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ABSTRACT: The purpose of this in vitro quantitative laboratorial study is to compare the ability of three filling techniques to fill simulated lateral canals.
Thirty extracted, single-rooted human teeth were used. After cleaning and shaping, three lateral canals were created, one in each third. The teeth were randomly separated into three groups: continuous wave of condensation (Group 1); thermomechanical compaction (Group 2); and lateral condensation (Group 3). The teeth were cross-sectioned, making the cut through points over the lateral canals; thus, 90 specimens were obtained. Each specimen was immersed in a polyester resin, and the blocks were polished. Images were obtained using a stereoscopic lens (40x). Radiographic analysis was performed, followed by a filling linear measure using the Image Tool 3.0 program (University of Texas). Data were statistically analyzed using SPSS 12.0 for Windows (Kruskal-Wallis test).
A greater number of simulated lateral canals were obturated in Groups 1 and 2. Group 2 presented the largest percentage of linear measure of lateral canals filling with gutta-percha and sealer. No statistical differences were found between Group 1 and Group 2 when we analyzed the filling with gutta-percha and sealer or just sealer (P>.05).
Thermoplasticized gutta-percha filling techniques (Groups 1 and 2) are better for filling lateral canal with gutta-percha and sealer or with just sealer than lateral condensation (Group 3).
European journal of dentistry. 07/2010; 4(3):251-6.
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ABSTRACT: This study evaluated the short-term response of human pulp tissue when directly capped with Portland cement. In this series of cases, twenty human third molars that were scheduled for extraction were used. After cavity preparation, pulp exposure was achieved and Portland cement pulp capping was performed. Teeth were extracted after 1, 7, 14 and 21 days following treatment and prepared for histological examination and bacterial detection. Each group had 5 teeth. The results were descriptively analysed. Dentin bridge formation was seen in two teeth with some distance from the material interface (14 and 21 days). Soft inflammatory responses were observed in most of the cases. Bacteria were not disclosed in any specimen. PC exhibited some features of biocompatibility and capability of inducing mineral pulp response in short-term evaluation. The results suggested that PC has a potential to be used as a less expensive pulp capping material in comparison to other pulp capping materials.
The Open Dentistry Journal 02/2009; 3:31-5.
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ABSTRACT: This study compared three anesthetics widely used in endodontics and analyzed the following variables: amount necessary to achieve adequate anesthesia; anesthetic efficacy, defined as no sensation during endodontic treatment; anesthetic duration; and cost-benefit. Sixty patients diagnosed with irreversible pulpitis of a mandibular molar were selected at the Dental Emergency Center of Universidade de Fortaleza, Brazil. Patients were randomly divided into three groups of 20 and were administered one of three anesthetic solutions for conventional regional block: 2% lidocaine with 1:2500 phenylephrine; 2% mepivacaine with 1:100,000 adrenaline and 4% articaine with 1:100,000 epinephrine. The following variables were studied: number of cartridges necessary to obtain anesthetic success; anesthetic efficacy, defined as no sensation during endodontic procedures; anesthetic duration; cost-benefit ratio for each anesthetic. Mean number of cartridges necessary to obtain anesthetic success was 2.76, and there was no statistically significant difference between the anesthetics used. Lidocaine had the best cost-benefit ratio. All anesthetics used were clinically efficient and had equivalent results for endodontic treatment.
Acta odontológica latinoamericana: AOL 02/2009; 22(1):21-6.