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Sample records for external apical root

  1. Risk variables of external apical root resorption during orthodontic treatment

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    Maria Carolina Feio Barroso

    2012-04-01

    Full Text Available INTRODUCTION: External apical root resorption (EARR is an adverse outcome of the orthodontic treatment. So far, no single or associated factor has been identified as responsible for EARR due to tooth movement. OBJECTIVE: This study investigated the association of risk variables (age, gender, extraction for orthodontic treatment and Angle classification with EARR and orthodontic treatment. METHOD: The sample (n=72 was divided into two groups according to presence (n=32 or absence (n=40 of EARR in maxillary central and lateral incisors after orthodontic treatment. RESULTS: There were no statistically significant differences in EARR according to age, gender, extraction or type of malocclusion (p>0.05. CONCLUSION: The risk variables examined were not associated with EARR in the study population.

  2. External apical root resorption in maxillary root-filled incisors after orthodontic treatment: A split-mouth design study

    OpenAIRE

    2011-01-01

    Introduction: The purpose of this study was to compare, in a split mouth design, the external apical root resorption (EARR) associated with orthodontic treatment in root-filled maxillary incisors and their contralateral teeth with vital pulps. Methodology: The study sample consisted of 38 patients (14 males and 24 females), who had one root-filled incisor before completion of multiband/bracket orthodontic therapy for at least 1 year. For each patient, digital panoramic radiographs taken befor...

  3. External apical root resorption in maxillary incisors in orthodontic patients: associated factors and radiographic evaluation

    Science.gov (United States)

    Patanaporn, Virush; Janhom, Apirum; Korwanich, Narumanus

    2012-01-01

    Purpose This study was performed to evaluate the incidence and degree of external apical root resorption of maxillary incisors after orthodontic treatment and to evaluate particular associated factors related to external apical root resorption. Materials and Methods The records and maxillary incisor periapical radiographs of 181 patients were investigated. Crown and root lengths were measured and compared on the pre- and post-treatment periapical radiographs. Crown length was measured from the center of the incisal edge to the midpoint of the cemento-enamel junction (CEJ). Root length was measured from the CEJ midpoint to the root apex. A correction factor for the enlargement difference was used to calculate root resorption. Results The periapical radiographs of 564 teeth showed that the average root resorption was 1.39±1.27 (8.24±7.22%) and 1.69±1.14 mm (10.16±6.78%) for the maxillary central and lateral incisors, respectively. The results showed that the dilacerated or pointed roots, maxillary premolar extraction cases, and treatment duration were highly significant factors for root resorption (poverjet, and history of facial trauma were also factors significantly associated with root resorption (p<0.05). There was no statistically significant difference in root resorption among the factors of gender, overbite, tongue-thrusting habit, types of malocclusion, and types of bracket. Conclusion These results suggested that orthodontic treatment should be carefully performed in pre-treatment extraction patients who have pointed or dilacerated roots and need long treatment duration. PMID:23071964

  4. External apical root resorption in maxillary incisors in orthodontic patients: associated factors and radiographic evaluation

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    Nanekrungsan, Kamonporn [Dept. of Dentistry, Overbrook Hospital, Chiang Rai (Thailand); Patanaporn, Virush; Janhom, Apirum; Korwanich, Narumanus [Dept. of Chiang Mai University, Chiang Mai (Thailand)

    2012-09-15

    This study was performed to evaluate the incidence and degree of external apical root resorption of maxillary incisors after orthodontic treatment and to evaluate particular associated factors related to external apical root resorption. The records and maxillary incisor periapical radiographs of 181 patients were investigated. Crown and root lengths were measured and compared on the pre- and post-treatment periapical radiographs. Crown length was measured from the center of the incisal edge to the midpoint of the cemento-enamel junction (CEJ). Root length was measured from the CEJ midpoint to the root apex. A correction factor for the enlargement difference was used to calculate root resorption. The periapical radiographs of 564 teeth showed that the average root resorption was 1.39{+-}1.27 (8.24{+-}7.22%) and 1.69{+-}1.14 mm (10.16{+-}6.78%) for the maxillary central and lateral incisors, respectively. The results showed that the dilacerated or pointed roots, maxillary premolar extraction cases, and treatment duration were highly significant factors for root resorption (p<0.001). Allergic condition was a significant factor at p<0.01. Age at the start of treatment, large overjet, and history of facial trauma were also factors significantly associated with root resorption (p<0.05). There was no statistically significant difference in root resorption among the factors of gender, overbite, tongue-thrusting habit, types of malocclusion, and types of bracket. These results suggested that orthodontic treatment should be carefully performed in pre-treatment extraction patients who have pointed or dilacerated roots and need long treatment duration.

  5. A posteriori registration and subtraction of periapical radiographs for the evaluation of external apical root resorption after orthodontic treatment

    OpenAIRE

    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 w...

  6. A radiographic analysis of external apical root resorption of maxillary incisors during active orthodontic treatment.

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    Mohandesan, Hooman; Ravanmehr, Hossein; Valaei, Nasser

    2007-04-01

    External apical root resorption (EARR) is an undesirable consequence of orthodontic treatment. The purpose of this study was to measure the amount of EARR and to examine its clinical significance in maxillary incisors, during a 12-month active treatment period. A further aim was to examine the contribution of gender, treatment technique, treatment duration, and extraction of maxillary first premolars to EARR. The sample comprised 151 maxillary incisor teeth in 40 patients (16 males, 24 females) aged 12-22 years, with different malocclusions. Standard periapical radiographs, using the long-cone paralleling technique, were obtained before and 6 and 12 months after the start of treatment. Quantitative measurements for 80 central and 71 lateral maxillary incisors were performed separately and corrected for image distortion. Root length reduction was calculated in millimetres and in terms of the percentage of the original root length. Resorption of more than 1 mm at 12 months of active treatment was considered to be clinically significant. On average, the degree of EARR for the maxillary central incisors was 0.77 +/- 0.42 and 1.67 +/- 0.64 mm, respectively, during the 6- and 12-month follow-up (P incisors, the degree of EARR was 0.88 +/- 0.51 and 1.79 +/- 0.66 mm, respectively (P resorption was found for 74 per cent of the centrals and 82 per cent of the laterals. No significant correlation was observed between EARR and treatment technique. EARR was found to be correlated with gender for the lateral incisors. The effect of treatment duration (P < 0.001) and premolar extraction (P < 0.001) was statistically significant for both tooth groups.

  7. Comparison of External Apical Root Resorption after Orthodontic Treatment with Two Appliances (Standard Edgewise and MBT

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    V. Mollabashi

    2016-01-01

    Full Text Available Introduction & Objective: The aim of this study was todeterminetheamount of external apical root resorption(EARRwithin two orthodontic appliances (standard edgewise and MBT. Material & Methods In this retrospective study, panoramic radiographs of 83 orthodontic patients (27 male and 56 female were evaluated. 46 patients had been treated with standard edgewise appliance (29 patients with extraction and 17 patients without extraction and 37 patients had been treated with MBT appliance (27 patients with extraction and 10 patients without extraction.EARR were evaluated in 24 teeth (anterior teeth, premolars and first molars in each patient. SPSS software and ordinal regression test were used for statistical analysis. Result: In this study the most EARR was seen in upper lateral incisors, then lower lateral incisors.EARR in upper canines and lower second premolars was significantly related to extraction of first premolarin MBT appliance. In non extraction cases, EARR was not related to the orthodontic appliance. Conclusion: Incisors teeth are the most disposed teeth to EARR. Orthodontic treatment with extraction increased EARR in canines and second premolars. MBT appliance may increase EARR. Sci J Hamadan Univ Med Sci . 2016; 22 (4 :316-322

  8. Apical External Root Resorption and Repair in Orthodontic Tooth Movement: Biological Events

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    Liviu Feller

    2016-01-01

    Full Text Available Some degree of external root resorption is a frequent, unpredictable, and unavoidable consequence of orthodontic tooth movement mediated by odontoclasts/cementoclasts originating from circulating precursor cells in the periodontal ligament. Its pathogenesis involves mechanical forces initiating complex interactions between signalling pathways activated by various biological agents. Resorption of cementum is regulated by mechanisms similar to those controlling osteoclastogenesis and bone resorption. Following root resorption there is repair by cellular cementum, but factors mediating the transition from resorption to repair are not clear. In this paper we review some of the biological events associated with orthodontically induced external root resorption.

  9. A posterior registration and subtraction of periapical radiographs for the evaluation of external apical root resorption after orthodontic treatment

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    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.

  10. A posteriori registration and subtraction of periapical radiographs for the evaluation of external apical root resorption after orthodontic treatment

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    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

  11. Function of root apical meristem

    OpenAIRE

    Benešová, Šárka

    2013-01-01

    A root apical meristem is the only source of cells for all tissues in the root. The root growth relies on its function. Regulation of a cell division frequency and cell differentiation affects organization and function of the differentiated tissues and the proper meristem function. If the cell differentiation overbalances the cell proliferation, the meristem exhaustion occurs and the root growth irreversibly terminates. This thesis describes existing knowledge about regulation of the primary ...

  12. Risk factors associated with external apical root resorption of the maxillary incisors: a 15-year retrospective study.

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    Rakhshan, Vahid; Nateghian, Nazanin; Ordoubazari, Morteza

    2012-05-01

    To determine the possible risk factors for external apical resorption (EARR) of the maxillary incisors. Panoramic radiographs of 132 orthodontic patients with a mean age of 16.9 +/- 3.6 years were selected from two practice centres in Tehran. The radiographs were taken between 1990 and 2005 and 63.6% of the subjects were female. Mean, standard deviation and distribution of EARR for various variables were assessed. Prevalence significance, as well as differences between frequency distributions of clinical EARR (> or = 1.2 mm) between genders, treatment plans (extraction/ non-extraction), initial overjet and overbite magnitude, and incisor types (centrals/laterals) were evaluated by the chi-squared test. The mean resorption rates on central and lateral incisors were compared using the independent-samples t-test. Associations between EARR with the age, duration of treatment, pretreatment overjet and overbite were assessed by the Pearson's correlation test. The reliability of the method was determined by remeasuring 117 randomly selected incisors and determining the associations between both sets of measurements with the Pearson's correlation coefficients. The prevalence of EARR, and clinical EARR (> or = 1.2 mm) were 91.8% and 44.78% respectively. The average of EARR was 1.377 +/- 1.214 mm, or 8.65 +/- 8.021% of pretreatment root lengths. The prevalence of clinical EARR was significantly higher in extraction cases, cases with greater initial overjet and on lateral incisors. Using the t-test, significant differences (p overjet were correlated with higher EARR levels (p < 0.05, r < 0.2). Factors related to premolar extraction, initial ovejet size, treatment time and being female may be correlated with higher EARR. Clinically significant resorption did not occur more in females.

  13. Radiologically determined orthodontically induced external apical root resorption in incisors after non-surgical orthodontic treatment of class II division 1 malocclusion: a systematic review.

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    Tieu, Long D; Saltaji, Humam; Normando, David; Flores-Mir, Carlos

    2014-07-23

    This study aims to critically evaluate orthodontically induced external apical root resorption (OIEARR) in incisors of patients undergoing non-surgical orthodontic treatment of class II division 1 malocclusion by a systematic review of the published data. An electronic search of two databases was performed; the bibliographies of relevant articles were also reviewed. Studies were included if they examined the amount of OIEARR in incisors produced during non-surgical orthodontic treatment of individuals with class II division I malocclusion in the permanent dentition. Individuals had no previous history of OIEARR, syndromes, pathologies, or general diseases. Study selections, risk of bias assessment, and data extraction were performed in duplicate. Eight studies of moderate methodological quality were finally included. An increased prevalence (65.6% to 98.1%) and mild to moderate severity of OIEARR (resorption was found. For the maxillary incisors, there was no evidence that either the central or lateral incisor was more susceptible to OIEARR. A weak to moderate positive correlation between treatment duration and root resorption, and anteroposterior apical displacement and root resorption was found. Current limited evidence suggests that non-surgical comprehensive orthodontic treatment to correct class II division 1 malocclusions causes increased prevalence and severity of OIEARR the more the incisor roots are displaced and the longer this movement takes.

  14. Apical root resorption in orthodontically treated adults.

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    Baumrind, S; Korn, E L; Boyd, R L

    1996-09-01

    This study analyzed the relationship in orthodontically treated adults between upper central incisor displacement measured on lateral cephalograms and apical root resorption measured on anterior periapical x-ray films. A multiple linear regression examined incisor displacements in four directions (retraction, advancement, intrusion, and extrusion) as independent variables, attempting to account for observed differences in the dependent variable, resorption. Mean apical resorption was 1.36 mm (sd +/- 1.46, n = 73). Mean horizontal displacement of the apex was -0.83 mm (sd +/- 1.74, n = 67); mean vertical displacement was 0.19 mm (sd +/- 1.48, n = 67). The regression coefficients for the intercept and for retraction were highly significant; those for extrusion, intrusion, and advancement were not. At the 95% confidence level, an average of 0.99 mm (se = +/- 0.34) of resorption was implied in the absence of root displacement and an average of 0.49 mm (se = +/- 0.14) of resorption was implied per millimeter of retraction. R2 for all four directional displacement variables (DDVs) taken together was only 0.20, which implied that only a relatively small portion of the observed apical resorption could be accounted for by tooth displacement alone. In a secondary set of univariate analyses, the associations between apical resorption and each of 14 additional treatment-related variables were examined. Only Gender, Elapsed Time, and Total Apical Displacement displayed statistically significant associations with apical resorption. Additional multiple regressions were then performed in which the data for each of these three statistically significant variables were considered separately, with the data for the four directional displacement variables. The addition of information on Elapsed Time or Total Apical Displacement did not explain a significant additional portion of the variability in apical resorption. On the other hand, the addition of information on Gender to the

  15. Type III apical transportation of root canal

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    Shiv P Mantri

    2012-01-01

    Full Text Available Procedural accidents leading to complications such as canal transportation have been ascribed to inapt cleaning and shaping concepts. Canal transportation is an undesirable deviation from the natural canal path. Herewith a case of apical transportation of root canal resulting in endodontic retreatment failure and its management is presented. A healthy 21-year-old young male presented discomfort and swelling associated with painful endodontically retreated maxillary incisor. Radiograph revealed periradicular radiolucency involving underfilled 11 and overfilled 12. Insufficiently obturated 11 exhibited apical transportation of canal. This type III transportation was treated by periradicular surgery and repair using white mineral trioxide aggregate (MTA. Comfortable asymptomatic patient presented uneventful healing at third and fourth month recall visits. A decrease in the size of radiolucency in radiograph supported the clinical finding. In the present case, MTA is useful in repairing the transportation defect. The result of these procedures is predictable and successful.

  16. Multiple external root resorption.

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    Yusof, W Z; Ghazali, M N

    1989-04-01

    Presented is an unusual case of multiple external root resorption. Although the cause of this resorption was not determined, several possibilities are presented. Trauma from occlusion, periodontal and pulpal inflammation, and resorption of idiopathic origin are all discussed as possible causes.

  17. Characterization of rat apical tissues in different root development stage.

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    Xu, Lin; Yang, Zhenhua; Jin, Fang; Duan, Yinzhong; Jin, Yan

    2011-10-01

    In this study, we try to compare the histological characteristics and the odontogenic capability of apical tissues (AT) at different root development stages of rat molar teeth. AT of mandibular first molars from 8-day-old, 21-day-old, and 35-day-old Sprague-Dawley rats were selected as being representative of root-initiating, root-forming, and root-completing stages, respectively. Cell counting, flow cytometry assays, alkaline phosphatase activity, alizarin red staining, and reverse transcription polymerase chain reaction were performed to assess the proliferation and mineralization potential of apical tissue cells at different stages of root development in vitro. In vivo transplantation of apical tissue cells combined with ceramic bovine bone was used to characterize the differentiation capacity. It was shown that there was a structurally and functionally dynamic change in the apical tissue of developing tooth root of rats, of which the unique developmental potential will reduce gradually with the ending up of root development. The AT of root-initiating and root-forming stage exhibited much higher proliferation and tissue-regenerative capacity than those of root-completing stage. Our present results indicate that the apical tissue, with the sustainable developmental ability throughout almost the whole process of tooth development, can yet be regarded as a competent candidate source for root/periodontal tissues regeneration.

  18. Microbiome in the Apical Root Canal System of Teeth with Post-Treatment Apical Periodontitis

    Science.gov (United States)

    Siqueira, José F.; Antunes, Henrique S.; Rôças, Isabela N.; Rachid, Caio T. C. C.

    2016-01-01

    Introduction Bacteria present in the apical root canal system are directly involved with the pathogenesis of post-treatment apical periodontitis. This study used a next-generation sequencing approach to identify the bacterial taxa occurring in cryopulverized apical root samples from root canal-treated teeth with post-treatment disease. Methods Apical root specimens obtained during periradicular surgery of ten adequately treated teeth with persistent apical periodontitis were cryogenically ground. DNA was extracted from the powder and the microbiome was characterized on the basis of the V4 hypervariable region of the 16S rRNA gene by using paired-end sequencing on Illumina MiSeq device. Results All samples were positive for the presence of bacterial DNA. Bacterial taxa were mapped to 11 phyla and 103 genera composed by 538 distinct operational taxonomic units (OTUs) at 3% of dissimilarity. Over 85% of the sequences belonged to 4 phyla: Proteobacteria, Firmicutes, Fusobacteria and Actinobacteria. In general, these 4 phyla accounted for approximately 80% of the distinct OTUs found in the apical root samples. Proteobacteria was the most abundant phylum in 6/10 samples. Fourteen genera had representatives identified in all cases. Overall, the genera Fusobacterium and Pseudomonas were the most dominant. Enterococcus was found in 4 cases, always in relatively low abundance. Conclusions This study showed a highly complex bacterial community in the apical root canal system of adequately treated teeth with persistent apical periodontitis. This suggests that this disease is characterized by multispecies bacterial communities and has a heterogeneous etiology, because the community composition largely varied from case to case. PMID:27689802

  19. A clinical investigation of orthodontically induced external apical root resorption%正畸治疗导致牙根外吸收的临床分析

    Institute of Scientific and Technical Information of China (English)

    焦雪雯; 李新桂; 刘月华

    2009-01-01

    目的:调查正畸治疗导致牙根外吸收的发病情况,分析其临床特征及相关因素.方法:随机选择经直丝弓矫治技术完成的病例230例,以Levander根吸收分级法对患者全颌曲面断层片进行分析,评估矫治前后中切牙至第一磨牙的根吸收情况.结果:正畸治疗后根吸收发生率明显升高,根吸收均值(root resorption after treatment,RRAT)及根吸收增加量均值(increment of root resorption,IRR)表现为上切牙最高,拔牙组高于未拔牙组,异常根形态组高于正常根形态组.结论:正畸治疗可提高根吸收发生几率,并加重根吸收程度,此可能与拔牙与否、牙位、根形态及治疗前牙根吸收程度有关.

  20. Apical root resorption after orthodontic treatment -- a retrospective study.

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    Apajalahti, Satu; Peltola, Jaakko Sakari

    2007-08-01

    The purpose of the study was to compare the incidence and severity of apical root resorption in patients treated with different orthodontic appliances and to evaluate the effect of treatment duration on the degree of apical root resorption. A further aim was to analyse the degree of apical root resorption in different tooth groups in patients presenting with root resorption. The sample consisted of 625 patients (269 males, 356 females) aged 8-16 years at the beginning of treatment. Active removable plates and fixed appliances were used most frequently. Following exclusion of poor quality radiographs, the final sample included 601 patients (348 females, 253 males). Root resorption in all tooth groups, except third molars, was evaluated from pre- and post-treatment panoramic radiographs. The correlation of root resorption with treatment modality and duration was studied using multinomial logistic regression analysis. Of the tooth groups, maxillary incisors showed apical root resorption most frequently, followed by the mandibular incisors. Root resorption was significantly correlated with fixed appliance treatment (P resorption. The mean duration of treatment in patients without root resorption was 1.5 years, whereas in those with severe resorption was 2.3 years. The most severe resorption was seen in the maxillary incisors and premolars. It is concluded that with a long duration of fixed appliance treatment, the risk of severe resorption increases. In patients where treatment is prolonged, a 6-month radiographic follow-up is recommended.

  1. The clinical effect of MTA in root tip reverse filling treatment for external apical root resorption of permanent anterior teeth%MTA用于根尖倒充填治疗恒前牙根尖外吸收的临床疗效观察

    Institute of Scientific and Technical Information of China (English)

    马列娜; 杨丽

    2016-01-01

    Objective:To explore the clinical effect of MTA in root tip reverse filling treatment for external apical root resorption of permanent anterior teeth.Methods:78 patients with periapical disease were selected.They were randomly divided into the experimental group and the control group with 39 cases in each.The experimental group was treated by MTA in root tip reverse filling.The control group was treated with silver mercury.We compared the treatment effect of two groups.Results:In the experimental group,the apical closure and repair of lesions were significantly better than the control group(P<0.05).The treatment effective rate of the experimental group of 97.4% was significantly higher than 89.7% of the control group(P<0.05).Conclusion:The clinical effect of MTA in root tip reverse filling treatment for external apical root resorption of permanent anterior teeth was significant.%目的:探讨矿物三氧化物凝聚体(MTA)用于根尖倒充填治疗恒前牙根尖外吸收的临床效果。方法:收治根尖周病患者78例,随机分为试验组和对照组各39例,试验组行MTA术进行根尖倒充填,对照组给予银汞合金治疗,比较两组的治疗效果。结果:试验组根尖封闭状况及病损区修复情况明显优于对照组(P<0.05)。试验组治疗有效率97.4%,明显高于对照组的89.7%(P<0.05)。结论:MTA用于根尖倒充填治疗恒前牙根尖外吸收的临床疗效显著。

  2. Minimal Apical Enlargement for Penetration of Irrigants to the Apical Third of Root Canal System: A Scanning Electron Microscope Study

    Science.gov (United States)

    Srikanth, P; Krishna, Amaravadi Gopi; Srinivas, Siva; Reddy, E Sujayeendranatha; Battu, Someshwar; Aravelli, Swathi

    2015-01-01

    Background: The aim of this study was to determine minimal apical enlargement for irrigant penetration into apical third of root canal system using scanning electron microscope (SEM). Materials and Methods: Distobuccal canals of 40 freshly extracted human maxillary first molar teeth were instrumented using crown-down technique. The teeth were divided into four test groups according to size of their master apical file (MAF) (#20, #25, #30, #35 0.06% taper), and two control groups. After final irrigation, removal of debris and smear layer from the apical third of root canals was determined under a SEM. Data was analyzed using Kruskal–Wallis and Mann–Whitney tests. Results: Smear layer removal in apical third for MAF size #30 was comparable with that of the control group (size #40). Conclusion: Minimal apical enlargement for penetration of irrigants to the apical third of root canal system is #30 size. PMID:26124608

  3. Changes of Root Length and Root-to-Crown Ratio after Apical Surgery

    DEFF Research Database (Denmark)

    von Arx, Thomas; Jensen, Simon S; Bornstein, Michael M

    2015-01-01

    the length of apicectomy and calculated the loss of root length and changes of RCR after apical surgery. METHODS: In a prospective clinical study, cone-beam computed tomography scans were taken preoperatively and postoperatively. From these images, the crown and root lengths of 61 roots (54 teeth in 47...

  4. Radiographic evaluation of apical root resorption following fixed orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Sina Haghanifar

    2012-01-01

    Full Text Available Background and Aims: Apical root resorption is an adverse side effect of fixed orthodontic treatment which cannot be repaired. The aim of this study was to use panoramic radiographs to compare the root resorption before and after the orthodontic treatment with standard edgewise .018 appliance.Materials and Methods: The before and after treatment panoramic views of sixty-three patients needed fixed orthodontic treatment included 1520 teeth were categorized into 3 Grades (G0: without resorption, G1: mild resorption with blunt roots or ≤ 1/4 of root length, G2: moderate to severe resorption or > 1/4 to 1/2 of root length. Relationship between root resorption and sex and treatment duration was analyzed with Mann-whitney and Spearman's correlation coefficient, respectively.Results: The findings showed that 345 teeth were categorized as Grade 1. Grade 2 of root resorption was not found in this study. The highest amount of root resorption was recorded for the mandibular lateral incisor. In both gender, the root resorption of the mandible was more than that of the maxilla. The males showed significantly higher rate of resorption than the females (P0.05.Conclusion: The mandible and male patients showed higher amount of root resorption. In addition, root resorption was not related to the treatment duration and the side of the jaws.

  5. Growth and development of the root apical meristem.

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    Perilli, Serena; Di Mambro, Riccardo; Sabatini, Sabrina

    2012-02-01

    A key question in plant developmental biology is how cell division and cell differentiation are balanced to modulate organ growth and shape organ size. In recent years, several advances have been made in understanding how this balance is achieved during root development. In the Arabidopsis root meristem, stem cells in the apical region of the meristem self-renew and produce daughter cells that differentiate in the distal meristem transition zone. Several factors have been implicated in controlling the different functional zones of the root meristem to modulate root growth; among these, plant hormones have been shown to play a main role. In this review, we summarize recent findings regarding the role of hormone signaling and transcriptional networks in regulating root development.

  6. Assessment of the nonoperated root after apical surgery of the other root in mandibular molars

    DEFF Research Database (Denmark)

    Kraus, Riccardo D; von Arx, Thomas; Gfeller, David

    2015-01-01

    INTRODUCTION: If a surgical approach is chosen to treat a multirooted tooth affected by persistent periapical pathosis, usually only the affected roots are operated on. The present study assessed the periapical status of the nonoperated root 5 years after apical surgery of the other root...... and radiographs 5 years after surgery were examined. The following data were collected: tooth, operated root, type and quality of the coronal restoration, marginal bone level, length and homogeneity of the root canal filling, presence of a post/screw, periapical index (PAI) of each root, and radiographic healing...... of the operated root. The presence of apical pathosis of the nonoperated root was analyzed statistically in relation to the recorded variables. RESULTS: Thirty-seven patients fulfilled the inclusion criteria. Signs of periapical pathosis in the nonoperated root 5 years after surgery (PAI ≥ 3) could be observed...

  7. Function and regulation of transcription factors involved in root apical meristem and stem cell maintenance

    Directory of Open Access Journals (Sweden)

    Rebecca Corinna Drisch

    2015-07-01

    Full Text Available Plant roots are essential for overall plant development, growth and performance by providing anchorage in the soil and uptake of nutrients and water. The primary root of higher plants derives from a group of pluripotent, mitotically active stem cells residing in the root apical meristem (RAM which provides the basis for growth, development and regeneration of the root. The stem cells in the Arabidopsis thaliana RAM are surrounding the quiescent center (QC, which consists of a group of rarely dividing cells. The QC maintains the stem cells in a non-cell-autonomous manner and prevents them from differentiation. The necessary dynamic but also tight regulation of the transition from stem cell fate to differentiation most likely requires complex regulatory mechanisms to integrate external and internal cues. Transcription factors play a central role in root development and are regulated by phytohormones, small signaling molecules and miRNAs. In this review we give a comprehensive overview about the function and regulation of specific transcription factors controlling stem cell fate and root apical meristem maintenance and discuss the possibility of TF complex formation, subcellular translocations and cell-to-cell movement functioning as another level of regulation.

  8. Nonsurgical Endodontic Retreatment of Advanced Inflammatory External Root Resorption Using Mineral Trioxide Aggregate Obturation

    OpenAIRE

    2012-01-01

    Inflammatory external root resorption is one of the major complications after traumatic dental injury. In this case report, we describe treatment of a maxillary central incisor affected by severe, perforating external root resorption. An 18-year-old patient presented with a previously traumatized, root-filled maxillary central incisor associated with pain and sinus tract. Radiographic examination revealed periradicular lesion involving pathologic resorption of the apical region of the root an...

  9. The effect of root preparation technique and instrumentation length on the development of apical root cracks.

    Science.gov (United States)

    Adorno, Carlos G; Yoshioka, Takatomo; Suda, Hideaki

    2009-03-01

    The purpose of this study was to compare the effects of root canal preparation techniques and instrumentation length on the development of apical root cracks. Forty extracted mandibular premolars with straight roots were randomly selected and mounted on resin blocks with simulated periodontal ligaments, and the apex was exposed. The teeth were divided into four groups of 10 teeth each for different canal preparation techniques and instrumentation lengths: group A: step-back preparation (SB) with stainless steel files (SF) using root canal length (RCL) to guide instrumentation length; group B: SB using RCL - 1 mm; group C: crown-down preparation (CD) with Profile using RCL; and group D: CD with PF using RCL - 1 mm. Digital images of the instrumentation sequence were compared for each tooth. Statistical analysis revealed a significant effect of instrumentation length (p 0.05) on the development of apical cracks.

  10. Ecology of the microbiome of the infected root canal system: A comparison between apical and coronal root segments

    NARCIS (Netherlands)

    Özok, A.R.; Persoon, I.F.; Huse, S.M.; Keijser, B.J.F.; Wesselink, P.R.; Crielaard, W.; Zaura, E.

    2012-01-01

    Aim To evaluate the microbial ecology of the coronal and apical segments of infected root canal systems using a complete sampling technique and next-generation sequencing. Methodology The roots of 23 extracted teeth with apical periodontitis were sectioned in half, horizontally, and cryo-pulverized.

  11. Root apical meristem diversity in extant lycophytes and implications for root origins.

    Science.gov (United States)

    Fujinami, Rieko; Yamada, Toshihiro; Nakajima, Atsuko; Takagi, Shoko; Idogawa, Ai; Kawakami, Eri; Tsutsumi, Maiko; Imaichi, Ryoko

    2017-08-01

    Root apical meristem (RAM) organization in lycophytes could be a key to understanding the early evolution of roots, but this topic has been insufficiently explored. We examined the RAM organization of lycophytes in terms of cell division activities and anatomies, and compared RAMs among vascular plants. RAMs of 13 species of lycophytes were semi-thin-sectioned and observed under a light microscope. Furthermore, the frequency of cell division in the RAM of species was analyzed using thymidine analogs. RAMs of lycophytes exhibited four organization types: type I (Lycopodium and Diphasiastrum), II (Huperzia and Lycopodiella), III (Isoetes) and RAM with apical cell (Selaginella). The type I RAM found in Lycopodium had a region with a very low cell division frequency, reminiscent of the quiescent center (QC) in angiosperm roots. This is the first clear indication that a QC-like region is present in nonseed plants. At least four types of RAM are present in extant lycophytes, suggesting that RAM organization is more diverse than expected. Our results support the paleobotanical hypothesis that roots evolved several times in lycophytes, as well as in euphyllophytes. © 2017 The Authors. New Phytologist © 2017 New Phytologist Trust.

  12. Anatomical evaluation of the root canal diameter and root thickness on the apical third of mesial roots of molars.

    Science.gov (United States)

    Martos, Josué; Tatsch, Gustavo Henrique; Tatsch, Augusto César; Silveira, Luiz Fernando Machado; Ferrer-Luque, Carmen María

    2011-09-01

    The purpose was to determine the diameter of the main root canal and wall thickness in the apical dentin in mesial roots of maxillary and mandibular molars. Forty mesiobuccal and mesial root specimens were sectioned horizontally at 1, 2 and 3 mm from the apex, and measured at each top surface by using optical microscopy to an accuracy of ×20 magnification. The anatomical parameters were established as the following points of reference: AB, two points connected by a line from the outer edge of the mesial wall to the outer edge of the distal one through the center of the root canal to measure the thickness of the root and mesiodistal diameter of the root canal (CD). A second line (EF) was designed to evaluate the diameter of the root canal in the buccolingual direction. All data were summarized, and values were assessed statistically by ANOVA and Bonferroni multiple comparisons. The buccolingual (BL) root canal diameters at 1, 2 and 3 mm in the mandibular and maxillary molars were greater than in the mesiodistal (MD), showing statistically significant differences (p maxillary molars were statistically significant (p maxillary molars was 1.741 mm. The BL diameters in maxillary and mandibular molars were higher than the MD diameter. The thickness (MD) of maxillary and mandibular molars decreased as a function of apical proximity.

  13. Operating protocols of external root cervical resorption

    OpenAIRE

    Luca Venuti

    2015-01-01

    Aim: Theme of this report is the external cervical root resorption and the sequence of clinical procedures to be implemented during the phases of treatment. The external cervical root resorption (ICR) presents particular pathological conditions such as to classify between resorption of inflammatory origin.1–3 It is generally presented as a complex clinical situation both in the diagnosis in a predictable prognosis.3–6 It's often associated with loss of calcified tissue: dentin, cementum, a...

  14. Operating protocols of external root cervical resorption

    OpenAIRE

    Venuti, Luca

    2015-01-01

    Aim: Theme of this report is the external cervical root resorption and the sequence of clinical procedures to be implemented during the phases of treatment. The external cervical root resorption (ICR) presents particular pathological conditions such as to classify between resorption of inflammatory origin.1–3 It is generally presented as a complex clinical situation both in the diagnosis in a predictable prognosis.3–6 It's often associated with loss of calcified tissue: dentin, cementum, a...

  15. Prognostic factors in apical surgery with root-end filling: a meta-analysis

    DEFF Research Database (Denmark)

    von Arx, Thomas; Peñarrocha, Miguel; Jensen, Storgård

    2010-01-01

    Apical surgery has seen continuous development with regard to equipment and surgical technique. However, there is still a shortage of evidence-based information regarding healing determinants. The objective of this meta-analysis was to review clinical articles on apical surgery with root-end fill...

  16. Micro‐CT analyses of apical enlargement and molar root canal complexity

    DEFF Research Database (Denmark)

    Markvart, M.; Darvann, Tron Andre; Larsen, P.

    2012-01-01

    Markvart M, Darvann TA, Larsen P, Dalstra M, Kreiborg S, Bjørndal L. Micro‐CT analyses of apical enlargement and molar root canal complexity. International Endodontic Journal, 45, 273–281, 2012. Aim To compare the effectiveness of two rotary hybrid instrumentation techniques with focus on apical...

  17. Nonsurgical Endodontic Retreatment of Advanced Inflammatory External Root Resorption Using Mineral Trioxide Aggregate Obturation

    Directory of Open Access Journals (Sweden)

    Shivani Utneja

    2012-01-01

    Full Text Available Inflammatory external root resorption is one of the major complications after traumatic dental injury. In this case report, we describe treatment of a maxillary central incisor affected by severe, perforating external root resorption. An 18-year-old patient presented with a previously traumatized, root-filled maxillary central incisor associated with pain and sinus tract. Radiographic examination revealed periradicular lesion involving pathologic resorption of the apical region of the root and lateral root surface both mesially and distally. After removal of the root canal filling, the tooth was disinfected with intracanal triple antibiotic paste for 2 weeks. The antibiotic dressing was then removed, and the entire root canal was filled with mineral trioxide aggregate. The endodontic access cavity was restored with composite resin. After 18 months, significant osseous healing of the periradicular region and lateral periodontium had occurred with arrest of external root resorption, and no clinical symptoms were apparent.

  18. 自锁托槽和传统托槽与切牙牙根外吸收的临床对比研究%A clinical study of external apical root resorption of maxillary incisors in patients treated with conventional or self-ligating brackets

    Institute of Scientific and Technical Information of China (English)

    杨一可; 朱正宏

    2012-01-01

    目的:评价运用自锁托槽和传统托槽在正畸治疗中对牙根外吸收的影响.方法:选取南京同仁医院口腔科32例非减数治疗安氏Ⅰ类均角错畸形患者,分为自锁托槽组和传统托槽组,两组患者治疗前后分别拍摄全颌曲面断层片,牙根形态按等级分级,统计分析治疗后各等级频数分布以及根吸收增加量变化.结果:两组病例在治疗后牙根吸收等级分布频数均增大,自锁组上颌切牙牙根吸收增加量略大于传统组,但差异无统计学意义.结论:自锁托槽与传统托槽均可造成切牙根吸收,自锁托槽对非减数安氏Ⅰ类错颌畸形治疗过程中牙根吸收的影响与传统托槽相比有增加趋势,但差异无统计学意义.%Objective;To comparatively investigate the amount of external apical root resorption (EARR) of maxillary incisors between conventional and passive self- ligating brackets. Methods: Thirty-two patients wereselected from a pool of patients satisfying the following inclusion criteria: class I Malocclusion without extraction, normal mandbular plane angle. Patients received treatment with either a passive self- ligating bracket system or a conventional edgewise appliance, both with a 0. 022- in slot. EARR of the maxillary incisors was evaluated on panoramic radiographs, taken before and after orthodontic treatment measured by Levander & Malmgren system. The result of EARR in different treatment groups was analysed with SPSS 17. 0. Results; Straight wire treatment could cause apical root resorption of incisor. Overall, no difference was found in the amount of EARR between appliance systems. Conclusion; No difference should be expected for root resorption between conventional and passive self-ligating brackets.

  19. Persistent extraradicular infection in root-filled asymptomatic human tooth: scanning electron microscopic analysis and microbial investigation after apical microsurgery.

    Science.gov (United States)

    Signoretti, Fernanda G C; Endo, Marcos S; Gomes, Brenda P F A; Montagner, Francisco; Tosello, Fernanda B; Jacinto, Rogério C

    2011-12-01

    Procedural accidents have a negative effect on healing and might contribute to the persistence of infections in inaccessible apical areas, requiring surgical intervention. This report describes a case of persistent apical periodontitis of a lower left first molar associated with the sinus tract and a periapical lesion that required nonsurgical endodontic retreatment and apical surgery for resolution. The tooth had received endodontic treatment 3 years ago and had to be retreated using the crown-down technique with chemical auxiliary substance (2% chlorhexidine gel), foramen patency, and enlargement and was filled in a single appointment. The occlusal access cavity was immediately restored with composite resin. After 1 month, it could be observed that the sinus tract persisted and, radiographically, the lesion remained unaltered. Therefore, endodontic microsurgery was indicated. Apical microsurgery was performed under magnification with the use of a dental operating microscope including apicectomy, root end with ultrasound, and sealing with mineral trioxide aggregate. A microbiological sample was collected from the apical lesion. The resected distal root apex was observed by scanning electron microscopy. The following species were detected: Actinomyces naeslundii and Actinomyces meyeri, Propionibacterium propionicum, Clostridium botullinum, Parvimonas micra, and Bacteroides ureolyticus; scanning electron microscopic analysis revealed bacterial biofilm surrounding the apical foramen and external radicular surface. Gutta-percha overfilling at the apex because of a zip caused during initial endodontic treatment could be observed. A 6-month follow-up showed apparent radiographic periapical healing, which progressed after 24 months. Gram-positive anaerobic bacteria and extraradicular biofilm seem to participate in the maintenance of persistent periapical pathology, and endodontic retreatment followed by periapical microsurgery proved to be a successful alternative in the

  20. Detection of external apical root resorption by using cone-beam computed tomography and panoramic radiography%锥形束CT和全颌曲面断层片在根尖区牙根外吸收诊断中的对比研究

    Institute of Scientific and Technical Information of China (English)

    任洪芋; 陈军; 邓锋; 郑雷蕾; 刘雄; 董艳玲

    2013-01-01

    Objective: To compare cone - beam computed tomography (CBCT) with panoramic radiography in evaluating simulated external apical root resorption (EARR). Methods: The study sample comprised 80 single - rooted premolars used for simulating 4 degrees of EARR: no (intact teeth), mild (cavity of 1.0 mm in diameter and depth in root surface), moderate (1.0 mm root shortening), and severe(3.0 mm root shortening). Two calibrated examiners assessed blindly the severity of simulated EARR on the CBCT images and the corresponding panoramic images. Results: Significant differences were found between the two imaging techniques: 100% and 27.5% of mild EARR were correctly classified by CBCT and panoramic radiography, respectively (P < 0.001); 81.9% and 64.4% of all EARR were correctly classified by CBCT and panoramic radiography, respectively (P < 0.001). Conclusion: Apical root resorption is easier to be evaluated on CBCT imaging, compared with panoramic radiography. CBCT might be a useful complementary diagnostic method to panoramic radiography, to be applied in the early diagnosis of orthodontically induced EARR.%目的:比较锥形束CT(cone-beam computed tom CT)和全颌曲面断层片(全景片)在根尖区牙根外吸收(根尖吸收)诊断中的差异.方法:选取80颗单根前磨牙,用以模拟4种不同程度的根尖吸收:无(完整的牙根)、轻度(根尖区表面1.0mm直径和深度的洞形)、中度(1.0mm牙根缩短)、重度(3.0mm牙根缩短).模拟完成后,对所有牙齿拍摄CBCT和全景片获取两组X线图像.两名正畸医师通过对图像资料的分析独立地评估所有根尖吸收的严重程度.结果:采用CBCT和全景片评估轻度根尖吸收的正确率分别为100%和27.5%,差异有统计学意义(P< 0.001);评估全部根尖吸收的正确率分别为81.9%和64.4%,差异有统计学意义(P<0.001).结论:相比于全景片,CBCT对根尖吸收具有更高的敏感度.在正畸临床中,CBCT可用于对根尖吸收

  1. Viable bacteria in root dentinal tubules of teeth with apical periodontitis

    NARCIS (Netherlands)

    Peters, LB; Wesselink, P.R.; Buijs, JF; van Winkelhoff, AJ

    2001-01-01

    Two sets of teeth with apical periodontitis were collected at different geographic locations to study the identity of bacteria left in the root dentinal tubules. Root dentin of 20 of these teeth was cultured from three locations between pulp and cementum (A, B, and C). In addition dentin from eight

  2. Uptake and Distribution of Aluminum in Root Apices of Two Rice Varieties under Aluminum Stress

    Directory of Open Access Journals (Sweden)

    MIFTAHUDIN

    2007-09-01

    Full Text Available Aluminum (Al toxicity is the major limiting factor of plant growth and production in acid soils. The target of Al toxicity is the root tip, which affects mainly on root growth inhibition. The aim of this research was to study the uptake and distribution of Al in root apices of two rice varieties IR64 (Al-sensitive and Krowal (Al-tolerant, which were grown on nutrient solution containing 0, 15, 30, 45, and 60 ppm of Al. The root growth was significantly inhibited in both rice varieties at as low as 15 ppm Al concentration. The adventive roots of both varieties showed stunted growth in respons to Al stress. There was no difference in root growth inhibition between both rice varieties as well as among Al concentrations. Al uptake on root apices was qualitatively and quantitatively analyzed. Histochemical staining of roots using hematoxylin showed dark purple color on 1 mm region of Al-treated root apices. Rice var. IR 64 tended to take up more Al in root tip than Krowal did. However, there was no statistically significant difference (p = 0.176 in root Al content of both varieties in response to different concentration and period of Al treatments. Al distribution in root apices was found in the epidermal and subepidermal region in both rice varieties. Based on those results, rice var. Krowal that was previously grouped as Al-tolerant variety has similar root growth and physiological response to Al stress as compared to Al-sensitive variety IR64.

  3. Cone beam computed tomography study of apical root resorption induced by Herbst appliance

    Directory of Open Access Journals (Sweden)

    João Paulo SCHWARTZ

    2015-10-01

    Full Text Available Objective This study evaluated the frequency of root resorption during the orthodontic treatment with Herbst appliance by Cone Beam Computed Tomography (CBCT.Material and Methods The sample comprised 23 patients (11 men, 12 women; mean ages 15.76±1.75 years with Class II division 1 malocclusion, treated with Herbst appliance. CBCT was obtained before treatment (T0 and after Herbst treatment (T1. All the dental roots, except third molars, were evaluated, and apical root resorption was determined using the axial guided navigation method. Paired t-tests and Wilcoxon T Test were used to compare the dependent samples in parametric and nonparametric cases, respectively. Chi-Square Test with Yates’ correction was used to evaluate the relationship between apical root resorption and gender. Results were considered at a significance level of 5%.Results Apical resorption was detected by CBCT in 57.96% of 980 roots that underwent Herbst appliance treatment. All patients had minimal resorption and there was no statistical significance between the genders.Conclusion CBCT three-dimensional evaluation showed association between Herbst appliance and minimal apical root resorption, mostly in the anchoring teeth, without clinical significance.

  4. Cone beam computed tomography study of apical root resorption induced by Herbst appliance

    Science.gov (United States)

    SCHWARTZ, João Paulo; RAVELI, Taísa Boamorte; ALMEIDA, Kélei Cristina de Mathias; SCHWARTZ-FILHO, Humberto Osvaldo; RAVELI, Dirceu Barnabé

    2015-01-01

    Objective This study evaluated the frequency of root resorption during the orthodontic treatment with Herbst appliance by Cone Beam Computed Tomography (CBCT). Material and Methods The sample comprised 23 patients (11 men, 12 women; mean ages 15.76±1.75 years) with Class II division 1 malocclusion, treated with Herbst appliance. CBCT was obtained before treatment (T0) and after Herbst treatment (T1). All the dental roots, except third molars, were evaluated, and apical root resorption was determined using the axial guided navigation method. Paired t-tests and Wilcoxon T Test were used to compare the dependent samples in parametric and nonparametric cases, respectively. Chi-Square Test with Yates’ correction was used to evaluate the relationship between apical root resorption and gender. Results were considered at a significance level of 5%. Results Apical resorption was detected by CBCT in 57.96% of 980 roots that underwent Herbst appliance treatment. All patients had minimal resorption and there was no statistical significance between the genders. Conclusion CBCT three-dimensional evaluation showed association between Herbst appliance and minimal apical root resorption, mostly in the anchoring teeth, without clinical significance. PMID:26537718

  5. In vitro evaluation of Root ZX and Raypex 6 in teeth with different apical diameters

    Directory of Open Access Journals (Sweden)

    Ugur Aydin

    2015-01-01

    Full Text Available Background: There is a growing interest about electronic apex locators for working length determination. There are several studies dealing with their performance in different conditions. Aims: The aim of this study is to evaluate the accuracy of Root ZX and Raypex 6 in teeth with different apical diameters. Materials and Methods: Actual working length (AWL of 80 single rooted teeth were determined as 0.5 mm short of apical foramen. The teeth were divided into 4 groups (n = 20. First group (G 0 included teeth with mature apices. Root canals of the other groups (G 32, G 57 and G 72 were enlarged until apical sizes of 0.32, 0.57 and 0.72 mm were obtained. Samples were embedded in alginate and electronic measurements (EM were performed. Statistical analysis: was achieved with Fisher exact test. Results: Both devices revealed a high rate of success in G 0 and G 32. Their accuracy decreased significantly in G 57 and G 72 groups (P 0.05. Conclusions: Root ZX and Raypex 6 are reliable in teeth with mature apices. At foramen diameters exceeding 0.57 mm, their accuracy is susceptible.

  6. Comparison of the effect of various irrigants on apically extruded debris after root canal preparation.

    Science.gov (United States)

    Parirokh, Masoud; Jalali, Shahrzad; Haghdoost, Ali Akbar; Abbott, Paul Vincent

    2012-02-01

    Several factors can influence the amount of apically extruded debris. The aim was to quantitatively compare the amount of debris extruded apically from root canals when 3 different irrigants were used during canal preparation with rotary instruments. Ninety-one extracted single-rooted human mandibular premolar teeth with straight root canals were used. The teeth were randomly divided into 1 control group (group 1, n = 4) and 3 experimental groups of 29 teeth each. Hero 642 instruments were used for root canal preparation in all teeth, and 3 different irrigants were used (group 2, 2% chlorhexidine; group 3, 5.25% sodium hypochlorite; group 4, 2.5% sodium hypochlorite). Seven Eppendorf tubes served as a second control group. Debris extruded from the apical foramen during root canal preparation was collected into preweighed Eppendorf tubes. The weight of the dry extruded debris was established by subtracting the preinstrumentation and postinstrumentation weight of the Eppendorf tubes for each group. The data obtained were analyzed by using one-way analysis of variance and Tukey honestly significant difference. Group 3 (sodium hypochlorite 5.25%) had the highest amount of extruded debris, which was significantly different from the other groups (P irrigant used can affect the amount of apically extruded debris. The 5.25% solution of sodium hypochlorite had the greatest amount of debris. Copyright © 2012 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  7. 锥形束CT 和根尖片诊断根尖区牙根外吸收的比较研究%A comparative study of cone-beam computed tomography and periapical radiography in the diagnosis of external apical root resorption

    Institute of Scientific and Technical Information of China (English)

    董艳玲; 陈军; 邓锋; 郑雷蕾; 任洪芋

    2014-01-01

    Objective To compare the accuracy of cone-beam computed tomography (CBCT ) and periapical radiography in the diagnosis of simulated external apical root resorption (EARR) .Methods The study sample comprised 160 single-rooted premolars for simulating 4 degrees of EARR :no(intact teeth) ,mild(cavity of 1 .0 mm in diameter and depth in root surface) ,moderate(1 .0 mm root shortening) ,and severe(3 .0 mm root shortening) .Two sets of radiographic images were acquired with CBCT and periapi-cal radiography .The severity for all resorption lesions were evaluated blindly by one calibrated examiner .The percentages of correct classification of each degree of EARR were compared between the two imaging techniques using McNemar test .Results With CBCT method ,the percentages of correct classification of no ,mild ,moderate ,severe and all EARR were 95 .0% ,97 .5% ,42 .5% , 87 .5% and 80 .6% ,respectively ;with periapical radiography method ,the percentages were 85 .0% ,42 .5% ,70 .0% ,92 .5% and 72 .5% ,respectively .Significant differences were found between the two imaging techniques for evaluating mild ,moderate ,and all-EARR(P<0 .05) .Conclusion CBCT imaging is more reliable than periapical radiography for detecting EARR ,whereas it is not sensitive to moderate root shortening .In orthodontic practices ,CBCT could be applied to the early diagnosis of EARR ,in order to help make the decision on continuation and modification of orthodontic treatment .%目的:比较锥形束C T (CBC T )和根尖片诊断根尖区牙根外吸收(根尖吸收)的准确性。方法选取160颗单根前磨牙,用以模拟4种不同程度的根尖吸收:无、轻度、中度、重度。模拟完成后,对所有牙齿拍摄CBC T 和根尖片获取两组影像学资料。正畸医师通过对影像学资料的分析独立地评估所有牙齿根尖吸收程度。采用McNemar检验对比分析两种成像技术诊断不同程度根尖吸收的准确率。结果 CBC T 诊断无、轻

  8. Clinical study of refractory apical periodontitis treated by apicectomy. Part 1. Root canal morphology of resected apex.

    Science.gov (United States)

    Wada, M; Takase, T; Nakanuma, K; Arisue, K; Nagahama, F; Yamazaki, M

    1998-01-01

    The morphology of the root apex was analysed by observation of the anatomy of specimens obtained by apicoectomy in cases of refractory apical periodontitis that did not respond to nonsurgical root canal treatment. Apical ramifications were present in 19 (70%) of the roots, while one were found in the remaining eight (3%) roots. This frequency is far higher than that reported by other investigators, suggesting that there is a close relationship between the anatomical complexity of the root canal and the occurrence of refractory apical periodontitis.

  9. Morphology of bacterial flora in root canals associated with apical abscesses

    Institute of Scientific and Technical Information of China (English)

    Guo Huijie; Gao Chengzhi; Zhang Chengfei; Zheng Shuying; Yue Lin

    2014-01-01

    Background Apical abscess is an inflammatory process in the peri-radicular tissues caused by biofllms in the necrotic root canal systems.Therefore,a comprehensive analysis of the bacterial colonization is required for a better understanding of the pathogenesis.This study aimed to investigate the patterns of bacterial infection of root canals of teeth with apical abscesses and to determine whether histological and microbiological findings correlated with clinical conditions.Methods Eighteen samples from 18 teeth with apical pathological lesions were analyzed.Nine patients with acute apical abscesses experienced severe pain,and nine patients were asymptomatic with a sinus tract.After extraction,each affected root was divided into two halves.One half was processed for histobacteriologic analysis and examined using light microscopy,and the other half was analyzed using scanning electron microscopy (SEM) to determine the patterns of microbial colonization of the root canals.Results The appearance of each sample subjected to SEM was consistent with the histobacteriologic findings despite the presence or absence of clinical symptoms.Intraradicular biofilms comprising cocci,rods,and/or filaments of amorphous materials were observed in the apical third of the main root canals in all samples.The bacterial biofilms covering the main root canal walls also penetrated the dentinal tubules to varying depths.The morphologies of biofilms varied,and a unique pattern of intraradicular infection was not identified.Conclusion Intraradicular infections formed complex and variable multispecies biofilms and their presence did not correlate with clinical symptoms.

  10. The plastidial folylpolyglutamate synthetase and root apical meristem maintenance

    Science.gov (United States)

    Srivastava, Avinash C; Tang, Yuhong; Díaz de la Garza, Rocío I

    2011-01-01

    Folylpolyglutamate synthetase (FPGS) catalyzes the attachment of glutamate residues to the folate molecule in plants. Three isoforms of FPGS have been identified in Arabidopsis and these are localized in the plastid (AtDFB), mitochondria (AtDFC) and cytosol (AtDFD). We recently determined that mutants in the AtDFB (At5G05980) gene disrupt primary root development in Arabidopsis thaliana seedlings. Transient expression of AtDFB-green fluorescent protein (GFP) fusion under the control of the native AtDFB promoter in Nicotiana tabacum leaf epidermal cells verified the plastid localization of AtDFB. Furthermore, low concentrations of methotrexate (MTX), a compound commonly used as a folate antagonist in plant and mammalian cells induced primary root defects in wild type seedlings that were similar to atdfb. In addition, atdfb seedlings were more sensitive to MTX when compared to wild type. Quantitative (q) RT-PCR showed lower transcript levels of the mitochondrial and cytosolic FPGS in roots of 7-day-old atdfb seedling suggesting feedback regulation of AtDFB on the expression of other FPGS isoforms during early seedling development. The primary root defects of atdfb, which can be traced in part to altered quiescent center (QC) identity, pave the way for future studies that could link cell type specific folate and FPGS isoform requirements to whole organ development. PMID:21502816

  11. Micro-CT analyses of apical enlargement and molar root canal complexity

    DEFF Research Database (Denmark)

    Markvart, Merete; Darvann, Tron Andre; Larsen, Per

    2012-01-01

    AIM: To compare the effectiveness of two rotary hybrid instrumentation techniques with focus on apical enlargement in molar teeth and to quantify and visualize spatial details of instrumentation efficacy in root canals of different complexity. METHODOLOGY: Maxillary and mandibular molar teeth wer...

  12. Apical root resorption 6 months after initiation of fixed orthodontic appliance therapy.

    NARCIS (Netherlands)

    Smale, I.M.; Artun, J.; Behbehani, F.; Doppel, D.; Hof, M.A. van 't; Kuijpers-Jagtman, A.M.

    2005-01-01

    INTRODUCTION: Individual predisposition might be a major reason for the observed variation in apical orthodontic root resorption. If so, resorption might be expressed during the initial stages of orthodontic therapy in patients at risk. METHODS: To explore this hypothesis, we evaluated standardized,

  13. [Use of root-end filling materials in a surgical apical endodontic treatment in the Netherlands

    NARCIS (Netherlands)

    Bronkhorst, M.A.; Berge, S.J.; Damme, P.A. van; Borstlap, W.A.; Merkx, M.A.W.

    2008-01-01

    The material to be used for closing the root canal when carrying out a retrograde surgical apical endodontic treatment continues to be a subject of discussion. The aim of the present study was to inventory which materials are being used for this purpose at this moment by Dutch O&MF surgeons. All pra

  14. Prevalence of Enterococcus faecalis in saliva and filled root canals of teeth associated with apical periodontitis.

    Science.gov (United States)

    Wang, Qian-Qian; Zhang, Cheng-Fei; Chu, Chun-Hung; Zhu, Xiao-Fei

    2012-03-01

    To investigate the prevalence of Enterococcus faecalis in saliva and filled root canals of patients requiring endodontic retreatment for apical periodontitis. Patients with apical periodontitis who were referred for endodontic retreatment were examined. The type and quality of the restoration, symptoms, quality of obturation were recorded. During retreatment, an oral rinse sample and root canal sample were cultured using brain-heart infusion agar and bile esculinazide agar to select for E. faecalis. The 16S rRNA technique was used to identify E. faecalis. A total of 32 women and 22 men (mean age: 38 years; s.d.: 11 years) and 58 teeth were studied. The prevalence of E. faecalis was 19% in the saliva and 38% in the root canals. The odds that root canals harbored E. faecalis were increased if the saliva habored this bacterium (odds ratio=9.7; 95% confidence interval=1.8-51.6; Pfaecalis is more common in root canals of teeth with apical periodontitis than in saliva. The prevalence of E. faecalis in root canals is associated with the presence of E. faecalis in saliva.

  15. Apical root resorption in patients wearing orthodontic appliances.

    Science.gov (United States)

    Ousehal, L; Lazrak, L; Essmaali, F E; Ngom, P I

    2012-09-01

    The aim of our study was to evaluate the incidence of orthodontically induced root resorption during the tooth alignment and leveling phase, and to assess the impact of the variables age, sex and degree and direction of incisor displacement. We studied a consulting population at the dentofacial orthopaedics unit of the Dental Consultation and Treatment Centre (DCTC), Casablanca. Our sample was composed of 30 exposed cases and 30 non-exposed cases, followed up for a period of 8 months. A survey document was drawn up for data collection, and retro-alveolar radiographic imaging was used to evaluate resorption. Our results showed that the patients receiving orthodontic treatment all developed minor root resorptions during the alignment and levelling phase in the incisor group. We found that the central incisors underwent greater resorption than the lateral incisors.

  16. Tissue reaction to Endométhasone sealer in root canal fillings short of or beyond the apical foramen

    Directory of Open Access Journals (Sweden)

    Patrícia Suzuki

    2011-10-01

    Full Text Available OBJECTIVE: This study evaluated the response of periapical tissues to the endodontic sealer Endométhasone in root canal fillings short of or beyond the apical foramen. MATERIAL AND METHODS: Twenty root canals of premolars and incisors of 2 mongrel dogs were used. After coronal access and pulp extirpation, the canals were instrumented up to a size 55 K-file and the apical cemental barrier was penetrated with a size 15 K-file to obtain a main apical foramen, which was widened to a size 25 K-file. The canals were irrigated with saline at each change of file. The root canals were obturated either short of or beyond the apical foramen by the lateral condensation of gutta-percha and Endométhasone, originating 2 experimental groups: G1: Endométhasone/short of the apical foramen; G2: Endométhasone/beyond the apical foramen. The animals were killed by anesthetic overdose 90 days after endodontic treatment. The individual roots were obtained and serial histological sections were prepared for histomorphological analysis (H&E and Brown & Brenn techniques under light microscopy. The following parameters were examined: closure of the apical foramen of the main root canal and apical opening of accessory canals, apical cementum resorption, intensity of the inflammatory infiltrate, presence of giant cells and thickness and organization of the apical periodontal ligament. Each parameter was scored 1 to 4, 1 being the best result and 4 the worst. Data were analyzed statistically by the Wilcoxon nonparametric tests (p=0.05. RESULTS: Comparing the 2 groups, the best result (p<0.05 was obtained with root canal filling with Endométhasone short of the apical foramen but a chronic inflammatory infiltrate was present in all specimens. CONCLUSIONS: Limiting the filling material to the root canal space apically is important to determine the best treatment outcome when Endométhasone is used as sealer.

  17. Distribution of linear growth rates in different directions in root apical meristems

    Directory of Open Access Journals (Sweden)

    Jerzy Nakielski

    2014-01-01

    Full Text Available Growth of apical meristems in plants may be well described by the growth tensor method. Hejnowicz (Envir. Exp. Bot. 1989, 29 determined growth tensors for roots: one with a minimum and the other with a maximum of the relative elemental growth rate in volume and used them for the description of two types of apices: one with an apical cell and merophytes (I, and the other with files of cells converging towards a quiescent centre, CQ (II. In the present paper the same cases are considered from the point of view of a spatial and directional variation of the relative elemental rate of growth in length, RERG1. Maps of the RERG1 in two planes: axial and tangential, the latter determined by periclinal-longitudinal (PL and periclinal-tangential (PT principal growth directions, are shown. In an apical part of apex i where there is maximum volumetric growth, there also occurs a maximum of RERG1 for all directions. In regions other than this RERG1 decreases although RERG1 in the PL direction predominates everywhere. In apex II RERG1 for all directions has a minimum in CQ and becomes increasingly larger with increasing distance from it - the maximum is in the PL direction in the cylindrical part of the apex. In peripheral parts of both apices, in the place of the root/cap junction, RERG, in the anticlinal direction is significantly small.

  18. Analysis of correlation between initial alveolar bone density and apical root resorption after 12 months of orthodontic treatment without extraction

    Directory of Open Access Journals (Sweden)

    Paula Cabrini Scheibel

    2014-10-01

    Full Text Available OBJECTIVE: The aim of the present study was to investigate the correlation between initial alveolar bone density of upper central incisors (ABD-UI and external apical root resorption (EARR after 12 months of orthodontic movement in cases without extraction. METHODS: A total of 47 orthodontic patients 11 years old or older were submitted to periapical radiography of upper incisors prior to treatment (T1 and after 12 months of treatment (T2. ABD-UI and EARR were measured by means of densitometry. RESULTS: No statistically significant correlation was found between initial ABD-UI and EARR at T2 (r = 0.149; p = 0.157. CONCLUSION: Based on the present findings, alveolar density assessed through periapical radiography is not predictive of root resorption after 12 months of orthodontic treatment in cases without extraction.

  19. [Temperature variation at the external root surface during Nd: YAG laser irradiation in the root canal in vitro].

    Science.gov (United States)

    Yuan-Gao, Li; Xiao, Wang; Kexian, Xie; Dan, Liu

    2014-10-01

    To assess the temperature variation of the root surface using Nd: YAG laser irradiation in the root canal with different power and to evaluate the safety of laser application on the periodontal region. Thirty extracted human teeth with single-roots were collected. The teeth were cross-sectioned in the cervical portion, standardizing the roots at a 12-mm length. The roots were used as specimen. The roots were radiographed in the buccal-lingual direction to measure the thickness of the proximal walls, by means of a digital radiographic system. The specimens were divided into three groups according to the laser potency (1.5, 3.0, and 4.5 W). Each group was subdivided into two subgroups according to laser frequency (15 and 30 Hz). With the Nd: YAG laser irradiation for 20 s, the temperature variation of the root surface was monitored by thermocouples located at different parts of the root external wall and recorded by digital thermometers. The groups irradiated with 4.5 W presented the greatest temperature variation (above 10°C), followed by 3.0 and 1.5 W. The temperatures were statistically different (P 0.05). The apical half of the root presented statistically higher temperature rises than the cervical half of the root (P surface was associated with laser power, irradiation time, and the thickness of dentin. Application of Nd: YAG laser in the root at 1.5 W for 20 s can safely be used in endodontic treatment.

  20. The relationship between apical root resorption and orthodontic tooth movement in growing subjects.

    Science.gov (United States)

    Xu, Tianmin; Baumrind, S

    2002-07-01

    To investigate the relationship between apical root resorption and orthodontic tooth movement in growing subjects. 58 growing subjects were collected randomly into the study sample and another 40 non-treated cases were used as control. The apical resoption of the upper central incisors was measured on periapical film and the incisor displacement was measured on lateral cephalogram. Using multiple linear regression analysis to examine the relationship between root resoption and the displacement of the upper incisor apex in each of four direction (retraction, advancement, intrusion and extrusion). The statistically significant negative association were found between resorption and both intrusion (P < 0.001) and extrusion (P < 0.05), but no significant association was found between resorption and both retraction and advancement. The regression analysis implied an average of 2.29 mm resorption in the absence of apical displacement. The likelihood that the magnitude of displacement of the incisor root is positively associated with root resoption in the population of treated growing subjects is very small.

  1. Effect of nickel titanium file design on the root surface strain and apical microcracks.

    Science.gov (United States)

    Jamleh, Ahmed; Adorno, Carlos G; Ebihara, Arata; Suda, Hideaki

    2016-04-01

    The aim of this study was to determine the effect of nickel titanium file design on the root surface strain generated and apical microcracks caused during canal shaping. Thirty-three mandibular incisors were distributed into LightSpeed X, FlexMaster and a control group. A strain gauge was fixed apically on the proximal root surface to determine the maximum strain during canal shaping. Except for the control group, all root canals were enlarged to size 50. Images were taken after removing the apical 1 and 2 mm of the root end. Mean maximum strain values and presence of microcracks were statistically compared using the t-test and chi-square test, respectively. During canal shaping, the strain increased cumulatively with mean maximum strains of 808.2 ± 228.8 and 525.1 ± 168.9 microstrain in LightSpeed X and FlexMaster, respectively (P = 0.004). Both systems caused comparable microcracks. Although LightSpeed X produced higher maximum strain, no difference in microcrack development was found between both systems.

  2. Apical crown technique to model canal roots. A review of the literature.

    Science.gov (United States)

    Tortini, D; Colombo, M; Gagliani, M

    2007-09-01

    The goals of endodontic therapy are to shape and clean the root canal system in order to receive a three-dimensional and hermetic filling of the entire endodontic space. The aim of this review is to analyze the development of the different canal shaping techniques from the manual stainless-steel instruments to the recently developed rotary Ni-Ti systems. The need to provide instruments of a suitable size to reach the apex of curved root canals drove the development of preparation techniques with a greater focus on the apical part. The Crown-Down technique involves the widening of the canal orifices with Gates-Glidden drills followed by the incremental removal of organic canal contents proceeding from the canal orifice to the apical portion using manual files. Files are used from larger to smaller with no apical pressure. Nevertheless, the term ''Crown-Down'' does not define the technique in the strictest sense, nor does it provide a specific sequence for the use of instruments, but rather defines a way to use the instruments. The preparation of root canals has been revolutionised by the development of Ni-Ti alloys. The features of this alloy give instruments profound flexibility and allow the manufacture of more tapered instruments compared with traditional stainless-steel instruments. In the second part of this review, numerous examples are provided concerning the comparison between different Ni-Ti systems and their techniques for use. A Crown-Down approach provides certain advantages including early organic debris removal, the creation of a large reservoir for irrigating solutions, a straighter access to the apical region of curved canals, and greater precision with regard to the exact working length and apical size.

  3. Apical Microleakage of four Materials after Root End Resection (In Vitro Study

    Directory of Open Access Journals (Sweden)

    Radeva E.

    2016-10-01

    Full Text Available Hermetic sealing of the apical area after root end resection is essential to the success of endodontic surgery. To compare microleakage after root end resection of the two bioceramic sealers without retrograde filling - Total Fill BC Sealer and MTA Fillapex, and two materials for retrograde filling-MTA and Biodentine, using the method of penetration of dye - 2% methylene blue. Forty eight extracted single-rooted human teeth were used in this study. The resection was made at 3 mm from the root tip at an angle of 90 degree to the long axis of the tooth. The teeth were divided into 4 groups: 1st group (n = 9 - root canal obturation with Total Fill BC Sealer without retrograde filling; 2nd group (n = 8 - root canal obturation with MTA Fillapex without retrograde filling. 3rd group (n = 10 - retrograde ultrasonic cavity preparation and filling with MTA. 4th group (n = 8 - retrograde ultrasonic cavity preparation and filling with Biodentine. The outer surface of the root was covered with two layers of varnish, with the exception of the apical 3 mm and then immersed in 2% methylene blue for 72 h. The degree of penetration of the dye is measured in millimeters. The data was entered and processed with the statistical package IBM SPSS Statistics 22.0. We reject the null hypothesis when p < 0.05. With significantly higher value is the arithmetic mean of the group with the root canal obturation with Total Fill BC Sealer without retrograde filling - 2,01 mm; versus a retrograde filling with MTA - 0,68 mm and Biodentin - 0,51 mm; and no statistically significant difference with the group root canal obturation with MTA Fillapex - 1,76 mm. In the four material microleakage dye was observed, but to varying degrees.

  4. Influence of the apical enlargement size on the endotoxin level reduction of dental root canals

    Directory of Open Access Journals (Sweden)

    Ariane Cassia Salustiano Marinho

    2012-12-01

    Full Text Available Gram-negative bacteria play an essential role in endodontic infections because they have virulence factors such as endotoxin. Due to its potential cytotoxic activity, special attention has been given to the removal/neutralization of this endotoxin in the root canal system. OBJECTIVE: The aim of this study was to evaluate the influence of the apical enlargement size (AES by using rotary instruments on the endotoxin level reduction of dental root canals. MATERIAL AND METHODS: Forty root canals of the mandibular premolar teeth were used. Escherichia coli endotoxin (055: B55 was inoculated into thirty root canals. Ten teeth served as the negative control group. After the incubation period, the first endotoxin samples were collected from the root canals with a sterile/apyrogenic paper point for the analysis of the endotoxin units (EU/mL present before instrumentation (S1. Specimen instrumentation was performed with the Mtwo® rotary system in the sequence 10/.04, 15/.05, 20/.06, 25/.06, 30/.05, 35/.04 and 40/.04. To monitor the effectiveness of increasing apical enlargement on endotoxin removal, the second endotoxin samples were collected from all the root canals after instrumentation with the following instruments: #25/.06- (S2; #30/.05- (S3; # 35/.04- (S4; and #40/.04- (S5. Limulus amebocyte lysate (LAL was used to quantify the levels of endotoxin. The results were statistically compared by using repeated measures of ANOVA with post hoc Tukey testing. RESULTS: Increasing levels of endotoxin removal was achieved by large sized apical enlargement: S2 (AES #25/.06- 89.2%, S3 (AES #30/.05- 95.9%, S4 (AES #35/.04- 97.8% and S5 (AES #40/.04- 98.2%. Substantial reduction of endotoxin content was obtained in S4 and S5 compared to S2 (p<0.05, however, the root canal preparation was not able to eliminate the endotoxin. CONCLUSIONS: Under the conditions of this study, it was concluded that the reduction of endotoxin levels of the dental root canals could be

  5. 自锁托槽和传统托槽对上颌切牙牙根外吸收影响的回顾性研究%A retrospective study of external apical root resorption of maxillary incisors in patients treated with conventional or self-ligating brackets

    Institute of Scientific and Technical Information of China (English)

    杨一可; 彭友俭

    2012-01-01

    Objective: The aim was to retrospective investigate the amount of external apical root resorption (EARR) of maxillary incisors between conventional and passive self-ligating brackets. Method: 72 patients were selected from a pool of 346 patients satisfying inclusion criteria , Patients received treatment with either a passive self-ligating bracket system or a conventional edgewise appliance. Demographic and clinical characteristics were investigated with conventional descriptive statistics. EARR of the maxillary incisors was evaluated on panoramic radiographs and Pretreatment dental casts,Statistical comparisons of EARR between appliance type,age,sex, extraction treatment. And duration of treatment were investigated with univariate and multivariate regression modeling. Result: no difference was found in the amount of EARR between appliance systems (P =0.06). Age,sex,and extraction treatment were not reliable predictors of EARR,but a positive association between EARR and duration of treatment was observed. Conclusion: No difference should be expected for root resorption between conventional and self-ligating brackets.%目的:评价自锁托槽和传统托槽在正畸治疗中对牙根外吸收的影响.方法:选取南京同仁医院口腔科矫治结束的固定正畸患者72例为研究对象,36例采用自锁托槽,36例采用传统托槽.对不同托槽组的临床资料进行描述性分析,并根据正畸治疗前后全颌曲面断层片和记存模型,测量计算出不同托槽的牙根外吸收量,进一步以牙根外吸收量为因变量,对临床相关因素包括托槽的类别、疗程、性别、减数与否、年龄进行回归分析.结果:两组患者间的疗程、性别、减数与否、年龄的临床统计资料,其两组间分布无差异;治疗疗程对牙根外吸收的影响有显著意义,自锁托槽在对牙根外吸收的影响方面与传统托槽相比有增加的趋势,但无统计学差异(P =0.06).结论:无论是自锁托槽还

  6. Healing of delayed management of double traumatized incisors with complicated crown: Root fracture and apical pathosis

    Directory of Open Access Journals (Sweden)

    Abdullah M Alsaedan

    2017-01-01

    Full Text Available The present case report shows a 23-year-old male who was subjected to trauma in his maxillary right central and lateral incisors with crown and transverse apical third root fractures. Root canal therapy was started, but the patient did not complete it. After 6 years, the patient was subjected to another trauma on the same teeth and showed up after 3 weeks of the second trauma to continue his treatment. Clinical examination revealed that both incisors were sensitive to percussion and palpation with labial sinus tract and pus discharge through the open access cavity of the central incisor. Radiographic evaluation demonstrated root fracture of the central incisor with large radiolucency. Root canal treatment for both incisors and periradicular surgery was done. Histopathologic examination of the periapical lesion demonstrated tissue necrosis and fungal hyphae. Follow-up showed no symptoms with good healing. The treatment modality appears to be effective in dealing with delayed management of traumatized anterior teeth.

  7. [Deformations occurring in the apical third of curved root canals during biomechanical preparation using manual impulsion-traction techniques].

    Science.gov (United States)

    Roig Cayón, M; Basilio Monné, J; Canalda Sahli, C

    1990-01-01

    Apical deformations, specially zips and elbows, during instrumentation of the root canals, are studied. The authors study why do they appear, their effect on endodontic therapy, and the way of avoiding them.

  8. Phytoglobins Improve Hypoxic Root Growth by Alleviating Apical Meristem Cell Death.

    Science.gov (United States)

    Mira, Mohamed M; Hill, Robert D; Stasolla, Claudio

    2016-11-01

    Hypoxic root growth in maize (Zea mays) is influenced by the expression of phytoglobins (ZmPgbs). Relative to the wild type, suppression of ZmPgb1.1 or ZmPgb1.2 inhibits the growth of roots exposed to 4% oxygen, causing structural abnormalities in the root apical meristems. These effects were accompanied by increasing levels of reactive oxygen species (ROS), possibly through the transcriptional induction of four Respiratory Burst Oxidase Homologs TUNEL-positive nuclei in meristematic cells indicated the involvement of programmed cell death (PCD) in the process. These cells also accumulated nitric oxide and stained heavily for ethylene biosynthetic transcripts. A sharp increase in the expression level of several 1-aminocyclopropane synthase (ZmAcs2, ZmAcs6, and ZmAcs7), 1-aminocyclopropane oxidase (Aco15, Aco20, Aco31, and Aco35), and ethylene-responsive (ZmErf2 and ZmEbf1) genes was observed in hypoxic ZmPgb-suppressing roots, which overproduced ethylene. Inhibiting ROS synthesis with diphenyleneiodonium or ethylene perception with 1-methylcyclopropene suppressed PCD, increased BAX inhibitor-1, an effective attenuator of the death programs in eukaryotes, and restored root growth. Hypoxic roots overexpressing ZmPgbs had the lowest level of ethylene and showed a reduction in ROS staining and TUNEL-positive nuclei in the meristematic cells. These roots retained functional meristems and exhibited the highest growth performance when subjected to hypoxic conditions. Collectively, these results suggest a novel function of Pgbs in protecting root apical meristems from hypoxia-induced PCD through mechanisms initiated by nitric oxide and mediated by ethylene via ROS. © 2016 American Society of Plant Biologists. All Rights Reserved.

  9. Analysis of dental root apical morphology: a new method for dietary reconstructions in primates.

    Science.gov (United States)

    Hamon, NoÉmie; Emonet, Edouard-Georges; Chaimanee, Yaowalak; Guy, Franck; Tafforeau, Paul; Jaeger, Jean-Jacques

    2012-06-01

    The reconstruction of paleo-diets is an important task in the study of fossil primates. Previously, paleo-diet reconstructions were performed using different methods based on extant primate models. In particular, dental microwear or isotopic analyses provided accurate reconstructions for some fossil primates. However, there is sometimes difficult or impossible to apply these methods to fossil material. Therefore, the development of new, independent methods of diet reconstructions is crucial to improve our knowledge of primates paleobiology and paleoecology. This study aims to investigate the correlation between tooth root apical morphology and diet in primates, and its potential for paleo-diet reconstructions. Dental roots are composed of two portions: the eruptive portion with a smooth and regular surface, and the apical penetrative portion which displays an irregular and corrugated surface. Here, the angle formed by these two portions (aPE), and the ratio of penetrative portion over total root length (PPI), are calculated for each mandibular tooth root. A strong correlation between these two variables and the proportion of some food types (fruits, leaves, seeds, animal matter, and vertebrates) in diet is found, allowing the use of tooth root apical morphology as a tool for dietary reconstructions in primates. The method was then applied to the fossil hominoid Khoratpithecus piriyai, from the Late Miocene of Thailand. The paleo-diet deduced from aPE and PPI is dominated by fruits (>50%), associated with animal matter (1-25%). Leaves, vertebrates and most probably seeds were excluded from the diet of Khoratpithecus, which is consistent with previous studies.

  10. Effect of Maintaining Apical Patency on Irrigant Penetration into the Apical Two Millimeters of Large Root Canals : An In Vivo Study

    NARCIS (Netherlands)

    Vera, Jorge; Hernandez, Erick M.; Romero, Monica; Arias, Ana; van der Sluis, Lucas W. M.

    2012-01-01

    Introduction: Factors such as complex root canal anatomy and the vapor lock phenomenon have been shown to limit the penetration of irrigating solutions into the apical third in both in vivo and in vitro studies involving small and wide canals. Hence, the aim of this study was to determine whether

  11. Incidence of apical root cracks and apical dentinal detachments after canal preparation with hand and rotary files at different instrumentation lengths

    NARCIS (Netherlands)

    Liu, R.; Kaiwar, A.; Shemesh, H.; Wesselink, P.R.; Hou, B.; Wu, M.K.

    2013-01-01

    Introduction The aim of this study was to compare the incidence of apical root cracks and dentinal detachments after canal preparation with hand and rotary files at different instrumentation lengths. Methods Two hundred forty mandibular incisors were mounted in resin blocks with simulated periodonta

  12. Length and activity of the root apical meristem revealed in vivo by infrared imaging.

    Science.gov (United States)

    Bizet, François; Hummel, Irène; Bogeat-Triboulot, Marie-Béatrice

    2015-03-01

    Understanding how cell division and cell elongation influence organ growth and development is a long-standing issue in plant biology. In plant roots, most of the cell divisions occur in a short and specialized region, the root apical meristem (RAM). Although RAM activity has been suggested to be of high importance to understand how roots grow and how the cell cycle is regulated, few experimental and numeric data are currently available. The characterization of the RAM is difficult and essentially based upon cell length measurements through destructive and time-consuming microscopy approaches. Here, a new non-invasive method is described that couples infrared light imaging and kinematic analyses and that allows in vivo measurements of the RAM length. This study provides a detailed description of the RAM activity, especially in terms of cell flux and cell division rate. We focused on roots of hydroponic grown poplars and confirmed our method on maize roots. How the RAM affects root growth rate is studied by taking advantage of the high inter-individual variability of poplar root growth. An osmotic stress was applied and did not significantly affect the RAM length, highlighting its homeostasis in short to middle-term responses. The methodology described here simplifies a lot experimental procedures, allows an increase in the number of individuals that can be taken into account in experiments, and means new experiments can be formulated that allow temporal monitoring of the RAM length.

  13. Refractory apical periodontitis associated with a calculus-like deposit at the root apex

    Directory of Open Access Journals (Sweden)

    Cheng-Mei Yang

    2010-06-01

    Full Text Available In this case report, we describe a refractory case in which a calculus-like deposit was found at the apical root surfaces of two adjacent teeth. This case involved a 45-year-old male with a sinus tract at the labial mucosa of the maxillary left central incisor, which did not heal after conventional root canal treatment of the maxillary left lateral incisor. Periradicular radiolucencies and unusual radio-opacities were noted on the root surfaces of the vital maxillary left central incisor and prior endodontically treated lateral incisor. Subsequent surgery found calculus-like particles at the root surface of both teeth. A pathology examination revealed calculus-like particles scattered in the granulomatous tissue. A test cavity confirmed pulp necrosis of the maxillary central incisor, and endodontic treatment was performed 1 year after surgery. At the 20-month recall, the size of the periapical radiolucency had decreased. The presence of calculus-like particles at the root surfaces was noted and may have possibly contributed towards the etiology of root canal treatment failure.

  14. [Use of root-end filling materials in a surgical apical endodontic treatment in the Netherlands

    OpenAIRE

    Bronkhorst, M.A.; Berge, S.J.; van Damme, P. A.; Borstlap, W.A.; Merkx, M.A.W.

    2008-01-01

    The material to be used for closing the root canal when carrying out a retrograde surgical apical endodontic treatment continues to be a subject of discussion. The aim of the present study was to inventory which materials are being used for this purpose at this moment by Dutch O&MF surgeons. All practicing Dutch OM&F surgeons (n = 195) were sent a questionnaire. The response rate was 77%. The results showed that at this moment intermediate restoration material (IRM) is the retrograde filling ...

  15. Conservative management of external root resorption after tooth reimplantation: a 3-year follow-up.

    Science.gov (United States)

    Ionta, Franciny Querobim; de Oliveira, Gabriela Cristina; de Alencar, Catarina Ribeiro Barros; Gonçalves, Priscilla Santana Pinto; Alcalde, Murilo Priori; Minotti, Paloma Gagliardi; Machado, Maria Aparecida de Andrade Moreira; Rios, Daniela

    2016-01-01

    The aim of this case report is to describe the treatment of a 9-year-old patient who suffered external root resorption of the permanent maxillary left lateral incisor following reimplantation of the avulsed left central and lateral incisors. Sixteen days after reimplantation and splinting of the incisors in a hospital emergency department, the patient was brought to the pediatric department of a dental school for further treatment. Root canal access was created in the maxillary left lateral and central incisors, and calcium hydroxide paste was used as intracanal dressing. At the 5-month follow-up, a radiograph revealed extensive external root resorption, a communicating root canal, and a periodontal lesion affecting the left lateral incisor. Management of the root resorption included obturation of the apical third of the canal with gutta percha and the middle third with mineral trioxide aggregate (MTA). At the 3-year recall examination, the patient was asymptomatic, and no mobility or soft tissue alterations were observed clinically. There was no radiographic sign that resorption had progressed. Despite the success of treatment, observation is still required. The use of MTA may be considered an alternative treatment for external root resorption after tooth reimplantation. The technique may allow tooth preservation in children until skeletal growth and development are completed and implant treatment may be considered.

  16. Root surface strain during canal shaping and its influence on apical microcrack development: a preliminary investigation.

    Science.gov (United States)

    Jamleh, A; Komabayashi, T; Ebihara, A; Nassar, M; Watanabe, S; Yoshioka, T; Miyara, K; Suda, H

    2015-12-01

    To determine the root surface strain (RSS) generated during root canal shaping and its effects on apical microcrack development. Twenty-five extracted human mandibular premolars were selected and decoronated. The teeth were instrumented with either the ProTaper (PT) or WaveOne (WO) (Dentsply Maillefer) NiTi rotary systems (n = 10 per group) or used as controls (n = 5). Instrumented root canals were enlarged to ProTaper F4 (size 40, 0.06 taper) or using WaveOne LARGE (size 40, 0.08 taper) instruments according to the manufacturer's instructions. An electrical strain gage (KFG02-120-C1-16, Kyowa Dengyo, Tokyo, Japan) was fixed on the proximal root surface and connected to a strain amplifier via a bridge box in order to measure RSS. During canal shaping, the strain output of the amplifier was recorded. The instantaneous RSS induced by each instrument and the maximum RSSs were determined. All teeth were then stained with contrast media and imaged with micro-computed tomography (micro-CT) at an isotropic resolution of 10 μm to detect microcracks. The mean maximum RSS values (microstrain) and mean number of microcracks recorded for both groups were tested for statistical significance using Mann-Whitney U-test. Presence/absence of microcracks in both groups was compared by chi-square tests. Increased baseline RSS from strain accumulation during canal shaping was observed, with similar maximum RSS (mean ± SD) for PT (416.6 ± 185.1 μstrain) and WO (398.2 ± 163.8 μstrain) (P = 0.94). The interevaluator reliability for microcrack detection using micro-CT had a kappa value of 0.998. Compared to the PT group, there was a trend for fewer samples with microcracks in the WO group (P = 0.051). On the micro-CT images, apical microcracks were detected in 20 PT and 11 WO samples (P = 0.10). The microcracks were observed in the buccolingual direction in all WO and 81% of PT samples. No vertical root fractures were found. The maximum RSS obtained during canal

  17. PEG-mediated osmotic stress induces premature differentiation of the root apical meristem and outgrowth of lateral roots in wheat.

    Science.gov (United States)

    Ji, Hongtao; Liu, Ling; Li, Kexue; Xie, Qingen; Wang, Zhijuan; Zhao, Xuhua; Li, Xia

    2014-09-01

    Water stress is one of the major environmental stresses causing growth retardation and yield loss of plants. In the past decades, osmotic adjustment, antioxidant protection, and stomatal movement have been extensively studied, but much less attention has been paid to the study of root system reprogramming to maximize water absorption and survival under water stress. Here, it is shown that polyethylene glycol (PEG)-simulated mild and moderate osmotic stress induced premature differentiation of the root apical meristem (RAM). It is demonstrated that RAM premature differentiation is a conserved adaptive mechanism that is widely adopted by various plants to cope with osmotic stress simulated by PEG 8000, and the occurrence of RAM premature differentiation is directly related to stress tolerance of plants. It is shown that the osmotic stress-induced premature differentiation caused growth cessation of primary roots allowing outgrowth of lateral roots. This work has uncovered a key mechanism for controlling the plastic development of the root system by which plants are capable of survival, growth, or reproduction under water stress.

  18. Influence of root curvature’s initial position on apical deviation occurrence after oscillatory preparation in simulated root canals

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    Tiago André Fontoura de Melo

    2011-10-01

    Full Text Available Introduction and objective: This study aimed to analyze the influence of root curvature’s initial position on apical deviation occurrence after oscillatory system preparation. Material and methods: For this purpose, we used twenty simulated root canals with 21 mm length and 30 degree angle, which were divided into two experimental groups according to curvature’s initial position: 8 mm (group A and 12 mm (group B short of the canal orifice. The canals were prepared using crown-down technique, and memory instrument was size #30. For apical deviation analysis, before and after preparation, canals were filled with Indian ink and standardly photographed with the aid of a platform. After that, the images were manipulated by Adobe Photoshop® software, through superimposing pre- and post-operative images. Deviation occurrence was measured 1 mm short of working length and at the middle of the curvature by using the ruler tool. Data were subjected to analysis of variance (ANOVA with significance level set at 5%. Results: Although group B showed a significantly greater deviation mean than group A, no significant interaction was verified between the analysis site and the experimental group. Conclusion: According to the present data, it could be observed that the smaller the curvature radius, the greater the deviation. Concerning to the analysis site, it could be noted that the area 1 mm short of working length presented a higher deviation than the point at the middle of the curvature.

  19. Profiling of root canal bacterial communities associated with chronic apical periodontitis from Brazilian and Norwegian subjects.

    Science.gov (United States)

    Siqueira, José F; Rôças, Isabela N; Debelian, Gilberto J; Carmo, Flávia L; Paiva, Simone S M; Alves, Flávio R F; Rosado, Alexandre S

    2008-12-01

    The aim of this study was to compare the bacterial community profiles of the root canal microbiota associated with chronic apical periodontitis from Brazilian and Norwegian patients using the denaturing gradient gel electrophoresis (DGGE) and the ribosomal intergenic spacer analysis (RISA) approaches. DNA extracted from root canal samples was subjected to polymerase chain reaction using primers appropriate for further DGGE or RISA analysis. The resulting banding patterns representative of the bacterial community structures in samples from the two locations were compared. DGGE and RISA fingerprints showed a great interindividual variability in the bacterial community profiles, irrespective of the geographic location of the patient. However, similarities among the bacterial community DGGE profiles revealed the existence of a geography-related pattern.

  20. Comparison of the Root End Sealing Ability of Four Different Retrograde Filling Materials in Teeth with Root Apices Resected at Different Angles – An Invitro Study

    Science.gov (United States)

    Ponnappa, K.C.; Yadav, Pankaj; Rao, Yogesh; Relhan, Nikhil; Gupta, Priyanka; Choubey, Ashish; Bhardwaj, Shivanshu

    2016-01-01

    Introduction Insufficient apical seal is the significant reason for surgical endodontic disappointment. The root-end filling material utilized should avoid egress of potential contaminants into periapical tissue. Aim The aim of this study was to compare the sealing ability of four root-end filling materials MTA, Portland cement, IRM, RMGIC in teeth with root apices resected at 0 and 45 angle using dye penetration method under fluorescent microscope. Materials and Methods Hundred extracted human maxillary anterior teeth were sectioned horizontally at the cement-enamel junction. After cleaning, shaping and obturation with gutta-percha and AH Plus sealer, the tooth samples were randomly divided in two groups (the root apices resected at 0° and 45° to the long axis of the root). The root resections were carried out by removing 2 mm and 1 mm in both the groups. Following which 3 mm deep root-end cavities were prepared at the apices and the root were coated with nail varnish except the tip. The teeth in both the group were randomly divided into four subgroups each (Pro root MTA, Portland cement, IRM and Light cure nano GIC Ketac N-100). All the retrofilled samples were stored in acrydine orange for 24 hours after which they were cleaned and vertically sectioned buccolingually. The sectioned root samples were observed under fluorescent microscope. Results The root apex sealing ability of Mineral Trioxide Aggregate (MTA) was superior to Portland cement, Intermediate Restorative Material (IRM) and LC GIC. IRM demonstrated the maximum apical leakage value among all the materials. Portland cement and LC GIC showed comparable sealing ability. Conclusion The angulation whether 0° or 45° angle did not affect the sealing ability of all the four materials used, MTA proved to be one of the superior materials for root-end filling. PMID:26894168

  1. Root reconstructed with mineral trioxide aggregate and guided tissue regeneration in apical surgery: a 5-year follow-up.

    Science.gov (United States)

    Bernabé, Pedro Felício Estrada; Azuma, Mariane Maffei; Ferreira, Luciana Louzada; Dezan-Júnior, Eloi; Gomes-Filho, João Eduardo; Cintra, Luciano Tavares Angelo

    2013-01-01

    Apical surgery should be considered as the last treatment option and employed when conventional endodontic treatment does not provide the expected result. In teeth undergoing apical surgery, the type of retrograde filling material is one of the factors interfering with the repair of periapical tissues. The material in intimate contact with the periapical tissues plays a fundamental role in the repair process. Several materials have been studied and indicated for use in apical surgery procedures, but the mineral trioxide aggregate (MTA) is still the most frequently used one. Guided tissue regeneration (GTR) techniques have been proposed as an adjunct to apical surgery to enhance bone healing. Here is reported a clinical case in which apical surgery was performed in conjunction with MTA-based root reconstruction of the maxillary right second incisor. After the apical surgery, a root-end cavity was prepared at the vestibular face of the involved tooth and filled with MTA. A bovine bone graft and a cortical collagen membrane were placed on the bone defect. After 5 years, clinical and radiographic assessments showed that the treatment was successful. It may be concluded that MTA presents favorable characteristics in adverse conditions and can be used in conjunction with GTR in cases involving root reconstruction.

  2. Apical root resorption during orthodontic treatment with aligners? A retrospective radiometric study

    Science.gov (United States)

    2013-01-01

    Introduction Objective of this study was to investigate the incidence and severity of apical root resorptions (ARR) during orthodontic treatment with aligners. Materials and methods The sample comprised 100 patients (17–75 years of age) with a class I occlusion and anterior crowding before treatment, treated exclusively with aligners (Invisalign®, Align Technologies, Santa Clara, CA, USA). The following teeth were assessed: upper and lower anterior teeth and first molars. Root and crown lengths of a total of 1600 teeth were measured twice in pre- and post-treatment panoramic radiographs. Afterwards, relative changes of the root length during treatment were calculated by a root-crown-ratio taking pre- and post-treatment root and crown lengths into consideration. A reduction of this ratio was considered as a shortening of the initial root length. Additionally, tooth movements of the front teeth were assessed by lateral cephalograms and the 3-dimensonal set up of each patient. Results All patients had a reduction of the pre-treatment root length with a minimum of two teeth. On average 7.36 teeth per patient were affected. 54% of 1600 measured teeth showed no measurable root reduction. A reduction of >0%-10% of the pre-treatment root length was found in 27.75%, a distinct reduction of >10%-20% in 11.94%. 6.31% of all teeth were affected with a considerable reduction of >20%. We found no statistically significant correlation between relative root length changes and the individual tooth, gender, age or sagittal and vertical orthodontic tooth movement; except for extrusion of upper front teeth, which was considered as not clinical relevant due to the small amount of mean 4% ARR. Conclusions The present study is the first analyzing ARR in patients with a fully implemented orthodontic treatment with aligners (i.e. resolving anterior crowding). The variety was high and no clinical relevant influence factor could be detected. A minimum of two teeth with a root length

  3. Externally imposed electric field enhances plant root tip regeneration

    Science.gov (United States)

    Kral, Nicolas; Hanna Ougolnikova, Alexandra

    2016-01-01

    Abstract In plants, shoot and root regeneration can be induced in the distinctive conditions of tissue culture (in vitro) but is also observed in intact individuals (in planta) recovering from tissue damage. Roots, for example, can regenerate their fully excised meristems in planta, even in mutants with impaired apical stem cell niches. Unfortunately, to date a comprehensive understanding of regeneration in plants is still missing. Here, we provide evidence that an imposed electric field can perturb apical root regeneration in Arabidopsis. Crucially, we explored both spatial and temporal competences of the stump to respond to electrical stimulation, by varying respectively the position of the cut and the time interval between excision and stimulation. Our data indicate that a brief pulse of an electric field parallel to the root is sufficient to increase by up to two‐fold the probability of its regeneration, and to perturb the local distribution of the hormone auxin, as well as cell division regulation. Remarkably, the orientation of the root towards the anode or the cathode is shown to play a role. PMID:27606066

  4. Changes of Root Length and Root-to-Crown Ratio after Apical Surgery: An Analysis by Using Cone-beam Computed Tomography.

    Science.gov (United States)

    von Arx, Thomas; Jensen, Simon S; Bornstein, Michael M

    2015-09-01

    Apical surgery is an important treatment option for teeth with post-treatment periodontitis. Although apical surgery involves root-end resection, no morphometric data are yet available about root-end resection and its impact on the root-to-crown ratio (RCR). The present study assessed the length of apicectomy and calculated the loss of root length and changes of RCR after apical surgery. In a prospective clinical study, cone-beam computed tomography scans were taken preoperatively and postoperatively. From these images, the crown and root lengths of 61 roots (54 teeth in 47 patients) were measured before and after apical surgery. Data were collected relative to the cementoenamel junction (CEJ) as well as to the crestal bone level (CBL). One observer took all measurements twice (to calculate the intraobserver variability), and the means were used for further analysis. The following parameters were assessed for all treated teeth as well as for specific tooth groups: length of root-end resection and percentage change of root length, preoperative and postoperative RCRs, and percentage change of RCR after apical surgery. The mean length of root-end resection was 3.58 ± 1.43 mm (relative to the CBL). This amounted to a loss of 33.2% of clinical and 26% of anatomic root length. There was an overall significant difference between the tooth groups (P < .05). There was also a statistically significant difference comparing mandibular and maxillary teeth (P < .05), but not for incisors/canines versus premolars/molars (P = .125). The mean preoperative and postoperative RCRs (relative to CEJ) were 1.83 and 1.35, respectively (P < .001). With regard to the CBL reference, the mean preoperative and postoperative RCRs were 1.08 and 0.71 (CBL), respectively (P < .001). The calculated changes of RCR after apical surgery were 24.8% relative to CEJ and 33.3% relative to CBL (P < .001). Across the different tooth groups, the mean RCR was not significantly different (P = .244 for

  5. [Use of root-end filling materials in a surgical apical endodontic treatment in the Netherlands].

    Science.gov (United States)

    Bronkhorst, M A; Bergé, S J; Van Damme, Ph A; Borstlap, W A; Merkx, M A W

    2008-08-01

    The material to be used for closing the root canal when carrying out a retrograde surgical apical endodontic treatment continues to be a subject of discussion. The aim of the present study was to inventory which materials are being used for this purpose at this moment by Dutch O&MF surgeons. All practicing Dutch OM&F surgeons (n = 195) were sent a questionnaire. The response rate was 77%. The results showed that at this moment intermediate restoration material (IRM) is the retrograde filling material most widely used by the Dutch O&MF surgeons (47.6%) in cases of surgical apical endodontic treatment. Amalgam, with 35%, was second, especially due to its plasticity and convenience. The choice of material is just as often determined by tradition, personal preference, individual experience or scientific results. There seems to be no relationship between the dental surgeon's number of years of experience and the type of retro grade filling material which he or she uses.

  6. Tissue-specific epigenetic modifications in root apical meristem cells of Hordeum vulgare.

    Directory of Open Access Journals (Sweden)

    Agnieszka J Braszewska-Zalewska

    Full Text Available Epigenetic modifications of chromatin structure are essential for many biological processes, including growth and reproduction. Patterns of DNA and histone modifications have recently been widely studied in many plant species, although there is virtually no data on the spatial and temporal distribution of epigenetic markers during plant development. Accordingly, we have used immunostaining techniques to investigate epigenetic modifications in the root apical meristem of Hordeum vulgare. Histone H4 acetylation (H4K5ac, histone H3 dimethylation (H3K4me2, H3K9me2 and DNA methylation (5mC patterns were established for various root meristem tissues. Distinct levels of those modifications were visualised in the root cap, epidermis, cortex and vascular tissues. The lateral root cap cells seem to display the highest level of H3K9me2 and 5mC. In the epidermis, the highest level of 5mC and H3K9me2 was detected in the nuclei from the boundary of the proximal meristem and the elongation zone, while the vascular tissues were characterized by the highest level of H4K5ac. Some of the modified histones were also detectable in the cytoplasm in a highly tissue-specific manner. Immunolocalisation of epigenetic modifications of chromatin carried out in this way, on longitudinal or transverse sections, provides a unique topographic context within the organ, and will provide some answers to the significant biological question of tissue differentiation processes during root development in a monocotyledon plant species.

  7. Tissue-Specific Epigenetic Modifications in Root Apical Meristem Cells of Hordeum vulgare

    Science.gov (United States)

    Braszewska-Zalewska, Agnieszka J.; Wolny, Elzbieta A.; Smialek, Lukasz; Hasterok, Robert

    2013-01-01

    Epigenetic modifications of chromatin structure are essential for many biological processes, including growth and reproduction. Patterns of DNA and histone modifications have recently been widely studied in many plant species, although there is virtually no data on the spatial and temporal distribution of epigenetic markers during plant development. Accordingly, we have used immunostaining techniques to investigate epigenetic modifications in the root apical meristem of Hordeum vulgare. Histone H4 acetylation (H4K5ac), histone H3 dimethylation (H3K4me2, H3K9me2) and DNA methylation (5mC) patterns were established for various root meristem tissues. Distinct levels of those modifications were visualised in the root cap, epidermis, cortex and vascular tissues. The lateral root cap cells seem to display the highest level of H3K9me2 and 5mC. In the epidermis, the highest level of 5mC and H3K9me2 was detected in the nuclei from the boundary of the proximal meristem and the elongation zone, while the vascular tissues were characterized by the highest level of H4K5ac. Some of the modified histones were also detectable in the cytoplasm in a highly tissue-specific manner. Immunolocalisation of epigenetic modifications of chromatin carried out in this way, on longitudinal or transverse sections, provides a unique topographic context within the organ, and will provide some answers to the significant biological question of tissue differentiation processes during root development in a monocotyledon plant species. PMID:23935955

  8. Effects of 5-fluorouracil on the mitotic activity of onion root tips apical meristem

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    Waldemar Lechowicz

    2015-01-01

    Full Text Available The effects of various concentrations of 5-FU on the mitotic activity of onion root tips apical meristem were investigated during 24-hour incubation in 5-FU and postincubation in water. The incubation in 5-FU caused a reversible inhibition of mitotic activity, and waves of the partially synchronised mitoses were observed during the period of postincubation. The most pronounced synchronisation of mitoses was obtained after incubation in 100 mg/l. 5-FU but the mitotic index of the resumed mitotic activity amounted to only one half of the control value. 5-FU was found to cause some cytological changes in meristematic cells such as enlargement of the nucleoli, change in the interphasic nuclei structure, appearance of subchromatid and chromatid aberrations and micronuclei. The effects of 5-FU on nucleic acids and the cell division cycle ace discussed and compared with the effects of 5-FUdR.

  9. T1-nerve root neuroma presenting with apical mass and Horner's syndrome

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    Podnar Simon

    2007-03-01

    Full Text Available Abstract Background The appearance of dumbbell neuroma of the first thoracic root is extremely rare. The extradural component of a T1-dumbbell neuroma may present as an apical mass. The diagnosis of hand weakness is complex and may be delayed in T1-neuroma because of absence of the palpable cervical mass. One-stage removal of a T1-root neuroma and its intrathoracic extension demanded an extended posterior midline approach in the sitting position. Case presentation A 51-year old man had suffered a traumatic partial tendon rupture of his wrist flexor muscles 6 years ago. Since the incident he occasionally felt fullness and tenderness in the affected forearm with some tingling in his fingers bilaterally. During the last two years the hand weakness was continuous and hypotrophy of the medial flexor and intrinsic hand muscles had become apparent. Electrophysiological studies revealed an ulnar neuropathy in addition to mild median and radial nerve dysfunction, including a mild contralateral carpal tunnel syndrome. The diagnostic work-up for multiple mononeuropathy in the upper extremity was negative. Repeated electrophysiological studies revealed fibrillations in the C7 paravertebral muscles on the affected side. Chest x-ray revealed a large round apical mass on the affected side. A Horner's syndrome was noted at this point of diagnostic work-up. MRI of the cervical and thoracic spine revealed a dumbbell T1 neuroma enlarging the intervertebral foramen at T1-2 and a 5 cm large extradural tumor with extension into the apex of the ipsilateral lung. The patient underwent surgery in sitting position using a left dorsal midline approach. Although the T1 root could not be preserved, the patient's neurological condition was unchanged after the surgery. Conclusion Extended posterior midline exposure described here using hemilaminectomy, unilateral facetectomy and costo-transversectomy is efficient and safe for one-stage removal of dumbbell tumors at the T1

  10. The effect of apical preparation size on irrigant flow in root canals evaluated using an unsteady Computational Fluid Dynamics model

    NARCIS (Netherlands)

    Boutsioukis, C.; Gogos, C.; Verhaagen, B.; Versluis, M.; Kastrinakis, E.; van der Sluis, L.W.M.

    2010-01-01

    Aim  To evaluate the effect of apical preparation size on irrigant flow inside a root canal during final irrigation with a syringe and two different needles types, using a Computational Fluid Dynamics (CFD) model. Methodology  A validated CFD model was used to simulate the irrigant flow from either

  11. In vitro study of the apical microleakage with resilon root canal filling using different final endodontic irrigants

    Science.gov (United States)

    Lahor-Soler, Eduard; Brunet-Llobet, Lluís; Farré, Magí; Pumarola, Josep

    2015-01-01

    Background Endodontic microleakage or microfiltration refers to the percolation of fluids and micro-organisms at the interface of the obturation material and the walls of the root canal system. The aim of this in vitro study was to compare apical microfiltration of Resilon root canal filling by employing three different final irrigant solutions. Material and Methods 128 single-rooted teeth were employed. The crowns were sectioned horizontally at the cemento-enamel junction and instrumented with 5.25% sodium hypochlorite (NaOCl) and 17% EDTA gel to obtain an instrumented 040 apical caliber. An intermediate irrigation was performed with distilled water. The roots were then randomly assigned to three experimental groups with three different final irrigants: (A) 20% citric acid (CA); (B) 2% chlorhexidine digluconate (CHX); and (C) 5.25% NaOCl, plus two control groups (positive and negative). They were then dried, obturated with RealSeal™, and cleared by Robertson’s technique. Apical microleakage was measured by the dye penetration method and assessed with a 4.5x stereomicroscope. Data were statistically analyzed by one way ANOVA and post hoc analysis for multiple comparisons. Results Mean and standard deviations for apical microleakage were: 2% CHX (0.24 mm ± 0.22), 20% CA (0.25 mm ± 0.20), and 5.25% NaOCl (0.87 mm ± 0.32). Significant differences were reported among the group irrigated with NaOCl, CHX and CA (Pirrigation was performed with NaOCl whilst lower rates were reported for CHX and CA. Key words:Apical filtration, endodontic irrigation, resin-based sealers, adhesion, root canal filling. PMID:26155335

  12. Comparison between two tomographic sections in the diagnosis of external root resorption

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    Cláudio Afonso Lermen

    2010-06-01

    Full Text Available OBJECTIVES: To assess the accuracy of coronal and sagittal CT sections to detect cavities simulating root resorption. MATERIAL AND METHODS: 60 mandibular incisors were embedded in plaster bases, and cavities with 0.6, 1.2 or 1.8 mm in diameter and 0.3, 0.6 or 0.9 mm in depth (small, medium and large cavities were drilled on the buccal surfaces with high-speed round burs with diameters of 0.6, 1.2 and 1.8 mm to simulate external inflammatory root resorption. Simulations in the cervical, middle and apical thirds of each tooth root were made randomly. The Dental Scan software was used to obtain 1-mm-thick axial images from direct scanning, which were reconstructed in the coronal and sagittal planes using 3D software (Syngo FastView. Each series was loaded into the software. Fourteen images of each tooth were reconstructed in the coronal plane and 14 in the sagittal plane. A total of 1,652 images were obtained for analysis. Series information, tooth number and the plane reconstructed were stored. The images generated were saved on a CD-ROM together with the visualization software (Syngo FastView. Images were analyzed by a previously calibrated blinded, radiologist. Cochran's Q test was conducted separately for each region analyzed followed by pair-wise comparison by the McNemar test (p=0.05. RESULTS: No statistically significant difference (p>0.05 was observed in the diagnosis of simulated resorption between the apical, middle, and coronal thirds. When the axial plane was assessed separately, diagnoses were statistically different (p0.05 between planes, irrespective of the third in which the resorptions were located. CONCLUSION: When tomographic sections are requested for the diagnosis of buccal or lingual external root resorption, sagittal sections afford the best image characterization of the resorption process.

  13. The effect of irrigating solutions on the apical sealing ability of MTA Fillapex and Adseal root canal sealers

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    Richa Singh

    2016-12-01

    Full Text Available Background. Maximum sealing ability or adhesion of endodontic sealers can be achieved after effective removal of the smear layer. Endodontic irrigants assist in adequate removal of the smear layer, improving the retention mechanism. The aim of this study was to evaluate the effect of two different root canal irrigation solutions (5.25% NaOCl followed by 17% EDTA and QMix on the apical sealing ability of two different root canal sealers (MTA Fillapex and Adseal. Methods. Forty-six single-canal teeth were divided into 4 experimental groups of 10 teeth each and a positive and negative group of 3 teeth each. The root canals were prepared using step-back technique. The teeth in groups 1 and 2 were irrigated with 5.25% NaOCl followed by 17% EDTA and the teeth in groups 3 and 4 were irrigated with QMix. Finally all the teeth were flushed with sterile saline and dried using paper points. Obturation was accomplished by gutta-percha using lateral condensation technique. MTA Fillapex sealer was used in groups 1 and 3 whereas Adseal was used in groups 2 and 4. Dye penetration method was used to evaluate apical leakage. Data were analyzed with Kruskal-Wallis and Mann-Whitney U tests using SPSS 14. Statistical significance was set at P < 0.05. Results. Group 3 showed maximum amount of apical leakage (3.7±0.3 mm whereas group 2 exhibited the least amount of apical leakage (2.1 ± 0.4 mm among all the experimental groups. Significant differences were found in the amount of apical leakage between all the groups (P = 0.00001. Conclusion. Within the limitations of this study, 5.25% sodium hypochlorite followed by 17% EDTA and Adseal resulted in the best apical seal.

  14. The effect of irrigating solutions on the apical sealing ability of MTA Fillapex and Adseal root canal sealers

    Science.gov (United States)

    Singh, Richa; Pushpa, Shankarappa; Arunagiri, Doraiswamy; Sawhny, Asheesh; Misra, Abhinav; Sujatha, Ramamurthy

    2016-01-01

    Background. Maximum sealing ability or adhesion of endodontic sealers can be achieved after effective removal of the smear layer. Endodontic irrigants assist in adequate removal of the smear layer, improving the retention mechanism. The aim of this study was to evaluate the effect of two different root canal irrigation solutions (5.25% NaOCl followed by 17% EDTA and QMix) on the apical sealing ability of two different root canal sealers (MTA Fillapex and Adseal). Methods. Forty-six single-canal teeth were divided into 4 experimental groups of 10 teeth each and a positive and negative group of 3 teeth each. The root canals were prepared using step-back technique. The teeth in groups 1 and 2 were irrigated with 5.25% NaOCl followed by 17% EDTA and the teeth in groups 3 and 4 were irrigated with QMix. Finally all the teeth were flushed with sterile saline and dried using paper points. Obturation was accomplished by gutta-percha using lateral condensation technique. MTA Fillapex sealer was used in groups 1 and 3 whereas Adseal was used in groups 2 and 4. Dye penetration method was used to evaluate apical leakage. Data were analyzed with Kruskal-Wallis and Mann-Whitney U tests using SPSS 14. Statistical significance was set at P < 0.05. Results. Group 3 showed maximum amount of apical leakage (3.7±0.3 mm) whereas group 2 exhibited the least amount of apical leakage (2.1 ± 0.4 mm) among all the experimental groups. Significant differences were found in the amount of apical leakage between all the groups (P = 0.00001). Conclusion. Within the limitations of this study, 5.25% sodium hypochlorite followed by 17% EDTA and Adseal resulted in the best apical seal. PMID:28096952

  15. Activation of embryo during rape (Brassica napus L. seed germination. I. Structure of embryo and organization of root apical meristem

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    Miezcysław Kuraś

    2015-01-01

    Full Text Available The Structure of the mature rape embryo was examined on longitudirna microtome sections, and1, its developmental interpretation is given, based on the author's own studies and literature data. The boundaries between the epicotyl, hypocotyl and radicle are recognized and identified with the limits between the proembryo segments. The radicle Structure and root apical meristem organization are described. In the dermatogen and periblem cell patterns four segments are distinguished, separated successively from the initial cells. Their position is recognized as almost the same on both sides of the root axis and in different embryos. The easily discernible limits between the dermatogen sectors are to be utilized as reference points in studies on the root apical meristem activation and growth during rape seed germination.

  16. Ex vivo evaluation of coronal and apical microbial leakage of root canal - Filled with gutta-percha or Resilon/Epiphany root canal filling material

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    de Almeida-Gomes Fabio

    2010-01-01

    Full Text Available Objective: This ex vivo study compared coronal and apical microleakage of root canals filled with Resilon/Epiphany (RE or gutta-percha/Grossman sealer (GP, using either lateral condensation (LC or System B (SB technique. Materials and Methods: Specimens in eight experimental groups were obturated using the following materials and techniques: Groups 1 and 3 - GP and LC; groups 2 and 4 - GP and SB; groups 5 and 7 - RE and LC; groups 6 and 8 - RE and SB. Apical and coronal leakages were tested using bacterial methods. For coronal analysis, the number of days required for complete contamination of the root canals was recorded according to observation of the brain heart infusion broth turbidity for 15 weeks. For apical analysis, the teeth were cleaved and the leakage was measured at 30 days. Data were collected for each sample and analyzed statistically with the Chi-square and ANOVA tests. Results: Leakage was found in all groups. The difference between filling materials, obturation techniques, and median time of leakage was not statistically significant for coronal ( P=0.847 and apical ( P=0.5789 leakages. Conclusion: There were no differences between the different filling materials (gutta-percha/Grossman sealer and Resilon/Epiphany and obturation techniques (lateral condensation and system B technique in coronal or apical leakages.

  17. Frequency of the external resorptions of root apex

    Directory of Open Access Journals (Sweden)

    Opačić-Galić Vanja

    2004-01-01

    Full Text Available Root resorptions present a significant problem in endodontic therapy of the affected teeth and in dentistry in general. The objective of this study was to analyze, based on epidemiological and statistical research, the frequency of clinical incidence of pathological root resorptions in everyday practice related to localization, type of tooth, age and sex of patients. Radiographie documentation of patients treated from 1997 till 2002 at the Department of Conservative Dentistry and Endodontics, Faculty of Stomatology in Belgrade, was used as baseline for this study. Retroalveolar radiographs of teeth with visible signs of resorptions were singled out from 15654 patients' clinical records used for this study. The external resorptions were shown as radiolucent areas localized on various outer root surfaces, followed by significant or less significant resorption of lamina dura and alveolar bone. Out of all teeth analyzed in this study, 594 (3.79% showed some kind of resorption. The external resorptions were found to be more present in the upper jaw (55.10% and molars (50.30% than in the lower jaw (44.90% and single root teeth (49.70%, but in both cases without significant statistical differences. The most frequent localization of resorptions was root apex (82.44%. In regard to age, the most frequent resorptions were recorded in patients aged between 21 and 30 years (28.40%, and the lowest incidence was found in the youngest population (5.51%. The results also showed that resorptions were more frequent among the female population (59.04% than among the male population (40.96%. Based on these results, we may conclude that the external root resorptions are not a frequent clinical phenomenon. Proper and early diagnostics of such tissue pathology is one of the basic prerequisites for successful endodontic therapy of the affected root.

  18. Comparative evaluation of the apical sealing ability of a ceramic based sealer and MTA as root-end filling materials - An in-vitro study.

    Science.gov (United States)

    Gandhi, Bhavana; Halebathi-Gowdra, Ramesh

    2017-07-01

    The present study was aimed to evaluate and compare the apical sealing ability of two endodontic root-end filling materials namely, iRoot SP (ceramic based) and ProRoot MTA using the bacterial leakage system. A total of fifty recently extracted, single rooted teeth with a single straight canal were selected for the study. The teeth were chemo mechanically prepared. The apical 3mm of the root was resected and root end cavities were prepared. The teeth were randomly divided into two groups of twenty teeth each for the experimental root end filling materials namely, iRoot SP and ProRoot MTA. A two-chamber model was constructed using pippeter tips and plastic vials. The pipetter tips with the teeth were suspended in these caps and the entire assembly was reattached to the vial. The upper chamber was seeded withEnterococcus faecalis. An Enterococci-selective broth was used in the lower chamber. Leakage was assessed for 90 days and compared using survival statistics. The ProRoot MTA filled root end samples leaked within 30-72 days. The iRoot SP filled root end samples leaked within 51-69 days. Under the parameters of this study, it can be concluded that all the tested materials showed significant apical sealing ability as root-end filling materials over a period of 90 days. iRoot SP exhibited the most effective apical sealing ability as compared to ProRoot MTA. Key words:Apical sealing ability, Bacterial leakage, iRoot SP, ProRoot MTA, Root-end filling.

  19. Apical meristem organization and lack of establishment of the quiescent center in Cactaceae roots with determinate growth.

    Science.gov (United States)

    Rodríguez-Rodríguez, José Fernando; Shishkova, Svetlana; Napsucialy-Mendivil, Selene; Dubrovsky, Joseph G

    2003-10-01

    Some species of Cactaceae from the Sonoran Desert are characterized by a determinate growth pattern of the primary root, which is important for rapid lateral-root formation and seedling establishment. An analysis of the determinate root growth can be helpful for understanding the mechanism of meristem maintenance in plants in general. Stenocereus gummosus (Engelm.) Gibson & Horak and Pachycereus pringlei (S. Watson) Britton & Rose are characterized by an open type of root apical meristem. Immunohistochemical analysis of 5-bromo-2'-deoxyuridine incorporation into S. gummosus showed that the percentage of cells passing through the S-phase in a 24-h period is the same within the zone where a population of relatively slowly proliferating cells could be established and above this zone in the meristem. This indicated the absence of the quiescent center (QC) in S. gummosus. During the second and the third days of growth, in the distal meristem portion of P. pringlei roots, a compact group of cells that had a cell cycle longer than in the proximal meristem was found, indicating the presence of the QC. However, later in development, the QC could not be detected in this species. These data suggest that during post-germination the absence of the establishment of the QC within the apical meristem and limited proliferative activity of initial cells are the main components of a determinate developmental program and that establishment of the QC is required for maintenance of the meristem and indeterminate root growth in plants.

  20. Histological assessment of pulp condition after apical vital root transection in one root of multirooted teeth in dogs: a preliminary study.

    Science.gov (United States)

    Yaghmaiee, Massoud; Yavari, Amir Saeed; Mashhadiabbas, Fatemeh; Bahrami, Afshin; Farnia, Pupak; Sharifi, Davoud; Ghanavi, Jalaledin; Eslami, Behnan

    2007-09-01

    One of the most important aspects in surgery is the healing process after the periapical surgery. Past studies have shown occasional encounters with vital root resection and have noted varying degrees of pulpal response after root resection in periodontal disease. The purpose of this investigation was to observe the pulpal and periapical responses to intentional apical vital root transection in one root of multirooted teeth of German-Canadian dogs over a 6-month postoperative period. This is an experimental study performed on left maxillary and mandibular quadrants of four adult German-Canadian dogs after a 3- and 6-month period. Four teeth were assessed in each interval. One of the roots of multirooted teeth in the left quadrant of both maxillary and mandibular jaws was surgically transected. Tissue blocks were prepared by routine histological methods after 12 and 24 weeks after the surgery. The results showed a disruption of the normal pulpal architecture, with initial pulpal degeneration and subsequent early replacement by the periodontal ligament tissue after 24 weeks. Hypercementosis was seen around the apical portion of the root in all specimens. Pulpal regeneration was seen in the both upper and lower molars (p = 0.03). Resorption took place only in two specimens (p = 0.46). The inflammation in the 12th week was more than the 24th week. The pulp of multirooted teeth remains vital after transection of the apical part of the root in dogs. Longer follow-up periods are recommended because root canal therapy or extraction is indicated if resorption, necrosis, or ankylosis is seen.

  1. Apical root canal transportation of different pathfinding systems and their effects on shaping ability of ProTaper Next

    OpenAIRE

    Turker, Sevinc Aktemur; Uzunoglu, Emel

    2015-01-01

    Background This study aimed to compare glide path preparation of different pathfinding systems and their effects on the apical transportation of ProTaper Next (Dentsply Maillefer, Ballaigues, Switzerland) in mesial root canals of extracted human mandibular molars, using digital subtraction radiography. Material and Methods The mesial canals of 40 mandibular first molars (with curvature angles between 25° and 35°) were selected for this study. The specimens were divided randomly into 4 groups ...

  2. External root resorption with the self-ligating Damon system—a retrospective study

    Directory of Open Access Journals (Sweden)

    Roberta Heiffig Handem

    2016-07-01

    Full Text Available Abstract Background The aim of this study was to compare the degree of external apical root resorption (EARR in patients treated with self-ligating Damon appliances and with conventional preadjusted appliances. Methods The sample comprised 52 patients, divided into two groups. Group 1 consisted of 25 patients treated with self-ligating Damon appliances, with an initial age of 16.04 years, final age of 18.06 years, and treatment time of 2.02 years. Group 2 consisted of 27 patients, treated with conventional preadjusted appliances, with an initial age of 16.77 years, final age of 18.47 years and treatment time of 1.70 years. The groups were matched regarding the initial and final ages, treatment time, type of malocclusion, and treatment protocol without extractions. Root resorption was evaluated on periapical radiographs of the maxillary and mandibular incisors at the end of orthodontic treatment with the scores of Levander and Malmgren. Intergroup comparisons of root resorption were performed with Mann-Whitney tests. Results No significant difference in the degree of root resorption between the two groups was found. Conclusions Similar degrees of resorption can be expected after non-extraction treatment with Damon self-ligating or conventional preadjusted appliances.

  3. Qualitative SEM/EDS analysis of microleakage and apical gap formation of adhesive root-filling materials

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    Soraia de Fátima Carvalho Souza

    2012-06-01

    Full Text Available OBJECTIVE: The aim of this study was to compare the correspondence between gap formation and apical microleakage in root canals filled with epoxy resin-based (AH Plus combined or not with resinous primer or with a dimethacrylate-based root canal sealer (Epiphany. MATERIAL AND METHODS: Thirty-nine lower single-rooted human premolars were filled by the lateral condensation technique (LC and immersed in a 50-wt% aqueous silver nitrate solution at 37ºC (24 h. After longitudinal sectioning, epoxy resin replicas were made from the tooth specimens. Both the replicas and the specimens were prepared for scanning electron microscopy (SEM. The gaps were observed in the replicas. Apical microleakage was detected in the specimens by SEM/energy dispersive spectroscopy (SEM/EDS. The data were analyzed statistically using an Ordinal Logistic Regression model and Analysis of Correspondence (α=0.05. RESULTS: Epiphany presented more regions containing gaps between dentin and sealer (p0.05. CONCLUSIONS: The resinous primer did not improve the sealing ability of AH Plus sealer and the presence of gaps had an effect on apical microleakage for all materials.

  4. Apical root-end filling with tricalcium silicate-based cement in a patient with diabetes mellitus: A case report

    Directory of Open Access Journals (Sweden)

    Biočanin Vladimir

    2016-01-01

    Full Text Available Introduction. The material used for root-end filling has to be biocompatible with adjacent periapical tissue and to stimulate its regenerative processes. Tricalcium silicate cement (TSC, as a new dental material, shows good sealing properties with dentin, high compression strengths and better marginal adaptation than commonly used root-end filling materials. Although optimal postoperative healing of periapical tissues is mainly influenced by characteristics of end-root material used, it could sometimes be affected by the influence of systemic diseases, such as diabetes mellitus (DM. Case report. We presented apical healing of the upper central incisor, retrofilled with TSC, in a diabetic patient (type 2 DM with peripheral neuropathy. Standard root-end resection of upper central incisor was accompanied by retropreparation using ultrasonic retrotips to the depth of 3 mm and retrofilling with TSC. Post-operatively, the surgical wound healed uneventfully. However, the patient reported undefined dull pain in the operated area that could possibly be attributed to undiagnosed intraoral diabetic peripheral neuropathy, what was evaluated clinically. Conclusion. Although TSC presents a suitable material for apical root-end filling in the treatment of chronic periradicular lesions a possible presence of systemic diseases, like type 2 DM, has to be considered in the treatment outcome estimation.

  5. Clinical results with two different methods of root-end preparation and filling in apical surgery: mineral trioxide aggregate and adhesive resin composite

    DEFF Research Database (Denmark)

    von Arx, Thomas; Hänni, Stefan; Jensen, Simon Storgård

    2010-01-01

    The aim of apical surgery is to hermetically seal the root canal system after root-end resection, thereby enabling periradicular healing. The objective of this nonrandomized prospective clinical study was to report results of 2 different root-end preparation and filling methods, ie, mineral triox...... trioxide aggregate (MTA) and an adhesive resin composite (Retroplast)....

  6. 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.

  7. Apical microleakage of different root canal sealers after use of maleic acid and EDTA as final irrigants.

    Science.gov (United States)

    Ulusoy, Ozgür Ilke; Nayir, Yelda; Celik, Kezban; Yaman, Sis Darendeliler

    2014-01-01

    This study aimed to compare the effects of ethylenediaminetetraacetic acid (EDTA) and maleic acid (MA) on the sealing ability of various root canal sealers. Eighty root canals were instrumented and irrigated with either EDTA or MA. They were divided into eight experimental groups and obturated as follows: Group 1: MA + Hybrid Root SEAL/gutta-percha. Group 2: EDTA + Hybrid Root SEAL/gutta-percha. Group 3: MA + iRoot SP/gutta-percha. Group 4: EDTA + iRoot SP/gutta-percha. Group 5: MA + EndoREZ/EndoREZ points. Group 6: EDTA + EndoREZ/EndoREZ points. Group 7: MA + AH Plus/gutta-percha. Group 8: EDTA + AH Plus/gutta-percha. Another ten roots were used as negative and positive controls. The microleakage of each sample was measured at 2-min intervals for 8 min using the fluid filtration method. Data were statistically analyzed with one-way ANOVA, post-hoc Tukey, and paired-samples t tests. The minimum microleakage values were obtained from the teeth obturated with AH Plus and EndoREZ selaers (p EDTA in terms of microleakage (p EDTA. The type of final irrigation solution seems to influence the postobturation apical seal. Use of AH Plus and EndoREZ sealers showed better sealing ability compared with IRoot SP and Hybrid Root SEAL.

  8. Radiographic evaluation of apical deviation of curved root canals after the use of manual and rotary instrumentation

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    Lais Bittencourt PIRES

    2009-09-01

    Full Text Available Preparation of root canal is notable because it is responsible for the cleaning and disinfection of the canal system and for the modeling that will allow adequate accommodation of filling material, favoring the endodontic sealing. Objective: The objective of this research was to study the occurrence of the apical deviation ofcurved root canals instrumented with a manual technique and tworotary systems (Profile and Race. Material and methods: Thirty mesiovestibular canals of inferior molars were used; they were divided into three groups and instrumented with the mixed technique defended by Holland et al. (1991, with the Profile system and with the Race system. For the evaluation of apical deviation the radiographic platform method developed by Sydney et al. (1991 was used, which allows to obtain overlapped images of the first and the last instrument used in the root canal preparation in the same x-ray. Results: The analysis of the results showed that there is no statistically significant difference among the three groups in their relation to the amount of deviated canals; however, when the quality of the deviation is evaluated, there is a significant difference only between group 1 (manual technique and group 2 (Profile system. Conclusion: When the deviation occurred, it was ignificantlysmaller in the group instrumented with the Profile system.

  9. The Hidden Treasure in Apical Papilla: The Potential Role in Pulp/Dentin Regeneration and BioRoot Engineering

    Science.gov (United States)

    Huang, George T.-J.; Sonoyama, Wataru; Liu, Yi; Liu, He; Wang, Songlin; Shi, Songtao

    2009-01-01

    Some clinical case reports have shown that immature permanent teeth with periradicular periodontitis or abscess can undergo apexogenesis after conservative endodontic treatment. A call for a paradigm shift and new protocol for the clinical management of these cases has been brought to attention. Concomitantly, a new population of mesenchymal stem cells residing in the apical papilla of permanent immature teeth recently has been discovered and was termed stem cells from the apical papilla (SCAP). These stem cells appear to be the source of odontoblasts that are responsible for the formation of root dentin. Conservation of these stem cells when treating immature teeth may allow continuous formation of the root to completion. This article reviews current findings on the isolation and characterization of these stem cells. The potential role of these stem cells in the following respects will be discussed: (1) their contribution in continued root maturation in endodontically treated immature teeth with periradicular periodontitis or abscess and (2) their potential utilization for pulp/dentin regeneration and bioroot engineering. PMID:18498881

  10. Cone-beam computed tomography analysis of the apical third of curved roots after mechanical preparation with different automated systems

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Cesar Augusto Pereira; Pascoalato, Cristina [University of Southern Santa Catarina (UNISUL), Tubarao, SC (Brazil); Meurer, Maria Ines [Federal University of Santa Catarina (UFSC), Florianopolis, SC (Brazil); Silva, Silvio Rocha Correa, E-mail: silvio@foar.unesp.b [Sao Paulo State University (UNESP), Araraquara, SP (Brazil)

    2009-07-01

    The present study evaluated by cone-beam computed tomography (CBCT) the apical canal transportation and centralizing ability of different automated systems after root canal preparation. The mesiobuccal canals of maxillary first molars (n=10 per group) were prepared with: GI - reciprocating system with K-Flexofile; GII - reciprocating system with NiTiFlex files; GIII - rotary system with K3 instruments; GIV - rotary system with RaCe instruments. CBCT scans were taken before and after biomechanical preparation up to a 40.02 diameter. Canal transportation was determined by measuring the smallest distance between the inner canal walls and the mesial and distal sides of the root. The centralization ability corresponded to the difference between the measurements from transportation evaluation, using the linear voxel to voxel method of analysis. The mean transportation was 0.06 +- 0.14 mm, with a tendency to deviate to the mesial side of the root (n=22), with no statistically significant difference among the groups (p=0.4153). The mean centralization index was 0.15 +- 0.65 also without statistically significant difference among the groups (p=0.0881). It may be concluded that apical canal transportation and centralization ability were not influenced by the type of mechanical movement and instruments used. (author)

  11. Transportation of apical root canal after removal of calcium hydroxide when used as an intracanal medicament: An in vitro evaluation

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    Nurul-Ameen Inamdar

    2013-01-01

    Full Text Available Aim: To evaluate the incidence of apical root canal transportation after the removal of calcium hydroxide in straight and curved canals. Materials and Methods: Twenty maxillary central incisors (Group A and twenty mandibular molars (Group B, mesiobuccal canal were instrumented to the working length using #15 to #45 K-file and # 15 to #30 K-file, respectively. Post instrumentation digital images were taken with the corresponding final file inserted into the canal to the working length. The root canals were then filled with Calcium hydroxide paste using Lentulo spirals and the teeth incubated at 37°C for seven days. The calcium hydroxide paste was then removed up to the working length using a #45 file for group A and a pre curved #30 file for group B. Final digital images were taken with the file inserted into the canal to the working length. Post instrumentation and final digital images were superimposed to evaluate the incidence of transportation. Result: In Group A, no transportation was detected, whereas in Group B, 8 out of 20 canals showed apical transportation. Statistically significant differences were observed between Groups A and B ( P <0.05. Conclusion: Care should be taken when removing the calcium hydroxide paste from curved root canals to avoid transportation.

  12. In vitro Comparison of Apical Debris Extrusion Using Rotary and Reciprocating Systems in Severely Curved Root Canals

    Science.gov (United States)

    Delvarani, Abbas; Mohammadzadeh Akhlaghi, Nahid; Aminirad, Raana; Tour Savadkouhi, Sohrab; Vahdati, Seyed Aliakbar

    2017-01-01

    Introduction: The aim of this in vitro study was to compare the amount of apically extruded debris after root canal preparation using rotary and reciprocating systems in severely curved root canals. Methods and Materials: Thirty six extracted human mandibular first molars with 25-35° curvature in their mesiobuccal (MB) canal (according to Schneider’s method) were cleaned and shaped with ProTaper and WaveOne systems. The extruded debris was collected and their net weight was calculated. To compare the efficiency of the two systems, the operation time was also measured. The data were analyzed with t-test. Results: The amount of extruded debris in WaveOne group was significantly greater in comparison with ProTaper group (26%). The operating time for ProTaper was however, significantly longer than WaveOne. Conclusion: Both root preparation systems caused some degree of debris extrusion through the apical foramen. However, this amount was greater in WaveOne instruments. PMID:28179921

  13. Eficacia clínica del localizador apical electrónico YC-RAF-1 Root Apex Finder.

    OpenAIRE

    Olmos Fassi, Jorge; Garcia Rusco, Ana; Dilascio, María J.; Urmendiz Villamil, Guillermo

    2008-01-01

    Objetivo: El propósito de este trabajo fue comparar “in vivo” la eficacia del localizador apical electrónico YC-RAF-1 Root apex finder (Shanghai Yicheng Industrial Co.,LTD) con la técnica radiográfica convencional utilizando como irrigante clorhexidina 2%. Materiales y método: Se realizaron registros de 39 conductos radiculares pertenecientes a 20 pacientes tratados en la clínica de postgrado de la Carrera de Especialización en Endodoncia de la FOUNT en el año 2007. En cada element...

  14. Transposon-mediated alteration of TaMATE1B expression in wheat confers constitutive citrate efflux from root apices.

    Science.gov (United States)

    Tovkach, Andriy; Ryan, Peter R; Richardson, Alan E; Lewis, David C; Rathjen, Tina M; Ramesh, Sunita; Tyerman, Stephen D; Delhaize, Emmanuel

    2013-02-01

    The TaMATE1B gene (for multidrug and toxic compound extrusion) from wheat (Triticum aestivum) was isolated and shown to encode a citrate transporter that is located on the plasma membrane. TaMATE1B expression in roots was induced by iron deficiency but not by phosphorus deficiency or aluminum treatment. The coding region of TaMATE1B was identical in a genotype showing citrate efflux from root apices (cv Carazinho) to one that lacked citrate efflux (cv Egret). However, sequence upstream of the coding region differed between these two genotypes in two ways. The first difference was a single-nucleotide polymorphism located approximately 2 kb upstream from the start codon in cv Egret. The second difference was an 11.1-kb transposon-like element located 25 bp upstream of the start codon in cv Carazinho that was absent from cv Egret. The influence of these polymorphisms on TaMATE1B expression was investigated using fusions to green fluorescent protein expressed in transgenic lines of rice (Oryza sativa). Fluorescence measurements in roots of rice indicated that 1.5- and 2.3-kb regions upstream of TaMATE1B in cv Carazinho (which incorporated 3' regions of the transposon-like element) generated 20-fold greater expression in the apical 1 mm of root compared with the native promoter in cv Egret. By contrast, fluorescence in more mature tissues was similar in both cultivars. The presence of the single-nucleotide polymorphism alone consistently generated 2-fold greater fluorescence than the cv Egret promoter. We conclude that the transposon-like element in cv Carazinho extends TaMATE1B expression to the root apex, where it confers citrate efflux and enhanced aluminum tolerance.

  15. Apical microleakage of different root canal sealers after use of maleic acid and EDTA as final irrigants

    Directory of Open Access Journals (Sweden)

    Özgür İlke ULUSOY

    2014-01-01

    Full Text Available This study aimed to compare the effects of ethylenediaminetetraacetic acid (EDTA and maleic acid (MA on the sealing ability of various root canal sealers. Eighty root canals were instrumented and irrigated with either EDTA or MA. They were divided into eight experimental groups and obturated as follows: Group 1: MA + Hybrid Root SEAL/gutta-percha. Group 2: EDTA + Hybrid Root SEAL/gutta-percha. Group 3: MA + iRoot SP/gutta-percha. Group 4: EDTA + iRoot SP/gutta-percha. Group 5: MA + EndoREZ/EndoREZ points. Group 6: EDTA + EndoREZ/EndoREZ points. Group 7: MA + AH Plus/gutta-percha. Group 8: EDTA + AH Plus/gutta-percha. Another ten roots were used as negative and positive controls. The microleakage of each sample was measured at 2-min intervals for 8 min using the fluid filtration method. Data were statistically analyzed with one-way ANOVA, post-hoc Tukey, and paired-samples t tests. The minimum microleakage values were obtained from the teeth obturated with AH Plus and EndoREZ selaers (p < 0.001. The samples with Hybrid Root SEAL showed the maximum leakage (p < 0.001. There were significant differences between the groups irrigated with MA or EDTA in terms of microleakage (p < 0.05. Use of MA resulted in higher microleakage values compared with those using EDTA. The type of final irrigation solution seems to influence the postobturation apical seal. Use of AH Plus and EndoREZ sealers showed better sealing ability compared with IRoot SP and Hybrid Root SEAL.

  16. A dynamic genetic-hormonal regulatory network model explains multiple cellular behaviors of the root apical meristem of Arabidopsis thaliana.

    Science.gov (United States)

    García-Gómez, Mónica L; Azpeitia, Eugenio; Álvarez-Buylla, Elena R

    2017-04-01

    The study of the concerted action of hormones and transcription factors is fundamental to understand cell differentiation and pattern formation during organ development. The root apical meristem of Arabidopsis thaliana is a useful model to address this. It has a stem cell niche near its tip conformed of a quiescent organizer and stem or initial cells around it, then a proliferation domain followed by a transition domain, where cells diminish division rate before transiting to the elongation zone; here, cells grow anisotropically prior to their final differentiation towards the plant base. A minimal model of the gene regulatory network that underlies cell-fate specification and patterning at the root stem cell niche was proposed before. In this study, we update and couple such network with both the auxin and cytokinin hormone signaling pathways to address how they collectively give rise to attractors that correspond to the genetic and hormonal activity profiles that are characteristic of different cell types along A. thaliana root apical meristem. We used a Boolean model of the genetic-hormonal regulatory network to integrate known and predicted regulatory interactions into alternative models. Our analyses show that, after adding some putative missing interactions, the model includes the necessary and sufficient components and regulatory interactions to recover attractors characteristic of the root cell types, including the auxin and cytokinin activity profiles that correlate with different cellular behaviors along the root apical meristem. Furthermore, the model predicts the existence of activity configurations that could correspond to the transition domain. The model also provides a possible explanation for apparently paradoxical cellular behaviors in the root meristem. For example, how auxin may induce and at the same time inhibit WOX5 expression. According to the model proposed here the hormonal regulation of WOX5 might depend on the cell type. Our results

  17. Ultrasonic root-end preparation in apical surgery : a prospective randomized study

    NARCIS (Netherlands)

    de Lange, Jan; Putters, Thomas; Baas, Erik M.; van Ingen, Johan M.

    2007-01-01

    Objective. The purpose of this study was to evaluate the potential benefit of an ultrasonic device in apical surgery on the outcome of treatment. Study design. A randomized prospective design was used in a standardized treatment protocol. Patients were allocated to treatment with an ultrasonic devic

  18. Microbiological evaluation of different irrigation protocols on root canal disinfection in teeth with apical periodontitis: an in vivo study.

    Science.gov (United States)

    Cohenca, Nestor; Silva, Lea Assed Bezerra; Silva, Raquel Assed Bezerra; Nelson-Filho, Paulo; Heilborn, Carlos; Watanabe, Evandro; Saraiva, Maria Conceição Pereira

    2013-01-01

    The present in vivo study was designed to evaluate the efficacy of apical negative pressure irrigation (ANP), passive ultrasonic irrigation (PUI) and positive pressure irrigation (PP) in the reduction of intracanal bacteria of dogs' teeth with pulp necrosis and apical periodontitis. Eighty root canals were randomly distributed into 3 experimental and 2 control groups according to the irrigation delivery system: group ANP (n=20), group PUI (n=20), group PP (n=20), group PC (positive control - sterile saline irrigation; n=10) and group NC (negative control - vital pulps not subjected to bacterial inoculation; n=10). The first sample (S1) was collected at baseline, and the second sample (S2) was collected after the disinfection protocols. All samples were seeded in culture media for anaerobic bacteria. CFU counts were analyzed statistically by the Kruskal-Wallis, Dwass-Steel-Critchlow-Fligner post-hoc and Chi-square followed by Tukey like multiple comparisons for proportions (α=0.05). All experimental groups were effective in reducing Gram-positive bacteria compared with PC (p0.05). In dog's teeth with apical periodontitis, the use of ANP and PUI can be considered promising disinfection protocols as both delivery systems promoted a significant bacterial reduction.

  19. Comparative micro-computed tomography evaluation of apical root canal transportation with the use of ProTaper, RaCe and Safesider systems in human teeth.

    Science.gov (United States)

    Ceyhanli, Kadir T; Erdilek, Necdet; Tatar, Ilkan; Cetintav, Bekir

    2014-04-01

    The aim of this study was to compare apical centring ability of nickel titanium (NiTi) ProTaper, RaCe and mainly stainless steel Safesider systems using micro-computed tomography. Thirty freshly extracted mandibular molars with two separate mesial canals and separate foramina were used for the study. Mesial roots were embedded in acrylic resin and instrumented with the ProTaper, RaCe or Safesider systems. Root canal transportation and centring ability of the instruments were evaluated using superimposed micro-computed tomography images of the apical 4 mm of the roots taken at 1 mm intervals. One-way analysis of variance and post hoc Tukey's tests were performed to compare apical transportations. Significant differences were observed between groups at the apical 1, 2 and 3 mm levels (P ProTaper instruments caused more apical root canal transportation than did RaCe instruments at apical 3 mm (P = 0.045). NiTi instrumentation systems showed better centring ability than the mainly stainless steel Safesider system because of the flexible structure of the NiTi alloy.

  20. Organization of the root apical meristem in Linum usitatissimum L. grown at 25°C and 7°C

    Directory of Open Access Journals (Sweden)

    A. Kadej

    2015-01-01

    Full Text Available In the first days of intensive growth of the Linum usitatissimum root, the central part of the apical meristem exhibits usually a 4-tier organization. When growth ceases reorganization of the cell arrangement occurs. It starts by periclinal division of the subprotodermal initials, whose derivatives are forming the secondary columella in the central part of the root cap.

  1. The influence of volume, type of irrigant and flushing method on removing artificially placed dentine debris from the apical root canal during passive ultrasonic irrigation

    NARCIS (Netherlands)

    van Der Sluis, LWM; Gambarini, G; Wu, MK; Wesselink, PR

    2006-01-01

    Aim To determine the influence of volume, irrigant and method of flushing on the removal of artificially-placed dentine debris from the apical part of root canals during passive ultrasonic irrigation. Methodolgy Access cavities were prepared in 15 canine teeth and their root canals instrumented to s

  2. Assessment of apical seal obtained after irrigation of root end cavity with MTAD followed by subsequent retrofilling with MTA and Biodentine: An in vitro study.

    Science.gov (United States)

    Naik, Mayuri Mohan; de Ataide, Ida de Noronha; Fernandes, Marina; Lambor, Rajan

    2015-01-01

    The present study is designed to assess the apical seal obtained after root end cavity irrigation with MTAD and retrograde filling with mineral trioxide aggregate (MTA) and Biodentine. Sixty extracted maxillary central incisors were instrumented and obturated. Apical 3 mm of all the roots were resected and retrograde preparations of 3 mm were made in all the teeth using ultrasonic tips. Thirty root end preparations were irrigated with MTAD for 5 min (Group 1), while 30 were irrigated with saline for 5 min (Group 2). Each main group was subdivided into two subgroups containing 15 samples each. Samples under each subgroup were then filled either with MTA (1A and 2A) or Biodentine (1B and 2B). The amount of microleakage was assessed using a UV spectrophotometer. Statistical analysis suggest a significant difference (P Biodentine, but it increased the microleakage in MTA-filled root end cavities. Also the apical seal obtained with Biodentine was superior to that obtained with MTA.

  3. Case report: endodontic and surgical treatment of an upper central incisor with external root resorption and radicular cyst following a traumatic tooth avulsion.

    Science.gov (United States)

    Lux, Hans-Christian; Goetz, Falko; Hellwig, Elmar

    2010-11-01

    In the age group between 6 and 12 years, trauma to the upper incisors happens frequently. In the case of avulsion, a replantation is the state-of-the-art treatment; however, it may lead to several complications, particularly if suitable posttraumatic management is not carried out. External cervical resorptions as well as apical granuloma and cysts due to microbial contamination of the root canal are common complications. In the presented trauma case, a conservative approach was chosen to treat a large cystic lesion combined with cervical and apical resorptions. After initial placement of Ledermix and calcium hydroxide into the root canal, a marsupialization with the temporary insertion of an obturator was performed. The gradual reduction led to a fast recovery of the bony defect and a root canal filling was placed. The 2-year follow-up showed an improved condition. All adjacent teeth remained vital during the course of the treatment.

  4. Effect of glide path and apical preparation size on the incidence of apical crack during the canal preparation using Reciproc, WaveOne, and ProTaper Next systems in curved root canals: A stereomicroscope study.

    Science.gov (United States)

    Topçuoğlu, Hüseyin Sinan; Düzgün, Salih; Akpek, Firdevs; Topçuoğlu, Gamze

    2016-11-01

    This study evaluated the effect of creating a glide path and apical preparation size on the incidence of apical cracks during canal preparation in mandibular molar teeth with curved canals. One hundred and forty extracted teeth were used. The teeth were randomly assigned to one control group or six experimental groups (n = 20 per group) for canal preparation. No preparation was performed on teeth in the control group. In three of the six experimental groups, a glide path was not created; a glide path was created on the curved mesial canals of all teeth in the remaining three experimental groups. All teeth in experimental groups were then instrumented with the following systems: Reciproc, WaveOne (WO), and ProTaper Next (PTN). Digital images of the apical root surfaces of these teeth were recorded before preparation, after instrumentation with size 25 files, and after instrumentation with size 40 files. The images were then inspected for the presence of any new apical cracks and propagation. There was no significant difference between the experimental groups during canal preparation using size 25 files (p > 0.05). Reciproc and WO caused more new apical cracks than did PTN during canal preparation using size 40 files (p canal preparation using size 40 files did not cause propagation of existing cracks (p > 0.05). Performing a glide path prior to canal preparation did not change the incidence of apical crack during preparation. Additionally, increasing apical preparation size may increase the incidence of apical crack during canal preparation. SCANNING 38:585-590, 2016. © 2016 Wiley Periodicals, Inc. © Wiley Periodicals, Inc.

  5. Apical sealing ability of two novel root canal sealers: An ex-vivo study

    Directory of Open Access Journals (Sweden)

    Priyanka Setia

    2013-01-01

    Full Text Available Objective: The objective was to compare the sealing ability of two root canal sealers viz.: Hybrid Root SEAL (Sun Medical, Tokyo, Japan and iRoot SP (Innovative BioCeramix Inc., Vancouver, Canada. Materials and Methods: A sample of 60 permanent single rooted, human maxillary central incisors of similar sizes was selected for the study. The teeth were decoronated and randomly divided into two groups viz.: Group A and Group B, comprising of thirty teeth each. In Group A, Hybrid Root SEAL and Group B, iRoot SP were used as root canal sealers along with Gutta-percha cones using lateral condensation technique to obturate the canals. After obturation roots were covered with nail paint except 2.0 mm of root and stored in 0.5% methylene blue dye for 1 week. The teeth were immersed in 10 ml of 65% nitric acid for complete dissolution and subsequently subjected to UV spectrophotometer to quantify the concentration of the dye in each sample. The data were analyzed using the unpaired t-test. Results: The mean dye leakage value in Group B (0.368 was less as compared to Group A (0.408. However, statistically the difference was nonsignificant (P = 0.053. Conclusion: There was no statistically significant difference among the two groups.

  6. Regions of differential cell elongation and mitosis, and root meristem morphology in different tissues of geotropically stimulated maize root apices

    Energy Technology Data Exchange (ETDEWEB)

    Shen-Miller, J.; McNitt, R.E.; Wojciechowski, M.

    1978-01-01

    We examined cell length, mitosis, and root meristem ''cuticle'' in different tissues of geostimulated, red light-exposed pimary roots on corn (Zea Mays, Wisconsin hybrid 64A x 22R). The examination was done at 15-minute intervals for a period of 240 minutes. Differences in cell elongation between the upper and lower sides were most prominent between 1.5 and 2.5 mm from the root meristem; the outer cortex had the greatest elongation growth, and the upper cells showed a significant increase in length compared to the lower. A differential mitosis was also found, with the lower tissue being greater. We infer that the mitotic activity is indicative of cell division, and this division occurs strictly in the first 1.5 mm of the root meristem. The combined effect of differential cell elongation and cell division results in the localization of the geotropic curvature in the 1.5- to 2.5-mm region from the root meristem. Mitosis that occurs primarily in the cortex and stele were asynchronous; the peak of cortical division preceded that of the stele. Both peaks occurred before the peak of geotropism. A densely stained layer separates the cap from the root meristem. This layer is thinner at the apex of the root meristem. The area of the thin region increased with time and peaked at 180 minutes after geostimulation, which was coincidental with the peak of the geotropic response.

  7. Evaluation of apical deviation in root canals instrumented with K3 and ProTaper systems Avaliação do desvio apical em canais instrumentados pelos sistemas K3 e ProTaper

    Directory of Open Access Journals (Sweden)

    Mariana Diniz Bisi dos Santos

    2006-12-01

    Full Text Available OBJECTIVES: this study evaluated the apical deviation of curved root canals instrumented with K3 and ProTaper systems. MATERIAL AND METHODS: twenty root canals of human maxillary and mandibular first molars were employed, which were divided into 2 groups: group A (10 teeth was instrumented with the K3 system, and group B (10 teeth with the ProTaper system. Evaluation of deviation was performed by double radiographic exposure. Radiographs were achieved before and after instrumentation, with 0.3-second, thus allowing superimposition of images. Three-dimensional computerized tomograph was performed in 3 specimens in each group, as an additional means to evaluate the apical deviation. RESULTS: were evaluated by the parametric test Student-Newman-Keuls at 5%, which did not reveal significance between groups concerning the apical deviation. The results of computerized tomograph images demonstrated that the larger deviation of the root canal occurred at the distolingual area for both systems. CONCLUSIONS: both techniques produced a mild apical deviation. Computerized microtomography was shown to be accurate for experimental endodontics studies.OBJETIVOS: avaliar o desvio apical de canais radiculares curvos instrumentados pelos sistemas K3 e ProTaper. MATERIAIS E MÉTODOS: foram utilizados 20 canais radiculares de primeiros molares superiores e inferiores humanos, os quais foram divididos em 2 grupos, o grupo A (10 dentes foi instrumentado pelo sistema K3 e o grupo B (10 dentes com o sistema ProTaper, a forma de avaliação do desvio foi a dupla exposição radiográfica. As tomadas radiográficas foram feitas antes e após a instrumentação, com um tempo de 0,3 segundos em cada exposição, ocorrendo assim, sobreposição das imagens. Em 3 espécimes, de cada grupo, foi realizada a tomografia computadorizada tridimensional, como forma adicional de avaliar o desvio apical . Os resultados obtidos foram avaliados pelo teste paramétrico Student

  8. Incisal Apical Root Resorption Evaluation after Low-Friction Orthodontic Treatment Using Two-Dimensional Radiographic Imaging and Trigonometric Correction

    Science.gov (United States)

    Bonetti, Stefano; Dalessandri, Domenico; Mandelli, Gualtiero; Paganelli, Corrado

    2015-01-01

    Background Root resorption shall be taken into consideration during every orthodontic treatment, and it can be effected by the use of different techniques, such as the application of low friction mechanics. However, its routinely assessment on orthopantomography has limitations related to distortions and changes in dental inclination. Aim The aim of this investigation was to evaluate the severity of apical root resorption of maxillary and mandibular incisors after low-friction orthodontic treatment, using the combination of panoramic and lateral radiographs, and applying a trigonometric correction. Settings and Design A hospital based Retrospective study at the orthodontic Department (Dental School, University of Brescia, Spedali Civili di Brescia, Brescia, Italy). Materials and Methods Ninety-three subjects (53 females and 40 males; mean age, 14 years) with mild teeth crowding were treated without extractions by the same operator using a low-friction fixed appliance following an integrated straight wire (ISW) protocol. The pre- and post-treatment tooth lengths of the maxillary and mandibular incisors were measured on panoramic radiographs. A trigonometric factor of correction for the pre-treatment length was calculated based on the difference between the pre and post-treatment incisal inclination on lateral cephalograms. Statistical Analysis The changes in lengths were investigated using the Student’s t-test for paired values (pincisors showed no changes (0.3%, 0.6%), maxillary lateral incisors showed a small increase (1.4%, 1.8%) that was attributed to the completion of root development in younger patients, mandibular central and lateral incisors underwent slight resorption (-3.1%, -3.4%). A statistically significant difference was found for the mandibular incisors but not for the maxillary ones. Conclusion In patients with mild crowding and consequent low amount of root movement, a low-friction orthodontic treatment can lead to slight apical root resorption

  9. "In vitro" evaluation of the apical sealing of root canals obturated with different techniques Avaliação "in vitro" do selamento apical dos canais radiculares em função de diferentes técnicas de obturação

    Directory of Open Access Journals (Sweden)

    Viviane Haiub Brosco

    2003-09-01

    Full Text Available The purpose of this study was to compare the apical sealing of root canals obturated with different techniques. One hundred-six human mandibular incisors were submitted to instrumentation by means of the step-back technique. After instrumentation, one hundred teeth received an impermeable coating on the external surfaces of the crown and root (except for the area nearby the apical foramen. Afterwards, they were divided in five groups containing twenty elements each, according to the obturation technique employed: 1. lateral condensation with Kerr file; 2. continuous wave of condensation technique with System B; 3. thermoplasticized injectable gutta-percha technique with the Ultrafil system; 4. mechanically thermoplasticized gutta-percha with the JS Quick-Fill system and 5. thermoplasticized gutta-percha associated to a master cone with the Microseal system. The six remaining teeth were employed as negative and positive controls. After obturation, the access cavities were sealed and the teeth were immersed in aqueous 2% methylene blue dye for 72 hours at 37ºC. After that, the teeth were longitudinally sectioned and the apical microleakage was evaluated in a stereomicroscope. The Microseal system presented the best apical sealing ability, followed by System B, JS Quick-Fill, Ultrafil and the lateral condensation technique. The statistical analysis of the results demonstrated that: 1. the Microseal system presented an apical sealing similar to System B and better than the other groups; 2. System B presented better apical sealing than the lateral condensation technique, being similar to the other groups; and 3. the lateral condensation, Ultrafil and JS Quick-Fill groups demonstrated similar sealing ability.Este estudo teve como objetivo avaliar o selamento apical de canais radiculares obturados por diferentes técnicas. Cento e seis incisivos inferiores humanos tiveram seus canais instrumentados através da técnica escalonada regressiva. Após a

  10. A micro-computed tomography study of the negotiation and anatomical feature in apical root canal of mandibular molars.

    Science.gov (United States)

    Min, Yi; Ma, Jing-Zhi; Shen, Ya; Cheung, Gary Shun-Pan; Gao, Yuan

    2016-11-01

    The aim of this study was to investigate the clinical negotiation of various apical anatomic features of the mandibular first molars in a Chinese population using micro-computed tomography (micro-CT). A total of 152 mandibular first molars were scanned with micro-CT at 30 µm resolution. The apical 5 mm of root canal (ARC) was reconstructed three dimensionally and classified. Subsequently, the access cavity was prepared with the ARC anatomy blinded to the operator. The ARC was negotiated with a size 10 K file with or without precurve. Information on the ability to obtain a reproducible glide path was recorded. The anatomical classification of ARC was Type I with 68.45% in mandibular first molars. The negotiation result of ARC with Category i was 387 canals (74.00%). With a bent negotiating file, 96 canals were negotiated, including 88 reproducible glide paths (Category ii) and 8 irregular glide paths (Category iii). About 7.65% canals could not be negotiated with patency successfully (Category iv). The statistical analyze shown the anatomic feature of ARC had effect on the negotiation of ARC (p negotiation. The category of negotiation in ARC would be helpful in the using of NiTi rotary instruments. Negotiation of ARC to the working length with patency should be careful and skillful because of the complexities of ARC. SCANNING 38:819-824, 2016. © 2016 Wiley Periodicals, Inc.

  11. Microscopic cleanliness evaluation of the apical root canal after using calcium hydroxide mixed with chlorhexidine, propylene glycol, or antibiotic paste.

    Science.gov (United States)

    da Silva, Juliana M; Andrade Junior, Carlos V; Zaia, Alexandre A; Pessoa, Oscar F

    2011-02-01

    This study evaluated cleaning of the dentinal wall after removal of different calcium hydroxide pastes. Sixty-eight single-rooted teeth were prepared using the step-back technique and randomly divided into 4 groups according to medication used: Ca(OH)2 with 0.2% chlorhexidine solution (Group 1), Ca(OH)2 with propylene glycol (Group 2), Ca(OH)2 with antibiotic paste (ciprofloxacin, metronidazole) and distilled water (Group 3), and Ca(OH)2 with antibiotic paste and propylene glycol (Group 4). The samples were stored at 37 °C and 100% relative humidity for 21 days. The medicaments were removed using 5 mL 1% NaOCl, instrumentation with master apical file, 5 mL 1% NaOCl, patency with the K-file #10, ultrasonic instrumentation, and 10 mL 17% EDTA-T. The specimens were analyzed using scanning electron microscopy and chemical analysis. The Kruskal-Wallis (α = 5%) test showed that were no differences between the experimental groups when comparing Ca(OH)2 removal (P = .0951). The chi-square test (α = 5%) indicated a predominance of Ca(OH)2 obstructing dental tubules in all groups. On the basis of the methodology applied, it was concluded that the apical dentine surface remained equally covered by Ca(OH)2, regardless of the vehicle used.

  12. [Apical thickness of root fillings in upper premolars. A comparison of orthograde-filled, apicoectomized and retrograde-filled teeth].

    Science.gov (United States)

    Reister, Jan Philip; Staribratova-Reister, Kamelia; Kielbassa, Andrej M

    2002-01-01

    The objective of this study was to compare the apical leakage in root canal filled, apicectomised and retrogradely filled maxillary single rooted premolars with two canals of type II configuration. For this purpose the root canals of 51 maxillary type II premolars were shaped to size ISO #55, followed by a step-back preparation to size ISO #80. Subsequently, all teeth were obturated by means of lateral condensation and randomly divided into three groups, 17 teeth each. Group I was used as a control, whereas in group II and III an apicoectomy was performed. Retrograde glass ionomer restorations (Ketac Fil) were placed additionally in group III. The specimens were exposed to methylene blue for 24 hours, then cross-sectioned, and the deepness of dye penetration was measured. Data were analyzed and tested for significant differences between the various groups (Mann-Whitney test; alpha = 0.05). The teeth in group II showed the lowest mean dye penetration. The differences were statistically significant, if compared to group I (p canals, the mean dye penetration was higher (3,557 microns +/- 1,337 microns) than in teeth without lateral canals (3,096 microns +/- 1,931 microns). The teeth in group III showed a circular dye penetration in nearly all cases. For clinical purposes, the application of retrograde glass ionomer fillings must be considered very critically.

  13. Comparison of Quick-Set and mineral trioxide aggregate root-end fillings for the regeneration of apical tissues in dogs.

    Science.gov (United States)

    Kohout, George D; He, Jianing; Primus, Carolyn M; Opperman, Lynne A; Woodmansey, Karl F

    2015-02-01

    Quick-Set (Avalon Biomed Inc, Bradenton, FL) is a calcium aluminosilicate cement that is a potential alternative to mineral trioxide aggregate (MTA) with greater acid resistance and faster setting. The purpose of this study was to compare the regeneration of apical tissues after root-end surgery when the apical tissues were exposed to Quick-Set or White ProRoot MTA (Dentsply Tulsa Dental Specialties, Tulsa, OK) by root-end resection. The root canals of 42 mandibular premolars in 7 beagle dogs were accessed, cleaned and shaped, and obturated with Quick-Set or white MTA. Osteotomies and root-end resections were performed immediately. The dogs were sacrificed at 90 days, and the teeth and surrounding tissues were removed and prepared for histologic analysis. The sections of the apical areas were scored for inflammation, new cementum formation, periodontal ligament formation, and bone quality. At 90 days, both materials supported some degree of cementum formation on the surface of the material, periodontal ligament regeneration, and excellent bone quality. The only significant difference was greater inflammation found in the Quick-Set group. Quick-Set and White ProRoot MTA had a similar effect on bone quality, cementum formation, and periodontal ligament formation after root-end surgery in dogs. Quick-Set was associated with greater inflammation. Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  14. Effects of intrusion combined with anterior retraction on apical root resorption.

    Science.gov (United States)

    Martins, Décio Rodrigues; Tibola, Douglas; Janson, Guilherme; Maria, Fábio Rogério Torres

    2012-04-01

    This study evaluated the influence of intrusion mechanics combined with anterior retraction on root resorption of the maxillary incisors. A sample of 56 patients was divided into two groups: group 1 comprised 28 patients (12 females and 16 males), presenting with an increased overjet and deep overbite (6.48 and 4.78 mm, respectively) treated with reverse curve of Spee intrusion mechanics and group 2 comprised 28 patients (12 females and 16 males) with an increased overjet of 5.67 mm and a normal overbite of 1.12 mm. The initial mean ages for groups 1 and 2 were 13.41 and 13.27 years, respectively. Pre- (T1) and post- (T2) treatment periapical radiographs were used to evaluate root resorption. The groups were compared using the Mann-Whitney U-test. Correlation between root resorption and tooth movement was investigated with Spearman's correlation coefficient. The subjects in group 1 had statistically greater root resorption (P resorption (r = 0.324 and r = 0.320, respectively). The combination of anterior retraction with intrusive mechanics causes more root resorption than anterior retraction of the maxillary incisors alone.

  15. Historical perspectives on the roots of the apical negative pressure irrigation technique in endodontics.

    Science.gov (United States)

    Gutmann, James L; Zehnder, Matthias; Levermann, Vivian Manjarres

    2014-01-01

    The removal of the infectious process caused by an abscess in the periapical tissues was a challenge to dentists in the early part of the 20th century. While they recognized the need to debride the periapical tissues, the process was slow, tedious, and often fraught with failure that resulted in tooth extraction. However, with some creative ingenuity, an irrigation-suction apparatus was developed in the 1930s that enabled rapid and thorough debridement. This appliance went through multiple developmental permutations and was successful in achieving the desired goal. Interestingly, while the purpose of this device was a controlled periapical debridement through the root canal, and not necessarily a focus on a cleaning of the intricacies of the root canal system, the basic concept purported was similar to contemporary approaches used in root canal debridement today.

  16. Repair of apical root resorption associated with periodontitis using a new intracanal medicament protocol.

    Science.gov (United States)

    Herrera, Daniel R; Herrera, Carlos M; Lima, Augusto R; Nagata, Juliana Y; Pereira, Andrea C; Silva, Emmanuel J; Soares, Adriana J; Gomes, Brenda P

    2014-12-01

    Endodontic therapy is indicated for cases of traumatic tooth dislocation associated with pulp necrosis and/or inflammatory resorption. Here we describe the management of a maxillary left lateral permanent incisor that suffered lateral luxation, leading to pulp necrosis and root resorption, in a 13-year-old boy. The traumatized tooth was treated successfully by intracanal medication with calcium hydroxide, 2% chlorhexidine gel and zinc oxide for 12 months without any need to change the dressing, followed by conventional root canal filling. The postoperative course was uneventful and a stable clinical outcome was obtained with evidence of periapical lesion repair and stabilization of the resorption process.

  17. Endodontic treatment of a C-shaped mandibular second premolar with four root canals and three apical foramina: a case report

    Directory of Open Access Journals (Sweden)

    Thikamphaa Bertrand

    2016-02-01

    Full Text Available This case report describes a unique C-shaped mandibular second premolar with four canals and three apical foramina and its endodontic management with the aid of cone-beam computer tomography (CBCT. C-shaped root canal morphology with four canals was identified under a dental operating microscope. A CBCT scan was taken to evaluate the aberrant root canal anatomy and devise a better instrumentation strategy based on the anatomy. All canals were instrumented to have a 0.05 taper using 1.0 mm step-back filing with appropriate apical sizes determined from the CBCT scan images and filled using a warm vertical compaction technique. A C-shaped mandibular second premolar with multiple canals is an anatomically rare case for clinicians, yet its endodontic treatment may require a careful instrumentation strategy due to the difficulty in disinfecting the canals in the thin root area without compromising the root structure.

  18. 莲藕顶芽繁殖育苗技术应用效果研究%Application Effects of Apical Bud Propagation Technology of Lotus Root

    Institute of Scientific and Technical Information of China (English)

    常发杰; 张锋; 王开昌

    2013-01-01

      为提升保障莲藕供给能力,节本增效,开展莲藕顶芽繁殖和整藕繁殖对产量和效益影响的对比试验。试验结果表明,自莲藕顶芽下1 cm处切下,经杀菌消毒后,移至育苗床,3周后移栽大田,通过施用有机肥和精细田间管理,其效益明显高于整身种藕常规栽培,可大幅降低种子成本,且主藕顶芽繁殖比子藕顶芽繁殖产量更高,具有较大的推广价值。%  In the paper, we studied the effects of the apical bud propagation and conventional lotus root propagation on yield and benefit of lotus root production. We cut the apical buds of lotus root 1 cm under the buds, and moved the buds to the seedling bed after sterilization and disinfection, and then transplanted the seedlings to field three weeks later. The results showed that, the yield and benefit of the apical bud propagation were obviously higher than those of the conventional lotus root propagation by applying organic fertilizers and strengthening field management, and the apical bud propagation method sharply reduced the seed cost of farmers. In addition, the propagation technology using apical buds of mother lotus root possessed higher yield than that of lateral lotus root, and the propagation technology was more worthy of wide promotion.

  19. Identification of orthodontic patients at risk of severe apical root resorption.

    NARCIS (Netherlands)

    Artun, J.; Hullenaar, R. Van 't; Doppel, D.; Kuijpers-Jagtman, A.M.

    2009-01-01

    INTRODUCTION: Current information suggests that the major variation in orthodontic root resorption can be explained by differences in individual predisposition. Our aim was therefore to test the predictive value of the amount of maxillary incisor resorption about 6 and 12 months after bracket placem

  20. Localized flux maxima of arsenic, lead, and iron around root apices in flooded lowland rice

    DEFF Research Database (Denmark)

    Williams, Paul N.; Santner, Jakob; Larsen, Morten

    2014-01-01

    In wetland-adapted plants, such as rice, it is typically root apexes, sites of rapid entry for water/nutrients, where radial oxygen losses (ROLs) are highest. Nutrient/toxic metal uptake therefore largely occurs through oxidized zones and pH microgradients. However, the processes controlling the ...

  1. Comparative Micro-computed Tomographic Evaluation of the Sealing Quality of ProRoot MTA and MTA Angelus Apical Plugs Placed with Various Techniques.

    Science.gov (United States)

    Sisli, Selen Nihal; Ozbas, Hakan

    2017-01-01

    This study compared the effects of different mixing and placement techniques on sealing of ProRoot MTA (Dentsply Maillefer, Ballaigues, Switzerland) and MTA Angelus (Soluçoes Odontologicas, Londrina, Brazil) apical plugs using micro-computed tomographic (micro-CT) imaging. Standardized divergent open apex models were created using 120 extracted maxillary incisors and divided into 8 groups (n = 15). ProRoot MTA and MTA Angelus were mixed manually or mechanically and introduced to form apical plugs by hand condensation or indirect ultrasonic activation for 10 seconds. The samples were scanned using micro-CT imaging, and volumetric analysis of the voids between the dentin walls and the apical plugs and the porosity inside MTA was performed. Irrespective of the mixing and placement techniques used, the voids between the dentin walls and the apical plugs in the MTA Angelus groups were greater than those in the ProRoot MTA groups (P MTA than combined manual mixing and hand condensation (P MTA, both mixed and placed manually, was greater than for MTA Angelus (P  .05). ProRoot MTA showed better marginal adaptation than MTA Angelus. Mechanically mixed products had better handling characteristics than the manually mixed product. Indirect ultrasonic activation did improve the adaptation of manually mixed MTA Angelus to the dentin walls. Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  2. The use of cone beam computed tomography in the diagnosis and management of internal root resorption associated with chronic apical periodontitis: a case report.

    Science.gov (United States)

    Perlea, Paula; Nistor, Cristina Coralia; Iliescu, Mihaela Georgiana; Iliescu, Alexandru Andrei

    2015-01-01

    Internal root resorption is a consequence of chronic pulp inflammation. Later on, the pulp necrosis followed by a chronic apical periodontitis is installed. Hence, usually, in clinical practice, both lesions have to be simultaneously managed. Conventional periapical radiograph is mandatory in diagnosis. Improving the diagnosis and management of both lesions, cone beam computed tomography proves to be more reliable than conventional radiography.

  3. Apical root resorption in maxillary incisors when employing micro-implant and J-hook headgear anchorage: a 4-month radiographic study.

    Science.gov (United States)

    Wang, Qingzhu; Chen, Wenjing; Smales, Roger J; Peng, Hui; Hu, Xiaokun; Yin, Lu

    2012-10-01

    This study evaluated, over a 4-month study period, the amount of apical root resorption occurring in maxillary central incisors following their retraction when employing either micro-implant or J-hook headgear anchorage. The prospective randomised clinical trial was conducted in Orthodontic Clinic, College of Stomatology, China from 2008-2009. Subjects are patients requiring fixed appliances on waiting list (n=20). In female Han Chinese patients aged from 16-26 years, standardized periapical radiographs from 10 randomly assigned patients with maxillary protrusions comprising the micro-implant group, and from 10 similar patients comprising the J-hook headgear group, were assessed for maxillary central incisor apical root resorption. Measurements before and after orthodontic therapy were also obtained from lateral cephalometric radiographs to calculate incisor horizontal retraction and vertical intrusion distances. Estimated retraction force vectors were calculated in horizontal and vertical directions for both treatment groups. Data analysis employed t-tests and the Pearson correlation test, with α=0.05 for statistical significance. The results showed that when compared with the J-hook group, significantly more apical root resorption shortening of the maxillary central incisors was observed in the micro-implant group (1.27 mm difference, 95% CI=0.70-1.84, Presorption shortening and maxillary central incisor retraction than when intermittent J-hook retraction was employed. The employment of continuous duration orthodontic forces presents a risk for increased apical root resorption that requires careful radiographic monitoring.

  4. [Cytogenetic effects of toxic metal salts on apical meristem cells of Allium cepa L. seed roots].

    Science.gov (United States)

    Dovgaliuk, A I; Kaliniak, T B; Blium, Ia B

    2001-01-01

    Comparative analysis of the influence of the salts of Cd, Pb, Ni, Al, Cu and Zn at concentrations 10(-6)-10(-3) M on cytogenetic parameters of Allium cepa apical meristem cells was carried out. It was shown that these metal compounds could induce both the clastogenic and the aneugenic effects (including mitosis and cytokinesis disturbances). Based on ability to cause the chromosome aberrations the metal salts were arranged in such row of genotoxicity: ZnSO4 > Pb(CH3COO)2 > Al(NO3)3 approximately NiSO4 > CdCl2 > CuSO4. The investigated compounds of cadmium, lead, nickel and aluminum were found to be more effective aneugens than clastogens. According to our data NiSO4 had the strongest antimitotic activity (it increased the percentage of chromosome lagging of, multipolar anaphases, C-mitoses in 69.6 times, compared to the control). The ability of other metal salts to induce such abnormalities decreased in the range: CdCl2 > Al(NO3)3 > Pb(CH3COO)2 > CuSO4 > ZnSO4. Increasing of binuclear cells on the slides was revealed after treatment by all tested substances, however Ni sulfate was found as the strongest inducer of cytokinesis abnormalities. Presented results allowed to suggest that cytoskeleton could be a cell target for salts of some metals (especially for NiSO4).

  5. Effect of the size of the apical enlargement with rotary instruments, single-cone filling, post space preparation with drills, fiber post removal, and root canal filling removal on apical crack initiation and propagation.

    Science.gov (United States)

    Çapar, İsmail Davut; Uysal, Banu; Ok, Evren; Arslan, Hakan

    2015-02-01

    The purpose of this study was to investigate the incidence of apical crack initiation and propagation in root dentin after several endodontic procedures. Sixty intact mandibular premolars were sectioned perpendicular to the long axis at 1 mm from the apex, and the apical surface was polished. Thirty teeth were left unprepared and served as a control, and the remaining 30 teeth were instrumented with ProTaper Universal instruments (Dentsply Maillefer, Ballaigues, Switzerland) up to size F5. The root canals were filled with the single-cone technique. Gutta-percha was removed with drills of the Rebilda post system (VOCO, Cuxhaven, Germany). Glass fiber-reinforced composite fiber posts were cemented using a dual-cure resin cement. The fiber posts were removed with a drill of the post system. Retreatment was completed after the removal of the gutta-percha. Crack initiation and propagation in the apical surfaces of the samples were examined with a stereomicroscope after each procedure. The absence/presence of cracks was recorded. Logistic regression was performed to analyze statistically the incidence of crack initiation and propagation with each procedure. The initiation of the first crack and crack propagation was associated with F2 and F4 instruments, respectively. The logistic regression analysis revealed that instrumentation and F2 instrument significantly affected apical crack initiation (P propagation (P = .0004). The other procedures had no significant effects on crack initiation and propagation (P > .05). Rotary nickel-titanium instrumentation had a significant effect on apical crack initiation, and post space preparation with drills had a significant impact on crack propagation. Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  6. Influence of 1-p-D-arabinofuranosylcytosine on mitotic activity of apical meristem of onion (Allium cepa L. roots

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    M. Kuraś

    2015-01-01

    Full Text Available The influence of increasing cytosine arabinoside (ara-C concentration (50, 100, 300 and 500 μg/ml on the mitotic activity of the apical meristem of onion adventitious roots was investigated during 24-h incubation in ara-C and postincubation in water. Incubation in ara-C inhibits reversibly mitosis, the degree of inhibition being dependent on the concentration used. 50 μg/ml ara-C causes only a slight and transitional mitotic depression, while 100—500 μg/ml reduces the per cent of mitoses in various degrees after 12-h incubation whereas after 24 h all concentrations (100—500 reduce mitosis to the same level of about 2 per cent (80% inhibition. During postincubation in water there occurs after treatment with 100—500 μg/ml ara-C, a wave of highly synchronized mitoses with a peak after 12 h. The highest frequency of synchronized mitoses (60°/o appeared in roots treated with 300 μg/ml ara-C. The main wave is preceded by a small one with a peak after 2-4 h of postincubation. This seems to be the consequence of phases S and G2 inhibition by ara-C. It was found that under the influence of ara-C the per cent of mitoses with chromosome aberration and of cells with micronuclei increased only slightly.

  7. Boron deficiency results in early repression of a cytokinin receptor gene and abnormal cell differentiation in the apical root meristem of Arabidopsis thaliana.

    Science.gov (United States)

    Abreu, Isidro; Poza, Laura; Bonilla, Ildefonso; Bolaños, Luis

    2014-04-01

    The development of Arabidopsis thaliana was dramatically altered within few hours following boron (B) deprivation. This effect was particularly evident in the apical root meristem. The essentiality of boron in plants has been clearly linked to its structural role in the cell wall, however the diversity and rapidity alterations of plant organogenesis when the micronutrient is absent suggest that B deficiency could also affect gene regulation during plant development. Therefore, the effect of B deficiency on cell elongation, apical root meristem cell division, and early differentiation of root tissues was investigated in A. thaliana seedlings. Dark-growth experiments indicated that hypocotyl elongation was inhibited 2 days after removing B, but apical root growth ceased almost immediately following B deprivation. Detection of cycline B1 by GUS staining of a promoter-reporter construct revealed that low B led to a reduced zone of cell division. The expression of CRE1/WOL/AHK4, encoding an integral membrane protein with histidine kinase domain that mediates cytokinin signaling and root xylem differentiation, was inhibited under B deficiency resulting in arrested xylem development at the protoxylem stage. Because the transition from cell division to cell differentiation in apical root meristems is controlled by cytokinins, this result support the hypothesis that signaling mechanisms during cell differentiation and organogenesis are highly sensitive to B deficiency, and together with previous reports that link the micronutrient with auxin or ethylene control of root architecture, suggests that B could play a role in regulation of hormone mediated early plant development signaling. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  8. Long-term evaluation of apical root resorption after orthodontic treatment using periapical radiography and cone beam computed tomography

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    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.

  9. Evaluation of Apical Leakage in Root Canals Obturated with Three Different Sealers in Presence or Absence of Smear Layer

    Science.gov (United States)

    Mokhtari, Hadi; Shahi, Shahriar; Janani, Maryam; Reyhani, Mohammad Frough; Mokhtari Zonouzi, Hamid Reza; Rahimi, Saeed; Sadr Kheradmand, Hamid Reza

    2015-01-01

    Introduction: Microleakage can result in failure of endodontic treatment. An important characteristic of endodontic sealer is sealing ability. The aim of this experimental study was to compare the apical leakage of teeth obturated with gutta-percha and three different sealers (resin- and zinc oxide eugenol-based) with/without smear layer (SL). Materials and Methods: In this study, 100 single-rooted teeth were used after cutting off their crowns. Cleaning and shaping was carried out with step-back technique and the samples were randomly divided into three groups (n=30) which were then divided into two subgroups (n=15) according to the presence/absence of SL. Two negative and positive control groups (n=5) were also prepared. In the various groups, the canals were obturated with gutta-percha and either of the test sealers (AH-26, Adseal or Endofill). The samples were submerged in India ink for 72 h. Then they were longitudinally sectioned and observed under a stereomicroscope at 20× magnification. Data were analyzed with descriptive statistical methods and one-way ANOVA. The significance level was set at 0.05. Results: The mean penetration length of dye in AH-26, Adseal and Endofill samples were 2.53, 2.76 and 3.03 mm, respectively. The differences between three groups were not significant (P>0.05); also, the mean dye penetration in AH-26, Adseal and Endofill samples in presence or absence of the SL was not significantly different. Conclusion: AH-26, Adseal and Endofill were similarly effective in prevention of apical microleakage. Differences in the mean dye penetration between the groups with/without the SL were not statistically significant. PMID:25834599

  10. The accuracy in the control of the apical extent of rotary canal instrumentation using Root ZX II and ProTaper instruments: an in vivo study.

    Science.gov (United States)

    Jakobson, Sandra Joia Mizrahi; Westphalen, Vania Portela Dietzel; da Silva Neto, Ulisses Xavier; Fariniuk, Luis Fernando; Picoli, Fábio; Carneiro, Everdan

    2008-11-01

    The accuracy of Root ZX II (J. Morita, Kyoto, Japan) to control the apical extent of rotary canal instrumentation in vivo was assessed. Twenty-four premolars with a single canal were selected. The roots were divided in two groups according to the calibration of the automatic apical reverse mechanism of Root ZX II, set at levels 1 and 2. After endodontic access, the preparation was performed with ProTaper instruments (Dentsply Maillefer, Ballaigues, Switzerland) connected to the device. Afterwards, the last file used was introduced into the canal and fixed in place with acrylic resin. The teeth were extracted and ground until exposure of the file. The distance from the instrument tip to the apical foramen was obtained. The percentage of acceptable measurements and the difference between means were submitted to statistical analysis. The differences of setting the reverse mechanism at 1 and 2 were not statistically significant. Both settings were not accurate for determining and controlling the apical extent of rotary instrumentation.

  11. Histological analysis of cleaning efficacy of hand and rotary instruments in the apical third of the root canal: A comparative study

    OpenAIRE

    Ashtha Arya; Dildeep Bali; Grewal, Mandeep S

    2011-01-01

    Aim: To compare the cleaning efficiency of manual and rotary instrumentation in the apical third of the root canal system. Materials and Methods: In group 1 (n=10), instrumentation was performed with stainless steel K-file; in group 2 (n=10), it was done with hand ProTaper files; and in group 3 (n=10), instrumentation was done with ProTaper rotary. Distilled water was used for irrigation. The apical third was sectioned transversally and histologically processed. The cross sections were ex...

  12. Análise radiográfica computadorizada da reabsorção radicular apical após a utilização de duas mecânicas ortodônticas Computer-assisted radiographic evaluation of apical root resorption following orthodontic treatment with two different fixed appliance techniques

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    Eduardo César Almada Santos

    2007-02-01

    Full Text Available OBJETIVO: a reabsorção radicular apical é uma condição comumente observada durante e após o tratamento ortodôntico e fatores como tipo de aparelhagem ortodôntica utilizada, magnitude das forças aplicadas e duração do tratamento podem estar relacionados ao processo de arredondamento do ápice radicular. Buscou-se avaliar, por meio de imagens radiográficas computadorizadas, a quantidade de reabsorção no ápice radicular, quando da utilização de duas diferentes técnicas de mecânica ortodôntica fixa: Edgewise com acessórios padrão e Edgewise com acessórios totalmente programados. METODOLOGIA: a amostra constituiu-se de 20 pacientes tratados pelo mesmo profissional na Clínica de Ortodontia da Faculdade de Odontologia de Araçatuba - UNESP. Os pacientes foram divididos em dois grupos: grupo 1 (Tratados com Edgewise com acessórios padrão e fios de aço e grupo 2 (Tratados com Edgewise com acessórios totalmente programados e fios de níquel-titânio. A avaliação radiográfica digital foi realizada por um único operador por meio de exposições radiográficas digitais feitas no início do tratamento ortodôntico, após retração de caninos e final de tratamento, utilizando o sistema de escores proposto por Levander e Malmgren (1988. RESULTADOS E CONCLUSÕES: a análise dos escores permitiu concluir que o tratamento ortodôntico empregando a técnica Edgewise com acessórios totalmente programados e fios de níquel-titânio apresentou menores graus de reabsorção radicular apical, em comparação à técnica Edgewise com acessórios padrão e fios de aço. Observou-se que, independentemente da técnica empregada, o tratamento ortodôntico como um todo apresentou um grau moderado de reabsorção radicular apical.AIM: external apical root resorption is frequently observed during and after orthodontic treatment and can be related to factors such as mechanical factors, magnitude of forces and treatment time with fixed appliances

  13. The simulation model of growth and cell divisions for the root apex with an apical cell in application to Azolla pinnata.

    Science.gov (United States)

    Piekarska-Stachowiak, Anna; Nakielski, Jerzy

    2013-12-01

    In contrast to seed plants, the roots of most ferns have a single apical cell which is the ultimate source of all cells in the root. The apical cell has a tetrahedral shape and divides asymmetrically. The root cap derives from the distal division face, while merophytes derived from three proximal division faces contribute to the root proper. The merophytes are produced sequentially forming three sectors along a helix around the root axis. During development, they divide and differentiate in a predictable pattern. Such growth causes cell pattern of the root apex to be remarkably regular and self-perpetuating. The nature of this regularity remains unknown. This paper shows the 2D simulation model for growth of the root apex with the apical cell in application to Azolla pinnata. The field of growth rates of the organ, prescribed by the model, is of a tensor type (symplastic growth) and cells divide taking principal growth directions into account. The simulations show how the cell pattern in a longitudinal section of the apex develops in time. The virtual root apex grows realistically and its cell pattern is similar to that observed in anatomical sections. The simulations indicate that the cell pattern regularity results from cell divisions which are oriented with respect to principal growth directions. Such divisions are essential for maintenance of peri-anticlinal arrangement of cell walls and coordinated growth of merophytes during the development. The highly specific division program that takes place in merophytes prior to differentiation seems to be regulated at the cellular level.

  14. Evaluation of the Apical Sealability of Mineral Trioxide Aggregate and Portland Cement as Root Canal Filling Cements: An in Vitro Study

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    M.S. Rekab

    2010-12-01

    Full Text Available Objective: One of the principle purposes of root canal obturation is to obtain hermetic sealing of the root canal system. According to the development of technology, many materials are now used in root canal filling. An in vitro dye leakage study was performed toevaluate the apical sealability of White-colored Mineral Trioxide Aggregate (WMTA and Gray-colored Portland Cement (GPC when used alone or as a sealer with gutta-percha points in root canal filling.Materials and Methods: Seventy-five single-rooted extracted human teeth were used in this study. After cleaning and shaping, the teeth were randomly divided into five equal groups of 15 teeth each based on the root canal filling material used; Group 1, (WMTAalone; Group 2, (GPC alone; Group 3, (Gutta-percha points + WMTA; Group 4,(Guttapercha points + GPC; Group 5, (Gutta-percha points + AH26. Methylene blue was used to determine the apical leakage. After sectioning the teeth longitudinally, linear dye penetrationwas measured with a caliper under the stereomicroscope. Data were analyzed by Kruskal-Wallis and one-way ANOVA tests with (P 0.05 as the level of significance.Results: The results showed that there were no statistically significant differences among the materials of five groups.Conclusion: (WMTA alone, (Gutta-percha points + WMTA, (GPC alone and (Guttapercha points + GPC may be used in the root canal filling.

  15. Water stress and cell wall polysaccharides in the apical root zone of wheat cultivars varying in drought tolerance.

    Science.gov (United States)

    Leucci, Maria Rosaria; Lenucci, Marcello Salvatore; Piro, Gabriella; Dalessandro, Giuseppe

    2008-07-31

    Glycosyl composition and linkage analysis of cell wall polysaccharides were examined in apical root zones excised from water-stressed and unstressed wheat seedlings (Triticum durum Desf.) cv. Capeiti ("drought-tolerant") and cv. Creso ("drought sensitive"). Wall polysaccharides were sequentially solubilized to obtain three fractions: CDTA+Na(2)CO(3) extract, KOH extract and the insoluble residue (alpha-cellulose). A comparison between the two genotypes showed only small variations in the percentages of matrix polysaccharides (CDTA+Na(2)CO(3) plus KOH extract) and of the insoluble residues (alpha-cellulose) in water-stressed and unstressed conditions. Xylosyl, glucosyl and arabinosyl residues represented more than 90 mol% of the matrix polysaccharides. The linkage analysis of matrix polysaccharides showed high levels of xyloglucans (23-39 mol%), and arabinoxylans (38-48 mol%) and a low amount of pectins and (1-->3), (1-->4)-beta-D-glucans. The high level of xyloglucans was supported by the release of the diagnostic disaccharide isoprimeverose after Driselase digestion of KOH-extracted polysaccharides. In the "drought-tolerant" cv. Capeiti the mol% of side chains of rhamnogalacturonan I and II significantly increased in response to water stress, whereas in cv. Creso, this increase did not occur. The results support a role of the pectic side chains during water stress response in a drought-tolerant wheat cultivar.

  16. Assessment of apical seal obtained after irrigation of root end cavity with MTAD followed by subsequent retrofilling with MTA and Biodentine: An in vitro study

    Science.gov (United States)

    Naik, Mayuri Mohan; de Ataide, Ida de Noronha; Fernandes, Marina; Lambor, Rajan

    2015-01-01

    Introduction: The present study is designed to assess the apical seal obtained after root end cavity irrigation with MTAD and retrograde filling with mineral trioxide aggregate (MTA) and Biodentine. Materials and Methods: Sixty extracted maxillary central incisors were instrumented and obturated. Apical 3 mm of all the roots were resected and retrograde preparations of 3 mm were made in all the teeth using ultrasonic tips. Thirty root end preparations were irrigated with MTAD for 5 min (Group 1), while 30 were irrigated with saline for 5 min (Group 2). Each main group was subdivided into two subgroups containing 15 samples each. Samples under each subgroup were then filled either with MTA (1A and 2A) or Biodentine (1B and 2B). The amount of microleakage was assessed using a UV spectrophotometer. Results: Statistical analysis suggest a significant difference (P Biodentine, but it increased the microleakage in MTA-filled root end cavities. Also the apical seal obtained with Biodentine was superior to that obtained with MTA. PMID:25829692

  17. Evaluation of the quality of the apical seal in Resilon/Epiphany and Gutta-Percha/AH Plus-filled root canals by using a fluid filtration approach.

    Science.gov (United States)

    Raina, Rakesh; Loushine, Robert J; Weller, R Norman; Tay, Franklin R; Pashley, David H

    2007-08-01

    This in vitro fluid filtration study compared the apical leakage of root canals that were obturated with Resilon/Epiphany (Resilon Research LLC, Madison, CT) or gutta-percha/AH Plus (GP/AH; DENTSPLY Tulsa, Tulsa, OK) sealer using warm vertical condensation. Fluid flow rate through the filled roots was measured 7 days after the obturations by using a fluid filtration device. Measurements were made before root resection and after 3 to 11 mm of resections. Before any removal of root length, there were no significant differences between the roots filled with Resilon/Epiphany or GP/AH. Analysis of individual root resection results revealed that differences in the fluid flow rate of the two systems occurred only when 9 or 10 mm of the roots were resected with more than half the root length resected when GP/AH Plus leaked more than Resilon/Epiphany. There were no significant differences in the fluid flow rate up to and including 8 mm of root resection. It is concluded Resilon/Epiphany sealed 17-mm root canals as well as gutta-percha and AH Plus sealer and that it does not create a monoblock root filling that does not leak.

  18. Comparación in vitro de la microfiltración apical del MTA ProRoot y Angelus en dientes monorradiculares In vitro comparison of the MTA microlakage ProRoot apical and Angelus in teeth single-rooted

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    G.E. Romero Romero

    2012-06-01

    Full Text Available Antecedentes: Uno de los retos en endodoncia es la obturación de los conductos con ápices abiertos permitiendo su sellado, evitando la microfiltración y la salida del material obturador hacia los tejidos periapicales, por esta razón actualmente se utilizan materiales como el Mineral Trióxido Agregado (MTA para proporcionar un tope apical que garantice el sellado del conducto radicular evitando la contaminación bacteriana. Objetivos: Comparar la microfiltración apical in vitro del MTA de dos casas comerciales con y sin hidróxido de calcio en dientes monorradiculares con ápices amplios. Materiales y métodos: Para este estudio se utilizaron 80 dientes humanos monorradiculares extraídos, divididos en 4 grupos, MTA "Proroot" con y sin hidróxido de calcio y MTA "Angelus" con y sin hidróxido de calcio, sumergidos en una sustancia buffer simulando el periápice y posteriormente se realizó coloración con tinta china y evaluación de la microfiltración por medio del proceso de diafanación. Resultados: En el estudio todos los grupos presentaron algún grado de microfiltración, siendo los de mayor frecuencia los dientes obturados con MTA Angelus sin hidróxido de calcio y el que menos presentó fueron los obturados con MTA Proroot sin hidróxido de calcio. Conclusiones: Tanto el MTA Angelus como el MTA Proroot se pueden usar como barrera apical sin necesidad de usar hidróxido calcio, sin embargo es necesario afinar las técnicas y procedimientos en futuros estudios que permitan la toma de decisiones clínicas.Background: One of the challenges in endodontics is root canal filling with open and wide apex, which allowing it to seal, preventing microleakage and the output of the filling material into periapical tissues, therefore currently used materials such as Mineral trioxide aggregate (MTA to provide an apical stop to ensure the sealing of the root canal to avoid bacterial contamination. Objectives: To compare the in vitro apical

  19. Opposite extremes in ethylene/nitric oxide ratio induce cell death in suspension culture and root apices of tomato exposed to salt stress.

    Science.gov (United States)

    Poór, P; Borbély, P; Kovács, Judit; Papp, Anita; Szepesi, Ágnes; Takács, Z; Tari, Irma

    2014-12-01

    The plant hormone ethylene or the gaseous signalling molecule nitric oxide (NO) may enhance salt stress tolerance by maintaining ion homeostasis, first of all K+/Na+ ratio of tissues. Ethylene and NO accumulation increased in the root apices and suspension culture cells of tomato at sublethal salt stress caused by 100 mM NaCl, however, the induction phase of programmed cell death (PCD) was different at lethal salt concentration. The production of ethylene by root apices and the accumulation of NO in the cells of suspension culture did not increase during the initiation of PCD after 250 mM NaCl treatment. Moreover, cells in suspension culture accumulated higher amount of reactive oxygen species which, along with NO deficiency contributed to cell death induction. The absence of ethylene in the apical root segments and the absence of NO accumulation in the cell suspension resulted in similar ion disequilibrium, namely K+/Na+ ratio of 1.41 ± 0.1 and 1.68 ± 0.3 in intact plant tissues and suspension culture cells, respectively that was not tolerated by tomato.

  20. Comparative scanning electron microscopy evaluation of Canal Brushing technique, sonic activation, and master apical file for the removal of triple antibiotic paste from root canal (in vitro study

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    Deepa Ashoksingh Thakur

    2015-01-01

    Full Text Available Aims: To compare and evaluate the effectiveness of Canal Brushing technique, sonic activation, and master apical file (MAF for the removal of triple antibiotic paste (TAP from root canal using scanning electron microscopy (SEM. Materials and Methods: Twenty-two single rooted teeth were instrumented with ProTaper up to the size number F2 and dressed with TAP. TAP was removed with Canal Brush technique (Group I, n: 6, sonic (EndoActivator (Group II, n: 6, and MAF (Group III, n: 6. Four teeth served as positive (n: 2 and negative (n: 2 controls. The roots were split in the buccolingual direction and prepared for SEM examination (×1000 at coronal, middle, and apical third. Three examiners evaluated the wall cleanliness. Statistical Analysis: Statistical analysis was performed by Kruskal–Wallis test and Wilcoxon rank sum test. Results: Difference in cleanliness between three groups is statistically significant in cervical region only. Pairwise comparison in cervical region Canal Brush and sonic activation showed more removal of TAP than MAF. Conclusions: Canal Brush and sonic activation system showed better result than MAF in the cervical and middle third of canal. In the apical third, none of the techniques showed a better result. None of the techniques showed complete removal of TAP from the canal.

  1. An In Vitro Comparison ofApical Leakage of Biocalex, White MTA, Gray MTA, and Amalgam as Root-End Fillings

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    P. Ghaziani

    2008-09-01

    Full Text Available Objective: In a cavity prepared through endodontic surgery, application of a material to provide apical seal and prevent bacterial and tissue exudates is of great importance. The purpose of this study was to compare the sealing ability of Biocalex with white MTA, gray MTA, and amalgam as root-end fillings.Materials and Methods: Sixty-six single-rooted extracted human teeth were cleaned, shaped, and obturated with gutta-percha. The root apices were resected and 3 mm deep retrograde cavity was prepared. The teeth were assigned randomly into four groups of 15 teeth each and retrofilled with Biocalex, gray MTA, white MTA, and amalgam. Six teeth served as positive and negative controls. All root surfaces, except the ending part, were covered with two layers of nail polish. The roots were then stored in 2% methylene blue for 72 hours and embedded in polyester resin. The teeth were sectioned buccolingually and maximum extent of dye penetration was evaluated through a stereomicroscope. Statis-tical analysis was carried out by one way ANOVA and Tukey test.Results: Biocalex showed significantly less leakage compared to the other three materials P<0.05. White MTA showed significantly lower amount of leakage as Compared to gray MTA and amalgam P<0.05.Conclusion: The findings of this study showed that retrograde filling with Biocalex can achieve proper sealing ability and this material can be used as an alternative for MTA and amalgam.

  2. Apical adaptation, sealing ability and push-out bond strength of five root-end filling materials

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    Pablo Andrés AMOROSO-SILVA

    2014-08-01

    Full Text Available This study compared the fluid filtration, adaptation to the root canal walls, and the push-out bond strength of two resin-based sealers and three calcium silicate-based retrograde filling materials. Fifty maxillary canines were shaped using manual instruments and the apical portion was sectioned. Retrograde cavities of 3-mm depth were prepared. The specimens were divided into five groups (n = 10: Sealer 26 (S26; MBPc (experimental; MTA; Portland cement with 20% zirconium oxide (PC/ZO, and Portland cement with 20% calcium tungstate (PC/CT. The fluid filtration was measured at 7 and 15 days. To evaluate the interfacial adaptation, sections of the teeth, 1 and 2 mm from the apex, were prepared and the percentage of gaps was calculated. The push-out bond strength at 2 mm from the apex was evaluated. Statistical analysis was performed using the ANOVA/Tukey’s test (p < 0.05. At 7 and 15 days (p = 0.0048, p = 0.006, the PC/CT group showed higher fluid filtration values when compared to other groups. At 1 mm from the apex, no statistical differences in the adaptation were found among the cements (p = 0.44. At 2 mm from the apex, the PC/ZO group presented statistically lower percentage of gaps than S26, MBPc, and MTA (p = 0.0007. The MBPc group showed higher push-out bond strength than other cements evaluated (p = 0.0008. The fluid filtration and interfacial adaptation of the calcium silicate-based cements were similar to those of the resin-based cements. The resinous cement MBPc showed superior push-out bond strength.

  3. Accuracy of panoramic radiographs in determining the relationship of posterior root apices and maxillary sinus floor by Cone-Beam CT

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    Hoorieh Bashizadeh Fakhar

    2014-06-01

    Full Text Available   Background and Aims: It is crucial to verify the relationship between root apices and maxillary sinus floor in some surgical procedures like extraction and implant placement or in orthodontic movements like intrusion. Protrusion of roots into the sinus increases the risk of post extraction pneumatization which in turn decreases the available bone at the implant or denture sites. The aim of this study was to determine the panoramic radiology accuracy for defining the relationship between posterior root apices and the maxillary sinus floor by Cone Beam CT (CBCT.   Materials and Methods: Paired panoramic radiographs and CBCT images of 117 subjects were examined. 452 posterior maxillary roots including second premolar, first and second molar were classified by the means of the relationship with maxillary sinus floor. CBCT was used as Gold standard method, and the agreement of panoramic findings with CBCT was examined statistically. Data were analyzed using Chi-square and Multiple logistic regressions.   Results: Agreement of the panoramic and CBCT results were seen in 57.7% of all cases. Roots which had no contacts with the sinus floor (class 0 showed a high agreement of 89.5% between two imaging techniques. Roots in contact with sinus floor (class 1 showed 58.8 % and cases with root protrusion into sinus cavity (class 3, 4 showed 50% of agreement (P<0.001. Also in 36% of cases with no protrusion into the sinus cavity (class 0, 1, 2, panoramic showed protrusion. The agreement for the premolar was higher than molars (P<0.001   Conclusion: The majority of roots which their images were projected on the sinus cavity had no vertical protrusion in CBCT cuts. Considering the results, in these cases CBCT can be recommended.

  4. The development of an efficient cultivar-independent plant regeneration system from callus derived from both apical and non-apical root segments of garlic (Allium sativum L.)

    NARCIS (Netherlands)

    Zheng, S.J.; Henken, G.; Krens, F.A.; Kik, C.

    2003-01-01

    Callus induction and later plant regeneration were studied in four widely grown garlic (Allium sativum L.) cultivars from Europe. Root segments from in vitro plantlets were used as starting material. In addition to cultivar effects, the effects of auxin and cytokinin levels and the position of the s

  5. Effect of Nd: YAG laser on the apical seal after root-end resection and MTA retrofill: a bacterial leakage study.

    Science.gov (United States)

    Birang, Reza; Kiani, Sepideh; Shokraneh, Ali; Hasheminia, Seyed Mohsen

    2015-02-01

    Laser irradiation has been investigated in terms of preventing leakage in retrofilled root canals. The aim of the present study was to evaluate the effect of neodymium-doped yttrium aluminum garnet (Nd: YAG) laser on the bacterial leakage of mineral trioxide aggregate (MTA)-retrofilled roots. In this ex vivo experimental study, 90 single-rooted incisor teeth were filled with gutta-percha and AH26 sealer. The apical 3 mm of all the roots were resected and 3-mm retrocavities were prepared by an ultrasonic device. The specimens were randomly divided into two experimental (n = 25), one positive control (n = 10), and two negative control (n = 10) groups. In the laser + MTA group, the cavity walls were irradiated by Nd: YAG laser prior to MTA placement. In the MTA group, MTA was placed without laser irradiation. The root surfaces were covered with two layers of nail varnish except for the apical 2 mm. The specimens were then embedded in a bacterial leakage test system and examined daily for 90 days. Contamination periods were recorded. Data were analyzed by Kaplan-Meier and Mann-Whitney U tests (α = 0.05). Five teeth with and five teeth without laser irradiation underwent scanning electron microscopic evaluation. The specimens in the laser + MTA group were contaminated earlier than those in the MTA group (p MTA in comparison to the apical seal achieved by MTA without laser irradiation. Further studies are recommended to provide a better seal for the MTA-retrofilled teeth after laser irradiation.

  6. Evaluation of Apical Sealing Ability of a Dentin Bonding Agent and Epoxy Resin used as Root Canal Sealer - An In Vitro Dye Leakage Study

    Directory of Open Access Journals (Sweden)

    Srinidhi Surya Raghavendra

    2012-01-01

    Full Text Available Objectives: Total obliteration of the canal space and perfect sealing of the apical foramen with an inert, dimensionally stable and biologically compatible material are the goals for successful endodontic treatment. A microscopic layer of debris is formed during bio-mechanical preparation of the canal called Smear layer. This interferes with adhesion and penetration of canal sealers and its removal is necessary. Dentin bonding agents have been studied extensively for their adhesive properties in restorative dentistry and recently as root canal sealers. Microleakage studies of their sealing abilities are few. Materials and Methods: This study evaluated sealing efficacy of a dentin bonding agent when used as root canal sealer along with AH26, an epoxy resin sealer and the effect of the smear layer on the sealing ability. 60 extracted maxillary anterior teeth were taken, sectioned at the Cemento enamel junction, cleaned and shaped with 2% K files. They were divided into 4 groups, GroupsAandBwithoutEDTApre-treatment and GroupsCandDwithEDTApre-treatment. GroupsAandCwere obturated withAH26 and Groups B and D were obturated with dentin bonding agent Polibond andAH26 with gutta percha and lateral condensation method. Apical dye penetration was measured using 2% Methylene Blue and evaluated with stereo microscope. Results were tabulated and statistical analysis done. Results: The chemically cured bonding agent Polibond used with AH26 showed significantly less apical leakage when smear layer was removed before obturation. Conclusion: Use of dentin bonding agents and resin sealers in root canal obturations achieves effective apical sealing when used with gutta percha. This improves the success of endodontic therapy.

  7. Evaluation of apical microleakage of teeth sealed with four different root canal sealers Avaliação da microinfiltração apical em dentes obturados com quatro diferentes cimentos endodônticos

    Directory of Open Access Journals (Sweden)

    Fábio Dultra

    2006-10-01

    Full Text Available OBJECTIVES: to compare the apical sealing ability of four root canal sealers. MATERIAL AND METHODS: forty extracted human maxillary canines were instrumented 1 mm short of the anatomical apex and randomly assigned to four groups (n=10, according to the root canal sealer used for obturation: Endofill, AH Plus, EndoREZ and Epiphany. Root canals were obturated with gutta-percha points, except for the Epiphany group, in which resin points (Resilon were used. The teeth were immersed in India ink for seven days and clarified using methyl salicylate. The extent of apical dye penetration was measured with a measuroscope in all aspects of the canal. RESULTS: AH Plus (0.02 mm ± 0.07, Epiphany (0.00 mm ± 0.00 and EndoREZ (0.32 mm ± 0.62 did not differ statistically to each other (p>0.01. EndoFill presented the highest dye penetration mean (0.83 mm ± 0.73 and was statistically different from the other sealers (pOBJETIVOS: comparar a capacidade de selamento apical de quatro cimentos endodônticos. MÉTODOS: quarenta caninos superiores humanos extraídos foram instrumentados 1 mm aquém do ápice anatômico e distribuídos aleatoriamente em quatro grupos (n=10, de acordo com o cimento endodôntico utilizado para a obturação: Endofill, AH Plus, EndoREZ e Epiphany. Os canais radiculares foram obturados pela técnica da condensação lateral com os cimentos e com cones de guta-percha, exceto o grupo do Epiphany, no qual os cones de resina (Resilon foram utilizados. Os dentes foram imersos em nanquim por sete dias e submetidos ao processo de diafanização e, então, clarificados empregando-se o salicilato de metila. A extensão de penetração via apical do corante foi medida por meio de um microscópio de mensuração em todas as faces do terço apical. RESULTADOS: AH Plus (0,02 mm ± 0,07, Epiphany (0,00 mm ± 0,00 e EndoREZ (0,32 mm ± 0,62 não diferiram estatisticamente entre si (p>0,01. EndoFill apresentou a maior média de penetração do corante (0

  8. Quantification of endotoxins in infected root canals and acute apical abscess exudates: monitoring the effectiveness of root canal procedures in the reduction of endotoxins.

    Science.gov (United States)

    Sousa, Ezilmara L R; Martinho, Frederico C; Nascimento, Gustavo G; Leite, Fabio R M; Gomes, Brenda P F A

    2014-02-01

    This clinical study was conducted to measure the endotoxin levels in infected root canals (RCs) and exudates related to acute apical abscesses (AAAs). In addition, the effectiveness of RC procedures in reducing the endotoxin levels in RCs was monitored. Paired samples of infected RCs and exudates from AAAs were collected from 10 subjects by using paper points. RCs samples were collected before (RCS1) and after chemomechanical preparation (CMP) (RCS2), after 17% EDTA (RCS3), and after 30 days of intracanal medication (Ca[OH]2 + chlorhexidine) (RCS4). A turbidimetric kinetic limulus amebocyte lysate assay was used for the measurement of endotoxins. Endotoxins were detected in 100% of the baseline samples of AAAs and RCs (RCS1) with median values of 175 EU/mL and 41.5 EU/mL, respectively (P < .05). After CMP (RCS2), endotoxins were reduced to a median value of 0.54 EU/mL (P < .05). Subsequent irrigation with EDTA (RCS3) failed to present a significant effectiveness in reducing the endotoxin levels (median= 0.37 EU/mL) (P = .07). However, intracanal medication for 30 days (RCS4) reduced endotoxins to median values of 0.03 EU/mL (P < .01). The present study revealed a strong association between the high levels of endotoxins found in AAAs and RCs collected from the same tooth. Moreover, the effectiveness of CMP in reducing the endotoxin levels from RCs in acute endodontic infection was improved by the use of RC medication. Copyright © 2014 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  9. Effect of immediate and delayed post space preparation on the apical seal of root canals obturated with different sealers and techniques

    Directory of Open Access Journals (Sweden)

    Hikmet Aydemir

    2009-12-01

    Full Text Available During mechanical preparation of the post space, the root canal filling may be twisted or vibrated, depending on several factors associated with the preparation technique and quality of filling. OBJECTIVE: The purpose of this study was to investigate the effect of immediate and delayed post space preparation on the integrity of the apical seal. MATERIAL AND METHODS: Sixty-four extracted human incisors were biomechanically prepared using the step-back technique. Sixty roots were randomly assigned to 6 experimental groups of 10 teeth each and the remaining 4 roots served as positive and negative controls (n=2. The root canals in the different groups were obturated with cold lateral and warm vertical condensation of gutta-percha and one of two sealers (Sealapex and Diaket. Post space was prepared either individually or simultaneously. An insulated copper wire was cut into 10-cm-long pieces. In each canal, one piece was inserted to maintain contact with gutta-percha and extended to the outside as one of two working electrodes. A stainless steel wire with the same dimensions of those of the copper wire, used as the other working electrode, was immersed into the background electrolyte from the center of the bottle. The electrical current between standard and experimental electrodes in canals was measured over a period of 10 days applying a conductivity meter. The Kruskal-Wallis test (p=0.05 determined whether there was a significant difference in microleakage among the groups and the Mann-Whitney U test (p=0.01 was used for multiple comparison grouping variables. RESULTS: The results suggest that only the differences between the root canal filling techniques were statistically significant (p0.01. CONCLUSION: The quality of the root canal filling is important for the integrity of the apical seal.

  10. The effect of an Nd-YAG pulsed laser on the cleaning of the root canal and the formation of a fused apical plug.

    Science.gov (United States)

    Saunders, W P; Whitters, C J; Strang, R; Moseley, H; Payne, A P; McGadey, J

    1995-07-01

    A Neodymium-yttrium aluminium garnet (Nd-YAG) pulsed laser was used in vitro to determine whether various laser energy levels from 0.75 W to 1.7 W at 15 pulses s(-1) (pps) were able to (i) remove debris from the walls of prepared root canals (ii) remove pulpal tissue from unprepared canals and (iii) create a fused apical plug from dentine chips, hydroxyapatite (HAP) or low-fusing dental porcelain. Single-rooted teeth were sectioned at the amelocemental junction and the crowns discarded. The root canals of 50 teeth were prepared chemomechanically and allocated to four groups of 10 teeth for laser treatment. One group was left unlased as a control. After lasing, the teeth were split longitudinally, stained and examined for residual debris. Results showed that there was no statistically significant difference between the groups (Plaser energy was applied to dentine chips, HAP and low-fusing porcelain in an attempt to produce a fused apical plug. The laser was unable to melt the dentine chips but some hardening of HAP occurred when combined with blue food-colouring, with or without glycerine, at energy levels of 1.0 W, at 15 pps for 30 s. Superficial hardening of low-fusing porcelain occurred at 1.0 W, 15 pps for 30 s.

  11. An in-vitro comparative study for assessment of apical sealing ability of Epiphany/AH Plus sealer with Resilon/gutta-percha root canal filling materials

    Science.gov (United States)

    Sultana, Meraj; Musani, Mohammad A.; Ahmed, Iffat M.

    2016-01-01

    Aims and Objectives: Endodontic treatment is directed to eliminate microbial challenges from the root canal system and to create a complete seal. The aim of this study was to assess the apical sealing ability of resin-based Epiphany-Resilon root canal filling system and to compare it with the sealing abilities of different combinations of AH Plus, gutta-percha, Epiphany, and Resilon. Materials and Methods: One hundred extracted human maxillary incisor roots were treated endodontically. The samples were divided into groups A, B, C, and D, with each group containing 25 samples. Group A: Canals obturated with gutta-percha and AH Plus sealer; Group B: Canals obturated with Resilon and Epiphany; Group C: Canals obturated with gutta-percha and Epiphany; Group D: Control group canals obturated with gutta-percha without a sealer. The sealing ability of each of the obturation techniques was tested using the dye penetration method followed by the clearing method using alcohol. Stereo microscope was used to measure the extent of dye penetration. Statistical data analysis was performed using analysis of variance and Tukey tests. Results: Microleakage was found in all the four groups. Apical extent of mean microleakage was maximum for gutta-percha, followed by Gutta-percha + AH-plus and Gutta-percha + Epiphany, and the least with Resilon + Epiphany. Statistically significant difference (P < 0.01) was seen in the apical leakage. Conclusion: All the samples tested showed microleakage. The “Epiphany soft resin endodontic obturation system” showed a superior result compared to other obturation materials. PMID:27583220

  12. Indução de brotação apical em mudas provenientes de sementes e do enraizamento de estacas de mangostãozeiro = Induction of apical bud sprouting in seedlings and rooting of cuttings of mangosteen

    Directory of Open Access Journals (Sweden)

    Larissa Alexandra Cardoso Moraes

    2007-12-01

    Full Text Available Com objetivo de induzir a brotação apical de mudas de mangostãozeiro, foi realizado um experimento que consistiu na aplicação de dois reguladores de crescimento: cinetina (0, 100 e 400 mg L-1 e giberelina (50 mg L-1, e outros dois experimentos para obtenção de estacas enraizadas: a aplicação de ácido-indol-3-butírico nas concentrações de 0, 100, 500 e 1000 mg L-1 e b aplicação de ácido a naftaleno acético na concentração de 6000 mg L-1. Nesses ensaios foram utilizadas estacas maduras provenientes de ramosortotrópicos. Os resultados indicaram a possibilidade do uso de reguladores para a obtenção de porta-enxertos mais uniformes e com menor tempo de formação, e apesar da baixa taxa de enraizamento, a obtenção de mudas de estacas enraizadas de mangostãozeiro obtida comfitormônios apresenta grande potencial, equivalendo em tamanho a uma muda de um ano proveniente de sementes apomíticas.With the objective to induce apical bud sprouting in youngmangosteen seedlings an experiment was carried out with the application of the plant growth regulators kinetin (0, 100 and 400 mg L-1 and gibberellin GA4+7 (50 mg L-1. To obtain rooted cuttings two other experiments were performed: a application of indolbutyric acid at the concentrations of 0, 100, 500 and 1000 mg L-1 and b application of a naphtaleneacetic acid, at 6000 mg L-1. In these trials cutting from orthotropic branches were utilized. The results indicated the possibility of using plant growth regulators to obtainmore uniform root stocks in a shorter nursery stage and, despite the low percentage of rooting the planting material obtained from cuttings has a great practical potential, since the size of the rooting cuttings is equivalent to that of one year old seedlings.

  13. Management of external perforating root resorption by intentional replantation followed by Biodentine restoration

    Directory of Open Access Journals (Sweden)

    Preeti Jain Pruthi

    2015-01-01

    Full Text Available Resorption of tooth structures can occur as a result of physiological, pathological, and idiopathic factors. Early diagnosis and appropriate treatment can prevent its serious complications. This case report presents surgical endodontic management of a trauma-induced perforating external root resorption, which was diagnosed with the help of cone beam computed tomography. Following root canal treatment, intentional replantation of the tooth was performed so as to expose the opening of the resorption defect to allow for complete debridement and closure. Eighteen months follow-up showed arrest of root resorption, and progressive healing of the defect.

  14. Management of external perforating root resorption by intentional replantation followed by Biodentine restoration.

    Science.gov (United States)

    Pruthi, Preeti Jain; Dharmani, Umesh; Roongta, Ruchika; Talwar, Sangeeta

    2015-01-01

    Resorption of tooth structures can occur as a result of physiological, pathological, and idiopathic factors. Early diagnosis and appropriate treatment can prevent its serious complications. This case report presents surgical endodontic management of a trauma-induced perforating external root resorption, which was diagnosed with the help of cone beam computed tomography. Following root canal treatment, intentional replantation of the tooth was performed so as to expose the opening of the resorption defect to allow for complete debridement and closure. Eighteen months follow-up showed arrest of root resorption, and progressive healing of the defect.

  15. Effect of different final irrigation methods on the removal of calcium hydroxide from an artificial standardized groove in the apical third of root canals.

    Science.gov (United States)

    Capar, Ismail Davut; Ozcan, Erhan; Arslan, Hakan; Ertas, Huseyin; Aydinbelge, Hale Ari

    2014-03-01

    The aim of this study was to compare the efficacy of conventional syringe, ultrasonic, EndoVac (Discus Dental, Culver City, CA), and Self-Adjusting File (SAF) (Re-Dent-Nova, Ra'nana, Israel) irrigation systems in removing calcium hydroxide (Ca[OH]2) from simulated root canal irregularities. The root canals of 88 extracted single-rooted teeth were prepared using ProTaper rotary instruments (Dentsply Maillefer, Ballagiues, Switzerland) up to size F4. The roots were split longitudinally, and a standardized groove was prepared in the apical part of 1 segment. The root halves were reassembled, and Ca(OH)2 medicament was placed into the root canals using a Lentulo spiral. The roots were randomly divided into 4 experimental groups and 2 control groups according to the different irrigation systems used: conventional syringe irrigation, continuous passive ultrasonic irrigation (PUI), EndoVac irrigation, and SAF irrigation. Each group was then divided into 2 subgroups (n = 10) according to the irrigation protocol: subgroup 1: 10 mL 2.5% NaOCl and subgroup 2: 10 mL 17% EDTA + 10 mL 2.5% NaOCl. The amount of remaining medicament was evaluated under a stereomicroscope at 30× magnification using a 4-grade scoring system. The influences of the different Ca(OH)2 medicament removal methods and irrigation protocols were statistically evaluated using 2-way analysis of variance and Tukey post hoc tests. In the NaOCl-irrigated groups, PUI removed significantly more Ca(OH)2 medicament than the other techniques (P .05). In the EDTA/NaOCl-irrigated groups, the SAF and PUI removed significantly more Ca(OH)2 than the other techniques (P < .05). The use of the SAF system with the combination of EDTA and NaOCl enhanced Ca(OH)2 removal when compared with the use of only NaOCl irrigation with the SAF. Continuous PUI and SAF were more effective than EndoVac, and conventional syringe irrigation in the removal of the Ca(OH)2 medicament from an artificial standardized groove in the apical part of

  16. Effect of Calcium Hydroxide Based Intracanal Medicaments on the Apical Sealing Ability of Resin Based Sealer and Guttapercha Obturated Root Canals

    Science.gov (United States)

    Sumanthini, MV; Shenoy, Vanitha U; Bodhwani, Mohit A

    2017-01-01

    Introduction Calcium Hydroxide (CH) is one of the most commonly used intracanal medicaments which can be used with various vehicles. Aim The aim of this in vitro study was to evaluate the effect of three CH based intracanal medicaments on the apical sealing ability of AH Plus – guttapercha obturation. Materials and Methods Crowns of 100 extracted single rooted human teeth were sectioned at the Cemento-Enamel Junction (CEJ) to a standardized length. The root canals were instrumented upto ISO size 40 using step back technique and the specimens were randomly divided into two control and four experimental groups. The control groups were not medicated. Specimens in positive control group (Group I) were obturated with guttapercha without placing sealer and in negative control group (Group II) were obturated with guttapercha and AH Plus sealer. Among the experimental groups, specimens of Group III were not medicated while groups IV, V and VI were medicated with CH-saline, CH-2% Chlorhexidine (CHX) and Vitapex respectively for a period of 14 days. The medicaments were removed from the specimens and the teeth were obturated with AH Plus sealer and guttapercha using lateral compaction technique. The specimens were immersed in India ink dye, demineralized and diphanized. The extent of dye penetration was assessed using a 10X stereomicroscope. Data obtained was statistically analyzed by one-way ANOVA (p<0.05) followed by Post-hoc Tukey test. Results Amongst the three CH medicaments, CH-2% CHX when used as an intracanal medicament showed a significantly higher microleakage as compared to the other groups with p<0.001. The microleakage values between the remaining groups were not statistically significant. Conclusion Under the conditions of this study it was concluded that all groups with or without intracanal medicament showed apical leakage. The vehicle used to carry CH may significantly influence the apical sealing ability of guttapercha – AH Plus obturated canals. PMID

  17. Effect of different final irrigating solutions on smear layer removal in apical third of root canal: A scanning electron microscope study

    Directory of Open Access Journals (Sweden)

    Sayesh Vemuri

    2016-01-01

    Full Text Available Aim: The aim of this in vitro study is to compare the smear layer removal efficacy of different irrigating solutions at the apical third of the root canal. Materials and Methods: Forty human single-rooted mandibular premolar teeth were taken and decoronated to standardize the canal length to 14 mm. They were prepared by ProTaper rotary system to an apical preparation of file size F3. Prepared teeth were randomly divided into four groups (n = 10; saline (Group 1; negative control, ethylenediaminetetraacetic acid (Group 2, BioPure MTAD (Group 3, and QMix 2 in 1 (Group 4. After final irrigation with tested irrigants, the teeth were split into two halves longitudinally and observed under a scanning electron microscope (SEM for the removal of smear layer. The SEM images were then analyzed for the amount of smear layer present using a three score system. Statistical Analysis: Data are analyzed using the Kruskal-Wallis test and Mann-Whitney U-test. Results: Intergroup comparison of groups showed statistically significant difference in the smear layer removal efficacy of irrigants tested. QMix 2 in 1 is most effective in removal of smear layer when compared to other tested irrigants. Conclusion: QMix 2 in 1 is the most effective final irrigating solution for smear layer removal.

  18. Treatment of inflammatory external root resorption resulting from dental avulsion and pulp necrosis: clinical case report.

    Science.gov (United States)

    Cunha, Rodrigo Sanches; Abe, Flavia Casale; Araujo, Roberta Aranha; Fregnani, Eduardo Rodrigues; Bueno, Carlos Eduardo da Silveiro

    2011-01-01

    The aim of this case report was to present a treatment for severe inflammatory external root resorption. The condition developed due to the patient's neglect to seek adequate treatment following replantation of an avulsed maxillary left central incisor. Following diagnosis, treatment consisted of conventional endodontic therapy with calcium hydroxide dressings and definitive filling of the root canal after the resorption was controlled radiographically. A 24-month follow-up showed that the resorption process had stabilized and the patient was free of symptoms. Successful tooth replantation requires following the indicated therapy effectively. Nevertheless, when an inflammatory external root resorption occurs, adequate endodontic treatment to remove the necrotic content and bacteria is required, as is the use of calcium hydroxide dressings.

  19. A 3D digital atlas of the Nicotiana tabacum root tip and its use to investigate changes in the root apical meristem induced by the Agrobacterium 6b oncogene.

    Science.gov (United States)

    Pasternak, Taras; Haser, Thomas; Falk, Thorsten; Ronneberger, Olaf; Palme, Klaus; Otten, Léon

    2017-10-01

    Using the intrinsic Root Coordinate System (iRoCS) Toolbox, a digital atlas at cellular resolution has been constructed for Nicotiana tabacum roots. Mitotic cells and cells labeled for DNA replication with 5-ethynyl-2'-deoxyuridine (EdU) were mapped. The results demonstrate that iRoCS analysis can be applied to roots that are thicker than those of Arabidopsis thaliana without histological sectioning. A three-dimensional (3-D) analysis of the root tip showed that tobacco roots undergo several irregular periclinal and tangential divisions. Irrespective of cell type, rapid cell elongation starts at the same distance from the quiescent center, however, boundaries between cell proliferation and transition domains are cell-type specific. The data support the existence of a transition domain in tobacco roots. Cell endoreduplication starts in the transition domain and continues into the elongation zone. The tobacco root map was subsequently used to analyse root organization changes caused by the inducible expression of the Agrobacterium 6b oncogene. In tobacco roots that express the 6b gene, the root apical meristem was shorter and radial cell growth was reduced, but the mitotic and DNA replication indexes were not affected. The epidermis of 6b-expressing roots produced less files and underwent abnormal periclinal divisions. The periclinal division leading to mature endodermis and cortex3 cell files was delayed. These findings define additional targets for future studies on the mode of action of the Agrobacterium 6b oncogene. © 2017 The Authors The Plant Journal © 2017 John Wiley & Sons Ltd.

  20. Plastid-Localized Glutathione Reductase2–Regulated Glutathione Redox Status Is Essential for Arabidopsis Root Apical Meristem Maintenance[C][W

    Science.gov (United States)

    Yu, Xin; Pasternak, Taras; Eiblmeier, Monika; Ditengou, Franck; Kochersperger, Philip; Sun, Jiaqiang; Wang, Hui; Rennenberg, Heinz; Teale, William; Paponov, Ivan; Zhou, Wenkun; Li, Chuanyou; Li, Xugang; Palme, Klaus

    2013-01-01

    Glutathione is involved in thiol redox signaling and acts as a major redox buffer against reactive oxygen species, helping to maintain a reducing environment in vivo. Glutathione reductase (GR) catalyzes the reduction of glutathione disulfide (GSSG) into reduced glutathione (GSH). The Arabidopsis thaliana genome encodes two GRs: GR1 and GR2. Whereas the cytosolic/peroxisomal GR1 is not crucial for plant development, we show here that the plastid-localized GR2 is essential for root growth and root apical meristem (RAM) maintenance. We identify a GR2 mutant, miao, that displays strong inhibition of root growth and severe defects in the RAM, with GR activity being reduced to ∼50%. miao accumulates high levels of GSSG and exhibits increased glutathione oxidation. The exogenous application of GSH or the thiol-reducing agent DTT can rescue the root phenotype of miao, demonstrating that the RAM defects in miao are triggered by glutathione oxidation. Our in silico analysis of public microarray data shows that auxin and glutathione redox signaling generally act independently at the transcriptional level. We propose that glutathione redox status is essential for RAM maintenance through both auxin/PLETHORA (PLT)-dependent and auxin/PLT-independent redox signaling pathways. PMID:24249834

  1. Aluminium toxicity targets PIN2 in Arabidopsis root apices: Effects on PIN2 endocytosis, vesicular recycling,and polar auxin transport

    Institute of Scientific and Technical Information of China (English)

    SHEN Hong; HOU NingYan; Markus SCHLICHT; WAN YingLang; Stefano MANCUSO; Frantisek BALUSKA

    2008-01-01

    The most obvious symptom of AI toxicity is the inhibition of root growth.However,the mechanism of AI-inhibiting root growth remains to be elucidated.In this study,auxin transport and vesicle movement of an auxin-efflux carrier (PIN2) were investigated in Arabidopsis roots in response to AI stress.Results indicated that AI inhibited the apical transport of auxin in root tips of Arabidopsis significantly.The severe inhibition was localized in the cells of transition zone,where the concentration of auxin was only 34% that of the control.Brefeldin A (BFA),an inhibitor of vesicle transport,induced the dot-like structure of PIN2 vesicle significantly.Al decreased the size of dot-like structure of PIN2 vesicles.Re-sults of real-time RT-PCR and Western-blotting analysis showed that Al increased the transcript level of PIN2 and the accumulation of PIN2 protein in horizontal direction of plasma membrane,but decreased its distribution in endosomes,suggesting that AI inhibited the transport of PIN2 vesicles from plasma membrane to endosomes.Results of cytoskeleton-depolymering drugs indicated that it was via the pathway of disruption of actin microfilaments that AI inhibited the transport of PIN2 vesicles.Exposed to AI stress,the cells of elongation zone had less AI uptake and less transport frequency of vesicles than cells of transition zone.Taken together,our results suggested that AI inhibited root growth mainly by modulating the transport of PIN2 vesicles between plasma membrane and endosomes,thus block-ing auxin transport and root growth.

  2. The effect of the external medium on the gravitropic curvature of rice (Oryza sativa, Poaceae) roots

    Science.gov (United States)

    Staves, M. P.; Wayne, R.; Leopold, A. C.

    1997-01-01

    The roots of rice seedlings, growing in artificial pond water, exhibit robust gravitropic curvature when placed perpendicular to the vector of gravity. To determine whether the statolith theory (in which intracellular sedimenting particles are responsible for gravity sensing) or the gravitational pressure theory (in which the entire protoplast acts as the gravity sensor) best accounts for gravity sensing in rice roots, we changed the physical properties of the external medium with impermeant solutes and examined the effect on gravitropism. As the density of the external medium is increased, the rate of gravitropic curvature decreases. The decrease in the rate of gravicurvature cannot be attributed to an inhibition of growth, since rice roots grown in 100 Osm/m3 (0.248 MPa) solutions of different densities all support the same root growth rate but inhibit gravicurvature increasingly with increasing density. By contrast, the sedimentation rate of amyloplasts in the columella cells is unaffected by the external density. These results are consistent with the gravitational pressure theory of gravity sensing, but cannot be explained by the statolith theory.

  3. In vivo determination of the frequency response of the tooth root canal impedance versus distance from the apical foramen.

    Science.gov (United States)

    Rambo, Marcos V H; Gamba, Humberto R; Ratzke, Alexandre S; Schneider, Fabio K; Maia, Joaquim M; Ramos, Carlos A S

    2007-01-01

    Working length (WL) determination is a key factor to the endodontic therapy or root canal treatment success. Almost all therapy procedures depend on this measure and the wrong WL determination may produce severe consequences, like post-therapeutic pain and the need of a new root canal treatment. Electronic foramen locators (EFL) have been replacing the traditional radiographic imaging as they are faster, easier to use and have a higher success rate when measuring WL. EFLs are based on the root canal impedance assessment between two electrodes: one fixed on the endodontic file that is inserted into the root canal, and the other positioned at oral mucosa membrane. There are only few reported studies that qualify or quantify the root canal impedance characteristics. The present work aims to determine the module of tooth root canal frequency response. The preliminary results show the frequency response module variation as a function of endodontic file position inside the root canal and reinforce the methods based on relative impedance over frequency analysis used in modern EFLs.

  4. Ultrasonically Activated Irrigation to Remove Calcium Hydroxide from Apical Third of Human Root Canal System: A Systematic Review of In Vitro Studies.

    Science.gov (United States)

    Ethem Yaylali, Ibrahim; Kececi, Ayse Diljin; Ureyen Kaya, Buglem

    2015-10-01

    The aim of this systematic review was to summarize the outcomes of in vitro studies comparing ultrasonically activated irrigation versus other irrigation techniques for removing calcium hydroxide (Ca[OH]2) from the apical third of root canals. The research question was developed according to the PICO strategy. A comprehensive literature search was performed. The Medline, Embase, and TRIP electronic databases were searched. A hand search of the reference lists of identified articles was performed to isolate relevant articles. Two reviewers critically assessed the studies against our inclusion and exclusion criteria. Evaluation of the risk of bias of the studies was performed independently by the 2 reviewers. After study selection, 62 were assessed for eligibility. Of these, 9 met the inclusion criteria and were included in the systematic review. Because considerable heterogeneity was found in the methodologies, it was not possible to combine the results of studies in a meta-analysis. Ultrasonically activated irrigation was found to be superior to syringe irrigation and apical negative pressure irrigation, but insufficient evidence was found to indicate its superiority over the other irrigation techniques such as sonically activated irrigation, the Self-Adjusting File, (ReDent-Nova, Ra'anana, Israel) and the RinsEndo, (Dürr Dental, Bietigheim, Germany). On the basis of available evidence, we determined the effectiveness of ultrasonically activated irrigation compared with syringe and apical negative pressure irrigation. Because of the small sample sizes, low number of included studies, and limitations, further research is needed to confirm our results. Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  5. The effects of fungicide benomyl (benlate) on growth and mitosis in onion (Allium cepa L.) root apical meristem.

    Science.gov (United States)

    Dane, F; Dalgiç, O

    2005-01-01

    In this study, the effects of benomyl, a systemic fungicide were investigated in the mitotic cell division in onion (Allium cepa) root tip cells during germination. For this aim, different concentrations (1, 2, 5, 10 and 20 mM) of benomyl solutions were used. All the concentrations used caused several abnormalities in mitotic cell divisions and the mitotic frequency in the onion root tip cells decreased as the concentration of benomyl solution increased. Based on our findings, it is reported that benomyl has some negative effects on mitotic divisions in onion root tip cells.

  6. Apical Revascularization after Delayed Tooth Replantation: An Unusual Case

    Directory of Open Access Journals (Sweden)

    Marília Pacífico Lucisano

    2016-01-01

    Full Text Available The aim of this paper is to present the clinical and radiological outcome of the treatment involving a delayed tooth replantation after an avulsed immature permanent incisor, with a follow-up of 1 year and 6 months. An 8-year-old boy was referred after dental trauma that occurred on the previous day. The permanent maxillary right central incisor (tooth 11 had been avulsed. The tooth was hand-held during endodontic therapy and an intracanal medication application with calcium hydroxide-based paste was performed. An apical plug with mineral trioxide aggregate (MTA was introduced into the apical portion of the canal. When the avulsed tooth was replanted with digital pressure, a blood clot had formed within the socket, which moved the MTA apical plug about 2 mm inside of the root canal. These procedures developed apical revascularization, which promoted a successful endodontic outcome, evidenced by apical closure, slight increase in root length, and absence of signs of external root resorption, during a follow-up of 1 year and 6 months.

  7. Apical Revascularization after Delayed Tooth Replantation: An Unusual Case

    Science.gov (United States)

    Nelson-Filho, Paulo; Silva, Lea Assed Bezerra; Silva, Raquel Assed Bezerra; de Carvalho, Fabricio Kitazono; de Queiroz, Alexandra Mussolino

    2016-01-01

    The aim of this paper is to present the clinical and radiological outcome of the treatment involving a delayed tooth replantation after an avulsed immature permanent incisor, with a follow-up of 1 year and 6 months. An 8-year-old boy was referred after dental trauma that occurred on the previous day. The permanent maxillary right central incisor (tooth 11) had been avulsed. The tooth was hand-held during endodontic therapy and an intracanal medication application with calcium hydroxide-based paste was performed. An apical plug with mineral trioxide aggregate (MTA) was introduced into the apical portion of the canal. When the avulsed tooth was replanted with digital pressure, a blood clot had formed within the socket, which moved the MTA apical plug about 2 mm inside of the root canal. These procedures developed apical revascularization, which promoted a successful endodontic outcome, evidenced by apical closure, slight increase in root length, and absence of signs of external root resorption, during a follow-up of 1 year and 6 months. PMID:27882250

  8. Relationship between plant growth and cytological effect in root apical meristem after exposure of wheat dry seeds to carbon ion beams

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Qingfang [Radiobiology Laboratory, Institute of Modern Physics, Chinese Academy of Sciences, Lanzhou, Gansu Province 730000 (China); University of Chinese Academy of Sciences, Beijing 100049 (China); Wang, Zhuanzi; Zhou, Libin; Qu, Ying; Lu, Dong [Radiobiology Laboratory, Institute of Modern Physics, Chinese Academy of Sciences, Lanzhou, Gansu Province 730000 (China); Yu, Lixia; Du, Yan [Radiobiology Laboratory, Institute of Modern Physics, Chinese Academy of Sciences, Lanzhou, Gansu Province 730000 (China); University of Chinese Academy of Sciences, Beijing 100049 (China); Jin, Wenjie [Radiobiology Laboratory, Institute of Modern Physics, Chinese Academy of Sciences, Lanzhou, Gansu Province 730000 (China); Li, Wenjian, E-mail: wjli@impcas.ac.cn [Radiobiology Laboratory, Institute of Modern Physics, Chinese Academy of Sciences, Lanzhou, Gansu Province 730000 (China)

    2013-06-15

    In order to analyze the relationship between plant growth and cytological effects, wheat dry seeds were exposed to various doses of {sup 12}C{sup 6+} beams and the biological endpoints reflecting plant growth and root apical meristem (RAM) activities were investigated. The results showed that most of the seeds were able to germinate normally within all dose range, while the plant survival rate descended at higher doses. The seedling growth including root length and seedling height also decreased significantly at higher doses. Mitotic index (MI) in RAM had no changes at 10 and 20 Gy and decreased obviously at higher doses and the proportion of prophase cells had the same trend with MI. These data suggested that RAM cells experienced cell cycle arrest, which should be responsible for the inhibition of root growth after exposure to higher doses irradiation. Moreover, various types of chromosome aberrations (CAs) were observed in the mitotic cells. The frequencies of mitotic cells with lagging chromosomes and these with anaphase bridges peaked around 60 Gy, while the frequencies of these with fragments increased as the irradiation doses increased up to 200 Gy. The total frequencies of mitotic cells with CAs induced by irradiation increased significantly with the increasing doses. The serious damage of mitotic chromosomes maybe caused cell cycle arrest or cell death. These findings suggested that the influences of {sup 12}C{sup 6+} beams irradiation on plant growth were related to the alternation of mitotic activities and the chromosomal damages in RAM.

  9. Relationship between plant growth and cytological effect in root apical meristem after exposure of wheat dry seeds to carbon ion beams

    Science.gov (United States)

    Liu, Qingfang; Wang, Zhuanzi; Zhou, Libin; Qu, Ying; Lu, Dong; Yu, Lixia; Du, Yan; Jin, Wenjie; Li, Wenjian

    2013-06-01

    In order to analyze the relationship between plant growth and cytological effects, wheat dry seeds were exposed to various doses of 12C6+ beams and the biological endpoints reflecting plant growth and root apical meristem (RAM) activities were investigated. The results showed that most of the seeds were able to germinate normally within all dose range, while the plant survival rate descended at higher doses. The seedling growth including root length and seedling height also decreased significantly at higher doses. Mitotic index (MI) in RAM had no changes at 10 and 20 Gy and decreased obviously at higher doses and the proportion of prophase cells had the same trend with MI. These data suggested that RAM cells experienced cell cycle arrest, which should be responsible for the inhibition of root growth after exposure to higher doses irradiation. Moreover, various types of chromosome aberrations (CAs) were observed in the mitotic cells. The frequencies of mitotic cells with lagging chromosomes and these with anaphase bridges peaked around 60 Gy, while the frequencies of these with fragments increased as the irradiation doses increased up to 200 Gy. The total frequencies of mitotic cells with CAs induced by irradiation increased significantly with the increasing doses. The serious damage of mitotic chromosomes maybe caused cell cycle arrest or cell death. These findings suggested that the influences of 12C6+ beams irradiation on plant growth were related to the alternation of mitotic activities and the chromosomal damages in RAM.

  10. Different peroxidase activities and expression of abiotic stress-related peroxidases in apical root segments of wheat genotypes with different drought stress tolerance under osmotic stress.

    Science.gov (United States)

    Csiszár, Jolán; Gallé, Agnes; Horváth, Edit; Dancsó, Piroska; Gombos, Magdolna; Váry, Zsolt; Erdei, László; Györgyey, János; Tari, Irma

    2012-03-01

    One-week-old seedlings of Triticum aestivum L. cv. Plainsman V, a drought tolerant; and Cappelle Desprez, a drought sensitive wheat cultivar were subjected gradually to osmotic stress using polyethylene glycol (PEG 6000) reaching 400 mOsm on the 11th day. Compared to controls cv. Plainsman V maintained the root growth and relative water content of root tissues, while these parameters were decreased in the drought sensitive cv. Cappelle Desprez under PEG-mediated osmotic stress. Simultaneously, H(2)O(2) content in 1-cm-long apical segment of roots comprising the proliferation and elongation zone, showed a transient increase in cv. Plainsman V and a permanent raise in cv. Cappelle Desprez. Measurements of the transcript levels of selected class III peroxidase (TaPrx) coding sequences revealed significant differences between the two cultivars on the 9th day, two days after applying 100 mOsm PEG. The abundance of TaPrx04 transcript was enhanced transitionally in the root apex of cv. Plainsman V but decreased in cv. Cappelle Desprez under osmotic stress while the expression of TaPrx01, TaPrx03, TaPrx19, TaPrx68, TaPrx107 and TaPrx109-C decreased to different extents in both cultivars. After a transient decrease, activities of soluble peroxidase fractions of crude protein extracts rose in both cultivars on day 11, but the activities of cell wall-bound fractions increased only in cv. Cappelle Desprez under osmotic stress. Parallel with high H(2)O(2) content of the tissues, certain isoenzymes of covalently bound fraction in cv. Cappelle Desprez showed increased activity suggesting that they may limit the extension of root cell walls in this cultivar.

  11. Retracted: Micro-computed tomography evaluation of apical transportation and centring ability of Reciproc and WaveOne systems in severely curved root canals.

    Science.gov (United States)

    de Meireles, D A; de Brito, T C C A; Marques, A A F; Garrido, A D B; Garcia, L F R; Sponchiado, E C

    2015-08-01

    The following article from International Endodontic Journal, 'Micro-computed tomography evaluation of apical transportation and centring ability of Reciproc and WaveOne systems in severely curved root canals' by D. A. de Meireles, T. C. C. A. de Brito, A. A. F. Marques, A. D. B. Garrido, L. F. R. Garcia & E. C. Sponchiado Jr, published online on 5 February 2015 in Wiley Online Library (wileyonlinelibrary.com), has been retracted by agreement between the authors, the journal Editor in Chief, Prof. Paul Dummer, and John Wiley & Sons Ltd. The retraction has been agreed due to the use of techniques for crucial measurements in canal shaping and a lack of clarity regarding the measuring methodology. The use of inadequate measuring methodologies makes the findings of the paper invalid.

  12. Etiology and prevention of external cervical root resorption associated to teeth bleaching

    Directory of Open Access Journals (Sweden)

    Eliane Mendes da SILVA

    2010-03-01

    Full Text Available Introduction and objective: Esthetic dentistry has been prioritizedand the desire for whiter teeth has been increasingly present in dental offices, since whiter teeth tend to indicate health, beauty, youth and a more attractive smile. Teeth bleaching is a conservative method widely used to restore the original color of darkened teeth. However, possible relations with the external cervical root resorption have concerned many researchers and clinicians. Literature review: There are many mechanisms that can activate the external cervical root resorption, such as: chemical and physical action of the bleaching materials used, morphology of the cementoenamel junction associated to the immune system, material concentration, traumas and bleaching technique used. Conclusion: Therefore, considering many factors that are still not conclusive, preventing deleterious effects on teeth and support structures, care must be taken when choosing bleaching agent and bleaching technique, as well as when selecting each case, beyond a proper restoration after teeth bleaching.

  13. External root resorption after orthodontic treatment: a study of contributing factors

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Yun Hoa; Cho, Bong Hae [School of Dentistry, Pusan National University, Pusan (Korea, Republic of)

    2011-03-15

    The purpose of this study was to examine the patient- and treatment-related etiologic factors of external root resorption. This study consisted of 163 patients who had completed orthodontic treatments and taken the pre- and post-treatment panoramic and lateral cephalometric radiographs. The length of tooth was measured from the tooth apex to the incisal edge or cusp tip on the panoramic radiograph. Overbite and overjet were measured from the pre- and post-treatment lateral cephalometric radiographs. The root resorption of each tooth and the factors of malocclusion were analyzed with an analysis of variance. A paired t test was performed to compare the mean amount of root resorption between male and female, between extraction and non-extraction cases, and between surgery and non-surgery groups. Correlation coefficients were measured to assess the relationship between the amount of root resorption and the age in which the orthodontic treatment started, the degree of changes in overbite and overjet, and the duration of treatment. Maxillary central incisor was the most resorbed tooth, followed by the maxillary lateral incisor, the mandibular central incisor, and the mandibular lateral incisor. The history of tooth extraction was significantly associated with the root resorption. The duration of orthodontic treatment was positively correlated with the amount of root resorption. These findings show that orthodontic treatment should be carefully performed in patients who need the treatment for a long period and with a pre-treatment extraction of teeth.

  14. External root resorption after orthodontic treatment: a study of contributing factors

    OpenAIRE

    2011-01-01

    Purpose The purpose of this study was to examine the patient- and treatment-related etiologic factors of external root resorption. Materials and Methods This study consisted of 163 patients who had completed orthodontic treatments and taken the pre- and post-treatment panoramic and lateral cephalometric radiographs. The length of tooth was measured from the tooth apex to the incisal edge or cusp tip on the panoramic radiograph. Overbite and overjet were measured from the pre- and post-treatme...

  15. Accuracy of digital peripical radiography and cone-beam computed tomography in detecting external root resorption

    Energy Technology Data Exchange (ETDEWEB)

    Creanga, Adriana Gabriela [Division of Dental Diagnostic Science, Rutgers School of Dental Medicine, Newark (United States); Geha, Hassem; Sankar, Vidya; Mcmahan, Clyde Alex; Noujeim, Marcel [University of Texas Health Science Center San Antonio, San Antonio (United States); Teixeira, Fabrico B. [Dept. of Endodontics, University of Iowa, Iowa City (United States)

    2015-09-15

    The purpose of this study was to evaluate and compare the efficacy of cone-beam computed tomography (CBCT) and digital intraoral radiography in diagnosing simulated small external root resorption cavities. Cavities were drilled in 159 roots using a small spherical bur at different root levels and on all surfaces. The teeth were imaged both with intraoral digital radiography using image plates and with CBCT. Two sets of intraoral images were acquired per tooth: orthogonal (PA) which was the conventional periapical radiograph and mesioangulated (SET). Four readers were asked to rate their confidence level in detecting and locating the lesions. Receiver operating characteristic (ROC) analysis was performed to assess the accuracy of each modality in detecting the presence of lesions, the affected surface, and the affected level. Analysis of variation was used to compare the results and kappa analysis was used to evaluate interobserver agreement. A significant difference in the area under the ROC curves was found among the three modalities (P=0.0002), with CBCT (0.81) having a significantly higher value than PA (0.71) or SET (0.71). PA was slightly more accurate than SET, but the difference was not statistically significant. CBCT was also superior in locating the affected surface and level. CBCT has already proven its superiority in detecting multiple dental conditions, and this study shows it to likewise be superior in detecting and locating incipient external root resorption.

  16. Why not to treat the tooth canal to solve external root resorptions? Here are the principles!

    Science.gov (United States)

    Consolaro, Alberto; Bittencourt, Graziella

    2016-01-01

    ABSTRACT This paper aims at exposing the foundations or reasons why, in cases of external tooth resorption, including those of orthodontic origin, one should not perform a root canal to treat it. That should be done only to teeth with contamination or pulp necrosis, to remove the periapical inflammation induced by microbial products. When facing cases of external tooth resorption, one's conduct must always respect the following sequence of steps: first of all, identifying the cause accurately; then, planning the therapeutic approach and, finally, adopting the conducts in a very well-founded way. The situations in which endodontic treatment is recommended for tooth resorptions are those when there are: a) pulp necrosis with microbial contamination, b) aseptic pulp necrosis, c) developing calcific metamorphosis of the pulp and d) diagnosis of internal resorption. It is not possible, through the pulp, to control the resorption process that is taking place in the external part, after all, the causes are acting in the periodontal ligament. There is no evidence that justifies applying endodontic treatment, by means of root canal, to control external resorption processes, when the pulp shows vitality. PMID:28125136

  17. Why not to treat the tooth canal to solve external root resorptions? Here are the principles!

    Directory of Open Access Journals (Sweden)

    Alberto Consolaro

    Full Text Available ABSTRACT This paper aims at exposing the foundations or reasons why, in cases of external tooth resorption, including those of orthodontic origin, one should not perform a root canal to treat it. That should be done only to teeth with contamination or pulp necrosis, to remove the periapical inflammation induced by microbial products. When facing cases of external tooth resorption, one's conduct must always respect the following sequence of steps: first of all, identifying the cause accurately; then, planning the therapeutic approach and, finally, adopting the conducts in a very well-founded way. The situations in which endodontic treatment is recommended for tooth resorptions are those when there are: a pulp necrosis with microbial contamination, b aseptic pulp necrosis, c developing calcific metamorphosis of the pulp and d diagnosis of internal resorption. It is not possible, through the pulp, to control the resorption process that is taking place in the external part, after all, the causes are acting in the periodontal ligament. There is no evidence that justifies applying endodontic treatment, by means of root canal, to control external resorption processes, when the pulp shows vitality.

  18. 5-year results comparing mineral trioxide aggregate and adhesive resin composite for root-end sealing in apical surgery

    DEFF Research Database (Denmark)

    von Arx, Thomas; Hänni, Stefan; Jensen, Simon Storgård

    2014-01-01

    observers). Two different methods of root-end preparation and filling (primary study parameters) were to be compared (mineral trioxide aggregate [MTA] vs adhesive resin composite [COMP]) without randomization. RESULTS: A total of 271 patients and teeth from a 1-year follow-up sample of 339 could be re...

  19. Apical cap

    Energy Technology Data Exchange (ETDEWEB)

    McLoud, T.C.; Isler, R.J.; Novelline, R.A.; Putman, C.E.; Simeone, J.; Stark, P.

    1981-08-01

    Apical caps, either unilateral or bilateral, are a common feature of advancing age and are usually the result of subpleural scarring unassociated with other diseases. Pancoast (superior sulcus) tumors are a well recognized cause of unilateral asymmetric apical density. Other lesions arising in the lung, pleura, or extrapleural space may produce unilateral or bilateral apical caps. These include: (1) inflammatory: tuberculosis and extrapleural abscesses extending from the neck; (2) post radiation fibrosis after mantle therapy for Hodgkin disease or supraclavicular radiation in the treatment of breast carcinoma; (3) neoplasm: lymphoma extending from the neck or mediastinum, superior sulcus bronchogenic carcinoma, and metastases; (4) traumatic: extrapleural dissection of blood from a ruptured aorta, fractures of the ribs or spine, or hemorrhage due to subclavian line placement; (5) vascular: coarctation of the aorta with dilated collaterals over the apex, fistula between the subclavian artery and vein; and (6) miscellaneous: mediastinal lipomatosis with subcostal fat extending over the apices.

  20. The effect of the edein complex on the activity of apical root meristems of Allium cepa L.

    Directory of Open Access Journals (Sweden)

    J. A. Tarkowska

    2015-01-01

    Full Text Available The effect of a mixture of edeins in water solution on the meristematic activity of Allium cepa L. root tips was studied during the incubation and postincubation periods. Reduction of the elongation growth of the root tips and a strong decrease in. the number of mitoses was observed what, as cytochemical and autoradiographical studies have shown, is due to the inhibition of DNA synthesis. DNA synthesis is completely inhibited after 24 hrs of incubation. Changes caused by 25 ppm concentration of the solution are reversible during postincubation. The concentration of 50 ppm produces irreversible damage. The main direction of cytochemical changes caused by the action of edeins on the meristematic cells is in good accordance with those recorded for bacterial cells (Kuryło-Borowska 1962, Borowski and Chmara 1968.

  1. Accuracy in the diagnosis of vertical root fractures, external root resorptions, and root perforations using cone-beam computed tomography with different voxel sizes of acquisition

    Science.gov (United States)

    Bragatto, Fernanda Paula; Iwaki Filho, Liogi; Kasuya, Amanda Vessoni Barbosa; Chicarelli, Mariliani; Queiroz, Alfredo Franco; Takeshita, Wilton Mitsunari; Iwaki, Lilian Cristina Vessoni

    2016-01-01

    Aim: The aim of this study is to assess the accuracy of images acquired with cone-beam computed tomography (CBCT) in the identification of three different root alterations. Materials and Methods: Forty human premolars were allocated to four experimental groups (n = 10): sound teeth (control), vertical root fracture (VRF), external root resorption (ERR), and root perforation (RP). After the root alterations had been produced, four teeth were randomly assembled into 10 macerated mandibles and submitted to CBCT. Images were acquired with five voxel sizes (0.125, 0.200, 0.250, 0.300, and 0.400 mm) and assessed by three experienced dental radiologists. Sensitivity, specificity, positive and negative predictive values, and the areas under the receiver operating characteristic curve (accuracy) were calculated. The accuracy of imaging in different voxel sizes was compared with Tukey exact binomial test (α=5%). Results: Accuracy with voxel sizes 0.125, 0.200, and 0.250 mm was significantly higher in the detection of ERRs and VRFs than voxel sizes 0.300 and 0.400 mm. No statistical difference was found in terms of accuracy among any of the studied voxel sizes in the identification of RPs. Conclusions: Voxel size 0.125 mm produced images with the best resolution without increasing radiation levels to the patient when compared to voxel sizes 0.200 and 0.250 mm. Voxel sizes 0.300 and 0.400 mm should be avoided in the identification of root alterations. PMID:27994322

  2. Comparison of the effect of Er, Cr-YSGG laser and ultrasonic retrograde root-end cavity preparation on the integrity of root apices.

    Science.gov (United States)

    Rahimi, Saeed; Yavari, Hamid R; Shahi, Shahriar; Zand, Vahid; Shakoui, Sahar; Reyhani, Mohammad F; Pirzadeh, Ahmad

    2010-03-01

    The aim of this study was to compare the effect of Waterlase laser and ultrasonic root end cavity preparation on the integrity of root end in extracted human teeth. The canals of 60 extracted maxillary central incisors were cleaned, shaped, obturated and 3 mm of the root end was resected and examined for the presence of any cracks. Class I root-end cavities were then prepared using an ultrasonic unit or Waterlase laser. In the ultrasonic group, KIS 2D tip and medium intensity and in the laser group, 600 mum laser tips and an output power setting of 4 W with 55% water and 65% air were used to prepare the cavity which was studied for the presence of any cracks or chippings. One crack was found in the ultrasonic group, while no cracks were observed in the laser group. There was no significant difference between the two groups (P > 0.05). As for the chipping effect, seven cases (23%) had chipping after cavity preparation in the ultrasonic group but no chipping was found in the specimens of the laser group and the difference was statistically significant (P < 0.05). According to the results of this in vitro study, laser preserves the integrity of root-end cavities better than ultrasonic devices from the standpoint of producing chipping.

  3. Treatment of maxillary central incisor with external root resorption using mineral trioxide aggregate: 18 months follow-up

    OpenAIRE

    2013-01-01

    External cervical resorption is the loss of dental hard tissue as a result of odontoclastic action; it usually begins on the cervical region of the root surface of the teeth. This case report demonstrates an external cervical resorption in a maxillary central incisor of a 24-year-old male patient. After surgical intervention and root canal treatment, the resorption was subsequently sealed with mineral trioxide aggregate. The 18 months follow-up demonstrates no pathological changes on clinical...

  4. Playing with reality: IV. A theory of external reality rooted in intersubjectivity.

    Science.gov (United States)

    Fonagy, Peter; Target, Mary

    2007-08-01

    The authors explore the interpersonal aspects of the early development of an experience of external reality and the roots of this experience in primary intersubjectivity. They suggest some implications that this has for psychoanalytic work with the patient's experience of external reality. They argue that the external world is not an independently existing 'given', for the infant to discover, as is sometimes implicitly assumed. Infants acquire knowledge about the world not just through their own explorations of it but by using other minds as teachers. The experience of external reality is invariably shaped through subjectivities. The authors argue that at first the infant assumes that his knowledge is knowledge held by all, that what he knows is known by others and that what is known by others is accessible to him. Only slowly does the uniqueness of his own perspective differentiate so that a sense of mental self can develop. In clinical work we frequently observe the undoing of this process of differentiation, and understanding the underlying mechanisms can be helpful in managing the transference and countertransference consequences when the process has been derailed.

  5. Treatment of maxillary central incisor with external root resorption using mineral trioxide aggregate: 18 months follow-up.

    Science.gov (United States)

    Gandi, Padma; Disha, Saraswathi

    2013-07-09

    External cervical resorption is the loss of dental hard tissue as a result of odontoclastic action; it usually begins on the cervical region of the root surface of the teeth. This case report demonstrates an external cervical resorption in a maxillary central incisor of a 24-year-old male patient. After surgical intervention and root canal treatment, the resorption was subsequently sealed with mineral trioxide aggregate. The 18 months follow-up demonstrates no pathological changes on clinical and radiographic examination. This case report presents a treatment strategy that might improve the healing outcomes for patients with external cervical resorption.

  6. A Negative Feedback Loop Controlling bHLH Complexes Is Involved in Vascular Cell Division and Differentiation in the Root Apical Meristem.

    Science.gov (United States)

    Katayama, Hirofumi; Iwamoto, Kuninori; Kariya, Yuka; Asakawa, Tomohiro; Kan, Toshiyuki; Fukuda, Hiroo; Ohashi-Ito, Kyoko

    2015-12-07

    Controlling cell division and differentiation in meristems is essential for proper plant growth. Two bHLH heterodimers consisting of LONESOME HIGHWAY (LHW) and TARGET OF MONOPTEROS 5 (TMO5)/TMO5-LIKE1 (T5L1) regulate periclinal cell division in vascular cells in the root apical meristem (RAM). In this study, we further investigated the functions of LHW-T5L1, finding that in addition to controlling cell division, this complex regulates xylem differentiation in the RAM via a novel negative regulatory system. LHW-T5L1 upregulated the thermospermine synthase gene ACAULIS5 (ACL5), as well as SUPPRESSOR OF ACAULIS5 LIKE3 (SACL3), which encodes a bHLH protein, in the RAM. The SACL3 promoter sequence contains a conserved upstream open reading frame (uORF), which blocked translation of the main SACL3 ORF in the absence of thermospermine. Thermospermine eliminated the negative effect of uORF and enhanced SACL3 production. Further genetic and molecular biological analyses indicated that ACL5 and SACL3 suppress the function of LHW-T5L1 through a protein-protein interaction between LHW and SACL3. Finally, we showed that a negative feedback loop consisting of LHW-T5L1, ACL5, SACL3, and LHW-SACL3 contributes to maintain RAM size and proper root growth. These findings suggest that a negative feedback loop regulates the LHW-T5L1 output level to coordinate cell division and differentiation in a cell-autonomous manner. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. Measurement of open apices in tooth roots in Colombian children as a tool for human identification in asylum and criminal proceedings.

    Science.gov (United States)

    Rivera, Marcela; De Luca, Stefano; Aguilar, Lina; Velandia Palacio, Luz Andrea; Galić, Ivan; Cameriere, Roberto

    2017-05-01

    Dental age estimation was recognized as an imperative issue in clinical and medico-legal practice. However, very few studies on dental age estimation in children have been published in Colombia. This study evaluated the accuracy of Cameriere's method of measurement of open apices on tooth roots in a sample of 526 digital panoramic radiographs (OPTs) of children (274 boys and 252 girls), aged between 6 and 14 years, from Bogotá, Valle del Cauca, Buga and Villavicencio, in Southwest Colombia. Only first seven permanent lower teeth, except third molar, from the left side of mandible were studied. Difference between dental age and chronological age was evaluated for boys and girls across nine age classes. Intra-class correlation coefficient and Kappa score was used to test intra- and inter-observer agreement error rate. Dental age was overestimated by 0.08 years and standard deviation (±SD) of 0.68 years in boys which was not statistically significant (p = 0.06), while in girls dental age underestimated by -0.25 ± 0.65 years which was statistically significant difference (p Forensic and Legal Medicine. All rights reserved.

  8. Accuracy of three electronic apex locators in determining the apical foramen in multi-rooted teeth: Randomised clinical and laboratory study.

    Science.gov (United States)

    Milanovic, Ivana; Ivanovic, Vladimir; Vujaskovic, Mirjana; Ignjatovic, Snezana; Miletic, Vesna

    2015-04-01

    This study aimed to compare the accuracy of three electronic apex locators (EALs), Raypex 5, Apex NRG and ProPex II, in locating the apical foramen (AF) in vivo. Thirty multi-rooted teeth were included in the study. Distances from the file tip to the radiographic apex from the buccal (R1) and mesial (R2) aspect were measured after extraction. The distance from the file tip to the AF (L) was measured microscopically. Raypex 5, Apex NRG and ProPex II were accurate to within ± 0.5 mm in 84.6%, 78.6% and 66.7% of cases, respectively. R1, R2 and L measurements between the EALs were not statistically different (P > 0.05). R1 and L correlated positively (r(2) = 0.817; P 0.05). There was no statistically significant difference between the EALs. There was a positive correlation between electronic and radiographic measurements when locating the AF.

  9. Histology of a Marfan aorta 4.5 years after personalized external aortic root support.

    Science.gov (United States)

    Pepper, John; Goddard, Martin; Mohiaddin, Raad; Treasure, Tom

    2015-09-01

    In 2008, a 26-year old man had personalized external aortic root support (PEARS) with a macroporous mesh. He was the 16th of 46 patients to have this operation. He had a typical Marfan habitus. His mother died of this disease as did his brother, with an aortic dissection. The patient himself died suddenly 4.5 years after his PEARS operation. At autopsy, there was no blood in the pericardium. The coronary orifices and proximal arteries were normal. His bicuspid aortic valve was minimally regurgitant as it was prior to operation and remained throughout follow-up. Macroscopically the implanted mesh was embedded in the adventitia and not separable from the aortic wall. Microscopically it was fully incorporated with collagen fibres as has been seen in our animal studies. The unsupported aortic arch showed some focal fragmentation of elastic fibres and a mild increase in mucopolysaccharides consistent with Marfan syndrome. These appearances were not present in the supported aortic root, which had the histological appearance of a normal aorta. He was the first patient to die with an implant. The histological appearances suggest the possibility that the incorporated support of the aortic root allowed recovery of the microstructure of the media.

  10. External root resorption: Different etiologies explained from the composition of the human root-close periodontal membrane

    Directory of Open Access Journals (Sweden)

    Inger Kjaer

    2013-01-01

    Full Text Available Introduction: This paper summarizes different conditions, which have a well-known influence on the resorption of tooth roots. It also highlights factors important for individual susceptibility to root resorption. Furthermore, the paper focuses on idiopathic root resorption where the provoking factor is not known. The Hypothesis: The several different disturbances causing root resorption can be either orthodontically provoked or acquired by trauma, virus or congenital diseases. It is presumed that all these conditions lead to inflammatory processes in the three main tissue layers, comprising the peri-root sheet. Evaluation of the Hypothesis: This paper explains how different etiologies behind root resorption and how different phenotypic traits in root resorption can be understood from immunohistochemical studies of the human periodontal membrane close to the root and thus, gain a new understanding of the phenomenon of root resorption.

  11. Incidence of apical crack initiation and propagation during the removal of root canal filling material with ProTaper and Mtwo rotary nickel-titanium retreatment instruments and hand files.

    Science.gov (United States)

    Topçuoğlu, Hüseyin Sinan; Düzgün, Salih; Kesim, Bertan; Tuncay, Oznur

    2014-07-01

    The aim of this study was to determine the incidence of crack initiation and propagation in apical root dentin after retreatment procedures performed by using 2 rotary retreatment systems and hand files with additional instrumentation. Eighty extracted mandibular premolars with single canals were selected. One millimeter from the apex of each tooth was ground perpendicular to the long axis of the tooth, and the apical surface was polished. Twenty teeth served as the control group, and no preparation was performed. The remaining 60 teeth were prepared to size 35 with rotary files and filled with gutta-percha and AH Plus sealer. Specimens were then divided into 3 groups (n = 20), and retreatment procedures were performed with the following devices and techniques: ProTaper Universal retreatment files, Mtwo retreatment files, and hand files. After retreatment, the additional instrumentation was performed by using size 40 ProTaper, Mtwo, and hand files. Digital images of the apical root surface were recorded before preparation, after instrumentation, after filling, after retreatment, and after additional instrumentation. The images were then inspected for the presence of any new apical cracks and propagation. Data were analyzed with the logistic regression and Fisher exact tests. All experimental groups caused crack initiation and propagation after use of retreatment instruments. The ProTaper and Mtwo retreatment groups caused greater crack initiation and propagation than the hand instrument group (P propagation, whereas hand files caused neither crack initiation nor propagation (P propagation in apical dentin. Copyright © 2014 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  12. 铝胁迫下黑麦和小麦根尖分泌有机酸的研究%Secretion of organic acids from root apices under Al stress in rye and wheat

    Institute of Scientific and Technical Information of China (English)

    吴柳杰; 张永先; 凌桂芝; 黎晓峰

    2014-01-01

    Secretion of organic acids from roots apices in rye and wheat were investigated by a system for in vivo root apex culture and micro-exudates collection,to elucidate the mechanisms for Al-induced secretion of organic acids.The results showed that Al (50,100,200,300 μmolL-1 AlCl3 )induced secretion of citrate and malate from rye root api-ces,while wheat root apices secreted malate alone in response to Al treatment.Malate was significantly secreted from root apices of rye and wheat after the treatment with Al for 3 h,and malate was secreted with a high secretion rate within 9 h treatment.There was a lag between the secretion of citrate and Al treatment in rye.At initial 3 h,Al failed to induce significantly secretion of citrate.On the other hand,the addiction of anion channel inhibitor A-9-C (20、60、100 μmolL-1 )to Al solution,the secretion of organic acids was significantly inhibited.However,the amount of or-ganic acids secreted elevated significantly after the exposure of root apices to Al solution with heterotrimeric G-protein agonist cholera toxin (50 ngmL-1 ).These results suggested that our system for in vivo root apex culture and mi-cro-exudates collection was a available tool for the studies on Al-induced secretion of organic acids,and organic acids were secreted from root apices of rye and wheat by anion channels in different patterns,while heterotrimeric G-protein may mediate the secretion of organic acids from root apices.%通过建立的活体根培养及微量根尖分泌物收集系统,对铝胁迫下黑麦和小麦根尖分泌的有机酸进行研究。结果表明:50、100、200、300μmolL-1 AlCl3处理后黑麦根尖分泌柠檬酸和苹果酸,而铝仅诱导小麦根尖分泌苹果酸。铝处理3 h 后,根尖分泌的苹果酸显著增加,并在9 h 内维持较高的分泌速率。铝诱导黑麦根尖分泌柠檬酸有明显的迟缓期,Al(300μmolL-1)处理后的最初3 h,根尖分泌的柠檬酸并不显著增加。在铝溶液中添

  13. Comparison of root canal apical transportation associated with Wave One, ProTaper Next, TF, and OneShape nickel–titanium instruments in curved canals of extracted teeth: A radiographic evaluation

    Directory of Open Access Journals (Sweden)

    Mothanna Alrahabi

    2017-01-01

    Full Text Available Aim: The aim of the present study was to compare apical transportation in curved root canals prepared using ProTaper Next, Wave One, TF, and OneShape nickel–titanium [NiTi] systems. Materials and methods: This study was conducted on mesiobuccal canals of extracted first and second mandibular molars with 30–60 degree curvatures [n = 40]. Specimens were divided into four experimental groups [n = 10 each]. In each group, the mesiobuccal canals were prepared using NiTi systems, including Wave One, ProTaper Next, TF, and OneShape. The apical transportation with each NiTi system was measured using a double digital radiograph technique. The data were analyzed by ANOVA using SPSS ver. 20.0, and significance was set at P  0.05] in apical transportation between TF and OneShape or between ProTaper Next and Wave One. Conclusions: TF and OneShape NiTi systems preserved the original shape of the canal in the apical area better than ProTaper Next and Wave One NiTi systems did.

  14. Estudo comparativo da reabsorção radicular apical em pacientes bruxônomos e pacientes sem sinais clínicos de desgaste dentário Comparative study of apical root resorption in patients whith bruxism and without clinical signs of dental wearing

    Directory of Open Access Journals (Sweden)

    Rebeca Odebrech

    2004-05-01

    Full Text Available A reabsorção radicular, assim como o bruxismo, são temas amplamente abordados na literatura, contudo, a associação dos mesmos ainda permanece pouco documentada. Desse modo, esta pesquisa objetiva comparar pacientes portadores de bruxismo e pacientes sem sinais clínicos de desgaste dentário em relação à quantidade de reabsorção radicular apical nos incisivos superiores. Para tanto foram avaliados clínica e radiograficamente 64 pacientes, perfazendo um total de 256 incisivos acompanhados. Os resultados demonstram que há uma correlação positiva entre bruxismo e reabsorção radicular.Root resorption and bruxism are largely study in literature. However their association still remains few documented. The aim of this study is compare the quantity of apical root resorption in upper permanent incisors in patients with bruxism and without clinical signs of dental wearing. 64 patients (256 incisors were evaluated clinical and radiografically. The results shows the correlation between bruxism and root resorption.

  15. 正畸矫治对根管治疗牙齿牙根吸收程度影响的CBCT研究%Cone beam computed tomography study on the apical root resorption after orthodontic treatment in root-filled teeth

    Institute of Scientific and Technical Information of China (English)

    倪密; 于蕾; 陈文静; 吴国荣

    2016-01-01

    目的 利用CBCT评价正畸治疗对根管治疗牙齿牙根吸收程度的影响.方法 选择上下颌牙齿轻中度拥挤的成年患者16例,患者上颌前牙中至少有一颗已行根管治疗.使用0.5588 mm槽沟的MBT托槽进行非拔牙矫治.于治疗前、后分别拍摄头颅CBCT,并分别测量根管治疗牙齿以及对侧同名牙齿的长度.采用配对t检验进行统计分析.结果 16例患者一共有18颗上颌前牙接受过根管治疗,其中包括6颗中切牙,8颗侧切牙,4颗尖牙.平均治疗时间为(18.3±2.6)个月.治疗前,已行根管治疗牙齿牙根平均长度(22.68±2.14)mm;治疗后,牙根平均长度为(21.98±2.05)mm.治疗前,对侧同名活髓牙牙根平均长度(22.61±2.01)mm;治疗后,牙根平均长度为(22.01±2.37)mm.两组差别无统计学意义.按照牙位单独分析,亦无统计学差异.结论 利用CBCT能够很好地观察正畸治疗后牙根吸收的情况.在轻中度拥挤非拔牙的病例中,正畸治疗并不会增加上颌前牙已行根管治疗牙齿牙根吸收的风险.%Objective To investigate whether root-filled teeth would suffer external apical root resorption after orthodontic treatment compared with vital pulp teeth by CBCT ( cone beam computed tomography ) . Methods 16 adult patients with slightly-moderately crowded teeth were selected. At least one of each patient's maxillary anterior teeth had been treated with root canal treatment. 0. 5588 mm MBT bracket (3M Unitek) was applied to the non-extraction treatment. The CBCT images were collected, and the lengths of the treated tooth and the contralateral tooth were measured using axial-guided navigation before and after treatment. The statistical differ-ence was compared using the paired t-test. Results A total of 18 maxillary anterior teeth, including 6 central incisors, 8 lateral inci-sors, and 4 canines, had received root canal treatment among 16 patients. The average treatment duration was (18. 3 ± 2. 6) months. Before

  16. Reestablishing the Function and Esthetics in Traumatized Permanent Teeth with Large Apical Lesion

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    Alexandra Rubin Cocco

    2016-01-01

    Full Text Available Dental trauma is a challenge for dental integrity and can lead to pulp necrosis. The clinical case reports the diagnosis of a maxillary right central incisor traumatized and its multidisciplinary treatment. Calcium hydroxide material was used to perform the processing apexification. An apical surgery was carried out to remove the apical periodontitis and to return the aesthetics to the patient; internal and external tooth whitening in maxillary right central incisor was performed. We conclude that surgery associated with the root filling in the central incisor led to a successful completion. Moreover, it is of utmost importance to demonstrate the interaction between the various areas of dentistry.

  17. Thermal effects from modified endodontic laser tips used in the apical third of root canals with erbium-doped yttrium aluminium garnet and erbium, chromium-doped yttrium scandium gallium garnet lasers.

    Science.gov (United States)

    George, Roy; Walsh, Laurence J

    2010-04-01

    To evaluate the temperature changes occurring on the apical third of root surfaces when erbium-doped yttrium aluminium garnet (Er:YAG) and erbium, chromium-doped yttrium scandium gallium garnet (Er,Cr:YSGG) laser energy was delivered with a tube etched, laterally emitting conical tip and a conventional bare design optical fiber tip. Thermal effects of root canal laser treatments on periodontal ligament cells and alveolar bone are of concern in terms of safety. A total of 64 single-rooted extracted teeth were prepared 1 mm short of the working length using rotary nickel-titanium Pro-Taper files to an apical size corresponding to a F5 Pro-Taper instrument. A thermocouple located 2 mm from the apex was used to record temperature changes arising from delivery of laser energy through laterally emitting conical tips or plain tips, using an Er:YAG or Er,Cr:YSGG laser. For the Er:YAG and Er,Cr:YSGG systems, conical fibers showed greater lateral emissions (452 + 69% and 443 + 64%) and corresponding lower forward emissions (48 + 5% and 49 + 5%) than conventional plain-fiber tips. All four combinations of laser system and fiber design elicited temperature increases less than 2.5 degrees C during lasing. The use of water irrigation attenuated completely the thermal effects of individual lasing cycles. Laterally emitting conical fiber tips can be used safely under defined conditions for intracanal irradiation without harmful thermal effects on the periodontal apparatus.

  18. Protein biomarkers of external root resorption: A new protein extraction protocol. Are we going in the right direction?

    OpenAIRE

    2014-01-01

    OBJECTIVE: The aim of this study is to determine a protocol of gingival crevicular fluid protein extraction used for the first dimension of 2-DE gels. It also aims at conducting a review on the current candidates for protein markers of this pathology, all of which may be used to prevent the disease. METHODS: Gingival crevicular fluid was collected from two groups of 60 patients each, with and without external root resorption. Samples were extracted by means of various methods of protein extra...

  19. In vitro measurement accuracy of RootZX electronic apex locator in teeth with apical root resorption%RootZX测量仪测定根尖吸收牙齿工作长度的准确性

    Institute of Scientific and Technical Information of China (English)

    张平

    2006-01-01

    目的:研究RootZX全自动根管长度测量仪测定根尖区吸收牙齿工作长度的准确性.方法:将80 颗离体前牙平均分成甲、乙2 组,其中乙组用700#裂钻深入根尖孔钻入3 mm,破坏根尖狭窄处.将2 组牙齿分别置于测量槽中,使用RootZX全自动根管长度测量仪测量工作长度,计算测得的工作长度与肉眼下测量的根管长度的差值A,比较RootZX全自动根管长度测量仪测量2 组工作长度的准确性.结果:RootZX全自动根管长度测量仪测量甲组的准确率为95%,测量乙组的准确率为85%,但2 组准确率的差异无统计学意义(P>0.05).结论:对于根尖狭窄区破坏的牙齿,使用RootZX全自动根管长度测量仪测量的工作长度具有较高的准确性.

  20. 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

  1. In vitro comparison of cone beam computed tomography with different voxel sizes for detection of simulated external root resorption.

    Science.gov (United States)

    Neves, Frederico S; de Freitas, Deborah Q; Campos, Paulo S F; de Almeida, Solange M; Haiter-Neto, Francisco

    2012-09-01

    The present study compared the efficacy of cone beam computed tomography using different voxel sizes in the diagnosis of simulated external root resorption. The presence or absence of simulated defects on buccal, mesial and distal root surfaces of 20 premolars was evaluated. The defects were small (0.26 mm in diameter and 0.08 mm deep), medium (0.62 mm in diameter and 0.19 mm deep) and large (1.05 mm in diameter and 0.24 mm deep), equally distributed on each root surface. Images were obtained using Classic i-CAT cone beam computed tomography with different voxel sizes: 0.12, 0.20, 0.25 and 0.30 mm. Five oral radiologists evaluated the images. Accuracy, sensitivity, specificity, positive and negative predictive values were determined. The sensitivity decreased and specificity increased as voxel size increased. Accuracy values were the highest for the smallest voxel size (0.12 mm). The results for voxel sizes 0.20 mm and 0.25 mm were similar. Positive and negative predictive values were similar in all protocols, except with 0.30 mm, in which they were the lowest. In conclusion, external root resorption was more easily diagnosed when a smaller voxel size was used.

  2. Age-dependent external root resorption during tooth movement in rats

    NARCIS (Netherlands)

    Ren, Yijin; Maltha, Jaap C.; Liem, Robert S. B.; Stokroos, Ietse; Kuijpers-Jagtman, Anne Marie

    2008-01-01

    OBJECTIVE: To investigate the effect of age on root resorption and distribution along different parts of the root during prolonged light force application. MATERIAL AND METHODS: Orthodontic appliances were placed in two groups of 30 rats (one group 6 weeks old, the other 9-12 months old), with contr

  3. UV-B Induced Generation of Reactive Oxygen Species Promotes Formation of BFA-Induced Compartments in Cells of Arabidopsis Root Apices.

    Science.gov (United States)

    Yokawa, Ken; Kagenishi, Tomoko; Baluška, František

    2015-01-01

    UV-B radiation is an important part of the electromagnetic spectrum emitted by the sun. For much of the period of biological evolution organisms have been exposed to UV radiation, and have developed diverse mechanisms to cope with this potential stress factor. Roots are usually shielded from exposure to UV by the surrounding soil, but may nevertheless be exposed to high energy radiation on the soil surface. Due to their high sensitivity to UV-B radiation, plant roots need to respond rapidly in order to minimize exposure on the surface. In addition to root gravitropism, effective light perception by roots has recently been discovered to be essential for triggering negative root phototropism in Arabidopsis. However, it is not fully understood how UV-B affects root growth and phototropism. Here, we report that UV-B induces rapid generation of reactive oxygen species which in turn promotes the formation of BFA-induced compartments in the Arabidopsis root apex. During unilateral UV-B irradiation of roots changes in auxin concentration on the illuminated side have been recorded. In conclusion, UV-B-induced and ROS-mediated stimulation of vesicle recycling promotes root growth and induces negative phototropism.

  4. UV-B induced generation of reactive oxygen species promotes formation of BFA-induced compartments in cells of Arabidopsis root apices

    Directory of Open Access Journals (Sweden)

    Ken eYokawa

    2016-01-01

    Full Text Available UV-B radiation is an important part of the electromagnetic spectrum emitted by the sun. For much of the period of biological evolution organisms have been exposed to UV radiation, and have developed diverse mechanisms to cope with this potential stress factor. Roots are usually shielded from exposure to UV by the surrounding soil, but may nevertheless be exposed to high energy radiationon the soil surface. Due to their high sensitivity to UV-B radiation, plant roots need to respond rapidly in order to minimize exposure on the surface. In addition to root gravitropism, effective light perception by roots has recently been discovered to be essential for triggering negative root phototropism in Arabidopsis. However, it is not fully understood how UV-B affects root growth and phototropism. Here, we report that UV-B induces rapid generation of reactive oxygen species which in turn promotes the formation of BFA-induced compartments in the Arabidopsis root apex. During unilateral UV-B irradiation of roots changes in auxin concentration on the illuminated side have been recorded. In conclusion, UV-B-induced and ROS-mediated stimulation of vesicle recycling promotes root growth and induces negative phototropism.

  5. 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

    apical root resorption of the upper first permanent molars submitted to the action of the appliance. METHODS: Were evaluated periapical X-rays of 19 leucoderms young female - with ages between 8 and 10 years, with dental Class II, division 1 malocclusion, before and after orthodontic treatment, using high-pull headgear. The 76 X-rays were divided into two groups according to their root formation. Group A consisted of 18 X-rays with incomplete root formation, except for the palatine root, before treatment and 18 after treatment. Group B consisted of 20 X-rays where root formation was completed before treatment and 20 after treatment. The root lengths were measured with digital caliper and the registered measures were submitted to the error of the method and statistical analysis, Student t test, to verify the differences regarding the root length before and after the treatment with occipital headgear. RESULTS: In group A, there was a significant increase of the root lengths, while in the group B the differences were not significant. Posttreatment Group A showed no significant differences with the mean root lengths of pretreatment group B, in other words, teeth with incomplete root formation at onset of orthodontic treatment presented normal root growth during the active treatment. CONCLUSION: Therefore, it was concluded that high-pull headgear didn't influence negatively in the root formation and it didn't provoke apical resorption of the molars submitted to the action of the appliance, suggesting that occipital headgear doesn't present risks to the root structure and formation when correctly indicated and applied.

  6. Microbiological status of untreated and root-filled teeth associated with chronic apical periodontitis%未经治疗和根管治疗失败的慢性根尖周炎的细菌学研究

    Institute of Scientific and Technical Information of China (English)

    郭惠杰; 田绮; 高承志

    2011-01-01

    Objective: To compare the microbiological status within the root canal of untreated and root-filled teeth with chronic apical periedontitis and to determine the association of the various species with clinical features. Methods: Ninety single root canals with chronic apical periodontitis were examined. Forty-five of them were primary apical periodontitis and the others were persistent apical periedontitis. According to clinical features the specimens were divided into three groups:pain, fistula and symptomless. The microbial samples were taken from all root canals and root filling materials. Microbial sampling, isolation and species determination were performed using microbiological techniques for anaerobic species. Results: The microbial flora within root canals of untreated teeth with apical periodontitis was found to be mixed, gram-negative anaerobic microorganisms and P. intermedius were predominated. The microbial flora within root canals of treated teeth with chronic apical periedontitis was also found to be mixed but gram-positive anaerobic microorganisms, Enterococcus faecalis were predominat. There was also a significant trend for pain associated with P. intermedius and sinus tracts associated with E. feacalis( P < 0.01 ). Conclusion: The microbial flora in the root canals of primary periodontitis is different from those of persistent periodontitis. Bacterial combination may play a role in treatment failures. P. intermedius and E. feacalis may be associated with definite clinical features, respectively.%目的:比较未经治疗和根管治疗失败的慢性根尖周炎患牙根管内的感染状态并分析临床表征与特殊细菌之间的关系.方法:收集临床诊断为慢性根尖周炎的病例90 例,包括未治疗患牙和根管治疗失败患牙各45 例,根据临床症状分为疼痛组、窦道组和无症状组.详细记录患牙的临床表征并拍摄X线片.经根管内取样、接种、培养后检测根管内的细菌种类并分析

  7. Accuracy in the diagnosis of vertical root fractures, external root resorptions, and root perforations using cone-beam computed tomography with different voxel sizes of acquisition

    Directory of Open Access Journals (Sweden)

    Fernanda Paula Bragatto

    2016-01-01

    Conclusions: Voxel size 0.125 mm produced images with the best resolution without increasing radiation levels to the patient when compared to voxel sizes 0.200 and 0.250 mm. Voxel sizes 0.300 and 0.400 mm should be avoided in the identification of root alterations.

  8. Sealing ability of grar MTA AngelusTM, CPM TM and MBPc used as apical plugs

    Directory of Open Access Journals (Sweden)

    Fernando Accorsi Orosco

    2008-02-01

    Full Text Available This study evaluated the sealing ability of apical plugs fabricated with gray MTA AngelusTM sealer, CPM TM sealer and MBPc sealer. The root canals of 98 extracted single-rooted human teeth were instrumented with #5 to #1 Gates Glidden drills according to the crown-down technique until the #1 drill could pass through the apical foramen. The specimens were then prepared with K-files, starting with an ISO 50 until an ISO 90 could be visualized 1 mm beyond the apex. After root canal preparation, the external surface of each root was rendered impermeable and roots were assigned to 3 experimental groups (n = 30, which received a 5-mm thick apical plug of gray MTA AngelusTM, CPM TM and MBPc, and two control groups (n=4. The remaining portion of the canal in the experimental groups was filled by the lateral condensation technique. The teeth of each group, properly identified, were fixed on utility wax by their crowns and were placed in plastic flasks, leaving the apex free and facing upward. The flasks were filled with 0.2% Rhodamine B solution, pH 7.0, so as to completely cover the root apex of all teeth. The sealing ability was analyzed by measuring 0.2% Rhodamine B leakage after all groups had been maintained in this solution for 48 hours. Data were analyzed statistically by Kruskal-Wallis test and Dunn test with a=5%. The results showed that, among the tested materials used for fabrication of apical plugs, MBPc sealer had the least amount of leakage with statistically significant difference (p<0.05.

  9. Sealing ability of grar MTA AngelusTM, CPM TM and MBPc used as apical plugs.

    Science.gov (United States)

    Orosco, Fernando Accorsi; Bramante, Clovis Monteiro; Garcia, Roberto Brandão; Bernadineli, Norberti; Moraes, Ivaldo Gomes de

    2008-01-01

    This study evaluated the sealing ability of apical plugs fabricated with gray MTA Angelus sealer, CPM TM sealer and MBPc sealer. The root canals of 98 extracted single-rooted human teeth were instrumented with #5 to #1 Gates Glidden drills according to the crown-down technique until the #1 drill could pass through the apical foramen. The specimens were then prepared with K-files, starting with an ISO 50 until an ISO 90 could be visualized 1 mm beyond the apex. After root canal preparation, the external surface of each root was rendered impermeable and roots were assigned to 3 experimental groups (n = 30), which received a 5-mm thick apical plug of gray MTA Angelus, CPM and MBPc, and two control groups (n=4). The remaining portion of the canal in the experimental groups was filled by the lateral condensation technique. The teeth of each group, properly identified, were fixed on utility wax by their crowns and were placed in plastic flasks, leaving the apex free and facing upward. The flasks were filled with 0.2% Rhodamine B solution, pH 7.0, so as to completely cover the root apex of all teeth. The sealing ability was analyzed by measuring 0.2% Rhodamine B leakage after all groups had been maintained in this solution for 48 hours. Data were analyzed statistically by Kruskal-Wallis test and Dunn test with a=5%. The results showed that, among the tested materials used for fabrication of apical plugs, MBPc sealer had the least amount of leakage with statistically significant difference (p<0.05).

  10. Orthodontic treatment in patient with idiopathic root resorption: A case report

    Directory of Open Access Journals (Sweden)

    Diego Rey

    2015-02-01

    Full Text Available Multiple idiopathic external root resorption is a rare pathological condition usually detected as an incidental radiographic finding. External root resorption of permanent teeth is a multifactorial process related to several local and systemic factors. If an etiological factor cannot be identified for root resorption, the term "idiopathic" is applied. This report presents a case of multiple idiopathic apical root resorption. The condition was found in a young female patient seeking orthodontic treatment due to malocclusion. This kind of resorption starts apically and progresses coronally, causing a gradual shortening and rounding of the remaining root. Patients with this condition are not the ideal candidates for orthodontic treatment; however, the aim of this report is to describe an unusual case of idiopathic root resorption involving the entire dentition, and to present the orthodontic treatment of this patient. It describes the progress and completion of orthodontic therapy with satisfactory end results.

  11. Personalised External Aortic Root Support (PEARS Compared with Alternatives for People with Life-Threatening Genetically Determined Aneurysms of the Aortic Root

    Directory of Open Access Journals (Sweden)

    Tom Treasure

    2015-01-01

    Full Text Available Personalised external aortic support was first proposed in 2000 by Tal Golesworthy, an engineer with familial Marfan syndrome and an aortic root aneurysm. After putting together a research and development team, and finding a surgeon to take on the challenge to join him in this innovative approach, he was central to the manufacture of the device, custom made for his own aorta. He was the patient for the ‘first in man’ operation in 2004. Ten years later he is well and 45 other people have had their own personalised device implanted. In this account, the stepwise record of proof of principle, comparative quantification of the surgical and perioperative requirements, 10 years of results, and development and research plans for the future are presented.

  12. External Root Resorption During Standardised Orthodontic Tooth Movement In Young And Adult Rats

    Institute of Scientific and Technical Information of China (English)

    REN Yi-jin; JC. Maltha; AM Kuijpers-Jagtman

    2004-01-01

    目的:比较研究幼鼠和成年鼠正畸牙齿移动过程中的牙根吸收.方法:本研究包括两组大鼠,其中幼鼠30只(年龄约6周),成年鼠30只(年龄约9~12个月).大鼠上颌牙一侧用于实验侧,另一侧用于对照.实验侧的三颗磨牙用结扎丝颌粘接剂固为一个整体,在超弹性拉簧作用下(力值为0.1牛顿)向切牙侧移动.1,2,4,8和12周时给予大鼠过量麻醉剂,材料用于组织学研究.上颌第一磨牙的近中颊侧根为根吸收研究对象.压力侧和张力侧的牙根吸收程度在显微镜下进行长度测量.实验侧与对照侧,压力侧与张力侧,幼鼠与成年鼠之间的牙根吸收程度分别以实验时间为参照,在统计学手段下进行了组间和组内分析和比较,以探讨牙齿移动时间和年龄因素对于牙根吸收的影响.结果:实验侧的牙根吸收在幼鼠与成年鼠之间在1,2,4,8周时均没有统计学差异.而在第12周时,成年鼠实验侧牙根吸收大于幼鼠 (P<0.05).成年鼠实验组压力侧的牙根吸收明显大于对照组压力侧,而在幼鼠组没有发现这一差异.两组年龄幼鼠的实验组其压力侧和张力侧的牙根吸收均高度相关.结论:相对于对照侧,正畸牙齿移动并没有在幼鼠的实验侧诱发更多的牙根吸收.在成年鼠,长期的正畸作用力倾向于诱发更多的牙根吸收.这些研究结果表明对于正畸成年病人的后期治疗要更加注意防止牙根吸收.%Objective: To evaluate root resorption during orthodontic tooth movement in young and adult rats. Material and Methods: Standardised orthodontic tooth movement was performed in two groups of 30 male rats; a juvenile group aged 6 wks and an adult group aged 9-12 months. A split mouth design was chosen. The three maxillary molars at the experimental sides were moved as one unit mesially by a Sentalloy coil spring delivering a force of 10 cN over a long range of activation. The contra-lateral molars served as

  13. Composition of Microbial Community in Patients with Secondary Apical Paradentosis after Root Canal Therapy%根管治疗后继发根尖周炎患者根管内微生物群落的研究

    Institute of Scientific and Technical Information of China (English)

    马先庆

    2016-01-01

    【目的】探讨根管治疗后继发根尖周炎患者根管内微生物群落的情况。【方法】选取2014年2月至2015年1月期间在本院接受根管治疗的86例根尖周炎患者的致病牙为研究对象,把其中行根管治疗后伴根尖周炎的16例患者分为观察组,把行根管治疗后不伴根尖周炎的70例患者分为对照组。观察比较两组患者致病牙根管内的微生物群落构成、细菌种类的检出率和微生物群落98%成分的菌门各样本丰度的差异。【结果】观察组患者致病牙根管内微生物群落主要由肠球菌、链球菌、放线菌、葡萄球菌、乳杆菌、消化链球菌、丙酸杆菌、优杆菌、类杆菌、梭杆菌、韦荣球菌,真菌类有白色念球菌构成;对照组患者患牙根管内微生物群落中主要有无肠球菌、葡萄球菌和白色念球菌。观察组中链球菌、放线菌、乳杆菌的检出率均明显高于对照组;观察组中粪杆菌和梭杆菌的检出率明显低于对照组;两组中消化链球菌、丙酸杆菌、优杆菌和韦荣球菌的检出率变化较小。两组微生物群落中放线菌门和拟杆菌门的丰度差异具有统计学意义(P 0.05)。【结论】行根管治疗后伴根尖周炎的患者致病牙根管内微生物群落的组成较丰富,放线菌、拟杆菌的检出率变化和二者菌门丰度差异显示放线菌和拟杆菌对于根尖周炎的感染有相关关系。%Obj ective]To explore the composition of microbial community in patients with secondary api-cal paradentosis after root canal therapy.[Methods]Eighty-six patients with secondary apical paradentosis during February 2014 to January 2015 from our hospital were chosen for the study and were divided into two groups based on the presence of infection after root canal therapy.The observation group consisted of 1 6 cases with secondary apical paradentosis,and the control group consisted of 70 cases without secondary apical para

  14. The evaluation of removal of calcium hydroxide paste from an artificial standardized groove in the apical root canal using different irrigation methodologies

    NARCIS (Netherlands)

    van der Sluis, L. W. M.; Wu, M. K.; Wesselink, P. R.

    2007-01-01

    Aim: To evaluate the capacity to remove a calcium hydroxide (Ca(OH)(2)) paste from the root canal and to evaluate the efficacy of Ca(OH)(2) removal during passive ultrasonic irrigation using either sodium hypochlorite (NaOCl) or water as an irrigant. Methodology: Sixteen mandibular premolars were us

  15. Enraizamento adventício de estacas apicais de figueira e desenvolvimento inicial das plantas no campo Rooting of apical cuttings and first development of the plants in the field

    Directory of Open Access Journals (Sweden)

    Rafael Pio

    2004-02-01

    Full Text Available Apesar de a propagação vegetativa da figueira ser praticada há muito tempo, estudos para definir novas metodologias são importantes, notadamente com o uso de estacas apicais e reguladores vegetais. Objetivou-se com este trabalho verificar o comportamento de plantas de figueira no campo, previamente enraizadas, com o uso de sacarose diluída em soluções de AIB. Estacas lenhosas e lisas da porção apical de figueira com 20 cm de comprimento foram imersas em soluções sem e com sacarose a 2%, em AIB (0, 1000, 2000, 3000 e 4000 mg.L-1, por 5 segundos. Após as imersões, as estacas foram acondicionadas em recipientes de 26 x 14 cm preenchidos com substrato à base de terra e areia (2:1 v/v e transferidas para câmara de nebulização com sistema de irrigação e temperatura controlada. Após 60 dias, realizou-se a primeira avaliação em atributos referentes ao sistema radicular e parte aérea. Uma outra parte das plantas foi transferida para recipientes constituídos de plástico rígido com capacidade de 5 litros, preenchidos com substratos constituídos de terra e esterco de curral (3:1 v/v, em campo. Após 120 dias, constatou-se que estacas tratadas e não tratadas com sacarose e AIB na fase de enraizamento possuem comportamentos semelhantes no campo, havendo necessidade do tratamento de estacas com AIB somente para aumentar a porcentagem de estacas enraizadas.Althoug the vegetative propagation of the fig tree has being practiced a long time ago, studies aiming at defining new methods are important, specially using apical cuttings and growth regulators. The present work had the objective to verify the behavior of fig plants obtained from rooting using sucrose diluted in solutions of IBA, through fast immersion. Woody and flat cuttings of the apical portion standardized with 20 cm of length were immerged in solution with and without sucrose at 2%, diluted in IBA (0, 1000, 2000, 3000 and 4000 mg.L-1 for 5 seconds. After the immersions the

  16. Binding of 1-nitro-9- (3-dimethylaminopropylamino-acridine to the DNA of the apical meristem cells of adventitious onion (Allium cepa L. roots

    Directory of Open Access Journals (Sweden)

    Danuta Antosiewicz

    2014-01-01

    Full Text Available It was established that one half of the ledakrin (I-nitro-9-(3-dimethylaminopropylamino-acridine bound to the DNA in the cells of the studied onion root tips (Allium cepa L., forms labile complexes with it, the remaining half is covalently attached to only one strand of the DNA. One molecule of covalently bound ledakrin falls on average to 104-2X104 pairs of bases.

  17. Temperature Development on the External Root Surface During Laser-Assisted Endodontic Treatment Applying a Microchopped Mode of a 980 nm Diode Laser.

    Science.gov (United States)

    Beer, Franziska; Farmakis, Eleftherios Terry R; Kopic, Josip; Kurzmann, Christoph; Moritz, Andreas

    2017-04-01

    The aim of this article was to investigate the temperature increase of the external root surface during laser-assisted endodontic treatment using a diode laser (980 nm) in a microchopped mode. Ten freshly extracted, human maxillary incisors with mature apices were collected, prepared to size F4 at working length (ProTaper; Dentsply Maillefer, Ballaigues, Switzerland), mounted to a holder, and irradiated (using spiral movements in coronal direction) with a diode laser (GENTLEray 980 Classic Plus; KaVo, Biberach, Germany) with a 200 μm fiber in four different treatment groups: Group 1 (control group) was irradiated in six cycles of 5-sec irradiation/20-sec pause with 2.5 W in the pulse mode. Groups 2 to 4 were irradiated at six cycles of 5-sec irradiation/20-sec pause in the microchopped mode (Group 2-1.6 W; Group 3-2.0 W; Group 4-2.5 W). The applied mode was 25 ms on/25 ms off. Within the on period, the laser delivered an intermittent sequence of energy complexes and the maximum output was equal to the nominated output of the device (12 W). Canals were kept moist by sterile saline irrigation in between irradiations, and temperature changes were continuously measured using a thermal imaging camera. Recordings were analyzed by a mixed model (analysis of variance [ANOVA] for repeated measurements). The highest mean of temperature rise, 1.94°C ± 1.07°C, was measured in Group 4, followed by Group 3 (1.74°C ± 1.22°C) and Group 2 (1.58°C ± 1.18°C). The lowest increase occurred in Group 1 (1.06°C ± 1.20°C). There was a significant difference (p = 0.041) between the groups. Significant differences were found between Groups 1 and 4 (p = 0.007) and 1 and 2 (p = 0.035). In addition, a marginally significant difference between Groups 1 and 2 (p = 0.052) was noted. There was no significant difference between Groups 2, 3, and 4. Despite the low mean values reported, the highest temperature increase (+5.7°C) was

  18. Management of mucosal fenestration with external root resorption by multidisciplinary approach.

    Science.gov (United States)

    Bharti, Ramesh; Chandra, Anil; Tikku, Aseem Prakash; Prasad, Veerendra; Shakya, Vijay Kumar; Singhal, Rameshweri

    2014-10-09

    Mucosal fenestration is a clinical condition in which the overlying gingiva is denuded and the root is exposed to the oral cavity. Invasive cervical resorption is an entirely uncommon entity and its aetiology is poorly understood. This case presents an invasive cervical resorption of maxillary right central incisor with fenestration at the cervical third of the tooth. The resorption area was chemomechanically debrided. It was then restored with Mineral Trioxide Aggregate over which pink glass ionomer cement (GC Fuji VII) was placed. Lateral pedicle flap was used to cover the fenestration. The resorptive defect was restored using tooth coloured restorative resin after removal of the pink glass ionomer cement. Orthodontic treatment was continued for correction of malocclusion.

  19. Influence of root canal preparation on fidelity of electronic apical locator (EAL) in clinical application%临床根管预备对电子根尖定位仪精确性影响的研究

    Institute of Scientific and Technical Information of China (English)

    刘思逸; 梅陵宣; 曹寅; 白锡才; 赵晓花

    2008-01-01

    目的 探讨根管预备对电子根尖定位仪(Electronic Apical Locator,EAL)精确性的影响.方法 采用数字随机法把根管分为4组:①初尖锉组:使用初尖锉取得手感法的根管工作长度并使用EALs(Root ZX and Raypex-5)测量根管工作长度;②扩一组:比初尖锉大1号的锉预备根管并使用EALs测量根管工作长度;③扩二组:扩至比初尖锉大2号的锉并用EALs测得根管工作长度;④扩三组:扩至比初尖锉大3号的锉并用EALs测得根管工作长度.将各组测量值与拔牙后直视状态下测得的根管长度进行比较.结果 初尖锉组测量根管工作长度的准确率为:手感法55%,Root ZX 85%,Raypex-590%;扩一组、扩二组和扩三组依次分别为:Root ZX 90%、90%、95%,Raypex-5 95%、100%、100%.结论 电测法测定根管工作长度准确率高,临床根管预备不会降低EAL的精确性.

  20. Comparative study on the apical root resorption between self-ligating and conventional brackets in extraction patients%自锁矫治与传统矫治对牙根吸收的影响

    Institute of Scientific and Technical Information of China (English)

    刘新强; 孙晓蕾; 杨茜; 范存晖; 陈秀娟

    2012-01-01

    PURPOSE: To explore whether orthodontic light force with self-ligating brackets.oan reduce the amount of external apical root resorption (EARR). METHODS: Thirty patients with Class Ⅰ or Ⅱ crowding malocclusion were selected. Four first premolars of all patients were extracted in orthodontic treatment. 15 patients were treated with self-ligating brackets (Damon 3MX) and 15 patients with conventional ligation brackets, respectively. Patients in two groups were comparable, in gender, age, crowded degree and malocclusion classification at the commencement of treatment. EARR of the maxillary and mandible incisors was evaluated on panoramic radiographs and models taken before and after treatment, and measured in millimeters. Student's t test was performed using SPSS19.0 software package. RESULTS: Overall, no difference was found in the amount of EARR between the two groups. The amount of EARR in maxillary central incisor was (2.05±1.51) mm in Damon group and (2.08 ±1.21) mm in conventional group (P=0.973>0.05); (1.77± 1.01) mm in maxillary lateral incisor in Damon group and (1.91±1.59) mm in conventional group(P=0.848>0.05); (2.06± 1.62) mm in mandibular central incisor in Damon group and (1.98±1.50) mm in conventional group (P=0.926>0.05); (1.94±1.45) mm in mandibular lateral incisor in Damon group and (1.84+1.17) mm in conventional group(P=0.888>0.05). CONCLUSION: No difference should be expected for root resorption between self-ligating and conventional brackets in orthodontic extraction treatment.%目的:探讨自锁托槽轻力矫治是否可以减轻对牙根的吸收.方法:选取临床治疗的安氏Ⅰ、Ⅱ类拥挤并拔除4颗第一前磨牙病例30例,分为2组.其中,15例使用Damon 3MX自锁托槽矫治(自锁组),15例使用传统结扎式直丝托槽矫治(结扎组).2组资料矫治前在性别、年龄、拥挤度及错(牙合)类型等指标上具有可比性.通过矫治前、后的模型及全口曲面体层片,测量计算2组矫治

  1. Effect of diode laser irradiation on the apical sealing of MTA retrofillings Efeito da irradiação de laser de diodo no selamento apical em retrobturações com MTA

    Directory of Open Access Journals (Sweden)

    Eliana Barbosa de Souza

    2006-09-01

    Full Text Available Apical sealing is essential for the success of paraendodontic surgery, so any procedure that may favor an adequate sealing of the apical remainder should be performed. The purpose of this study was to evaluate the influence of diode laser irradiation on the apical sealing of root-end cavities with MTA retrofillings. Root canals in twenty extracted human teeth were shaped with K-files and filled with gutta-percha. The apexes were cut off and root-end preparations were performed. The roots were divided randomly in 2 groups. Group 1 (ten specimens was retrofilled with MTA. Group 2 was irradiated with diode laser, with 1 W for 20 seconds, on the apical surface and root end cavity before retrofilling with MTA. The specimens had their external surfaces impermeabilized with cyanoacrylate, except for the apical surface, and were then immersed in 1% rhodamine B dye for 72 h and placed in plaster stone. After that, the specimens were submitted to longitudinal abrasion until half of the root remained. The linear dye leakage was observed in these mid-roots between the root canal wall and retrofilling. The linear dye leakage was measured with Image Lab software, and the results were statistically analyzed with Student's t test. There were no statistically significant differences between the two groups (p > 0.05. The diode laser irradiation did not improve the apical sealing of MTA retrofillings under the conditions of this in vitro study.O selamento apical é fundamental para o sucesso da cirurgia parendodôntica. Assim, procedimentos que melhorem o selamento do remanescente apical devem ser utilizados. O objetivo deste estudo foi verificar se a irradiação de laser de diodo poderia aumentar o selamento apical em cavidades retrógradas obturadas com MTA. Foram utilizadas 20 raízes de dentes humanos extraídos que, após preparo com lima tipo K, tiveram seus canais obturados com guta-percha. Os ápices foram cortados e sofreram preparo de cavidades retr

  2. Microsurgical re-treatment of an endodontically treated tooth with an apically located incomplete vertical root fracture: a clinical case report

    Directory of Open Access Journals (Sweden)

    Silvio Taschieri

    2016-11-01

    Full Text Available Although it is challenging, the early diagnosis of a vertical root fracture (VRF is crucial in order to ensure tooth preservation. The purpose of this clinical case report was to describe reparative surgery performed to treat a tooth affected by an incomplete VRF. A 26 year old male patient was suspected to have a VRF in a maxillary left central incisor, and an exploratory flap was performed in order to confirm the diagnosis. After detecting the fracture, the lesion was surgically treated, the fracture and the infected root-end were removed, and a platelet-rich plasma membrane was used to cover the defect in order to prevent bacterial migration. A 24 month clinical and radiological follow-up examination showed that the tooth was asymptomatic and that the healing process was in progress. The surgical approach described here may be considered an effective treatment for a combined endodontic-periodontal lesion originating from an incomplete VRF and a recurrent periapical lesion.

  3. Root resection under the surgical field employed for extraction of impacted tooth and management of external resorption

    Directory of Open Access Journals (Sweden)

    A R Vivekananda Pai

    2012-01-01

    Full Text Available This case report illustrates determination of prognosis and immediate resection carried out, before completing the endodontic therapy, during the surgery employed for managing a nonperiodontal problem. This case showed external pressure resorption in the distobuccal root of maxillary second molar caused by the impingement of impacted third molar. Extraction of third molar was decided when healing was not seen, despite initiating endodontic therapy in second molar. Following elevation of flap and extraction of third molar, the poor prognosis due to severe bone loss around the resorbed root was evident. But due to strategic value of second molar, it was found beneficial to employ resection. Therefore, immediate resection was carried out in the same surgical field before the completion of endodontic therapy. This prevented the need for another surgical entry with its associated trauma to carry out resection separately later. Resection followed by the completion of endodontic therapy and full crown assisted in salvaging the remaining functional portion of the tooth and prevented the occurrence of distal extension with its potential drawbacks.

  4. Nitrogen source and external medium pH interaction differentially affects root and shoot metabolism in Arabidopsis

    Directory of Open Access Journals (Sweden)

    Asier eSarasketa

    2016-02-01

    Full Text Available Ammonium nutrition often represents an important growth-limiting stress in plants. Some of the symptoms that plants present under ammonium nutrition have been associated with pH deregulation, in fact external medium pH control is known to improve plants ammonium tolerance. However, the way plant cell metabolism adjusts to these changes is not completely understood. Thus, in this work we focused on how Arabidopsis thaliana shoot and root respond to different nutritional regimes by varying the nitrogen source (NO3- and NH4+, concentration (2 and 10 mM and pH of the external medium (5.7 and 6.7 to gain a deeper understanding of cell metabolic adaptation upon altering these environmental factors. The results obtained evidence changes in the response of ammonium assimilation machinery and of the anaplerotic enzymes associated to Tricarboxylic Acids (TCA cycle in function of the plant organ, the nitrogen source and the degree of ammonium stress. A greater stress severity at pH 5.7 was related to NH4+ accumulation; this could not be circumvented in spite of the stimulation of glutamine synthetase, glutamate dehydrogenase and TCA cycle anaplerotic enzymes. Moreover, this study suggests specific functions for different gln and gdh isoforms based on the nutritional regime. Overall, NH4+ accumulation triggering ammonium stress appears to bear no relation to nitrogen assimilation impairment.

  5. A micro-computed tomographic analysis of the apical anatomy of permanent three-rooted mandibular first molars%三根型下颌第一恒磨牙根尖解剖结构的显微CT观测

    Institute of Scientific and Technical Information of China (English)

    顾永春; 倪龙兴

    2012-01-01

    目的 揭示三根型下颌第一恒磨牙根尖解剖特点,以期为临床进行根管治疗提供依据.方法 从江苏省吴江市第一人民医院口腔科门诊采集中国汉族患者拔除的下颌第一恒磨牙122颗,选择20颗三根型下颌磨牙(三根组)及25颗双根型下颌磨牙(双根组)进行显微CT扫描及三维重建.Mimics 10.01软件界面下观测根尖部的解剖结构,测量根尖狭窄的长、短径,根尖孔、根尖狭窄与根尖端的距离;两组牙齿不同根管间根尖狭窄直径及其与根尖孔、根尖端距离的比较采用单因素方差分析及LSD-t检验,以P< 0.05为差异有统计学意义.结果 近颊根管根尖孔最多见于根尖远中侧(三根组10个,双根组6个),近舌根管多见于舌侧(三根组及双根组各8个);远颊根根尖孔多位于根尖远中舌侧(10个),远舌根根尖孔常偏向颊侧(7个);双根组远中根管根尖孔大多偏向远中(11个).典型的沙漏状根尖狭窄出现率为53%( 80/151).三根组远颊根管根尖狭窄的长、短径分别为(0.32±0.09)、(0.25±0.05) mm,显著大于远舌根管[长、短径分别为(0.27±0.08)、(0.22±0.06) mm,P< 0.05]及近舌根管[长、短径分别为(0.24±0.06)、(0.19±0.06)mm,P< 0.01].三根组根尖孔至根尖狭窄及根尖端的平均距离分别为(0.67±0.32)和(0.49±0.28) mm,根尖狭窄至根尖端平均距离为(1.01±0.34) mm.结论 三根型下颌第一恒磨牙根尖孔往往偏离根尖端,根尖狭窄在远颊根管最宽大;根尖狭窄、根尖孔及根尖端间距的测量可以为根管治疗时确定工作长度提供参考.%Objective To investigate the anatomic features of the root apexes of permanent three-rooted mandibular first molars.Methods A total of 122 permanent mandibular first molars of Han Chinese patients were collected.Twenty three-rooted and 25 two-rooted molars were scanned by micro-CT and then reconstructed three-dimensionally.The apical anatomy of the tooth models

  6. Effectiveness of different irrigation techniques on smear layer removal in apical thirds of mesial root canals of permanent mandibular first molar: A scanning electron microscopic study

    Directory of Open Access Journals (Sweden)

    Pranav Khaord

    2015-01-01

    Full Text Available Aim: The aim of this study was to compare smear layer removal after final irrigant activation with sonic irrigation (SI, manual dynamic agitation (MDA, passive ultrasonic irrigation (PUI, and conventional syringe irrigation (CI. Materials and Methods: Forty mesial canals of mandibular first molars (mesial roots were cleaned and shaped by using ProTaper system to size F1 and sodium hypochlorite 3% and 17% ethylenediaminetetraacetic acid. The specimens were divided into 4 equal groups (n = 10 according to the final irrigation activation technique: Group 1, PUI; group 2, manual dynamic activation (MDA; group 3, SI; and group 4, control group (simple irrigation. Samples were split longitudinally and examined under scanning electron microscope for smear layer presence. Results: Control groups had the highest smear scores, which showed the statistically significant highest mean score at P < 0.05. This was followed by ultrasonic, MDA, and finally sonic, with no significant differences between them. Conclusions: Final irrigant activation with sonic and MDA resulted in the better removal of the smear layer than with CI.

  7. Microbiology and Treatment of Acute Apical Abscesses

    Science.gov (United States)

    Rôças, Isabela N.

    2013-01-01

    SUMMARY Acute apical abscess is the most common form of dental abscess and is caused by infection of the root canal of the tooth. It is usually localized intraorally, but in some cases the apical abscess may spread and result in severe complications or even mortality. The reasons why dental root canal infections can become symptomatic and evolve to severe spreading and sometimes life-threatening abscesses remain elusive. Studies using culture and advanced molecular microbiology methods for microbial identification in apical abscesses have demonstrated a multispecies community conspicuously dominated by anaerobic bacteria. Species/phylotypes commonly found in these infections belong to the genera Fusobacterium, Parvimonas, Prevotella, Porphyromonas, Dialister, Streptococcus, and Treponema. Advances in DNA sequencing technologies and computational biology have substantially enhanced the knowledge of the microbiota associated with acute apical abscesses and shed some light on the etiopathogeny of this disease. Species richness and abundance and the resulting network of interactions among community members may affect the collective pathogenicity and contribute to the development of acute infections. Disease modifiers, including transient or permanent host-related factors, may also influence the development and severity of acute abscesses. This review focuses on the current evidence about the etiology and treatment of acute apical abscesses and how the process is influenced by host-related factors and proposes future directions in research, diagnosis, and therapeutic approaches to deal with this disease. PMID:23554416

  8. Diagnostic Accuracy of Charge-coupled Device Sensor and Photostimulable Phosphor Plate Receptor in the Detection of External Root Resorption In Vitro

    Directory of Open Access Journals (Sweden)

    Shirin Sakhdari

    2015-03-01

    Full Text Available Background and aims. Early diagnosis of external root resorption is important for accurate treatment. The purpose of this study was to compare the efficacy of a charge-coupled device (CCD sensor and a photostimulable phosphor (PSP plate receptor in the diagnosis of artificial external root resorption. Materials and methods. In this diagnostic in-vitro study, 40 maxillary incisors were mounted in a segment of dry bone and preliminary radiographs were obtained using CCD and PSP sensors. Artificial resorption cavities were produced on the middle-third in half of the samples and on the cervical-third in the other half on the buccal root surfaces. Radiographs were repeated and images were evaluated. Data were statistically analyzed using chi-square and diagnostic tests. Results. There were no significant differences between the two sensors in the sensitivity (p=0.08 and 0.06 and specificity (p=0.13 for the diagnosis of resorption in both root areas. The overall accuracy of CCD was higher than PSP sensor; how-ever, the difference was not statistically significance (p>0.05. Conclusion. CCD and PSP sensors chosen for the present study produced similar results in diagnosing simulated external root resorption.

  9. Influence of apical atresia on the accuracy of the Root ZX electronic apex locator-an in vitro study%根尖闭锁状态下Root ZX测量准确性的体外研究

    Institute of Scientific and Technical Information of China (English)

    李伟春

    2012-01-01

    目的 研究根尖闭锁对根管长度电测仪Root ZX测量准确性的影响.方法 选取25颗单根管离体牙,在根尖闭锁和通畅两种状态下,当K锉深入根管相同长度(锉尖距根尖约1 mm)时,Root ZX刻度表显示K锉锉尖距根尖有不同的长度.对两种状态下测得的不同长度进行比较.结果 根尖闭锁和通畅两种状态下Root ZX刻度表显示的K锉锉尖距根尖的长度比较,差异有统计学意义(t=25.41,P<0.05).结论 根尖闭锁是影响根管长度电测仪Root ZX测量准确性的重要因素.

  10. Efficacy of Biodentine as an Apical Plug in Nonvital Permanent Teeth with Open Apices: An In Vitro Study

    Directory of Open Access Journals (Sweden)

    Mehmet Bani

    2015-01-01

    Full Text Available The aim of this study was to evaluate the apical microleakage of Biodentine and MTA orthograde apical plugs and to compare the effect of thickness of these biomaterials on their sealing ability. A total of eighty maxillary anterior teeth were used. The apices were removed by cutting with a diamond disc (Jota, Germany 2 mm from the apical root end in an attempt to standardize the working length of all specimens to 15 ± 1 mm. Both materials were placed in 1–4 mm thickness as apical plugs root canal. Root canal leakage was evaluated by the fluid filtration technique. One-way ANOVA was used in order to determine normality of dispersal distribution of parameters; thereafter, results were analyzed by Kolmogorov-Smirnov test. Overall, between microleakage values of MTA and Biodentine regardless of apical plug thickness, no difference was observed. In terms of plug thickness, a statistically significant difference was observed between the subgroups of MTA and Biodentine (p<0.05. The apical sealing ability of Biodentine was comparable to MTA at any apical plug thickness.

  11. Diagnostic accuracy of cone beam computed tomography and eight-slice computed tomography for evaluation of external root reabsorption%锥形束CT与8层螺旋CT检测牙根外吸收的可靠性

    Institute of Scientific and Technical Information of China (English)

    谢晓艳; 张祖燕

    2012-01-01

    Objective: To evaluate the diagnostic accuracy of cone beam computed tomography ( CBCT) and high resolution multi-slice computed tomography ( MSCT) with eight-detector-rows in detecting the simulated external root resorption defects. Methods: External root resorption defects of different sizes and in different locations were simulated in 40 human single rooted teeth. Cavities simulating root resorption defects of 1 mm in diameter and 0. 1 mm, 0. 2 mm, 0. 3 mm, 0.4 mm in depth were drilled in the cervical, middle and apical thirds of lingual surfaces of the teeth. The specimens were scanned with both CBCT (Accuitomo 3DX, Morita Co. , Japan) and high resolution 8-slice CT ( BrightSpeed Edge, GE Co. , USA). The CBCT and MSCT images were read by two experienced observers. The data were analyzed with receiver operating characteristics ( ROC ) analysis. ROC curves were generated and the are-a under ROC curve (Az) was employed to express the diagnostic accuracy. Results: The diagnostic accuracy (Az value) in detecting the simulated defects of all the locations and sizes were 0. 921 for CBCT and 0. 770 for MSCT. The Az values for CBCT in detecting defects located in the cervical, middle and apical thirds were 0. 885, 0. 991 and 0. 873, while those for MSCT were 0. 752, 0. 844 and 0. 709, respectively. The Az values for CBCT in detecting the defects of 0. 1 mm, 0. 2 mm, 0. 3 mm and 0.4 mm in depth were 0. 794, 0. 934, 0. 992 and 0. 992, and those for MSCT were 0. 592, 0. 719, 0. 920 and 0. 990, respectively. Conclusion: The diagnostic ability for external root resorption of CBCT is better than that of MSCT. Smaller defects are better delineated with CBCT than with MSCT. The defects in the middle thirds of the roots are easier to be detected than those in the cervical and apical ones using both CBCT and MSCT.%目的:在体外条件下比较锥形束CT(cone beam computed tomography,CBCT)和多层螺旋CT( multi-slice computed tomography,MSCT)检测牙根外吸收的可靠

  12. Root tips moving through soil: an intrinsic vulnerability.

    Science.gov (United States)

    Curlango-Rivera, Gilberto; Hawes, Martha C

    2011-05-01

    Root elongation occurs by the generation of new cells from meristematic tissue within the apical 1-2 mm region of root tips. Therefore penetration of the soil environment is carried out by newly synthesized plant tissue, whose cells are inherently vulnerable to invasion by pathogens. This conundrum, on its face, would seem to reflect an intolerable risk to the successful establishment of root systems needed for plant life. Yet root tip regions housing the meristematic tissues repeatedly have been found to be free of microbial infection and colonization. Even when spore germination, chemotaxis, and/or growth of pathogens are stimulated by signals from the root tip, the underlying root tissue can escape invasion. Recent insights into the functions of root border cells, and the regulation of their production by transient exposure to external signals, may shed light on long-standing observations. 

  13. RESERVAS ORGÂNICAS, RELAÇÃO PARTE AÉREA–RAIZ E C–N E ELIMINAÇÃO DO MERISTEMA APICAL NO CAPIM-XARAÉS SOB DOSES DE NITROGÊNIO E POTÁSSIO ORGANIC RESERVES, AEREAL PART:ROOT AND C:N RATIO AND ELIMINATION OF THE APICAL MERISTEM IN XARAÉS – GRASS UNDER NITROGEN AND POTASSIUM DOSIS

    Directory of Open Access Journals (Sweden)

    Amaury Camilo Valinote

    2007-09-01

    Full Text Available

    como a capacidade de recuperação das plantas for-rageiras após desfolha depende, dentre outros fatores, das reservas orgânicas e da área foliar remanescente, objetivou-se com este estudo quantificar os teores de carboidratos totais não-estruturais (cTnE e de n total, nas raízes, base do caule e coroa, determinar a relação parte aérea–raiz e c–n e eliminação do meristema apical no capim-Xaraés (Brachiaria brizantha cv. Xaraés, submetido a doses de nitrogênio e potássio. O experimento foi desenvolvido em casa-de-vegetação, empregando-se um esquema fatorial 4 x 3, perfazendo doze combinações. Utilizaram-se quatro doses de nitrogênio (0, 75, 150 e 225 mg dm-3 e três do-ses de potássio (0, 50 e 100 mg dm-3. Observou-se efeito (P<0,05 das doses de nitrogênio no aumento dos teores de n total e da produção de MS da base do caule e raiz e redução dos teores de cTnE, sendo as raízes o órgão de armazenamento. Houve interação (P<0,05 para as doses de n x K na relação c–n para todos os órgãos, reduzindo com o aumento das doses dos nutrientes e com a elevação nos teores de n total na coroa com o aumento das doses. A relação parte aérea–raiz e eliminação do meristema apical não sofreu efeito (P>0,05 de nenhum nutriente.

    PALAVRAS-CHAVES: Base do caule, Brachiaria brizantha, coroa, n-total, carboidratos totais não-estruturais, raiz.

    The capacity of recovery of plants after takes away the leaves, depends amongst other factors, of the organic reserves and the remaining foliar area. It was objectified with this study, to quantify meaning of non-structural total carbohydrates (Tnc and of total n, in the roots, base of stem and crown, to determine the relation has broken ae-rial/root and c/n and elimination of meristema apical in the Xaraés Grass (Brachiaria brizantha cv. Xaraés, submitted the rates of nitrogen and potassium. The experiment was lead in a greenhouse. The experimental

  14. A study of the interleukin-1 gene cluster polymorphisms and inflammatory external root resorption in replanted permanent teeth.

    Science.gov (United States)

    Bastos, J V; Côrtes, M I S; Silva, J F C; Goulart, E M A; Colosimo, E A; Gomez, R S; Dutra, W O

    2015-09-01

    To investigate whether single nucleotide polymorphisms (SNPs) within the interleukin-1 gene cluster (IL1) are associated with the occurrence and severity of inflammatory external root resorption (IERR) after replantation of avulsed permanent teeth. Indexes of IERR were radiographically assessed in 182 mature replanted permanent teeth from 146 patients at the onset of endodontic therapy. DNA was extracted from buccal mucosa cells and genotyped using TaqMan probes-based assays for the SNPs IL1A -889C/T (rs 180058), IL1B +3954C/T (rs1143634) and IL1RN +2018C/T (rs419598). Teeth were grouped into two categories: IERR absent to mild (indexes ≤ 4) and moderate to severe IERR (indexes > 4). Genetic variations in the IL1 gene cluster were tested for their effect on the occurrence and extension of IERR using the GEE model (generalized estimation equation). Patient's age at the moment of injury, timing of pulpectomy, extra-alveolar period and storage condition of the avulsed teeth was included as possible confounders. No association was found between SNPs IL1A -889C/T, IL1B +3954C/T (rs1143634) and IL1RN +2018C/T (rs419598) and IERR indexes. Timing of pulpectomy (OR 3.5 IC 95% 2.0-6.2 P < 0.001) and patient's age at the moment of trauma (OR 0.29 IC 95% 0.12-0.67 P = 0.004) significantly affected the risk of developing severe IERR. While timing of pulpectomy and patient's age at the moment of trauma were confirmed as important risk factors, SNPs within the IL1 gene cluster did not affect the susceptibility for IERR after replantation of permanent teeth. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  15. Efficacy of Biodentine as an Apical Plug in Nonvital Permanent Teeth with Open Apices: An In Vitro Study.

    Science.gov (United States)

    Bani, Mehmet; Sungurtekin-Ekçi, Elif; Odabaş, Mesut Enes

    2015-01-01

    The aim of this study was to evaluate the apical microleakage of Biodentine and MTA orthograde apical plugs and to compare the effect of thickness of these biomaterials on their sealing ability. A total of eighty maxillary anterior teeth were used. The apices were removed by cutting with a diamond disc (Jota, Germany) 2 mm from the apical root end in an attempt to standardize the working length of all specimens to 15 ± 1 mm. Both materials were placed in 1-4 mm thickness as apical plugs root canal. Root canal leakage was evaluated by the fluid filtration technique. One-way ANOVA was used in order to determine normality of dispersal distribution of parameters; thereafter, results were analyzed by Kolmogorov-Smirnov test. Overall, between microleakage values of MTA and Biodentine regardless of apical plug thickness, no difference was observed. In terms of plug thickness, a statistically significant difference was observed between the subgroups of MTA and Biodentine (p Biodentine was comparable to MTA at any apical plug thickness.

  16. Left ventricular apical diseases.

    Science.gov (United States)

    Cisneros, Silvia; Duarte, Ricardo; Fernandez-Perez, Gabriel C; Castellon, Daniel; Calatayud, Julia; Lecumberri, Iñigo; Larrazabal, Eneritz; Ruiz, Berta Irene

    2011-08-01

    There are many disorders that may involve the left ventricular (LV) apex; however, they are sometimes difficult to differentiate. In this setting cardiac imaging methods can provide the clue to obtaining the diagnosis. The purpose of this review is to illustrate the spectrum of diseases that most frequently affect the apex of the LV including Tako-Tsubo cardiomyopathy, LV aneurysms and pseudoaneurysms, apical diverticula, apical ventricular remodelling, apical hypertrophic cardiomyopathy, LV non-compaction, arrhythmogenic right ventricular dysplasia with LV involvement and LV false tendons, with an emphasis on the diagnostic criteria and imaging features. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s13244-011-0091-6) contains supplementary material, which is available to authorized users.

  17. 成人上颌牙牙根吸收及牙槽骨改建的 CBCT分析%Evaluation for apical root resorption and alveolar bone reconstruction in-duced by orthodontic treatment of maxillary in adult patients by CBCT

    Institute of Scientific and Technical Information of China (English)

    杨亚欣; 杨亚普; 王晨曦; 王鹿鸣; 张月兰

    2016-01-01

    目的:探讨正畸治疗的上颌前突患者上颌牙牙根吸收及牙槽骨改建情况。方法:选取上颌前突患者15例,均拔除上下颌第一前磨牙进行治疗。治疗前及拔牙间隙关闭后分别拍摄CBCT,观察牙根吸收及中切牙区牙槽骨改建情况。结果:拔牙间隙关闭后,所有患者均被检测出有牙根吸收,中切牙、侧切牙、尖牙和第二前磨牙吸收量分别为(0.415±0.118)、(0.972±0.288)、(0.466±0.718)和(0.283±0.339) mm。在中切牙颈部唇侧、根尖舌侧牙槽骨增厚,颈部舌侧、根中唇侧、根尖唇侧牙槽骨变薄,牙齿倾斜移动;在颈部、根中部以及根尖部水平总牙槽骨厚度的改变不具有统计学意义(P>0.05)。结论:正畸治疗后几乎所有牙齿均有一定程度的牙根吸收。前牙在内收过程中倾斜移动。%Aim:To evaluate orthodontically induced apical root resorption and alveolar bone reconstruction in maxil -lary teeth.Methods:A total of 15 patients receiving standardized orthodontic fixed appliance treatment with straight wire technique and first premolar extraction .Cone beam computed tomography ( CBCT ) examination was performed before and after closing the extraction space to observe the prevalence and severity of apical root resorption and alveolar bone recon -struction of central incisor .Results: After closing the spaces , apical root resorption was detected in all the patients; the apical root resorption values of central incisor , lateral incisor, canine and second premolar were ( 0.415 ±0.118 ), (0.972 ±0.288),(0.466 ±0.718) and (0.283 ±0.339) mm, respectively.Alveolar bone width increased significantly at the coronal level of labial side and the apical level of lingual side , decreased at the coronal level of lingual side and the apical level of labial side , and the teeth tipping moved;but the total alveolar bone width changes had no significance at co

  18. Disinfection effects of MTAD on apical isthmus of the root canal system: a scanning electron microscopic evaluation%扫描电镜评价MTAD对根尖区管间峡部感染物的清除效果

    Institute of Scientific and Technical Information of China (English)

    包旭东; 姚娜; 郭惠杰; 张成飞; 岳林

    2012-01-01

    目的:评价MTAD根管冲洗剂清除根尖区峡部感染物的效果.方法:收集有管间峡部结构的上颌第一前磨牙15颗,建立粪肠球菌感染根管模型,分为5组,每组3颗.第1组不做根管预备,作为粪肠球菌感染状态的基线对照,其余4组采用Protaper旋转镍钛锉进行根管机械预备,冲洗分别用生理盐水、MTAD、次氯酸钠和次氯酸钠+ EDTA.根管预备后制备扫描电镜标本,观察管间峡部表面细菌群落和玷污层的状态.结果:生理盐水组峡部表面厚层玷污层中嵌有大量细菌,玷污层评分中位数为5;MTAD组峡部表面也铺有玷污层,但玷污层评分较小,中位数为3,嵌入其中的细菌有破壁现象;次氯酸钠组峡部表面铺满牙本质泥,中位数也为5,但不含细菌;次氯酸钠+ EDTA组峡部表面干净,牙本质小管和管间结构清晰,玷污层评分的中位数最小为1.结论:MTAD可渗入根尖区管间峡部,部分去除玷污层,但杀菌效果较弱;次氯酸钠配合EDTA冲洗可有效清除管间峡部的感染.%Objective: To evaluate the disinfection efficacy of MTAD on Enterococcus faecalis biofilm and smear layer colonization in apical isthums of the root canal system. Methods; Fifteen extracted human maxillary first premolars with isthmus anatomic structure which confirmed by stereo-microscope were contaminated with E. Faecalis in vitro and randomly divided into 5 groups; the first group was not treated serving as a baseline control, the second group was treated by normal saline (NS) serving as negative control, the third group was treated by MTAD , the forth group by 5. 25 % NaOCl, and the fifth group by 5. 25% NaOCl + EDTA. All roots in the latter four groups were instrumented by Protaper rotary files and irrigated with respective irrigant, then the roots were split longitudinally and a scanning electron microscope was used to evaluate the antibacterial activity and smear layer cleaning ability of irrigants on isthmus

  19. Evaluation of three instrumentation techniques at the precision of apical stop and apical sealing of obturation

    Science.gov (United States)

    GENÇ, Özgür; ALAÇAM, Tayfun; KAYAOGLU, Guven

    2011-01-01

    Objective The aim of this study was to investigate the ability of two NiTi rotary apical preparation techniques used with an electronic apex locator-integrated endodontic motor and a manual technique to create an apical stop at a predetermined level (0.5 mm short of the apical foramen) in teeth with disrupted apical constriction, and to evaluate microleakage following obturation in such prepared teeth. Material and Methods: 85 intact human mandibular permanent incisors with single root canal were accessed and the apical constriction was disrupted using a #25 K-file. The teeth were embedded in alginate and instrumented to #40 using rotary Lightspeed or S-Apex techniques or stainless-steel K-files. Distance between the apical foramen and the created apical stop was measured to an accuracy of 0.01 mm. In another set of instrumented teeth, root canals were obturated using gutta-percha and sealer, and leakage was tested at 1 week and 3 months using a fluid filtration device. Results All techniques performed slightly short of the predetermined level. Closest preparation to the predetermined level was with the manual technique and the farthest was with S-Apex. A significant difference was found between the performances of these two techniques (p<0.05). Lightspeed ranked in between. Leakage was similar for all techniques at either period. However, all groups leaked significantly more at 3 months compared to 1 week (p<0.05). Conclusions Despite statistically significant differences found among the techniques, deviations from the predetermined level were small and clinically acceptable for all techniques. Leakage following obturation was comparable in all groups. PMID:21655774

  20. Evaluation of three instrumentation techniques at the precision of apical stop and apical sealing of obturation

    Directory of Open Access Journals (Sweden)

    Özgür Genç

    2011-08-01

    Full Text Available OBJECTIVE: The aim of this study was to investigate the ability of two NiTi rotary apical preparation techniques used with an electronic apex locator-integrated endodontic motor and a manual technique to create an apical stop at a predetermined level (0.5 mm short of the apical foramen in teeth with disrupted apical constriction, and to evaluate microleakage following obturation in such prepared teeth. MATERIAL AND METHODS: 85 intact human mandibular permanent incisors with single root canal were accessed and the apical constriction was disrupted using a #25 K-file. The teeth were embedded in alginate and instrumented to #40 using rotary Lightspeed or S-Apex techniques or stainless-steel K-files. Distance between the apical foramen and the created apical stop was measured to an accuracy of 0.01 mm. In another set of instrumented teeth, root canals were obturated using gutta-percha and sealer, and leakage was tested at 1 week and 3 months using a fluid filtration device. RESULTS: All techniques performed slightly short of the predetermined level. Closest preparation to the predetermined level was with the manual technique and the farthest was with S-Apex. A significant difference was found between the performances of these two techniques (p<0.05. Lightspeed ranked in between. Leakage was similar for all techniques at either period. However, all groups leaked significantly more at 3 months compared to 1 week (p<0.05. CONCLUSIONS: Despite statistically significant differences found among the techniques, deviations from the predetermined level were small and clinically acceptable for all techniques. Leakage following obturation was comparable in all groups.

  1. Maxillary first premolars: I. Morphology of the apical constriction

    Institute of Scientific and Technical Information of China (English)

    Daming Wu; Younong Wu; Ming Hu

    2009-01-01

    Objective: To investigated the apical constriction morphology of maxillary first premolars in the Chinese population. Methods: Eighty recently extracted human maxillary first premolars from a native Chinese population were used. The number and shape of apical constrictions were recorded under a dental operating microscope (DOM) at 12.5X2.5 magnification. After access preparation, a new K-file was inserted into the canal until the tip of the file was just seen at the apical constriction under the DOM. The teeth with files in the canals were X-rayed from a mesiodistal direction using a direct digital radiography (DDR) system, and the distance between the file tip and the center of radiographic apex was directly measured from the computer screen using DDR measurement software. Results: The percentage of teeth with an apical constriction was 78.5% (102/130). The most common apical constriction shapes were oval (55.9%) and round (35.3%). The mean distance between the apical constriction and the anatomical tip of the root was 0.61 mm, and 84.3% (86/102) were within 1 mm. Conclusion: The most common shape of an apical constriction was oval or round, and the distance to the apex was mostly within 1 mm, indicating that root canal therapy should stop 1 mm from the radiographic apex.

  2. Endodontic management of nonvital permanent teeth having immature roots with one step apexification, using mineral trioxide aggregate apical plug and autogenous platelet-rich fibrin membrane as an internal matrix: Case series

    Directory of Open Access Journals (Sweden)

    Vivek Sharma

    2016-01-01

    Full Text Available A tooth with blunderbuss canal and open apex can be an endodontic challenge because of difficulty in obtaining an apical seal, and existing thin radicular walls which are susceptible to fracture. To overcome the limitations of traditional long-term calcium hydroxide apexification procedures, nonsurgical one step apexification using an array of materials such as mineral trioxide aggregate (MTA has been suggested. However, adequate compaction of MTA in teeth with wide open apices can be an arduous task, and an internal matrix is required for controlled placement of MTA against which obturating material can be condensed. Platelet-rich fibrin (PRF, a second generation platelet concentrate containing several growth factors that promotes hard and soft-tissue healing, has been used as an internal matrix to create an apical plug of MTA and hence prevent extrusion of filling materials. This case series presents the endodontic management of immature permanent teeth with open apices using internal matrix of autologous PRF membrane and one step apical barrier placement of MTA.

  3. [Apical endodontic surgery].

    Science.gov (United States)

    Lindeboom, J A

    2004-04-01

    If (a revision of) a conventional endodontic treatment is not possible or not successful, apical endodontic surgery can be indicated. The contemporary indications, the better retrograde preparation techniques with ultrasonic retro-tips, and the better visualisation of the operation area with an operation microscope can lead to higher success percentages. Moreover, the current developments in the field of compatible filling materials are promising. Also the application of lasers is promising, but has still to prove its clinical usefulness.

  4. A vitro study of the apical sealability of different root canal sealers%不同根管封闭剂根尖封闭性能的体外研究

    Institute of Scientific and Technical Information of China (English)

    罗荣; 陈广盛

    2014-01-01

    Objective:To compare the apical sealing ability of 4 kinds of root canal sealers in vitro, and provide reference for clinicians. Methods:78 teeth with single root canal were selected randomly divided into 4 experimental groups of A, B, C and D ( 18 teeth per group) and 2 control groups ( 3 teeth per group) . Group A:gutta-percha/Cortisomol; Group B: gutta-percha/AH-plus; Group C: gutta-percha/RoekSeal; Group D:Resilon/RealSeal SE. Group E was positive control group, and Group F was negative control group. And each group adopted cold laterally compacted Gutta-Percha for root-canal filling. Dye leakage test was performed in the teeth of the experimental groups ( 10 teeth in each group ) and the control groups. And the teeth of the experimental groups ( 8 teeth in each group) were examined under the scanning electronic microscope to see the bonding of sealer and root dentin. Results:The dye of Group A (0.94±0.21)mm infiltrated more deeply than the other three groups [Group B (0.65±0.23)mm, Group C (0.56±0.15)mm, Group D (0.45±0.15mm) (P<0. 05) ] . The scanning electronic microscope showed that there were statistical differences of the widest width between sealer and dentin among the groups (P<0.05). The gap in Group A (28.73±7.42) μm was the widest, followed by Group D (4.93±0.89) μm, Group B (0.89±0.47) μm and the thinnest Group C (0.86±0.43) μm. Conclusion:The sealing capability of resinae sealers are significant better than the zinc oxide sealers. Different kinds of resinae sealers have their advantages.%目的:比较4种根管封闭剂的体外根尖封闭能力,为临床医师选择应用提供参考。方法:选取78颗单根管离体牙,采用机用ProTaper镍钛器械根管预备后随机分为A、B、C、D 4个实验组(每组18颗牙)和2个对照组(每组3颗牙)。 A组牙胶尖/Cortisomol封闭剂、B组牙胶尖/AH-plus封闭剂、C组牙胶尖/Roek-Seal封闭剂、D组Resilon/RealSeal SE封闭剂。 E组为阳性对照组、F为阴性

  5. Mesial Inclination Of Impacted Third Molars And Its Propensity To Stimulate External Root Resorption In Second Molars-a Cone-beam Computed Tomographic Evaluation

    OpenAIRE

    Costa Oenning; Anne Caroline; Sousa Melo; Saulo Leonardo; Groppo; Francisco Carlos; Haiter-Neto; Francisco

    2016-01-01

    Purpose: To investigate the presence of external root resorption (ERR) in second molars adjacent to horizontally and mesioangular impacted mandibular third molars by cone-beam computed tomography. In addition, patient characteristics (age and gender) and third molar depth were correlated with the presence of ERR. Materials and Methods: The sample consisted of 116 scans (58 acquired on the i-CAT Classic and 58 on the Picasso-Trio) of 70 women and 46 men (mean age, 23.7 yr). Two observers recor...

  6. 曲面体层片与锥形束CT片对正畸治疗后牙根吸收率的比较性研究%Comparison of apical root resorption after orthodontic treatment by using panoramic radiography and cone-beam computed tomography

    Institute of Scientific and Technical Information of China (English)

    赵健慧; 丁云

    2013-01-01

    目的 对比曲面体层片和锥形束CT片检测正畸治疗后牙根吸收率的差异.方法 应用CBCT及曲面体层片分别对30名青少年患者正畸治疗后前牙的牙根吸收状况进行研究,共359颗前牙,其中上切牙120颗,下切牙119颗,尖牙120颗.对两种方法的检测率进行统计学分析.结果 曲面体层片的前牙牙根吸收率为33.7%,CBCT冠状断层面的牙根吸收率为14.5%,CBCT矢状断层面的牙根吸收率为29.5%,二者都与曲面体层片间有统计学差异且CBCT冠状和矢状面牙根吸收率差异也有统计学意义.结论 曲面体层片对正畸治疗后前牙冠状面牙根吸收状况的判断存有较高的假阳性率,早期以及矢状向的牙根吸收只能由CBCT技术反映.CBCT能更加精确地从三维方向上反映牙根的吸收状况.%Objective To compare panoramic radiography (OPT) and cone beam computed tomography (CBCT) in evaluating orthodontically induced anterior apical root resorption. Methods The sample comprised 359 anterior teeth in 30 adolescent patients after orthodontic treatment with fixed appliances. Two calibrated examiners assessed anterior apical root resorption on the OPT images and the corresponding reconstructed CBCT imagines. Resorption was evaluated according to Levander and Malmgren method. Results Statistically significant differences were found between the OPT and CBCT methods. 33.7%, 14.5% and 29.5% of root resorption were found by OPT, CBCT coronal section and CBCT sagittal section respectively. Conclusion Apical root resorption after orthodontic treatment is overestimated by OPT. Early and slanted root resorption can only be evaluated by CBCT. CBCT is a useful diagnostic method compared with conventional radiography.

  7. CLINICAL EFFECTIVENESS OF TREATMENT THE PATIENTS WITH CHRONIC APICAL PERIODONTITIS

    Directory of Open Access Journals (Sweden)

    N. G. Gadzhula

    2017-02-01

    Full Text Available Background. The success of endodontic treatment is provided by a thorough instrumental and antiseptic treatment of infected root canals, and it depends on the composition of filling material, the degree of adhesion to dentin, hermetic obturation of apical foramen, solubility of sealer. Objective. The study was aimed to evaluate the effectiveness of root canal obturation with BioRootTM RCS sealer in the treatment of patients with chronic apical periodontitis. Methods. Endodontic treatment of 23 teeth in 20 patients with chronic apical periodontitis by method of lateral compaction of gutta-percha was carried out. In the main group root canals were obturated with BioRootTM RCS, in the control group the canals were filled with Apexit Plus. The percentage of efficient or non-efficient cases was evaluated on the basis of radiographic comparison of treated chronic apical periodontitis immediately after obturation, in three, six months and one year. Radiographic conditions were defined as existing state, improvement and worsening. Results. In a year of dynamic evaluation the final results were: in the main group – 54.55% of the patients had complete bone healing, in 27.27% of cases the focus of bone destruction was decreased by ½ or more of the initial sizes, 18.18% – resorption lesion was decreased by less than ½; in the control group – 33.33% of improvement, 25.0% of existing state and 41.66% of worsening. Conclusions. BioRootTM RCS using for root canals obturation in the treatment of chronic apical periodontitis we proved the high effectiveness of the treatment undertaken: complete healing or improvement of radiographic conditions of periapical bone destruction with X-ray signs of bone regeneration.

  8. ProTaper联合根管加压冲洗治疗窦道型慢性根尖周炎的临床分析%Clinical analysis on ProTaper combined with root canal pressure washing technique for treatment of chronic apical periodontitis with fistula

    Institute of Scientific and Technical Information of China (English)

    周瑾; 阿依古丽·依沙克

    2014-01-01

    目的:对应用ProTaper与根管加压冲洗技术联合对患有窦道型慢性根尖周炎的患者实施治疗的临床效果进行研究。方法将我院收治的82例患有窦道型慢性根尖周炎的患者随机分为对照组和治疗组,平均每组41例。采用ProTaper与注射器冲管技术联合对对照组患者实施治疗;采用ProTaper与根管加压冲洗技术联合对治疗组患者实施治疗。结果治疗组患者窦道型慢性根尖周炎病情治疗效果明显优于对照组;治疗操作总时间和牙齿功能复常时间明显短于对照组。结论应用ProTaper与根管加压冲洗技术联合对患有窦道型慢性根尖周炎的患者实施治疗的临床效果非常明显。%Objective To study the clinical effects of ProTaper combined with root canal pressure washing technique for treatment of chronic apical periodontitis with fistula. Methods 82 patients with chronic apical periodontitis with fistula admitted and treated in our hospital were randomly assigned to the control group and the treatment group with 41 cases in each group. The control group was given ProTaper combined with syringe flushing pipe technique while the treatment group was given ProTaper combined with root canal pressure washing technique. Results The treatment group had better efficacy for treatment of chronic apical periodontitis with fistula than the control group. The treatment group had shorter operating time and faster recovery of tooth functions than the control group. Conclusion ProTaper combined with root canal pressure washing technique demonstrates excellent clinical effects for treatment of chronic apical periodontitis with fistula.

  9. Abceso apical agudo

    OpenAIRE

    Jara Ortiz, M.; López, M.; Gómez Viglino, L.; Maydana, N.; Hervit, M.; Bertola, N.

    2015-01-01

    En casos de urgencia, muchas veces debemos poner a prueba distintos elementos de diagnóstico para encontrar la mejor respuesta posible. En este caso se reporta un absceso apical agudo en la zona palatina del sector 1, que, de acuerdo al test de vitalidad pulpar y correcta interpretación radiográfica se localiza la pieza causal N° 1.8.Asistió a la consulta un paciente masculino 30 años de edad, dolor a la masticación, edema y tumefacción, en zona palatina comprendida en piezas 1.5; 1.6; 1.7 y ...

  10. Two cases of apical ballooning syndrome masking apical hypertrophic cardiomyopathy.

    Science.gov (United States)

    Roy, Ranjini Raina; Hakim, Fayaz A; Hurst, R Todd; Simper, David; Appleton, Christopher P

    2014-04-01

    Apical akinesis and dilation in the absence of obstructive coronary artery disease is a typical feature of stress-induced (takotsubo) cardiomyopathy, whereas apical hypertrophy is seen in apical-variant hypertrophic cardiomyopathy. We report the cases of 2 patients who presented with takotsubo cardiomyopathy and were subsequently found to have apical-variant hypertrophic cardiomyopathy, after the apical ballooning from the takotsubo cardiomyopathy had resolved. The first patient, a 43-year-old woman with a history of alcohol abuse, presented with shortness of breath, electrocardiographic and echocardiographic features consistent with takotsubo cardiomyopathy, and no significant coronary artery disease. An echocardiogram 2 weeks later revealed a normal left ventricular ejection fraction and newly apparent apical hypertrophy. The 2nd patient, a 70-year-old woman with pancreatitis, presented with chest pain, apical akinesis, and a left ventricular ejection fraction of 0.39, consistent with takotsubo cardiomyopathy. One month later, her left ventricular ejection fraction was normal; however, hypertrophy of the left ventricular apex was newly noted. To our knowledge, these are the first reported cases in which apical-variant hypertrophic cardiomyopathy was masked by apical ballooning from stress-induced cardiomyopathy.

  11. Changes of the Unique Odontogenic Properties of Rat Apical Bud Cells under the Developing Apical Complex Microenvironment

    Institute of Scientific and Technical Information of China (English)

    Jun Fang; Liang Tang; Xiao-hui Liu; Ling-ying Wen; Yan Jin

    2009-01-01

    Aim To characterize the odontogenic capability of apical bud and phenotypical change of apical bud cells (ABCs) in different microenvironment. Methodology Incisor apical bud tissues from neonatal SD rat were dissected and transplanted into the renal capsules to determine their odontogenic capability. Meanwhile ABCs were cultured and purified by repeated differential trypsinization. Then ABCs were cultured with conditioned medium from developing apical complex cells (DAC-CM). Immunocytochemistry, reverse transcriptase polymerase chain reaction (RT-PCR) and scanning electron microscope (SEM) were performed to compare the biological change of ABC treated with or without DAC-CM. Results First we confirmed the ability of apical bud to form crown-like structure ectopically. Equally important, by using the developing apical complex (DAC) conditioned medium, we found the microenvironment created by root could abrogate the "crown" features of ABCs and promote their proliferation and differentiation. Conclusion ABCs possess odontogenic capability to form crown-like tissues and this property can be affected by root-produced microenvironment.

  12. [Mineral trioxide aggregate (MTA) a success story in apical surgery].

    Science.gov (United States)

    von Arx, Thomas

    2016-01-01

    The objective of apical surgery is to retain teeth with persistent apical pathosis following orthograde root canal treatment if endodontic non-surgical revision is difficult or associated with risks, or is even declined by the patient. Since the most frequent cause of recurrent apical disease is bacterial reinfection from the (remaining) root canal system, the bacteria-tight root-end filling is the most important step in apical surgery. In the early 1990s, mineral trioxide aggregate (MTA) was developed at the Loma Linda University in California/USA. Preclinical studies clearly showed that MTA has a high sealing capability, a good material stability and an excellent biocompatbility. Multiple experimental studies in animals highlighted the mild tissue reactions observed adjacent to this material. Furthermore, histological analysis of the periapical regions demonstrated a frequent deposition of new cementum not only onto the resection plane (cut dentinal surface), but also directly onto MTA. For these reasons, MTA is considered a bioactive material. In 1997 MTA was cleared for clinical use in patients. Multiple prospective clinical and randomized studies have documented high and constant success rates of MTA-treated teeth in apical surgery. A recently published longitudinal study showed that MTA-treated teeth remained stable over five years; hence the high healed rates documented after one year are maintained during long-term observation.

  13. 桩腔预备的不同时机对两种根管封闭剂根尖封闭性的影响%Effect of different space preparation time on the apical sealing by two kinds of root canal sealers

    Institute of Scientific and Technical Information of China (English)

    张磊

    2011-01-01

    通过比较根尖微渗漏的长度来观察即刻桩腔预备和延迟桩腔预备对两种根管封闭剂根尖封闭性的影响.方法:将120颗上颌单根管牙齿以ProTaper手用镍钛根管锉逐步深入法根管预备,随机分为A、B两组,每组60颗.分别用Ahplus糊剂、Cortisomol糊剂加牙胶尖热侧向加压法进行根管充填,根充后根据桩腔预备情况将A、B两组随机再分为A1、A2、A3和B1、B2、B3 3个亚组,每组20颗.A1、B1组即刻行桩腔预备,A2、B2组1周后行桩腔预备,A3、B3组为对照组未行桩腔预备.染料渗透法测量微渗漏距离并进行统计学分析.结果:两组牙齿根尖部均有微渗漏产生.采用单因素方差分析各实验组间微渗漏差异有统计学意义(F=19.2033,P<0.01),LSD-t检验对组间进行两两比较:两种根管封闭剂根充后延迟桩腔预备组和即刻桩腔预备组、对照组微渗漏差异有统计学意义(P<0.01).延迟桩腔预备不同封闭剂充填组之间微渗漏差异有统计学意义(P<0.01).其余各组之间微渗漏差异无统计学意义.结论:即刻桩腔预备对两种根管封闭剂的根尖封闭能力没有影响,延迟桩腔预备降低了根管封闭剂的根尖封闭能力;延迟桩腔预备中Ahplus的根尖封闭性比Cortisomol好.%Objective To study the effects of immediate and delayed post space preparation on the apical sealing by two kinds of root canal sealers by comparing the length of apical micro-leakage. Methods 120 extracted maxillary teeth each with a single canal were selected.AII canals were prepared by manual ProTaper instrument using crown-down technique and then were randomly divided into Group A and Group B.each with 60 teeth.They were then filled with gutta -percha point of the kind as AH -Plus paste and Cortisomol paste respectively in lateral pressure way.Then according to the post-space-preparation time,group A was randomly divided into 3 groups.which were A1,A2,A3,and then the same was

  14. Formation and removal of apical vapor lock during syringe irrigation: a combined experimental and Computational Fluid Dynamics approach

    NARCIS (Netherlands)

    Boutsioukis, C.; Kastrinakis, E.; Lambrianidis, T.; Verhaagen, B.; Versluis, M.; Sluis, van der L.W.M.

    2014-01-01

    Aim (i) To evaluate the effect of needle type and insertion depth, root canal size and irrigant flow rate on the entrapment of air bubbles in the apical part of a root canal (apical vapor lock) during syringe irrigation using experiments and a Computational Fluid Dynamics (CFD) model, (ii) to invest

  15. Formation and removal of apical vapor lock during syringe irrigation : a combined experimental and Computational Fluid Dynamics approach

    NARCIS (Netherlands)

    Boutsioukis, C.; Kastrinakis, E.; Lambrianidis, T.; Verhaagen, B.; Versluis, M.; van der Sluis, L. W. M.

    2014-01-01

    Aim(i) To evaluate the effect of needle type and insertion depth, root canal size and irrigant flow rate on the entrapment of air bubbles in the apical part of a root canal (apical vapor lock) during syringe irrigation using experiments and a Computational Fluid Dynamics (CFD) model, (ii) to investi

  16. Compare of apical root resorption after orthodontic treatment with two sets of brackets%使用主动自锁托槽和被动自锁托槽正畸治疗后牙根吸收的比较

    Institute of Scientific and Technical Information of China (English)

    闫晓亮; 许国敏; 武斌; 孟秋菊; 郑学汜

    2016-01-01

    Objective: To compare the root resorption of incisors between active self-ligating brackets and passive self-ligation brackets in extraction patients. Methods: 30 extraction patients were divided into two groups: group 1(n=15, active self-ligating brackets) and group 2(n=15, passive self-ligation brackets). The cone bean computed tomography(CBCT) scans were obtained before/after orthodontic treatment to evaluate the magnitude of external apical root resortion(EARR). Resorption was evaluated as no, mild, moderate, severe, and extreme. Results: EARR was found for both groups. But, no differences in the degree of EARR were detected between the groups. Conclusions: No differences in the degree of EARR between active self-ligating brackets and passive self-ligation brackets.%目的:本研究旨在比较主动自锁托槽和被动自锁托槽用于拔牙病例治疗后的切牙牙根吸收情况,深入了解使用不同类型矫治器时牙根吸收有无差异,为正畸临床治疗提供参考。方法:筛选2012—2014年在龙华新区人民医院口腔科就诊的12—22岁矫治完成的患者30例,分为主动自锁托槽组(n=15)和被动自锁托槽组(n=15)。矫治技术均采用MBT直丝弓矫治技术,术前、术后拍摄锥束CT,观察上下切牙的牙根吸收情况,按照牙根吸收的严重程度分级为无吸收,轻度吸收,中度吸收,重度吸收,极重度吸收。全部数据以SPSS16.0软件进行统计学分析。结果:两组病例在治疗后均出现了牙根吸收,主动组与被动组相比较略有加重,但是差异无统计学意义(P>0.05)。结论:运用不同类型的自锁托槽进行正畸治疗均会造成牙根吸收,牙根吸收程度无明显差异。

  17. Determination of working length for teeth with wide or immature apices: a review.

    Science.gov (United States)

    Kim, Y J A; Chandler, N P

    2013-06-01

    Practitioners face several challenges during the root canal treatment of teeth with wide or immature apices, one of which is working length determination. There is relatively little data regarding the value of radiography and electronic apex locator (EAL) use when root formation is incomplete, and supplementary measurement techniques may be helpful. This review considers length determination for canals with wide or completely open apices in permanent and primary teeth. The Ovid Medline, Web of Science and Scopus databases were searched individually and in combinations to August 2012 using the subject headings 'working length determination' and 'open apex' and revealed only one article. Further headings, 'tooth apex', 'apical constriction', 'resorption', 'foramen size', 'mature root apex', 'immature root apex', 'working length determination', 'apexification', 'open apices', 'open apex', 'open apical foramina', 'canal length determination', 'immature teeth', 'apical diameters', 'electronic apex locators', 'primary teeth', 'treatment outcome' and 'clinical outcome' were entered. Potentially useful articles were chosen for a manual search of bibliography as well as a forward search of citations. Other investigations revealed case reports and some research related to open apices and laboratory studies evaluating EALs, radiography and tactile methods. Some involved permanent teeth of various apical diameters and primary teeth with and without resorption. There is a need to define the term 'open apex'. Clinicians should be aware of the benefits and limitations of all canal measuring techniques involved in managing this problem.

  18. CBCT assisted diagnosis and treatment of mandibular canine with apical periodontitis and double root canals in a case%CBCT 辅助诊断、治疗左下颌尖牙双根管根尖周炎1例

    Institute of Scientific and Technical Information of China (English)

    田李静; 彭冬; 张贤华

    2015-01-01

    报道1例在 CBCT 辅助下诊断和治疗的左下颌尖牙双根管病例。CBCT 能够三维显示根管的形态和分布,在术前术中对根管变异作出明确的诊断,对防止根管遗漏、保存牙本质和保障根管治疗成功有一定的临床指导意义。%A case of mandibular canine with apical periodontitis and double root canals was treated by CBCT assisted diagnosis and root ca-nal therapy.CBCT distinctly demonstrated the morphology of the root canal system in three dimensions and provided the information of canal varieties,prevented missed canals and conserved dentin.CBCT can guarantee the success of root canal therapy for the tooth with canal vareties.

  19. Diagnostic value of two modes of cone-beam computed tomography in evaluation of simulated external root resorption: an in vitro study

    Energy Technology Data Exchange (ETDEWEB)

    Dalili, Zahra; Taramsari, Mehran; Mehr, Seyed Zoheir Mousavi; Salamat, Fatemeh [Guilan University of Medical Sciences, Rasht (Iran, Islamic Republic of)

    2012-03-15

    Field of view and voxel resolution of cone beam computed tomography (CBCT) might affect the diagnostic capability. This study was performed to compare between the standard and HiRes zoom modes in the diagnosis of external root resorption (ERR) using CBCT. Sixty three small cavities (0.25 mm depth and 0.5 mm diameter) were simulated on the buccal, lingual, and proximal surfaces at three different levels of 16 roots of teeth. After covering the root with nail varnish, the roots were inserted in the sockets and the model was placed in a water-containing lacuna. CBCT scans were taken in both standard and HiRes zoom modes using NewTom VG (QR srl Company, Verona, Italy). Then, an observer assessed the images to determine the presence or absence of the cavities. This process was repeated by increasing the size and depth of cavities to 0.5 mm depth and 1 mm diameter. Data were analyzed by McNemar test. The sensitivity, specificity, positive predictive value, negative predictive value, and likelihood ratio in evaluation of the simulated cavities were calculated. There was a significant difference between the two imaging modes in diagnosing the shallow cavities (p=0.02). The sensitivity of the standard zoom in detecting the shallow cavities was lower than that of the HiRes zoom. The likelihood ratio of the HiRes zoom was higher in the diagnosis of both cavity types. This study suggested that a smaller voxel size in the HiRes zoom mode of CBCT is preferred for diagnosis of ERR.

  20. 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

  1. Regenerative Endodontic Procedures for Traumatized Teeth after Horizontal Root Fracture, Avulsion, and Perforating Root Resorption.

    Science.gov (United States)

    Saoud, Tarek Mohamed A; Mistry, Sonali; Kahler, Bill; Sigurdsson, Asgeir; Lin, Louis M

    2016-10-01

    Traumatic injury to the teeth can cause horizontal root fractures and inflammatory root resorptions (external and internal). Traditionally, traumatized teeth with horizontal root fractures resulting in pulp necrosis and inflammatory root resorptions are treated with conventional root canal therapy. A 15-year-old boy had a history of traumatic injury to mature tooth #8 resulting in horizontal root fracture and pulp necrosis of the coronal fragment. A 7-year-old girl suffered an avulsion injury to immature tooth #9, which developed inflammatory replacement resorption and subsequently root fractured 15 months later. Another 16-year-old boy also suffered a history of traumatic injury to mature tooth #8, resulting in perforating root resorption. All teeth were treated with regenerative endodontic procedures using chemomechanical debridement, calcium hydroxide/triple antibiotic paste dressing, EDTA rinse, induction of periapical bleeding into the canal space, and a coronal mineral trioxide aggregate plug. In the tooth presenting with horizontal root fracture, only the coronal fragment was treated to preserve pulp vitality in the apical fragment for possible pulp tissue regeneration. After regenerative endodontic procedures, clinical signs/symptoms subsided, and inflammatory osteolytic lesions resolved in all traumatized teeth. Two teeth were followed for 19 months and 1 tooth for 5 years. At the last review of the teeth with horizontal root fractures, the first case showed healing by calcified tissue and the second case showed healing by fibrous connective and hard tissue. Tooth with perforating root resorption demonstrated a decrease in size of the resorptive defect. Based on these case reports, regenerative endodontic procedures have the potential to be used to treat traumatized teeth with horizontal root fracture and inflammatory root resorption. Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  2. Effect of apical clearing technique on the treatment outcome of teeth with asymptomatic apical periodontitis: A randomized clinical trial

    Science.gov (United States)

    Mittal, Priya; Logani, Ajay; Shah, Naseem; Pandey, R. M.

    2016-01-01

    Aim: This study aims to compare the periapical healing of teeth with asymptomatic apical periodontitis treated either by conventional apical preparation (CAP) or apical clearing technique (ACT). Materials and Methods: Twenty subjects with bilateral nonvital similar teeth exhibiting comparable periapical index (PAI) score were enrolled and randomly allocated. Group I (CAP, n = 20): Apical preparation three sizes greater (master apical file [MAF]) than the first binding file at the established working length. Group II (ACT, n = 20): Apical preparation three sizes greater than the MAF that was followed by dry reaming. Root canal therapy was accomplished in single-visit for all the teeth. They were pursued radiographically at 3, 6, 9 and 12 months. Pre- and post-treatment PAI scores were compared. To ascertain the proportion of healed teeth between the two groups, McNemar Chi-square test was applied. Results: At 3, 6, and 9 months’ time interval the proportion of healed teeth for Group II (ACT) was greater in comparison to Group I (CAP) (P < 0.05). However, at 12 months follow-up period this difference was not significant (P = 0.08). Conclusion: ACT enhanced the healing kinetics. However, the long-term (12 months) radiographic outcome was similar for either technique. PMID:27656054

  3. Colgajo de reposición apical Apically positioned flap

    Directory of Open Access Journals (Sweden)

    L. Pérez-Salcedo

    2011-08-01

    Full Text Available Se describe la técnica del colgajo de reposición apical desde el primer autor, Nabers en 1954, así como las modificaciones realizadas por Ariaudo y Tyrrel en 1957 y Friedman en 1962. También se presenta un caso clínico donde se describen los diferentes pasos de la cirugía de reposición apical. Por último, se hace una revisión evaluando la eficacia del colgajo de reposición apical en el tratamiento de la periodontitis.This paper describes the technique apically positioned flap since the first author Nabers in 1954 and also the modifications performed by Ariaudo and Tyrrell in 1957 and Friedman in 1962. Also a clinical case is presented where it can be observed the different steps of the apically positioned flap in clinical pictures. Afterwards some papers in which the efficacy of the apically positioned flap in the treatment of periodontitis are evaluated and described.

  4. 三种根管预备器械预备根管根尖碎屑推出量和根管清理能力的比较%Self-adjusting files, ProTaper Next and ProTaper Universal:a comparative study of root canal cleanness and the amount of apically extruded debris during root canal preparation

    Institute of Scientific and Technical Information of China (English)

    伍婉翠; 陈广盛

    2015-01-01

    BACKGROUND:Amount of debris extruded apicaly is an important indicator to evaluate the effect of root canal preparation instrument. Studies have shown that debris extruded apicaly can cause post-treatment pain, and thus, reducing the amount of debris extruded apicaly can decrease the incidence of post-treatment pain. OBJECTIVE:To compare the root canal cleanness and the amount of apicaly extruded debris during root canal preparation with Self-adjusting files, ProTaper Next and ProTaper Universal. METHODS:Forty-five premolars with single canal were divided into three groups randomly, and then prepared by Self-adjusting files, ProTaper Next and ProTaper Universal, respectively. Debris extruded apicaly was colected, dried and weighed. Then roots were longitudinaly sectioned and observed under scanning electronic microscope to evaluate the cleanness of the root canal. RESULTS AND CONCLUSION:The amount of apicaly extruded debris in the ProTaper Universal group was significantly higher than that in the Self-adjusting files group and ProTaper Next group (P 0.05). Scores on debris and smear layer were lower in the group of Self-adjusting files than the groups of ProTaper Next and ProTaper Universal (P 0.05). These findings indicate that the Self-adjusting files and ProTaper Next can extrude less debris beyond the apical foramen, which may decrease the incidence of post-treatment pain. Cleaning ability of Self-adjusting files is better than ProTaper Next and ProTaper Universal.%背景:根尖碎屑推出量是评价根管预备器械预备效果的一项重要指标。研究表明,推出根尖孔的碎屑将引起根管治疗后疼痛,减少根尖区碎屑的推出可降低术后疼痛发生率。目的:比较新型镍钛器械自调节根管锉、ProTaper Next和传统镍钛器械ProTaper Universal预备人下颌单根管前磨牙的根尖碎屑推出量和根管清理能力。方法:将45颗离体人下颌单根管前磨牙随机均分为3组,分别使用新

  5. Light-Speed LSX系统一次法和两次法治疗慢性根尖周炎的临床研究%Randomized controlled clinical studies of Light-Speed LSX system in single-visit and two-visit root canal treatment of chronic apical periodontitis

    Institute of Scientific and Technical Information of China (English)

    吴志国; 杜红保; 李斌; 吴翠柳

    2015-01-01

    目的:采用Light-Speed LSX根管预备系统对慢性根尖周炎患者采用一次法根管治疗和两次法根管治疗,评估术后2年随访结果,比较二者治疗成功率。方法300例上下颌慢性根尖周炎患牙随机分为2组,A组为一次性完成根管治疗, B组分次完成根管预备和根管充填,所有组内患牙均使用Light-Speed LSX根管预备器械进行根管预备,评价患牙术后2年的临床和影像学表现。结果采用Light-Speed LSX根管预备系统进行根管预备,一次法组138例(93.88%)治愈,两次法组122例(89.05%)治愈;疗效不确定的一次法组5例(3.40%),两次法组9例(6.57%);治疗失败的一次法组4例(2.72%),两次法组6例(4.38%)。两组治疗成功率的比较采用卡方检验,结果显示两组治疗成功率无统计学差异(P>0.05)。结论采用Light-Speed LSX根管预备系统对慢性根尖周炎患者采用一次法根管治疗和两次法根管治疗成功率无差异。%Objective To evaluate and compare the outcomes of Light-Speed LSX systems in single-visit and two-visit root canal treatment of patients with chronic apical periodontitis after a 2-year follow-up. Methods 300 maxillary and mandibular teeth with chro-nic apical periodontitis were randomly assigned into two groups. While the teeth of patients in group A were obturated,those in group B were temporarily sealed and obturated one week later. All canals were enlarged with Light-speedLSX root canal instruments. The healing results were clinically and radiographically evaluated 2 years after the operation. Results Of the 300 treated teeth,138 of 147 teeth (93. 88%) in the A group were healed compared with 122 of 137 teeth (89. 05%) in the B group,curative effects of 5 cases (3. 40%) in the A group were classified as uncertain compared with 9 cases (6. 57%) in the B group;4 cases (2. 72%) in the A group and 6 cases (4. 38%) in the B group were classified as not healed. Chi-square test was used to compare the

  6. External root resorption of the second molar associated with third molar impaction: comparison of panoramic radiography and cone beam computed tomography.

    Science.gov (United States)

    Oenning, Anne Caroline Costa; Neves, Frederico Sampaio; Alencar, Phillipe Nogueira Barbosa; Prado, Rodrigo Freire; Groppo, Francisco Carlos; Haiter-Neto, Francisco

    2014-08-01

    The aim of the present study was to compare panoramic radiography and cone beam computed tomography (CBCT) for the assessment of external root resorption (ERR) of second molars associated with impacted third molars. In addition, the prevalence of ERR in second molars and the inclinations of the third molars more associated with ERR were investigated in both imaging methods. The sample consisted of 66 individuals with maxillary and mandibular impacted third molars (n = 188) seen on panoramic radiographs and CBCT images. The presence of ERR on the adjacent second molar was investigated, and the position of the third molar was determined using Winter's classification (vertical, horizontal, mesioangular, distoangular, and transverse). Statistical analysis was performed using the χ(2) test, Fisher exact test, and 2-proportion Z test (the significance level was set at 5%). A significantly greater number of cases of ERR (P third molars in mesioangular and horizontal inclinations were more likely to cause resorption of the adjacent teeth. CBCT should be indicated for the diagnosis of ERR in second molars when direct contact between the mandibular second and third molars has been observed on panoramic radiographs, especially in mesioangular or horizontal impactions. Furthermore, considering the propensity of these teeth to cause ERR in second molars, third molar prophylactic extraction could be suggested. Copyright © 2014 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  7. The effects of rises in external K+ on the hyperpolarization-activated cation current Ih in rat dorsal root ganglion neurons

    Institute of Scientific and Technical Information of China (English)

    DU ZhengQing; WU WenJie; ZHOU YuFen

    2009-01-01

    The effects of rises in external K+ (Kent) were examined on the hyperpolarization-activated cation current (4,) in rat dorsal root ganglion neurons using the whole-cell patch clamp technique.The results showed that Kext,increased Ih in a certain concentration and voltage-dependent manner.At the basal Kext level (4 mmol/L),4,had a maximal amplitude of 1085 ±340 pA which was enhanced by~45% and~92% at 8 and 16 mmol/L Kext,respectively.The midpoint activation voltage was significantly shifted from-98 mV in the hyperpolarizing direction by 8 and 12 mV at 8 and 16 mmol/L Kext,respectively with alteration of the activation course of Ih.The short time constants of activation became longer with the increasing amplitude of the command potential upon rises in Kext.The long time constants became shorter.The reversal potentials were shifted in the positive direction without significant alterations upon rises in Kext.According to the functional role of 4,,Kext increased Ih resulting in an enhanced neuronal excitability,which might produce activation potential abnormality and perhaps neuropathic pain involved.

  8. The effects of rises in external K~+ on the hyperpolarization-activated cation current I_h in rat dorsal root ganglion neurons

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    The effects of rises in external K+(Kext) were examined on the hyperpolarization-activated cation current(Ih) in rat dorsal root ganglion neurons using the whole-cell patch clamp technique.The results showed that Kext increased Ih in a certain concentration and voltage-dependent manner.At the basal Kext level(4 mmol/L),Ih had a maximal amplitude of 1085 ± 340 pA which was enhanced by ~45% and ~92% at 8 and 16 mmol/L Kext,respectively.The midpoint activation voltage was significantly shifted from -98 mV in the hyperpolarizing direction by 8 and 12 mV at 8 and 16 mmol/L Kext,respectively with alteration of the activation course of Ih.The short time constants of activation became longer with the increasing amplitude of the command potential upon rises in Kext.The long time constants became shorter.The reversal potentials were shifted in the positive direction without significant alterations upon rises in Kext.According to the functional role of Ih,Kext increased Ih,resulting in an enhanced neuronal excitability,which might produce activation potential abnormality and perhaps neuropathic pain involved.

  9. The acquisition of cell fate in the Arabidopsis thaliana root meristem

    NARCIS (Netherlands)

    Scheres, B.J.G.; Berg, C. van den; Hage, W.; Willemsen, V.; Werff, N. van der; Wolkenfelt, H.; McKhann, H.; Weisbeek, P.

    1997-01-01

    During plant embryogenesis an embryo with cotyledons, a shoot apical meristem, a hypocotyl and a root apical meristem, is formed. The primary root and shoot meristems initiate post-embryonic growth generating all plant organs. The root meristem forms the primary root, and the shoot meristem forms

  10. Distribution and Variation of Ca2+in Root Apical Cells of Kosteletzkya virginica (L.) Seedlings under Waterlog-ging%水涝胁迫下海滨锦葵幼苗根尖细胞内Ca2+分布与变化

    Institute of Scientific and Technical Information of China (English)

    周建; 钦佩

    2016-01-01

    With Kosteletzkya virginica ( L.) , we observed its distribution and variation of Ca 2+in root apical cells continuously by transmission electron microscope combined with uranyl acetate staining method in and after waterlogging stress .During wa-terlogging, Ca2+of root apical cells mainly distributed within intercellular spaces , nuclei and vacuoles , but the density of Ca2+reduced gradually .Additionally,there were calcium ions located on outer membranes of plastids , but its density was lower than that in control within this stress .However, Ca2+showed a trend to move into cytoplasm , and accumulated to in some areas .On the 20 th day after drainage of waterlogging , the amassed calcium ions released , and almost no Ca 2+distrib-uted in cytoplasm .However , with the release of cytoplasm Ca 2+, the densities of calcium ions were increased in intercellu-lar space, vacuoles and outer membrane of plastid , a great deal of Ca 2+located with cell walls in recovery period .After 20 days of recovery , the distribution of Ca 2+in waterlogged plants was similar to that in control ones .The density of Ca 2+in root apical cell was increased quickly in waterlogging and subsequently decreased in restoration , and Ca2+not only affected cell function, but also acted as a means to transmit outside information in K.virginica plants.%采用醋酸双氧铀染色与透射电镜技术,以海滨锦葵为试验材料,连续观测水涝胁迫下及涝后恢复期间海滨锦葵根尖细胞内Ca 2+的分布与变化特性。结果显示:随着水涝时间延长,海滨锦葵根尖细胞间隙与细胞核、液泡中钙离子沉积密度逐步降低,质体外膜上存在Ca 2+分布,但低于对照组,而Ca 2+向细胞质移动,在局部区域聚集,导致细胞质钙离子增加。水涝去除20 d后,细胞壁中出现钙离子沉积,细胞间隙、质体外膜上与液泡中所分布钙离子增加,细胞质所聚集的 Ca2+逐步分散,基本不存在Ca2

  11. The Effect of Canal Contamination with Saliva on Apical Sealing

    Directory of Open Access Journals (Sweden)

    S Sabaghi

    2014-08-01

    Full Text Available Introduction: Root canal obturation aims at sealing the root canal system to prevent re-contamination of canal and periapical space. Presence of moisture in canal before obturation may posit a negative effect on the quality of canal sealing. Therefore, this study was conducted to investigate the effect of canal contamination with saliva on apical microleakage. Methods: In this laboratory study, 58 human uni-root teeth were cleaned and shaped for obturation with gutta percha and sealer AH26. In the case group, specimens were contaminated with human saliva immediately before obturation, whereas the teeth in the control group were kept dry. All canals were filled by lateral condensation technique. Moreover, the teeth were placed in methylene blue dye for 3 days. Dye penetration was measured using a stereomicrosope. As a matter of fact, the study data were analyzed via utilizing t-test. Results: A significant difference was found between the two groups in regard with the apical leakage(P<0.001. The microleakage mean of dye in the dry group was 3/48mm, whereas it was 6/36mm in the saliva contaminated group. Conclusion: The study findings revealed that complete drying of canal can improve apical sealing.

  12. Ex vivo accuracy of three electronic apex locators using different apical file sizes.

    Science.gov (United States)

    Vasconcelos, Bruno Carvalho de; Matos, Leonardo de Alencar; Pinheiro-Júnior, Elilton Cavalcante; Menezes, Antônio Sérgio Teixeira de; Vivacqua-Gomes, Nilton

    2012-01-01

    This study evaluated the accuracy of three electronic apex locators (Root ZX, Novapex, and Justy II) in root canal length determinations using different apical file sizes, considering the apical constriction (AC) and the major foramen (MF) as anatomic references. The diameter of the apical foramina of 40 single-rooted teeth was determined by direct visual measurement and the master apical file was established. Electronic measurements were then performed using 3 instruments: the selected master apical file (adjusted file), one size smaller (intermediate file), and two sizes smaller (misfit file). The distances from the tip of files fixed in the canals to the MF and to the AC were measured digitally. Precision at AC and at MF for the misfit, intermediate and adjusted apical files was as follows: 80%/88%/83% and 78%/83%/95% (Root ZX); 80%/85%/80% and 68%/73%/73% (Novapex); and 78%/80%/78% and 65%/78%/70% (Justy II). Considering the mean discrepancies, statistically significant differences were found only for the adjusted file at MF, with Root ZX presenting the best results at MF. The chi-square test showed significant differences between the acceptable measurements at AC and at MF for the Justy II and Novapex (± 0.5 mm) regardless of file adjustment. Under the conditions of the present study, all devices provided acceptable electronic measurements regardless of file adjustment, except for Root ZX which had its performance improved significantly when the precisely fit apical file was used. Justy II and Novapex provided electronic measurements nearest to the AC.

  13. Endodontic management of open apex using Biodentine as a novel apical matrix.

    Science.gov (United States)

    Khetarpal, Ambica; Chaudhary, Sarika; Talwar, Sangeeta; Verma, Mahesh

    2014-01-01

    Endodontic management of open apex using Biodentine as an apical matrix. Summary : An immature tooth with pulpal necrosis and periapical pathology imposes a great difficulty to the endodontist. Endodontic treatment options for such teeth consist of conventional apexification procedure with and without apical barriers. Biodentine™ is new calcium silicate based cement that exhibits physical and chemical properties similar to those described for certain Portland cement derivatives. This article demonstrates the use of the newer material, Biodentine as an apical matrix barrier in root end apexification procedure. This case reports present apexification and successful healing with the use of Biodentine as an apical barrier matrix. Conclusion : Apexification in one step using an apical plug of Biodentine can be considered a predictable treatment and may be an alternative to mineral trioxide aggregate apexification.

  14. Analysis of apical sealing of canals irradiated with Er: YAG and Nd: YAG lasers and filled with AH Plus®

    Directory of Open Access Journals (Sweden)

    Celso Luis Caldeira

    2013-03-01

    Full Text Available Introduction: Laser technology is gaining increasing importance in dental practice and also in the field of Endodontics with its ability to promote disinfection and experimentally in the preparation of root canal. The action of different types of lasers results in changes representing the increase in permeability of dentinal tissue (Er: YAG or sometimes by a decrease in melting and recrystallization of dentin (Nd: YAG. Objective: this study assessed through apical dye leakage, the influence of irradiation with two types of laser, regarding to the quality of apical sealing of endodontic fillings. Material and methods: Thirty-six single-rooted teeth were used after being prepared with the ProFile system up to size #40 instrument and then divided into four experimental and two control groups. The technique used previously to the filling was as follows: G1 – not irradiated; G2 – irradiated with Er: YAG; G3 – irradiated with Nd: YAG and G4 – irradiated with Er: YAG followed by Nd: YAG. After external waterproofing and dry, the specimens were filled with a cold vertical condensation technique, using AH Plus sealer, and immediately immersed into 0.5% methylene blue solution for subsequent cleavage. The linear values of apical marginal leakage were obtained with the aid of an optical microscope connected to a computer using the Image Lab® software. Results: Data analysis showed the non-existence of statistically significant (p = 0.05 differences between different groups. Conclusion: It was concluded that the laser does not have influence on the apical sealing.

  15. The sealing ability of MTA apical plugs exposed to a phosphate-buffered saline.

    Science.gov (United States)

    Almeida, Josiane de; Alves, Ana Maria Hecke; Melo, Roberto Ferreira de; Felippe, Mara Cristina Santos; Bortoluzzi, Eduardo Antunes; Teixeira, Cleonice da Silveira; Felippe, Wilson Tadeu

    2013-01-01

    The aim of this study was to evaluate the influence of exposure of the mineral trioxide aggregate (MTA) - with and without calcium chloride (CaCl2) - to phosphate-buffered saline (PBS) on the apical microleakage using a glucose leakage system. Sixty root segments were randomly divided into 4 experimental groups (n=15). After resecting the apical segments and enlarging the canals with Gates-Glidden drills, the apical cavities were filled with MTA with or without CaCl2 and the root canals were dressed with a moistened cotton pellet or PBS, as follows: 1) MTA/cotton pellet; 2) MTA/PBS; 3) MTA+10%CaCl2/cotton pellet; 4) MTA+10%CaCl2/PBS. All root segments were introduced in floral foams moistened with PBS. After 2 months, all root segments were prepared to evaluate the glucose leakage along the apical plugs. The amount of glucose leakage was measured following an enzymatic reaction and quantified by a spectrophotometer. Four roots were used as controls. The data were analyzed using Kruskal-Wallis and Mann-Whitney tests (p0.05), and 3 and 4 (p>0.05). The addition of CaCl2 to the MTA significantly decreased its sealing ability (pMTA sealing ability. The addition of CaCl2 to the MTA negatively influenced the apical seal.

  16. Influence of Age and Apical Diameter on the Success of Endodontic Regeneration Procedures.

    Science.gov (United States)

    Estefan, Bishoy Safwat; El Batouty, Kariem Mostafa; Nagy, Mohamed Mokhtar; Diogenes, Anibal

    2016-11-01

    Treatment of immature permanent teeth with necrotic pulp and apical pathosis constitutes a challenge for endodontists. The present study was done to evaluate the effect of age and apical diameter on the regenerative potential of young permanent immature teeth with necrotic pulps. Immature necrotic permanent maxillary incisors (n = 40) of patients 9-18 years old were divided into 2 groups according to the treatment protocol: group Y (younger age group), 9-13 years and group O (older age group), 14-18 years. Each group was further subdivided into 2 subgroups according to apical diameter, subgroup (n) (narrower diameter) between 0.5 and 1 mm and subgroup (w) (wider diameter) equal to or greater than 1 mm. Revascularization procedures were performed for all patients. Follow-up was done for up to 12 months. Standardized radiographs were digitally evaluated for increase in root length and thickness and decrease in apical diameter. After the follow-up period, most of the cases demonstrated radiographic evidence of periapical healing. Group Y showed significant progressive increase in root length and width and decrease in apical diameter. Subgroup (w) representing wider apical diameter showed significant progress as well. It was found that revascularization procedures can be implemented in any age ranging from 9 to 18 years; however, younger age groups were better candidates for revascularization procedure than older ones. Regarding the apical diameter, regeneration procedures were successful with apical diameters as small as 0.5 mm. However, teeth with preoperative wider diameters (≥1 mm) demonstrated greater increase in root thickness, length, and apical narrowing. Copyright © 2016 American Association of Endodontists. All rights reserved.

  17. Mesial inclination of impacted third molars and its propensity to stimulate external root resorption in second molars--a cone-beam computed tomographic evaluation.

    Science.gov (United States)

    Oenning, Anne Caroline Costa; Melo, Saulo Leonardo Sousa; Groppo, Francisco Carlos; Haiter-Neto, Francisco

    2015-03-01

    To investigate the presence of external root resorption (ERR) in second molars adjacent to horizontally and mesioangular impacted mandibular third molars by cone-beam computed tomography. In addition, patient characteristics (age and gender) and third molar depth were correlated with the presence of ERR. The sample consisted of 116 scans (58 acquired on the i-CAT Classic and 58 on the Picasso-Trio) of 70 women and 46 men (mean age, 23.7 yr). Two observers recorded the presence of ERR in the second molars, inclination and depth of third molars in relation to bone and soft tissues, third molars classification according to Pell and Gregory, and location and severity of ERR. Data were analyzed by analysis of variance, Mann-Whitney test, and χ(2) test. The κ test was used to analyze intraobserver agreement. The overall prevalence of ERR was 49.43%. There were no statistically significant differences in the detection of ERR by gender, images from the 2 devices, or third molar inclination (P > .05). The κ test showed excellent reproducibility values (κ = 0.7778). There was a smaller proportion of affected patients 14 to 24 years old and ERR in teeth adjacent to Class C third molars. Mesially inclined third molars (mesioangular and horizontal) have a greater potential of being associated with ERR in second molars, which was shown by the high prevalence of the condition in the overall sample. Class A and B third molars in patients older than 24 years were more associated with the presence of ERR in adjacent teeth. Copyright © 2015 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  18. Meta-analysis of the external apical root resorption in mandibular incisors with self-ligating brackets%自锁托槽影响下中切牙牙根外吸收的Meta分析

    Institute of Scientific and Technical Information of China (English)

    施优灵; 马艳; 张娟; 鲍玮玮; 杨磊; 曲幸辉; 庞光明

    2015-01-01

    目的:评价自锁托槽在正畸治疗中对下中切牙牙根外吸收的影响.方法:计算机检索Pubmed、Embase、Cochrane librar y、CBM、CNKI、VIP、万方数据库,筛选出比较自锁托槽与传统托槽在正畸治疗过程中对下中切牙牙根外吸收影响的随机对照研究(RCT),并对纳入研究的参考文献进行手工检索.对最终纳入的研究进行资料提取及质量评估,并运用Ravman软件进行Meta分析.结果:总纳入文献2篇.Meta分析结果提示,自锁托槽与传统托槽在正畸治疗中下中切牙发生牙根外吸收的程度无统计学差异.结论:目前尚无足够证据表明自锁托槽较传统托槽在正畸治疗中能有效减少患者下中切牙发生牙根外吸收的程度.

  19. Effect of needle insertion depth and apical diameter on irrigant extrusion in simulated immature permanent teeth

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    AKSEL Hacer

    2014-09-01

    Full Text Available The aim of this study was to compare the amount of irrigant extrusion in simulated immature permanent teeth when the apical diameter and needle insertion depth were varied. Thirty single-rooted maxillary incisors with straight root canals were selected. The root length was standardized to a length of 9 mm. The teeth were divided into two experimental groups according to the degree of apical enlargement (n = 15. The apices were enlarged to a diameter of 1.10 mm or 1.70 mm by using a #3 or #6 peeso reamer, respectively, to simulate immature teeth. The irrigation solution was applied 2 or 4 mm short of the working length (WL in each experimental group. The glass vial model was used for the collection of extruded irrigant beyond the root apex. A two-way repeated measures analysis of variance test showed that there was no significant difference between different needle insertion depths (2 and 4 mm short of the WL in the group with an apical diameter of 1.70 mm (p > 0.05. In the group with an apical diameter of 1.10 mm, a 32% increase in irrigant extrusion was observed when the needle was positioned at 2 mm (p < 0.05. Regarding the effect of apical diameter, the group with a diameter of 1.70 mm showed more apical extrusion of the irrigant (34% increase for the needle positioned at 2 mm and 68% increase for the needle positioned at 4 mm. It was observed that the needle insertion depth and apical diameter have a significant effect on irrigant extrusion in immature permanent teeth.

  20. Obturating teeth with wide open apices using mineral trioxide aggregate: a case report.

    Science.gov (United States)

    Levenstein, H

    2002-07-01

    The conventional approach in handling a tooth with a wide open apex requiring endodontic treatment is by means of a procedure called apexification. The objective of treatment is to introduce calcium hydroxide mixed with sterile water or local anaesthetic into the root canal to create a hard-tissue-like formation or an apical plug to prevent extrusion of filling materials during obturation of teeth with wide open apices. This procedure may take anything from 6 months to 2 years. In 1999 a new material called mineral trioxide aggregate (MTA) was introduced to the dental profession for clinical use which has the ability to create an apical plug within a few weeks.

  1. SEM investigation of Er:YAG laser apical preparation

    Science.gov (United States)

    Bǎlǎbuc, Cosmin; Todea, Carmen; Locovei, Cosmin; RǎduÅ£ǎ, Aurel

    2016-03-01

    Endodontic surgery involves the incision and flap elevation, the access to the root tip, its resection, the cavity retrograde preparation and filling it with biocompatible material that provides a good seal of the apex[1]. Apicoectomy is compulsory in endodontic surgery. The final stage involves the root retropreparation and the carrying out of the retrograde obturation. In order to perform the retrograde preparation the endodontist can use various tools such as lowspeed conventional handpieces, sonic and ultrasonic equipment. The ideal depth of the preparation should be 3 mm, exceeding this value may affect the long-term success of the obturation [2]. Resection at the depth of 3 mm reduces apical ramifications by 98% and lateral root canals by 93%. The ultrasonic retropreparation has numerous advantages compared to the dental drill. Firstly, the cavity will be in the axis of the tooth which implies a minimum destruction of the root canal morphology. The preparations are precise, and the cutting pattern is perpendicular to the long axis of the root, the advantage being the reduction in the number of dentinal tubules exposed at the resected area [3]. Therefore, the retrograde filling is the procedure when an inert and non-toxic material is compacted in the apically created cavity.[4,5]. The Er:YAG laser is the most common wavelength indicated for dental hard tissue preparation. Its natural selectivity offers a significant advantage compared to the conventional hard tissue preparation [6-9].The purpose of this in vitro study was to investigate the quality of Er:YAG laser apical third preparation using Scanning Electron Microscopy (SEM), in comparison with the conventional ultrasonic method.

  2. Severe root resorption resulting from orthodontic treatment: Prevalence and risk factors

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    Caroline Pelagio Raick Maués

    2015-02-01

    Full Text Available OBJECTIVE: To assess the prevalence of severe external root resorption and its potential risk factors resulting from orthodontic treatment. METHODS: A randomly selected sample was used. It comprised conventional periapical radiographs taken in the same radiology center for maxillary and mandibular incisors before and after active orthodontic treatment of 129 patients, males and females, treated by means of the Standard Edgewise technique. Two examiners measured and defined root resorption according to the index proposed by Levander et al. The degree of external apical root resorption was registered defining resorption in four degrees of severity. To assess intra and inter-rater reproducibility, kappa coefficient was used. Chi-square test was used to assess the relationship between the amount of root resorption and patient's sex, dental arch (maxillary or mandibular, treatment with or without extractions, treatment duration, root apex stage (open or closed, root shape, as well as overjet and overbite at treatment onset. RESULTS: Maxillary central incisors had the highest percentage of severe root resorption, followed by maxillary lateral incisors and mandibular lateral incisors. Out of 959 teeth, 28 (2.9% presented severe root resorption. The following risk factors were observed: anterior maxillary teeth, overjet greater than or equal to 5 mm at treatment onset, treatment with extractions, prolonged therapy, and degree of apex formation at treatment onset. CONCLUSION: This study showed that care must be taken in orthodontic treatment involving extractions, great retraction of maxillary incisors, prolonged therapy, and/or completely formed apex at orthodontic treatment onset.

  3. Severe root resorption resulting from orthodontic treatment: Prevalence and risk factors

    Science.gov (United States)

    Maués, Caroline Pelagio Raick; do Nascimento, Rizomar Ramos; Vilella, Oswaldo de Vasconcellos

    2015-01-01

    OBJECTIVE: To assess the prevalence of severe external root resorption and its potential risk factors resulting from orthodontic treatment. METHODS: A randomly selected sample was used. It comprised conventional periapical radiographs taken in the same radiology center for maxillary and mandibular incisors before and after active orthodontic treatment of 129 patients, males and females, treated by means of the Standard Edgewise technique. Two examiners measured and defined root resorption according to the index proposed by Levander et al. The degree of external apical root resorption was registered defining resorption in four degrees of severity. To assess intra and inter-rater reproducibility, kappa coefficient was used. Chi-square test was used to assess the relationship between the amount of root resorption and patient's sex, dental arch (maxillary or mandibular), treatment with or without extractions, treatment duration, root apex stage (open or closed), root shape, as well as overjet and overbite at treatment onset. RESULTS: Maxillary central incisors had the highest percentage of severe root resorption, followed by maxillary lateral incisors and mandibular lateral incisors. Out of 959 teeth, 28 (2.9%) presented severe root resorption. The following risk factors were observed: anterior maxillary teeth, overjet greater than or equal to 5 mm at treatment onset, treatment with extractions, prolonged therapy, and degree of apex formation at treatment onset. CONCLUSION: This study showed that care must be taken in orthodontic treatment involving extractions, great retraction of maxillary incisors, prolonged therapy, and/or completely formed apex at orthodontic treatment onset. PMID:25741825

  4. 不同根根管预备方法和不同根管充填技术组合对根尖微渗漏的影响%Effects of root canal preparation and filling methods on apical microleakage

    Institute of Scientific and Technical Information of China (English)

    杨涛

    2013-01-01

    目的:评价不同根管预备方法和不同根管充填技术组合时的根尖封闭效果.方法:选择180个离体单根管前牙,随机分为A、B两组(每组90个).分别用ProTaper以逐步深入法、K锉以逐步后退法预备根管后,再各随机分为3个亚组,分别用GuttaFlow常温流动牙胶、Cortisomol加热牙胶垂直加压、Cortisomol加冷牙胶侧方加压充填根管.各样本置微渗漏检测装置中,分别于1、2、4、7、14、21、28 d以GOD比色法检测葡萄糖渗出浓度.结果:微渗漏试验1 ~4d,各组葡萄糖渗出浓度无显著差异(P>0.05).7~28 d各时间点,相同充填方法下,逐步深入法组葡萄糖浓度均明显低于后退法(P<0.05);相同预备方法下,常温流动牙胶组葡萄糖浓度明显低于热牙胶垂直加压和冷牙胶侧方加压组(P<0.05),而后两组无统计学差异(P>0.05).结论:ProTaper镍钛锉逐步深入法预备根管,并以GuttaFlow常温流动牙胶充填系统进行充填较其他方法能更有效降低根尖微渗漏程度.%AIM:To evaluate the effects of different root canal preparation and filling methods on apical microleakage.METHODS:180 extracted teeth with single canal were divided randomly into group A,B(n =90).For root canal preparation of step-down method with ProTape was used in group A and step-back with K file in group B.After preparation,the root canals were filled with GuttaFlow,cortisomol heated guttapurcha vertical pressure and cortisomol lateral pressure respectively(n =30).The glucose concentration of the groups were measured by glucose oxidose method 1,2,4,7,14,21 and 28 d after root-filling respectively.RESULTS:No significant difference of microleakage was observed among the groups 1-4 d after filling (P > 0.05).With the same filling method,glucose concentration in step-down preparation groups was significantly lower than that in step-back groups (P <0.05).With the same preparation method,glucose concentration in GuttaFlow group was

  5. Assessment of apical periodontitis by MRI. A feasibility study

    Energy Technology Data Exchange (ETDEWEB)

    Geibel, M.A. [Ulm Univ. (Germany). Oral and Maxillofacial Surgery; Schreiber, E.S.; Bracher, A.K.; Rasche, V. [Ulm Univ. (Germany). Internal Medicine II; Hell, E.; Ulrici, J. [Sirona Dental Systems GmbH, Bensheim (Germany). Dental Imaging; Sailer, L.K. [DOC Praxisklinik im Wiley, Neu-Ulm (Germany). MKG; Ozpeynirci, Y. [Ulm Univ. (Germany). Diagnostic and Interventional Radiology

    2015-04-15

    The purpose of this clinical feasibility study was to evaluate the applicability of magnetic resonance imaging (MRI) for the assessment of apical periodontitis in direct comparison with cone beam CT (CBCT). 19 consecutive patients (average age 43 ± 13 years) with 34 lesions in total (13 molars, 14 premolars and 7 front teeth) were enrolled in this feasibility study. Periapical lesions were defined as periapical radiolucencies (CBCT) or structural changes in the spongy bone signal (MRI), which were connected with the apical part of a root and with at least twice the width of the periodontal ligament space. The location and dimension of the lesions were compared between MRI and CBCT. While mainly mineralized tissue components such as teeth and bone were visible with CBCT, complimentary information of the soft tissue components was assessable with MRI. The MRI images provided sufficient diagnostic detail for the assessment of the main structures of interest. Heterogeneous contrast was observed within the lesion, with often a clear enhancement close to the apical foramen and the periodontal gap. No difference for lesion visibility was observed between MRI and CBCT. The lesion dimensions corresponded well, but were slightly but significantly overestimated with MRI. A heterogeneous lesion appearance was observed in several patients. Four patients presented with a well circumscribed hyperintense signal in the vicinity of the apical foramen. The MRI capability of soft tissue characterization may facilitate detailed analysis of periapical lesions. This clinical study confirms the applicability of multi-contrast MRI for the identification of periapical lesions.

  6. Hormone symphony during root growth and development.

    Science.gov (United States)

    Garay-Arroyo, Adriana; De La Paz Sánchez, María; García-Ponce, Berenice; Azpeitia, Eugenio; Alvarez-Buylla, Elena R

    2012-12-01

    Hormones regulate plant growth and development in response to external environmental stimuli via complex signal transduction pathways, which in turn form complex networks of interaction. Several classes of hormones have been reported, and their activity depends on their biosynthesis, transport, conjugation, accumulation in the vacuole, and degradation. However, the activity of a given hormone is also dependent on its interaction with other hormones. Indeed, there is a complex crosstalk between hormones that regulates their biosynthesis, transport, and/or signaling functionality, although some hormones have overlapping or opposite functions. The plant root is a particularly useful system in which to study the complex role of plant hormones in the plastic control of plant development. Physiological, cellular, and molecular genetic approaches have been used to study the role of plant hormones in root meristem homeostasis. In this review, we discuss recent findings on the synthesis, signaling, transport of hormones and role during root development and examine the role of hormone crosstalk in maintaining homeostasis in the apical root meristem.

  7. Temperature variation on root surface with three root-end cavity preparation techniques

    Directory of Open Access Journals (Sweden)

    Bodrumlu Emre

    2013-01-01

    Full Text Available Introduction. Thermal changes can occur on the external root surface when root-end cavity preparation is performed, which may damage periodontal ligament cells and alveolar bone. Objective. The purpose of this study was to evaluate the temperature changes during preparation of the root-end cavities at 1 and 3 mm to the sectioned apical root surfaces when either tungsten carbide round bur, diamond round bur or ultrasonic diamond tip was used. Methods. Root-end resection was performed at 90° to the long axis of the root, 3 mm from the apex. Specimens were randomly divided into three groups of 12 teeth each for three different root-end cavity preparation techniques to be used, i.e. tungsten carbide bur, diamond bur and ultrasonic diamond retro tip. Thermocouples were used to measure temperature changes at 1 mm (T1 and 3 mm (T2 to the cutting plane during the preparations. Results. For T1, the lowest and the highest mean temperature increases of 3.53°C and 4.34°C were recorded for the carbide and diamond burs, respectively. For T2, the lowest and the highest mean temperature increases of 2.62°C and 4.39°C where recorded for the carbide and diamond burs, respectively. The mean temperatures with the ultrasonic tip were 3.68 and 3.04 ºC at T1 and T2 region, respectively. For root-end preparation, the ultrasonic preparation technique took the shortest preparation time (10.25 sec and the diamond bur took the longest time (28.17 sec. Conclusion. Ultrasonic retro tips and burs caused temperature to rise from 2.62° to 4.39°C, and these rises were within safety levels.

  8. The Effect of Canal Contamination with Saliva on Apical Sealing

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    S Sabaghi

    2014-08-01

    Methods: In this laboratory study, 58 human uni-root teeth were cleaned and shaped for obturation with gutta percha and sealer AH26. In the case group, specimens were contaminated with human saliva immediately before obturation, whereas the teeth in the control group were kept dry. All canals were filled by lateral condensation technique. Moreover, the teeth were placed in methylene blue dye for 3 days. Dye penetration was measured using a stereomicrosope. As a matter of fact, the study data were analyzed via utilizing t-test. Results: A significant difference was found between the two groups in regard with the apical leakage(P<0.001. The microleakage mean of dye in the dry group was 3/48mm, whereas it was 6/36mm in the saliva contaminated group. Conclusion: The study findings revealed that complete drying of canal can improve apical sealing.

  9. Aseptic multiplication of banana from excised floral apices.

    Science.gov (United States)

    Cronauer, S S; Krikorian, A D

    1985-08-01

    Most economically important bananas and plantains are large triploid seedless herbs that must be propagated vegetatively by removing small side shoots or "suckers" from the parent plant or by planting seed pieces of larger corms. Consequently, multiplication of stock material is time consuming, Recently, the rapid production of young banana plantlets suitable for use as "seed" material has been described. Vegetative shoot apices were isolated and multiplied using aseptic tissue culture techniques. Although these multiplication systems, once established, can produce thousands of plants in a relatively short period of time, their establishment necessitates the initial sacrifice of an individual specimen, which may not always be desirable or prudent should a limited parent stock be available. We describe here the production and multiplication of rooted banana plantlets from the isolation and culture of terminal floral apices.

  10. Calcium-enriched mixture cement as artificial apical barrier: A case series

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    Ali Nosrat

    2011-01-01

    Full Text Available In comparison to the conventional apexification using calcium hydroxide, artificial apical barrier technique is more valuable and less time consuming. This article describes successful use of calcium-enriched mixture (CEM cement as an artificial apical barrier in open apices. In this study, 13 single-rooted teeth with necrotic pulps and open apices were treated non-surgically. After copious irrigation of the root canals with NaOCl 5.25% and gentle filing, based on need for interappointment dressing, treatments were followed by CEM cement (BioniqueDent, Tehran, Iran apical plug insertion in the first or second appointment. All cases were then permanently restored. All subjects were followed until radiographic evidence of periradicular healing was seen (mean 14.5 months. Clinically, all cases were functional and asymptomatic and complete osseous healing was observed in all the teeth. Considering the biological properties of CEM cement, this new endodontic biomaterial might be appropriate to be used as artificial apical barrier in the open apex teeth.

  11. USAGE OF PASTE FOR TEMPORARY PLACEMENT IN THE TREATMENT OF CHRONIC APICAL PERIODONTITIS

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    A.V. Borysenko

    2012-03-01

    Full Text Available Summary: The aim of the present investigation was usage of medicamental paste with antibacterial and regeneration action for temporary placement in the treatment of chronic apical periodontitis. Materials and method: The medicamental paste for temporary placement of root canals consists of a mixture of metronidazole, Enterosgel (Silm and Alflutop (Biotehnos S.A., Romania. Thë paste was used for the treatment of 30 teeth with chronic apical periodontitis. Final obturation of the root canals was performed with gutta percha cones and sealer. The efficiency of the treatment was appreciated after examination on the basis of clinical and radiographic findings. Results: During the treatment of the 30 teeth, no exacerbations of the pathological process were recorded. Pain after obturation of the root canals was revealed in only 6 (20% of the treated teeth. No pain, pathologic changes of gingiva, good mastication efficiency in all teeth after treatment were revealed. Conclusions: The high clinical efficiency of the medicamental paste with antibacterial and regeneration action at the level of temporary root canals placement in the treatment of chronic apical periodontitis was shown. Keywords: chronic apical periodontitis, medicamental paste for temporary root canals placement, metronidazole, Enterosgel (Silm and Alflutop (Biotehnos S.A., Romania

  12. 镍钛机动器械联合不同超声冲洗液对慢性根尖周炎进行一次性根管治疗的临床研究%Clinical one-visit root treatment with nickel-titanium rotary instrument and ultrasonic irrigation unit for chronic apical periodontitis

    Institute of Scientific and Technical Information of China (English)

    唐震宇; 蒋士勇; 王辉; 蓝碧峰

    2014-01-01

    背景:临床一次性根管治疗中,超声冲洗可提高根管冲洗的质量,可通过超声的协同作用,让冲洗液达到根管预备器械所不能彻底清理的区域,如根尖狭部、侧支根管等,达到去除腐质清理消毒的目的。  目的:探讨镍钛机动器械联合不同超声冲洗液进行一次性根管治疗的临床疗效。  方法:选择460例慢性根尖周炎患者,共460颗患牙,随机分为3组,次氯酸钠组使用Mtwo镍钛机动器械联合2.5%次氯酸钠超声冲洗清理根管,银离子抗菌液组使用镍钛机动器械联合活性银离子抗菌液超声冲洗清理根管,对照组使用K锉双氧水+生理盐水注射器根管冲洗,在根管预备完成后即刻根充。术后24 h由患者采用目测类比量表进行疼痛程度自评;7 d复诊时评价3组术后急性反应;术后6,12个月复诊,临床检查结合X射线机根尖周指数进行疗效评价。  结果与结论:次氯酸钠组、银离子抗菌液组术后疼痛程度、急性反应发生率低于对照组(P0.05);术后6个月,3组治愈率差异无显著性意义(P>0.05),但12个月后对照组治愈率低于其他两组(P OBJECTIVE:To evaluate the clinical effect of one-visit root treatment with nickel-titanium rotary instruments and ultrasonic irrigation unit in treatment of chronic apical periodontitis. METHODS:A total of 460 patients with il ed 460 teeth were selected. Patients were randomly divided into three groups:Mtwo instrument and ultrasonic technique combined with sodium hypochlorite was utilized in group A;ultrasonic technique combined with active silver ion antibacterial solution was utilized in group B;stainless steel K files with saline and hydrogen peroxide solution were used as irrigations in group C. Twenty-four hours after root canal fil ing, the pain degree was self-assessed by patients with visual analogue scale, and subsequent visit was done 7 days after root canal

  13. The Effect of Smear Layer on Apical Seal of Endodontically Treated Teeth

    Directory of Open Access Journals (Sweden)

    A Farhad

    2004-06-01

    Full Text Available Background: The purpose of this study was to evaluate the effect of smear layer on apical seal of endodontically treated teeth. Methods: Sixty extracted single–rooted human teeth were randomly divided into two experimental groups (n=25 and two control groups (n=5. The teeth were instrumented with K–type files to size 40 and then flared. Apical patency was ensured in all teeth. 5% sodium hypochlorite and 17% Ethylenediamine tetraacetic acid was used as irrigants to remove the smear layer in the second experimental group. The experimental groups were obturated by laterally condensed gutta – percha with Roth 801 sealer. The positive control group was obturated with gutta – percha without sealer. The root surfaces were then coated with nail polish and sticky wax except for the apex in the experimental groups and positive control group. The roots were completely covered in the negative control group. The samples were then immersed in India ink for 1 week at 37°C. Results: The statistical analysis of the results showed that the apical leakage was significantly increased in obturated canals with smear layer. Conclusion: The removal of smear layer might improve the long term apical seal and success of endodontically treated teeth. Keywords: Apical Seal, EDTA, Removal, Sodium Hypochlorite, Smear Layer.

  14. Revitalization of open apex teeth with apical periodontitis using a collagen-hydroxyapatite scaffold.

    Science.gov (United States)

    Nevins, Alan J; Cymerman, Jerome J

    2015-06-01

    An enhanced revision of the revitalization endodontic technique for immature teeth with apical periodontitis has been described. It includes the addition of collagen-hydroxyapatite scaffold to the currently practiced revascularization technique. Four cases treated in series are presented in this report, 1 case involving 2 teeth. Periapical diagnoses of immature teeth included "asymptomatic apical periodontitis," "symptomatic apical periodontitis," and "acute apical abscess." Additionally, 1 fully developed tooth that had undergone root canal treatment that failed had a periapical diagnosis of acute apical abscess. An established revascularization protocol was used for all teeth. In addition to stimulating blood clots, all teeth were filled with collagen-hydroxyapatite scaffolds. Periapical radiolucencies healed in all teeth, and diffuse radiopacity developed within the coronal portions of canal spaces. Root development with root lengthening occurred in the immature nonvital maxillary premolar that had not undergone prior treatment. The technique of adding a collagen-hydroxyapatite scaffold to the existing revitalization protocol has been described in which substantial hard tissue repair has occurred. This may leave teeth more fully developed and less likely to fracture.

  15. Regenerative Endodontics Versus Apexification in Immature Permanent Teeth with Apical Periodontitis: A Prospective Randomized Controlled Study.

    Science.gov (United States)

    Lin, Jiacheng; Zeng, Qian; Wei, Xi; Zhao, Wei; Cui, Minyi; Gu, Jing; Lu, Jiaxuan; Yang, Maobin; Ling, Junqi

    2017-08-29

    The aim of the study was to compare the outcomes of regenerative endodontic treatment (RET) and apexification on immature permanent teeth with pulp necrosis and apical periodontitis. A total of 118 patients (118 teeth) were recruited and randomly assigned to either RET or apexification treatment. Each treatment group was divided into 2 subgroups according to the etiology: dens evaginatus or trauma. Clinical symptoms and complications were recorded, and cone-beam computed tomographic imaging with a limited field of view was used to measure the change of root length, root thickness, and apical foramen size at the 12-month follow-up. The t test/rank sum test and Fisher exact test were applied to compare the change of root morphology between RET and apexification. One hundred three of 118 cases were completed at the 12-month follow-up. The survival rate was 100% for both treatment groups. All cases were asymptomatic with apical healing. The RET group showed a significant increase in root length and root thickness compared with the apexification group (P < .05). In the RET group, the cases caused by dens evaginatus achieved increased root length and root thickness compared with those caused by trauma (P < .05). RET and apexification achieved a comparable outcome in regard to the resolution of symptoms and apical healing. RET showed a better outcome than apexification regarding increased root thickness and root length. The etiology had an impact on the outcome of RET. Dens evaginatus cases showed better prognoses than trauma cases after RET. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  16. Pulp revascularization of immature dog teeth with apical periodontitis.

    Science.gov (United States)

    Thibodeau, Blayne; Teixeira, Fabricio; Yamauchi, Mitsuo; Caplan, Daniel J; Trope, Martin

    2007-06-01

    This study examined the ability of a collagen solution to aid revascularization of necrotic-infected root canals in immature dog teeth. Sixty immature teeth from 6 dogs were infected, disinfected, and randomized into experimental groups: 1: no further treatment; 2: blood in canal; 3: collagen solution in canal, 4: collagen solution + blood, and 5: negative controls (left for natural development). Uncorrected chi-square analysis of radiographic results showed no statistical differences (p >or= 0.05) between experimental groups regarding healing of radiolucencies but a borderline statistical difference (p = 0.058) for group 1 versus group 4 for radicular thickening. Group 2 showed significantly more apical closure than group 1 (p = 0.03) and a borderline statistical difference (p = 0.051) for group 3 versus group 1. Uncorrected chi-square analysis revealed that there were no statistical differences between experimental groups for histological results. However, some roots in each of groups 1 to 4 (previously infected) showed positive histologic outcomes (thickened walls in 43.9%, apical closure in 54.9%, and new luminal tissue in 29.3%). Revascularization of disinfected immature dog root canal systems is possible.

  17. Apical microinfiltration evaluation of radicular channels irradiated with Er:YAG laser in vitro; Avaliacao da microinfiltracao apical de condutos radiculares irradiados in vitro com laser de Er:YAG

    Energy Technology Data Exchange (ETDEWEB)

    Sebrao, Catia Cilene Nass

    2003-07-01

    It was evaluated, in vitro, the adaptation of the filling material (Sealer 2S{sup R}) to the root channels dentine walls treated using the endodontic technique and prepared with the Er:YAG laser, by the technique of infiltration of methylene blue dye. Using scanning electronic microscopy, the morphologic alteration of the root channel dentine was observed for one sample per studied group. Also, an evaluation of the temperature increase in the external surface of the root during the irradiations was performed for two samples per group. For each group of samples, with eleven roots each, two sub-groups had been considered: the dry, irradiated after completely dry with absorbent cones of paper, and the humid, where a cone of absorbent paper was applied for two seconds in the root canal, leaving them lightly humidified. Considering the used energies for the irradiations, the groups are: G1, control (without irradiation), G2-dry (100 mJ-10 Hz), G2-humid (100 mJ-10 Hz), G3-dry (140 mJ-6 Hz), G3-humid (140 mJ-6 Hz), G4-dry (180 mJ-6 Hz), and G4-humid (180 mJ-6 Hz). The results had shown that apical microinfiltration did not exhibit significant difference among groups. The highest increase in temperature was observed for the dry groups, with the maximum variation of temperature of 6.5 deg C. Under the scanning electronic microscopy analysis, the humid groups had presented cleaner surfaces than the dry groups. The G4-humid group presented extensive regions of fusion and resolidification of the dentine. (author)

  18. Effect of Instrumentation Length and Instrumentation Systems: Hand Versus Rotary Files on Apical Crack Formation – An In vitro Study

    Science.gov (United States)

    Mahesh, MC; Bhandary, Shreetha

    2017-01-01

    Introduction Stresses generated during root canal instrumentation have been reported to cause apical cracks. The smaller, less pronounced defects like cracks can later propagate into vertical root fracture, when the tooth is subjected to repeated stresses from endodontic or restorative procedures. Aim This study evaluated occurrence of apical cracks with stainless steel hand files, rotary NiTi RaCe and K3 files at two different instrumentation lengths. Materials and Methods In the present in vitro study, 60 mandibular premolars were mounted in resin blocks with simulated periodontal ligament. Apical 3 mm of the root surfaces were exposed and stained using India ink. Preoperative images of root apices were obtained at 100x using stereomicroscope. The teeth were divided into six groups of 10 each. First two groups were instrumented with stainless steel files, next two groups with rotary NiTi RaCe files and the last two groups with rotary NiTi K3 files. The instrumentation was carried out till the apical foramen (Working Length-WL) and 1 mm short of the apical foramen (WL-1) with each file system. After root canal instrumentation, postoperative images of root apices were obtained. Preoperative and postoperative images were compared and the occurrence of cracks was recorded. Descriptive statistical analysis and Chi-square tests were used to analyze the results. Results Apical root cracks were seen in 30%, 35% and 20% of teeth instrumented with K-files, RaCe files and K3 files respectively. There was no statistical significance among three instrumentation systems in the formation of apical cracks (p=0.563). Apical cracks were seen in 40% and 20% of teeth instrumented with K-files; 60% and 10% of teeth with RaCe files and 40% and 0% of teeth with K3 files at WL and WL-1 respectively. For groups instrumented with hand files there was no statistical significance in number of cracks at WL and WL-1 (p=0.628). But for teeth instrumented with RaCe files and K3 files

  19. Do Parameters Of Irradiation Influences The Apical Sealing Of Er:YAG Laser Apicetomies?

    Science.gov (United States)

    Marques, Aparecida Maria Cordeiro; dos Santos, Jean Nunes; Pinheiro, Antonio Luiz Barbosa

    2011-08-01

    Failures on the sealing of the tooth apex are responsible for many failures of apical surgeries. The Er:YAG laser has been proposed as an alternative for the use of rotator instruments on surgical endodontics. 12 human extracted canines had root endodontic treatment being the apical limit was set at 1mm before the apical foramen and were distributed into 2 groups. On group I, apicectomy was performed with the Er:YAG laser (250 mJ/15 Hz). Apical cut was performed of perpendicular mode with 3mm from the apical foramen. On Group II, the same procedures and the same sequence as above was used, varying only the parameters of the Er:YAG laser (400 mJ/6 Hz). The specimens were divided into groups and fixed, by the cervical third, on wax. Impermeabilization of the residual root apical third was performed following the same procedures used in the cervical third but the residual apex was left free from the impermeabilization. After that, the roots were immersed in a 2% methylene blue solution and placed in a bacteriological oven for 48 h. The segments were visually observed and the one showing greatest level of dye leakage was selected and kept in individual container and coded accordingly. Apical staining was measured using a stereoscopic magnifying glass; a compass; and caliper. The results showed that Group I showed significantly different higher mean level of dye leakage (5.67±4.9, papicectomies carried out with 400 mJ/6 Hz showed the smallest infiltration value.

  20. Virus interaction with the apical junctional complex.

    Science.gov (United States)

    Gonzalez-Mariscal, Lorenza; Garay, Erika; Lechuga, Susana

    2009-01-01

    In order to infect pathogens must breach the epithelial barriers that separate the organism from the external environment or that cover the internal cavities and ducts of the body. Epithelia seal the passage through the paracellular pathway with the apical junctional complex integrated by tight and adherens junctions. In this review we describe how viruses like coxsackie, swine vesicular disease virus, adenovirus, reovirus, feline calcivirus, herpes viruses 1 and 2, pseudorabies, bovine herpes virus 1, poliovirus and hepatitis C use as cellular receptors integral proteins present at the AJC of epithelial cells. Interaction with these proteins contributes in a significant manner in defining the particular tropism of each virus. Besides these proteins, viruses exhibit a wide range of cellular co-receptors among which proteins present in the basolateral cell surface like integrins are often found. Therefore targeting proteins of the AJC constitutes a strategy that might allow viruses to bypass the physical barrier that blocks their access to receptors expressed on the basolateral surface of epithelial cells.

  1. Mineral trioxide aggregate apical plug method for the treatment of nonvital immature permanent maxillary incisors: Three case reports

    Directory of Open Access Journals (Sweden)

    Betül Günes

    2012-01-01

    Full Text Available Treatment of nonvital immature permanent teeth with calcium-hydroxide is associated with some difficulties such as weakened tooth fracture, root canal reinfection and long treatment time. Mineral trioxide aggregate (MTA apical plug method is an alternative treatment option for open apices, and has gained popularity in the recent times. In this case report, we have attempted to present successful treatment of three maxillary incisors with open apices and periapical lesions with MTA. After preparing the access cavity, the working length was determined. The root canals were irrigated with 2.5% Sodium hypochlorite (NaOCl and disinfected with calcium-hydroxide for two weeks. MTA was then placed in the apical 3 millimeters of the root canal. The remaining part of the root canal was filled with gutta-percha and the coronal restoration was finished with composite resin. After six months the radiographic examination showed a decrease of periapical lesions. At a 1-year and 18-months follow up, radiological and clinical successful healing of the incisor teeth was seen. MTA seems as an effective material for the apical plug method for the treatment of nonvital immature permanent teeth with open apices.

  2. Present and future in the use of micro-CT scanner 3D analysis for the study of dental and root canal morphology

    Directory of Open Access Journals (Sweden)

    Nicola M. Grande

    2012-01-01

    Full Text Available The goal of the present article is to illustrate and analyze the applications and the potential of microcomputed tomography (micro-CT in the analysis of tooth anatomy and root canal morphology. The authors performed a micro-CT analysis of the following different teeth: maxillary first molars with a second canal in the mesiobuccal (MB root, mandibular first molars with complex anatomy in the mesial root, premolars with single and double roots and with complicated apical anatomy. The hardware device used in this study was a desktop X-ray microfocus CT scanner (SkyScan 1072, SkyScan bvba, Aartselaar, Belgium. A specific software ResolveRT Amira (Visage Imaging was used for the 3D analysis and imaging. The authors obtained three-dimensional images from 15 teeth. It was possible to precisely visualize and analyze external and internal anatomy of teeth, showing the finest details. Among the 5 upper molars analyzed, in three cases, the MB canals joined into one canal, while in the other two molars the two mesial canals were separate. Among the lower molars two of the five samples exhibited a single canal in the mesial root, which had a broad, flat appearance in a mesiodistal dimension. In the five premolar teeth, the canals were independent; however, the apical delta and ramifications of the root canals were quite complex. Micro-CT offers a simple and reproducible technique for 3D noninvasive assessment of the anatomy of root canal systems.

  3. Present and future in the use of micro-CT scanner 3D analysis for the study of dental and root canal morphology.

    Science.gov (United States)

    Grande, Nicola M; Plotino, Gianluca; Gambarini, Gianluca; Testarelli, Luca; D'Ambrosio, Ferdinando; Pecci, Raffaella; Bedini, Rossella

    2012-01-01

    The goal of the present article is to illustrate and analyze the applications and the potential of microcomputed tomography (micro-CT) in the analysis of tooth anatomy and root canal morphology. The authors performed a micro-CT analysis of the following different teeth: maxillary first molars with a second canal in the mesiobuccal (MB) root, mandibular first molars with complex anatomy in the mesial root, premolars with single and double roots and with complicated apical anatomy. The hardware device used in this study was a desktop X-ray microfocus CT scanner (SkyScan 1072, SkyScan bvba, Aartselaar, Belgium). A specific software ResolveRT Amira (Visage Imaging) was used for the 3D analysis and imaging. The authors obtained three-dimensional images from 15 teeth. It was possible to precisely visualize and analyze external and internal anatomy of teeth, showing the finest details. Among the 5 upper molars analyzed, in three cases, the MB canals joined into one canal, while in the other two molars the two mesial canals were separate. Among the lower molars two of the five samples exhibited a single canal in the mesial root, which had a broad, flat appearance in a mesiodistal dimension. In the five premolar teeth, the canals were independent; however, the apical delta and ramifications of the root canals were quite complex. Micro-CT offers a simple and reproducible technique for 3D noninvasive assessment of the anatomy of root canal systems.

  4. Apical surgery of a maxillary molar creating a maxillary sinus window using ultrasonics: a clinical case.

    Science.gov (United States)

    García, B; Peñarrocha, M; Peñarrocha, M A; Von Arx, T

    2010-11-01

    To describe a method of carrying out apical surgery of a maxillary molar using ultrasonics to create a lateral sinus window into the maxillary sinus and an endoscope to enhance visibility during surgery. A 37-year-old female patient presented with tenderness to percussion of the maxillary second right molar. Root canal treatment had been undertaken, and the tooth restored with a metal-ceramic crown. Radiological examination revealed an apical radiolucency in close proximity to the maxillary sinus. Apical surgery of the molar was performed through the maxillary sinus, using ultrasonics for the osteotomy, creating a window in the lateral wall of the maxillary sinus. During surgery, the lining of the sinus was exposed and elevated without perforation. The root-end was resected using a round tungsten carbide drill, and the root-end cavity was prepared with ultrasonic retrotips. Root-end filling was accomplished with MTA(®) . An endoscope was used to examine the cut root face, the prepared cavity and the root-end filling. No intraoperative or postoperative complications were observed. At the 12-month follow-up, the tooth had no clinical signs or symptoms, and the radiograph demonstrated progressing resolution of the radiolucency. When conventional root canal retreatment cannot be performed or has failed, apical surgery may be considered, even in maxillary molars with roots in close proximity to the maxillary sinus. Ultrasonic sinus window preparation allows more control and can minimize perforation of the sinus membrane when compared with conventional rotary drilling techniques. The endoscope enhances visibility during endodontic surgery, thus improving the quality of the case. © 2010 International Endodontic Journal.

  5. The Effect of Calcium Hydroxide As an Intracanal Medication of The Apical Microleakage

    Directory of Open Access Journals (Sweden)

    Heshmat Mohajer AR

    2011-12-01

    Full Text Available Background and Aims: Nowadays, calcium hydroxide is used as a dressing for canal sterilization and repair progression of apical lesions. The aim of this study was to investigate the effect of calcium hydroxide as an intracanal medicament on the apical microleakage of root filling.Materials and Methods: In this experimental study, 46 extracted single-rooted human teeth were instrumented with step-back technique to master apical file (MAF size 35. Specimens were randomly divided into 2 groups (n = 20. In group 1, the specimens were treated with calcium hydroxide intracanal medication; and in group 2, the samples did not receive any medication. The teeth were incubated in 100% humidity at 37°C for one week. After that, calcium hydroxide was removed using irrigation with normal saline and reaming with MAF. The root canals were obturated with gutta- percha and AH26 sealer using lateral compaction technique. Specimens were incubated in 100% humility at 37°C for 72 hours and then immersed in India ink for 1 week. Finally, the teeth were cleared and the maximum linear dye penetration was measured under a stereomicroscope at 4X magnification. The data were analyzed by T-test and Chi-square.Results: There was no significant difference between the two experimental groups (P=0.068. Conclusion: The findings of this study indicated that using calcium hydroxide as an intracanal medicament did not influence the apical microleakage after final obturation of the root canal system.

  6. 3种磺胺类兽药单一及复合污染对不同作物根尖细胞的微核效应研究%Effects of Single and Combined Pollution of Three Common Sulfonamide Veterinary Drugs on Root Apical Cell Micronuclei of Different Crops

    Institute of Scientific and Technical Information of China (English)

    金彩霞; 毛蕾; 司晓薇

    2015-01-01

    研究了磺胺嘧啶(SD)、磺胺间甲氧嘧啶(SMM)和磺胺甲噁唑(SMZ)的遗传毒性。在去离子水中分别加入三种兽药的标准品,设计1、5、10、50、100 mg·L-1共5个剂量组,以蒸馏水为阴性对照,10 mg·L-1的NaN3溶液为阳性对照。用微核实验检测其对蚕豆、玉米、小麦根尖细胞微核的诱发效应,综合分析三种兽药单一及复合条件下的遗传毒性,为生态安全评价提供理论依据。结果表明:3种磺胺类药物作用于作物的根尖细胞均能诱发微核效应,说明3种药物对作物根尖细胞有一定的毒性作用,不同作物对3种磺胺类兽药的敏感性不同,在磺胺嘧啶(SD)和磺胺间甲氧嘧啶(SMM)单一处理下,3种作物的敏感性分别为蚕豆﹥玉米﹥小麦;而磺胺甲噁唑(SMZ)单一处理下,3种作物的敏感顺序为蚕豆﹥小麦﹥玉米。兽药复合时,单一兽药对作物的低促作用会消失且复合磺胺类兽药的毒性普遍高于单一兽药。%Genotoxicity of sulfadiazine(SD), sulfamonomethoxine(SMM)and sulfamethoxazole(SMZ)to crops was investigated under single and combined treatments. Five concentrations(1, 5, 10, 50, and 100 mg·L-1)of each of three veterinary drugs were generated by deionized water. Micronuclei of wheat, maize and broad bean root tips were counted by micronucleus test. All three sulfonamides induced micronucle-us effects in the apical cells, illustrating the toxicity of sulfonamides to plant apical cells. Different plants had different sensitivity to three sulfonamides. In single SD or SMM treatment, plant sensitivity reduced in order of broad beans﹥maize﹥wheat, while the sensitivity to sul-fonamide was broad beans﹥wheat﹥maize in the SMZ treatment. The promotion of single drug at low concentrations disappeared under com-bined pollution. The toxicity of combined sulfonamides was generally greater than that of single one.

  7. Comparison of apical sealing and periapical extrusion of the ThermaFil obturation technique with and without MTA as an apical barrier: An in vitro study

    Directory of Open Access Journals (Sweden)

    Satish Kumar

    2011-01-01

    Full Text Available Aim: The aim of the study was to compare the conventional ThermaFil obturation technique and ThermaFil obturation with mineral trioxide aggregate (MTA as an apical barrier, with regard to apical sealing and extrusion. Materials and Methods: Twenty extracted human canines were instrumented using a crown-down technique and divided into two groups. The experimental group was obturated using ThermaFil obturation with MTA as an apical barrier and the control group was obturated using the conventional ThermaFil obturation technique. AH Plus sealer was used in both the groups. Apical extrusion was recorded. Teeth of both the groups were coated with nail polish, except for the apical 3 mm. After 24 h, they were suspended in black India ink for 48 h. Canines were decalcified, rendered transparent, and linear dye penetration was measured under ×40 stereomicroscope. Results: There was a significant extrusion noticed in conventional ThermaFil obturation technique. Frequency of extrusion of sealer and/or gutta-percha was supposed to be evaluated using χ² test, but since the values of the samples of ThermaFil plus MTA group were zero, statistical analysis could not be conducted, whereas linear dye leakage was calculated with Mann-Whitney U test because the distribution was abnormal. Conclusion: Although ThermaFil plus MTA group showed microleakage, extrusion of sealer and the core material was prevented in comparison with conventional ThermaFil obturation technique. It is advantageous to use MTA as an apical plug as there is no fear of apical extrusion and the root canal system can then be packed three dimensionally against this barrier using any thermoplasticized gutta-percha obturation technique.

  8. Changes in root lengths of maxillary incisors during orthodontic retention period

    Directory of Open Access Journals (Sweden)

    Ravanmehr H

    2006-01-01

    Full Text Available Background and Aim: External apical root resorption is a common iatrogenic consequence of orthodontic treatment. Much controversy exists in the literature about changes in root lengths at post treatment periods. Although many practitioners believe that resorption becomes stable after active treatment, quantitative data are scarce. The purpose of this study was to determine quantitative changes in root lengths of maxillary incisors during fixed orthodontic post treatment period, and to assess if it is influenced by gender and factors related to active treatment. Materials and Methods: This was a case cross over study, performed on 80 patients (52 females and 28 males aged between 13 and 22 years. At debonding stage and beginning of retention phase of fixed orthodontic treatment, Hawley type retainer was fabricated for maxillary arch. Periapical radiographs of maxillary incisors using standard parallel technique were obtained immediately after debonding, and 3 and 7 months later. Crown and root lengths of maxillary incisors were measured using computer program. Changes in root lengths were calculated considering correction factors. Also associations between some factors and the change in root lengths during post treatment periods were assessed. These included gender, type of treatment plan (non extraction/extraction, technique (standard edgewise/straight-wire edgewise and duration of active treatment (less than 2 years/2 years and more. T-test and 4-way ANOVA were used for statistical analysis with P0.05 as the limit of significance. Results: No significant relation was found between apical root resorption of maxillary central incisors and time elapsed after treatment. Significant relation was observed between apical root resorption of maxillary lateral incisors and the length of post treatment period. No significant relation was found between root length changes of maxillary incisors during post treatment period and gender, type of treatment

  9. Pulp Revascularization on Permanent Teeth with Open Apices in a Middle-aged Patient.

    Science.gov (United States)

    Wang, Yu; Zhu, Xiaofei; Zhang, Chengfei

    2015-09-01

    Pulp revascularization is a promising procedure for the treatment of adolescents' immature permanent teeth with necrotic pulp and/or apical periodontitis. However, the ability to successfully perform pulp revascularization in a middle-aged patient remains unclear. A 39-year-old woman was referred for treatment of teeth #20 and #29 with necrotic pulp, extensive periapical radiolucencies, and incomplete apices. Pulp revascularization procedures were attempted, including root canal debridement, triple antibiotic paste medication, and platelet-rich plasma transplantation to act as a scaffold. Periapical radiographic and cone-beam computed tomographic examinations were used to review the changes in the apical lesions and root apex configuration. The patient remained asymptomatic throughout the 30-month follow-up. Periapical radiographic examination revealed no change in the apical lesions of either tooth at 8 months. The periapical radiolucency disappeared on tooth #20 and significantly decreased on tooth #29 by the 30-month follow-up, findings that were also confirmed by cone-beam computed tomographic imaging. No evidence of root lengthening or thickening was observed. Successful revascularization was achieved in a middle-aged patient's teeth.

  10. A laboratory assessment of bacterial leakage in MTA apical plugs exposed to phosphate-buffered saline.

    Science.gov (United States)

    de Almeida, Josiane; Pimenta, Andrea L; Felippe, Wilson T

    2015-01-01

    This study evaluated the influence of the exposure of mineral trioxide aggregate (MTA) - with and without calcium chloride (CaCl2) -to phosphate-buffered saline (PBS) on apical microleakage. Sixty root segments were divided into 4 experimental groups (n=15). Apical cavities were filled with MTA with or without CaCl2, and the root canals dressed with a moistened cotton pellet or PBS: 1) MTA/cotton pellet; 2) MTA/PBS; 3) MTA+ 10%CaCl2/cotton pellet; 4) MTA+10%CaCl2/PBS. After 2 months, E. faecalis penetration was analyzed along the apical plugs. Samples were observed weekly for 70 days, and leakage was detected by turbidity of the medium in contact with the root segment. Teeth in the control groups (n=2) were either made completely impermeable or kept without an apical plug. The Kaplan-Meier method was used to analyze survival and the Logrank test was used to compare the survival curves (pMTA sealing ability, but cannot prevent bacterial leakage. The addition of CaCl2 to the MTA did not improve MTA sealing ability.

  11. A possible association between early apical resorption of primary teeth and ectodermal characteristics of the permanent dentition

    DEFF Research Database (Denmark)

    Bille, M L B; Kvetny, M J; Kjaer, I

    2008-01-01

    The hypothesis of this study is that children with unexpected early apical resorption of the primary teeth are also predisposed to resorption in the permanent dentition. Accordingly, the aim was to perform a longitudinal study focussing on the permanent teeth in children with unexpected early api...... dentition: In all 12 children, dental deviations in the permanent dentition were observed. Additionally, idiopathic external apical resorption of the permanent teeth was seen in three children, two of whom had received orthodontic treatment....

  12. An investigation on the effects of resection angle on apical sea!

    Directory of Open Access Journals (Sweden)

    Razmi H

    2003-08-01

    Full Text Available Statement of Problem: The goal of a successful endodontic surgery is to establish an adequate seal in apical region. Therefore during surgery, root-end resection is essential for an appropriate situation and proper access."nPurpose: The aim of this study was to determine the most appropriate root-end resection angle to establish adequate apical seal in periapical surgery,"nMaterials and Methods: Forty-five intact extracted human maxillary central incisors were randomly divided into three 15-tooth groups. The root canals were instrumented and then obturated using lateral condensation technique. AM roots were resected at 3mm from apical portion. Angles of root resection for each group were 0, 30 and 45 degrees. Then all teeth surfaces, except the cut ones, were covered with nail polish and immersed in methylen blue for 7 days. After 7 days, nail polish was removed from the surfaces and samples were split in buccolingual direction. Then, dye penetration (mm was measured using a stereozoom microscope (Loupe [X4 magnification] and eye lens. In order to analyze the data, unilateral variance analysis was used."nResults: The values of dye penetration were: 7.23±3.34 (0°, 8.46±3.01(30° and 9.74±4.11 (45°. There"nwas no significant difference between three groups (P>0.05. Conclusion: It is suggested that the angle of root-end resection put a limited effect on apical seal if retrograde cavity depth is increased.

  13. 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

  14. A comparison of apical sealing ability between GuttaFlow and AH plus: An in vitro study

    OpenAIRE

    Patil, Prajakta; Rathore, Vishnu P. S.; Hotkar, Chetan; Savgave, Snehal S.; K. Raghavendra; Ingale, Priya

    2016-01-01

    Aims: The present study aimed to compare apical sealing ability between GuttaFlow and AH Plus. Materials and Method: Eighty extracted human maxillary anterior teeth with fully formed apex and straight root were collected for this study. The root canals were cleaned and shaped using a standard step back preparation to size 60# master apical file at the established working length and divided into four groups: Group 1, GuttaFlow sealer with gutta-percha; Group 2, AH Plus sealer with gutta-percha...

  15. Apices of maxillary premolars observed by swept source optical coherence tomography

    Science.gov (United States)

    Ebihara, Arata; Iino, Yoshiko; Yoshioka, Toshihiko; Hanada, Takahiro; Sunakawa, Mitsuhiro; Sumi, Yasunori; Suda, Hideaki

    2015-02-01

    Apicoectomy is performed for the management of apical periodontitis when orthograde root canal treatment is not possible or is ineffective. Prior to the surgery, cone beam computed tomography (CBCT) examination is often performed to evaluate the lesion and the adjacent tissues. During the surgical procedure, the root apex is resected and the resected surface is usually observed under dental operating microscope (DOM). However, it is difficult to evaluate the details and the subsurface structure of the root using CBCT and DOM. A new diagnostic system, swept source optical coherence tomography (SS-OCT), has been developed to observe the subsurface anatomical structure. The aim of this study was to observe resected apical root canals of human maxillary premolars using SS-OCT and compare the findings with those observed using CBCT and DOM. Six extracted human maxillary premolars were used. After microfocus computed tomography (Micro CT; for gold standard) and CBCT scanning of the root, 1 mm of the apex was cut perpendicular to the long axis of the tooth. Each resected surface was treated with EDTA, irrigated with saline solution, and stained with methylene blue dye. The resected surface was observed with DOM and SS-OCT. This sequence was repeated three times. The number of root canals was counted and statistically evaluated. There was no significant difference in the accuracy of detecting root canals among CBCT, DOM and SS-OCT (p > 0.05, Wilcoxon test). Because SS-OCT can be used in real time during surgery, it would be a useful tool for observing resected apical root canals.

  16. Consideraciones clínicas sobre la resorción radicular externa por impactación dentaria Clinical considerations on external root resorptions caused by dental impactation

    Directory of Open Access Journals (Sweden)

    MA Martínez Lozano

    2003-02-01

    Full Text Available La resorción externa por presión (RREP consiste en una pérdida de tejido dentinario y cementario de las raíces dentarias que se origina a nivel del ligamento periodontal, ocasionada por presiones prolongadas y mantenidas sobre la raíz. Presentamos tres casos con diferente repercusión y tratamiento. Según el distinto grado de afectación se describe y clasifica el tratamiento de RREP a causa de dientes impactados. En cuanto a la restauración de RREP se perfila la cavidad clase V de diseño 5 y el empleo de cermet o amalgamas de plata para su relleno.Pressure external root resorption (PERR is a loss of dental root tissues (dentine and cementum that begin in the periodontal area caused by a impacted teeth. We show three cases with differents clinical situations and therapeutical aspects. Pulpal injurie and difficulty in the post-endodontic cavity acces are characteristiques of these processes. Depending on the level of tissue destruction we discusse the therapeutical orientation in each case. Some treatments like class V type 5 cavities or fillings with cermet glass-ionomer in the more atipical situations (generally after an endodontic treatment are a good choice in these situations.

  17. Comparative ultrastructure of the root system in rhizocephalan barnacles (Crustacea

    DEFF Research Database (Denmark)

    Bresciani, J; Høeg, Jens Thorvald

    2001-01-01

    . The rootlets consist of a cuticle, an epidermis and a subjacent layer of axial cells that often, but not always surround, a central lumen. The rootlets are at all times enclosed in a less than 0.5 microm thick cuticle, which is never molted. The cuticle consists of an inner homogeneous layer with a slightly...... by long septate junctions and exhibit the characteristics of a transporting epithelium. Experiments with acid phosphatase revealed activity both in the epidermis and among the microcuticular projections. The projections may therefore form a domain that is important in absorption and extracellular...... the rootlets towards the external reproductive body. In C. delagei the single, bladder-shaped rootlet lacks both the apical projections in the epidermis, the electron-dense cuticle layer, and the microcuticular projections. We review previous studies on the rhizocephalan root system and discuss functional...

  18. Effect of photon-initiated photoacoustic streaming on removal of apically placed dentinal debris.

    Science.gov (United States)

    Arslan, H; Capar, I D; Saygili, G; Gok, T; Akcay, M

    2014-11-01

    To compare the efficacy of photon-induced photoacoustic streaming (PIPS) technique with conventional, sonic and ultrasonic irrigation on the removal of apically placed dentinal debris from an artificial groove created in a root canal. Root canal preparation was performed up to size 40 on 48 extracted single-rooted teeth using ProTaper rotary instruments. The specimens were then split longitudinally, and a standardized groove was prepared in the apical part of each segment. Each groove was filled with dentinal debris mixed with 5% NaOCl. Each tooth was reassembled and irrigated as follows: (i) conventional irrigation with 1% NaOCl, (ii) sonic, (iii) ultrasonic irrigation, and (iv) PIPS. The root segments were disassembled, and the amount of remaining dentinal debris was evaluated under a stereomicroscope at 20× magnification, using a four-grade scoring system. The data were evaluated statistically using Kruskal-Wallis and Mann-Whitney U-tests with a 95% confidence level (P = 0.05). Photon-induced photoacoustic streaming removed significantly more dentinal debris than conventional irrigation (P streaming was more effective than conventional, sonic and ultrasonic irrigation in the removal of apically placed dentinal debris. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  19. A Comparative Study of Apical Healing of Open Apices Using MTA and Ca(OH2 Apical Plugs in Cats

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    M. H. Zarrabi

    2005-06-01

    Full Text Available Statement of problem: Endodontic treatment of necrotic teeth with open apices is a challenge. After ruling out surgery as a treatment scheme and introduction of the multivisit apexification which in turn had its disadvantages, apical plug seems to be a suitable substitute treatment plan for such cases. Apical plug makes the treatment through formation of a barrier against the obturating material in a single visit.Purpose: The purpose of this study was to compare histologically the periapical healing using MTA and calcium hydroxide apical plugs after intervals of 4 and 12 weeks in cats.Materials and Methods: In this clinical trial study 64 canines of 16 healthy and mature cats were divided into 3 groups after a periapical lesion formation by over instrumentation in the apical area with files up to no.120. The first group included 24 teeth on which MTA apical plug was applied. The second group included 24 teeth on which Ca (OH 2 apical plug was applied. In both groups the canals were filled with gutta percha and sealer. The third group included 16 control teeth whose canals were left empty after instrumentation and debridement. The access cavities of all teeth were sealed with varnish and amalgam and the vital perfusion of cats was performed in 4 and 12 week intervals. Statistical analysis was established by χ2 and independence test.Results: After 4 weeks, periapical healing in the first group was 90%, in the second group 80% and in the third group, it was only 12.5 %. After 12 weeks, periapical healing occurred in 100% of the MTA group, while it was 57.1% in the second and 40%in the third group .Generally, in the study of histological parameters of healing, no statistical significant difference was observed between the 2 experimental groups,although the MTA group results were much better than the Ca (OH 2 group especially at 12 weeks.Conclusion: The use of MTA apical plug is more effective than Ca (OH 2 in treatment of necrotic teeth with open

  20. Evaluation Value of Three Methods in the Diagnosis of Dentin Cracks Caused by Apical Resection

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    Abdollah Ghorbanzadeh

    2013-01-01

    Full Text Available Objective: To compare three various methods in the diagnosis of dentinal cracks formed in the apical third after root resection.Materials and Methods: One hundred extracted human maxillary central incisors were selected. The root canals were prepared with step-back technique. Then 3mm from the apical end of all roots was cut perpendicular to the long axis of the tooth. The apical end of each root was evaluated to make sure there were no cracks. Fifty specimens were randomly chosen and connected to an apparatus especially designed for application of force (50-60N by a universal testing machine for crack formation. The cracked (no=50 and non-cracked (no=50 specimens were examined by three methods of fiber optic transillumination, methylene blue staining and combination of the two. Sensitivity and specificity of the methods were evaluated. The most suitable method for detecting cracks was determined using Youden index. To compare agreement between studied methods with the gold standard, kappa statistics and odds ratio of McNemar were utilized.Results: The sensitivity of transillumination, staining and the combination method were 82.0, 50.0 and 90.0%, respectively. The staining technique had the lowest sensitivity and the highest specificity. Both transillumination and the combination method had Youden index of 0.56, but the combination method diagnosed truly cracked samples more than the other techniques.Conclusion: The efficacy of transillumination in identification of apical root-end cracks undetectable by unaided vision was similar to the combination method. However, the efficacy of 2% methylene blue without transillumination was significantly lower than the other two methodologies.

  1. Comparison of apical debris extrusion of two rotary systems and one reciprocating system

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    Paramasivam Vivekanandhan

    2016-01-01

    Full Text Available Background: Postoperative inflammation and endodontic failure occur due to apical extrusion of debris. Aim: To evaluate the amount of apically extruded debris after preparation of straight root canals in extracted human teeth using three rotary systems. Materials and Methods: Sixty single-rooted human teeth with single root canal and apical foramen were selected and randomly divided into three experimental groups (n = 20 according to the rotary system used: Group 1 - ProTaper, Group 2 - Revo-S, Group 3 - WaveOne. Apical enlargement was done up to size 40/0.06 for Groups 1 and 2 and 40/0.08 for Group 3. For debris collection, each tooth was held in a preweighed Eppendorf tube fixed inside a glass vial through rubber plug. After instrumentation, each tooth was separated from the Eppendorf tube and the debris adhering to the root surface was collected by washing the root with 1 mL of bi-distilled water and incubated at 70°C for 5 days. The dry weight of extruded debris was weighed in an electronic balance. Statistical Analysis: The mean weights of extruded debris were statistically analyzed using GraphPad prism version 6 and the intergroup comparison was done using unpaired t-test. Results: There was a statistically significant difference in the mean debris score among all the three groups - ProTaper (0.00065 g, Revo-S (0.00045 g and WaveOne (0.00089 g. Conclusion: Revo-S system was associated with significantly less debris extrusion compared with ProTaper or WaveOne.

  2. Efficacy of manual and mechanical instrumentation techniques for removal of overextended root canal filling material.

    Science.gov (United States)

    Kesim, B; Üstün, Y; Aslan, T; Topçuoğlu, H S; Şahin, S; Ulusan, Ö

    2017-06-01

    To compare the efficacy of manual and mechanical instrumentation techniques, including ProTaper Universal retreatment system, Mtwo retreatment system, Reciproc system, and Hedström files, regarding removal of overextended root canal filling material. Eighty extracted human mandibular premolar teeth were prepared at the apical foramen level using Revo-S rotary files and subsequently obturated. The root canal filling material was deliberately extruded from the apex. Samples were transferred to glass vials that simulated the periapical area. Eighty samples of overfilled teeth were randomly assigned to four equal groups (n = 20) for removal of the root filling material with ProTaper Universal retreatment files (Group 1), Mtwo retreatment files (Group 2), Reciproc system (Group 3), and hand files (Group 4). Removal of the root canal filling material and additional preparation were performed by individual instruments from each different system up to a #40 size. The external apical surface of the teeth and the surrounding glass vials were checked using a dental operation microscope with ×12.5 magnification. Samples were divided into two groups based on whether removal of the overextended root canal filling material was successful or not. The Fisher's exact test was used to detect any significant difference between the groups (α = 0.05). The success rate for removal of overextended gutta-percha was greater for the Mtwo (30%) and hand files (30%) compared with the ProTaper (20%) and Reciproc (10%). However, no significant statistical differences existed among the experimental groups (P > 0.05). This study demonstrated that all tested systems had similar efficacy in removing overextended root canal filling material.

  3. Local auxin sources orient the apical-basal axis in Arabidopsis embryos.

    Science.gov (United States)

    Robert, Hélène S; Grones, Peter; Stepanova, Anna N; Robles, Linda M; Lokerse, Annemarie S; Alonso, Jose M; Weijers, Dolf; Friml, Jiří

    2013-12-16

    Establishment of the embryonic axis foreshadows the main body axis of adults both in plants and in animals, but underlying mechanisms are considered distinct. Plants utilize directional, cell-to-cell transport of the growth hormone auxin to generate an asymmetric auxin response that specifies the embryonic apical-basal axis. The auxin flow directionality depends on the polarized subcellular localization of PIN-FORMED (PIN) auxin transporters. It remains unknown which mechanisms and spatial cues guide cell polarization and axis orientation in early embryos. Herein, we provide conceptually novel insights into the formation of embryonic axis in Arabidopsis by identifying a crucial role of localized tryptophan-dependent auxin biosynthesis. Local auxin production at the base of young embryos and the accompanying PIN7-mediated auxin flow toward the proembryo are required for the apical auxin response maximum and the specification of apical embryonic structures. Later in embryogenesis, the precisely timed onset of localized apical auxin biosynthesis mediates PIN1 polarization, basal auxin response maximum, and specification of the root pole. Thus, the tight spatiotemporal control of distinct local auxin sources provides a necessary, non-cell-autonomous trigger for the coordinated cell polarization and subsequent apical-basal axis orientation during embryogenesis and, presumably, also for other polarization events during postembryonic plant life.

  4. Pulp Revascularization in Immature Permanent Tooth with Apical Periodontitis Using Mineral Trioxide Aggregate

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    Katsura Saeki

    2014-01-01

    Full Text Available Mineral trioxide aggregate (MTA is a material that has been used worldwide in several clinical applications, such as apical barriers in teeth with immature apices, repair of root perforations, root-end filling, pulp capping, and pulpotomy. The purpose of this case report was to describe successful revascularization treatment of an immature mandibular right second premolar with apical periodontitis in a 9-year-old female patient. After preparing an access cavity without anesthesia, the tooth was isolated using a rubber dam and accessed. The canal was gently debrided using 5% sodium hypochlorite (NaOCl and 3% hydrogen peroxide irrigant. And then MTA was packed into the canal. X-ray photographic examination showed the dentin bridge 5 months after the revascularization procedure. Thickening of the canal wall and complete apical closure were confirmed 10 months after the treatment. In this case, MTA showed clinical and radiographic success at revascularization treatment in immature permanent tooth. The successful outcome of this case suggests that MTA is reliable and effective for endodontic treatment in the pediatric dentistry.

  5. Antimicrobial susceptibility profiles of bacterial strains isolated from chronic apical periodontitis

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    Luminita Marutescu

    2013-12-01

    Full Text Available The aim of the present study is to investigate the microbiota of root filled teeth with apical periodontitis and to determine the antibiotic susceptibility patterns of microbial strains isolated from twenty nine apical lesion samples taken from patients with fibrous chronic apical lesions. The present study has highlighted the polymicrobial nature of the root canal infections and the importance of facultatively anaerobic, Gram positive bacteria found in 90.74% of the isolated microorganims. The present study has shown an increased resistance of microorganisms to conventional antibiotics, which included penicillin, erythromycin and amoxicillin, as well as tetracyclines, although the last ones have been used sparingly in the past decade. The results of antibiotic sensitivity obtained in this study underline the importance of the microbiological diagnosis and antibiotic susceptibility testing in the choice of therapeutic agents used for the treatment of chronic apical lesions. Further studies with clinical correlation of effectiveness of these antibiotics and cultures taken after administration of antibiotics as well as recording of disappearance of symptoms are also recommended.

  6. Morphology of the Physiological Apical Foramen in Maxillary and Mandibular First Molars

    Science.gov (United States)

    Abarca, J.; Zaror, C.; Monardes, H.; Hermosilla, V.; Muñoz, C.; Cantin, M.

    2015-01-01

    SUMMARY Information regarding the anatomy of the physiological apical foramen is limited. Knowing its diameter and shapes contributes to clinical work, specifically to the cleaning and shaping of the apical third. The aim of this ex vivo study was to determine the minimum and maximum diameters and shape of the physiological apical foramen in the roots of maxillary and mandibular first molars. A descriptive study was conducted on 89 recently extracted first molars. Roots 3–5 mm from the apex were sectioned and prepared for analysis at 40× magnification. The minimum and maximum diameters of each physiological foramen were measured using the program Motic Images plus 2.0 ML. The shape of the foramina, classified as round, oval or irregular, was determined by the difference between the maximum and minimum diameters. A total of 174 physiological foramina were analyzed. The average of the minimum and maximum diameters was between 0.24–0.33 mm in maxillary first molars and between 0.25–0.33 mm in mandibular first molars. In maxillary molars, the most common shape of the foramen was oval (50%), then irregular (32%), then round (18%). In mandibular molars, the oval shape was also the most frequent (59%), followed by irregular (23%) and round (18%). The findings of this study regarding the morphology of physiological apical foramina in first molars make it easier for the operator to choose the appropriately-sized instruments to perform endodontic therapy successfully. PMID:25937698

  7. Effect of Calcium Hydroxide, Chlorhexidine Digluconate and Camphorated Monochlorophenol on the Sealing Ability of Biodentine Apical Plug

    Science.gov (United States)

    Srivastava, Harshit; Prasad, Ashwini B; Raisingani, Deepak; Soni, Dileep

    2016-01-01

    Introduction Teeth with immature apex are managed by establishing an apical plug using various materials and techniques. However, the use of previously placed intracanal medicament may affect the sealing ability of permanent filling material used as an apical plug. Aim To evaluate the effect of removal of previously placed Calcium Hydroxide, Chlorhexidine Digluconate and Camphorated Monochlorophenol as an intracanal medicament on the sealing ability of the Biodentine as an apical plug. Materials and Methods A total of 72 recently extracted human permanent teeth with single root were selected and stored in saline at room temperature. The crown portion of each tooth was removed at the level of cemento enamel junction; 14mm root length was taken as standard length. All the roots were submerged in 20% sulphuric acid up to 3 mm from the apex, for four days for root resorption. One sample was cut longitudinally to look for root resorption under stereo microscope. The canal preparation was done; the roots were kept in moist gauze after instrumentation. A total of 71 roots were randomly divided into three groups. GROUP 1:Calcium hydroxide paste, GROUP 2: Chlorhexidine digluconate, GROUP 3: Camphorated Monochlorophenol (CMCP). The medicaments were removed with stainless steel hand files and 0.5% sodium hypochlorite irrigation. After removal of medicament Biodentine was placed in apical third of resorbed roots and the remaining portion of the canals was filled with gutta-percha. All the 71 roots were analysed with fluid filtration method for evaluating microleakage. Results Comparing all the three groups statistically there was no significant difference. The mean values were found more for group 1 followed by group 2 & 3. Conclusion All the groups showed microleakage. Calcium hydroxide showed the maximum microleakage followed by Chlorhexidine digluconate and least with CMCP. PMID:27504409

  8. Apical domain polarization localizes actin-myosin activity to drive ratchet-like apical constriction.

    Science.gov (United States)

    Mason, Frank M; Tworoger, Michael; Martin, Adam C

    2013-08-01

    Apical constriction promotes epithelia folding, which changes tissue architecture. During Drosophila gastrulation, mesoderm cells exhibit repeated contractile pulses that are stabilized such that cells apically constrict like a ratchet. The transcription factor Twist is required to stabilize cell shape. However, it is unknown how Twist spatially coordinates downstream signals to prevent cell relaxation. We find that during constriction, Rho-associated kinase (Rok) is polarized to the middle of the apical domain (medioapical cortex), separate from adherens junctions. Rok recruits or stabilizes medioapical myosin II (Myo-II), which contracts dynamic medioapical actin cables. The formin Diaphanous mediates apical actin assembly to suppress medioapical E-cadherin localization and form stable connections between the medioapical contractile network and adherens junctions. Twist is not required for apical Rok recruitment, but instead polarizes Rok medioapically. Therefore, Twist establishes radial cell polarity of Rok/Myo-II and E-cadherin and promotes medioapical actin assembly in mesoderm cells to stabilize cell shape fluctuations.

  9. Inhibition of auxin movement from the shoot into the root inhibits lateral root development in Arabidopsis

    Science.gov (United States)

    Reed, R. C.; Brady, S. R.; Muday, G. K.

    1998-01-01

    In roots two distinct polar movements of auxin have been reported that may control different developmental and growth events. To test the hypothesis that auxin derived from the shoot and transported toward the root controls lateral root development, the two polarities of auxin transport were uncoupled in Arabidopsis. Local application of the auxin-transport inhibitor naphthylphthalamic acid (NPA) at the root-shoot junction decreased the number and density of lateral roots and reduced the free indoleacetic acid (IAA) levels in the root and [3H]IAA transport into the root. Application of NPA to the basal half of or at several positions along the root only reduced lateral root density in regions that were in contact with NPA or in regions apical to the site of application. Lateral root development was restored by application of IAA apical to NPA application. Lateral root development in Arabidopsis roots was also inhibited by excision of the shoot or dark growth and this inhibition was reversible by IAA. Together, these results are consistent with auxin transport from the shoot into the root controlling lateral root development.

  10. Ex vivo investigation on the postoperative integrity of the apical constriction after the sole use of electronic working length determination.

    Science.gov (United States)

    Wolgin, Michael; Grundmann, Markus J; Tchorz, Jörg P; Frank, Wilhelm; Kielbassa, Andrej M

    2017-09-01

    The present study investigated the accuracy of root canal preparation with regard to the integrity of the apical constriction (AC) using two different working length determination approaches: (1) the electronic method of working length determination (EWLD), and (2) the radiologic "gold standard" method (GS). Simulation models were constructed by arranging extracted human teeth by means of silicon bolstered gingiva masks, along with a conductive medium (alginate). Electronic working length determination (group 1; EWLD) and radiologic plus initial electronic working length determination for posterior comparability (group 2; GS) preceded manual root canal preparation of teeth in both groups. Master cones were inserted according to working lengths obtained from the group specific method. Subsequently, root apices (n=36) were longitudinally sectioned using a diamond-coated bur. The distance between the achieved apical endpoint of the endodontic preparation and the apical constriction (AC) was measured using digital photography. Then, distances between radiologically identified apical endpoints and AC (GS-AC) were compared with the corresponding distances EWLD-AC. Moreover, the postoperative status of the AC was examined with regard to both preparation approaches. Differences between distances GS-AC and EWLD-AC were not statistically significant (p >0.401) (Mann-Whitney-U). Among EWLD samples, 83% of the master cones exhibiting tugback at final insertion terminated close to the apical constriction (±0.5 mm), and no impairment of the minor diameter's integrity was observed. The sole use of EWLD allowed for a high accuracy of measurements and granted precise preparation of the apical regions. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. The Downside of Right Ventricular Apical Pacing

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    Andrew Brenyo, MD

    2012-05-01

    Full Text Available The right ventricular (RV apex has been the standard pacing site since the development of implantable pacemaker technology. Although RV pacing was initially only utilized for the treatment of severe bradyarrhythmias usually due to complete heart block, today the indications for and implantation of RV pacing devices is dramatically larger. Recently, the adverse effects of chronic RV apical pacing have been described including an increased risk of heart failure and death. This review details the detrimental effects of RV apical pacing and their shared hemodynamic pathophysiology. In particular, the role of RV apical pacing induced ventricular dyssynchrony is highlighted with a specific focus on differential outcome based upon QRS morphology at implant.

  12. A new strategy in root canal therapy: there is a lot going on in endodontic disinfection

    NARCIS (Netherlands)

    van der Waal, S.V.

    2015-01-01

    Apical periodontitis (AP) is the inflammatory response in the surrounding tissues at the root tip of a tooth to a microbial infection of the root canal system inside the tooth. AP can only resolve after thorough root canal disinfection. However at present, state-of-the-art root canal treatment does

  13. Retreatment of endodontically failed tooth with wide-open apex using platelet rich fibrin membrane as matrix and an apical plug of Biodentine™

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    Ajinkya Mansing Pawar

    2015-01-01

    Full Text Available The primary reason for an endodontic failure is the persistence or regrowth of bacteria within the root canal system, and such cases require retreatment. The tooth root development and closure of its apex occurs till 3 years after the eruption. Traumatic injuries during this development period result in endodontic complications. While dealing with a tooth, with an open apex the prime objective was eliminating bacteria from the root canal system with minimum irritation to the periapical tissues and induction of apical closure to produce favorable conditions and to confine the root canal filling within the canal space. Traditionally as supported by literature multiple dressings of calcium hydroxide medicament were advocated to induce apical barrier formation followed by an evolution of the apical artificial barrier technique where the mineral trioxide aggregate (MTA was used. Recently introduced Biodentine™ is similar to MTA with its basic composition, which can be used as its substitute. The main difficulty associated while treating teeth with wide-open apices are preventing the overfilling of the restorative materials that serve as an artificial barrier. Use of a matrix overcomes this challenge. Platelet-rich fibrin (PRF a matrix of autologous fibrin, embedded with a large quantity of platelet and leukocyte cytokines during centrifugation can be successfully used as an apical membrane. The present case, reports a novel procedure of apexification of endodontically failed central incisor with open apex using PRF as apical membrane and Biodentine™.

  14. Irrigation dynamics associated with positive pressure, apical negative pressure and passive ultrasonic irrigations: a computational fluid dynamics analysis.

    Science.gov (United States)

    Chen, José Enrique; Nurbakhsh, Babak; Layton, Gillian; Bussmann, Markus; Kishen, Anil

    2014-08-01

    Complexities in root canal anatomy and surface adherent biofilm structures remain as challenges in endodontic disinfection. The ability of an irrigant to penetrate into the apical region of a canal, along with its interaction with the root canal walls, will aid in endodontic disinfection. The aim of this study was to qualitatively examine the irrigation dynamics of syringe irrigation with different needle tip designs (open-ended and closed-ended), apical negative pressure irrigation with the EndoVac® system, and passive ultrasonic-assisted irrigation, using a computational fluid dynamics model. Syringe-based irrigation with a side-vented needle showed a higher wall shear stress than the open-ended but was localised to a small region of the canal wall. The apical negative pressure mode of irrigation generated the lowest wall shear stress, while the passive-ultrasonic irrigation group showed the highest wall shear stress along with the greatest magnitude of velocity.

  15. 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 ...

  16. Evaluation of Apical Micro-leakage of Different Endodontic Sealers in the Presence and Absence of Moisture

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    Maryam Ehsani

    2014-09-01

    Full Text Available Background and aims. With availability of hydrophilic sealers, drying of the canals before endodontic obturation is still a matter of debate. The aim of this study was to compare the apical micro-leakage of AH26, Excite DSC, MTA Fillapex, and ZOE sealers in dry and moist root canals. Materials and methods. This experimental study was performed on 90 extracted maxillary central incisors. Rotary files were used for preparation of the canals. Root canals were filled with a single gutta percha cone, using one of the four seal-ers, under dry and moist root canal conditions (10 teeth in each group. Orifices were sealed with glue wax and all root sur-faces were covered with nail polish except the positive control group. After ten days in 100% humidity, teeth were placed in methylene blue, and then were cut in longitudinal axis. Blue color permeability was measured by stereomicroscope in mi-crometers. Data were analyzed by t-test, ANOVA and Scheffe post hoc test using SPSS V.18 software at P 0.05. Apical micro-leakage was significantly higher in the Excite DSC groups (P < 0.001. Conclusion. AH26 provided the least apical micro-leakage under dry conditions while ZOE had the highest micro-leakage under moist conditions. MTA Fillapex provided acceptable apical seal regardless of moisture.

  17. Does apical periodontitis have systemic consequences? The need for well-planned and carefully conducted clinical studies

    NARCIS (Netherlands)

    van der Waal, S.V.; Lappin, D.F.; Crielaard, W.

    2015-01-01

    Apical periodontitis, infection of the root canal system, may have systemic consequences. This proposal has been brought forward many times in dentistry literature but the general consensus is that there is no scientific basis for an association between endodontic infections and general health. This

  18. Comparative evaluation of canal cleaning ability of various rotary endodontic filesin apical third: A scanning electron microscopic study

    Science.gov (United States)

    Jadhav, Ganesh Ranganath; Mittal, Priya; Kulkarni, Anish; Syed, Shibli; Bagul, Ravikiran; Elahi, Saina; Kalra, Dheeraj

    2016-01-01

    Background: The purpose of this study was to evaluate the canal cleaning ability of three novel endodontic rotary instruments and compare with ProTaper files as a control in apical third of root canals under scanning electron microscopy (SEM). Materials and Methods: Eighty freshly extracted mandibular premolars were selected according to inclusion criteria. Buccal cusp tips were ground to ensure having a flat coronal reference point with a total tooth length of 16 mm for all samples. Teeth were divided equally into four groups: Group I (ProTaper group), Group II (ProTaper next group), Group III (variable taper group), and Group IV (self-adjusting file [SAF] group). Using SEM, the dentinal surfaces were observed and rated at apical thirds with a magnification of ×1000 for the presence/absence of smear layer and debris. Descriptive analysis was performed, and analysis of variance with Bonferroni post hoc test was carried out for comparison between the groups, at a significance level of 0.05. Results: There was statistically significant difference between Group II and Group IV for debris (P = 0.047) and smear layer (P = 0.037). Conclusion: In apical third of root canal, SAF showed statistically significant canal cleaning ability due to combined effect of continuous streaming irrigation with effectively replacing the irrigant from the apical portion of the root canal, irrigants activation through the creation of turbulence, and its self-adapting design to root canal anatomy with a scrubbing motion on the canal walls. PMID:28182065

  19. Endodontic Surgery of a Symptomatic Overfilled MTA Apical Plug: A Histological and Clinical Case Report.

    Science.gov (United States)

    Asgary, Saeed; Fayazi, Sara

    2017-01-01

    This case report presents the successful surgical treatment of a symptomatic open apex upper central incisor with a failed overfilled mineral trioxide aggregate (MTA) apical plug. Unintentional overextension of the MTA had occurred two years before the initial visit. An apical lesion adjacent to the excess MTA was radiographically detectable. Endodontic surgery was performed using calcium-enriched mixture (CEM) cement as a root-end filling material. Curettage of the apical lesion showed a mass of unset MTA particles; histopathological examination revealed fragments of MTA and granulation tissues. Up to 18-month follow-up, the tooth was clinically asymptomatic and fully functional. Periapical radiograph and CBCT images showed a normal periodontal ligament around the root. In conclusion, favorable outcomes in this case study suggested that root-end filling with CEM cement might be an appropriate approach; in addition, however many factors probably related to the initial failure of the case, the extrusion of MTA into the periapical area should be avoided.

  20. The ability of two apex locators to locate the apical foramen: an in vitro study.

    Science.gov (United States)

    D'Assunção, Fábio Luiz Cunha; de Albuquerque, Diana Santana; de Queiroz Ferreira, Linalda Correia

    2006-06-01

    The objective of this study was to compare the accuracy of the Root-ZX and Novapex electronic apex locators (EALs) in locating the apical foramen. Forty extracted human teeth were used. The coronal portion of each canal was flared using Gates Glidden drill. Canals were irrigated with 2.5% sodium hypochlorite. The actual length (AL) and electronic length (EL) measurements were made on each specimen separately with both devices with an aid of a K-type file. The results obtained with each EAL were compared with the corresponding control length. The statistical analysis of the results showed EAL reliability in detecting the apical foramen to 89.7% for the Root-ZX and 82.1% for the Novapex, taking the tolerance of +/-0.5 mm into account. A paired sample t test showed that there was no statistically significant difference between the accuracy of the devices (p = 0.4305). The results of this study indicate that the Root-ZX and Novapex are useful and accurate devices for the apical foramen location.

  1. Master apical file size - smaller or larger: a systematic review of microbial reduction.

    Science.gov (United States)

    Aminoshariae, A; Kulild, J

    2015-11-01

    The purpose of this systematic review was to determine, in patients undergoing root canal treatment, whether apical enlargement of canals affected microbial reduction. A PICO (population, intervention, comparison and outcome) strategy was developed to identify previously published studies dealing with apical size of canal and microbial reduction. The MEDLINE, Embase, Cochrane and PubMed databases were searched. Additionally, the bibliographies of all relevant articles and textbooks were manually searched. Based on inclusion and exclusion criteria, two reviewers independently selected the relevant articles. Due to the variety of methodologies and different techniques used to measure outcome for master apical file enlargement, it was not possible to standardize the research data and to apply a meta-analysis. Seven articles were identified that met the inclusion criteria. Five of the seven articles generally concluded that canal enlargement reduced bioburden in the root canal system. Two articles reported no difference in canals enlarged to size 25 or 40. The results of the systematic review confirmed that more evidence-based research in this area is needed. With the limited information currently available, the best current available clinical evidence suggests that contemporary chemomechanical debridement techniques with canal enlargement techniques do not eliminate bacteria during root canal treatment at any size.

  2. Depth of planting and apical dominance on cuttings of red pitayaProfundidade de plantio e dominância apical na estaquia de pitaia vermelha

    Directory of Open Access Journals (Sweden)

    Virna Braga Marques

    2012-12-01

    Full Text Available This study was conducted to evaluate the effects of planting depth and breaking apical dominance on cutting of red pitaya Hylocereus undatus (Haw. Britton & Rose. The experiment was conducted in a randomized block design with four replications in a 2x3 factorial, with two kinds of cuttings (with or without apical dominance, cutting not sectioned and sectioned at 5 cm from the upper portion, and three planting depths (1.0, 5.0, and 10.0 cm and each plot consisted of ten 20 cm long cuttings. After 60 days of planting, counts of the number of shoots were began weekly and 90 days after planting survival rooting, number and length of shoots, dry weight of shoots and root dry mass were evaluated. Data were subjected to analysis of variance and polynomial regression at 5% significance level. The percentage of rooting and the survival were 100% in all treatments. With increasing depth of planting it was observed linear reduction in numbers of shoots, dry weight of shoot and root dry mass. The cladodes with apical dominance had longer shoots. The planting of red pitaya cuttings at 1 cm of planting depth with apical dominance is more suited to the production of nursery plants. O trabalho foi conduzido com o objetivo de avaliar os efeitos da profundidade de plantio e da quebra de dominância apical na estaquia de pitaia vermelha Hylocereus undatus (Haw. Britton & Rose. O experimento foi instalado no delineamento em blocos casualizados, com quatro repetições no esquema fatorial 2x3, sendo dois tipos de estacas (com e sem dominância apical, estacas não seccionadas e seccionadas a 5 cm da porção superior, e três profundidades de plantio (1,0; 5,0; 10,0 cm e cada parcela foi constituída de dez estacas com 20 cm de comprimento. Após 60 dias do plantio, foram iniciadas as avaliações semanais do número de brotações e aos 90 dias após o plantio foram avaliados sobrevivência, enraizamento, número e comprimento de brotações, massa seca das brota

  3. Cell division activity during apical hook development

    NARCIS (Netherlands)

    Raz, V.; Koornneef, M.

    2001-01-01

    Growth during plant development is predominantly governed by the combined activities of cell division and cell elongation. The relative contribution of both activities controls the growth of a tissue. A fast change in growth is exhibited at the apical hypocotyl of etiolated seedlings where cells

  4. Cell division activity during apical hook development

    NARCIS (Netherlands)

    Raz, V.; Koornneef, M.

    2001-01-01

    Growth during plant development is predominantly governed by the combined activities of cell division and cell elongation. The relative contribution of both activities controls the growth of a tissue. A fast change in growth is exhibited at the apical hypocotyl of etiolated seedlings where cells gro

  5. Wizard CD Plus and ProTaper Universal: analysis of apical transportation using new software

    Directory of Open Access Journals (Sweden)

    Daiana Giannastasio

    2013-09-01

    Full Text Available OBJECTIVE: This study has two aims: 1 to evaluate the apical transportation of the Wizard CD Plus and ProTaper Universal after preparation of simulated root canals; 2 to compare, with Adobe Photoshop, the ability of a new software (Regeemy in superposing and subtracting images. MATERIAL AND METHODS: Twenty five simulated root canals in acrylic-resin blocks (with 20º curvature underwent cone beam computed tomography before and after preparation with the rotary systems (70 kVp, 4 mA, 10 s and with the 8×8 cm FoV selection. Canals were prepared up to F2 (ProTaper and 24.04 (Wizard CD Plus instruments and the working length was established to 15 mm. The tomographic images were imported into iCAT Vision software and CorelDraw for standardization. The superposition of pre- and post-instrumentation images from both systems was performed using Regeemy and Adobe Photoshop. The apical transportation was measured in millimetres using Image J. Five acrylic resin blocks were used to validate the superposition achieved by the software. Student's t-test for independent samples was used to evaluate the apical transportation achieved by the rotary systems using each software individually. Student's t-test for paired samples was used to compare the ability of each software in superposing and subtracting images from one rotary system per time. RESULTS: The values obtained with Regeemy and Adobe Photoshop were similar to rotary systems (P>0.05. ProTaper Universal and Wizard CD Plus promoted similar apical transportation regardless of the software used for image's superposition and subtraction (P>0.05. CONCLUSION: Wizard CD Plus and ProTaper Universal promoted little apical transportation. Regeemy consists in a feasible software to superpose and subtract images and appears to be an alternative to Adobe Photoshop.

  6. Normal apical pleural tenting: CT findings

    Energy Technology Data Exchange (ETDEWEB)

    Sung, Dong Wook; Yoon, Yup; Jeong, Yu Mee; Park, Joo Chul; Cho, Kyu Seok; Ahn, Hee Kyung; Lee, Won Kyu [Kyunghee Univ. College of Medicine, Seoul (Korea, Republic of)

    1996-07-01

    To define the anatomy of apical pleural tenting commonly seen in computed tomography(CT) of the upper posterior thorax. Chest CTs of 393 patients with no pleural disease clinically and radiographically were analyzed. GE-9800 Quick and Toshiba-900S were used, employing the usual contrast enhanced CT technique. CT findings of focal pleural tenting on the inner side of the upper posterior thorax(apical pleural tenting) were evalvated and analysed in terms of location and shape. The CT findings were compared with the gross findings of the inner aspect of the posterior cadaveric thorax. Apical pleural tenting was formed by the upper border of the subcostal muscle. It's incidence was 44%(n=171), with bilaterality in 29%(n=49), and unilaterality in 71% of cases(n=122). This tenting was most frequently found between the third rib and the fourth intercostal space(81%), and seen in the outer third(42%) or central third(41%) part of the posterior costal pleura. In fifteen cases(7%), it was directed obliquely and had changed its location from the inner to the central or the central to the outer part. The shapes of the tenting were classified as follows:type 1(convex inner border with sharp apex, 62%); type 2(convex inner border with broad apex, 23%);type 3(undulated contour of apex, 13%);and type 4(two-spike apices, 1%). Apical pleura tenting is a normal CT finding probably demonstrated by the upper border of the subcostal muscle. Misdiagnosis of pleural disease can be avoided by recognition of the location and type of this tenting.

  7. Frecuencia de periodontitis apical en tratamientos endodónticos de pregrado Frequency of apical periodontitis in endodontic treatment in undergraduate

    Directory of Open Access Journals (Sweden)

    P León

    2011-12-01

    Full Text Available La periodontitis apical es una enfermedad de los tejidos periapicales de etiología bacteriana. Su tratamiento requiere erradicar los microorganismos del conducto radicular y obturarlo para lograr la reparación posterior. El objetivo de éste trabajo fue determinar la frecuencia de periodontitis apical en la población que asiste a la clínica de Endodoncia de la Facultad de Odontología de la Universidad de Chile y su relación con diferentes variables: diagnóstico específico, edad, sexo, agudas vs. crónicas, éxito/fracaso del tratamiento y rehabilitación post-tratamiento. Se recolectó información de 292 dientes de pacientes tratados en dicha clínica, analizándose la información de aquellos con dientes diagnosticados con algún tipo de periodontitis apical clasificándolo según la nueva nomenclatura de la asociación de endodoncia americana. La frecuencia de periodontitis apical fue de un 36.7% (92 pacientes, de los cuales un 77.8% presentaron patologías de tipo crónicas. Un 75% de los pacientes pertenecieron al sexo femenino y la 5ta década representó un 34.8% de los pacientes. El 100% de los pacientes que acudieron a control presentó éxito en sus tratamientos según variables clínico-radiográficas, mientras que la restauración más frecuente post-tratamiento fue la resina compuesta (52.4%. Dado el pequeño número de pacientes que concurrieron a la citación de control para determinar el éxito del tratamiento, esta variable debe ser considerada como preliminar. Nuestros resultados mostraron que la condición mas frecuente fue la periodontitis apical de tipo crónica, afectando más a mujeres y a la 5ta década.Apical periodontitis is a microbially induced inflammatory disease of the periapical tissues. Its treatment requires eliminating microorganism from root canal and sealing it properly to induce further tissue repair. The aim of this study was to determine the frequency of apical periodontitis and its distribution by

  8. Florid cemento-osseous dysplasia mimicking apical periodontitis: A case report.

    Science.gov (United States)

    Rekabi, Ali Reza; Ashouri, Rezvan; Torabi, Molok; Parirokh, Masoud; Abbott, Paul V

    2013-12-01

    Cemento-osseous dysplasia may present as a focal, periapical or florid lesion in the mandible or maxilla. The lesion may sometimes appear similar to peri-radicular lesions on a periapical radiograph. This report presents a case with irreversible pulpitis and root resorption as well as a mixed radiolucent/radiopaque lesion around a mandibular molar tooth root. Root canal treatment was performed and because of the radiographic signs of root resorption and the patient's fear of having a malignant disease, periapical surgery was also performed. The histopathology report confirmed the presence of florid cement-osseous dysplasia which was mimicking apical periodontitis. Follow-up radiography 12 months after the surgery illustrated complete healing of the radiolucent area. © 2011 The Authors. Australian Endodontic Journal © 2011 Australian Society of Endodontology.

  9. Evaluation of Temperature Elevation During Root Canal Treatment with Dual Wavelength Laser: 2780 nm Er,Cr:YSGG and 940 nm Diode.

    Science.gov (United States)

    Al-Karadaghi, Tamara Sardar; Gutknecht, Norbert; Jawad, Hussein A; Vanweersch, Leon; Franzen, Rene

    2015-09-01

    The purpose of this study was to evaluate the effects of dual wavelength (2780 nm Er,Cr:YSGG and 940 nm diode) laser with radial firing tip (RFT) on the external root surface and sub-surfaces, in terms of temperature changes during laser-assisted root canal treatment. A significant factor that may limit the use of lasers in endodontics is the possible thermal injury to tooth supporting structures. A total of 50 sound single-rooted extracted teeth were divided randomly into two groups (n = 25). Group A, irradiated with Er,Cr:YSGG laser at 1.06 W, 50 Hz, and 50 μs was a control group, and group B was irradiated with dual wavelength of Er,Cr:YSGG laser with the same settings as group A and a diode laser of 0.51 W at 4 ms and 10 ms pulse duration. K-type thermocouples were used to record temperature changes at the cervical, middle, and apical root thirds, on root surfaces and sub-surfaces, arising from delivery of laser energy through RFT. Temperature elevation in group B was significantly higher in the middle and apical thirds of the prepared samples than in group A (p surface region corresponding to a 1.48 mm dentin thickness, whereas a mean temperature increase of 7.72°C was recorded corresponding to dentin thickness of 0.95 mm. Within the studied parameters, the dual wavelength laser did not result in adverse thermal changes on the external root surface in vitro.

  10. Apical domain polarization localizes actin-myosin activity to drive ratchet-like apical constriction

    OpenAIRE

    Mason, Frank M.; Tworoger, Michael; Martin, Adam C.

    2013-01-01

    Apical constriction promotes epithelia folding, which changes tissue architecture. During Drosophila gastrulation, mesoderm cells exhibit repeated contractile pulses that are stabilized such that cells apically constrict like a ratchet. The transcription factor Twist is required to stabilize cell shape, however it is unknown how Twist spatially coordinates downstream signals to prevent cell relaxation. We find that during constriction, Rho-associated kinase (Rok) is polarized to the middle of...

  11. The effect of bevel angle on apical microleakage following the use of amalgam and MTA

    Directory of Open Access Journals (Sweden)

    Sharifian MR

    2006-07-01

    Full Text Available Background and Aim: Achieving appropriate seal in canal obturation is the main goal of endodontic therapy. However, in some cases, it can not be obtained by non-surgical procedures alone. Retrograde surgery is one of the most common procedures in endodontics. Apical seal improvement can be obtained by root end filling and decreasing the root end resection angle (bevel angle. The aim of this study was to investigate the role of bevel angle on apical microleakage following the use of amalgam and MTA as root end filling materials. Materials and Methods: In this experimental study, 128 extracted human teeth were instrumented and obturated by lateral condensation technique. The teeth were divided into two groups and the apical root resection was performed by high speed fissure bur (one group perpendicular to the long axis of the teeth and the other 45 to the long axis. The 3 mm root end cavity was prepared by ultrasonic device. Each group was divided into two subgroups: One filled with amalgam and the other with MTA. Teeth were incubated for 72 h, covered by two layers of nail polish (except for apical 3mm and submerged in methylene blue for 48 h. Teeth were washed under tap water and mesiodistally dissected by low speed disc. Dye penetration was evaluated by stereomicroscope. Data were analysed by two way ANOVA and Tukey tests with p<0.05 as the limit of significance. Results: The results showed that retrofill material type had a significant effect on microleakage and MTA was superior to amalgam in this respect. Bevel angle failed to show any significant effect on apical microleakage. Conclusion: Based on the results of this study, it seems that the use of MTA instead of amalgam in clinical practice can improve the success rate of endodontic surgery whereas the bevel angle can be determined based on the status of each individual case; However, increasing the bevel angle seems to increase microleakage due to exposure of more dentinal tubules.

  12. RootNav: navigating images of complex root architectures.

    Science.gov (United States)

    Pound, Michael P; French, Andrew P; Atkinson, Jonathan A; Wells, Darren M; Bennett, Malcolm J; Pridmore, Tony

    2013-08-01

    We present a novel image analysis tool that allows the semiautomated quantification of complex root system architectures in a range of plant species grown and imaged in a variety of ways. The automatic component of RootNav takes a top-down approach, utilizing the powerful expectation maximization classification algorithm to examine regions of the input image, calculating the likelihood that given pixels correspond to roots. This information is used as the basis for an optimization approach to root detection and quantification, which effectively fits a root model to the image data. The resulting user experience is akin to defining routes on a motorist's satellite navigation system: RootNav makes an initial optimized estimate of paths from the seed point to root apices, and the user is able to easily and intuitively refine the results using a visual approach. The proposed method is evaluated on winter wheat (Triticum aestivum) images (and demonstrated on Arabidopsis [Arabidopsis thaliana], Brassica napus, and rice [Oryza sativa]), and results are compared with manual analysis. Four exemplar traits are calculated and show clear illustrative differences between some of the wheat accessions. RootNav, however, provides the structural information needed to support extraction of a wider variety of biologically relevant measures. A separate viewer tool is provided to recover a rich set of architectural traits from RootNav's core representation.

  13. Comparing the apical microleakage of lateral condensation and chloroform dip techniques with a new obturation method

    Directory of Open Access Journals (Sweden)

    Masoud Saatchi

    2011-01-01

    Full Text Available Background: The final objective of root canal therapy is to create a hermetic seal along the length of the root canal system. For this purpose, many methods and materials have been introduced. The purpose of this study was to compare the apical microleakage in a new obturation technique (true-tug-back with two other obturation techniques (lateral condensation and chloroform dip technique. Methods: In this in vitro study 102 single canal teeth were selected. The crowns were removed, and the canals were prepared using step-back technique. The master apical file was K-file #40. The teeth were divided into 3 experimental groups of 32 teeth. First group were obturated with lateral condensation technique and second group with chloroform dip technique and the third group with true-tug-back technique. Six teeth were used as control group. The teeth were placed in incubator at 100% humidity and 37°c for three days. The roots of the teeth were coated with two layers of nail varnish except for the apical 2 millimeter. Teeth were placed in Methylene blue 2% for one week. The teeth were sectioned vertically and the depth of maximum dye penetration for each tooth was recorded by stereomicroscope. Data were analyzed using ANOVA and Dunkan test. Results: The mean liner dye penetration differences between lateral condensation group (6.88 ± 4.06 mm and chloroform dip technique group (7.16 ± 3.37 mm were not statistically significant (P = 0.719. The differences between true-tug-back group (3.15 ± 0.52 mm and two other groups were statistically significant (P < 0.001. Conclusion: The results of this study showed that the true-tug-back technique can improve apical seal. Further studies are needed for this purpose.

  14. In vitro sealing ability of white and gray mineral trioxide aggregate (MTA and white Portland cement used as apical plugs

    Directory of Open Access Journals (Sweden)

    Patrícia Zanatta Aranha Coneglian

    2007-06-01

    Full Text Available This study evaluated the sealing ability of apical plugs made of white and gray MTA-Angelus® and white Portland cement placed via the root canal and having different thicknesses (2, 5 and 7 mm. Ninety extracted human single-rooted teeth were instrumented using a size 40 K-file to standardize the foraminal opening by the stepback technique. The teeth were assigned to 3 groups (n=30, according to the material used for fabrication of the apical plugs: A = gray MTA; B = white MTA; C = white Portland cement. The groups were subdivided into groups of 10 teeth each according to the apical plug thickness (2, 5 and 7 mm. Marginal apical dye leakage was assessed using 0.2% Rhodamine B solution in which the specimens were immersed for 72 hours at 37ºC. The roots were sectioned longitudinally in a buccolingual direction for apical plug exposure, and digital photographs were taken and analyzed by Image Tool image-analysis software. Data were analyzed statistically by Kruskal-Wallis and Dunn's tests. Significance level was set at 5%. The least percent leakage was observed for 5- and 7-mm-thick plugs (p0.05 was found between gray MTA and white Portland cement. Among the three materials analyzed, white MTA presented the highest marginal leakage (p<0.05. The findings of the present study showed that gray MTA and Portland cement had better sealing ability than white MTA when used as apical plugs. Dye leakage was smaller for 5- and 7-mm-thick plugs compared to 2-mm-thick plugs.

  15. A Case of Persistent Apical Ballooning Complicated by Apical Thrombus in Takotsubo Cardiomyopathy of Systemic Lupus Erythematosus Patient

    National Research Council Canada - National Science Library

    Shim, In Kyoung; Kim, Bong-Joon; Kim, Hyunsu; Lee, Jae-Woo; Cha, Tae-Joon; Heo, Jung Ho

    2013-01-01

    .... The prognosis is favorable with the normalization of wall motion abnormalities within weeks. We report a case of persistent apical ballooning complicated by an apical thrombus in Takotsubo cardiomyopathy of systemic lupus erythematous patient...

  16. Root development in relation to impacted mesiodens.

    Science.gov (United States)

    Kalra, N; Chopra, P

    1998-09-01

    Presented here is a case of 7 years 6 month old child with an apically impacted mesiodens in relation to the developing root of right upper central incisor. The removal of mesiodens was deferred in order to avoid disturbance in the natural development of the upper central incisor. Serial X-rays are presented and case is discussed.

  17. Uncovering labially impacted teeth: apically positioned flap and closed-eruption techniques.

    Science.gov (United States)

    Vermette, M E; Kokich, V G; Kennedy, D B

    1995-01-01

    The purpose of this study was to examine the esthetic and periodontal differences between two methods of uncovering labially impacted maxillary anterior teeth: the apically positioned flap and closed-eruption techniques. The sample consisted of 30 patients who were recalled a minimum of three months after orthodontic treatment of a unilateral labially impacted maxillary anterior tooth. Eighteen of the patients had undergone an apically positioned flap (APF) procedure, and the remaining twelve had undergone the closed-eruption (CE) technique. In the CE group, clinical examination showed less width of attached gingiva on the distal surface and increased probing bone level on the facial surface of the uncovered teeth relative to their contralateral controls. Uncovered teeth in the APF group showed more apical gingival margins on the mesial and facial surfaces; greater crown length on the midfacial surface; increased probing attachment level on the facial surface; increased width of attached gingiva on the facial surface; increased probing bone level on mesial, facial, and distal surfaces; and gingival scarring. Radiographic examination showed shorter roots on the uncovered teeth in both groups. Photographic examination revealed vertical relapse of the uncovered teeth in the APF group. We conclude that labially impacted maxillary anterior teeth uncovered with an apically positioned flap technique have more unesthetic sequalae than those uncovered with a closed-eruption technique.

  18. SUPPRESSOR OF APICAL DOMINANCE1 of Sporisorium reilianum Modulates Inflorescence Branching Architecture in Maize and Arabidopsis.

    Science.gov (United States)

    Ghareeb, Hassan; Drechsler, Frank; Löfke, Christian; Teichmann, Thomas; Schirawski, Jan

    2015-12-01

    The biotrophic fungus Sporisorium reilianum causes head smut of maize (Zea mays) after systemic plant colonization. Symptoms include the formation of multiple female inflorescences at subapical nodes of the stalk because of loss of apical dominance. By deletion analysis of cluster 19-1, the largest genomic divergence cluster in S. reilianum, we identified a secreted fungal effector responsible for S. reilianum-induced loss of apical dominance, which we named SUPPRESSOR OF APICAL DOMINANCE1 (SAD1). SAD1 transcript levels were highly up-regulated during biotrophic fungal growth in all infected plant tissues. SAD1-green fluorescent protein fusion proteins expressed by recombinant S. reilianum localized to the extracellular hyphal space. Transgenic Arabidopsis (Arabidopsis thaliana)-expressing green fluorescent protein-SAD1 displayed an increased number of secondary rosette-leaf branches. This suggests that SAD1 manipulates inflorescence branching architecture in maize and Arabidopsis through a conserved pathway. Using a yeast (Saccharomyces cerevisiae) two-hybrid library of S. reilianum-infected maize tissues, we identified potential plant interaction partners that had a predicted function in ubiquitination, signaling, and nuclear processes. Presence of SAD1 led to an increase of the transcript levels of the auxin transporter PIN-FORMED1 in the root and a reduction of the branching regulator TEOSINTE BRANCHED1 in the stalk. This indicates a role of SAD1 in regulation of apical dominance by modulation of branching through increasing transcript levels of the auxin transporter PIN1 and derepression of bud outgrowth.

  19. Understanding the shoot apical meristem regulation: a study of the phytohormones, auxin and cytokinin, in rice.

    Science.gov (United States)

    Azizi, P; Rafii, M Y; Maziah, M; Abdullah, S N A; Hanafi, M M; Latif, M A; Rashid, A A; Sahebi, M

    2015-02-01

    Auxin and cytokinin regulate different critical processes involved in plant growth and environmental feedbacks. These plant hormones act either synergistically or antagonistically to control the organisation, formation and maintenance of meristem. Meristem cells can be divided to generate new tissues and organs at the locations of plant postembryonic development. The aboveground plant organs are created by the shoot apical meristem (SAM). It has been proposed that the phytohormone, cytokinin, plays a positive role in the shoot meristem function, promotes cell expansion and promotes an increasing size of the meristem in Arabidopsis, whereas it has the reverse effects in the root apical meristem (RAM). Over the last few decades, it has been believed that the apically derived auxin suppresses the shoot branching by inactivating the axillary buds. However, it has recently become clear that the mechanism of action of auxinis indirect and multifaceted. In higher plants, the regulatory mechanisms of the SAM formation and organ separation are mostly unknown. This study reviews the effects and functions of cytokinin and auxin at the shoot apical meristem. This study also highlights the merger of the transcription factor activity with the actions of cytokinin/auxin and their complex interactions with the shoot meristem in rice. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  20. The critical apical diameter to obtain regeneration of the pulp tissue after tooth transplantation, replantation, or regenerative endodontic treatment.

    Science.gov (United States)

    Laureys, Wim G M; Cuvelier, Claude A; Dermaut, Luc R; De Pauw, Guy A M

    2013-06-01

    Regeneration of pulp-like tissue in the pulp chamber after tooth transplantation, replantation, or in regenerative endodontic treatment is only possible if the apical foramen is open. According to the literature, the success of regeneration decreases considerably if the foramen is smaller than 1 mm when measured on radiographs. The aim of this study was to study histologically the relation between the width of the apical foramen and regeneration of tissue in the pulp chamber after autotransplantation. Fifteen single-rooted mature teeth of 3 adult beagle dogs were used. All experimental teeth were extracted and underwent apicoectomy. The teeth were photographed from the apical side, and the width of the foramen was calculated. The foramen width ranged from 0.24-1.09 mm. All teeth were replanted in infraocclusion. The observation period was 90 days after transplantation. The 10 teeth with the smallest apical diameter, ranging between 0.24 and 0.53 mm, showed vital tissue in at least one third of the pulp chamber. The 6 most successful teeth showing vital tissue in the entire pulp chamber had an apical diameter between 0.32 and 0.65 mm, and 80% of the experimental teeth with a diameter varying between 1.09 and 0.31 mm showed vital tissue in at least one third of the pulp chamber 90 days after transplantation. The size of the apical foramen seems not to be the all decisive factor for successful revascularization and ingrowth of new tissue after transplantation. The minimum width of the apical foramen has not been determined, but a size smaller than 1 mm does not prevent revascularization and ingrowth of vital tissue. In this animal study an apical foramen of 0.32 mm did not prevent ingrowth of new tissue in two-thirds of the pulp chamber 90 days after transplantation. Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  1. Dynamics of heterorhizic root systems: protoxylem groups within the fine-root system of Chamaecyparis obtusa.

    Science.gov (United States)

    Hishi, Takuo; Takeda, Hiroshi

    2005-08-01

    To understand the physiology of fine-root functions in relation to soil organic sources, the heterogeneity of individual root functions within a fine-root system requires investigation. Here the heterogeneous dynamics within fine-root systems are reported. The fine roots of Chamaecyparis obtusa were sampled using a sequential ingrowth core method over 2 yr. After color categorization, roots were classified into protoxylem groups from anatomical observations. The root lengths with diarch and triarch groups fluctuated seasonally, whereas the tetrarch root length increased. The percentage of secondary root mortality to total mortality increased with increasing amounts of protoxylem. The carbon : nitrogen ratio indicated that the decomposability of primary roots might be greater than that of secondary roots. The position of diarch roots was mostly apical, whereas tetrarch roots tended to be distributed in basal positions within the root architecture. We demonstrate the heterogeneous dynamics within a fine-root system of C. obtusa. Fine-root heterogeneity should affect soil C dynamics. This heterogeneity is determined by the branching position within the root architecture.

  2. Review article: The meristem in indeterminate root nodules of Faboideae

    OpenAIRE

    Łotocka, Barbara; Kopcińska, Joanna; Skalniak, Monika

    2013-01-01

    In this review, the anatomy of indeterminate legume root nodule is briefly summarized. Next, the indeterminate nodule meristem activity, organization and cell ultrastructure are described in species with a distinct nodule meristem zonation. Finally, the putative primary endogenous factors controlling nodule meristem maintenance are discussed in the context of the well-studied root apical meristem (RAM) of Arabidopsis thaliana.

  3. Partial Pulpotomy of Immature Teeth with Apical Periodontitis using Bioceramics and Mineral Trioxide Aggregate: A Report of Three Cases.

    Science.gov (United States)

    Jiang, Shan; Wu, Hao; Zhang, Cheng Fei

    2016-06-01

    Pulpal necrosis of an immature permanent tooth with an open apex poses a challenge for the clinician. The conventional apexification technique using calcium hydroxide has yielded short-term success, but this technique has inevitable shortcomings. Hence, this case series aimed to evaluate the effectiveness of using bioceramics (iRoot BP) or mineral trioxide aggregate (MTA) for partial pulpotomies. Three boys aged 9 to 11 years old presented with partial pulp necrosis and symptomatic apical periodontitis of the mandibular right and left second premolar. The involved teeth were treated with a partial pulpotomy using either iRoot BP (case 1 and 2) or MTA (case 3). At the 8-month follow-up, no abnormal clinical signs or symptoms were observed. Periapical radiographs revealed a significant reduction in periapical radiolucency, a marked increase in the root canal wall thickness and ongoing closure of the apical opening. The bioceramic material (iRoot BP) and MTA both produced successful outcomes in the partial pulpotomy of immature teeth with partial pulp necrosis and apical periodontitis. However, iRoot BP was superior in terms of ease of clinical application, and would therefore be a better treatment alternative than MTA.

  4. A Comparison of Profile, Race and FKG Systems in Eliminating Enterococcus Faecalis from the Apical Third of Mandibular Premolars

    Directory of Open Access Journals (Sweden)

    K. Nazari Moghaddam

    2006-12-01

    Full Text Available Statement of problem: Microorganisms are essential for the development of periradicular diseases and are one of the major causative factors associated with endodontic treatment failures. Different instruments and preparation techniques have been developed in Endodontics to eliminate or reduce intracanal bacteria.Purpose: The aim of this study was to compare the amount of remaining E. faecalis in the apical third of root canals following instrumentation with Profile, Race and FKG files.Materials and Methods: Ninety freshly extracted mandibular single canal premolars were selected. A horizontal groove was made circumferentially around the roots at a depth of 0.5mm and a distance of 5 mm from the anatomic apex. All the equipments were sterilized overnight by ethylene oxide gas. Root canals, inoculated with E. faecalis suspension, were prepared using Profile, Race or FKG instruments in a step-back technique. Master apical file, amount of irrigant for each canal and working length were similar in all specimens groups. Following preparation, the apical portions of the roots were separated from the previously made grooves and were sampled by sterile paper points. Statistical analysis was performed using ANOVA and Duncan’s multiple range tests.Results: Profile was significantly more effective in eliminating E. faecalis as compared to Race. A significant difference was not observed between FKG and the other two studied instrumentation techniques.Conclusions: Neither of the methods could completely eliminate E. faecalis from the root canals.

  5. Apical extrusion of debris and irrigants using hand and three rotary instrumentation systems- An in vitro study

    Directory of Open Access Journals (Sweden)

    Koppolu Madhusudhana

    2010-01-01

    Full Text Available Introduction: Sterilization of the root canal is a prime aim of successful endodontics. The cleaning and shaping of the canal is directed as achieving this goal. The extrusion of apical debris has a deleterious effect on the prognosis of root canal treatment. Several instrument designs and instrumentation techniques have been developed to prevent this. Materials and Methods: Forty caries free single rooted human mandibular premolar teeth were divided in four groups of ten teeth each. Teeth in each group were instrumented until the working length with rotary ProTaper, K3, Mtwo systems, and hand K-type stainless steel files. Debris and irrigant extruded from the apical foramen were collected into vials and the amounts were quantitatively determined. The data obtained were analyzed using Kruskal-Wallis one-way analysis of variance and Mann-Whitney U tests. Results: The results show that all instrumentation techniques produced significant amount of extruded debris and irrigant. The engine-driven nickel-titanium systems showed less apical extrusion of debris and irrigant than manual technique. No statistically significant difference was found between the groups at [P > 0.05]. Maximum apical debris and irrigant extrusion was seen with K-file group and least in the Mtwo group. Conclusions: The use of rotary files and techniques to perform instrumentation does show less extrusion of the debris and irrigant from the apex. This can contribute to more successful endodontic therapy.

  6. An in vitro comparison of root canal transportation by reciproc file with and without glide path.

    Directory of Open Access Journals (Sweden)

    Kiumars Nazarimoghadam

    2014-10-01

    Full Text Available The aim of ideal canal preparation is to prevent iatrogenic aberrations such as transportation. The aim of this study was to evaluate the root canal transportation by Reciproc file with and without glide path.Thirty acrylic-resin blocks with a curvature of 60° and size#10 (2% taper were assigned into two groups (n= 15. In group 1, the glide path was performed using stainless steel k-files size#10 and 15 at working length In group 2, canals were prepared with Reciproc file system at working length. By using digital imaging software (AutoCAD 2008, the pre-instrumentation and post-instrumentation digital images were superimposed over, taking the landmarks as reference points. Then the radius of the internal and external curve of the specimens was calculated at three α, β and γ points (1mm to apex as α, 3mm to apex as β, and 5mm to apex as γ. The data were statically analyzed using the independent T-test and Mann-Whitney U test by SPSS version 16.Glide path was found significant for only external curve in the apical third of the canal; that is, 5mm to apex (P=0.005. But in the other third, canal modification was not significant (P> 0.008.Canal transportation in the apical third of the canal seems to be significantly reduced when glide path is performed using reciprocating files.

  7. Nerve lesions following apical extrusion of non-setting calcium hydroxide: A systematic case review and report of two cases

    DEFF Research Database (Denmark)

    Olsen, Jesper Jared; Thorn, Jens Jørn; Korsgaard, Niels

    2014-01-01

    We present two cases of apical extrusion of non-setting, calcium hydroxide paste which had been placed as an interappointment root canal dressing during routine endodontic treatment and which resulted in tissue necrosis of a large part of themandible, while. Surgical intervention consisted...... effects and the use of an injectable system had most often been related to apical extrusion. Consequently, great care should be taken when applying the paste into the canal system. 2013 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved....

  8. One- versus two-visit endodontic treatment of teeth with apical periodontitis: a histobacteriologic study.

    Science.gov (United States)

    Vera, Jorge; Siqueira, José F; Ricucci, Domenico; Loghin, Simona; Fernández, Nancy; Flores, Belina; Cruz, Alvaro G

    2012-08-01

    This study analyzed the in vivo microbiological status of the root canal systems of mesial roots of mandibular molars with primary apical periodontitis after 1- or 2-visit endodontic treatment. Mesial root canals were instrumented by using either a combination of K3 and LightSpeed instruments (mesiobuccal canals) or the ProTaper system (mesiolingual canals), with 5% NaOCl irrigation. Patency files were used. Smear layer was removed, and a final rinse with 5 mL of 2% chlorhexidine was performed. In the 2-visit group (7 roots, 14 canals), canals were medicated with calcium hydroxide for 1 week and then obturated by using the continuous wave of compaction technique. In the 1-visit group (6 roots, 12 canals), canals were immediately obturated after chemomechanical procedures. Teeth were extracted 1 week after root canal instrumentation and processed for histobacteriologic analysis. In the 1-visit group, no case was completely free of bacteria; residual bacteria occurred in the main root canal (5 of 6 cases), isthmus (5 of 6), apical ramifications (4 of 6), and dentinal tubules (5 of 6). In the 2-visit group, 2 cases were rendered bacteria-free; residual bacteria were found in the main canal only in 2 cases (none of them with persistent dentinal tubule infection), in the isthmus (4 of 7 cases), and in ramifications (2 of 7). The 2 instrumentation techniques performed similarly. When filling material was observed in ramifications, it was usually intermixed with necrotic tissue, debris, and bacteria. The 2-visit protocol by using an interappointment medication with calcium hydroxide resulted in improved microbiological status of the root canal system when compared with the 1-visit protocol. Residual bacteria were more frequent and abundant in ramifications, isthmuses, and dentinal tubules when root canals were treated without an interappointment medication. Apical ramifications and isthmuses were never completely filled. The use of an antibacterial interappointment agent

  9. Auxin at the shoot apical meristem

    OpenAIRE

    Vernoux, Teva; Besnard, Fabrice; Traas, Jan

    2010-01-01

    Plants continuously generate new tissues and organs through the activity of populations of undifferentiated stem cells, called meristems. Here, we discuss the so-called shoot apical meristem (SAM), which generates all the aerial parts of the plant. It has been known for many years that auxin plays a central role in the functioning of this meristem. Auxin is not homogeneously distributed at the SAM and it is thought that this distribution is interpreted in terms of differential gene expression...

  10. Pathogenesis of Apical Periodontitis: a Literature Review

    OpenAIRE

    2012-01-01

    ABSTRACT Objectives This review article discusses the host response in apical periodontitis with the main focus on cytokines, produced under this pathological condition and contributing to the degradation of periradicular tissues. The pace of research in this field has greatly accelerated in the last decade. Here we provide an analysis of studies published in this area during this period. Material and methods Literature was selected through a search of PubMed electronic database. The keywords...

  11. Apical extrusion of debris by supplementary files used for retreatment: An ex vivo comparative study

    Directory of Open Access Journals (Sweden)

    Ajinkya M Pawar

    2016-01-01

    Full Text Available Aim: This study evaluated whether using supplementary files for removing root canal filling residues after ProTaper Universal Retreatment files (RFs increased the debris extrusion apically. Materials and Methods: Eighty mandibular premolars with single root and canal were instrumented with ProTaper Universal rotary system (SX-F3 and obturated. The samples were divided randomly into four groups (n = 20. Group 1 served as a control; only ProTaper Universal RFs D1-D3 were used, and the extruded debris was weighed. Groups 2, 3, and 4 were the experimental groups, receiving a twofold retreatment protocol: Removal of the bulk, followed by the use of supplementary files. The bulk was removed by RFs, followed by the use of ProTaper NEXT (PTN, WaveOne (WO, and Self-Adjusting File (SAF for removal of the remaining root filling residues. Debris extruded apically were weighed and compared to the control group. Statistical analysis was performed using one-way analysis of variance (ANOVA and post hoc Tukey′s test. Results: All the three experimental groups presented significant difference (P < .01. The post hoc Tukey′s test confirmed that Group 4 (SAF exhibited significantly less (P < .01 debris extrusion between the three groups tested. Conclusion: SAF results in less extrusion of debris when used as supplementary file to remove root-filling residues, compared to WO and PTN.

  12. Shoot Apical Meristem Organization in Several Philippine Species of Selaginella

    Directory of Open Access Journals (Sweden)

    Prescillano Zamora

    1993-06-01

    Full Text Available This paper reports for the first time the occurrence of two types of shoot apical meristem organization on the main and lateral shoots of eight Philippine species of Selaginella: (1 shoot apical meristem with a single lenticular apical cell in S. cupressina and S. delicatula and (a shoot apical meristem with a row of several prominent prismatic apical cells in the lateral plane in S. jagorii, S. halconensis, S. involvens (S. polyura, S. peltata, S. flagellifera (S. biformis, S. nummularia, S. aristata, and S. philippina (endemic.

  13. Architecture of apical dendrites in the murine neocortex: dual apical dendritic systems.

    Science.gov (United States)

    Escobar, M I; Pimienta, H; Caviness, V S; Jacobson, M; Crandall, J E; Kosik, K S

    1986-04-01

    A monoclonal antibody (5F9) against microtubule-associated protein 2 is a selective and sensitive marker for neocortical dendrites in the mouse. The marker stains all dendrites. It affords a particularly comprehensive picture of the patterns of arrangements of apical dendrites which are most intensely stained with this antibody. Dual systems of apical dendrites arise from the polymorphic neurons of layer VI, on the one hand, and the pyramidal neurons of layers II-V, on the other. Terminal arborization of the former is concentrated principally at the interface of layers V and IV, while that of the latter is in the molecular layer. Apical dendrites of both systems are grouped into fascicles. In supragranular layers and in upper layer VI-lower layer V, where apical dendrites are most abundant, the fascicles coalesce into septa. These generate a honeycomb-like pattern, subdividing these cortical levels into columnar spaces of approximately 20-40 micron diameter. At the level of layer IV, where the number of apical dendrites is greatly reduced, the fascicles are isolated bundles. These bundles have the form of circular, elliptical or rectangular columns in the primary somatosensory, temporal and frontal regions, respectively. Those in the barrel field are preferentially concentrated in the sides of barrels and the interbarrel septa. The configurations of the dendritic fascicles, particularly the midcortical bundles, may conform to the spatial configuration of investing axons of interneurons.

  14. Centering and transportation: in vitro evaluation of continuous and reciprocating systems in curved root canals

    Directory of Open Access Journals (Sweden)

    Beatriz Vilas Navós

    2016-01-01

    Conclusions: We concluded that there were no differences in transportation between the evaluated systems for the preparation of curved root canals with an apical instrumentation diameter of #25. For centering ability, in the apical third, ProTaper® presented worst behavior when compared to Reciproc®.

  15. Study of Root Canal Anatomy in Human Permanent Teeth in A Subpopulation of Brazil's Center Region Using Cone-Beam Computed Tomography - Part 1.

    Science.gov (United States)

    Estrela, Carlos; Bueno, Mike R; Couto, Gabriela S; Rabelo, Luiz Eduardo G; Alencar, Ana Helena G; Silva, Ricardo Gariba; Pécora, Jesus Djalma; Sousa-Neto, Manoel Damião

    2015-10-01

    The aim of this study was to evaluate the frequency of roots, root canals and apical foramina in human permanent teeth using cone beam computed tomography (CBCT). CBCT images of 1,400 teeth from database previously evaluated were used to determine the frequency of number of roots, root canals and apical foramina. All teeth were evaluated by preview of the planes sagittal, axial, and coronal. Navigation in axial slices of 0.1 mm/0.1 mm followed the coronal to apical direction, as well as the apical to coronal direction. Two examiners assessed all CBCT images. Statistical data were analyzed including frequency distribution and cross-tabulation. The highest frequency of four root canals and four apical foramina was found in maxillary first molars (76%, 33%, respectively), followed by maxillary second molars (41%, 25%, respectively). The frequency of four root canals in mandibular first molars was 51%. Mandibular first premolars had two root canals and two apical foramina in 29% and 20% of the cases, respectively. Mandibular central and lateral incisors and canines presented two root canals in 35%, 42% and 22% of the cases, respectively. The navigation strategy in CBCT images favors a better identification of frequency and position of roots, root canals and apical foramina in human permanent teeth.

  16. Ultrastructure of the harmful unarmored dinoflagellate Cochlodinium polykrikoides (Dinophyceae) with reference to the apical groove and flagellar apparatus

    DEFF Research Database (Denmark)

    Iwataki, Mitsunori; Hansen, Gert; Moestrup, Øjvind;

    2010-01-01

    The external and internal ultrastructure of the harmful unarmored dinoflagellate Cochlodinium polykrikoides Margalef has been examined with special reference to the apical groove and three-dimensional structure of the flagellar apparatus. The apical groove is U-shaped and connected to the anterior...... sulcal extension on the dorsal side of the epicone. The eyespot is located dorsally and composed of two layers of globules situated within the chloroplast. A narrow invagination of the plasma membrane is associated with the eyespot. The nuclear envelope has normal nuclear pores similar to other...

  17. Dichotomous branching: the plant form and integrity upon the apical meristem bifurcation

    Directory of Open Access Journals (Sweden)

    Edyta M. Gola

    2014-06-01

    Full Text Available The division of the apical meristem into two independently functioning axes is defined as dichotomous branching. This type of branching typically occurs in non-vascular and non-seed vascular plants, whereas in seed plants it presents a primary growth form only in several taxa. Dichotomy is a complex process, which requires a re-organization of the meristem structure and causes changes in the apex geometry and activity. However, the mechanisms governing the repetitive apex divisions are hardly known. Here, an overview of dichotomous branching is presented, occurring in structurally different apices of phylogenetically distant plants, and in various organs (e.g. shoots, roots, rhizophores. Additionally, morphogenetic effects of dichotomy are reviewed, including its impact on organogenesis and mechanical constraints. At the end, the hormonal and genetic regulation of the dichotomous branching is discussed.

  18. Hard tissue regeneration capacity of apical pulp derived cells (APDCs) from human tooth with immature apex.

    Science.gov (United States)

    Abe, Shigehiro; Yamaguchi, Satoshi; Watanabe, Akihiko; Hamada, Keiichi; Amagasa, Teruo

    2008-06-20

    Recent studies indicate that dental pulp is a new source of adult stem cells. The human tooth with an immature apex is a developing organ, and the apical pulp of this tooth may contain a variety of progenitor/stem cells, which participate in root formation. We investigated the hard tissue regeneration potential of apical pulp derived cells (APDCs) from human tooth with an immature apex. APDCs cultured with a mineralization-promoting medium showed alkaline phosphatase activity in porous hydroxyapatite (HA) scaffolds. The composites of APDCs and HA were implanted subcutaneously in immunocompromised rats and harvested at 12 weeks after implantation. In histological analysis, the APDCs/HA composites exhibited bone- and dentine-like mineralized tissues in the pore areas of HA. This study suggests that the human tooth with an immature apex is an effective source of cells for hard tissue regeneration.

  19. Comparing and studying crack formation during apical cavity preparation using ultrasonic instruments

    Directory of Open Access Journals (Sweden)

    Zarrabian M.

    1999-07-01

    Full Text Available One of the major goals of periradicular surgery is to create a good apical sea! at the apex. This"nis done by sectioning of 2 to 3mm from the apex, preparation of a class I cavity and filling with a"nbiocompatible material."nThe purpose of this in vitro study was to determine whether ultrasonic units used for root end"npreparations could change the surface & structure of resected root ends, as competed to common"nmethods of retropreparation. Eighty-five extracted single rooted teeth were divided into five similar"ngroups. Then instrumented and filled with lateral condensation method. Then three millimeter of apex"nwas resected, retropreparaiions in two groups were done with low speed handpiece and round V ^ur"nand cavities in two other groups prepared with the highest power of dentspiay ultrasonic unit with TFI-"n10 tip and in one other group prepared with the highest power of neo sonic ultrasonic unit with diamond"ncoated CT-1 retro tip."nFollowing root resection and retropreparation the surface of resected root ends were examined for the"npresence of any cracks or structural changes on the surface of resected root ends with stereo microscope"n50x."nThe results of this study showed thai high power settings of ultrasonic units can increase the potential of"ncrack formation on resected root surfaces. In conclusion it is better to use low power setting of ultrasonic"nfor retropreparation.

  20. Management of immature teeth with apical infections using mineral trioxide aggregate

    Directory of Open Access Journals (Sweden)

    Sivakumar Nuvvula

    2010-01-01

    Full Text Available Traumatic injuries to the young permanent teeth lead to devitalization of the pulp with concomitant arrest in further development of the immature root of the involved tooth. Hermetic seal of the root canal system during obturation is not possible in such cases, due to the lack of an apical constriction. The traditional management technique in such cases has been apexification involving induction of a calcific barrier at the apex using calcium hydroxide, which in turn facilitates obturation of the root canal. However this becomes complicated when there is persistent infection leading to periapical changes. This case report describes the use of mineral trioxide aggregate (MTA for management of a periapically compromised immature tooth.

  1. Root canal irrigants: a review of their interactions, benefits, and limitations.

    Science.gov (United States)

    Jena, Amit; Sahoo, Sanjit Kumar; Govind, Shashirekha

    2015-04-01

    Endodontic treatment success depends on a combination of appropriate instrumentation, effective irrigation and decontamination of root canal spaces to apices, and obturation of the root canals. Irrigation of the root canal is paramount in determining periapical tissue healing. This article reviews presently available root canal irrigants, their interactions, advantages, and limitations. For this review, the authors performed a Medline search for all English language articles published through January 2014 with "root canal irrigants" and "endodontic irrigants" as keywords.

  2. Treatment of Mature Permanent Teeth with Necrotic Pulps and Apical Periodontitis Using Regenerative Endodontic Procedures: A Case Series.

    Science.gov (United States)

    Saoud, Tarek Mohamed; Martin, Gabriela; Chen, Yea-Huey M; Chen, Kuang-Liang; Chen, Chao-An; Songtrakul, Kamolthip; Malek, Matthew; Sigurdsson, Asgeir; Lin, Louis M

    2016-01-01

    Regenerative endodontic procedures (REPs) are usually used to treat human immature permanent teeth with necrotic pulps and/or apical periodontitis. Successful REPs result in the elimination of clinical signs/symptoms, the resolution of apical periodontitis, and, in some cases, thickening of the canal walls and/or continued root development with or without apical closure. REPs can restore the vitality of tissue in the canals of immature permanent teeth previously destroyed by infection or trauma. Vital tissue is inherited with immune defense mechanisms to protect itself from foreign invaders. Recently, REPs have also been used to successfully treat human mature permanent teeth with necrotic pulps and apical periodontitis. The purpose of this case series was to present the potential of using REPs for mature permanent teeth with necrotic pulps and apical periodontitis. This case series consisted of 6 patients, 4 females and 2 males. The patients' ages ranged from 8-21 years old. Seven permanent teeth, 4 anterior and 3 molar teeth, with necrotic pulps and apical periodontitis were treated using REP. Radiographically, the root development of all teeth was almost completed except the apices of 2 molars, which showed slightly open. Complete chemomechanical debridement of the canals of the teeth was performed, and the canals were dressed with Metapaste (Meta Biomed Co, Ltd, Chungbuk, Korea) during treatment visits. Periapical bleeding into the canals was induced at the last treatment visit by placing a hand #20 or #25 K-file with the tip slightly bent through the apical foramina into the periapical tissues. A 3-mm thickness of mineral trioxide aggregate was placed into the coronal canals over semicoagulated blood. The access cavities were restored with either composite resin or amalgam. Follow-ups of the 7 teeth ranged from 8 to 26 months. The periapical lesions of 2 teeth were considered healed, and 5 teeth revealed healing. Clinical signs/symptoms were absent in all

  3. Regeneration of dental pulp tissue in immature teeth with apical periodontitis using platelet-rich plasma and dental pulp cells.

    Science.gov (United States)

    Zhu, W; Zhu, X; Huang, G T-J; Cheung, G S P; Dissanayaka, W L; Zhang, C

    2013-10-01

    To investigate the new tissues growing into the pulp space of immature dog teeth that were infected, disinfected and filled with blood clot (BC), dental pulp cells (DPCs), platelet-rich plasma (PRP) or a combination of DPCs and PRP in immature dog teeth with apical periodontitis. Fifty-six immature roots from mandibular premolars of four beagles were divided into four experimental groups (n = 40) and two control groups. After the induction of apical periodontitis, the root canals of experimental groups were disinfected with NaOCl irrigation and a tri-antibiotic paste medication. The canals were then filled with different materials according to the experimental group: BC group, DPCs group, PRP group or DPCs + PRP group. Access cavities were sealed with MTA and composite. Radiographs were taken after 90 days, and the jaws including the teeth were processed for histologic analysis. The data were statistically analysed using chi-square evaluation and Student's t-test. Radiographic analyses demonstrated no significant difference between experimental groups in periradicular bone healing (P > 0.05), whilst those groups that used DPCs produced a significantly greater root thickening (P regeneration within the root canals of immature teeth associated with apical periodontitis. © 2013 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  4. Multimodality imaging in apical hypertrophic cardiomyopathy

    Institute of Scientific and Technical Information of China (English)

    Rosario; Parisi; Francesca; Mirabella; Gioel; Gabrio; Secco; Rossella; Fattori

    2014-01-01

    Apical hypertrophic cardiomyopathy(AHCM) is a relatively rare morphologic variant of HCM in which the hypertrophy of myocardium is localized to the left ventricular apex. Symptoms of AHCM might vary from none to others mimic coronary artery disease including acute coronary syndrome, thus resulting in inappropriate hospitalization. Transthoracic echocardiography is the firstline imaging technique for the diagnosis of hypertrophic cardiomyopathies. However, when the hypertrophy of the myocardium is localized in the ventricular apex might results in missed diagnosis. Aim of this paper is to review the different imaging techniques used for the diagnosis of AHCM and their role in the detection and comprehension of this uncommon disease.

  5. The antimicrobial effect of apical box versus apical cone preparation using iodine potassium iodide as root canal dressing

    DEFF Research Database (Denmark)

    Markvart, Merete; Dahlén, Gunnar; Reit, Claes-Erik

    2013-01-01

    OCl (12 ml). Lastly, the canals were filled with 17% EDTA (2 × 30 s) and 5% iodine potassium iodide (IKI) for 10 min. The canals were sampled for micro-organisms on four occasions: before instrumentation, after instrumentation, after application of IKI dressing and at the beginning of the second...

  6. Root hairs

    NARCIS (Netherlands)

    Grierson, C.; Nielsen, E.; Ketelaar, T.; Schiefelbein, J.

    2014-01-01

    Roots hairs are cylindrical extensions of root epidermal cells that are important for acquisition of nutrients, microbe interactions, and plant anchorage. The molecular mechanisms involved in the specification, differentiation, and physiology of root hairs in Arabidopsis are reviewed here. Root hair

  7. Fragment Propagation and Colonization Ability Enhanced and Varied at Node Level after Escaping from Apical Dominance in Submerged Macrophytes

    Institute of Scientific and Technical Information of China (English)

    Jinhui Jiang; Shuqing An; Changfang Zhou; Baohua Guan; Zhiyi Sun; Ying Cai; Fude Liu

    2009-01-01

    Aquatic plants develop strong fragment propagation and colonization ability to endure the natural disturbances. However,detailed research of ability to endure the natural disturbances has been lacking to date. Therefore, reproduction (shoot) and colonization (root) of shoot fragments of Potamogeton crispus L. with or without apices were investigated for the effect of apical dominance, and the growth of decapitated shoot fragments at three lengths (2, 4, 6cm) was compared. Meanwhile,fragment propagation at levels of bud position was studied for bud position effect after escaping from apical dominance.The results showed significant increases occurred in the outgrowth of lateral branches on fragments decapitated compared with the fragments with apices, implying that apical dominance exists. Different lengths of fragments showed little difference in biomass allocations, but significant differences were noted in their propagation. Meanwhile, the effect of bud position was verified, due to the significant difference of average reproduction per node among the three length groups. Thus, the present study has made progress in the current understanding of aquatic plant dispersion among natural systems and contributes to improve methods of in vitro propagation for re-implantation purposes.

  8. 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.

  9. Comparison of the amount of apical debris extrusion associated with different retreatment systems and supplementary file application during retreatment process

    Science.gov (United States)

    Çiçek, Ersan; Koçak, Mustafa Murat; Koçak, Sibel; Sağlam, Baran Can

    2016-01-01

    Background: The type of instrument affects the amount of debris extruded. The aim of this study was to compare the effect of retreatment systems and supplementary file application on the amount of apical debris extrusion. Materials and Methods: Forty-eight extracted mandibular premolars with a single canal and similar length were selected. The root canals were prepared with the ProTaper Universal system with a torque-controlled engine. The root canals were dried and were obturated using Gutta-percha and sealer. The specimens were randomly divided into four equal groups according to the retreatment procedures (Group 1, Mtwo retreatment files; Group 2, Mtwo retreatment files + Mtwo rotary file #30 supplementary file; Group 3, ProTaper Universal retreatment (PTUR) files; and Group 4, PTUR files + ProTaper F3 supplementary file). The extruded debris during instrumentation were collected into preweighed Eppendorf tubes. The amount of apically extruded debris was calculated by subtracting the initial weight of the tube from the final weight. Three consecutive weights were obtained for each tube. Results: No statistically significant difference was found in the amount of apically extruded debris between Groups 1 and 3 (P = 0.590). A significant difference was observed between Groups 1 and 2 (P < 0.05), and between Groups 3 and 4 (P < 0.05). Conclusions: The use of supplementary file significantly increased the amount of apically extruded debris. PMID:27563185

  10. The effect of endodontic procedures on apical crack initiation and propagation ex vivo.

    Science.gov (United States)

    Adorno, C G; Yoshioka, T; Jindan, P; Kobayashi, C; Suda, H

    2013-08-01

    To evaluate the potential effects of endodontic procedures (instrumentation and filling) on crack initiation and propagation in apical dentine. Forty extracted single-rooted premolars with two canals were selected, 1.5 mm of the apex was ground perpendicular to the long axis of the tooth and the surface polished. The specimens were divided into 4 groups. The buccal canals of groups A, B and C were enlarged to size 40 with manual K-files. Group A was filled with gutta-percha using lateral condensation and vertical compaction without sealer. Group B was filled with the same method as group A except only lateral condensation was used. Group C was left unfilled, while group D was left unprepared and unfilled. Images of the resected surface were taken after resection (baseline), after canal preparation, after filling and after 4-week storage. The images were then inspected for cracks originating from the canal. A significant effect of preparation on crack initiation (P  0.05) or 4-week storage on crack initiation (P > 0.05) was found (logistic regression). Fisher's exact test revealed a significant effect of filling on crack propagation (P propagation (P > 0.05). Root canal procedures can potentially initiate and propagate cracks from within the root canal in the apical region. © 2013 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  11. Effect of the smear layer on apical seals produced by two calcium silicate-based endodontic sealers.

    Science.gov (United States)

    Bidar, Maryam; Sadeghalhoseini, Niloufar; Forghani, Maryam; Attaran, Negin

    2014-09-01

    We compared the apical seals of two new calcium silicate-based sealers (iRoot SP and MTA Fillapex) in the presence and absence of a smear layer. Eighty-two human premolars were prepared and randomly divided into four groups. In groups 1 and 3, the smear layer was retained. In groups 2 and 4, the root canals were irrigated with EDTA to remove the smear layer. Canals were filled using gutta-percha/iRoot SP (in groups 1 and 2) or obturated with gutta-percha/MTA Fillapex (in groups 3 and 4). Fluid filtration was used to evaluate apical microleakage. The presence of the smear layer had no significant effect on the sealing properties of the filling materials, except for iRoot SP at 2 weeks (P = 0.007). There was significantly less microleakage with iRoot SP than with MTA Fillapex (P = 0.025 at 2 weeks; P removal of the smear layer had no adverse effect on the sealing properties of calcium silicate-based sealers. In addition, the sealing ability of iRoot SP was superior to that of MTA Fillapex.

  12. 锥形束CT在诊治阻生牙所致邻牙牙根外吸收中的应用%Application of cone-beam computed tomography in the diagnosis and treatment of external root resorption of adja-cent teeth caused by impacted teeth

    Institute of Scientific and Technical Information of China (English)

    李志进; 郭家平; 石咏梅; 董青山; 王翔; 熊才华; 桂逍

    2013-01-01

    Objective This study aims to investigate the diagnosis and treatment of external root resorption of adjacent teeth caused by impacted teeth via cone-beam computed tomography (CBCT). Methods A total of 19 teeth from 15 patients with uncertain external root resorption caused by an adjacent impacted tooth were examined from January 2011 to December 2011. All teeth with uncertain external root resorption were scanned by CBCT. Three dimensions reconstruction were the con-ducted to determine the location and extent of resorption. Results In all cases, CBCT identified the accurate location and extent of external root resorption caused by adjacent impacted teeth. Furthermore, the technique provided impacted teeth location in three dimensions, including the relation between the impacted teeth and surrounding vital structures. Conclusion CBCT can provide direct and accurate images of the location and extent of external root resorption, as well as the location of the adja-cent impacted teeth in three dimensions. Therefore, the proposed technique provides reliable information for clinical diagnosis and treatment.%目的:探讨锥形束CT(CBCT)在阻生牙所致邻牙牙根外吸收诊治中的应用价值。方法选择2011年1-12月广州军区武汉总医院口腔科诊治,经全口曲面体层片确定存在阻生牙,邻牙牙根外吸收情况不明确的患牙19颗(15例)。所有患者进行CBCT扫描和三维重建,确定牙根外吸收的部位及程度。结果经CBCT扫描和三维重建后,所有患者均直观显示牙根外吸收的部位及程度,以及阻生牙在颌骨中的三维位置及其与周围重要组织的关系。结论CBCT可直观、准确地显示牙根外吸收的部位和程度,对阻生牙所致邻牙牙根外吸收的诊断和治疗提供可靠信息。

  13. CANAL CONFIGURATION IN THE ROOTS OF MAXILLARY SECON D PREMOLAR: A CLINICAL STUDY

    Directory of Open Access Journals (Sweden)

    Ganesh.

    2012-10-01

    Full Text Available ABSTRACT: Modified access cavity preparation and X ray- interpre tation were used clinically to find out the additional canals in the root of maxil lary second premolars. In 85% of the case two canals were located and treated, of these 30% had t wo separate apical foramen and 50.66% had two canal, joined at the apical third in 5% of the cases, two roots with two different canals were located and in 15% of the cases, one canal was loca ted KEY WORDS: Access Preparation, Apical Foramen.

  14. Bacteriologic investigation of the effects of sodium hypochlorite and chlorhexidine during the endodontic treatment of teeth with apical periodontitis

    OpenAIRE

    Siqueira Jr., José F.; Rocas,Isabela N.; Paiva, Simone S. M.; Pinto, Tatiana Guimarães; Magalhães, Karen M.; de Lima, Kenio C.

    2007-01-01

    SIQUEIRA JR. et al. Bacteriologic investigation of the effects of sodium hypochlorite and chlorhexidine during the endodontic treatment of teeth with apical periodontitis. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., v. 104, n. 1, p. 122-130, 2007. Objective. This clinical study was undertaken to compare the effectiveness of 2.5% sodium hypochlorite (NaOCl) and 0.12% chlorhexidine digluconate as irrigants in reducing the cultivable bacterial populations in infected root canals...

  15. The Effects of Alkaline pH on Microleakage of Mineral Trioxide Aggregate and Calcium-Enriched Mixture Apical Plugs

    Directory of Open Access Journals (Sweden)

    Hossein Mirhadi

    2016-03-01

    Full Text Available Statement of the Problem: Alkaline pH can affect the physical and chemical properties and sealing ability of apical plug material. Calcium hydroxide is used in non-vital teeth as an intracanal medication to complete disinfection of root canals. It raises the pH of environment to alkaline value. Purpose: The aim of this in vitro study was to evaluate and compare the effect of alkaline pH on the sealing ability of calcium-enriched mixture (CEM cement and mineral trioxide aggregate (MTA apical plugs. Materials and Method: Seventy single-rooted human maxillary anterior teeth were randomly divided to two experimental groups for Angelus MTA and CEM cement (n=30 and two control groups (n=5. Each group was divided into two subgroups of 15 for neutral and alkaline pH, and 1 negative and 1 positive control groups of 5. The root canals were cleaned and shaped by using ProTaper rotary system (Dentsply Maillefer; Ballaigues, Switzerland and the terminal 3mm of the roots were resected. Then, MTA and CEM cement were condensed in apical region with 3mm thickness. The samples were exposed to two environments with different pH values of 13 and 7.4. The leakage was assessed by using the fluid filtration technique at 1, 7, 14, 30 days intervals. Data were analyzed by the repeated measures MANOVA. Results: There was no statistically significant difference in the rate of microleakage between neutral and alkaline pH of CEM cement and MTA (p> 0.05. The sealing ability of MTA in an alkaline pH of 13 was significantly less than CEM cement in this pH (p< 0.05. Conclusion: An environment with alkaline pH had no adverse effect on the sealing ability of MTA and CEM cement used as apical plugs. CEM cement had better sealing ability in alkaline pH.

  16. Apical transportation of manual NiTi instruments and a hybrid technique in severely curved simulated canals

    OpenAIRE

    Aurenaila Nascimento Gonçalves; Matheus Franco da Frota; Emilio Carlos Sponchiado Júnior; Fredson Marcio Acris de Carvalho; Lucas da Fonseca Roberti Garcia; André Augusto Franco Marques

    2015-01-01

    Aim: To evaluate the apical transportation induced by two instrumentation techniques in severely curved simulated canals. Materials and Methods: Forty simulated canals were divided into two groups (n = 20), according to the following instrumentation techniques: ProTaper Universal Manual System and a hybrid technique. The simulated canals in the ProTaper group were prepared following the technique recommended by the manufacturer: SX files in the cervical third of the root canal and S1, S2,...

  17. 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

  18. Evaluation of apical preparations performed with ultrasonic diamond and stainless steel tips at different intensities using a scanning electron microscope in endodontic surgery.

    Science.gov (United States)

    Rodríguez-Martos, Ramón; Torres-Lagares, Daniel; Castellanos-Cosano, Lizett; Serrera-Figallo, María-Angeles; Segura-Egea, Juan-José; Gutierrez-Perez, Jose-Luis

    2012-11-01

    The objective of our study is to analyse (with the help of scanning electron microscopes) the quality of the dental root surface and the appearance of dental cracks after performing apical preparations using two different types of ultrasonic tips. We used 32 single-rooted teeth that underwent a root canal and apical resection. Afterwards, the teeth were divided into 4 groups of 8 teeth each, with preparations of the apical cavities in the following manner: Group 1: stainless steel ultrasonic tip at 33 KHz. Group 2: stainless steel ultrasonic tip at 30 KHz. Group 3: diamond ultrasonic tip at 30 KHz. Group 4: diamond ultrasonic tip at 33 KHz. The quality of the root surface and the presence of cracks were evaluated by one single observer using a scanning electron microscope. All of the teeth in our study had cracks after the apical preparations. The mean number of cracks per tooth ranged between 6. ± 1.9 (group 1) and 3.5 ± 2.4 (group 4), with a significantly higher number found in the groups that used stainless steel tips (P=.03). The types of cracks produced involved: 8 complete cracks (4.5%), 167 incomplete cracks (94.4%), and 2 intradentinal cracks (1.1%), with no significant differences observed between the different frequencies used for each group. Stainless steel ultrasonic tips provoked a larger number of cracks than diamond tips. The frequency of vibration used did not have any effect on the number of cracks found.

  19. Apical-dominant particle swarm optimization

    Institute of Scientific and Technical Information of China (English)

    Zhihua Cui; Xingjuan Cai; Jianchao Zeng; Guoji Sun

    2008-01-01

    Particle swarm optimization (PSO) is a new stochastic population-based search methodology by simulating the animal social behaviors such as birds flocking and fish schooling.Many improvements have been proposed within the framework of this biological assumption.However,in this paper,the search pattern of PSO is used to model the branch growth process of natural plants.It provides a different poten-tial manner from artificial plant.To illustrate the effectiveness of this new model,apical dominance phenomenon is introduced to construct a novel variant by emphasizing the influence of the phototaxis.In this improvement,the population is divided into three different kinds of buds associated with their performances.Furthermore,a mutation strategy is applied to enhance the ability escaping from a local optimum.Sim-ulation results demonstrate good performance of the new method when solving high-dimensional multi-modal problems.

  20. Prevalence and morphometric analysis of three-rooted mandibular first molars in a Brazilian subpopulation

    Science.gov (United States)

    Rodrigues, Clarissa Teles; de Oliveira-Santos, Christiano; Bernardineli, Norberti; Duarte, Marco Antonio Hungaro; Bramante, Clovis Monteiro; Minotti-Bonfante, Paloma Gagliardi; Ordinola-Zapata, Ronald

    2016-01-01

    ABSTRACT The knowledge of the internal anatomy of three-rooted mandibular molars may help clinicians to diagnose and plan the root canal treatment in order to provide adequate therapy when this variation is present. Objectives: To determine the prevalence of three-rooted mandibular molars in a Brazilian population using cone beam computed tomography (CBCT) and to analyze the anatomy of mandibular first molars with three roots through micro-CT. Material and Methods: CBCT images of 116 patients were reviewed to determine the prevalence of three-rooted first mandibular molars in a Brazilian subpopulation. Furthermore, with the use of micro-CT, 55 extracted three-rooted mandibular first molars were scanned and reconstructed to assess root length, distance between canal orifices, apical diameter, Vertucci's classification, presence of apical delta, number of foramina and furcations, lateral and accessory canals. The distance between the orifice on the pulp chamber floor and the beginning of the curvature and the angle of canal curvature were analyzed in the distolingual root. Data were compared using the Kruskal-Wallis test (α=0.05). Results: The prevalence of three-rooted mandibular first molars was of 2.58%. Mesial roots showed complex distribution of the root canal system in comparison to the distal roots. The median of major diameters of mesiobuccal, mesiolingual and single mesial canals were: 0.34, 0.41 and 0.60 mm, respectively. The higher values of major diameters were found in the distobuccal canals (0.56 mm) and the lower diameters in the distolingual canals (0.29 mm). The lowest orifice distance was found between the mesial canals (MB-ML) and the highest distance between the distal root canals (DB-DL). Almost all distal roots had one root canal and one apical foramen with few accessory canals. Conclusions: Distolingual root generally has short length, severe curvature and a single root canal with low apical diameter.

  1. Apical sealing quality of in vitro apicectomy procedures after using both Er:YAG and Nd:YAG.

    Science.gov (United States)

    Leonardi, Denise Piotto; Sivieri-Araujo, Gustavo; Zielak, Joao Cesar; Baratto-Filho, Flares; Moriyama, Lilian Tan; Berbert, Fabio Luiz Camargo Villela

    2010-10-01

    The aim of this study was to evaluate the apical sealing of dentinal tubules after root-end surface cutting by using Er:YAG and Nd:YAG lasers. After root-canal instrumentation and filling, apices of 50 extracted maxillary canine human teeth were resected by Er:YAG with 400 mJ, 10 Hz, for 30 sec. The samples were randomly assigned to five groups (n = 10): (GI) treated without root-end cavity, but with Nd:YAG (1.0 W, 10 Hz, 20 sec) for dentinal tubules sealing; (GII) treated with root-end cavity without the use of Nd:YAG; (GIII) treated with root-end cavity and Nd:YAG application; (GIV) treated with root-end cavity made by Er:YAG with no focus and without Nd:YAG application; and (GV) treated without root-end cavity and without Nd:YAG application. The root-end cavities were performed by using Er:YAG at 300 mJ, 10 Hz, for 20 sec. Subsequently, all teeth were waterproofed and immersed in 2% methylene blue for 48 h in a vacuum environment. The samples were longitudinally sectioned, and microleakage was measured. ANOVA and the Fisher LSD test showed that GIV was less susceptible to microleakage than were the other groups (p < 0.05). Interestingly, the use of the Er:YAG with no focus showed superior dentinal tubule sealing in comparison with the other groups, even with or without root-end cavity and Nd:YAG application.

  2. Evaluation of alginate as a substitute for root-surrounding tissues in electronic root canal measurements.

    Science.gov (United States)

    Lipski, Mariusz; Trąbska-Świstelnicka, Marlena; Woźniak, Krzysztof; Dembowska, Elżbieta; Droździk, Agnieszka

    2013-12-01

    Alginate as a substitute for root-surrounding tissue was investigated. The electronic working lengths of root canals under clinical conditions were compared with an in vitro simulation of the same teeth extracted and embedded in alginate. The working lengths in 26 teeth were determined on two occasions using an electronic apex locator, before extraction and after extraction with the same teeth embedded in an alginate mass. The apical 4 mm of the root canals were exposed following the measurements, and the distances between the apical constrictions and the tips of files repositioned in the canals were measured and recorded. The mean distance between the file tip and the constriction was +0.33 mm (±0.38) in vivo and +0.32 mm (±0.30) in vitro. The Wilcoxon signed-rank test indicated that these means were not significantly different. The apical constriction was assessed to be within the limits of 0.5 mm in 80.7% of in vivo cases and in 76.9% of extracted teeth. Statistical analysis demonstrated that there was no significant difference between the results recorded in vivo and in vitro regarding apical constriction localisation. Based on the results of this study, the alginate mass is a useful tool in evaluating the performance of electronic apex locators.

  3. Root fractures

    DEFF Research Database (Denmark)

    Andreasen, Jens Ove; Christensen, Søren Steno Ahrensburg; Tsilingaridis, Georgios

    2012-01-01

    The purpose of this study was to analyze tooth loss after root fractures and to assess the influence of the type of healing and the location of the root fracture. Furthermore, the actual cause of tooth loss was analyzed.......The purpose of this study was to analyze tooth loss after root fractures and to assess the influence of the type of healing and the location of the root fracture. Furthermore, the actual cause of tooth loss was analyzed....

  4. Developmental Characteristics and Cinnamic Acid Resistance of Root Border Cells in Cucumber and Figleaf Gourd Seedlings

    Institute of Scientific and Technical Information of China (English)

    QIAO Yong-xu; ZHANG Yong-ping; ZHANG Hong-xin; TIAN Yong-qiang; GAO Li-hong

    2013-01-01

    Root border cells (RBCs) originate from the root tip epidermis and surround the root apices. In this study, we evaluated the developmental characteristics and the roles of RBCs in protection of root apices of cucumber and ifgleaf gourd seedlings from CA toxicity. The formation of RBCs and the emergence of the root tip occurred almost simultaneously in root apices of cucumber and ifgleaf gourd seedlings. CA ranging from 0 to 0.25 mol L-1 inhibited root elongation and decreased root cell viability in the root tip, moreover the inhibitory effects of CA were more signiifcant in the CA-sensitive cucumber than in the CA-tolerant ifgleaf gourd. Removal of RBCs from root tips led to more severe CA induced inhibition of root elongation and decline in root cell viability. Increasing CA levels and treatment time decreased the relative viability of attached and detached RBCs. CA also induced a thicker mucilage layer surrounding attached RBCs of both species. Additionally, a signiifcantly higher relative cell viability of attached RBCs and thicker mucilage layers were observed in ifgleaf gourd. These results suggest that RBCs play an important role in protecting root tips from CA toxicity.

  5. Apical Hypertrophic Cardiomyopathy in Association with PulmonaryArtery Hypertension

    Directory of Open Access Journals (Sweden)

    Mehdi Peighambari

    2012-09-01

    Full Text Available Apical Hypertrophic Cardiomyopathy is an uncommon condition constituting 1% -2% of the cases with Hypertrophic Cardiomyopathy (HCM diagnosis. We interestingly report two patients with apical hypertrophic cardiomyopathy in association with significant pulmonary artery hypertension without any other underlying reason for pulmonary hypertension. The patients were assessed by echocardiography, cardiac catheterization and pulmonary function parameters study.

  6. Reversible transient apical ballooning syndrome with coronary lesions

    Institute of Scientific and Technical Information of China (English)

    Yunshan Cao; Min Zhang; Xiang Li; Ping Xie; Lynn Cronin

    2009-01-01

    Transient apical ballooning syndrome(Tako-Tsubo syndrome or ampulla cardiomyopathy) occurs predominantly in women over 60 years of age with a history of recent physical or psychological stress. We present a case of a male patient with reversible transient apical ballooning syndrome with significant coronary lesions and other ECG changes that did not explain the clinical symptoms.

  7. Apical Ballooning Syndrome: A Complication of Dual Chamber Pacemaker Implantation

    Science.gov (United States)

    Abu Sham'a, Raed A. H; Asher, Elad; Luria, David; Berger, Michael; Glikson, Michael

    2009-01-01

    Apical ballooning is a cardiac syndrome (Takotsubo Cardiomyopathy) described as a typical form of acute transient left ventricular dysfunction. While its onset has often been associated with emotionally or physically stressful situations, it has an overall favorable prognosis. We describe here a case of transient apical ballooning following permanent pacemaker implantation. PMID:19652736

  8. Apical entry channels in calcium-transporting epithelia.

    Science.gov (United States)

    Peng, Ji-Bin; Brown, Edward M; Hediger, Matthias A

    2003-08-01

    The identification of the apical calcium channels CaT1 and ECaC revealed the key molecular mechanisms underlying apical calcium entry in calcium-transporting epithelia. These channels are regulated directly or indirectly by vitamin D and dietary calcium and undergo feedback control by intracellular calcium, suggesting their rate-limiting roles in transcellular calcium transport.

  9. A new method for real-time quantification of irrigant extrusion during root canal irrigation ex vivo

    NARCIS (Netherlands)

    Psimma, Z.; Boutsioukis, C.; Vasiliadis, L.; Kastrinakis, E.

    2013-01-01

    Aim (i) To introduce a new method of quantifying extruded irrigant during root canal irrigation ex vivo. (ii) to evaluate the effect of periapical tissue simulation and pressure equalization and (iii) to determine the effect of needle type, apical preparation size and apical constriction diameter

  10. Tissue engineering in endodontics: root canal revascularization.

    Science.gov (United States)

    Palit Madhu Chanda; Hegde, K Sundeep; Bhat, Sham S; Sargod, Sharan S; Mantha, Somasundar; Chattopadhyay, Sayan

    2014-01-01

    Root canal revascularization attempts to make necrotic tooth alive by the use of certain simple clinical protocols. Earlier apexification was the treatment of choice for treating and preserving immature permanent teeth that have lost pulp vitality. This procedure promoted the formation of apical barrier to seal the root canal of immature teeth and nonvital filling materials contained within root canal space. However with the success of root canal revascularization to regenerate the pulp dentin complex of necrotic immature tooth has made us to rethink if apexification is at the beginning of its end. The objective of this review is to discuss the new concepts of tissue engineering in endodontics and the clinical steps of root canal revascularization.

  11. MICROLEAKAGE ASSOCIATED WITH RETROGRADE FILLING AFTER ROOT END RESECTION (in vitro study

    Directory of Open Access Journals (Sweden)

    Elka Radeva

    2014-09-01

    Full Text Available The purpose of the study is to compare microleakage after root end resection of the two materials (MTA and Biodentine for two different apical cavity preparation using the method of penetration of dye - 0, 2 % Rodamine B. Materials and Methods: Forty-eight extracted single-rooted human teeth were used in this study. The resection was made at 3 mm from the root tip with a high speed diamond bur at an angle of 90 degree to the long axis of the tooth. For the retrofilling, ProRoot MTA and Biodentine were used. The teeth were divided into 5 groups: 1st group (10 teeth – the apical cavity was prepared with stainless steel fissure bur #10 at 3 mm depth in the root canal parallel to the long axis of the tooth and is filled retrograde with MTA. 3rd group (10 teeth - retrofilling with Biodentine. 2 nd group (10 teeth - with a round bur apical cavity was prepared with a concave shape and cavity along the root canal with a depth of 3 mm and retrograde obturation with MTA. 4th group (10 teeth - retrofilling with Biodentine. 5th group (8 teeth - control group - with preparation of the cavity after resection without retrofilling. The outer surface of the root is covered with two layers of varnish, with the exception of the apical 3 mm then immersed in 0.2% Rodamine B for 72 h. The degree of penetration of the dye is measured in millimeters. Results: Relative highest median value of penetration of the dye in mm is in the control group. MTA group has a higher value in mm versus the Biodentine. The apical preparation with a concave shape and cavity along the root canal with a depth of 3 mm after apicoectomy is important to reduce apical microleakage. Conclusion: Different apical cavity preparations in both types of material have led to the microleakage dye, but to varying degrees.

  12. Comparative Developmental Anatomy of the Root in Three Species of Cladopus (Podostemaceae)

    OpenAIRE

    Koi, Satoshi; KATO, MASAHIRO

    2003-01-01

    Root meristem structure and root branching in three species of Cladopus were investigated from developmental and anatomical perspectives. Cladopus fukiensis has a compressed bell‐shaped meristem at the apex of a compressed subcylindrical root, while C. javanicus and perhaps C. nymanii, with a ribbon‐like root, have a half lozenge‐shaped (⊂ as seen from above) meristem composed of an apical meristem of cubic cells and a marginal meristem of rectangular cells. The dorsiventrality of the meri...

  13. Model of polar auxin transport coupled to mechanical forces retrieves robust morphogenesis along the Arabidopsis root

    Science.gov (United States)

    Romero-Arias, J. Roberto; Hernández-Hernández, Valeria; Benítez, Mariana; Alvarez-Buylla, Elena R.; Barrio, Rafael A.

    2017-03-01

    Stem cells are identical in many scales, they share the same molecular composition, DNA, genes, and genetic networks, yet they should acquire different properties to form a functional tissue. Therefore, they must interact and get some external information from their environment, either spatial (dynamical fields) or temporal (lineage). In this paper we test to what extent coupled chemical and physical fields can underlie the cell's positional information during development. We choose the root apical meristem of Arabidopsis thaliana to model the emergence of cellular patterns. We built a model to study the dynamics and interactions between the cell divisions, the local auxin concentration, and physical elastic fields. Our model recovers important aspects of the self-organized and resilient behavior of the observed cellular patterns in the Arabidopsis root, in particular, the reverse fountain pattern observed in the auxin transport, the PIN-FORMED (protein family of auxin transporters) polarization pattern and the accumulation of auxin near the region of maximum curvature in a bent root. Our model may be extended to predict altered cellular patterns that are expected under various applied auxin treatments or modified physical growth conditions.

  14. Influence of the parameters of the Er:YAG laser on the apical sealing of apicectomized teeth.

    Science.gov (United States)

    Marques, Aparecida Maria Cordeiro; Gerbi, Marleny Elizabeth M M; dos Santos, Jean Nunes; Noia, Manuela Pimentel; Oliveira, Priscila Chagas; Brugnera Junior, Aldo; Zanin, Fátima Antonia Aparecida; Pinheiro, Antonio Luiz Barbosa

    2011-07-01

    Failures in the sealing of the tooth apex have been considered to be responsible for most of the failures of apical surgeries. The Er:YAG laser has been proposed as an alternative for the use of rotator instruments in surgical endodontics due to its precision, lack of vibration, less post-operative discomfort, bacterial reduction, and less stress for patients and professionals. Following approval by the ethics committee, 12 extracted human canines without previous endodontic treatment with anatomically normal roots and free from apical lesions were washed in running tap water and disinfected. The teeth were sectioned axially at the crown-root junction and submitted to routine endodontic treatment. The apical limit was set at 1 mm before the apical foramen. The root canals were routinely filled with Gutta-Percha points and Sealer 26 and were randomly distributed into two groups (n = 6). In group I, apicectomy was performed with the Er:YAG laser (KAVO KEY Laser II®, Germany, λ = 2.940 nm, pulsed mode, 2051 tip, with air spray cooling, 250 mJ/15 Hz). Apical cut was performed of perpendicular mode 3 mm from the apical foramen. In group II, the same procedures and the same sequence as above was used, varying only the parameters of the Er:YAG laser (400 mJ/6 Hz). Sealing of the cervical end the apex was carried out with acrylic resin; the roots were covered by a layer of epoxy glue and two layers of nail polish. The specimens were divided into groups and fixed, by the cervical third, on wax. Impermeabilization of the residual root apical third was performed following the same procedures used in the cervical third but the residual apex was left free from the impermeabilization. After that, the roots were immersed in a 2% methylene blue solution and placed in a bacteriological oven for 48 h and then washed in running tap water for 2 h. The samples were sagittally split into two parts. The segments were visually observed and the one showing the greatest

  15. An auxin responsive CLE gene regulates shoot apical meristem development in Arabidopsis

    Directory of Open Access Journals (Sweden)

    Hongyan eGuo

    2015-05-01

    Full Text Available Plant hormone auxin regulates most, if not all aspects of plant growth and development, including lateral root formation, organ pattering, apical dominance and tropisms. Peptide hormones are peptides with hormone activities. Some of the functions of peptide hormones in regulating plant growth and development are similar to that of auxin, however, the relationship between auxin and peptide hormones remains largely unknown. Here we report the identification of OsCLE48, a rice (Oryza sativa CLE (CLAVATA3/ENDOSPERM SURROUNDING REGION gene, as an auxin response gene, and the functional characterization of OsCLE48 in Arabidopsis and rice. OsCLE48 encodes a CLE peptide hormone that is similar to Arabidopsis CLEs. RT-PCR analysis showed that OsCLE48 was induced by exogenously application of IAA (indole-3-acetic acid, a naturally occurred auxin. Expression of integrated OsCLE48p:GUS reporter gene in transgenic Arabidopsis plants was also induced by exogenously IAA treatment. These results indicate that OsCLE48 is an auxin responsive gene. Histochemical staining showed that GUS activity was detected in all the tissue and organs of the OsCLE48p:GUS transgenic Arabidopsis plants. Expression of OsCLE48 under the control of the 35S promoter in Arabidopsis inhibited shoot apical meristem development. Expression of OsCLE48 under the control of the CLV3 native regulatory elements almost completely complemented clv3-2 mutant phenotypes, suggesting that OsCLE48 is functionally similar to CLV3. On the other hand, expression of OsCLE48 under the control of the 35S promoter in Arabidopsis has little, if any effects on root apical meristem development, and transgenic rice plants overexpressing OsCLE48 are morphologically indistinguishable from wild type plants, suggesting that the functions of some CLE peptides may not be fully conserved in Arabidopsis and rice.

  16. Cutting efficiency of apical preparation using ultrasonic tips with microprojections: confocal laser scanning microscopy study.

    Science.gov (United States)

    Kwak, Sang-Won; Moon, Young-Mi; Yoo, Yeon-Jee; Baek, Seung-Ho; Lee, WooCheol; Kim, Hyeon-Cheol

    2014-11-01

    The purpose of this study was to compare the cutting efficiency of a newly developed microprojection tip and a diamond-coated tip under two different engine powers. The apical 3-mm of each root was resected, and root-end preparation was performed with upward and downward pressure using one of the ultrasonic tips, KIS-1D (Obtura Spartan) or JT-5B (B&L Biotech Ltd.). The ultrasonic engine was set to power-1 or -4. Forty teeth were randomly divided into four groups: K1 (KIS-1D / Power-1), J1 (JT-5B / Power-1), K4 (KIS-1D / Power-4), and J4 (JT-5B / Power-4). The total time required for root-end preparation was recorded. All teeth were resected and the apical parts were evaluated for the number and length of cracks using a confocal scanning micrscope. The size of the root-end cavity and the width of the remaining dentin were recorded. The data were statistically analyzed using two-way analysis of variance and a Mann-Whitney test. There was no significant difference in the time required between the instrument groups, but the power-4 groups showed reduced preparation time for both instrument groups (p < 0.05). The K4 and J4 groups with a power-4 showed a significantly higher crack formation and a longer crack irrespective of the instruments. There was no significant difference in the remaining dentin thickness or any of the parameters after preparation. Ultrasonic tips with microprojections would be an option to substitute for the conventional ultrasonic tips with a diamond coating with the same clinical efficiency.

  17. Diabetes enhances dental caries and apical periodontitis in caries-susceptible WBN/KobSlc rats.

    Science.gov (United States)

    Kodama, Yasushi; Matsuura, Masahiro; Sano, Tomoya; Nakahara, Yutaka; Ozaki, Kiyokazu; Narama, Isao; Matsuura, Tetsuro

    2011-02-01

    Many epidemiologic studies have suggested that diabetes may be an important risk factor for periodontal disease. To determine whether diabetes induces or enhances periodontal disease or dental caries, dental tissue from diabetic male and nondiabetic female WBN/KobSlc rats and male and female age-matched nondiabetic F344 rats was analyzed morphologically and morphometrically for these 2 types of lesions. Soft X-ray examination revealed that the incidence and severity of both molar caries and alveolar bone resorption were much higher in male WBN/KobSlc rats with chronic diabetes than in nondiabetic female rats of the same strain. Histopathologic examination showed that dental caries progressed from acute to subacute inflammation due to bacterial infections and necrosis in the pulp when the caries penetrated the dentin. In the most advanced stage of dental caries, inflammatory changes caused root abscess and subsequent apical periodontitis, with the formation of granulation tissue around the dental root. Inflammatory changes resulted in resorption of alveolar bone and correlated well with the severity of molar caries. Our results suggest that diabetic conditions enhance dental caries in WBN/KobSlc rats and that periodontal lesions may result from the apical periodontitis that is secondary to dental caries.

  18. Comparison of panoramic radiography and CBCT to identify maxillary posterior roots invading the maxillary sinus.

    Science.gov (United States)

    Lopes, Luciana J; Gamba, Thiago O; Bertinato, João V J; Freitas, Deborah Q

    Given the limitations of panoramic radiography for assessing topographic relationship of maxillary teeth with sinus floor, the purpose of this study was to assess signs on panoramic radiography that could predict root protrusion into the sinus. A total of 46 individuals (330 maxillary posterior teeth) who underwent panoramic radiography and CBCT were enrolled. The relationship between the posterior teeth and the maxillary sinus and panoramic radiography signs (projection of the root apices, interruption of the maxillary sinus floor, lamina dura, darkening in the root apices, and superiorly curving sinus floor enveloping the associated tooth root) associated with protrusion of root apices into the sinus were evaluated. There were differences between the imaging modalities about the positioning of the root apices regarding the sinus (p sinus floor on panoramic radiography were predictors for the root protrusion (p  0.05). The root projection into the sinus and the interruption of the sinus floor are indicative signs of root protrusion into the sinus on CBCT.

  19. Histologic Evaluation of Regenerative Endodontic Procedures with the Use of Chitosan Scaffolds in Immature Dog Teeth with Apical Periodontitis.

    Science.gov (United States)

    Palma, Paulo J; Ramos, João C; Martins, João B; Diogenes, Anibal; Figueiredo, Maria H; Ferreira, Paula; Viegas, Carlos; Santos, João M

    2017-08-01

    The aim of this study was to evaluate histologically the newly formed tissues after regenerative endodontic procedures (REPs) in dogs using either a blood clot (BC) or 2 different formulations of a chitosan hydrogel as scaffolds. Apical periodontitis was induced by inoculating immature teeth with oral plaque in 4 beagle dogs. Teeth (n = 96) were divided into 2 control (n = 20) and 4 test groups (n = 76) according to the treatment: apexification and REPs with BC, sodium hyaluronate:chitosan (HA:CS) scaffolds, or pectin:chitosan (P:CS) scaffolds. All root canals were disinfected with 2.5% sodium hypochlorite and a triple antibiotic paste intracanal medicament before evoked bleeding, clot formation, or scaffold placement. Thirteen weeks after treatment, the animals were sacrificed and the jaw blocks harvested for histologic processing, histomorphometric analysis, and statistical analysis. The lumens of the root canals were completely filled with mineral trioxide aggregate with evidence of a mineralized apical bridge between the root canal walls in 83% of the samples in the apexification group. Vital vascularized tissue was found in the REP groups; apical closure happened in 66.7% of these treatments, and root growth was detected more often as an increase in thickness (85.6%) than in length (45.6%). The greatest amount of mineralized tissue inside the canal was observed in the BC group, with statistical significance compared with the HA:CS and P:CS groups (P regenerative procedures in dogs did not improve the formation of new mineralized tissues along the root canal walls or the histologic evidence of the regeneration of a pulp-dentin complex. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  20. Comparison of Apical Extrusion of Debris by Using Single-File, Full-Sequence Rotary and Reciprocating Systems

    Science.gov (United States)

    Ehsani, Maryam; Harandi, Azadeh; Tavanafar, Saeid; Raoof, Maryam; Galledar, Saeedeh

    2016-01-01

    Objectives: During root canal preparation, apical extrusion of debris can cause inflammation, flare-ups, and delayed healing. Therefore, instrumentation techniques that cause the least extrusion of debris are desirable. This study aimed to compare apical extrusion of debris by five single-file, full-sequence rotary and reciprocating systems. Materials and Methods: One hundred twenty human mandibular premolars with similar root lengths, apical diameters, and canal curvatures were selected and randomly assigned to six groups (n=20): Reciproc R25 (25, 0.08), WaveOne Primary (25, 0.08), OneShape (25, 0.06), F360 (25, 0.04), Neoniti A1 (25, 0.08), and ProTaper Universal. Instrumentation of the root canals was performed in accordance with the manufacturers’ instructions. Each tooth's debris was collected in a pre-weighed vial. After drying the debris in an incubator, the mass was measured three times consecutively; the mean was then calculated. The preparation time by each system was also measured. For data analysis, one-way ANOVA and Games-Howell post hoc test were used. Results: The mean masses (±standard deviation) of the apical debris were as follows: 2.071±1.38mg (ProTaper Universal), 1.702±1.306mg (Neoniti A1), 1.295±0.839mg (OneShape), 1.109±0.676mg (WaveOne), 0.976±0.478mg (Reciproc) and 0.797±0.531mg (F360). Compared to ProTaper Universal, F360 generated significantly less debris (P=0.02). The ProTaper system required the longest preparation time (mean=88.6 seconds); the Reciproc (P=0.008), OneShape (P=0.006), and F360 (P=0.001) required significantly less time (PProTaper Universal.

  1. Etiology and sequelae of root resorption.

    Science.gov (United States)

    Vlaskalic, V; Boyd, R L; Baumrind, S

    1998-06-01

    This article reviews the current status of investigation into apical root resorption within the context of orthodontic treatment. Treatment and patient factors that have traditionally been investigated are discussed, along with the results of current research in this area. The need for rethinking traditional research strategies in the quest for identifying both control and causative mechanisms is explored. Finally, proposals for key areas of future interest are highlighted.

  2. Variations in the Root Form and Root Canal Morphology of Permanent Mandibular First Molars in a Sri Lankan Population

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    Roshan Peiris

    2015-01-01

    Full Text Available The present study was conducted to determine the number of roots and morphology of the root canal system of permanent mandibular first molars (M1 in a Sri Lankan population. Sample of 529 M1 teeth was used. The number of roots was examined and the lengths of the mesial and distal roots were measured to the nearest 0.01 mm. Vacuum injection protocol was used to inject China ink into the root canal system, making it transparent. Root canal morphology was recorded using Vertucci’s classification. Presence of furcation canals, position of lateral canals, intercanal communications, level of bifurcation, and convergence of the root canal system were recorded. M1 showed three roots in 4.1% of the sample. Commonest root canal morphology of the mesial root was type IV and the distal root was type I. The level of bifurcation of the root canals was commonly observed in the cervical one-third of the root while convergence was observed in the apical one-third in both roots. Prevalence of three rooted mandibular first molars is less than 5%. Mesial root showed the most variable canal morphology. Prevalence of furcation canals was 1.5% while that of middle mesial canals was 0.2%.

  3. Auxin at the Shoot Apical Meristem

    Science.gov (United States)

    Vernoux, Teva; Besnard, Fabrice; Traas, Jan

    2010-01-01

    Plants continuously generate new tissues and organs through the activity of populations of undifferentiated stem cells, called meristems. Here, we discuss the so-called shoot apical meristem (SAM), which generates all the aerial parts of the plant. It has been known for many years that auxin plays a central role in the functioning of this meristem. Auxin is not homogeneously distributed at the SAM and it is thought that this distribution is interpreted in terms of differential gene expression and patterned growth. In this context, auxin transporters of the PIN and AUX families, creating auxin maxima and minima, are crucial regulators. However, auxin transport is not the only factor involved. Auxin biosynthesis genes also show specific, patterned activities, and local auxin synthesis appears to be essential for meristem function as well. In addition, auxin perception and signal transduction defining the competence of cells to react to auxin, add further complexity to the issue. To unravel this intricate signaling network at the SAM, systems biology approaches, involving not only molecular genetics but also live imaging and computational modeling, have become increasingly important. PMID:20452945

  4. Surgical management of aortic root disease in Marfan syndrome and other congenital disorders associated with aortic root aneurysms

    NARCIS (Netherlands)

    T. Treasure (Tom); J.J.M. Takkenberg (Hanneke); J. Pepper (John)

    2014-01-01

    textabstractElective root replacement in Marfan syndrome has improved life expectancy in affected patients. Three forms of surgery are now available: total root replacement (TRR) with a valved conduit, valve sparing root replacement (VSRR) and personalised external aortic root support (PEARS) with a

  5. Surgical management of aortic root disease in Marfan syndrome and other congenital disorders associated with aortic root aneurysms

    NARCIS (Netherlands)

    T. Treasure (Tom); J.J.M. Takkenberg (Hanneke); J. Pepper (John)

    2016-01-01

    textabstractElective root replacement in Marfan syndrome has improved life expectancy in affected patients. Three forms of surgery are now available: total root replacement (TRR) with a valved conduit, valve sparing root replacement (VSRR) and personalised external aortic root support (PEARS) with a

  6. Corelation between Machines Assisted Endodontic Irrigant Agitation and Apical Extrusion of Debris and Irrigant: A Laboratory Study

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    Jatin Gupta

    2014-01-01

    Full Text Available Aims. To compare amount of root canal debris and irrigant extruded apically after irrigants agitation using closed and open chambers. Methods and Material. Sixty maxillary central incisors were selected, decoronated, and mounted in preweighed glass vials filled with distilled water. Biomechanical preparation was completed using ProTaper rotary files until number F4 and 1 mL of 3% NaOCl solution after each file use. Samples were randomly divided into closed or open chamber sets which were further subdivided into 6 groups, based on the agitation techniques: no agitation (control, canalBrush, lentulospiral, passive ultrasonic agitation (PUA, EndoActivator, and EndoVac. Canals were irrigated with 1 mL of 17% EDTA and agitated for 30 s and then flushed with 2 mL of distilled water. Apically extruded irrigant was measured and vials were kept in incubator for 5 days at 68°C for drying for weight calculation. Statistical Analysis. Analysis was done using Student’s t-test, one-way ANOVA, and post-hoc. Results. All agitation techniques showed apical extrusion of the debris and irrigant. The closed chamber apparatus showed significantly less extrusion of debris and irrigant than open chamber (P<0.05. Conclusions. EndoVac was found to be the safest agitation system among all test groups with regard to apical extrusion of debris and irrigant.

  7. SUPPRESSOR OF APICAL DOMINANCE1 of Sporisorium reilianum Modulates Inflorescence Branching Architecture in Maize and Arabidopsis1[OPEN

    Science.gov (United States)

    Ghareeb, Hassan; Löfke, Christian; Teichmann, Thomas; Schirawski, Jan

    2015-01-01

    The biotrophic fungus Sporisorium reilianum causes head smut of maize (Zea mays) after systemic plant colonization. Symptoms include the formation of multiple female inflorescences at subapical nodes of the stalk because of loss of apical dominance. By deletion analysis of cluster 19-1, the largest genomic divergence cluster in S. reilianum, we identified a secreted fungal effector responsible for S. reilianum-induced loss of apical dominance, which we named SUPPRESSOR OF APICAL DOMINANCE1 (SAD1). SAD1 transcript levels were highly up-regulated during biotrophic fungal growth in all infected plant tissues. SAD1-green fluorescent protein fusion proteins expressed by recombinant S. reilianum localized to the extracellular hyphal space. Transgenic Arabidopsis (Arabidopsis thaliana)-expressing green fluorescent protein-SAD1 displayed an increased number of secondary rosette-leaf branches. This suggests that SAD1 manipulates inflorescence branching architecture in maize and Arabidopsis through a conserved pathway. Using a yeast (Saccharomyces cerevisiae) two-hybrid library of S. reilianum-infected maize tissues, we identified potential plant interaction partners that had a predicted function in ubiquitination, signaling, and nuclear processes. Presence of SAD1 led to an increase of the transcript levels of the auxin transporter PIN-FORMED1 in the root and a reduction of the branching regulator TEOSINTE BRANCHED1 in the stalk. This indicates a role of SAD1 in regulation of apical dominance by modulation of branching through increasing transcript levels of the auxin transporter PIN1 and derepression of bud outgrowth. PMID:26511912

  8. Bony change of apical lesion healing process using fractal analysis

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Ji Min; Park, Hyok; Jeong, Ho Gul; Kim, Kee Deog; Park, Chang Seo [Yonsei University College of Medicine, Seoul (Korea, Republic of)

    2005-06-15

    To investigate the change of bone healing process after endodontic treatment of the tooth with an apical lesion by fractal analysis. Radiographic images of 35 teeth from 33 patients taken on first diagnosis, 6 months, and 1 year after endodontic treatment were selected. Radiographic images were taken by JUPITER computerized Dental X-ray System. Fractal dimensions were calculated three times at each area by Scion Image PC program. Rectangular region of interest (30 x 30) were selected at apical lesion and normal apex of each image. The fractal dimension at apical lesion of first diagnosis (L{sub 0}) is 0.940 {+-} 0.361 and that of normal area (N{sub 0}) is 1.186 {+-} 0.727 (p<0.05). Fractal dimension at apical lesion of 6 months after endodontic treatment (L{sub 1}) is 1.076 {+-} 0.069 and that of normal area (N{sub 1}) is 1.192 {+-} 0.055 (p<0.05). Fractal dimension at apical lesion of 1 year after endodontic treatment (L{sub 2}) is 1.163 {+-} 0.074 and that of normal area (N{sub 2}) is 1.225 {+-} 0.079 (p<0.05). After endodontic treatment, the fractal dimensions at each apical lesions depending on time showed statistically significant difference. And there are statistically significant different between normal area and apical lesion on first diagnosis, 6 months after, 1 year after. But the differences were grow smaller as time flows. The evaluation of the prognosis after the endodontic treatment of the apical lesion was estimated by bone regeneration in apical region. Fractal analysis was attempted to overcome the limit of subjective reading, and as a result the change of the bone during the healing process was able to be detected objectively and quantitatively.

  9. Effect of different mixing and placement methods on the quality of MTA apical plug in simulated apexification model

    Science.gov (United States)

    Janani, Maryam; Razi, Tahmineh; Atharmoghaddam, Faezeh

    2017-01-01

    Background It is necessary apical plug material to exhibit proper adaptation with the root canal walls. Presence of voids at the interface between the root canal wall and this material result in micro leakage, which might have a relationship with post treatment disease. The aim of the present study was to evaluate the effect of different mixing (manual and ultrasonic) and placement (manual and manual in association with indirect ultrasonic) method of Mineral Trioxide Aggregate (MTA) on the void count and dimension in the apical plug in natural teeth with simulated open apices. Material and Methods Eighty human maxillary central incisors were selected. After simulation of the open apex model, the teeth were assigned to 4 groups based on the mixing and placement techniques of MTA: group 1, manual mixing and manual placement; group 2, manual mixing and manual placement in association with indirect ultrasonic; group 3, ultrasonic mixing and and manual placement; and group 4, ultrasonic mixing and manual placement in association with indirect ultrasonic. The prepared samples were placed within gypsum sockets in which the periodontal ligament was reconstructed with polyether impression material. In group 1, after mixing, the material was condensed with a hand plugger. In group 2, after mixing, the ultrasonic tip was contacted with the hand plugger for 2 seconds. In groups 3 and 4, mixing was carried out with the ultrasonic tip for 5 seconds and in groups 3 and 4, similar to groups 1 and 2, respectively, the materials were placed as apical plugs, measuring 3 mm in length. A wet cotton pellet was placed at canal orifices and dressed with Cavit. After one week, the cone beam computed tomography (CBCT) technique was used to count the number of voids between the material and root canal walls. The void dimensions were determined using the following scoring system: score 1, absence of voids; score 2, the void size less than half of the dimensions of the evaluated cross

  10. Study of foramen openings and their concurrence with root apexes

    Directory of Open Access Journals (Sweden)

    Sandra Maria Alves SAYÃO MAIA

    2005-05-01

    Full Text Available The present study is aimed at evaluating the anatomic concurrencebetween foramen openings and root apexes of 247 upper and lowerpermanent human molar canals, the distance between these structures,the instrument that best fits into the root canal, as well as the direction of foramen deviation. Sixty-four of the canals were partially impenetrable and were discarded. The findings showed that 39.9% of the root canals studied had their apical foramen concurrent with their root apexes and 60.1% did not. Clinicians must be made aware of this important anatomical detail, which could be indispensable for successful endodontic treatment.

  11. Regional variation in root dentinal tubule infection by Streptococcus gordonii.

    Science.gov (United States)

    Love, R M

    1996-06-01

    The purpose of this study was to investigate the pattern of bacterial invasion of dentinal tubules at different regions in human roots. Specimens were obtained from single-rooted teeth that had their root canals prepared in a standard manner. Roots were then sectioned longitudinally through the canals and the resulting specimens chemically treated to remove the smear layers. Specimens were immersed in a suspension of Streptococcus gordonii for 3 weeks and then prepared for histological analysis. Sections from the cervical, midroot, and apical areas were examined. The pattern of bacterial infection of the cervical and midroot areas was similar, characterized as a heavy infection with bacteria penetrating as deep as 200 microns. Invasion of the apical dentin was significantly different, with a mild infection and maximum penetration of 60 microns.

  12. The TOR Complex: An Emergency Switch for Root Behavior.

    Science.gov (United States)

    Yokawa, Ken; Baluška, František

    2016-01-01

    Target of rapamycin (TOR) kinase is known to be a controller of cell growth and aging, which determines the fine balance between growth rates and energy availabilities. It has been reported that many eukaryotes express TOR genes. In plants, TOR signaling modifies growth and development in response to a plant's energy status. An example of TOR action can be found in the root apices, which are active organs that explore the soil environment via vigorous growth and numerous tropisms. The exploratory nature of root apices requires a large energy supply for signaling, as well as for cell division and elongation. In the case of negative tropisms, roots must respond quickly to avoid patches of unfavorable soil conditions, again by consuming precious energy reserves. Here we review the current findings on TOR signaling in plants and animals, and propose possible roles for this important complex in driving plant root negative tropisms, particularly during light escape and salt avoidance behavior.

  13. The accuracy of Root ZX electronic apex locator

    Directory of Open Access Journals (Sweden)

    Osama S Alothmani

    2012-01-01

    Full Text Available The aim of this review was to evaluate studies assessing the accuracy of Root ZX when used for working length determination in permanent teeth and to identify factors affecting the device′s precision. An electronic search for articles published in English language since 1994 was conducted on the Medline via Ovid interface. All issues of the International Endodontic Journal, Journal of Endodontics and Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology since 1994 were manually searched. The reference lists of review articles were cross-referenced to identify any potential publications. A total of 76 publications fulfilled the inclusion criteria. The studies varied in their methodologies, and most of them did not adhere to the manufacturer′s recommendations while operating the device. The Root ZX failed to consistently detect the apical constriction or the apical foramen. Nonetheless, it mostly allowed file tip placement in the area bounded by these two landmarks, especially when the 0.5 mark of its digital meter was adopted. Tooth-related factors potentially influencing the precision of Root ZX included pre-operative pulp status, tooth type, position of the apical foramen, canal obliteration, and the size of apical diameter. Operative factors including coronal pre-flaring, presence or absence of irrigants, file size, file alloy, and mode of file operation could also influence the performance of Root ZX. In conclusion, adopting the 0.5 mark of the digital meter of the Root ZX reduces chances of violating the apical foramen. Further, factors influencing the precision of Root ZX must be considered while operating it.

  14. 三种根管长度测量仪测定根尖吸收牙齿工作长度准确性的比较研究%In vitro measurement accuracy of electronic apex locator in teeth with apical root resorption

    Institute of Scientific and Technical Information of China (English)

    王世明; 张成飞; 段成钢; 姚丽萍

    2004-01-01

    目的比较三种不同根管长度测量仪测定根尖区吸收牙齿工作长度结果的准确性.方法将60颗离体前牙平均分成三组,用700#裂钻深入根尖孔钻入 3m m,破坏根尖狭窄处.将三组牙齿分别放置于测量槽中,使用Root ZX、Neosonic和JustyⅡ测量其工作长度.结果所得出的数据与肉眼下准确测量所得出的数据比较,A组在±0.5mm 65.0%、±1mm 85.0%、±1.5mm 100.0%.B组在±0.5mm 60.0%、±1mm 85.0%、±1.5mm 100.0%.C组在±0.5mm 75 .0%、±1mm 90.0%、±1.5mm 100.0%. 结论三种测量仪测量值具有准确性,A组、B组和C组无明显差异.

  15. Unique Cellular Organization in the Oldest Root Meristem.

    Science.gov (United States)

    Hetherington, Alexander J; Dubrovsky, Joseph G; Dolan, Liam

    2016-06-20

    Roots and shoots of plant bodies develop from meristems-cell populations that self-renew and produce cells that undergo differentiation-located at the apices of axes [1].The oldest preserved root apices in which cellular anatomy can be imaged are found in nodules of permineralized fossil soils called coal balls [2], which formed in the Carboniferous coal swamp forests over 300 million years ago [3-9]. However, no fossil root apices described to date were actively growing at the time of preservation [3-10]. Because the cellular organization of meristems changes when root growth stops, it has been impossible to compare cellular dynamics as stem cells transition to differentiated cells in extinct and extant taxa [11]. We predicted that meristems of actively growing roots would be preserved in coal balls. Here we report the discovery of the first fossilized remains of an actively growing root meristem from permineralized Carboniferous soil with detail of the stem cells and differentiating cells preserved. The cellular organization of the meristem is unique. The position of the Körper-Kappe boundary, discrete root cap, and presence of many anticlinal cell divisions within a broad promeristem distinguish it from all other known root meristems. This discovery is important because it demonstrates that the same general cellular dynamics are conserved between the oldest extinct and extant root meristems. However, its unique cellular organization demonstrates that extant root meristem organization and development represents only a subset of the diversity that has existed since roots first evolved. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  16. Comparative evaluation of sealing properties of different obturation systems placed over apically fractured rotary NiTi files

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    Sonali Taneja

    2012-01-01

    Full Text Available Aim: To evaluate sealing properties of different obturation systems placed over apically fractured rotary NiTi files. Materials and Methods: Forty freshly extracted human mandibular premolars were prepared by using Protaper (Dentsply-Maillefer, Ballaigues, Switzerland or the RaCe (FKG Dentaire, La Chaux-de-Fonds, Switzerland systems (n=20 for each, after which half of the specimens were subjected to instrument separation at the apical level. Roots with and without apically separated instruments (n=5 were filled with the two obturation systems i.e. Thermafil and lateral compaction technique. The modified glucose penetration setup was used to assess the microleakage. The leakage data was statistically analyzed. Results: The amount of leakage was significantly lower in specimens containing fractured instruments, regardless of the obturation method used. Roots obturated with Thermafil displayed significantly less leakage than cold lateral compaction technique, both, in the presence and absence of separated instruments. There was no significant difference among specimens prepared with ProTaper and RaCe when Thermafil obturation was done. But with cold lateral compaction technique, RaCe system showed less leakage as compared to ProTaper system. Conclusion: The type of obturation may play more important role than the type of instrument or retained/non-retained instrument factor.

  17. Autologus Platelet Rich Fibrin aided Revascularization of an immature, non-vital permanent tooth with apical periodontitis: A case report.

    Science.gov (United States)

    Jadhav, Ganesh Ranganath; Shah, Dipali; Raghvendra, Srinidhi Surya

    2015-01-01

    Caries or trauma induced non-vital immature permanent tooth with blunderbuss, thin root which are very common among childrens are corrected using regenerative endodontic (revascularization) procedures. In the presented case, a 16-year-old boy reported with chief complaint of pain in maxillary left central incisor (Tooth #21). Tooth #21 showed grade III mobility, draining labial sinus, and short blunderbuss root with diffuse periapical radiolucency. Patient was explained the treatment plan and written informed consent was taken. Platelet rich fibrin (PRF) was prepared according to standard protocol. Autologous PRF was carried to the apical portion of the root canal after inducing revascularization. Access opening was double sealed with MTA and resin modified glass ionomer cement (RMGI). Baseline, 12 month and 18 month follow-up intraoral radiographs were taken. Clinically case was asymptomatic with complete resolution of intraoral sinus. Periapical healing, apical closure, root lengthening and dentinal wall thickening were uneventful. Thus PRF supplementation hastens the predictability and rate of revascularization in non-vital immature permanent teeth.

  18. CBVT analysis of canal configuration of the mesio-buccal root of maxillary first permanent molar teeth: An in vitro study

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    R Pratima Shenoi

    2012-01-01

    Full Text Available Context: For successful endodontic treatment, it′s imperative to locate and obturate all root canals. As concluded by Ingle, the major cause for failure of root canal therapy is in ability to recognize all theexisting canals and subsequent failure in their obturation. Aim: To analyze the canal configuration of the mesio-buccal root of maxillary first permanent molar teeth. Materials and Methods: A total of 30 recently extracted human permanent maxillary first molars were collected and stored in a container with 5% Sodium Chloride solution for four days. Teeth with open apices, external resorption, improperly formed roots and teeth with previous restorations were excluded. Using the dental modeling wax, teeth were arranged in a ′U′ shaped arch with roots embedded inside the wax and occlusal surface remaining free. 10 teeth were arranged in each arch and three such sample plates were prepared. Flat surface of the base encasing enabled the plate to be mounted on flat plastic bite plate. With bite plate roughly centered in the focal trough area Axial, Coronal and Sagittal section Cone-Beam Computed Tomography (CBCT images were taken with Kodak 9000 Extra-oral Imaging System. Images displayed on a monitor were inspected by two endodontists using Kodak Dental Imaging Software 3D Module V2.2. Statistical Analysis: When the data was observed, it was found that 24 teeth out of total 30 teeth examined showed some variation (i.e. possible additional canal along the length of the mesio-buccal root canal. Out of these 24 teeth, 13 showed presence of additional canal at coronal third, 7 showed presence of additional canal at middle third and four showed presence of additional canal in apical third level. Percentage analysis was done as there was no group comparison to be done. Results: Cone-Beam Volumetric Tomography (CBVT evaluation positively identified the variations in mesio-buccal canal in 80% of samples. Out of these, 54.16% were in coronal 3 rd

  19. 不同自锁托槽对切牙牙根外吸收影响的临床对比研究%Clinical research of external apical root resorption of maxillary incisors in patients treated with diffierent self-ligating brackets

    Institute of Scientific and Technical Information of China (English)

    杨一可

    2011-01-01

    目的:评价运用不同自锁托槽对正畸治疗中牙根外吸收的影响.方法:选取南京同仁医院口腔科36例非减数治疗安氏Ⅰ类均角错(牙合)畸形患者,分为主动自锁托槽组和被动自锁托槽组,根据正畸治疗前后全口曲面断层片和记存模型,测量计算出治疗前后切牙的全长和不同自锁托槽组间牙根外吸收量,进行统计学检验,分析不同自锁托槽对切牙牙根外吸收的影响.结果:主动自锁托槽组的牙根外吸收量略大于被动自锁托槽组的牙根外吸收量,但差异无统计学意义(P>0.05).结论:不同自锁托槽均可造成切牙根吸收,但主动自锁托槽对非减数安氏Ⅰ类错颌畸形治疗过程中牙根吸收的影响与被动自锁托槽相比有增加趋势,但无统计学差异.

  20. Apical Sealing Ability of Mineral Trioxide Aggregate, Intermediate Restorative Material and Calcium Enriched Mixture Cement: A Bacterial Leakage Study

    Science.gov (United States)

    Shahriari, Shahriar; Faramarzi, Farhad; Alikhani, Mohammad-Yousef; Farhadian, Maryam; Hendi, Seyedeh Sareh

    2016-01-01

    Introduction: This in vitro study compared the apical sealing ability of three common root end filling materials namely mineral trioxide aggregate (MTA), intermediate restorative material (IRM) and calcium-enriched mixture (CEM) cement using a bacterial leakage model. Methods and Materials: The study was conducted on 83 single-rooted human teeth. Tooth crowns were cut and root canals were prepared using the step-back technique. Apical 3 mm of the roots were cut and a three-mm-deep cavity was prepared using an ultrasonic instrument. The samples were divided into three groups (n=25) according to the root-end filling material including MTA, IRM and CEM cement. The roots were inserted into cut-end microtubes. After sterilization with ethylene oxide, microtubes were placed in sterile vials containing 10 mL of Brain Heart Infusion (BHI) broth and incubated at 37°C and 0.1 mL of Enterococcus faecalis suspension compatible with 0.5 McFarland standard (1.5×108 cell/ ml), which was refreshed daily. This procedure was continued for 70 days. The data were analyzed using the chi-square, Kruskal-Wallis and log rank tests. The level of significance was set at 0.05. Results: No significant difference was found in bacterial microleakage among three groups; MTA showed slightly (but not significantly) less microleakage than IRM and CEM. However, the difference in the mean time of microleakage was significant among the groups (P<0.04) and in MTA samples leakage occurred in a longer time than CEM (P<0.012). Conclusion: The three tested root end filling materials had equal sealing efficacy for preventing bacterial leakage. PMID:27790267