WorldWideScience

Sample records for actinomicosis periapical radicular

  1. Actinomicosis periapical con resistencia a las penicilinas

    OpenAIRE

    Jotko, C. A.; Iantosca, A. E.; Pólvora, B.; Gagliardi, R. V.; Serrano, V. C.; M. Cattaneo; Solari, E.; Pertino, M. R.; Mele, S.; Giménez, G. L.; Degaetano, S.; Ameri, C.; M. Spina

    2015-01-01

    La actinomicosis es una enfermedad comúnmente causada por el Actinomyces israelii, bacteria anaeróbica grampositiva habitante normal de la cavidad bucal. La infección aparece generalmente después de un trauma, cirugía o una infección previa aunque extracciones dentarias, cirugía periodontales e infecciones orales predisponen al desarrollo de esta enfermedad. El tratamiento habitual es la eliminación de la causa acompañado de antibioticoterapia con penicilinas.

  2. Tratamiento endodóncico de una lesión periapical causante de separación radicular

    OpenAIRE

    1990-01-01

    Se presenta un caso de lesión periapical de tamaño considerable que produjo una separación manifiesta de las raíces de dos incisivos inferiores. Se practicó un tratamiento de conductos radiculares, con sobreobturación de hidróxido de calcio. El control clínico y radiográfico a los dos años muestra una reparación total del periápice.

  3. Enucleación de quiste periapical simultáneo a la obturación del sistema de conductos radiculares

    Directory of Open Access Journals (Sweden)

    Lida Velazque

    Full Text Available Introducción: los quistes periapicales representan el tipo más frecuente dentro de los quistes odontogénicos. Su origen está relacionado con una necrosis pulpar y un consecuente estímulo de los restos epiteliales del ligamento periodontal (Malassez. Objetivo: describir un caso clínico de enucleación de quiste periapical simultáneo a la obturación del sistema de conductos radiculares. Presentación del caso: paciente de sexo femenino, 67 años de edad, sin alteraciones sistémicas; buscó atención odontológica por presentar dolor dental y acúmulo de alimentos en la región de molares inferiores del lado izquierdo. Al examen clínico se observó caries extensa en el segundo molar inferior izquierdo con compromiso de furca, ausencia de aumento de volumen vestibular, sin fistula; en la radiografía periapical se evidenció lesión cariosa extensa recidivante en el segundo molar inferior izquierdo, y primer molar inferior izquierdo con tratamiento endodóntico y presencia de área radiolúcida de contornos bien definidos en la región periapical compatible con quiste periapical. El tratamiento estuvo a cargo de un equipo multidisciplinario por lo que se decidió realizar exodoncia del segundo molar inferior izquierdo y cirugía paraendodóntica con enucleación quirúrgica simultánea a la obturación del sistema de conductos radiculares primer molar inferior izquierdo; el examen histopatológico de la muestra extraída comprobó tratarse de un quiste periapical. Se realizó seguimiento radiográfico dos años después y mostró un completo reparo óseo del área afectada. Conclusiones: se concluye que el tratamiento descrito constituye una alternativa válida para la resolución de casos donde la endodoncia convencional es limitada para mantener la función y estética de una pieza dentaria.

  4. Quantification and Localization of Mast Cells in Periapical Lesions

    African Journals Online (AJOL)

    of the potential range of mast cell function and interactions in ... possible role played by mast cells in the periapical granuloma and radicular cyst. Hence, this study is to ... and processed by Statistical Package for Social Sciences,. Windows 7 ...

  5. Quantification and Localization of Mast Cells in Periapical Lesions

    Science.gov (United States)

    Mahita, VN; Manjunatha, BS; Shah, R; Astekar, M; Purohit, S; Kovvuru, S

    2015-01-01

    Background: Periapical lesions occur in response to chronic irritation in periapical tissue, generally resulting from an infected root canal. Specific etiological agents of induction, participating cell population and growth factors associated with maintenance and resolution of periapical lesions are incompletely understood. Among the cells found in periapical lesions, mast cells have been implicated in the inflammatory mechanism. Aim: Quantifications and the possible role played by mast cells in the periapical granuloma and radicular cyst. Hence, this study is to emphasize the presence (localization) and quantification of mast cells in periapical granuloma and radicular cyst. Materials and Methods: A total of 30 cases and out of which 15 of periapical granuloma and 15 radicular cyst, each along with the case details from the previously diagnosed cases in the department of oral pathology were selected for the study. The gender distribution showed male 8 (53.3%) and females 7 (46.7%) in periapical granuloma cases and male 10 (66.7%) and females 5 (33.3%) in radicular cyst cases. The statistical analysis used was unpaired t-test. Results: Mean mast cell count in periapical granuloma subepithelial and deeper connective tissue, was 12.40 (0.99%) and 7.13 (0.83%), respectively. The mean mast cell counts in subepithelial and deeper connective tissue of radicular cyst were 17.64 (1.59%) and 12.06 (1.33%) respectively, which was statistically significant. No statistical significant difference was noted among males and females. Conclusion: Mast cells were more in number in radicular cyst. Based on the concept that mast cells play a critical role in the induction of inflammation, it is logical to use therapeutic agents to alter mast cell function and secretion, to thwart inflammation at its earliest phases. These findings may suggest the possible role of mast cells in the pathogenesis of periapical lesions. PMID:25861530

  6. Remanente de la obturación endodóntica en dientes restaurados con retenedor Intra-radicular y su relación con la condición periapical post-tratamiento

    Directory of Open Access Journals (Sweden)

    Cristian David Gil García

    2016-07-01

    Full Text Available No hay evidencia clínica para afirmar que 4-5mm es la longitud aceptada del remanente de obturación endodóntica en dientes restaurados con retenedor intraradicular (RI. Objetivo: Estimar la relación entre el remanente del material de obturación endodóntica en dientes restaurados con RI y la condición periapical post-tratamiento bajo observación en imágenes tomográficas (CBCT. Métodos: Estudio observacional, descriptivo y de corte transversal. Se incluyen dientes permanentes, con obturación endodóntica óptima y restaurados con RI observados en periodos 1año. Se excluyen raíces con espacio visible entre el retenedor y el material obturador. Dos observadores entrenados clasificaron la variable dependiente: condición periapical en normalidad o en enfermedad. Para la variable explicativa se realizaron mediciones continuas del remanente. Análisis estadístico: Una Prueba-F, significativa al 5%, determinó la variabilidad inter-examinador. Se realizó un análisis en Componentes Principales (ACP para promediar mediciones del remanente de obturación. Un Modelo de Regresión Logística (MRL, con 95% confianza (IC, estimó la relación entre el remanente y el resultado del tratamiento. Resultados: 103 raíces, de 68 pacientes, conformaron la muestra. La Prueba-F no registró diferencias significativas inter-examinador al cuantificar la variable explicativa, (Vp-Coronal=0,767; Vp-Sagital=0,483; Vp-Axial=0,623 y la dependiente (Vp=0,487. Un MRL determinó la no asociación entre la longitud del remanente de obturación y la condición periapical post-tratamiento (OR=0.69, IC95%; 0.244-2.33, P=0.126. En el Corte sagital oblicuo se observó, al 10% de significancia, una relación inversamente proporcional por cada unidad de aumento en la longitud del remanente y la probabilidad de fracasar disminuye en 17.6% (OR=0.36, IC95%; 0.009-13.254, P=0.61. Conclusión: No existe relación entre la longitud del remanente y la condición periapical

  7. Actinomicosis primaria de pared abdominal simuladora de sarcoma de partes blandas

    Directory of Open Access Journals (Sweden)

    A. Acosta-Arencibia

    2014-03-01

    Full Text Available La actinomicosis es una patología poco frecuente y su manifestación en la pared abdominal es más infrecuente aún. Está causada por Actinomyces israeli, una bacteria filamentosa, anaerobia estricta, gram positiva, que es comensal en el organismo y que en su forma patógena produce fibrosis, tejido de granulación y abscesos. La forma más frecuente es la cérvico-facial. Presentamos un caso de actinomicosis de pared abdominal diagnosticado postoperatoriamente, con sospecha prequirúrgica de proceso tumoral, por lo que queremos hacer especial mención acerca de la importancia del diagnóstico diferencial de actinomicetoma ante la presencia de una masa abdominal.

  8. La cirugía periapical de los molares

    OpenAIRE

    Gay Escoda,Cosme; Paredes García, Jordi; Berini Aytés, Leonardo

    1993-01-01

    Se han estudiado 65 pacientes sometidos a intervención quirúrgica periapical en 72 molares ( 120 raíces y 155 conductos radiculares). Se analizó una serie de características preoperatorias (edad, antecedentes patológicos, patologías asociadas, distribución de dientes afectados, tamaño de la lesión periapical, tipo de endodoncia ortógrafa y calidad radiológica de la endodoncia previa), peroperatorias (tipo de incisión, existencia de comunicación oroantral, afectación cortical, tamaño de la res...

  9. Actinomicosis Orofaríngea, una Presentación Cervicofacial

    Directory of Open Access Journals (Sweden)

    Boris A. Blanco Cáceres

    2010-06-01

    Full Text Available La Actinomicosis es una enfermedad producida por Actinomyces Israelii y Proprinibacterium, afecta con mayor frecuencia a hombres adultos y puede adoptar diversas formas: cervicofacial, torácica, abdominal y pélvica. La afectación cervicofacial puede cursar como una leve tumoración, como un absceso o como una masa, pero no siempre se diagnostica con facilidad, y de hecho, con frecuencia es confundida con neoplasias o enfermedades granulomatosas. El diagnóstico se obtiene a partir de los hallazgos microbiológicos e histológicos.Se presenta el caso de un paciente de sexo masculino de 67 años, con dolor constante en orofaringe de algunos meses de evolución, que le impedía la ingesta de alimentos. Al examen físico presentaba lengua saburral, secreción lingual con gránulos pequeños de color amarillo, lesión indurada orofaríngea y numerosas lesiones diseminadas de 3 mm de diámetro aproximadamente en piel de manos, abdomen y miembros inferiores llegándose al diagnóstico de actinomicosis procediéndose con el tratamiento adecuado.

  10. Granuloma periapical: tratamiento convencional. Reporte de un caso

    Directory of Open Access Journals (Sweden)

    Natalia Patricia Harris Ortega

    2014-03-01

    Full Text Available Title: Periapical granuloma: conventional treatment. Case reportLos Granulomas radiculares son lesiones periapicales crónicas, consideradas secuelas directas de procesos infecciosos resultantes de la necrosis pulpar, extendiéndose hacia la región perirradicular. Los granulomas se pueden presentar por fallas en los tejidos duros, resultantes de caries, fracturas y procedimientos quirúrgicos. Se realizó tratamiento de endodoncia convencional con preparación invertida a paciente de 15 años con diagnóstico de Granuloma periapical (periodontitis apical asintomáticay su posterior recuperación de la lesión de órgano dentario 36. (DUAZARY 2013 No. 2, 141 - 144AbstractRoot granulomas are chronic periapical lesions, considered direct sequels of infectious processes resulting from pulp necrosis, extending into the periradicular region. The granulomas can occur due to failures in hard tissues, resulting from caries, fractures and surgical procedures. A conventional endodontic treatment was done with crown down technique in a patient of 15 years old with a diagnosis of periapical granuloma (chronic nonsuppurative apical periodontitis and subsequent recovery from injury in tooth 36.Keywords: periapical granuloma; periapical periodontitis (MESH Database.

  11. Histomicrobiologic aspects of the root canal system and periapical lesions in dogs' teeth after rotary instrumentation and intracanal dressing with Ca(OH2 pastes Aspectos histomicrobiológicos do sistema de canais radiculares e das lesões periapicais em dentes de cães após instrumentação automatizada e medicação intracanal com pastas de Ca(OH2

    Directory of Open Access Journals (Sweden)

    Janir Alves Soares

    2006-10-01

    Full Text Available OBJECTIVE: The purpose of this study was to evaluate the distribution of microorganisms in the root canal system (RCS and periapical lesions of dogs' teeth after rotary instrumentation and placement of different calcium hydroxide [Ca(OH2]-based intracanal dressings. MATERIALS AND METHODS: Chronic periapical lesions were experimentally induced in 80 premolar roots of four dogs. Instrumentation was undertaken using the ProFile rotary system and irrigation with 5.25% sodium hypochlorite. The following Ca(OH2-based pastes were applied for 21 days: group 1 - Calen (n=18; group 2 - Calen+CPMC (n=20; group 3 - Ca(OH2 p.a. + anaesthetic solution (n=16 and group 4 - Ca(OH2 p.a.+ 2% chlorhexidine digluconate (n=18. Eight root canals without endodontic treatment constituted the control group. Histological sections were obtained and stained with Brown & Brenn staining technique to evaluate the presence of microorganisms in the main root canal, ramifications of the apical delta and secondary canals, apical cementoplasts, dentinal tubules, areas of cemental resorption and periapical lesions. The results were analyzed statistically by the Mann-Whitney U test (p0.05. The percentage of RCS sites containing microorganisms in groups 1, 2, 3, 4 and control were: 67.6%, 62.5%, 78.2%, 62.0% and 87.6%, respectively. CONCLUSION: In conclusion, the histomicrobiological analysis showed that the rotary instrumentation and the different calcium hydroxide pastes employed did not effectively eliminate the infection from the RCS and periapical lesions. However, several bacteria seen in the histological sections were probably dead or were inactivated by the biomechanical preparation and calcium hydroxide-based intracanal dressing.OBJETIVO: Neste estudo avaliou-se a distribuição dos microrganismos no sistema de canais radiculares (SCR e região periapical (RP de cães após instrumentação automatizada e utilização de pastas à base de hidróxido de cálcio CaO(H2

  12. Collagenase-3 expression in periapical lesions: an immunohistochemical study.

    Science.gov (United States)

    Bhalla, G; Astekar, M S; Ramesh, G; Kaur, P; Sowmya, G V

    2014-08-01

    Collagenase-3 (matrix metalloproteinase-13) is a metalloproteinase (MMP) that is associated with bone lesions and exhibits variable expression patterns in odontogenic cysts; it may play a role in regulating focal proliferation and maturation of jaw cyst epithelium. We studied the localization, staining intensity and distribution of collagenase-3 in 13 periapical granulomas with epithelium, 16 periapical granulomas without epithelium and 10 radicular cysts using archived formalin fixed, paraffin embedded tissues. A monoclonal antibody against human collagenase-3 was used to evaluate its expression. Immunohistochemical staining intensities of collagenase-3 in all periapical lesions were (-), 4 (10%); (+), 1 (3%); (++), 22 (56%) and (+++), 12 (31%); differences were not statistically significant. Immunohistochemical distribution of collagenase-3 in epithelial cells was (-), 17 (44%); (+), 17 (44%); (++), 5 (13%); in fibroblasts it was (-), 8 (20%); (+), 23 (59%); (++), 8 (21%); in plasma cells it was (-), 7 (18%); (+), 22 (56%); (++), 10 (26%); in macrophages it was (-), 7 (18%); (+), and 15 (38%); and (++), 17 (44%). Statistically significant differences were found in epithelial cells (p = 0.00) and fibroblasts (p = 0.02), whereas differences were not statistically significant for plasma cells and macrophages. Collagenase-3 may play a role in the conversion of a periapical granuloma with epithelium to radicular cyst. MMP's influence not only epithelial rest cell migration, but also invasion of various stromal cells into granulomatous tissue.

  13. Evaluation of Mast Cell and Blood Vessel Density in Inflammatory Periapical Lesions

    Directory of Open Access Journals (Sweden)

    Safoura Seifi

    2012-01-01

    Full Text Available Introduction: Radicular cystsand periapical granulomas are the most common periapical inflammatory lesions. However, the role of cellular immunity and microvessels in their pathogenesis remains unknown. The aim of this study was to evaluate the mast cell density (MCD, mircovessel density (MVD and investigating the correlation between their densities with each other in the above mentioned lesions.Materials & Methods: In this descriptive cross-sectional study, 40 paraffin blocks of mentioned lesions were selected from achieves of School of Dentistry, Babol University of Medical Sciences. Three sections were prepared from each block and stained by hematoxylin-eosin, toluidine blue, and immunohistochemically for CD34 to determine the score of inflammation, presence of mast cells and degranulatedmast cells (DMCs, and MVD, respectively. The correlation between MCD and either inflammatory infiltrate or MVD was evaluated. Data analyzed by t student, Mann-Whitney and Spearman test.Results: Mast cells were present in all periapical inflammatory lesions; 15.4±14.8 for MCD, 7.2±6.1 for DMCs, and the ratio of DMCs to total number of MCs was 0.354±0.166 and 14.8+4.44 for blood vessel density in radicular cyst and 8.52±6.75, 2.91±2.1, 0.196±0.194 and 13±8.02 in periapical granulomas, respectively. There was a positive correlation between MCD and MVD in radicular cyst (P=0.03, r=0.341, but not in periapical granulomas (P=0.6, r=0.124. MCD and MVD increased with the score of inflammation in radicular cyst (P=0.001, r=0.7 and periapical granuloma (P=0.012, r=0.54.Conclusion: Mast cells and microvessels play a role in pathogenesis of periapical inflammatory lesions. In this study, the density of mast cells and DMCs in radicular cyst was higher than periapical granulomas, but no difference was observed regarding MVD in periapical inflammatory lesions. It seems that the relationship between MCD and MVD is different based on the clinical stage of periapical

  14. ANALISIS DE LA PRESENCIA DE ACTINOMICOSIS PELVICA EN MUJERES DE UNA COMUNIDAD RURAL EN CHILE

    OpenAIRE

    Torres G.,Sergio; Schalper C.,Kurt

    2002-01-01

    Actinomicosis es una enfermedad infecciosa poco frecuente. La forma pélvica es rara y de difícil diagnóstico. Se ha mencionado que su aparición en la pelvis podría estar relacionada con el uso de DIU. Se busca asociación entre Actinomyces y el uso de DIU en nuestro medio, así como otros factores relacionados. Se incluyó 1.774 informes de PAP del Hospital de Florida entre 1996 y 2001. Se consideraron método anticonceptivo y edad. Se utilizó dócima no paramétrica, Chi cuadrado de homogeneidad e...

  15. ANALISIS DE LA PRESENCIA DE ACTINOMICOSIS PELVICA EN MUJERES DE UNA COMUNIDAD RURAL EN CHILE

    OpenAIRE

    Torres G.,Sergio; Schalper C.,Kurt

    2002-01-01

    Actinomicosis es una enfermedad infecciosa poco frecuente. La forma pélvica es rara y de difícil diagnóstico. Se ha mencionado que su aparición en la pelvis podría estar relacionada con el uso de DIU. Se busca asociación entre Actinomyces y el uso de DIU en nuestro medio, así como otros factores relacionados. Se incluyó 1.774 informes de PAP del Hospital de Florida entre 1996 y 2001. Se consideraron método anticonceptivo y edad. Se utilizó dócima no paramétrica, Chi cuadrado de homogeneidad e...

  16. Successful treatment of a radicular groove by intentional replantation and Emdogain therapy: four years follow-up.

    Science.gov (United States)

    Al-Hezaimi, Khalid; Naghshbandi, Jafar; Simon, James H S; Rotstein, Ilan

    2009-03-01

    Radicular groove is an anatomical malformation that often causes severe periodontal defects. Treatments of such an anomaly present a clinical challenge to the operator. Presented is a case of successful treatment of radicular groove associated with a maxillary lateral incisor of a 15-year-old girl. A combination of endodontics, intentional replantation, and Emdogain therapy was used. At 4-year follow-up, the patient was comfortable and complete resolution of the periapical pathology was evident.

  17. SEM - Morphological evaluation of the root apex in human primary teeth with different degrees of pulpal and periapical pathology

    OpenAIRE

    2007-01-01

    O objetivo deste estudo foi avaliar a morfologia da superfície externa de ápices radiculares de dentes decíduos de humanos com necrose pulpar, com e sem lesão periapical visível radiograficamente, e de dentes com vitalidade pulpar, por meio da microscopia eletrônica de varredura (MEV). Dezenove dentes foram extraídos sendo cinco dentes com vitalidade pulpar (Grupo I), seis com necrose pulpar sem lesão periapical (Grupo II) e oito com necrose pulpar e lesão periapical (Grupo III). Os dentes (i...

  18. [Pathophysiological mechanism of the developing radicular cyst of the jaw].

    Science.gov (United States)

    Colić, S; Jurisić, M; Jurisić, V

    2008-01-01

    The radicular cysts are result of inflammatory process in the periapical tissues associated with necrotic and infected pulps. Humoral and cellular immune responses play a central role in the pathogenesis of these lesions. The most important role in the growth of these lesion have proinflammatore cytokine TNF-alpha, IL-1 and IL-6. Cytokine can be secreted by macrophages, monocytes and other cells of the immune system and can participate in skeletal homeostasis including osteoclastic formation, and bone resorption in maxillofacial region. The aim of this study is to give a consise rewiew for mechanism of growth of maxilofacial radicular cysts, indicated of clinical aspect, as well as expalined role of cytokine in this pathophysiology process.

  19. Periapical cemento-osseous dysplasia: clinicopathological features.

    Science.gov (United States)

    Roghi, Marco; Scapparone, Chiara; Crippa, Rolando; Silvestrini-Biavati, Armando; Angiero, Francesca

    2014-05-01

    Periapical cemento-osseous dysplasia (PCOD) is a rare benign lesion, often asymptomatic, in which fibrous tissue replaces the normal bone tissue, with metaplasic bone and neo-formed cement. We present a rare case of mandibular PCOD in a woman of 55 years, who presented with moderate swelling and mobility of teeth 32-33-34. Endoral radiography showed that these teeth had been devitalized; they had deep periodontal pockets and marked radicular radiotransparency; the root apices exhibited mixed radiotransparency and radio-opacity. Clinical and radiographical findings led to a diagnosis of periapical rarefying osteitis, and the three teeth were thus extracted. Due to the persistence of swelling and slight pain post-extraction, a cone-beam computed tomographic scan was taken; this showed a mixed radiotransparent and radio-opaque lesion in the area of the extracted teeth. A bone biopsy of the affected area was taken for histopathological evaluation; a diagnosis of PCOD was rendered. This case demonstrates the importance of a full investigation when a patient presents after tooth extraction with non-healing socket, pain, and swelling. A multidisciplinary approach is required to manage these rare cases.

  20. Clinical and radiological analysis of a series of periapical cysts and periapical granulomas diagnosed in a Brazilian population

    Science.gov (United States)

    Tavares, Daniel-Petitet; Rodrigues, Janderson-Teixeira; dos Santos, Teresa-Cristina-Ribeiro-Bartholomeu; Armada, Luciana

    2017-01-01

    Background Periapical cysts (PC) and periapical granulomas (PG) are the two most common chronic inflammatory periapical diseases, but their clinicoradiological characteristics can vary depending on the methods employed in each study. The aim of the present work was to analyze the clinical and radiological profile of a series of PC and PG diagnosed in a Brazilian population. Material and Methods The files of two Oral Pathology laboratories were reviewed and all cases diagnosed as PG and PC were selected for the study. Clinical and radiological information were retrieved and data were tabulated and descriptively and comparatively analyzed. Results Final sample was composed by 647 inflammatory periapical lesions, including 244 PG (38%) and 403 PC (62%). The number of women affected by PG was significantly higher than the number of women affected by PC (p=0.037). Anterior region of the maxilla was the most common affected area for both entities (39% of the cases), but the most common anatomical location of PG (anterior maxilla and posterior maxilla) was different from PC (anterior maxilla and posterior mandible) (p<0.0001). Upper lateral incisor was the most affected tooth. The mean radiological size of the PC was larger than the mean radiological size of the PG (p<0.0001) and PC showed well-defined radiological images more frequently than PG (p<0.0001). Conclusions PC were more common than PG, both showed predilection for adult females, most lesions affected predominantly the anterior maxilla and PC presented larger mean radiological diameter and well-defined images when compared with PG. Key words:Periapical granuloma, periapical cyst, radicular cyst, diagnosis, Oral Pathology. PMID:28149477

  1. COMPARACION DE DOS TECNICAS DE LIMPIEZA ULTRASONICA DEL SISTEMA DE CONDUCTOS RADICULARES POR MEDIO DE LA ESCALA DE ROME

    OpenAIRE

    Mondragon Montaño, Alejandro

    2012-01-01

    INTRODUCCION El tratamiento del conducto radicular se puede resumir como una serie de procedimientos para la limpieza, conformación y obturación del sistema de conductos radiculares. El desarrollo de una lesión periapical significa presencia de bacterias en el sistema de conductos especialmente en la porción apical donde éstas se pueden alojar en el barro dentinario o invadir los túbulos dentinarios. Los problemas en la limpieza y conformación se han traducido en una ampl...

  2. Tratamiento no quirúrgico de lesiones periapicales Non-surgical treatment of periapical lesions

    Directory of Open Access Journals (Sweden)

    Pedro Pablo Ferro Benítez

    2005-08-01

    Full Text Available El tratamiento de dientes con lesiones periapicales crónicas ha sido estudiado por diferentes autores en el campo endodóntico. Basados en los resultados obtenidos en diferentes trabajos experimentales, nos propusimos realizar la presente investigación, tomando 30 dientes humanos que al momento de realizar el tratamiento pulpo-radicular mostraban presencia de lesiones periapicales con diámetros variables, por encima de los 5 mm . Se tuvieron en cuenta 2 grupos: en uno de ellos se les realizaron a los conductos radiculares rellenos temporales de pasta de hidróxido de calcio y agua destilada; en el otro grupo a estos conductos se les realizaron rellenos temporales con pasta de hidróxido de calcio, agua destilada y paramonoclorofenol alcanforado. Se evaluó la disminución de las lesiones periapicales en ambos grupos a los 3 y 6 meses de iniciado el tratamiento, sin que se observaran diferencias estadísticamente significativas. Igual ocurrió en la evaluación de la reparación ósea periapical a los 9 meses de iniciado el tratamiento. Con ambas técnicas los resultados fueron satisfactorios, lo que demuestra una participación activa del hidróxido de calcio en la reparación de las lesiones periapicales, independientemente de su asociación con el paramonoclorofenol alcanforado.The treatment of teeth with chronic periapical lesions has been studied by different authors in the endodontics field. Based on the results attained in different experimental works, we proposed ourselves to make the present research taking 30 human teeth that at the time of applying the pulpar radicular treatment presented periapical lesions with variable diameters over 5 mm. Two groups were taken into account: in one of them, the radicular ducts were temporarily filled up with calcium hydroxide paste and distilled water, whereas in the other one these ducts were filled up with calcium hydroxide paste, distilled water and camphorated paramonochlorophenol. The

  3. Apical and periapical repair of dogs' teeth with periapical lesions after endodontic treatment with different root canal sealers Reparação apical e periapical de dentes de cães com lesão periapical crônica após tratamento endodôntico utilizando diferentes materiais obturadores

    Directory of Open Access Journals (Sweden)

    Mário Roberto Leonardo

    2003-03-01

    Full Text Available The aim of this study was to evaluate the apical and periapical repair after root canal treatment of dogs' teeth with pulp necrosis and chronic periapical lesion using different root canal sealers. After periapical lesion induction, forty-four root canals of 3 dogs were submitted to biomechanical preparation using 5.25% sodium hypochlorite as an irrigating solution. A calcium hydroxide dressing (Calen PMCC was applied for 15 days and the root canals were filled using the lateral condensation technique with gutta-percha points and Sealapex, AH Plus or Sealer Plus for sealing. After 180 days, the animals were sacrificed by anesthetic overdose and the obtained histological sections were stained with hematoxylin-eosin for optical microscopic analysis of the apical and periapical repair. The groups filled with Sealapex and AH Plus had better histological repair (p O objetivo do presente estudo foi avaliar a reparação apical e periapical pós-tratamento endodôntico de dentes de cães com necrose pulpar e reação periapical crônica, em que se utilizaram diferentes materiais obturadores. Foram utilizados 44 canais radiculares, nos quais, após indução das lesões periapicais, foi efetuado o preparo biomecânico empregando-se como solução irrigadora uma solução de hipoclorito de sódio a 5,25%. Após curativo de demora com pasta à base de hidróxido de cálcio (Calen PMCC, mantida no canal radicular durante 15 dias, os canais radiculares foram obturados pela técnica clássica complementada pela condensação lateral ativa, empregando-se os cimentos Sealapex, AH Plus ou Sealer Plus. Decorrido o período de 180 dias, os animais foram mortos e as peças submetidas ao processamento laboratorial. Os cortes histológicos obtidos foram corados com hematoxilina-eosina. A análise histopatológica demonstrou que nos canais radiculares obturados com os cimentos Sealapex e AH Plus ocorreu melhor reparação (p < 0,05 do que nos canais obturados com o

  4. Management of radicular cysts using platelet-rich fibrin and bioactive glass: a report of two cases.

    Science.gov (United States)

    Zhao, Jiing-Huei; Tsai, Chung-Hung; Chang, Yu-Chao

    2014-07-01

    Platelet-rich fibrin (PRF) created by Choukroun's protocol concentrates most platelets and leukocytes from a blood harvest into a single autologous fibrin biomaterial. However, no current data is available concerning the use of PRF for the treatment of periapical lesions. Two cases of radicular cysts were reported using an interdisciplinary approach, including regular endodontic therapy followed by surgical management with PRF and bioactive glass. Two cases of radicular cysts presented as an incidental radiographic finding, appearing as an apical radiolucency with well-circumscribed sclerotic borders. After regular endodontic retreatment, cystic lining/granulation tissues were enucleated and the periradicular bony defect was grafted using PRF and bioactive glass. Then, PRF was applied to serve as a membrane over the grafted defects. Recall periapical radiographs of Case 1 and cone beam computer tomography of Case 2 showed satisfactory healing of the periapical pathosis. In Case 2, the bony defect appeared completely healed at 4 months surgical reentry and the new bone was clinically very dense and mature. The results of these case reports show that the combination of PRF and bioactive glass is an effective modality of regenerative treatment for radicular cysts.

  5. Actinomicosis: presentación de un caso y revisión del tema con énfasis en los aspectos orales Actinomycosis in children with emphasis on oral aspects

    OpenAIRE

    Luis Fernando Gómez Jiménez; Dianelisa De La Hoz Rodríguez; Patricia Rivas Pulido; Miguel Builes; Juan Manuel Alfaro Velásquez

    1997-01-01

    En el presente artículo se actualizan los conocimientos sobre actinomicosis y se presenta el caso de un niño con la forma torácica de dicha entidad. La actinomicosis es una infección infrecuente que puede afectar cualquier parte del cuerpo; los Actinomyces son bacilos o filamentos gram positivos que forman parte de la flora endógena de las mucosas en especial las de las cavidades oral e intestinal. Su comportamiento es insidioso pero en oportunidades tiene expresión aguda, fistulización a pie...

  6. [Periapical regeneration. About one case of necrotic immature tooth treated with mineral trioxide aggregate (MTA)].

    Science.gov (United States)

    Dhaimy, S; Lahlou, K; Karami, M; Elmerini, H; Elouazzani, A

    2013-09-01

    Therapeutic of apexification with calcium hydroxide has been extensively used in clinical practice, but this technique has some drawbacks (long duration of treatment, weakening of the radicular walls). Different studies have proposed to close the apex opened with MTA (Mineral trioxide Aggregate) which is biocompatible, bacteriostatic, this material induces regeneration of the periapical region through the formation of cementum, bone and periodontal ligament (1, 2). This case report describes the technique of setting up in a single step of the Mineral trioxide Aggregate as an apical barrier for immature permanent roots. This method has allowed us an immediate apical sealing and a root canal filling and a coronary restore permanently as soon as possible. The radiological control confirmed that this type of apexification could be successful with periapical regeneration ad-integrum.

  7. Periodontitis periapical sintomática y agranulocitosis por analgésicos

    OpenAIRE

    Berástegui, Esther; Planas Domingo, M. E.

    1995-01-01

    Se presentó un caso de agranulocitosis en una paciente de 62 años, atribuible a ingesta continuada de analgésicos sin prescripción, para tratar el dolor debido a periodontitis periapical sintomática. Se realizó tratamiento de conductos radiculares. Dada la escasa incidencia de agranulocitosis por analgésicos a pesar de la frecuente utilización de los mismos, hemos creído de interés su publicación ya que este efecto indeseable puede ser grave o incluso mortal en algún caso. A pesar de conocers...

  8. Cirugía periapical en 31 molares inferiores mediante la técnica de ultrasonidos y relleno retrógrado con amalgama de plata

    OpenAIRE

    Peñarrocha Diago, Miguel; Sanchis Bielsa, José María; Gay Escoda,Cosme

    2001-01-01

    La introducción de los ultrasonidos para la realización de cajas apicales en cirugía periapical ha simplificado la técnica quirúrgica y facilitado la retroobturación con amalgama de plata. Esta técnica es especialmente útil en los molares cuya accesibilidad a los ápices radiculares es más dificultosa. En este trabajo presentamos una serie de 31 pacientes en los que se realizó cirugía periapical en un total de 31 molares mandibulares. No se presentaron complicaciones intraoperatorias. Las únic...

  9. Guided tissue regeneration in periapical surgery.

    Science.gov (United States)

    Lin, Louis; Chen, Melody Y-H; Ricucci, Domenico; Rosenberg, Paul A

    2010-04-01

    Tissue regeneration by using membrane barriers and bone grafting materials in periapical surgery is an example of tissue engineering technology. Membrane barriers and/or bone grafts are often used to enhance periapical new bone formation. However, the periapical tissues also consist of the periodontal ligament (PDL) and cementum. For regeneration of the periapical tissues after periapical surgery, one of the important requirements is recruitment and differentiation of progenitor/stem cells into committed pre-osteoblasts, pre-PDL cells, and pre-cementoblasts. Homing of progenitor/stem cells into the wounded periapical tissues is regulated by factors such as stromal cell-derived factor 1, growth factors/cytokines, and by microenvironmental cues such as adhesion molecules and extracellular matrix and associated noncollagenous molecules. Tissue regeneration after injury appears to recapitulate the pathway of normal embryonic tissue development. Multiple tissue regeneration involves a complex interaction between different cells, extracellular matrix, growth/differentiation factors, and microenvironmental cues. Little is known concerning the biologic mechanisms that regulate temporal and spatial relationship between alveolar bone, PDL, and cementum regeneration during periapical wound healing. Simply applying a membrane barrier and/or bone graft during periapical surgery might not result in complete regeneration of the periapical tissues. It has not been clearly demonstrated that these biomaterials are capable of recruiting progenitor/stem cells and inducing these undifferentiated mesenchymal cells to differentiate into PDL cells and cementoblasts after periapical surgery.

  10. Patient discomfort following periapical surgery.

    Science.gov (United States)

    Christiansen, René; Kirkevang, Lise-Lotte; Hørsted-Bindslev, Preben; Wenzel, Ann

    2008-02-01

    The aim of the study was to assess patient discomfort following periapical surgery. Forty-two patients with apical periodontitis were allocated to apicectomy with either smoothening of the gutta-percha root filling or a retrograde root filling with mineral trioxide aggregate (MTA). Pooling all patients, VAS score for pain peaked 3 hours postoperatively (mean VAS = 29). The VAS score for swelling peaked 1 day postoperatively (mean VAS = 41). Patients' overall perception of postoperative discomfort was induced by (questions asked at the day for suture removal): Oral awareness (36 yes, 6 no); swelling (30 yes, 12 no); compromised chewing ability (18 yes, 24 no); pain (15 yes, 27 no). There was no correlation between the operating time and VAS scores for pain and swelling (r .11). Patients experienced little pain and moderate swelling after periapical surgery. Oral awareness was the most reported reason for postoperative discomfort. The operating time was not a decisive factor in relation to postoperative discomfort.

  11. Actinomicosis cervicofacial tras cirugía ortognática: A propósito de un caso Cervicofacial actinomycosis after orthognathic surgery: a case report

    Directory of Open Access Journals (Sweden)

    Germán Macía

    2011-06-01

    Full Text Available Objetivos: Presentar un caso de actinomicosis cervicofacial tras cirugía ortognática. Material y métodos: Varón de 32 años, intervenido de cirugía ortognática bimaxilar en otro centro, que al cabo de varias semanas comienza a desarrollar una masa laterocervical derecha con signos de inflamación local intermitente. Las pruebas de imagen cervical informan de tumoración sólida o vascular. La citología refiere linfocitosis. Resultados: Al cabo de 2 años es intervenido y se le realiza una incisión tipo Risdon cervical, en la que se observa un granuloma caudal a la celda submaxilar derecha y una fístula con trayecto hasta el nivel del ángulo mandibular. El informe de anatomía patológica describe absceso con cambios crónicos y colonia de actinomices. Conclusiones: El diagnóstico temprano de actinomicosis cervicofacial es difícil y sólo un 10% se diagnostican en el inicio de su presentación. Aunque es un hecho infrecuente, debemos considerar la actinomicosis cervicofacial en pacientes intervenidos de cirugía ortognática que desarrollaron una masa cervical varias semanas después de la intervención.Objectives: Presentation of a case of cervicofacial actinomycosis after orthognathic surgery. Material and methods: A 32-year-old male underwent bimaxillary orthognathic surgery at another clinic. Several weeks after surgery, the patient developed a right lateral mass in the neck with intermittent signs of local inflammation. Cervical imaging suggested a solid or vascular tumor. The cytology revealed lymphocytosis. Results: Two years after the index intervention, surgery performed through a Risdontype cervical incision revealed a granuloma in the lower right submaxillary cell with a fistula to the mandibular angle. The pathology report was consistent with chronic abscess with actinomyces colonization. Conclusions: Early diagnosis of cervicofacial actinomycosis is difficult and only 10% of cases are detected at onset. Although uncommon

  12. Epiduroscopy for Patients With Lumbosacral Radicular Pain

    NARCIS (Netherlands)

    Kallewaard, Jan Willem; Vanelderen, Pascal; Richardson, Jonathan; Van Zundert, Jan; Heavner, James; Groen, Gerbrand Jan

    2014-01-01

    Lumbosacral radicular pain is a pain in the distribution area of one of the nerves of the lumbosacral plexus, with or without sensory and/or motor impairment. A major source of lumbosacral radicular pain is failed back surgery, which is defined as persistent or recurrent pain, mainly in the region o

  13. Use of second-generation platelet concentrate (platelet-rich fibrin) and hydroxyapatite in the management of large periapical inflammatory lesion: a computed tomography scan analysis.

    Science.gov (United States)

    Hiremath, Hemalatha; Motiwala, Tejas; Jain, Pradeep; Kulkarni, Sadanand

    2014-01-01

    Periapical surgery is required when periradicular pathosis associated with endodontically treated teeth cannot be resolved by nonsurgical root canal therapy (retreatment), or when retreatment was unsuccessful, not feasible or contraindicated. Endodontic failures can occur when irritants remain within the confines of the root canal, or when an extraradicular infection cannot be eradicated by orthograde root canal treatment. Foreign-body responses toward filling materials, toward cholesterol crystals or radicular cysts, might prevent complete periapical healing. We present here a case report wherein, combination of platelet-rich fibrin (PRF) and the hydroxyapatite graft was used to achieve faster healing of the large periapical lesion. Healing was observed within 8 months, which were confirmed by computed tomography, following improved bone density. PRF has many advantages over platelet-rich plasma. It provides a physiologic architecture that is very favorable to the healing process, which is obtained due to the slow polymerization process.

  14. Use of second-generation platelet concentrate (platelet-rich fibrin and hydroxyapatite in the management of large periapical inflammatory lesion: A computed tomography scan analysis

    Directory of Open Access Journals (Sweden)

    Hemalatha Hiremath

    2014-01-01

    Full Text Available Periapical surgery is required when periradicular pathosis associated with endodontically treated teeth cannot be resolved by nonsurgical root canal therapy (retreatment, or when retreatment was unsuccessful, not feasible or contraindicated. Endodontic failures can occur when irritants remain within the confines of the root canal, or when an extraradicular infection cannot be eradicated by orthograde root canal treatment. Foreign-body responses toward filling materials, toward cholesterol crystals or radicular cysts, might prevent complete periapical healing. We present here a case report wherein, combination of platelet-rich fibrin (PRF and the hydroxyapatite graft was used to achieve faster healing of the large periapical lesion. Healing was observed within 8 months, which were confirmed by computed tomography, following improved bone density. PRF has many advantages over platelet-rich plasma. It provides a physiologic architecture that is very favorable to the healing process, which is obtained due to the slow polymerization process.

  15. Postoperative radicular neuroma. Case report.

    Science.gov (United States)

    Erman, T; Tuna, M; Göçer, A I; Idan, F; Akgül, E; Zorludemir, S

    2001-11-15

    Lumbar discectomy is the most common surgical procedure performed in neurosurgery clinics. Such a large number of procedures underscore not only the prevalence of conditions such as intervertebral disc herniation, but also the strong belief of surgeons that the operation does provide benefits to patients suffering from sciatica. In spite of this belief, sciatic pain may continue after the surgery. The recurrence of sciatic and/or back pain after primary discectomy is called the "failed back surgery syndrome." The rate of the complications involved in standard lumbar discectomy ranges from 5.4 to 14%. One of the complications of the lumbar disc surgery is nerve root injury. The complication rate of this injury ranges from 0.7 to 2.2%. Postoperative radicular neuroma must be considered in differential diagnosis for the patient who has failed back surgery syndrome. In this study the authors evaluate a patient who had undergone surgery for lumbar disc herniation and suffered intractable pain. A traumatic radicular neuroma is demonstrated and the pertinent literature is presented.

  16. Assessment of periapical status : a comparative study using film-based periapical radiographs and digital panoramic images

    OpenAIRE

    Ríos Santos, José Vicente; Ridao Sacie, Cristina; Bullón, Pedro; Fernández Palacín, Ana; Segura-Egea, Juan J.

    2010-01-01

    Aim: To compare the use of film-based periapical radiographs and digital panoramic images displayed on monitor and glossy paper in the assessment of the periapical status of the teeth. Methodology: A total of 86 subjects were examined. All participants underwent a full-mouth radiographic survey (14 periapical radiographs) and a digital panoramic radiography. The periapical status of all appraised teeth was assessed. Results: Periapical radiographs allowed the assessment of the periapical ...

  17. Desmoplastic ameloblastoma mimicking a periapical lesion = Ameloblastoma desmoplásico mimetizando lesão periapical

    Directory of Open Access Journals (Sweden)

    Santos, Esaú Pinheiro dos

    2010-01-01

    Full Text Available Ameloblastoma desmoplásico (AD é uma rara variante do ameloblastoma, com características clínicas, imaginológicas e histopatológicas específicas. O perfil biológico deste tumor não é totalmente compreendido, devido ao número limitado de casos notificados. O objetivo deste trabalho é relatar um caso de AD simulando uma lesão periapical. Este tumor apareceu na região anterior da maxila esquerda numa paciente do gênero feminino de 24 anos de idade, entre o incisivo lateral esquerdo e o canino. A lesão era indolor e apresentava apenas um ligeiro inchaço da mucosa do palato duro. Radiograficamente, uma área radiolúcida bem delimitada que promovia a divergência radicular foi observada. O incisivo lateral respondeu negativamente aos testes pulpares. Diagnóstico provisório de cisto radicular versus cisto fissural foi estabelecido e enucleação cirúrgica seguida de curetagem foi realizada. O exame histológico das amostras revelou a proliferação dos ninhos e cordões de epitélio odontogênico comprimido imersos em um estroma densamente colagenizado, associada a um trabeculado ósseo levemente irregular. Estas características eram consistentes com AD. A necrose pulpar do incisivo e o aparecimento radiográfico atípico, deixava a doença em absconso. Apesar das altas taxas de recorrência, nenhum sinal clínico ou radiográfico de recidiva do tumor foi detectado um ano mais tarde

  18. Combination of hydroxyapatite, platelet rich fibrin and amnion membrane as a novel therapeutic option in regenerative periapical endodontic surgery: Case series.

    Science.gov (United States)

    Uppada, Uday Kiran; Kalakonda, Butchibabu; Koppolu, Pradeep; Varma, Narendra; Palakurthy, Kiran; Manchikanti, Venkatesh; Prasad, Shilpa; Samar, Shereen; Swapna, Lingam Amara

    2017-01-01

    Periapical surgery is the last resort in the arsenal of an endodontist to effectively deal with periapical lesions that result from necrosis of the pulp. Bone grafts, growth factors and membranes form an array of regenerative materials that influence the healing outcome of periapical surgery. The main purpose of the two cases reported here was to assess the potential benefits of a combination of bone graft, platelet-rich fibrin (PRF) and amnion membrane in terms of reduced post-operative discomfort, radiographic evidence of accelerated periapical bone healing and present a novel therapeutic option in the management of large periapical lesions. Two cases of radicular cysts were treated through a combined regenerative approachof Bio-Gen mix(®), PRF and amnion membrane. The patients were assessed for discomfort immediate post-operatively and after a week. The patients were recalled every month for the next 6 months for radiographic assessment of the periapical healing. Literature is replete with articles that have substantiated the role of demineralized bone matrix comprising a mixture of cancellous and cortical bone graft particles in enhancing regeneration. To the best of our knowledge, there has been no evidence related to the application of a human placental membrane in periapical surgery. Hence, the rationale of using a combined approach of Bio-Gen mix(®), PRF and amnion membrane was to combine the individual advantages of these materials to enhance clinical and radiographic healing outcomes. Our present case reports provide an insight into this novel therapeutic option. The results of this case seriessubstantiatesthe credibility of using a combination ofamnion membrane with a bone graft and PRF to enhance radiographic healing outcome with decreased post-operative discomfort and present a viable regenerative treatment modality in periapical surgery. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  19. Comparative immunoexpression of ICAM-1, TGF-β1 and ki-67 in periapical and residual cysts

    Science.gov (United States)

    Armada, Luciana; dos Santos, Teresa-Cristina; Pires, Fabio-Ramoa

    2017-01-01

    Background This study compared the immunohistochemical expression of ki-67, transforming growth factor beta 1 (TGF-β1) and intercellular adhesion molecule-1 (ICAM-1) in inflammatory periapical cysts and residual cysts. Material and Methods The study sample was composed by 25 periapical cysts and 25 residual cysts and immunohistochemical reactions were carried out using antibodies directed against ICAM-1, TGF-β1 and ki-67. Clinical, radiological, gross, histological and immunohistochemical data were tabulated for descriptive and comparative analysis using the SPSS software and differences were considered statistically significant when p<0.05%. Results There were no differences between the expression of ICAM-1 (p=0.239) and TGF-β1 (p=0.258) when comparing both groups. Ki-67 labeling index was higher in residual cysts compared to periapical cysts (p=0.017). Conclusions Results from the present study suggest that some specific inflammatory stimuli on residual cysts would modulate their mechanisms of etiopathogenesis, growing and repair. Key words:Periapical cyst, radicular cyst, residual cyst, transforming growth factor beta 1 (TGF-β1), intercellular adhesion molecule 1 (ICAM-1), ki-67. PMID:27918735

  20. Empleo de la terapia láser en la reparación ósea periapical

    Directory of Open Access Journals (Sweden)

    MARÍA I. GARRIGÓ ANDREU

    1997-06-01

    Full Text Available El efecto bioestimulante de la radiación láser de baja potencia en el tejido óseo, se ha comprobado en cultivos de células y animales de experimentación. El objetivo de esta investigación fue evaluar dicho efecto en la reparación ósea periapical. Se atendieron 40 pacientes que presentaban procesos periapicales crónicos, a los que se les realizó tratamiento pulpo radicular y láser. Para la terapia láser, se útilizó la técnica puntual en el área lesionada y laserpuntura, con depósitos energéticos de 15 J/cm² y 7 J/cm², respectivamente. Los resultados obtenidos demuestran que existió aceleración en los procesos de reparación ósea periapical al utilizar la terapia láser, pues en el 67,5 % de los pacientes atendidos, la misma ocurrió en un período menor a 6 meses después de iniciado el tratamiento.The biostimulant effect of low energy laser radiation on the bone tissue has been tested in cell cultures and experimental animals. The objective of our investigation was to evaluate this effect on the periapical bone reparation. 40 patients received attention and underwent radicular, pulpar, and laser treatment. The acupuncture points technique in the injured area and the laserpuncture were used as part of the laser terapy with energetic depots of 15 J/cm² and 7 J/cm², respectively. The results show that the processes of periapical bone reparation were accelerated, since in 67.5 % of these patients it took place in less than 6 months.

  1. Implant periapical lesion. Case report

    Directory of Open Access Journals (Sweden)

    Gregory Venetis, Fotis Iordanidis, Paraskevi Giovani, Lambros Zouloumis

    2011-04-01

    Full Text Available Ιmplant periapical lesion (IPL is probably not a uniform entity in all cases presented in the literature. Asseptic bone necrosis may be a cause for some of the IPLs, whilst the presence of microorganisms is not always detectable with conventional methods. A case of IPL in a male patient who underwent an extraction of 12 tooth and an immediate implantation at this site is presented. Eight months postoperatively, an IPL was revealed on radiologic examination. After surgical exploration, the IPL was removed and examined histologically and microbiologically. The implant was replaced with a longer one and a bone regeneration procedure was simultaneously carried out. From the study of the lesion and the patient’s followup, infection cannot be considered as primary cause information of presented IPL, but literature data suggests that classic histology and microbiology cannot exclude infection from IPL causatives.

  2. Surgical and Nonsurgical Management of Bilateral Periapical ...

    African Journals Online (AJOL)

    Journal of Surgical Technique and Case Report | Jan-Jun 2011 | Vol-3 | Issue-1. 44. Surgical .... incisor and canine. Same was ... The operative field was isolated, and access preparation .... environment in which periapical healing can occur.

  3. Implant periapical lesion: diagnosis and treatment

    OpenAIRE

    Peñarrocha Diago, María; Maestre Ferrín, Laura; Cervera Ballester, Juan; Peñarrocha Oltra, David

    2012-01-01

    The implant periapical lesion is the infectious-inflammatory process of the tissues surrounding the implant apex. It may be caused by different factors: contamination of the implant surface, overheating of bone during drilling, preparation of a longer implant bed than the implant itself, and pre-existing bone disease. Diagnosis is achieved by studying the presence of symptoms and signs such us pain, swelling, suppuration or fistula; in the radiograph an implant periapical radiolucency may app...

  4. Implant periapical lesion: diagnosis and treatment

    OpenAIRE

    Peñarrocha Diago, María; Maestre Ferrín, Laura; Cervera Ballester, Juan; Peñarrocha Oltra, David

    2012-01-01

    The implant periapical lesion is the infectious-inflammatory process of the tissues surrounding the implant apex. It may be caused by different factors: contamination of the implant surface, overheating of bone during drilling, preparation of a longer implant bed than the implant itself, and pre-existing bone disease. Diagnosis is achieved by studying the presence of symptoms and signs such us pain, swelling, suppuration or fistula; in the radiograph an implant periapical radiolucency may app...

  5. Diagnostic validity of periapical radiography and CBCT for assessing periapical lesions that persist after endodontic surgery

    DEFF Research Database (Denmark)

    Kruse, Casper; Spin-Neto, Rubens; Reibel, Jesper

    2017-01-01

    OBJECTIVES: Traditionally, healing after surgical endodontic retreatment (SER); i.e. apicectomy with or without a retrograde filling, is assessed in periapical radiographs (PR). Recently, the use of Cone Beam CT (CBCT) has increased within endodontics. Generally, CBCT detects more periapical...

  6. Quantitative analysis of periapical lesions on cone beam computed tomograph and periapical radiograph

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jin Hoa; Lee, Wan; Kim, Kyung Soo; Roh, Young Chea; Lee, Byung Do [Department of Oral and Maxillofacial Radiology, School of Dentistry, Wonkwang University, Iksan (Korea, Republic of); Kim, De Sok [Department of Electrical Engineering, Korea Advanced Institute of Science and Technology, Deajeon (Korea, Republic of)

    2009-03-15

    To detect the progression of experimentally induced periapical lesions on periapical radiograph and cone beam computed tomograph (CBCT) by quantitative analysis. After the removal of coronal pulps from premolars of two Beagle dogs, the root canals of premolars were exposed to oral environment during one week and then sealed for 70 days. Digital periapical radiographs and CBCTs were taken at baseline and every 7 days for 77 days after pulp exposure. We examined occurrence and areas of periapical bone resorption. Three comparative groups of CBCT radiographs were prepared by average projection of thin slabs with different bucco-lingual thicknesses (0.1, 3.0, and 8.0 mm) using a 3D visualization software. Radiographic densities were compensated by image normalization. Digital images were processed with mathematical morphology operations. The radiographic density and morphological features of periapical lesions were compared among three groups of CBCT in different time points. In the CBCT group with 0.1 mm thickness, radiographic density (p<0.05) and trabecular bone area (p<0.01) were significantly decreased at the fifth week. However, in the CBCT groups with 3 mm and 8 mm thickness and periapical radiographs, none of densitometric and morphological features showed any significant differences in different time points. Radiographic density of periapical lesion showed increasing tendency at the eleventh week after pulp exposure. Radiographic detection of periapical lesions was possible at the fifth week after pulp contamination by quantitative method and was affected by buccolingual bone thickness.

  7. Nonsurgical endodontic therapy along with minimal invasive treatment utilizing Bhasker's hypothesis for the management of infected radicular cystic lesion: A rare case report

    Directory of Open Access Journals (Sweden)

    Sanjeev Kumar Salaria

    2016-01-01

    Full Text Available Radicular cyst (RC is the most common odontogenic cyst of inflammatory origin affecting the jaws; involves the roots of the carious or traumatic non-vital tooth. Different therapeutic modalities, such as nonsurgical endodontic therapy or surgical enucleation with primary closure, decompression etc., were proposed for the management of such lesions. Presenting a case of a 28-year-old otherwise healthy male patient who reported with pain and swelling with respect to tooth #41, 31. Diagnosis of infected RC at a rare location was established on the basis of clinical, radiographical and fine needle aspiration cytological examination. Looking after the clinical characteristics, origin, extension, size of cystic lesion and patient cooperation; nonsurgical endodontic therapy utilizing Bhasker's hypothesis was opted. One year post-operative result suggested that nonsurgical endodontic therapy along with minimally invasive treatment utilizing Bhasker's hypothesis is an effective tool to transform infected radicular cystic lesion to healthy periapical periodontal tissue.

  8. Prognostic factors on periapical surgery: A systematic review

    OpenAIRE

    Serrano Giménez, Mireia; Sánchez Torres, Alba; Gay Escoda,Cosme

    2015-01-01

    Background Analyze the most important prognostic factors when performing periapical surgery and compare the success rates of distinct authors. Introduction Periapical surgery is an approach to treat non-healing periapical lesions and it should be viewed as an extension of endodontic treatment and not as a separate entity. Material and Methods A search of articles published in Cochrane, PubMed (MEDLINE) and Scopus was conducted with the key words “prognostic factors”, “prognosis”, “periapical ...

  9. Pulp polyp - A periapical lesion: Radiographic observational study

    Directory of Open Access Journals (Sweden)

    Kandagal V Suresh

    2015-01-01

    Full Text Available Introduction: Pulp polyp (PP is a chronic hyperplastic condition resulting in formation of granulation tissue and proliferative mass. The radiographic appearance of PP has innumerable presentations. Diagnosing and treatment planning of periapical lesions, heavily relies on the radiographic changes surrounding the root structures. Objective: To evaluate different radiographic periapical changes in clinically detected PP patients. Materials and Methods: Patients reporting to Department of Oral Medicine and Radiology and who were clinically diagnosed with PP by an oral diagnostician were subjected to radiographic examination. Digital intraoral periapical radiographs of 50 patients with PP were taken. Various periapical changes in the digital radiographs were recorded by a skilled oral radiologist. The data obtained was subjected to statistical analysis using SPSS ver 17.0 and P-value was set at <0.05 as significant. Result: Periapical changes like periodontal space widening (PDLW, loss of lamina dura, periapical abscess, periapical granuloma, hypercementosis, condensing osteitis and root resorption were noted. Periodontal space widening was seen in all patients (100%, loss of lamina dura was noted in 72%, periapical rarefying osteitis in 56%, condensing osteitis in 8%, hypercementosis, periapical granuloma, and root resorption were seen in 4% of PP patients. Majority of PP were asymptomatic (66%. Pulp polyp was commonly seen in mandibular first molar followed by mandibular second molar and maxillary first molar. Statistically significant difference was noticed between periapical changes in PP patients (P value <0.0001. All PP patients showed definite periapical changes suggesting it to be a periapical lesion. Conclusion: Pulp polyp is confined to the pulpal portion of the tooth which, may or may not cause changes in periapical region. The results of the present study showed that majority of the PP patients were associated with definite periapical

  10. Avaliação do tratamento endodôntico em radiografias periapicais e panorâmicas Evaluation of endodontic treatment with periapical and panoramic radiography

    Directory of Open Access Journals (Sweden)

    Cristina Maria Dumit SEWELL

    1999-07-01

    Full Text Available Radiografias periapicais e panorâmicas, com aparelho elipsopantomográfico, são comparadas na avaliação do tratamento endodôntico. Com este objetivo, radiografias realizadas nestas duas técnicas, num mesmo paciente, com pelo menos um dente com tratamento endodôntico, foram analisadas por três examinadores, levando-se em consideração as condições apicais (lesões periapicais, a obturação do canal radicular (tipo de material, preenchimento e limite apical, a restauração do dente e o preenchimento da câmara pulpar. Os resultados mostram que a radiografia periapical define melhor a presença de rarefação óssea periapical difusa, obturação do canal radicular com guta-percha, tratamento endodôntico inadequado, justaposição do material restaurador inadequada para a região anterior e a presença de restauração metálica fundida na região posterior. Para os demais itens avaliados, os resultados da análise estatística não são significantes. A concordância de diagnósticos entre examinadores se mostra superior nas radiografias periapicais.Periapical and panoramic radiography with a ellipsopantomograph device, are compared in the evaluation of endodontic treatment. With this objective, radiographies carried out under both techniques with the same patient having at least one tooth endodontically treated, were analysed by three observers, taking into consideration the apical conditions (periapical lesions, the root canal filling (material type, filling and apical level, tooth restoration and filling of the pulpar camera. The results demonstrated that periapical radiography is a better way to define the appearance of difuse periapical bone rarefaction, root canal filling with gutta-percha, insatisfactory endodontic treatment, an inadequate juxtaposition of the restoration material to the anterior region, and the presence of metallic casted restorations in the posterior region. Other result evaluations were not significant. The

  11. [Cellular immunity in human periapical granuloma].

    Science.gov (United States)

    Terrié, B; Grégoire, G

    1991-03-01

    Numerous authors have produced different types of immunoglobulins in analyses of the human periapical granuloma. The present study examines the cellular immunity of the human periapical granuloma, and in particular the distribution of the lymphocyte sub-populations and the macrophage population. The technique used was that of cell surface marking, using monoclonal antibodies on frozen sections. The results reveal equal proportions of inductor T lymphocytes and suppressor T lymphocytes (whereas healthy tissue shows a ratio of 2/1), which explains the chronic nature of the lesion as far as the immune reaction is concerned. The presence of numerous macrophage cells shows that there are important local immune reactions.

  12. Evaluación tomográfica y radiográfica de la obturación radicular tridimensional de conductos radiculares únicos tratados con tres técnicas de obturación radicular: Estudio in Vitro

    Directory of Open Access Journals (Sweden)

    Mónica Alexandra Pavón Granja

    2016-09-01

    Full Text Available El principal reto durante la terapia endodóntica es la obturación radicular, considerada como fase crítica ya que de esta va a depender el éxito o el fracaso. Por varios años se ha investigado tanto materiales como técnicas que permitan el sellado hermético tridimensional del sistema de conductos radiculares, biocompatibilidad que permita la adecuada reparación de los tejidos periapicales y que la obturación se mantenga con el tiempo proporcionando salud. Objetivo: Evaluar la adaptación tridimensional de tres técnicas de obturación radicular definitiva a nivel del tercio apical de conductos radiculares únicos. Materiales y métodos: Estudio de tipo experimental y aleatorizado, la muestra fue de 42 raíces de dientes uniradiculares divididos en 3 grupos de estudio (n=14, previamente se realizó un registro radiográfico periapical digital de toda la muestra posteriormente fueron instrumentados con técnica hibrida, desinfectados con NaOCl al 5,25% + activación ultrasónica y EDTA al 17%, GA fue sometido a técnica de obturación lateral en frío, GB aplicado técnica de obturación termomecánica McSpadden y GC se obturó con técnica termoplastificada (BeFill-VDW. Resultados: Los grupos C y B observados a través de tomografía computarizada presentaron mejores resultados de obturación radicular que el grupo A que no presentó un buen sellado apical, sin embargo, en el grupo C se observó mejores resultados que en A y B Conclusiones: Las técnicas de obturación radicular definitivas con la técnica termoplastificada mostraron ser ideales para proporcionar un sellado apical hermético durante el tratamiento endodóntico en la fase de obturación

  13. [Comparison of periapical radiography and cone-beam computed tomography in endodontic treated teeth for assessment of periapical lesions].

    Science.gov (United States)

    Zhang, M M; Liang, Y H; Gao, X J

    2016-06-18

    To compare the assessments of the presence or absence and the changes of post-treatment periapical lesions using periapical radiographs versus cone-beam computed tomography (CBCT). Imaging records were selected from a sample of 233 radiographic examinations (including periapical radiographs and CBCT) of patients with chronic apical periododontitis who received treatment and review in Department of Cariology and Endodontology of Peking University School of Stomatology. After testing the inter-observer and intra-observer agreement, two observers determined the presence or absence of a periapical lesion and classified the changes of lesions in 4 categories: absence, reduction or enlargement of lesion, or uncertain. The differences between CBCT and periapical radiographs in detecting the presence or absence and the changes of periapical lesions were compared using McNemar test and Fisher's exact test respectively. In the study, 233 teeth were assessed with both periapical radiographs and CBCT images. Periapical lesions were detected in 178 teeth on CBCT scans and in 146 teeth on periapical radiographs. CBCT images revealed a significantly larger number of lesions than were revealed by periapical radiographs (Plesions between the two radiological technologies in 25% teeth, and the difference was statistically significant (Plesions and assessment of the changes of periapical lesions.

  14. Etiopathogenesis of Post-endodontic Periapical Scar Formation

    Directory of Open Access Journals (Sweden)

    Edita Horká

    2012-01-01

    Full Text Available Introduction: A periapical scar represents a clinically asymptomatic, non-progressive, small, periapical radiolucency in patients with a previously well-performed root canal treatment.The hypothesis: We introduce a hypothesis that periapical scar formation is caused by osseoinhibitory molecular signaling from the epithelial cell rests of Malassez.Evaluation of the hypothesis: When epithelial cell rests of Malassez are present in teeth with an infected root canal system, a periapical cyst develops, whereas in the case of a treated root canal system infection, periapical inflammation is diminished and the periapical leasion heals until the regeneration process reaches the apical part of the tooth where epithelial cell rests of Malassez are present. Cytokines cause rapidly progressive defensive fibroproduction and scar formation, in which osteoblasts cannot differentiate into

  15. Expression and immunohistochemical localization of leptin in human periapical granulomas

    OpenAIRE

    Martín González, Jenifer; Carmona Fernández, Antonio; Pérez Pérez, Antonio; Sánchez Jiménez, Flora; Sánchez-Margalet, Víctor; Segura-Egea, Juan J.

    2015-01-01

    Background Leptin, initially described as an adipocyte-derived hormone to regulate weight control, is expressed in normal and inflamed human dental pulp, being up-regulated during pulp experimental inflammation. Leptin receptor (LER) has been identified in human periapical granulomas. The aim of this study was to analyze and characterize the expression of leptin in human periapical granulomas. Material and Methods Fifteen periapical inflammatory lesions were obtained from extracted human teet...

  16. Implant periapical lesion: Diagnosis and treatment

    Science.gov (United States)

    Maestre-Ferrín, Laura; Cervera-Ballester, Juan; Peñarrocha-Oltra, David

    2012-01-01

    The implant periapical lesion is the infectious-inflammatory process of the tissues surrounding the implant apex. It may be caused by different factors: contamination of the implant surface, overheating of bone during drilling, preparation of a longer implant bed than the implant itself, and pre-existing bone disease. Diagnosis is achieved by studying the presence of symptoms and signs such us pain, swelling, suppuration or fistula; in the radiograph an implant periapical radiolucency may appear. A diagnostic classification is proposed to establish the stage of the lesion, and determine the best treatment option accordingly. The following stages are distinguished: acute apical periimplantitis (non-suppurated and suppurated) and subcacute (or suppurated-fistulized) apical periimplantitis. The most adequate treatment of this pathology in the acute stage and in the subacute stage if there is no loss of implant stability is apical surgery. In the subacute stage, if there is implant mobility, the extraction of the implant is necessary. Key words:Implant periapical lesion, apical periimplantitis, retrograde periimplantitis. PMID:22926472

  17. A prospective clinical study of polycarboxylate cement in periapical surgery

    National Research Council Canada - National Science Library

    Peñarrocha-Diago, M-A; Ortega-Sánchez, B; García-Mira, B; Maestre-Ferrín, L; Peñarrocha-Oltra, D; Gay-Escoda, C

    .... A prospective clinical study was made of 25 patients subjected to periapical surgery with ultrasound and magnifying loupes, in which polycarboxylate cement was used as retrograde filling material...

  18. Diagnostic validity of periapical radiography and CBCT for assessing periapical lesions that persist after endodontic surgery.

    Science.gov (United States)

    Kruse, Casper; Spin-Neto, Rubens; Reibel, Jesper; Wenzel, Ann; Kirkevang, Lise-Lotte

    2017-07-14

    Traditionally, healing after surgical endodontic retreatment (SER); i.e. apicectomy with or without a retrograde filling, is assessed in periapical radiographs (PR). Recently, the use of Cone Beam CT (CBCT) has increased within endodontics. Generally, CBCT detects more periapical lesions than PR, but basic research on the true nature of these lesions is missing. The objective was to assess the diagnostic validity of PR and CBCT for determining inflammation in SER-cases that were re-operated (SER-R) due to unsuccessful healing, using histology of the periapical lesion as reference for inflammation. Records from 149 patients, receiving SER 2004-10, were screened. In total 108 patients (119 teeth) were recalled for clinical follow-up examination, PR and CBCT, of which 74 patients (83 teeth) participated. Three observers assessed PR and CBCT as "successful healing" or "unsuccessful healing" using Rud and Molven´s criteria. SER-R was offered to all non-healed teeth with expected favorable prognosis for subsequent functional retention. During SER-R, biopsy was performed and histopathology verified whether or not inflammation was present. All re-operated cases were assessed non-healed in CBCT while 11 of these were assessed successfully healed in PR. Nineteen biopsies were examined. Histopathologic diagnosis revealed 42% (teeth=8) without periapical inflammation, 16% (teeth=3) with mild inflammation, and 42% (teeth=8) with moderate to intense inflammation. A correct diagnosis was obtained in 58% with CBCT (true positives) and 63% with PR (true positives+true negatives). Of the re-operated teeth, 42% had no periapical inflammatory lesion, and hence no benefit from SER-R. Not all lesions observed in CBCT represented periapical inflammatory lesions.

  19. Manejo de conductos radiculares con curvatura marcada

    OpenAIRE

    Jorge Mario Nuñez Duran

    2013-01-01

    Las variaciones anatómicas en dientes con conductos que poseen dilaceraciones hacen del tratamiento de endodonciaun reto o una complicación relativa, en donde el clínico debe desarrollar toda su habilidad y el uso de instrumentosespeciales que faciliten u optimicen la terapia de conductos radiculares. La toma de radiografías previas con diferentesangulaciones y el estudio minucioso de ellas, darán una ayuda fundamental para conocer más detalladamente estacomplicación anatómica, que en algunos...

  20. Actinomicosis: presentación de un caso y revisión del tema con énfasis en los aspectos orales Actinomycosis in children with emphasis on oral aspects

    Directory of Open Access Journals (Sweden)

    Luis Fernando Gómez Jiménez

    1997-04-01

    Full Text Available En el presente artículo se actualizan los conocimientos sobre actinomicosis y se presenta el caso de un niño con la forma torácica de dicha entidad. La actinomicosis es una infección infrecuente que puede afectar cualquier parte del cuerpo; los Actinomyces son bacilos o filamentos gram positivos que forman parte de la flora endógena de las mucosas en especial las de las cavidades oral e intestinal. Su comportamiento es insidioso pero en oportunidades tiene expresión aguda, fistulización a piel y cicatrización con fibrosis. Los llamados gránulos de azufre son una característica macroscópica del exudado que contribuye al diagnóstico de laboratorio. La infección inicial para la forma cervicofacial suele provenir de la cavidad oral y extenderse a la vecindad o ser aspirada a los pulmones. El tratamiento de elección es la penicilina, inicialmente endovenosa y seguidamente oral por un lapso no menor de 6 meses. Algunas formas requieren manejo quirúrgico. We report the case of a child with thoracic actinomycosis and review this disease. Actinomycosis is a rare infection that can affect any part of the body; Actinomyces are gram positive bacilli or filaments belonging to the endogenous flora of the mUCOUS membranes, specially that of the oral cavity and the intestinal tract. Actinomycosis usually behaves as an insidioUS disease but may ocassionally have acute expressions with fistulization to the skin and fibroUS healing during resolution. The So called sulfur granules are an important macroscopic detail that helps establish the diagnosis. Actinomyces infections usually start in the oral cavity for the cervicofacial form and then spread to contiguous tissues or to the lungs via aspiration. Penicillin is the drug of choice and surgical drainage may become necessary.

  1. Prediction of osteoporosis using fractal analysis on periapical radiographs

    Energy Technology Data Exchange (ETDEWEB)

    Park, Gum Mi; Jung, Yun Hoa; Nah, Kyung Soo [Pusan National University College of Medicine, Busan (Korea, Republic of)

    2005-03-15

    To purpose of this study was to investigate whether the fractal dimension and radiographic image brightness of periapical radiograph were useful in predicting osteoporosis. Ninety-two postmenopausal women were classified as normal, osteopenia and osteoporosis group according to the bone mineral density of lumbar vertebrae and periapical radiographs of both mandibular molar areas were taken. The ROIs of 358 areas were selected at periapical and interdental areas and fractal dimension and radiographic image brightness were measured. The fractal dimension in normal group was significantly higher than that in osteoporosis group at periapical ROI (p<0.05). The radiographic image brightness in normal group was higher than that in osteopenia and osteoporosis group. There was significant difference not only between normal and osteopenia group (p<0.05) but also within osteopenia and osteoporosis group (p<0.01) at periapical ROI. Significant difference was observed not only between normal and osteopenia group but also between normal and osteoporosis group at interdental ROI (p<0.01). Positive linear relationship was weakly shown at Pearson correlation analysis between fractal dimension and radiographic image brightness. BMD significantly correlated with fractal dimension at periapical ROI (p<0.01), and BMD and radiographic image brightness significantly correlated at both periapical and interdental ROIs (p<0.01). This study suggests that the fractal dimension and radiographic image brightness of periapical ROI may predict BMD.

  2. Adenomatoid odontogenic tumour mimicking a periapical cyst in pregnant woman

    DEFF Research Database (Denmark)

    Kothari, Mohit; Bhandari, Neha

    2010-01-01

    EJ, Murrah VA. Adenomatoid odontogenic tumor presenting as periapical disease. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:557-60) and is associated with the crown of an impacted tooth, commonly the maxillary canine. We present a rare case of extrafollicular AOT mimicking a periapical...

  3. Application of CBCT in diagnosis of the range of radicular cyst%锥形束CT辅助诊断根尖囊肿累及范围的临床应用研究

    Institute of Scientific and Technical Information of China (English)

    黄荣; 赖仁发

    2016-01-01

    目的:分析锥形束CT(CBCT)辅助诊断慢性根尖囊肿累及范围的临床应用效果。方法:选取2013年4月-2014年4月诊断为慢性根尖囊肿的CBCT三维重建影像资料42例,观察X线根尖片及CBCT三维重建影像资料,综合评价CBCT在辅助诊断慢性根尖囊肿累及范围中的应用效果。结果:CBCT诊断慢性根尖囊肿累及范围的能力显著优于X线根尖片,42例均能通过CBCT准确诊断囊肿累及患牙,并于根管治疗后根尖囊肿如期愈合。结论:CBCT能够辅助诊断慢性根尖囊肿的累及范围,并指导临床医生判断受累患牙。%Objective:To explore the effect and application value of CBCT in diagnosis of the range of radicular cyst by a retrospective study. Method:Select 42 patients who were diagnosed of impacted tooth in our department from 2013 April to 2014 April,42 cases were observed by periapical films and three-dimensional reconstruction of CBCT images,and evaluated the application value and advantage of CBCT in diagnosis of the range of radicular cyst comprehensively. Result:CBCT's accurate diagnosis of the range of radicular cyst was significantly better than that of the periapical film, all the cas-es were diagnosed accurately. Conclusions:CBCT can help clinicians to diagnosis of the range of radicular cyst accurately.

  4. Extrusión de cemento sellador endodóntico al espacio periapical

    Directory of Open Access Journals (Sweden)

    Landy Solanyi Diaz Canedo

    2013-10-01

    Full Text Available Resumen La realización de un tratamiento endodóntico tiene como finalidad lograr un buen sellado del conducto para evitar el transporte de contaminantes hacia y desde el conducto radicular, con materiales que presenten en sus características la bioco-mpatibilidad con los tejidos adyacentes. A pesar del uso de localizadores apicales, radiografías y demás elementos auxiliares para un buen diagnóstico y tratamiento por parte del endodoncista, ocasionalmente se presentan situaciones en donde no se respeta el objetivo de mantenimiento de la longitud de trabajo como es el caso de sobre instrumentaciones cuando se intenta retirar instrumentos separados dentro del conducto. Estas permiten la extrusión de materiales de obturación, principalmente cementos selladores causando complicaciones pos-tratamiento como reacciones inflamatorias, afección de las estructuras vecinas (dolor orbital, daño al dentario inferior, dolor de cabeza, etc., e incluso, algunos producen infecciones por aspergilosis en los senos maxilares. Cementos como el AH Plus parecen mostrar resultados favorables aun en casos donde se presenta extrusión de pequeñas cantidades al espacio periapical. Esto se debe a la adición en su composición de aminas epóxicas, que le permiten minimizar la liberación de toxinas y según algunos autores, los posibles efectos citotóxicos cesan una vez se endurece el material. (DUAZARY 2011, 88 - 92AbstractThe importance of endodontic treatment is to achieve a complete filling and sealing of the root canal to prevent the transport of contaminants to and from root canal, with materials compatible with the surrounding tissues. Occasionally a situation may arise in which the purpose of the maintenance of working length is compromised such as overenlargement. This situation allows the extrusion of filling materials, mainly sealer cements, causing post treatment complications such as inflammatory reactions, injury to adjacent structures (orbital

  5. Fractura patológica de la mandíbula asociada a quiste radicular: Reporte de 3 casos clínicos Mandibular pathologic fracture associated with radicular cyst: Report of three clinical cases

    Directory of Open Access Journals (Sweden)

    J. Bouguila

    2008-08-01

    Full Text Available Introducción. El quiste radicular es el quiste más común de los maxilares. Su tamaño puede variar desde una lesión que abarca el proceso alveolar hasta uno extenso que oblitera el espacio antral maxilar o causa una fractura patológica mandibular. Reporte de casos. Se reportan tres casos con fractura patológica mandibular asociados a quiste radicular ocurridos después de trauma facial. El diagnóstico fue sugerido por un estudio clínico, radiografía panorámica y confirmado por el estudio histopatológico de la pieza operatoria. El tratamiento consistió en enucleación quística seguido por inmovilización de fragmentos con osteosíntesis o bloqueo intermaxilar. El resultado clínico y radiológico a corto plazo fue favorable. Discusión. Se discuten aspectos propios de la patología y su terapia. Conclusión. El éxito del tratamiento depende de una adecuada terapia en que sus principios más importantes son la remoción de la lesión mediante enucleación y una fijación estable.Introduction. Radicular cyst is the most common cyst of the oral cavity. It may range in size from a small periapical lesion to one that can obliterate the antral space or cause mandibular fracture. Case reports. We report three cases of radicular cyst complicated by mandibular fracture that occurred after maxillofacial trauma. The diagnosis was strongly suggested by panoramic radiography and confirmed by pathology examination of the operative specimen. Treatment consisted in cyst enucleation followed by immobilization of fragments by osteosynthesis or maxillomandibular fixation. The clinical and radiologic outcome was favorable. Discussion. The particularities and treatment are discussed. Conclusion. Treatment success is dependent on adequate therapy, the principles of which are removing the lesion and providing stable fixation.

  6. Age estimation using intraoral periapical radiographs

    Directory of Open Access Journals (Sweden)

    Pooja S Rajpal

    2016-01-01

    Full Text Available Context: Changes in the size of dental pulp caused by the apposition of secondary dentin and occlusal wear are morphometric parameters for estimating age. Aim: To estimate the accuracy of age evaluation by Kvaal's method and the effect of occlusal wear on age using digital intraoral periapical radiographs in a subset of the Indian population. Materials and Methods: A total of 300 teeth were radiographically evaluated using intraoral periapical digital radiographs from 50 adult patients. A few modifications were made in the design of the study compared to the original Kvaal's method. The radiographs of three teeth from each jaw were taken and morphometric measurements in ratios were analyzed, which included the pulp length to tooth length (X1, pulp length to root length (X2, pulp width to root widths at three defined levels (X3, and tooth length to root length (X4. Statistical Analysis: The Pearson product-moment correlation coefficient (PCC between age and the morphological variables showed that among them X1, X2, and X3were statistically significant but not the tooth root length ratio (X4. Conclusions: The ratios X1, X2, and X3were good indicators of age and hence a multiple linear regression model for age estimation was derived using these three variables. However, it was found that X4was not a good indicator of age estimation in said population.

  7. Alternative adhesive strategies to optimize bonding to radicular dentin.

    Science.gov (United States)

    Bouillaguet, Serge; Bertossa, Bruno; Krejci, Ivo; Wataha, John C; Tay, Franklin R; Pashley, David H

    2007-10-01

    This study tested the hypothesis that bond strengths of filling materials to radicular dentin might be optimized by using an indirect dentin bonding procedure with an acrylic core material. Roots of human teeth were endodontically prepared and obturated with EndoREZ, Epiphany, or the bonding of an acrylic point with SE Bond by using a direct or an indirect bonding technique. Bond strengths of endodontic sealers to radicular dentin were measured with a thin slice push-out test. Push-out strengths of EndoREZ and Epiphany to radicular dentin were less than 5 megapascals (MPa). The direct bonding technique with acrylic points and the self-etching adhesive had push-out strengths of 10 MPa, increasing to 18 MPa with the indirect technique. The use of the indirect bonding protocol with an acrylic point to compensate for polymerization stresses appears to be a viable means for optimizing bond strengths of endodontic filling materials to radicular dentin.

  8. Sacral radicular cysts in autosomal dominant polycystic kidney disease.

    Science.gov (United States)

    Peces, Ramón; Peces, Carlos; Pérez-Dueñas, Virginia; Vega-Cabrera, Cristina; Campos, Isabel

    2009-10-01

    This is the first report of a case of sacral radicular cysts in a patient with autosomal dominant polycystic kidney disease (ADPKD). A 46-year-old woman with ADPKD was found to have bilateral sacral radicular cysts discovered incidentally by magnetic resonance imaging (MRI). Cysts arising from arachnoid or spinal meningeal sac should be considered one of the manifestations of a more widespread connective tissue disorder associated with ADPKD.

  9. Assessment of the periapical health of abutment teeth: A ...

    African Journals Online (AJOL)

    Assessment of the periapical health of abutment teeth: A retrospective ... Materials and Methods: In this study, the digital OPTGs of adult patients between ... Keywords: Abutment teeth, apical periodontitis, endodontics, epidemiology, radiology ...

  10. Periapical abscess of the maxillary teeth and its fistulizations: Multi ...

    African Journals Online (AJOL)

    Sherif A. Shama

    2012-12-14

    Dec 14, 2012 ... als of previous extraction were also encountered. Conclusion: The MDCT with ... tooth pain, facial swelling, dysphagia, trismus, and possibly dyspnea. .... than a third of lesions detected with CBCT were missed with periapical ...

  11. Diagnostics and Treatment of Palatal Radicular Grooves

    Institute of Scientific and Technical Information of China (English)

    James Deschner; Birgit Rath; Wang Zheng; Ding Yi

    2006-01-01

    The palatal radicular groove represents a developmental anomaly that mainly affects the maxillary incisor teeth. This anomaly is probably caused by an infolding of the enamel organ and Hertwig's epithelial root sheath during odontogenesis. The groove often originates in the central fossa or cingulum and continues towards the root apex for various distances. The anatomical defect can act as a funnel for plaque and, therefore, result in extensive bone and attachment loss. A complete lack of closure of the calcified tissues along the groove, that is a direct communication between pulp and periodontium, rarely occurs. However, accessory canals between the pulp cavity and periodontal tissues frequently exist along the groove and are main entrances of infectious material into the pulp cavity, facilitating the development of endodontic lesions. Grooves can also complicate restorative therapy or interfere with the accessibility for scaling and root planing. Patients usually present with pain and gingival inflammation in the maxillary incisor region. Bleeding on probing and increased pocket depths are strictly confined to the area of the groove in an otherwise periodontally healthy patient. Radiographs may show a parapulpal line that represents the radiographic image of the groove. Treatment of the anomaly by scaling and root planing alone or in combination with procedures such as odontoplasty, flap surgery, application of an enamel matrix derivative or guided tissue regeneration can be successful. A short case report of a patient treated successfully with an enamel matrix derivative for localized attachment loss due to this anomaly is presented.

  12. Kronični periapikalni parodontitis: Chronical periapical parodontitis:

    OpenAIRE

    Ihan Hren, Nataša

    2000-01-01

    Chronical periapical parodontitis is chronical inflamatory response of periapical parodontal tissues to bacterial infection. Patohistologically it represents nonspecifical chronical mononuclear inflamatory infiltration of fibrous tissue. Its pathogenesis depends on more factors. The immunological mechanisms have important rule, among them expecially late hypersensitivity. Kronični periapikalni parodontitis je kronični vnetni odziv obzobnih tkiv ob vrhu zobne korenine na bakterijsko okužbo....

  13. Periapical tissue evaluation: analysis of existing indexes and application of Periapical and Endodontic Status Scale (PESS in clinical practice

    Directory of Open Access Journals (Sweden)

    Tadas Venskutonis

    2016-06-01

    Conclusion: PESS index is complex and different from all other indexes already present in the literature. It permits to evaluate not only the status of periapical tissues, but also endodontic treatment quality. Furthermore, the COPI periapical index has prognostic value due to its suggested AP treatment risk degrees. PESS can be used in epidemiological studies and clinical practice. Future research must validate it. Finally, if universally adopted, this system of evaluation might allow groups worldwide to calibrate and build powerful combined data.

  14. Manejo de conductos radiculares con curvatura marcada

    Directory of Open Access Journals (Sweden)

    Jorge Mario Nuñez Duran

    2013-10-01

    Full Text Available Las variaciones anatómicas en dientes con conductos que poseen dilaceraciones hacen del tratamiento de endodonciaun reto o una complicación relativa, en donde el clínico debe desarrollar toda su habilidad y el uso de instrumentosespeciales que faciliten u optimicen la terapia de conductos radiculares. La toma de radiografías previas con diferentesangulaciones y el estudio minucioso de ellas, darán una ayuda fundamental para conocer más detalladamente estacomplicación anatómica, que en algunos casos es muy frecuente. El uso de instrumental más flexible y resistentepermite llegar con mayor precisión y seguridad a la parte apical sin que se corra el riesgo de fracturar los instrumentos,limpiándolos y modelándolos en toda su extensión para poder obturarlos de una manera correcta.El uso de limas de menor calibre, precurvadas, permite acceder a la porción dilacerada de la raíz. Este es un métodoeficaz para prevenir la perdida de longitud de trabajo y evitar así las perforaciones de las raíces durante la preparación.Dentro de los errores más comunes durante la instrumentación de los conductos está la perdida de longitud detrabajo, junto con la transportación del foramen apical, ya sea de manera externa o interna. En el presente artículose menciona el uso de nuevas y mejores técnicas usadas para poder evitar este tipo de errores y se muestra un casoclínico del manejo de un molar superior con una curvatura de 40 grados que fue preparado y obturado exitosamentecon el sistema Protaper (Dentsply- maillefer.

  15. Effectiveness of conservative treatments for the lumbosacral radicular syndrome: A systematic review

    NARCIS (Netherlands)

    P.A.J. Luijsterburg (Pim); A.P. Verhagen (Arianne); R.W.J.G. Ostelo (Raymond); T.A.G. van Os (Ton); W.C. Peul (Wilco); B.W. Koes (Bart)

    2007-01-01

    textabstractPatients with a lumbosacral radicular syndrome are mostly treated conservatively first. The effect of the conservative treatments remains controversial. To assess the effectiveness of conservative treatments of the lumbosacral radicular syndrome (sciatica). Relevant electronic databases

  16. Carbonization of a radicular cyst using fiber-optic diode laser: a case report

    OpenAIRE

    Kafas, Panagiotis; Kalfas, Sotirios

    2008-01-01

    A female patient, 51 years old, complaint of painful swelling on the anatomical area of the upper left lateral incisor. The diagnosis of radicular cyst was confirmed histo-pathologically. Nowadays, radicular cysts may be treated using conventional root canal methods or surgical apicectomy. The possible soft-laser reaction to radicular cysts after contact application has not been investigated. We present an in vitro case of a diagnosed radicular cyst which carbonized after contact application ...

  17. Prognostic factors on periapical surgery: A systematic review

    Science.gov (United States)

    Serrano-Giménez, Mireia; Sánchez-Torres, Alba

    2015-01-01

    Background Analyze the most important prognostic factors when performing periapical surgery and compare the success rates of distinct authors. Introduction Periapical surgery is an approach to treat non-healing periapical lesions and it should be viewed as an extension of endodontic treatment and not as a separate entity. Material and Methods A search of articles published in Cochrane, PubMed (MEDLINE) and Scopus was conducted with the key words “prognostic factors”, “prognosis”, “periapical surgery”, “endodontic surgery” and “surgical endodontic treatment”. The inclusion criteria were articles including at least 10 patients, published in English, for the last 10 years. The exclusion criteria were nonhuman studies and case reports. Results 33 articles were selected from 321 initially found. Ten articles from 33 were excluded and finally the systematic review included 23 articles: 1 metaanalysis, 1 systematic review, 2 randomized clinical trials, 6 reviews, 12 prospective studies and 1 retrospective study. They were stratified according to their level of scientific evidence using the SORT criteria. Conclusions Factors associated with a better outcome of periapical surgery are patients ≤45 years old, upper anterior or premolar teeth, ≤10 sized lesions, non cystic lesions, absence of preoperative signs and symptoms, lesions without periodontal involvement, teeth with an adequate root-filling length, MTA as root-end filling material, uniradicular teeth, absence of perforating lesions, apical resection < 3 mm, teeth not associated to an oroantral fistula and teeth with only one periapical surgery. Key words:Prognostic factors, prognosis, periapical surgery, endodontic surgery and surgical endodontic treatment. PMID:26449431

  18. Fracturas radiculares en pacientes adultos: propuesta de tratamiento actual

    OpenAIRE

    Francisco Javier Verdugo-Avello; Edgardo González; Christian Pedemonte; Ilich Vargas

    2014-01-01

    Objetivo: El objetivo de este estudio fue ver la prevalencia y la evolución del tratamiento en las fracturas radiculares en pacientes adultos laboralmente activos que sufrieron un trauma dentoalveolar y presentar un protocolo de tratamiento distinto basándose en el pronóstico a largo plazo según nuestros porcentajes de éxito. Materiales y métodos: Se realizó una revisión retrospectiva de los casos de trauma dentoalveolar y específicamente de fracturas radiculares que acudieron a la Unidad ...

  19. Fracturas radiculares en pacientes adultos: propuesta de tratamiento actual

    OpenAIRE

    Francisco Javier Verdugo-Avello; Edgardo González; Christian Pedemonte; Ilich Vargas

    2014-01-01

    Objetivo: El objetivo de este estudio fue ver la prevalencia y la evolución del tratamiento en las fracturas radiculares en pacientes adultos laboralmente activos que sufrieron un trauma dentoalveolar y presentar un protocolo de tratamiento distinto basándose en el pronóstico a largo plazo según nuestros porcentajes de éxito. Materiales y métodos: Se realizó una revisión retrospectiva de los casos de trauma dentoalveolar y específicamente de fracturas radiculares que acudieron a la Unidad ...

  20. Radicular Dens Invaginatus: Report of a Rare Case

    Directory of Open Access Journals (Sweden)

    V. T. Beena

    2012-01-01

    Full Text Available Dens invaginatus is a developmental anomaly resulting from invagination of a portion of crown forming within the enamel organ during odontogenesis. The invagination ranges from a slight pitting (coronal type to an anomaly occupying most of the crown and root (radicular type. Although a clinical examination may reveal a deep fissure or pit on the surface of an anterior tooth, radiographic examination is the most realistic way to diagnose the invagination. The objective of this case presentation is to report a rare case of radicular dens in dente, which is a rare dental anomaly.

  1. Ultrasound in differential diagnosis of periapical radiolucencies: A radiohistopathological study

    Directory of Open Access Journals (Sweden)

    Neha Khambete

    2015-01-01

    Full Text Available Objectives: To evaluate the efficacy of ultrasound in differential diagnosis of periapical radiolucencies. Materials and Methods: Ten patients aged between 19 years and 40 years with periapical lesions associated with anterior maxillary or mandibular teeth were selected and consented for the study. Pre-operative periapical radiographs were obtained. Measurements and provisional diagnoses of the apical areas were made by two specialist observers on two separate occasions. Preoperative ultrasound examinations with Doppler flowmetry were then performed and the images assessed by two specialist observers for the size, contents, vascular supply and a provisional diagnosis made as to whether the lesion was a cyst or granuloma. Endodontic surgery was performed including curettage of the apical tissues to enable histopathological investigation, which provided the gold standard diagnosis. All measurements and findings were compared and statistically analyzed. Results: Total 10 lesions were identified in 10 patients. On periapical radiographs, lesions were readily identified but observers were unable to differentiate granuloma from cyst using either modality. Where sufficient buccal cortical bone had been resorbed, ultrasound imaging was simple but underestimated the size of the lesions compared with periapical radiographs. In all cases, the ultrasound diagnosis agreed with the histopathological gold standard. Conclusion: Ultrasonography (USG can provide accurate information about the nature of intraosseous lesions of the jaws before any surgical procedure. It is proposed that USG with Doppler flowmetry can provide an additional diagnostic tool without invasive surgery, where treatment option is nonsurgical.

  2. Metaplastic changes in the epithelium of radicular cysts: A series of 711 cases

    Science.gov (United States)

    Rosen, Eyal; Dubinsky, Liz; Buchner, Amos; Vered, Marilena

    2016-01-01

    Background This study was aimed to evaluate the prevalence of metaplastic changes in the epithelium of radicular cysts and to investigate how they relate to the clinical and radiographic characteristics of the cysts, based on a large series of radicular cysts. Material and Methods Biopsies of cysts of endodontic origin that were examined at the Department of Oral Pathology between 2004 and 2011 have been re-evaluated for this study. Only cases that were re-confirmed with clinical and histological diagnoses of a radicular or residual radicular cyst were included. The included cases were evaluated for the prevalence of metaplastic changes in the form of mucous secreting cells (MSC) or ciliated cells (CC). The relations between the metaplastic changes and the cyst type (radicular or residual radicular), as well as demographic, clinical and radiographic parameters, were statistically evaluated using Fischer and chi-square tests. Significance was set at p<0.05. Results A total of 711 cysts were included: 677 were radicular cysts (95%) and 34 (5%) were residual radicular cysts. 23 cases had histopathological diagnoses other than radicular or residual radicular cysts and were excluded from the study. MSC were present in 47 (6.6%) cysts. MSC were significantly more common in residual radicular cysts than in radicular cysts [8 (23.5%) and 39 (5.8%), respectively; p<0.001]. MSC-containing cysts were commonly found in asymptomatic patients (10.5%, p<0.001), and usually presented with well-defined radiographic borders (7.2%, p<0.05). CC were present in 34 (4.8%) cysts, with a markedly high prevalence in the maxillary molar sextant (15%, p<0.001). Conclusions In the epithelium of radicular and residual radicular cysts the presence of specific metaplastic changes may be related to cyst type, symptomatology, radiographic findings and tooth location. Key words:Radicular cyst, metaplasia, mucous secreting cells, ciliated cells. PMID:27957265

  3. Presence and consequence of tooth periapical radiolucency in patients with cirrhosis

    DEFF Research Database (Denmark)

    Grønkjær, Lea Ladegaard; Holmstrup, Palle; Schou, Søren

    2016-01-01

    BACKGROUND: Periapical radiolucency is the radiographic sign of inflammatory bone lesions around the apex of the tooth. We determined the prevalence and predictors of periapical radiolucency in patients with cirrhosis and the association with systemic inflammation status and cirrhosis-related com......BACKGROUND: Periapical radiolucency is the radiographic sign of inflammatory bone lesions around the apex of the tooth. We determined the prevalence and predictors of periapical radiolucency in patients with cirrhosis and the association with systemic inflammation status and cirrhosis...

  4. Morphologic analysis of apical resorption on human teeth with periapical lesions

    OpenAIRE

    2000-01-01

    Objective: The aim of this study was to compare the presence and extension of cementum and dentin resorption in apexes containing different periapical pathosis. Material and method: 31 teeth were selected for the presence of a proliferative tissue compatible with a periapical pathology. Sections were conducted in periapical lesions which were then dyed by the HE. The periapical pathosis were classified in fibrous connective tissue, granuloma and cysts. The apical root surfaces were submitted ...

  5. Histopathological profile of surgically removed persistent periapical radiolucent lesions of endodontic origin.

    Science.gov (United States)

    Love, R M; Firth, N

    2009-03-01

    To determine the types of periapical lesions associated with root filled teeth with persistent periapical pathosis that required surgical treatment based on specific inclusion and exclusion criteria. Periapical lesions from a consecutive clinical sample of 100 patients were examined histopathologically to determine a definitive diagnosis. Females were more represented (n = 56), the average age was 46.5 years and there were no age differences between gender or lesion type. A diagnosis of periapical granuloma was the most common finding with a similar number present in females (n = 40) and males (n = 37). A cyst was present in 18% of the cases with a majority of females (n = 12) represented in the sample. Evidence of foreign material, with an appearance consistent with endodontic sealer materials, was seen in 25 periapical granulomas, two cysts and one scar. Two periapical scars were seen, one had a history of apicectomy and amalgam root-end filling while the other was associated with extruded root filling material. By using defined clinical inclusion and exclusion criteria a predictable clinical diagnosis of a persistent periapical lesion due to endodontic origin can be reliably made. Periapical granulomas and cysts were the most common periapical lesions of endodontic origin associated with persistent periapical pathosis with the overall incidence of periapical cysts similar to previous studies. The presence of endodontic material in a high proportion of periapical lesions suggests a cause-effect association with the inference that clinicians should employ canal preparation techniques that limit apical extrusion of material.

  6. Radicular cyst of primary tooth associated with maxillary sinus

    National Research Council Canada - National Science Library

    Bahadure, Rakesh N; Khubchandani, Monika; Thosar, Nilima R; Singh, Rajeev Kumar

    2013-01-01

    .... It is inflammatory in nature and found mostly in relation to a non-vital tooth. It usually presents at a later stage in life because the formation of the cyst is the last step in the progression of inflammatory events after a periapical infection...

  7. Comparison of Cone-Beam Computed Tomography and Periapical Radiography in Predicting Treatment Decision for Periapical Lesions: A Clinical Study

    Directory of Open Access Journals (Sweden)

    Ashok Balasundaram

    2012-01-01

    Full Text Available Objectives. To compare the ability of endodontists to determine the size of apical pathological lesions and select the most appropriate choice of treatment based on lesions’ projected image characteristics using 2 D and 3 D images. Study Design. Twenty-four subjects were selected. Radiographic examination of symptomatic study teeth with an intraoral periapical radiograph revealed periapical lesions equal to or greater than 3 mm in the greatest diameter. Cone-beam Computed tomography (CBCT images were made of the involved teeth after the intraoral periapical radiograph confirmed the size of lesion to be equal to greater than 3 mm. Six observers (endodontists viewed both the periapical and CBCT images. Upon viewing each of the images from the two imaging modalities, observers (1 measured lesion size and (2 made decisions on treatment based on each radiograph. Chi-square test was used to look for differences in the choice of treatment among observers. Results. No significant difference was noted in the treatment plan selected by observers using the two modalities (χ2(3=.036, P>0.05. Conclusion. Lesion size and choice of treatment of periapical lesions based on CBCT radiographs do not change significantly from those made on the basis of 2 D radiographs.

  8. [Clinical evaluation of periapical endodontic surgery for endodontic failure].

    Science.gov (United States)

    Xu, Qiong; Chen, Yi-yang; Ling, Jun-qi; Gu, Hai-jing; Liu, Jian-wei

    2009-02-01

    To evaluate the clinical outcome of periapical endodontic surgery for teeth that can't be treated by nonsurgical endodontic methods. Sixty-two affected teeth were chosen for surgical endodontic treatment, of which 31 teeth underwent periapical curettage and the others were treated by root-end resection, retrograde preparation and filling. A radiography was taken immediately after surgery and was compared with those taken at 12 and 24 months. The results of two groups were analyzed using the chi2 test. The success rate for retrograde filling was higher (85% after 12 months, 88% after 24 months) compared with that of periapical curettage (52% after 12 months, 45% after 24 months). The difference in success rate between the two groups was statistically significant. Ultrasonic root-end preparation and retrograde filling is a good choice of treatment when the teeth can't be treated appropriately by nonsurgical treatment.

  9. Evidence-based practice regarding the lumbosacral radicular syndrome

    NARCIS (Netherlands)

    P.A.J. Luijsterburg (Pim)

    2006-01-01

    textabstractThe lumbosacral radicular syndrome causes pain in the leg and disability, often resulting in utilisation of healthcare resources and absenteeism from work. In general practice this syndrome is the most frequently seen specific low-back disorder. The aim of the research described in this

  10. Epstein-Barr virus infection in chronically inflamed periapical granulomas.

    Directory of Open Access Journals (Sweden)

    Kosuke Makino

    Full Text Available Periapical granulomas are lesions around the apex of a tooth caused by a polymicrobial infection. Treatment with antibacterial agents is normally performed to eliminate bacteria from root canals; however, loss of the supporting alveolar bone is typically observed, and tooth extraction is often selected if root canal treatment does not work well. Therefore, bacteria and other microorganisms could be involved in this disease. To understand the pathogenesis of periapical granulomas more precisely, we focused on the association with Epstein-Barr virus (EBV using surgically removed periapical granulomas (n = 32. EBV DNA was detected in 25 of 32 periapical granulomas (78.1% by real-time PCR, and the median number of EBV DNA copies was approximately 8,688.01/μg total DNA. In contrast, EBV DNA was not detected in healthy gingival tissues (n = 10; the difference was statistically significant according to the Mann-Whitney U test (p = 0.0001. Paraffin sections were also analyzed by in situ hybridization to detect EBV-encoded small RNA (EBER-expressing cells. EBER was detected in the cytoplasm and nuclei of B cells and plasma cells in six of nine periapical granulomas, but not in healthy gingival tissues. In addition, immunohistochemical analysis for latent membrane protein 1 (LMP-1 of EBV using serial tissue sections showed that LMP-1-expressing cells were localized to the same areas as EBER-expressing cells. These data suggest that B cells and plasma cells in inflamed granulomas are a major source of EBV infection, and that EBV could play a pivotal role in controlling immune cell responses in periapical granulomas.

  11. Simple bone cyst of mandible mimicking periapical cyst

    Directory of Open Access Journals (Sweden)

    Charan Babu HS

    2012-05-01

    Full Text Available Simple bone cysts (SBC are pseudocysts occurring less commonly in the maxillofacial region. The uncertain and unclear etiopathogenesis led to numerous synonyms to refer this particular cyst. These cysts are devoid of an epithelial lining and are usually empty or contain blood or straw-colored fluid. In jaws initially it mimics a periapical cyst and later can lead to cortical bone expansion warranting for radical approach, which is seldom required. SBC is predominantly diagnosed in first two decades of life. Here we report a case of solitary bone cyst mimicking a periapical cyst of a mandibular molar in a 37-year-old patient.

  12. Simple bone cyst of mandible mimicking periapical cyst.

    Science.gov (United States)

    Hs, Charan Babu; Rai, Bhagawan Das; Nair, Manju A; Astekar, Madhusudan S

    2012-05-29

    Simple bone cysts (SBC) are pseudocysts occurring less commonly in the maxillofacial region. The uncertain and unclear etiopathogenesis led to numerous synonyms to refer this particular cyst. These cysts are devoid of an epithelial lining and are usually empty or contain blood or straw-colored fluid. In jaws initially it mimics a periapical cyst and later can lead to cortical bone expansion warranting for radical approach, which is seldom required. SBC is predominantly diagnosed in first two decades of life. Here we report a case of solitary bone cyst mimicking a periapical cyst of a mandibular molar in a 37-year-old patient.

  13. Vital tooth with periapical lesion: spontaneous healing after conservative treatment

    Directory of Open Access Journals (Sweden)

    Hyun-Joo Kim

    2012-05-01

    Full Text Available It is often presumed that apical periodontitis follows total pulp necrosis, and consequently root canal treatment is commonly performed. Periapical lesion development is usually caused by bacteria and its byproduct which irritate pulp, develop pulpitis, and result in necrosis through an irreversible process. Afterwards, apical periodontitis occurs. This phenomenon is observed as an apical radiolucency in radiographic view. However, this unusual case presents a spontaneous healing of periapical lesion, which has developed without pulp necrosis in a vital tooth, through conservative treatment.

  14. [Endodontic treatment of a periapical lesion causing root separation].

    Science.gov (United States)

    Canalda Sahli, C

    1990-01-01

    A case is presented of a periapical lesion of a rather large size, which produced an important separation of two inferior incisor roots. The root canal was treated, with calcium hydroxide overextending the apex. Clinic and radiographic control after two years complete reparation of the periapex.

  15. A prospective clinical study of polycarboxylate cement in periapical surgery

    Science.gov (United States)

    Ortega-Sánchez, Bárbara; García-Mira, Berta; Maestre-Ferrín, Laura; Peñarrocha-Oltra, David; Gay-Escoda, Cosme

    2012-01-01

    Objective: To evaluate the clinical efficacy of polycarboxylate cement as retrograde filling material. Design: A prospective clinical study was made of 25 patients subjected to periapical surgery with ultrasound and magnifying loupes, in which polycarboxylate cement was used as retrograde filling material. Measurements were made of the area and diameter of the lesions pre- and postoperatively, and 6 and 12 months after the operation. The apical resection and retrograde filling areas were also measured, and the prognosis following surgery was recorded. Results: A total of 23 patients with 31 apicoectomized teeth were studied (2 patients being lost to follow-up). The mean area of the periapical lesions before surgery was 52.25 mm2, with a mean major diameter of 6.1 mm and a mean lesser diameter of 4.8 mm. The success rate after 12 months was 54.7%, according to the criteria of Von Arx and Kurt. The prognosis was poorer in females, in larger lesions, and in cases with larger retrograde filling areas. Conclusions: Polycarboxylate cement offers good results, with important bone regeneration after periapical surgery. Key words: Periapical surgery, endodontic treatment, polycarboxylate cement. PMID:22143701

  16. Reparacion espontánea de fractura radicular horizontal

    Directory of Open Access Journals (Sweden)

    Jorge Elias Dancur Turizo

    2013-10-01

    Full Text Available Resumen Se reporta un caso clínico de una fractura radicular horizontal en un central superior izquierdo, que reparó espontáneamente sin tratamiento dental alguno. La fractura se diagnosticó catorce años después de recibir el trauma, en un examen radiográfico rutinario de la consulta endodóntica, ya que el diente sin ninguna sintomatología presentaba al examen clínico cambio de color y al examen radiográfico se observaba zona radiolúcida en la zona apical, por lo que fue remitida del posgrado de ortodoncia al posgrado de endodoncia de la facultad de odontología de la Universidad de Cartagena. Al examen radiográfico realizado en el posgrado de endodoncia se observa línea de fractura radicular horizontal a nivel de la unión del tercio cervical con el tercio medio de la raíz y además se encuentra un defecto óseo al mismo nivel de la fractura radicular. Se realiza el tratamiento de conducto radicular sin complicación alguna. Este caso es sorprendente por realizarse una reparación espontánea sin tratamiento odontológico alguno y más aún sin emitirse un diagnóstico de fractura radicular con anterioridad. (DUAZARY 2010, 79 - 83AbstractIs reported a clinical case of a horizontal root fracture in a maxillary left central incisor that was spontaneously repaired without any dental treatment is reported. The root fracture was diagnosed in an x-ray endodontic examination routine fourteen years after receiving the trauma due to changes in the color of the tooth and asymptomatic, x-ray examination showed a radiolucent zone apically, reason why the patient was sent from orthodontic service to endodontic service at Dentistry School of Cartagena University. Radiographs examination showed a line of horizontal fracture between the union of the cervical third with the middle third and in addition there is a bone defect at the same level of the root fracture. Root canal treatment is done without any complication. This case is surprising

  17. Eosinophilic granuloma in the anterior mandible mimicking radicular cyst

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Byung Do; Lee, Wan; Lee, Jun [College of Dentistry, Wonkwang University, Iksan (Korea, Republic of); Son, Hyun Jin [Dept. of Pathology, School of Medicine, Eulji University, Daejeon (Korea, Republic of)

    2013-06-15

    Eosinophilic granuloma is a common expression of Langerhans cell histiocytosis and corresponds with typical bone lesions. The radiographic appearance of eosinophilic granuloma in the jaw is variable and not specific. It may resemble periodontitis, radicular cyst, or malignancies. The purpose of this report is to describe the characteristic radiographic features of eosinophilic granuloma of a 39-year-old male. The lesion in the anterior mandible was first diagnosed as radicular cyst because the radiographic findings were ovoid radiolucent lesion with well-defined border. However, careful interpretation revealed a non-corticated border and floating tooth appearance that were the characteristic radiographic features for the differential diagnosis. Early clinical signs of eosinophilic granuloma can occur in the jaw and a bony destructive lesion might be mistaken for periodontitis or an odontogenic cystic lesion; therefore, careful interpretation of radiographs should be emphasized.

  18. Interacciones radiculares en sistemas agroforestales: mecanismos y opciones de manejo

    Directory of Open Access Journals (Sweden)

    F. Casanova

    2007-01-01

    Full Text Available Los sistemas agroforestales (SAF son una forma de uso de la tierra en donde las leñosas interactúan con los cultivos y/o animales, con la finalidad de diversificar y optimizar la producción de manera sostenida. Sin embargo, estos sistemas tienen limitantes originados por una combinación inadecuada de las diferentes especies, lo que resulta en competencia entre ellas. Las características radiculares de las especies leñosas tienen un papel importante en el éxito de los SAF, ya que indican modificaciones que pudieran existir entre especies asociadas. Por tanto, el objetivo de esta revisión es analizar la importancia de las interacciones radiculares, los criterios para el manejo con base en las características morfológicas y patrones de crecimiento entre especies y su impacto en los SAF. La incorporación de especies arbóreas dentro de los cultivos requiere de objetivos claros; es decir, conocer el papel que desempeñarían dentro del sistema. No es redituable utilizar especies arbóreas que no poseen cierto valor o producto, ya que la competencia entre los árboles y los cultivos es solamente admisible si es compensada a través de porlas ventajas con relación a los aumentos en la productividad de sistema. Son deseables aquellas especies arbóreas cuyas raíces sean agresivas con relación a los sistemas radiculares del cultivo asociado, y que manifiesten un crecimiento lateral profundo y/o posean una alta plasticidad. Una opción para reducir la competencia radicular es la regulación del espaciamiento y/o distribución de las diversas especies asociadas, así como la aplicación de prácticas de manejo. Los patrones de la actividad radicular de las plantas difieren entre especies, su conocimiento puede ayudar a evitar competencia excesiva y pérdidas de nutrientes en SAF con la asignación óptima del espacio y recursos disponibles.

  19. Manejo clínico del quiste periapical

    Directory of Open Access Journals (Sweden)

    Clara Vergara Hernández

    2013-10-01

    Full Text Available ResumenEl quiste periapical es una lesión inflamatoria de los maxilares formada en el periápice de dientes con pulpa necrótica e infectada siendo una secuela directa de un granuloma apical, están asociados a la raíz dentaria y se encuentran con mayor frecuencia en el maxilar superior. Por lo general no provocan síntomas y su lenta evolución hace que el paciente no se percate del mismo hasta que aparece la asimetría facial. Se presenta un caso correspondiente a un paciente masculino con lesión de aspecto clínico tumoral en hemicara izquierda. Al examen radiográfico se observa imagen radiolúcida a nivel de incisivo central superior que continua con el ligamento periodontal. Se realiza biopsia por aspiración y basado en el estudio histopatológico, se diagnostica como quiste periapical. La conducta que se siguió con respecto al tratamiento fue quirúrgica. (DUAZARY 2010, 219 - 222AbstractThe periapical cyst it is an inflammatory injury of maxillaries formed in periápice of teeth with necrotic and infected pulp being a direct sequel of granuloma apical, is associate to the dental root and they are most frequently in superior maxilary. By the general they do not cause symptoms and its slow evolution causes that the patient does not notice of he himself until appears the face asymmetry. A case is exposed corresponding to a masculine patient with left injury of tumor like clinical aspect in hemicara. The radiographic examination radiolúcida image at level of superior central incisor is observed that continuous with the periodontal ligament. It makes biopsy by aspiration and based on the histopatológico study, it is diagnosed like periapical cyst. The conduct that was followed with respect to the treatment was surgical.Keywords: Periapical cyst; periapical disease; apical granuloma; periodontal ligament.

  20. Carbonization of a radicular cyst using fiber-optic diode laser: a case report

    Science.gov (United States)

    Kafas, Panagiotis; Kalfas, Sotirios

    2008-01-01

    A female patient, 51 years old, complaint of painful swelling on the anatomical area of the upper left lateral incisor. The diagnosis of radicular cyst was confirmed histo-pathologically. Nowadays, radicular cysts may be treated using conventional root canal methods or surgical apicectomy. The possible soft-laser reaction to radicular cysts after contact application has not been investigated. We present an in vitro case of a diagnosed radicular cyst which carbonized after contact application of diode laser. The need for future clinical trials will be essential to prove the sensitivity of this procedure in humans. PMID:18713459

  1. Resolution of persistent periapical infection by endodontic surgery.

    Science.gov (United States)

    Ferreira, F B A; Ferreira, A L; Gomes, B P F A; Souza-Filho, F J

    2004-01-01

    To examine the surfaces of a root tip removed during surgical endodontic treatment for the presence of microorganisms. The present clinical case illustrates an endodontic retreatment of a maxillary premolar tooth with a fistula and periapical reaction. The case was under treatment for 1 year, during which an intracanal medicament was replaced several times. As the lesion did not decrease and exudate was persistent through the fistula and root canal, root end resection with root end filling was performed. Microbiological samples were collected from the fistula, where Propionibacterium acnes, a species associated with endodontic failures, was detected by appropriate anaerobic technique. The resected root apex was observed by scanning electron microscopy (SEM), which revealed cocci and fungal forms surrounding one of the foramina. After 12 months, the periapical lesion had reduced.

  2. Image enhancement of digital periapical radiographs according to diagnostic tasks

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Jin Woo; Han, Won Jeong; Kim, Eun Kyung [Dept. of Oral and Maxillofacial Radiology, Dankook University College of Dentistry, Cheonan (Korea, Republic of)

    2014-03-15

    his study was performed to investigate the effect of image enhancement of periapical radiographs according to the diagnostic task. Eighty digital intraoral radiographs were obtained from patients and classified into four groups according to the diagnostic tasks of dental caries, periodontal diseases, periapical lesions, and endodontic files. All images were enhanced differently by using five processing techniques. Three radiologists blindly compared the subjective image quality of the original images and the processed images using a 5-point scale. There were significant differences between the image quality of the processed images and that of the original images (P<0.01) in all the diagnostic task groups. Processing techniques showed significantly different efficacy according to the diagnostic task (P<0.01). Image enhancement affects the image quality differently depending on the diagnostic task. And the use of optimal parameters is important for each diagnostic task.

  3. [Garlicin and formocresol in the treatment of chronic periapical periodontitis].

    Science.gov (United States)

    Xie, Xiao-Li; Fang, Chang-Yun; Liu, Hong

    2004-04-01

    To evaluate the short period clinical responses after sealed garlicin and formocresol small cotton ball in the root canal entrance to treat chronic periapical periodontitis. Treatment records of 185 teeth with chronic periapical periodontitis were compared. Of them, 94 teeth were treated by sealed small garlicin cotton ball in the root canal entrance, 78 were treated by sealed small formocresol cotton ball in the root canal entrance, and the other 13 were treated by sealed small normal saline cotton ball. The curative effects were evaluated through clinical observation. The ratios of acute reaction in 3 days following sealed garlicin, formocresol and normal saline small cotton ball were 5.1%, 10.7%, and 50% in the anterior teeth, and 5.5%, 8.0%, and 60%, in the posterior teeth, respectively. The clinical curative effects were similar between garlicin and formocresol in the short period. Formocresol can be substituted by garlicin.

  4. Endodontic periapical lesion-induced mental nerve paresthesia

    OpenAIRE

    Elham Shadmehr; Neda Shekarchizade

    2015-01-01

    Paresthesia is a burning or prickling sensation or partial numbness, resulting from neural injury. The symptoms can vary from mild neurosensory dysfunction to total loss of sensation in the innervated area. Only a few cases have described apical periodontitis to be the etiological factor of impaired sensation in the area innervated by the inferior alveolar and mental nerves. The aim of the present paper is to report a case of periapical lesion-induced paresthesia in the innervation area of th...

  5. A prospective clinical study of polycarboxylate cement in periapical surgery

    OpenAIRE

    Peñarrocha Diago, María; Ortega Sánchez, Bárbara; García Mira, Berta; Maestre Ferrín, Laura; Peñarrocha Oltra, David; Gay Escoda,Cosme

    2012-01-01

    Objective: To evaluate the clinical efficacy of polycarboxylate cement as retrograde filling material. Design: A prospective clinical study was made of 25 patients subjected to periapical surgery with ultrasound and magnifying loupes, in which polycarboxylate cement was used as retrograde filling material. Measurements were made of the area and diameter of the lesions pre- and postoperatively, and 6 and 12 months after the operation. The apical resection and retrograde filling areas were also...

  6. Patología periapical. Estructura del biofilm.

    OpenAIRE

    Viviani, María

    2008-01-01

    Es un hecho tan natural que las bacterias crezcan formando comunidades de Biofilm que no podemos pasar por alto sus implicancias en el desarrollo de la periodontitis apical asi como en las nuevas lesiones periapicales refractarias. Por lo tanto se torna esencial y casi un reto por parte del Especialista el conocer la estructura del Biofilm Periapical, las fases de su formación, mecanismos de resistencia, metabolismo, microorganismos que lo integran , grado de susceptibilidad al tratamiento en...

  7. Patología periapical. Estructura del biofilm.

    OpenAIRE

    Viviani, María

    2008-01-01

    Es un hecho tan natural que las bacterias crezcan formando comunidades de Biofilm que no podemos pasar por alto sus implicancias en el desarrollo de la periodontitis apical asi como en las nuevas lesiones periapicales refractarias. Por lo tanto se torna esencial y casi un reto por parte del Especialista el conocer la estructura del Biofilm Periapical, las fases de su formación, mecanismos de resistencia, metabolismo, microorganismos que lo integran , grado de susceptibilidad al tratamiento en...

  8. Histopathological study of healing in periapical lesions following endodontic treatments

    Directory of Open Access Journals (Sweden)

    A. Khayat

    1987-08-01

    Full Text Available This study was perfomed on twenty five teeth which showed radiographic lesions( 6mm over 25 mm. the teeth were arranged in seven different groups and root canal therapy ( by warm Gutta-percha technique as surgical intervention were performed at various time intervals. In this investigation, histologic studies of the periapical tissues begin shortly after elimination of the root canal system with or without root  canal obturation. This healing demonstrated with a replacement of granulation tissue by connective tissue, inflammatory cells diminish in number and densityb fibroblastic activity and their differentiation of osteoblastc osteoblastic activity forming osteoid and trabecular bone. The newly formed trabeculae extend from the periphery of the lesion to the center and root surfacesd nonorganized periodontal ligament fibers return to their original orientation soon after the newly formed trabeculae reach the apical root surface and form lamina duraInflammatory responses may continue simultaneously with periapical tissue regeneration and bone formation. Chronic inflammatory cells seem to be present occasionally in marrow spaces of the newly formed bone. Cellular activity and bone formation are demonstrated in the presence of the lining epithelium. This is seen between newly formed bone and apical root tip and might be suggestive of healing of the periapical cyst. 

  9. Non-invasive endodontic treatment of large periapical lesions

    Directory of Open Access Journals (Sweden)

    Harry Huiz Peeters

    2008-09-01

    Full Text Available Background: In most cases of large periapical radiolucent lesions of pulpal origin, we often encounter a dilemmatic situation, such as whether to either treat these cases endodontically or surgically. Development of techniques, instruments and root medicaments as well as the tendency toward minimally invasive treatment, all support dentists to treat those cases using the minimal invasive principle (i.e. endodontically instead of surgically. Purpose: The purpose of this paper is to report and discuss the managing of periapical lesions by endodontic no invasive treatment. Case management: The patient with large periapical lesions were treated with noninvasive endodontic treatment. After 6 months, patients in this report were asymptomatic and radiolucencies had disappeared. When the root canal treatment is done according to accepted clinical principles and under aseptic condition, including cleaning, shaping, abturating as well as proper diagnosis, the healing process of the infected area will occur. Conclusion: Some lesions, however, may not be treated conservatively and may require surgical treatment for total elimination of the lesions.

  10. Quantitative localization of impacted mesiodens using panoramic and periapical radiographs

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Hang Moon; Han, Jin Woo; Park, In Woo; Baik, Jee Seon; Seo, Hyun Woo; Lee, Joo Hyun; Park, Ho Won [College of Dentistry, Gangneung-Wonju National University, Gangneung (Korea, Republic of)

    2011-06-15

    The purpose of this study was to evaluate a new technique for localizing impacted mesiodens using its horizontal magnification ratio on panoramic radiographs. Location-magnification equation of a panoramic equipment was obtained from horizontal magnification ratio of a metal ball which was located variable positions from the center of image layer at interval of 2 mm. Panoramic radiographs were obtained from a skull phantom with a metal ball which was a substitute for impacted mesiodens and was embedded 10 mm (Group 1), 15 mm (Group 2), and 20 mm (Group 3) posterior to the central incisor. Each group obtained 7 panoramic radiographs at variable positions and one periapical radiograph. Three methods were used to estimate the actual width of the incisors and the balls which were used to calculate the magnification ratio. The methods included using the actual incisor width and the calculated ball width (Method 1), using the actual incisor width and the ball widths measured on periapical radiograph (Method 2), and using the incisor and the ball widths measured on periapical radiograph (Method 3). The location of the metal ball was calculated by using the location-magnification equation. The smallest difference between the calculated and the actual distance was 0.1{+-}0.7 mm in Group 1/Method 3. The largest difference was -4.2{+-}1.6 mm in Group 3/Method 2. In all groups, method 3 was the most accurate. Quantitative localization of impacted mesiodens is possible by using panoramic radiograph.

  11. Quantitative localization of impacted mesiodens using panoramic and periapical radiographs.

    Science.gov (United States)

    Choi, Hang-Moon; Han, Jin-Woo; Park, In-Woo; Baik, Jee-Seon; Seo, Hyun-Woo; Lee, Joo-Hyun; Park, Ho-Won

    2011-06-01

    The purpose of this study was to evaluate a new technique for localizing impacted mesiodens using its horizontal magnification ratio on panoramic radiographs. Location-magnification equation of a panoramic equipment was obtained from horizontal magnification ratio of a metal ball which was located variable positions from the center of image layer at interval of 2 mm. Panoramic radiographs were obtained from a skull phantom with a metal ball which was a substitute for impacted mesiodens and was embedded 10mm(Group 1), 15mm(Group 2), and 20mm(Group 3) posterior to the central incisor. Each group obtained 7 panoramic radiographs at variable positions and one periapical radiograph. Three methods were used to estimate the actual width of the incisors and the balls which were used to calculate the magnification ratio. The methods included using the actual incisor width and the calculated ball width (Method 1), using the actual incisor width and the ball widths measured on periapical radiograph (Method 2), and using the incisor and the ball widths measured on periapical radiograph (Method 3). The location of the metal ball was calculated by using the location-magnification equation. The smallest difference between the calculated and the actual distance was 0.1±0.7 mm in Group 1/Method 3. The largest difference was -4.2±1.6 mm in Group 3/Method 2. In all groups, method 3 was the most accurate. Quantitative localization of impacted mesiodens is possible by using panoramic radiograph.

  12. Adenomatoid odontogenic tumour mimicking a periapical cyst in pregnant woman.

    Science.gov (United States)

    Bhandari, Neha; Kothari, Mohit

    2010-06-01

    Adenomatoid odontogenic tumours (AOT) are uncommon odontogenic lesions characterized histologi-cally by duct-like structures derived from the epithelial component of the lesion and can be distinctly classified into follicular, extrafollicular and extraosseous variants (Neville BW, Damm DD, Allen CM, et al. Adenomatoid Odontogenic Tumor. A Text Book for Oral and Maxillofacial Pathology, 2(nd) edition, 621-3). Most of these tumours develop in the second or third decade of life and have a distinct predilection for women. The follicular variant accounts for 75% of reported cases (Curran AE, Miller EJ, Murrah VA. Adenomatoid odontogenic tumor presenting as periapical disease. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:557-60) and is associated with the crown of an impacted tooth, commonly the maxillary canine. We present a rare case of extrafollicular AOT mimicking a periapical cyst that originated in a woman in her first trimester of pregnancy and enlarged rapidly thereafter. The lesion was enucleated and sent for histopathology and immunohistochemistry, which revealed AOT with a cystic component with no dependence on oestrogen or progestrone for its growth. This case of AOT introduces us to the unique variation in its presentation and the difficulty in differentiation from periapical disease of inflammatory origin. Copyright © 2010 Elsevier. Published by Elsevier B.V. All rights reserved.

  13. Actualización de la cirugía periapical en los implantes dentales

    National Research Council Canada - National Science Library

    Lamas Pelayo, Joana; Boronat López, Araceli; Peñarrocha Diago, Miguel

    2006-01-01

    Implant periapical lesions are infectious-inflammatory alterations surrounding an implant apex, and can be caused by a number of situations including contamination at instrumentation, overheating of...

  14. Reparacion espontánea de fractura radicular horizontal

    OpenAIRE

    2013-01-01

    Resumen Se reporta un caso clínico de una fractura radicular horizontal en un central superior izquierdo, que reparó espontáneamente sin tratamiento dental alguno. La fractura se diagnosticó catorce años después de recibir el trauma, en un examen radiográfico rutinario de la consulta endodóntica, ya que el diente sin ninguna sintomatología presentaba al examen clínico cambio de color y al examen radiográfico se observaba zona radiolúcida en la zona apical, por lo que fue remitida del posgrado...

  15. Quiste radicular de origen odontogénico

    OpenAIRE

    Posada Álvarez, Juan David

    2014-01-01

    El quiste radicular es el más común de los quistes odontogénicos presentes en los maxilares, cuya incidencia varía entre 52 y 75%; constituyen del 6 al 55% de las lesiones pulpoperiapicales.El 9% corresponde a quistes verdaderos, cuya resolución se logra mediante tratamiento endodóntico convencional. La mayor frecuencia se presenta en mujeres y en edad adulta.Algunos autores reportan que no existe preferencia de edad ni sexo; otros reportan que esta lesión es más frecuente en el sexo masculin...

  16. Radicular cyst associated with deciduous molar: A report of a case with an unusual radiographic presentation

    Directory of Open Access Journals (Sweden)

    Sulabha A Narsapur

    2012-01-01

    Full Text Available Radicular cysts arising from deciduous teeth are rare. This article presents a case report of a radicular cyst associated with a mandibular deciduous second molar and with unusual radiographic findings. The second premolar was displaced to the lower border of the mandible, below the first premolar. The management comprised enucleation of the cystic sac under local anesthesia.

  17. Management of Apical Periodontitis : Healing of Post-treatment Periapical Lesions Present 1 Year after Endodontic Treatment

    NARCIS (Netherlands)

    Zhang, Ming-Ming; Liang, Yu-Hong; Gao, Xue-Jun; Jiang, Lan; van der Sluis, Luc; Wu, Min-Kai

    2015-01-01

    Introduction: Post-treatment periapical lesions present 1 year after treatment may heal during the second year or later. The aim of this study was to assess second-year volumetric changes in post-treatment periapical radiolucencies detected 1 year after treatment. Methods: Post-treatment periapical

  18. Management of Apical Periodontitis : Healing of Post-treatment Periapical Lesions Present 1 Year after Endodontic Treatment

    NARCIS (Netherlands)

    Zhang, Ming-Ming; Liang, Yu-Hong; Gao, Xue-Jun; Jiang, Lan; van der Sluis, Luc; Wu, Min-Kai

    Introduction: Post-treatment periapical lesions present 1 year after treatment may heal during the second year or later. The aim of this study was to assess second-year volumetric changes in post-treatment periapical radiolucencies detected 1 year after treatment. Methods: Post-treatment periapical

  19. Two- and tridimensional analysis of periapical repair after endodontic surgery.

    Science.gov (United States)

    Tanomaru-FIlho, Mário; Jorge, Érica G; Guerreiro-Tanomaru, Juliane M; Reis, José Mauricio S; Spin-Neto, Rubens; Gonçalves, Marcelo

    2015-01-01

    The aim of this study was to evaluate repair after endodontic surgery using two- and tridimensional imaging methods. Periapical radiographs and cone beam computed tomography (CBCT) were performed before the surgeries and after 48 h (baseline), 4 months, and 8 months. The area (square millimeters) of periapical lesions in CBCT and in radiographs was compared regarding the percentage of repair. In the CBCT, multiple areas were converted to volume. Repeated-measures analyses and paired t tests (α = 0.05) were used to compare the methods. Correlation coefficients were calculated between the periods of evaluation within the CBCT volumetric analysis. Bland-Altman plots were used to compare the methods, based on the 95 % limits of agreement for the difference of the means. Baseline showed a larger lesion volume (192.54 mm(3)) than 4-month (79.79 mm(3)) and 8-month (47.51 mm(3)) periods. No differences were found in the percentage of repair in the first 4 months and after 8 months. The volumetric analysis showed a higher percentage of repair when the first and last 4 months were compared. No differences were found in the percentage of repair by area in the CBCTs. Repair of 73 % was obtained after 8 months. Similar results were observed by the Bland-Altman agreement analyses. The percentage of repair varied after 8 months, when lower values were obtained by volumetric evaluation. Considering the outcome at follow-up periods over 4 months, tridimensional evaluation by CBCT is more capable of determining the absence of periapical bone repair than conventional two-dimensional radiographs. Therefore, the use of CBCT would be suggested only for more complex cases with slower evolution of repair or for the association of factors that make prognosis difficult after surgery.

  20. Immediate implants in extraction sockets with periapical lesions: an illustrated review

    Directory of Open Access Journals (Sweden)

    Arthur B. Novaes Jr.

    2013-10-01

    Full Text Available Aim Immediate implantation has gained great attention since first proposed. Immediate implants in replacement of teeth with periapical lesion is, to date, an issue of discussion. The aim of this study is to perform an illustrated literature review of immediate implants in sockets exhibiting previous periapical lesions.Materials and methods A search on medline/EMBASE database was done for the literature review which is presented together with two case reports illustrating the state of the art of immediate implants on sockets with periapical lesions. Both cases are presented in areas with great aesthetic demands and a periapical lesion of considerable size. The two cases were conducted following strict granulation tissue removal and careful rinsing and pre-operative antibiotics, followed by good primary stability of the dental implant.Results and conclusion Both cases represented successes in aesthetics and function, describing a successful protocol for immediate implant installation in areas exhibiting periapical lesions.

  1. Endodontic periapical lesion-induced mental nerve paresthesia

    Directory of Open Access Journals (Sweden)

    Elham Shadmehr

    2015-01-01

    Full Text Available Paresthesia is a burning or prickling sensation or partial numbness, resulting from neural injury. The symptoms can vary from mild neurosensory dysfunction to total loss of sensation in the innervated area. Only a few cases have described apical periodontitis to be the etiological factor of impaired sensation in the area innervated by the inferior alveolar and mental nerves. The aim of the present paper is to report a case of periapical lesion-induced paresthesia in the innervation area of the mental nerve, which was successfully treated with endodontic retreatment.

  2. Endodontic periapical lesion-induced mental nerve paresthesia.

    Science.gov (United States)

    Shadmehr, Elham; Shekarchizade, Neda

    2015-01-01

    Paresthesia is a burning or prickling sensation or partial numbness, resulting from neural injury. The symptoms can vary from mild neurosensory dysfunction to total loss of sensation in the innervated area. Only a few cases have described apical periodontitis to be the etiological factor of impaired sensation in the area innervated by the inferior alveolar and mental nerves. The aim of the present paper is to report a case of periapical lesion-induced paresthesia in the innervation area of the mental nerve, which was successfully treated with endodontic retreatment.

  3. Reparación apical y periapical post tratamiento endodontico.

    OpenAIRE

    Altare, Lia

    2010-01-01

    El propósito de este trabajo es describir el proceso reparativo apical y periapical post tratamiento endodóntico , los mecanismos y sistemas celulares involucrados ,dentro del campo de la Endodoncia Biomolecular.Una nueva era de conocimientos invaden a la Endodoncia Moderna dado por la Ingeniería Tisular Endodóntica desde donde se plantean alternativas terapéuticas .El análisis de la capacidad biológica reparativa de cada paciente demuestra una variabilidad en la respuesta frente a un tratami...

  4. Dental root periapical resorption caused by orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Pinandi Sri Pudyani

    2006-03-01

    Full Text Available Dental root resorption especially in maxillary incisive region almost always happens simultaneously with orthodontic treatment, and it gained researchers attention, in particular after the use of periapical radiography. However, the fundamental etiology of dental root resorption is still dubious. Multifactoral causes are mentioned, among others are hormonal, nutritition, trauma, dental root form and dental root structure anomalies, genetic, while from treatment side are duration, types, strength scale and dental movement types. Based on these findings, orthodontic treatment was proven to cause dental root resorption in maxillary incisive teeth.

  5. Plexiform ameloblastoma mimicking a periapical lesion: A diagnostic dilemma

    Directory of Open Access Journals (Sweden)

    Bina Kashyap

    2012-01-01

    Full Text Available Plexiform ameloblastoma is one of the variant of ameloblastoma, with specific histopathological features. It manifests as unilocular or multilocular radiolucencies in the mandible or maxilla. In very rare cases, it can appear as a localized periradicular radiolucent area and imitate an endodontic lesion. Reported here is a rare case of plexiform ameloblastoma in an uncommon location, which was misdiagnosed as periapical lesion of inflammatory origin and treated endodontically. Surgical enucleation was followed and diagnosis of plexiform ameloblastoma was confirmed on histological grounds.

  6. Manejo clínico del quiste periapical

    OpenAIRE

    Clara Vergara Hernández

    2013-01-01

    ResumenEl quiste periapical es una lesión inflamatoria de los maxilares formada en el periápice de dientes con pulpa necrótica e infectada siendo una secuela directa de un granuloma apical, están asociados a la raíz dentaria y se encuentran con mayor frecuencia en el maxilar superior. Por lo general no provocan síntomas y su lenta evolución hace que el paciente no se percate del mismo hasta que aparece la asimetría facial. Se presenta un caso correspondiente a un paciente masculino con lesión...

  7. Effect of biomechanical preparation and calcium hydroxide pastes on the antisepsis of root canal systems in dogs Ação do preparo biomecânico e de pastas à base de hidróxido de cálcio na anti-sepsia do sistema de canais radiculares de cães

    Directory of Open Access Journals (Sweden)

    Janir Alves Soares

    2005-03-01

    Full Text Available In the endodontic treatment of root canals with necrotic pulps associated with periapical radiolucent areas, one of the main objectives of treatment consists in eliminating the microorganisms spread throughout the ramifications of the root canal system. The scope of this study was to evaluate the antiseptic efficacy of biomechanical preparation and two calcium hydroxide-based pastes, in dogs' teeth with experimentally induced chronic periapical lesions. After initial microbiological sampling, instrumentation of the root canals was undertaken using the conventional technique, using K type files used in conjunction with a solution of 5.25% sodium hypochlorite. After ninety-six hours, further microbiological sampling was undertaken and Calen/CPMC or Calasept pastes were applied for 15 and 30 days. Ninety six hours after the removal of the medication, the third microbiological sampling was undertaken and finally histomicrobiological analysis followed using Brown & Brenn staining. The results were analyzed using the Kruskall-Wallis test, with a level of significance established at 5% (p0.05, characterized by an elevated incidence of cocci, bacilli and filaments, predominantly gram-positive, in root canals, secondary canals and accessories, apical cementoplasts and dentinal tubules, but with a low incidence of microorganisms in areas of cementum resorption and the periapical lesion. The biomechanical preparation and intracanal dressing based on calcium hydroxide were important in the antisepsis of the root canal; however, both procedures did not produce significant changes in the microbiological aspects of the root canal system.No tratamento endodôntico dos canais radiculares com polpa necrótica associados à áreas radiolúcidas periapicais, um dos principais objetivos consiste em eliminar os microrganismos situados em todo o sistema de ramificações. Por conseguinte, o objetivo deste estudo foi avaliar a eficácia anti-séptica do preparo

  8. Development of virtual simulation platform for investigation of the radiographic features of periapical bone lesion.

    Science.gov (United States)

    Gao, Yuan; Haapasalo, Markus; Shen, Ya; Wu, Hongkun; Jiang, Huiyong; Zhou, Xuedong

    2010-08-01

    The periapical radiograph is used as an important tool in the assessment of periapical bone lesions in endodontic therapy. The purpose of this study was to develop a virtual simulation platform for radiographic research of periapical bone lesions based on a digitally reconstructed radiograph and to investigate the radiographic features of different simulated periapical bone lesions. A cadaver mandible was scanned by microcomputed tomography. The application framework for the creation of a digitally reconstructed radiograph with virtual periapical lesions was constructed. Subsequently, different size and shape periapical lesions were created virtually in an incisor, a premolar, and a molar, and the digitally reconstructed radiographs were produced. The detection of periapical lesions based on digitally reconstructed radiographs was depended on lesion size, position, shape, and tooth position. Virtual periapical lesions could not be visualized with lesions smaller than 1 mm in the incisor, 2 mm in the premolar, and 3 mm in the molar, and these virtual lesions were confined within the cancellous bone. A 4-mm lesion in the molar was still not visualized even if it encroached on the cortical bone. If the lesions encroached on the junctional trabeculae and cortical bone or the lesion was created with the maximal buccal-lingual dimension in ellipsoid shape and confined within the cancellous bone giving it an abnormal shape, it could be seen, except for the "thinnest" 1-mm lesion in incisor region. The virtual simulation platform described here provides a reproducible assessment of periapical lesions and aids in a better understanding of the characteristics of periapical lesions. Copyright 2010 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  9. Radiografía periapical como herramienta en el diagnóstico y tratamiento de quiste periapical

    OpenAIRE

    2015-01-01

    Introducción: El quiste periapical es una lesión inflamatoria común de los maxilares, que al alcanzar un tamaño significativo, causa deformidad del hueso afectado, retención o incluso el desplazamiento de dientes adyacentes. Se presentó caso de paciente que acudió a consulta odontológica, por presencia de sintomatología dolorosa durante el consumo de alimentos. Al examen clínico se observó encía adherida con presencia de inflamación y enrojecimiento a nivel de órgano dentario 14; radiográfica...

  10. Schulze and Brand type a-IV dens invaginatus with radicular cyst: A rare case report

    Directory of Open Access Journals (Sweden)

    Rachita Chengappa

    2015-01-01

    Full Text Available Though a clinical examination may reveal a deep fissure or pit on the surface of an anterior tooth, radiographic examination is a more accurate approach to diagnose an invagination. Dens invaginatus is one of the common dental deformities, but the defect involving the root and its association with radicular cyst is still very uncommon. The objective of this case presentation is to report a case of radicular dens in dente, which is a rare dental anomaly. This case report shows that dens invaginatus with an open apex and a radicular cyst can be treated successfully using currently available materials.

  11. Effect of MTA particle size on periapical healing.

    Science.gov (United States)

    Torabinejad, M; Moazami, M; Moaddel, H; Hawkins, J; Gustefson, C; Faras, H; Wright, K; Shabahang, S

    2016-12-15

    To examine the effect of reduction in MTA particle size on dento-alveolar and osseous healing in dogs. Root canals of 24 mandibular premolars in four 2-year-old beagles were prepared and filled with gutta-percha and sealer. Two to four weeks later, during periapical surgery, the root-end cavity preparations in these teeth were filled with either grey ProRoot MTA or modified (reduced particle sizes with faster setting time) MTA. The animals were sacrificed 4 months later. Degrees of inflammation, type of inflammatory cells, fibrous connective tissue adjacent to the root-end filling materials, cementum formation over the resected roots and root-end filling materials and bone healing were examined. Data were analysed using the McNemar test. No significant differences in healing of periapical tissues were found when comparing ProRoot MTA to a modified MTA containing reduced particle sizes. Reducing the particle sizes of MTA did not impact its biological properties. © 2016 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  12. Diabetes mellitus, periapical inflammation and endodontic treatment outcome

    Science.gov (United States)

    Castellanos-Cosano, Lizett; Machuca, Guillermo; López-López, Jose; Martín-González, Jenifer; Velasco-Ortega, Eugenio; Sánchez-Domínguez, Benito; López-Frías, Francisco J.

    2012-01-01

    The possible connection between chronic oral inflammatory processes, such as apical periodontitis and periodontal disease (PD), and systemic health is one of the most interesting aspects faced by the medical and dental scientific community. Chronic apical periodontitis shares important characteristics with PD: 1) both are chronic infections of the oral cavity, 2) the Gram-negative anaerobic microbiota found in both diseases is comparable, and 3) in both infectious processes increased local levels of inflammatory mediators may have an impact on systemic levels. One of the systemic disorders linked to PD is diabetes mellitus (DM); is therefore plausible to assume that chronic apical periodontitis and endodontic treatment are also associated with DM. The status of knowledge regarding the relationship between DM and endodontics is reviewed. Upon review, we conclude that there are data in the literature that associate DM with a higher prevalence of periapical lesions, greater size of the osteolityc lesions, greater likelihood of asymptomatic infections and worse prognosis for root filled teeth. The results of some studies suggest that periapical disease may contribute to diabetic metabolic dyscontrol. Key words: Apical periodontitis, diabetes mellitus, endodontics, root canal treatment. PMID:22143698

  13. Aetiology, classification and pathogenesis of pulp and periapical disease.

    Science.gov (United States)

    López-Marcos, Joaquín F

    2004-01-01

    At present, the majority of the treatments that are performed in the clinic are due to disease entities involving the dental pulp and periapex. Dental pulp is a richly vascularized and innervated tissue, enclosed by surrounding tissues that are incapable of expanding, such as dentin. It has terminal blood flow and small-gauge circulatory access the periapex. All of these characteristics severely constrain the defensive capacity of the pulp tissue when faced with the different aggressions it may be subjected to. Pulp tissue can also be affected by a retrograde infection, arising from the secondary canaliculi, from the periodontal ligament or from the apex during the course of periodontitis. Due to the fact that periapical disease is almost inevitably preceded by pulp disease, we shall begin by describing the causes of pulp disease and will then proceed to a discussion of the causes of periapical disease. The course of illness and classification of these pathological entities will depend on the aetiology involved. We will analyse pulp necrosis and pulp degeneration that are capable of triggering reversible apical periodontitis or irreversible apical periodontitis.

  14. Organogênese do caquizeiro a partir de segmentos radiculares

    Directory of Open Access Journals (Sweden)

    Carvalho Dayse Cristina de

    2004-01-01

    Full Text Available A produção de mudas de caquizeiro (Diospyros kaki pelo processo da enxertia sobre porta-enxertos provenientes de sementes, ocasiona problemas de desuniformidade vegetativa. O objetivo do trabalho foi contribuir para o desenvolvimento de um protocolo para a regeneração de brotações de caquizeiro do tipo café, a partir de raízes por organogênese indireta. Segmentos radiculares obtidos de embriões germinados in vitro foram isolados de sementes de frutos maduros em meio MSfraction one-halfNO3. As sementes receberam assepsia pela imersão em etanol 70% por um minuto, em solução de hipoclorito de sódio 2,5% por 20 minutos e quatro lavagens em água esterilizada. No primeiro experimento, os segmentos radiculares de 2cm foram isolados em meio de cultura MSfraction one-halfNO3 acrescido de 0,01mM de ácido indolacético e quatro tipos de citocininas nas concentrações 1 e 10mM: zeatina, 6-benzilaminopurina, 2-isopenteniladenina e thidiazuron. No segundo experimento, para o enraizamento das brotações, foram testados quatro períodos de permanência em meio com 10mM de ácido indolbutírico: 0, 5 10 e 15 dias. A maior regeneração de brotos (1,2 brotos por explante ocorreu na combinação 1mM de zeatina com 0,01mM de ácido indolacético. As brotações juvenis obtidas possuem potencial natural para o enraizamento, sendo necessário novos estudos para confirmar o efeito da aplicação de auxinas.

  15. Immunohistochemical expression of vascular endothelial growth factor and matrix metalloproteinase-9 in radicular and residual radicular cysts

    Directory of Open Access Journals (Sweden)

    Patrícia Alvarez Ruiz

    2010-12-01

    Full Text Available OBJECTIVE: This study assessed and compared the immunoexpression of vascular endothelial growth factor (VEGF and matrix metalloproteinase-9 (MMP-9 in radicular cysts (RCs and residual radicular cysts (RRCs, relating them to the angiogenic index and the intensity of the inflammatory infiltrate. MATERIAL AND METHODS: Twenty RCs and 10 RRCs were evaluated by immunohistochemistry using anti-VEGF and anti-MMP-9 antibodies. The angiogenic index was determined by microvessel count (MVC using anti-von Willebrand factor antibody. RESULTS: The expression of both VEGF and MMP-9 was higher in RCs than in RRCs. RCs and RRCs presented strong epithelial expression of VEGF, irrespective of the intensity of the inflammatory infiltrate. Lesions with strong expression of MMP-9 showed significantly higher number of immunopositive cells for VEGF (p<0.05 and higher MVC (p<0.05. Lesions with dense inflammatory infiltrate exhibited significantly higher MVC (p<0.05 and higher number of immunopositive cells for VEGF (p<0.05. There was a positive correlation between both MVC (p<0.05 and the quantity of immunopositive cells for VEGF (p<0.05, with intensity of the inflammatory infiltrate. In addition, it was observed a positive correlation between the number of immunopositive cells for VEGF and MVC (p<0.05. CONCLUSIONS: VEGF and MMP-9 might play important roles in the angiogenesis in RCs and RRCs. In these lesions, the expression of these molecules and the MVC is closely related to the intensity of the inflammatory infiltrate. The expression of VEGF in the epithelial lining of RCs and RRCs might be important for the enlargement of these lesions.

  16. Presence and consequence of tooth periapical radiolucency in patients with cirrhosis

    Science.gov (United States)

    Grønkjær, Lea Ladegaard; Holmstrup, Palle; Schou, Søren; Schwartz, Kristoffer; Kongstad, Johanne; Jepsen, Peter; Vilstrup, Hendrik

    2016-01-01

    Background Periapical radiolucency is the radiographic sign of inflammatory bone lesions around the apex of the tooth. We determined the prevalence and predictors of periapical radiolucency in patients with cirrhosis and the association with systemic inflammation status and cirrhosis-related complications. Methods A total of 110 cirrhosis patients were consecutively enrolled. Periapical radiolucency was defined as the presence of radiolucency or widening of the periapical periodontal ligament space to more than twice the normal width. Predictors of periapical radiolucency and the association with systemic inflammation markers and cirrhosis-related complications were explored by univariable and multivariable logistic regression analyses. Results Periapical radiolucency was present in one or more teeth in 46% of the patients. Strong predictors were gross caries (odds ratio [OR] 3.12, 95% confidence interval [CI] 1.43–6.79) and severe periodontitis (OR 3.98, 95% CI 1.04–15.20). Also old age (OR 1.10, 95% CI 1.01–1.19) and smoking (OR 3.24, 95% CI 1.02–17.62) were predictors. However, cirrhosis etiology (alcoholic vs nonalcoholic) or severity (Model of End-Stage Liver Disease score) were not predictors. The patients with periapical radiolucency had higher C-reactive protein (15.8 mg/L vs 8.1 mg/L, P=0.02) and lower albumin contents (25 g/L vs 28 g/L, P=0.04) than those without. Furthermore, the patients with periapical radiolucency had a higher prevalence of cirrhosis-related complications such as ascites, hepatic encephalopathy, and/or variceal bleeding (46% vs 27%, P=0.05). Conclusion Periapical radiolucency is often present as an element of poor oral health status and likely has an adverse clinical significance, which should motivate diagnostic and clinical attention to the findings. PMID:27695370

  17. Radicular Cyst Associated With a Primary First Molar: A Case Report

    Directory of Open Access Journals (Sweden)

    A. Lotfi

    2011-12-01

    Full Text Available Radicular cysts arising from deciduous teeth are rare. This report presents a case of radicular cyst associated with a primary molar following pulp therapy and discusses the relationship between pulp therapy and the rapid growth of the cyst. The treatment consisted of enucleation of the cyst sac and extraction of the involved primary teeth and 20 months follow up of the patient. Early diagnosis of the lesion would have lead to a less aggressive treatment plan.

  18. The surgery and early postoperative radicular pain in cases with multifocal lumbar disc herniation

    Science.gov (United States)

    Ulutaş, Murat; Çınar, Kadir; Seçer, Mehmet

    2017-01-01

    Abstract Persistence of postoperative radicular pain after surgery for multifocal disc herniation (MFDH) is a clinical problem. This study aims to evaluate the effects of a combined treatment approach compared with unilateral stabilization on early postoperative radicular pain in patients with MFDH. Age, sex, level of operation, clinical findings, and radicular pain visual analogue scale (VAS) scores before surgery in the early postoperative period and at 3 months after surgery were retrospectively reviewed for 20 cases of multifocal lumbar disc herniation. The combined approach (translaminar and far lateral) was used for 13 cases. Seven cases underwent transforaminal lumbar interbody fusion (TLIF) and unilateral transpedicular stabilization following total facetectomy. The mean age of the sample was 49.4 ± 10.1 years and the female-to-male ratio was 8:12. The mean VAS scores for radicular pain in cases treated with the combined approach were 8.2, 4.07, and 2.3 in the preoperative and early postoperative periods and 3 months after surgery, respectively. The mean score for radicular pain improved by 50.4% in the early postoperative period and by 72% in the late postoperative period. The mean VAS scores for radicular pain in cases who underwent TLIF and unilateral stabilization after facetectomy were 8.4, 2.1, and 1.4 in the preoperative and early postoperative periods and 3 months after surgery, respectively. The mean VAS score for radicular pain improved by 75% in the early postoperative period and by 83.3% in the late postoperative period. The combined approach is an effective alternative in cases with MFDH. TLIF and unilateral segmental stabilization provide substantial decompression and eliminate mechanical compression by conserving the height of the intervertebral foramen in the event that sufficient decompression is unable to obtain. We suggest that elimination of chemical mediators, particularly those causing pain in the dorsal ganglion, contributes to

  19. Resin Adaptation of Radicular Dentin Tubules after Endodontic Instrumentation and Acid Etching.

    Science.gov (United States)

    1983-02-01

    intracanal irrigant . After completion of the Carson L. Mader 15 -1 endodontic instrumentation, the canals were flushed with 25 ml. of sterile saline...I RD-Ai26 872 RESIN ADAPTATION OF RADICULAR DENTIN TUBULES AFTER / I ENDODONTIC INSTRUMENTATION AND ACID ETCHING(U) WALTER I REED ARMY INST OF...Adaptation to Radicular Dentin Tubules SbisoofpeAfter Endodontic Instrumentation and Acid Etching 1982-1983 6. PERFORMING ORG. REPORTNUMBER -, AUTHOR(a) S

  20. EFFECT OF OCCLUSAL TRAUMA ON HEALING OF PERIAPICAL LESION (CASE REPORT

    Directory of Open Access Journals (Sweden)

    Trimurai Abidin

    2015-06-01

    Full Text Available Traumatic injury of the teeth occurs frequently on anterior and posterior teeth. Pulp necrosis is often the frequent sequel of trauma and it will lead to development of periapical lesions in the presence of pathogenic microorganism. Two cases of periapical lesion reported here were caused by occlusal trauma. It is still controversial whether a case of large periapical lesion should be treated conventionally or surgically. This case was treated non surgically and it was proved that this kind of treatment could promote large apical healing successfully.

  1. Presence and consequence of tooth periapical radiolucency in patients with cirrhosis

    DEFF Research Database (Denmark)

    Grønkjær, Lea Ladegaard; Holmstrup, Palle; Schou, Søren;

    2016-01-01

    BACKGROUND: Periapical radiolucency is the radiographic sign of inflammatory bone lesions around the apex of the tooth. We determined the prevalence and predictors of periapical radiolucency in patients with cirrhosis and the association with systemic inflammation status and cirrhosis-related com......, hepatic encephalopathy, and/or variceal bleeding (46% vs 27%, P=0.05). CONCLUSION: Periapical radiolucency is often present as an element of poor oral health status and likely has an adverse clinical significance, which should motivate diagnostic and clinical attention to the findings....

  2. Application of PRF in surgical management of periapical lesions.

    Science.gov (United States)

    Singh, Smita; Singh, Arunendra; Singh, Sourav; Singh, Rashmi

    2013-01-01

    Platelet rich fibrin is widely used in stimulation and acceleration of soft tissue and bone healing because of local and continuous delivery of growth factors and proteins, mimicking the needs of the physiological wound healing and reparative tissue processes. This article will serve to introduce a second generation platelet concentrate, platelet-rich fibrin (PRF). Fifteen cases are presented in which conventional endodontic therapy failed to resolve the problem and periapical root-end surgery was required. At the end of six months, all patients showed complete bone regeneration. Production of a dense, cross-linked, physically robust PRF made of intact platelets and fibrin by high-speed centrifugation in the absence of exogenous thrombin, yields an ideal scaffold for use in tissue repair.

  3. CALCIUM HYDROXIDE IN ENDODONTIC TREATMENT OF PERIAPICALLY INFECTED TEETH

    Directory of Open Access Journals (Sweden)

    Rahmi Alma Farah Adang

    2006-04-01

    Full Text Available An inadequate endodontic treatment may affect the root canal system and spread beyond its apical foramina that elicit periodontal tissue developing into abscess, granuloma and radicular cyst. Periodical lesions can be treated with non surgical endodontic treatment using calcium hydroxide dressing. This case study is reporting teeth 11 with periodical lesions and infection. Evidence of a clinical healing and radiographic assessments were followed by a non surgical endodontic therapy. Successful treatment outcome is related to the elimination of infection agents from the root canal. This can activate a stimulation zone to promote regeneration. Calcium hydroxide used as a root canal dressing may promote alkalinity at the adjacent tissue , create favourable environmental condition in which hard tissue formation can occur, interfere the bactericidal activity, increase mineralization, and induce healing.

  4. Evaluation of Periapical Lesions and Their Association with Maxillary Sinus Abnormalities on Cone-beam Computed Tomographic Images.

    Science.gov (United States)

    Nunes, Carla A B C M; Guedes, Orlando Aguirre; Alencar, Ana Helena G; Peters, Ove A; Estrela, Cyntia R A; Estrela, Carlos

    2016-01-01

    Periapical inflammation is often responsible for distinct maxillary sinus (MS) changes. This retrospective, cross-sectional study evaluated the association between the clinical characteristics of periapical lesions (presence, size, and distance) in maxillary posterior teeth and the presence of sinus abnormalities by evaluating cone-beam computed tomographic (CBCT) images obtained from an archived collection. Apart from sex, no other patient information was available. The study sample was composed of CBCT images of 143 MSs of patients with at least 1 maxillary posterior tooth with a periapical lesion and 178 MSs of patients without periapical radiolucent lesions. Sinus abnormalities were classified as mucosal thickening, sinus polyp, antral pseudocyst, nonspecific opacification, periostitis, and antral calcification; periapical radiolucent areas were classified using the CBCT periapical index, and the distance between the periapical lesion edge and the MS floor was measured. Data were analyzed using chi-square tests at a level of significance set at α = 0.05. Most sinus abnormalities were associated with at least 1 maxillary posterior tooth with a periapical lesion (P > .05). The most frequent sinus abnormality in the presence of a periapical lesion was mucosal thickening. All teeth with a CBCT periapical index score of 5 were associated with sinus abnormalities. The highest frequency of abnormalities was found when the radiolucent area was subjacent to the sinus floor. Maxillary posterior teeth with periapical radiolucent lesions had the highest frequency of sinus abnormalities. The size of a periapical lesion was not associated with the frequency of sinus abnormalities. A close spatial relationship between periapical lesions and sinuses resulted most frequently in sinus abnormalities. Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  5. [Current perspectives on endodontic treatment of teeth with chronic periapical lesions].

    Science.gov (United States)

    Canalda Sahli, C

    1990-01-01

    The author study in this article histopathological aspects of periapical lesions, intra-granulomatous epithelial proliferation phenomenon as pathogenic mechanism of microscopic cystic cavities formation, diagnostic problems of them all, as well as the most actual therapeutic perspectives.

  6. Histological evaluation of the presence of bacteria in induced periapical lesions in monkeys.

    Science.gov (United States)

    Walton, R E; Ardjmand, K

    1992-05-01

    In endodontic periapical lesions, both presence and location of bacteria are controversial. Various experimental techniques have produced differing results perhaps related to potential artifacts such as contamination during specimen recovery. Our objective was to examine for bacteria in uncontaminated, undisturbed periapical lesions in an animal model. Pulp necrosis was induced by exposing molars in nonhuman primates and closing the exposure after 1 week with amalgam. Lesions developed at 18 apices. After 7 months, block sections including tooth and surrounding tissues were removed, processed histologically, and Gram stained. Bacteria, primarily Gram positive, were consistently identified in necrotic tissue in canals. Two canals demonstrated bacterial masses to the apical foramen. No bacterial colonies, only intracellular microorganisms, were seen periapically. Inflammatory lesions seemed to resist the spread of bacteria, confining them to the canal space. Bacterial masses at the apical foramen could contaminate periapical tissues during surgery or extraction and give a false positive upon microbiological sampling.

  7. Endo-surgical management of foreign bodies in the periapical region

    Directory of Open Access Journals (Sweden)

    Surbhi Sawhney

    2016-01-01

    Full Text Available Foreign objects present in root canals and surrounding areas are troublesome incidents in endodontics. Chances of these objects getting impacted are more when the chamber is open either due to caries or traumatic injury. Moreover, when pushed apically, retrieval becomes complicated and apical surgical procedures unavoidable. A young male patient presented with a chief complaint of discolored anterior teeth. During routine radiographic examination, a linear appearing radio-opaque foreign body (approximately 15 mm in length, extending apically through the apex into the periapical region, was identified. There was also large periapical radiolucency (approximately 10 mm × 15 mm in size on an adjacent tooth. This case report describes the successful retrieval of two foreign objects from the periapical region, and the management of a cystic lesion, through periapical surgery.

  8. Extrusión de cemento sellador endodóntico al espacio periapical

    National Research Council Canada - National Science Library

    Landy Solanyi Diaz Canedo; Antonio Diaz Caballero; Raul Fortich Carballo

    2013-01-01

    Resumen La realización de un tratamiento endodóntico tiene como finalidad lograr un buen sellado del conducto para evitar el transporte de contaminantes hacia y desde el conducto radicular, con materiales que presenten...

  9. Extrusión de cemento sellador endodóntico al espacio periapical

    National Research Council Canada - National Science Library

    Landy Solanyi Diaz Canedo; Antonio Diaz Caballero; Raul Fortich Carballo

    2011-01-01

      La realización de un tratamiento endodóntico tiene como finalidad lograr un buen sellado del conducto para evitar el transporte de contaminantes hacia y desde el conducto radicular, con materiales que presenten...

  10. Comparative immunoexpression of ICAM-1, TGF-?1 and ki-67 in periapical and residual cysts

    OpenAIRE

    Martins, Rafaela; Armada, Luciana; dos-Santos, Teresa-Cristina-Ribeiro-Bartholomeu; Pires, Fábio-Ramôa

    2017-01-01

    Background This study compared the immunohistochemical expression of ki-67, transforming growth factor beta 1 (TGF-β1) and intercellular adhesion molecule-1 (ICAM-1) in inflammatory periapical cysts and residual cysts. Material and Methods The study sample was composed by 25 periapical cysts and 25 residual cysts and immunohistochemical reactions were carried out using antibodies directed against ICAM-1, TGF-β1 and ki-67. Clinical, radiological, gross, histological and immunohistochemical dat...

  11. Coronal and Intraradicular Appearances Affect Radiographic Perception of the Periapical Region.

    Science.gov (United States)

    Strong, Julie W; Woodmansey, Karl F; Khademi, John A; Hatton, John F

    2017-05-01

    The influence of the radiographic appearances of the coronal and intraradicular areas on periapical radiographic interpretation has been minimally evaluated in dentistry and endodontics. The purpose of this study was to evaluate the effects that the coronal and intraradicular radiographic appearance has on endodontists' radiographic interpretations of periapical areas. In a split-group study design using an online survey format, 2 pairs of digital periapical radiographic images were evaluated by 2 groups (A and B) of endodontist readers for the presence of a periapical finding. The images in each pair were identical except that 1 image of each image pairs had coronal restorations and/or root canal fillings altered using Adobe Photoshop software (Adobe Systems, San Jose, CA). The periapical areas were not altered. Using a 5-point Likert scale, the endodontist readers were asked to "Please evaluate the periapical area(s)." A Mann-Whitney U test was used to statistically evaluate the difference between the groups. Significance was set at P < .01. There were 417 readers in group A and 442 readers in group B. The Mann-Whitney U test showed a significant difference in the responses between the groups for both image pairs (P < .01). Because the periapical areas of the image pairs were unaltered, the differing coronal and intraradicular areas of the radiographs appear to have influenced endodontists' interpretations of the periapical areas. This finding has implications for all radiographic outcome assessments. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  12. Materials and prognostic factors of bone regeneration in periapical surgery: A systematic review

    OpenAIRE

    Sánchez Torres, Alba; Sánchez Garcés, María Angeles; Gay Escoda, Cosme

    2014-01-01

    Objectives: Analyse the effectiveness of different materials and techniques used in guided tissue regeneration (GTR) applied in periapical surgery, comparing the success rate obtained in 4-wall defects and in through-and-through bone lesions as well as to establish prognostic factors. Material and Methods: A Cochrane, PubMed-MEDLINE and Scopus database search (October 2012 to March 2013) was conducted with the search terms “periapical surgery”, “surgical endodontic treatment”, “guided tissue ...

  13. Periapical healing outcome following single visit endodontic treatment in patients with type 2 diabetes mellitus

    Science.gov (United States)

    Nayak, Moksha; Babshet, Medha

    2016-01-01

    Background The prevalence of apical periodontitis in diabetes mellitus patients is high. The altered immunity in diabetes affects the healing process of periapical tissue. Single visit endodontic treatment has shown to increase the periapical healing rate with better patient compliance. Hence the present study aims at evaluating the clinical and radiographic healing outcome of single visit endodontic treatment, in type 2 diabetes mellitus patients with periapical disease. Material and Methods Eighty patients with periapical disease were divided into 2 groups of 40 each: Group I, Control subjects and Group II, Type 2 diabetics. Glycosylated hemoglobin levels were assessed preoperatively and at follow up intervals in diabetics. Pre-operative assessment of periapical status was done using CPDR (Clinical periapical diagnosis of root), QLDR (Qualitative radiographic diagnosis of tooth) and QTDR (Quantitative radiographic diagnosis of tooth) criteria. Postoperative healing was evaluated following single-visit endodontic treatment by Strindberg criteria. Results Group 2 subjects had chronic and exacerbating lesions with significantly larger lesions (p=0.029). 100 % clinical healing outcome in diabetic group was seen in two months. Group 2 showed 85% success in one year on radiographic evaluation. Poor controlled diabetics showed failure compared to fair and good controlled. Conclusions Type 2 diabetics had chronic and larger sized lesions when compared to control subjects. The periapical lesions in patients with poor diabetic control showed failure. The clinical and radiographic healing outcome of single visit endodontic therapy was delayed in diabetic patients. Key words:Apical periodontitis, diabetes mellitus type 2, endodontics, periapical lesion, strindberg criteria. PMID:27957260

  14. Radiografía periapical como herramienta en el diagnóstico y tratamiento de quiste periapical

    Directory of Open Access Journals (Sweden)

    J. Verbel Bohórquez

    2015-02-01

    Full Text Available Introducción: El quiste periapical es una lesión inflamatoria común de los maxilares, que al alcanzar un tamaño significativo, causa deformidad del hueso afectado, retención o incluso el desplazamiento de dientes adyacentes. Se presentó caso de paciente que acudió a consulta odontológica, por presencia de sintomatología dolorosa durante el consumo de alimentos. Al examen clínico se observó encía adherida con presencia de inflamación y enrojecimiento a nivel de órgano dentario 14; radiográficamente se evidenció imagen radiolúcida unilocular, bien definida, abarcando dicho órgano dentario. La lesión fue eliminada quirúrgicamente con la posterior aplicación de material sellador. En el control postoperatorio se observó adecuado proceso de cicatrización y ausencia de sintomatología. Discusión: Se reporta caso de quiste periapical, que ocupaba el periápice de órgano dentario posterosuperior derecho. Radiográficamente se evidenció variabilidad mínima en el tamaño de la imagen. Se describe su resección quirúrgica y se informan los hallazgos de histopatología. En la revisión bibliográfica realizada se determinó la importancia de la elección de las radiografías periapicales en el área de endodoncia, y su papel en el diagnóstico, planificación de tratamiento y seguimiento de las piezas dentarias y tejidos circundantes comprometidos, pese a los inconvenientes de la técnica radiográfica.

  15. The Role of RANK/RANKL/OPG Signalling Pathways in Osteoclastogenesis in Odontogenic Keratocysts, Radicular Cysts, and Ameloblastomas

    National Research Council Canada - National Science Library

    Tekkesin, Merva Soluk; Mutlu, Sevcihan; Olgac, Vakur

    2011-01-01

    ...) and osteoprotegerin (OPG) in odontogenic keratocysts (OKCs), which has been named as a keratocystic odontogenic tumour by the WHO, and compare their expression with radicular cysts and ameloblastomas...

  16. Prediction of osteoporosis using fractal analysis on periapical and panoramic radiographs

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Joo Yeon; Jung, Yun Hoa; Nah, Kyung Soo [Department of Oral and Maxillofacial Radiology, College of Dentistry, Pusan National University, Pusan (Korea, Republic of)

    2008-09-15

    The purpose of this study was to investigate whether fractal analysis of periapical and panoramic radiographs was useful in predicting osteoporosis risk. 37 postmenoposal women between the age of 42 and 79 were classified as normal and osteoporosis group according to the bone mineral density of lumbar vertebrae and periapical and panoramic radiographs were taken. Fractal dimensions at periapical areas of mandibular first molars were calculated to differentiate the two groups. The mean fractal dimensions of normal group on periapical and panoramic radiographs were 1.413 {+-} 0.079, 1.517 {+-} 0.071 each. The mean fractal dimensions of osteoporotic group on periapical and panoramic radiographs were 1.498 {+-} 0.086, 1.388 {+-} 0.083 each. The mean fractal dimension from peripaical radiographs of osteoporotic group was statistically significantly higher than that of normal group. The mean fractal dimension from panoramic radiographs of osteoporotic group was statistically significantly lower than that of normal group. Fractal analysis using periapical and panoramic radiographs was useful in predicting osteoporosis.

  17. Antigen recognition and presentation in periapical tissues: a role for TLR expressing cells?

    Science.gov (United States)

    Desai, S V; Love, R M; Rich, A M; Seymour, G J

    2011-02-01

    Bacteria are the prime cause of periapical diseases and root canal microbiology is a well-researched area of endodontics. Antigen-presenting cells (APCs) are present in periapical lesions of endodontic origin and play a substantial role in recognizing, processing and presenting pathogenic antigens to the adaptive immune system such as an effective and long-lasting immune response is generated against the specific pathogens. Toll-like receptors (TLRs) are germ-line encoded pathogen recognition receptors (PRR) expressed by various APCs which induce their maturation, lead to gene transcription in the nucleus and the production of several pro- and anti-inflammatory cytokines. Thirteen TLRs have been discovered, 10 of which have been identified in humans so far. Preliminary studies of dental pulp tissue have demonstrated various cell types expressing different TLRs in response to commonly encountered microorganisms. However, there is little information available regarding the expression and function of the various TLRs in human periapical lesions. This review discusses the interactions of various APCs in periapical lesions and the possible roles of different TLRs and APCs in pulp/periapical pathogen recognition and presentation to the adaptive immune system in the initiation and sustaining of periapical diseases.

  18. Enhancement of healing kinetics of periapical lesions in dogs by the Apexum procedure.

    Science.gov (United States)

    Metzger, Zvi; Huber, Ronen; Tobis, Idan; Better, Hadar

    2009-01-01

    In nonsurgical endodontic procedures, the healing of apical periodontitis is achieved by treatment provided within the root canal system. The new Apexum procedure is based on advancing the debridement one step further by minimally invasive removal of the inflamed periapical tissues through root canal access, thereby enhancing the healing kinetics of periapical lesions. The Apexum procedure uses 2 sequential rotary devices designed to extend beyond the apex and to mince periapical tissues on rotation in a low-speed handpiece, followed by washing out the minced tissue. This initial animal study was conducted to evaluate the efficacy and potential adverse effects of this procedure. Periapical lesions were induced in the lower premolars in dogs by placement of autologous dental plaque and subsequent radiographic verification. Fifty roots with periapical lesions were then subjected to cleaning, shaping and disinfection of their root canals, using a conventional root canal treatment protocol. Teeth in group 1 were subjected to the new Apexum procedure just before obturation, whereas roots in group 2 were subjected to no additional intervention before obturation. Clinical and radiographic follow-ups were carried out for 6 months. Radiographic healing of the periapical lesions in dogs at 3 and 6 months showed significantly enhanced kinetics in the Apexum-treated group compared with the conventional treatment group, at both time points (p adverse events occurred in either of the groups. This new procedure might significantly enhance healing kinetics of apical periodontitis compared with conventional nonsurgical endodontic treatment.

  19. Association of Toll-like receptors 2, 3, and 4 genes polymorphisms with periapical pathosis risk

    Science.gov (United States)

    Özan, Ülkü; Ocak, Zeynep; Özan, Fatih; Oktay, Elif-Aybala; Şahman, Halil; Yikilgan, İhsan; Oruçoğlu, Hasan; Er, Kürşat

    2016-01-01

    Background The aim of this study was to investigate the role of gene variations of Toll-like receptors (TLR) 2, 3, and 4 on genetic susceptibility to periapical pathosis. Material and Methods One hundred patients were included in the study and divided into two groups as follows; Control Group (n=50) that have root canal treatment and no periapical lesion, Patient Group (n=50) that have root canal treatment and periapical lesion. TLR2 Arg753Gln, TLR3 (c.1377C/T) and TLR4 Asp299Gly and Thr399Ile polymorphisms were genotyped by using PCR-RFLP. Genotypical analysis of control and patient groups were investigated to disclose whether there is any association between periapical lesions and gene variations. Results There are no significant statistical differences between control and patient groups according to TLR 2 and 4 gene sequence. On the contrary, CC allele detected 74% for TLR 3 in patient group, and this difference was found to be statistically significant (p < 0.005). Conclusions According to these results, it can be suggested that patients with Toll-like receptor 3 gene polymorphisms could be susceptible to periapical pathosis. Key words:Toll-like receptors, periapical pathosis, endodontics. PMID:27031066

  20. Comparison between bipolar pulsed radiofrequency and monopolar pulsed radiofrequency in chronic lumbosacral radicular pain

    Science.gov (United States)

    Chang, Min Cheol; Cho, Yun Woo; Ahn, Sang Ho

    2017-01-01

    Abstract Background: Chronic lumbosacral radicular pain is a challenging medical problem with respect to therapeutic management. Many patients with lumbosacral radicular pain complain of persistent leg pain after transforaminal epidural steroid injection. Nowadays, pulsed radiofrequency (PRF) stimulation on the dorsal root ganglion (DRG) is widely used for controlling lumbosacral radicular pain. Methods: We evaluated the effect of bipolar PRF on the DRG for the management of lumbosacral radicular pain. In addition, we compared the effect of bipolar PRF to monopolar PRF. Fifty patients with chronic lumbosacral radicular pain were included in the study and randomly assigned to 1 of 2 groups, the bipolar or monopolar PRF group (n = 25 per group). Pain intensity was evaluated using a numeric rating scale (NRS) at pretreatment, and 1, 2, and 3 months after treatment. Results: When compared to the pretreatment NRS scores, patients in both groups showed a significant decrease in NRS scores at 1, 2, and 3 months after treatment. Reductions in the NRS scores over time were significantly larger in the bipolar PRF group. Three months after treatment, 19 patients (76.0%) in the bipolar PRF group and 12 patients (48.0%) in the monopolar PRF group reported successful pain relief (pain relief of ≥50%). Conclusion: The use of bipolar PRF on the DRG can be an effective and safe interventional technique for chronic refractory lumbosacral radiculopathy, particularly in patients whose pain are refractory to epidural steroid injection or monopolar PRF stimulation. PMID:28248888

  1. Effectiveness of conservative treatments for the lumbosacral radicular syndrome: a systematic review.

    Science.gov (United States)

    Luijsterburg, Pim A J; Verhagen, Arianne P; Ostelo, Raymond W J G; van Os, Ton A G; Peul, Wilco C; Koes, Bart W

    2007-07-01

    Patients with a lumbosacral radicular syndrome are mostly treated conservatively first. The effect of the conservative treatments remains controversial. To assess the effectiveness of conservative treatments of the lumbosacral radicular syndrome (sciatica). Relevant electronic databases and the reference lists of articles up to May 2004 were searched. Randomised clinical trials of all types of conservative treatments for patients with the lumbosacral radicular syndrome selected by two reviewers. Two reviewers independently assessed the methodological quality and the clinical relevance. Because the trials were considered heterogeneous we decided not to perform a meta-analysis but to summarise the results using the rating system of levels of evidence. Thirty trials were included that evaluated injections, traction, physical therapy, bed rest, manipulation, medication, and acupuncture as treatment for the lumbosacral radicular syndrome. Because several trials indicated no evidence of an effect it is not recommended to use corticosteroid injections and traction as treatment option. Whether clinicians should prescribe physical therapy, bed rest, manipulation or medication could not be concluded from this review. At present there is no evidence that one type of treatment is clearly superior to others, including no treatment, for patients with a lumbosacral radicular syndrome.

  2. The Triple Functions of D2 Silencing in Treatment of Periapical Disease.

    Science.gov (United States)

    Pan, Jie; Wang, Jue; Hao, Liang; Zhu, Guochun; Nguyen, Diep N; Li, Qian; Liu, Yuehua; Zhao, Zhihe; Li, Yi-Ping; Chen, Wei

    2017-02-01

    Dental caries is the most widespread chronic infectious disease. Inflammation in pulp tissues caused by dental caries will lead to periapical granulomas, bone erosion, loss of the tooth, and severe pain. Despite numerous efforts in recent studies to develop effective treatments for dental caries, the need for a potent therapy is still urgent. In this study, we applied a gene-based therapy approach by administering recombinant adeno-associated virus (AAV)-mediated Atp6v0d2 (d2) RNA interference knockdown of d2 gene expression to prevent periapical bone loss and suppress periapical inflammation simultaneously. The results showed that d2 depletion is simultaneously capable of reducing bone resorption with 75% protection through reducing osteoclasts, enhancing bone formation by increasing osterix expression, and inhibiting inflammation by decreasing T-cell infiltration. Notably, AAV-mediated gene therapy of d2 knockdown significantly reduced proinflammatory cytokine expression, including tumor necrosis factor α, interferon-γ, interleukin-1α, and interleukin 6 levels in periapical diseases caused by bacterial infection. Quantitative real-time polymerase chain reaction revealed that d2 knockdown reduced osteoclast-specific functional genes (ie, Acp5 and Ctsk) and increased osteoblast marker genes (ie, Osx and Opg) in periapical tissues. Collectively, our results showed that AAV-mediated d2 depletion in the periapical lesion area can prevent the progression of endodontic disease and bone erosion while significantly reducing the inflammatory over-response. These findings show that the depletion of d2 simultaneously reduces bone resorption, enhances bone formation, and inhibits inflammation caused by periapical diseases and provide significant insights into the potential effectiveness of AAV-sh-d2-mediated d2 silencing gene therapy as a major endodontic treatment. Copyright © 2016. Published by Elsevier Inc.

  3. Palatal radicular groove: Clinical implications of early diagnosis and surgical sealing

    Directory of Open Access Journals (Sweden)

    P Corrêa-Faria

    2011-01-01

    Full Text Available Palatal radicular groove is a discreet alteration in tooth morphology, characterized by an invagination that begins near the cingulum of the tooth and moves in an apical direction. Clinically, palatal radicular groove may be associated with periodontal and/or endodontic problems. This paper describes a clinical case of a young patient with palatal radicular groove with no signs of periodontal disease or endodontic impairment. An early diagnosis was made and treatment consisted of surgical sealing of the defect. After a 2-year period, reexaminations demonstrated adequate hygiene, maintenance of tooth vitality and periodontal health. The early diagnosis and sealing of the groove observed surgically made the root surface smooth, avoiding subgingival bacterial plaque buildup, and preventing possible periodontal and/or pulp impairment stemming from the defect.

  4. Radicular pain from lumbar canal stenosis in addition to pre-existing phantom limb pain.

    Science.gov (United States)

    Tomasi, S O; Ghani, I; Waldvogel, D; Hausmann, O

    2013-12-01

    Phantom limb (PL) is a term used to designate the sensation of the presence of an extremity following amputation, and it may be seen immediately after injury or years later in the part of the body that is deafferented or amputated. Phantom limb pain (PLP) is the term used to describe painful sensations referred to the absent limb. We present a case of a 71-year-old male with spinal claudication from discoligamentous lumbar canal stenosis L3-L4 and L4-L5 with L5 radicular pain in the left PL 13 years after the amputation. The patient had a disappearance of his radicular pain in the left PL following microsurgical lumbar decompression of L3-L4 and L4-L5. This is one of the rare cases reported in the literature in which a radicular pain in the PL disappeared following surgical decompression of the spinal canal.

  5. Is The Periapical lesion a Risk For Periimplantitis? (A review)

    Science.gov (United States)

    Esfahrood, Z. Rezaei; Kadkhodazadeh, M.; Amid, R.; Rokn, AR.

    2012-01-01

    Conventional implant dentistry has been limited to healed edentulous ridges with adequate bone. Predictable success rates resulted in using dental implants in compromised situations such as insertion into old infected sites or near to pathological areas. There is significant data about marginal bone loss and lack of osseointegration around the neck of implants. However, the data about peri apical implant bone loss is really rare. An electronic search was carried in PubMed regarding articles in the time period from 1980 to 2011. Subsequent manual search was performed included all animal and human case series and clinical trials. Reported success rates and treatment options were calculated in a systematic manner. There is conflicted data showing a relatively accepted success of implantation immediately after removal of infection directly or indirectly in contact with the apical portion of the implants. However, some complications may happen that must be managed. The available data about the periapical implant pathologies is relatively inadequate. However, concluded data represents some clinical comments in order to reduce the complexities. PMID:23066482

  6. Is The Periapical lesion a Risk For Periimplantitis? (A review

    Directory of Open Access Journals (Sweden)

    Z Rezaei Esfahrood

    2012-01-01

    Full Text Available Conventional implant dentistry has been limited to healed edentulous ridges with adequate bone. Predictable success rates resulted in using dental implants in compromised situations such as insertion into old infected sites or near to pathological areas. There is significant data about marginal bone loss and lack of osseointegration around the neck of implants. However, the data about peri apical implant bone loss is really rare.An electronic search was carried in PubMed regarding articles in the time period from 1980 to 2011. Subsequent manual search was performed included all animal and human case series and clinical trials. Reported success rates and treatment options were calculated in a systematic manner.There is conflicted data showing a relatively accepted success of implantation immediately after removal of infection directly or indirectly in contact with the apical portion of the implants. However, some complications may happen that must be managed.The available data about the periapical implant pathologies is relatively inadequate. However, concluded data represents some clinical comments in order to reduce the complexities.

  7. Sistemas adesivos em cemento e dentina radicular: revisão bibliográfica

    OpenAIRE

    Silva, Ana Rita Cortes Alçada Oliveira da

    2013-01-01

    Tese de mestrado, Medicina dentária, Universidade de Lisboa, Faculdade de Medicina Dentária, 2013 O envelhecimento da população tem despertado novas preocupações na Dentisteria Restauradora devido ao aumento da prevalência de diferentes doenças, como as cáries radiculares. Os compósitos assumem-se como o material de eleição neste tipo de lesões, pelo que se torna necessário conhecer o desempenho dos sistemas adesivos sobre os tecidos radiculares. Assim, o objetivo deste trabalho é a realiz...

  8. The Value of Periapical Radiograph in the Diagnosis of Interproximal Caries

    Energy Technology Data Exchange (ETDEWEB)

    KIm, Young Hee; Kang, Byung Chul [Dept. of Oral and Maxillofacial Radiology, College of Dentistry, Chonnam National University, Kwangju (Korea, Republic of)

    2000-03-15

    To compare the diagnostic performance of clinical and radiologic examination for the interproximal caries on intraoral periapical radiographs and to evaluate the value of periapical radiographs. One hundred seven dental patients were examined clinically, with a mouth mirror and an explorer, by a dentist at the department of oral medicine, and the presence or absence of interproximal caries lesion was recorded. The patients were prescribed one or more dental periapical radiographs. Radiographs were assessed for the presence of interproximal caries by three radiologists independently. Two thousand sixty interproximal surfaces were included in this study. The diagnostic accuracies of clinical and radiologic examinations for interproximal caries were calculated. To assess the degree of agreement between clinical and radiologic examinations, Cohen's coefficient of agreement was computed. The specificity of clinical and radiologic examination was 0.991, 0.997 and the sensitivity was 0.279, 0.985 respectively. The diagnostic accuracy of radiologic examination was statistically significantly higher than that of clinical examination (P<0.05). Cohen's kappa value of clinical and radiologic examination was 0.335, 0.942 respectively. These results suggested that clinical examination show only fair agreement, whereas radiologic examination show perfect agreement. The diagnostic performance of the dental periapical radiographs on interproximal caries were higher than that of clinical examination, thus this study showed the validity of periapical radiographs for detecting interproximal caries lesion without bitewing radiograph.

  9. Ultrasonography with color Doppler and power Doppler in the diagnosis of periapical lesions

    Directory of Open Access Journals (Sweden)

    Sumit Goel

    2011-01-01

    Full Text Available Aim: To evaluate the efficacy of ultrasonography (USG with color Doppler and power Doppler applications over conventional radiography in the diagnosis of periapical lesions. Materials and Methods: Thirty patients having inflammatory periapical lesions of the maxillary or mandibular anterior teeth and requiring endodontic surgery were selected for inclusion in this study. All patients consented to participate in the study. We used conventional periapical radiographs as well as USG with color Doppler and power Doppler for the diagnosis of these lesions. Their diagnostic performances were compared against histopathologic examination. All data were compared and statistically analyzed. Results: USG examination with color Doppler and power Doppler identified 29 (19 cysts and 10 granulomas of 30 periapical lesions accurately, with a sensitivity of 100% for cysts and 90.91% for granulomas and a specificity of 90.91% for cysts and 100% for granulomas. In comparison, conventional intraoral radiography identified only 21 lesions (sensitivity of 78.9% for cysts and 45.4% for granulomas and specificity of 45.4% for cysts and 78.9% for granulomas. There was definite correlation between the echotexture of the lesions and the histopathological features except in one case. Conclusions: USG imaging with color Doppler and power Doppler is superior to conventional intraoral radiographic methods for diagnosing the nature of periapical lesions in the anterior jaws. This study reveals the potential of USG examination in the study of other jaw lesions.

  10. Radiological and histopathological evaluation of experimentally-induced periapical lesion in rats

    Directory of Open Access Journals (Sweden)

    Renata Cordeiro Teixeira

    2011-10-01

    Full Text Available OBJECTIVE: This study evaluated experimentally-induced periapical bone loss sites using digital radiographic and histopathologic parameters. MATERIAL AND METHODS: Twenty-seven Wistar rats were submitted to coronal opening of their mandibular right first molars. They were radiographed at 2, 15 and 30 days after the operative procedure by two digital radiographic storage phosphor plates (Digora®. The images were analyzed by creating a region of interest at the periapical region of each tooth (ImageJ and registering the corresponding pixel values. After the sacrifice, the specimens were submitted to microscopic analysis in order to confirm the pulpal and periapical status of the tooth. RESULTS: There was significant statistically difference between the control and test sides in all the experimental periods regarding the pixel values (two-way ANOVA; p<0.05. CONCLUSIONS: The microscopic analysis proved that a periapical disease development occurred during the experimental periods with an evolution from pulpal necrosis to periapical bone resorption.

  11. Single visit nonsurgical endodontic therapy for periapical cysts: A clinical study

    Directory of Open Access Journals (Sweden)

    Ipsita Maity

    2014-01-01

    Full Text Available Aims: The aim of this study was to assess the outcome of single sitting root canal treatment (RCT of asymptomatic teeth with periapical cysts. Materials and Methods: Ten maxillary anterior teeth showing periapical lesion on the radiograph was further screened by ultrasound with color power Doppler (CPD for confirmation of a cyst. The average dimension of the lesions ranged from 1.3 to 1.9 cm. Single sitting RCT was performed on all the selected teeth. Postoperative healing was monitored at regular interval of 3 months, 6 months, and 1 year by using subjective feedback, radiograph, and ultrasound with CPD study. Results: Eight among the ten cases showed either signs of complete healing or healing in progress by the end of 6-12 months. Conclusions: It was observed that single sitting nonsurgical endodontic management of asymptomatic teeth with periapical cyst confirmed by ultrasound was successful in selected cases.

  12. The use of digital periapical radiographs to study the prevalence of alveolar domes

    Science.gov (United States)

    Xambre, Pedro Augusto Oliveira Santos; Valerio, Claudia Scigliano; e Alves Cardoso, Claudia Assunção; Custódio, Antônio Luís Neto

    2016-01-01

    Purpose In the present study, we coined the term 'alveolar dome' and aimed to demonstrate the prevalence of alveolar domes through digital periapical radiographs. Materials and Methods This study examined 800 digital periapical radiographs in regard to the presence of alveolar domes. The periapical radiographs were acquired by a digital system using a photostimulable phosphor (PSP) plate. The χ2 test, with a significance level of 5%, was used to compare the prevalence of alveolar domes in the maxillary posterior teeth and, considering the same teeth, to verify the difference in the prevalence of dome-shaped phenomena between the roots. Results The prevalence of alveolar domes present in the first pre-molars was statistically lower as compared to the other maxillary posterior teeth (pauxiliary information necessary to identify alveolar domes, thus improving diagnosis, planning, and treatment. PMID:27672614

  13. Prevotella intermedia and Porphyromonas gingivalis in dental caries with periapical granuloma

    Directory of Open Access Journals (Sweden)

    Risya Cilmiaty

    2013-12-01

    Full Text Available Background: Dental caries with necrotic pulp is a multifactorial disease that attacks enamel involving tooth pulp. The anaerobic bacteria infection in the pulp chamber could induce the formation of periapical granuloma. However, the presence of the most frequently anaerobic bacteria identified in apical periodontitis, Porphyromonas gingivalis and Prevotella intermedia, in periapical granuloma have not been confirmed. Purpose: The aims of study were to determine the presence of Porphyromonas gingivalis and Prevotella intermedia in dental caries with necrotic pulp and to determine its relation to periapical granuloma. Methods: Thirty-six patients of dental caries with necrotic pulp in Dr. Moewardi General Hospital in Surakarta, Indonesia were involved and classified into two groups, the group of patients with periapical granuloma and the group of patients without periapical granuloma. The caries tooth was extracted, and the chronic periapical tissue was swabbed and cultured on blood agar medium in anaerobic condition. The bacterial DNA was extracted from the positive cultures and subjected for Polymerase Chain Reaction (PCR. Results: Periapical granuloma was more likely found in women (OR 5.5, 95% CI=1.277-23.693; RR 2.5, 95% CI= 1.025-6.100. Black colonies bacteria were associated with periapical granuloma (OR 2.2, 95% CI=0.517-9.594; RR 1.5, 95% CI=0.655-3.623. Porphyromonas gingivalis and Prevotella intermedia were detected in group with or without periapical granuloma, however, only Prevotella intermedia was associated with periapical granuloma (OR 1.6, 95% CI=0.418-5.903; RR 1.3, 95% CI=0.653-2.393. Conclusion: The presence of Porphyromonas gingivalis and Prevotella intermedia in periapical granuloma were confirmed, however, only Prevotella intermedia were associated with periapical granuloma.Latar belakang: Karies gigi dengan pulpa nekrosis adalah penyakit multifaktorial yang menyerang enamel hingga ruang pulpa gigi. Infeksi bakteri anaerob

  14. Simultaneous paresthesia of the lingual nerve and inferior alveolar nerve caused by a radicular cyst.

    Science.gov (United States)

    Hamada, Yoshiki; Yamada, Hiroyuki; Hamada, Akiko; Kondoh, Toshirou; Suzuki, Mami; Noguchi, Kazuhide; Ito, Ko; Seto, Kanichi

    2005-10-01

    The inferior alveolar nerve is sometimes affected by periapical pathoses and mandibular cysts. However, mandibular intraosseous lesions have not been reported to disturb the lingual nerve. A case of simultaneous paresthesia of the right lingual nerve and the right inferior alveolar nerve is presented. The possible mechanisms of this extremely uncommon condition are discussed.

  15. Antibacterial effect of root canal preparation and calcium hydroxide paste (Calen intracanal dressing in primary teeth with apical periodontitis Efeito antibacteriano do preparo biomecânico e do curativo de demora com pasta à base de hidróxido de cálcio (Calen em dentes decíduos com lesão periapical

    Directory of Open Access Journals (Sweden)

    Gisele Faria

    2005-12-01

    Full Text Available The aim of this study was to evaluate the antibacterial action of root canal mechanical preparation using 2.5% sodium hypochlorite as the irrigating solution and a calcium hydroxide paste as the antibacterial intracanal dressing in human primary teeth root canals with pulp necrosis and apical periodontitis by means of microbial culture. A total of 26 root canals of human primary teeth with pulp necrosis and apical periodontitis were used. Samples were collected before, 72h after biomechanical treatment and 72h after removal of the intracanal dressing. Comparison by Wilcoxon test showed that root canal mechanical preparation effectively eliminated all microorganisms in 20% of the root canals, and the intracanal dressing in 62.5%; however, the cumulative action of biomechanical treatment and intracanal dressing eliminated the microorganisms of 70% of the root canals (pO objetivo do presente estudo foi avaliar, por meio de cultura bacteriológica, a ação antibacteriana do preparo biomecânico utilizando como solução irrigadora o hipoclorito de sódio a 2,5% e da pasta Calen utilizada como curativo de demora em canais radiculares de dentes decíduos de humanos com necrose pulpar e lesão periapical. Foram selecionados 26 dentes decíduos de humanos portadores de necrose pulpar e lesão periapical. As colheitas microbiológicas foram efetuadas antes e 72 horas após o preparo biomecânico e 72 horas após a remoção do curativo de demora. A comparação por meio do teste de Wilcoxon mostrou que o preparo biomecânico foi eficaz na eliminação dos microrganismos dos canais radiculares em 20% dos casos e o curativo de demora em 62,5%, enquanto que a ação cumulativa do preparo biomecânico e do curativo de demora eliminou os microrganismos em 70,0% dos casos (p<0.001. Pôde-se concluir que o preparo biomecânico, isoladamente, apresentou resultados microbiológicos inferiores àqueles obtidos quando o mesmo foi associado ao curativo de demora

  16. Aplicación de los ultrasonidos de cirurgía periapical

    OpenAIRE

    Gay Escoda,Cosme; Méndez Blanco, Víctor Manuel; Sánchez Garcés, Ma. Ángeles; Berini Aytés, Leonardo

    1996-01-01

    La aplicación de ultrasonidos en cirugía periapical, concretamente en la preparación de cavidades retrógradas, presenta diversas ventajas, siendo las más destacadas la menor resección ósea y dental, y el paralelismo entre las paredes cavitarias y el eje longitudinal del diente. Se revisan las características físicas y mecánicas de los ultrasonidos, así como los principios básicos de su utilización en cirugía periapical.

  17. Nonsurgical Management of an Extensive Endodontic Periapical Lesion: A Case Report

    Science.gov (United States)

    Moshari, Amirabbas; Vatanpour, Mehdi; EsnaAshari, Ehsan; Zakershahrak, Mehrsa; Jalali Ara, Afsoon

    2017-01-01

    Long-term success of endodontic treatment is dependent on adequate and appropriate cleaning and shaping of the root canal along with proper and correct obturation of the entire prepared space. This article aims to report an exceptional non-surgical and orthograde endodontic treatment of maxillary right central incisor with an extensive radiolucent lesion in a 17-year-old male. Six and 20-month follow-ups showed significant changes, including bone formation and periapical healing within the lesion. The patient was asymptomatic. After 20 months, complete radiographic and clinical healing of the periapical lesion was observed. PMID:28179937

  18. Aplicación de los ultrasonidos de cirurgía periapical

    OpenAIRE

    Gay Escoda, Cosme; Méndez Blanco, Víctor Manuel; Sánchez Garcés, Ma. Ángeles; Berini Aytés, Leonardo

    1996-01-01

    La aplicación de ultrasonidos en cirugía periapical, concretamente en la preparación de cavidades retrógradas, presenta diversas ventajas, siendo las más destacadas la menor resección ósea y dental, y el paralelismo entre las paredes cavitarias y el eje longitudinal del diente. Se revisan las características físicas y mecánicas de los ultrasonidos, así como los principios básicos de su utilización en cirugía periapical.

  19. The effect of a bioresorbable matrix barrier in endodontic surgery on the rate of periapical healing: an in vivo study.

    Science.gov (United States)

    Garrett, Katherine; Kerr, Mark; Hartwell, Gary; O'Sullivan, Sean; Mayer, Peter

    2002-07-01

    The purpose of this prospective clinical study was to assess the rate of healing of periapical bony defects created at the time of endodontic periapical surgery by measuring the densitometric ratio change in periapical osseous tissues, after periapical endodontic surgery was performed, by using or not using Guidor bioresorbable membrane material. Periapical surgeries were performed on 25 patients where nonsurgical root canal therapy had failed and a periapical lesion was present. For inclusion in the study, the osseous defect to be analyzed had to be confined to the apical area, with bone covering the entire root surface coronally, and an intact lingual cortical plate had to be present. A series of radiographs at the 3-, 6-, and 12-month recalls were compared with the radiograph taken immediately after surgery by using digital imaging and a densitometric ratio that gave a numerical estimation of osseous healing. Using repeated-measure ANOVA, it was shown that there was no statistical difference between the rate of healing in those cases where a Guidor resorbable membrane was used and those cases where no membrane was used. The results suggest that placement of a guided tissue membrane over the bony opening created during an endodontic periapical surgical procedure has no beneficial effect on the rate of healing and the added expense to the patient would not be warranted in these cases.

  20. Use of ultrasound, color Doppler imaging and radiography to monitor periapical healing after endodontic surgery.

    Science.gov (United States)

    Tikku, Aseem P; Kumar, Sunil; Loomba, Kapil; Chandra, Anil; Verma, Promila; Aggarwal, Renu

    2010-09-01

    This study evaluated the effectiveness of ultrasound, color Doppler imaging and conventional radiography in monitoring the post-surgical healing of periapical lesions of endodontic origin. Fifteen patients who underwent periapical surgery for endodontic pathology were randomly selected. In all patients, periapical lesions were evaluated preoperatively using ultrasound, color Doppler imaging and conventional radiography, to analyze characteristics such as size, shape and dimensions. On radiographic evaluation, dimensions were measured in the superoinferior and mesiodistal direction using image-analysis software. Ultrasound evaluation was used to measure the changes in shape and dimensions on the anteroposterior, superoinferior, and mesiodistal planes. Color Doppler imaging was used to detect the blood-flow velocity. Postoperative healing was monitored in all patients at 1 week and 6 months by using ultrasound and color Doppler imaging, together with conventional radiography. The findings were then analyzed to evaluate the effectiveness of the 3 imaging techniques. At 6 months, ultrasound and color Doppler imaging were significantly better than conventional radiography in detecting changes in the healing of hard tissue at the surgical site (P < 0.004). This study demonstrates that ultrasound and color Doppler imaging have the potential to supplement conventional radiography in monitoring the post-surgical healing of periapical lesions of endodontic origin.

  1. Preliminary molecular analysis of bacterial composition in periapical lesions with primary endodontic infections of deciduous teeth

    Institute of Scientific and Technical Information of China (English)

    SHANG Jia-jian; YANG Qiu-bo; ZHAO Huan-ying; CAI Shuang; ZHOU Yan; SUN Zheng

    2013-01-01

    Background The bacterial composition of periapical lesions in deciduous teeth has not been well documented.This study was designed to explore the bacterial compositions,especially the dominant bacteria in periapical lesions using 16S rRNA sequencing.Methods Tissue samples were collected from 11 periapical lesions in deciduous teeth with primary endodontic infections.DNA was extracted from each sample and analyzed using 16S rRNA cloning and sequencing for the identification of bacteria.Results All DNA samples were positive for 16S rRNA gene PCR.One hundred and fifty-one phylotypes from 810 clones were identified to eight phyla,and each sample contained an average of 25.9 phylotypes.In addition,59 phylotypes were detected in more than two samples,and Fusobacterium (F.) nucleatum (8/11),Dialister (D.) invisus (8/11),Campylobacter (C.) gracilis (7/11),Escherichia (E.) coil DH1 (6/11),Aggregatibacter (A.) segnis (6/11),and Streptococcus (S.) mitis (6/11) were the most prevalent species.Furthermore,45 as-yet-uncultivated phylotypes were also identified.Conclusions Chronic periapical lesions in deciduous teeth contained polymicrobial infections.F.nucleatum,D.invisus,C.gracilis,E.coli DH1,A.segnis,and S.mitis were the most prevalent species detected by 16S rRNA sequencing.

  2. Conservative treatment in patients with an acute lumbosacral radicular syndrome: design of a randomised clinical trial [ISRCTN68857256].

    NARCIS (Netherlands)

    P.A.J. Luijsterburg (Pim); A.P. Verhagen (Arianne); R.W.J.G. Ostelo (Raymond); H.J. van den Hoogen (Hans); W.C. Peul (Wilco); C.J.J. Avezaat (Cees); B.W. Koes (Bart)

    2004-01-01

    textabstractBACKGROUND: The objective is to present the design of randomised clinical trial (RCT) on the effectiveness of physical therapy added to general practitioners management compared to general practitioners management only in patients with an acute lumbosacral radicular syn

  3. A suggested technique for the application of the cone beam computed tomography periapical index.

    Science.gov (United States)

    Esposito, S; Cardaropoli, M; Cotti, E

    2011-12-01

    Cone beam CT (CBCT) produces undistorted three-dimensional (3D) images of the maxillofacial region with a radiation dosage lower than conventional CT. The periapical index score (PAI) is commonly used to follow up the lesions in the bone using periapical radiographs. Recently, a new PAI based on CBCT was introduced (CBCT-PAI). The aim of this technical report is to present a modified reproducible method to assess the CBCT-PAI. CBCT was used to evaluate a periapical bone lesion observed in the area of tooth number 13 before treatment and 2 years after treatment. The modified CBCT-PAI was applied to both the examinations to measure the lesion. The dimensional analysis of the lesion was performed in each plane, assessing three fixed and reproducible dimensions: mesiodistal (M-D), buccolingual (B-L) and coronoapical (C-A). The images were evaluated by three mutually independent examiners. Data were collected and reported in a chart. The results were compared with each other and with the PAI score from the periapical radiographs. The three observers reported the same measurements of the lesion for each plane. The CBCT-PAI follow-up showed a reduction of the size of the lesion (5D vs 4D) but also an increase in the erosion of the buccal cortical plate. The comparison of CBCT-PAI with classic PAI showed the first method to be more precise. This technical report shows how the CBCT-PAI can be applied to the CBCT exam of a periapical lesion in a reproducible way.

  4. Scanning electron microscopy reveals severe external root resorption in the large periapical lesion.

    Science.gov (United States)

    Ookubo, Kensuke; Ookubo, Atsushi; Tsujimoto, Masaki; Sugimoto, Kouji; Yamada, Shizuka; Hayashi, Yoshihiko

    2016-06-01

    The present study was designed to investigate the relationships between clinicopathological findings and the resorptive conditions of root apices of teeth with periodontitis. The samples included 21 root apices with large periapical radiolucent lesions. The preoperative computed tomography (CT) and intraoperative findings were correlated with the presence, extension, and the progression pattern of periapical resorption using a scanning electron microscope. The subjects' age, gender, chief complaint, type of tooth, percussion test results, size of periapical lesion using CT, and intraoperative findings were recorded. All apicoectomies were performed under an operative microscope for endodontic microsurgery. A significant large size was observed in cystic lesions compared with granulomatous lesions. The cementum surface at the periphery of the lesion was covered with globular structures (2-3 μm in diameter). Cementum resorption started as small defect formations at the surface. As the defect formation progressed, a lamellar structure appeared at the resorption area, and the size of globular structures became smaller than that of globules at the surface. Further resorption produced typical lacuna formation, which was particularly observed in fracture cases. The most morphologically severe destructive pattern of dentin resorption was observed in large cystic lesions. This study is the first report to elucidate the relationships between three clinical types of undesirable periapical lesions: (1) undertreatment, (2) periapical fracture, (3) macro-level resorption, and the microstructure of external root resorption including from small defects at the cementum surface to a significant destructive pattern inside the dentin. Microsc. Res. Tech. 79:495-500, 2016. © 2016 Wiley Periodicals, Inc.

  5. Case report of physiotherapeutic care about patient with diagnosis of radicular syndrome with left L5 irritation

    OpenAIRE

    Ambrož, Ondřej

    2013-01-01

    Title of bachelors thesis: Case report of physiotherapeutic care about patient with diagnosis of radicular syndrome with left L5 irritation. Objective: Acquisition of theoretical and practical introduction to the herniated lumbar intervertebral disc and possible physiotherapy approaches used in this problem. Special part includes detailed case study of patient with the diagnosis of radicular syndrome with left L5 irritation. Summary: The general part focuses on theoretical knowledge of anatom...

  6. Estudo da reabsorção radicular apical após o uso de aparelho extrabucal no tratamento da má oclusão do tipo Classe II, 1ª divisão dentária Study of apical root resorption after occipital headgear wear on the treatment of dental Class II, division 1 malocclusion

    Directory of Open Access Journals (Sweden)

    Vânia Célia Vieira de Siqueira

    2009-04-01

    Full Text Available OBJETIVO: o presente estudo verificou o efeito do uso do aparelho extrabucal (AEB sobre a intensidade da reabsorção radicular apical nos primeiros molares permanentes superiores submetidos à ação do aparelho. MÉTODOS: foram avaliadas as radiografias periapicais da região dos primeiros molares permanentes superiores, bilateralmente, de 19 jovens leucodermas, do gênero feminino, com idades entre 8 e 10 anos, com má oclusão do tipo Classe II, 1ª divisão dentária, pré e pós-tratamento com AEB de tração alta. As 76 radiografias foram divididas em dois grupos, de acordo com o grau de formação radicular. O grupo A consistiu de 18 radiografias com formação radicular incompleta, com exceção da raiz palatina, ao início do tratamento e 18 ao final. O grupo B consistiu de 20 radiografias com formação radicular completa ao início do tratamento e 20 ao final. Mensurou-se os comprimentos radiculares utilizando um paquímetro digital e submeteu-se as medidas obtidas ao teste de erro do método e à análise estatística (teste t de Student para verificar as diferenças no comprimento radicular antes e após o tratamento com o AEB. RESULTADOS: no grupo A ocorreu um aumento significativo dos comprimentos radiculares, enquanto no grupo B as diferenças dos comprimentos radiculares não foram significativas. As medidas pós-tratamento no grupo A não diferiram das medidas pré-tratamento no grupo B, ou seja, os dentes com formação radicular incompleta ao início do tratamento apresentaram crescimento radicular normal durante o tratamento ativo. CONCLUSÃO: concluiu-se que o uso do AEB não influenciou negativamente na formação radicular e não provocou reabsorção apical nos molares submetidos à ação do aparelho, sugerindo que o AEB não apresentou riscos à estrutura e formação radicular quando corretamente indicado e aplicado.AIM: The aim of this study was to verify the effect of occipital headgear wear on the intensity of

  7. Avaliação clínica e radiográfica do tratamento endodôntico em sessão única de dentes com lesões periapicais crônicas Clinic and radiographic evaluation of one-appointment root canal therapy in teeth with chronic periapical lesions

    Directory of Open Access Journals (Sweden)

    Janir Alves SOARES

    2001-06-01

    Full Text Available Este estudo teve como objetivo avaliar a incidência de dor pós-operatória e o tipo de reparação periapical, após tratamento endodôntico em sessão única, em pacientes portadores de polpa necrótica associada a áreas radiolúcidas periapicais, assintomáticos. Para tanto, após o preparo biomecânico empregando-se a técnica "step down" seguido por "step back", auxiliada por copiosa irrigação com solução de hipoclorito de sódio a 5,0%, procedeu-se à obturação dos canais radiculares pela técnica convencional, utilizando-se cones de guta-percha e cimento à base de óxido de zinco e eugenol. No pós-operatório imediato, 16,6% dos pacientes apresentaram dor espontânea, contudo a incidência de dor do tipo severa - "flare-ups" foi da ordem de 3,3%. Aos doze meses, todos os pacientes estavam assintomáticos e sem fístulas, todavia, apenas 46,4% apresentaram completa resolução das áreas radiolúcidas periapicais. Portanto, a médio prazo, o tratamento endodôntico em sessão única proporcionou 100% de sucesso clínico, mas reduzido percentual de sucesso radiográfico.The aim of this study was to evaluate the incidence of postoperative pain and the type of periapical repair, after one-appointment endodontic treatment in asymptomatic patients who presented with pulpal necrosis and radiographically visible chronic periapical lesions. For that, after biomechanical preparation through the step down followed by the step back technique, aided by copious irrigation with 5.0% sodium hypochlorite solution, the filling of the root canals was carried out through the conventional technique, with gutta-percha cones and zinc oxide-eugenol cement. In the immediate postoperative period, 16.6% of all patients presented with spontaneous pain, although the incidence of severe pain - flare-ups - was 3.3%. After twelve months, all patients were asymptomatic and free of fistula, nevertheless only 46.4% exhibited complete resolution of the radiolucent

  8. Radicular dysfunction preponderance at early phase clinical evaluation in myelitis by Schistosoma mansoni

    Directory of Open Access Journals (Sweden)

    Claudio Henrique Fernandes Vidal

    2011-04-01

    Full Text Available In neuroschistosomiasis, the spinal cord is the most common place of the disease. In high prevalent areas for schistosomiasis mansoni, the clinical alertness is important for an early diagnostic, in order to decrease the final neurological damage. This study provides some useful neurologic information about a series of patients with schistosomal myelitis. METHOD: The sample consisted of 13 schistosomiasis mansoni carriers examined at the moment of the diagnosis of myelitis. RESULTS: The classical triad (lumbago, weakness at the lower limbs and urinary dysfunctions was documented in 11 (86.61% patients. The distribution of the clinical forms was: myeloradicular in six patients (46.15%, radicular in four (30.76% and myelitic in three (23.07%. CONCLUSION: The radicular dysfunction and their clinical associated forms were the most prominent pattern during the early phase of this disease.

  9. Effects of distance from the pulp and thickness on the hydraulic conductance of human radicular dentin.

    Science.gov (United States)

    Fogel, H M; Marshall, F J; Pashley, D H

    1988-11-01

    The purposes of this study were: (1) to measure the effect of distance from the pulp on the hydraulic conductance of human radicular dentin; (2) to determine the influence of dentin thickness on the rates of fluid flow; and (3) to attempt to correlate dentinal tubule densities and diameters with root dentin hydraulic conductance. Dentin slabs prepared from extracted, unerupted, human third molar teeth were placed in a split-chamber device to permit quantitation of fluid filtration rate (hydraulic conductance). In the SEM portion of the study, dentinal tubule numbers and diameters were recorded. The results indicated that radicular dentin hydraulic conductance decreased with distance from the pulp and with increasing dentin thickness. Tubule density and diameter correlated well with the measured hydraulic conductances. The relatively low hydraulic conductance of outer root dentin makes it a significant barrier to fluid movement across root structure.

  10. Sistemas ultrasónicos para la irrigación del sistema de conductos radiculares

    Directory of Open Access Journals (Sweden)

    A. García Delgado

    2014-04-01

    Full Text Available La eliminación de los restos de tejido pulpar vital y necrótico y de los microorganismos del sistema de conductos radiculares, es esencial para el éxito en endodoncia. La desinfección del canal radicular mediante la irrigación e instrumentación es el factor más importante en la prevención y tratamiento de la periodontitis apical. Al ser imposible con la instrumentación llegar a todas las áreas del sistema de conductos, la irrigación cobra especial importancia. Por este motivo, en la última década se han desarrollado una serie de sistemas de dispensación y agitación de irrigantes, tales como los ultrasonidos. En concreto, en este artículo de revisión se evalúa la información disponible de los diez últimos años sobre la efectividad de los sistemas ultrasónicos para eliminar bacterias, tejido pulpar, restos de dentina y barrillo dentinario, la capacidad de estos dispositivos para hacer que el irrigante penetre en el sistema de conductos radiculares y la seguridad en su uso. Los resultados de la revisión muestran que los sistemas ultrasónicos son más eficaces en el desbridamiento químico, biológico y físico del sistema de conductos radiculares que los sistemas de irrigación convencional, a la vez que son seguros.

  11. The effect of endodontic regeneration medicaments on mechanical properties of radicular dentin

    Science.gov (United States)

    Yassen, Ghaeth H.

    Endodontic regeneration treatment of necrotic immature teeth has gained popularity in recent years. The approach suggests a biological alternative to induce a continuous root development. In this project, three in vitro experiments were conducted to investigate the effect of three medicaments used in endodontic regeneration on mechanical properties and chemical structure of radicular dentin. In the first experiment, we investigated longitudinally the effect of medicaments on the indentation properties of the root canal surface of immature teeth using a novel BioDent reference point indenter. A significant difference in the majority of indentation parameters between all groups was found after one-week and one-month application of medicaments (p double antibiotic paste (DAP) > control > calcium hydroxide [Ca(OH)2]. The four-week exposure of dentin to TAP and DAP caused 43% and 31% increase in total indentation distance outcome, respectively. In the second experiment, we investigated longitudinally the effect of medicaments on the chemical structure of immature radicular dentin by measuring the phosphate/amide I ratios of dentin using Attenuated Total Reflection Fourier Transform Infrared Spectroscopy. Phosphate/amide I ratios were significantly different between the four groups after one week, two weeks and four week application of medicaments (p untreated dentin > DAP-treated dentin > TAP-treated dentin. In the third experiment, we investigated longitudinally the effect of medicaments on root fracture resistance and microhardness of radicular dentin. For the microhardness, the two-way interaction between group and time was significant (pintegrity of the superficial radicular dentin and significantly affected the indentation properties of the root canal surface. Furthermore, the three month intracanal application of medicaments significantly reduced the fracture resistance of roots.

  12. [A comparative study of immune and clinical indicators in radicular and myofascial back pain].

    Science.gov (United States)

    Levashova, A I; Morozova, V S; Petrochenko, S N; Myagkova, М А; Moseikin, I A

    To compare immunochemical and clinical parameters in patients with chronic radicular and myofascial back pain. A study included 92 patients (55 men and 37 women) with radicular pain syndrome and 97 patients (33 men and 64 women) with myofascial pain syndrome. Pain status was assessed with the differential visual analogous scale (at rest, on movement, at night and during spontaneous pain). Tensor algometry was used to measure pain intolerance thresholds at day and night. Levels of natural antibodies (nAB) to endogenous pain regulators (β-endorphin, orphanin, serotonin, dopamine, histamine and angiotensin) were determined in the blood serum by ELISA. Patients were examined at admission to the hospital, on 10th and 21st days of treatment. There was a significant decrease in pain syndrome in all patients to the 21st day. Pain intensity was higher in patients with radicular pain syndrome (р<0.05) in all functional states. Pain intolerance thresholds were initially reduced in both groups. No significant between-group differences in the dynamics were not found either in men or women. Women had lower pain intolerance thresholds compared to men. An analysis of nAB profiles to pain regulators showed that they were correlated with higher and high indices, with the predominance of nAB to β-endorphin, orphanin and histamine in both groups. The increased levels of antibodies circulate in the blood serum of patients with dorsalgia for a long time can further be a factor of pain chronification.

  13. Effect of phytic acid, ethylenediaminetetraacetic acid, and chitosan solutions on microhardness of the human radicular dentin

    Directory of Open Access Journals (Sweden)

    Vineeta Nikhil

    2016-01-01

    Full Text Available Aim: The purpose of this study was to evaluate the effect of phytic acid, ethylenediaminetetraacetic acid (EDTA, and chitosan solutions on the microhardness of human radicular dentin. Materials and Methods: Thirty dentin specimens were randomly divided into three groups of 10 specimens each according to the irrigant used: G1 - 1% phytic acid, G2 - 17% EDTA, and G3 - 0.2% chitosan. A standardized volume of each chelating solution was used for 3 min. Dentin microhardness was measured before and after application at the cervical, middle, and apical levels with a Vickers indenter under a 200-g load and a 10-s dwell time. The results were analyzed using one-way analysis of variance (ANOVA and Student′s t test. Results: Microhardness of the radicular dentin varied at the cervical, middle, and apical levels. EDTA had the greatest overall effect, causing a sharp percentage reduction in dentin microhardness with a significant difference from phytic acid and chitosan (P = 0.002. However, phytic acid and chitosan differed insignificantly from each other (P = 0.887. Conclusion: All tested chelating solutions reduced microhardness of the radicular dentin layer at all the levels. However, reduction was least at the apical level. EDTA caused more reduction in dentin microhardness than chitosan while phytic acid reduced the least.

  14. Ocorrência de desvio radicular em dentes de cão

    Directory of Open Access Journals (Sweden)

    Gioso Marco Antonio

    2000-01-01

    Full Text Available O presente trabalho analisa a ocorrência de desvio radicular em 115 incisivos centrais e intermédios, 34 caninos e 19 quarto pré-molares superiores, totalizando 168 dentes. O desvio foi avaliado por imagens de vídeo VHS sobrepostas a um quadriculado. Os resultados mostram que 77,4% dos incisivos apresentam desvios, sendo 61,0% moderados, 28,5% pequenos e 10,5% severos (estes, apenas nas extremidades do terço apical, de acordo com adaptação da técnica proposta por SCHNEIDER6 para determinação e classificação do grau de curvatura dos canais. Para os caninos anotam-se 47,1% dos dentes com desvio, sendo 75,0% moderados e 25,0% pequenos. E para os quarto pré-molares superiores observam-se 89,4% dos dentes com desvio, sendo 75,0% moderados, 16,7% pequenos e 8,3% severos. Comparados aos desvios radiculares observados na Odontologia Humana, concluímos que a ocorrência dos mesmos é baixa para a espécie canina facilitando a instrumentação do canal radicular.

  15. Replantation of Displaced Underlying Successor and Marsupialization of Radicular Cyst associated with a Primary Molar

    Science.gov (United States)

    Ravi, GR

    2015-01-01

    ABSTRACT Radicular cysts are by far the most common cystic lesions of the jaw. However, those arising from primary teeth are comparatively rare, comprising only 0.5 to 3.3%. The aim of this paper is to present clinical, radiographic and histopathological characteristics of radicular cyst associated with a primary mandibular molar causing unusual displacement of the permanent successor. Extraction of primary tooth along with extirpation of cyst was done under local anesthesia. The displaced premolar was also extracted and then replanted in the socket after proper alignment. Healing was uneventful and the space of missing primary molar was maintained by band and loop space maintainer. The relationship between intracanal medicaments and rapid growth of cyst, as mentioned in literature was observed in our case too. Thus, pulpotomy treated primary teeth should receive periodic postoperative radiographic examination and absence of clinical symptoms does not mean that a pulpotomy treated tooth is healthy. How to cite this article: Lamba G, Ravi GR. Replantation of Displaced Underlying Successor and Marsupialization of Radicular Cyst associated with a Primary Molar. Int J Clin Pediatr Dent 2015;8(1):70-74. PMID:26124586

  16. Quantitative analysis of the epithelial lining architecture in radicular cysts and odontogenic keratocysts

    Directory of Open Access Journals (Sweden)

    Landini Gabriel

    2006-02-01

    Full Text Available Abstract Background This paper describes a quantitative analysis of the cyst lining architecture in radicular cysts (of inflammatory aetiology and odontogenic keratocysts (thought to be developmental or neoplastic including its 2 counterparts: solitary and associated with the Basal Cell Naevus Syndrome (BCNS. Methods Epithelial linings from 150 images (from 9 radicular cysts, 13 solitary keratocysts and 8 BCNS keratocysts were segmented into theoretical cells using a semi-automated partition based on the intensity of the haematoxylin stain which defined exclusive areas relative to each detected nucleus. Various morphometrical parameters were extracted from these "cells" and epithelial layer membership was computed using a systematic clustering routine. Results Statistically significant differences were observed across the 3 cyst types both at the morphological and architectural levels of the lining. Case-wise discrimination between radicular cysts and keratocyst was highly accurate (with an error of just 3.3%. However, the odontogenic keratocyst subtypes could not be reliably separated into the original classes, achieving discrimination rates slightly above random allocations (60%. Conclusion The methodology presented is able to provide new measures of epithelial architecture and may help to characterise and compare tissue spatial organisation as well as provide useful procedures for automating certain aspects of histopathological diagnosis.

  17. Replantation of Displaced Underlying Successor and Marsupialization of Radicular Cyst associated with a Primary Molar.

    Science.gov (United States)

    Lamba, Gagandeep; Ravi, G R

    2015-01-01

    Radicular cysts are by far the most common cystic lesions of the jaw. However, those arising from primary teeth are comparatively rare, comprising only 0.5 to 3.3%. The aim of this paper is to present clinical, radiographic and histopathological characteristics of radicular cyst associated with a primary mandibular molar causing unusual displacement of the permanent successor. Extraction of primary tooth along with extirpation of cyst was done under local anesthesia. The displaced premolar was also extracted and then replanted in the socket after proper alignment. Healing was uneventful and the space of missing primary molar was maintained by band and loop space maintainer. The relationship between intracanal medicaments and rapid growth of cyst, as mentioned in literature was observed in our case too. Thus, pulpotomy treated primary teeth should receive periodic postoperative radiographic examination and absence of clinical symptoms does not mean that a pulpotomy treated tooth is healthy. How to cite this article: Lamba G, Ravi GR. Replantation of Displaced Underlying Successor and Marsupialization of Radicular Cyst associated with a Primary Molar. Int J Clin Pediatr Dent 2015;8(1):70-74.

  18. The use of platelet rich plasma in the treatment of immature tooth with periapical lesion: a case report

    Directory of Open Access Journals (Sweden)

    Günseli Güven Polat

    2014-08-01

    Full Text Available This study describes the treatment of an immature permanent tooth with periapical lesion which was treated with regenerative approach using platelet rich plasma (PRP. The root canal of immature human permanent tooth with periapical lesion was gently debrided of necrotic tissue and disinfected with 2.5% NaOCl, and then medicated with triple antibiotic paste comprised of ciprofloxacin, metronidazole, and tetracycline. When the tooth was asymptomatic, PRP and mineral trioxide aggregate (MTA were placed into the root canal. Six months after PRP treatment, radiographical examination revealed resolution of the radiolucency and progressive thickening of the root wall and apical closure. Our findings suggest that PRP can be used for the treatment of immature permanent teeth with periapical lesion, as part of a regenerative endodontic treatment procedure. Keywords: Immature permanent tooth; Periapical lesions; Platelet rich plasma

  19. Comparative Study Between Two Flaps—Trapezoidal flap (TZF) and Ocshenbein-Leubke Flap (OLF) in Periapical Surgeries

    National Research Council Canada - National Science Library

    Ahmed, Mohd Viqar; Rastogi, Sanjay; Baad, Rajendra K; Gupta, Anurag K; Nishad, Sumita G; Bansal, Mansi; Kumar, Sanjeev; Oswal, Rakesh; Mahendra, P; Bhatnagar, Alok

    2013-01-01

    .... The large variety of flaps available for periapical surgeries reflects the number of variables to be considered before choosing an appropriate flap design. In this study; Ocshenbein-Leubke (OL) and trapezoidal (TZ...

  20. Long-term observation of the mineral trioxide aggregate extrusion into the periapical lesion: a case series

    Institute of Scientific and Technical Information of China (English)

    Seok-Woo Chang; Tae-Seok Oh; WooCheol Lee; Gary Shun-Pan Cheung; Hyeon-Cheol Kim

    2013-01-01

    One-step apexification using mineral trioxide aggregate (MTA) has been reported as an alternative treatment modality with more benefits than the use of long-term calcium hydroxide for teeth with open apex. However, orthograde placement of MTA is a challenging procedure in terms of length control. This case series describes the sequence of events following apical extrusion of MTA into the periapical area during a one-step apexification procedure for maxillary central incisor with an infected immature apex. Detailed long-term observation revealed complete resolution of the periapical radiolucent lesion around the extruded MTA. These cases revealed that direct contact with MTA had no negative effects on healing of the periapical tissues. However, intentional MTA overfilling into the periapical lesion is not to be recommended.

  1. Use of aminoguanidine, a selective inducible nitric oxide synthase inhibitor, to evaluate the role of nitric oxide in periapical inflammation.

    Science.gov (United States)

    Farhad, Ali R; Razavi, Seyedmohammad; Jahadi, Sanaz; Saatchi, Masoud

    2011-06-01

    The purpose of this study was to evaluate the effects of aminoguanidine (AG) as a selective inhibitor of inducible nitric oxide synthase (iNOS) on the degree of inflammatory response in periapical lesions in the canine teeth of cats. Root canals from 52 cat canine teeth were exposed to the oral cavity and sealed after 7 days. One day before pulp exposure, cats were administered either AG (experimental group) or normal saline (control group), which was continued on a daily basis until the day of sacrifice. Animals were sacrificed at 28 days after pulp exposure. Inflammatory response in the periapical zones was analyzed histologically. The degree of periapical inflammation in the AG group was significantly lower than that in the control group (P < 0.05). Selective iNOS inhibitors such as AG thus reduce the intensity of inflammatory responses in periapical lesions.

  2. Use of micro-computed tomography for the assessment of periapical lesions in small rodents: a systematic review.

    Science.gov (United States)

    Kalatzis-Sousa, N G; Spin-Neto, R; Wenzel, A; Tanomaru-Filho, M; Faria, G

    2017-04-01

    This systematic review aimed to evaluate the literature on the acquisition-, reconstruction- and analysis parameters of micro-computed tomography (micro-CT) for the assessment of periapical lesions in rats and mice, and to illustrate the effect of variation in these parameters. The PubMed database was searched from 2000 to January 2015 (English-language publications) for reports on the use of micro-CT to evaluate periapical lesions in rats and mice. QUADAS criteria were used to rate the quality of the studies. To illustrate the effect of variations in acquisition-, reconstruction-, and analysis parameters on images of periapical lesions, micro-CT examination of two hemi-mandibles of mice, with periapical lesions around the first molar was undertaken. Twenty-one studies were identified, which analysed periapical lesions in rats or mice using micro-CT. According to the QUADAS, no study was classified as high-, seven were classified as moderate-, and 14 as low quality. The effect of variation in parameters was that voxel size may interfere with image sharpness, reconstruction may interfere with image sharpness and contrast, and inadequate plane orientation may alter the size of the periapical lesion. Nonpersonalized ROIs resulted in areas that were not part of the periapical lesion. Changing the limits of the threshold for bone-tissue visualization increased lesion size. There is no defined protocol for acquiring and analysing micro-CT images of periapical lesions in rats and mice. Furthermore, acquisition-, reconstruction- and analysis parameters are not adequately explained, which may compromise the scientific impact of the studies. © 2016 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  3. The use of physiotherapy in the regeneration of periapical bone structures of the teeth, prepared to load the prosthetic

    Directory of Open Access Journals (Sweden)

    Danuta Lietz-Kijak

    2013-07-01

    Full Text Available The aim of this work was to investigate whether the use of magnetoledotherapy will accelerate the elimination of osteolytic lesions of the dental periapical area, and provide for prosthetic treatment. What impact on time of healing does the inflammatory change location, type of treatment or patient’s age have? 69 patients underwent the examination. The problem of osteolytic lesions in the course of protracted or protracted acute dental periapical tissue inflammation was determined. Patients were divided into two research groups: group L – treated with magnetoledotherapy and group K – treated without the support of magnetoledotherapy. In the first group we applied the electromagnetic field, generated using the Viofor JPS Clinic apparatus.Our studies have confirmed the effectiveness of magnetoledotherapy in the accelerated decommissioning of the osteolytic lesion. This provides evidence of the appropriateness of this method in the treatment of protracted dental periapical tissue inflammation, in teeth qualified for prosthetic load. Magnetostimulation combined with LED energy is an adjunctive procedure, adopted in order to eliminate osteolytic inflammatory changes of dental periapical tissues. It can be used in all age groups with the same good result. After applying magnetoledotherapy, in the course of the dental periapical tissue repair process of tooth treated endodontically for the first time as well as reendodontically, no differences were found. This shows the opportunity of using magnetoledotherapy in all cases of protracted periapical tissue inflammation.

  4. Primary intraosseous squamous cell carcinoma mimicking periapical disease: a case report

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Yoon Joo; Oh, Song Hee; Kang, Ju Han; Choi, Hwa Young; Kim, Gyu Tae; Choi, Yong Suk; Hwang, Eui Hwan [Dept. of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University, Seoul (Korea, Republic of); Yu, Jae June [Dept. of Oral and Maxillofacial Radiology, Kangdong Sacred Heart Hospital, Hallym Medical Center, Seoul (Korea, Republic of)

    2012-09-15

    Primary intraosseous squamous cell carcinoma (PIOSCC) is a rare carcinoma, which arises within the jaws without connection to the oral mucosa and presumably develops from a remnant of odontogenic epithelium. We present a case of solid type PIOSCC in a 52-year-old male patient complaining of dull pain on his left lower molar. In this case, early stage PIOSCC mimicking a periapical lesion might lead to a one-year delay in treatment due to the misdiagnosis of osteomyelitis after extraction of the third molar. The clinical, radiological, and histologic features are described. In this case, there was initial radiographic evidence for PIOSCC mimicking a periapical lesion. Incautious radiographic interpretation and treatment procedures had delayed the correct diagnosis and resulted in extensive bony destruction during the patient's disease progression.

  5. A histopathologic, histobacteriologic, and radiographic study of periapical endodontic surgical specimens.

    Science.gov (United States)

    Block, R M; Bushell, A; Rodrigues, H; Langeland, K

    1976-11-01

    Data available on 230 periapical endodontic surgical specimens were studied. It was found that bacteria occurred in the periapical tissue very infrequently. In addition, there was no correlation between the presence of acute inflammatory cells and the presence or absence of pain. Granulomas with epithelium occurred in 61 out of 230 cases, while 14 of these were cysts. Of the 110 cases with radiographic follow-up data, 67 were classified as successful, 40 were uncertain, and 3 were unsuccessful according to a modification of Strindberg's criteria, whereas 107 would have been successes according to the criteria of Bender and Seltzer and their associates. No valid biologic or clinical basis for endodontic therapy as suggested by Bhaskar was found in this material.

  6. Periapical and endodontic status of permanent teeth in patients with hypophosphatemic rickets

    DEFF Research Database (Denmark)

    Andersen, Mette Guldbæk; Beck-Nielsen, Signe; Haubek, Dorte

    2012-01-01

    genetically. The aim of the present study was to describe the periapical and endodontic status of permanent teeth in patients with genetically and/or biochemically confirmed HR. The patients were recruited from a medical study on HR patients. The patients underwent a dental examination including a digital...... panoramic radiograph, which was scored for endodontically affected teeth (i.e. teeth with periapical radiolucencies and/or endodontically treated teeth). A total of 52 patients (age range: 5·7-74·5 years; 17 males and 35 females) were included. HR patients were characterised by a high number...... of endodontically affected teeth (mean: 4·2; s.d.: 5·0). The number of affected teeth rose significantly with age (P ...

  7. Bactericidal Effects of Diode Laser Irradiation on Enterococcus faecalis Using Periapical Lesion Defect Model

    Science.gov (United States)

    Nagayoshi, Masato; Nishihara, Tatsuji; Nakashima, Keisuke; Iwaki, Shigetsugu; Chen, Ker-Kong; Terashita, Masamichi; Kitamura, Chiaki

    2011-01-01

    Objective. Photodynamic therapy has been expanded for use in endodontic treatment. The aim of this study was to investigate the antimicrobial effects of diode laser irradiation on endodontic pathogens in periapical lesions using an in vitro apical lesion model. Study Design. Enterococcus faecalis in 0.5% semisolid agar with a photosensitizer was injected into apical lesion area of in vitro apical lesion model. The direct effects of irradiation with a diode laser as well as heat produced by irradiation on the viability of microorganisms in the lesions were analyzed. Results. The viability of E. faecalis was significantly reduced by the combination of a photosensitizer and laser irradiation. The temperature caused by irradiation rose, however, there were no cytotoxic effects of heat on the viability of E. faecalis. Conclusion. Our results suggest that utilization of a diode laser in combination with a photosensitizer may be useful for clinical treatment of periapical lesions. PMID:21991489

  8. Reproducibility between conventional and digital periapical radiography for bone height measurement

    OpenAIRE

    Miguel Simancas-Pallares; Jorge Andrés Rubio-Romero; Edgar Cortés-Reyes

    2015-01-01

    Background. Several diagnostic aids are available for bone height measurement. Digital and conventional radiographs are the two ones most used in Dentistry. Few studies accounting for accuracy and precision have been conducted to compare these methods. Objective. The aim of this study was to estimate reproducibility between conventional and digital periapical radiography in bone height measurement in patients with chronic periodontitis. Methods. a consistency diagnostic test study was perform...

  9. Efficacy of Endodontic Treatment on the Persistence of Selected Endodontic Pathogens and on Radiographical Periapical Healing

    OpenAIRE

    Zeledón DDS, Esp, Rodolfo; Ballestero DDS, Esp, Carolina; Hernández DDS. Esp, Erick; Ramírez DDS, MSD, Tatiana; Benavides DDS, Esp, Marianela; Meneses DDS, Esp, Pablo; Reyes Carmona DDS, MSD, PhD, Jessie; Silva MQC, MSc, Sandra

    2015-01-01

    The objective of this clinical study was to evaluate by polymerase chain reaction (PCR) the antimicrobial efficacy and the outcome of an endodontic protocol treatment (EPT) performed by under-graduated dental students on infected root canals associated with periapical lesions. Fifty-six patients attending for treatment of pulp necrosis and apical periodontitis were included. A specific EPT approach was performed and DNA extracts were taken at the baseline (S1), after a disinfection-neutraliza...

  10. The use of digital periapical radiographs to study the prevalence of alveolar domes

    Energy Technology Data Exchange (ETDEWEB)

    Xambre, Pedro Augusto Oliveira Santos; Valerio, Claudia Scigliano; Alves Cardoso, Claudia Assuncoe; Custodio, Antonio Luis Neto; Manzi, Flavio Ricardo [Dept. of Oral Radiology, School of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte (Brazil)

    2016-09-15

    In the present study, we coined the term 'alveolar dome' and aimed to demonstrate the prevalence of alveolar domes through digital periapical radiographs. This study examined 800 digital periapical radiographs in regard to the presence of alveolar domes. The periapical radiographs were acquired by a digital system using a photostimulable phosphor (PSP) plate. The χ2 test, with a significance level of 5%, was used to compare the prevalence of alveolar domes in the maxillary posterior teeth and, considering the same teeth, to verify the difference in the prevalence of dome-shaped phenomena between the roots. The prevalence of alveolar domes present in the first pre-molars was statistically lower as compared to the other maxillary posterior teeth (p<0.05). No statistically significant difference was observed in the prevalence of alveolar domes between the maxillary first and second molars. Considering the maxillary first and second molars, it was observed that the palatal root presented a lower prevalence of alveolar domes when compared to the distobuccal and mesiobuccal roots (p<0.05). The present study coined the term 'alveolar dome', referring to the anatomical projection of the root into the floor of the maxillary sinus. The maxillary first and second molars presented a greater prevalence of alveolar domes, especially in the buccal roots, followed by the third molars and second pre-molars. Although the periapical radiograph is a two-dimensional method, it can provide dentists with the auxiliary information necessary to identify alveolar domes, thus improving diagnosis, planning, and treatment.

  11. CBCT findings of periapical cemento-osseous dysplasia: A case report

    Energy Technology Data Exchange (ETDEWEB)

    Eskandarloo, Amir; Yousefi, Faezeh [Dept. of Oral and Maxillofacial Radiology, Faculty of Dentistry, Hamadan University of Medical Science, Hamadan(Korea, Republic of)

    2013-09-15

    Periapical cemento-osseous dysplasia (PCOD) is a subtype of cemento-osseous dysplasia that usually occurs in middle-aged black women. This report described a case of a 45-year-old Iranian woman who was diagnosed with PCOD on the basis of cone beam computed tomographic (CBCT) findings. CBCT enabled detailed visualization of the bone changes. This report described the special radiographic characteristics of PCOD, including discontinuity of the lingual cortex on the CBCT sectional and three-dimensional images.

  12. CBCT findings of periapical cemento-osseous dysplasia: A case report.

    Science.gov (United States)

    Eskandarloo, Amir; Yousefi, Faezeh

    2013-09-01

    Periapical cemento-osseous dysplasia (PCOD) is a subtype of cemento-osseous dysplasia that usually occurs in middle-aged black women. This report described a case of a 45-year-old Iranian woman who was diagnosed with PCOD on the basis of cone beam computed tomographic (CBCT) findings. CBCT enabled detailed visualization of the bone changes. This report described the special radiographic characteristics of PCOD, including discontinuity of the lingual cortex on the CBCT sectional and three-dimensional images.

  13. Sanation of carious and periapical foci in young athletes with impairment of cardiovascular adaptation

    Directory of Open Access Journals (Sweden)

    I. I. Belyaev

    2014-01-01

    Full Text Available The aim of this study was to evaluate the impact of sanation of oral cavity in young athletes on the course of adaptation of the cardiovascular system to the condition of sports activities. According to the research results, it was revealed that the optimal period for sanation of periapical odontogenic foci in athletes with clinical signs of impairment (dysfunction of cardiovascular system adaptation to exercise stress was a preparatory training period, while carious lesion sanation required preparatory or postcompetition periods.

  14. CBCT-based evaluation of integrity of cortical sinus close to periapical lesions

    Directory of Open Access Journals (Sweden)

    Oséas SANTOS Junior

    2015-01-01

    Full Text Available The purpose of the present study was to test the applicability of cone beam computed tomography (CBCT to evaluate the integrity of the cortical sinus close to periapical lesions. Two observers analyzed samples of 64 alveoli of first molar roots in macerated swine maxillas prepared with perchloric acid to simulate periapical lesions. The specimens were evaluated using CBCT (55-mm high and 100-mm diameter cylinder at 0.2-mm voxel resolution for the presence of oroantral communication (OAC caused by the simulated lesions. Sensitivity, specificity, and accuracy were calculated. Fair values were obtained for accuracy (66%-78% and good values for specificity (70%-98%, whereas the values for sensibility showed relevant variation (41%-78%. For this reason, the interobserver agreement score was weak. CBCT proved capable of evaluating the integrity of the cortical sinus (absence of oroantral communication when it lies close to an apical periodontitis lesion. However, the low interobserver agreement reflects the difficulty in performing diagnoses when OAC is adjacent to a periapical lesion, using the acquisition protocol adopted in this research. This could be attributed to the high level of image noise.

  15. Endodontic and prosthetic treatment of teeth with periapical lesions in a 16-year-old-girl

    Directory of Open Access Journals (Sweden)

    Buket Ayna

    2010-04-01

    Full Text Available This paper reports the nonsurgical endodontic therapy using calcium hydroxide intracanal dressing and prosthetic treatment of 9 teeth with periapical lesions in a 16-year-old female patient. The periodontal treatment plan included oral hygiene instructions, mechanical debridement and gingivectomy in the maxillary incisors to improve gingival contouring. Root canal treatment was indicated for teeth 11-13, 21, 22, 42-45. After successive changes of a calcium hydroxide intracanal dressing during 6 weeks, the size of the periapical radiolucencies decreased and lesion remission occurred after root canal obturation. The endodontically treated teeth received a bondable polyethylene reinforcement fiber (Ribbond in the prepared canal space and crown buildup was done with composite resin. Prosthetic rehabilitation was planned with single-unit metal-ceramic crowns and fixed partial dentures. Clinical and radiographic evaluation after 6 months showed successful results. The outcomes of this case showed that chronic periapical lesions can respond favorably to nonsurgical endodontic treatment in adolescent patients and that, with proper indication, polyethylene fibers can provide an effective conservative and esthetic option for reinforcing endodontically treated teeth undergoing prosthetic rehabilitation.

  16. Healing kinetics of periapical lesions enhanced by the apexum procedure: a clinical trial.

    Science.gov (United States)

    Metzger, Zvi; Huber, Ronen; Slavescu, Dragos; Dragomirescu, Dan; Tobis, Idan; Better, Hadar

    2009-02-01

    The new Apexum procedure (Apexum Ltd, Or-Yehuda, Israel) is based on a minimally invasive removal of periapical chronically inflamed tissues through a root canal access. Its goal is to enhance healing kinetics of periapical lesions. This clinical study was conducted to explore the safety and efficacy of this procedure. The Apexum procedure was applied, as a supplementary step, during conventional root canal treatment in 48 teeth with periapical lesions. Safety and efficacy were clinically and radiographically assessed and teeth of the Apexum-treated group were compared with 39 similar teeth treated by the same endodontic procedure with no additional intervention. No adverse events occurred in either the Apexum-treated or conventional treatment groups. Furthermore, healing kinetics was significantly enhanced in the Apexum-treated group (p < 0.005). At 3 and 6 months, 87% and 95% of the lesions in the Apexum-treated group, respectively, presented advanced or complete healing, whereas only 22% and 39% of the lesions in the conventional treatment group presented this degree of healing at 3 and 6 months, respectively.

  17. Central ossifying fibroma, periapical cemento-osseous dysplasia and complex odontoma occurring in the same jaw

    Directory of Open Access Journals (Sweden)

    Farzaneh Agha Hosseini

    2011-05-01

    Full Text Available Central ossifying fibroma is a rare, benign fibro-osseous lesion that arises from the periodontal ligament. Periapical cemento-osseous dysplasia is another variant of fibro-osseous lesion which occurs in the anterior region of the mandible of females. Odontoma is a benign odontogenic tumor that contains enamel, dentine cement and pulp tissue. A 46-year-old woman was referred to the Department of Oral Medicine, School of Dentistry, Tehran University of Medical Sciences, with two nonpainful swellings on both sides of the mandible, which had been slowly growing over a period of one year. Our differential diagnosis was florid cemento-osseous dysplasia, focal cemento-osseous dysplasia for the right side, complex odontoma for the left side and periapical cement-osseous dysplasia for the anterior side. The historical feature revealed ossifying fibroma, complex odontoma and periapical cemento-osseous dysplasia. The occurrence of these three lesions in the same jaw has been rarely reported in the literature. The relationship between the occurrence of these three lesions is not obvious it could be coincidental. It seems that more case reports are needed to establish the relationship between them.

  18. Endodontic and prosthetic treatment of teeth with periapical lesions in a 16-year-old-girl.

    Science.gov (United States)

    Ayna, Buket; Ayna, Emrah; Celenk, Sema

    2010-01-01

    This paper reports the nonsurgical endodontic therapy using calcium hydroxide intracanal dressing and prosthetic treatment of 9 teeth with periapical lesions in a 16-year-old female patient. The periodontal treatment plan included oral hygiene instructions, mechanical debridement and gingivectomy in the maxillary incisors to improve gingival contouring. Root canal treatment was indicated for teeth 11-13, 21, 22, 42-45. After successive changes of a calcium hydroxide intracanal dressing during 6 weeks, the size of the periapical radiolucencies decreased and lesion remission occurred after root canal obturation. The endodontically treated teeth received a bondable polyethylene reinforcement fiber (Ribbond) in the prepared canal space and crown buildup was done with composite resin. Prosthetic rehabilitation was planned with single-unit metal-ceramic crowns and fixed partial dentures. Clinical and radiographic evaluation after 6 months showed successful results. The outcomes of this case showed that chronic periapical lesions can respond favorably to nonsurgical endodontic treatment in adolescent patients and that, with proper indication, polyethylene fibers can provide an effective conservative and esthetic option for reinforcing endodontically treated teeth undergoing prosthetic rehabilitation.

  19. Doença periapical em eqüinos: estudo de quatro casos Periapical disease in equine: study of four cases

    Directory of Open Access Journals (Sweden)

    G.M. Pagliosa

    2004-02-01

    Full Text Available Estudaram-se quatro casos de doença periapical (DP em eqüinos submetidos à apicectomia e extração dentária. O diagnóstico baseou-se na anamnese, nos exames físico geral e oral e na radiologia. A apicectomia foi ineficaz devido à falta de tratamento endodôntico e a extração dentária mostrou-se a melhor conduta de tratamento, apesar da dificuldade de cura completa da infecção. A DP pode ter causas adicionais a serem definidas, além das classificadas como primária e secundária pela literatura.Four cases of periapical disease (PC in equines submitted to apicoectomy and dental extraction were studied. The diagnosis was based on anamnesis, physical and oral examination and radiology. The apicoectomy was not effective due of the lack of endodontic treatment. The dental extraction was the better treatment, despite of the difficulty of complete cure of the infection. The PC can have other causes, beyond of those classified as primary and secondary by the literature.

  20. CBCT fine preoperative evaluation of inflammatory radicular cysts and postoperative local integration appreciation of alloplastic grafts materials.

    Science.gov (United States)

    Nica, Diana; Ianes, Emilia; Brad, S

    2014-01-01

    The purpose of this paper is to point out the value of CBCT exam in pre and postoperative diagnosis assessment of inflammatory radicular cysts together with full appreciation of local integration of alloplastic graft materials used to repair the osseous defects. There were statistically retrospective evaluated the pre and postoperative results of CBCT and x-ray examinations of 34 patients with inflammatory radicular cysts clinically, biologically and histopathologically assessed at Oral and Maxilo-Facial Surgery Clinic from Timisoara. In all cases we proceeded to surgical radicular cysts removement, extraction of the associated non-vital tooth together with alloplastic graft materials repairement of the osseous defects. The CBCT preoperative scans clearly showed the extent, the morphological characteristics and the topoanatomic reports, in all 34 cases of inflammatory radicular cysts together with regional endodontic status. The CBCT postoperative scans revealed the very local integration of alloplastic graft materials used to repair the osseous defects and, in some cases, the dental rehabilitation by metallic implants. CBCT scan is the imaging method of choice in pre and postoperative diagnosis assessment of inflammatory radicular cysts together with alloplastic graft materials repairement of the osseous defects and dental rehabilitation by metallic implants, due to high specific abilities in bone tissue 3D evaluation.

  1. Accuracy of Digital Radiography and Cone Beam Computed Tomography on Periapical Radiolucency Detection in Endodontically Treated Teeth

    Directory of Open Access Journals (Sweden)

    Tadas Venskutonis

    2014-07-01

    Full Text Available Objectives: The aim of the present study was to compare the accuracy of intraoral digital periapical radiography and cone beam computed tomography in the detection of periapical radiolucencies in endodontically treated teeth. Material and Methods: Radiographic images (cone beam computed tomography [CBCT] scans and digital periapical radiography [PR] images from 60 patients, achieved from September 2008 to July 2013, were retrieved from databases of the Department of Oral Diseases, Lithuanian University of Health Sciences. Twenty patients met inclusion criteria and were selected for further evaluation. Results: In 20 patients (42.4 [SD 12.1] years, 65% men and 35% women a total of 35 endodontically treated teeth (1.75 [SD 0.91]; 27 in maxilla and 8 in mandible were evaluated. Overall, it was observed a statistical significant difference between the number of periapical lesions observed in the CBCT (n = 42 and radiographic (n = 24 examinations (P < 0.05. In molar teeth, CBCT identify a significantly higher amount of periapical lesions than with the radiographic method (P < 0.05. There were significant differences between CBCT and PR in the mean number of lesions identified per tooth (1.2 vs 0.66, P = 0.03, number of teeth with lesions (0.71 vs 0.46, P = 0.03 and number of lesions identified per canal (0.57 vs 0.33, P = 0.005. Considering CBCT as “gold standard” in lesion detection with the sensitivity, specificity and accuracy considering as score 1, then the same parameters of PR were 0.57, 1 and 0.76 respectively. Conclusions: Within the limitations of the present study, it can be concluded that cone beam computed tomography scans were more accurate compared to digital periapical radiographs for detecting periapical radiolucencies in endodontically treated teeth. The difference was more pronounced in molar teeth.

  2. COMPARACION DE LA REABSORCION RADICULAR EN DIENTES VITALES Y DIENTES CON ENDODONCIA A LOS 12 MESES DE TRATAMIENTO ORTODONCICO. MEDIANTE LA MEDICION DE LA LONGITUD RADICULAR. CLINICA DE ORTODONCIA DE LA U.M.S.N.H MORELIA MICH 2007.

    OpenAIRE

    Melendez Rodriguez, Verenice

    2012-01-01

    Han sido mucho las investigaciones clínicas que han demostrado la asociación entre reabsorción radicular y movimiento dentario ortodoncico. Desde que Schwarzkopf, en 1887, y Ottolengi, en 1914, observaron la aparición de acortamiento radicular tras el tratamiento. Hasta nuestros días, han sido múltiples los estudios que han tratado de relacionar en términos matemáticos la extensión del fenómeno con factores biológicos. Ketcham, en 1927, encontró reabsorción en el 22% de un g...

  3. Fractura patológica de la mandíbula asociada a quiste radicular: Reporte de 3 casos clínicos Mandibular pathologic fracture associated with radicular cyst: Report of three clinical cases

    OpenAIRE

    Bouguila, J.; L. Córdova Jara; I. Zairi; A. Adouani

    2008-01-01

    Introducción. El quiste radicular es el quiste más común de los maxilares. Su tamaño puede variar desde una lesión que abarca el proceso alveolar hasta uno extenso que oblitera el espacio antral maxilar o causa una fractura patológica mandibular. Reporte de casos. Se reportan tres casos con fractura patológica mandibular asociados a quiste radicular ocurridos después de trauma facial. El diagnóstico fue sugerido por un estudio clínico, radiografía panorámica y confirmado por el estudio histop...

  4. Radicular cyst followed by incomplete pulp therapy in primary molar: A case report

    Directory of Open Access Journals (Sweden)

    C Nagarathna

    2013-01-01

    Full Text Available Radicular cysts are one of the most common odontogenic cyst of the jaws. However, those arising from primary teeth are rare. An 8-year-old boy reported to the Department of Pedodontics and Preventive Dentistry with the chief complaint of pain and swelling on the lower left primary molar tooth region. Radiographic examination revealed a well-defined radiolucency with continuous hyperostotic border. Considering the age of the child, size of lesion, and involvement of unerupted premolars; marsupialization was preferred as a conservative treatment of choice. The success of the treatment was evident both clinically and radiographically during the follow-up period.

  5. Management of large radicular cyst associated with amalgam particles in cystic lining.

    Science.gov (United States)

    Borkar, Swati A; Dhupar, Vikas; Gadkar, Abhilasha M; Nivedita, C K V S

    2016-01-01

    The failure of amalgam retrofilling and presence of an associated cystic lesion makes surgical endodontic intervention inevitable. Amalgam retrofilling can also give rise to mucoperiosteal tattoo formation and allow incorporation of amalgam particles in the cystic lining. Such a finding has not yet been reported in the endodontic literature. This case report describes the successful endodontic management of a large radicular cyst associated with failed amalgam retrofilling, mucoperiosteal tattoo and amalgam particles dispersed in the epithelial cystic lining. All four mandibular incisors associated with the lesion presented with Weine Type II canal anatomy. The follow-up revealed clinical and radiographic signs of healing.

  6. Management of large radicular cyst associated with amalgam particles in cystic lining

    Science.gov (United States)

    Borkar, Swati A.; Dhupar, Vikas; Gadkar, Abhilasha M.; Nivedita, C.K.V.S.

    2016-01-01

    The failure of amalgam retrofilling and presence of an associated cystic lesion makes surgical endodontic intervention inevitable. Amalgam retrofilling can also give rise to mucoperiosteal tattoo formation and allow incorporation of amalgam particles in the cystic lining. Such a finding has not yet been reported in the endodontic literature. This case report describes the successful endodontic management of a large radicular cyst associated with failed amalgam retrofilling, mucoperiosteal tattoo and amalgam particles dispersed in the epithelial cystic lining. All four mandibular incisors associated with the lesion presented with Weine Type II canal anatomy. The follow-up revealed clinical and radiographic signs of healing. PMID:27217645

  7. Endoscopic-assisted Enucleation of Radicular Cysts — A Case Report

    Science.gov (United States)

    Kahairi, Abdullah; Ahmed Khan, Shamim; Amirozi, Ahmad

    2010-01-01

    The standard management for the majority of benign jaw cysts is enucleation, marsupialisation, curettage and decompression. Enucleation has the advantage that the whole specimen is sent for microscopic evaluation so that more sinister pathological processes (i.e. squamous cell carcinoma) may not be missed. In a large cystic lesion, enucleation is still possible, but technical difficulties might be encountered. In such instances, inevitable damage can occur to the surrounding structures. We report a case of a large radicular cyst of the maxilla that was enucleated via endoscopic assistance through the Caldwell Luc approach. PMID:22135528

  8. Pseudoradicular and radicular low-back pain--a disease continuum rather than different entities? Answers from quantitative sensory testing.

    Science.gov (United States)

    Freynhagen, Rainer; Rolke, Roman; Baron, Ralf; Tölle, Thomas R; Rutjes, Ann-Kathrein; Schu, Stefan; Treede, Rolf-Detlef

    2008-03-01

    To assess whether pseudoradicular low-back pain may be associated with subclinical sensory deficits in the distal extremity, we applied the quantitative sensory testing protocol of the German Research Network on Neuropathic Pain (DFNS) in 15 patients with pseudoradicular pain distribution. Sixteen age- and gender-matched healthy control subjects as well as 12 patients with radicular pain syndromes (L4-S1) were studied with the same protocol. Radicular pain was diagnosed using clinical criteria (pain radiation beyond the knee, motor-, sensory-, or reflex deficits, positive Laségue's test). Z-score QST profiles revealed a selective loss of vibration detection, detection of v. Frey hair contact, and cold detection in the affected dermatomes in the radicular pain group. The contralateral dermatome was also affected, but to a lesser degree. In patients with pseudoradicular pain, the sensory profile was similar, but sensory loss was less pronounced than in the radicular pain patients. There was no significant difference between the two patient groups. Vibration detection was the most sensitive parameter with 73% abnormal values in radicular and 47% in pseudoradicular cases. These data verified the sensitivity of QST to detect sensory loss in radicular compression syndromes, and support a neuropathic component in low-back pain with radiculopathy. In contrast to some central pain syndromes this sensory loss involved predominantly large fiber functions. The subclinical sensory loss in pseudoradicular cases suggests that these patients may also have a neuropathic component of their chronic pain. The spatial incongruence of pain and sensory loss in pseudoradicular pain, however, may also indicate that the two are not causally related.

  9. Use of EndoVac System for Aspiration of Exudates from a Large Periapical Lesion: A Case Report.

    Science.gov (United States)

    Keleş, Ali; Alçin, Hatice

    2015-10-01

    Large cyst-like periapical lesions can heal after nonsurgical root canal treatment. Decreasing the hydrostatic pressure within a periapical lesion can be achieved with the aspiration technique by using EndoVac when there is drainage of cystic fluid through the canals. Clinical examination of a 21-year-old male patient revealed a large periapical lesion extending from the distal aspect of tooth #26 and reaching the mesial surface of tooth #22. During root canal treatment of teeth #23, #24, and #26, serous exudate drained from the root canal of tooth #24. The MacroCannula component of EndoVac apical negative pressure irrigation system was used to aspirate the inflammatory fluid. The technique produces a vacuum effect in the periapical region through the root canal, which facilitates evacuation of large amounts of exudate. Two-year clinical and radiographic examinations revealed resolution of the mandibular radiolucency, and the adjacent tooth #25 retained its vitality. The healing of a large periapical lesion can be achieved by the correct diagnosis and the proper treatment approach, without the need for surgery. EndoVac negative irrigation system might be useful for intracanal aspiration of exudates. Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  10. Impact of the quality of coronal restoration and root canal filling on the periapical health in adult syrian subpopulation.

    Science.gov (United States)

    Alafif, Hisham

    2014-04-01

    The purpose of this study was to determine the status of periapical tissues of endodontically treated teeth according to coronal restorations and root canal fillings separately and in concomitant in adult Syrian subpopulation. 784 endodontically treated teeth from two hundred randomly selected Syrian adult patients were radiographically evaluated. According to predetermined criteria, the quality of coronal restorations and root canal filling of each tooth was scored as adequate or inadequate. The status of periapical tissues was also classified as healthy or diseased. Results were analyzed using Chi-squared test. Adequate coronal restorations were determined in 58.54% of cases which was accompanied with less periapical pathosis than that in teeth with inadequate restorations (P health. 18.5% of endodontic treatments were evaluated as adequate with less number of periapical radiolucencies than that of inadequate root canal fillings (P fillings. The rate was 88.5% in cases with only adequate root canals fillings, and about 70% in cases with only adequate coronal restorations. When the treatment was inadequate in both coronal and root canals fillings, success rate was only observed in 48.8%. The most important factor with regard to the periradicular tissue health is the quality of root canal filling without neglecting the influence of coronal restoration (regardless of its type). There is a high prevalence rate of periapical pathosis in Syrian subpopulation due to poor dental practice.

  11. Association between periapical lesions and maxillary sinus mucosal thickening: a retrospective cone-beam computed tomographic study.

    Science.gov (United States)

    Shanbhag, Siddharth; Karnik, Prabodh; Shirke, Prashant; Shanbhag, Vivek

    2013-07-01

    Odontogenic infections are a common cause of maxillary sinusitis. This study aimed to evaluate the relationship between teeth with periapical lesions or periodontal disease and sinus mucosal thickening using cone-beam computed tomography (CBCT) imaging. CBCT scans of 243 patients (485 sinuses) were evaluated retrospectively for the presence of periapical lesions and/or periodontal disease in posterior maxillary teeth and associated sinus mucosal thickening. Thickening >2 mm was considered pathological and was categorized by degree (2-5 mm, 5-10 mm, and >10 mm) and type (flat or polypoid). Descriptive, bivariate, and multivariate statistical analyses were performed. Mucosal thickening >2 mm was observed in 147 (60.5%) patients and 211 (44.6%) sinuses and was mostly of a "flat" type. Bivariate analysis revealed significant associations between mucosal thickening >2 mm and sex (males), age (>60 years), and teeth with periapical lesions and periodontal disease (P ≤ .027). Multivariate regression analysis identified only sex (males, odds ratio = 1.98, P = .004) and teeth with periapical lesions (odds ratio = 9.75, P 2 mm. Sinus mucosal thickening is a common radiographic finding, which is more likely to be observed in males (2×) and in relation to teeth with periapical lesions (9.75×). Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  12. Influência do tratamento da dentina radicular na resistência adesiva de pinos de fibra de vidro

    OpenAIRE

    Feuser, Lizette

    2006-01-01

    Tese (doutorado) - Universidade Federal de Santa Catarina, Centro de Ciências da Saúde. Programa de Pós-Graduação em Odontologia. O objetivo deste estudo in vitro foi avaliar a influência de tratamento da dentina radicular, após preparo mecânico para cimentação, na resistência adesiva de pinos de fibra de vidro, sob teste de cisalhamento por extrusão. Cem caninos humanos tratados endodonticamente, e vinte sem tratamento formaram grupos de acordo com o tratamento da dentina radicular, com ...

  13. Quistes odontogénicos radiculares. Estudio clínico patológico de 62 casos.

    OpenAIRE

    Zaragozá Dolz, Vicente

    2007-01-01

    RESUMEN Este estudio fue realizado con 62 pacientes del Hospital General Universitario de Valencia, afectados de quiste radicular. Recogimos los siguientes datos: Edad, sexo, localización en los maxilares y la relación del quiste con el diente, tratamientos dentales previos, flemón, pulpitis, caries, traumatismo, movilidad dental, desplazamiento dental o radicular, rizolisis, progresión, dolor, tumefacción, supuración, fístula, pericoronaritis, fiebre, ulceración mucosa, trismus, densidad ...

  14. Microbiología de la caries radicular en el paciente mayor Microbiology of the root caries in old patients

    OpenAIRE

    D Gutiérrez Acero; L Alós Cortés; García Gómez, F.; A González Sanz

    2006-01-01

    La caries radicular es uno de los problemas bucodentales más importantes y que más comúnmente afectan al adulto mayor. La caries radicular es aquel proceso carioso que se produce sobre la raíz expuesta del diente. Los principales patógenos implicados son el Streptococcus mutans, el Actinomyces viscosus y el Lactobacillus acidofilus, que producen los ácidos orgánicos que desmineralizan el cemento y la dentina de la raíz, llegando producir su cavitación. Los cambios que se producen en el medio ...

  15. Lumbar spinal imaging in radicular pain and related conditions. Understanding diagnostic images in a clinical context

    Energy Technology Data Exchange (ETDEWEB)

    Wilmink, Jan T. [University Hospital Maastricht (Netherlands). Dept. Radiology

    2010-07-01

    There is general agreement that lumbosacral nerve root compression is a prime factor in the pathogenesis of sciatica and neurogenic claudication, although humoral and vascular factors certainly play a role as well. This book focuses on imaging of the various ways in which nerve root compression can come about, and assessing which anatomic features are reliably associated with the occurrence of radicular pain, as opposed to morphologic findings which are probably coincidental. After a discussion of the nature of radicular pain and related symptoms, spinal imaging techniques and options are reviewed, with emphasis on the role of MR myelography in assessing the condition of the intradural nerve roots. A chapter on normal topographic, sectional, and functional (dynamic) radiologic anatomy is followed by a presentation on pathologic anatomy, addressing the various mechanisms of nerve root compression. In the chapter on pre- and postoperative imaging, features which may help to predict the evolution of the symptoms are discussed, with an eye to selecting candidates for surgical treatment. This is followed by a discussion of the role and limitations of imaging studies in various adverse postoperative conditions. In illustrations involving patient studies, imaging features are linked where possible to the clinical symptoms and history of the individuals involved. (orig.)

  16. Retrospective study of the healing processes of endodontically treated teeth characterized by osteolytic defects of the periapical area: four-year follow-up

    Directory of Open Access Journals (Sweden)

    Angela Gusiyska

    2017-01-01

    Full Text Available One of the main objectives of primary endodontic treatment is the prevention of periapical tissue changes which, in the majority of clinical cases in general practice, does not take place because of the availability of a wide range of precise endodontic instruments. The healing process of the periapical area in teeth with inflammatory bone destruction is still a challenge in contemporary endodontic practice. The aim of this retrospective study was to assess the postoperative healing process of teeth with osteolytic defects in the periapical area. Eighty-nine endodontically treated teeth (n = 89 were included in the study. The teeth with necrotic pulp and without detectable periapical lesions were successfully treated in 92.9% of the cases. All of the incisors, canines and premolars showed significantly higher probabilities of success (97.8% than molars (90.9%; P = 0.036. In all monitored teeth, the maxillary first molars with periapical index (PAI 1 (80.2%, mandibular premolars with PAI3 (75% and mandibular molars with PAI5 (75% had the lowest rates of treatment success. In this study, the success rate of teeth with pulp necrosis complicated with a periapical lesion was 89.75% (P > 0.05. The analysis of the results from this study confirmed that the exact orthograde retreatment of the cases with osteolytic defects of the periapical area led to satisfactory healing and regeneration in the periapical area.

  17. Notch 1 Receptor, Delta 1 Ligand and HES 1 Transcription Factor are Expressed in the Lining Epithelium of Periapical Cysts (Preliminary Study)

    Science.gov (United States)

    Meliou, E; Kerezoudis, NP; Tosios, KI; Kiaris, H

    2010-01-01

    Periapical cyst is a chronic inflammatory disorder of periradicular tissues. The precise pathological mechanisms involved in periapical cyst enlargement remain unclear. Notch signaling is an evolutionarily conserved pathway with a regulatory role in cell fate decisions during development and in carcinogenesis. To date, there are no published data available on the expression of Notch signaling components in periapical cysts or any other jaw cyst. In this immunohistochemical study we have examined the expression of the receptor Notch 1, the ligand Delta 1 and the transcription factor HES 1 in the epithelium of well defined periapical cysts. Immunostaining reaction of Notch 1, Delta 1 and HES 1 was observed in the cytoplasm and/or the cytoplasmic membrane and occasionally in the nucleus in the majority of epithelial cells of all periapical cysts. The present observations indicate that Notch pathway is active in the epithelium of periapical cysts. It can be speculated that activation of epithelial cells of periapical cysts is associated with activation of Notch pathway and imply involvement of this pathway in periapical cyst growth and expansion. PMID:21116324

  18. Evaluación tomográfica y radiográfica de la obturación radicular tridimensional de conductos radiculares únicos tratados con tres técnicas de obturación radicular: Estudio in Vitro

    OpenAIRE

    Mónica Alexandra Pavón Granja; Wiliams Rodrigo Guerrero Nilve; Iván André Avilés Hidalgo; Erika Elizabeth Espinosa Torres

    2016-01-01

    El principal reto durante la terapia endodóntica es la obturación radicular, considerada como fase crítica ya que de esta va a depender el éxito o el fracaso. Por varios años se ha investigado tanto materiales como técnicas que permitan el sellado hermético tridimensional del sistema de conductos radiculares, biocompatibilidad que permita la adecuada reparación de los tejidos periapicales y que la obturación se mantenga con el tiempo proporcionando salud. Objetivo: Evaluar la adaptación tridi...

  19. Lesiones periapicales agudas en pacientes adultos Acute periapical lesions in adult patients

    Directory of Open Access Journals (Sweden)

    María Elena Fernández Collazo

    2012-06-01

    Full Text Available Se realizó un estudio analítico de corte transversal en el área de salud del Policlínico "27 de Noviembre" del municipio Marianao, La Habana, en el periodo correspondiente de enero a diciembre de 2009. Se incluyeron todos los pacientes que acudieron al servicio de urgencia y que presentaron lesiones periapicales agudas. Se recogió información de las variables edad, sexo, grupo dentario, causa de la enfermedad, características clínicas e higiene bucal. Esta última se clasificó en las categorías eficiente y deficiente según el índice simplificado de higiene bucal. Se utilizó el X² para estimar la relación entre las variables, y la comparación de proporciones para contrastar la hipótesis de que existieran diferencias entre las lesiones periapicales para las categorías de las variables grupo dentario, causa de la enfermedad y características clínicas. Se encontró un predominio del absceso periapical agudo en un 84,7 % del grupo de edad de 35 a 59 años y del sexo masculino, aunque no se encontraron diferencias significativas para estas variables, ni en los grupos dentarios con respecto a la enfermedad. La higiene bucal resultó estar relacionada con las lesiones periapicales. Se encontraron diferencias significativas en las lesiones periapicales respecto a todas las causas estudiadas, con excepción de las enfermedades periodontales. Respecto a las características clínicas hubo significación en cuanto al aumento de volumen del fondo del surco vestibular y la movilidad dentaria.A cross-sectional and analytical study was conducted in the health area of the "27 de Noviembre" of Marianao municipality, La Habana, from January to December, 2009 including all patients came to emergency service presenting with acute periapical lesions. Information on following variables was available: age, sex, dental group, cause of disease, clinical features and oral hygiene. This latter was classified in the efficient and deficient categories

  20. Clinical efficacy of low level laser therapy in reducing pain and swelling after periapical surgery. A preliminary report.

    Directory of Open Access Journals (Sweden)

    Lilia Escalante-Macías

    2015-06-01

    Full Text Available ABSTRACT The objective of this study was to evaluate the efficacy of the low level laser therapy (LLLT in postoperative pain and swelling associated with periapical surgery. A double-blind, randomized, controlled clinical trial was carried out in 2 groups of 10 patients each, undergoing periapical surgery. The experimental group was treated with an intraoral application of an 810 nm-GaAsAl-laser, having an output power of 100 mW, with overlapping movements over the wound. In the control group, the same procedure was carried out, without therapeutic laser activation. Postoperative pain, swelling, and rescue medication were registered. The experimental group exhibited a decrease in pain intensity after periapical surgery compared with control group (p

  1. Interpretation of artificial and in vivo periapical bone lesions comparing conventional viewing versus a video conferencing system.

    Science.gov (United States)

    Baker, W P; Loushine, R J; West, L A; Kudryk, L V; Zadinsky, J R

    2000-01-01

    The purpose of this study was to compare the interpretation of conventional radiographs transmitted by a video teleconferencing system to conventional viewbox interpretation for both artificial and in vivo periapical bone lesions. A total of 30 radiographic images were used in this study: 20 radiographic images of artificial lesions and 10 radiographs from actual patients. Two endodontists evaluated the 30 images by giving a "yes" or "no" response when determining whether a periapical lesion was present on the radiograph. The study was conducted in two sessions, separated by a 6-wk interval to minimize evaluator recall. Results of the study revealed no statistical difference between the ability of the evaluator to identify periapical bone lesions using conventional radiographs on a viewbox and his ability to interpret the same images transmitted on a monitor screen.

  2. An implant periapical lesion associated with an endodontic-periodontic lesion of an adjacent molar

    Directory of Open Access Journals (Sweden)

    Ting-An Chou

    2010-09-01

    Full Text Available Adjacent natural teeth with untreated pulpal or periodontal pathology may be a potential risk for implant infection. We report a rare case of an implant periapical lesion (IPL possibly caused by direct extension of a periradicular lesion of an adjacent tooth. A 40-year-old female patient, who had previously received three implants on the edentulous areas of teeth 16, 36 and 46, had a recurrent infection over the lower left second molar area for 2 years. A periapical radiograph revealed incomplete root canal treatment and an infrabony defect on the mesial side of the lower left second molar; the defect extended to the apical third of the adjacent implant on tooth 36. Open flap debridement was performed 1 year after implant placement, but pain and swelling persisted for another year. Therefore, the second molar was extracted at the patient's request. The patient was unable to seek earlier and prompt treatment as she was abroad; therefore, we were able to observe the progression of severity in the IPL. One year after the extraction, the symptoms had subsided, and a periapical radiograph showed that the radiolucent lesion had decreased in size. She was followed for another 1.5 years and showed marked improvement. In this case, the IPL probably originated from the endodontic-periodontic problem of the adjacent molar, and the infected implant was saved by removing the infection source. We also discuss the treatment and prognosis of IPLs. To prevent the occurrence of an IPL, it is important to evaluate the pulpal and periodontal status of the teeth near the implant site when making a comprehensive treatment plan for an implant.

  3. Periapical repair following endodontic surgery: two- and three-dimensional imaging evaluation methods.

    Science.gov (United States)

    Jorge, Érica Gouveia; Tanomaru-Filho, Mario; Guerreiro-Tanomaru, Juliane Maria; Reis, José Maurício dos Santos Nunes; Spin-Neto, Rubens; Gonçalves, Marcelo

    2015-01-01

    This study quantitatively assessed the periapical bone repair following endodontic surgery, using planimetric evaluation based on two- (conventional and digital intraoral radiographic images - IRs) and three-dimensional (cone beam computed tomography - CBCT) evaluation. Eleven maxillary anterior teeth (of 11 patients) with periapical bone lesions and indication for surgical endodontic treatment were selected. IRs and CBCT images were acquired before the endodontic surgery, and 48 h, 4, and 8-months after the surgery. In each period of evaluation, the area (mm2) of the bone lesion was measured in the images, and the values for the three methods were compared. The area in the CBCT images was measured in the mesio-distal sections comprising the largest diameter of the lesion. Data were submitted to repeated measures 2-way ANOVA and t-tests with Bonferroni correction. There was significant difference between the periods of evaluation (p=0.002) regarding the assessed periapical bone lesion area. There was no statistically significant difference between the methods of evaluation (p=0.023). In the CBCT images the lesion areas were 10% larger than those observed in the conventional IRs (22.84 mm2) and 15% larger than those observed in the digital IRs (21.48 mm2). From the baseline (40.12 mm2) to 4 (20.06 mm2) and 8-months (9.40 mm2), reductions of 50 and 77% in the lesion area, respectively, were observed (p<0.0001). From 4 to 8-months, this value was 53%. Progressive bone repair could be seen from 48 h to 8-months following endodontic surgery based on two- (conventional and digital IRs) and three-dimensional (CBCT) evaluation. CBCT images provided results similar to those assessed by means of IRs.

  4. Noninvasive differential diagnosis of dental periapical lesions in cone-beam CT scans

    Energy Technology Data Exchange (ETDEWEB)

    Okada, Kazunori, E-mail: kazokada@sfsu.edu [Department of Computer Science, San Francisco State University, San Francisco, California 94132 (United States); Rysavy, Steven [Biomedical and Health Informatics Program, University of Washington, Seattle, Washington 98195 (United States); Flores, Arturo [Computer Science and Engineering, University of California, San Diego, California 92093 (United States); Linguraru, Marius George [Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National Medical Center, Washington, DC 20010 and Departments of Radiology and Pediatrics, George Washington University, Washington, DC 20037 (United States)

    2015-04-15

    Purpose: This paper proposes a novel application of computer-aided diagnosis (CAD) to an everyday clinical dental challenge: the noninvasive differential diagnosis of periapical lesions between periapical cysts and granulomas. A histological biopsy is the most reliable method currently available for this differential diagnosis; however, this invasive procedure prevents the lesions from healing noninvasively despite a report that they may heal without surgical treatment. A CAD using cone-beam computed tomography (CBCT) offers an alternative noninvasive diagnostic tool which helps to avoid potentially unnecessary surgery and to investigate the unknown healing process and rate for the lesions. Methods: The proposed semiautomatic solution combines graph-based random walks segmentation with machine learning-based boosted classifiers and offers a robust clinical tool with minimal user interaction. As part of this CAD framework, the authors provide two novel technical contributions: (1) probabilistic extension of the random walks segmentation with likelihood ratio test and (2) LDA-AdaBoost: a new integration of weighted linear discriminant analysis to AdaBoost. Results: A dataset of 28 CBCT scans is used to validate the approach and compare it with other popular segmentation and classification methods. The results show the effectiveness of the proposed method with 94.1% correct classification rate and an improvement of the performance by comparison with the Simon’s state-of-the-art method by 17.6%. The authors also compare classification performances with two independent ground-truth sets from the histopathology and CBCT diagnoses provided by endodontic experts. Conclusions: Experimental results of the authors show that the proposed CAD system behaves in clearer agreement with the CBCT ground-truth than with histopathology, supporting the Simon’s conjecture that CBCT diagnosis can be as accurate as histopathology for differentiating the periapical lesions.

  5. Morphological alterations on human radicular dentin after exposure to different fruit juice drinks = Alterações morfológicas na dentina radicular após exposição a diferentes sucos de fruta

    Directory of Open Access Journals (Sweden)

    Zandim, Daniela Leal

    2011-01-01

    Conclusão: Com base na metodologia utilizada, pode-se concluir que os diferentes sucos de fruta não promoveram alterações significativas na morfologia da dentina radicular apesar da realização subsequente de procedimentos de escovação

  6. Cone Beam Computed Tomography Evaluation of the Periapical Status of Nonvital Tooth with Open Apex Obturated with Mineral Trioxide Aggregate: A Case Report

    Directory of Open Access Journals (Sweden)

    Vijay Shekhar

    2013-01-01

    Full Text Available Management of a tooth with open apex is a challenge to the dental practitioners. Evaluation of the periapical healing is required in such cases by radiographic techniques. The objective of this paper was to assess the healing of a periapical lesion in a non-vital tooth with open apex treated with mineral trioxide aggregate (MTA obturation using cone beam computed tomography (CBCT. The endodontic treatment of a fractured non-vital discolored maxillary left lateral incisor with an open apex was done with MTA obturation. The clinical and radiographic followup done regularly showed that the tooth was clinically asymptomatic and that the size of the periapical lesion observed by intraoral periapical (IOPA radiographs and CBCT was decreased remarkably after two years. CBCT and IOPA radiographs were found to be useful radiographic tools to assess the healing of a large periapical lesion in a non-vital tooth with open apex managed by MTA obturation.

  7. Actualización de la cirugía periapical en los implantes dentales

    OpenAIRE

    Peñarrocha Diago, Miguel; Boronat López, Araceli; Lamas Pelayo, Joana

    2006-01-01

    La lesión periapical implantaria es una patología infecciosa-inflamatoria localizada alrededor del ápice del implante. Puede ser provocada por diversas causas, entre ellas: la contaminación en el momento de la instrumentación, el sobrecalentamiento óseo y la presencia de una patología preexistente en el hueso. Su diagnóstico es sintomático y radiográfico, y puede observarse una imagen radiolúcida alrededor del periápice. Clasificamos las lesiones según el momento evolutivo en lesión aguda (no...

  8. PERIAPICAL RESORPTIVE PROCESSES IN CHRONIC APICAL PERIODONTITIS: AN OVERVIEW AND DISCUSSION OF THE LITERATURE.

    Directory of Open Access Journals (Sweden)

    Angela Gusiyska

    2014-10-01

    Full Text Available Introduction: Root resorption is a biological phenomenon, characterized by processes of cement and/or dentine depletion, resulting from the physiological or pathological activity of resorptive cells. Purpose: The aim of this article is to review of the literature on the peculiarities of the periapical resorptive processes. Conclusion: The absence of a physiological narrowing is challenging to the achievement of satisfactory early and late therapeutic results. It makes probable either the overpressing of necrotic, infected material when preparing the endodontic space or the overpressing of the sealer when sealing the root canal.

  9. MANAGEMENT OF DENS INVAGINATUS TYPE II WITH PERIAPICAL LESION: CASE REPORT*

    Directory of Open Access Journals (Sweden)

    İsmail Uzun

    2015-10-01

    Full Text Available Dens invaginatus is a developmental anomaly resulting from epithelial invagination of the tooth crown before calcification. Endodontic treatment of teeth affected by dens invaginatusmay be difficult and complex due to aberrant anatomy. Combined orthograde and surgical approaches for successful treatment of dens invaginatus are effective. This report describes the successful treatmentand results atthe 12-month follow-up of a maxillary lateral incisor showing dens invaginatus type II, a large periapical lesion and an open apex by using combined surgical and endodontic treatment.

  10. El Surco Palato Radicular: Su relación con patología pulpar y/o periodontal

    Directory of Open Access Journals (Sweden)

    R.M. Pulgar Encinas

    2000-09-01

    Full Text Available La presencia de anomalías morfológicas radiculares pueden actuar como factor predisponente para el acúmulo de placa y el desarrollo de patología periodontal y/o pulpar. Presentamos un caso clínico de surco palatoradicular en el 21, donde la presencia del surco ha sido el factor causal de una bolsa periodontal con defecto óseo aislado que finalmente condujo a la pérdida del diente. Se analiza la prevalencia, localizaciones, patogenia y la actitud terapéutica correcta ante la presencia de este tipo de anomalías, en base a los datos recogidos de la literatura.The presence of radicular anomalies may act as a predisposing factor for the accumulation of bacterial plaque and the development of local periodontal or pulpal disease. We present a case of palato-radicular groove in tooth Nº.21 that caused periodontal pocket and localized bone defect leading to loss of the tooth. We review the prevalence, localizations and pathogenesis of this dental abnormality as well as therapeutic approaches reported in the literature. The palato-radicular groove:relationship with pulpar and/or periodontal desease.

  11. Intrathecal injection of spironolactone attenuates radicular pain by inhibition of spinal microglia activation in a rat model.

    Directory of Open Access Journals (Sweden)

    Yu-e Sun

    Full Text Available BACKGROUND: Microglia might play an important role in nociceptive processing and hyperalgesia by neuroinflammatory process. Mineralocorticoid receptor (MR expressed on microglia might play a central role in the modulation of microglia activity. However the roles of microglia and MR in radicular pain were not well understood. This study sought to investigate whether selective MR antagonist spironolactone develop antinociceptive effects on radicular pain by inhibition neuroinflammation induced by spinal microglia activation. RESULTS: Radicular pain was produced by chronic compression of the dorsal root ganglia with SURGIFLO™. The expression of microglia, interleukin beta (IL-1β, interleukin 6 (IL-6, tumor necrosis factor alpha (TNF-α, NR1 subunit of the NMDA receptor (t-NR1, and NR1 subunit phosphorylated at Ser896 (p-NR1 were also markedly up-regulated. Intrathecal injection of spironolactone significantly attenuated pain behaviors as well as the expression of microglia, IL-1β, TNF-α, t-NR1, and p-NR1, whereas the production of IL-6 wasn't affected. CONCLUSION: These results suggest that intrathecal delivery spironolactone has therapeutic effects on radicular pain in rats. Decreasing the activation of glial cells, the production of proinflammatory cytokines and down-regulating the expression and phosphorylation of NMDA receptors in the spinal dorsal horn and dorsal root ganglia are the main mechanisms contributing to its beneficial effects.

  12. Epidural Steroids for Lumbosacral Radicular Syndrome Compared to Usual Care : Quality of Life and Cost Utility in General Practice

    NARCIS (Netherlands)

    Spijker-Huiges, Antje; Vermeulen, Karin; Winters, Jan C.; van Wijhe, Marten; van der Meer, Klaas

    Objective: To investigate the effect of adding segmental epidural steroid injections (SESIs) to usual care compared with usual care alone on quality of life and cost utility in lumbosacral radicular syndrome (LRS) in general practice. Design: A pragmatic randomized controlled trial. Results were

  13. Potencial organogenético de tecidos caulinares e radiculares de caquizeiro

    Directory of Open Access Journals (Sweden)

    BIASI LUIZ ANTONIO

    2002-01-01

    Full Text Available Com o objetivo de estudar a morfogênese em tecidos caulinares e radiculares de caquizeiro, foram conduzidos diversos experimentos a campo e in vitro. Os experimentos a campo consistiram numa série de trabalhos que envolveram a estaquia de caule e de raiz, a mergulhia e a alporquia do caquizeiro 'Fuyu'. Na estaquia de caule, foram testados o número de folhas, concentrações de AIB, o estiolamento localizado e total. Na estaquia de raiz, foram testados o diâmetro e a posição da estaca. A mergulhia foi testada a campo e em recipientes, sendo combinanda com o estiolamento das brotações, anelamento e aplicação de AIB. Na alporquia, foram testados o anelamento e a aplicação de AIB, sendo os alporques utilizados para outro teste com AIB. Os experimentos in vitro foram conduzidos com plantas juvenis, sendo um trabalho realizado para a indução de organogênese a partir de segmentos radiculares com BAP, TDZ e cinetina (10µM, combinados com AIA (0,01µM, e outro para a indução do enraizamento de brotações pela permanência em meio de cultura com 25mg.L-1 de AIB e posterior transferência para outro meio de cultura isento de reguladores de crescimento e com carvão ativado. Em todos os experimentos de estaquia de caule, mergulhia e alporquia, não ocorreu a formação de raízes. Apenas na estaquia de raiz houve organogênese, onde as melhores respostas de brotação e enraizamento foram obtidas com as estacas de maior diâmetro e na posição vertical. A organogênese também foi observada em segmentos radiculares in vitro, com uma grande proliferação de calos e gemas induzida pelo uso de TDZ mais AIA. Ao contrário do observado a campo, as brotações caulinares in vitro enraizaram com uma taxa de 66%, com uma emissão média de 4,7 raízes por brotação, mostrando ser uma técnica promissora de clonagem do caquizeiro.

  14. A Rare Malignant Peripheral Nerve Sheath Tumor of the Maxilla Mimicking a Periapical Lesion

    Science.gov (United States)

    Álvares, Pamella; Silva, Luciano; Pereira dos Santos Neto, Alexandrino; Rodrigues, Cleomar Donizeth; Caubi, Antônio; Silveira, Marcia; Sayão, Sandra; Sobral, Ana Paula

    2016-01-01

    Malignant peripheral nerve sheath tumor is a malignant neoplasm that is rarely found in the oral cavity. About 50% of this tumor occurs in patients with neurofibromatosis type I and comprises approximately 10% of all soft tissue sarcomas of head and neck region. Intraosseous malignant peripheral nerve sheath tumor of the maxilla is rare. This article is the first to address malignant peripheral nerve sheath tumor of the maxilla presenting as a periapical radiolucency on nonvital endodontically treated teeth in the English medical literature. Surgical approaches to malignant soft tissue tumor vary based on the extent of the disease, age of the patient, and pathological findings. A rare case of intraosseous malignant peripheral nerve sheath tumor is reported in a 16-year-old woman. The patient presented clinically with a pain involving the upper left incisors region and with defined unilocular periapical radiolucency lesion involved between the upper left incisors. An incisional biopsy was made. Histological and immunohistochemical examination were positive for S-100 protein and glial fibrillary acidic protein showed that the lesion was an intraosseous malignant peripheral nerve sheath tumor of the maxilla. Nine years after the surgery, no regional recurrence was observed. PMID:27994888

  15. Response of the periapical tissue of dogs' teeth to the action of citric acid and EDTA

    Directory of Open Access Journals (Sweden)

    Cristina Berthold Sperandio

    2008-02-01

    Full Text Available The purpose of this study was to analyze the inflammatory response of dog's periapical tissues to 17% trisodium EDTA salt (pH 8.0 and 1% citric acid (pH 2.0. Saline was used as a control. Six adult dogs were used as the biological model of the study. The experimental units comprised 56 roots of mandibular molars (first and second and premolars (first, second and third. After coronal opening, pulpectomy and root canal instrumentation were performed using the above-mentioned irrigating solutions. After 24 and 48 hours, the animals were euthanized and the teeth and their supporting tissues were removed and histologically processed. The sections were stained with hematoxylin and eosin and analyzed histopathologically with a light microscope at x100 magnification. The histological analysis focused on the occurrence of acute inflammatory response. The presence of swelling, vasodilatation and inflammatory cells were evaluated and the degree of inflammation was determined for each case. Data were analyzed by Fisher's exact test using the SPSS software with a confidence interval of 95% (p<0.05. 17% EDTA and 1% citric acid caused inflammatory responses in dog's periapical tissues with no significant differences to each other or to saline (control at either the 24-hour (p=0.482 or 48-hour (p=0.377 periods. It may be concluded that the inflammatory response was of mild intensity for the tested substances.

  16. A Rare Malignant Peripheral Nerve Sheath Tumor of the Maxilla Mimicking a Periapical Lesion

    Directory of Open Access Journals (Sweden)

    José Alcides Arruda

    2016-01-01

    Full Text Available Malignant peripheral nerve sheath tumor is a malignant neoplasm that is rarely found in the oral cavity. About 50% of this tumor occurs in patients with neurofibromatosis type I and comprises approximately 10% of all soft tissue sarcomas of head and neck region. Intraosseous malignant peripheral nerve sheath tumor of the maxilla is rare. This article is the first to address malignant peripheral nerve sheath tumor of the maxilla presenting as a periapical radiolucency on nonvital endodontically treated teeth in the English medical literature. Surgical approaches to malignant soft tissue tumor vary based on the extent of the disease, age of the patient, and pathological findings. A rare case of intraosseous malignant peripheral nerve sheath tumor is reported in a 16-year-old woman. The patient presented clinically with a pain involving the upper left incisors region and with defined unilocular periapical radiolucency lesion involved between the upper left incisors. An incisional biopsy was made. Histological and immunohistochemical examination were positive for S-100 protein and glial fibrillary acidic protein showed that the lesion was an intraosseous malignant peripheral nerve sheath tumor of the maxilla. Nine years after the surgery, no regional recurrence was observed.

  17. Effect of rotary instrumentation and of the association of calcium hydroxide and chlorhexidine on the antisepsis of the root canal system in dogs Efeito da instrumentação automatizada e da associação hidróxido de cálcio e clorexidina na anti-sepsia de canais radiculares de cães

    Directory of Open Access Journals (Sweden)

    Janir Alves Soares

    2006-04-01

    Full Text Available This study aimed at evaluating the antisepsis of the root canal system (RCS and periapical region (PR provided by rotary instrumentation associated with chlorhexidine + calcium hydroxide as intracanal medicament. Chronic periapical lesions were induced in 26 pre-molar roots in two dogs. After microbiological sampling, automatic instrumentation using the Profile system and irrigation with 5.25% sodium hypochlorite solution, with a final rinse of 14.3% EDTA followed by profuse irrigation with physiological saline were carried out in 18 root canals. After drying the canals, a paste based on calcium hydroxide associated with a 2% chlorhexidine digluconate solution was placed inside them. After 21 days, the medication was removed, leaving the root canals empty and coronally sealed. After 96 hours, a final microbiological sample was obtained, followed by histomicrobiological processing by the Brown & Brenn method. Eight untreated root canals represented the control group (C-G. Based on the Mann-Whitney test at a confidence level of 5% (p Este estudo objetivou avaliar a anti-sepsia do sistema de canais radiculares (SCR e da região periapical (RP proporcionada pela instrumentação automatizada associada a medicação intracanal à base de hidróxido de cálcio + clorexidina. Lesões periapicais crônicas foram induzidas em 26 raízes de pré-molares de dois cães. Após amostragem microbiológica, procedeu-se à instrumentação automatizada de 18 canais radiculares (CR utilizando-se o sistema Profile e a solução de hipoclorito de sódio a 5,25%, com irrigação final com EDTA a 14,3%, seguida de irrigação profusa com soro fisiológico. Após se secarem os canais, foi colocada em seu interior uma pasta à base de hidróxido de cálcio P.A. associada à solução de digluconato de clorexidina a 2%. Transcorridos 21 dias, removeu-se a medicação, deixando-se os CR vazios e selados coronariamente. Após 96 horas, obteve-se a amostra microbiol

  18. The role of inducible Nitric Oxide Synthase in teeth periapical lesions immunopathogenesis caused by Enterococcus faecalis

    Directory of Open Access Journals (Sweden)

    Tamara Yuanita

    2013-03-01

    Full Text Available Background: Periapical lesions, are characterized by an immune response to the invading bacteria consequences periapical bone destruction. In root canal treatment failure was found Enterococcus faecalis (E. faecalis as most species. iNOS found an important role in protection against infection, plays vital roles in fighting pathogens and contributing to disease pathology. Purpose: This study was to observed the role of iNOS in teeth periapical lessions immunopathogenesis caused by E. faecalis. Methods: The randomized post-only control group design used in this study, This study used 24 Wistar rats, were divided into three groups (each group consisted of 8 rats, as negative controls group is a normal teeth, in the positive controls group was made by drilling the upper right first molar to penetrate the dental pulp and was induced with 10µl BHI-b then filled with Glass Ionomer Cement (GIC and the treatment group, after drilling the teeth, then inoculated with E. faecalis ATCC 29212 106 CFU into 10µl BHI-b then filled with GIC to prevent contamination. It takes 21 days to get periapical lesions and rat were sacrificed, and then the expression of iNOS was measured. Results: Statistical analysis using ANOVA found a significant differenced between control and treatment groups (p<0.05. Conclusion: This study concluded that iNOS role in teeth periapical lesions immunopathogenesis caused by E. faecalis.Latar belakang: Lesi periapikal merupakan hasil suatu respon imun untuk melawan invasi bakteri yang mengakibatkan destruksi tulang periapikal. Pada perawatan saluran akar yang mengalami kegagalan ditemukan Enterococcus faecalis sebagai spesies terbanyak. iNOS berperan penting untuk proteksi terhadap bakteri, mempunyai peran yang vital untuk melawan patogen dan berkonstribusi secara patologik untuk menyebabkan suatu penyakit. Tujuan: Penelitian ini bertujuan untuk mengobservasi peran iNOS secara imunohistokimia pada lesi periapikal tikus Wistar. Metode

  19. Metabolismo de nitrogenio em plantas de soja [Glycine max (L.) Merr. cv IAC-17] submetidas a deficiencia de O2 no sistema radicular

    OpenAIRE

    Carlos Antonio Ferreira de Sousa

    2001-01-01

    Resumo: A soja [Glycine max (L.) Merr.] é um dos modelos mais usados para se estudar a deficiência de 'O IND.2' no sistema radicular de plantas. Apesar disso, a literatura é carente de informações a respeito do encharcamento radicular na soja e seus efeitos sobre os teores de metabólitos, especialmente os nitrogenados, nas raízes e suas formas de transporte pelo xilema e floema. Portanto, este trabalho teve os seguintes objetivos: 1. determinar os efeitos da hipoxia no sistema radicular da so...

  20. Estudio comparativo de la cavidad de acceso radicular en conductos curvos con limas de níquel-titanio y taladros de acero inoxidable

    OpenAIRE

    Oncins Rodríguez, J.; Pumarola Suñé, José; Canalda Sahli, Carlos

    2005-01-01

    El propósito de este estudio fue comparar la cantidad de dentina radicular removida y evaluar el mantenimiento de la forma del conducto tras la instrumentación de los dos tercios coronarios radiculares, utilizando instrumentos de acero inoxidable (taladros de Gates Glidden) y de níqueltitanio (limas GT Flare y limas Orifice Shaper). Un total de 42 dientes humanos extraídos con conductos radiculares curvos fueron divididos en tres grupos. Los conductos se instrumentaron mecánicamente usando ta...

  1. Radicular lower extremity pain as the first symptom of primary hyperparathyroidism

    Energy Technology Data Exchange (ETDEWEB)

    Mustonen, Antti O.T.; Kiuru, Martti J.; Koskinen, Seppo K. [Toolo Trauma Center, Helsinki University Central Hospital, Topeliuksenkatu 5, 00029, Helsinki (Finland); Stahls, Anders; Bohling, Tom [Department of Pathology, Haartman Institute, University of Helsinki, 00014, Helsinki (Finland); Kivioja, Aarne [Department of Orthopedics and Traumatology, Helsinki University Central Hospital, 00029, Helsinki (Finland)

    2004-08-01

    Clinical symptoms of hyperparathyroidism are generally nausea, vomiting, fatigue, constipation, and hypotonicity of the muscles and ligaments; bone pain and tenderness are also seen but are more common in secondary hyperparathyroidism. We report a histologically confirmed case of a 28-year-old man whose sole symptom of primary hyperparathyroidism was lower extremity radicular pain due to a vertebral brown tumor. Magnetic resonance imaging demonstrated brown tumor to be hyperintense on T2-weighted and slightly hypointense on T1-weighted sequences; it showed intense contrast enhancement with gadolinium. Because brown tumors usually contain hemosiderin a short T2 should have been expected, but this was not seen in our case. Healing resulted in decreasing contrast enhancement on T1-weighted sequences and increasingly short T2. To our knowledge, this is the first report of a lumbar vertebral brown tumor associated with primary hyperparathyroidism. (orig.)

  2. Reabsorción radicular en ortodoncia: revisión de la literatura

    OpenAIRE

    Lozano-Chourio, María Alexandra; Pontificia Universidad Javeriana; Ruiz Rojas, Adriana Lorena; Pontificia Universidad Javeriana

    2009-01-01

    El presente artículo es una revisión de la literatura acerca de la reabsorción radicular externa y los factores biológicos y mecánicos que predisponen su aparición en pacientes bajo tratamiento de ortodoncia. Se describen factores genéticos, sistémicos y farmacológicos, las edades cronológica y dental, el estado nutricional, el género, la raza, los hábitos, la morfología, el tamaño y número dental, las reabsorciones y traumas dentales previos, las infecciones periapicales, los factores oclusa...

  3. Squamous odontogenic tumor-like proliferation in a radicular cyst: A case report

    Science.gov (United States)

    Marco-Molina, Vicente; Gay-Escoda, Cosme

    2013-01-01

    The squamous odontogenic tumour is a rare benign neoplasm whose aetiology remains unknown. It usually appears in the jaw and its origin could be related to the ephitelial remnants of Malassez. Histologically comprises numerous islets of squamous, non-keratinized, well-differentiated and rounded epithelial cells a fibrous stroma without signs of atypical cells. There is a non-neoplastic lesion with the same histological pattern than the squamous odontogenic tumour. This entity is characterized by squamous odontogenic tumour proliferations isolated into the cyst wall of an odontogenic cyst. It is rare and has a benign behavior. It has been suggested that these epithelial proliferations could be the former expression of the neoplastic form. It is very important to carry out clinical and radiological controls periodically. So far it has not been documented any change towards a squamous odontogenic tumour nor toward malignancy in a squamous odontogenic tumour like proliferation. Key words:Radicular cyst, squamous odontogenic tumour. PMID:24455099

  4. Combined treatment of a lateral incisor with palato-radicular groove: 1 year follow-up

    Directory of Open Access Journals (Sweden)

    Gülen Kamak

    2014-01-01

    Full Text Available Periodontic - endodontic lesion with a palato-radicular groove as a contributing factor for periodontitis is the most important diagnostic and therapeutic challenges faced by periodontists and the maxillary lateral incisors are the most frequently affected teeth. These developmental grooves promotes the accumulation of plaque and calculus, which destroys the sulcular epithelium and later deeper parts of the periodontium, finally resulting in the formation of a severe localized periodontal lesion since proper cleaning of that site is difficult, if not impossible, for the patient. There are different types of treatment such as scaling and root planning, odontoplasty, amalgam restoration, and extraction of the tooth to treat palatogingival groove and associated periodontal bone defects. In this case, a successful management of an endodontic-periodontal combined lesion by combined treatment and guided tissue regeneration was presented.

  5. Avaliação da superfície relativa do sistema radicular de cafeeiros

    OpenAIRE

    RAMOS,LUIS CARLOS DA SILVA; Lima,Marinez Murado Alves de

    1980-01-01

    Avaliou-se a superfície relativa do sistema radicular de cafeeiros dos cultivares Catuaí e Arábica de Coffea arabica, do 'Guarini' de C. canephora e do 'Icatu', descendente de hibridações entre essas espécies, pelo método titulométrico ligeiramente modificado. Outras medidas foram tomadas para a caracterização dos cultivares: peso seco e comprimento das raízes e da parte aérea e diâmetro do caule. O cultivar Guarini, além de apresentar maior superfície relativa, tem, também, maior peso seco d...

  6. Low intensity permanent magnets in the treatment of chronic lumbar radicular pain.

    Science.gov (United States)

    Khoromi, Suzan; Blackman, Marc R; Kingman, Albert; Patsalides, Athos; Matheny, Leigh Ann; Adams, Sandra; Pilla, Arthur A; Max, Mitchell B

    2007-10-01

    We assessed the pain-relieving efficacy of static magnetic fields produced by 200 Gauss (G) magnets compared with 50G magnets in a double-blind, randomized, two-phase crossover study in patients with chronic lumbar radicular pain. The surface field strengths of the magnets were 200 and 50G. Phase I included four random periods of two-week duration: two periods with 200G, one period with 50G, and one period of "no treatment." The magnets were positioned either vertically or horizontally in standard lumbosacral elastic corsets. Phase II consisted of two five-week periods with the most effective magnet from Phase I and its corresponding 50 or 200G device. The primary outcome was average daily leg pain score (0-10 scale) in each period of Phase II. Thirty-eight of 40 randomized patients completed Phase I, and 28 of 31 Phase II participants completed the study. In Phase I, pain scores did not differ significantly between 200 and 50G magnets. Phase II average leg pain scores tended to be lower with 200 vs. 50G magnets (3.2+/-2.1 for 200G vs. 3.9+/-2.2 for 50G magnets [P=0.08]) after excluding one unblinded patient. The relative treatment effect of the 200G magnets appeared to increase throughout the five-week period. Although these data cannot rule out a chance effect, the positive trends suggest that larger, longer-duration, sham-controlled trials with 200G magnets be considered in patients with chronic lumbar radicular pain.

  7. Outcome of root canal treatment in dogs determined by periapical radiography and cone-beam computed tomography scans

    NARCIS (Netherlands)

    de Paula-Silva, F.W.G.; Hassan, B.; da Silva, L.A.B.; Leonardo, M.R.; Wu, M.K.

    2009-01-01

    The purpose of this study was to compare the favorable outcome of root canal treatment determined by periapical radiographs (PRs) and cone beam computed tomography (CBCT) scans. Ninety-six roots of dogs' teeth were used to form four groups (n= 24). In group 1, root canal treatments were performed in

  8. Evaluation of chronic periapical lesions by digital subtraction radiography by using Adobe Photoshop CS: a technical report.

    Science.gov (United States)

    Carvalho, Fabiola B; Gonçalves, Marcelo; Tanomaru-Filho, Mário

    2007-04-01

    The purpose of this study was to describe a new technique by using Adobe Photoshop CS (San Jose, CA) image-analysis software to evaluate the radiographic changes of chronic periapical lesions after root canal treatment by digital subtraction radiography. Thirteen upper anterior human teeth with pulp necrosis and radiographic image of chronic periapical lesion were endodontically treated and radiographed 0, 2, 4, and 6 months after root canal treatment by using a film holder. The radiographic films were automatically developed and digitized. The radiographic images taken 0, 2, 4, and 6 months after root canal therapy were submitted to digital subtraction in pairs (0 and 2 months, 2 and 4 months, and 4 and 6 months) choosing "image," "calculation," "subtract," and "new document" tools from Adobe Photoshop CS image-analysis software toolbar. The resulting images showed areas of periapical healing in all cases. According to this methodology, the healing or expansion of periapical lesions can be evaluated by means of digital subtraction radiography by using Adobe Photoshop CS software.

  9. The role of Hsp0, CD-8 and IFN-γ in immunopathobiogenesis of periapical granuloma in dental caries

    Directory of Open Access Journals (Sweden)

    Risya Cilmiaty

    2014-03-01

    Full Text Available Background: The incidence of dental caries with periapical granulomas in Indonesia is quite high. However, the mechanism of the formation of periapical granulomas in dental caries caused by bacterial infection in immunopathobiogenesis cannot be explained completely. Thus, this explanation is necessary in order to be used as a basis for diagnostic, preventive and therapeutic measures. Purpose: This research was aimed to determine the role of Hsp60, CD-8 and IFN-γ in immunopatobiogenesis of periapical granuloma in dental caries. Methods: This research was an analytic observational study with cross sectional approach. Samples of this research were 36 teeth of patients with dental caries, consisting of 18 caries teeth with periapical granulomas and 18 caries teeth without periapical granulomas. The variables observed in this research were Hsp60, CD-8 and IFN-γ. Measurements were conducted by using immunohistochemical methods on periapical tissue. Results: The mean of Hsp60, CD-8 and IFN-γ in granuloma group was significantly higher than those in non granuloma group (p<0.05. The positive role of IFN-γ on the incidence of granulomas appeared to be more prominent. Conclusion: The study suggested that in immunopathobiogenesis of periapical granuloma in dental caries, Hsp60, CD-8 and IFN-γ played important roles, but the role of IFN-γ was found to be more prominent.Latar belakang: Angka kejadian gigi karies dengan granuloma periapikal di Indonesia cukup tinggi, Namun mekanisme terbentuknya granuloma periapikal pada gigi karies yang disebabkan oleh infeksi bakteri secara imunopatobiogenesis belum dapat dijelaskan secara tuntas. Adanya penjelasan ini diperlukan agar dapat digunakan sebagai dasar pengembangan diagnosis, langkah preventif dan terapinya. Tujuan: Penelitian ini bertujuan untuk mengetahui peran Hsp60, CD-8 dan IFN-γ dalam immunopatobiogenesis dari granuloma periapikal karies gigi. Metode: Penelitian ini merupakan penelitian observasional

  10. Atypical Lymphocytes and Cellular Cannibalism: A Phenomenon, First of its Kind to be Discovered in Chronic Periapical Lesions.

    Science.gov (United States)

    Kalele, Ketki P; Patil, Kaustubh P; Nayyar, Abhishek Singh; Sasane, Rutuparna S

    2016-04-01

    Lymphocytes are often termed to be isomorphic, having a monotonous light microscopic appearance. Morphological aspects of lymphocytes in tissue sections thereby are not routinely taken notice of as their morphology seems to vary only in case of lymphoid malignancies, hematological malignancies apart from certain viral infections. Atypical lymphocytes are the lymphocytes with unusual shape, size or overall structure. These are more commonly known as reactive lymphocytes. The unusual histomorphological feature of these cells include larger size than normal lymphocytes; in some cells the size exceeds even 30 microns. The large size is the result of antigenic stimulation of the cell. Alongwith these, the other rare feature which is recently coming under light is "Cellular Cannibalism" which is defined as a large cell enclosing a slightly smaller one within its cytoplasm. Previously, this feature was noted only in cases of malignant tumors. The objectives of this study were to determine the proportion of atypical lymphocytes in chronic periapical granulomas and cysts; to determine the proportionate cellular cannibalism in these periapical lesions. This was a descriptive, observational study conducted in the Department of Oral Medicine and Radiology and Oral Pathology and Microbiology. Haematoxylin and eosin stained 30 slides of chronic periapical granulomas and 20 slides of cysts reported in the year 2014-15 and the clinical proformas of the patients were retrieved from the files of the Department of Oral Medicine and Radiology and Oral Pathology and Microbiology. These slides were evaluated by 3 experts from the specialization of Oral Pathology and Microbiology to determine the presence of atypical lymphocytes and cellular cannibalism under high power magnification (400X). Out of the 30 slides of chronic periapical granulomas, about 12 slides (40%) revealed presence of atypical lymphocytes. In case of slides of chronic periapical cysts, however, only 4 out of the 20

  11. Empleo de la hidroxiapatita en la reparación ósea periapical Use of hydroxyapatite in periapical osteal repair

    Directory of Open Access Journals (Sweden)

    Juan Carlos Quintana Díaz

    2004-12-01

    Full Text Available Se evaluó la evolución clínica y radiográfica durante un año en 55 pacientes a los que se rellenaron 60 defectos óseos periapicales con hidroxapatita porosa de fabricación nacional. La evolución al año de operado fue excelente, las pequeñas alteraciones encontradas en tejidos blandos fueron relacionadas con el trauma quirúrgico. Hubo una gran osteointegración radiográfica, por lo que se recomienda su uso en el tratamiento de defectos óseos bucofaciales por su biocompatibilidad, debido a su similitud con el hueso.The clinical and radiographic evolution of 55 patients among whom 60 periapical osteal defects were filled up with porous hydroxyapatite of national production was evaluated for a year. The evolution was excellent a year after the operation. The small alterations found in the soft tissues were related to surgical trauma. As there was a great osteointegration, its use is recommended in the treatment of osteal buccofacial defects due to its compatibility resulting from its similitude with the bone.

  12. Root perforations treatment using mineral trioxide aggregate and Portland cements Cimentos de agregado trióxido mineral e Portland no tratamento de perfurações radiculares

    Directory of Open Access Journals (Sweden)

    José Dias da Silva Neto

    2010-12-01

    Full Text Available PURPOSE: Clinical, radiological and histological evaluation of root perforations treated with mineral trioxide aggregate (MTA or Portland cements, and calcium sulfate barrier. METHODS: One molar and 11 premolar teeth of a male mongrel dog received endodontic treatment and furcations were perforated with a high-speed round bur and treated with a calcium sulfate barrier. MTA, Portland cement type II (PCII and type V (PCV, and white Portland cement (WPC were used as obturation materials. The teeth were restored with composite resin and periapical radiographs were taken. The animal was euthanized 120 days post-surgery for treatment evaluation. RESULTS: Right lower first premolar (MTA, right lower third premolar (PCV, left lower second premolar (MTA, and right lower second premolar (WPC: clinically normal, slightly radio-transparent area on the furcation, little inflammatory infiltrate, and new-bone formation. Left lower third premolar (PCII, right upper first premolar (WPC, right upper third premolar (PCII, and left upper first molar (PCV: clinically normal, radiopaque area on the furcation, and new-bone formation. Right upper second premolar (MTA, left upper second premolar (WPC, left upper third premolar (PCII: presence of furcation lesion, large radiolucent area, and intense inflammatory infiltrate. CONCLUSION: All obturation materials used in this study induced new-bone formation.OBJETIVO: Avaliar clínica, radiológica e histologicamente perfurações radiculares tratadas com MTA e cimentos Portland, com barreira de sulfato de cálcio. MÉTODOS: A amostra foi constituída por 11 dentes pré-molares e um molar de cão macho, sem raça definida. Após tratamento endodôntico realizaram-se perfurações nas furcas com broca esférica de alta rotação e barreira de sulfato de cálcio. Foram utiliados os cimentos MTA, Portland tipo II (CPII, Portland tipo V (CPV e Portland branco estrutural (CPB. Os dentes foram restaurados com resina composta e

  13. Different treatment protocols for different pulpal and periapical diagnoses of 72 cracked teeth.

    Science.gov (United States)

    Kim, Sin-Young; Kim, Su-Hyun; Cho, Soo-Bin; Lee, Gyung-Ok; Yang, Sung-Eun

    2013-04-01

    The treatment plan for cracked teeth depends on the extent of the crack. A tooth with an extensive crack of long duration may be more likely to require root canal treatment. The purpose of this study was to analyze the characteristics of cracked teeth and to assess the outcome of different treatment protocols depending on the pulpal and periapical diagnoses. Seventy-two of 476 crown-restored teeth were diagnosed as cracked teeth. The location of the cracked teeth, age and sex of the patients, restoration materials, a diagnosis of pulp and apex, and the periodontal probing depth were analyzed. Cracked teeth were treated by different treatment protocols depending on the pulpal and periapical diagnoses. Mandibular first molars (27.8%) were the most frequently involved teeth followed by maxillary first molars (25%), maxillary second molars (22.2%), and mandibular second molars (19.4%). The most frequently involved ages were 40-49 and 50-59 years. Cracks occurred mainly in nonbonded restorations such as gold (26.4%) and amalgam (12.5%), and 48.6% of cracks were found in intact teeth. In this study, 60 teeth (83.3%) were treated with root canal treatment before being restored with a permanent crown, and only 12 teeth (16.7%) remained vital and were restored with a permanent crown without root canal treatment. The proportion of teeth treated with root canal treatment increased along with a deep periodontal probing depth corresponding to the crack. The prognosis was less favorable in cracked teeth with a deep probing depth. In this study, the proportion of root canal treatment in the cracked teeth was higher than other studies. Many patients are referred to an endodontist in a university hospital after a long time has passed since the symptom started. Early recognition can help to avoid the propagation of a crack into the pulp chamber or subgingival level. Furthermore, it is important to investigate factors related to cracked teeth and develop different treatment protocols

  14. Arquitetura e dimensão do sistema radicular de sete porta-enxertos de videira no Norte do Estado do Paraná

    Directory of Open Access Journals (Sweden)

    Bordin Ivan

    2003-01-01

    Full Text Available Foi estudada a estrutura do sistema radicular de sete porta-enxertos de videira das cultivares IAC 572, Kobber 5BB, Rupestris du Lot, IAC 313, IAC 766, Ripária do Traviú e 420 A, com cinco anos de idade. As raízes foram expostas por escavação e avaliadas pelo programa SIARCS 3.0. Foi utilizado um diagrama de arquitetura radicular, atribuindo-se notas à conformação do sistema radicular. O 'IAC 572' apresentou a maior extensão de raízes e o '420 A', a menor. Os porta-enxertos não apresentaram diferença quanto à arquitetura do sistema radicular. Os mais vigorosos apresentaram maior proporção de raízes enoveladas.

  15. Combined therapy with mineral trioxide aggregate, and guided tissue regeneration for a large radicular cyst: a 13-year follow-u

    OpenAIRE

    Bernabé,Pedro Felício Estrada; Gomes-Filho, João Eduardo; Dezan Júnior,Eloi; Prieto, Annelise Katrine Carrara [UNESP; Samuel,Renata Oliveira; Cintra,Luciano Tavares Angelo

    2013-01-01

    Biomaterials such as membrane barriers and/or bone grafts are often used to enhance periapical new bone formation. A combination of apical surgery and these biomaterials is one of the latest treatment options for avoiding tooth extraction. In case of periapical lesions, guided tissue regeneration (GTR) is attempted to improve the self-regenerative healing process by excluding undesired proliferation of the gingival connective tissue or migration of the oral epithelial cells into osseous defec...

  16. Combined therapy with mineral trioxide aggregate, and guided tissue regeneration for a large radicular cyst: a 13-year follow-u

    OpenAIRE

    Bernabé, Pedro Felício Estrada [UNESP; Gomes-Filho, João Eduardo [UNESP; Dezan Júnior, Eloi [UNESP; Prieto, Annelise Katrine Carrara [UNESP; Samuel, Renata Oliveira [UNESP; CINTRA, Luciano Tavares Angelo

    2013-01-01

    Biomaterials such as membrane barriers and/or bone grafts are often used to enhance periapical new bone formation. A combination of apical surgery and these biomaterials is one of the latest treatment options for avoiding tooth extraction. In case of periapical lesions, guided tissue regeneration (GTR) is attempted to improve the self-regenerative healing process by excluding undesired proliferation of the gingival connective tissue or migration of the oral epithelial cells into osseous defec...

  17. Conservative treatment of patients with periapical lesions associated with extraoral sinus tracts.

    Science.gov (United States)

    Soares, Janir Alves; de Carvalho, Fabíola Bastos; Pappen, Fernanda Geraldes; Araújo, Gustavo Sivieri; de Pontes Lima, Regina K; Rodrigues, Vivian M Tellaroli; de Toledo Leonardo, Renato

    2007-12-01

    This paper describes the clinical courses of three cases with extra-oral sinus tract formation, from diagnosis and treatment to short-term follow-up and evaluation. All teeth involved had periradicular radiolucent areas noted on radiographic examination and extra-oral sinus tracts appearing on the chin with exudation and unpleasant aesthetic appearance. The adopted treatment protocol included treating the sinus tract surface simultaneously with the root canal therapy. After root canal shaping using 5.25% sodium hypochlorite solution, calcium hydroxide-based pastes associated with different vehicles were inserted into the root canal for 4 months, and were changed monthly. All the sinus tracts healed in 7 to 10 days. The apical lesions were completely repaired in a maximum period of 24 months. The treatment adopted provided a complete healing of the periapical lesions in a short follow-up period. Surgical repair of the cutaneous sinus tract was therefore unnecessary.

  18. Isolation of Pasteurella multocida subspec. Multocida from chronic periapical lesion: First isolation in ex-Yugoslavia

    Directory of Open Access Journals (Sweden)

    Suvajdžić Ljiljana Ð.

    2006-01-01

    Full Text Available This study presents five isolates of Pasteurella multocida subsp. multo-cida isolated from chronic periapical inflammatory lesion. We described the methods of sampling and cultivation as well as diagnostic criteria. Pasteurella multocida was diagnosed on the basis of characteristic cultural and tinctorial properties and the facts that all strains produced indole and induced ornithine decarboxilation, glucose, saccharose and manitole fermentation. Isolates produced neither urease, nor fermented lactose and maltose. Further classification to subspecies multocida was based on the fact that all investigated isolates fermented trechalose, xylose and sorbitol the traits which are diagnostically significant for the species. Patients deny any contact with farm animals or pets, which indicates a possible aerosol transport and animal-human as well as human-human infection. We consider that this organism should be paid more attention by dentist, oral surgeons and microbiologists.

  19. Diagnostic Accuracy of Inverted and Unprocessed Digitized Periapical Radiographs for Detection of Peri-Implant Defects

    Directory of Open Access Journals (Sweden)

    Seyed Jalal Pourhashemi

    2016-04-01

    Full Text Available Objectives: This study aimed to compare the diagnostic accuracy of inverted and unprocessed digitized periapical radiographs for detection of peri-implant defects.Materials and Methods: A total of 30 osteotomy sites were prepared in three groups of control, study group 1 with 0.425 mm defects and study group 2 with 0.725 mm defects using the SIC and Astra Tech drill systems with 4.25mm and 4.85mm diameters. Small and large defects were randomly created in the coronal 8mm of 20 implant sites; implants (3.4mm diameter, 14.5mm length were then placed. Thirty periapical (PA radiographs were obtained using Digora imaging system (Soredex Corporation, Helsinki, Finland, size 2 photostimulable storage phosphor (PSP plate sensors (40.0mm×30.0mm and Scanora software. Unprocessed images were inverted using Scanora software by applying image inversion and a total of 60 images were obtained and randomly evaluated by four oral and maxillofacial radiologists. Data were analyzed using the t-test.Results: Significant differences were observed in absolute and complete sensitivity and specificity of the two imaging modalities for detection of small and large defects (P<0.05. Unprocessed digital images had a higher mean in terms of absolute sensitivity for detection of small defects, complete sensitivity for detection of large peri-implant defects and definite rule out of defects compared with inverted images.Conclusion: Unprocessed digital images have a higher diagnostic value for detection of small and large peri-implant defects and also for definite rule out of defects compared with inverted images.

  20. A Study on the Visual System of the Digital Periapical Images

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Eun Suk; Koh, Kwang Joon [Dept. of Oral and Maxillofacial Radiology and Institute of Oral Bio Science, College of Dentistry, Chonbuk National University, Chonju (Korea, Republic of)

    1999-02-15

    The purpose of this study was to evaluate the optimal distance and angle of observers by modulation transfer functions (MTFs) and receiver operating characteristics (ROCs). Digital periapical radiograms were taken from 43 patients who have dental diseases (19 patients : dental caries, 12 patients : periapical lesions, 12 patients : periodontal diseases). Segmental images (4 X 4 cm) were evaluated by 4 MTFs and ROC analysis. The optimal distance (magnification) using MTF by Mannos and Sakrison was 12.97, and those by Nill, Ngan and Rao were 8.39, 4.78, 5.84 respectively. The optimal distance obtained from 4 radiologists by ROC analysis was 32 cm (Az value : 0.89), and it was 40 cm (Az value : 0.78) from 4 non-radiologists. There were significant differences of Az values between 4 radiologists and 4 non-radiologists at 24, 32 and 40 cm (p<0.05). No significant differences of optimal distances were observed using 4 MTFs among +20, +10, 0, -10, -20 degrees (p>0.05). The optimal angle obtained from 4 radiologists by ROC analysis was +20 degrees (Az value : 0.91), and no significant differences of Az values were observed among +20, +10, 0, -10 and 20 degrees (p>0.05). The optimal angle obtained from 4 non-radiologists by ROC analysis was 0 degree(Az value : 0.81), and no significant differences of Az values were observed among +20, +10, 0, -10 and 20 degrees (p>0.05). And there was significant difference of Az value between 4 radiologists and 4 non-radiologists at +20 degree (p<0.05), but no significant differences of Az values were observed among +10, 0, -10 and -20 degrees (p>0.05).

  1. Reproduction of intra-radicular surface anatomy of extracted human teeth: comparison of three different materials using injection technique.

    Science.gov (United States)

    Sultana, A; Rahman, M M; Rahman, M M; Shrestha, P

    2010-04-01

    This in vitro study compared the reproduction of intra-radicular surface anatomy of extracted human teeth taken by silicon, inlay casting wax and acrylic resin using an injection technique to determine which material produced fewer voids. Twenty impressions/patterns using this technique were made for each material and compared with each other on the basis of number, location and size of voids. Length of each dowel impression/ pattern was also compared. The percentage of void free surfaces using silicon, inlay casting wax and acrylic resin were 90%, 100% and 85% respectively. Most of the voids were less than 1mm in size and situated in the middle third of the impression/pattern. There was no significant difference in the length of the impression/ pattern taken by the three materials. Using the injection technique to reproduce the intra-radicular anatomy of the dowel space, all three materials will show predictably good results.

  2. Influência do uso do laser na prevenção da cárie radicular

    OpenAIRE

    Cesar Penazzo Lepri

    2012-01-01

    Objetivo: Este estudo avaliou a influência do uso de diferentes lasers, associados ou não à aplicação de fluoreto de sódio, na prevenção da cárie radicular. Materiais e Método: Para este estudo, 128 espécimes de dentina radicular humana (4,25mm X 4,25mm e 3,00mm de espessura) foram divididos aleatoriamente em 8 grupos: (G1=nenhum tratamento, G2=aplicação de flúor gel, G3=irradiação com o laser Er:YAG, G4=aplicação de flúor gel + irradiação com o laser Er:YAG, G5=irradiação com o laser Nd:Y...

  3. In vivo microbiological evaluation of the effect of biomechanical preparation of root canals using different irrigating solutions Avaliação microbiológica in vivo do efeito do preparo biomecânico dos canais radiculares utilizando diferentes soluções irrigadoras

    Directory of Open Access Journals (Sweden)

    Mário Tanomaru Filho

    2006-04-01

    Full Text Available The aim of this study was to evaluate the antimicrobial effect of biomechanical preparation using different irrigating solutions. Seventy-eight root canals from premolars of four dogs were used. After experimental induction of periapical lesions, the root canals were prepared using the following solutions for irrigation: Group 1 2.5% sodium hypochlorite (NaOCl; Group 2 2% chlorhexidine (CHX; Group 3 saline solution and Group 4 control group with no biomechanical preparation. The microbiological evaluation of the root canals was performed by counting the colony forming units (CFUs using different culture mediums. Two absorbent paper cones were used in each root canal in order to collect the microbiological samples before, and thirty days after the biomechanical preparation. The culture plates were incubated in aerobic, anaerobic and microaerophilic environment. Statistical evaluation was carried out using analysis of variance, Tukey and Student tests. The results demonstrated that there was reduction in the number of microorganisms in the NaOCl and CHX groups (pO objetivo deste estudo foi avaliar o efeito antimicrobiano do preparo biomecânico com diferentes soluções irrigadoras. Foram utilizados 78 canais radiculares de pré-molares de 4 cães. Após indução experimental das lesões periapicais, os canais radiculares foram preparados utilizando as seguintes soluções irrigadoras: grupo 1 hipoclorito de sódio a 2,5% (NaOCl; grupo 2 clorexidina a 2% (CHX; grupo 3 soro fisiológico. No grupo 4 (controle não foi realizado preparo biomecânico. A avaliação microbiológica do canal radicular foi realizada pela contagem de unidades formadoras de colônia, em ufc, nos diferentes meios de cultura. Foram utilizados 2 cones de papel absorvente em cada canal radicular para a realização da colheita microbiológica antes e 30 dias após o preparo biomecânico. As placas de cultura foram incubadas em ambiente de aerobiose, anaerobiose e

  4. The association between Modic changes and pain during 1-year follow-up in patients with lumbar radicular pain

    Energy Technology Data Exchange (ETDEWEB)

    Schistad, Elina Iordanova; Roee, Cecilie [Oslo University Hospital, Department of Physical Medicine and Rehabilitation, Ullevaal, Nydalen, Postbox 4956, Oslo (Norway); University of Oslo, Faculty of Medicine, Oslo (Norway); Espeland, Ansgar [Haukeland University Hospital, Department of Radiology, Bergen (Norway); University of Bergen, Section for Radiology, Department of Clinical Medicine, Bergen (Norway); Rygh, Lars Joergen [Haukeland University Hospital, Department of Anesthesiology, Bergen (Norway); Gjerstad, Johannes [National Institute of Occupational Health, Oslo (Norway); University of Oslo, Department of Molecular Biosciences, Oslo (Norway)

    2014-09-15

    To examine whether Modic changes influence pain during a 1-year follow-up in patients with lumbar radicular pain. A total of 243 patients with lumbar radicular pain due to disc herniation were recruited from two hospitals in Norway and followed up at 6 weeks, 6 months, and 12 months. On baseline lumbar magnetic resonance images, two observers independently evaluated Modic changes (types I-III; craniocaudal size 0-3). Outcomes were sensory pain (McGill Pain Questionnaire), back and leg pain (visual analogue scale, VAS). Association between Modic type and outcomes was explored with a mixed model and then by two-way analysis of variance (ANOVA) at each time point with Modic and treatment groups (surgical, n = 126; nonsurgical, n = 117) as fixed factors, adjusted for disc degeneration, age, sex, smoking, and duration of radicular pain. Modic size was also analyzed using ANOVA. Pain scores had decreased significantly at 1-year follow-up. Modic type was significantly related to McGill sensory scores (mixed model: p = 0.014-0.026; ANOVA: p = 0.007 at 6 weeks), but not to VAS back pain or VAS leg pain scores. At 6 weeks, the mean McGill sensory score was higher in Modic I than in Modic II-III patients (p = 0.003) and in patients without Modic changes (p = 0.018). Modic size L1-S1 was not associated with pain outcomes. Patients with lumbar radicular pain have a substantial pain reduction during 1-year follow-up, but Modic type I changes may imply a slower initial decrease in sensory pain. (orig.)

  5. Estudio prospectivo y predictivo de la sensación dolorosa posterior al tratamiento completo de conductos radiculares

    OpenAIRE

    Arias Paniagua, Ana María

    2004-01-01

    El dolor postoperatorio es relativamente frecuente tras realizar un tratamiento de conductos radiculares. El objetivo de esta tesis doctoral es determinar si existe alguna relación entre la incidencia, intensidad, tipo y duración del dolor postendodoncia y determinados factores, algunos de los cuales puede controlar el profesional y otros que no puede controlar, que son las condiciones del propio paciente y del diente a tratar. Para ello, un solo operador, especialista en endodoncia, realiza ...

  6. Estudio sobre la adaptación apical de conos maestros de gutapercha en conductos radiculares instrumentados con limas Lightspeed

    OpenAIRE

    Pumarola Suñé, José; García Campaña, Ana M.; Brau Aguadé, Esteban; Canalda Sahli, Carlos

    2000-01-01

    El objetivo de este trabajo fue establecer la coincidencia entre el calibre del cono maestro apical y la lima maestra apical, así como medir cualitativamente la adaptación de diferentes marcas de conos de gutapercha en el tercio apical de conductos radiculares instrumentados con limas Lightspeed. Se instrumentaron 100 conductos de molares naturales extraídos con el sistema Lightspeed. Las muestras se distribuyeron aleatoriamente en cinco grupos. Cada grupo fue obturado mediante condensación l...

  7. Estudio radicular de Vochysia guatemalensis (cebo en Sarapiquí, Heredia. Costa Rica

    Directory of Open Access Journals (Sweden)

    Ileana Moreira

    2007-05-01

    Full Text Available Estudios sobre el desarrollo radicular deben estar incluidos en todos los trabajos que contemplen la autoecología de la especie y los procesos de domesticación, recuperación de zonas y reforestación El objetivo general del trabajo fue estimar la biomasa radicular del Vochysia guatemalensis (cebo en condiciones naturales y de plantación. El trabajo se llevó a cabo en la región Huetar Norte de Costa Rica, sector atlántico, de agosto del 2002 a diciembredel 2004. El comportamiento de cebo (Vochysia guatemalensis se evaluó en condiciones de plantación y en crecimiento natural (en zonas de protección a orillas de bosque o en áreas de cultivo. En cada árbol se demarcaron los puntos cardinales (este-oeste-norte-sur, en cada transepto se muestrearon tres puntos (copa y media, copa y media copa y en cada punto, tres profundidades (10, 30 y 50 cm para un total de 9 muestras por transepto y 36 por árbol. En cada punto se extrajeron las raíces finas, las cuales se llevaron al laboratorio, donde se les estimó el peso fresco y seco, para determinar la biomasa radicular por punto. Se recopiló información sobre las condiciones climáticas de la zona. Para esta especie se obtuvo el mayor peso seco de raíces en enero del año 2003. En Vochysia guatemalensis (cebo en zona boscosa se obtuvo la mayor densidad de raíces antes de la copa, a los 15 cm al este y norte y a los 30 cm al sur. Se encontraron diferencias significativas entre lugar (bosque plantación y especie, orientación (puntos cardinales, punto de muestreo (antes de la copa, debajo de la copa y después de la copa y lugar y especie con la orientación. Con el resto de la variables ambientales no se encontraron diferencias significativas. Los resultados muestran que hay una alta correlación entre precipitación, el peso húmedo del suelo y el año, la luz y temperatura, la precipitación y humedad del suelo. Por otro lado, se encontraron correlaciones negativas entre peso húmedo del

  8. Conservative treatment in patients with an acute lumbosacral radicular syndrome: design of a randomised clinical trial [ISRCTN68857256

    Directory of Open Access Journals (Sweden)

    Peul Wilco C

    2004-11-01

    Full Text Available Abstract Background The objective is to present the design of randomised clinical trial (RCT on the effectiveness of physical therapy added to general practitioners management compared to general practitioners management only in patients with an acute lumbosacral radicular syndrome (also called sciatica. Methods/Design Patients in general practice diagnosed with an acute (less than 6 weeks lumbosacral radicular syndrome and an age above 18 years are eligible for participation. The general practitioners treatment follows their clinical guideline. The physical therapy treatment will consist of patient education and exercise therapy. The primary outcome measure is patients reported global perceived effect. Secondary outcome measures are severity of complaints, functional status, health status, fear of movement, medical consumption, sickness absence, costs and treatment preference. The follow-up is 52 weeks. Discussion Treatment by general practitioners and physical therapists in this study will be transparent and not a complete "black box". The results of this trial will contribute to the decision of the general practitioner regarding referral to physical therapy in patients with an acute lumbosacral radicular syndrome.

  9. Microbiología de la caries radicular en el paciente mayor Microbiology of the root caries in old patients

    Directory of Open Access Journals (Sweden)

    D Gutiérrez Acero

    2006-04-01

    Full Text Available La caries radicular es uno de los problemas bucodentales más importantes y que más comúnmente afectan al adulto mayor. La caries radicular es aquel proceso carioso que se produce sobre la raíz expuesta del diente. Los principales patógenos implicados son el Streptococcus mutans, el Actinomyces viscosus y el Lactobacillus acidofilus, que producen los ácidos orgánicos que desmineralizan el cemento y la dentina de la raíz, llegando producir su cavitación. Los cambios que se producen en el medio oral tienen una relación muy directa con las bacterias de la caries radicular y del biofilm que forman.The root caries is one of most important bucodental problems that affect to the old patient. The root caries is the decay process that produce on the expose root. The principals pathogens relying are Streptococos mutans, Actinomyces viscosus and Lactobacillus acidofilus, that produce the organics acids demineralizating of root cement and dentin producing the cavitation of the root. The changes producing in the mouth have a direct relation with the bacteria and its biofilm.

  10. The effects of various irrigating solutions on intra-radicular dentinal surface: An SEM analysis

    Directory of Open Access Journals (Sweden)

    J V Karunakaran

    2012-01-01

    Full Text Available Aim: The action of irrigant solutions on intra- radicular dentinal surface were evaluated in an in vitro setting using a scanning electron microscope (SEM and it was observed that sodium hypochlorite and MTAD produced the cleanest surface and that none of the irrigants were able to produce an ideal preparation of the dentinal surface when used individually. The primary objective of endodontic therapy is to achieve a clean, optimal environment in root canals to avoid unsuccessful treatment outcomes. The complexities of the root canal system necessitate the use of irrigating solutions which act on radicular dentin surface, modifying it. The action of irrigants can be beneficial, and yet at the same time, as they modify the surface structure of dentin, they can have an adverse impact on the properties of dentin. The present study was undertaken to assess the effect of various irrigants on the dentinal surface using an SEM. Materials and Methods: Forty-five roots were randomly divided into nine groups (n=5 and prepared by sectioning at the level of cemento-enamel junction (CEJ and 10 mm from the CEJ and split longitudinally. The dentin surface was prepared and the cemental surfaces were coated with double layer of varnish. The irrigants tested were normal saline, de-ionized water, 17% ethylenediaminetetraacetic acid (EDTA, 5% sodium hypochlorite (NaOCl, 5% NaOCl with ultrasonic agitation, 3% hydrogen peroxide, 2% chlorhexidine (CHX, MTAD, and MTAD with ultrasonic agitation. The prepared samples were placed in the irrigant solution for 3 min, subsequently dehydrated, sputter coated, and observed under SEM. The images were subsequently analyzed for dentinal surface changes. Results: 17% EDTA and MTAD produced the cleanest dentinal surface. Ultrasonic agitation enhanced the effect of irrigants. 5% NaOCl and 3% hydrogen peroxide were efficient at removal of organic debris, but were unable to remove the smear layer. De-ionized water, normal saline, and 2

  11. Cone Beam Computed Tomography Evaluation of the Diagnosis, Treatment Planning, and Long-Term Followup of Large Periapical Lesions Treated by Endodontic Surgery: Two Case Reports

    Directory of Open Access Journals (Sweden)

    Vijay Shekhar

    2013-01-01

    Full Text Available The aim of this case report is to present two cases where cone beam computed tomography (CBCT was used for the diagnosis, treatment planning, and followup of large periapical lesions in relation to maxillary anterior teeth treated by endodontic surgery. Periapical disease may be detected sooner using CBCT, and their true size, extent, nature, and position can be assessed. It allows clinician to select the most relevant views of the area of interest resulting in improved detection of periapical lesions. CBCT scan may provide a better, more accurate, and faster method to differentially diagnose a solid (granuloma from a fluid-filled lesion or cavity (cyst. In the present case report, endodontic treatment was performed for both the cases followed by endodontic surgery. Biopsy was done to establish the confirmatory histopathological diagnosis of the periapical lesions. Long-term assessment of the periapical healing following surgery was done in all the three dimensions using CBCT and was found to be more accurate than IOPA radiography. It was concluded that CBCT was a useful modality in making the diagnosis and treatment plan and assessing the outcome of endodontic surgery for large periapical lesions.

  12. Cone beam computed tomography evaluation of the diagnosis, treatment planning, and long-term followup of large periapical lesions treated by endodontic surgery: two case reports.

    Science.gov (United States)

    Shekhar, Vijay; Shashikala, K

    2013-01-01

    The aim of this case report is to present two cases where cone beam computed tomography (CBCT) was used for the diagnosis, treatment planning, and followup of large periapical lesions in relation to maxillary anterior teeth treated by endodontic surgery. Periapical disease may be detected sooner using CBCT, and their true size, extent, nature, and position can be assessed. It allows clinician to select the most relevant views of the area of interest resulting in improved detection of periapical lesions. CBCT scan may provide a better, more accurate, and faster method to differentially diagnose a solid (granuloma) from a fluid-filled lesion or cavity (cyst). In the present case report, endodontic treatment was performed for both the cases followed by endodontic surgery. Biopsy was done to establish the confirmatory histopathological diagnosis of the periapical lesions. Long-term assessment of the periapical healing following surgery was done in all the three dimensions using CBCT and was found to be more accurate than IOPA radiography. It was concluded that CBCT was a useful modality in making the diagnosis and treatment plan and assessing the outcome of endodontic surgery for large periapical lesions.

  13. Allogeneic stem cells derived from human exfoliated deciduous teeth (SHED for the management of periapical lesions in permanent teeth: Two case reports of a novel biologic alternative treatment

    Directory of Open Access Journals (Sweden)

    Madu Ghana Shyam Prasad

    2017-06-01

    Full Text Available Stem cells are the pluripotent cells that have the capacity to differentiate into other specialized cells. Recently, many experiments have been conducted to study the potentiality of stem cells in the tissue regeneration. We report two cases treated utilizing stem cells from human exfoliated deciduous teeth (SHED in the management of periapical lesions in permanent teeth. Two normal human deciduous teeth from children, 7‒8 years of age, were collected to isolate stem cells. Two patients, one with periapical pathology alone and the other with periapical lesion along with an open apex in young permanent teeth, were selected for the study. After initial debridement of the root canals, homing of SHED was carried out and the access cavity was sealed using glass-ionomer cement. Clinical examination after 7 days, 30 days, 90 days, 180 days and 365 days revealed no symptoms. Closure of open apex and periapical tissue healing were observed radiographically at one-month review and maintained until 365-day review. Positive response to electric pulp testing was recorded for the treated teeth from the 3- to 12-month follow-ups. The treated cases demonstrated complete resolution of periapical radiolucency in a span of 30 days, which was faster than the conventional methods. SHED could be considred effective in treating the periapical lesions and open apex in permanent teeth.

  14. Morfologia radicular de cultivares de café arábica submetidas a diferentes arranjos espaciais

    Directory of Open Access Journals (Sweden)

    Cláudio Pagotto Ronchi

    2015-03-01

    Full Text Available O objetivo deste trabalho foi avaliar as respostas morfológicas do sistema radicular de quatro cultivares de café arábica submetidas a diferentes arranjos espaciais. Os espaçamentos adotados foram os de 0,40, 0,50, 0,60, 0,70 e 0,80 m entre plantas na linha, tendo-se mantido fixo 3,8 m na entrelinha. Aos 27, 35 e 39 meses após o transplantio, foram coletadas amostras de solo+raízes em três posições em relação aos caules das plantas e três profundidades. As raízes foram lavadas, coloridas, digitalizadas e processadas com o programa Safira. A cultivar Tupi RN IAC 1669-13 apresentou sistema radicular com características morfológicas relacionadas à absorção de nutrientes e de água superiores às das cultivares Catuaí Vermelho IAC 144, Catuaí Amarelo IAC 62 e Catuaí Amarelo IAC 32, para todos os arranjos espaciais testados. A redução no espaçamento aumenta a abundância de raízes por volume de solo, sem alterar a qualidade morfológica do sistema radicular, nem aprofundá-lo. Os sistemas radiculares das cultivares avaliadas são mais abundantes e apresentam superfície e comprimento específico maiores entre plantas adjacentes, seguidas das posições afastadas a 0,25 e 0,50 m do caule. A proporção de raízes na camada de 0,1 m de profundidade é maior que a na de 0,4 m, para todos os espaçamentos. A variação no espaçamento entre plantas na linha altera a morfologia do sistema radicular do café arábica.

  15. Radiofrequency for the Treatment of Lumbar Radicular Pain: Impact on Surgical Indications

    Directory of Open Access Journals (Sweden)

    José Manuel Trinidad

    2015-01-01

    Full Text Available Study Design. Quasiexperimental study. Objective. To investigate whether radiofrequency treatment can preclude the need for spinal surgery in both the short term and long term. Background. Radiofrequency is commonly used to treat lumbosacral radicular pain. Only few studies have evaluated its effects on surgical indications. Methods. We conducted a quasiexperimental study of 43 patients who had been scheduled for spinal surgery. Radiofrequency was indicated for 25 patients. The primary endpoint was the decision of the patient to reject spinal surgery 1 month and 1 year after treatment (pulsed radiofrequency of dorsal root ganglion, 76%; conventional radiofrequency of the medial branch, 12%; combined technique, 12%. The primary endpoint was the decision of the patient to reject spinal surgery 1 month and 1 year after treatment. In addition, we also evaluated adverse effects, ODI, NRS. Results. We observed after treatment with radiofrequency 80% of patients rejected spinal surgery in the short term and 76% in the long term. We conclude that radiofrequency is a useful treatment strategy that can achieve very similar outcomes to spinal surgery. Patients also reported a very high level of satisfaction (84% satisfied/very satisfied. We also found that optimization of the electrical parameters of the radiofrequency improved the outcome of this technique.

  16. [Brachial plexus palsy in adults with radicular lesions, general concepts, diagnostic approach and results ].

    Science.gov (United States)

    Oberlin, C

    2003-12-01

    In post-traumatic brachial plexus lesions in adults, early repair will necessitate a variety of nerve grafting and nerve transfer procedures. In complete palsies, a graft is performed from a radicular stump, using intercostal nerve transfers, partial cross C7 transfer, and the distal spinal accessory nerve. This will provide elbow flexion and extension in 75% of cases, and shoulder abduction or rotation in 50% of cases. In the upper type palsies, ulnar-biceps transfer is the standard procedure. Grafting from a ruptured cervical root, when available, is performed to reanimate the shoulder. In C5 C6 and C7 palsies, extension of the wrist and fingers is provided by tendon transfers. In chronic palsies, elbow flexion and extension loss is treated by means of free muscle transfers, (latissimus dorsi or gracilis) combined with nerve transfers (intercostals or spinal accessory). Secondary procedures are routinely necessary following recovery of elbow flexion. For the shoulder-humeral shaft osteotomy or fusion, for the hand-cosmetic fusion of the wrist and distal radio-ulnar joint in the prone position, or palliative treatment in case of partial recovery. For such weak "plexic hands", we have developed a specific hierarchical functional scale, useful for surgical decisions.

  17. Microtensile Bond Strength of Translucent Glass Fiber Posts to Intra-radicular Dentin

    Directory of Open Access Journals (Sweden)

    N. Mohammadi

    2009-03-01

    Full Text Available Objective: The aim of the present study was to compare microtensile bond strengths (μTBS of glass fiber posts to different parts of intra-radicular dentin using conventional method and one-shot technique under different light intensities.Materials and Methods: Twenty-eight single-rooted teeth were prepared to receive fiber posts: Group 1: Conventional method at light intensity of 600 mW/cm2; Groups 2, 3 and 4:One-shot technique at light intensities of 600, 800 and 1000 mW/cm2 respectively. Dumbbell-shaped slices were obtained from the samples and submitted to micro-tensile testing.The data were analyzed using two-way ANOVA and paired-samples t-test.Results: There were no significant differences in μTBS values of the cervical and middle thirds between the groups (P>0.05. μTBS values in the cervical thirds in groups 2 and 3 were significantly higher than those in the middle thirds (P>0.05. However, there were nosuch differences in groups 1 and 4 (P>0.05.Conclusion: It is proper to simultaneously cure the resin cement and the adhesive agent (one-shot technique; however, in that case, high light intensities (1000 mW/cm2 are recommended to achieve identical bond strength values in the cervical and middle thirds.

  18. Comparison of the efficacy of transforaminal and interlaminar radicular block techniques for treating lumbar disk hernia

    Directory of Open Access Journals (Sweden)

    Rodrigo Rezende

    2015-04-01

    Full Text Available OBJECTIVE: To compare the interlaminar and transforaminal block techniques with regard to the state of pain and presence or absence of complications.METHOD: This was a randomized double-blind prospective study of descriptive and comparative nature, on 40 patients of both sexes who presented lumbar sciatic pain due to central-lateral or foraminal disk hernias. The patients had failed to respond to 20 physiotherapy sessions, but did not present instability, as diagnosed in dynamic radiographic examinations. The type of block to be used was determined by means of a draw: transforaminal (group 1; 20 patients or interlaminar (group 2; 20 patients.RESULTS: Forty patients were evaluated (17 males, with a mean age of 49 years. There was a significant improvement in the state of pain in all patients who underwent radicular block using both techniques, although the transforaminal technique presented better results than the interlaminar technique.CONCLUSION: Both techniques were effective for pain relief and presented low complication rates, but the transforaminal technique was more effective than the interlaminar technique.

  19. Fracture resistance of endodontically treated teeth with different direct corono-radicular restoration methods

    Science.gov (United States)

    Moosavi, Horieh; Manari, Fatemeh

    2017-01-01

    Background Endodontically treated teeth are widely considered to be more susceptible to fracture than vital teeth. Obturation procedures and post placement have been a main cause of vertical root fracture. Material and Methods Forty-eight human premolars with standardized weakened roots were endodontically treated and allocated to four experimental groups (n=12). After root canal treatment, in group 1, fiber posts #1 were cemented in root canals using Estelite Core Quick, and the crowns were restored with resin composite. For group 2 and 3, the roots and crowns were restored using a light-cured and self-cured adhesive and resin composites respectively. In group 4, it was used the Panavia F 2.0 resin cement and resin composite for corono-radicular reconstruction. In group 5, the teeth remained untouched. After 24 hours storage and 1000 thermocycles, samples were loaded at a cross head speed of 1 mm per minute. Results A significant difference was observed in fracture resistance among groups 4 and 5 compared to other groups. Conclusions Root reconstruction with fiber post and Panavia resin cement, and crown building using light-cured resin composite resulted in increased fracture resistance equal to that of intact teeth. Key words:Fracture resistance, fiber post, resin cement, resin composite. PMID:28298991

  20. Estudio radicular de Vochysia ferruginea (botarrama en plantaciones y condiciones naturales en Costa Rica

    Directory of Open Access Journals (Sweden)

    Elizabeth Arnáez Serrano

    2010-10-01

    Full Text Available El estudio de las raíces es un proceso muy complicado pues cada método empleado tiene sus inconvenientes, a pesar de los avances tecnológicos. Sin embargo, este tipo de trabajo es necesario para relacionar su comportamiento con factores genéticos y ambientales, entre otros.Se recopiló información meteorológica con respecto a la luz, la temperatura y la precipitación. Se realizaron análisis químicos del suelo en cada sitio y mensualmente se recolectaron muestras de suelos y hojas para determinar el porcentaje de humedad.En cada uno de los sitios se seleccionó un árbol y se sacaron muestras de raíces antes de la copa, debajo de la copa y después de la copa, en dos orientaciones (este-oeste, en cada uno de los puntos se muestrearon raíces a 15, 30 y 50 cm de profundidad del suelo.La zona de la copa del árbol al lado este y a 15 cm de profundidad, presentó la mayor densidad radicular. No se encontraron diferencias significativas entre los puntos muestreados (copa, antes de la copa y después de la copa del árbol, las orientaciones (este-oeste, ni las profundidades (15, 30 y 50 cm, solamente entre los diferentes sitios y meses.

  1. Chitosan nanoparticles enhance the antibacterial activity of chlorhexidine in collagen membranes used for periapical guided tissue regeneration.

    Science.gov (United States)

    Barreras, Uriel Soto; Méndez, Fernando Torres; Martínez, Rita Elizabeth Martínez; Valencia, Carolina Samano; Rodríguez, Panfilo Raymundo Martinez; Rodríguez, Juan Pablo Loyola

    2016-01-01

    Endodontic failure is mainly associated with the persistence of microbial infection in the root canal system and/or the periradicular area. Microorganisms and their toxins located in the root canal system may trigger apical periodontitis and tissue destruction. Tissue regeneration in periapical surgery by using membrane barriers has shown an improved healing and bone closure. However, bacterial membrane contamination is a main reason of failure. In this in vitro study, different brands of chlorhexidine, a combination of chitosan nanoparticles containing chlorhexidine were tested against Enterococcus faecalis on agar plate's cultures and infected collagen membranes. Our results indicated that chitosan nanoparticles acted synergistically with chlorhexidine, inhibiting and eliminating significantly a greater amount of colony former units in both BHI-agar cultures and infected collagen membranes. These results suggested that chitosan nanoparticles could be used to improve regenerative procedures in periapical surgery.

  2. Prevalence of microorganisms in root canals of human deciduous teeth with necrotic pulp and chronic periapical lesions

    Directory of Open Access Journals (Sweden)

    Pazelli Luciana Cunha

    2003-01-01

    Full Text Available The objective of this study was to evaluate bacterial prevalence in 31 root canals of human deciduous teeth with necrotic pulp and periapical lesions using bacterial culture. After crown access, the material was collected using absorbent paper points for microbiological evaluation and determination of colony forming units (CFU. Anaerobic microorganisms were found in 96.7% of the samples, black-pigmented bacilli in 35.5%, aerobic microorganisms in 93.5%, streptococci in 96.7%, and S. mutans in 48.4%. We concluded that in human deciduous teeth root canals with necrotic pulp and periapical lesions the infection is polymicrobial, with a large number of microorganisms and a predominance of streptococci and anaerobic microorganisms.

  3. The Effect of Bite Registration on the Reproducibility of Parallel Periapical Radiographs Obtained with Two Month Intervals

    Directory of Open Access Journals (Sweden)

    L. Khojastehpour

    2006-06-01

    Full Text Available Statement of Problem: Digital Subtraction Radiography (DSR needs reproducible alignment between the x-ray source, the object, and the film for obtaining identical projections of the same anatomic region.Purpose: The aim of this study was to evaluate the effect of bite registrations (placed on individual bite blocks on the reproducibility of parallel periapical radiographs,obtained every 2 months, in patients undergoing periodontal surgery for furcationinvolvement.Materials and Methods: Ninety eight parallel periapical radiographs were used in this study. The radiographs were taken with individual bite-blocks attached to the beamguiding device. In order to individualize the bite blocks, bite registrations were fabricated using silicon impression material, and were placed on the individual bite blocks. All radiographs in each series were processed under similar conditions and were digitized with the flatbed scanner fitted with a transparency adaptor (hp Scanjet 7400 at 300 dpi resolution. Reproducibility of this method for obtaining similar parallel periapical radiographs was assessed by measuring the horizontal and vertical distances between two selected unchanged reference points on each radiograph and comparing them in each series. Reliability of measurements was analyzed using the one wayrandom model intraclass correlation coefficient for average of raters.Results: For both measurements (Horizontal and Vertical statistically significant reliability was found between three repeated radiographs with two month intervals in 16 patients, as well as 5 repeated radiographs with two month intervals in 10 patients (P<0.001.Conclusion: The result of this study shows that bite registration on individual bite blocks is enough for obtaining identical parallel periapical radiographs.

  4. Endodontic management of immature teeth with spontaneous apical closure and periapical lesions: case series and review of the literature.

    Science.gov (United States)

    Çalışkan, Mehmet Kemal; Kaval, Mehmet Emin

    2015-08-01

    Spontaneous apical closure in non-vital immature teeth has been rarely encountered and outcome of non-surgical endodontic treatment of related teeth associated with periapical lesions has not yet been adequately elucidated. The aim of this article was to report endodontic management of spontaneous apical closure of infected untreated immature teeth with periapical lesions and to review previously proposed mechanisms for the development of spontaneous hard tissue barrier. Three patients were referred at different time intervals to the endodontic clinic for treatment of their maxillary anterior incisors with acute or chronic apical periodontitis. Dental histories indicated that related teeth had been subjected to trauma approximately 12-18 years previously. Radiographically, the involved teeth exhibited incomplete root formation with spontaneous apical closure and were associated with an apical radiolucency. After biomechanical preparation, calcium hydroxide paste was applied and was changed once or twice within 3 months. All canals were then filled with gutta-percha and AH Plus and the follow-up period was 16-50 months; both clinical and radiographic examinations revealed adequate function, the absence of clinical symptoms and significant healing of the periapical radiolucency.

  5. Combination of platelet rich fibrin, hydroxyapatite and PRF membrane in the management of large inflammatory periapical lesion.

    Science.gov (United States)

    Shivashankar, Vasundara Yayathi; Johns, Dexton Antony; Vidyanath, S; Sam, George

    2013-05-01

    Periapical inflammatory lesion is the local response of bone around the apex of tooth that develops after the necrosis of the pulp tissue or extensive periodontal disease. The final outcome of the nature of wound healing after endodontic surgery can be repair or regeneration depending on the nature of the wound; the availability of progenitor cells; signaling molecules; and micro-environmental cues such as adhesion molecules, extracellular matrix, and associated non-collagenous protein molecules. The purpose of this case report is to add knowledge to the existing literature about the combined use of graft material [platelet rich fibrin (PRF) and hydroxyapatite (HA)] and barrier membrane in the treatment of large periapical lesion. A periapical endodontic surgery was performed on a 45 year old male patient with a swelling in the upper front teeth region and a large bony defect radiologically. The surgical defect was filled with a combination of PRF and HA bone graft crystals. The defect was covered by PRF membrane and sutured. Clinical examination revealed uneventful wound healing. Radiologically the HA crystals have been completely replaced by new bone at the end of 2 years. On the basis of the results obtained in our case report, we hypothesize that the use of PRF in conjunction with HA crystals might have accelerated the resorption of the graft crystals and would have induced the rapid rate of bone formation.

  6. Central ossifying fibroma, periapical cemento-osseous dysplasia and complex odon-toma occurring in the same jaw.

    Science.gov (United States)

    Hosseini, Farzaneh Agha; Moslemi, Elham

    2011-05-16

    Central ossifying fibroma is a rare, benign fibro-osseous lesion that arises from the periodontal ligament. Periapical cemento-osseous dysplasia is another variant of fibro-osseous lesion which occurs in the anterior region of the mandible of females. Odontoma is a benign odontogenic tumor that contains enamel, dentine cement and pulp tissue. A 46-year-old woman was referred to the Department of Oral Medicine, School of Dentistry, Tehran University of Medical Sciences, with two non-painful swellings on both sides of the mandible, which had been slowly growing over a period of one year. Our differential diagnosis was florid cemento-osseous dysplasia, focal cemento-osseous dysplasia for the right side, complex odontoma for the left side and periapical cement-osseous dysplasia for the anterior side. The historical feature revealed ossifying fibroma, complex odontoma and periapical cemento-osseous dysplasia. The occurrence of these three lesions in the same jaw has been rarely reported in the literature. The relationship between the occurrence of these three lesions is not obvious it could be coincidental. It seems that more case reports are needed to establish the relationship between them.

  7. Clinical analysis of heat gutta-percha vertical condensation in the treatment of pulpitis and periapical periodontitis

    Institute of Scientific and Technical Information of China (English)

    Li Fan; Dongqi Wang; Yanchun Xu

    2016-01-01

    Objective:To explore the clinical effect of heat gutta-percha vertical condensation in the treatment of pulpitis and periapical periodontitis. Methods:A total of 120 patients with pulpitis and periapical periodontitis who were admitted in our hospital from February, 2015 to February, 2016 were included in the study and randomized into the observation group and the control group. The patients in the observation group were given heat gutta-percha vertical condensation for root canal filling, while the patients in the control group were given cold gutta-percha lateral condensation root canal filling. The root canal filling was evaluated. The changes of GI, SBI, and PD before and after treatment were observed. Results:The correct filling, shorting filling, and extra filling in the observation group were significantly superior to those in the control group. After treatment, GI, SBI, and PD were significantly reduced, and the reduced degree in the observation group was significantly superior to that in the control group. Conclusions:Heat gutta-percha vertical condensation in the treatment of pulpitis and periapical periodontitis can significantly enhance the therapeutic effect, and improve GI, SBI, and PD, with a significant clinical effect;therefore, it deserves to be widely recommended.

  8. Analysis of multiple cytokine polymorphisms in individuals with untreated deep carious lesions reveals IL1B (rs1143643) as a susceptibility factor for periapical lesion development.

    Science.gov (United States)

    Dill, Alisa; Letra, Ariadne; Chaves de Souza, Letícia; Yadlapati, Mamatha; Biguetti, Claudia Cristina; Garlet, Gustavo Pompermaier; Vieira, Alexandre R; Silva, Renato Menezes

    2015-02-01

    It has been proposed that individual genetic predisposition may contribute to persistent apical periodontitis. Cytokines are associated with levels of inflammation and are involved in caries, pulpal, and periapical tissue destruction. We hypothesized that polymorphisms in cytokine genes may contribute to an individual's increased susceptibility to apical tissue destruction in response to deep carious lesions. Subjects with deep carious lesions with or without periapical lesions (≥3 mm) were recruited at the University of Pittsburgh, Pittsburgh, PA, and the University of Texas at Houston, Houston, TX. Genomic DNA samples of 316 patients were sorted into 2 groups: 136 cases with deep carious lesions and periapical lesions (cases) and 180 cases with deep carious lesions but no periapical lesions (controls). Nine single-nucleotide polymorphisms in IL1B, IL6, TNF, RANK, RANKL, and OPG genes were selected for genotyping. Genotypes were generated by end point analysis using TaqMan chemistry (Invitrogen, Carlsbad, CA) in a real-time polymerase chain reaction instrument. Allele and genotype frequencies were compared among cases and controls using the PLINK program (http://pngu.mgh.harvard.edu/purcell/plink/). Ninety-three human periapical granulomas and 24 healthy periodontal ligament tissues collected postoperatively were used for messenger RNA expression analyses of IL1B. A single-nucleotide polymorphism in IL1B (rs1143643) showed allelic (P = .02) and genotypic (P = .004) association with cases of deep caries and periapical lesions. We also observed altered transmission of IL1B marker haplotypes (P = .02) in these individuals. IL1B was highly expressed in granulomas (P carious lesions. Future studies could help predict host susceptibility to developing periapical lesions. Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  9. Efeito da temperatura radicular na resistência ao movimento de água no cacaueiro (Theobroma cacao L. Radicular temperature effects in water movement resistence in cacao tree (Theobroma cacao L.

    Directory of Open Access Journals (Sweden)

    Solange Maria Costa de Amorim

    1992-07-01

    Full Text Available O efeito da temperatura radicular na resistência ao movimento de água foi estudada em plântulas de cacau (Theobroma cacao L. cv. Catongo sob condições de casa de vegetação e a temperaturas radiculares de 10, 20, 30 e 40ºC, em folhas cobertas com papel de alumínio e sacos de polieteileno preto e em folhas descobertas. As folhas estavdf am localizadas na parte basal, intermediária e apical do caule. Mediram-se trocas gasosas foliares utilizando o sistema portátil de fotossíntese LI-6000. O potencial hídrico e o osmótico foram mensurados por psicrometria. O potencial de turgor foi estimado por diferença entre o potencial hídrico e o osmótico. Os resultados obtidos sugerem que a resistência ao movimento de água nas plântulas de cacau depende do fluxo transpiracional e que a variação dos gradientes do potencial hídrico na planta é determinada por temperaturas radiculares maiores de 30ºC. As trocas gasosas, a temperaturas radiculares diferentes, dependem do estado hídrico da planta.The effects of root temperature on water movement resistance were studied on cacao (Theobroma cacao L. cv Catongo seedlings under greenhouse conditions at root temperatures of 10, 20 30 and 40ºC, on leaves covered with aluminum foil and black plastic bags and on uncovered leaves. The leaves were located at the base, intermediates part and apex of the stem. Gas exchange measurements were done utilizing a LI-6000 portable photosynthetic system. Water and osmotic potential were measured by psychrometry. Turgor potential was estimated as the difference between water potential and osmotic potential. The results suggested that the resistance to water movement depends on the transpirational flux and that the water potential gradients across the plant vary at temperatures greater than 30ºC. Gas exchanges, at diferent root temperature, depend on the water status of the plant.

  10. Sistema radicular do vetiver (Vetiveria zizanioides nash. Study of the root system of Vetiver

    Directory of Open Access Journals (Sweden)

    Romeu Inforzato

    1959-01-01

    Full Text Available Em um ensaio de espaçamento x sistema de plantio, instalado na Estação Experimental Central do Instituto Agronômico, em solo tipo terra-roxa-misturada e abrangendo os espaçamentos 90 x 30, 90 x 90. 120 x 30 e 120 x 90cm, com dois sistemas de plantio - ao nível do solo e em leiras - fêz-se o estudo do sistema radicular do vetiver. As conclusões do presente trabalho foram as seguintes: houve maior produção de raízes no sistema de plantio ao nível do solo; nos dois sistemas de plantio o espaçamento 90 x 30cm forneceu as maiores quantidades de raízes; 88% daa raízes estavam localizadas nos primeiros 30cm do solo, não sendo pois necessário ir além de 50cm de profundidade para se extrair a quase totalidade das rafzes produzidas pelo vetiver.The root system of Vetiveria zizanioides Nash, was studied under two different planting systems: 1 soil level and 2 planting hills. Four different spacings were tried: 90 x 30, 90 x 90, 120 x 30 and 120x90 centimeters. Soil level planting gave larger production of roots and the spacing of 90 x 30 cm gave the largest amount of roots under both planting systems. Eighty eight percent of the root weight was found in the upper 30cm of soil.

  11. A case report of a patient with upper extremity symptoms: differentiating radicular and referred pain

    Directory of Open Access Journals (Sweden)

    Daub Clifford W

    2007-07-01

    Full Text Available Abstract Background Similar upper extremity symptoms can present with varied physiologic etiologies. However, due to the multifaceted nature of musculoskeletal conditions, a definitive diagnosis using physical examination and advanced testing is not always possible. This report discusses the diagnosis and case management of a patient with two episodes of similar upper extremity symptoms of different etiologies. Case Presentation On two separate occasions a forty-four year old female patient presented to a chiropractic office with a chief complaint of insidious right-sided upper extremity symptoms. During each episode she reported similar pain and parasthesias from her neck and shoulder to her lateral forearm and hand. During the first episode the patient was diagnosed with a cervical radiculopathy. Conservative treatment, including manual cervical traction, spinal manipulation and neuromobilization, was initiated and resolved the symptoms. Approximately eighteen months later the patient again experienced a severe acute flare-up of the upper extremity symptoms. Although the subjective complaint was similar, it was determined that the pain generator of this episode was an active trigger point of the infraspinatus muscle. A diagnosis of myofascial referred pain was made and a protocol of manual trigger point therapy and functional postural rehabilitative exercises improved the condition. Conclusion In this case a thorough physical evaluation was able to differentiate between radicular and referred pain. By accurately identifying the pain generating structures, the appropriate rehabilitative protocol was prescribed and led to a successful outcome for each condition. Conservative manual therapy and rehabilitative exercises may be an effective treatment for certain cases of cervical radiculopathy and myofascial referred pain.

  12. Distribuição do sistema radicular de uma cultura de aveia forrageira

    Directory of Open Access Journals (Sweden)

    Fante Jr. Lorival

    1999-01-01

    Full Text Available Avaliou-se a distribuição das raízes de uma aveia forrageira através da aplicação dos métodos do anel volumétrico, da placa com pregos, do trado e do auxiliado por processamento de imagens. A aveia forrageira foi cultivada em latossolo vermelho-escuro, sob dois tratamentos distintos em função da manutenção da capacidade de água disponível no solo (CAD: tratamento 1 - 50% da CAD; tratamento 2 - 80% da CAD. Foram realizadas 3 amostragens, aos 25, 60 e 115 dias após a emergência. As raízes da aveia forrageira concentraram-se nas camadas iniciais do solo, cerca de 90% entre 0 a 20 cm. Os resultados encontrados para a quantificação das raízes variaram com o tratamento, a metodologia e a época de amostragem. Verificou-se a existência de correlações entre os resultados determinados a partir das grandezas massa seca de raiz e presença radicular. A variabilidade da distribuição das raízes no solo foi dependente do método de avaliação utilizado. Os menores valores dos coeficientes de variação foram observados para o método do trado, indicando que a menor variabilidade da distribuição das raízes tem maior relação com o volume da amostra do que com o número de pontos amostrados.

  13. Reproducibility between conventional and digital periapical radiography for bone height measurement

    Directory of Open Access Journals (Sweden)

    Miguel Simancas-Pallares

    2015-10-01

    Full Text Available Background. Several diagnostic aids are available for bone height measurement. Digital and conventional radiographs are the two ones most used in Dentistry. Few studies accounting for accuracy and precision have been conducted to compare these methods. Objective. The aim of this study was to estimate reproducibility between conventional and digital periapical radiography in bone height measurement in patients with chronic periodontitis. Methods. a consistency diagnostic test study was performed. 136 patients with chronic periodontitis were included, selecting the worst prognosis teeth and two radiographs -conventional and digital- were taken for each one. Two experienced and blinded examiners performed radiographic measurements. Reproducibility was obtained through Lin's concordance correlation coefficient by using the statistical package STATA™ for Windows. Results. Average age was 38.8 (SD: 9.9 and 61.6 % were female patients. 125 pairs of matched radiographs for 1000 measurements were evaluated. Overall reproducibility between the methods for mesial and distal measurements were 0.62 (95% CI: 0.55-0.70 and 0.64 (95% CI: 0.57-0.71 respectively. Conclusions. Reproducibility between methods was considered poor, including subgroup analysis, therefore, reproducibility between methods is minimal. Usage of these methods in periodontics should be made implementing the whole knowledge of the technical features and the advantages of these systems.

  14. Prophylactic penicillin: effect on posttreatment symptoms following root canal treatment of asymptomatic periapical pathosis.

    Science.gov (United States)

    Walton, R E; Chiappinelli, J

    1993-09-01

    It has been reported that administration of prophylactic penicillin may prevent flare-ups or other undesirable posttreatment sequelae following root canal treatment. To test this hypothesis in a prospective study, 80 patients with a diagnosis of pulp necrosis and chronic apical periodontitis were divided into three groups: group A (prophylactic penicillin, AHA recommendation), group B (placebo, same regimen), and group C (no medication). Medications and evaluations were double-blinded. Patients reported their posttreatment events including incidence of flare-ups, incidence and severity of pain/swelling, and occurrence of adverse side effects. Differences in the three groups were determined statistically using chi-square tests. The outcome showed no significant difference (p = 0.68) among the three groups. That is, administration/nonadministration of penicillin prophylactically was unrelated to posttreatment signs and symptoms following canal preparation. Incidence of flare-ups was very low (1 of 80). Occurrence of pain in the mild-moderate levels was fairly high (approximately 70% overall), but was primarily in the mild category. Overall incidence of side effects was also very low (2 of 80). Severe levels of pain/swelling and flare-up incidence were low with no difference between administration or nonadministration of antibiotics. Based on our data, using penicillin (a potentially dangerous drug) prophylactically to control posttreatment symptoms is not recommended in cases of pulp necrosis and asymptomatic periapical pathosis.

  15. Evaluation of extraction sites for evidence of retained tooth roots and periapical pathology.

    Science.gov (United States)

    Moore, James I; Niemiec, Brook

    2014-01-01

    The objective of this retrospective clinical study was to determine the frequency and pathogenicity of unintentional retained tooth root fragments after extraction of the maxillary fourth premolar (108 and 208) and mandibular first molar teeth (309 and 409) in 74 canine and 42 feline client-owned patients. Radiographs of client-owned animals with historical evidence of extraction of teeth 309 and 409 were reviewed. All patients had dental extraction(s) for clinical reasons, and all extractions were deemed successful by the practitioners. Extraction sites were radiographed to identify tooth root fragments and pathology. Twenty-five canine and 25 feline patients that had extractions utilizing preoperative and postoperative radiography were also included. Sixty-one of 74 canine patients (82.4%; P retained tooth root fragments. In total, 100 of 116 cases (86.4%; P retained tooth root fragments, and periapical pathology was found in 66 of 116 (56.8%; P = 0.000000743) radiographs, including 39 of 74 canine cases (52.7%; P = 0.00002765) and 27 of 42 feline cases (64.3%; P = 0.01589). The control group had no evidence of retained root fragments. Further veterinary dental training and routine use of pre- and postoperative dental radiology are recommended.

  16. Langerhans Cell Histiocytosis Mimicking Periapical Pathology in a 39-Year-Old Man.

    Science.gov (United States)

    Peters, Scott M; Pastagia, Julie; Yoon, Angela J; Philipone, Elizabeth M

    2017-08-29

    Langerhans cell histiocytosis (LCH) is a clonal neoplastic proliferation of Langerhans-type dendritic cells, with more than 50% of cases of LCH seen in children younger than 15 years of age. The most common clinical presentation of LCH is solitary or multiple bony lesions. The jaws are affected in approximately 10%-20% of cases, with a strong predilection for the mandible. The maxilla is involved in only 1% of head and neck cases. When the jaws are involved, lesions of LCH may mimic periapical pathology as seen in patients requiring endodontic therapy or bone loss as seen in periodontal disease. We report the case of a 39-year-old man with LCH involving the posterior maxilla. This is a rare presentation of LCH with respect to both location and patient age. Clinicians should consider LCH when developing a differential diagnosis of an apical radiolucency of vital teeth or teeth that fail to respond to endodontic therapy and be aware of its clinical and radiographic mimics. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  17. Effects of neural mobilization on pain, straight leg raise test and disability in patients with radicular low back pain

    Directory of Open Access Journals (Sweden)

    Haris Čolaković

    2013-09-01

    Full Text Available Introduction: Radicular low back pain is a disorder involving the dysfunction of the lumbosacral nerve roots. Clinical rehabilitation approaches for low back pain include kinesiotherapy, and physical therapyprocedures: ice , rest , heat, ultrasound, TENS, but evidences regarding their effectiveness are lacking. The purpose of this study was to determine if nerve mobilization brings better improvements in pain, SLR testand functional disability in patients with radicular low back pain compared to standard physical therapy.Methods: The study was conducted on a 60 patients with Radicular low back pain, treated in Regional medical center "Dr Safet Mujić", Mostar, during the period from 01.04.2010 untill 31.04.2011. Patientswere divided into two groups. First group (n=30 received a 4-week rehabilitation program including neural mobilization and lumbar stabilization program. Second group (n=30 received a 4-week rehabilitation program including active range of motion (ROM exercises and lumbar stabilization program.Results: At the beginning, the two groups were not signifi cantly different in terms of score or SLR. After therapy there was statistically signifi cant improvement between groups in both VAS scores[Group A: 1.16±1.5; Group B: 2.25±2.2] and SLR [Group A: 80.9±17.4; Group B: 65.9±16.4]. ]. After the treatment, in group A, 46.6% (14 participants had been rated with 4, but in Group B: 33.3% (10 participants had been rated with 3.Conclusions: Patients treated with neural mobilization and lumbar stabilization showed better VAS scores and Straight Leg Test scores compared to patients treated with active range of motion exercises and lumbar stabilization. Further research to investigate their long term effi cacy is warranted, with emphasis on greater number of participants.

  18. Comparación entre radiografias convencionales y digitales en la medición de canales radiculares

    OpenAIRE

    Arieta, Luciana Correa; Krause, Ramon; Rockenbach,Maria Ivete Bolzan; Veeck, Elaine Bauer

    2010-01-01

    The objective of this study was to compare conventional and digital radiographs to measure root canals. Fifty permanent single-canal teeth were employed. The roots were placed on the film or on the storage phosphor plate on their longest axes. And they were perpendicularly exposed to the x-ray beam in a distance of 30 cm with the exposure time of 0.08 s. The conventional radiographs were obtained using periapical film #2 (InSight, Kodak). They were measured with a millimeter ruler and with...

  19. Avaliação da efetividade de pontas sonicas diamantadas na descontaminação radicular

    OpenAIRE

    Angela Guimarães Martins

    2003-01-01

    Resumo: O objetivo deste estudo foi avaliar a efetividade de pontas sônicas diamantadas (Sonicparo ?), na descontaminação de superfícies radiculares de dentes unirradiculares sob parâmetros clínicos (índice de placa, sangramento à sondagem, profundidade de sondagem, nível de inserção clínica relativo, e recessão gengival) e microbiológicos, comparados a instrumentação com curetas. Esta pesquisa trata-se de um teste clínico controlado radomizado com um desenho em boca dividida, envolvendo 12 ...

  20. Efectos de las fuerzas ortodóncicas, producidas por brackets autoligantes activos y pasivos, sobre el cemento radicular.

    OpenAIRE

    Pavani Carillo, Jorge José

    2016-01-01

    Introducción: El objetivo de este trabajo, de carácter clínico experimental, fue observar in vitro, mediante la utilización de distintos tipos de microscopios y del estudio microanalítico, los posibles cambios estructurales y químicos del cemento radicular, producidos por el efecto de las fuerzas ortodóncicas generadas al emplear brackets autoligantes activos y pasivos, luego del período de alineación, nivelación y expresión inicial de torque del tratamiento ortodóncico. Materiales ...

  1. Cobertura radicular obtenida tras el tratamiento de recesiones gingivales: estudio retrospectivo de dos técnicas quirúrgicas

    OpenAIRE

    2016-01-01

    124 p. Los diferentes estudios epidemiológicos realizados sobre la enfermedad periodontal en seres humanos han demostrado la gran prevalencia de las recesiones gingivales, lo que hace que sean motivo de demanda de tratamiento. A lo largo de la historia se han descrito numerosas técnicas de cirugía mucogingival cuyo objetivo es la cobertura radicular, pero la evidencia científica demuestra que las técnicas de tratamiento para conseguir una mayor predictibilidad en cuanto a cobertura y mejor...

  2. Quinta parte. pudriciones fungosas radiculares del fríjol en valle de medellín colombia

    OpenAIRE

    Cárdona Álvarez Canúto

    2013-01-01

    En esta parte se hace el resumen del estudio que se realizo sobre las pudriciones fungosas radiculares del fríjol en el valle de Medellín, a continuación se enumeran las conclusiones a las que se llegaron: 1)A partir de 1948 se hizo un estudio de determinación de los hongos que causan pudriciones de la raíz del fríjol. Dicho estudio se efectuó en Medellín e incluyó organismos de la región y de otros lugares, como Andes, Armero y Palmira. Se usaron organismos que se encontraron asociados ...

  3. Nuevos métodos de desinfección y limpieza del sistema de conductos radiculares

    OpenAIRE

    Castelo Baz, Pablo

    2012-01-01

    La desinfección y limpieza del sistema de conductos radiculares, es considerada una parte esencial en la preparación químico-mecánica del mismo, cuyo fin es poder conseguir el éxito en endodoncia. El fin de esta tesis doctoral es demostrar la utilidad clínica de dos de estos nuevos mecanismos, la irrigación ultrasónica continua por un lado y el láser de diodo por el otro.

  4. Filtración bacteriana in vitro, de conductos radiculares con y sin medicación intracanal

    OpenAIRE

    Wais Rowlands, Janisse; Anaya Tello, Luis Yonel

    2006-01-01

    Introducción: evaluar el tiempo de filtración bacteriana in vitro obtenido en conductos con y sin medicación intracanal, a través de un modelo de filtración bacteriana. Material y método: fueron utilizados 49 diente humanos extraídos uniradiculares, que después de la remoción de sus coronas tuvieron sus canales preparados a 1mm del ápice radicular hasta el instrumento Nº 45. Posteriormente, se dividieron en tres grupos de 15 en: hidróxidos de calcio mas agua destilada (G1), hidróxido de calci...

  5. Estudo clínico da eficácia do bloqueio anestésico radicular transforaminal no tratamento da radiculopatia lombar Estudio clínico de la eficacia del bloqueo anestésico radicular transforaminal en el tratamiento de la radiculopatía lumbar Clinical study on the efficacy of transforaminal radicular block in lumbar radiculopathy treatment

    Directory of Open Access Journals (Sweden)

    Fabiano Fonseca Rodrigues de Souza

    2011-01-01

    Full Text Available OBJETIVO: O objetivo deste estudo é avaliar a eficácia da injeção transforaminal nos pacientes com dor radicular devido à hérnia de disco ou estenose foraminal lombar por meio de estudo prospectivo randomizado. MÉTODOS: Foram avaliados 61 pacientes com quadro de radiculopatia nos membros inferiores. Esses pacientes foram divididos em dois grupos escolhidos aleatoriamente. Desses, 32 foram submetidos à injeção de corticosteroides e 29 foram submetidos à injeção salina. O período de acompanhamento foi de 12 meses. Para avaliar os resultados aplicamos a Escala Analógica Visual de Dor (EAV e o Índice Oswestry (ODI. RESULTADOS: Houve melhora significativa da intensidade de dor (p OBJETIVO: El presente estudio tuvo como objetivo evaluar la eficacia de la inyección transforaminal en pacientes con dolor radicular, debido a la hernia discal lumbar o estenosis foraminal, mediante un estudio prospectivo y aleatorizado. MÉTODOS: Se analizó un total de 61 pacientes con cuadro de radiculopatía en miembros inferiores. Estos pacientes fueron divididos en dos grupos seleccionados al azar. De ellos, 31 fueron sometidos a inyecciones de corticoides y a 29 se les aplicaron inyecciones de suero fisiológico. El período de seguimiento fue de 12 meses. Para evaluar los resultados se les aplicó la Escala Visual Analógica del dolor (EAV y el Índice de Oswestry (ODI, sigla en inglés. RESULTADOS: Hubo una mejora significativa en la intensidad del dolor (p OBJECTIVE: To assess the efficacy of corticosteroid injections in patients with sciatica due to lumbar disc herniation or lumbar foraminal stenosis by a prospective randomized study. METHODS: There were analyzed 61 patients with sciatica due to lumbar disc degeneration. These patients were divided into two groups randomly chosen to radicular blocks with saline solution or corticosteroids. Thirty-one of these patients were submitted to corticosteroids radicular block and 29 patients were submitted

  6. State of the art and clinical recommendations in periapical implant lesions. 9th Mozo-Grau Ticare Conference in Quintanilla, Spain

    Science.gov (United States)

    Peñarrocha-Diago, María; Blaya-Tárraga, Juan-Antonio

    2017-01-01

    This manuscript summarizes the statements and clinical recommendations in periapical implant lesions, as per the state of the art and expert opinion agreement among the participants in the 9th Mozo-Grau Conference 2016 held in Quintanilla (Valladolid, Spain). The current status of the concept, frequency, etiology, diagnosis, clinical classification, surgical procedure and prognosis are described. If following implant placement localized pain develops in the periapical area, with or without radiographic changes, the diagnosis of periapical implant lesion should be suspected. It is important to monitor the condition in order to identify any change in its evolution. Radiological changes in the periapical radiographs are not always manifest in the early stages, and in this regard small-volume cone beam computed tomography can help us visualize such peri-implant changes. The early diagnosis of periapical implant lesions during the osseointegration phase and the provision of early treatment result in increased implant survival rates, thereby avoiding the need for implant extraction. Key words:Apical peri-implantitis, retrograde peri-implantitis, inflammatory peri-implantitis lesion. PMID:28298994

  7. Platelet-Rich Fibrin with β-Tricalcium Phosphate—A Noval Approach for Bone Augmentation in Chronic Periapical Lesion: A Case Report

    Directory of Open Access Journals (Sweden)

    K. B. Jayalakshmi

    2012-01-01

    Full Text Available Introduction. This paper describes a case of bone augmentation with combination of Platelet-Rich Fibrin (PRF and β-TCP for treatment of chronic periapical cyst. The case was followed for 12 months. Methods. Patient presented with chronic periapical lesion in maxillary anterior teeth with history of trauma 8 years back. Radiographically, a periapical cyst was seen in relation to maxillary left central and lateral incisors. Conventional endodontic treatment was started. Since it was not successful, apical surgery was performed. Bone augmentation was done using PRF in combination with β-TCP bone graft to achieve faster healing of the periapical region. Regular followups at 3, 6, 9, and 12 months were done. Results. Healing was uneventful. Follow-up examinations revealed progressive, significant, and predictable clinical and radiographic bone regeneration/healing without any clinical symptoms. Conclusions. Combined use of PRF and β-TCP for bone augmentation in treatment of periapical defects is a potential treatment alternative for faster healing than using these biomaterials alone.

  8. Comparison of clinical outcome of periapical surgery in endodontic and oral surgery units of a teaching dental hospital: a retrospective study.

    Science.gov (United States)

    Rahbaran, S; Gilthorpe, M S; Harrison, S D; Gulabivala, K

    2001-06-01

    The aims of this retrospective study were (1) to compare the outcome of periapical surgery performed in endodontic and in oral surgery units of a teaching dental hospital and (2) to evaluate the influence of factors affecting outcome. A total of 176 teeth (endodontic unit, 83; oral surgery unit, 93) surgically treated more than 4 years previously were examined clinically and radiographically by means of strict criteria. Multiple logistic regression analysis was used. The rate of complete healing for patients treated in the endodontic unit (37.4%) was significantly (P = .009) higher than that for patients treated in the oral surgery unit (19.4%). The technical quality of surgery (P < .001), placement of root-end filling (P = .039), absence of a preoperative periapical lesion (P = .042), absence of a post (P = .047), and presence of an adequate coronal restoration (P = .056, odds ratio = 3.71) had significant effects on treatment outcome. The technical quality of periapical surgery, the presence of a periapical lesion, and adequate apical and coronal seal are important prognostic determinants of successful periapical surgery.

  9. Immunoglobulin clases IgG, IgM, IgA and complement component C3 in dental periapical lesions of patients with rheumatoid disease.

    Science.gov (United States)

    Malmström, M

    1975-01-01

    To identify the immunoglobulin classes present in dental periapical lesions and to determine how, if at all, the distribution of immunoglobulin classes IgG. IgM and IgA differ in the dental periapical lesions of rheumatoid and control patients, paraffin-embedded and frozen tissues from the dental periapical lesions of 36 rheumatoid and 22 control patients were examined by the direct immunofluorescence technique. In addition, both rheumatoid and control tissues were examined for the presence of complement component C3, albumin and fibrinogen. Neither the greater frequency and abundancy with which IgG and to a lesser degree, IgA occurred in the dental periapical lesions of rheumatoid patients than in the corresponding lesions of control patients, nor the more frequent occurrence of complement component C3 in these same lesions, was statistically significant. No difference in the distribution of the various immunoglobulin classed could be discerned between the rheumatoid and control group. Albumin was distributed almost equally between the two patient groups. The greater abundance of fibrinogen among control patients was, however, statistically significant. These results do not provide evidence that an immunologic reaction takes place in the dental periapical lesions of patients with rheumatoid disease similar to that which characterizes rheumatoid inflammation. However, the presence of such a reaction cannot be excluded without more extensive investigation.

  10. Inmunodetección de metaloproteinasas de matriz extracelular (MMPs-2, -9, -13 y -14 en lesiones apicales asociadas con periodontitis apical asintomática Immunodetection of matrix metalloproteinases (MMPs-2, -9, -13 and -14 in periapical lesions associated with asymptomatic apical periodontitis

    Directory of Open Access Journals (Sweden)

    V Mundi Burgos

    2011-04-01

    collagen I, the main component of periodontal extracellular matrix, and gelatin, the product of degradation and denaturation of collagen. The aim of this study was to characterize the expression pattern of MMPs-2, -9, -13, and -14 in periapical granulomas (PGs, radicular cysts (RCs and healthy periodontal ligament (PDL. Materials and Methods: Individuals with clinical diagnosis of aAP and indication of extraction were selected (N=12, and biopsies of periapical lesions (PLs were obtained. For controls, 7 subjects with indication of premolar extraction for orthodontic reasons were selected, and PDL biopsies were obtained. Samples were diagnosed by anatomopathological examination and immunohistochemical staining was carried out to characterize MMPs expression. Results: MMPs-2, -9, -13 and -14 detection was limited to PLs and were localized mainly to inflammatory infiltrate on both, PGs and RCs. Additionally, MMP-2 was immunolocalized to fibroblasts from the connective tissue. Conclusions: Whereas MMPs-2, -9, -13 and -14 were not detected in healthy periodontal ligament, they were highly expressed on inflammatory infiltrate from PGs and RCs, suggesting a role of these mediators in aAP pathogenesis.

  11. Efeito da compactação do solo no desenvolvimento aéreo e radicular de cultivares de milho

    Directory of Open Access Journals (Sweden)

    Foloni José Salvador Simoneti

    2003-01-01

    Full Text Available O objetivo deste trabalho foi avaliar o desenvolvimento aéreo e radicular de duas cultivares de milho (Zea mays L., em solo submetido a quatro níveis de compactação. Utilizou-se um Latossolo Vermelho-Escuro distroférrico de textura média, em vasos montados com anéis de PVC sobrepostos, com diâmetro interno de 14,5 cm e altura de 35 cm. Os níveis de compactação utilizados em subsuperfície foram caracterizados pelas densidades do solo de 1,28, 1,42, 1,56 e 1,69 Mg m³. As cultivares de milho foram o híbrido AG-5011 e a variedade Sol da Manhã. Aos 40 dias após a emergência das plantas, determinaram-se as massas da matéria seca da parte aérea e das raízes, a densidade do comprimento radicular e o diâmetro médio radicular. A compactação do solo comprometeu o desenvolvimento das plantas de milho híbrido e da variedade na mesma intensidade. Apesar de alterar a distribuição do sistema radicular ao longo do perfil do solo, o impedimento físico em subsuperfície não diminuiu a produção total de raízes de milho. O diâmetro médio radicular apresentou alta correlação com o crescimento de raízes no solo compactado. O sistema radicular do milho não é capaz de romper uma camada compactada de solo com resistência mecânica da ordem de 1,4 MPa.

  12. Morfologia radicular da dentição permanente de Sapajus apella: morfometria, anatomia macroscópica, ultraestrutura e propriedades físicas

    Directory of Open Access Journals (Sweden)

    Luanna Melo Pereira Fernandes

    2014-08-01

    Full Text Available O objetivo desse trabalho foi contribuir com o estudo anatômico, morfométrico, ultraestrutural e propriedades físicas dos dentes permanentes do primata Sapajus apella. Para tal, foram utilizados 10 animais adultos e machos. Os dentes foram avaliados quanto ao seu comprimento e quanto à anatomia radicular externa e interna considerando número de raízes e canais, forma e direção radicular e forma do canal, assim como análise da densidade e diâmetro tubular do canal radicular, composição e microdureza dentinária. A anatomia radicular desse primata apresentou especificidades, como o número de raízes do segundo pré-molar superior e a presença do terceiro pré-molar. Quanto à densidade e o diâmetro dos túbulos dentinários, observou-se uma diminuição do número e diâmetro de túbulos ao longo do canal radicular, havendo diferença estatisticamente significante ao se comparar o terço apical com as regiões cervical e média, padrão de densidade e tamanho semelhantes a dentes humanos. Semelhanças também foram encontradas com dentes humanos quando comparados os valores de microdureza e proporção de elementos químicos encontrados na dentina radicular.

  13. Tesis doctoral: Influencia de la anatomía topográfica en la desinfección de conductos radiculares

    OpenAIRE

    Spoleti, Pablo

    2008-01-01

    Remover todo tejido orgánico, sano, inflamado o contaminado del sistema de conductos radiculares y su desinfección, es uno de los pilares básicos en Endodoncia. El objetivo de este estudio fue analizar la influencia de la anatomía topográfica en la desinfección del sistema de conductos radiculares. Para ello se seleccionó una muestra representativa de 120 dientes con diagnóstico de vitalidad pulpar y de diferente anatomía interna: incisivos centrales superiores, caninos superiores y raíces di...

  14. Consideraciones restauradoras y periodontales de molares tratados con resección radicular Restoration and periodontal considerations of resectioned molar teeth

    OpenAIRE

    J.C. Cuartas Ramírez; C.M. Ardila Medina

    2010-01-01

    La restauración de molares sometidos a resección radicular debe realizarse cuidadosa y apropiadamente. Los problemas que pueden aparecer cuando la terapia restauradora no es llevada a cabo adecuadamente incluyen problemas de retención, excesiva debilidad de la estructura radicular e incompleto sellado marginal. La cirugía preprotésica es una fase importante de este proceso y aun cuando la reparación tisular ocurre 6 u 8 semanas después del corte, se pueden evaluar diferentes tipos de restaura...

  15. Reabsorción radicular de incisivos centrales por impactación de caninos. Una solución ortodóncica

    OpenAIRE

    Tuesta Da Cruz, Orlando; Facultad de Estomatología, Universidad Peruana Cayetano Heredia. Lima,

    2014-01-01

    La impactación del canino superior permanente es un problema clínico que puede provocar una serie de secuelas que van desde la pérdida de espacio en el arco para su correcta erupción, hasta la reabsorción radicular de dientes vecinos. En el presente reporte se describe el caso de un paciente con ausencia clínica de caninos superiores, que se encontraban impactados con las coronas orientadas hacia vestibular y las raíces hacia palatino, produciendo reabsorción de 2/3 radiculares de los incisiv...

  16. RESISTÊNCIA À FRATURA DE DENTES COM DIFERENTES GRAUS DE FRAGILIZAÇÃO RADICULAR RECONSTRUÍDOS COM OU SEM PINOS ACESSÓRIOS

    OpenAIRE

    Ricardo Abreu da Rosa

    2010-01-01

    No presente trabalho foi avaliada a resistência à fratura de dentes bovinos com diferentes graus de alargamento do conduto radicular e reconstruídos com pinos de fibra de vidro utilizados isoladamente ou associados a pinos acessórios de fibra de vidro. Foram selecionados 50 incisivos inferiores bovinos, de dimensões mésio-distal e vestíbulo-lingual similares, seccionados transversalmente a 14 mm do ápice radicular. O tecido pulpar foi removido e os dentes foram fixados em blocos de resina acr...

  17. Influência do operador e agente cimentante na resistência de união de pinos de fibra de vidro à dentina radicular

    OpenAIRE

    Giovana Mongruel Gomes

    2010-01-01

    O propósito desse estudo foi avaliar a influência do operador e do sistema de cimentação na resistência de união (RU) de pino de fibra de vidro à dentina radicular nos diferentes terços radiculares. Quarenta e oito incisivos centrais superiores humanos extraídos foram seccionados transversalmente imediatamente após a junção cemento-esmalte, e as raízes foram tratadas endodonticamente. Após uma semana, foi realizado o preparo padronizado dos condutos, e as raízes foram aleatoriamente ...

  18. Consideraciones restauradoras y periodontales de molares tratados con resección radicular Restoration and periodontal considerations of resectioned molar teeth

    OpenAIRE

    J.C. Cuartas Ramírez; C.M. Ardila Medina

    2010-01-01

    La restauración de molares sometidos a resección radicular debe realizarse cuidadosa y apropiadamente. Los problemas que pueden aparecer cuando la terapia restauradora no es llevada a cabo adecuadamente incluyen problemas de retención, excesiva debilidad de la estructura radicular e incompleto sellado marginal. La cirugía preprotésica es una fase importante de este proceso y aun cuando la reparación tisular ocurre 6 u 8 semanas después del corte, se pueden evaluar diferentes tipos de restaura...

  19. Trocas gasosas e balanço de carboidratos em plantas de cana-de-açúcar sob condições de estresses radiculares

    Directory of Open Access Journals (Sweden)

    Cristina Rodrigues Gabriel Sales

    2012-01-01

    Full Text Available Embora a resposta da fotossíntese de plantas de cana-de-açúcar a estresses ambientais seja conhecida, o acúmulo de fitomassa e a dinâmica de carboidratos de reserva diante da exposição simultânea ao frio e à seca são pouco conhecidos. Este trabalho objetiva investigar o efeito do déficit hídrico e da baixa temperatura radicular, isolados e simultaneamente, no genótipo de cana-de-açúcar IACSP94-2094, considerado tolerante à seca. Como hipótese, consideramos que este genótipo também é tolerante à baixa temperatura radicular, já que baixas temperaturas e déficit hídrico ocorrem simultaneamente no campo. A imposição da restrição hídrica de forma isolada ou simultaneamente à baixa temperatura radicular causou redução do potencial da água na folha e da assimilação de CO2, o que não foi observado nas plantas submetidas apenas à baixa temperatura do substrato. Os teores foliares de carboidratos não estruturais, de sacarose e de amido aumentaram nas plantas sob frio radicular. Nos tratamentos com déficit hídrico, apenas o teor de amido foliar diminuiu. Os estresses radiculares causaram aumento nos teores de açúcares solúveis totais e diminuição no teor de amido nas raízes. Como o acúmulo de fitomassa das plantas não foi afetado, mesmo com a restrição no crescimento radicular nos tratamentos com baixa temperatura do substrato, conclui-se que o genótipo de cana-de-açúcar IACSP94-2094 contém indícios de tolerância à baixa temperatura radicular. A manutenção do crescimento da planta deve estar associada à degradação das reservas de amido foliares e radiculares.

  20. Cone-beam computed tomography versus digital periapical radiography in the detection of artificially created periapical lesions: A pilot study of the diagnostic accuracy of endodontists using both techniques

    Energy Technology Data Exchange (ETDEWEB)

    Campello, Abdrea Fagundes; Goncalves, Lucio Souza; Marques, Fabio vidal [Faculty of Dentistry, Estacio de Sa University, Rio de Janeiro (Brazil); Guedes, Fabio Ribeiro [Faculty of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro (Brazil)

    2017-03-15

    The aim of this study was to compare the diagnostic accuracy of previously trained endodontists in the detection of artificially created periapical lesions using cone-beam computed tomography (CBCT) and digital periapical radiography (DPR). An ex vivo model using dry skulls was used, in which simulated apical lesions were created and then progressively enlarged using no.1/2, no.2, no.4, and no.6 round burs. A total of 11 teeth were included in the study, and 110 images were obtained with CBCT and with an intraoral digital periapical radiographic sensor (Instrumentarium dental, Tuusula, Finland) initially and after each bur was used. Specificity and sensitivity were calculated. All images were evaluated by 10 previously trained, certified endodontists. Agreement was calculated using the kappa coefficient. The accuracy of each method in detecting apical lesions was calculated using the chi-square test. The kappa coefficient between examiners showed low agreement (range, 0.17-0.64). No statistical difference was found between CBCT and DPR in teeth without apical lesions (P=.15). The accuracy for CBCT was significantly higher than for DPR in all corresponding simulated lesions (P<.001). The correct diagnostic rate for CBCT ranged between 56.9% and 73.6%. The greatest difference between CBCT and DPR was seen in the maxillary teeth (CBCT, 71.4%; DPR, 28.6%; P<.01) and multi-rooted teeth (CBCT, 83.3%; DPR, 33.3%; P<.01). CBCT allowed higher accuracy than DPR in detecting simulated lesions for all simulated lesions tested. Endodontists need to be properly trained in interpreting CBCT scans to achieve higher diagnostic accuracy.

  1. Cone-beam computed tomography versus digital periapical radiography in the detection of artificially created periapical lesions: A pilot study of the diagnostic accuracy of endodontists using both techniques

    Science.gov (United States)

    Campello, Andrea Fagundes; Gonçalves, Lucio Souza; Guedes, Fábio Ribeiro

    2017-01-01

    Purpose The aim of this study was to compare the diagnostic accuracy of previously trained endodontists in the detection of artificially created periapical lesions using cone-beam computed tomography (CBCT) and digital periapical radiography (DPR). Materials and Methods An ex vivo model using dry skulls was used, in which simulated apical lesions were created and then progressively enlarged using #1/2, #2, #4, and #6 round burs. A total of 11 teeth were included in the study, and 110 images were obtained with CBCT and with an intraoral digital periapical radiographic sensor (Instrumentarium dental, Tuusula, Finland) initially and after each bur was used. Specificity and sensitivity were calculated. All images were evaluated by 10 previously trained, certified endodontists. Agreement was calculated using the kappa coefficient. The accuracy of each method in detecting apical lesions was calculated using the chi-square test. Results The kappa coefficient between examiners showed low agreement (range, 0.17-0.64). No statistical difference was found between CBCT and DPR in teeth without apical lesions (P=.15). The accuracy for CBCT was significantly higher than for DPR in all corresponding simulated lesions (P<.001). The correct diagnostic rate for CBCT ranged between 56.9% and 73.6%. The greatest difference between CBCT and DPR was seen in the maxillary teeth (CBCT, 71.4%; DPR, 28.6%; P<.01) and multi-rooted teeth (CBCT, 83.3%; DPR, 33.3%; P<.01). Conclusion CBCT allowed higher accuracy than DPR in detecting simulated lesions for all simulated lesions tested. Endodontists need to be properly trained in interpreting CBCT scans to achieve higher diagnostic accuracy. PMID:28361026

  2. Avaliação da reabsorção radicular após a movimentação ortodôntica em dentes tratados endodonticamente =Evaluation of root resorption after orthodontic treatment in endodontically treated teeth

    Directory of Open Access Journals (Sweden)

    Kreia, Tatiana Banzatto et al.

    2005-01-01

    Full Text Available O presente estudo teve como objetivo avaliar quantitativamente o grau de reabsorção radicular em dentes com tratamento endodôntico (Grupo 1 e dentes com vitalidade (Grupo 2, antes e após o tratamento ortodôntico. A amostra foi composta de 20 indivíduos, dos gêneros masculino e feminino. O critério de seleção foi a presença de um incisivo superior com tratamento endodôntico prévio ao tratamento ortodôntico e o seu correspondente homólogo, com vitalidade para controle e parâmetro de comparação. As medições foram realizadas em radiografias periapicais e modelos de estudo em gesso obtidos antes e após o tratamento ortodôntico corretivo, por um único operador, com um paquímetro digital e auxílio de uma lupa. Mediu-se na radiografia, o comprimento total (da borda incisal até o ápice radicular e a altura da coroa do dente tratado endodonticamente e do correspondente com vitalidade. Seguiu-se a medição da altura da coroa (da borda incisal até a margem gengival de ambos os dentes nos modelos em gesso e aplicou-se regra de três baseada no método de Huckaba (1964, para se obter o comprimento real dos dentes. Os resultados demonstraram que, apesar do grupo 1 ter apresentado um grau de reabsorção menor que o grupo 2 ao final do tratamento ortodôntico, essa diferença não foi estatisticamente significante (p = 0. 05. Concluiu-se que os dentes com tratamento endodôntico apresentaram menor grau de reabsorção radicular ao final do tratamento ortodôntico. The present study aims to evaluate quantitatively the degree of root resorption in endodontically treated teeth (Group 1 and vital teeth (Group 2, before and after orthodontic treatment. The sample was composed of 20 subjects, being male and female. The selection criterion was the presence of a maxillary incisor with previous endodontic treatment to the orthodontic treatment and its homologous vital correspondent for control and comparison parameter. The measurements had

  3. Anatomia radicular de milho em solo compactado Anatomy of maize roots in compacted soil

    Directory of Open Access Journals (Sweden)

    Anderson Cristian Bergamin

    2010-03-01

    Full Text Available O objetivo deste trabalho foi avaliar a relação entre a estrutura anatômica das raízes de milho e os atributos físicos de solo submetido a diferentes graus de compactação. O estudo foi realizado em campo, no Município de Dourados, MS, em Latossolo Vermelho distroférrico, textura muito argilosa. O delineamento experimental foi o de blocos ao acaso, com cinco repetições. O solo utilizado apresentava histórico de oito anos com plantio direto. A compactação adicional do solo foi realizada por meio de tráfego com trator, com uma (PDc1, duas (PDc2, quatro (PDc4 e seis passadas (PDc6 sucessivas, sobre toda a área da parcela. Houve aumento na razão entre o córtex e o cilindro vascular da raiz com o aumento na compactação do solo. Essa razão correlacionou-se negativamente com a macroporosidade e positivamente com a densidade do solo e com a resistência do solo à penetração. O grau de compactação afeta a anatomia radicular do milho, e a resistência do solo à penetração é o indicador físico que melhor expressa esse efeito.The objective of this work was to evaluate the relationship between maize root anatomy and physical attributes of soil subjected to levels of compaction. The experiment was carried out in field conditions, in Dourados, Mato Grosso do Sul state, Brazil, in a clayed Latossolo Vermelho (Rhodic Acrustox. A randomized complete block design was used, with five replicates. The soil was cultivated for eight years under no-tillage. The additional compaction of the soil was done by tractor traffic in one (PDc1, two (PDc2, four (PDc4 and six successive passes (PDc6, in the entire area of the experimental plots. Ratio between the cortex and vascular cylinder of the root increased with soil compaction. This ratio was negatively correlated to macroporosity, and positively to soil density and soil penetration resistance. Soil compaction level affects the anatomy of maize roots, and its penetration resistance is the best

  4. Radicular anatomy of permanent mandibular second molars in an Iranian population: A preliminary study

    Science.gov (United States)

    Akhlaghi, Nahid M.; Abbas, Fatemeh Mashadi; Mohammadi, Mostafa; Shamloo, Mohammad Reza Karami; Radmehr, Orkideh; Kaviani, Ramin; Rakhshan, Vahid

    2016-01-01

    Background: Root morphology is of utmost importance to endodontic sciences. Since there are a few studies on the morphology of mandibular second molars' roots, and some anatomical variables are not evaluated before, the aim of this study was to investigate thoroughly radicular anatomy of this tooth. Materials and Methods: This ex vivo study was performed on 150 intact mandibular second molars. After access cavity preparation and ensuring canal patency, Indian ink was injected into root canals from the orifices. The teeth became transparent using methyl salicylate storage. Then, they were inspected by an endodontist under a ×10 stereomicroscope regarding numerous root morphological variables. Data were analyzed using chi-square test and analysis of variance (α = 0.05). Results: About 86.7% of teeth had two roots and 13.3% were single-rooted (P = 0.0001), of which, 50% were C-shaped (6.7% of all teeth, P = 0.0001). 86.7% of mesial roots were double canalled, whereas 75.3% of distal roots were single canalled (P = 0.0001). 71.45% and 95.3% of the mesial and distal roots had one apical foramen, respectively (P = 0.0001). Apical foramens were mostly central followed by lingual in most cases. Distances between apical foramen and apical constriction ranged between 0.27 and 0.40 mm (P = 0.0545). Distances between apical foramen and root apices ranged between 0.30 and 0.47 mm (P = 0.0001). Vertucci classifications of mesial canals were Type II in 62.6% and Type IV in 37.4%. 86.2% of single-canal distal roots were Type I. 66.7% of double-canal distal roots were Type II and 33.3% were Type IV (P = 0.0001). The mean root lengths from cervical to apex of mesial, distal, and single roots were 14.02 ± 0.85 (95% confidence interval [CI] = 13.87–14.17), 13.35 ± 0.91 (95% CI = 13.19–13.50), and 14.25 ± 0.72 mm (95% CI = 13.91–14.58), respectively. The extents of canal curvatures varied between 20° and 31° buccolingually (P = 0.0000), and between 19° and 27

  5. Algunos aspectos de la morfología radicular de Hieronyma alchorneoides (Pilón

    Directory of Open Access Journals (Sweden)

    Ileana Moreira González

    2009-01-01

    Full Text Available El desarrollo de las raíces está relacionado con factores genéticos y ambientales tales como el tipo, temperatura y textura del suelo, la disponibilidad de agua y de nutrientes, entre otros. El objetivo del presente trabajo fue describir la anatomía de las raíces finas de Pilón (Hieronyma alchorneoides. Con la ayuda de un barreno, se tomó muestras de suelo cerca de los árboles de Pilón, para posteriormente separar las raíces. Este trabajo se llevó a cabo en la Estación Biológica La Selva, Finca La Guaria, Región Huetar Norte de Costa Rica, Sector Atlántico, en el año 2003. Por otro lado, se colectó cien frutos de Pilón, se los escarificó con una lija y se los puso a germinar en el invernadero para la descripción de las plántulas; otra parte del material se procesó para ser observado al microscopio electrónico de barrido. También se observó el desarrollo radicular de plantas de Pilón en medio hidropónico. La raíz de Hieronyma alchorneoides (Pilón presenta las características anatómicas propias de una dicotiledónea, sin embargo, al producirse en un medio acuático por la hidroponía, se observó en un corte transversal en crecimiento primario, gran cantidad de tejido parenquimático. Las raíces finas muestreadas presentaban gran cantidad de nódulos, lo cual demuestra que esta especie tiene potencial para fijar nitrógeno.

  6. Microporous, demineralized collagen matrices in intact radicular dentin created by commonly used calcium-depleting endodontic irrigants.

    Science.gov (United States)

    Tay, Franklin R; Gutmann, James L; Pashley, David H

    2007-09-01

    The use of calcium-depleting solutions in restorative dentistry results in demineralization of intact coronal dentin beneath smear layers. Likewise, application of calcium-depleting irrigants as final rinses might create demineralized collagen matrices in intact radicular dentin after removal of root canal wall smear layers created during canal shaping. These unsupported collagen matrices collapse on desiccation and might be difficult to detect in scanning electron microscopy dehydration techniques traditionally used in endodontic research. Demineralized collagen matrices were identified, by using a hexamethyldisilazane dehydration protocol, on the surface of smear layer-depleted radicular dentin when NaOCl was used as initial rinse, followed by the use of 17% ethylenediaminetetraacetic acid or BioPure MTAD as the final rinse. Compaction of conventional root filling materials over a demineralized collagen matrix in instrumented dentin is analogous to performing the same procedure against the predentin collagen network in the uninstrumented parts of root canals. The potential consequences of this process are, however, unknown.

  7. Propriedades do solo e sistema radicular do feijoeiro irrigado em rotação de culturas

    Directory of Open Access Journals (Sweden)

    E. B. Wutke

    2000-09-01

    Full Text Available O crescimento do sistema radicular do feijoeiro irrigado, cultivar IAC-Carioca, sob pivô central, em rotação com pousio, milho, aveia preta, Crotalaria juncea L., guandu (Cajanus cajan (L. Millsp. e mucuna preta (Mucuna aterrima, no período não-convencional de cultivo no outono-inverno, foi avaliado de 1993 a 1995, em Latossolo Vermelho eutroférrico típico, em área experimental do Instituto Agronômico, em Ribeirão Preto, São Paulo. A rotação de culturas do feijoeiro com milho e adubos verdes favoreceu a redução da resistência do solo à penetração na camada arável, garantiu a manutenção do teor de matéria orgânica do solo, bem como possibilitou a redução da acidez e o aumento do índice de saturação por bases (V% em profundidade em relação ao teor inicial. A velocidade de infiltração básica da água no solo foi favorecida pela inclusão da mucuna preta, da Crotalaria juncea L. e do milho, no esquema de rotações. A profundidade efetiva observada do seu sistema radicular foi de 0,35 a 0,40 m.

  8. Efeito de escória de alto forno no crescimento radicular e na produtividade de arroz

    Directory of Open Access Journals (Sweden)

    Carvalho-Pupatto Juliana Garcia

    2003-01-01

    Full Text Available A utilização agrícola de resíduos industriais como fertilizantes decorre da necessidade de diminuir o efeito nocivo do acúmulo de nutrientes nos centros de produção. O objetivo deste trabalho foi avaliar os efeitos de escória de alto forno no crescimento radicular e na produtividade do arroz de terras altas irrigado por aspersão. O experimento foi realizado no campo, adotando-se o delineamento experimental de blocos casualizados, com cinco doses de escória de alto forno (0, 2.550, 5.100, 10.200 e 15.300 kg ha-1 com quatro repetições. A utilização de escória melhorou a condição química do solo, aumentou o crescimento e a superfície radicular, diminuiu o diâmetro das raízes e elevou os teores de silício no solo e na planta, resultando em aumento da produtividade.

  9. Correlating the clinical assessment of impacted mandibular third molars with panoramic radiograph and intraoral periapical radiograph

    Science.gov (United States)

    Priya, P. Vani; Nasyam, Fazil A.; Ramprasad, M.; Penumatsa, Narendra V.; Akifuddin, Syed; Sandeep

    2016-01-01

    Aims And Objectives: This study was conducted to compare the clinical assessment of impacted third molars of mandible with panaromic radiograph (OPG) and intraoral periapical radiograph (IOPA) and to assess the efficacy of IOPA and. Moreover, we corroborated the OPG and IOPA findings of impacted mandiblar third molar root apex to inferior alveolar canal. Materials and Methods: A total of 200 patients with pericoronitis were examined who were indicated for surgical extraction, among which 50 patients were selected for the study. All the patients underwent a radiographic survey with a digital OPG and IOPA of impacted mandibular third molars, along with clinical survey for anatomic relationship, type of impaction, space available, position in relation to second molar, number of roots, root curvature, and proximity of nerve canal. The data was subjected to statistical analysis. The Statistical Package for Social Sciences version 4.0.1 software was used for analyzing the collected data. Results: The study revealed that IOPA was more accurate in determining a majority of the factors affecting the third molar surgery, including relationship of the external oblique ridge (IOPA vs OPG = 96%:90%), anteroposterior relation with ramus (IOPA vs OPG = 70%:66%), vertical depth of impaction (IOPA vs OPG = 72%:68%), number of roots (P = 0.013), morphology of roots (IOPA vs OPG = 96%:90%); however, OPG was found to be accurate in evaluating the type of impaction (IOPA vs OPG = 88%:94%), canal relation, along with root of impacted molar (IOPA vs OPG = 74%:86%). Conclusion: To conclude, although IOPA has a marginal angle over OPG in assessing various parameters, only the number of roots have a greater accuracy (P < 0.0013) in IOPA than with OPG. However, the OPG is the better choice to be considered when the patient is associated with trismus. PMID:28217540

  10. Evaluation of dental expertise with intra-oral peri-apical view radiographs for forensic identification

    Directory of Open Access Journals (Sweden)

    Kanwalpreet Kaur Bhullar

    2014-01-01

    Full Text Available Background: Identification of a dead person is important in starting the investigation into the circumstances of death. In the absence of forensic odontologist, it is vital that general dentists are able to compare the ante mortem-post mortem (AM-PM records and with their ability, correctly interpret the individuality of the person. Aims: This study wascarried out to find out the accuracy with which undergraduate, graduate and post-graduate dentists can do this comparison, using the simulated AM-PM intra-oral peri-apical (IOPA view radiographs. Setting and Design: A total of 60 investigators of which 20 undergraduate students, 20 general dentists, 20 post-graduate dentists viewed 10 pairs of simulated AM and PM radiographs and recorded their findings. Materials and Methods: Ten pairs of simulated AM-PM IOPA view radiographs were given to 60 dentists to investigate their discriminatory potential for dental identification purposes. The results were statistically analyzed. Statistical Analysis: χ2 -test and Mann-Whitney U-test were carried out to compare the sensitivity, specificity and accuracy of the three types of examiners (UG, G, PG. Results: The results showed sensitivity of 59.8%, specificity of 62.6%, accuracy of 61% for undergraduate students, sensitivity of 86.6%, specificity of 87.5%, accuracy of 87% for graduate doctors, sensitivity of 89.3%, specificity of 92.3% and accuracy of 90.5% for post-graduate doctors respectively. Conclusion: Inexperienced investigators in forensic identification showed fairly acceptable results, therefore, introduction of forensic odontology in an undergraduate course may help general dentists to provide better service, if required, in the absence of a forensic odontologist.

  11. Assessment of ropivacaine postoperative analgesic effect after periapical maxillary incisors surgery

    Directory of Open Access Journals (Sweden)

    Tijanić Miloš

    2012-01-01

    Full Text Available Background/Aim. Ropivacaine is a relatively new longacting local anesthetic. The aim of this study was to compare the postoperative analgesic effect of topical anesthetics ropivacaine 0.75% and lidocaine 2% with adrenaline in the postoperative treatment of periapical lesions in the maxilla. Methods. The study was conducted on 60 subjects, divided into two groups. The study-group received 0.75% ropivacaine without a vasoconstrictor, while the control group was treated with 2% lidocaine with adrenaline (1 : 80.000. Block anesthesia for n. infraorbitalis was used and local anesthetics were applied also on the palatine side for the end branches of n. nasopalatinus. The following parameters were observed: time elapsed from the application of an anesthetic until the first occurrence of pain after the surgery and first intake of an analgesic, the intensity of initial pain, pain intensity 6 h after the application of anesthetics and the total number of analgesics taken within 24 h after the completion of surgery. Results. The pain appeared statistically significantly earlier in the patients who had been given lidocaine with adrenaline (p < 0.001, while statistically significantly higher mean values of initial postoperative pain (p < 0.05 and pain intensity 6 h after the intervention (p < 0.01 were also registered in the same group of patients. In the period of 24 h upon the intervention, the study-group patients were taking less analgesics as compared to the control-group subjects (46.6% vs 73.3%, who were given analgesics earlier, although no statistically significant differences were observed related to the number of analgesic doses taken. Conclusion. The results of our study indicate a better postoperative analgesic effect of ropivacaine as compared to lidocaine with adrenaline.

  12. Assessment of periapical health, quality of root canal filling, and coronal restoration by using cone-beam computed tomography.

    Science.gov (United States)

    Cakici, E B; Yildirim, E; Cakici, F; Erdogan, A S

    2016-01-01

    The purpose of this study is to use cone-beam computed tomography (CBCT) to describe the prevalence of apical health, the quality of root canal filling, and coronal restorations of endodontically treated teeth in the east Anatolian subpopulation of Turkey. CBCT scans were taken from 748 patients attending for the 1st time to the clinic at the Oral Diagnosis and Radiology Department at Ataturk University's Faculty of Dentistry in Erzurum, Turkey. All images were analyzed by two research assistants who were trained using examples of CBCT images with and without the presence of periapical radiolucency. The two examiners assessed images from the experiment independently, and the readings were then compared. All data were entered on an MS Excel 2007 spreadsheet and SPSS software 15.0 which was used for statistical analysis. The Chi-square test was used to determine if a patient's periapical status was associated with the technical quality of root filling, coronal status, and to evaluate differences between tooth subgroups. In total, 147 teeth from 748 patients were found to have been treated endodontically. Sixty three teeth were found to have short root canal fillings, whereas 74 teeth had adequate root canal fillings, and the remaining 10 teeth had over extended root canal filling. A significant correlation was observed between the length of root filling and apical periodontitis (P = 0,023). Inadequately dense root canal filling was observed in 141 teeth, whereas adequately dense filling was found in only six teeth. There was a significant correlation between the density of root filling and apical periodontitis (P = 0.044). Coronal restoration was found in 90 teeth, but was not observed in all the three teeth. A crown was present in 54 teeth. There was a significant correlation between coronal restoration and apical periodontitis (P = 0.028). The results indicate that the quality of both the root filling and restoration were found to have impact on the periapical

  13. Treatment Experiences of Refractory Periapical Periodontitis%难治性根尖周炎的治疗体会

    Institute of Scientific and Technical Information of China (English)

    陈少华

    2014-01-01

    目的:评价难治性根尖周炎的治疗效果。方法:X线根尖片加电子根管测量仪测量根管长度,预弯K型锉预备根管,5%次氯酸钠、17%乙二胺四乙酸(EDTA)交替冲洗根管,氢氧化钙纸尖与碘仿根管封药,Vitapex糊剂加牙胶尖侧压充填根管。结果:采用此方法治疗58颗患牙,2年后复查,成功率达89.7%。结论:本方法治疗难治性根尖周炎疗效值得肯定。%Objective:To evaluate the clinical effects of refractory periapical periodontitis. Method:This article used apical X-ray radiography and an electronic apex locator to measure the length of root canal,and K-file should be pre-curved. 5%sodium hypochlorite and 17%EDTA were also used to wash root canal in turn. Then,calcium hydroxide paper point and iodoform were filled into root canal. Finally,Vitapex paste and gutta percha point were pushed into root canal through lateral compression. Result:With this method to treat fifty-eight teeth with refractory periapical periodontitis,the success rate was 89.7%when reviewed after 2years. Conclusion:It is worth to confirm the clinical effects of this method to treat refractory periapical periodontitis.

  14. Periapical and endodontic status of type 2 diabetic patients in Catalonia, Spain: a cross-sectional study.

    Science.gov (United States)

    López-López, José; Jané-Salas, Enric; Estrugo-Devesa, Albert; Velasco-Ortega, Eugenio; Martín-González, Jenifer; Segura-Egea, Juan José

    2011-05-01

    The aim of this study was to investigate radiographically the prevalence of apical periodontitis (AP) and endodontic treatment in a sample of adult type II diabetic patients and control subjects. In a cross-sectional study, the radiographic records of 50 adult patients reporting a history of well-controlled type 2 diabetes mellitus (DM) (study group) and 50 age- and sex-matched subjects who reported no history of DM (control group) were examined. Periapical status of all teeth was assessed using the periapical index score. The average number of teeth per patient in the diabetic and control groups was 21.9 and 24.6 teeth, respectively (P = .012). AP in one or more teeth was found in 37 diabetic patients (74%) and in 21 control subjects (42%) (odds ratio = 3.9, P = .002). One or more root-filled teeth were found in 35 (70%) and 25 (50%) of diabetic and control subjects, respectively (odds ratio = 2.3, P = .043). Among diabetic patients with root-filled teeth, 16 (46%) had AP affecting at least one treated tooth. Among controls with root-filled teeth, 6 (24%) had AP affecting at least one treated tooth (P > .05). Adjusting for teeth number, multivariate logistic regression analysis showed that periapical status (odds ratio = 3.3, P = .0071) and the number of root-filled teeth (odds ratio = 1.7; P = .0035) were significantly associated with diabetic status. The results showed that in adult patients, type 2 DM is significantly associated with an increased prevalence of AP and endodontic treatment. Copyright © 2011 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  15. Lodo de esgoto e sistema radicular da pupunheira Sewage sludge doses and the root system of peach palm

    Directory of Open Access Journals (Sweden)

    Fernando Vinicio Armas Vega

    2005-04-01

    Full Text Available Os efeitos do lodo de esgoto sobre o sistema radicular da pupunheira foram estudados em experimento em campo, em blocos casualizados, instalado em Ubatuba (SP, em julho 2001, na densidade de 5.000 plantas ha-1. As doses de lodo de esgoto fresco (79,7 % de umidade utilizadas foram de 0, 38, 76 e 152 t ha-1, equivalentes a 0, 100, 200 e 400 kg ha-1 de N. Os tratamentos foram aplicados no sulco de plantio, adicionando-se 15 g por planta de KCl como fonte de K. A análise do sistema radicular foi efetuada doze meses após, por meio de trado e de trincheiras e com o auxílio de fotos digitais. Detectou-se que o sistema radicular de pupunheiras com um ano de campo estava concentrado nas camadas superficiais (acima de 75 % nos primeiros 20 cm, assim como em distâncias de até 0,5 m da base da planta. O lodo de esgoto modificou positivamente a densidade do solo, alterando também favoravelmente a densidade das raízes. Houve aumento na biomassa radicular proporcional às doses de lodo de esgoto, existindo uma relação direta daquela com a fitomassa aérea. Doses de lodo equivalentes a 200 e 400 kg de N contribuíram para aprofundar o sistema radicular e proporcionaram maior quantidade relativa de raízes finas.The effects of sewage sludge doses on the root system of peach palm were studied in a field experiment, in randomized complete blocks, carried out in Ubatuba, state of São Paulo, Brazil. The trial was set up in July 2001, with a density of 5,000 plants ha-1. The sewage sludge doses (79.7 % water content were 0, 38, 76, and 152 t ha-1, which were equivalent to doses of 0, 100, 200, and 400 kg ha-1 of N. The treatments were applied in the planting furrow, and every plant was provided with K by a dose of 15 g potassium chloride. The root system was analyzed one year after planting using soil auger and digging of trenches and with the help of digital images. It was concluded that the root system of one-year old peach palm was concentrated in the

  16. Conservative, Surgical, and Prosthetic Treatment of a Patient with a Periapical Lesion Associated with an Atypical Intraoral Sinus Tract

    Directory of Open Access Journals (Sweden)

    Michael Wolgin

    2015-01-01

    Full Text Available This report describes a clinical case with an atypical intraoral sinus tract formation from diagnosis and treatment to short-term outcome and definitive prosthetic rehabilitation. In detail, the patient underwent conservative nonsurgical root canal treatment followed by guided bone augmentation of the regions involved in periapical inflammation and sinus tract formation. The removal of the inflammatory source of the lesion as well as the affected tissue clearly led to a healing of the surrounding bone tissues. Subsequently, the tooth was reconstructed using a fibreglass post and a metal-ceramic crown; an implant was successfully placed in the previously inflamed bone region.

  17. Medicación intraconducto en reacción periapical crónica en un paciente diabético: control a 6 meses

    OpenAIRE

    Álamo Palomino, Jorge; Gonzales León de Peralta, Juvenal

    2013-01-01

    Para el tratamiento de una reacción periapical crónica hay muchos enfoques, como el tratamiento de conductos solo, la microcirugía endodóntica, hasta la exodoncia de la pieza dentaria. En este artículo se presenta una reacción periapical de gran tamaño entre incisivo central y lateral superior derecho en un paciente diabético tipo I, a quien se atendió solo con tratamiento de conductos a las piezas comprometidas. Se controló el caso durante 6 meses, para luego permanecer en silencio ...

  18. Cirugía periapical con técnica de ultrasonidoss y relleno con amalgama de plata. A propósito de 122 casos.

    OpenAIRE

    Peñarrocha Diago, Miguel; Sanchis Bielsa, José María; Gay Escoda,Cosme

    2001-01-01

    La cirugía periapical ha cambiado, en los últimos años, con la realización de la cavidad retrógrada con instrumental ultrasónico, hacia una cirugía más minuciosa, conservadora y limpia. Todo esto gracias a que se efectúa una menor ostectomía, menor resección apical y además a la posibilidad de limpiar el material blando retrorradicular con las puntas de ultrasonidos. Estudiamos 122 casos de cirugía periapical (155 dientes tratados), realizados con la técnica de ultrasonidos, y relleno con ama...

  19. MMP1-1607 polymorphism increases the risk for periapical lesion development through the upregulation MMP-1 expression in association with pro-inflammatory milieu elements

    Science.gov (United States)

    TROMBONE, Ana Paula Favaro; CAVALLA, Franco; SILVEIRA, Elcia Maria Varize; ANDREO, Camile Bermejo; FRANCISCONI, Carolina Favaro; FONSECA, Angélica Cristina; LETRA, Ariadne; SILVA, Renato Menezes; GARLET, Gustavo Pompermaier

    2016-01-01

    ABSTRACT Increased matrix metalloproteinases (MMPs) activity is a hallmark of periapical granulomas. However, the factors underlying the MMPs expression modulation in healthy and diseased periapical tissues remains to be determined. Objective In this study, we evaluated the association between the MMP1-1607 polymorphism (rs1799750) and pro-inflammatory milieu elements with MMP-1 mRNA levels in vivo. Material and Methods MMP1-1607 SNP and the mRNA levels of MMP-1, TNF-a, IFN-g, IL-17A, IL-21, IL-10, IL-4, IL-9, and FOXp3 were determined via RealTimePCR in DNA/RNA samples from patients presenting periapical granulomas (N=111, for both genotyping and expression analysis) and control subjects (N=214 for genotyping and N=26 for expression analysis). The Shapiro-Wilk, Fisher, Pearson, Chi-square ordinal least squares regression tests were used for data analysis (p<0.05 was considered statistically significant). Results The MMP1-1607 1G/2G and 1G/2G+2G/2G genotypes were significantly more prevalent in the patients than in controls, comprising a risk factor for periapical lesions development. MMP-1 mRNA levels were higher in periapical lesions than in healthy periodontal ligament samples, as well as higher in active than in inactive lesions. The polymorphic allele 2G carriers presented a significantly higher MMP-1 mRNA expression when compared with the 1G/1G genotype group. The ordered logistic regression demonstrated a significant correlation between the genetic polymorphism and the expression levels of MMP-1. Additionally, the pro- and anti-inflammatory cytokines IL-17A, IFN-g, TNF-a, IL-21, IL-10, IL-9, and IL-4 were significant as complementary explanatory variables of MMP-1 expression. Conclusion The MMP1-1607 SNP was identified as a risk factor for periapical lesions development, possibly due to its association with increased MMP-1 mRNA levels in periapical lesions. The MMP-1 expression is also under the control of the inflammatory milieu elements, being the

  20. Efficacy of various eugenol and non-eugenol root canal sealers in the treatment of teeth with periapical radiolucent area--a clinical and radiological study.

    OpenAIRE

    Bal C; Sikri V; Agrawal R

    1990-01-01

    A clinical and radiological study was conducted to compare the efficacy of various eugenol containing Viz. Zinc oxide eugenol, CRCS and Rosen′s Cement and non eugenol containing sealers and N2 on forty eight non-vital anterior teeth, with a periapical radiolucent area of 1-7mm in diameter. The patients were recalled after 30,90,150 and 210 days On radiological examination after 210 days CRCS showed maximum decrease in periapical radiolucency from 4.39 mm. to 1.80mm. The teeth treated w...

  1. Avaliação de três métodos radiográficos (periapical convencional, periapical digital e panorâmico no diagnóstico de lesões apicais produzidas artificialmente

    Directory of Open Access Journals (Sweden)

    ALMEIDA Solange Maria de

    2001-01-01

    Full Text Available Esta pesquisa teve por objetivo avaliar três métodos radiográficos - radiografia periapical convencional, periapical digital e panorâmica - no diagnóstico de lesões apicais produzidas artificialmente. Para tanto, utilizaram-se mandíbulas maceradas, onde foram produzidas lesões com brocas esféricas de diferentes diâmetros, permitindo que as lesões apresentassem tamanhos diferentes, conforme a broca utilizada, o que correspondeu a 5 fases distintas: fase inicial ou Z, caracterizada pela ausência de lesão; fase R, cuja lesão foi produzida com a broca 6; fase J, lesão produzida com a broca 8; fase D, cuja lesão foi produzida com a broca 10; fase H, cuja destruição óssea atingia a cortical vestibular. As lesões foram produzidas em todos os quadrantes dentais. As radiografias foram realizadas após cada fase e analisadas por 4 radiologistas. Houve diferença estatisticamente significante na fase R na região de incisivos e na fase H na região de pré-molares a favor do sistema digital; na região de molares houve diferença estatisticamente significante na fase D para a radiografia panorâmica, sendo que essa técnica foi a menos eficaz na fase H.

  2. Segmentation of large periapical lesions toward dental computer-aided diagnosis in cone-beam CT scans

    Science.gov (United States)

    Rysavy, Steven; Flores, Arturo; Enciso, Reyes; Okada, Kazunori

    2008-03-01

    This paper presents an experimental study for assessing the applicability of general-purpose 3D segmentation algorithms for analyzing dental periapical lesions in cone-beam computed tomography (CBCT) scans. In the field of Endodontics, clinical studies have been unable to determine if a periapical granuloma can heal with non-surgical methods. Addressing this issue, Simon et al. recently proposed a diagnostic technique which non-invasively classifies target lesions using CBCT. Manual segmentation exploited in their study, however, is too time consuming and unreliable for real world adoption. On the other hand, many technically advanced algorithms have been proposed to address segmentation problems in various biomedical and non-biomedical contexts, but they have not yet been applied to the field of dentistry. Presented in this paper is a novel application of such segmentation algorithms to the clinically-significant dental problem. This study evaluates three state-of-the-art graph-based algorithms: a normalized cut algorithm based on a generalized eigen-value problem, a graph cut algorithm implementing energy minimization techniques, and a random walks algorithm derived from discrete electrical potential theory. In this paper, we extend the original 2D formulation of the above algorithms to segment 3D images directly and apply the resulting algorithms to the dental CBCT images. We experimentally evaluate quality of the segmentation results for 3D CBCT images, as well as their 2D cross sections. The benefits and pitfalls of each algorithm are highlighted.

  3. A posterior registration and subtraction of periapical radiographs for the evaluation of external apical root resorption after orthodontic treatment

    Energy Technology Data Exchange (ETDEWEB)

    Kreich, Eliane Maria; Chibinski, Ana Claudia; Coelho, Ulisses; Wambier, Leticia Stadler; Zedebski, Rosaio De Arruda Moura [School of Dentistry, Ponta Grossa State University, Ponta Grossa, Parana (Brazil); De Moraes, Mari Eli Leonelli; De Moraes, Luiz Cesar [Dept. of Dental Radiology, School of Dentistry, State University of Sao Paulo, Sao Jose dos Campos, Sao Paulo (Brazil)

    2016-03-15

    This study employed a posteriori registration and subtraction of radiographic images to quantify the apical root resorption in maxillary permanent central incisors after orthodontic treatment, and assessed whether the external apical root resorption (EARR) was related to a range of parameters involved in the treatment. A sample of 79 patients (mean age, 13.5±2.2 years) with no history of trauma or endodontic treatment of the maxillary permanent central incisors was selected. Periapical radiographs taken before and after orthodontic treatment were digitized and imported to the Regeemy software. Based on an analysis of the posttreatment radiographs, the length of the incisors was measured using Image J software. The mean EARR was described in pixels and relative root resorption (%). The patient's age and gender, tooth extraction, use of elastics, and treatment duration were evaluated to identify possible correlations with EARR. The mean EARR observed was 15.44±12.1 pixels (5.1% resorption). No differences in the mean EARR were observed according to patient characteristics (gender, age) or treatment parameters (use of elastics, treatment duration). The only parameter that influenced the mean EARR of a patient was the need for tooth extraction. A posteriori registration and subtraction of periapical radiographs was a suitable method to quantify EARR after orthodontic treatment, and the need for tooth extraction increased the extent of root resorption after orthodontic treatment.

  4. Periapical cemento-osseous dysplasia: a case report with twelve-year follow-up and review of literature.

    Science.gov (United States)

    Senia, E S; Sarao, M S

    2015-11-01

    To present a case report describing the long-term behaviour of periapical cemento-osseous dysplasia by observing the radiographic changes that took place over a period of 12 years. A review of the pertinent literature is also presented. A healthy 26-year-old white female was referred to the Wilford Hall USAF Medical Center Endodontic Department for evaluation of an asymptomatic radiolucency at the apex of the right mandibular lateral incisor. Following a clinical evaluation that included pulp testing, a diagnosis of periapical cemento-osseous dysplasia (PCOD) was made. No treatment was rendered but follow-up visits were recommended. The patient was subsequently re-evaluated 8 times over a period of 12 years. During that time the lesion changed in appearance, displaying the various phases of PCOD. At the same time, lesions affecting the three adjoining incisors appeared and behaved in a similar manner. At the 12-year recall, the right lateral and both central incisors revealed no evidence of PCOD and an almost normal trabecular pattern of bone could be seen. Misdiagnosis and unnecessary treatment of PCOD may be avoided with careful pulp testing and knowledge of its most common locations of occurrence, radiographic appearances (phases) and benign behaviour. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  5. A comparison of Web page and slide/tape for instruction in periapical and panoramic radiographic anatomy.

    Science.gov (United States)

    Ludlow, J B; Platin, E

    2000-04-01

    Self-guided slide/tape (ST) and web page (WP) instruction in normal radiographic anatomy of periapical and panoramic images is compared using objective test performance and subjective preference of freshman dental students. A class of seventy-four students was divided into a group studying anatomy in periapical images using WP and a group studying similar ST material. In a modified cross-over design the groups switched presentation technologies to learn anatomy in panoramic images. Students completed self-administered on-line quizzes covering WP materials and conventional quizzes for ST material. Students also completed a voluntary survey. Mean quiz performance identifying matched anatomic features in PA (n = 26) and panoramic images (n = 35) was excellent (96.9%) and not different between image types (p = 0.12) or presentation technologies (p = 0.81). Students preferred WP for accessibility, ease of use, freedom of navigation, and image quality (p < .01). Student comfort level with the quiz formats of the two technologies was not different (p = 0.11). Students experienced a higher rate of mechanical and logistical problems with ST than with WP technology. While 71 percent of the students preferred WP technology, this preference appears to be related to ease of use and facilitation of flexible learning styles rather than improved didactic performance.

  6. A posteriori registration and subtraction of periapical radiographs for the evaluation of external apical root resorption after orthodontic treatment

    Science.gov (United States)

    Chibinski, Ana Cláudia; Coelho, Ulisses; Wambier, Letícia Stadler; Zedebski, Rosário de Arruda Moura; de Moraes, Mari Eli Leonelli; de Moraes, Luiz Cesar

    2016-01-01

    Purpose This study employed a posteriori registration and subtraction of radiographic images to quantify the apical root resorption in maxillary permanent central incisors after orthodontic treatment, and assessed whether the external apical root resorption (EARR) was related to a range of parameters involved in the treatment. Materials and Methods A sample of 79 patients (mean age, 13.5±2.2 years) with no history of trauma or endodontic treatment of the maxillary permanent central incisors was selected. Periapical radiographs taken before and after orthodontic treatment were digitized and imported to the Regeemy software. Based on an analysis of the posttreatment radiographs, the length of the incisors was measured using Image J software. The mean EARR was described in pixels and relative root resorption (%). The patient's age and gender, tooth extraction, use of elastics, and treatment duration were evaluated to identify possible correlations with EARR. Results The mean EARR observed was 15.44±12.1 pixels (5.1% resorption). No differences in the mean EARR were observed according to patient characteristics (gender, age) or treatment parameters (use of elastics, treatment duration). The only parameter that influenced the mean EARR of a patient was the need for tooth extraction. Conclusion A posteriori registration and subtraction of periapical radiographs was a suitable method to quantify EARR after orthodontic treatment, and the need for tooth extraction increased the extent of root resorption after orthodontic treatment. PMID:27051635

  7. Stellate Ganglion Block Reduces the Radicular Pain and Salivary Alpha-Amylase Activity in Patients with Cervical Spondylosis

    Directory of Open Access Journals (Sweden)

    Takashi Egashira

    2015-03-01

    Full Text Available Background The effects of stellate ganglion block (SGB on radicular pain associated with cervical spondylosis remain to be clarified. So we measured salivary alpha-amylase which reflects sympathetic nerve activity under psychological stress after SGB block or trigger points injection (TPI. Study Design A randomized, prospective, controlled trial Setting After institutional approval and informed consent, 40 patients who was suffered from neck-shoulder pain associated with cervical radiculopathy were randomly divided into two groups according to nerve block treatment. Group A (n=20, male 10 patients, female 10 patients, 50±8yr, mean±SD received SGB and group B (n=20, male 10 patients, female 10 patients, 52±6yr received TPI. SGB or TPI was produced by 6 ml of 1% mepivacaine a total of 5 times (twice per week. Visual analogue scale (VAS and the concentration of salivary alpha-amylase were measured before (T0 each nerve block and 3 days (T1, 6 days (T2, 9 days (T3, 12 days (T4 and 15days (T5 after each nerve block. The consumption of non-steroidal anti-inflammatory drug (NSAID was measured at T0 and T5 in each group. Results In group A, VAS was median 74 (range 60, 78 at T0 and showed a significant decrease at T3 [53 (48, 65, p<0.05], T4 [50 (42, 66, p<0.05] and T5 [48 (26,57, p<0.05]. The concentration of salivary alpha-amylase was median 116 (range 96, 144 KU/ml at T0 and showed a significant decrease at T3 [86 (79, 105, p<0.05], T4 [79 (68, 88] and T5 [70 (55, 84, p<0.05]. In group B, VAS and the concentration of salivary alpha-amylase showed no change throughout the time course. VAS in group A was significant lower than that in group B at T3, T4 and T5. The concentration of salivary alpha-amylase was significant lower than that in group B at T4 and T5. The consumption of NSAID in group A was significantly lower than that in group B at T5. Limitations Subjects are out patients. Patients include radicular pain due to different pathogenesis, e

  8. Manejo estético y endodóncico de dientes con formación radicular incompleta

    Directory of Open Access Journals (Sweden)

    L.A. Dávila Rodríguez

    2013-08-01

    Full Text Available La necrosis pulpar es una de las principales complicaciones de los traumatismos dentales lo que implica en un diente inmaduro la interrupción de la maduración de la raíz y el cierre apical. Una terapia llamada "apexificación" se requiere para inducir la formación de una barrera calcificada apical permitiendo un relleno permanente y hermético de la raíz. Numerosos materiales han sido recomendados para inducir apexificación y conservar la estética en dientes con ápices inmaduros como el mineral trióxido agregado (MTA, el hidróxido de calcio [Ca (OH2], los postes de fibra de vidrio y entre los diversos materiales utilizados en prótesis, la cerámica que reproduce la apariencia de la dentición natural y tiene un comportamiento óptico muy similar a la de los tejidos duros dentales. El presente caso reporta paciente masculino de 17 años de edad con fractura coronaria complicada, conducto radicular expuesto a cavidad oral con formación radicular incompleta. El objetivo del presente caso clínico es describir la apexificación como primera alternativa para mantener un diente útil, utilizando la formación de una barrera apical con mineral trióxido agregado (MTA y recuperar la estética del paciente. Conclusiones: La medicación intraconducto adecuada para la inducción a la formación de un cierre apical en un diente inmaduro o con formación radicular incompleta, es de trascendental importancia para el éxito del proceso de apexificación en donde juega un papel importante el MTA ya que en la actualidad es el material que brinda más ventajas en esta práctica como inductor de dicho proceso.

  9. Exsudação radicular de glyphosate por Brachiaria decumbens e seus efeitos em plantas de eucalipto Radicular exudation of glyphosate by Brachiaria decumbens and its effects on eucalypt plant

    Directory of Open Access Journals (Sweden)

    L.D. Tuffi Santos

    2008-06-01

    Full Text Available Plantas de eucalipto com sintomas de intoxicação por glyphosate são comuns em áreas em que esse herbicida é usado. Uma das possíveis formas de contato com glyphosate é por meio da exsudação radicular do produto, por plantas daninhas tratadas, e subseqüente absorção pelas plantas de eucalipto. Objetivou-se com este trabalho avaliar a exsudação de glyphosate por Brachiaria decumbens e seus efeitos sobre plantas de eucalipto, por meio da aplicação de 14C-glyphosate misturado à calda de pulverização do produto comercial. Mudas de dois clones de eucalipto (UFV05 e UFV06 foram cultivadas em consórcio com Brachiaria decumbens (capim-braquiária, em vasos contendo dois tipos de solo: um arenoso e outro argiloso. Aos 35 dias após o transplantio das mudas, foram aplicados na braquiária 50 µL da mistura de 14C-glyphosate com a formulação comercial de glyphosate Scout®, utilizando-se uma microsseringa de precisão. Aos 2, 8, 16 e 24 dias após aplicação, as plantas de eucalipto foram coletadas e fracionadas em ápice primário, ápices secundários, folhas e raízes, sendo processadas de acordo com metodologia usual para determinação da radioatividade. Não foram observados sintomas de intoxicação por glyphosate nas plantas de eucalipto, em nenhuma das avaliações realizadas. Entretanto, o 14C-glyphosate foi encontrado em todas as plantas de eucalipto avaliadas, independentemente do solo, do clone e da época de avaliação, em maior concentração em plantas cultivadas no solo arenoso. Os resultados evidenciam a exsudação radicular do glyphosate e/ou de seus metabólitos pela braquiária e subseqüente absorção, via raízes, pelas plantas de eucalipto, em concentrações inferiores às necessárias para causar intoxicação na cultura.Eucalypt plants commonly present symptoms of intoxication in areas where glyphosate is used. One possible way of contamination is through radicular exudation of glyphosate by the treated

  10. Radicular anatomy of twelve representatives of the Catasetinae subtribe (Orchidaceae: Cymbidieae

    Directory of Open Access Journals (Sweden)

    Cristiano Pedroso-de-Moraes

    2012-06-01

    ças estruturais observadas entre todas as raízes estudadas confirmam a inclusão da subtribo Catasetinae na tribo monofilética Cymbidieae. Algumas características radiculares são restritas a um ou dois táxons e podem ser úteis na taxonomia da subtribo. Por exemplo, a ocorrência de cristais flavonoídicos caracteriza os gêneros Catasetum e Cychnodes e o número de camadas do velame associado à forma das células do epivelame são úteis para confirmar a posição taxonômica de Clowesia amazônica. A presença de velame e de cristais flavonoídicos foi interpretada como adaptações ao hábito epifítico.

  11. Associação entre a presença de restos radiculares e a autopercepção de saúde bucal em idosos

    Directory of Open Access Journals (Sweden)

    Aline Blaya Martins

    2015-12-01

    Full Text Available Resumo A presença de restos radiculares é um achado clínico comum entre os idosos e pode refletir necessidades de tratamento. O objetivo deste estudo foi analisar a associação entre a presença de restos radiculares e a autopercepção de saúde bucal por idosos. Foram analisados dados secundários de dois distritos sanitários de Porto Alegre-RS, com base em um modelo teórico conceitual para investigar fatores relacionados com autopercepção de saúde bucal: gênero, idade, escolaridade, situação marital, tabagismo, hábito etílico, procura por cuidados em saúde bucal, participação em grupos, renda familiar suficiente, serviço de saúde bucal acessado, número de dentes e presença de restos radiculares. Os dados foram analisados por testes de Qui-quadrado e Regressão de Poisson (IC 95%; α 5%. A amostra foi composta por 849 idosos com idade média de 69,7 anos (± 7,2; 14,5% deles tinham restos radiculares mantidos em boca e 60,7% referiram sua percepção de saúde bucal como boa. A análise hierárquica mostrou associação entre a ausência de restos radiculares e a autopercepção positiva de saúde bucal. A qualificação e a ampliação da oferta do cuidado continuado devem ser pensadas, para permitir ações que garantam a manutenção de boas condições de saúde bucal para a população idosa.

  12. STUDY OF EFFECTIVE TIME OF UNDILUTED FIXINGSOLUTIONS INLIGHTENING OF THE HIGH DENSITY PERIAPICAL RADIOGRAPHS

    Directory of Open Access Journals (Sweden)

    A ZAMANI NASER

    2003-12-01

    Full Text Available Introduction: Dental radiographs are occationally too dark because of different reasons such as over exposure, high concen-tration of developing solution and over development. Different chemicals are used to lighten these radiographs. In this research the undiluted fixed solution for the first time are tested and efficiency time of this solution in reducing the density of dark radiographs were evaluated. Method: Use of a dry mandible containing some teeth and 98 E speed periapical radiographs were prepared as foolow: A film wasexposed with 0.4 S... as positive control (ideal. 97 films were exposed with 1.8 S (dark and unreadable. Out of 97, one radiograph kept as positive control and remaining films prepared for study. All of radiographs developed and fixed with automatic processor in the same conditio. Out of 96 dark radiograph, 3 was used for pilot study and inserted in the undiluted fixing solution in different time. (2.5, 3 and 3.5 hrs. The result of pilot study showed that aii3 radiographs showed reductionin density and radiographs with her reduction time was closest to positive control for density and diognostic quality and radiograph with 2.5 hrs reduction time and 3.5 hre became darker and lighter as compared to positive control. The remaining 93 high density radiographs were divided into 3 groups, 31 in each group (group 1,2 and 3 first group 2.5 hrs, second 3 hrs and the third group 3.5 hrs were kept in undiluted fixed solution. for this, disposable glasses were used and in each glass a radiograph were inserted. The research time was spring and the temperature was about 2609 (without coolant. Evaluation of radiographs: For evaluation of radiographs 2 methods were used: First method used was: Densitometry: By this method the density of total lightened radiographs, positive control and negative control were determined. Another method was determined diagnostic quality of radiographs visually by radiologists, throng this way: Special

  13. Concordancia interexaminador de hallazgos periodontales utilizando radiografía periapical convencional

    Directory of Open Access Journals (Sweden)

    Miguel Simancas-Pallares

    2016-04-01

    Full Text Available Introducción: la enfermedad periodontal afecta más de la mitad de la población en Colombia siendo estimada una de las primeras causas de morbilidad oral. Las ayudas diagnósticas que permitan la evaluación de su extensión y severidad resultan de importancia puesto que así se tendrán herramientas confiables para cuantificar la gravedad del problema. Objetivo: determinar la concordancia interexaminador para la detección de hallazgos radiográficos en pacientes con periodontitis crónica localizada empleando radiografía periapical convencional. Métodos: estudio de pruebas diagnósticas incluyendo pacientes con periodontitis crónica localizada, sobre el diente con peor nivel de inserción clínico y a través de una sola radiografía convencional por órgano dentario empleando técnica de paralelismo. Las valoraciones radiográficas fueron realizadas por dos evaluadores independientes y cegados para los hallazgos: lámina dura, defectos óseos y tipo de defecto. El acuerdo obtenido se estimó a través de Kappa de Cohen. Resultados: se tomaron en total 125 radiografías. La edad promedio fue 38,8±9,9 años, y 61,6% eran mujeres. La concordancia para lámina dura fue 0,08 (IC 95 %: -0,04 - 0,21, defectos óseos 1,00 (IC 95 %: 1,00 - 1,00; tipo de defecto presente 0,31 (IC 95 %: 0,29 - 0,38. Conclusiones: la concordancia se evaluó como nula, casi perfecta y aceptable para los hallazgos lámina dura, presencia de defectos óseos y tipo de defecto respectivamente. Para algunos hallazgos y dada la importancia de los procesos diagnósticos y terapéuticos se necesitan valoraciones más exactas que se traduzcan en un mayor grado de acuerdo.

  14. The Extent of the Crack on Artificial Simulation Models with CBCT and Periapical Radiography

    Science.gov (United States)

    Wang, Shuang; Xu, Yiran; Shen, Zhengyan; Li, Minghua; Wu, Ligeng

    2017-01-01

    Background The aim of this study was to investigate the extent of the crack of a cracked tooth on an artificial simulation model with Periapical Radiography (PR) and cone beam computed tomography (CBCT) in vitro, providing the basis for early diagnosis and an appropriate treatment plan. Methods Forty-four teeth with different extents of artificial cracks, created by exposure to liquid nitrogen after hot water at 100°C, were collected. They were subjected to PR and CBCT. Micro-computed tomography (micro-CT) examination, regarded as a relatively more accurate measurement than others, was used to measure and record the crack depth. Three observers, an endodontic graduate student, an experienced endodontist, and an experienced radiologist, examined the PR and CBCT results independently, and the presence or absence of cracks with PR and CBCT were respectively recorded. The external consistency ICC with 95% confidence interval (95% CI) was used to analyze the consistency among the graduate student, endodontist, and radiologist; ROC curves were used for the analysis of diagnostic performance of both radiographic modalities for tooth cracks with crack depth. Results For the interpretation of the PR results, there were statistically significant differences among the three different observers (P < 0.001), and the interpretation of the CBCT results (P < 0.001). In the group of results read by the graduate student, the sensitivity of diagnosis with CBCT and PR was 77.27% and 22.73%, respectively (P < 0.001). In the group of results read by the endodontist, the sensitivity of diagnosis with CBCT and PR was 81.81% and 8.19%, respectively (P < 0.001). In the group of results read by the radiologist, the sensitivity of diagnosis with CBCT and PR was 88.64% and 11.36%, respectively (P < 0.001). As for CBCT diagnosis, the critical value for the graduate, endodontist, and radiologist was 3.20 mm, 2.06 mm, and 1.24 mm, respectively. For the PR diagnosis, the critical value for the

  15. Estudo da anatomia interna dos canais radiculares em pré-molares e suas modificações com a instrumentação com limas k, PathFiles e sistema ProTaper ou GTX

    OpenAIRE

    Antunes Guimarães, Duarte Nuno

    2013-01-01

    Devido às peculiares características do campo de tratamento endodôntico, sem visão direta e complexidade de sistema de canais radiculares, torna-se essencial um estudo preliminar para um bom prognóstico e sucesso do tratamento. A variação da morfologia dos sistemas de canais radiculares ocorre com frequência e pode ser considerada normal. É geralmente aceite, que uma das principais causas do fracasso do tratamento dos canais radiculares é a incapacidade de os reconhecer e tr...

  16. Influência do alívio, tipo de cimento e anatomia radicular na remoção de núcleos metálicos com ultrassom sob diferentes condições

    OpenAIRE

    2009-01-01

    O objetivo deste estudo foi avaliar o tempo de remoção de núcleos metálicos utilizando o ultrassom, dentro das variáveis: confecção de alívio, tipo de cimento (fosfato de zinco e ionômero de vidro) e anatomia do conduto radicular (circular e oval). Para isto, foram selecionados 80 dentes humanos higidos unirradiculares (caninos superiores e inferiores, incisivos superiores e pré molares inferiores) com diâmetros radiculares. Os dentes tiveram as coroas removidas e os canais radiculares recebe...

  17. ALELOPATIA DE Arctium minus BERNH (ASTERACEAE NA GERMINAÇÃO E CRESCIMENTO RADICULAR DE SORGO E PEPINO

    Directory of Open Access Journals (Sweden)

    Valdenir José Belinelo

    2008-01-01

    Full Text Available The objectives of this work were identified and characterize the allelopatic activity of extracts obtained from Arctium minus (Hill Bernh (Asteraceae. The fitotoxic activity of organic extracts (1 e 100 mg.L-1 and aqueous extract (5,00 e 0,05% m/v on the germination and radicular growth of the monocotyledon Sorghum bicolor L. (sorghum, and the dicotyledon Cucumis sativus L. (cucumber were evaluated. The results showed the presence of allelopatic activity variable in according to the extract concentration and with the target plant. The intensity of induced inhibitory effect was higher for the ethanolic extract in concentration of 100 mg.L-1 for Sorghum bicolor L. The results also indicates the existence of the potential use of Arctium minus (Hill Bernh ethanolic extract as a natural herbicide and open perspectives for the research of the constituent(s with higher allelopatic activity.

  18. Efeito do tratamento do canal radicular com EDTA na retenção de pinos de fibra de vidro

    OpenAIRE

    Luis Alfonso Arana Gordillo

    2010-01-01

    A proposição deste estudo foi analisar o efeito do tratamento da dentina radicular com EDTA na retenção de pinos de fibra de vidro utilizando dois tipos diferentes de cimentos resinosos. Foram utilizados 40 dentes humanos pré-molares hígidos. Após a extração os dentes foram armazenados em água até seu uso. Em seguida, os dentes foram tratados endodonticamente com técnica step back para ser obturados por condensação lateral com cones de guta percha e cimento endodôntico AH Plus. Após a obturaç...

  19. Short-term outcome of fluoroscopic-guided steroid injection therapy of lumber facet cyst-induced radicular pain

    Energy Technology Data Exchange (ETDEWEB)

    Kwon, Mi Ri; Kwon, Jong Won; Lee, Jong Seo; Kim, Eu Sang [Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of)

    2015-04-15

    To determine the short-term effect of fluoroscopic-guided steroid injection therapy of lumbar facet cyst-induced radicular pain. Seventeen patients with radiculopathy due to lumbar synovial cysts, who were treated with fluoroscopically guided injection, were retrospectively evaluated. All plain radiographic images and MR images before the therapy were reviewed. Five patients underwent only the facet joint injection, whereas twelve patients underwent the facet joint injection with perineural injection therapy. The clinical course of pain was evaluated on the first follow-up after therapy. Effective pain relief was achieved in 11 (64.7%) of the 17 patients. Among 12 patients who underwent facet joint injection with perineural injection, 9 patients (75%) had an effective pain relief. Of 5 patients, 2 (40%) patients only took the facet joint injection and had an effective pain relief. Fluoroscopic-guided steroid injection therapy shows a good short-term effect in patients with symptomatic lumbar facet joint synovial cysts.

  20. Accuracy of periapical radiography and cone-beam computed tomography scans in diagnosing apical periodontitis using histopathological findings as a gold standard

    NARCIS (Netherlands)

    de Paula-Silva, F.W.G.; Wu, M.K.; Leonardo, M.R.; da Silva, L.A.B.; Wesselink, P.R.

    2009-01-01

    Introduction: The aim of this study was to evaluate the accuracy of two imaging methods in diagnosing apical periodontitis (AP) using histopathological findings as a gold standard. Methods: The periapex of 83 treated or untreated roots of dogs' teeth was examined using periapical radiography (PR), c

  1. Combination of hydroxyapatite, platelet rich fibrin and amnion membrane as a novel therapeutic option in regenerative periapical endodontic surgery: Case series

    Directory of Open Access Journals (Sweden)

    Uday Kiran Uppada

    2017-01-01

    Conclusion: The results of this case seriessubstantiatesthe credibility of using a combination ofamnion membrane with a bone graft and PRF to enhance radiographic healing outcome with decreased post-operative discomfort and present a viable regenerative treatment modality in periapical surgery.

  2. Pain patterns and descriptions in patients with radicular pain: Does the pain necessarily follow a specific dermatome?

    Directory of Open Access Journals (Sweden)

    Hurwitz Eric L

    2009-09-01

    Full Text Available Abstract Background It is commonly stated that nerve root pain should be expected to follow a specific dermatome and that this information is useful to make the diagnosis of radiculopathy. There is little evidence in the literature that confirms or denies this statement. The purpose of this study is to describe and discuss the diagnostic utility of the distribution of pain in patients with cervical and lumbar radicular pain. Methods Pain drawings and descriptions were assessed in consecutive patients diagnosed with cervical or lumbar nerve root pain. These findings were compared with accepted dermatome maps to determine whether they tended to follow along the involved nerve root's dermatome. Results Two hundred twenty-six nerve roots in 169 patients were assessed. Overall, pain related to cervical nerve roots was non-dermatomal in over two-thirds (69.7% of cases. In the lumbar spine, the pain was non-dermatomal in just under two-thirds (64.1% of cases. The majority of nerve root levels involved non-dermatomal pain patterns except C4 (60.0% dermatomal and S1 (64.9% dermatomal. The sensitivity (SE and specificity (SP for dermatomal pattern of pain are low for all nerve root levels with the exception of the C4 level (Se 0.60, Sp 0.72 and S1 level (Se 0.65, Sp 0.80, although in the case of the C4 level, the number of subjects was small (n = 5. Conclusion In most cases nerve root pain should not be expected to follow along a specific dermatome, and a dermatomal distribution of pain is not a useful historical factor in the diagnosis of radicular pain. The possible exception to this is the S1 nerve root, in which the pain does commonly follow the S1 dermatome.

  3. The role of prophylactic ibuprofen and N-acetylcysteine on the level of cytokines in periapical exudates and the post-treatment pain

    Directory of Open Access Journals (Sweden)

    Ehsani Maryam

    2012-09-01

    Full Text Available Abstract Background Periapical lesions are inflammatory diseases that result in periapical bone destruction because of host defensive–microbial disturbances. Objective To evaluate the role of prophylactic ibuprofen and N-acetylcysteine (NAC on the levels of tumor necrosis factor alpha (TNF- α, interleukin- 6(IL-6 and IL-17 and post-treatment pain level in chronic periapical lesions. Materials and methods Eighty patients with chronic apical lesions less than 1 cm were randomly assigned to receive NAC tablets (400 mg, ibuprofen tablets (400 mg, NAC (400 mg/ibuprofen (200 mg combination and placebo 90 minutes prior to sampling. Periapical exudates were collected from root canals. TNF- α, IL-6 and IL-17 levels were determined by ELISA and post-treatment pain was assessed using a visual analog scale (VAS. Results There was a significant difference in IL-6 level between ibuprofen group and placebo (p = 0.019. Significant difference in IL-17 level was observed between NAC/ibuprofen combination group and placebo (p = 0.043. Four hours after treatment, a significant difference was observed in VAS pain score between ibuprofen group and placebo (p = 0.017. Eight hours post-treatment, VAS pain score for NAC group was statistically lower than placebo group (p = 0.033. After 12 hours VAS pain score showed a significant decrease in NAC group compared to placebo (p = 0.049. Conclusion The prophylactic ibuprofen and NAC failed to clearly reflect their effect on cytokines levels in exudates of chronic periapical lesions. On the other hand it seems that NAC can be a substitute for ibuprofen in the management of post endodontic pain.

  4. Detection of vertical root fractures in the presence of intracanal metallic post: a comparison between periapical radiography and cone-beam computed tomography.

    Science.gov (United States)

    Junqueira, Rafael Binato; Verner, Francielle Silvestre; Campos, Celso Neiva; Devito, Karina Lopes; do Carmo, Antônio Márcio Resende

    2013-12-01

    This in vitro study compared cone-beam computed tomography (CBCT) exam with different voxel sizes with digital periapical radiography in the detection of vertical root fractures in teeth with and without intracanal metallic posts. Eighteen single-rooted human teeth were endodontically treated, prepared for cast metal posts, and artificially fractured. After positioning the teeth in dry mandibular sockets, the samples were subjected twice (with and without posts) to digital periapical radiography at 3 different angles and to CBCT examinations with 2 voxel sizes, 0.125 and 0.25 mm. The images were evaluated by 3 oral radiologists. Indices of sensitivity, specificity, and positive and negative predictive values, in addition to the areas under the receiver operating characteristic curves (accuracy), were calculated. Comparison of the accuracy of the imaging methods was assessed by using the χ(2) test. Comparison of the accuracy between teeth with and without posts was determined by using the Fisher exact test. The accuracy of the imaging methods showed no significant differences (P = .08). The comparison between teeth with and without posts in each examination revealed significant differences for CBCT with a voxel of 0.125 mm (P = .04) and for periapical radiography (P = .04). No significant differences were observed between CBCT and periapical radiography in the detection of vertical root fractures, except for teeth with metallic posts in images from CBCT with a voxel of 0.125 mm and in digital periapical radiography. Furthermore, voxel size did not significantly influence the diagnosis of vertical root fractures. Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  5. Comparison of cone-beam computed tomography and periapical radiographs in identifying periapical bone lesions%锥形束CT与根尖X线片识别根尖周骨病损形貌差异的研究

    Institute of Scientific and Technical Information of China (English)

    张杰; 岳林; 张万林

    2013-01-01

    Objective To compare the difference in identifing periapical bone lesions between cone-beam computed tomography (CBCT) and periapical radiographs (PR).Methods Ten healthy maxillary incisors and 38 maxillary incisors which were diagnosed as apical periodontitis in clinic were included.All the teeth were taken with PR,and periapical index (PAI) was determined.All the teeth were taken with CBCT,and the longest diameter of incisorgingival,mesiodistal and labiapalatal dimension of bone lesion were measured and compared in axial,sagittal and coronal view separately.Results When PAI was 1,the image of PR and CBCT showed normal state of periapical region.When PAI was 2,the image of CBCT showed bone lesion in periapical region.When PAI were 3,4,5,the range of longest diameter of incisorgingival dimension were 2.75-7.00,4.51-10.63,6.75-13.38 mm,mesiodistal dimension were 1.88-4.13,3.98-7.25,5.38-10.63 mm,labiapalatal dimension were 1.50-5.70,2.63-6.25,4.50-9.91 mm.Within every grade the range of the longest diameter of bone lesion in all three dimensions varied.Among the three grades,the range of the longest diameter in same dimension was overlapped.Conclusions CBCT could show the bone lesion that PR couldn't.Use of PR in identifying bone lesion may underestimate the size of the lesion.%目的 比较锥形束CT与根尖X线片识别根尖周骨病损形貌的差异,为临床准确判断根尖周炎严重程度及治疗效果提供参考.方法 收集临床上颌切牙诊断为慢性根尖周炎的患牙38颗和健康对照牙10颗,用根尖周指数(periapical index,PAI)对根尖X线片进行分级评定,同时进行锥形束CT扫描,在轴位、矢状位和冠状位图像上定点测量并分别比较根尖周骨质缺损切龈向、近远中向和唇腭向的最大径.结果 PAI为1时,锥形束CT显示根尖周骨质无破坏;PAI为2时,锥形束CT显示根尖周骨质明显缺损;PAI为3、4、5时,骨破坏切龈向最大径分别为2.75 ~7.00、4.51 ~ 10.63、6

  6. A Novel Approach for Treatment of an Unusual Presentation of Radicular Cysts Using Autologous Periosteum and Platelet-Rich Fibrin in Combination with Demineralized Freeze-Dried Bone Allograft

    Directory of Open Access Journals (Sweden)

    Veena A. Patil

    2013-01-01

    Full Text Available Radicular cysts are the most common cystic lesions affecting the jaws. They are most commonly found at the apices of the involved teeth. This condition is usually asymptomatic but can result in a slow-growth tumefaction in the affected region. The following case report presents the successful treatment of radicular cysts using autologous periosteum and platelet-rich fibrin with demineralized freeze-dried bone allograft.

  7. Recobrimento de múltiplas recessões com enxerto subepitelial: tratamento de descontaminação da superfície radicular com laser de Erbium YAG

    OpenAIRE

    Kina, José Ricardo; Suzuki, Thaís Yumi Umeda [UNESP; Kina, Eunice Fumico Umeda [UNESP

    2014-01-01

    Multiple gingival recessions may cause mainly dentinary sensibility and aesthetic alterations. The subepithelial graft is a mucogingival technique which can be used to treat multiple gingival recessions. In this case report the Erbium YAG laser was applied to promote radicular surface decontamination, an important step to reach reinsertion of the gingival tissues on exposed radicular surface. Las recesiones gingivales múltiples, pueden provocar sensibilidad dentinaria y alteraciones estéti...

  8. Visibility of lamina dura and periodontal space on periapical radiographs and its comparison with cone beam computed tomography

    Directory of Open Access Journals (Sweden)

    Nimish Prakash

    2015-01-01

    Full Text Available Objectives: To retrospectively evaluate the subjective quality of images of cone beam computed tomography and compare with periapical radiographs (PR to determine whether lamina dura (LD and periodontal ligament (PDL space can be detected and reported. Study Design: Sixty scans for anterior and posterior teeth with PR were included and scored on four point subjective scale. Scores assessed using Wilcoxon Signed rank test with the level of statistical significance P < 0.05. Results: Maximum number of ties for LD in anteriors was seen in coronal section (16 and in posteriors with sagittal section (17. Assessing PDL space in anteriors, high number of ties was seen with coronal section (25 and sagittal section (21, while for posteriors showed a high number of ties in all sections. Conclusions: LD could be observed and reported in coronal section for anteriors and in sagittal section for posteriors and PDL space in all the sections for both anteriors and posteriors.

  9. Diagnostic Value of Cone-Beam Computed Tomography and Periapical Radiography In Detection of Vertical Root Fracture

    Science.gov (United States)

    Ezzodini Ardakani, Fatemeh; Razavi, Seyed Hossein; Tabrizizadeh, Mehdi

    2015-01-01

    Introduction: Vertical root fracture (VRF) is the longitudinal fracture of the root in endodontically treated teeth. Considering the limitations of two-dimensional radiographic images in detection of VRF and introduction of cone-beam computed tomography (CBCT), this study was designed to find the sensitivity, specificity and accuracy of CBCT and periapical (PA) radiography in detection of VRFs. Methods and Materials: This was a cross-sectional in vitro study on 80 extracted human single canal teeth including 40 maxillary and 40 mandibular teeth. After standardized endodontic treatment of the roots, VRF was induced in half of the teeth in each group, and other half were left without fracture. Teeth were inserted in dry maxillary and mandibular alveoli. PA radiographs and CBCT images were taken from the specimens. Data were analyzed with SPSS software. The McNemar test was used to evaluate the sensitivity, specificity and accuracy of images, and kappa coefficient was used to assess the degree of agreement between the observers. The level of significance was set at 0.05. Results: Sensitivity and specificity values of CBCT were 97.5% and 95%, respectively. However, for PA radiography the sensitivity and specificity were 67.5% and 92.5%, in order of appearance. Accuracy of CBCT (96.25%) and PA radiography (80%) in both jaws were significantly different (P=0.022). Two methods were not significantly different when testing specificity (P=0.298). Conclusion: This study showed that the sensitivity and accuracy of CBCT in detection of vertical root fracture are higher than periapical radiography. CBCT can be recommended to be used in detection of vertical root fractures. PMID:25834597

  10. Development of Periapical Lesions in Endodontically Treated Teeth with and without Periodontal Involvement: A Retrospective Cohort Study.

    Science.gov (United States)

    Ruiz, Xavier-Fructuós; Duran-Sindreu, Fernando; Shemesh, Hagay; García Font, Marc; Vallés, Marta; Roig Cayón, Miguel; Olivieri, Juan Gonzalo

    2017-08-01

    The purpose of this study was to investigate the incidence of apical periodontitis (AP) in endodontically treated teeth with and without periodontal involvement. The records of 602 patients with 775 root canal-treated teeth were initially examined. Only teeth with adequate root canal filling, adequate coronal restoration, and no AP (periapical index = 1) were selected for further investigation. A total of 194 teeth were included in this cohort study. Age, sex, history of diabetes mellitus, smoking, hypertension, and immunodeficiency disorders were recorded. Two groups were made according to the periodontal status of the patients. The control group included periodontally healthy patients and the periodontal group patients with periodontal disease receiving nonsurgical periodontal treatment. After an observation period of at least 2 years, the incidence of AP was scored using the periapical index. The relationship between patients' variables and AP was conducted using the Cohen kappa test, the chi-square test, odds ratio (OR), and logistic regression analysis. Newly emerged AP was found in 14% of periodontally involved teeth and in 3% of nonperiodontal involved teeth (P < .05, OR = 5.19, 95% confidence interval). The periodontal condition and hypertension were the only significant factors associated with the presence of AP in the follow-up after univariate logistic regression. Adjusting for hypertension, multivariate logistic regressions showed that periodontal status remained significant (OR = 5.25, 95% CI, P < .05). The risk of developing AP in endodontically treated teeth is 5.19 times higher for patients with periodontal disease compared with patients without periodontal disease. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  11. Atividade antimicrobiana do metronidazol gel associado ao hidróxido de cálcio e ao cimento Portland frente às bactérias anaeróbias relacionadas a reações periapicais do tipo crônica = The antibacterial activity of the metronidazole gel associated with calcium hydroxide and cement portland front the anaerobic bacterias related to cronic periapical lesions

    Directory of Open Access Journals (Sweden)

    Mendonça, Eduarda Rodrigues da Silva

    2007-01-01

    Full Text Available As pesquisas com o intuito de descobrir novas substâncias com finalidade para medicação intracanal é uma realidade. Tem como objetivos principais a melhoria das propriedades dos medicamentos utilizados usualmente, tais como o hidróxido de cálcio para com isso suprir algumas deficiêcias que possam existir. Este trabalho teve como propósito a análise in vitro da ação do metronidazol gel em associação ao hidróxido de cálcio e cimento Portland, como medicação intracanal. Os testes foram realizados em bactérias anaeróbias facultativas, as quais compõe a flora de dentes portadores de reação periapical crônica. O hidróxido de cálcio é, ainda, a medicação intracanal mais utilizada, visto que, possui efeito antibacteriano pronunciado contra a maioria dos microrganismos existentes no interior de canais radiculares infectados. O metronidazol veio a ser testado por possuir capacidade bactericida atuante, principalmente, em bactérias anaeróbias estritas. Podendo atuar nos microrganismos que são resistentes à ação do hidróxido de cálcio. Entretanto, ao término deste experimento, o metronidazol gel quando testado, comparado e associado ao hidróxido de cálcio e cimento Portland não teve resposta superior a ação do hidróxido de cálcio puro como medicação intracanal, tendo o cimento Portland apenas melhorado as propriedades físico/química dessa pasta

  12. Influência da contaminação do substrato na resistência adesiva de pinos de fibra à dentina radicular

    OpenAIRE

    Mesquita,Gabriela Campos

    2010-01-01

    O objetivo presente estudo foi avaliar duas hipóteses: a primeira de que a resistência de união entre pinos de fibra de vidro e a dentina radicular mediada por cimento resinoso convencional ou autoadesivo é influenciada pelo tempo decorrido entre a obturação endodôntica e o preparo do canal radicular. A segunda de que o tipo de cimento provisório e o momento do preparo do espaço para o pino (antes do procedimento provisório ou após a remoção deste) influenciem a adesão de pinos de fibra a den...

  13. Cirugía endodóntica con obturación simultánea del conducto radicular: caso atípico

    OpenAIRE

    Gisselle Moraima CHÁVEZ-ANDRADE; Sousa, Rosymeire Freitas de [UNESP; Kuga, Milton Carlos [UNESP; Faria-Júnior, Norberto Batista de [UNESP; FARIA, Gisele; Só, Marcus Vinicius Reis

    2014-01-01

    The apical surgery with simultaneous root filling consists in the elimination of the local etiologic factors concomitant with the shaping and obturation of the root canal system. This technique is indicated when there is no possibility of obturating the root canal by conventional methods. Some adverse factors may difficult the clinical procedures, such as the radiographic interpretation. Periapical radiographs must not be used as the main diagnostic resource due to their inherent disadvantage...

  14. Combined intra-extracanal approach to lumbosacral disc herniations with bi-radicular involvement. Technical considerations from a surgical series of 15 cases.

    Science.gov (United States)

    Paolini, Sergio; Ciappetta, Pasquale; Raco, Antonino; Missori, Paolo; Delfini, Roberto

    2006-05-01

    Large lumbosacral disc herniations effacing both the paramedian and the foraminal area often cause double radicular compression. Surgical management of these lesions may be difficult. A traditional interlaminar approach usually brings into view only the paramedian portion of the intervertebral disc, unless the lateral bone removal is considerably increased. Conversely, the numerous far-lateral approaches proposed for removing foraminal or extraforaminal disc herniations would decompress the exiting nerve root only. Overall, these approaches share the drawback of controlling the neuroforamen on one side alone. A combined intra-extraforaminal exposure is a useful yet rarely reported approach. Over a 3-year period, 15 patients with bi-radicular symptoms due to large disc herniations of the lumbar spine underwent surgery through a combined intra-extracanal approach. A standard medial exposure with an almost complete hemilaminectomy of the upper vertebra was combined with an extraforaminal exposure, achieved by minimal drilling of the inferior facet joint, the lateral border of the pars interarticularis and the inferior margin of the superior transverse process. The herniated discs were removed using key maneuvers made feasible by working simultaneously on both operative windows. In all cases the disc herniation could be completely removed, thus decompressing both nerve roots. Radicular pain was fully relieved without procedure-related morbidity. The intra-extraforaminal exposure was particularly useful in identifying the extraforaminal nerve root early. Early identification was especially advantageous when periradicular scar tissue hid the nerve root from view, as it did in patients who had undergone previous surgery at the same site or had long-standing radicular symptoms. Controlling the foramen on both sides also reduced the risk of leaving residual disc fragments. A curved probe was used to push the disc material outside the foramen. In conclusion, specific

  15. Densidade do solo, atributos químicos e sistema radicular do milho afetados pelo pastejo e manejo do solo

    Directory of Open Access Journals (Sweden)

    V. R. Silva

    2000-03-01

    Full Text Available A integração lavoura-pecuária é uma alternativa de renda dos produtores no sul do Brasil. Entretanto, o pisoteio animal e, ou, o preparo de solo podem compactá-lo, prejudicando o crescimento radicular e a produtividade das plantas. Estudaram-se os efeitos do pisoteio animal em regime de pastejo contínuo durante o inverno/primavera e do impacto do plantio direto e do preparo convencional de solo no estado de compactação, atributos químicos e distribuição radicular. Em Podzólico Vermelho-Amarelo de textura superficial franca, foi implantada uma pastagem de estação fria composta por aveia (Avena strigosa Schreb e azevém (Lolium multiflorum L.. A carga animal variou conforme o crescimento da pastagem. Em dezembro de 1996, foi implantada a cultura do milho (Zea mays L. para a produção de silagem, usando os seguintes tratamentos: plantio direto na área não pastejada, plantio direto após o pastejo, preparo convencional de solo na área não pastejada e preparo convencional de solo após pastejo. As avaliações apresentadas neste estudo são referentes ao terceiro ano de cultivo, no qual houve um período de pastejo de 107 dias. Aos 45 dias da emergência do milho, foram abertas trincheiras (100 x 40 cm para visualizar a distribuição do sistema radicular e coletar amostras de solo, a cada 5 cm, para caracterização química e determinação da densidade do solo e de raízes. Ao longo do perfil (0-40 cm, o desenho da distribuição de raízes indicou maior quantidade de raízes no preparo convencional de solo, concordando com os resultados de densidade de raízes. O pisoteio animal não teve efeito sobre as características físicas, possivelmente pelo fato de o resíduo da pastagem permanecer próximo a 1,0 Mg ha-1 de matéria seca. A densidade do solo no plantio direto, na camada de 5-10 cm, foi de 1,41 Mg m-3, tanto na área pastejada como na não pastejada. No preparo convencional de solo, esses valores foram de 1,15 Mg m-3

  16. Atividade radicular da soja: definição de um método Soybean root activity: methodology definition

    Directory of Open Access Journals (Sweden)

    Ana Paula Encide-Olibone

    2008-04-01

    Full Text Available As técnicas de estudo radicular são trabalhosas e, dentre os métodos mais utilizados no Brasil, destacam-se a trincheira ou parede do perfil, blocos ou monólito, placa com pregos e trado. Essas técnicas utilizam amostragem destrutiva e direta das raízes. Com o objetivo de adaptar um método de avaliação da atividade radicular da cultura da soja utilizando nitrato de rubídio (RbNO3, realizou-se um experimento em Botucatu - SP. O experimento constituiu-se de duas etapas, sendo uma em campo e outra em casa de vegetação. Plantas de soja foram cultivadas em vasos de 15 dm³ de amostras de Nitossolo Vermelho em casa de vegetação. Aos 25 DAE, aplicaram-se 3 mL de solução de RbNO3 nas doses de 0,0; 0,5; 1,0; e 2,0 mg dm-3 de Rb, à 0,05 m de profundidade no centro de cada vaso. A parte aérea das plantas foi coletada e separada em caule + pecíolo e limbo foliar aos dois, quatro e seis dias depois da aplicação de RbNO3. Em campo, aplicaram-se 3 mL de RbNO3 (1,0 mg dm-3 de Rb em diferentes distâncias da planta (0,075, 0,15 e 0,225 m e nas profundidades de 0,05; 0,10; 0,20; 0,40; e 0,60 m. A parte aérea das plantas foi coletada quatro dias depois da aplicação de RbNO3. A soja não apresentou fitotoxicidade ao RbNO3, o que foi eficiente na determinação da atividade radicular da cultura.Root study techniques are labor intensive. Among the most frequently used methods are the trench or profile wall, block or monolith, needle board and hand auger. These techniques use destructive and direct root sampling. With the objective of adapting an evaluation methodology of soybean root activity based on Rubidium Nitrate, an experiment was carried out in Botucatu, SP, Brazil, in two phases; one in the field and the other in a greenhouse. Soybean plants were grown in 15 L pots. 25 DAE, 3 mL of Rubidium Nitrate solution was applied at 0; 0.5; 1.0 and 2.0 mg dm-3, at a depth of 0.05 m in the middle of each pot. The plants shoot was collected and

  17. A Comparison of 2- and 3-dimensional Healing Assessment after Endodontic Surgery Using Cone-beam Computed Tomographic Volumes or Periapical Radiographs.

    Science.gov (United States)

    Schloss, Tom; Sonntag, David; Kohli, Meetu R; Setzer, Frank C

    2017-07-01

    The aim of this study was to compare the assessment of healing after endodontic microsurgery using 2-dimensional (2D) periapical films versus 3-dimensional (3D) cone-beam computed tomographic (CBCT) imaging. The healing of 51 teeth from 44 patients was evaluated using Molven's criteria (2D) and modified PENN 3D criteria. The absolute area (2D) and volume (3D) changes of apical lesions preoperatively and at follow-up were calculated by segmentation using OsiriX software (Pixmeo, Bernex, Switzerland) and ITK-Snap (free software). There was a significant difference between the mean preoperative lesion volumes of 95.34 mm(3) (n = 51, standard deviation [SD] ±196.28 mm(3)) versus 6.48 mm(3) (n = 51, SD ±17.70 mm(3)) at follow-up (P < .05). The mean volume reduction was 83.7%. Preoperatively, mean lesion areas on periapical films were 13.55 mm(2) (n = 51, SD ±18.80 mm(2)) and 1.83 mm(2) (n = 51, SD ±.68 mm(2)) at follow-up (P < .05). According to Molven's criteria, 40 teeth were classified as complete healing, 7 as incomplete healing, and 4 as uncertain healing. Based on the modified PENN 3D criteria, 33 teeth were classified as complete healing, 14 as limited healing, 1 as uncertain healing, and 3 as unsatisfactory healing. The variation in the distribution of the 2D and 3D healing classifications was significantly different (P < .05). Periapical healing statuses incomplete healing or uncertain healing according to Molven's criteria could be clearly classified using 3D criteria. CBCT analysis allowed a more precise evaluation of periapical lesions and healing of endodontic microsurgery than periapical films. Significant differences existed between the 2 methods. Over the observation period, the mean periapical lesion sizes significantly decreased in volume. Given the correct indications, the use of CBCT imaging may be a valuable tool for the evaluation of healing of endodontic surgery. Copyright © 2017 American Association of Endodontists

  18. [First guidelines of Croatian interest group in diagnosing and treating lower back and radicular pain using minimally invasive diagnostic and therapeutic procedures].

    Science.gov (United States)

    Houra, Karlo; Perović, Darko; Kvesić, Drazen; Rados, Ivan; Kovac, Damir; Kapural, Leonardo

    2013-01-01

    Low back and radicular pain recently became a major public health problem. Medical expenses in general, and surgical procedures associated with overall care for the lower back pain are high and growing. Furthermore, these two chronic pain conditions are also leading causes for missed workdays. Degenerative changes of the intervertebral disc, facet joints, sacroiliac joint or disc herniation as described during imaging diagnostics may or may not be the cause of patients' lower back pain. Diagnostic blocks often precede further interventions in order to confirm or dispute a source of the lower back pain. Chronic lower back pain caused by painful intervertebral disc should be treated using biacuplasty. If the pain of the lumbar spine is caused by facet joints or sacroiliac joint, patient can be offered neuroablative procedures using radiofrequency. In cases where the low back and radicular pain are caused by the central and foraminal spinal stenosis patients are advised epidural steroid injections, unless claudications are present. Patients suffering from the chronic radicular pain may be treated with various nucleoplasty procedures or they may be offered percutaneous radiofrequent neuromodulation. The purpose of above advised procedures is to relieve patients' pain, allow optimal physical therapy, and improved functional capacity, consequently providing better quality of life.

  19. Avaliação do metabolismo epitelial em cistos radiculares pela técnica de AgNORS

    Directory of Open Access Journals (Sweden)

    Daiana Cavalli

    Full Text Available Introdução: A formação do Cisto Radicular (CR está associada à proliferação dos restos epiteliais de Malassez por estímulos inflamatórios, provenientes da proliferação bacteriana do canal radicular de um dente não vital. Quando o dente é removido, esse cisto passa a ser denominado Cisto Residual (CRe. O tratamento de escolha para o CR é endodôntico, com o objetivo de eliminar a inflamação presente no periápice. No entanto, em alguns casos, o cisto pode continuar a crescer, necessitando de tratamento cirúrgico, o que ocorre na maioria dos casos de CRe. Objetivo: Avaliar o metabolismo do epitélio de revestimento de CR e CRe, utilizando a quantificação das AgNORs, e verificar a influência da presença de inflamação sobre o crescimento desses cistos. Material e método: Vinte casos de CR e dez de CRe foram submetidos à técnica de AgNOR. A análise quantitativa das NORs foi realizada utilizando-se o software 'Contando células'. O teste estatístico pós-hock de Newman-keuls foi realizado para a comparação do número médio de AgNORs entre CR e CRe, e entre áreas inflamadas e não inflamadas. Resultado: Diferença estatisticamente significante (p=0,0094 foi observada entre áreas inflamadas (1,86±0,26 e não inflamadas (1,65±0,20. Na comparação entre CR (1,81±0,28 e CRe (1,73±0,16, não houve diferença estatisticamente significante (p=0,37. Conclusão: A inflamação interfere no metabolismo epitelial de CR e CRe, o que reflete a ação de fatores de crescimento na proliferação do epitélio, contribuindo para o crescimento do cisto, independentemente da presença do fator etiológico associado com a origem da lesão.

  20. Efficacy of conventional and digital radiographic imaging methods for diagnosis of simulated external root resorption Eficácia dos métodos radiográficos convencional e digital no diagnóstico de reabsorções radiculares simuladas

    Directory of Open Access Journals (Sweden)

    Vânia Portela Ditzel Westphalen

    2004-06-01

    Full Text Available This in vitro study evaluated and compared the efficacy of conventional (Kodak F-speed (Insight, Kodak and a digital (DRS Gnatus System, Gnatus radiographic imaging for diagnosis of simulated external root resorption cavities. Human mandibles containing teeth were covered with bovine muscle slices in order to simulate the soft tissues. Nine teeth out of each group of teeth were investigated. Initially, three periapical radiographs of each tooth were taken using a tube shift technique with mesial and distal angulations in both methods. All teeth were subsequently extracted and had 0.7 and 1.0-mm deep cavities prepared on their buccal, mesial and distal surfaces at the cervical, middle and apical thirds. Steel cylinder burs (DORMER® - HSS with 0.7 and 1.0-mm diameter were used. Each tooth was replaced on its socket and new radiographs were taken. Three examiners, an endodontist (1, a radiologist (2 and a general dentist (3, evaluated the images. Results were compared by z-test and showed a higher number of cavities detected by the digital method compared to the conventional, regardless of the deepness of the cavity. In decreasing order, examiners 2, 3 and 1 exhibited different potentials of detection of cavities with the conventional method. Examiners 1 and 3 exhibited superior potential than examiner 2 for detection of cavities of different sizes with the digital method.O presente estudo visou avaliar e comparar, in vitro, a eficácia dos métodos radiográficos convencional (filmes de grupos de sensibilidade E/F Kodak Insight e digital (Sistema Gnatus DRS, no diagnóstico de cavidades simulando reabsorções radiculares externas, em dentes contidos em mandíbulas humanas secas com músculo bovino simulando o tecido mole. As variáveis consideradas foram: tamanhos das cavidades e examinadores envolvidos. Foram utilizadas nove unidades de cada grupo dentário, incisivos (central e lateral, caninos, pré-molares e molares, sem lesões periapicais

  1. Assessing the effectiveness of ‘pulse radiofrequency treatment of dorsal root ganglion’ in patients with chronic lumbar radicular pain: study protocol for a randomized control trial

    Directory of Open Access Journals (Sweden)

    Shanthanna Harsha

    2012-04-01

    Full Text Available Abstract Background Chronic lumbar radicular pain can be described as neuropathic pain along the distribution of a particular nerve root. The dorsal root ganglion has been implicated in its pathogenesis by giving rise to abnormal impulse generation as a result of irritation, direct compression and sensitization. Chronic lumbar radicular pain is commonly treated with medications, physiotherapy and epidural steroid injections. Epidural steroid injections are associated with several common and rarer side effects such as spinal cord infarction and death. It is essential and advantageous to look for alternate interventions which could be effective with fewer side effects. Pulse radio frequency is a relatively new technique and is less destructive then conventional radiofrequency. Safety and effectiveness of pulse radio frequency in neuropathic pain has been demonstrated in animal and humans studies. Although its effects on dorsal root ganglion have been studied in animals there is only one randomized control trial in literature demonstrating its effectiveness in cervical radicular pain and none in lumbar radicular pain. Our primary objective is to study the feasibility of a larger trial in terms of recruitment and methodology. Secondary objectives are to compare the treatment effects and side effects. Methods/designs This is a single-center, parallel, placebo-controlled, triple-blinded (patients, care-givers, and outcome assessors, randomized control trial. Participants will have a history of chronic lumbar radicular pain for at least 4 months in duration. Once randomized, all patients will have an intervention involving fluoroscopy guided needle placement to appropriate dorsal root ganglion. After test stimulation in both groups; the study group will have a pulse radio frequency treatment at 42°C for 120 s to the dorsal root ganglion, with the control group having only low intensity test stimulation for the same duration. Primary outcome is to

  2. Effect of Ibuprofen on IL-1β, TNF-α and PGE2 levels in periapical exudates: a double blinded clinical trial.

    Science.gov (United States)

    Shahriari, Shahriar; Rezaei, Aliasghar; Jalalzadeh, Seyed Mohsen; Mani, Khosro; Zamani, Alireza

    2011-09-01

    Bone resorption is one of the main features of inflammatory periapical lesions and is mainly mediated by interleukin-1 beta (IL-1β), tumor necrosis factor-alpha (TNF-α) and prostaglandin-E2 (PGE2). Recent investigations of these lesions revealed that pharmacological modulation may be possible. The aim of this study was to evaluate the effect of Ibuprofen on IL-1β, TNF-α and PGE2 levels in periapical exudates and compare the results with a group of placebo control. Thirty patients with non vital teeth and radiographic lesions were divided into two groups of case and control according to their entrance to the study. Periapical exudates were taken from root canals using absorbent paper points and followed by 400 mg Ibuprofen and placebo prescribed one tablet every 6 hour for three days and in the fourth day second samples were taken, then final cleaning, shaping and obturation of the canals were completed. IL-1β, TNF-α and PGE2 levels were determined by enzyme-linked immunosorbent assays (ELISA). Data were analyzed using paired t-test and student's t-test. The results showed that PGE2 levels were decreased significantly in the case group to 86.92 ± 72.42 Pg/ml following Ibuprofen treatment comparing with the pre-treatment (164.96 ± 12.255 Pg/ml) (p=0.02) and placebo group (154.2 ± 97.13 Pg/ml) (p=0.001). But there were no significant differences in IL-1β and TNF-α level between the two groups and in each group before and after treatment. The data indicate that Ibuprofen, as a non-steroidal anti-inflammatory drug (NSAID), can be used to block PGE2 release, enhance healing of inflammatory periapical lesions and possibly to inhibit bone resorption.

  3. Diagnostic Accuracy of CBCT with Different Voxel Sizes and Intraoral Digital Radiography for Detection of Periapical Bone Lesions: An Ex-Vivo Study

    OpenAIRE

    Shirin Sakhdari; Ahmad Reza Talaeipour; Maziar Talaeipour; Maryam Pazhutan; Sanaz Heidarkhan Tehrani; Mohammad Javad Kharazifard

    2016-01-01

    Objectives: This study sought to assess the diagnostic accuracy of cone beam computed tomography (CBCT) with different voxel sizes and intraoral digital radiography with photostimulable phosphor (PSP) plate for detection of periapical (PA) bone lesions.Materials and Methods: In this ex vivo diagnostic study, one-millimeter defects were created in the alveolar sockets of 15 bone blocks, each with two posterior teeth. A no-defect control group was also included. Digital PA radiographs with PSP ...

  4. Reliability of Periapical Radiographs and Orthopantomograms in Detection of Tooth Root Protrusion in the Maxillary Sinus: Correlation Results with Cone Beam Computed Tomography

    Directory of Open Access Journals (Sweden)

    Bassam A. Hassan

    2010-01-01

    Full Text Available Objectives: The purpose of the present study was to investigate the reliability of both periapical radiographs and orthopantomograms for exact detection of tooth root protrusion in the maxillary sinus by correlating the results with cone beam computed tomography.Material and methods: A database of 1400 patients scanned with cone beam computed tomography (CBCT was searched for matching periapical (PA radiographs and orthopantogram (OPG images of maxillary premolars and molars. Matching OPG images datasets of 101 patients with 628 teeth and PA radiographs datasets of 93 patients with 359 teeth were identified. Four observers assessed the relationship between the apex of tooth root and the maxillary sinus per tooth on PA radiographs, OPG and CBCT images using the following classification: root tip is in the sinus (class 1, root tip is against the sinus wall (class 2 and root tip is not in the sinus (class 3.Results: Overall correlation between OPG and CBCT images scores was 50%, 26% and 56.1% for class 1, class 2 and class 3, respectively (Cohen’s kappa [weighted] = 0.1. Overall correlation between PA radiographs and CBCT images was 75.8%, 15.8% and 56.9% for class 1, class 2 and class 3, respectively (Cohen’s kappa [weighted] = 0.24. In both the OPG images and the PA radiographs datasets, class 1 correlation was most frequently observed with the first and second molars.Conclusions: The results demonstrated that both periapical radiographs and orthopantomograms are not reliable in determination of exact relationship between the apex of tooth root and the maxillary sinus floor. Periapical radiography is slightly more reliable than orthopantomography in determining this relationship.

  5. Reliability of periapical radiographs and orthopantomograms in detection of tooth root protrusion in the maxillary sinus: correlation results with cone beam computed tomography.

    Science.gov (United States)

    Hassan, Bassam A

    2010-01-01

    The purpose of the present study was to investigate the reliability of both periapical radiographs and orthopantomograms for exact detection of tooth root protrusion in the maxillary sinus by correlating the results with cone beam computed tomography. A database of 1400 patients scanned with cone beam computed tomography (CBCT) was searched for matching periapical (PA) radiographs and orthopantogram (OPG) images of maxillary premolars and molars. Matching OPG images datasets of 101 patients with 628 teeth and PA radiographs datasets of 93 patients with 359 teeth were identified. Four observers assessed the relationship between the apex of tooth root and the maxillary sinus per tooth on PA radiographs, OPG and CBCT images using the following classification: root tip is in the sinus (class 1), root tip is against the sinus wall (class 2) and root tip is not in the sinus (class 3). Overall correlation between OPG and CBCT images scores was 50%, 26% and 56.1% for class 1, class 2 and class 3, respectively (Cohen's kappa [weighted] = 0.1). Overall correlation between PA radiographs and CBCT images was 75.8%, 15.8% and 56.9% for class 1, class 2 and class 3, respectively (Cohen's kappa [weighted]  = 0.24). In both the OPG images and the PA radiographs datasets, class 1 correlation was most frequently observed with the first and second molars. The results demonstrated that both periapical radiographs and orthopantomograms are not reliable in determination of exact relationship between the apex of tooth root and the maxillary sinus floor. Periapical radiography is slightly more reliable than orthopantomography in determining this relationship.

  6. Working Length Determination Using Cone-Beam Computed Tomography, Periapical Radiography and Electronic Apex Locator in Teeth with Apical Periodontitis: A Clinical Study

    Science.gov (United States)

    de Morais, André Luiz Gomide; de Alencar, Ana Helena Gonçalves; Estrela, Cyntia Rodrigues de Araújo; Decurcio, Daniel Almeida; Estrela, Carlos

    2016-01-01

    Introduction: The purpose of this clinical study was to compare the accuracy of working length (WL) determination using cone-beam computed tomography (CBCT), conventional periapical radiographies and electronic apex locator. Methods and Materials: This study was conducted during root canal treatment of 19 patients with a total of 30 single-rooted teeth diagnosed with apical periodontitis. After taking the initial parallel periapical radiographies, the initial file was advanced into the canal until the WL was detected by the apex locator. Subsequently, the WL was measured and WL radiographies were taken with the file set in the canal. Afterwards, CBCT images were acquired. These three measurements were tabulated and compared and the data were analyzed using the Friedman test. The level of significance was set at 0.05. Results: The mean values for WL determination by electronic apex locator, periapical radiograph and CBCT images were 22.25, 22.43 and 22.65, respectively which was not statistically significant (P>0.05). Conclusion: Working length determination using CBCT images was precise when compared to radiographic method and electronic apex locator. PMID:27471524

  7. Radiographic Assessment of the Technical Quality and Periapical Health of Root-Filled Teeth Performed by General Practitioners in a Turkish Subpopulation

    Directory of Open Access Journals (Sweden)

    E. Tarim Ertas

    2013-01-01

    Full Text Available Aim. The aim of this study was to evaluate by means of radiographs the technical quality of root fillings performed by dental practitioners. Methods and Material. Standardized periapical radiographs were made on 484 patients who received endodontic treatment in private practice. A total of 831 endodontically treated teeth with 1448 roots were evaluated for technical quality of the root canal filling and the periapical status of the teeth. Also, the apical status of each root-filled tooth was assessed according to the length, density, and taper of root fillings, and the presence of apical transportation, broken root instruments, and overfilled sealer or gutta-percha material was recorded for each root canal. Results. Of the endodontically treated teeth 26.6% had healthy periapical tissues, while technically good endodontic treatment constituted 12.8%. Based on the treatment success, there was no significant difference between the tooth groups. Statistical analysis of the data did not demonstrate statistically significant differences between the various parameters that were evaluated (. Conclusions. Technical quality of root fillings in a population who received treatment in private practice was poor and was consistent with a low prevalence of apical health. The probable reasons for this failure are multifactorial and may be improved if the operators improve their skills with continuing postgraduate education programs.

  8. 乳牙根尖周病的临床治疗分析%Clinical Treatment of Deciduous Teeth With Periapical Disease

    Institute of Scientific and Technical Information of China (English)

    邢磊

    2016-01-01

    目的:探讨乳牙根尖周病的临床诊断及治疗。方法选取2014年1月~2015年6月我院收治的乳牙根尖周病患者56例,分析其临床治疗方法和资料。结果显效46例,有效4例,无效6例,总有效率89.28%。结论急性根尖周炎根尖脓肿应及时开髓引流,减轻患儿的痛苦,控制病变、保留患牙至正常替换期。%Objective To investigate the clinical diagnosis and treatment of deciduous teeth with periapical disease.Methods From January 2014 to June 2015, clinical treatment data of 56 cases with periapical disease were analyzed.Results 46 cases were markedly effect, 4 cases were effect, 6 cases were invalid, the total effective rate was 89.28%.Conclusion Acute periapical abscess should be open and drainage, quickly reduce the pain, control the lesions, retain the teeth to the normal replacement period.

  9. Histopathological Study of Periapical Inflammation Following Preparation of the Root Canal with Conventional and Profile Rotary Instrumentation in Teeth of Cats

    Directory of Open Access Journals (Sweden)

    M. Bidar

    2005-03-01

    Full Text Available Statement of Problem: Various factors are involved in causing inflammation following root canal treatment. Controlling these factors may relieve the related pain. One of these factors is extrusion of debris beyond the apex. Although debris extrusion happens in all instrumentation techniques, researchers have declared that in coronal flaring technique,there is minimum debris extrusion.Purpose: The purpose of this study was to evaluate and compare the inflammation of periapical area following root canal therapy, using conventional and profile rotary instrumentation in cats' teeth, from a histopathological point of view.Materials and Methods: This experimental study conducted on thirty Persian one year old cats. Three groups of samples were chosen and treated with different methods. First group were prepared by step-back instrumentation technique using stainless steel Ktypefiles. Second group were prepared by crown down technique using Ni-Ti files.Third group were prepared using profile GT rotary system at 150-rpm speed. Animals were subjected to vital perfusion at 8, 24 & 48 hour intervals after instrumentation. The canine teeth were separated from the jaw along with some of the supporting structures.Then decalcification and laboratory processing were carried out and samples were evaluated histologically. Collected data were analyzed using Kruskal-Wallis test.Results: The results showed that in vital teeth with no evidence of periapical pathosis,the inflammation following various instrumentation methods was not statistically different.Conclusion: In vital teeth, the periapical inflammation following various methods of instrumentation is not statistically different.

  10. Treatment of endodontically induced periapical lesions using hydroxyapatite, platelet-rich plasma, and a combination of both: An in vivo study

    Directory of Open Access Journals (Sweden)

    C Vaishnavi

    2011-01-01

    Full Text Available Aim and Objectives : To evaluate bone regeneration in endodontically induced periapical lesions using Hydroxyapatite, Platelet-Rich Plasma (PRP, and a combination of Hydroxyapatite and Platelet-Rich Plasma for a period of one year. Materials and Methods : Twenty systemically healthy patients of both genders between the ages 20 and 40 years were included. To qualify, the patient had to have a tooth where non-surgical root canal therapy had failed, periapical radiolucency was present, and periapical root end surgery was required. The bony defect had to be confined to the apical area, with the bone covering the entire root surface coronally, with an intact lingual cortical plate. Patients were randomly divided into four groups, with five patients each, as follows: Group I - Replacement with Hydroxyapatite, Group II - Replacement with PRP, Group III - Replacement with PRP and Hydroxyapatite, and Group IV - Control group with no substitutes. The patients were evaluated both clinically and radiographically. Results : The radiographic evaluation revealed that Group I patients showed complete bone regeneration with evidence of a trabecular pattern, at the end of one year, Group II patients showed complete bone regeneration at the end of nine months, Group III patients showed complete bone regeneration at the end of six months, and Group IV patients showed bone regeneration, which was not satisfactory even after one year. Conclusions : The PRP and Hydroxyapatite combination facilitated better and faster bone regeneration when compared to PRP alone.

  11. Revascularización pulpar mediante la utilización de plasma rico en plaquetas autólogo o en combinación con una matriz colágena, como posibilidades terapéuticas para dientes con ápice abierto, pulpa necrótica y/o patología periapical.

    Directory of Open Access Journals (Sweden)

    Paula Alejandra Camargo Guevara

    2014-07-01

    Full Text Available Objetivo: describir el uso del plasma rico en plaquetas autólogo o en combinación con una matriz colágena como posibilidades terapéuticas de revascularización en dientes con ápices abiertos, pulpa necrótica y/o lesión periapical. Métodos: se realizó una búsqueda temática de la literatura entre los años 2007 y 2013, por medios electrónicos, bases de datos, revistas y journals con alto impacto en endodoncia. Resultados: la endodoncia regenerativa es un procedimiento biológico diseñado para reemplazar estructuras lesionadas, enfermas o ausentes del complejo pulpo-dentinal. Hay tres factores que guían y permiten la regeneración tisular: células madre mesenquimales (MSC, que pueden diferenciarse y apoyar la continuación en el desarrollo radicular, factores de crecimiento (GF, para la inducción de la proliferación celular y la diferenciación, y un andamio adecuado que brinde soporte y promueva la migración, crecimiento y la diferenciación celular. El colágeno y el plasma rico en plaquetas (PRP han sido reportados como andamios de elección en la regeneración endodóntica, se dice que estimulan la formación de tejido, la organización y la adherencia celular, mejorando el tiempo de tratamiento y de evolución. Conclusiones: en los procedimientos de revascularización, elegir un andamio o soporte tridimensional como el colágeno tipo I o PRP sumado a la inducción de los tejidos periapicales, aumenta las posibilidades de éxito en el tratamiento de regeneraciónendodóntica gracias a las propiedades que brindan y a la interacción molecular.

  12. Interfases adhesivas al utilizar cementos de resina en el interior de los conductos radiculares: Comparación al MEB Adhesive interfaces when using resin cement at the interior of the radicular duct: A SEM comparison

    Directory of Open Access Journals (Sweden)

    V. Valenzuela Aránguiz

    2013-02-01

    Full Text Available Se realizó una comparación micro morfológica de la interfase dentina radicular - resina de cementación de postes de fibra de vidrio con dos sistemas de resinas compuestas, Relyx UnicemTM y ParaCemTM. Veinte premolares unirradiculares, extraídos por indicación ortodóncica fueron divididos al azar en dos grupos de 10 y se les realizó terapia endodóntica convencional. Las muestras fueron desobturadas parcialmente y se cementaron los postes de fibra (Tenax Fiber White, Coltene-Whaledent con los materiales en estudio siguiendo las indicaciones del fabricante. Posteriormente se realizaron cortes en los tercios apical, medio y cervical y se prepararon para la observación al microscopio electrónico de barrido (MEB. Las raíces cuyos postes fueron cementados con Relyx UnicemTM no evidenciaron formación de capa hibrida en ninguno de los tercios. La interfase cemento-dentina se encontró irregular y discontinua, en cambio se encontró una intima unión poste-cemento. Las raíces en las que se utilizó el ParaCem formaron una capa híbrida uniforme y homogénea de un espesor promedio de 2 μm sólo en el tercio cervical, no encontrándose esta estructura en los tercios medio y apical. También se evidenció una intima unión poste-cemento. Conclusiones: El cemento Relyx UnicemTM, no ha formado capa híbrida a lo largo del conducto. En cambio con el ParaCemTM es posible encontrarla aunque solo a nivel cervical. No se observó formación de tags con los cementos probados en este estudio. Ambos cementos han generado unión íntima entre el poste de fibra y la resina cementante.A micro morphological study was performed; this study compared the interface between radicular dentin and resin cement, when fixing fiberglass posts with Relyx UnicemTM and ParaCemTM systems. Twenty single-rooted premolars, extracted by orthodontic indication, were divided randomly into two groups of 10 teeth each. Endodontic treatment using gutta-percha points and Grossman

  13. The pathogenic potential of oral anaerobic microorganisms in rat periapical lesions%感染根管优势菌致病能力的实验研究

    Institute of Scientific and Technical Information of China (English)

    王变红; 葛丽华; 侯本祥

    2011-01-01

    Objective To evaluate the pathological effect of three oral anaerobic bacterial species on periapical lesions. Methods Porphyromonas endodontalis, Porphyromonas gingivalis and Fusobacterium nucleatum were inoculated into the first molars' pulp of SD rats respectively, and saline inoculated as control. Another group of molars' pulp was open to the oral cavity without any inoculation. The maxillary and mandibular bone was harvested at 1, 2, 4, 8 weeks, and periapical X-ray was taken and the absorption area of the periapical bone measured and analyzed. The periapical lesions were sliced and their pathology was observed. Results The periapical bone absorption area was increased with time and became biggest at 8 weeks. There were no significant difference in area of periapical lesions and in inflammation degree between the P. e group, P. g group and saline group at 1,2, 4, 8 weeks( P >0. 05 ). At 4 weeks, the bone absorption area of F. n group was bigger than that of P. e group and P. g group ( P < 0. 01 ). The inflammation degree in F. n group was severer than that in P. e or P. g group. Conclusion Compared with P. g and P. e, the F. n plays an more important role in the progress of apical periodontitis. Mixed infection of several kinds of bacteria was the main cause of periapical diseases.%目的 研究感染根管优势菌在根尖周炎发病过程中的作用,探讨不同细菌致病能力的差异.方法 选择牙髓卟啉单胞菌(Porphyromonas endodontalis,P.e)、牙龈卟啉单胞菌(Porphyromonas gingivalis,P.g)、具核梭杆菌(Fusobacterium nudeatum,F.n)分别接种于SD大鼠第一磨牙髓腔内,以生理盐水和髓腔开放作为对照.术后1、2、4、8周处死大鼠,取上、下颌骨拍摄X线片,测量并比较各组第一磨牙根尖周透射影面积;组织学切片观察各组根尖周组织病理变化,评价根尖周组织炎症程度.结果 X线片测量结果显示根尖阴影面积在术后8周最大,组织学评价结果为术后4周

  14. An intraoral periapical radiographic study of nutrient canals as a diagnostic aid in systemic diseases and pathological conditions

    Directory of Open Access Journals (Sweden)

    Vanaja G Reddy

    2008-01-01

    Full Text Available Objectives: To correlate the prevalence of nutrient canals in healthy dentulous with healthy edentulous, diabetes mellitus, hypertension and periodontally compromised patients. Methods: Study was conducted on 500 subjects in the age group of 21-70 years. They were clinically and radiographically examined using intraoral periapical radiographs, and were statistically analyzed. Results: On Comparing with control group, prevalence of nutrient canals was observed to be highly significant in diabetes (27%, P< 0.001, significant in edentulous (22%, P< 0.01, hypertensive (21%, P< 0.01 and periodontitis (17%, P< 0.05 groups. Highly significant age wise prevalence was observed in edentulous and periodontitis groups and a significant increase in diabetes and hypertensive groups. Interpretation and Conclusion: Significant correlation was observed in diabetes, edentulous, hypertensive and periodontitis groups, when compared with healthy subjects. Increase in prevalence of nutrient canals on mandibular anterior IOPAR can be used as an adjunct diagnostic aid in systemic diseases like diabetes, hypertension and periodontitis.

  15. Quinta parte. Pudriciones Fungosas Radiculares del Fríjol en Valle de Medellín Colombia

    Directory of Open Access Journals (Sweden)

    Cárdona Álvarez Canúto

    1954-11-01

    Full Text Available En esta parte se hace el resumen del estudio que se realizo sobre las pudriciones fungosas radiculares del fríjol en el valle de Medellín, a continuación se enumeran las conclusiones a las que se llegaron: 1A partir de 1948 se hizo un estudio de determinación de los hongos que causan pudriciones de la raíz del fríjol. Dicho estudio se efectuó en Medellín e incluyó organismos de la región y de otros lugares, como Andes, Armero y Palmira. Se usaron organismos que se encontraron asociados con pudriciones de la raíz del fríjol, vigna, remolacha y soya. 2Lo organismos aislados se obtuvieron directamente de las raíces afectadas y no de otra fuente como el suelo o la semilla. 3Concomitante con la obtención de los cultivos de los organismos, se hizo un estudio abarcando apreciación de distribución de los hongos en los plantíos y pérdidas en rendimiento, causadas por los agentes, expresadas en peso de semilla. Se obtuvieron porcentajes naturales de infección variando entre 68.55 y 100% y reducción en el rendimiento hasta del 93%. 4Se hizo una descripción de síntomas y de signos para cada especie patógena encontrada durante este trabajo. Asimismo se estudió la clasificación taxonómica de cada organismo en particular.

  16. Localización de conductos radiculares: Visión directa versus microscopio quirúrgico. Estudio in-vitro.

    Directory of Open Access Journals (Sweden)

    Gabriela Sanchez

    2012-07-01

    Full Text Available La incapacidad para identificar adecuadamente la entrada al sistema de conductos radiculares, principales y accesorios, es una de las causas de la falla endodóntica. Nace la necesidad de incorporar nuevas tecnologías que permitan mejorar la visibilidad a la cavidad de acceso para la localización de la entrada de los conductos radiculares. El objetivo del presente estudio fue comparar si existe una diferencia entre la localización de conductos radiculares de molares permanentes humanos a través de visión directa y con el uso del microscopio quirúrgico. Se examinaron 100 molares permanentes humanos extraídos, por visión directa y luego usando un microscopio quirúrgico, para determinar el número de conductos radiculares localizados. La diferencia se estableció con la obtención del número real de conductos al realizar el corte radicular. El presente estudio indicó que el número de conductos localizados aumenta en un 11% con el uso del microscopio quirúrgico, lo que se refleja en especial en conductos accesorios, lo cual concuerda con otros estudios realizados al respecto. Se puede concluir con este estudio que con el uso del microscopio quirúrgico se localizaron un mayor número de conductos en relación al uso de visión directa y por lo tanto se considera como una herramienta muy útil que ayuda al clínico en el tratamiento endodóntico convencional, ofreciendo un campo operatorio perfectamente iluminado y magnificado, visualizando con gran detalle, el piso de la cámara y la entrada a todos los conductos radiculares, lo que constituye la llave del éxito en endodoncia. Abstract: The inability to properly identify the entrance to the root system, main and accessories, is one of the causes of endodontic failure. Hence arises the need to incorporate new technologies to improve the visibility of the access cavity to the location of the entrance to one of the root. The purpose of this study was to compare whether there is a

  17. Avaliação clinica e microbiologica do uso de pontas sonicas diamantadas na descontaminação radicular (estudo longitudinal)

    OpenAIRE

    Angela Guimarães Martins

    2005-01-01

    Resumo: O objetivo deste estudo foi avaliar longitudinalmente a efetividade de pontas sônicas diamantadas (RootplanerTM), na descontaminação de superfícies radiculares de dentes unirradiculares sob parâmetros clínicos (índice de placa, sangramento à sondagem, profundidade de sondagem, nível de inserção clínica relativo, e retração gengival) e microbiológicos (cultura microbiana e PCR), comparados a instrumentação com curetas. Esta pesquisa trata-se de um teste clínico controlado randomizado c...

  18. Reabsorción radicular externa apical en incisivos y caninos superiores e inferiores sometidos a tratamiento de Ortodoncia en etapa inicial

    OpenAIRE

    2016-01-01

    La Reabsorción radicular externa apical es un proceso inflamatorio común asociado con el tratamiento de ortodoncia. El objetivo de este estudio fue comparar la magnitud de la RREA de los incisivos y caninos superiores e inferiores en pacientes sometidos a la fase inicial del tratamiento de ortodoncia con tres diferentes tipos de brackets. La muestra consistió en 23 casos de pacientes con edades comprendidas entre 12 y 27 años, fueron divididos aleatoriamente en 3 grupos. Grupo I (n=9; 5 mujer...

  19. Localización efectiva de un segundo conducto radicular en incisivos inferiores mediante magnificación, radiografía y diafanización

    OpenAIRE

    Duque, Thais Mageste; Departamento de Odontología Restauradora, Área de Endodoncia. Facultad de Odontología de Piracicaba, Universidad Estadual de Campinas (FOP-UNICAMP). Sau Paulo.; Herrera Morante, Daniel Rodrigo; Departamento de Odontología Restauradora, Área de Endodoncia. Facultad de Odontología de Piracicaba, Universidad Estadual de Campinas (FOP-UNICAMP). Sau Paulo.; Randi Ferraz, Caio Cézar; Departamento de Odontología Restauradora, Área de Endodoncia. Facultad de Odontología de Piracicaba, Universidad Estadual de Campinas (FOP-UNICAMP). Sau Paulo.; Zaia, Alexandre Augusto; Departamento de Odontología Restauradora, Área de Endodoncia. Facultad de Odontología de Piracicaba, Universidad Estadual de Campinas (FOP-UNICAMP). Sau Paulo.; Affonso de Almeida, José Flávio; Departamento de Odontología Restauradora, Área de Endodoncia. Facultad de Odontología de Piracicaba, Universidad Estadual de Campinas (FOP-UNICAMP). Sau Paulo.; Figueiredo de Almeida Gomes, Brenda Paula; Departamento de Odontología Restauradora, Área de Endodoncia. Facultad de Odontología de Piracicaba, Universidad Estadual de Campinas (FOP-UNICAMP). Sau Paulo.

    2014-01-01

    Objetivo: Evaluar in vitro, la efectividad del método visual y radiográfico, comparándolos con la técnica de diafanización en la detección del segundo conducto radicular de incisivos inferiores tratados endodónticamente. Material y métodos: Fueron analizados 133 dientes incisivos inferiores permanentes, tratados endodónticamente, a través de métodos visuales (con y sin auxilio de magnificación), radiográficos y de diafanización. El análisis radiográfico fue realizado en negatoscopio utilizand...

  20. Análisis morfométrico de los conductos radiculares del segundo molar superior permanente : evaluación comparativa entre grupos etarios.

    OpenAIRE

    Urrutia García, Daniel Alejandro

    2014-01-01

    Conocer el terreno donde se va a actuar es un requisito esencial para que el endodoncista pueda actuar con eficiencia. El segundo molar superior permanente (2MSP) es, quizás, una de las piezas más complejas y, a su vez, menos descripta en la literatura clásica respecto a su morfología externa y la configuración interna de sus conductos radiculares; sumando a esta carencia de información específica, los cambios que la edad producen en los mismos. El presente trabajo pretende analizar compara...

  1. Infiltração bacteriana em canais radiculares obturados com diferentes cimentos endodônticos e duas técnicas obturadoras

    OpenAIRE

    Thais Vieira Rizzo Nunes da Cunha

    2011-01-01

    O objetivo deste estudo foi avaliar ex vivo a infiltração do Enterococcus faecalis em canais radiculares obturados com os cimentos endodônticos AHPlus, RealSeal e o cimento experimental Sealepox, pelas técnicas da condensação lateral e compactação vertical. Cem dentes humanos unirradiculados, com canais únicos e retos, tiveram os mesmos instrumentados, e após, as coroas removidas, para a realização das obturações. Aparatos específicos para a fixação das raízes foram confeccionados contendo...

  2. Tratamiento ortodóntico quirúrgico de canino maxilar impactado con reabsorción radicular bilateral: Reporte de caso

    OpenAIRE

    Mercado-Mamani, Sively; Universidad Católica Santa María. Arequipa.; Ríos-Villasis, Katty; Universidad Inca Garcilazo de la Vega. Lima.

    2014-01-01

    Los dientes caninos superiores permanentes impactados bilaterales son un problema clínico que puede provocar una serie de secuelas irreversibles como la reabsorción radicular de dientes vecinos. Se describe el caso de una paciente con ausencia clínica de caninos superiores que se encontraban impactados orientados hacia vestibular  produciendo reabsorción de los dos tercios de la raíces de todos los incisivosSuperiores,los que fueron extraídos, en el mismo acto se realizó la exposición quirúrg...

  3. Estudio comparativo de las distintas soluciones antisépticas, utilizadas durante la preparación quirúrgica de los conductos radiculares

    OpenAIRE

    1999-01-01

    Por las décadas del 50 y 60, los tratamientos endodónticos insumían demasiado tiempo, usualmente eran necesarias entre dos y cinco sesiones para completar una terapia. Los mismos se hacían tediosos sobre todo en la esterilización del conducto, ya que este proceso involucraba la toma de cultivos intraductales. Lamentablemente, pronto se observó que los cultivos negativos no reflejaban necesariamente el verdadero estado del canal radicular, entonces la importa de estos cultivos comenzó a dismin...

  4. El surco de desarrollo radicular como causa de fracaso endodóncico: a propósito de un caso

    OpenAIRE

    L. Miguel; Arnabat Domínguez, Josep; Pumarola Suñé, José; Berini Aytés, Leonardo; Gay Escoda, Cosme

    2005-01-01

    El surco de desarrollo radicular es una anomalía dentaria de origen embriológico presente en el 8,5% de la población que se localiza principalmente en la cara palatina de los incisivos laterales superiores. Este surco se origina en la fosa central y atravesando el cíngulo se dirige hacia el ápice, siendo su longitud variable. A través de él, los microorganismos penetran en el ligamento periodontal, causando una destrucción ósea localizada. Clínicamente los dientes afectados por esta anomalía ...

  5. Materiais obturadores de canais radiculares de dentes decíduos: avaliação da atividade antibacteriana in vitro e da compatibilidade tecidual in vivo

    OpenAIRE

    2008-01-01

    Avaliou-se a atividade antibacteriana e a compatibilidade tecidual dos seguintes materiais obturadores de canais radiculares de dentes decíduos: cimento de óxido de zinco e eugenol, pasta Calen® espessada com óxido de zinco, cimento Sealapex® e cimento EndoREZTM. A atividade antibacteriana foi avaliada in vitro, por meio do teste de difusão em ágar, frente a 5 microrganismos indicadores (Kocuria rizophila, Enterococcus faecalis, Streptococcus mutans, Escherichia coli e Staphylococcus aureus)...

  6. Avaliação radiográfica do preparo apical de canais radiculares instrumentados com limas manuais e sistenas rotatórios

    OpenAIRE

    José Vasconcelos de Queiroz, Artur

    2003-01-01

    Desde a introdução das primeiras limas confeccionadas em liga de níquel-titânio na endodontia, diversos instrumentos manuais e rotatórios foram integrados ao arsenal endodôntico com a promessa de se realizar uma instrumentação rápida e segura do sistema de canais radiculares. No presente trabalho foram utilizados 50 molares inferiores humanos, com processo de rizogênese completa, obtidos no banco de dentes do Curso de Pós-Graduação em Odontologia do Centro de Ciências da Saú...

  7. Facial middle-third root fracture. A case report Fractura radicular del tercio medio dentario. Presentación de un caso

    Directory of Open Access Journals (Sweden)

    Nestor Rodríguez Cruz

    2010-12-01

    Full Text Available Horizontal root fracture is a rare dental trauma the general dentist is not always appropriately trained for. This article presents an horizontal root fracture of the facial upper central middle-third with incomplete apical formation in an 8 years old, male patient, who came to our consultation a month after the dental trauma had occurred. The latest procedures, consisting on the exclusive instrumentation and treatment of the coronal segment, and the exclusive use of calcium hydroxide as irrigantion fluid and intracanal medicament by taking profits of its capacity to induce hard tissue were used. This procedure was reactivated every 15 days and clinical-radiographic controls were performed every 3 months to monitor progress in the root apex formation. When apex formation was completed it was decided to seal the root canal with gutta-percha by using the conventional lateral condensation technique. It was decided to publish this case report first of all because it is a condition that, unlike what happened with this specific patient, does not always progress successfully and because an unconventional treatment, with positive results in year and a half was applied.La fractura radicular horizontal es un traumatismo dental poco frecuente para lo cual el estomatólogo general no está siempre adecuadamente entrenado. El trabajo que se presenta constituyó un caso de fractura radicular horizontal en el tercio medio del incisivo central superior derecho con incompleta formación apical, en un paciente masculino de 8 años de edad que acudió a consulta después de un mes de haber ocurrido el trauma dental. Se utilizaron los procedimientos más novedosos, consistentes en la exclusiva instrumentación y tratamiento del segmento coronal; el uso exclusivo de hidróxido de calcio como sustancia irrigadora y como pasta intraconducto, utilizando su capacidad inductora de tejidos duros. Este proceder fue reactivado cada 15 días, con controles cl

  8. Avaliação da centralização do preparo biomecânico em canais radiculares preparados com os sistemas ProTaper UniversalTM, ProfileTM e Twisted FileTM

    OpenAIRE

    de Andrade Mendes, Daniela

    2010-01-01

    O conhecimento da morfologia interna do sistema de canais radiculares e suas diversas conformações têm um importante papel no sucesso da terapia endodôntica. A familiarização com as curvaturas torna-se importante para execução de um correto planejamento do preparo biomecânico dos canais radiculares escolhendo técnicas e instrumentos apropriados para cada situação, uma vez que a manutenção da sua anatomia original é de suma importância para o sucesso da terapêutica aplicada. O preparo biomecân...

  9. "Estudo comparativo da resistência à infiltração que diferentes materiais resinosos utilizados na cimentação de retentores intra-radiculares oferecem à passagem de fluidos que atravessam a dentina"

    OpenAIRE

    Marcio Katsuyoshi Mukai

    2005-01-01

    O Objetivo deste estudo é avaliar in vitro, a resistência que diferentes materiais resinosos têm a passagem de fluidos que atravessam a dentina na ausência de cemento radicular. Foram utilizados 60 dentes humanos cedidos pelo banco de dentes da FOUSP. Os dentes foram submetidos a tratamento endodôntico segundo a técnica de Paiva e Antoniazzi e armazenados a uma temperatura de 37°C em umidade 100% por 24 horas para o preparo do retentor intra -radicular respeitando o limite apical de 4 mm. Os ...

  10. Avaliação da conformação do preparo biomecânico de canais radiculares instrumentados com os sistemas rotatórios Hero 642®, Hero Shaper® e Hero Aplical®

    OpenAIRE

    Cruz Câmara, Andréa

    2006-01-01

    O objetivo desta pesquisa foi avaliar a conformação do preparo biomecânico de canais radiculares, por meio de imagens pré e pós-operatórias da secção transversal dos terços cervical, médio e apical. Cinquenta canais mésio-vestibulares de primeiros molares inferiores humanos foram divididos aleatoriamente em 5 grupos com 10 espécimes. No grupo 1, os canais radiculares foram instrumentados com o sistema HERO 642®; no grupo 2 com o sistema HERO 642® associado ao sistema HERO Ap...

  11. Hemolysin activities as virulence factor of Enterococcus faecalis isolated from saliva and periapical abscess (gene detection by PCR

    Directory of Open Access Journals (Sweden)

    Dewa Ayu N.P.A

    2013-03-01

    Full Text Available Background: Enterococcus faecalis is a normal flora of the oral cavity, commonly detected in saliva and persistence in endodontic infections. These bacteria have diverse survival and virulence factors. Hemolysin is one of the factor and still had unclear role as a virulence factor of the Enterococcus faecalis to survive in the root canal. Purpose: The purpose of this research was to analyze the presence and activity of hemolysin gene and its activity as a virulence factor isolated from saliva and root canals with periapical abscess. Yet by understanding one of the phenotypes characters which is hemolysin, it is expected a successful endodontic treatment can be provided with the persistent of Enterococcus faecalis bacteria. Methods: Method of the research starting with the identification of Enterococcus faecalis bacteria in isolated saliva and periapical abscess was done in the first part of the study. Then the phenotypes character of Enterococcus faecalis such as gene detection and expression of hemolysin in blood agar cultures of the 60 colonies samples were performed in the later part. Results: Not all of the colonies cultured were identified as Enterococcus faecalis. All positive detection on hemolysin gene showed hemolysin expresion in both isolated samples. However, there were samples with hemolysin expression eventough no hemolysin gene detected. Hemolysin expression detection in saliva was higher due to different activation phase of hemolysin in saliva. The study with just one primer could lead to the possibility of undetected hemolysin gene, eventough there were samples that did not have hemolysin gene. The proportion of hemolysin expression in root canals were less than saliva, this could be influenced by environmental factors. However, Hemolysin was considered as important virulence factor, particularly for disease therapy. Conclusion: The conclusion of this research was hemolysin gene discovered in clinical isolated saliva and root

  12. Identification of pulpitis at dental X-ray periapical radiography based on edge detection, texture description and artificial neural networks

    Directory of Open Access Journals (Sweden)

    Bernard Y Tumbelaka

    2014-01-01

    Full Text Available Objectives: The aim of the present research was to identify pulpitis through periapical radiography by applying edges as basis image features, the texture description and the artificial neural networks (ANNs. Materials and Methods: Input image data records of 10 molar and 10 canine teeth were used. The clinical diagnosis of interest cases were represented as normal pulp, reversible and irreversible pulpitis, and necrotic pulp. The following image processing steps were done. First, the data records were converted digitally and preprocessed as its original image using the Gaussian Filter to obtain the best smoothed intensity distribution. Second, the local image differentiation was used to produce edge detector operators, e(x,y as the image gradient; ∇f(x,y providing useful information about the local intensity variations. Third, these results were analyzed by using the texture descriptors to obtain digitally the image entropy, H. The fourth step, all were characterized by the ANNs. Results: The edge detection carried important information about the object boundaries of pulpal health and pain conditions in the dental pulp significantly. The image entropy which was identified, the diagnostic term, was obtained from texture descriptors in the segmentation regions where the curves of pulp states tent convergence with the normal pulp line from 4.9014 to 4.6843 decreasing to the reversible and the irreversible pulpitis line include the nectrotic pulp line from 4.6812 to 4.5926 and then inputting to the ANNs analysis at the same of mean square error around 0.0003. Conclusions: Referred to these results, the correlation of the image entropy and the ANNs analysis could be linearly classified with the critical point of 4.6827. Finally, it could be concluded that the direct reading radiography is better to be digitized in order to provide us the best choice for diagnosis validation.

  13. Evaluation of technical quality and periapical health of root-filled teeth by using cone-beam CT

    Directory of Open Access Journals (Sweden)

    Bilge Gülsüm NUR

    2014-12-01

    Full Text Available Objective This study aimed to assess the quality of root fillings, coronal restorations, complications of all root-filled teeth and their association with apical periodontitis (AP detected by cone-beam computed tomography (CBCT images from an adult Turkish subpopulation. Material and Methods The sample for this study consisted of 242 patients (aging from 15 to 72 years with 522 endodontically treated teeth that were assessed for technical quality of the root canal filling and periapical status of the teeth. Additionally, the apical status of each root-filled tooth was assessed according to the gender, dental arch, tooth type and age classification, undetected canals, instrument fracture, root fracture, apical resorption, apical lesion, furcation lesion and type and quality of the coronal structure. Statistical analysis was performed using percentages and chi-square test. Results The success rate of the root canal treatment was of 54.4%. The success rates of adequate and inadequate root canal treatment were not significantly different (p>0.05. Apical periodontitis was found in 228 (45.6% teeth treated for root canals. Higher prevalence of AP was found in patients aging from 20 to 29 years [64 (27% teeth] and in anterior (canines and incisors teeth [97 (41% teeth]. Conclusions The technical quality of root canal filling performed by dental practitioners in a Turkish subpopulation was consistent with a high prevalence of AP. The probable reasons for this failure are multifactorial, and there may be a need for improved undergraduate education and postgraduate courses to improve the clinical skills of dental practitioners in endodontics.

  14. Pain and swelling after periapical surgery related to the hemostatic agent used: Anesthetic solution with vasoconstrictor or aluminum chloride

    Science.gov (United States)

    Maestre-Ferrín, Laura; Peñarrocha-Oltra, David; Gay-Escoda, Cosme; von-Arx, Tomas; Peñarrocha-Diago, Miguel

    2012-01-01

    Objective: To assess pain and swelling in the first 7 days after periapical surgery and their relationship with the agent used for bleeding control. Study Design: A prospective study was conducted between October 2006 and March 2009. Patients subjected to root surgery, who completed the questionnaire and who consented to the postoperative instructions were included in the study. The subjects were divided into two groups according to the hemostatic agent used: A) gauze impregnated with anesthetic solution with vasoconstrictor; or B) aluminum chloride. The patients were administered a questionnaire, and were asked to record the severity of their pain and swelling on a plain horizontal visual analog scale (VAS). Data were recorded by the patients on the first 7 postoperative days. In addition, the patients were asked to record analgesic consumption. Results: A total of 76 questionnaires (34 in group A and 42 in group B) were taken to be correctly completed. Pain was reported to be most intense two hours after surgery. At this point 52.6% of the patients had no pain. Seventy-five percent of the patients consumed analgesics in the first 24 hours. There were no significant differences between the two groups in terms of the intensity of pain or in the consumption of analgesics. Swelling reached its maximum peak on the second day; at this point, 60.6% of the patients suffered mild or moderate swelling. The Expasyl™ group showed significantly greater swelling than the gauzes group. Conclusion: The type of hemostatic agent used did not influence either the degree of pain or the need for analgesia among the patients in this study. However, the patients belonging to the Expasyl™ group suffered greater swelling than the patients treated with gauzes impregnated with anesthetic solution with vasoconstrictor. Key words:Hemostasis, periradicular surgery, aluminum chloride, pain, swelling. PMID:22322510

  15. Long-term evaluation of apical root resorption after orthodontic treatment using periapical radiography and cone beam computed tomography

    Directory of Open Access Journals (Sweden)

    Jairo Curado de Freitas

    2013-08-01

    Full Text Available OBJECTIVE: To evaluate the frequency of Apical Root Resorption (ARR after orthodontic treatment at 52-288 months using periapical radiography (PR and cone beam computed tomography (CBCT. METHODS: Radiographic images obtained from 58 patients, before (T1 and after orthodontic treatment (T2, and following 52-288 months of treatment were analyzed by three members of the Brazilian Board of Orthodontics. Apical structures were evaluated by PR images (T2 and T3, using Levander and Malmgren scores. The presence of ARR on CBCT images were detected only at T3. The Kolmogorov-Smirnov test was used for statistical analyses, and the level of significance was set at 5%. Kappa statistics determined interobserver agreement. RESULTS: The more frequent ARR were with scores 1 in T2 (51.6% and T3 (53.1%, when evaluated by PR (p > 0.05. When compared the frequencies of ARR in T3 among PR and CBCT images, the differences were significant for maxillary and mandibular pre-molar groups, and for mandibular molar group (p > 0.05. The teeth with highest frequency of ARR presence using CBCT images were maxillary lateral incisors (94.5% and mandibular central incisors (87.7%, while the premolars showed the lowest frequency. The CBCT images showed that the teeth involved in orthodontic treatment with extraction present higher ARR frequency (p < 0.05. CONCLUSION: PR showed more frequency of ARR in posterior teeth groups when compared with CBCT images. ARR did not change in long-term post treatment.

  16. 根尖外科治疗的临床进展%Clinical progress in periapical surgery

    Institute of Scientific and Technical Information of China (English)

    王密; 尹仕海

    2009-01-01

    根尖外科手术是对根管治疗术无法治愈患牙的有效保存治疗手段,具有较高的治疗成功率.根尖外科治疗从理念、技术、方法到材料、设备等方面都在不断的发展,其明显的标志是:由传统手术方法、器械,逐步引入根尖显微外科、根尖激光外科和根尖超声预备等新技术;由单纯的刮净根尖肉芽组织和根尖倒充填,转入到对骨组织的诱导再生和封闭材料的生物相容性;手术设计由充分暴露病变区到微创性和美观性的考虑.该文就根尖外科治疗的临床新进展和如何应对一些临床问题作一综述.%Periapical surgery is an effective way of high success rate to preserve teeth that can't be treated by routine RCT. Recently, it has developments in concepts, technologies, methods , materials and equipments, etc. For instance, the apical micro/laser surgery and ultrasonic apical preparation have been introduced into traditional sur gical instruments; bone tissue regeneration and biocompatibility of materials are emphasized based on the simple curet tage of granulation tissure and root -end filling; aesthetics and minimal invasion are taken into consideration compared with the traditional surgery design. This article reviews the progress in periaical surgery and gives some suggestion for treating different cilinic situations.

  17. Immunohistochemical study of p53 and proliferating cell nuclear antigen expression in odontogenic keratocyst and periapical cyst

    Directory of Open Access Journals (Sweden)

    Thara Purath Sajeevan

    2014-01-01

    Full Text Available Introduction: p53 protein is a product of p53 gene, which is now classified as a tumor suppressor gene. The gene is a frequent target for mutation, being seen as a common step in the pathogenesis of many human cancers. Proliferating cell nuclear antigen (PCNA is an auxiliary protein of DNA polymerase delta and plays a critical role in initiation of cell proliferation. Aim: The aim of this study is to assess and compare the expression of p53 and PCNA in lining epithelium of odontogenic keratocyst (OKC and periapical cyst (PA. Materials and Methods: A total of 20 cases comprising 10 OKC and 10 PA were included in retrospective study. Three paraffin section of 4 μm were cut, one was used for routine hematoxylin and eosin stain, while the other two were used for immunohistochemistry. Statistical analysis was performed using Chi-square test. Results: The level of staining and intensity were assessed in all these cases. OKC showed PCNA expression in all cases (100%, whereas in perapical cyst only 60% of cases exhibited PCNA staining. (1 OKC showed p53 expression in 6 cases (60% whereas in PA only 10% of the cases exhibited p53 staining. Chi-square test showed PCNA staining intensity was more significant than p53 in OKC. (2 The staining intensity of PA using p53, PCNA revealed that PCNA stating intensity was more significant than p53. Conclusion: OKC shows significant proliferative activity than PA using PCNA and p53. PCNA staining was more intense when compared with p53 in both OKC and PA.

  18. A Comparison of Panoramic, Periapical and Bite Wing Radiographies in Evaluation of Alveolar Bone Loss in Periodiontitis

    Directory of Open Access Journals (Sweden)

    A Haerian Ardakani

    2007-07-01

    Full Text Available Introduction: The height of the alveolar bone, is normally maintained by equilibrium between bone formation and bone resorption, but in periodontal disease more destruction or lack of bone formation will reduce the alveolar bone height. However the radiography is important in diagnosis, treatment plan and detection of quality and quantity of the alveolar bone; although the type of radiography is more important. The purpose of this study is the comparison between panaromic, P.A (Parallel, Bite Wing radiographs in diagnosis of periodontitis. Methods: This study was descriptive cross-Sectional study Periapical (PA, Bitewing (B.W & Panoramic radiographic images in 32 pationent 13 male and 19 female with moderate to advanced periodontitis (mean age 38 year were taken before surgical treatment. Actual hight of defect were measured by a William's probe during surgery, the distance between cemento enamel junction (CEJ and alveolar crest were measured on radiographs using a digital vernie scale as will as. Actual measurements were compared with values taken from panoramic PA, B.W radiographs. For Data analysis Paired t test was used. Results: A total of 314 linear distances from the panoramic PA , B.W, and CEJ/BL were measured. The mean difference between panoramic and actual Measurements (0.115 and 0.28 P=(0.24-0.07, were not satistically significant (P> 0.05. The mean difference between P.A and actual measurements (0.279-0.498 P=(0.0001-0.004 showed a satistically significant difference (P< 0.05. The mean deference between BW and actual Measurements (0.576-0.613 P=(0.24-0.07 were satistically significant (P<0.05. Conclusion: Although, all forms of radiographic images showed agreement in detection of periodontal bone loss, the accuracy of panoramic radiographs was more than PA & BW radiographs'. Specially when the magnification was adjusted in panoramic radiography.

  19. Periapical status of non-root-filled teeth with resin composite, amalgam, or full crown restorations: a cross-sectional study of a Swedish adult population.

    Science.gov (United States)

    Dawson, Victoria; Petersson, Kerstin; Wolf, Eva; Akerman, Sigvard

    2014-09-01

    Experimental studies show that dental pulp cells respond unfavorably to contact with resin composite restorative material. Hypothetically, in a random population, the frequency of apical periodontitis should be higher for teeth restored with resin composite than with amalgam. Therefore, the aim was to compare the periapical status of non-root-filled teeth restored with resin composite, amalgam, or laboratory-fabricated crowns in an adult Swedish population. The subjects comprised 440 individuals from a randomly selected sample of 1,000 adult residents of a Swedish county. The type, material, and quality of the restorations were recorded for all non-root-filled teeth by clinical examination and intraoral clinical photographs. Periapical status was evaluated on panoramic radiographs. The association between periapical status and type, material, and quality of the restorations was analyzed using the chi-square test and logistic regression analysis. There was no significant difference in the frequency of apical periodontitis (AP) between teeth restored with resin composite or amalgam (1.3% and 1.1%, respectively). The frequency of AP for teeth restored with laboratory-fabricated crowns was significantly higher (6.3%). Regression analysis showed no association between AP and resin composite restorations but a significant association with laboratory-fabricated crowns. The results indicate that the risk of damage to the pulp-dentin complex from exposure to resin composite material and dentin bonding agents shown in experimental studies is not reflected in the clinical setting. However, in the study sample, AP was diagnosed in a significantly higher proportion of teeth restored with laboratory-fabricated crowns. Copyright © 2014 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  20. A novel conservative approach combining “SealBio” and “Surgical Fenestration” for healing of large periapical cystic lesions of endodontic origin: A pilot study

    Directory of Open Access Journals (Sweden)

    Naseem Shah

    2017-01-01

    Full Text Available Objectives: To evaluate the treatment outcome of large periapical cystic lesions treated by combining two novel, conservative approaches, “SealBio” and “Surgical Fenestration”. Materials and Methods: Five cases (4M:1F, age range 14-38 years, mean age 24.5 years of large periapical cystic lesions, diagnosed on clinical and radiographic examination, were included in the study. After informed consent, endodontic treatment was initiated; chemo-mechanical preparation and intra-canal dressing of calcium hydroxide was given. At the next sitting after one week, further disinfection root canals was done by “apical clearing”, “apical foramen widening” and irrigation. A cotton pellet was kept in the access cavity. After local anaesthesia, full thickness muco-periosteal flap was reflected and the thinned out bone was removed with bone rongers, a small piece of cystic lining was excised and the cystic cavity was copiously flushed with Betadine solution. The remaining cystic lining was gently curetted and the flap was sutured back. “SealBio” was performed after gentle irrigation with saline and intentional over instrumentation. A calcium sulphate based cement was pushed in the cervical third of the canal and the access opening was sealed with glass ionomer cement. Patient was prescribed antibiotics and anti-inflammatory drugs for 5 days and sutures were removed after 7 days. Patients were followed up clinically and radiographically at regular intervals. Conclusions: In this pilot study, treatment outcome after combined technique of “SealBio” and “Surgical fenestration” was found to be highly effective in healing of large periapical cystic lesions. It was simple to perform and very conservative treatment; it required minimal bone removal, obviated the need for complete cyst enucleation, apicectomy and retrograde filling.

  1. The relationship between periapical lesions and the serum levels of glycosylated hemoglobin and C-reactive protein in type 2 diabetic patients

    Science.gov (United States)

    Al-Zahrani, Mohammad S.; Abozor, Basel M.; Zawawi, Khalid H.

    2017-01-01

    Objectives: To investigate the relationship between the presence of periapical lesions (PL) and levels of glycosylated hemoglobin (HbA1c), and C-reactive protein (CRP) in patients with type 2 diabetes. Methods: This cross-sectional study was conducted at Ibn Sina National College for Medical Studies, Jeddah, Kingdom of Saudi Arabia, between September 2013 and February 2015. Medical and dental history and Sociodemographic data were obtained from participants. Dental and periodontal examinations were conducted and blood samples were obtained to determine levels of HbA1c and CRP. The presence of PL was recorded from panoramic and periapical radiographs. Descriptive statistics and multivariable linear and logistic regression models were used for data analyses. Results: One hundred patients were included; mean age was 48.9 ± 8.5 years. Of these patients, 14% had no PL, whereas 25% had one or 2 lesions, 32% had 3 or 4 lesions, and 29% had ≥5 PL. The mean HbA1c was 9.8% (± 2.5) mg/L and CRP was 6.9 mg/L (± 6.3). The presence of PL was significantly associated with a higher level of HbA1c independent of age, gender, probing depth, and plaque index (p=0.023). Individuals with PL were also more likely to have a high CRP level (>3 mg/L) independent of the previous covariates (odds ratio: 1.19; 95% confidence interval: 1.01-1.41). Conclusion: Periapical lesions are associated with a poorer glycemic control and a higher CRP level in type 2 diabetic patients. PMID:28042628

  2. Immunohistochemical expression of vascular endothelial growth factor in keratocystic odontogenic tumor, dentigerous cyst, and radicular cyst: A comparative study

    Science.gov (United States)

    Khajuria, Nidhi; Metgud, Rashmi; Naik, Smitha; Lerra, Sahul; Tiwari, Priya; Mamta; Katakwar, Payal; Tak, Anirudh

    2016-01-01

    Background: Cyst and tumors arise from tissue remains of odontogenesis, these interactions have been considered to play an important role in the tumorigenesis of odontogenic lesions. The connective tissue stroma has an essential role in the preservation of epithelial tissues and minor alterations in the epithelium are followed by corresponding changes in the stroma, such as angiogenesis. Vascular endothelial growth factor (VEGF) is considered the first factor which maintains its position as the most critical driver of vascular formation and is required to initiate the formation of immature vessels, with this aim, present study was executed to evaluate VEGF expression in kertocystic odontogenic tumor, dentigerous cyst and radicular cyst (RC). Materials and Methods: A retrospective study was carried out comprising a total of 31 cases; 13 cases of keratocystic odontogenic tumor (KCOT), nine cases of dentigerous cyst (DC) and nine cases of RC. The sections were stained immunohistochemically with VEGF antibody and were evaluated for the presence and intensity of the immuno reactive cells. Statistical analysis was carried out using Chi-square test to inter-compare the VEGF expression between KCOT, DC, and RC. Results: VEGF expression in the epithelium and connective tissue was significantly higher in KCOT compared to dentigerous and RC. One case of KCOT with carcinomatous change also revealed positive results for the VEGF expression in the dysplastic epithelium, tumor islands, and connective tissue. The significant difference was observed on inter-comparison of the VEGF expression in the connective tissue of KCOT and DC, whereas no significant difference was observed in the VEGF expression in the connective tissue of KCOT and DC. Conclusion: The present study data supports the literature finding that angiogenesis can be important in the progression and enlargement of odontogenic cysts similarly to what occurs in neoplastic conditions and further it can be concluded that

  3. Produtividade, qualidade dos frutos e distribuição do sistema radicular da melancia em diferentes sistemas de cultivo

    Directory of Open Access Journals (Sweden)

    Marta Rodrigues da Rocha

    2011-08-01

    Full Text Available A melancia é cultivada principalmente por pequenos produtores, em solos arenosos sob preparo convencional, com ocorrência de altas taxas de erosão, já que a cultura não forma dossel vegetativo capaz de cobrir inteiramente o solo. Com o objetivo de avaliar a cultura da melancia (Citrullus lanatus L. em diferentes sistemas de cultivo, sobre um Argissolo Vermelho distrófico arênico na Depressão Central do RS, foi desenvolvido um experimento durante o ano agrícola 2008/2009 com a cultivar Crimson Sweet. Em parcelas de 48 m² e delineamento em blocos ao acaso com quatro repetições, foram testados os seguintes sistemas de cultivo: preparo convencional (PC, plantio direto (PD, PD escarificado com uma haste de escarificador (PD1H, PD escarificado com duas hastes de escarificador (PD2H, PD escarificado com três hastes de escarificador (PD3H, PD escarificado com quatro hastes de escarificador (PD4H e PD escarificado com cinco hastes de escarificador (PD5H, com espaçamento entre hastes de 0,35 m. Os dados foram comparados pelo teste de Duncan (p 6 kg, foram determinadas a área superficial e a distribuição do sistema radicular no perfil do solo perpendicular à linha de semeadura (30 e 60 d após a semeadura. Também foram determinadas a densidade do solo e a resistência à penetração após o ciclo. No tratamento PC obteve-se a maior produtividade (126 t ha-1, diferenciando-se estatisticamente dos demais. A área total de raízes aumentou com a intensidade de mobilização e área mobilizada de solo, exceto para o tratamento PD4H. No tratamento PC, a densidade do solo não mostrou diferença em profundidade, porém nos demais tratamentos houve diferença entre a camada de 0-5 cm e as mais profundas. A resistência à penetração na camada de 0-10 cm foi menor, o que pode ter favorecido a maior concentração de raízes nessa camada.

  4. Cuarta Parte. Pudriciones Fungosas Radiculares del Fríjol en Valle de Medellín Colombia

    Directory of Open Access Journals (Sweden)

    Cárdona Álvarez Canúto

    1954-11-01

    Full Text Available Aunque una gran parte de este estudio ha sido consagrada a la descripción de métodos, estructuras de los patógenos, clasificaciones, análisis de experimentos. El interés principal yace en: 1 Determinación de la etiología de las pudriciones radiculares, 2 en el conocimiento de la reacción (susceptibilidad o resistencia de algunas variedades a esos agentes etiológicos, 3 en la estimación de las pérdidas ocasionadas por esos mismos organismos y 4 en la apreciación de la dispersión de los patógenos en los plantíos de fríjol. En los capítulos anteriores se dio buena evidencia de la existencia de un grupo, más bien grande, de hongos que pueden reducir considerablemente los rendimientos en las cosechas de fríjol. Dichos hongos en su mayoría son los mismos que han sido registrados como agentes patógenos de esta planta en otros países, y que aparecen con mucha frecuencia citados en la literatura sobre enfermedades. Con los hongos clasificados como altamente patógenos, se probó la forma de reacción de 8 variedades de las comerciales de Antioquia a dichos organismos, tomando en consideración el efecto de los patógenos sobre la semilla en estado pre-emergente y post-emergente. De los estudios hechos se desprende claramente que hay diferencia, en el estado de pre-emergencia e la reacción de post-emergencia, es decir, las variedades probadas son igualmente susceptibles en estado de planta, a los patógenos usados en el experimento, pero algunas son más susceptibles o más resistentes en el estado de semilla.

  5. Effects of two combinations of triple antibiotic paste used in endodontic regeneration on root microhardness and chemical structure of radicular dentine.

    Science.gov (United States)

    Prather, Blake T; Ehrlich, Ygal; Spolnik, Kenneth; Platt, Jeffrey A; Yassen, Ghaeth H

    2014-12-01

    We investigated the effects of triple antibiotic paste (TAP) and modified triple antibiotic paste (MTAP) concentrations on the microhardness and chemical structure of radicular dentine. Human root cylinders were instrumented and randomized into four treatment groups and an untreated control group. Two treatment groups received 1 g/mL TAP or MTAP, and the other two treatment groups received 1 mg/mL methylcellulose-based TAP or MTAP. Cylinders were stored at 100% relative humidity for 4 weeks. Each root cylinder was subjected to a microhardness test before and after treatment. Different sets of radicular dentine specimens were treated as mentioned previously, and were examined using attenuated total reflection Fourier transform infrared spectroscopy. All treatment groups showed significant reductions in microhardness of roots when compared to untreated control roots at 1,000 and/or 500 µm from the pulp-dentine interface. However, 1 mg/mL methylcellulose-based antibiotics caused significantly less reduction in microhardness when compared to 1 g/mL antibiotics. In addition, 1 g/mL TAP and DAP caused significantly lower phosphate/amide I ratios when compared to other groups. The use of 1 mg/mL methylcellulose-based TAP and MTAP may minimize the reduction in microhardness of roots compared with the currently used 1 g/mL concentration of these antibiotics.

  6. Consideraciones restauradoras y periodontales de molares tratados con resección radicular Restoration and periodontal considerations of resectioned molar teeth

    Directory of Open Access Journals (Sweden)

    J.C. Cuartas Ramírez

    2010-12-01

    Full Text Available La restauración de molares sometidos a resección radicular debe realizarse cuidadosa y apropiadamente. Los problemas que pueden aparecer cuando la terapia restauradora no es llevada a cabo adecuadamente incluyen problemas de retención, excesiva debilidad de la estructura radicular e incompleto sellado marginal. La cirugía preprotésica es una fase importante de este proceso y aun cuando la reparación tisular ocurre 6 u 8 semanas después del corte, se pueden evaluar diferentes tipos de restauraciones de acuerdo al entorno periodontal, sin embargo, su pronóstico a largo plazo es incierto. Los estudios clínicos indican que los principales fracasos son de origen periodontal, endodóntico y biomecánico.Great care should be taken in properly restoring molars that have undergone root resection surgery. Problems that can arise when reconstructive treatment is not correctly carried out comprise faulty retention, excessive weakening of root structure, incomplete marginal seal. Preprothesic surgery is a particularly important step of the process and although tissue repair occurs 6 to 8 weeks after coronoradicular resection, different types of prostheses can be evaluated according to the periodontal environment. The long-term prognosis for this type of restoration is uncertain. Clinical studies indicate that the main sources of failure are periodontal, endodontic, and biomechanical.

  7. Sistema radicular do fórmio, sisal e bambu imperial Root systems of new zealand flax, sisal, and imperial bamboo

    Directory of Open Access Journals (Sweden)

    Júlio César Medina

    1963-01-01

    Full Text Available Os autores apresentam e discutem os resultados de estudos preliminares sôbre o sistema radicular do fórmio (Phormium tenax Forster, sisal (Agave sisalana Perrine e bambu .imperial (Bambusa vulgaris Schrad. var. vittata A. ,& C, Riv.. Concluem, que o sistema radicular do fórmio é relativamente raso, o do sisal bastante superficial é o do bambu imperial se limitada às primeiras carnadas do solo.Results of preliminary studies on root-systems of New Zealand flax (Phormium tenax Forster, sisal (Agave sisalana Perrine, and imperial bamboo (Bambusa vulgaris Schrad. var. vittata A. & C. Riv. plants by the method of soil block, are apresented and discussed by the authors. According to local soil conditions, it is concluded that the root-system of New Zealand flax is relatively superficial, with the main concentration of roots in the 12 in. soil top layer. In sisal, the root-systems of the three plants investigated were found to occur in the soil surface layer, with more of 90% of the roots in the top 6 in. Finally, in the imperial bamboo clump atudied, the main concentration of roots was found in the layer 6-12 in. deep.

  8. A comparative evaluation of healing with a computed tomography scan of bilateral periapical lesions treated with and without the use of platelet-rich plasma.

    Science.gov (United States)

    Parikh, Bruhvi; Navin, S; Vaishali, P

    2011-01-01

    Periradicular surgery aims to achieve complete wound healing and regeneration of the periodontal unit. Platelet-rich plasma (PRP) is a platelet concentrate that is widely used to promote tissue healing, and bone induction through its various growth factors has been used in this study. This case report describes the use of PRP unilaterally in a bilateral periapical lesion in the same patient. The site treated with PRP showed better healing than the untreated site. This was confirmed with computed tomography (CT) scan readings. It was hypothesized that PRP could promote tissue regeneration and alveolar bone repair.

  9. Tratamento endodôntico de molares decíduos humanos com necrose pulpar e lesão periapical: estudo radiográfico

    OpenAIRE

    Coser, Rose Mary; Giro,Elisa Maria Aparecida

    2010-01-01

    O objetivo desta pesquisa foi avaliar radiograficamente, a efetividade de duas técnicas endodônticas em dentes decíduos humanos com polpa necrosada, apresentando lesão de furca e/ou periapical crônica. Foram selecionados 51 primeiros e segundos molares inferiores decíduos, os quais foram divididos em dois grupos: Grupo I ( 28 dentes ) - pulpotomia com curativo de formocresol entre sessões e obturação da câmara coronária...

  10. SISTEMA RADICULAR DO ARROZ DE TERRAS ALTAS SOB DEFICIÊNCIA HÍDRICA UPLAND RICE ROOT SYSTEM UNDER WATER DEFICIT

    Directory of Open Access Journals (Sweden)

    Camilla Alves Pereira Rodrigues

    2011-01-01

    Full Text Available A morfologia do sistema radicular é uma das características importantes na tolerância de plantas à deficiência hídrica. Assim, objetivou-se verificar aspectos morfológicos de importância, quanto à tolerância à deficiência hídrica do sistema radicular de cultivares de arroz de terras altas, cultivadas sob deficiência hídrica, em condições de casa-de-vegetação, para discriminar linhagens para regiões com distribuição irregular de chuvas. Para tanto, foram semeadas 37 cultivares com ampla variabilidade genética, em tubos de PVC (25 cm de diâmetro e 80 cm de altura com solo, submetidas, após a emissão das panículas, a dois regimes hídricos: sem e com deficiência hídrica (reposição de, aproximadamente, 50% da água evapotranspirada. A densidade radicular foi avaliada na colheita dos grãos (de 20 cm em 20 cm, da superfície até 80 cm de profundidade, tendo as cultivares diferido quanto a esta característica. As cultivares Muruim Branco, Cano Roxo, Amarelão/Douradão e Arroz Agulhinha apresentaram alta densidade radicular, tanto sob deficiência como sob adequada disponibilidade hídrica. A densidade radicular de cultivares de arroz de terras altas, avaliada em colunas de solo, se relacionou, positivamente, com a tolerância à deficiência hídrica destas cultivares, em condições de campo. Esta metodologia constitui-se em importante ferramenta de fenotipagem, para tolerância à deficiência hídrica em arroz.

    PALAVRAS-CHAVE: Cultivares de arroz; seleção para tolerância à seca; temperatura das folhas; densidade de raízes.The root system morphology is one of the most important characteristics in the adaptation of plants to water stress. So, the objective of this study was to analyse important morphologic aspects, regarding the drought tolerance of the root system of upland rice cultivars cultivated under water stress conditions in a greenhouse, in order to discriminate lines to areas with uneven

  11. Hereditariedade e suscetibilidade à reabsorção radicular em Ortodontia não se fundamentam: erros metodológicos e interpretativos repetidamente publicados podem gerar falsas verdades. Análise crítica do trabalho de Al-Qawasmi et al.² sobre a predisposição genética à reabsorção radicular de natureza ortodôntica Heredity and susceptibility to radicular resorption in Odontology do not base: methodological and interpretative repeatedly published mistakes can generate false truths. Critical analysis of Al-Qawasmi work about genetics predisposition to radicular reabsorption of orthodontic kind

    Directory of Open Access Journals (Sweden)

    Alberto Consolaro

    2004-05-01

    Full Text Available O trabalho de Al-Qawasmi et al.², publicado em agosto de 2003 no periódico Journal of Dental Research, procurou estabelecer um gene candidato para a hereditariedade e predisposição genética nas reabsorções dentárias em Ortodontia, mas apresentou e repetiu algumas limitações metodológicas e equívocos na interpretação de seu trabalho anterior de março de 2003¹. Nas conclusões afirmam explicitamente que os achados são preliminares e sugestivos, necessitando de confirmação por meio de estudos adicionais. Os resultados são correlacionados fundamentando-se em dados de outros autores sobre síndromes ósseas associadas a reabsorções por substituição, cervicais externas e não com as reabsorções radiculares externas apicais induzidas ortodonticamente. O gene da reabsorção radicular externa apical relacionada a tratamentos ortodônticos não foi determinado e muito menos a sua natureza hereditária. Nem tampouco, a suscetibilidade à reabsorção radicular em Ortodontia foi detectada ou provada. O trabalho analisado e os demais relacionados com o mesmo tema não conseguiram comprovar suas hipóteses porque ignoram que o primeiro passo para a reabsorção radicular externa é a destruição da camada cementoblástica e isto apenas ocorre a partir da ação de fatores locais. Analisando criticamente estes trabalhos podemos afirmar que procurar o gene da reabsorção radicular e da suscetibilidade a partir de pesquisas em mediadores e células clásticas demonstra a falta de um conhecimento completo e amplo da etiopatogenia deste importante fenômeno biológico, imprescindível para o estabelecimento da premissa dos trabalhos.The study of Al-Qawasmi et al.² published in August 2003 on Journal of Dental Research, aimed to establish a candidate gene for heritability and genetic predisposition to external root resorption in orthodontic patients. This paper, however, presents and repeated some methodological faults and equivocated

  12. The influence of orthodontic treatment on dental pulp and periapical tissues%正畸治疗对牙髓及根尖周组织的影响

    Institute of Scientific and Technical Information of China (English)

    张笑维; 梁景平

    2016-01-01

    The pathogenesis of pulpal and periapical diseases is related with not only bacterial infection but also physicochemical irritations such as trauma and thermal changes.During orthodontic therapy,the application of orthodontic forces on teeth may produce a series of changes in periodontal ligament,alveolar bone and pulpo-dentinal complex.This article reviewed the influences of orthodontic therapy on dental pulp and periapical tissues.%引起牙髓病和根尖周病的病因除常见的细菌感染外,还有创伤、温度等物理和化学刺激.在正畸治疗过程中,正畸力可引起牙周组织及牙髓组织发生一系列变化.本文的目的是探究正畸治疗带来的牙髓及根尖周组织的变化,就正畸治疗对牙髓及根尖周组织的影响作一综述.

  13. Treatment of a large cystlike inflammatory periapical lesion associated with mature necrotic teeth using regenerative endodontic therapy.

    Science.gov (United States)

    Saoud, Tarek Mohamed A; Sigurdsson, Asgeir; Rosenberg, Paul A; Lin, Louis M; Ricucci, Domenico

    2014-12-01

    Regenerative endodontic therapy is currently used to treat immature permanent teeth with necrotic pulp and/or apical periodontitis. However, mature teeth with necrotic pulp and apical periodontitis have also been treated using regenerative endodontic therapy. The treatment resulted in resolution of apical periodontitis, regression of clinical signs and symptoms but no apparent thickening of the canal walls, and/or continued root development. A recent study in an animal model showed that the tissues formed in the canals of mature teeth with apical periodontitis after regenerative endodontic therapy were cementumlike, bonelike, and periodontal ligament-like tissue with numerous blood vessels. These tissues are similar to the tissues observed in immature permanent teeth with apical periodontitis after regenerative endodontic therapy. A 23-year-old woman had a history of traumatic injury to her upper anterior teeth when she was 8 years old. Subsequently, #8 developed pulp necrosis and an acute apical abscess and #7 symptomatic apical periodontitis. The apex of #8 was slightly open, and the apex of #7 was completely formed. Instead of nonsurgical root canal therapy, regenerative endodontic therapy was attempted, including complete chemomechanical debridement on #8 and #7. This was based on the premise that filling of disinfected root canals with the host's biological vital tissue might be better than filling with foreign materials. After regenerative endodontic therapy of #8 and #7, there was radiographic evidence of periapical osseous healing and regression of clinical signs and symptoms. The pulp cavity of #8 decreased in size, and the apex closed. The pulp cavity of #7 appeared to be obliterated by mineralized tissue. These indicated ingrowth of new vital tissue into the chemomechanically debrided canals. Regenerative endodontic therapy of mature teeth with apical periodontitis and apical abscess can result in the regression of clinical signs and/or symptoms and

  14. A STUDY OF ROOT CANAL MORPHOLOGY OF Cebus apella TEETH ESTUDO ANATÔMICO DO CANAL RADICULAR DE DENTES DE Cebus apella

    Directory of Open Access Journals (Sweden)

    Priscilla Rocha Afonso

    2008-12-01

    Full Text Available Realizou-se um estudo anatômico em dentes do Cebus apella, para análise da anatomia interna do canal radicular dessa espécie, normatizando seu uso como modelo experimental. Utilizaram-se doze animais adultos. Após a remoção do tecido orgânico, os dentes foram removidos, seccionados e fotografados, sendo analisados com um estereomicroscópio. Os resultados mostraram que os dentes apresentaram características semelhantes às dos seres humanos, mas com algumas peculiaridades, tais como: a anatomia do canal radicular variou de oval para circular; nos caninos inferiores, os canais são semelhantes a um rim, o que reflete o contorno externo da raiz; nos molares superiores, os canais mesiobucal e distobucal são ovais, seguindo o contorno geral do dente. Os autores concluem que esta espécie pode ser utilizada como modelo em pesquisas odontológicas, principalmente em estudos do tratamento do sistema de canal radicular.

    PALAVRAS-CHAVES: Anatomia, dentes, Cebus apella. An anatomic study of Cebus apella root teeth was performed to analyze the internal anatomy of permanent dentition, normalizing its use as experimental model endodontic research. Twelve adult animals were used in this study. After the removal of the organic tissue, the all teeth were removed, sectioned, analyzed and photographed with a stereomicroscope. The results showed that the anatomy of root canal of this species are similar to human dental anatomy, considering the shape, pathway and number of canals, but with some peculiarities, such as: the root canal anatomy varied from oval to circular; in the lower canines, the canals are resembled a kidney, reflecting the outside contour of the root; in the upper molars, the mesiobuccal and distobuccal canals are oval, following the general contour of the tooth. The authors conclude that this primate can be applied as models for study of root canal treatment in human beings, in special the upper central and lateral incisors

  15. Alterações estruturais do sistema radicular de soja em resposta à disponibilidade de fósforo no solo

    Directory of Open Access Journals (Sweden)

    Teruel Dioger Alexandre

    2001-01-01

    Full Text Available Tendo em vista que os métodos estatísticos tradicionais de análise dos atributos métricos do sistema radicular são insatisfatórios no que diz respeito à identificação e interpretação de estratégias adotadas pela planta em adaptação ao ambiente edáfico, o objetivo do trabalho foi utilizar conceitos de topologia para analisar as alterações estruturais apresentadas pelo sistema radicular da soja (Glycine max L. Merr. cv. Williams 82 em resposta à disponibilidade de fósforo no solo. Plantas de soja foram cultivadas em recipientes de acrílico preto, em condições controladas de temperatura e fotoperíodo. Dois tratamentos foram estabelecidos, pela adição de solução nutritiva ao substrato dos recipientes: +P (15,5 mg L-1 P e -P (8,5 mg L-1 P. Utilizando-se delineamento experimental inteiramente casualizado, com parcelas subdivididas no tempo, três repetições foram amostradas aos 5, 10, 15, 20, 25 e 30 dias após a germinação. Para cada tratamento, idade de amostragem e repetição foram obtidos o comprimento da raiz principal (ordem 0, e os respectivos números e comprimentos médios das raízes laterais de ordens 1, 2 e 3, de acordo com a posição de origem na raiz principal. Índices topológicos foram definidos e aplicados para cada tratamento, utilizando-se os valores médios das três repetições. Os índices utilizados foram eficientes em detectar as alterações estruturais apresentadas pelos sistemas radiculares das plantas cultivadas sob menor teor de fósforo no solo.

  16. Treatment of lumbar degenerative disc disease-associated radicular pain with culture-expanded autologous mesenchymal stem cells: a pilot study on safety and efficacy.

    Science.gov (United States)

    Centeno, Christopher; Markle, Jason; Dodson, Ehren; Stemper, Ian; Williams, Christopher J; Hyzy, Matthew; Ichim, Thomas; Freeman, Michael

    2017-09-22

    Degenerative disc disease (DDD) is a common cause of lower back pain with radicular symptoms and has a significant socioeconomic impact given the associated disability. Limited effective conservative therapeutic options result in many turning to surgical alternatives for management, which vary in the rate of success and also carry an increased risk of morbidity and mortality associated with the procedures. Several animal based studies and a few human pilot studies have demonstrated safety and suggest efficacy in the treatment of DDD with mesenchymal stem cells (MSCs). The use of bone marrow-derived MSCs for the treatment of DDD is promising and in the present study we report on the safety and efficacy findings from a registry based proof of concept study using a percutaneous intradiscal injection of cultured MSCs for the management of DDD with associated radicular symptoms. Thirty-three patients with lower back pain and disc degeneration with a posterior disc bulge diagnosed on magnetic resonance imaging (MRI) met the inclusion criteria and were treated with culture-expanded, autologous, bone marrow-derived MSCs. Prospective registry data was obtained at multiple time intervals up to 6 years post-treatment. Collected outcomes included numeric pain score (NPS), a modified single assessment numeric evaluation (SANE) rating, functional rating index (FRI), measurement of the intervertebral disc posterior dimension, and adverse events. Three patients reported pain related to procedure that resolved. There were no serious adverse events (i.e. death, infection, or tumor) associated with the procedure. NPS change scores relative to baseline were significant at 3, 36, 48, 60, and 72 months post-treatment. The average modified SANE ratings showed a mean improvement of 60% at 3 years post-treatment. FRI post-treatment change score averages exceeded the minimal clinically important difference at all time points except 12 months. Twenty of the patients treated underwent

  17. Elimination of intracanal infection in dogs' teeth with induced periapical lesions after rotary instrumentation: influence of different calcium hydroxide pastes Eliminação da infecção intracanal em dentes de cães com lesões periapicais induzidas após instrumentação automatizada: influência de diferentes pastas de hidróxido de cálcio

    Directory of Open Access Journals (Sweden)

    Janir Alves Soares

    2006-06-01

    Full Text Available The aim of this study was to evaluate the antiseptic efficacy of rotary instrumentation associated with calcium hydroxide-based pastes prepared with different vehicles and antiseptics. Chronic periapical lesions were experimentally induced in 72 premolar root canals of four dogs. Under controlled asepsis, after initial microbiological sampling (A1, the root canals were instrumented using the ProFile system in conjunction with 5.25% sodium hypochlorite and the intracanal medication was placed. Four experimental groups were formed according to the pastes used: group 1- Calen (n=18, group 2- Calen+CPMC (n=20, group 3- Ca(OH2 p.a.+ anaesthetic solution (n=16 and group 4- Ca(OH2 p.a.+ 2% chlorhexidine digluconate (n=18. After 21 days, the pastes were removed; the canals were emptied and 96 hours later a second microbiological sample was obtained (A2. The incidence of positive microbiological cultures and the number of cfus in stages A1 and A2 were compared statistically by the Wilcoxon test while the influence of the different treatments in intracanal infection was evaluated by Kruskal-Wallis test at 5% significance level (pO objetivo deste estudo foi avaliar a eficácia anti-séptica da instrumentação rotatória associada às pastas à base de hidróxido de cálcio [Ca(OH2] contendo diferentes veículos e anti-sépticos. Lesões periapicais crônicas foram experimentalmente induzidas em 72 canais radiculares de pré-molares de 4 cães. Sob controlada assepsia, após amostras microbiológicas iniciais (A1, fez-se a instrumentação com o sistema ProFile coadjuvado pela solução de hipoclorito de sódio a 5,25%, seguido de medicação intracanal. Em função das pastas utilizadas obtiveram-se 4 grupos: grupo 1- Calen (n=18, grupo 2- Calen+PMCC (n=20, grupo 3- Ca(OH2 p.a.+ solução anestésica (n=16 e grupo 4- Ca(OH2 p.a.+ solução de digluconato de clorexidina a 2% (n=18. Transcorridos 21 dias, removeram-se as pastas, deixando os canais

  18. Comparación de la calidad de la obturación radicular obtenida con el sistema fluido de obturación radicular v/s técnica de compactación lateral Comparison of the sealed quality of the root canals filled with a Flow System Technique versus lateral compactation technique

    Directory of Open Access Journals (Sweden)

    S. Hernández Vigueras

    2008-08-01

    Full Text Available El propósito de este estudio es comparar la calidad de la obturación radicular obtenida al obturar con GuttaFlow® (GF y con la Técnica de Compactación Lateral (LC. Metodología: Se utilizaron 44 raíces palatinas de molares superiores extraídos las cuales fueron preparadas y divididas aleatoriamente en 2 grupos para ser obturadas con la técnica del sistema fluido (GF y la Técnica de Compactación Lateral en frío. Las muestras fueron radiografiadas y cortadas transversalmente para su evaluación microscópica por tercios radiculares. Los parámetros de calidad de obturación evaluados fueron la extensión de la obturación, la adaptación a las paredes del conducto radicular y la presencia de poros/fisuras/vacuolas en el interior de la masa obturadora. Resultados: No se encontraron diferencias significativas en la calidad de la obturación de los 2 grupos estudiados, exceptuando la adaptación a las paredes en tercio cervical y medio, y la presencia de poros en tercio cervical, en los cuales el grupo LC presentó mejores resultados. Conclusiones: El nuevo material fluido de obturación no demostró mejorar la calidad de la obturación radicular al ser comparado con la técnica de LC.The aid of this study is compare the sealed quality of root canals filled with two obturations systems, GuttaFlow or Flow System Technique (GF and Lateral Compactation Technique (LC. Methodology: Forty-four palatal roots of molar teeth were prepared and divided randomly in two groups to be obturated with the flow system technique and Lateral Compactation Technique. The samples were radiographed and cut cross-sectionally by roots thirds for its microscopic evaluation. The obturations quality parameters evaluated were extension obturation, adaptation to the walls of the root canal and presence of pores/fissures/vacuolas inside the obturation. Results: No statistical difference amongst the filling techniques except between adaptation to the walls of the root

  19. Diagnóstico de reabsorción radicular externa en ortodoncia. Una revisión sistemática.

    OpenAIRE

    Márquez, José Fernando; Castaño, Jorge Mario; Rueda,Zulma Vanessa; Rendón, Jaime

    2014-01-01

    Introducción: esta revisión sistemática evaluó los métodos radiográficos que permiten detectar la reabsorción radicular externa (rre) en  ortodoncia, determinar el tiempo indicado para la toma de radiografías de control e identificar las características radiográficas de la rre.  Materiales y métodos: se realizaron búsquedas sistemáticas en bases de datos electrónicas y búsquedas manuales, sin restricciones de  año, en español e ingles. Se seleccionaron cohortes y ensayos clínicos aleatorios e...

  20. Variables que influyen en la fractura de instrumentos rotatorios de níquel titanio en conductos radiculares instrumentados por operadores inexpertos

    OpenAIRE

    Morelló Castro, Sergio

    2014-01-01

    Uno de los factores básicos para el éxito en un tratamiento de conductos radiculares es la conformación. En los últimos 10 años, la endodoncia ha sufrido una auténtica revolución en cuanto a la aparición de nuevos instrumentos, nuevos diseños, nuevas aleaciones y nuevas técnicas de utilización que han modificado considerablemente esa conformación del sistema de conductos. El objetivo principal de la conformación de los mismos es conseguir la configuración ideal con la mínima remoción...

  1. Effect of surface treatments on the flexural properties and adhesion of glass fiber-reinforced composite post to self-adhesive luting agent and radicular dentin.

    Science.gov (United States)

    Elnaghy, Amr M; Elsaka, Shaymaa E

    2016-01-01

    This study evaluated the effect of different surface treatments on the flexural properties and adhesion of glass fiber post to self-adhesive luting agent and radicular dentin. Seventy-five single-rooted human teeth were prepared to receive a glass fiber post (Reblida). The posts were divided into five groups according to the surface treatment: Gr C (control; no treatment), Gr S (silanization for 60 s), Gr AP (airborne-particle abrasion), Gr HF (etching with 9 % hydrofluoric acid for 1 min), and Gr M10 (etching with CH2Cl2 for 10 min). Dual-cure self-adhesive luting agent (Rely X Unicem) was applied to each group for testing the adhesion using micropush-out test. Failure types were examined with stereomicroscope and surface morphology of the posts was characterized using a scanning electron microscopy (SEM). Flexural properties of posts were assessed using a three-point bending test. Data were analyzed using ANOVA and Tukey's HSD test. Statistical significance was set at the 0.05 probability level. Groups treated with M10 showed significantly higher bond strength than those obtained with other surface treatments (P C > S > AP > HF. Most failure modes were adhesive type of failures between dentin and luting agent (48.2%). SEM analysis revealed that the fiber post surfaces were modified after surface treatments. The surface treatments did not compromise the flexural properties of fiber posts. Application of M10 to the fiber post surfaces enhanced the adhesion to self-adhesive luting agent and radicular dentin.

  2. Efecto del pulido radicular en la adhesión dentinaria: estudio al microscopio electrónico de barrido (MEB Effects of the root planning in the dentin adhesión: a SEM study

    Directory of Open Access Journals (Sweden)

    V. Valenzuela Aránguiz

    2010-04-01

    Full Text Available Para analizar al MEB las características micromorfológicas de la adhesión dentinaria en superficies radiculares expuestas a enfermedad periodontal y tratadas con pulido radicular, se utilizaron 30 dientes, separados en tres grupos: Grupo 1: Dientes con enfermedad periodontal tratados solo con pulido radicular. Grupo 2: Dientes con enfermedad periodontal tratados con pulido radicular y sometidas a grabado con ácido fosfórico al 34% por dos minutos. Grupo 3: Dientes con enfermedad periodontal tratados con pulido radicular, en las cuales se realizó todo el protocolo adhesivo para confeccionar resinas compuestas. Resultados. Grupo 1: Se observó una capa de barro dentinario en toda la superficie. Grupo 2: Presentaba una irregular capa de barro dentinario. Grupo 3: Se observó una seudocapa híbrida de 15,9 µm de grosor, pero no se evidenció la presencia de tags de resina. Conclusiones. La adhesión en raíces con enfermedad periodontal y tratadas con pulido radicular se realiza sobre barro dentinario que no es removido por la acción del ácido fosfórico, no formándose capa híbrida ni tags de resina, por lo tanto creemos que la adhesión como concepto propiamente tal no existe en estos tejidos.The aim of this in vitro study was to analize some characteristics of dentinary adhesion over root surfaces exposed to periodontal disease an treated with root planning by observing the samples at SEM. 30 teeth were classified in three groups. Group 1: Teeth with periodontal disease treated only by root planning. Group 2: Teeth with periodontal disease treated by root planning and 34% fosforic acid etching. Group 3: Teeth with periodontal disease treated by root planning at and an adhesive composite restoration. Results: Group 1 presented a thick smear layer over all the treated surface. Group 2 presented an irregular adhesive layer. Group 3 showed a 15.9 µm thick layer that looks as an hybrid layer, composite tags were not found in this group

  3. Extirpación de granuloma periapical, tratamiento de conductos y apicectomía en un solo acto quirúrgico

    OpenAIRE

    Cava-Vergiú, Carlos-Enrique; Flores Cueto, Walter; Cárdenas Sornoza, Anibal

    2007-01-01

    Se realizó la extirpación de un granuloma periapical, junto con el tratamiento de los conductos de las piezas afectadas y apicectomía de las mismas para su conservación en la Clínica Especializada en Odontología de la Universidad de San Martín de Porres. El paciente presentó una protuberancia en el paladar, por lo que se le solicitó pruebas radiográficas. Se optó por realizar los tres procedimientos quirúrgicos en una sola cita, Previamente se confeccionó una placa de contención acrílica para...

  4. Diagnostic Accuracy of CBCT with Different Voxel Sizes and Intraoral Digital Radiography for Detection of Periapical Bone Lesions: An Ex-Vivo Study

    Directory of Open Access Journals (Sweden)

    Shirin Sakhdari

    2016-10-01

    Full Text Available Objectives: This study sought to assess the diagnostic accuracy of cone beam computed tomography (CBCT with different voxel sizes and intraoral digital radiography with photostimulable phosphor (PSP plate for detection of periapical (PA bone lesions.Materials and Methods: In this ex vivo diagnostic study, one-millimeter defects were created in the alveolar sockets of 15 bone blocks, each with two posterior teeth. A no-defect control group was also included. Digital PA radiographs with PSP plates and CBCT scans with 200, 250 and 300μ voxel sizes were obtained. Four observers evaluated the possibility of lesion detection using a 5-point scale. Sensitivity, specificity, positive predictive value (PPV and negative predicative value (NPV were analyzed using one-way ANOVA and Tamhane’s post hoc test. Kappa and weighted kappa statistics were applied to assess intraobserver and interobserver agreements.Results: Cochrane Q test showed no significant difference between PSP and CBCT imaging modalities in terms of kappa and weighted kappa statistics (P=0.675. The complete sensitivity and complete NPV for 200 and 250 μ voxel sizes were higher than those of 300 μ voxel size and digital radiography (P<0.001. No significant difference was noted in other parameters among other imaging modalities (P=0.403.Conclusions: The results showed that high-resolution CBCT scans had higher diagnostic accuracy than PSP digital radiography for detection of artificially created PA bone lesions. Voxel size (field of view must be taken into account to minimize patient radiation dose.Keywords: Diagnosis; Cone-Beam Computed Tomography; Radiography, Dental, Digital; Periapical Periodontitis

  5. Cone beam computed tomographic analysis of maxillary premolars and molars to detect the relationship between periapical and marginal bone loss and mucosal thickness of maxillary sinus.

    Science.gov (United States)

    Goller-Bulut, Duygu; Sekerci, Ahmet-Ercan; Köse, Emre; Sisman, Yildiray

    2015-09-01

    This study assessed the relationship between mucosal thickness (MT) of the maxillary sinus and periodontal bone loss (PBL) and periapical condition of related teeth. We also aimed to identify the association between root apices and the inferior wall of the maxillary sinus using Cone beam computed tomography (CBCT). In this study, CBCT images of 205 patients with 410 maxillary sinuses were examined, retrospectively. A total of 582 maxillary molars and 587 premolars were observed. The relationship of each root with maxillary sinus and apical lesions of these roots were classified, PBL was examined and the situations of adjacent teeth were estimated. The effect of these conditions on sinus mucosal thickness (MT) was evaluated. There was a significant correlation between MT of maxillary sinus and both PBL and age (r = 0.52, p=0.000 and r = 0.111, p= 0.002, respectively). The frequency of MT increased as the severity of apical lesion enlarged. A positive correlation was found between MT and degree of PBL and periapical lesions. To reveal the association between MT and pulpoperiapical condition bivariate correlation was done and a significant relationship between the pulpoperiapical condition and MT was found (r = 0.17, p=0.000). This retrospective study showed that MT of the maxillary sinus was common among patients with PBL and MT was significantly associated with PBL and apical lesions. The relationship of maxillary sinus to adjacent teeth had also positive correlation with MT. CBCT imaging enabled better evaluation of maxillary sinus, posterior teeth and surrounding structures compared to other imaging tools.

  6. Deformaciones provocadas en el tercio apical de los conductos radiculares curvos durante su preparación biomecánica mediante técnicas manuales de impulsión-tracción

    OpenAIRE

    Roig Cayón, Miguel; Basilio Monné, J.; Canalda Sahli, Carlos

    1990-01-01

    Los autores hacen un repaso de las deformaciones que se producen en el tercio apical de los conductos radiculares en el curso de la preparación biomecánica, fundamentalmente los 'zips' y 'elbows' de la literatura anglosajona, analizando su causa y repercusiones en la terapia endodóncica. Se estudian también las propuestas para evitar la aparición de las antedichas deformaciones.

  7. Desempenho radicular de mudas de eucalipto produzidas em diferentes recipientes e substratos Root performace of eucalyptus stecklings, produced in different containers and substrates

    Directory of Open Access Journals (Sweden)

    Teresa A. S. de Freitas

    2005-12-01

    Full Text Available O trabalho teve como objetivo verificar o desempenho, em sacolas, de clones de eucalipto, produzidos em diferentes recipientes e substratos, com ênfase na persistência das deformações radiculares originadas no viveiro e na produção de raízes. As mudas foram produzidas em tubetes (50 cm³ e em blocos prensados (40 x 60 x 7 cm - 16.800 cm³, sendo utilizados como substratos: casca de arroz carbonizada com casca de eucalipto, bagaço de cana com torta de filtro; e turfa. As mudas, com 90 dias, foram transplantadas para sacos plásticos (20 L, com solo da área de plantio. O experimento foi conduzido em delineamento inteiramente casualizado, em esquema fatorial 2 x 7, constituído por dois clones (híbridos naturais de Eucalyptus grandis Hill ex Maiden e E. saligna Smith e sete tratamentos, com variação de recipientes e substrato, com quatro repetições, constituídas por quatro plantas. Dois meses após o transplantio, as plantas foram avaliadas quanto ao crescimento em diâmetro ao nível do solo, altura da parte aérea, número de raízes emitidas, comprimento, área superficial e deformação do sistema radicular. As plantas originadas de mudas produzidas em blocos prensados apresentaram melhor desempenho nas avaliações realizadas em relação às dos tubetes. As deformações radiculares causadas por recipientes de paredes rígidas tendem a persistir após a fase de viveiro.The objective of this work was to evaluate the performance after the planting of eucalyptus stecklings, produced in different containers and substrates, with emphasis in root production and deformations. The stecklings were produced in tubes (50 cm³ and in pressed blocks (40 x 60 x 7cm -16800 cm³, and used as substrates: carbonized rice husk and eucalyptus husk; sugarcane bagasse and sugarcane filter cake; and peat. At ninety days the stecklings were transplanted to plastic bags (20 L, with soil from the planting area. This experiment was set in a completely

  8. Desenvolvimento do sistema radicular do algodoeiro na camada arável do solo Distribution of cotton roots in the upper soil layers at three different time intervals

    Directory of Open Access Journals (Sweden)

    A. C. Magalhães

    1962-01-01

    Full Text Available Sabe-se que o sistema radicular do algodoeiro se situa predominantemente na região compreendida pelos primeiros 20 cm de profundidade do solo. Como a cultura exige intensas práticas culturais, torna-se útil conhecer a distribuição progressiva do sistema radicular naquela região, sobretudo nos primeiros meses do ciclo vegetative época em que a cultura exige a intensificação das capinas. Estudos sôbre a questão foram efetuados em um ensaio de campo com a variedade IAC 12-57/566, em solo tipo terra-roxa-misturado, fozendo-se observações aos 42, 61 e 81 dias após a germinação das sementes. Os dados mostraram maior concentração de raízes na camada de 3 a 15 cm de profundidade do solo e até a uma distância aproximada de 25 cm lateralmente às plantas. O ritmo de crescimento do sistema radicular do algodoeiro foi mais intenso do 42.° ao 61.° dia após a germinação. A má utilização dos implementos agrícolas nesse período mais critico, poderá pois, provocar grandes danos à cultura, principalmente se forem empregados cultivos profundos.The distribution of the cotton plant root system in the upper 20 cm layer of soil was studied at three different times (42, 61 ond 81-day old plants. These studies were carried out in a cotton field of the variety IAC 12-57/566 planted on a "terra-roxa-misturada" type of soil. The spacing was 80 cm between rows and 15 cm between plants in the row. The method employed consisted in excavating a ditch at a right angle to the plant rows, including four plants, and then removing the soil as blocks. Five loyers of soil blocks were taken: the first and second were 3 cm thick; the third, 4 cm thick; and the fourth and fifth, 5 cm thick. After washing off the soil of each block, the roots in it were air dried and weighed. A representation of the root distribution os encountered is given in figure 2. Far the cotton field studied, most of the roots were found between 3 and 15 cm of depth up to a

  9. Grapevine root distribution in drip and microsprinkler irrigation Distribuição radicular de videiras irrigadas por gotejamento e microaspersão

    Directory of Open Access Journals (Sweden)

    Luis Henrique Bassoi

    2003-01-01

    Full Text Available Grape (Vitis vinifera L. yield and its quality are dependent of the status of the root system. Root distribution information is also valuable for soil and water management. An analysis of methods to evaluate the root distribution of grapevines for both, drip and microsprinkler irrigation in a Typic Acrustox is presented for the table grape cv. Italia grafted on the rootstock IAC-313, in northeastern Brazil. Measured root parameters using the monolith method were root dry weight (Dw and root length density (Lv, while root area (Ap was estimated using the soil profile method in combination with digital image analysis. For both irrigation systems, roots were present to the 1 m soil depth and extended laterally to 1 m distance from the trunk, but grapevines irrigated by microsprinkler showed greater root presence as the distance from the trunk increased. Values of Ap were reasonably well correlated to Dw and Lv. However, correlation values were higher when fractional root distribution was used. The soil profile method in combination with image analysis techniques, allows proper grapevine root distribution evaluation.A produção de uva (Vitis vinifera L. em termos quantitativos e qualitativos depende do estado das raízes. Além disso, informações sobre a distribuição radicular são úteis para o manejo de solo e água. Por isso, uma análise de métodos para a avaliação da distribuição radicular de videiras cv. Itália / IAC 313 num Latossolo Vermelho Amarelo irrigadas por gotejamento e microaspersão foi realizada em Petrolina – PE e Juazeiro - BA, no Vale do São Francisco. Os parâmetros medidos pelo método do monolito foram a matéria seca (Dw e densidade de comprimento de raízes (Lv, enquanto a área de raízes (Ap foi estimada pelo método do perfil de solo combinado com a análise de imagens digitais. Para ambos os sistemas de irrigação, as raízes estiveram presentes até 1 m de profundidade e estenderam-se lateralmente até 1

  10. Root exudation of imazapyr by eucalypt, cultivated in soil Exsudação radicular de imazapyr por eucalipto cultivado em solo

    Directory of Open Access Journals (Sweden)

    C.M.M. Silva

    2004-03-01

    Full Text Available Imazapyr has been used to control stump sprouting in stand of Eucalyptus plantations, where herbicide is applied to the tree trunk before cutting. The herbicide is applied exclusively on the stump to be killed, but little is known about the final fate of the molecule. Imazapyr exudation via roots of eucalypt grown in soil as the substrate was evaluated under greenhouse conditions. Different herbicide doses (0.000, 0.375, 0.750, 1.125, 1.500, and 3.000 kg ha-1 a.i. were applied on the aerial parts of 8-month-old Eucalyptus grandis clonal seedlings, cultivated in pots with 18.0 dm³ of soil. Forty days after this treatment, the eucalypt plants were cut and a lateral opening in the containers was made and the plants inclined 90º, with plants sensitive to herbicide presence (sorghum and cucumber sown into the openings along the exposed soil surface. After 15-day sowing, toxicity symptoms on the shoots as well as the shoot and root system dry biomass of the bio-indicators were evaluated. The results suggest that eucalypt roots do exude imazapyr, and/or its metabolites, at concentrations high enough to cause toxicity to the bio-indicators. Toxicity effects were observed in all plants sown along the exposed soil profile of the container, with higher intensity at higher doses.O imazapyr tem sido utilizado para controle de brotações na reforma de cultivos florestais com Eucalyptus, por meio de sua aplicação no caule no pré-corte das árvores; dessa forma, o herbicida é aplicado exclusivamente na planta, porém há pouco conhecimento sobre o destino final da molécula. A exsudação radicular do imazapyr por eucalipto, cultivado em solo, foi avaliada em casa de vegetação, aplicando-se diferentes doses do herbicida (0,000; 0,375; 0,750; 1,125; 1,500; e 3,000 kg ha-1 i.a. sobre a parte aérea de mudas clonais de Eucalyptus grandis, com oito meses de idade, as quais foram cultivadas em recipientes com 18,0 dm³ de solo. Quarenta dias após a aplica

  11. Comparison of Radicular Peroxide Leakage from four Commonly used Bleaching agents following Intracoronal Bleaching in Endodontically treated teeth - An In Vitro Study.

    Science.gov (United States)

    Madhu, Ks; Hegde, Swaroop; Mathew, Sylvia; Lata, DA; Bhandi, Shilpa H; N, Shruthi

    2013-08-01

    Non vital bleaching is simple, conservative procedure for esthetic correction of discolored endodontically treated teeth. The aim of this study was to determine and compare the amount of peroxide leakage from four different bleaching agents i.e superoxol, sodium perborate, combination of superoxol & sodium perborate and carbamide peroxide during intracoronal bleaching, as the safe and effective bleaching is the need of the hour. 50 extracted maxillary centrals were selected for the study. Following standardized protocol access, cleaning and shaping by step back technique and obturation was done using guttapercha and AH plus sealer. Access was sealed with Cavit G and outer root surface was coated with wax and nail varnish. The teeth were separated into crown and root and the root portion was placed in plastic tube containing distilled water for 7days.After incubation, 3mm of gutta-percha was removed below CEJ and 2mm glass ionomer cement base was placed. Grouped into five categories based on the bleaching agent placed in pulp chamber as -group1 (control)-distilled water, group 2-sodium perborate with distilled water , group 3- 30% hydrogen peroxide ,group 4-mixture of sodium perborate and 30% hydrogen peroxide and group 5-10% carbamide peroxide gel. Peroxide leakage was measured after 24hrs using ferrothiocyanate method and optical density using spectrophotometer. Statistical analysis of the data was conducted using ANOVA and multiple comparisons within the groups was done using BONFERRONI method (Post-Hoc tests). The results showed highest peroxide penetration from 30% hydrogen peroxide followed by mixture of sodium perborate with 30% hydrogen peroxide, mixture of sodium perborate with distilled water and least penetration from 10% carbamide peroxide gel. The results were statistically significant. Radicular peroxide leakage in 10% carbamide peroxide was significantly lower than the other tested bleaching agents making it a very safe alternative for intracoronal

  12. Avaliação da superfície relativa do sistema radicular de cafeeiros Root surface area of coffee plants by the titration method

    Directory of Open Access Journals (Sweden)

    Luis Carlos da Silva Ramos

    1980-01-01

    Full Text Available Avaliou-se a superfície relativa do sistema radicular de cafeeiros dos cultivares Catuaí e Arábica de Coffea arabica, do 'Guarini' de C. canephora e do 'Icatu', descendente de hibridações entre essas espécies, pelo método titulométrico ligeiramente modificado. Outras medidas foram tomadas para a caracterização dos cultivares: peso seco e comprimento das raízes e da parte aérea e diâmetro do caule. O cultivar Guarini, além de apresentar maior superfície relativa, tem, também, maior peso seco de raízes, da parte aérea, maior diâmetro do caule e maior comprimento da parte aérea. Observaram-se altas correlações entre os dados da superfície relativa, peso seco das raízes e peso da parte aérea. Sugere-se que o método da titulação seja aplicável em investigações sobre o estudo do sistema radicular em geral.The root surface areas of 10 months old coffee plants (Coffea arabica L. cvs. Arabica and Catuaí, C. canephora Pierre cv. Guarini, and C. arabica x C. canephora cv. Icatu were evaluated by an adaptation of the WILD & VOIGHT (8 titration method. The root and shoot dry weight, stem diameter, shoot and root lengths were also measured. The plants were assigned in a randomized complete-block design with 5 blocks and 4 replications per plot. They were grown in polyethylene bags in a coffee nursery under 50% sun light. A greater root surface area, dry weight, stem diameter and shoot length was found in the cultivars Guarini. A high correlation between root surface area and root and shoot dry weights was observed for all studied coffee cultivars. The use of the titration method is suggested for measuring effects of physical, chemical and biological agents on root systems of coffee plants as well as other species.

  13. Diagnostic accuracy of orthopantomogram and periapical film in evaluating root resorption associated with orthodontic force%全景及根尖片对正畸相关牙根吸收诊断准确性的研究

    Institute of Scientific and Technical Information of China (English)

    余丽霞; 何姝姝; 陈嵩

    2012-01-01

    目的 以CBCT对样本牙根吸收的诊断结果为金标准,检验全景片(OPG)及根尖片对正畸相关牙根吸收(RRAOF)定性及分级半定量诊断结果的准确性.方法 纳入完成固定正畸治疗的32例患者的121颗上前牙,正畸治疗前后均拍摄OPG、上前牙根尖片、上前牙CBCT.由3名放射专科医生按照Levander and Malmgren分度法对纳入样本的3种图像的牙根吸收程度分别进行评估,并以CBCT的诊断结果为金标准,检验OPG及根尖片对相同样本牙根吸收定性及分级半定量诊断结果的准确性.结果 OPG、根尖片对相同样本RRAOF的定性及分级半定量诊断结果,与CBCT相比较均存在统计学差异(P<0.05).根尖片和OPG对RRAOF定性诊断的敏感性分别为71.6%和78.4%,特异性分别为25.5%和51.1%,准确度分别为53.7%和67.8%.结论 根尖片与OPG对正畸相关牙根吸收的诊断准确性较差.%Objective To test the diagnostic accuracy of qualitative and semi-quantitative evaluations on root re- sorption associated with orthodontic force (RRAOF) using orthopantomogram (OPG) and periapical film, through comparing with assessments with cone beam computed tomography (CBCT), which is considered as the gold standard. Methods Before and after treatment, OPG, periapical film, CBCT images of 121 upper anterior teeth in 32 orthodontic patients were obtained. Blind evaluation of RRAOF was performed according to Levander and Malmgren's method by three trained radiographers through examining three kinds of images of these teeth. The diagnostic accuracy of qualitative and semi-quantitative evaluations on RRAOF using OPG and periapical films were test through comparing with assessments with CBCT, which was considered as the gold standard. Results To the same sample, the RRAOF qualitative and semi-quantitative diagnostic classification results of OPG and periapical films compared with CBCT were significant differences (P<0.05). The sensitivity of

  14. Pulp revascularization using platelet rich plasma autologous or in conjunction with a collagen matrix as a therapeutic possibility for teeth with an open apex necrotic pulp and / or periapical pathology.

    OpenAIRE

    Camargo Guevara, Paula Alejandra; Sossa Rojas, Henry

    2014-01-01

    Objective: Describe the use of the Autologous Platelet-Rich Plasma or in combination with a collagen matrix as a potential revascularization therapy in teeth with open apices, necrotic pulp and/or periapical lesion. Methods: A thematic literature searchwas conducted from 2007 to 2013 using electronic means,  databases and journals with high impact on endodontic. Results: Regenerative endodontic is a biological based procedure  designed to replace structures that have been damaged, diseased or...

  15. Hipotensão intracraniana secundária a fístula liquórica radicular espontânea: relato de caso

    Directory of Open Access Journals (Sweden)

    Falavigna Asdrubal

    2003-01-01

    Full Text Available A hipotensão intracraniana espontânea é síndrome rara, caracterizada pela diminuição da pressão no líquido cefalorraquidiano (LCR, nos valores de 50 a 70 mm H2O, e cefaléia postural. O diagnóstico é feito através do quadro clínico, da medida da pressão do LCR e do estudo radiológico do encéfalo e da coluna vertebral. O reconhecimento dessa patologia tem sido crescente em razão de suas características próprias que permitem distingui-la de processos meníngeos inflamatórios ou de tumores, evitando assim investigações desnecessárias. Relatamos um caso de hipotensão intracraniana secundária a fístula liquórica radicular espontânea em um homem de 34 anos e fizemos revisão da literatura sobre os aspectos clínicos, diagnósticos e terapêuticos dessa entidade de incidência incomum.

  16. Characterization of the soil fertility and root system of restinga forests Caracterização da fertilidade do solo e sistema radicular de floresta de restinga

    Directory of Open Access Journals (Sweden)

    Rodolfo Martins Bonilha

    2012-12-01

    complexo mosaico encontram-se as fitofisionomias de florestas de restinga em estádio de elevada regeneração (restinga alta e em estádio de média regeneração (restinga baixa, cada qual com suas características vegetais que as diferenciam. O clima no litoral é do tipo tropical (Köppen. A Restinga, de todos os ecossistemas associados à Mata Atlântica, é o mais frágil e suscetível às perturbações antrópicas. As plantas respondem às características do solo por meio de modificações fisiológicas e morfológicas, de modo a alterar a arquitetura (configuração espacial de seus sistemas radiculares. Este estudo teve por objetivo caracterizar a fertilidade do solo, por meio dos parâmetros químicos e físicos, sob floresta de restinga alta e baixa, com relação à distribuição do sistema radicular no perfil do solo. Foram estudados quatro locais: (1 Parque Estadual da Ilha Anchieta, município de Ubatuba; (2 Estação Ecológica Jureia-Itatins, Estação Ecológica dos Chauás, município de Iguape; (3 Vila de Pedrinhas, no município de Ilha Comprida; e (4 Parque Estadual da Ilha do Cardoso, município de Cananeia. Os estudos sobre fertilidade do solo foram feitos nas profundidades de 0-5, 0-10, 0-20, 20-40 e 40-60 cm, para as análises químicas e físicas. Também foi avaliada a distribuição do sistema radicular no perfil do solo, utilizando imagens digitais e o programa Spring. Conclui-se que o sistema radicular, para todas as fitofisionomias estudadas, encontra-se nas camadas mais superficiais, 0-10 e 10-20 cm, principalmente na primeira (80 %; que todos os ambientes estudados apresentaram baixa fertilidade do solo, com valores de saturação por bases inferiores a 16 %, em que a maior parte da CTC está ocupada por Al3+; e que a vegetação de restinga é edáfica.

  17. Sistema radicular de plantas cítricas e atributos físicos do solo em um Latossolo argiloso submetido à escarificação

    Directory of Open Access Journals (Sweden)

    Bordin Ivan

    2005-01-01

    Full Text Available O trabalho teve como objetivo avaliar a influência da escarificação sobre atributos físicos do solo e sobre a distribuição do sistema radicular do limão ?Cravo? (Citrus limonia Osb sob copa de laranja ?Pêra? (Citrus sinensis L. Osb. Foram abertas quatro trincheiras para cada tratamento (entrelinha escarificada e entrelinha não escarificada avaliando-se distribuição das raízes na linha e entrelinha até a profundidade de 1,0 m pelo Sistema Integrado de Análise de Raízes e Cobertura do Solo (SIARCS 3.0. A porosidade total e a densidade do solo foram avaliadas em três profundidades (0,000-0,125; 0,125-0,250 e 0,25-0,375 m em três posições: linha, centro da entrelinha e limite da copa na entrelinha. Três anos depois da escarificação não se detectou alteração para a densidade e a porosidade total do solo nas entrelinhas do pomar e a quantidade de raízes, independentemente da profundidade e posição em relação à planta.

  18. Trichoderma spp. decrease Fusarium root rot in common bean Trichoderma spp. reduzem a podridão-radicular de Fusário em feijoeiro comum

    Directory of Open Access Journals (Sweden)

    Hudson Teixeira

    2012-12-01

    Full Text Available The effectiveness of six Trichoderma-based commercial products (TCP in controlling Fusarium root rot (FRR in common bean was assessed under field conditions. Three TCP, used for seed treatment or applied in the furrow, increased seedling emergence as much as the fungicide fludioxonil. FRR incidence was not affected, but all TCP and fludioxonil reduced the disease severity, compared to control. Application of Trichoderma-based products was as effective as that of fludioxonil in FRR management.A eficácia de seis produtos comerciais à base de Trichoderma (PCT no controle da podridão-radicular-seca do feijoeiro (PRS foi avaliada em condições de campo. Três PCT, usados no tratamento de sementes ou aplicados no sulco de plantio, aumentaram a emergência das plântulas tanto quanto o fungicida fludioxonil. A incidência de PRS não foi afetada, mas todos os PCT e o fludioxonil reduziram a severidade em relação à testemunha. A aplicação de produtos à base de Trichoderma spp. foi tão eficaz quanto o fludioxonil no manejo da PRS.

  19. Investigations of radicular dentin permeability and ultrastructural changes after irradiation with Er,Cr:YSGG laser and dual wavelength (2780 and 940 nm) laser.

    Science.gov (United States)

    Al-Karadaghi, Tamara Sardar; Franzen, Rene; Jawad, Hussein A; Gutknecht, Norbert

    2015-11-01

    The aim of this study was to assess the effectiveness of dual wavelength (2780 nm Er,Cr:YSGG, 940 nm diode) laser in elimination of smear layer comparing it with Er,Cr:YSGG laser in terms of radicular dentin permeability and ultrastructural changes of root canal walls. Fifty-one sound single-rooted extracted teeth were instrumented up to size F4 and divided into three groups: group Co, non-irradiated samples; group A, irradiated with Er,Cr:YSGG laser; group B, irradiated with the dual wavelength laser. Afterward, the roots were made externally impermeable, filled with 2% methylene blue dye, divided horizontally into three segments reflecting the cervical, middle, and apical thirds then examined under microscope. Using analytical software, the root section area and dye penetration area were measured, and then, the percentage of net dye penetration area was calculated. Additionally, scanning electron microscope investigations were accomplished. Analysis of variance (ANOVA) showed significant differences between all groups over the three root thirds. Dye permeation in dual wavelength laser group was significantly higher over the whole root length: cervical, middle, and apical compared to Er,Cr:YSGG laser group and non-irradiated samples (p laser root canal irradiation produced uneven removal of smear layer, in efficient cleanliness especially in the apical third. There was no sign of melting and carbonization. Within the studied parameters, root canal irradiation with dual wavelength laser increased dentin permeability.

  20. In vivo evaluation of the accuracy of working length determination using an electronic apex locater IPEX (NSK) on vital uninfected teeth and teeth with radiographic evidence of periapical lesions

    Science.gov (United States)

    Raghu, Kachenahalli Narasimhaiah; Daniel, Jacob G.; Razvi, Shuaib; Vinaychandra, Ramachandra; Kini, Annapurna; Nandakishore, Kunigal Jayram

    2014-01-01

    Aim: To evaluate the accuracy of working length determination of an electronic apex locator, IPEX, on vital uninfected teeth and teeth with radiographic evidence of periapical lesions. Materials and Methods: Twenty vital and uninfected teeth and 16 teeth with a single canal and matured apices and having radiographic evidence of periapical lesions of 5-10 mm were taken for this study. Access cavities were prepared and pulp was considered to be vital if bleeding was present upon entering the chambers. No. 15 k-type file was used to determine the working length. X-rays were taken to determine the working length using Ingle's method, followed by determination using the electronic apex locator, IPEX. Teeth were then observed under 45 × magnification using stereomicroscope. No 15 k-type file was maneuvered till the emergence of the tip was seen and the real length of the tooth was thus measured in the instrument up to 0.5 mm accuracy using stereomicroscope. Results: The data were duly collected and entered, and the statistical analysis was done using Student's t test. In uninfected teeth, IPEX was found to be more reliable than Ingle's radiographic technique, but this was not statistically significant. In case of teeth with radiographic evidence of periapical lesions, the radiographic method appeared to be relatively more dependable; however, this difference was not statistically significant. Conclusion: For rendering effective root canal procedure, both radiographs and electronic apex locators have important roles to play. PMID:25625080

  1. 粪肠球菌再感染根尖周炎病程进展分析%Progression analysis of periapical periodontitis caused by repeated root canal infection with Enterococcus faecalis

    Institute of Scientific and Technical Information of China (English)

    郭晓霞; 王燕煌; 黄晓晶; 卢冰玲; 张明

    2013-01-01

    目的 构建粪肠球菌(Enterococcus aecalis,E.faecalis)再感染大鼠根尖周炎模型,通过观察实验牙根尖区骨质破坏面积、根尖区炎症状态及TNF-α表达,分析E.faecalis再感染大鼠根尖周炎的病程进展.方法 SD大鼠30只,采用双侧上颌第一磨牙开髓后置入细菌内毒素脂多糖并自然暴露于口腔正常菌群4周的方法建立混合菌初次感染慢性根尖周炎模型,建模成功后对实验牙行根管预备、封药消毒2周,其后去除填充物,根管内注入E.faecalis菌悬液,封闭洞口1周建立E.faecalis再感染大鼠根尖周炎模型,之后连续观察3周.E.faecalis再感染根尖周炎组大鼠在建模成功后1周、2周、3周时,以及混合菌初次感染慢性根尖周炎组正常培养6周后、慢性根尖周炎氢氧化钙治疗组经氢氧化钙治疗6周后,各组随机处死6只大鼠,通过X线测量法、H-E染色和免疫组化染色分别检测实验牙根尖周区骨质破坏面积、根尖周区炎症状态及炎症因子TNF-α的表达量.结果 (1)E.faecalis再感染大鼠根尖周炎建模成功后连续观察3周发现根尖周骨质破坏面积持续增加,骨破坏边界仍不清晰,而根尖周炎症1~2周时达重度炎症,在3周时已转为慢性炎症状态,TNF-α表达量在2周后下降.(2)混合菌初次感染慢性根尖周炎组根尖周骨质破坏面积较小,骨破坏边缘清晰,根尖炎症程度低,TNF-α表达量少.(3)慢性根尖周炎氢氧化钙治疗组根尖周骨质破坏面积最小,炎症消退,可见根尖周牙骨质和牙槽骨新生明显,TNF-α极少量表达.结论 E.faecalis具有较强的破坏根尖周组织的能力,在慢性炎症时,根尖周组织仍有进行性溶骨破坏的现象.%Objective To develop a rat model of periapical periodontitis caused by repeated root canal infection with Enterococcus faecalis (E.faecalis),and to evaluate the disease progression by observing the periapical lesion area,inflammation,and TNF

  2. Atributos do solo e biomassa radicular após quatro anos de semeadura direta de forrageiras de estação fria em campo natural dessecado com herbicidas

    Directory of Open Access Journals (Sweden)

    E. Pérez Gomar

    2002-03-01

    Full Text Available Os campos naturais, desenvolvidos sobre solos arenosos da região norte do Uruguai, são compostos por espécies forrageiras, sobretudo de gramíneas de produção estacional, com baixa produtividade no inverno. O objetivo deste estudo foi avaliar o efeito da dessecação do campo natural no estabelecimento de espécies de estação fria em atributos do solo e biomassa radicular. O estudo, iniciado em 1994, utilizou delineamento experimental de blocos ao acaso com parcelas subsubdivididas, com três repetições. Nas parcelas principais, em 1994, foram aplicados os tratamentos com herbicidas (paraquat 0,60gha-1i.a., glifosate 0,36gha-1i.a. e glifosate 1,44gha-1i.a. e testemunha sem herbicida em campo natural para a semeadura de pastagens de inverno. Nessas parcelas, a pastagem de inverno foi aveia preta (avena strigosa L., triticale (X Triticosecale Wittmack e azevém (Lolium multiflorum L.. As subparcelas foram formadas pela reaplicação ou não dos herbicidas em 1995 e as subsubparcelas foram formadas pela reaplicação ou não dos herbicidas em 1996. As amostras de solo para determinar a biomassa radicular, a densidade do solo, o carbono (C orgânico do solo, bases trocáveis, Al trocável e o pH do solo foram extraídas separadamente, em três subamostras, usando cilindro metálico de 7,65cm de diâmetro e 40cm de comprimento. Os monolitos extraídos foram estratificados até 30cm de profundidade nas camadas de 0-5, 5-10, 10-15, 15-20 e 20-30cm. A biomassa radicular foi maior na testemunha do que a média dos tratamentos com herbicidas somente na camada de 0-5cm, e, entre os tratamentos com herbicidas, a biomassa radicular foi maior com paraquat do que com o glifosate. A reaplicação de herbicidas, em 1995 e 1996, também ocasionou redução da biomassa radicular. Houve alta correlação positiva de C orgânico com a biomassa radicular. A redução de C orgânico para o tratamento mais agressivo de controle químico (glifosate 1,44gi

  3. Simultaneous analysis of T helper subsets (Th1, Th2, Th9, Th17, Th22, Tfh, Tr1 and Tregs markers expression in periapical lesions reveals multiple cytokine clusters accountable for lesions activity and inactivity status

    Directory of Open Access Journals (Sweden)

    Ana Claudia ARAUJO-PIRES

    2014-07-01

    Full Text Available Previous studies demonstrate that the balance between pro- and anti-inflammatory mediators determines the stable or progressive nature of periapical granulomas by modulating the balance of the osteoclastogenic factor RANKL and its antagonist OPG. However, the cytokine networks operating in the development of periapical lesions are quite more complex than what the simple pro- versus anti-inflammatory mediators' paradigm suggests. Here we simultaneously investigated the patterns of Th1, Th2, Th9, Th17, Th22, Thf, Tr1 and Tregs cytokines/markers expression in human periapical granulomas. Methods: The expression of TNF-α, IFN-γ, IL-17A, IL23, IL21, IL-33, IL-10, IL-4, IL-9, IL-22, FOXp3 markers (via RealTimePCR array was accessed in active/progressive (N=40 versus inactive/stable (N=70 periapical granulomas (as determined by RANKL/OPG expression ratio, and also to compare these samples with a panel of control specimens (N=26. A cluster analysis of 13 cytokine levels was performed to examine possible clustering between the cytokines in a total of 110 granulomas. Results: The expression of all target cytokines was higher in the granulomas than in control samples. TNF-α, IFN-γ, IL-17A and IL-21 mRNA levels were significantly higher in active granulomas, while in inactive lesions the expression levels of IL-4, IL-9, IL-10, IL-22 and FOXp3 were higher than in active granulomas. Five clusters were identified in inactive lesion groups, being the variance in the expression levels of IL-17, IL-10, FOXp3, IFN-γ, IL-9, IL-33 and IL-4 statistically significant (KW p<0.05. Three clusters were identified in active lesions, being the variance in the expression levels of IL-22, IL-10, IFN-γ, IL-17, IL-33, FOXp3, IL-21 and RANKL statistically significant (KW p<0.05. Conclusion: There is a clear dichotomy in the profile of cytokine expression in inactive and active periapical lesions. While the widespread cytokine expression seems to be a feature of chronic

  4. 数字化根尖片诊断牙根吸收的可靠性研究%Measurement accuracy of digital periapical films in diagnosis of root resorption

    Institute of Scientific and Technical Information of China (English)

    沙海亮; 白玉兴; 厉松; 栗文成; 闭东援

    2012-01-01

    Objective To compare the measurement accuracy between digital periapical film and conventional film in measurements of tooth length and simulated root resorption. Methods An in vitro root resorption model was established from 20 extracted upper central incisors. Digital periapical and conventional periapical films were taken before and after simulated root resorption, from six different projection angles. Tooth lengths and simulated root resorption were measured using these films. The results were analyzed. Results The error in median tooth length produced by these two kinds of films was significantly different at the same projection angle. The error in root resorption length exhibited by the two kinds of films was not significantly different. Conclusion The digital periapical films in measuring tooth length is more accurate than conventional periapical films.But the two kinds of films are not different in diagnosing root resorption.%目的 对比数字化根尖片和普通根尖片在评价牙齿长度及牙根吸收方面的差异.方法 选取20颗上颌恒中切牙建立体外牙根吸收研究模型.模拟牙根吸收前、后的情况,分别从6个投照角度拍摄普通根尖片和数字化根尖片.分别统计数字化根尖片和普通根尖片反映牙齿实际长度和实际牙根吸收的差异.结果 在同一X线投照角度下,数字化根尖片与普通根尖片的影像长度误差之间有显著性差异,牙根吸收误差之间无显著性差异.结论 数字化根尖片下的牙齿影像长度比普通根尖片更接近实际的牙齿长度.数字化根尖片与普通根尖片在对牙根吸收的测量诊断上没有明显差别.

  5. 糖尿病与牙髓病根尖周病关系的研究发展%The Relationship Between Diabetes and Dental Pulp Disease Periapical Dis-ease Research and Development

    Institute of Scientific and Technical Information of China (English)

    宋岩

    2016-01-01

    Objective By comparing the diabetic and non-diabetic dental pulp disease periapical disease the clinical effi-cacy of root canal treatment, to discuss diabetes relations with dental pulp disease periapical disease. Methods From Jan-uary 2014 to December of dental pulp disease admitted in the oral cavity hospital in zhuhai on periapical disease, dental pulp disease periapical randomly selected 200 cases of diabetes patients and 200 cases of diabetes dental pulp disease pe-riapical disease comparison research, respectively, set it to diabetes and non-diabetic group. All patients for disposable root canal treatment, after treatment, the VAS pain score of two groups of patients to evaluate the degree of pain; In half a year after treatment for the patient follow-up and review, compare the diabetic and non-diabetic dental pulp disease periapical disease line the clinical curative effect of root canal treatment. Results The VAS score of diabetic group compared with non-diabetic group significantly higher (P < 0.05). Treatment after six months of follow-up, in patients with the review found that the success rate of the treatment of patients with diabetes mellitus group was 86%, significantly less than 94% of the group of patients without diabetes (P< 0.05). Conclusion Diabetes and dental pulp disease periapical disease there is close relationship, the pathological changes of diabetes, dental pulp disease periapical disease range and extent than non-diabetic dental pulp disease periapical disease is more serious, as a result, the prognosis of dental pulp disease periapical disease diabetes compared with non-diabetic patients effect worse, in the clinical treatment of diabetes in the process of dental pulp disease periapical disease, patients should pay attention to the effective control of blood sugar.%目的:通过对比糖尿病与非糖尿病牙髓病根尖周病行根管治疗的临床疗效,以探讨糖尿病与牙髓病根尖周病的关系。方法于2014年1

  6. Alternativas de medicação intracanal em casos de necrose pulpar com lesão periapical = Intracanal medication indicated for pulpal necrosis with apical osteites

    Directory of Open Access Journals (Sweden)

    Fachin, Elaine Vianna Freitas

    2006-01-01

    Full Text Available Trata-se de estudo in vivo em pacientes portadores de dentes monorradiculares apresentando necrose pulpar com lesão periapical. O objetivo foi avaliar radiograficamente a efetividade de 4 diferentes curativos de demora (PMCC, gel de clorexidina 2%, pasta de hidróxido de cálcio e hipoclorito de sódio1%. O tratamento endodôntico foi padronizado em todos os elementos através da técnica escalonada e irrigação com hipoclorito de sódio 1%. Para a medicação intracanal, os pacientes foram separados aleatoriamente em 4 grupos que receberam um dos medicamentos listados. Após 7 dias, os canais foram obturados e submetidos a controle radiográfico aos 3, 6 e 9 meses em que se mediu com precisão a diminuição do diâmetro radiolúcido apical. Os resultados mais satisfatórios ocorreram após o uso do PMCC, seguido pelo hidróxido de cálcio, clorexidina 2% e, por último, hipoclorito de sódio 1%

  7. Sistema radicular de plantas de cobertura sob compactação do solo Root system of cover crops under soil compaction

    Directory of Open Access Journals (Sweden)

    Wainer G. Gonçalves

    2006-04-01

    Full Text Available Com o objetivo de avaliar a capacidade de crescimento de raízes em camadas de solo compactadas, quatro espécies de plantas de cobertura (amaranto, milheto ADR 500, capim pé-de-galinha e kenaf foram cultivadas em anéis de PVC, com níveis de compactação em subsuperfície (densidade do solo: 1,18; 1,34; 1,51 e 1,60 Mg m-3, sendo o experimento conduzido em casa de vegetação, utilizando-se de um Latossolo Vermelho distroférrico. A camada compactada em subsuperfície foi restritiva ao crescimento de raízes das espécies estudadas, ocasionando a concentração de raízes na camada superficial. O milheto ADR 500 e o amaranto foram as espécies que se destacaram na produção de massa seca da parte aérea e conseguiram desenvolver-se nas camadas compactadas e abaixo delas. O milheto ADR500 apresentou maior densidade de comprimento radicular em todas as camadas. O capim pé-de-galinha e o amaranto tiveram comportamento semelhante quanto à densidade de comprimento radicular. O capim pé-de-galinha e o kenaf apresentaram menor massa seca de raízes em relação às demais espécies. O kenaf apresentou menores valores de massa seca da parte aérea, mas não foi afetado pela presença de camadas compactadas.With the objective of evaluate the root growth capacity in the compacted soil layer, four vegetal species of the cover crops (amaranth, pearl millet ADR500, finger millet and kenaf were cultivated in columns of PVC with increasing levels of subsurface compaction (soil bulk densities: 1.18; 1.34; 1.51 and 1.60 Mg m-3. The experiment was carried out in a greenhouse conditions, using a Dusky Red Latosol. The subsurface compacted layer was restrictive to the roots growth of the studied species, causing the root concentrating to the surface. Pearl millet ADR500 and the amaranth were the species that had detached in the production of dry matter weight and developed itself in the compacted layers and below of them. Pearl of millet ADR500 presented the

  8. CORREÇÃO DA ACIDEZ DO SOLO E DESENVOLVIMENTO DO SISTEMA RADICULAR DO AMENDOIM EM FUNÇÃO DA CALAGEM

    Directory of Open Access Journals (Sweden)

    CAIRES EDUARDO FÁVERO

    1998-01-01

    Full Text Available O experimento foi realizado em um latossolo vermelho-escuro distrófico, textura média, em Botucatu (SP, com o objetivo de avaliar os efeitos da calagem na correção da acidez do solo e no desenvolvimento do sistema radicular do amendoim, utilizando quatro doses de calcário dolomítico calcinado - 0, 4, 6 e 8 t/ha - e dois cultivares de amendoim: Tatu e Tupã. O delineamento experimental empregado foi o de blocos ao acaso em parcelas subdivididas, com três repetições. Verificou-se que a calagem proporcionou correção da acidez do solo e aumentou os teores de cálcio e magnésio trocáveis até 40 cm de profundidade. Esse efeito foi constatado três meses após a aplicação de calcário e perdurou até, pelo menos, dezesseis meses. A densidade de raízes foi maior nos primeiros 20 cm, onde, na linha de semeadura, apresentou correlação com parâmetros da fertilidade do solo, principalmente com o teor de cálcio. A calagem aumentou a absorção de cálcio pelo amendoim, atingindo o máximo, com teores, no solo, de 25,3 mmolc /dm3, na camada de 0-20 cm, e 8,9 mmolc /dm3, na de 20-40 cm. Não houve diferença entre os cultivares Tatu e Tupã quanto à absorção de cálcio do solo.

  9. The Effectiveness of Transforaminal Versus Caudal Routes for Epidural Steroid Injections in Managing Lumbosacral Radicular Pain: A Systematic Review and Meta-Analysis.

    Science.gov (United States)

    Liu, Jun; Zhou, Hengxing; Lu, Lu; Li, Xueying; Jia, Jun; Shi, Zhongju; Yao, Xue; Wu, Qiuli; Feng, Shiqing

    2016-05-01

    Epidural steroid injection (ESI) is one of the most commonly used treatments for radiculopathy. Previous studies have described the effectiveness of ESI in the management of radiculopathy. However, controversy exists regarding the route that is most beneficial and effective with respect to the administration of epidural steroids, as both transforaminal (TF) and caudal (C) routes are commonly used.This analysis reviewed studies comparing the effectiveness of TF-ESIs with that of C-ESIs in the treatment of radiculopathy as a means of providing pain relief and improving functionality. This meta-analysis was performed to guide clinical decision-making.The study was a systematic review of comparative studies.A systematic literature search was performed using the PubMed, EMBASE, and Cochrane Library databases for trials written in English. The randomized trials and observational studies that met our inclusion criteria were subsequently included. Two reviewers, respectively, extracted data and estimated the risk of bias. All statistical analyses were performed using Review Manager 5.3.Six prospective and 2 retrospective studies involving 664 patients were included. Statistical analysis was performed utilizing only the 6 prospective studies. Although slight pain and functional improvements were noted in the TF-ESI groups compared with the C-ESI groups, these improvements were neither clinically nor statistically significant.The limitations of this meta-analysis resulted primarily from the weaknesses of the comparative studies and the relative paucity of patients included in each study.Both the TF and C approaches are effective in reducing pain and improving functional scores, and they demonstrated similar efficacies in the management of lumbosacral radicular pain.

  10. Arquitetura do sistema radicular do porta-enxerto de videira 'IAC 766' na época de transplante do viveiro para o campo Root architecture of IAC 766 grapevine rootstock in the transplanting from the nursery to the field

    Directory of Open Access Journals (Sweden)

    Ricardo Sfeir de Aguiar

    2006-12-01

    Full Text Available Na propagação de porta-enxertos de videira por estaquia em recipientes para posterior transplante ao campo, é importante evitar danos ao sistema radicular. O objetivo do trabalho foi determinar, por meio da avaliação da arquitetura do sistema radicular, a melhor fase de desenvolvimento da muda para o transplante, ao campo, do porta-enxerto de videira 'IAC 766' Campinas, em Marialva - PR. As plantas foram avaliadas aos 60; 90; 120; 150 e 180 dias após a estaquia lenhosa em substratos contidos em sacos plásticos de 20cm de largura por 30cm de altura. As raízes foram expostas e fotografadas, avaliando-se comprimento e área do sistema radicular pelo programa SIARCS 3.0. Foi utilizado também um diagrama de arquitetura radicular, atribuindo-se notas à conformação do sistema radicular e foi contado o número de raízes enoveladas. O delineamento experimental utilizado foi o de blocos inteiramente ao acaso, com cinco tratamentos e cinco repetições, com 10 plantas por parcela. Os dados foram submetidos à análise de regressão polinomial. Todas as características, com exceção das notas da arquitetura do sistema radicular, ajustaram-se ao modelo de regressão linear crescente. A melhor fase para o transplante da muda do porta-enxerto 'IAC 766' para o campo é aos 90 dias após a estaquia.In grapevine propagation with cuttings in containers it is important to avoid damages to root system during transplanting to the field. The aim of this research was to determine, by means of root system evaluation, the best period to transplant 'IAC 766' (Campinas rootstock. The trial was set up in July 2004 in Marialva County (PR. The plants were evaluated 60, 90, 120, 150 and 180 days after the establishment of woody cutting in plastic bags of 20cm wide and 30cm high. The roots were exposed and pictures were taken in lateral and top positions and were evaluated by SIARCS 3.0 software, with determination of the area and the length of the root system

  11. Effect of lincomycin treatment of root surface in dental replantation: a study in rats = Efeito da lincomicina como tratamento da superfície radicular no reimplante de dentes: estudo em ratos

    Directory of Open Access Journals (Sweden)

    Silva, Daniela Nascimento

    2009-01-01

    Full Text Available Objetivo: Estudos sobre antibióticos usados topicamente na superfície radicular de dentes avulsionados buscam avaliar suas propriedades anti-reabsortivas que favoreçam o reparo do ligamento periodontal e o restabelecimento da articulação dentoalveolar. Neste mesmo propósito, esta pesquisa avaliou o efeito da lincomicina na superfície radicular, antes do reimplante. Metodologia: Dez ratos foram distribuídos em dois grupos de 05 animais (I – controle e II – experimental. O incisivo superior direito dos animais foi extraído e estocado em leite por 30 min. Em seguida, no grupo I, os dentes foram irrigados com soro fisiológico e reimplantados; no grupo II, os incisivos foram imersos em lincomicina por 5 min, antes do reimplante. Os animais foram eutanasiados no 21º dia pós-operatório e a hemimaxila direita submetida a cortes histológicos, corados em HE, para avaliação microscópica. Resultados: No grupo I, o ligamento periodontal apresentou-se disperso, com infiltrado linfoplasmocitário moderado a intenso e a articulação dentoalveolar não foi restabelecida; no grupo II, notou-se completo reparo do ligamento, poucas células inflamatórias e pequenas áreas de reabsorção inflamatória e anquilose. Conclusões: o uso tópico da lincomicina no tratamento da superfície radicular promoveu o reparo do ligamento periodontal, reduziu o processo inflamatório, mas ainda foram observadas áreas de reabsorção inflamatória e anquilose

  12. Avaliação da presença do canal cavo inter-radicular em molares pelo método da microscopia eletrônica de varredura

    Directory of Open Access Journals (Sweden)

    Lorenzzo De Angeli CESCONETTO

    Full Text Available Resumo Introdução A cavidade pulpar ainda é um mistério a ser desvendado, pois podem existir inúmeras ramificações que precisam ser esclarecidas para que o clínico possa interpretar e desenvolver o seu papel adequadamente. Uma das variações anatômicas que apresentam grande controvérsia na literatura é o reconhecimento da presença do canal cavo inter-radicular. Este canal tem origem no assoalho da câmara pulpar, percorre a dentina inter-radicular e alcança o ligamento periodontal na região de furca, constituindo uma das vias de comunicação entre o ligamento periodontal e o tecido pulpar, podendo servir como meio de contaminação. Objetivo Estudar a frequência do canal cavo inter-radicular em molares. Material e método Análise de cinco primeiros molares superiores, dez segundos molares superiores, dez primeiros molares inferiores e dez segundos molares inferiores, utilizando-se a microscopia eletrônica de varredura. Resultado Foi observada a presença de forames em 30% dos assoalhos e 50% das furcas dos primeiros molares inferiores, e 40% e 60% no assoalho e na furca dos segundos molares inferiores, respectivamente. O diâmetro desses forames variou de 32 µm até 312 µm. Conclusão A prevalência deste canal é muito variada ao se analisarem as diferentes metodologias.

  13. Traumatismo alveolodentário na dentição decídua: associação do grau de maturidade radicular no momento de injuria e sequelas após acompanhamento longitudinal retrospectivo.

    OpenAIRE

    2012-01-01

    Este estudo teve como objetivo investigar a influência do grau de maturidade radicular dos dentes decíduos nas sequelas dos traumatismos alveolodentários, assim como investigar o momento que tais sequelas ocorrem. Para tal, foram conduzidos dois estudos longitudinais retrospectivos, os quais coletaram dados clínicos e radiográficos de registros de pacientes com traumatismo dentário em um ou mais incisivo central superior decíduo. No primeiro, sequelas como discoloração coronária, obliteração ...

  14. Utilização da terapia fotodinâmica associada ou não ao hipoclorito de sódio na instrumentação de canais radiculares contaminados com Enterococcus faecalis

    OpenAIRE

    Lilian Ferreira Freitas

    2009-01-01

    O presente trabalho teve por objetivo avaliar a ação do laser de baixa intensidade associado ao corante azul de toluidina, como agente bactericida durante a fase de instrumentação dos canais radiculares, comparando sua utilização associada ou não ao hipoclorito de sódio 0,5%. Para tal, 90 caninos humanos foram instrumentados, autoclavados e 88 imersos em caldo TSB(Tryptcase Soy Broth). Em seguida foram inoculados com suspensão de E. faecalis e incubados em estufa a 37C, por 72 horas, para per...

  15. Potencial de sanificação de instrumentos reciprocantes associados com hipoclorito de sódio 2,5% e vinagre de maçã em canais radiculares infectados

    OpenAIRE

    de Oliveira, Helder Fernandes

    2016-01-01

    Objetivo: Avaliar o efeito antibacteriano de sistemas reciprocantes associados ao hipoclorito de sódio 2,5% e ao vinagre de maça em canais radiculares infectados. Materiais e métodos: Cinquenta dentes humanos unirradiculares extraídos foram preparados, inoculados com Enterococcus faecalis e incubados a 37°C por sessenta dias. Os espécimes foram aleatoriamente divididos em 05 grupos sendo três experimentais e dois controles (1. WaveOne® 40.08; 2. Reciproc® 40.06; 3. Unicone® ...

  16. Análise comparativa in vitro de três técnicas de colocação da associação corticosteróide-antibiótico no canal radicular

    OpenAIRE

    Vier, Fabiana Vieira; Só, Marcus Vinicius Reis; Orlando LIMONGI

    1999-01-01

    O objetivo do presente estudo foi comparar três técnicas de colocaçäo da associaçäo corticosteróide-antibiótico no interior do canal radicular, quanto à sua capacidade de penetraçäo em direçäo apical. Após a abertura coronária, foram preparadas trinta raízes distovestibulares de molares superiores humanos através do emprego da técnica cervicoapical, seguidas do preparo escalonado progressivo programado e irrigadas constantemente com hipoclorito de sódio a um por cento. As amostras foram divid...

  17. Feijão-de-porco (Canavalia ensiformis no controle da podridão radicular do meloeiro causada por associação de patógenos

    Directory of Open Access Journals (Sweden)

    Maria Alice Formiga Porto

    Full Text Available RESUMO A ocorrência de doenças radiculares representa uma das principais causas de perda de rendimento na cultura do melão, com destaque para patógenos causadores das podridões de raízes e colos, como os fungos Fusarium solani, Macrophomina phaseolina e Rhizoctonia solani, observados no meloeiro tanto de forma isolada quanto associada. A utilização de material vegetal e restos de culturas, além de melhorar as propriedades físicas do solo e favorecer a atividade microbiana neste ambiente, pode interferir negativamente sobre a população de patógenos. Portanto, o objetivo deste trabalho foi verificar o efeito da utilização do Feijão-de-porco [Canavalia ensiformis (L. DC] no manejo da podridão radicular do meloeiro (Cucumis melo L. causada pelos patógenos F. solani, M. phaseolina e R. solani, quando sozinhos ou associados. O experimento foi realizado em casa de vegetação no delineamento de blocos casualizados, com esquema fatorial 8 x 4, sendo 8 tipos de