scholarly journals Effect of rotary systems and root canal preparation and dentin crack formation

2021 ◽  
Vol 8 (11) ◽  
pp. 5578
Author(s):  
Abdulkader Abdulelah Abulhamayel ◽  
Hamdi Abdullah Altukhays ◽  
Hatim Abdullah Alamri ◽  
Abdulrahman Ahmad Salem ◽  
Jummar Ammar Farrash ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Root Canal ◽  
Crack Formation ◽  
Endodontic Treatment ◽  
Current Evidence ◽  
Root Canal Preparation ◽  
Critical Step ◽  
Root Canals ◽  
Root Fractures

Evidence indicates that root canal preparation is a critical step upon which the prognosis of the endodontic treatment depends. Vertical root fractures can furtherly develop as propagations from the previously formed dentin cracks. Therefore, root canal preparation should be carefully approached with the minimal crack formation and careful dentin removal. Different modalities have been proposed in the literature and rotary systems are most commonly used nowadays. Although the reported efficacy of these modalities is high, evidence shows that they are usually associated with a considerable risk of crack formation. In the present literature review, we have discussed the effects of rotary instrumentation and root canal preparation on dentinal crack formation based on evidence from the different studies in the literature. Our evidence showed that all of the investigated approaches to prepare root canals adequately can result in crack formation. The different rotary instrumentations also showed variable frequencies of developing dentinal cracks, and evidence from some comparative investigations shows that ProTaper modalities are associated with the least frequencies of the events. However, to make a solid conclusion for clinical practice, further research is still needed to validate our current evidence.

scholarly journals Possibility of usage of a homeopathic remedy heparsulfuris in the therapy of endoperiodontal lesion

2002 ◽  
Vol 49 (1-2) ◽  
pp. 53-56
Author(s):  
Tatjana Brkanic ◽  
Slavoljub Zivkovic
Keyword(s):  
Clinical Practice ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Apical Periodontitis ◽  
Endodontic Treatment ◽  
Root Canal Preparation ◽  
Everyday Clinical Practice ◽  
Homeopathic Remedy ◽  
Periodontal Tissues

The aim of this paper was to, on the basis of everyday clinical practice analize the effect of a homeopathic remedy, as a complementary remedy in endodontic therapy of endoperiodontal lesions and chronic apical periodontitis and to radiologically check its effect on the flow and speed of reparation of damaged periodontal tissues. Endodontic therapy was done according to the usual protocol for the therapy of infectious canals with root canal preparation, medication with calcium hydroxide points and hermetic obturation with AH-26 paste. During endodontic treatment patients were taking homeophatic remedy Hepar sulfuris per os three times daily. The remedy stimulates the natural defences mechanism of the organism. Radiological follow up after three months period showed obvious reductiont of radiologic radiolucency in periapical region.

scholarly journals O Glide Path na Endodontia Contemporânea: Revisão de Literatura / The Glide Path in Contemporary Endodontics: Literature Review

2021 ◽  
Vol 15 (58) ◽  
pp. 324-333
Author(s):  
Danielle Fernandes Oliveira Martins ◽  
Maria Clara Santos De Farias ◽  
Luiz Roberto Mendes Da Silva
Keyword(s):  
Literature Review ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Effective Procedure ◽  
Root Canals ◽  
Favorable Environment ◽  
Glide Path ◽  
Initial Preparation ◽  
The Creation

Por meio deste estudo é possível analisar que a instrumentação dos canais radiculares após o uso do Glide Path traz inúmeros benefícios, incluindo o melhor deslizamento dos instrumentos, redução do número de fraturas e menor intercorrências intrarradiculares. Além disso, essa preparação inicial do canal radicular com o uso do Glide Path realiza uma desobstrução, criando um “caminho” livre para o melhor deslize dos instrumentos no canal radicular. Os instrumentos possuem características e particularidades que levam ao mesmo objetivo de preparar o conduto para uma segura instrumentação, destaca-se aqui o WaveOne Gold, R-Pilot e o PathFile. É uma técnica que vem sendo difundida e utilizada na endodontia contemporânea com o intuito de realizar um procedimento eficaz.---Abstract: Analyze the use of instruments to prepare the Glide Path and understand how this endodontic instrument brought advantages in instrumentation techniques. This is a literature review with selected articles from the last 10 years, in order to achieve the objectives proposed by the theme. Articles in English and Portuguese were used, with all information pertinent to the topic extracted. Through this study, it is possible to analyze that the instrumentation of root canals after the use of the Glide Path brings numerous benefits, including better sliding of the instruments, reduction in the number of fractures and less intra-radicular complications. In addition, this initial preparation of the root canal using the Glide Path performs clearance, creating a clear “path” for the best glide of the instruments in the root canal. The instruments have characteristics and particularities that lead to the same objective of preparing the conduit for safe instrumentation, the Wave One Gold, R-Pilot and PathFile stand out here. It is a technique that has been disseminated and used in contemporary endodontics with the aim of performing an effective procedure. Through this bibliographical study, it is possible to consider that the use of the Glide Path favors the preparation of the root canal and proves to be effective and safe when used before instrumentation, thus, with the creation of a more favorable environment for instrumentation, the chances of success in endodontic treatment.

scholarly journals An Update on Root Canal Preparation Techniques and How to Avoid Procedural Errors in Endodontics

2021 ◽  
Vol 15 (1) ◽  
pp. 318-324
Author(s):  
Mohamed El-Kishawi ◽  
Khaled Khalaf
Keyword(s):  
Root Canal ◽  
Current Evidence ◽  
Hybrid Technique ◽  
Root Canal Preparation ◽  
Root Canals ◽  
Mesh Terms ◽  
Comprehensive Search ◽  
Hand Instrumentation ◽  
Preparation Techniques

Background: Effective root canal treatment involves cleaning and shaping root canals using a range of instrumentation procedures and techniques. The aim of this review was to provide an update on root canal hand instrumentation techniques and how to overcome iatrogenic errors. Methods: A comprehensive search was carried out using multiple databases, PubMed, Medline, Google scholar, and Scopus, to identify relevant studies addressing the objective of this study and to summarize the current evidence to readers. Keywords, i.e., endodontics, root canal preparation, hand instrumentation, techniques and procedural errors, as well as, MeSH terms, i.e. “endodontics”, “instrumentation”, “root canal preparation” were used to conduct our comprehensive search. Results: The hybrid technique is a commonly-used approach that combines the benefits of both the crown-down and step-back techniques and was reported to be one of the best techniques to produce an optimal root canal preparation outcome. Hand-instrument manipulation using the balanced forced technique is also favoured as it rapidly and safely permits removal of canal contents allowing irrigants and medications to reach deep inside canal spaces. Conclusion: The use of hand files is still recommended for initial canal negotiation and preparation and is essential for the correction of procedural errors. This study provided an update on several hand instrumentation techniques commonly used in endodontics. The correct and safe application of these techniques can prevent iatrogenic procedural errors from occurring which optimizes the quality of treatment outcome.

scholarly journals Fracture of endodontic instruments - Part 1: Literature review on factors that influence instrument breakage

2020 ◽  
Vol 75 (10) ◽  
pp. 553-563
Author(s):  
Maheshan Pillay ◽  
Martin Vorster ◽  
Peet J Van der Vyver
Keyword(s):  
Adverse Effect ◽  
Literature Review ◽  
Root Canal ◽  
Nickel Titanium ◽  
Endodontic Treatment ◽  
Risk Of Fracture ◽  
Periapical Lesions ◽  
Root Canals ◽  
Infected Root ◽  
Infected Root Canal

Instrument fracture is a serious complication during endodontic treatment of teeth, having an adverse effect on the outcome of the nickel titanium (NiTi) treatment, especially if the fracture prevents apical access to the infected root canal. Despite the advent of NiTi files, the risk of fracture during the endodontic preparation of root canals, especially in severely curved canals, remains a serious concern. The fracture of NiTi files during preparation may result in a compromised prognosis for the tooth. In the presence of periapical lesions, instrument fracture may reduce the chances of successful healing.

Endodontic instruments fracture in root canal: Integrative review

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Pâmela de Medeiros Dantas ◽  
◽  
Renata Correia Sotero Dália Torres ◽  
Robeci Alves Macedo Filho ◽  
Sandra Aparecida Marinho ◽  
...  
Keyword(s):  
Literature Review ◽  
Root Canal ◽  
Case Reports ◽  
Treatment Success ◽  
Endodontic Treatment ◽  
Root Canals ◽  
Dental Instruments ◽  
Specific Protocol ◽  
Rotary Instruments ◽  
Dental Anatomy

Introduction: Endodontic instruments fracture is related to several factors from internal dental anatomy and type, to operator inability and inexperience. Objective: To review case reports related to fracture of endodontic instruments inside the root canal. Methodology: A literature review was carried out using papers available in the PubMed and Lilacs databases. Only case reports were included, with no restriction on language and publication year Results: It was analyzed eight papers with 11 instrument fracture cases, with the highest prevalence (45.5%) of rotary instruments fracture, occurring mainly in middle-cervical and middle-apical root canals thirds. In 90.9% of cases, techniques used for removal showed successful results and in only one case (9.1%), the technique was unsuccessful and the instrument was kept inside the root canal. Final considerations: Endodontic instruments fracture is a complication can directly affect prognosis and endodontic treatment success. Several techniques and devices can be used to remove fractured fragments inside root canals, however, there is no specific protocol for their removal. Keywords: accidents; endodontics; fracture; dental instruments; prognosis.

scholarly journals The importance of apical patency and cleaning of the apical foramen on root canal preparation

2006 ◽  
Vol 17 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Ronaldo Araújo Souza
Keyword(s):  
Clinical Practice ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Theoretical Knowledge ◽  
Recent Discussion ◽  
Root Canal Preparation ◽  
The Real ◽  
Root Canal Instrumentation ◽  
Real Clinical Practice

The apical limit of root canal instrumentation has always been a matter of great controversy. Despite the large number of published studies on this subject, a consensus has not yet been reached. In fact, the recent discussion on apical patency and cleaning of the apical foramen, as well as the incorporation of these procedures to the endodontic treatment, seem to have raised even more polemics. It is likely that all this polemics has its roots in the lack of interrelation between the theoretical knowledge of pulp stump and periapical tissues and the real clinical practice. By addressing the most important aspects of this theme, this paper aims to present news concepts about the importance of apical patency and cleaning of the apical foramen during root canal preparation.

scholarly journals Endodontic treatment of the teeth with different root canal curvatures: Two case reports

2009 ◽  
Vol 56 (2) ◽  
pp. 91-96
Author(s):  
Katarina Beljic-Ivanovic ◽  
Nevenka Teodorovic ◽  
Dejan Ostojic
Keyword(s):  
Clinical Practice ◽  
Root Canal ◽  
Case Reports ◽  
Endodontic Treatment ◽  
X Rays ◽  
Root Canals ◽  
Root Canal Morphology ◽  
Instruments And Techniques ◽  
School Of Dentistry ◽  
The Right

Endodontic treatment of the teeth with severe root canal curvatures has become one of the greatest problems in clinical practice. Recently, new instruments and techniques have been introduced in the endodontic procedure. The aim of this study was, on the basis of clinical practice, to show the possibilities of the endodontic treatment in the teeth with severely curved root canals, after dependable decision about endodontic instruments and techniques. This article presents a complete endodontic procedure in two teeth with different curvature shape of the root canal in patients that were treated at the Department of Restorative Dentistry and Endodontics, School of Dentistry, Belgrade. Coronal to apical 'crown down' technique was used for the root canal preparation with hand NiTi ProTaper instruments with progressive multicone design. The main reasons for choosing manual technique were complexity, shape of presented curvatures and better tactile sensation control of canal instruments in order to avoid possible mistakes and complications. Clinical X-rays of the teeth with permanent obturation clearly showed that extremes of the root canal morphology could be successfully solved by the right choice of all factors during endodontic procedure.

scholarly journals Scope of Preparation of Oval and Long-Oval Root Canals: A Review of the Literature

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Christianne Velozo ◽  
Victor Felipe Farias Prado ◽  
Ismael Sebastião da Silva Sousa ◽  
Maria Beatriz Arruda Albuquerque ◽  
Luiza Montenegro ◽  
...  
Keyword(s):  
Literature Review ◽  
Root Canal ◽  
Three Dimensional ◽  
Endodontic Treatment ◽  
Micro Ct ◽  
Review Of The Literature ◽  
Root Canals ◽  
Reciprocating Instruments ◽  
Ct Studies

Successful endodontic treatment depends on cleaning and disinfecting the root canals, in order to provide conditions for three-dimensional filling, which should prevent root canal reinfection. However, anatomical complexities pose a challenge during endodontic treatment. The present study was a literature review carried out in the following databases: PubMed, SciELO, and MEDLINE, which were searched for articles published from 2017 to 2021. Micro-CT studies published in English, which analysed the capacity for preparation of oval and long-oval root canals, were included. The following keywords were used: “oval-shaped canals,” “long-oval-shaped canals,” “endodontics,” and “micro-CT.” The aim of this study was to carry out a literature review of micro-CT studies on the scope of the capacity for preparation performed in oval and long-oval root canals with rotary and reciprocating instruments.

scholarly journals Evaluation Grids for Endodontics Preclinical Practical Activities

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Jalila Dakkaki ◽  
Sofia Drouri ◽  
Sara Dhoum ◽  
Rachida Mayou ◽  
Mouna Jabri
Keyword(s):  
Clinical Practice ◽  
Root Canal ◽  
Dental Education ◽  
Manual Dexterity ◽  
Endodontic Treatment ◽  
Root Canal Preparation ◽  
Root Canal Filling ◽  
Methods Of Evaluation ◽  
Conservative Dentistry ◽  
Criterion Referenced

Preclinical practical activities (PPAs) are an important part of undergraduate dental education. They are a type of teaching based on practical learning. As a result, the Department of Conservative Dentistry of the Faculty of Dentistry of Casablanca provides endodontic activity sessions for third-year students; the objective is to develop the students’ manual dexterity and prepare them for clinical practice. During these sessions, students are required to perform the various stages of endodontic treatment from taking preoperative radiographs to root canal filling, including the creation of the access cavity and root canal preparation. At the end of the treatment, the act performed is evaluated in its entirety. This evaluation is very often considered to be the final activity of a teaching course, which makes it possible to assess the knowledge and practical aptitude of each student. This approach allows neither the teacher to objectively evaluate the acts performed nor the student to identify his/her difficulties. Concerned by the pitfalls of the methods of evaluation adopted during these activities, we thought about the development of criterion-referenced evaluation grids in order to remedy the subjectivity of the teacher’s assessment and to enable the student to improve his learning.

scholarly journals Restoration techniques of fractured endodontically treated teeth

2021 ◽  
Vol 8 (8) ◽  
pp. 4123
Author(s):  
Abdullah Fahad Al-Hussain ◽  
Mohammed Mesfer Alkhathami ◽  
Khalid Mabrouk Almesfer ◽  
Abdulrahman Madwas Mohammed ◽  
Abdullah Mansour AlRajeh ◽  
...  
Keyword(s):  
Stainless Steel ◽  
Clinical Practice ◽  
Literature Review ◽  
Root Canal ◽  
Resin Composite ◽  
Endodontic Treatment ◽  
Endodontically Treated Teeth ◽  
Main Text ◽  
Clinical Procedures ◽  
Restoration Techniques

This literature review aims to discuss and collect evidence about restoration techniques of fractured endodontically treated teeth. According to studies in the literature, root canal treatment and restoration of endodontically treated teeth have been reported as two separate clinical procedures although many aspects of both procedures are similar. Conducting restoration procedures following endodontic treatment has been reported to be so important as the first obturation of the root canal, and it has been reported with many advantages and favorable events, including eradication and minimizing the presence of bacteria and microorganisms, which might induce serious complications to the affected teeth. Additionally, the literature review discusses the technique of interim restorations, which has been reported to have favorable advantages and outcomes. However, it should be noted that the process is temporary and definitive restorations must be conducted later on. Also, this research investigates the different substances that should be used with the modality, and the different approaches that were previously reported to restore mature and immature affected teeth. Finally, evidence shows that amalgam-based restorations are becoming inferior to resin composite-based restorations which are also more superior to the stainless-steel crown-based ones. Unifying the guidelines for clinical practice is encouraged to obtain favorable outcomes. All the detailed techniques are presented and fully discussed within the main text of this research.

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