scholarly journals Obturation Techniques in Primary Teeth using Endoflas as Obturation Material – A Systematic Review

2020 ◽  
Vol 11 (4) ◽  
pp. 6727-6734
Author(s):  
Ahsana Asif ◽  
Subramanian E M G
Keyword(s):  
Systematic Review ◽  
Root Canal ◽  
Primary Teeth ◽  
Keyword Search ◽  
Clinical Success ◽  
Clinical Success Rate ◽  
Exclusion Criteria ◽  
Mesh Terms ◽  
Teeth Development ◽  
Altered Pathway

A pulpectomy is the treatment of choice for pulpally involved primary teeth. Pulp therapy prevents the premature loss of primary teeth which could result in loss of arch length, an altered pathway of the eruption of primary teeth, development of aberrant habits. It also restores the dentition to a functional state. Endoflas is a newer obturation material which has a proven clinical success rate. There are various obturation techniques available in the literature. The systematic review aimed to extract and systematically identify the existing literature, which compares different obturation techniques used in the root canal treatment of primary teeth using endoflas as obturation material. The search was done using the MeSH terms and keyword search in the electronic databases, including PubMed, Cochrane, LILAC, Sigle, Science Direct and Google scholar. A total of 13 articles were chosen after the initial screening of the title. Then based on the inclusion and exclusion criteria and the availability of the full texts, a total of 3 articles were included.  This systematic review concludes that there is a need to update the existing literature to find out the beat ideal obturation technique which can provide void-free and ideal obturation of the root canal of the primary teeth using Endoflas.

Ferric sulfate as pulpotomy agent in primary teeth: twenty month clinical follow-up

2000 ◽  
Vol 24 (4) ◽  
pp. 269-272 ◽  
Author(s):  
Hamijeta Ibricevic ◽  
Qumasha Al-Jame
Keyword(s):  
Success Rate ◽  
Primary Teeth ◽  
Root Resorption ◽  
Clinical Success ◽  
Clinical Success Rate ◽  
Ferric Sulfate ◽  
Primary Molar ◽  
Molar Teeth ◽  
The Moment

Seventy primary molar teeth, carious exposed, symptom free, without any sign of root resorption in children aged from 3 to 6 years (main age 4.3yr) were treated with conventional pulpotomy procedures. Ferric sulfate 15.5% solution (applied for 15 second for 35 teeth) and formocresol solution (five minute procedure of Buckley's formula for next 35 teeth) have been used as pulpotomy agents. In both groups, pulp stumps were covered with zinc-oxide eugenol paste. Permanent restorations were stainless steel crowns. Clinical check up was every three-months and radiographic follow-up time was six and twenty months after treatment. Our results within this period revealed 100% clinical success rate in both groups. Radiographic success rate was in both groups 97.2%, while in 2.8% cases has shown internal root resorption. On the basis of these results, we can recommend ferric sulfate as a pulpotomy agent in primary teeth in substitution for formocresol at the moment.

A Clinical Study of Formocresol Pulpotomy versus Root Canal Therapy of Vital Primary Incisors

2008 ◽  
Vol 32 (3) ◽  
pp. 211-214 ◽  
Author(s):  
Naser Asl Aminabadi ◽  
Ramin Mostofi Zadeh Farahani ◽  
Esrafil Balayi Gajan
Keyword(s):  
Root Canal ◽  
Root Resorption ◽  
Clinical Success ◽  
Clinical Success Rate ◽  
Clinical Indication ◽  
Radiographic Evaluation ◽  
Spontaneous Pain ◽  
Pathologic Finding ◽  
Root Canal Therapy ◽  
The Difference

Objectives: Pulpotomy of primary incisors is a serious challenge due to the lack of a distinct boundary between the coronal and the radicular pulp and the inaccuracy of the clinical indication criteria. The aim of the present study is the clinical and radiographic evaluation of pulpotomy versus root canal therapy(RCT) of vital primary incisors. Study design: A total of 100 incisors in 50 patients (female: 27, male: 23)aged 3-4 years were allocated to formocresol pulpotomy (45 teeth) and RCT (46 teeth) using zinc oxideeugenol. The radiographic and clinical evaluation of treatment outcomes was performed at 12 and 24 months post-operatively. A history of spontaneous pain, missing restorations, recurrent caries, mobility and percussion sensitivity, parulis or fistula, erythema, and swelling were recorded. Data analysis was performed based on two sample proportional test. Results: The clinical success rate was 86.9% for pulpotomy and 95.6% for RCT (P>0.05). The radiographic assessment exhibited no pathologic signs in 76.08% of pulpotomy group and 91.3% of RCT group and the difference was statistically significant (P<0.05). The most common pathologic finding was periodontal widening followed by external/internal root resorption. Periapical radiolucency and fistula in pulpotomized teeth was significantly higher than in RCT-treated teeth(P<0.05) Conclusions: It may be concluded that the root canal therapy of vital primary incisors may be efficiently substituted for the pulpotomy of these teeth.

scholarly journals Prevalence of root canal system configurations in the brazilian population analyzed by cone-beam computed tomography – a systematic review

2021 ◽  
Vol 62 (2) ◽  
Author(s):  
Emmanuel Silva ◽  
◽  
Marina Prado ◽  
Marco Duarte ◽  
Marco Versiani ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Systematic Review ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Cone Beam ◽  
Free Text ◽  
Prevalence Studies ◽  
Root Canals ◽  
Mesh Terms ◽  
Wide Range

Objectives: This study performed a systematic review of anatomy prevalence studies using cone-beam computed tomography to comprehend the root and root canal configuration types in Brazilian sub-populations. Methods: This systematic review followed PRISMA’s statements. Four electronic databases (PubMed, ScienceDirect, Lilacs, and Cochrane Collaboration) were accessed using MeSH terms and free-text keywords. The studies were selected according to predefined criteria. References of the collected studies, three peer-reviewed endodontic journals, and two peer-reviewed evidence-based dentistry journals were hand searched. The authors were contacted for additional information, if necessary. Eligible studies were submitted to a scientific merit assessment by two evaluators independently, who reached a final consensus for each study score using the Joanna Briggs Institute Critical Appraisal tool for prevalence studies. Results: A total of 2266 studies were identified. After analysis, 20 full-text articles were accessed for eligibility and 17 were included for qualitative synthesis. A high prevalence of mandibular incisors presenting two root canals was noted (~35.0% – 40.0). Moreover, a high proportion of two-rooted (17.0% – 28.4%) and two root canals (50.1% – 75.0%) morphologies were identified in maxillary second premolars. A wide range and a high percentage of a second mesiobuccal canal were detected for both maxillary first (37.1% – 88.5%) and second molars (21.8% – 83.4%). A second root canal prevalence ranging from 12.4% to 23.4% was observed in the distal root of mandibular first molars. Conclusions: In conclusion, different Brazilian sub-populations may present divergent characteristics regarding the root and root canal configurations. Clinicians should be aware of these variations for proper planning of endodontic treatment.

Efficacy and safety of over-the-scope clips for gastrointestinal bleeding: a systematic review and meta-analysis

Endoscopy ◽  
2019 ◽  
Vol 51 (10) ◽  
pp. 941-949 ◽  
Author(s):  
Viveksandeep Thoguluva Chandrasekar ◽  
Madhav Desai ◽  
Muhammad Aziz ◽  
Harsh K. Patel ◽  
Venkata Subhash Gorrepati ◽  
...  
Keyword(s):  
Systematic Review ◽  
Large Scale ◽  
Clinical Success ◽  
Meta Analysis ◽  
Clinical Success Rate ◽  
Line Treatment ◽  
Gi Bleeding ◽  
Technical Success ◽  
Primary Hemostasis

Background The over-the-scope clip (OTSC) has been increasingly utilized for the management of gastrointestinal (GI) bleeding. Limited efficacy data are currently available from large-scale studies. Methods An electronic database search was conducted for eligible articles using OTSCs for hemostasis in GI bleeding. The primary outcome was the rate of definitive hemostasis after primary hemostasis and without rebleeding at follow-up. Secondary outcomes were: primary technical success, primary clinical success, rebleeding, and failure rates. Pooled rates were expressed as proportions of patients with events over total patients, 95 % confidence limits (CI) with heterogeneity, and P values of < 0.05 for significance. Results A total of 21 studies (n = 851) were analyzed (62.2 % males), with a median patient age of 69.7 years. The definitive hemostasis rate was 87.8 % (95 %CI 83.7 % – 92 %) after a median follow-up of 56 days. The OTSC was successfully deployed in 97.8 % of patients (95 %CI 96.7 % – 98.9 %) and the primary clinical success rate was 96.6 % (95 %CI 95.1 % – 98.2 %). Rebleeding was seen in 10.3 % of patients (95 %CI 6.5 % – 14.1 %). The failure rate of OTSCs was 9 % (95 %CI 5.2 % – 12.8 %) when used as first-line treatment and 26 % (95 %CI 16.1 % – 36.0 %) when used as second-line treatment. Conclusion This systematic review showed high rates of definitive hemostasis, technical success, and clinical success, along with low rebleeding rates when OTSCs were used for the treatment of GI bleeding. The lack of randomized controlled trials of OTSC vs. other therapies makes comparison with conventional treatment difficult.

Comparative Evaluation of Formocresol and Mineral Trioxide Aggregate in Pulpotomized Primary Molars - 2 Year Follow Up

2012 ◽  
Vol 37 (2) ◽  
pp. 143-147 ◽  
Author(s):  
P Airen ◽  
A Shigli ◽  
B Airen
Keyword(s):  
Comparative Evaluation ◽  
Primary Teeth ◽  
Clinical Success ◽  
Mineral Trioxide Aggregate ◽  
Clinical Success Rate ◽  
Primary Molars ◽  
Second Primary ◽  
Pulp Chamber ◽  
Aggre Gate

Aim: The aim of the present study was to clinically and radiographically evaluate Mineral Trioxide Aggre-gate (MTA) as an agent for pulpotomy in primary teeth and to compare it with that of Formocresol (FC) pulpotomy. Method: Seventy first and second primary mandibular molars of children were chosen on patients who required minimum two pulpotomies in either arch or same arch. After the standardized technique of Pulpotomy with MTA and Formocresol, all molars were treated with a thick mix of Zinc oxide Eugenol cement into the coronal pulp chamber followed by preformed stainless steel crown. The children were followed up for clinical and radio graphical examination after 6,12 and 24 month for Pain, Swelling, Sinus/ fistula, Periapical changes, Furcation radiolucency and internal resorption. Results: MTA represents 97% clinical success rate in comparison to Formocresol with 85% success. Radiographically also MTA showed more promising results with 88.6% success in comparison to Formocresol with 54.3%. Conclusions: Thus, MTA pulpotomy has emerged as an easier line of treatment to save the premature loss of primary teeth due to caries or trauma.

scholarly journals The Role of Angioembolization In the Management of Blunt Renal Injuries: A Systematic Review

2021 ◽  
Author(s):  
Giovanni Liguori ◽  
Giacomo Rebez ◽  
Andrea Salonia
Keyword(s):  
Systematic Review ◽  
Success Rate ◽  
Clinical Success ◽  
Clinical Success Rate ◽  
Operative Management ◽  
Low Grade ◽  
High Grade ◽  
Contrast Extravasation ◽  
Renal Injuries

Abstract Background Non-operative management is established for low-grade (I-III) blunt renal injuries but it is getting increasingly popular even in high grade BRI thanks to angioembolization of active bleedings. To date a systematic review to assess the role of Angioembolization (RAE) in Blunt Renal Injuries (BRI) is not yet present in the literature. Methods a literature search was performed, 169 unilateral BRI were included; 124 high grade BRI (92 grade IV and 32 grade V renal injuries, respectively). Most common indication was hemodynamically stable patients with BRI grades II to IV and active contrast extravasation. Results Overall, the clinical success rate of RAE was 90% (range 73% − 100%). The rate of re-do embolization was 4.5% gaining a 100% success rate with a second attempt. Some authors reported successful RAE even in patients with grade V BRI, without major abdominal organ injuries and no pelvic fractures. RAE was performed also as adjunctive therapy prior to surgery. Most used agent was micro coils. Nephrectomy rate was 5.8%, mortality rate was 3.2%. Conclusions A multidisciplinary approach between interventional radiology and urology should be pursued to make every effort to perform endovascular therapy unless there are multiple visceral injuries or renal pedicle avulsion or expanding retroperitoneal hematoma necessitating surgery.

scholarly journals Evaluation of the clinical efficiency of rotary and manual files for root canal instrumentation in primary teeth pulpectomies: A comparative randomized clinical trial

2021 ◽  
pp. 21-34
Author(s):  
KL Girish Babu ◽  
◽  
Guraj Hebbar Kavyashree ◽  
Keyword(s):  
Root Canal ◽  
Clinical Success ◽  
File Systems ◽  
Clinical Success Rate ◽  
Mean Difference ◽  
Primary Molars ◽  
Success Rates ◽  
Primary Molar ◽  
The Mean

Aim: To evaluate and compare the instrumentation time, obturation time, quality of obturation, and clinical and radiological success of pulpectomized teethfollowing root canal preparation of primary molars with rotary and manual file system. Methods: A total of 150 primary molars requiring pulpectomy were selected from children aged four to seven years. These teeth were divided into three groups of 50 teeth each. In Groups 1, 2, and 3, cleaning and shaping were carried out with Kedo-S pediatric rotaryfiles, HERO Shaper rotary files, and manual NiTi K-files, respectively. Obturation was carried out with zinc oxide eugenol cement and an engine-driven Lentulo spiral. The instrumentation and obturation times were recorded. A radiographic assessment of thequality of the root filling was carried out immediately after obturation. Finally, the pulpectomized teeth were clinically and radiographically evaluated over a two-year period. Results: The mean instrumentation times for Groups 1, 2, and 3 were 14.56 ± 2.89 min, 17.93 ± 3.51 min, and 29.00 ± 2.08 min, respectively. The mean obturation times for Groups 1, 2, and 3 were 8.11 ± 1.7 min, 7.93 ± 1.3 min, and 9.64 ± 17.61 min, respectively. The mean difference in the quality of obturation was not statistically significant in primary molars instrumented with Kedo-S pediatricand HERO Shaper rotary file systems (p = 0.16). However, this mean difference was significant when compared between primary molar instrumented with rotary file systems and manual NiTi files (p = <0.001). At two years, the clinical success rate was 100% and the radiological success rates were 95.3%, 97.9%, and 89.5% in Groups 1, 2, and 3, respectively. Conclusions: The rotary file systems took significantly less instrumentation and obturation time than the manual NiTi files. There were no significant differences in obturation quality or success rates after two years.

scholarly journals Can onlay's be an alternative restoration for severely damaged primary teeth

2017 ◽  
Vol 11 (01) ◽  
pp. 048-052 ◽  
Author(s):  
Begum Gok Coban ◽  
Zuhal Kirzioglu ◽  
Ayse Ceren Altun
Keyword(s):  
Primary Teeth ◽  
Composite Resin ◽  
Clinical Success ◽  
Clinical Success Rate ◽  
Primary Molars ◽  
Original Form ◽  
Study Results ◽  
Usphs Criteria ◽  
Indirect Technique

ABSTRACT Objective: The aim of this study was to evaluate indirect compomer and composite resin onlay restorations of severely damaged primary molars in vivo. Materials and Methods: At the study, 48 restorations, in seven girls and ten boys totally 17 patients aged 4–8, was evaluated clinically with using USPHS criteria for 15 months. Results: The study results revealed that the clinical success rate of compomer and composite onlay restorations was 79% and 96%, respectively. No significant differences were found statistically between the materials. Conclusions: In the children severely damaged primary molars, onlays are usually worked with an indirect technique in clinics. One of the advantages of indirect technique is being most similar to its original form morphologically.

scholarly journals Clinical outcomes of over-the-scope-clip system for the treatment of acute upper non-variceal gastrointestinal bleeding: a systematic review and meta-analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Chunyu Zhong ◽  
Shali Tan ◽  
Yutang Ren ◽  
Muhan Lü ◽  
Yan Peng ◽  
...  
Keyword(s):  
Systematic Review ◽  
Gastrointestinal Bleeding ◽  
Clinical Success ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Gi Bleeding ◽  
Exclusion Criteria ◽  
Over The Scope Clip ◽  
Otsc System ◽  
Upper Gastrointestinal

Abstract Background Conventional endoscopic treatments can’t control bleeding in as many as 20% of patients with non-variceal gastrointestinal (GI) bleeding. Recent studies have shown that over-the-scope-clip (OTSC) system allowed for effective hemostasis for refractory GI bleeding lesions. So we aimed to conduct a systematic review to evaluate the effectiveness and safety of the OTSC system for management of acute non-variceal upper GI bleeding. Method A comprehensive literature search was conducted on PubMed, EMBASE, and Cochrane Library covering the period from January 2007 to May 2019. The literature was selected independently by two reviewers according to the inclusion and exclusion criteria. The statistical analysis was carried out using Comprehensive Meta-Analysis software version 3.0. Results A total of 16 studies including 769 patients with 778 GI bleeding lesions were identified. Pooled technical success was achieved in 761 lesions [95.7%; 95% confidence interval (CI), 93.5–97.2%], and the pooled clinical success was achieved in 666 lesions (84.2, 95% CI, 77.4–89.2%). The incidence of re-bleeding was reported in 81 patients and the post-procedure mortality was 10.9% (n = 84). Only 2 (0.3%) patients occurred complications after OTSC system procedure. Conclusions Our study demonstrated that the OTSC system was a technically feasible modality and highly efficacious in achieving hemostasis in acute non-variceal upper gastrointestinal bleeding.

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