scholarly journals A Survey of Standard Protocols for Endodontic Treatment in North of KSA

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Azhar Iqbal ◽  
Iftikhar Akbar ◽  
Beenish Qureshi ◽  
Mohd G. Sghaireen ◽  
Mahmoud K. AL-Omiri
Keyword(s):  
Saudi Arabia ◽  
Root Canal ◽  
Computer Software ◽  
Endodontic Treatment ◽  
Preparation Technique ◽  
Gutta Percha ◽  
Working Length ◽  
True Representation ◽  
Length Determination ◽  
General Dentists

The objective of this study was to collect information regarding methods, materials, and attitudes employed during the endodontic treatment by dentists in north of Saudi Arabia. A questionnaire was designed and distributed among 300 dentists in north of Saudi Arabia to collect the data about the standard protocols of endodontic treatment. The collected data was analyzed by using the SPSS 10 computer software. Out of a total of 300 surveyed dentists, the 66% response rate showed that this study was true representation of the endodontic treatment performed by the dentists in north of Saudi Arabia. 152 (76%) were general dentists and 48 (24%) were endodontists. 18 (9%) were using rubber dam as the method of isolation during endodontic treatment. 173 (86.5%) were using only measurement radiographs for working length determination and 27 (13.5%) were using both electronic apex locator and measurement radiographs. 95 (47.5%) of the respondents were using standardized technique and 25 (12.5%) were using step-down as a root canal preparation technique. 127 (63.5%) of the respondents were using lateral condensation technique, with gutta percha points for root canal obturation.

scholarly journals Establishing Apical Patency: To be or not to be?

2017 ◽  
Vol 18 (4) ◽  
pp. 326-329 ◽  
Author(s):  
Hamid Jafarzadeh ◽  
Zahed Mohammadi ◽  
Sousan Shalavi ◽  
Jun-Ichiro Kinoshita
Keyword(s):  
Root Canal ◽  
Animal Studies ◽  
Detrimental Effect ◽  
Apical Part ◽  
Endodontic Treatment ◽  
Root Canal Preparation ◽  
Apical Constriction ◽  
Apical Portion ◽  
Gutta Percha ◽  
Working Length

ABSTRACT Introduction The apical portion of the root canal is very complex and challenging during endodontic treatment. Root canal preparation and obturation to the apical constriction may provide the best prognosis. Incomplete debridement, foramen transportation, and inadequate seal in the apical portion are considered to be responsible for treatment failure. The technique “apical patency” is considered as a way for maintaining the apical part the free of the debris by recapitulation, using a small K-file through the area of the apical foramen. This term was firstly proposed by Buchanan. In this technique, the smallest diameter file is set 1 mm longer than working length and recapitulated after each instrument to prevent packing of debris in the apical part. Apical patency has been found to be effective in achieving an apical seal with gutta-percha. Teeth prepared with a step back method and with maintained apical patency may show less leakage when obturated with cold lateral condensation technique. Data regarding the effect of apical patency on the healing of periapical tissue are very scarce, and it has been shown that the patency file has detrimental effect on the healing of periapical tissues in animal studies. However, using patency file in endodontic treatment is controversial and further studies are needed. The purpose of this article is to review the effect of using a patency file on the extrusion of root canal contents, the apical seal, postoperative pain, and healing of periapical tissues. Furthermore, the effect of establishing patency on reaching irrigation solutions to the apical portion of the canal and prognosis of root canal treatment are discussed. Clinical significance How to cite this article Mohammadi Z, Jafarzadeh H, Shalavi S, Kinoshita J-I. Establishing Apical Patency: To be or not to be? J Contemp Dent Pract 2017;18(4):326-329.

scholarly journals Root canal curvature as a prognostic factor influencing the diagnostic accuracy of radiographic working length determination and postoperative canal axis modification: an in vitro comparative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bestoon Mohammed Faraj
Keyword(s):  
Root Canal ◽  
Radiographic Images ◽  
The Real ◽  
Root Canals ◽  
Length Estimation ◽  
Working Length ◽  
Length Determination ◽  
Case Difficulty Assessment ◽  
The Impact

Abstract Background Radiographic analysis of tooth morphology is mandatory for accurate calibration of the degree of canal curvature angle and radiographic working length to its real dimensions in case difficulty assessment protocols. This study aimed to determine the impact of the degree of root canal curvature angle on maintaining the real working length and the original canal axis of prepared root canals using a reciprocating rotary instrumentation technique. Methods Radiographic image analysis was performed on 60 extracted single-rooted human premolar teeth with a moderate canal curvature (10°–25°) and severe canal curvature (26°–70°). Working length and longitudinal canal axis were determined using cone-beam computed tomography (CBCT) and digital periapical radiography. The real canal length was determined by subtracting 0.5 mm from the actual canal length. Root canals were prepared using the WaveOne Gold reciprocating file (Dentsply Maillefer, Ballaigues, Switzerland). Results There was no significant relation of the degree of canal curvature angle to the accuracy of radiographic working length estimated on CBCT and digital periapical radiographic techniques (P > 0.05). Postinstrumentation changes in the original canal axis between moderate and severe canal curvature angles, assessed on CBCT and periapical digital radiographic images were statistically non-significant (P > 0.05). Conclusions A standardized digital periapical radiographic method performed similarly to the CBCT technique near to its true working length. No significant interaction exists between the diagnostic working length estimation, postoperative root canal axis modification, and the degree of canal curvature angle, using reciprocating rotary instrumentation technique.

scholarly journals The ability of Reciproc instruments to reach full working length without glide path preparation: a clinical retrospective study

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3583 ◽  
Author(s):  
Andreas Bartols ◽  
Bernt-Peter Robra ◽  
Winfried Walther
Keyword(s):  
Retrospective Study ◽  
Root Canal ◽  
Primary Root ◽  
Primary Treatment ◽  
Endodontic Treatment ◽  
Binary Logistic Regression Model ◽  
Root Canals ◽  
Maxillary Molars ◽  
Glide Path ◽  
Working Length

Background Reciproc instruments are the only contemporary root canal instruments where glide path preparation is no longer strictly demanded by the manufacturer. As the complete preparation of root canals is associated with success in endodontic treatment we wanted to assess the ability and find predictors for Reciproc instruments to reach full working length (RFWL) in root canals of maxillary molars in primary root canal treatment (1°RCTx) and retreatment (2°RCTx) cases. Methods This retrospective study evaluated 255 endodontic treatment cases of maxillary molars. 180 were 1°RCTx and 75 2°RCTx. All root canals were prepared with Reciproc instruments. The groups were compared and in a binary logistic regression model predictors for RFWL were evaluated. Results A total of 926 root canals were treated with Reciproc without glide path preparation. This was possible in 885 canals (95.6%). In 1°RCTx cases 625 of 649 (96.3%) canals were RFWL and in 2°RCTx cases 260 of 277 (93.9%). In second and third mesiobuccal canals (MB2/3) 90 out of 101 (89.1%) were RFWL with Reciproc in 1°RCTx and in the 2°RCTx treatment group 49 out of 51 cases (96.1%). In mesio-buccal (MB1) canals “2°RCTx” was identified as negative predictor for RFWL (OR 0.24 (CI [0.08–0.77])). In MB2/3 canals full working length was reached less often (OR 0.04 (CI [0.01–0.31])) if the tooth was constricted and more often if MB2/3 and MB1 canals were convergent (OR 4.60 (CI [1.07–19.61])). Discussion Using Reciproc instruments, the vast majority of root canals in primary treatment and retreatment cases can be prepared without glide path preparation.

Successful Use of MTA Fillapex as a Sealant for Feline Root Canal Therapy of 50 Canines in 37 Cats

2020 ◽  
Vol 37 (2) ◽  
pp. 77-87
Author(s):  
Susan Thorne ◽  
Norman Johnston ◽  
Vicki J. Adams
Keyword(s):  
Root Canal ◽  
Root Resorption ◽  
Endodontic Treatment ◽  
Inert Material ◽  
Root Canal Therapy ◽  
Gutta Percha ◽  
Oral Pain ◽  
Single Cone ◽  
Pulp Exposure ◽  
Periapical Disease

Intentional or unintentional pulp exposure of cat canines can lead to periapical disease, osteomyelitis, and oral pain. Root canal therapy (RCT) allows the retention of cat canines with pulp exposure by removing the infected pulp and replacing it with an inert material. This study used MTA Fillapex™ as a root canal sealant with gutta percha single cone obturation in 37 cats (50 canine teeth). Roots were classified as “successful,” “no evidence of failure (NEF),” or “failed” at 6-month radiographic reviews. Therapy was considered “successful” if a preoperative periapical lucency had healed or not formed after treatment and any preoperative external inflammatory root resorption (EIRR) had stabilized without progression. Therapy was categorized as “NEF” if a periapical lucency had remained the same or decreased in size but not completely resolved and any preoperative EIRR had stabilized without progression. “Failed” if a periapical lucency had occurred or increased in size posttreatment or if EIRR had developed or progressed posttreatment. Thirty-two canine teeth (64%) were classified as “successful,” 14 canine teeth (28%) were classified as “NEF,” and 4 canine teeth (8%) were classified as “failed”. The study concluded that RCT using MTA Fillapex as a root canal sealant is a suitable endodontic treatment for fractured cat canines, especially those that are periodontally or endodontically challenged.

Microbial Leakage of Cavit, IRM, and Temp Bond in Post-prepared Root Canals Using Two Methods of Gutta-percha Removal: An In Vitro Study

2005 ◽  
Vol 6 (3) ◽  
pp. 53-61 ◽  
Author(s):  
Hanan Balto ◽  
Saad Al-Nazhan ◽  
Khulood Al-Mansour ◽  
Moneera Al-Otaibi ◽  
Yunus Siddiqu
Keyword(s):  
Root Canal ◽  
Bacterial Suspension ◽  
Control Group ◽  
Endodontically Treated Teeth ◽  
Root Canals ◽  
Gutta Percha ◽  
Working Length ◽  
Significant Difference ◽  
Post Space

Abstract The aim of this study was to evaluate the integrity of the coronal seal of Temp-Bond and compare it to Cavit and IRM after post space preparation using S. faecalis as a microbial tracer. In addition, the affect of two methods of gutta percha removal on the apical seal of root canal fillings was also evaluated. Forty extracted human single rooted teeth were prepared chemomechanically and obturated with gutta percha and AH26 sealer cement using the lateral cold condensation technique to a standardized working length of 15 mm. About 10 mm of the coronal gutta-percha was removed with either Peeso-reamer or a hot plugger. The roots were divided into three experimental groups of 10 roots and a control group. Each experimental group was subdivided equally into two groups of 15 each according to the method of post space preparation. Cavit, IRM, and Temp-Bond were used to seal the access opening. Each root was fixed in a cuvette containing Tryptic Soya Broth which, covered 2 mm of the root apex. Bacterial suspension was introduced through pipette. Fresh bacterial suspension was added every week, and the system was monitored daily for the growth of microorganisms for a period of one month. The results showed there was no significant difference in terms of coronal leakage between the three coronal materials used (P=0.478), but the methods of gutta-percha removal did have an impact on the apical leakage (P=0.047). The mean value showed the Peeso-reamer provided less leakage compared to using a hot plugger during the 30-day experimental time period. It was concluded the temporary type of coronal seal of endodontically treated teeth will not prevent coronal leakage if left for a long period of time. In addition, permanent cementation of the post with the coronal restoration should be carried out as soon as possible to prevent recontamination of the root canal. Citation Balto H, Al-Nazhan S, Al-Mansour K, Al-Otaibi M, Siddiqu Y. Microbial Leakage of Cavit, IRM, and Temp Bond in Post-prepared Root Canals Using Two Methods of Gutta-percha Removal: An In Vitro Study. J Contemp Dent Pract 2005 August;(6)3:053-061.

scholarly journals Clinical features and endodontic treatment of two-rooted mandibular canines: Report of four cases

2014 ◽  
Vol 142 (9-10) ◽  
pp. 592-596 ◽  
Author(s):  
Igor Stojanac ◽  
Milica Premovic ◽  
Milan Drobac ◽  
Bojana Ramic ◽  
Ljubomir Petrovic
Keyword(s):  
Root Canal ◽  
Case Reports ◽  
Anatomical Variation ◽  
Anatomical Variations ◽  
Endodontic Treatment ◽  
Careful Examination ◽  
Root Canals ◽  
Working Length ◽  
Canal Systems ◽  
Root Canal Morphology

Introduction. Predictable endodontic treatment depends on the dentist?s knowledge about root canal morphology and its possible anatomic variations. The majority of mandibular canines have one root and root canal, but 15% may have two canals and a smaller number may have two distinct roots. The following clinical reports describe endodontic treatment of mandibular canines with two roots and two root canals. Outline of Cases. Four clinical case reports are presented to exemplify anatomical variation in the human mandibular canine. Detailed analysis of the preoperative radiographs and careful examination of the pulp chamber floor detected the presence of two root canal orifices in all canines. Working length was determined with an electronic apex locator and biomechanical preparation was carried out by using engine driven BioRaCe Ni-Ti rotary instruments in a crown-down manner, followed by copious irrigation with 1% sodium hypochlorite. Definitive obturation was performed using cold lateral condensation with gutta-percha cones and Top Seal paste. The treatment outcome was evaluated using postoperative radiographs. Conclusion. Endodontists should be aware of anatomical variations of the treated teeth, and should never presume that canal systems are simple.

scholarly journals Tactile working length determination for root canal therapy in underserved settings

2014 ◽  
Vol 15 (2) ◽  
pp. 56-57 ◽  
Author(s):  
Abdullah J Dohaithem ◽  
Eman O Bakarman ◽  
Analia Veitz-Keenan
Keyword(s):  
Root Canal ◽  
Root Canal Therapy ◽  
Working Length ◽  
Length Determination

scholarly journals In vivo accuracy of conventional and digital radiographic methods in confirming root canal working length determination by Root ZX

2012 ◽  
Vol 20 (5) ◽  
pp. 522-525 ◽  
Author(s):  
Fernando Accorsi Orosco ◽  
Norberti Bernardineli ◽  
Roberto Brandão Garcia ◽  
Clovis Monteiro Bramante ◽  
Marco Antonio Húngaro Duarte ◽  
...  
Keyword(s):  
Root Canal ◽  
Working Length ◽  
Length Determination

scholarly journals The Uptake of Nickel-Titanium Rotary Files in Saudi Arabia

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Emad AlShwaimi
Keyword(s):  
Developing Countries ◽  
Saudi Arabia ◽  
North America ◽  
Root Canal ◽  
Overall Response Rate ◽  
Response Rate ◽  
Correlation Coefficients ◽  
Nickel Titanium ◽  
Level Of Significance ◽  
General Dentists

Aim. We surveyed the uptake of nickel-titanium rotary files (NTRFs) among all dentists in Saudi Arabia.Methodology. A questionnaire encompassing endodontic performance and NTRF uptake was e-mailed to all members of the Saudi Dental Society. Data were collected from participants during a three-month period and were analyzed usingχ2tests and correlation coefficients. Level of significance was set atP=0.05.Results. The overall response rate was 30.6% (n=490), and 82.9% were found to perform root canal treatment (RCT). Among the 406 RCT performers, general dentists formed the bulk (45%). Among endodontists, 91.5% were using NTRF (P<0.001). Those who graduated between 1991 and 2000 used NTRF more than any other group did (78.4%,P=0.05). Graduates from Europe and Australia used NTRF most frequently (100%,P=0.001), followed by those from North America (87%,P=0.001), and finally by Saudi Arabian graduates (68.7%). Male respondents performed more endodontic procedures and used NTRF significantly more often than female respondents did (males: 73%; females: 56.2%) (P=0.001). The most significant reasons for not using NTRF were “unavailability” (64.7%,P≤0.05) and “lack of experience” (54.1%,P≤0.001).Conclusions. We found that NTRF usage was not as widespread in Saudi Arabia as in other developing countries. Therefore, we suggest an improved implementation of NTRF in undergraduate and postgraduate curriculums and the provision of educational courses with a greater focus on this development.

scholarly journals C-shaped canal configuration in lower molar - Case report

2015 ◽  
Vol 18 (2) ◽  
pp. 115
Author(s):  
Lauren Grandi Dos Santos ◽  
Amanda Nunes Gallas ◽  
Josué Martos ◽  
Luiz Fernando Machado Silveira
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Anatomical Variation ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Second Molar ◽  
Gutta Percha ◽  
Mandibular Second Molar ◽  
Lower Molar

The C-shape configuration in molars it’s an anatomical variation that difficult the diagnosis and treatment. The aim of this study was to report a case of C-shape endodontic configuration in mandibular second molar. The radiographic examination of one patient revealed the extent of caries in the mesial aspect of mandibular second molar, without the presence of periapical lesion and was clinically noted the C-shape configuration of the root canal, extending from the mesiobuccal to the distal canal. Endodontic therapy was performed and after the root canal obturation with gutta-percha cones and endodontic cement the tooth was restored. We conclude that the anatomical condition in C-shape, although it brings many difficulties for the endodontic treatment, does not preclude the tooth rehabilitation.

Sign in / Sign up

Export Citation Format

Share Document