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Kolling M, Backhaus J, Hofmann N, Keß S, Krastl G, Soliman S, König S. Students' perception of three-dimensionally printed teeth in endodontic training. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2022; 26:653-661. [PMID: 34921718 DOI: 10.1111/eje.12743] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 12/06/2021] [Accepted: 12/14/2021] [Indexed: 06/14/2023]
Abstract
INTRODUCTION In endodontic education, there is a need for thorough training prior to students embarking on clinical treatment. The aim of this study was to use three-dimensional printing technology to create a new model and to compare its suitability for training purposes with resin blocks and extracted teeth. MATERIALS AND METHODS Multi-jet-modelling (MJM) produced the 3D model replicating a common difficulty in root-canal morphology. An evaluation study comprising 88 students was run in the sixth semester (summer 2018 and winter 2018/2019). A new questionnaire assessed students' perception of training models and educational environment. Welch's t-test analysed significant differences. RESULTS The most pronounced differences between models were noted when rating material hardness, radiopacity, root-canal configuration and suitability for practising. Students estimated their learning outcome as greater with 3D-printed teeth compared to resin blocks. Three-dimensionally printed teeth received significantly lower ratings with regard to enthusiasm, the learning of fine motor skills and spatial awareness, when compared to human teeth (p ≤ .001). However, 3D-printed teeth were appreciated for additional benefits, such as their cleanliness, availability and standardisation of training opportunities with complex root-canal configurations. CONCLUSION Students preferred extracted human teeth to 3D-printed teeth with respect to their physical characteristics and training experience. However, educational advantages may compensate for the shortcomings. The new questionnaire proved both adequate and accurate to assess the models and educational environment in endodontic training. The new 3D-printed teeth enhanced the learning opportunities.
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Affiliation(s)
- Markus Kolling
- Institute of Medical Teaching and Medical Education Research, University Hospital Würzburg, Würzburg, Germany
| | - Joy Backhaus
- Institute of Medical Teaching and Medical Education Research, University Hospital Würzburg, Würzburg, Germany
| | - Norbert Hofmann
- Department of Conservative Dentistry and Periodontology, Center of Dental Traumatology, University Hospital Würzburg, Würzburg, Germany
| | - Stefan Keß
- Department of Orthodontics, University Hospital Würzburg, Würzburg, Germany
| | - Gabriel Krastl
- Department of Conservative Dentistry and Periodontology, Center of Dental Traumatology, University Hospital Würzburg, Würzburg, Germany
| | - Sebastian Soliman
- Department of Conservative Dentistry and Periodontology, Center of Dental Traumatology, University Hospital Würzburg, Würzburg, Germany
| | - Sarah König
- Institute of Medical Teaching and Medical Education Research, University Hospital Würzburg, Würzburg, Germany
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Fakhr M, Nagy MM. Three-Dimensional tooth models for better teaching and treatment outcomes. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2022. [PMID: 36153811 DOI: 10.1111/eje.12857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 08/25/2022] [Accepted: 09/06/2022] [Indexed: 06/16/2023]
Abstract
INTRODUCTION The aim of this study was to fabricate 3-Dimensional (3D) tooth models to overcome procedural errors that occur during treatment and to improve endodontic management of teeth with complex pulp morphology and dental anomalies. MATERIALS AND METHODS Three natural teeth were used to fabricate resinous tooth models (n = 90) and 90 natural teeth were used during root canal treatment. Models were fabricated from 1 mandibular canine (n = 30) and 2 maxillary molars (n = 60). Natural teeth were 30 mandibular canines, 30 mandibular molars and 30 maxillary molars. RESULTS Natural teeth and opaque resin models were significantly better than the clear resin models during access preparation (p = .003). In addition, the clear resin models were significantly better than the natural teeth and opaque resin models during shaping, obturation and as an educational tool (p < .001, p < .001 and p < .001 respectively). CONCLUSIONS Although it takes more time and effort to produce 3D (3D) tooth models from each natural tooth used in the study, it can give more accurate results during evaluation.
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Affiliation(s)
- Mohamed Fakhr
- Department of Conservative Dentistry, Misr international University, Cairo, Egypt
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Liu NN, Jiao N, Tan JC, Wang Z, Wu D, Wang AJ, Chen J, Tao L, Zhou C, Fang W, Cheong IH, Pan W, Liao W, Kozlakidis Z, Heeschen C, Moore GG, Zhu L, Chen X, Zhang G, Zhu R, Wang H. Multi-kingdom microbiota analyses identify bacterial-fungal interactions and biomarkers of colorectal cancer across cohorts. Nat Microbiol 2022; 7:238-250. [PMID: 35087227 PMCID: PMC8813618 DOI: 10.1038/s41564-021-01030-7] [Citation(s) in RCA: 83] [Impact Index Per Article: 41.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Accepted: 11/19/2021] [Indexed: 12/19/2022]
Abstract
Despite recent progress in our understanding of the association between the gut microbiome and colorectal cancer (CRC), multi-kingdom gut microbiome dysbiosis in CRC across cohorts is unexplored. We investigated four-kingdom microbiota alterations using CRC metagenomic datasets of 1,368 samples from 8 distinct geographical cohorts. Integrated analysis identified 20 archaeal, 27 bacterial, 20 fungal and 21 viral species for each single-kingdom diagnostic model. However, our data revealed superior diagnostic accuracy for models constructed with multi-kingdom markers, in particular the addition of fungal species. Specifically, 16 multi-kingdom markers including 11 bacterial, 4 fungal and 1 archaeal feature, achieved good performance in diagnosing patients with CRC (area under the receiver operating characteristic curve (AUROC) = 0.83) and maintained accuracy across 3 independent cohorts. Coabundance analysis of the ecological network revealed associations between bacterial and fungal species, such as Talaromyces islandicus and Clostridium saccharobutylicum. Using metagenome shotgun sequencing data, the predictive power of the microbial functional potential was explored and elevated D-amino acid metabolism and butanoate metabolism were observed in CRC. Interestingly, the diagnostic model based on functional EggNOG genes achieved high accuracy (AUROC = 0.86). Collectively, our findings uncovered CRC-associated microbiota common across cohorts and demonstrate the applicability of multi-kingdom and functional markers as CRC diagnostic tools and, potentially, as therapeutic targets for the treatment of CRC.
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Affiliation(s)
- Ning-Ning Liu
- State Key Laboratory of Oncogenes and Related Genes, Center for Single-Cell Omics, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Na Jiao
- National Clinical Research Center for Child Health, the Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China
- Guangdong Institute of Gastroenterology, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Department of Colorectal Surgery, the Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
- Research Institute, GloriousMed Clinical Laboratory Co., Ltd., Shanghai, China
| | - Jing-Cong Tan
- State Key Laboratory of Oncogenes and Related Genes, Center for Single-Cell Omics, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Ziliang Wang
- Clinical Medicine Transformation Center and Office of Academic Research, Shanghai Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of traditional Chinese Medicine, Shanghai, China
| | - Dingfeng Wu
- Department of Gastroenterology, The Shanghai Tenth People's Hospital, Department of Bioinformatics, School of Life Sciences and Technology, Tongji University, Shanghai, China
- Bioinformatics Division, GloriousMed Clinical Laboratory Co., Ltd, Shanghai, China
| | - An-Jun Wang
- State Key Laboratory of Oncogenes and Related Genes, Center for Single-Cell Omics, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jie Chen
- State Key Laboratory of Oncogenes and Related Genes, Center for Single-Cell Omics, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Liwen Tao
- Department of Gastroenterology, The Shanghai Tenth People's Hospital, Department of Bioinformatics, School of Life Sciences and Technology, Tongji University, Shanghai, China
| | - Chenfen Zhou
- Chinese Academy of Sciences Key Laboratory of Computational Biology, Bio-Med Big Data Center, Shanghai Institute of Nutrition and Health, University of the Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, China
| | - Wenjie Fang
- Shanghai Key Laboratory of Molecular Medical Mycology, Department of Dermatology, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai, China
| | - Io Hong Cheong
- State Key Laboratory of Oncogenes and Related Genes, Center for Single-Cell Omics, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Weihua Pan
- Shanghai Key Laboratory of Molecular Medical Mycology, Department of Dermatology, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai, China
| | - Wanqing Liao
- Shanghai Key Laboratory of Molecular Medical Mycology, Department of Dermatology, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai, China
| | - Zisis Kozlakidis
- Laboratory Services and Biobanking, International Agency for Research on Cancer, World Health Organization, Lyon, France
| | - Christopher Heeschen
- State Key Laboratory of Oncogenes and Related Genes, Center for Single-Cell Omics, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Geromy G Moore
- United States Department of Agriculture, Agricultural Research Service, Southern Regional Research Center, New Orleans, LA, USA
| | - Lixin Zhu
- Guangdong Institute of Gastroenterology, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Department of Colorectal Surgery, the Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
| | - Xingdong Chen
- State Key Laboratory of Genetic Engineering, Human Phenome Institute and School of Life Sciences, Fudan University, Shanghai, China.
- Fudan University Taizhou Institute of Health Sciences, Taizhou, China.
| | - Guoqing Zhang
- Chinese Academy of Sciences Key Laboratory of Computational Biology, Bio-Med Big Data Center, Shanghai Institute of Nutrition and Health, University of the Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, China.
| | - Ruixin Zhu
- Research Institute, GloriousMed Clinical Laboratory Co., Ltd., Shanghai, China.
- Department of Gastroenterology, The Shanghai Tenth People's Hospital, Department of Bioinformatics, School of Life Sciences and Technology, Tongji University, Shanghai, China.
- Bioinformatics Division, GloriousMed Clinical Laboratory Co., Ltd, Shanghai, China.
| | - Hui Wang
- State Key Laboratory of Oncogenes and Related Genes, Center for Single-Cell Omics, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
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Yekta-Michael SS, Färber CM, Heinzel A. Evaluation of new endodontic tooth models in clinical education from the perspective of students and demonstrators. BMC MEDICAL EDUCATION 2021; 21:447. [PMID: 34429092 PMCID: PMC8383916 DOI: 10.1186/s12909-021-02848-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Accepted: 07/09/2021] [Indexed: 05/09/2023]
Abstract
BACKGROUND The quality of root canal treatments performed by undergraduate students is often unsatisfactory questioning the current methods of teaching. Based on treatment errors made by students participating the endodontic courses at RWTH Aachen University (Germany), new radiopaque artificial root canal treatment models (DRSK RCT; incisor, premolar, molar) were designed and developed. The aim of the study was to evaluate these models by groups of students and demonstrators. METHODS A total number of 60 students and seven demonstrators from a single institution (RWTH Aachen) participated in this study. They performed endodontic treatments on either initial versions of the DRSK RCT or modified versions. The initial versions were evaluated by students (n = 25) and demonstrators (n = 7). The obtained questionnaire was conducted as 7-point Likert-Scale covering the topics material properties, feeling while performing exercises and perception of its closeness to reality via 19 items (students) and 21 items (demonstrators). According to the evaluations several alterations were applied to the DRSK RCT, the whole study was repeated and evaluated by different students (n = 35) and the same demonstrators (n = 7). Additionally, the demonstrators blindly evaluated the quality of root canal treatments performed by the students (n = 35) on the modified DRSK RCT. Comparisons between the initial versions and the modified versions were calculated using Chi-squared tests. RESULTS Students as well as demonstrators positively evaluated both variants of the DRSK RCT with especially high ratings in the overall evaluation. Students' rating of the pulp anatomy significantly increased from 5.4 ± 1.1 (mean ± SD) to 5.9 ± 0.9 (mean ± SD; p < 0.05) for the modified model. Likewise, students felt that the ability to flare root canals improved after alterations have been applied. Ratings significantly increased from 4.8 ± 1.6 (mean ± SD) to 5.6 ± 1.0 (mean ± SD; p < 0.05). CONCLUSION The results indicate that the DRSK RCT is a promising candidate to be used as an alternative to extracted teeth or as an additional tool for improving dental education. However, some limitations of our analysis have to be considered.
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Affiliation(s)
- Sareh Said Yekta-Michael
- Department of Orthodontics, RWTH Aachen University, Aachen, Germany.
- Interdisciplinary Center for Clinical Research, RWTH Aachen University, Aachen, Germany.
| | - Christoph Maria Färber
- Department for Operative Dentistry, Periodontology and Preventive Dentistry, RWTH Aachen University, Aachen, Germany
| | - Alexander Heinzel
- Department of Nuclear Medicine, RWTH Aachen University, Aachen, Germany
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El-Kishawi M, Khalaf K. An Update on Root Canal Preparation Techniques and How to Avoid Procedural Errors in Endodontics. Open Dent J 2021. [DOI: 10.2174/1874210602115010318] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background:
Effective root canal treatment involves cleaning and shaping root canals using a range of instrumentation procedures and techniques. The aim of this review was to provide an update on root canal hand instrumentation techniques and how to overcome iatrogenic errors.
Methods:
A comprehensive search was carried out using multiple databases, PubMed, Medline, Google scholar, and Scopus, to identify relevant studies addressing the objective of this study and to summarize the current evidence to readers. Keywords, i.e., endodontics, root canal preparation, hand instrumentation, techniques and procedural errors, as well as, MeSH terms, i.e. “endodontics”, “instrumentation”, “root canal preparation” were used to conduct our comprehensive search.
Results:
The hybrid technique is a commonly-used approach that combines the benefits of both the crown-down and step-back techniques and was reported to be one of the best techniques to produce an optimal root canal preparation outcome. Hand-instrument manipulation using the balanced forced technique is also favoured as it rapidly and safely permits removal of canal contents allowing irrigants and medications to reach deep inside canal spaces.
Conclusion:
The use of hand files is still recommended for initial canal negotiation and preparation and is essential for the correction of procedural errors. This study provided an update on several hand instrumentation techniques commonly used in endodontics. The correct and safe application of these techniques can prevent iatrogenic procedural errors from occurring which optimizes the quality of treatment outcome.
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How to Improve Fine Motor Skill Learning in Dentistry. Int J Dent 2021; 2021:6674213. [PMID: 33628248 PMCID: PMC7884127 DOI: 10.1155/2021/6674213] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 01/18/2021] [Accepted: 01/28/2021] [Indexed: 11/17/2022] Open
Abstract
Introduction Restorative dental treatment is a complex task involving various procedures which require the development and integration of both theoretical knowledge and fine motor skills. It aims to provide the theoretical background and role of key factors in learning these skills. Materials and Methods The following electronic databases were searched to identify relevant articles to our topic: PubMed, Medline, Google Scholar, and Scopus. Generic keywords, that is, factors, fine, performance, and dentistry, and MeSH terms, that is, "learning," "instruction," "patient simulation," "motor skills," "perception," "tactile," "neurophysiology," and "working memory" were used to conduct our comprehensive search. Results and Conclusions. Several techniques are used in performing different restorative procedures in dentistry, that is, root canal preparation, root planning, and minor oral surgery procedures. Mastering these techniques requires a good understanding of the underpinning cognitive, sensory, and neuromuscular processes. Factors including the amount and timing of instructions provided, cognitive abilities, and practice schedule of learning trials may have significant implications on the design of fine motor skill learning exercises.
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Decurcio DA, Lim E, Chaves GS, Nagendrababu V, Estrela C, Rossi-Fedele G. Pre-clinical endodontic education outcomes between artificial versus extracted natural teeth: a systematic review. Int Endod J 2019; 52:1153-1161. [PMID: 30883828 DOI: 10.1111/iej.13116] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Accepted: 03/13/2019] [Indexed: 12/18/2022]
Abstract
AIM To compare the educational outcomes using artificial teeth versus extracted teeth for pre-clinical endodontic training. DATA SOURCES Literature searches of PubMed, Scopus, Cochrane Library, Trip Database, Web of Science and Open Grey databases were conducted from their inception until November 2018 with no language restriction. Hand searching of most likely relevant journals was performed. The review followed the PRISMA guidelines. STUDY ELIGIBILITY CRITERIA, PARTICIPANTS AND INTERVENTIONS Studies that compared pre-clinical endodontic training using extracted teeth and artificial teeth were included. STUDY APPRAISAL AND SYNTHESIS METHODS The quality of included studies was appraised by Joanna Briggs Institute Critical Appraisal tools. The findings were tabulated and summarized according to their outcomes with distinct narrative syntheses. RESULTS Five studies were included. The component studies included 359 operators in total, mainly consisting of undergraduate students (97%, n = 349) and 10 endodontists (3%). Forty-seven per cent (n = 170) operated on artificial teeth only, whilst 19% (n = 67) worked primarily on extracted teeth, with the final treatment outcome being evaluated by independent observers using objective criteria. Operators in two studies (34%, n = 122) used both artificial teeth and ET and compared their experiences in surveys. Regarding technical outcomes, no significant differences between training with artificial teeth and extracted teeth were found, but the performance tended to be better in artificial teeth than extracted teeth. Operators trained solely on artificial teeth appeared to be adequately educated for subsequent root canal treatment (RCT) in the clinical setting. LIMITATIONS Due to the scarcity of research on the topic overall, and the methodological variation between the studies, it was not possible to perform a quantitative analysis (meta-analysis). CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS Based on the available evidence, the use of artificial teeth for pre-clinical endodontic training achieved similar educational outcomes compared to extracted teeth. However, the experiences reported by the operators diverged. Further studies assessing other artificial teeth available in the market testing other RCT procedures are necessary.
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Affiliation(s)
- D A Decurcio
- School of Dentistry, Federal University of Goiás, Goiânia, Goiás, Brazil
| | - E Lim
- Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
| | - G S Chaves
- School of Dentistry, Federal University of Goiás, Goiânia, Goiás, Brazil
| | - V Nagendrababu
- Division of Clinical Dentistry, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| | - C Estrela
- School of Dentistry, Federal University of Goiás, Goiânia, Goiás, Brazil
| | - G Rossi-Fedele
- Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
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Affiliation(s)
- Jörg Philipp Tchorz
- University Medical Center Freiburg; Faculty of Dentistry, Department of Operative Dentistry and Periodontology; Freiburg Germany
| | - Elmar Hellwig
- University Medical Center Freiburg; Faculty of Dentistry, Department of Operative Dentistry and Periodontology; Freiburg Germany
| | - Markus Jörg Altenburger
- University Medical Center Freiburg; Faculty of Dentistry, Department of Operative Dentistry and Periodontology; Freiburg Germany
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Robberecht L, Chai F, Dehurtevent M, Marchandise P, Bécavin T, Hornez JC, Deveaux E. A novel anatomical ceramic root canal simulator for endodontic training. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2017; 21:e1-e6. [PMID: 27146633 DOI: 10.1111/eje.12207] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/30/2016] [Indexed: 05/24/2023]
Abstract
INTRODUCTION Endodontic therapy is often complicated and technically demanding. The aim of this study was to develop a reproducible biomimetic root canal model for pre-clinical and postgraduate endodontic training. MATERIAL AND METHODS A specific ceramic shaping technique (3D printing and slip casting of a root canal mould) was developed to reproduce canal systems with the desired shape and complexity using a microporous hydroxyapatite (HAp)-based matrix. The microstructural morphology, pore size and porosity, as well as the Vickers microhardness of the ceramic simulators (CS) were assessed and were compared with natural dentin and commercial resin blocks. The reproducibility of the root canal shapes was assessed using the Dice-Sørensen similarity index. Endodontic treatments, from refitting the access cavity to obturation, were performed on the CS. Each step was controlled by radiography. RESULTS Many properties of the CS were similar to those of natural dental roots, including the mineral component (HAp), porosity (20%, porous CS), pore size (3.4 ± 2.6 μm) and hardness (120.3 ± 18.4 HV). DISCUSSION We showed that it is possible to reproduce the radio-opacity of a tooth and variations in root canal morphology. The endodontic treatments confirmed that the CS provided good tactile sensation during instrumentation and displayed suitable radiological behaviour. CONCLUSIONS This novel anatomic root canal simulator is well suited for training undergraduate and postgraduate students in endodontic procedures.
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Affiliation(s)
- L Robberecht
- Department of Restorative Dentistry and Endodontics, Faculty of Odontology, Université de Lille, Lille, France
- Faculty of Medicine, INSERM U1008, Université de Lille, Lille, France
- LMCPA, Université de Valenciennes, Valenciennes, France
| | - F Chai
- Faculty of Medicine, INSERM U1008, Université de Lille, Lille, France
| | - M Dehurtevent
- Department of Prosthodontics, Faculty of Dentistry, Université de Lille, Lille, France
| | | | - T Bécavin
- Department of Restorative Dentistry and Endodontics, Faculty of Odontology, Université de Lille, Lille, France
| | - J-C Hornez
- LMCPA, Université de Valenciennes, Valenciennes, France
| | - E Deveaux
- Department of Restorative Dentistry and Endodontics, Faculty of Odontology, Université de Lille, Lille, France
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Tchorz JP, Brandl M, Ganter PA, Karygianni L, Polydorou O, Vach K, Hellwig E, Altenburger MJ. Pre-clinical endodontic training with artificial instead of extracted human teeth: does the type of exercise have an influence on clinical endodontic outcomes? Int Endod J 2014; 48:888-93. [DOI: 10.1111/iej.12385] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2014] [Accepted: 09/24/2014] [Indexed: 11/27/2022]
Affiliation(s)
- J. P. Tchorz
- Faculty of Dentistry; Department of Operative Dentistry and Periodontology; University Medical Centre; Freiburg Germany
| | - M. Brandl
- Faculty of Dentistry; Department of Operative Dentistry and Periodontology; University Medical Centre; Freiburg Germany
| | - P. A. Ganter
- Faculty of Dentistry; Department of Operative Dentistry and Periodontology; University Medical Centre; Freiburg Germany
| | - L. Karygianni
- Faculty of Dentistry; Department of Operative Dentistry and Periodontology; University Medical Centre; Freiburg Germany
| | - O. Polydorou
- Faculty of Dentistry; Department of Operative Dentistry and Periodontology; University Medical Centre; Freiburg Germany
| | - K. Vach
- Department of Medical Biometry and Statistics; Institute of Medical Biometry and Medical Informatics; University Medical Centre; Freiburg Germany
| | - E. Hellwig
- Faculty of Dentistry; Department of Operative Dentistry and Periodontology; University Medical Centre; Freiburg Germany
| | - M. J. Altenburger
- Faculty of Dentistry; Department of Operative Dentistry and Periodontology; University Medical Centre; Freiburg Germany
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Sakellariou PL. Periapical actinomycosis: report of a case and review of the literature. ENDODONTICS & DENTAL TRAUMATOLOGY 1996; 12:151-4. [PMID: 9028194 DOI: 10.1111/j.1600-9657.1996.tb00115.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
This case of periapical actinomycosis presented the clinical picture of chronic periapical inflammation. The diagnosis was based on the histological examination of the periapical lesions suggesting the necessity for routine histological examination. Although root canals provide a primary port of entry the Actinomyces organisms into the periapical tissue, periapical actinomycosis, is considered extremely rare. This may be due to the omission of routine histological examination of periapical lesions and the clinical behavior of the disease. The large number of cases reported during the last decade indicates that periapical actinomycosis is more frequent than what it is believed and this is important in the daily dental practice.
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Miserendino LJ, Miserendino CA, Moser JB, Heuer MA, Osetek EM. Cutting efficiency of endodontic instruments. Part III. Comparison of sonic and ultrasonic instrument systems. J Endod 1988; 14:24-30. [PMID: 3162931 DOI: 10.1016/s0099-2399(88)80237-1] [Citation(s) in RCA: 31] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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