Article: Effect of bleaching agents on sealing properties of different intraorifice barriers and root filling materials.[show abstract] [hide abstract]
ABSTRACT: To evaluate the effect of intracoronal bleaching agents on the sealing properties of different intraorifice barriers and root filling materials. The root canals of extracted human premolars (n=180) were prepared by using System GT rotary files and filled with either gutta-percha+AH Plus or Resilon+Epiphany sealer. In both groups, the coronal 3mm of root filling was removed and replaced with one of the following materials applied as intraorifice barriers (n=30/group): 1. ProProot-MTA; 2. Conventional Glass ionomer cement; and 3. Hybrid resin composite. In each subgroup, intracoronal bleaching was performed using either sodium perborate with distilled water or 35% hydrogen peroxide gel for 3 weeks. The leakage of specimens was measured using fluid-filtration and dye penetration tests. The data were analyzed statistically with One-way ANOVA, Repeated Measures t-test and Independent Samples t-test (p=0.05). The fluid conductance values of the test groups were not influenced by the type of the bleaching agent, the intraorifice barrier, or the root filling material (all p>0.05). However, the extent of dye leakage was significantly affected by the type of intraorifice barrier material (p<0.05), which showed the following statistical ranking: glass ionomer cement > resin composite > ProRoot-MTA (p<0.05). The effect of 35% hydrogen peroxide gel or sodium perborate/distilled water on the sealing properties of tested intraorifice barriers and root filling materials varied conforming leakage assessment. These properties were not affected by using fluid filtration test, while the glass ionomer barrier showed the greatest amount of dye leakage in both gutta-percha and Resilon root-filled teeth.Medicina oral, patologia oral y cirugia bucal 02/2012; 17(4):e710-5.
Article: Effect of plunger diameter on the push-out bond values of different root filling materials.[show abstract] [hide abstract]
ABSTRACT: To evaluate the effect of plunger diameter on the push-out bond strength of different root filling materials to root canal dentine. Freshly extracted human incisors (n=90) were decoronated, and the root canals were enlarged with post drills. Prepared roots were placed into a custom alignment apparatus to embed the roots vertically within self-curing acrylic resin. The specimens were randomly assigned into three groups according to the root filling system used: gutta-percha/AH Plus; Resilon/Epiphany; and fibre-reinforced composite (FRC)/Duolink resin cement. After filling, the specimens were further subdivided according to the diameter of the plunger used to employ the debonding force: 0.75, 1 and 1.25 mm. Intra-radicular bond strength was measured using the push-out test at a cross-head speed of 1 mm min(-1) . The data were analysed statistically using Kruskal-Wallis test with Bonferroni correction at P = 0.05. Regardless of the plunger diameter, FRC yielded the highest bond strength, followed by gutta-percha and Resilon, respectively (P<0.001). In all groups, greater plunger diameter resulted in an apparent increased bond strength, but the differences were only significant in the FRC group, with the 1.25-mm plunger generating higher debonding values compared with that of its 0.75- and 1-mm versions (P<0.001). In the gutta-percha and Resilon groups, the majority of specimens had adhesive failures. Roots filled with FRC exhibited more cohesive failures than those of the other test groups. Different plunger diameters are associated with significantly different intra-radicular push-out bond strengths of root filling systems.International Endodontic Journal 07/2011; 44(10):950-5. · 2.18 Impact Factor
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ABSTRACT: Pulp necrosis is an uncommon sequel to extrusive luxation in immature teeth with incomplete apical closure. In this report, we describe the management of severely extruded immature maxillary incisors and the outcome of revascularization to treat subsequent pulp necrosis. An 8.5-year-old boy with severe dentoalveolar trauma to the anterior maxillary region as a result of a fall was provided emergency treatment consisting of reduction of the dislodged labial cortical bone and repositioning of the central incisors, which had suffered extrusive luxation. When he presented with spontaneous pain involving the traumatized incisors a week later, the teeth were treated via a revascularization protocol using sodium hypochlorite irrigation followed by 3 weeks of intracanal calcium hydroxide, then a coronal seal of mineral trioxide aggregate and resin composite. Complete periradicular healing was observed after 3 months, followed by progressive thickening of the root walls and apical closure. Follow-up observations confirmed the efficacy of the regenerative treatment as a viable alternative to conventional apexification in endodontically involved, traumatized immature teeth.Texas dental journal 07/2012; 129(7):675-81.
Article: Regenerative endodontic treatment (revascularization) of immature necrotic molars medicated with calcium hydroxide: a case series.[show abstract] [hide abstract]
ABSTRACT: Revascularization is an emerging regenerative treatment protocol with little published data available in immature molar teeth. The present case series demonstrates the outcome of revascularization treatment with intracanal medicament of calcium hydroxide in immature necrotic molars. Immature necrotic permanent first molars (n = 6) of patients 8-11 years old were treated by a revascularization protocol that used 2.5% NaOCl irrigation, medication with calcium hydroxide placed in the coronal third of the root canals, induction of apical bleeding, and coronal sealing with white mineral trioxide aggregate. Among the treated teeth, 4 molars had undergone prior root canal instrumentation by the referring dentists. National Institutes of Health Image-J program with TurboReg plug-in was used for standardization of the radiographs and to determine the increase in root length and root width. After a follow-up period of 10 months, all teeth demonstrated radiographic evidence of complete periapical healing, progressive thickening of dentinal walls, and continued apical development in the absence of clinical symptoms. Two uninstrumented molars showed a positive response to cold testing at 9 months. On the basis of a follow-up period of 10 months, the present cases demonstrate a favorable outcome of the revascularization procedure in immature necrotic molars by using calcium hydroxide medication in the coronal third of the root canals.Journal of endodontics 09/2011; 37(9):1327-30. · 2.95 Impact Factor
Article: Treatment of severe inflammatory root resorption in a young permanent incisor with mineral trioxide aggregate.[show abstract] [hide abstract]
ABSTRACT: Inflammatory root resorption is a pathologic condition caused by several etiologic factors including traumatic dental injury. In this case report, we describe treatment of a maxillary lateral incisor affected by severe, perforating inflammatory root resorption. An 11-year-old patient presented with a previously traumatized, root-filled maxillary lateral incisor associated with pain, mobility and a sinus tract. Radiographic examination revealed a large periradicular lesion involving pathologic resorption of the apical region of the root. After removal of the root canal filling, the tooth was treated with intracanal calcium hydroxide for 2 weeks. The calcium hydroxide dressing was then removed and the entire root canal was filled with mineral trioxide aggregate. The endodontic access cavity was restored with composite resin. After 1 year, advanced osseous healing of the periradicular region had occurred and no clinical symptoms were apparent.Journal (Canadian Dental Association) 08/2011; 77:b108. · 1.00 Impact Factor