pulp chamber
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2022 ◽  
Author(s):  
Taiji Nagahashi ◽  
Yoshio Yahata ◽  
Keisuke Handa ◽  
Masato Nakano ◽  
Shigeto Suzuki ◽  
...  

Abstract Background We investigated the biofilm removal effects of LAI using a pig model, focusing on the impact of the fiber tip position, and used a high-speed camera to observe the occurrence and positioning of the cavitation associated with laser irradiation. Methods A total of 16 roots of deciduous mandibular second premolars from 4 pigs were used. After a pulpectomy, the canals were left open for two weeks and sealed for 4 weeks to induce intraradicular biofilm. Then, root canal irrigation was performed with Er:YAG laser activation. The fiber tip was inserted at two different positions, i.e., into the root canal in the intracanal LAI group and into the pulp chamber in the coronal LAI group. Intracanal needle irrigation with saline or 5% NaOCl was utilized in the positive control and CNI groups. SEM and qPCR were carried out to evaluate treatment efficacy. For qPCR, ANOVA and a Tukey-Kramer post hoc test were performed with α = 0.05. A high-speed camera was used to observe the generation of cavitation bubbles and the movement of the induced bubbles after laser irradiation. Results The intracanal and coronal LAI groups showed significantly lower amounts of bacteria than either the positive control or CNI groups. There was no significant difference found between the intracanal and coronal LAI groups. SEM images revealed opened dentinal tubules with the destruction of biofilm in both LAI groups. High-speed camera images demonstrated cavitation bubble production inside the root canal after a single pulse irradiation pulse. The generated bubbles moved throughout the entire internal multi-rooted tooth space. Conclusions Coronal LAI can generate cavitation in the root canal with a simply placed fiber inside the pulp chamber, leading to effective biofilm removal. This method could thus contribute to the future development of endodontic treatments for refractory apical periodontitis caused by intraradicular biofilm.


2021 ◽  
Author(s):  
Taiji Nagahashi ◽  
Yoshio Yahata ◽  
Keisuke Handa ◽  
Masato Nakano ◽  
Shigeto Suzuki ◽  
...  

Abstract BackgroundWe investigated the biofilm removal effects of LAI using a pig model, focusing on the impact of the fiber tip position, and used a high-speed camera to observe the occurrence and positioning of the cavitation associated with laser irradiation.MethodsA total of 16 roots of deciduous mandibular second premolars from 4 pigs were used. After a pulpectomy, the canals were left open for two weeks and sealed for 4 weeks to induce intraradicular biofilm. Then, root canal irrigation was performed with Er:YAG laser activation. The fiber tip was inserted at two different positions, i.e., into the root canal in the intracanal LAI group and into the pulp chamber in the coronal LAI group. Intracanal needle irrigation with saline or 5% NaOCl was utilized in the positive control and CNI groups. SEM and qPCR were carried out to evaluate treatment efficacy. For qPCR, ANOVA and a Tukey-Kramer post hoc test were performed with α=0.05. A high-speed camera was used to observe the generation of cavitation bubbles and the movement of the induced bubbles after laser irradiation.ResultsThe intracanal and coronal LAI groups showed significantly lower amounts of bacteria than either the positive control or CNI groups. There was no significant difference found between the intracanal and coronal LAI groups. SEM images revealed opened dentinal tubules with the destruction of biofilm in both LAI groups. High-speed camera images demonstrated cavitation bubble production inside the root canal after a single pulse irradiation pulse. The generated bubbles moved throughout the entire internal multi-rooted tooth space.ConclusionsCoronal LAI can generate cavitation in the root canal with a simply placed fiber inside the pulp chamber, leading to effective biofilm removal. This method could thus contribute to the future development of endodontic treatments for refractory apical periodontitis caused by intraradicular biofilm.


Author(s):  
Qingzhen Meng ◽  
Yuejiao Zhang ◽  
Danlu Chi ◽  
Qimei Gong ◽  
Zhongchun Tong

AbstractA thin endocrown restoration was often applied in endodontically treated teeth with vertical bite height loss or inadequate clinical crown length. A model of mandibular molars made by endocrown restoration with 1 mm thickness and 2 mm depth of pulp chamber was constructed and imported into FEA ANSYS v18.0 software. The three CAD/CAM materials, feldspathic (Mark2), lithium disilicate (EMAX), and lava ultimate (LU), were assigned, and the five load indenters were loaded on the full occlusal (FO), occlusal center (OC), central fossa (CF), buccal groove (BG), and mesiobuccal cusp (MC) of restoration in the model. The MinPS and MaxPS of the thin endocrown were significantly higher than those of tooth tissue in five types of loads except for the LU endocrown loaded in the FO group. The smaller the contact surface of the load was, the higher MaxPS and MinPS were. MaxPS and MinPS of the MC were the highest, followed by the BG and CF in the restoration. In the stress distribution of tooth tissue, MaxPS in the LU endocrown accumulated at the external edge of enamel and was significantly higher than MaxPS in Mark2 and EMAX endocrown concentrated on the chamber wall of dentin under OC, CF and BG loads. Within the limitations of this FEA study, the LU endocrown transferred more stress to tooth tissue than Mark2 and EMAX, and the maximum principal stress on endocrown restoration and tooth tissue at the mesiobuccal cusp load was higher than that at the central fossa and buccal groove load.


2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Kirsten Proost ◽  
Matthieu N. Boone ◽  
Ivàn Josipovic ◽  
Bart Pardon ◽  
Koen Chiers ◽  
...  

Abstract Background Despite dental disease being a common health concern in alpacas, important dental pathology including apical infection, remains poorly understood. Treatment options are limited compared to veterinary dentistry techniques in other species. The primary goal of this study was to increase understanding of the external and internal anatomy of mandibular cheek teeth to enable the development of tooth sparing techniques in this species. Also, an objective evaluation of the sub-occlusal dentinal thickness in normal mandibular cheek teeth is warranted to understand the risks associated with reduction of overgrown teeth. Results Overall pulp anatomy was variably characterized by the presence of a common pulp chamber in younger teeth, and segmentation of pulp cavities into multiple separate pulp entities within the same tooth with increasing age. A common pulp chamber was identified in 55.3% (26/47) of teeth with a mean dental age of 1 year and 11 months (± 1 year and 8 months). Columnar segmentation was recorded in the remaining teeth with a mean dental age of 6 years and 5 months (± 3 years and 11 months). Age of segmentation of the common pulp chamber into multiple separate pulp entities shows wide variation and is dependent of the specific Triadan position. The present study illustrates the presence of disto-mesial root contacts between adjacent tooth roots, often leading to morphological adaptations, most frequently observed between Triadan 09–10s (80%) and 10–11s (67%). The measured sub-occlusal dentinal thickness was as low as 1.11 mm over some pulp horns. The sub-occlusal dentinal thickness was lower than 2, 3, and 4 mm in 13.1, 38.1 and 61.4% of performed measurements, respectively. Conclusion This study provides detailed information on age-dependent mandibular cheek teeth anatomy in alpacas, which may support the use and development of advanced dental treatments in this species such as endodontics and tooth sectioning techniques. Apical morphological adaptations caused by disto-mesial root contact between adjacent mandibular cheek teeth are clearly illustrated. The limited amount of sub-occlusal secondary dentin warrants a cautious approach with regards to dental floating in alpacas.


2021 ◽  
Author(s):  
Mirella Francis Vilca Velazco ◽  
Lenny Lavado García ◽  
Gilmer Torres Ramos ◽  
Roxana Patricia López Ramos

2021 ◽  
Vol 24 (4) ◽  
Author(s):  
Ayman Sabbah ◽  
Mostafa Kamel

Objective: This study aimed to assess the fracture resistance of primary molars restored with endocrowns compared to prefabricated zirconia crowns. Methods: Twelve sound, defect-free primary second molars were selected and divided into two groups: group I included 6 molars restored with zirconia crowns, while group II included 6 teeth restored with endocrowns. For both groups access cavity was prepared for the teeth to open pulp chamber. Fracture resistance of both groups was tested using a universal testing machine. Results: Zirconia crown showed statistically significantly higher mean fracture resistance than Endocrown (P-value = 0.001, Effect size = 2.72). Conclusion: Pulpotomized primary molars restored with Zirconia crowns showed significantly higher mean fracture resistance compared to primary molars restored with endocrowns, meanwhile both restorations have shown higher mean fracture resistance than the maximum biting force in children. Keywords  Composite resins; Endocrown; Fracture strength; Zirconia crowns.


2021 ◽  
Vol 10 (1) ◽  
pp. 55-59
Author(s):  
Ranjan Thapaliya ◽  
Reema Joshi ◽  
Asha Thapa ◽  
Reetu Shrestha

Dens invaginatus is a developmental malformation of teeth with the enfolding of enamel and dentin into the pulp chamber and sometimes into the root that most commonly affects the maxillary lateral incisors. This anomaly may increase the risk of pulpal disease and can potentially complicate treatment due to its aberrant anatomy, thus posing a diagnostic challenge. Similarly, the incomplete elimination of the invagination and debridement may create dead space within the canal leading to the failures. This case reports the endodontic management of the Oehler’s type II Dens invaginatus.


2021 ◽  
Vol 32 (5) ◽  
pp. 87-95
Author(s):  
Marcio Alex Barros Gomes ◽  
Igor Firmino Pereira Leão ◽  
Laís Rani Sales Oliveira ◽  
Renata Afonso da Silva Pereira ◽  
Priscilla Barbosa Ferreira Soares ◽  
...  

Abstract This study evaluated the effect of the use of glass ionomer cement (GIC) and flowable bulk-fill resin composite (BFRC) for filling pulp chambers and the type of high-speed handpiece light used on dentin removal during access preparation for endodontic retreatment in molar teeth. Twenty maxillary molars were treated endodontically. BFRC (Opus Bulk Fill Flow APS, FGM) was used to fill the pulp chamber and replace coronal dentin (n = 10). In the remaining teeth, the pulp chamber was filled with GIC (Maxion R, FGM). Conventional resin composite (Opallis, FGM) was used to restore the enamel layer in all teeth. The samples in each group were divided into two subgroups, and the root canals were reaccessed using a handpiece with white or ultraviolet light. The teeth were scanned using micro-CT before and after root canal reaccess. The dentin volume removed was calculated and analyzed using 2-way analysis of variance and Tukey’s test (α = 0.05). The crown and pulp chamber locations with dentin removal are described using frequency distribution. During the access, fewer pulp chamber walls were affected and a lower volume of dentin was removed from the pulpal floor in the group restored with GIC than in the group restored with BFRC. No effect was observed on the coronal dentin walls with respect to the filling protocols and type of light used. For dentin removal from the pulp chamber, handpieces with white light performed better than those with ultraviolet light, irrespective of the filling protocol used. The use of GIC to fill the pulp chamber and use of white handpiece light reduced dentin removal from the pulpal floor and resulted in fewer affected dentin walls.


2021 ◽  
Vol 5 (2) ◽  
pp. 66
Author(s):  
Ari Rosita Irmawati ◽  
Ayulistya Paramita Sutarto

Objectives: Tetralogy of Fallot (ToF) is a congenital heart defect that is often found in children. Complication that can occur is infective endocarditis caused by bacteria that are often found in the oral cavity. Children with ToF are in a high risk of caries, especially in primary dentition. Preparation of the oral cavity must be done before the cardiac surgery. A proper examination and diagnosis of caries is required in determining the dental treatment to reduce the risk of infective endocarditis. Case Report: A boy aged 4 years, weighing 20 kg came to the pediatric dentistry clinic in Surabaya on a referral from Kediri. The patient had ToF with high caries index and will undergo cardiac corrective surgery. Through a brief anamnesis, it was found that this patient's fingernails and lips easily turn blue (cyanosis) if the patient is in an anxious condition. The panoramic photo shows teeth 51, 52, 54, 61, 62, 74, 84 showing radiolucent images from the enamel to the pulp chamber. Conclusion: Prophylactic antibiotics should be given to ToF patients before procedures involving the gingiva and pulp. Radiographs are needed to help establish the diagnosis and plan treatment. Proper oral and dental care must be taken to prevent the occurrence of infective endocarditis. Errors in determining the diagnosis can lead to errors in the treatment plan and increase the risk of infective endocarditis.


2021 ◽  
Vol 5 (2) ◽  
pp. 48
Author(s):  
Otty Ratna Wahyuni ◽  
Deny Saputra ◽  
Nastiti Faradilla Ramadhani ◽  
Dennaya Listya Dias

Objectives: The principle of measurement using the TCI (Tooth Coronal Index) method is to compare the pulp chamber height with a person's chronological age based on the formation of secondary dentin. The purpose of this study is to estimate age based on pulp chamber height in lower canines using periapical radiographs with TCI measurement. Materials and Methods: This study is an observational analytic study using 42 samples of periapical radiographs with the parallel technique of the lower canines. Samples were measured for CH and CPCH heights to determine TCI values and then linear regression was made to determine their biological age. Finally, the difference between biological and chronological age is calculated to determine the approximate age. Results: The mean difference between chronological age and biological age was ± 5.05 years and an average biological age of 29.38 years. Conclusion: TCI method based on pulp chamber height in lower canines using periapical radiographs can be used to estimate age with the difference between chronological age and biological age of ±5.05 years.


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