Zmener, Osvaldo; Pameijer, Cornelis H.

    2012-01-01

    Objectives. This retrospective clinical and radiographical study evaluated the 10-year outcome of one-visit endodontic treatment with gutta-percha and a methacrylate resin-based sealer. Methods. From an initial sample size of 180 patients, 89 patients with 175 root canals responded to a recall. Treatment outcome was based on predetermined clinical and radiographic criteria. Results. Root canals had been adequately filled to the working length in 80 teeth (89.88%), short in 6 instances (6.74%), while 3 (3.37%) with extrusion immediate postoperatively, showed no sealer in periradicular tissues. The difference in the outcomes of treatments with respect to age, gender, preoperative pulp or periapical status, the size of periapical lesions and the type of permanent restorations were not statistically significantly different (P > 0.05). Overall, 7 (7.86%) cases were considered clinically and radiographically a failure. A life table analysis showed a cumulative probability of success of 92.13% after 10 years with a 95% confidence interval of 83.0 to 94.0. Conclusions. The results of this retrospective clinical and radiographical study suggest that the tested methacrylate-resin based sealer used with gutta-percha performed similarly to other root canal sealers over a period 10 years. Clinical Implications. Considering the success rate after 10 years of this methacrylate resin-based sealer can be recommended as an alternative to other commonly used root canal sealers. PMID:22654909

  7. Thermal and acoustic problems on root canal treatment with different lasers

    NASA Astrophysics Data System (ADS)

    Ertl, Thomas P.; Benthin, Hartmut; Mueller, Gerhard J.

    1994-12-01

    Side effects of root canal preparation with lasers such as the generation of acoustic shockwaves and heat transfer were investigated. Shockwaves may cause disintegration of root hard substance and too high temperatures may damage the periodontium. Three types of pulsed lasers with different ablation characteristics were chosen for the study. (1) Excimer laser 308 nm/120 ns. (2) Er:YSGG laser 2.78 micrometers /500 microsecond(s) . (3) Nd:YAG laser 1.06 micrometers /180 microsecond(s) . Delivery systems for all lasers were quartz fibers with 400 micrometers core diameter. Canals were pretreated up to size 40 to obtain a comparable root canal shape. The teeth were positioned with the root in chicken egg protein as a heatsink during the laser operation. Shockwaves were measured with a needle hydrophone and visualization of the ablation process was made with high speed flashlamp photography. Temperatures were measured with a fiberoptic device. Results show that lasers with medium pulse length, operating at wavelength highly absorbed by hard and soft tissue, caused minimum side effects. The ablation process with lasers emitting at a low absorbed wavelength rapidly shifts from an initial heat transfer at the beginning of preparation to a noncontrollable ablation and temperature rise when carbonization occurs in the canal. Very short pulsed lasers such as excimer lasers cause stronger shock waves than lasers with a pulse length in the microsecond(s) region. One can conclude that Er:YSGG lasers offer the best ratio between efficiency and side effects.

  8. Cleaning efficacy of reciprocal and rotary systems in the removal of root canal filling material

    PubMed Central

    Koçak, Mustafa Murat; Koçak, Sibel; Türker, Sevinç Aktemur; Sağlam, Baran Can

    2016-01-01

    Aim: The aim of this study was to compare the efficacy of hand file, nickel titanium rotary instrument, and two reciprocating instruments for removing gutta-percha and sealer from the root canals. Materials and Methods: Eighty-eight mandibular premolar teeth were used. The root canals were shaped and filled with gutta-percha and a resin-based sealer. The specimens were divided into four groups according to the technique by which the root filling material was removed: Group 1 — Wave One; Group 2 — Reciproc; Group 3 — ProTaper; and Group 4 — Gates-Glidden burs and stainless steel hand file. Then teeth were split longitudinally and photographed. The images were transferred to a computer. The ratio of remaining filling material to the root canal periphery was calculated with the aid of ImageJ software. Statistical analysis was performed using Kruskal–Wallis and Mann–Whitney tests. Results: A significant difference was found among all groups (P < 0.001). The WaveOne group demonstrated significantly less remaining filling material. The greatest amount of filling material was found in specimens where gutta-percha was removed with Gates-Glidden burs and stainless steel hand file. Conclusion: The reciprocating files were found to be significantly more effective in removing the filling material from the canal walls compared to the rotational file and hand file. PMID:27099429

  9. Investigation of Er:YAG laser root canal irradiation using en face OCT

    NASA Astrophysics Data System (ADS)

    Todea, Carmen; Balabuc, Cosmin; Filip, Laura; Calniceanu, Mircea; Bradu, Adrian; Hughes, Michael; Podoleanu, Adrian G.

    2009-07-01

    This pilot study was designed to investigate the quality of endodontic treatment performed with/without Er:YAG laser using en-face Optical Coherence Tomography (OCT) prototype which evinced the presence of voids and microleakage within the root canal.

  10. Debris and smear removal in flattened root canals after use of different irrigant agitation protocols.

    PubMed

    Ribeiro, Eduardo Milani; Silva-Sousa, Yara T C; Souza-Gabriel, Aline Evangelista; Sousa-Neto, Manoel Damião; Lorencetti, Karina Torales; Silva, Silvio Rocha Correa

    2012-06-01

    Scanning electron microscopy (SEM) can be used to analyze the presence of debris and smear layer on the internal walls of root canal. This study evaluated the debris and smear removal in flattened root canals using SEM after use of different irrigant agitation protocols. Fifty mandibular incisors were distributed into five groups (n = 10) according to the irrigant agitation protocol used during chemomechanical preparation: conventional syringe irrigation with NaviTip needle (no activation), active scrubbing of irrigant with brush-covered NaviTip FX needle, manual dynamic irrigation, continuous passive ultrasonic irrigation, and apical negative pressure irrigation (EndoVac system). Canals were irrigated with 5 mL of 2.5% NaOCl at each change of instrument and received a final flush with 17% EDTA for 1 min. After instrumentation, the roots were split longitudinally and SEM micrographs at ×100 and ×1,000 were taken to evaluate the amount of debris and smear layer, respectively, in each third. Data were analyzed by Kruskal-Wallis and Dunn's post-hoc tests (α = 5%). Manual dynamic activation left significantly (p < 0.05) more debris inside the canals than the other protocols, while ultrasonic irrigation and EndoVac were the most effective (p < 0.05) for debris removal. Regarding the removal of smear layer, there was no statistically significant difference (p > 0.05) either among the irrigant agitation protocols or between the protocol-canal third interactions. Although none of the irrigant agitation protocols completely removed debris and smear layer from flattened root canals, the machine-assisted agitation systems (ultrasound and EndoVac) removed more debris than the manual techniques. PMID:22131294

  11. Canals

    ERIC Educational Resources Information Center

    Winkleman, Michael

    1974-01-01

    In the mid-1800's, the canal system in the U.S. was thriving. But, by the end of that century, roads and railways had replaced these commercial thoroughfares. Renewed interest in the abandoned canals is now resulting in renovation and ecological site development in Pennsylvania and New Jersey. (MA)

  12. Conventional Versus Digital Radiography in Detecting Root Canal Type in Maxillary Premolars: An in Vitro Study

    PubMed Central

    Moshfeghi, Mahkameh; Sajadi, Soodabeh Sadat; Sajadi, Sepideh; Shahbazian, Majid

    2013-01-01

    Objective: Successful endodontic therapy depends on adequate mechanical and chemical debridement of the canal which requires knowledge of the canal morphology. Conventional radiography has been used to evaluate the canal type; however, direct digital radiography has recently been practiced for this purpose due to the shortcomings of conventional radiography. The aim of the present study was to compare the accuracy of digital and conventional radiography taken at 0° and 30° angles in the diagnosis of the canal type of extracted maxillary premolars. Materials and Methods: This diagnostic study was performed on 90 extracted maxillary premolars. Conventional and digital radiographies were taken of all teeth at 0° and 30° horizontal angles. The images were assessed by an oral and maxillofacial radiologist. The clearing technique was used as the gold standard. The canal type was determined using Weine classification. The agreement between each one of the 4 radiographic modalities and gold standard was determined by kappa statistics. Results: The kappa values for the agreement of parallel conventional, 30° conventional, parallel digital and 30° digital modalities with the clearing technique were 0.059, 0.215, 0.043 and 0.391, respectively. Parallel modalities were unable to determine the tooth canal type. Radiographic images taken at 30° significantly determined the canal type, although only a poor level of agreement was noted between the two modalities and the clearing technique. Conclusion: All modalities had limited value to determine the root canal type in maxillary premolars. However, direct digital imaging taken at 30° angle showed the highest accuracy for canal type assessment. PMID:23724205

  13. Root Canal Shaping by Single-File Systems and Rotary Instruments: a Laboratory Study

    PubMed Central

    Bane, Khaly; Faye, Babacar; Sarr, Mouhamed; Niang, Seydina O; Ndiaye, Diouma; Machtou, Pierre

    2015-01-01

    Introduction: The aim of this study was to compare the shaping ability of two single-file systems and conventional rotary instruments in severely curved root canals of extracted human molars. Methods and Materials: Mesiobuccal canals of 120 mandibular molars with angles of curvature ranging between 25° and 35° and radii of curvature from 5 to 9 mm, were divided into three groups (n=40). In each group the canals were instrumented with either WaveOne (W), Reciproc (R) or ProTaper (P). The time required for canal shaping and the frequency of broken instruments were recorded. The standardized pre and post-instrumentation radiographs were taken to determine changes in working length (WL) and straightening of canal curvature. The presence of blockage or perforation was also evaluated. Data were analyzed using the one-way analysis of variance (ANOVA) and post-hoc Tukey’s test. The level of significance was set at 0.05. Results: Both single-instrument systems reduced the canal preparation time by approximately 50% (P<0.05). No incidence of broken instruments from single-file systems was reported; however, two F2 instruments in the P group were broken (P<0.05). Reduction in WL and straightening of canal curvature was observed in all three systems with the highest scores belonging to P system (P<0.05). No case of blockage or perforation was found during shaping in any group. Conclusion: Single-file systems shaped curved canals with substantial saving in time and a significant decrease in incidence of instrument separation, change in WL, and straightening of canal curvature. PMID:25834600

  14. In vivo accuracy of conventional and digital radiographic methods in confirming root canal working length determination by Root ZX

    PubMed Central

    OROSCO, Fernando Accorsi; BERNARDINELI, Norberti; GARCIA, Roberto Brandão; BRAMANTE, Clovis Monteiro; DUARTE, Marco Antonio Húngaro; de MORAES, Ivaldo Gomes

    2012-01-01

    Objectives To compare, in vivo, the accuracy of conventional and digital radiographic methods in determining root canal working length. Material and Methods Twenty-five maxillary incisor or canine teeth from 22 patients were used in this study. Considering the preoperative radiographs as the baseline, a 25 K file was inserted into the root canal to the point where the Root ZX electronic apex locator indicated the APEX measurement in the screen. From this measurement, 1 mm was subtracted for positioning the file. The radiographic measurements were made using a digital sensor (Digora 1.51) or conventional type-E films, size 2, following the paralleling technique, to determine the distance of the file tip and the radiographic apex. Results The Student "t" test indicated mean distances of 1.11 mm to conventional and 1.20 mm for the digital method and indicated a significant statistical difference (p<0.05). Conclusions The conventional radiographic method was found to be superior to the digital one in determining the working length of the root canal. PMID:23138737

  15. Resistance of a novel root canal sealer to bacterial ingress in vitro.

    PubMed

    Padachey, N; Patel, V; Santerre, P; Cvitkovitch, D; Lawrence, H P; Friedman, S

    2000-11-01

    A dentin-bonding root canal sealer (ZUT) has been developed, consisting of an experimental glass ionomer cement (KT-308) and an antimicrobial silver-containing zeolite (0.2% by weight). This in vitro study evaluated the ability of ZUT used with or without gutta-percha, to resist bacterial ingress of Enterococcus faecalis over a period of 90 days. Canals of 80 single-rooted teeth were prepared with apical patency and filled as follows (n = 10): KT-308 alone; KT-308 with a single gutta-percha cone (SCGP); ZUT alone; ZUT with SCGP; AH26 alone; AH26 with SCGP; positive control-no root canal filling; and negative control-no root canal filling, with the apices of this group sealed with C&B Metabond cement. Teeth were coated with nail polish except for the apical 2 mm, and each tooth was sealed in a 4-ml glass vial, with an 18-gauge needle inserted through the vial cover and bonded into the pulp chamber with C&B Metabond cement. After sterilization with 2.5 Mrad gamma-radiation, Brain Heart Infusion broth with phenol red was injected into each vial. An inoculum of E. faecalis was pipetted through the needle into the pulp chamber every 5 days, and the broth was monitored daily for color change and turbidity. When change occurred, the broth was cultured for growth of E. faecalis. Kaplan-Meier survival analysis and the log-rank test revealed no significant differences among the three sealers used. The presence of gutta-percha, however, significantly improved resistance to bacterial ingress through obturated root canals (X, p < 0.05). Under the conditions of this study, the hypothesized advantage of ZUT (0.2% zeolite) was not demonstrated. PMID:11469295

  16. Effects of Nd: YAG laser irradiation on the root canal wall dentin of human teeth: a SEM study.

    PubMed

    Kaitsas, V; Signore, A; Fonzi, L; Benedicenti, S; Barone, M

    2001-01-01

    The purpose of this study was to observe the morphological and histological changes on the root canal walls after Nd:YAG laser application. Twenty vital, recently extracted single-rooted human teeth were used for this study. Root canals were cleaned and shaped by a conventional step-back technique--by means of k files up to a 20 k-file type at working length--and subsequently shaped by Ni-Ti root-canal rotary instrumentation up to 30/06 and irrigated with 2.5% hypochlorite solution. Ten teeth (control group) were left unlased, while the other ten teeth were irradiated with Nd:YAG laser by means of a 320 microns fibre inserted in the root canal at 1 mm from the apex with a power of 1.5 Watt and a frequency of 15 pps for five seconds in retraction with rotating movements. The control specimen showed debris and smear layer on the root canal surface obscuring the dentin tubules. The root canal walls irradiated with Nd:YAG laser showed a clear glazed surface, some open dentinal tubules and some surface craters with cracks. Such results confirm that smear layer and debris are removable with Nd:YAG laser, however clearing all root canal walls is still difficult and, if the energy level and duration of application are inadequate, a certain degree of thermal damage and morphological changes in dentin structure are observable. PMID:11938590

  17. Human tooth and root canal morphology reconstruction using magnetic resonance imaging

    PubMed Central

    DRĂGAN, OANA CARMEN; FĂRCĂŞANU, ALEXANDRU ŞTEFAN; CÂMPIAN, RADU SEPTIMIU; TURCU, ROMULUS VALERIU FLAVIU

    2016-01-01

    Background and aims Visualization of the internal and external root canal morphology is very important for a successful endodontic treatment; however, it seems to be difficult considering the small size of the tooth and the complexity of the root canal system. Film-based or digital conventional radiographic techniques as well as cone beam computed tomography provide limited information on the dental pulp anatomy or have harmful effects. A new non-invasive diagnosis tool is magnetic resonance imaging, due to its ability of imaging both hard and soft tissues. The aim of this study was to demonstrate magnetic resonance imaging to be a useful tool for imaging the anatomic conditions of the external and internal root canal morphology for endodontic purposes. Methods The endodontic system of one freshly extracted wisdom tooth, chosen for its well-known anatomical variations, was mechanically shaped using a hybrid technique. After its preparation, the tooth was immersed into a recipient with saline solution and magnetic resonance imaged immediately. A Bruker Biospec magnetic resonance imaging scanner operated at 7.04 Tesla and based on Avance III radio frequency technology was used. InVesalius software was employed for the 3D reconstruction of the tooth scanned volume. Results The current ex-vivo experiment shows the accurate 3D volume rendered reconstruction of the internal and external morphology of a human extracted and endodontically treated tooth using a dataset of images acquired by magnetic resonance imaging. The external lingual and vestibular views of the tooth as well as the occlusal view of the pulp chamber, the access cavity, the distal canal opening on the pulp chamber floor, the coronal third of the root canals, the degree of root separation and the apical fusion of the two mesial roots, details of the apical region, root canal curvatures, furcal region and interradicular root grooves could be clearly bordered. Conclusions Magnetic resonance imaging offers 3

  18. Effect of a final alcohol rinse on sealer coverage of obturated root canals.

    PubMed

    Wilcox, L R; Wiemann, A H

    1995-05-01

    An endodontic sealer is required to provide an apical and coronal seal in root canals. No previously reported methods of sealer placement completely coated canal walls. The purpose of this study was to dehydrate canal walls with alcohol and determine if this permitted better sealer coverage. Forty single-rooted teeth were prepared and divided into 4 groups of 10 teeth according to method of sealer placement and final irrigant: (a) by lentulo spiral and (b) file NaOCl, (c) lentulo and alcohol, and (d) file and alcohol. After canal preparation, groups 1 and 2 were irrigated with 1 ml of NaOCl and dried with paper points. Groups 3 and 4 were irrigated with 1 ml of alcohol and dried. AH26 (0.04 ml) dyed with charcoal black was applied to the apical end of the file or lentulo and placed in the canal to coat the walls. Gutta-percha without additional sealer was laterally condensed. Teeth were cleared and evaluated for location and amount of sealer visible. Data were evaluated by Kruskal-Wallis and analysis of variance. The results showed (a) no significant differences among the four groups, (b) all areas had sealer present, (c) the coronal third had > 50% sealer coverage in nearly all teeth, and (d) the middle and apical thirds showed the most variability in sealer coverage. PMID:7673826

  19. A comparison of stainless steel and nickel-titanium K-files in curved root canals.

    PubMed

    Chan, A W; Cheung, G S

    1996-11-01

    The purpose of this study was to determine the effects of hand instrumentation using traditional stainless steel K-files and nickel-titanium K-files on the final shape of curved root canals. A total of 24 moderately curved canals in the mesial roots in extracted human mandibular first molars were randomly divided into two groups. These were instrumented manually using either stainless steel or nickel-titanium, K-files with the stepdown technique. The cross-sectional shape of each canal at three different horizontal levels were captured, before and after instrumentation, into a computer for comparison using image analyser software. Three parameters at each level were evaluated: (i) amount of dentine removed; (ii) least remaining dentine thicknesses on mesial and furcal aspects; and (iii) the amount and direction of canal transportation. The results showed that the two file types removed similar amounts of dentine at all three levels examined. The nickel-titanium files left a thicker layer of dentine on both the mesial and furcal aspects than stainless steel files. However, the difference was not significant (pooled T-test, P > 0.05). Both types of files transported the centre of the canals but the nickel-titanium instrument seemed to be safer because of the reduced amount of transportation towards the danger areas. PMID:10332236

  20. A comparison of Flex-R files and K-type files for enlargement of severely curved molar root canals.

    PubMed

    Sepic, A O; Pantera, E A; Neaverth, E J; Anderson, R W

    1989-06-01

    A double exposure radiographic technique is introduced and used to evaluate the magnitude of apical canal transportation that occurs during preparation procedures. The balanced force technique and a step-back method for cleaning and shaping root canals were evaluated in mesiobuccal root canals from 80 extracted human molar teeth with curvatures ranging from 30 to 73 degrees. Pre- and posttreatment file positions were examined from clinical and proximal radiographic views by computer digitization. Statistical analysis indicated significantly less apical transportation with the use of the balanced force technique when compared with a step-back technique in canals exhibiting both more and less than 45 degrees of curvature. PMID:2592877

  1. Measurement and modeling of temperature distribution for Er:YAG laser root canal sterilization

    NASA Astrophysics Data System (ADS)

    Hibst, Raimund; Stock, Karl; Keller, Ulrich

    1999-02-01

    Based on the bactericidal effect of subablative irradiation the Er:YAG laser can be used for root canal sterilization in endodontics. For this, an optical fiber will be inserted into the root canal down to a depth of about 1 mm in front of the apex, and then removed while activating the laser. In order to avoid heat accumulation which could be harmful to the desmodont or periodont, repetition rate and fiber withdrawal velocity must be kept within certain limits. These limits were determined by calculations based on a 1-dim, cylindrical model and related temperature measurements on half cutted teeth. The calculations agree well to the control measurements and are used to derive a complete set of application parameters in dependence on the expected root thickness.

  2. In vitro cleaning ability of root canal irrigants with and without endosonics.

    PubMed

    Cheung, G S; Stock, C J

    1993-11-01

    A variety of methods have been used to evaluate the cleanliness of root canals after endodontic preparation and irrigation. Few irrigation agents other than sodium hypochlorite (NaOCl) have been tested in conjunction with endosonics. The purpose of this study was to examine the cleaning ability of water, NaOCl, Hibiscrub and a biological washing liquid when used as intracanal irrigants, with and without endosonics. Two methods of evaluation were employed to assess the root canal cleanliness after endodontic preparation. A total of 56 teeth, divided into eight groups, were prepared manually using the step-down technique. Each irrigating agent was used in two experimental groups, with and without endosonics. Two additional teeth which received neither instrumentation nor irrigation served as the controls. The teeth were split longitudinally and the state of cleanliness of the root canal was assessed by scoring the amount of stained organic debris and smear layer. It was demonstrated that the results of debris and smear layer scoring were significantly influenced by the type of irrigant and whether endosonics had been used. All agents exhibited similar cleaning ability when introduced manually. With endosonics, NaOCl yielded significantly less stainable debris (P < 0.05) than the other groups which showed no significant difference. The ability to remove the smear layer was enhanced, but at some distance short of the working length, by endosonics for all irrigants tested. None of the solutions tested was able to produce a canal wall that was free of smear layer. PMID:8144242

  3. The comparison of the effect of endodontic irrigation on cell adherence to root canal dentin.

    PubMed

    Ring, Karla C; Murray, Peter E; Namerow, Kenneth N; Kuttler, Sergio; Garcia-Godoy, Franklin

    2008-12-01

    The purpose of this study was to compare the effect of 10 different endodontic irrigation and chelating treatments on dental pulp stem cell (DPSC) attachment to root canal surfaces. Thirty-eight extracted human nondiseased single-canal teeth were cleaned and shaped using ProTaper and ProFile rotary instrumentation (Tulsa Dentsply, Tulsa, OK). The irrigation treatments investigated were 6% sodium hypochlorite, 2% chlorhexidine gluconate, Aquatine Endodontic Cleanser, and Morinda citrifolia juice. The irrigation treatments were used in conjunction with EDTA or MTAD. The instrumented teeth were immediately placed in cell culture with confluent DPSCs for 1 week. The number of attached DPSCs appeared to be correlated with the cytotoxicity of the root canal irrigating solution (analysis of variance, p < 0.0001). The presence or absence of the smear layer had little influence on DPSC activity (chi-square, p > 0.05). The results suggest that biocompatible irrigants are needed to promote DPSC attachment to root canal dentin, which is essential to accomplish some regenerative endodontic therapies. PMID:19026877

  4. Influence of scan setting selections on root canal visibility with cone beam CT

    PubMed Central

    Hassan, BA; Payam, J; Juyanda, B; van der Stelt, P; Wesselink, PR

    2012-01-01

    Objectives The aim of this study was to assess the influence of scan setting selection, including field of view (FOV) ranging from small to large, number of projections and scan modes on the visibility of the root canal with cone beam CT (CBCT). Methods One human mandible cadaver was scanned with CBCT (Accuitomo 170; J Morita MPG Corp., Kyoto, Japan) using six different FOVs (4×4 cm, 6×6 cm, 8×8 cm, 10×10 cm, 14×10 cm and 17×12 cm) with either 360 or 180 projections in standard and high resolution. The right canine was selected for evaluation. Ten observers independently assessed the visibility of the canal space and overall image quality on a five-point scale. Results The results indicate that both selections of FOV and number of projections have significant influence on root canal visibility (p = 0.0001), whereas scan mode, whether standard or high resolution, was less relevant (p = 0.34). Conclusions The smallest FOV available should always be used for endodontic applications, and it is not recommended to reduce the number of projections to 180. Using the standard scan mode instead of high resolution does not negatively influence the visibility of the root canal space and is therefore recommended. PMID:23166361

  5. Antibacterial Activity of MTA Fillapex and AH 26 Root Canal Sealers at Different Time Intervals

    PubMed Central

    Jafari, Farnaz; Samadi Kafil, Hossein; Jafari, Sanaz; Aghazadeh, Mohammad; Momeni, Tahereh

    2016-01-01

    Introduction: The main goal of endodontic treatment is elimination of bacteria and their by-products from infected root canals. This study compared the antibacterial effect of two different sealers, AH 26 and MTA Fillapex, on 4 microorganisms 24, 48 and 72 h and 7 days after mixing. Methods and Materials: The microorganisms used in this study consisted of Lactobacillus acidophilus (ATCC 4356), Lactobacillus casei (ATCC 39392), Staphylococcus aureus (ATCC 25923) and Enterococcus faecalis (ATCC 29212). This test is based on the growth of bacteria and turbidity measurement technique using a spectrophotometer, and direct contact was conducted. Multiple comparisons were carried out using repeated-measures ANOVA followed by Tukey’s test and student’s t-test. The level of significance was set at 0.05. Results: The antibacterial activity in the indirect technique was more than the technique with both sealers. In the direct technique the antibacterial activity on all microorganisms were lower for MTA Fillapex sealer. In the indirect technique, both sealers exhibited similar antibacterial properties. Conclusion: The antibacterial effect of MTA Fillapex sealer was significantly less than that of AH 26 sealer in the direct technique. The antibacterial effects of both sealers were similar in the indirect technique. PMID:27471530

  6. Effect of Cyclic Loading on Bond Strength of Fiber Posts to Root Canal Dentin

    PubMed Central

    Khamverdi, Zahra; Damavandi, Leila Yazdani; Kasraei, Shahin

    2014-01-01

    Objective: The aim of this study was to evaluate the effect of cyclic loading on the bond strength of quartz fiber posts to root canal dentin after different surface treatments of different regions of root canal dentin. Materials and Methods: Forty-eight single-rooted human teeth were selected. Post spaces were prepared and then the teeth were divided into four groups: G1: no treatment (control); G2: irrigation with a chemical solvent; G3: etching with 37% phosphoric acid; G4: treatment with ultrasonic file. The fiber posts were cemented using dual-cured resin cement. Half of the specimens were load-cycled (10000 cycles, 3 cycles/s) and the others did not undergo any load cycling. From each root, two slides measuring 1 mm in thickness were obtained from the apical and cervical regions. The push-out bond strength test was performed for each slice. Data were analyzed by using 3-way ANOVA and Tukey HSD tests. The fracture modes were evaluated under a stereomicroscope at ×20. Results: The effect of load cycling and surface treatment as the main factors and the interaction of main factors were not significant (P=0.734, P=0.180, and P=0.539, respectively). The most frequent failure mode under the stereomicroscope was adhesive. Conclusion: It appears that load cycling and surface treatment methods had no effect on the bond strength of fiber posts to root canal dentin, but it depended on the region of the root canal dentin. PMID:24910680

  7. Diode laser irradiation effects on the sealing ability of root canal sealers

    NASA Astrophysics Data System (ADS)

    Ribeiro, A. C.; Nogueira, G. E. C.; Mayer, M. P. A.; Antoniazzi, J. H.; Zezell, D. M.

    2010-06-01

    This study aimed to test the hypothesis that dentine alterations induced by 810 nm-diode laser may affect the interaction between root canal sealers and the dentin wall. Seventy-two single root human teeth were selected and root canals were enlarged with K-files. Dentine was treated with 0.5% NaOCl and 17% EDTA-T and irradiated (laser group) by diode laser (810 nm/ P = 2.5W/ I = 1989 W/cm2) or remained non-irradiated (control group). Six samples per group were analyzed by scanning electron microscopy (SEM). The remaining samples of each group were divided into three subgroups ( n = 10) and sealed with one of the tested sealers (N-Rickert/AHPlus™/Apexit®). Apical leakage was estimated by evaluating penetration of 0.5% methylene-blue dye. SEM analysis revealed that dentine at the apical third in irradiated samples was melted and fusioned whereas non-irradiated samples exhibited opened dentinal tubules. Despite the morphological changes induced by irradiation, laser did not affect the sealing ability of N-Rickert and AHPlusTM sealers. However, the length of apical leakage in roots filled with Apexit® was lower in irradiated root canals than in non-irradiated samples ( p < 0.05). Morphological changes of root canal walls promoted by diode laser irradiation may improve de sealing ability of Apexit®, a calcium hydroxide-based sealer, suggesting that improved sealing promoted by irradiation may represent an additional factor contributing to the endodontic clinical outcome.

  8. In vivo determination of the frequency response of the tooth root canal impedance versus distance from the apical foramen.

    PubMed

    Rambo, Marcos V H; Gamba, Humberto R; Ratzke, Alexandre S; Schneider, Fabio K; Maia, Joaquim M; Ramos, Carlos A S

    2007-01-01

    Working length (WL) determination is a key factor to the endodontic therapy or root canal treatment success. Almost all therapy procedures depend on this measure and the wrong WL determination may produce severe consequences, like post-therapeutic pain and the need of a new root canal treatment. Electronic foramen locators (EFL) have been replacing the traditional radiographic imaging as they are faster, easier to use and have a higher success rate when measuring WL. EFLs are based on the root canal impedance assessment between two electrodes: one fixed on the endodontic file that is inserted into the root canal, and the other positioned at oral mucosa membrane. There are only few reported studies that qualify or quantify the root canal impedance characteristics. The present work aims to determine the module of tooth root canal frequency response. The preliminary results show the frequency response module variation as a function of endodontic file position inside the root canal and reinforce the methods based on relative impedance over frequency analysis used in modern EFLs. PMID:18002020

  9. [The technology of apical infection control].

    PubMed

    Qing, Yu; Yang, Yang; Bei, Chang

    2014-10-01

    Root canal therapy is the most efficient way to treat pulptitis and periapical inflammation, which can clear infections of root canal systems, fill the root canal firmly, and avoid reinfection. However, the variations in root canal morphology and complexity of infection confer difficulty in thoroughly eliminating microorganisms and their by-products in the root canal system, especially in the root apex area (including the top one-third of the root canal and periapical tissue), which is described as the hardest area to clean during endodontic treatment. Infection is difficult to remove entirely because the apex area is hard to approach using dental instruments and because of the existence of special morphological structures, such as apical ramification, intercanal anastomoses, and lateral branch of root canal. This review gives a brief introduction of the characteristics and difficulties of apical infection and knowledge on how to control such infections, including root apex preparation, irrigation and disinfection, and root canal filling. PMID:25490815

  10. Effectiveness of rotatory and reciprocating movements in root canal filling material removal.

    PubMed

    Silva, Emmanuel João Nogueira Leal; Orlowsky, Nayra Bittencourt; Herrera, Daniel Rodrigo; Machado, Ricardo; Krebs, Renato Liess; Coutinho-Filho, Tauby de Souza

    2015-01-01

    The purpose of this study was to compare the efficacy of reciprocating and rotary techniques for removing gutta-percha and sealer from root canals. Forty straight and oval single-rooted premolars were prepared up to size 30, filled with gutta-percha and sealer, and then randomly allocated to two experimental retreatment groups: ProTaper Retreatment System (PTRS) and WaveOne System (WS). Procedural errors, time of retreatment and apically extruded material were recorded for all the roots. The roots were radiographed after retreatment. The percentage of residual material was calculated using image analysis software. The data were analyzed by Kolmogorov-Smirnov and t tests, with a significance level set at 5%. No system completely removed the root filling material from the root canal. No significant differences were observed between the systems, in terms of residual filling material in any tested third (p > 0.05). WS was faster in removing filling material than PTRS (p < 0.05). Extrusion was observed in 4 cases in PTRS and in 5 cases in WS. No procedural errors were observed in either group. It can be concluded that although no differences were observed in the efficacy of PTRS and WS for removing root filling material, WS was faster than PTRS. PMID:25466331