Validation of Roberts’ method using root canal width patterns as a mandibular maturity marker in determining the 18-year threshold

Introduction: The purpose of this study was to compare root and root canal width measurements between digital intraoral radiography (IOR) and micro-computed tomography (μCT). The accuracy of IOR measurements of canine mandibular molars was scrutinized to assess feasibility of developing a model to estimate animal age based on dentinal thickness. Materials and Methods: Thirty-nine canine mandibular first molars were imaged using μCT and IOR. For each tooth, the root and root canal width of the mesial and distal roots were measured by a single observer at 3 marked sites on μCT and IOR. Two different software programs were used to measure the radiographs. The radiograph measurements were compared to each other and to the μCT measurements. The μCT images were considered the anatomic reference standard for structural representation. Results: The data collected demonstrated IOR bias and variability throughout all measurement sites, with some sites being more affected than others. Neither IOR system produced unbiased measurements that closely reflected the μCT measurements consistently. The overall lack of agreement between measurements demonstrated the difficulties in developing a standardized protocol for measuring root and root canal width for the first molar teeth in dogs. Conclusion: Developing a protocol to accurately measure and compare μCT and IOR measurements is challenging. Designing a measurement system that would allow for universal application to age dogs would require continued research utilizing a standardized approach to overcome the limitations identified in this article.

Download Full-text

Three-Dimensional Analysis of Root Anatomy and Root Canal Curvature in Mandibular Incisors Using Micro-Computed Tomography with Novel Software

Applied Sciences ◽

10.3390/app10124385 ◽

2020 ◽

Vol 10 (12) ◽

pp. 4385 ◽

Cited By ~ 1

Author(s):

JongKi Lee ◽

Shin-Hoon Lee ◽

Jong-Rak Hong ◽

Kee-Yeon Kum ◽

Soram Oh ◽

...

Keyword(s):

Computed Tomography ◽

Root Canal ◽

Three Dimensional ◽

Root Anatomy ◽

Rank Test ◽

Micro Computed Tomography ◽

Mandibular Incisor ◽

Canal Width ◽

Signed Rank Test ◽

Mandibular Incisors

Root canal treatment of mandibular incisor is difficult because of the narrow pulp space and apical curvature. The aim of this study was to measure the anatomical indicators of the mandibular incisors in Koreans using micro-computed tomography (MCT) with novel software (Kappa 2). The MCT-scanned data from 27 mandibular incisors were reconstructed and analyzed. For each canal, 3-dimensional (3D) surface models were re-sliced at 0.1 mm intervals perpendicular to the central axis of the root canal. Root canal width, dentine thickness, and direction and degree of root canal curvatures were measured automatically on each slice. Measurements were analyzed statistically with Bhapkar test, Friedman test, and Wilcoxon signed rank test. Labial and lingual dentine thicknesses were significantly larger than mesial and distal thicknesses (p < 0.001). The thinnest dentine was mainly located on the mesio-lingual side of the canals in the apical third. The mean narrowest and widest canal width in the apical sixth were 0.22 mm and 0.40 mm, respectively. The canal curvature abruptly increased in the apical 0.5-mm portion. MCT with novel software provided useful anatomical information for root canal instrumentation.

Download Full-text

Effect of Root Canal Transportation by Minimally Invasive Endodontic Access on Canal Orifice Dentin

10.21203/rs.3.rs-789410/v1 ◽

2021 ◽

Author(s):

Tomoyuki Tsubaki ◽

Mai Utsunomiya ◽

Kaori Shimojima ◽

Noriko Mutoh ◽

Nobuyuki Tani-Ishii

Keyword(s):

Minimally Invasive ◽

Root Canal ◽

Endodontically Treated Teeth ◽

Tooth Structure ◽

Canal Width ◽

Straight Line ◽

Surgical Field ◽

Canal Transportation ◽

Canal Shaping ◽

Group D

Abstract Background: Minimally invasive endodontics (MI Endo) with minimal dentin shaping prevents root canal fracture in endodontically treated teeth. Alternatively, reduction of the surgical field and limitation of the visual field by MI Endo make root canal shaping difficult. The purpose of this study is to analyze the effect of minimally invasive (MI) shaping of canal orifice dentin by evaluating the shaping characteristics of TruNatomy (TN), a Ni–Ti file developed for MI Endo.Methods: A J-shaped canal model was used to compare the final canal morphology formed using a MI shaping TN or conventional shaping ProTaper NEXT (PTN) file. The TN files were used in two experimental groups: no straight-line access (A) and straight-line access (B). The PTN files of the control were similarly classified: no straight-line access (C) and straight-line access (D). The increase in canal width and the median displacement (transportation) among the groups were compared.Results: The analysis of the canal width prepared with the TN file showed that the displacement of the inner canal curve increased at the point 5 mm from the apex in Groups A and B; however, the displacement of the outer width increased at the other measurement sites. In Groups C and D using PTN, the displacement of the inner canal curve increased at points 3–5 mm from the apex. Alternatively, the displacement on the outer width increased at 8 mm, and the displacement in Group D increased significantly. The canal transportation in the case with a TN file was 0.1 mm or smaller for Groups A and B, although the PTN preparation showed significant transport 3–5 mm from the apex on the inner curve of Group D compared with Groups A and B.Conclusions: TN shaping preserves the tooth structure and canal geometry without straight-line access. The TN file developed based on the concept of MI Endo facilitates accurate root canal shaping and reduces transportation.

Download Full-text

The phenomenon of dental pulp sensitivity in the formation of permanent teeth

Эндодонтия Today ◽

10.36377/1683-2981-2020-18-4-14-19 ◽

2021 ◽

Vol 18 (4) ◽

pp. 14-19

Author(s):

A. Zh. Petrikas ◽

S. A. Letunovskaya ◽

E. V. Chestnykh ◽

D. V. Medvedev ◽

E. P. Zin'kovskaya ◽

...

Keyword(s):

Root Canal ◽

Pain Threshold ◽

Age Groups ◽

Apical Part ◽

Nerve Fibers ◽

Permanent Teeth ◽

Sensitivity Threshold ◽

Main Role ◽

C Fibers ◽

Canal Width

Aim. То carry out a comparative assessment of the change in the pain threshold (in terms of electroodontometry), the X-ray width of the root canal in the apex area and the nature of the pain sensation of the central incisors in children aged 6.5-15 years.Materials and methods. We examined 280 teeth in 280 children from 6.5 to 15 years old (central incisors). Patients are divided by age into 5 groups: 1 - 6.5-7 years old; 2 - 7-8 years old; 3 - 9-10 years old; 4 - 11-12 years old; 5 - 13-15 years old. The patients underwent electroodontometry (EOM), to measure the sensitivity threshold of the studied tooth, the subjective sensations with EOM were assessed, and the width of the apical part of the root canal was determined, according to the data of intraoral sighting radiography.Results. The study studied the process of teething and formation of teeth in dynamics from 6.5 to 15 years in 5 age groups. Changes in electrodontometry (EOM) are significant from 140.38 цА (4.5 years) to 24.38 цА (15 years) - average data. The relationship between age and the width of the root canal in the area of the apex, which is also characterized by a gradual narrowing, has been traced. Pulp pain with EOM becomes clearer and more short-lived with age. The correlation between age and pain threshold is less pronounced (41%) than between age and apical canal width (72%). Conclusions. The main role in the sensitivity of the tooth is played by the A-delta and C nerve fibers of the pulp. The phenomenon of a decrease in the pain sensitivity threshold of permanent teeth during electrodontometry in the process of root formation due to the reaction of C-fibers was established.

Download Full-text

Pelvic Canal Narrowing Caused by Triple Pelvic Osteotomy in the Dog

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0038-1633130 ◽

1994 ◽

Vol 07 (03) ◽

pp. 110-113 ◽

Cited By ~ 6

Author(s):

D. L. Holmberg ◽

M. B. Hurtig ◽

H. R. Sukhiani

Keyword(s):

Postoperative Complications ◽

Pelvic Osteotomy ◽

Cross Sectional Area ◽

Sectional Area ◽

Cross Sectional ◽

Canal Width ◽

Operative Complications ◽

Post Operative Complications

SummaryDuring a triple pelvic osteotomy, rotation of the free acetabular segment causes the pubic remnant on the acetabulum to rotate into the pelvic canal. The resulting narrowing may cause complications by impingement on the organs within the pelvic canal. Triple pelvic osteotomies were performed on ten cadaver pelves with pubic remnants equal to 0, 25, and 50% of the hemi-pubic length and angles of acetabular rotation of 20, 30, and 40 degrees. All combinations of pubic remnant lengths and angles of acetabular rotation caused a significant reduction in pelvic canal-width and cross-sectional area, when compared to the inact pelvis. Zero, 25, and 50% pubic remnants result in 15, 35, and 50% reductions in pelvic canal width respectively. Overrotation of the acetabulum should be avoided and the pubic remnant on the acetabular segment should be minimized to reduce postoperative complications due to pelvic canal narrowing.When performing triple pelvic osteotomies, the length of the pubic remnant on the acetabular segment and the angle of acetabular rotation both significantly narrow the pelvic canal. To reduce post-operative complications, due to narrowing of the pelvic canal, overrotation of the acetabulum should be avoided and the length of the pubic remnant should be minimized.

Download Full-text

The role of intracanal medicaments in inhibition of bacteria isolated from root canals of infected primary molars

Mustansiria Dental Journal ◽

10.32828/mdj.v14i1.766 ◽

2019 ◽

Vol 14 (1) ◽

pp. 92

Author(s):

Dr. Maha Abdul- Kareem Mahmood ◽

Dr. Huda Elias Ali ◽

Dr. Haraa Khairi Abdul-Kadher

Keyword(s):

Antimicrobial Activity ◽

Streptococcus Mutans ◽

Normal Saline ◽

Root Canal ◽

Primary Teeth ◽

Primary Molars ◽

Root Canals ◽

Etiologic Agents ◽

Micro Organisms

Microbes are considered as the primary etiologic agents in endodontic diseases.Disinfection of the root canal is obtained by the combined effect of biomechanicalpreparation, irrigation and intra canal medicament. The aim of the present study wasto assess the antimicrobial activity of intracanal medicaments (formocresol andEndosepton) against two micro organisms (Streptococcus mutans and staphylococcusaureus) isolated from 15 necrotic pulps of primary molars indicated for pulpectomyprocedure. The samples were cultured, and purified using microbiological evaluation.Broth dilution test was performed in our study by preparing test tubes containing10 ml of BHI broth (pH. 7) which then inoculated with strains of the tested bacteriaand incubated at 37 C° for 24 h. After over night incubaction, ten fold dilution weremade in test tubes containing 9 ml of normal saline by adding 1 ml of the inoculum tothe first tube . Then from dilution 10-1 , 0.1 ml of cell suspension was added to 9.9 mlof formocresol and endosepton, then 0.1 ml was taken and spread on duplicates ofBHI agar plates at different intervals and incubated aerobically for 24 h. at 37 C°.Colonies on the plates were counted after incubation and CFU/mL (colony formingunit) was calculated. Our results indicating that there were no significant differencesbetween the intracanal medicaments, but there were high significant differencesbetween the intervals time of the study. We concluded that both materials had greatantibacterial effect against the pathogens commonly isolated from necrotic pulpaltissue of primary teeth.

Download Full-text

SAF file: It's really three dimensional file

Mustansiria Dental Journal ◽

10.32828/mdj.v14i1.744 ◽

2018 ◽

Vol 14 (1) ◽

pp. 1

Author(s):

Prof. Dr. Jamal Aziz Mehdi

Keyword(s):

Cross Section ◽

Root Canal ◽

Three Dimensional ◽

Circular Cross Section ◽

Circular Motion ◽

Root Canal Treatment ◽

Metal Core ◽

Rotating Blade

The biological objectives of root canal treatment have not changed over the recentdecades, but the methods to attain these goals have been greatly modified. Theintroduction of NiTi rotary files represents a major leap in the development ofendodontic instruments, with a wide variety of sophisticated instruments presentlyavailable (1, 2).Whatever their modification or improvement, all of these instruments have onething in common: they consist of a metal core with some type of rotating blade thatmachines the canal with a circular motion using flutes to carry the dentin chips anddebris coronally. Consequently, all rotary NiTi files will machine the root canal to acylindrical bore with a circular cross-section if the clinician applies them in a strictboring manner

Download Full-text

Аpplying of high-frequency monopolar diathermocoagulation in the treatment of chronic pulpitis

Medical alphabet ◽

10.33667/2078-5631-2020-12-40-42 ◽

2020 ◽

Vol 1 (12) ◽

pp. 40-42

Author(s):

F. Yu. Daurova ◽

D. I. Tomaeva ◽

S. V. Podkopaeva ◽

Yu. A. Taptun

Keyword(s):

Root Canal ◽

High Frequency ◽

Antibacterial Effect ◽

Comparison Group ◽

Poor Quality ◽

Endodontic Treatment ◽

Root Canals ◽

The Third ◽

Before And After

Relevance: the reason for the development of complications in endodontic treatment is poor-quality instrumental treatment root canals.Aims: a study of the animicrobial action and clinical efficacy of high-frequency monopolar diathermocoagulation in the treatment of chronic forms of pulpitis.Materials and methods: 102 patients with various chronic forms of pulpitis were divided into three groups of 34 patients each. In the first two groups, high-frequency monopolar diathermocoagulation was used in endodontic treatment in different modes. In the third group, endodontic treatment was carried out without the use of diathermocoagulation (comparison group). The root canal microflora in chronic pulpitis in vivo was studied twice-before and after diathermocoagulation.Results: it was established that high-frequency monopolar diathermocoagulation in the effect mode is 3, power is 4 (4.1 W) and effect is 4, power is 4 (5.4 W) with an exposure time of 3 seconds, it has a pronounced antibacterial effect on all presented pathogenic microflora obtained from the root canals of the teeth.

Download Full-text

Astounding Root Canal Anatomy of A Manibular Second Molar – A Case Report

Indian Journal Of Applied Research ◽

10.15373/2249555x/sept2013/123 ◽

2011 ◽

Vol 3 (9) ◽

pp. 417-418

Author(s):

Dr Veerendra M Uppin ◽

◽

Dr Priyanka Sarangi ◽

Dr Sukanta Kumar Satapathy

Keyword(s):

Case Report ◽

Root Canal ◽

Second Molar ◽

Root Canal Anatomy

Download Full-text