Arias A, de la Macorra JC, Hidalgo JJ, Azabal M.Predictive models of pain following root canal treatment: a prospective clinical study. International Endodontic Journal, 46, 784-793, 2013. Aim To determine the probability of the incidence, intensity, duration and triggering of post-endodontic pain, considering factors related to the patient (age, gender, medical evaluation) and to the affected tooth (group, location, number of canals, pulp vitality, preoperative pain, periapical radiolucencies, previous emergency access, presence of occlusal contacts with antagonist). Methodology A total of 500 one-visit root canal treatments (RCTs) were performed on patients referred to an endodontist. Shaping of root canals was performed manually with Gates-Glidden drills and K-Flexofiles, and apical patency was maintained with a size 10 file. A 5% NaOCl solution was used for irrigation, and canals were filled with lateral compaction and AH-Plus sealer. Independent factors were recorded during the treatment, and characteristics of post-endodontic pain (incidence, intensity, type and duration) were later surveyed through questionnaires. Of the 500 questionnaires, 374 were properly returned and split in two groups for two different statistical purposes: 316 cases were used to adjust the logistic regression models to predict each characteristic of post-endodontic pain using predictive factors, and the remaining 58 cases were used to test the validity of each model. Results The predictive models showed that the incidence of post-endodontic pain was significantly lower when the treated tooth was not a molar (P = 0.003), demonstrated periapical radiolucencies (P = 0.003), had no history of previous pain (P = 0.006) or emergency endodontic treatment (P = 0.045) and had no occlusal contact (P < 0.0001). The probability of experiencing moderate or severe pain was higher with increasing age (P = 0.09) and in mandibular teeth (P = 0.045). The probability of pain lasting more than 2 days was increased with age (P = 0.1) and decreased in males (P = 0.007) and when a radiolucent lesion was present on radiographs (P = 0.1). Conclusions Predictive formulae for the incidence, the intensity and the duration of post-endodontic pain were generated and validated taking account of the interrelation of multiple concomitant clinical factors. A predictive model for triggering post-endodontic pain could not be established.

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Introduction: New designs and alloys and different motions have been introduced to increase the cyclic fatigue (CF) resistance of nickel-titanium (NiTi) files. The aim of this study was to compare the CF resistance of K3 (SybronEndo, Orange, CA), K3XF (SybronEndo), and TF (SybronEndo) files under continuous rotation and reciprocating motion. Methods: A total of 210 files (30-tip diameter, 0.06 fixed taper), 60 K3, 60 K3XF, and 90 TF files, were divided into 7 groups (30 files each): K3-C, K3XF-C, and TF1-C were rotated at 300 rpm; TF2-C was rotated at 500 rpm; and K3-R, K3XF-R, and TF1-R were used in a reciprocating motion. CF resistance was tested in stainless steel, curved canals (60 , r = 3 mm) until fracture, and the time to fracture was recorded. The mean half-life, beta, and eta were calculated for each group and were compared with Weibull analysis. Results: The probability of a longer mean life was greater under reciprocating motion for all of the files (100% for K3, 87% for K3XF, and 99% for TF). Under continuous rotation, K3XF was more resistant than K3 and TF. TF lasted significantly longer than K3. TF was more resistant to CF when rotated at 300 rpm instead of 500 rpm. Under reciprocating motion, there were no significant differences between K3XF and TF mean lives, but both were significantly longer than the K3 mean life (78% for TF and 86% for K3XF). Conclusions: Reciprocating motion and R-phase increase CF resistance. (J Endod 2013;39:1585-1588

Introduction: Recent improvements in alloys, kinematics, and concepts have been combined to increase the cyclic fatigue resistance of nickel-titanium (NiTi) instruments. The aim of this study was to compare the cyclic fatigue resistance of new M-Wire reciprocating WaveOne (Dentsply Maillefer, Ballaigues, Switzerland) and Reciproc (VDW GmbH, Munich, Germany) files at 2 levels. Methods: Sixty Reciproc and 60 WaveOne new files were fixed to a specifically designed device and tested in tempered steel canals with a 3-mm radius and a 60 angle of curvature. The motor used was programmed as defined by each manufacturer, and the specific reciprocating motion was followed. Thirty files of each brand were tested at 5 mm, and 30 were tested at 13 mm from their tips. The time to failure was registered. Weibull analysis was used to calculate the mean life, beta, and eta parameters. Results: The probability of the mean life was higher for Reciproc than WaveOne files at both levels, with the probability of the Reciproc mean life being 62% higher than that of WaveOne at 5 mm from the tip and 100% higher at 13 mm (all statistically significant). The probability of the mean life was higher at 5 mm than at 13 mm in both systems. The results may have been partially conditioned by the different motions that manufacturers propose for each system. Conclusions: Reciproc files were more resistant to cyclic fatigue than WaveOne files at both distances from the tip. Both systems had greater cyclic fatigue resistance at 5 mm than at 13 mm from the tip. (J Endod 2012;38:1244-1248

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Objectives: To ®nd a predictive formula of stress, considering the surfaces (free, adhered) involved, the volume and characteristics of material and the deformation of the measuring system. Materials and methods: 231 samples of ®ve chemically cured restoratives (Silar (SIL, 23), Clear®l F2 (CLE, 39), P10 (P10, 33), Concise (CON, 30), Isopast (ISO, 28)) and four luting (3M Experimental 241 (EXM, 20), Variolink II (VAR, 13), Vitremer LC (VTM, 20) and Dyract Cem (DYR, 25)) materials were allowed to polymerize until they reached a maximum tension (T max , 25 min) between six pairs (B 5.81, 8.5, 11.26, 12.42, 17.02, 23.14 mm) of polished metallic discs (range of distances: 0.02±5.9 mm) mounted in a tension machine. The deformation of the measuring system was measured for the recorded forces.Results: A descriptive non-linear formula T max Signi®cance: Predictive parameters have in¯uence in a different way to what is actually considered, if the system is allowed to have deformation, as occurs naturally and volume and material's characteristics are considered. q

Luting materials for fixed prosthesis must fulfill special requirements in order to retain indirect restorations and fully maintain the integrity of abutments. The main requirements (inhibition of plaque accumulation, sealing of interface, possible antibacterial effects, acceptable solubility, wear, mechanical properties, adhesion, radiopacity, film thickness, type of curing, esthetics, storage, and cost) are reviewed to update clinical criteria on the selection of suitable materials. It can be concluded that there is no ideal luting material on the market. Alleged improvements in the physical data of newer materials do not necessarily result in better clinical performance. Only clinical trials can confirm the assumed benefits of materials.