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Coronal Third (coronal + third)
Selected AbstractsRadicular peroxide penetration from carbamide peroxide gels during intracoronal bleachingINTERNATIONAL ENDODONTIC JOURNAL, Issue 7 2008O. Gökay Abstract Aim, To evaluate and compare radicular peroxide diffusion from different concentrations of carbamide peroxide bleaching gels. Methodology, Fifty maxillary premolar teeth were separated into five groups (n = 10). Standardized endodontic access cavities were prepared in the occlusal surfaces, and the root canals were prepared using a step back technique and filled using the lateral compaction technique. The gutta-percha filling was removed 4 mm short of the cemento-enamel junction (CEJ) and a 2-mm-thick glass,ionomer cement base was placed. Outer root surfaces were sealed with wax and nail polish, leaving the coronal third of the tooth and the CEJ exposed. All teeth were immersed in a plastic tube containing 2 mL of distilled water, and the experimental groups were treated with a bleaching agent of either 10%, 17% or 37% carbamide peroxide (CP) or a mixture of 30% hydrogen peroxide (HP) and sodium perborate (SP) placed into the coronal pulp chamber of teeth and left for 24 h. Peroxide penetration was measured using the ferrothiocyanate method. Statistical analysis of data was conducted by using the Kruskal,Wallis Analysis of Variance and Mann,Whitney U test. Results, Higher peroxide penetration occurred with the 30% HP-SP mixture than with the CP bleaching gels, and the 37% CP group also promoted greater peroxide penetration than the other CP groups (P < 0.05). There was no statistically significant difference between 10% and 17% CP groups (P > 0.05). Conclusion, Peroxide penetration of CP gels was significantly lower than that of a HP-SP mixture. [source] The Effect of Dowel Space on the Bond Strengths of Fiber PostsJOURNAL OF PROSTHODONTICS, Issue 3 2007Jorge Perdigão DMD Purpose: The purpose of this study was to evaluate the effect of the degree of mismatch between post space and post diameters on the bond strength of a fiber-reinforced resin post. Materials and Methods: Thirty-two extracted human maxillary central incisors and canines were endodontically treated and assigned to four groups: Group 1 - Canal prepared with a D.T. Light Post #1 drill (control); Group 2 - Canal prepared with a D.T. Light Post #2 drill; Group 3 - Canal prepared with a D.T. Light Post #3 drill; Group 4 - Canal prepared with a Gates Glidden #6 drill. A D.T. Light Post size 1 was then luted into the canal using One-Step Adhesive and Post Cement Hi-X. A push-out test was performed on three sections of each root to measure push-out bond strengths. Data were analyzed with ANOVA and Bonferroni's test at p < 0.05. Two extra teeth for each group were restored in the same fashion and processed for SEM observation. Results: (in MPa): Group 1: 15.7 ± 6.9; Group 2: 14.7 ± 6.5; Group 3: 14.0 ± 5.0; Group 4: 14.0 ± 5.1. The variable "post space" resulted in no statistically significant difference in mean bond strengths (p > 0.05). For the variable "root region," the coronal third (17.5 ± 6.0) resulted in statistically greater mean bond strengths than the apical third (12.3 ± 6.0) at p < 0.008. The middle third (14.0 ± 5.3) resulted in no statistically significant different mean bond strengths from the coronal third at p > 0.119 and from the apical third at p > 0.999. Under the SEM, some areas of the canal system still displayed residual gutta-percha, which resulted in debonding of the interface between the resin cement and dentin. Areas with incomplete dentin hybridization were observed in localized areas of all groups. Conclusions: The diameter of the post space did not affect the push-out bond strengths. Bonding at the coronal level of the root canal is more reliable than bonding at the apical level. The presence of residual gutta-percha and the deficient dentin hybridization may result in deficient seal of the resin,dentin interface. [source] Endodontic treatment of a mandibular first molar with three mesial canals and broken instrument removalAUSTRALIAN ENDODONTIC JOURNAL, Issue 1 2010Farhad Faramarzi dds Abstract To succeed in any dental procedure, the clinician's awareness of the patient's dental anatomy and its variations is crucial. In endodontic therapy, obtaining full information about the root canals' variations can affect the outcome substantially. This case report presents the endodontic treatment of a mandibular first molar exhibiting three mesial root canals with 4 mm of a separated K-file in the coronal third of the mesiolingual canal on an 18-year-old female patient. This case demonstrates the importance of locating additional canals in any roots undergoing endodontic treatment and how the clinician's awareness of aberrant internal anatomy may change the treatment results. [source] The effect of ultrasonically activated irrigation on reduction of Enterococcus faecalis in experimentally infected root canalsINTERNATIONAL ENDODONTIC JOURNAL, Issue 11 2010A. J. Harrison Harrison AJ, Chivatxaranukul P, Parashos P, Messer HH. The effect of ultrasonically activated irrigation on reduction of Enterococcus faecalis in experimentally infected root canals. International Endodontic Journal, 43, 968,977, 2010. Abstract Aim, To investigate the ability of an ultrasonically activated irrigating system to eliminate bacteria from the canal wall and dentinal tubules of extracted teeth. Methodology, One hundred and thirty roots of intact human teeth were inoculated with Enterococcus faecalis for 4 weeks. The straight roots were randomly allocated to a baseline group (n = 25) or subjected to routine cleaning and shaping procedures (n = 105). Two sub-groups of prepared canals were then additionally exposed either to ultrasonic irrigation with 1% sodium hypochlorite (NaOCl) for 1 min (n = 35) or to 1 week of intracanal medication with calcium hydroxide [Ca(OH)2] (n = 35). All roots were processed for light microscopy (Brown and Brenn stain) (n = 28) or scanning electron microscopy (n = 7). Triplicate histological sections from each of the apical, middle and coronal thirds were scored for bacterial presence using pre-defined criteria. Results, Baseline bacterial penetration resulted in an average depth of tubule invasion of 151 ,m. Routine canal preparation failed to eliminate bacteria consistently from either the canal wall or within tubules. Ultrasonic irrigation and medication with Ca(OH)2 consistently eliminated bacteria from the canal wall (P < 0.001) compared with baseline and routine treatment, and more frequently from dentinal tubules than routine canal preparation alone (P < 0.01). Ultrasonic irrigation was as effective in bacterial reduction as 1 week of intracanal medication with Ca(OH)2, but neither led to complete bacterial elimination in all roots. Conclusions, Ultrasonically activated irrigation for 1 min with 1% NaOCl after canal preparation in straight root canals is potentially an effective supplementary step in microbial control. [source] A scanning electron microscopic study of debris and smear layer remaining following use of GT rotary instrumentsINTERNATIONAL ENDODONTIC JOURNAL, Issue 5 2002G. Gambarini Abstract Aim The aim of the present study was to assess debris and smear layer remaining following canal preparation with GT rotary instruments. Methodology Sixteen freshly extracted single-rooted premolar teeth were instrumented with GTÔ rotary instruments using a crown-down preparation technique. All specimens were flushed with 2 mL of 5% NaOCl between each rotary instrument. At the end of instrumentation the following final irrigation sequence was repeated two times: 2 mL of EDTA + Cetrimide for 1 min (Largal Ultra, Septodont, France) and 2 mL of 5% NaOCl for 5 min. A final flush with saline solution was made to halt any chemical activity. Two other uninstrumented teeth that were not irrigated served as controls. All teeth were split longitudinally and prepared for SEM evaluation. The presence of debris and smear layer was evaluated from photomicrographs at ×200 and ×1000 magnification taken in the apical, middle and coronal thirds of the canals. Blind evaluation was performed by two trained observers and scores were compiled separately. A five category scoring system for debris and smear layer was used. Values obtained were tabulated and statistical analysis was carried out using a parametric chi-squared test. Results Statistical analysis showed that there was no significant difference between the three regions of the root canals (P > 0.05) for debris. Comparison of the removal of the smear layer between the three regions showed that there was a statistically significant difference between all parts, especially between the coronal and apical thirds (P < 0.001). Overall, the coronal sections were cleaner than the middle and apical sections. The uninstrumented canals showed walls completely covered with tissue, confirming that specimen preparation alone did not remove tissue. Conclusions Under the conditions of the present study GTÔ rotary instruments removed debris effectively, but left root canal walls covered with smear layer, particularly in the apical third. [source] | ||||||||||