Ex vivo ability of a noninstrumentation technique to disinfect oval-shaped canals

Pulp regeneration treatment using different bioactive materials in permanent teeth of pediatric subjects

Background and Objectives

The present systematic review aims to assess the success rate of the pulp regeneration treatment, according to the American Association of Endodontists (AAE) criteria, using different bioactive materials in permanent teeth of pediatric subjects (6-17 years of age).

Materials and Methods

The study protocol was registered on PROSPERO and adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. The question formulation was accomplished using the PICO model, and an electronic search was carried out on Scopus, MEDLINE/PubMed, Web of Science, and Cochrane databases till April 1, 2023. A total of 30 studies were established to fulfill the inclusion criteria of this systematic review.

Results

A total of 273 teeth have been treated with pulp regeneration treatment. By comparing different biomaterials and the success criteria defined by the AAE, the material associated with a higher success rate was found to be the white mineral trioxide aggregate. However, the overall success rate of pulp regeneration treatment was reported for 248 out of 273 teeth (91.20%).

Conclusions

Data obtained support the potential that regenerative endodontics aids in continuing root development in permanent immature teeth. Further studies are needed for a more extensive evaluation of the use of different biomaterials and the success rate in regenerative endodontics.

Traditional and Recent Root Canal Irrigation Methods and Their Effectiveness: A Review

According to contemporary dental standards, the primary goal of endodontic therapy is the chemo-mechanical cleaning of the complex root canal system. Watering root canals with approved solutions and activating them are essential parts of this operation. This review outlines various irrigant activation methods for root canal therapy. Specifically, a comparison among the methods of manual dynamic activation, sonics (subsonic, sonic, and ultrasonic), internal heating, and lasers, was conducted. The results in this work were gathered using Scopus, Web of Science, Google Scholar, and PubMed databases by searching the following keywords: sodium hypochlorite, cleaning, activation, and irrigation methods. The present work concluded that the use of irrigant activation has a greater benefit than its absence. Regardless, it is impossible to point to a single effective activation method.

Contemporary Endodontic Approaches for Children

Endodontic therapy is necessary when caries extend further into the tissues of the tooth and reach the pulp, producing irreparable inflammation or necrosis [...].

Modern Advances in Microendodontics: The State of the Art

The concept of "minimally invasive" advances is becoming increasingly popular in the endodontic field [...].

Three-Dimensional Evaluation of the Root Apex of Permanent Maxillary Premolars: A Multicentric Study

Aim: Modern endodontics has advanced radically in the recent years, and recently, it has been focused on the concept of mini-invasive treatments. This study aimed to evaluate the sections of the root apices at 1 mm from the radiographic apex using a high-resolution CBCT. Materials and Methods: The current study was performed in three different dental centers. One hundred maxillary permanent premolars (50 first and 50 s premolars) were analyzed using measurement software of the CBCT radiographic pictures. The mesio-distal (M-D) and bucco–palatal (B-P) sections were measured at 1 mm from the radiographic apex of each root. The section of 0.3 mm or less, 1 mm from the anatomical apex of the upper premolars, was decided as the limit value. All values were statistically analyzed. Results: The mean value in the 304 sections analyzed was 1.03 (±0.37). Only 19 sections (6.3%) had measurements less than or equal to 0.3 mm. All these 19 sections were from first premolars (p = 0.002). Conclusions: Based on the data obtained, the authors recommend performing conservative shaping when endodontically treating first maxillary premolars, especially when a pre-operative CBCT to evaluate the actual apical dimensions cannot be acquired.

Special Issue “The State of the Art in Endodontics”

Currently, the term “modern endodontics” is used more often due to contemporary applied science and original materials that have been developed in recent years [...]

Root Canal Cleaning after Different Irrigation Techniques: An Ex Vivo Analysis

Background and Objectives: The endodontic space is a complex area on both micro and macro levels; therefore, traditional irrigation techniques may not guarantee a complete cleaning of such a complicated tridimensional system. The presented ex vivo study aimed to evaluate root canal cleanliness, obtained through an equal volume of traditionally applied sodium hypochlorite (NaOCl), compared to ultrasonically activated NaOCl and ultrasonically activated NaOCl that had undergone intracanal heating NaOCl. Materials and Methods: A total of 60 freshly extracted human mandibular premolars underwent root sample length standardization (18 mm), root canal preparation and, based on the irrigation method employed, were randomly and equally assigned to three study groups, composed of root samples treated with ultrasonically activated NaOCl, ultrasonically activated NaOCl that had undergone intracanal heating and traditionally applied NaOCl. The root specimens were subsequently fixated with 4% buffered formalin solution and decalcified in Morse liquid. A total often 6-micron-thick serial cross-sections were obtained, dyed using hematoxylin and eosin and examined through an optical microscope at 40×, 100×, and 200×. Results: Ultrasonically activated NaOCl that had undergone intracanal heating showed a significantly smaller amount of debris compared to ultrasonically activated and traditionally applied NaOCl groups (p value < 0.05). Conclusions: Root canal cleanliness saw significant enhancements by ultrasonically activated NaOCl that had undergone intracanal heating.

Conservative shaping combined with three-dimensional cleaning can be a powerful tool: Case series

Conservative endodontics has been introduced about a decade ago. Since then, it has been demonstrated that less canal preparations lead to more dentin preservation resulted in decreased stress on tooth structure, mainly in the coronal third of the root, and potentially a higher resistance to fracture. In addition, smaller and larger canal preparations were comparable with regard to the cleanliness of the root canal. The purpose of this case series was to report on the outcome of root canal treatments following a conservative canal preparation, followed by three-dimensional cleaning technique (intracanal heating and ultrasonic activation of NaOCl).