Human Maxillary Anterior Teeth (human + maxillary_anterior_tooth)

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Selected Abstracts


Evaluation of fracture resistance in simulated immature teeth using resilon and ribbond as root reinforcements , An in vitro study

DENTAL TRAUMATOLOGY, Issue 4 2009
Hiremath Hemalatha
Material and Methods:, Sixty five freshly extracted human maxillary anterior teeth were prepared with a Peeso no. 6 to simulate immature teeth (Cvek's stage 3 root development). After instrumentation, each root was irrigated with sodium hypochlorite and with ethylene diamino tetra acetic acid to remove the smear layer. To simulate single visit apexification technique a 4,5 mm white Pro Root mineral trioxide aggregate plug was placed apically using schilder carrier. The teeth were divided into three experimental groups and one control group. Group I , control group (root canals instrumented but not filled); Group II , backfilled with thermoplastisized gutta-percha using AH plus sealer; Group III , reinforced with Resilon using epiphany sealer; Group IV , reinforced with Ribbond fibers using Panavia F luting cement. A Universal Testing Machine was used to apply a load, at the level of the lingual cementoenamel junction with a chisel-shaped tip The peak load to fracture was recorded and statistical analysis was completed using student's t -test. Results:, Values of peak load to fracture were 1320.8, 1604.88, 1620, and 1851newtons for Group I to Group IV respectively. The results of student's t -test, revealed no significant difference (P > 0.05,) between Group II and Group III. Comparison between Group IV and Group III and between Group IV and Group II revealed highly significant difference (P > 0.001). Conclusions:, Teeth reinforced with Ribbond fibers using Panavia F luting cement showed the highest resistance to fracture. Resilon could not strengthen the roots and showed no statistically significant difference when compared with thermopasticised gutta-percha in reinforcing immature tooth when tested with universal testing machine in an experimental model of immature tooth. [source]


Efficacy of ProTaper Universal rotary retreatment system for gutta-percha removal from root canals

INTERNATIONAL ENDODONTIC JOURNAL, Issue 4 2008
L.-S. Gu
Abstract Aim, To evaluate the efficacy of the ProTaper Universal rotary retreatment system for gutta-percha (GP) removal from root canals. Methodology, Root canals of 60 extracted human maxillary anterior teeth were prepared and filled with laterally condensed GP and AH Plus sealer. Teeth were divided into three groups: group A , GP removal completed with the ProTaper Universal rotary retreatment system and with further canal repreparation accomplished with ProTaper Universal rotary instruments; group B , GP removal was completed using Gates Glidden drills and Hedström files with chloroform as a solvent, followed with further canal repreparation with ProTaper Universal rotary instruments; group C , the same as group B for GP removal with further canal preparation with stainless steel K-flex files (Kerr). The operating time was recorded. Teeth were rendered transparent for the evaluation of the area of remaining GP/sealer in bucco-lingual and mesial,distal directions. Statistical analysis was performed by using repeated measures analysis of variance and anova. Results, The ProTaper Universal technique (group A) resulted in a smaller percentage of canal area covered by residual GP/sealer than in groups B and C, with a significant difference between groups A and C (P < 0.05). Mean operating time for group A was 6.73 min, which was significantly shorter (P < 0.05) than group B (10.86 min) and group C (13.52 min). Conclusions, In this laboratory study all test techniques left GP/sealer remnants within the root canal. The ProTaper Universal rotary retreatment system proved to be an efficient method of removing GP and sealer from maxillary anterior teeth. [source]


Effect of bleaching agents on bonding to pulp chamber dentine

INTERNATIONAL ENDODONTIC JOURNAL, Issue 4 2005
S. Timpawat
Abstract Aim, To determine the effect of intracoronal bleaching agents on adhesion of bonding agents to pulp chamber dentine. Methodology, Forty extracted human maxillary anterior teeth were randomly divided into four groups of 10 teeth each. Bleaching agents were sealed in pulp chambers for 7 days, as in clinical use. Group 1 (control): distilled water, group 2: 35% hydrogen peroxide, group 3: sodium perborate mixed with water, and group 4: sodium perborate mixed with 35% hydrogen peroxide. Teeth were stored in saline at 37 °C for 7 days. After the bleaching agent was removed, teeth were leached in water for a further 7 days prior to bonding. The crown was cut vertically from mesial to distal and the labial pulp chamber dentine was prepared for bonding with Clearfil SE-Bond and filled with resin composite (Clearfil AP-X). The bonded specimens were kept moist at 37 °C for 24 h. Microtensile bond strengths were determined using a universal testing machine. Additional teeth were prepared using the same bleaching procedures to investigate the scanning electron microscopic appearance of the dentine surface. Results, Mean values (±SD) of microtensile bond strength for the experimental groups were: group 1: 5.29 ± 2.21 MPa, group 2: 5.99 ± 1.51 MPa, group 3: 9.17 ± 1.65 MPa and group 4: 3.99 ± 1.31 MPa. Dentine treated with sodium perborate in water (group 3) had significantly higher mean bond strength when compared with the other three groups (P < 0.05, Tukey's test). Mean bond strength was lowest when dentine was treated with sodium perborate plus hydrogen peroxide (group 4). Conclusions, In terms of subsequent bond strength during restoration, sodium perborate mixed with distilled water appears to be the best intracoronal bleaching agent. [source]


Effect of access cavity location and design on degree and distribution of instrumented root canal surface in maxillary anterior teeth

INTERNATIONAL ENDODONTIC JOURNAL, Issue 3 2001
G. Mannan
Abstract Aim The null hypothesis tested in this study was that in single-rooted anterior teeth with simple root canal anatomy, different access cavity designs (,lingual cingulum', ,lingual conventional', ,incisal straight-line') do not influence the ability of endodontic files to plane the walls of the root canals. Methodology, Thirty extracted human maxillary anterior teeth were divided randomly into three groups for each access cavity. The access cavities were prepared according to predefined criteria and the roots embedded in individual polyvinyl-siloxane putty matrices. The matrices allowed these teeth to be split into buccal and palatal halves and to be reassembled. The split teeth enabled removal of pulpal remnants from the root canal system and the walls to be stained with an even layer of permanent black ink. Once dried, the split roots were reassembled in the putty matrices and a step-back filing technique was used to prepare the canals with water irrigation. The canal walls were examined for residual ink staining and scored by three independent assessors using an index devised for the purpose. Results There was good agreement between the assessors. None of the access cavities allowed file contact with the entire root canal wall. The overall (palatal and buccal sections) scores showed significant differences (P < 0.01) between the access cavity groups in the extent to which the canal walls could be filed. The straight-line incisal access cavity had the greatest proportion of instrumented root canal surface. The lingual cingulum access cavity was the worst in this respect. The differences in residual ink scores between the access cavity types were significant for the buccal halves (P < 0.01) but not for the palatal halves (P > 0.05). Conclusions The null hypothesis was proven. Regardless of access cavity design, mechanical preparation did not allow instrumentation of the entire root canal wall. Straight-line access allowed the greatest proportion of the root canal wall to be instrumented and the lingual cingulum access the least. [source]


Evaluation of penetration and adaptation of three different sealers: a SEM study

JOURNAL OF ORAL REHABILITATION, Issue 9 2003
S. Sevimay
Summary, In this study, dentinal penetration and adaptation of three endodontic sealers were evaluated by using scanning electron microscope (SEM). Seventeen recently extracted, human maxillary anterior teeth were used. After the crowns were removed from the cementoenamel junction, the root canals were instrumented. The teeth were then randomly divided into three groups of five roots each and two teeth were used as controls. The smear layer was removed with EDTA and NaOCl. The canals were obturated with AH 26, CRCS, RSA sealers and gutta-percha using lateral condensation technique. Each root was sectioned longitudinally and then prepared for SEM evaluation. The SEM results showed that AH 26 was the best sealer penetrating into dentinal tubules and adapted to dentinal walls when compared with the CRCS and RSA. The CRCS and RSA occluded the orificies of dentinal tubules. The RSA showed that the penetration was less than AH 26 and more than CRCS. [source]