Introduction: Root therapy in primary teeth aims to remove the necrotic pulp, to prevent premature tooth loss, and to maintain the primary teeth until exfoliation. Rotary systems allow for more effective root canal treatments. Objective: To analyze the literature for the characteristics of the rotary systems such as root canal preparation, obturation time, post-operative pain and clinical success. Methodology: A exhaustive research was performed in PUBMED, to find relevant studies about the use of rotary systems in pediatric dentistry. Results: Rotary files provide a greater root canal preparation, show more conservation of tooth structure with less mistakes in comparison with other techniques. This technique simplifies the procedure, shows less post operative pain, and is reflected in the cooperation of the pediatric patient. Rotary files exhibit a significant cleaning efficacy and a greater bacterial removal that led to a significant clinical success. Conclusion: due to the complexity of the primary roots and how precise the root canal treatment must be. The use of rotary techniques can improve root canal treatment of primary teeth.
Introduction: Apical periodontitis is a sequela of endodontic infection, which manifests as a host defense response to the microbial challenge emanating from the root canals. To achieve an optimal outcome, microorganisms must be eliminated or reduced to levels that allow healing of the periradicular tissue. Objective: To analyze the literature on microorganisms, such as Enterococcus faecalis, Fusobacterium nucleatum, Candida albicans, Epstein-Barr, which are important in persistent apical periodontitis. Methodology: Articles on the subject published through PubMed, SCOPUS and Google Scholar databases were analyzed, with emphasis on the last 5 years. It was performed with the words "Enterococcus faecalis", "Fusobacterium nucleatum", "Candida albicans", "Epstein-Barr", "Herpesviridae", "Root canals", "Persistent apical periodontitis". Results: E. faecalis involved in persistent apical periodontitis because of its adaptability to extreme environments, growing in alkaline pH and using periodontal ligament fluids as nutrients. Lysed Fusobacterium nucleatum cells could potentially increase the severity of persistent apical periodontitis. Candida albicans is one of the dominant pathogens in persistent apical periodontitis because of its membrane protein Msb2. Epistein-Barr virus may be implicated in the pathogenesis of apical periodontitis by direct cytopathic action on infected cells, however, its replication in persistent apical periodontitis is still unclear. Conclusions: The microbiota of teeth with persistent apical periodontitis, presents a mixed and complex profile, it is important to know the role of these microorganisms, because microbial persistence, seems to be the most important factor in root canal treatment failure.
Introduction: During the last decades, there was a great interest in the development of bioactive dental material with the ability to interact and induce dental tissues. Biodentine is a calcium silicate-based cement that has beneficial effects on pulp cells and promotes the formation of tertiary dentin. Aim: To analyze the literature on biodentine, as well as its antimicrobial activity, its setting capacity, its clinical applications and its biological properties. Methodology: Using the keywords biodentine, root canal sealing materials, epidemiology, diagnosis, clinical manifestations, antimicrobial resistance, and treatment, the MEDLINE/PubMed and Science Direct databases were searched, with emphasis on the last 5 years. It was evaluated with the PRISMA and AMSTAR-2 guidelines. Results: The antimicrobial activity of Biodentine has been greater against strains such as Streptococcus sanguis, Enterococcus faecalis, Escherichia coli and Candida albicans. Biodentine has benefits such as excellent sealability, biocompatibility, good dimensional stability with the advantage of a setting time of 12 to 13 minutes, less than MTA. Materials used in the vital pulp method must have biocompatibility and bioactivity to promote pulp cell activity. Biodentine induces the differentiation of pulp cells into odontoblast-like cells, formation of mineralized tissue and restorative dentin. Conclusion:The composition and its applications have shown sufficient basis to perform an adequate antimicrobial activity, as well as its setting time improved to 12 minutes. Vital pulp therapy is one of the main uses of this material as it is a widely accepted material for dentin tissues due to its high biological compatibility.
Introduction: Hemophilia is an is an X-linked recessive inherited disorder. It belongs to the group of hereditary disorders caused by the deficiency of one or more coagulation factors. Objective:To analyze the literature on the considerations in the dental office in the management of the hemophiliac patient, particularly the etiology, clinical characteristics, diagnosis, treatment and dental management. Methodology: In order to carry out this literature review, an electronic search was necessary using PUBMED and Google Scholar with the words "Hemophilia AND dentistry" "etiology, clinical and dental characteristics, diagnosis and treatment" and "coagulation factors". Results: Hemophilia is due to an alteration in one of the genes that determine the way in which the organism produces coagulation factor VIII or IX. It occurs in 1 in 10,000 male births. It manifests as excessive bleeding in the joints, pain and edema, ecchymosis, urinary tract and digestive tract bleeding. It results in prolonged bleeding from wounds, dental extractions and surgery. The diagnosis of hemophilia is made by taking a blood sample and measuring the degree of factor activity. The main treatment for severe hemophilia is to receive specific clotting factor replacement. During the consultation, a detailed medical history should be taken and comprehensive clinical examinations should be ordered appropriately. The patient should provide the following information: type and severity of his hemophilia, medication ingest, whether he requires pre-treatment with factor concentrate, or an antifibrinolytic agent. Conclusion: Hemophilia is an X-linked recessive inherited disorder. It belongs to the group of inherited disorders caused by deficiency of one or more clotting factors. Practice guidelines are needed to improve the diagnostic process, improve the quality of dental care.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.