1
|
Carney KA, Colloc TNE, Kilgariff JK. Management of rarely seen internal tunnelling root resorption associated with a maxillary permanent incisor. Br Dent J 2024; 236:955-961. [PMID: 38942857 PMCID: PMC11213701 DOI: 10.1038/s41415-024-7504-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Revised: 02/14/2024] [Accepted: 03/01/2024] [Indexed: 06/30/2024]
Abstract
This case presents clinical techniques and materials that may be applied in the management of internal tunnelling root resorption, a rare condition which has little published literature.A 25-year-old woman was referred to a specialist centre by her general dental practitioner following an incidental finding of a radiographic radiolucency, suggestive of root resorption associated with tooth 21. A provisional diagnosis of external cervical resorption was made, and following cone beam computed tomography (CBCT), a definitive diagnosis of internal tunnelling root resorption given. Non-surgical endodontic treatment was completed using continuous wave compaction with a calcium-silicate based sealer. No further intervention has been required.A summary of the histology, aetiology, prevalence, diagnosis, management and prognosis of internal tunnelling root resorption is provided. The benefits of CBCT for diagnosing and managing internal tunnelling resorption defects and using continuous wave compaction with a calcium-silicate based sealer, compared to cold obturation techniques, are discussed.
Collapse
Affiliation(s)
- Kirsty A Carney
- Post Dental Core Training Fellow, Dundee Dental Hospital and Research School, Dundee, Scotland, UK.
| | - Thibault N E Colloc
- Clinical Lecturer and Honorary Specialty Registrar in Endodontics, Dundee Dental Hospital and Research School, Dundee, Scotland, UK
| | - Julie K Kilgariff
- Consultant in Endodontics, Dundee Dental Hospital and Research School, Dundee, Scotland, UK
| |
Collapse
|
2
|
Ghabraei S, Bolhari B, Hashemi N, Gharehchahi H. Conservative management of an advanced external cervical resorption with internal approach using bio-ceramic materials: A case report. Clin Case Rep 2024; 12:e8378. [PMID: 38161643 PMCID: PMC10753636 DOI: 10.1002/ccr3.8378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Revised: 12/05/2023] [Accepted: 12/14/2023] [Indexed: 01/03/2024] Open
Abstract
Key clinical message A successful management of an advanced external cervical resorption using a conservative approach with CBCT, dental operating microscope, and a new bio-ceramic material. Abstract External cervical resorption (ECR) is a pathologic condition that is initiated on the external aspect of the root, below the epithelial attachment in the cervical position. This article will report a case of external cervical resorption (ESR) in an advanced stage, which was asymptomatic and was incidentally detected in a follow-up radiograph after the end of orthodontic treatment. Cone-beam computed tomography (CBCT) was prescribed to accurately diagnose the resorptive lesion and differentiate it from internal root resorption (IRR), and the final diagnosis was Heithersay's class IV ECR. Considering the health of the periodontium and the absence of attachment loss, it was decided to use a conservative internal approach to the management of this case. After the treatment, the patient was asymptomatic and the radiographic examinations showed no signs of peri-radicular pathology during the follow-up period. With the correct case selection and the availability of the appropriate materials and equipment such as a dental operating microscope (DOM) and bio-ceramic materials, the internal approach can be a successful and minimally invasive treatment, even for the management of advanced ECR cases.
Collapse
Affiliation(s)
- Sholeh Ghabraei
- Department of Endodontics, School of DentistryTehran University of Medical SciencesTehranIran
| | - Behnam Bolhari
- Department of Endodontics, School of DentistryTehran University of Medical SciencesTehranIran
| | - Nasim Hashemi
- Department of Endodontics, School of DentistryTehran University of Medical SciencesTehranIran
| | | |
Collapse
|
3
|
Dias S, Casqueiro L, Pereira R, Silveira J, Mata A, Marques D. Hydrogen Peroxide Diffusion through Dental Tissues-In Vitro Study. MATERIALS (BASEL, SWITZERLAND) 2023; 16:5552. [PMID: 37629843 PMCID: PMC10456627 DOI: 10.3390/ma16165552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Revised: 08/02/2023] [Accepted: 08/08/2023] [Indexed: 08/27/2023]
Abstract
Whitening products commonly utilize hydrogen peroxide (HP) as an active principle, which can penetrate dental tissues with potential side effects due to its low molecular weight. This study aimed to evaluate the HP diffusion of two in-office whitening products, namely 6% VivaStyle Paint On Plus (VS) and Opalescence Boost 40% (OP), in different tooth types. Additionally, the influence of the area of exposure, dental tissue thickness and pulp chamber volume was assessed. Each group consisted of eighteen intact anterior (A), premolar (PM) and molar (M) human teeth, and a positive pulpal pressure model was employed. The samples were analyzed using spectrophotometry, and results were expressed as the mean and 95% confidence interval. Statistical tests and linear regression models were appropriately applied at α = 5%. The total HP (µg) retrieved was as follows: VS-A, 1.333 [1.214, 1.452]; OP-A, 1.538 [1.457, 1.620]; VS-PM, 1.208 [1.123, 1.291]; OP-PM, 3.628 [3.401, 3.855]; VS-M, 2.560 [2.297, 2.823]; and OP-M, 4.197 [3.997, 4.396], with statistically significant differences in diffusion kinetics between whitening products for PM and M. Several HP concentrations attained a minimum cytotoxicity value of 2.22 µg/mL. The regression model shows that OP exposed the pulp chamber to 1.421 µg of HP more than that of VS. Different whitening products can cause cytotoxic HP concentrations in the pulp chamber, with a higher risk observed in molars.
Collapse
Affiliation(s)
- Susana Dias
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (L.C.); (R.P.); (J.S.); (A.M.)
| | - Leonor Casqueiro
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (L.C.); (R.P.); (J.S.); (A.M.)
| | - Ruben Pereira
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (L.C.); (R.P.); (J.S.); (A.M.)
| | - João Silveira
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (L.C.); (R.P.); (J.S.); (A.M.)
- LIBPhys-FCT UID/FIS/04559/2013, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal
| | - António Mata
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (L.C.); (R.P.); (J.S.); (A.M.)
- LIBPhys-FCT UID/FIS/04559/2013, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal
| | - Duarte Marques
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (L.C.); (R.P.); (J.S.); (A.M.)
- LIBPhys-FCT UID/FIS/04559/2013, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal
- Postgraduate Programme in Prosthodontics, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal
| |
Collapse
|
4
|
Dadpe AM, Shah DY, Natanasabapathy V, Sureshbabu NM, Hindlekar AN, Modi K. Regenerative Endodontic Procedures in Teeth with Root Resorption: A Systematic Review. Eur Endod J 2023; 8:170-186. [PMID: 37257034 PMCID: PMC10244915 DOI: 10.14744/eej.2023.77486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 02/21/2023] [Accepted: 03/14/2023] [Indexed: 04/09/2023] Open
Abstract
The purpose of this systematic review was to critically evaluate the available clinical literature on the use of regenerative endodontic therapy (RET) for the treatment of root resorption. All case reports, case series and clinical studies documenting the management of root resorption in mature or immature permanent teeth using RET were included. Review articles, animal studies, and RET in teeth showing developmental anomalies were excluded. A literature search was conducted in electronic databases MEDLINE, Scopus, Cochrane, and Google Scholar from 2001 to January 2022. The JBI Critical Appraisal Checklist Quality was used to appraise the included case reports and case series. The Methodological item for non-randomised studies (MINORS) tool was used to appraise the clinical study critically. After applying the inclusion and exclusion criteria, the search resulted in 14 studies (12 case reports, 1 case series, and 1 clinical study) accounting for root resorption in 34 teeth from 29 patients treated with RET. Despite the wide variation in RET protocols, the arrest of root resorption and resolution of symptoms was seen in all teeth except one (failure after 27 months). The clinical study's cone beam computed tomography (CBCT) imaging evalu- ation documented a significant volumetric decrease in resorptive and periapical lesions after RET. The clinical study was deemed as good quality using the MINORS scale. The JBI critical appraisal tool showed that the case series was of poor quality; 11 of the case reports were of good quality, while 1 case report was of fair quality. This systematic review revealed a low-to-moderate level of evidence for the use of RET in resorption cases. However, further well-designed, long-term clinical studies are required to recommend it as an alternative treatment option for root resorption management. Funding: None. The systematic review was registered in PROSPERO (CRD42021274569). (EEJ-2022-11-136).
Collapse
Affiliation(s)
- Ashwini Manish Dadpe
- Department of Conservative Dentistry and Endodontics, Sinhgad Dental College & Hospital, Pune, India
| | - Dipali Yogesh Shah
- Department of Conservative Dentistry and Endodontics, Sinhgad Dental College & Hospital, Pune, India
| | - Velmurugan Natanasabapathy
- Department of Conservative Dentistry and Endodontics, MeenakshiAmmal Dental College and Hospital, Chennai, India
| | | | - Ajit Narayan Hindlekar
- Department of Conservative Dentistry and Endodontics, Dr. D. Y. Patil Dental College & Hospital, Pune, India
| | - Kajal Modi
- Department of Conservative Dentistry and Endodontics, MeenakshiAmmal Dental College and Hospital, Chennai, India
| |
Collapse
|
5
|
Venkatesh G, Arumugam C, Ramesh SR, Balaji D, Rajendran MR, Balaji L. Efficacy of Chitosan Scaffolded Calcium Silicate-based Cements for Treating Internal Resorption Defects with Perforation: In Vitro Study. J Contemp Dent Pract 2023; 24:314-319. [PMID: 38149809 DOI: 10.5005/jp-journals-10024-3504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2023]
Abstract
AIM The present study aimed to evaluate the efficacy of chitosan scaffold combined with calcium silicate cements in the management of internal resorption with perforation. MATERIALS AND METHODS Internal resorption cavities were simulated in 20 human permanent maxillary incisors that were then divided into two groups: group I - biodentine and group II - chitosan scaffold combined with biodentine. The samples were evaluated for the mineralization activity at the end of the 7th day and 14th day using scanning electron microscopy-energy dispersive X-ray (SEM-EDX) analysis. The data were recorded, tabulated, and then statistically analyzed. RESULTS From the SEM-EDX analysis, the mean score of calcium and phosphorus ion uptake by the material was obtained. Statistical analysis by nonparametric Mann-Whitney test showed that there was statistically significant difference in calcium ion uptake at the end of the 7th day (p = 0.016) and at the end of 14th day (p = 0.043) between the group biodentine and group chitosan scaffold combined with biodentine (p < 0.05). CONCLUSION In this present study, the use of chitosan scaffolds combined with biodentine showed a statistically significant difference in the mineralization activity when compared with pure biodentine. These scaffolded biomaterials exhibited greater potential for mineralization in vitro which can be efficiently used for the management of teeth with internal resorption with perforation. Further clinical trials are required for the understanding of their behavior in real-world scenarios. CLINICAL SIGNIFICANCE Calcium silicate cements have often exhibited defective hard tissue barrier formation and hence there is a pressing need to search for newer biomaterials that can overcome these shortcomings. Scaffolded biomaterials provide a controlled microcellular environment for bioactivity, and they were found to be efficient in the remineralization of tooth structure. The present study findings indicate that these chitosan scaffolds can be efficiently used in combination with calcium silicate cements for the management of internal resorption with perforation to enhance the treatment outcome.
Collapse
Affiliation(s)
- Gheerthana Venkatesh
- Department of Conservative Dentistry and Endodontics, Sri Ramachandra Dental College and Hospital, Chennai, Tamil Nadu, India
| | - Chakravarthy Arumugam
- Department of Conservative Dentistry and Endodontics, Sri Ramachandra Dental College and Hospital, Chennai, Tamil Nadu, India, Phone: +91 9789070656, e-mail:
| | - Seshan Rakkesh Ramesh
- Department of Conservative Dentistry and Endodontics, Sri Ramachandra Dental College and Hospital, Chennai, Tamil Nadu, India
| | - Dakshayani Balaji
- Department of Conservative Dentistry and Endodontics, Sri Ramachandra Dental College and Hospital, Chennai, Tamil Nadu, India
| | - Mathan Rajan Rajendran
- Department of Conservative Dentistry and Endodontics, Sri Ramachandra Dental College and Hospital, Chennai, Tamil Nadu, India
| | - Lakshmi Balaji
- Department of Conservative Dentistry and Endodontics, Sri Ramachandra Dental College and Hospital, Chennai, Tamil Nadu, India
| |
Collapse
|
6
|
Heboyan A, Avetisyan A, Karobari MI, Marya A, Khurshid Z, Rokaya D, Zafar MS, Fernandes GVDO. Tooth root resorption: A review. Sci Prog 2022; 105:368504221109217. [PMID: 35759366 PMCID: PMC10358711 DOI: 10.1177/00368504221109217] [Citation(s) in RCA: 34] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Tooth root resorption is multifactorial, leading to progressive destruction and eventual loss of tooth root dentin and cement. There are internal and external types of root resorption, each having its variety. The etiology and pathogenesis of tooth root resorption are poorly understood, and the most significant etiological factors are trauma, pulpal infection, tooth bleaching, and orthodontic treatment. Tooth root resorption is primarily asymptomatic; thus, it is revealed accidentally by radiographic examination. Progressive clinical manifestations are pain, tooth discoloration, tooth mobility, and other conditions. Awareness of the causes and risk factors allowing tooth root resorption, and regular radiographic examination, in case of necessity, make it possible to reveal resorption at an early stage and to prevent its further development. Thus, the aim of this study is to present etiopathogenesis, a clinical course, and diagnostic peculiarities of internal and external types of tooth root resorption, enabling practicing dentists to timely diagnose root resorption and take appropriate measures to avoid further complications. Within the limitation of this review, even though the etiopathogenesis of tooth root resorption is yet not fully understood, it is suggested that the etiological factors fall into two groups (endogenic and exogenic) to enhance further understanding of the possible causes and mechanisms of root resorption and allow practitioners to monitor high-risk patients and make timely diagnoses. Moreover, radiographic examination and CBCT are indispensable for the diagnosis of root resorption.
Collapse
Affiliation(s)
- Artak Heboyan
- Department of Prosthodontics, Faculty of Stomatology, Yerevan State Medical University after Mkhitar Heratsi, Yerevan, Armenia
| | - Anna Avetisyan
- Department of Therapeutic Stomatology, Faculty of Stomatology, Yerevan State Medical University after Mkhitar Heratsi, Yerevan, Armenia
| | - Mohmed Isaqali Karobari
- Department of Conservative & Endodontics, Faculty of Dentistry, University of Puthisastra, Phnom Penh, Cambodia
- Center for Transdisciplinary Research (CFTR), Saveetha Dental College & Hospitals, Saveetha Institute of Medical and Technical Sciences University, Chennai, Tamil Nadu, India
| | - Anand Marya
- Department of Orthodontics, Faculty of Dentistry, University of Puthisastra, Phnom Penh, Cambodia
| | - Zohaib Khurshid
- Department of Prosthodontics and Implantology, College of Dentistry, King Faisal University, Al-Hofuf, Al-Ahsa, Saudi Arabia
| | - Dinesh Rokaya
- Department of Clinical Dentistry, Walailak University International College of Dentistry, Walailak University, Bangkok, Thailand
| | - Muhammad Sohail Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Al Madinah, Al Munawwarah, Saudi Arabia
- Department of Dental Materials, Islamic International Dental College, Riphah International University, Islamabad, Pakistan
| | | |
Collapse
|
7
|
Karumaran CS, Ramachandran AK, Chandrasekaran N, Manuel CE, Kattula D. Novel management of internal root resorption with vertical root fracture using mineral trioxide aggregate - A case report. Indian J Dent Res 2022; 33:223-226. [PMID: 36254966 DOI: 10.4103/ijdr.ijdr_350_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Introduction This case report presents the diagnosis and management of extensive internal root resorption (IRR) in a 17-year-old male patient, with a 9-year-old history of trauma. Method The affected tooth 21 was associated with vertical root fracture (VRF) and incomplete apex closure with a substantial loss of tooth structure, including dentin and cementum. Encouraged by a healthy periodontal condition, the choice was made to use mineral trioxide aggregate (MTA) to reconstruct and reinforce the resorptive defect and the fractured segment. A composite veneer was placed to enhance the aesthetics. Result A follow-up of the patient after 2 years revealed healing with a resolution of the lesion. Conclusion This case report highlights the use of MTA as a lone-standing filling material for the treatment of IRR with VRF in a non-vital immature tooth.
Collapse
Affiliation(s)
- Chellaswamy Savarimalai Karumaran
- Department of Conservative Dentistry and Endodontics, Ragas Dental College and Hospital, (Affiliated to The Tamil Nadu Dr. MGR Medical University), Chennai, Tamil Nadu, India
| | - Anil Kumar Ramachandran
- Department of Conservative Dentistry and Endodontics, Ragas Dental College and Hospital, (Affiliated to The Tamil Nadu Dr. MGR Medical University), Chennai, Tamil Nadu, India
| | - Nirmala Chandrasekaran
- Department of Conservative Dentistry and Endodontics, Ragas Dental College and Hospital, (Affiliated to The Tamil Nadu Dr. MGR Medical University), Chennai, Tamil Nadu, India
| | - Corrine Esther Manuel
- Department of Conservative Dentistry and Endodontics, Ragas Dental College and Hospital, (Affiliated to The Tamil Nadu Dr. MGR Medical University), Chennai, Tamil Nadu, India
| | - Deepthi Kattula
- Department of Conservative Dentistry and Endodontics, Ragas Dental College and Hospital, (Affiliated to The Tamil Nadu Dr. MGR Medical University), Chennai, Tamil Nadu, India
| |
Collapse
|
8
|
Hsieh SH, Chen WC, Huang TH. Endodontic treatment and restoration of non-perforated internal root resorption: A case report. J Dent Sci 2022; 17:568-569. [PMID: 35028085 PMCID: PMC8739730 DOI: 10.1016/j.jds.2021.07.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Revised: 07/13/2021] [Indexed: 11/29/2022] Open
Affiliation(s)
| | - Wan-Chen Chen
- School of Dentistry, Chung Shan Medical University, Taichung, Taiwan.,Department of Dentistry, Chung Shan Medical University Hospital, Taichung, Taiwan
| | - Tsui-Hsien Huang
- School of Dentistry, Chung Shan Medical University, Taichung, Taiwan.,Department of Dentistry, Chung Shan Medical University Hospital, Taichung, Taiwan
| |
Collapse
|
9
|
da Silveira Tiecher PF, Assein Arús N, Adams Hilgert E, Dias da Silveira HE, Pante Fontana M, Dias da Silveira HL, Vizzotto MB. Exploring digital filters for internal root resorption: how can we improve the diagnosis of small lesions? Dentomaxillofac Radiol 2021; 51:20210314. [PMID: 34767483 PMCID: PMC9499201 DOI: 10.1259/dmfr.20210314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES This study aimed to evaluate the impact of enhancement filters in detecting small simulated internal root resorptions (IRR). METHODS: Forty-two extracted human teeth were sectioned, connected, and stored in a dry human jaw and X-rayed with photostimulable phosphor plates (PSPs), composing the control group (CG). In the middle-third of the root canals, IRR lesions were simulated using Da Silveira protocol. Later, the specimens were X-rayed to create the test group (TG). All images acquired were exported with seven enhancement filters plus the original image. Three examiners used a five-point Likert scale to evaluate the images regarding the presence/absence of IRR. Diagnostic efficacy was assessed from sensitivity and specificity results. Comparison among filters was performed by using receiver operating characteristic (ROC) curve analysis. RESULTS: Moderate values of Kappa interexaminer (0.403-0.620) and high values of Kappa intraexaminer (0.757-0.915) were observed. The best performance occurred in the CG (p < 0.05). Original images presented the greatest sensitivity and area under the ROC curve (0.595-0.750), while the Endo filter presented the greatest specificity (0.952). Inversion and Pseudo-3D images produced the greatest doubt in the diagnosis, significant for CG with the Pseudo-3D filter (p < 0.05). CONCLUSIONS: The Original and 'Endo' filters should be chosen as it offers greater diagnostic ability and allows more confidence during the evaluation.
Collapse
Affiliation(s)
| | - Nádia Assein Arús
- Department of Surgery and Orthopedics, Oral Radiology Division, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Eduarda Adams Hilgert
- Department of Surgery and Orthopedics, Oral Radiology Division, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.,Postgraduate Program, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Heloisa Emilia Dias da Silveira
- Department of Surgery and Orthopedics, Oral Radiology Division, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Heraldo Luís Dias da Silveira
- Department of Surgery and Orthopedics, Oral Radiology Division, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Mariana Boessio Vizzotto
- Department of Surgery and Orthopedics, Oral Radiology Division, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| |
Collapse
|
10
|
YİĞİT T, ARSLAN H. Repetitive regenerative endodontic protocol treatment for mature teeth with dens invaginatus and severe perforated internal root resorption: A case report with 24-month follow-up. CUMHURIYET DENTAL JOURNAL 2021. [DOI: 10.7126/cumudj.893008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
|
11
|
Martins CM, de Moraes AR, Cruz AJM, Barboza LCP, Batista VEDS, Mori GG, do Prado RL, Matos J, Herrera B, Lacerda PBG, Andrada AC. Survey based assessment of diagnosis through periapical radiograph and CBCT and treatment of root resorption with Brazilian and American dentists and endodontists. J Clin Exp Dent 2021; 13:e745-e754. [PMID: 34512912 PMCID: PMC8412804 DOI: 10.4317/jced.57774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Accepted: 12/20/2020] [Indexed: 11/05/2022] Open
Abstract
Background This study assesses and compares the knowledge level of endodontists (ENDs) and general dental practitioners (GPs) from Brazil and United States of America (USA) in the diagnosis and treatment of internal and external inflammatory root resorptions through periapical radiographic (PA) and cone beam computed tomography (CBCT) examinations. Material and Methods A cross-sectional online questionnaire-based survey was presented to the volunteers containing questions regarding personal and professional profile, as well as three clinical cases of internal and external inflammatory root resorption. A series of multiple-choice questions about the diagnosis and treatment options were surveyed. The data collected was analysed by the Chi-square test with Yates correction with a significance level of 5 %. Results Most answers were considered adequate when all three questions about the diagnosis and all two questions relating to the treatment were answered accurately. A total of 374 dentists answered the survey (n: 229 from Brazil vs. 145 from USA) being 41% END and 59% GP. END presented higher level of knowledge than GP regarding to diagnosis and treatment of inflammatory root resorptions both in Brazil and USA (p<0.05); USA presented higher level of adequate responses than Brazil (p<0.05). Conclusions END achieved a level of knowledge of the diagnosis and treatment of root resorption superior to the GP. Comparing the results obtained in both countries, it was observed that the USA had a higher correct response rate than Brazil. Key words:Internal root resorption, external root resorption, management, diagnosis, treatment.
Collapse
Affiliation(s)
- Christine-Men Martins
- DDS, MSc, PhD. Professor at Dental School of Presidente Prudente, University of Western São Paulo - UNOESTE, Presidente Prudente, Sao Paulo, Brazil
| | - Adrielly-Regina de Moraes
- Undergraduate at Dental School of Presidente Prudente, University of Western São Paulo - UNOESTE, Presidente Prudente, Sao Paulo, Brazil
| | - Ana-Julia-Menoti Cruz
- Undergraduate at Dental School of Presidente Prudente, University of Western São Paulo - UNOESTE, Presidente Prudente, Sao Paulo, Brazil
| | - Lalleska-Caroline-Pereira Barboza
- Undergraduate at Dental School of Presidente Prudente, University of Western São Paulo - UNOESTE, Presidente Prudente, Sao Paulo, Brazil
| | - Victor-Eduardo-de Souza Batista
- DDS, MSc, PhD. Professor at Dental School of Presidente Prudente, University of Western São Paulo - UNOESTE, Presidente Prudente, Sao Paulo, Brazil
| | - Graziela-Garrido Mori
- DDS, MSc, PhD. Professor at Dental School of Presidente Prudente, University of Western São Paulo - UNOESTE, Presidente Prudente, Sao Paulo, Brazil
| | - Rosana-Leal do Prado
- DDS, MSc, PhD. Professor at Dental School of Presidente Prudente, University of Western São Paulo - UNOESTE, Presidente Prudente, Sao Paulo, Brazil
| | - Janine Matos
- Graduate at University of Detroit Mercy School of Dentistry, Detroit, Michigan, USA
| | - Bruno Herrera
- Professor at University of Detroit Mercy School of Dentistry, Detroit, Michigan, USA
| | - Priscila-Bruna-Gonçalves Lacerda
- MsC candidate at Dental School of Presidente Prudente, University of Western São Paulo - UNOESTE, Presidente Prudente, Sao Paulo, Brazil
| | - Ana-Cristina Andrada
- Professor at University of Detroit Mercy School of Dentistry, Detroit, Michigan, USA
| |
Collapse
|
12
|
Nageh M, Ibrahim LA, AbuNaeem FM, Salam E. Management of internal inflammatory root resorption using injectable platelet-rich fibrin revascularization technique: a clinical study with cone-beam computed tomography evaluation. Clin Oral Investig 2021; 26:1505-1516. [PMID: 34387731 DOI: 10.1007/s00784-021-04123-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Accepted: 07/30/2021] [Indexed: 12/13/2022]
Abstract
OBJECTIVES The current study evaluated clinically and radiographically the management of internal inflammatory root resorption (IIRR) in permanent anterior teeth with or without periapical lesions using injectable platelet-rich fibrin (i-PRF) regenerative approach. METHODS Ten systemically healthy patients, with thirteen anterior mature teeth diagnosed with IIRR were selected for the study. At the first visit, the tooth was anesthetized, access cavity opened, root canals were mechanically prepared then medicated with calcium hydroxide and temporarily sealed. After 2-4 weeks, regenerative endodontic procedures were performed by preparing and applying i-PRF inside the canal, then a freshly prepared PRF membrane was placed over it. White mineral trioxide aggregate was placed over the PRF matrix, and the tooth was restored with a glass ionomer cement base and resin composite restoration. The patients were recalled for clinical and radiographic evaluation and follow-up every 3 months for 12 months. Cone-beam computed tomography (CBCT) imaging was performed preoperatively and after 12 months. RESULTS Clinical evaluation results showed resolution of signs and symptoms through the follow-up period in all of the cases. Both CBCT imaging readings of IIRR lesions and periapical lesions revealed a volumetric significant difference (p = 0.00) between the preoperative and the 12-month follow-up period. CONCLUSIONS Usage of i-PRF could arrest and allow for healing of IIRR in permanent mature teeth and allow for periapical healing with successful clinical results. CLINICAL RELEVANCE i-PRF revascularization technique proved to be a successful REP in the treatment of the IIRR, reducing the number of appointments and increasing patient compliance.
Collapse
Affiliation(s)
- Mohamed Nageh
- Department of Endodontics, Faculty of Dentistry, Fayoum University, Batal Al-Salam Street, Al bahary, Fayoum, Egypt.
| | - Lamiaa A Ibrahim
- Department of Endodontics, Faculty of Dentistry, Fayoum University, Batal Al-Salam Street, Al bahary, Fayoum, Egypt
| | - Fatma M AbuNaeem
- Department of Endodontics, Faculty of Dentistry, Cairo University, 11 Sarya el Manyal Street, Manyal, Cairo, Egypt
| | - Engy Salam
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Fayoum University, Batal Al-Salam Street, Al bahary, Fayoum, Egypt
| |
Collapse
|
13
|
KOŞAR T, GÜNAÇAR DN, KÖSE T. Three-Dimensional Volumetric/ Linear Analysis and Axial Classification of Root Resorptions Using Cone Beam Computed Tomography: A Retrospective Study. CUMHURIYET DENTAL JOURNAL 2021. [DOI: 10.7126/cumudj.890067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
|
14
|
Keskin C, Keleş A, Sarıyılmaz Ö. Efficacy of glycolic acid for the removal of calcium hydroxide from simulated internal Resorption cavities. Clin Oral Investig 2021; 25:4407-4413. [PMID: 33392806 DOI: 10.1007/s00784-020-03753-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Accepted: 12/18/2020] [Indexed: 11/25/2022]
Abstract
OBJECTIVES This study evaluated the efficacy of 5% and 10% glycolic acid solutions for the removal of calcium hydroxide medicament from artificial internal resorption cavities. MATERIALS AND METHODS A total of 170 human maxillary premolars were selected and artificial internal resorption cavities were prepared using round burs and 37% orthophosphoric acid in the apical third of the root halves. Entire canal and resorption cavity were filled with calcium hydroxide paste. Then, the specimens were assigned to 2 control groups or ten experimental groups according to the irrigating solutions used for medicament removal with and without activation with ultrasonic energy as following: 5% glycolic acid, 10% glycolic acid, 17% EDTA, and 10% citric acid and distilled water. The resorption cavities were examined under different magnifications using stereomicroscopy and scanning electron microscopy (SEM). The calcium hydroxide remnants in the resorption cavity were scored by 2 evaluators using a 4-scoring scale. The data were analyzed with Kruskal-Wallis H tests with 5% significance threshold. RESULTS There was no significant difference regarding the distribution of removal scores among non-activated solutions (P > 0.05). In activated groups, 10% glycolic acid irrigation removed significantly more amount of calcium hydroxide than EDTA and distilled water (P < 0.05). No significant difference was found between the efficacy of 10% glycolic and citric acid (P > 0.05). Citric acid, 5% glycolic acid, and EDTA showed similar removal scores (P > 0.05). Passive ultrasonic irrigation significantly improved calcium hydroxide removal scores in 10% glycolic acid, citric acid, and EDTA groups (P < 0.05). The SEM examination revealed that the specimens that were scored 0 are not entirely free of calcium hydroxide remnants. CONCLUSION Concentration of 10% glycolic acid removed significantly more calcium hydroxide paste from resorption cavities than EDTA when used with passive ultrasonic irrigation. Although passive ultrasonic irrigation favored medicament removal in all irrigating solutions, complete elimination of medicament remnants was unattainable. CLINICAL RELEVANCE This study showed the improved efficacy of ultrasonically activated 10% glycolic acid in removing the calcium hydroxide medicament from the internal resorption cavity.
Collapse
Affiliation(s)
- Cangül Keskin
- Department of Endodontics, Faculty of Dentistry, Ondokuz Mayis University, 55200, Samsun, Turkey.
| | - Ali Keleş
- Department of Endodontics, Faculty of Dentistry, Ondokuz Mayis University, 55200, Samsun, Turkey
| | | |
Collapse
|
15
|
Gaêta‐Araujo H, Nascimento EHL, Oliveira‐Santos N, Pinheiro MCR, Coelho‐Silva F, Oliveira‐Santos C. Influence of adjacent teeth restored with metal posts in the detection of simulated internal root resorption using CBCT. Int Endod J 2020; 53:1299-1306. [DOI: 10.1111/iej.13348] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Accepted: 06/09/2020] [Indexed: 02/01/2023]
Affiliation(s)
- H. Gaêta‐Araujo
- Division of Oral Radiology Department of Oral Diagnosis Piracicaba Dental School University of Campinas (UNICAMP) PiracicabaBrazil
| | - E. H. L. Nascimento
- Division of Oral Radiology Department of Oral Diagnosis Piracicaba Dental School University of Campinas (UNICAMP) PiracicabaBrazil
| | - N. Oliveira‐Santos
- Division of Oral Radiology Department of Oral Diagnosis Piracicaba Dental School University of Campinas (UNICAMP) PiracicabaBrazil
| | - M. C. R. Pinheiro
- Division of Oral Radiology Department of Oral Diagnosis Piracicaba Dental School University of Campinas (UNICAMP) PiracicabaBrazil
| | - F. Coelho‐Silva
- Division of Oral Radiology Department of Oral Diagnosis Piracicaba Dental School University of Campinas (UNICAMP) PiracicabaBrazil
| | - C. Oliveira‐Santos
- Division of Oral Radiology Department of Stomatology, Public Oral Health, Forensic Dentistry School of Dentistry of Ribeirao Preto University of Sao Paulo (USP) Ribeirao Preto Brazil
| |
Collapse
|
16
|
Abreu RT, Monteiro JB, Abu-Hasna A, Santos TDSA, Dal Piva AMDO, Pucci CR, Torres CRG, Carvalho CAT. Bond strength of cemented fiber posts to teeth with simulated internal root resorption. J Clin Exp Dent 2020; 12:e277-e284. [PMID: 32190199 PMCID: PMC7071544 DOI: 10.4317/jced.56568] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2019] [Accepted: 01/08/2020] [Indexed: 11/18/2022] Open
Abstract
Background Teeth with internal root resorption (IRR) have guarded prognosis, considering that IRR defect could influence on the post bond strength. The aim of this study was to evaluate the bond strength and the bond interface between different glass fiber-reinforced posts (FRP) after cementation in teeth with simulated internal root resorption (IRR).
Material and Methods Forty-five (45) human premolar roots with simulated IRR were embedded in acrylic resin blocks and cross-sectioned into two segments, enabling them to be re-approximated by screws. Intracanal medication was inserted for 15-days, removed by passive ultrasonic irrigation (PUI) and examined by stereomicroscopy. The push-out bond strength of two fiber reinforced composite posts (Rebilda Post - RP) and Rebilda Post GT – GT, (VOCO) were evaluated at the cervical and IRR regions (n = 20). And, the bonded interface between resin cement and root dentine was analysed by scanning electron microscopy (SEM).
Results 62.5% of IRR were not completely cleaned by PUI. Bond strength values at the cervical region (9.8 and 14.6 MPa) were higher than the IRR region (6.3 and 4.2 MPa). Micrographies showed bubbles in the cement and spaces in the bonded interface.
Conclusions RP post showed better bond strength at the cervical region while GT had better bond strength at the IRR region. Key words:Endodontics, root canal filling materials, root resorption, X-Ray microtomography.
Collapse
Affiliation(s)
- Ricardo-Toledo Abreu
- São Paulo State University (Unesp), Department of Dental Materials and Prosthodontics, Department of Restorative Dentistry, 777 Eng. Francisco José Longo Avenue. São José dos Campos, SP
| | - Jaiane-Bandoli Monteiro
- São Paulo State University (Unesp), Department of Dental Materials and Prosthodontics, Department of Restorative Dentistry, 777 Eng. Francisco José Longo Avenue. São José dos Campos, SP
| | - Amjad Abu-Hasna
- São Paulo State University (Unesp), Department of Dental Materials and Prosthodontics, Department of Restorative Dentistry, 777 Eng. Francisco José Longo Avenue. São José dos Campos, SP
| | - Thaís-da Silva-Alves Santos
- São Paulo State University (Unesp), Department of Dental Materials and Prosthodontics, Department of Restorative Dentistry, 777 Eng. Francisco José Longo Avenue. São José dos Campos, SP
| | - Amanda-Maria-de Oliveira Dal Piva
- São Paulo State University (Unesp), Department of Dental Materials and Prosthodontics, Department of Restorative Dentistry, 777 Eng. Francisco José Longo Avenue. São José dos Campos, SP
| | - Cesar-Rogerio Pucci
- São Paulo State University (Unesp), Department of Dental Materials and Prosthodontics, Department of Restorative Dentistry, 777 Eng. Francisco José Longo Avenue. São José dos Campos, SP
| | - Carlos-Rocha-Gomes Torres
- São Paulo State University (Unesp), Department of Dental Materials and Prosthodontics, Department of Restorative Dentistry, 777 Eng. Francisco José Longo Avenue. São José dos Campos, SP
| | - Cláudio-Antonio-Talge Carvalho
- São Paulo State University (Unesp), Department of Dental Materials and Prosthodontics, Department of Restorative Dentistry, 777 Eng. Francisco José Longo Avenue. São José dos Campos, SP
| |
Collapse
|
17
|
Multidisciplinary Treatment Approach for Perforated Internal Root Resorption: Three-Year Follow-Up. Case Rep Dent 2019; 2019:5848272. [PMID: 31641540 PMCID: PMC6770450 DOI: 10.1155/2019/5848272] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Revised: 07/19/2019] [Accepted: 08/30/2019] [Indexed: 01/26/2023] Open
Abstract
Internal root resorption (IRR) is described as a resorptive defect of the internal aspect of the root caused by odontoclastic activity associated chiefly with chronic pulp inflammation and trauma. An important variation to consider is the presence of a root perforation, although it is rare. This paper defines the use of CBCT in the diagnosis and combined nonsurgical and surgical multidisciplinary management and follow-up of a maxillary central incisor with perforating IRR in a 9-year-old female patient. At 3-year follow-up, clinical and radiographic findings of the case were satisfactory.
Collapse
|
18
|
Subay RK, Subay MO, Tuzcu SB. Endodontic management of root perforating internal replacement resorption. Eur J Dent 2019; 12:450-453. [PMID: 30147416 PMCID: PMC6089058 DOI: 10.4103/ejd.ejd_31_17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
This case report presents the management of a case of rarely seen perforating internal replacement resorption using calcium hydroxide (CH) medication and mineral trioxide aggregate (MTA) root canal obturation. A maxillary central incisor of a 20-year-old female was showing a sinus track on the mucosa. Radiographically, an irregularly shaped and perforating internal resorption area was seen at the middle third of the root canal. Appearances of the bone-like fuzzy material were observed inside the resorption site. The apical part of the canal was obliterated. Following 3 months of CH medication, the canal and the perforation were obturated with MTA filling. At 6-year follow-up, the tooth was clinically asymptomatic and showing radiographical appearances of the hard tissue repair, resembling a barrier and periodontal membrane healing around MTA at the perforation site.
Collapse
Affiliation(s)
- Rustem Kemal Subay
- Department of Endodontics, School of Dentistry, Istanbul Aydin University, Istanbul, Turkiye
| | - Melike Ordulu Subay
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Istanbul University, Istanbul, Turkiye
| | | |
Collapse
|
19
|
Rodríguez‐Martínez J, Valiente M, Sánchez‐Martín M. Tooth whitening: From the established treatments to novel approaches to prevent side effects. J ESTHET RESTOR DENT 2019; 31:431-440. [DOI: 10.1111/jerd.12519] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 07/08/2019] [Accepted: 08/05/2019] [Indexed: 12/11/2022]
Affiliation(s)
- Jorge Rodríguez‐Martínez
- GTS Research Group, Department of Chemistry, Faculty of ScienceUniversitat Autònoma de Barcelona Bellaterra Spain
| | - Manuel Valiente
- GTS Research Group, Department of Chemistry, Faculty of ScienceUniversitat Autònoma de Barcelona Bellaterra Spain
| | - María‐Jesús Sánchez‐Martín
- GTS Research Group, Department of Chemistry, Faculty of ScienceUniversitat Autònoma de Barcelona Bellaterra Spain
| |
Collapse
|
20
|
Wang Y, Chen W, Hao L, McVicar A, Wu J, Gao N, Liu Y, Li YP. C1 Silencing Attenuates Inflammation and Alveolar Bone Resorption in Endodontic Disease. J Endod 2019; 45:898-906. [PMID: 31104818 DOI: 10.1016/j.joen.2019.02.024] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2018] [Revised: 02/13/2019] [Accepted: 02/23/2019] [Indexed: 11/27/2022]
Abstract
INTRODUCTION Endodontic disease, 1 of the most prevalent chronic infectious diseases worldwide, occurs when the dental pulp becomes infected and inflamed, leading to bone destruction around the tooth root, severe pain, and tooth loss. Although many studies have tried to develop therapies to alleviate the bone erosion and inflammation associated with endodontic disease, there is an urgent need for an effective treatment. METHODS In this study, we used a gene-based therapy approach by administering recombinant adeno-associated virus (AAV)-mediated Atp6v1c1 knockdown to target both periapical bone resorption and inflammation in the mouse model of endodontic disease. RESULTS The results showed that Atp6v1c1 knockdown is simultaneously capable of reducing bone resorption by 70% through impaired osteoclast activation, inhibiting inflammation by decreasing T-cell infiltration in the periapical lesion by 75%, and protecting the periodontal ligament from destruction caused by inflammation. Notably, AAV-mediated gene therapy of Atp6v1c1 knockdown significantly reduced proinflammatory cytokine expression, including tumor necrosis factor α, interleukin 1α, interleukin 17, interleukin 12, and interleukin 6 levels in periapical tissues caused by bacterial infection. Quantitative real-time polymerase chain reaction revealed that Atp6v1c1 knockdown reduced osteoclast-specific functional genes (ie, Ctsk) in periapical tissues. CONCLUSIONS Our results showed that AAV-mediated Atp6v1c1 knockdown in periapical tissues slowed endodontic disease progression, prevented bone erosion, and alleviated inflammation in the periapical tissues and periodontal ligament potentially through regulation of toll-like receptor signaling, indicating that targeting Atp6v1c1 may facilitate the design of novel therapeutic approaches to reduce inflammation and bone erosion in endodontic disease.
Collapse
Affiliation(s)
- Yuhui Wang
- Department of Orthodontics, School and Hospital of Stomatology, Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China; Department of Pathology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Wei Chen
- Department of Pathology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Liang Hao
- Department of Pathology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Abigail McVicar
- Department of Pathology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Jinjin Wu
- Department of Pathology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Ning Gao
- Department of Pathology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Yuehua Liu
- Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University, Shanghai, China.
| | - Yi-Ping Li
- Department of Pathology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
| |
Collapse
|
21
|
Aktemur Türker S, Uzunoğlu E, Deniz Sungur D, Tek V. Fracture Resistance of Teeth with Simulated Perforating Internal Resorption Cavities Repaired with Different Calcium Silicate-based Cements and Backfilling Materials. J Endod 2018; 44:860-863. [PMID: 29550008 DOI: 10.1016/j.joen.2018.01.019] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2017] [Revised: 01/11/2018] [Accepted: 01/31/2018] [Indexed: 11/25/2022]
Abstract
INTRODUCTION This study assessed the fracture resistance (FR) of teeth with simulated perforating internal resorption cavities repaired with different calcium silicate-based cements (CSCs) and backfilling materials. METHODS Ninety-six mandibular premolar teeth were used. Twelve of the teeth were assigned as negative control group. Remaining roots were instrumented with rotary files, and standardized internal resorption cavities were prepared on the middle half of roots with burs. Twelve of the samples were not further interfered and were assigned as a positive control group. The apical 4 mm of the remaining 72 root canals was obturated with single-cone technique and divided into 6 groups according to CSCs used for repairing of cavities and backfilling materials as follows: MTA + MTA, MTA + gutta-percha/sealer, Biodentine + Biodentine, Biodentine + gutta-percha/sealer, MTA Plus + MTA Plus, and MTA Plus + gutta-percha/sealer. Specimens were embedded in acrylic resin and then subjected to fracture testing. The forces when the fracture occurred were analyzed with analysis of variance and Bonferroni tests at P = .05. RESULTS No significant difference was found among CSCs irrespective of backfilling materials (P > .05). Groups MTA + gutta-percha/sealer, Biodentine + gutta-percha/sealer, and MTA Plus + gutta-percha/sealer showed significantly lower FR compared with groups MTA + MTA, Biodentine + Biodentine, and MTA Plus + MTA Plus, respectively (P < .05). The highest FR was observed in group Biodentine + Biodentine, and the lowest was in group MTA Plus + gutta-percha/sealer. FR of positive control group was statistically lower than groups completely filled with CSCs (P < .05), whereas FR of negative control group was statistically higher than the groups combined with gutta-percha and sealer (P < .05). CONCLUSIONS The backfilling with CSCs may be a preferable material rather than gutta-percha/sealer combination for the roots with perforated internal resorptions.
Collapse
Affiliation(s)
- Sevinç Aktemur Türker
- Bülent Ecevit University, Faculty of Dentistry, Department of Endodontics, Zonguldak, Turkey.
| | - Emel Uzunoğlu
- Hacettepe University, Faculty of Dentistry, Department of Endodontics, Ankara, Turkey
| | - Derya Deniz Sungur
- Hacettepe University, Faculty of Dentistry, Department of Endodontics, Ankara, Turkey
| | - Vildan Tek
- Bülent Ecevit University, Faculty of Dentistry, Department of Endodontics, Zonguldak, Turkey
| |
Collapse
|
22
|
Ramazani M, Asgary S, Zarenejad N, Mehrani J. Interdisciplinary Approach for Management of Iatrogenic Internal Root Resorption: A Case Report. IRANIAN ENDODONTIC JOURNAL 2016; 11:71-4. [PMID: 26843882 PMCID: PMC4731538 DOI: 10.7508/iej.2016.01.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Revised: 09/04/2015] [Accepted: 09/29/2015] [Indexed: 11/30/2022]
Abstract
For management of a symptomatic maxillary lateral incisor with dull pain on chewing, suppurative sinus tract, defective metal-ceramic crown and iatrogenic internal root resorption, an interdisciplinary approach was taken. Two-visit nonsurgical treatment with calcium-enriched mixture (CEM) cement, replacement of metal-ceramic crown with all-ceramic crown and corrective periodontal plastic surgery were included in the treatment plan. Six-month and one-year follow-ups revealed complete resolution of signs and symptoms and radiographic healing. This case report highlights the importance of adequate cooling during crown preparation to preserve the pulp vitality and prevent internal resorptive lesions and also the profound sealing ability and biocompatibility of CEM cement.
Collapse
Affiliation(s)
- Mohsen Ramazani
- Department of Endodontics, Sari Dental School, Mazandaran University of Medical Science, Sari, Iran
| | - Saeed Asgary
- Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Nafiseh Zarenejad
- Department of Restorative Dentistry, Sari Dental School, Mazandaran University of Medical Sciences, Sari, Iran
| | - Javad Mehrani
- Department of Periodontics, Sari Dental School, Mazandaran University of Medical Sciences, Sari, Iran
| |
Collapse
|
23
|
Importance of CBCT in the management plan of upper canine with internal resorption. GIORNALE ITALIANO DI ENDODONZIA 2015. [DOI: 10.1016/j.gien.2015.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
|
24
|
Maldonado A, Muñoz E. Management of an internal root resorption on a permanent tooth. A case report. JOURNAL OF ORAL RESEARCH 2015. [DOI: 10.17126/joralres.2015.053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
|